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HomeMy WebLinkAboutXR2023-0712 - Permit ApplicationPrint Form r Comm'I r Worksheet for Combo Building & Solar Permit Application Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building [ Grading F-Drainage [ Elec F_ Mech F- Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) C Flood Fire r Liq r Landslide [N/A Floor Suite No -Z- -AA 1------ I -_ F_ Description of Work Use F— ConstType t I Q lei [L f,,Lfot l l as Inn � S l d - # StoriesF_ # Units (if Res)F --- _. �// L/ (�f✓elf? Valuation $ FA Material/Labor New/AddSF� RemodelSF� Garage/New/Add— OWNER'S NAME Last-�«�._____-..___ First Owner's Address Owner's E-mail Address City _ �f . State FCV Zip �— TelephoneF_— 4 APPLICANT'S NAME Last Dv w First - Applicant's Address Applicant's E-mail Address 1_!4115 ��,{n/JSLCi ��C-[LILZQr?.rC�°H /� d- /' __..._. City State //,, _10u��o w CJLU� - C GF . _ Zip � rL%� Telephone 7l �9LSl Z(� ARCHITECT/DESIGNER'S NAME Last First Lic. No. �— Architect/Designer's Address Architect/Designees E-mail Address City State �— Zip F Telephone �— ENGINEER'S NAME Last First Lic. No.�' - Engineer's Address Engineer's E-mail Address City State F® Zip TelephoneF— CONTRACTOR'S NAME/COMPANY �.y�i �� Class G-q 7 ��S P Enos--�r�t�r)Sccp�- Lic. No. -_ _ _ Contractor's Address Contractor's E-mail Address ��tPlo nLly C 3__ Ca n�_ City �oQA�� .Go, - State F< � Zip q.;z9fLf3 Telephone(21L() pl-s-i2�6 SETBACKS REAR SETBACKS FRONT PERMIT NO. �Z SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO "- USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Worksheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. AA0.v\�) L i'"c-� 2. Owner's Name Last Owners Street 1Address 1 S ,tA6k1-t\.W-_C_i�fL Telephone F_ Owners E-mail Address F_ Floor Suite First LEI\ [ice V Q-�v City I �u Stile rl;�F Zip ---- r 3. Applicant's Name Last �XiNL'!1'J k� First Applicant's Street Address n cttnn� City IGCZ uV��State Zip I rj Telephone L71 q ) f i-5yL / Applicant's E-mail Address C �- LgvliJ lcas O; vs , �' t, yL(InoO-CO 4. Contractor's Name Last , , tl 5 First I State Uc It �— Contrauor's Street Address City CIY,t�L State ZiPI Telephone G� Contractor's E-mail Address - `_N� Business Hc# r----- 7 /-s-r2c - %Gaut-.�, Mechanical Furnace Quantity up to 100,000 btu:over 100,000 btu:r— wall/Floor heaters:.r— Heat Pumps/Package Units up to 100,000 btu:r— up to 1,000,000 btu �7— up to 1, 750,000 btu:r— > 1, 750,000 btu:r® Boilers/Compressors up to 3 HP:r-- 3 HP-15 HP,�- 15 HP-30 HP; 30 HP-50 HP'lr— >50 HP:r— Air Handling Units up to 10,000 CFM:�� > 10,000 CFM:I VAV Box:r— Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fan - Exhaust Fan. --- Attic Exhaust:i Residential Hood:r Commercial Hood: Metal Fireplace f — Gas Line:[ — Fire Dampers F_ Electrical New Construction Quantity 1 & 2 Family S.F:r_ Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets :F-5: Lighting Fixtures Total Fixtures:r— Total Low Voltage:r g Separate Circuit Motors/Transformers 0-1 HP or KVA:r_ 1-10 HP or KVA 10-50 HP or KVA�-- 7 50-100 HP or KVA Over 100 HP or KVA:r— Signs One branch circuitr— Add'I branch circuit: - Service 0-600V not over 200A:r_ 0-600V& over 200A:7J over 600V;i Temp PP/Piggy Back:, Sub Panel., Otherr— Plumbing Bathroom Quantity Water closet (toilet): Bidet Urinal Bath Tub., F_ stall' Lavatory (basin):�— L Hydro -massage tub:r— Kitchen Kitchen sink Garbage Disposal:,F— Bar sink F_ Vegetable sink:r— Dishwasherr— Laundry/washing trap:r+ Ice maker. Floorsink:r— Miscellaneous Floor drain: Water piping:1r— Water softener f — Water heaterr— Lavatory (basin):: Gas sys up to 4 outlets:I Gas sys a of outlets over 4:r— Quantity BackBow device up to 2::- Backflow device over 2":i Regulators;, Lawn Sprinkler System: Roof drains], Hose bibb:r — Drinking fountain:r— Grease trap:r— Grease interceptorr— P-trap:r— Sewer New sewer: r Sewer alter/repair:rJ Sewer abandonment dimcl JA Nov aP�, tV * p, 060 -vim' in 7,3 -011Z-