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HomeMy WebLinkAboutX2022-0056 - Permit ApplicationxIA22�_0050 I=rint Form Worksheet for Electrical/Mechanical/ Plumbing Application (F,S,09-1City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. �— 12674 San Miguel Dr -Floor F— Suite �— _.... ._.... r 2.Owner's Name Last ( Firs[ Irvine Company Retail Properties Owner's Street Address � 110 Innovation Drive City Irvine ,. State P" Zip 2617. Telephone 949-720-3145 Owner's E-mail Address 'nolte@irvinecompany.com [— 3. Applicant's Name Last Ho First Danny A licanl's Street Address � 13892 Harbor Blvd, Suite 4A city Garden Grove State FA Zip F2843 Telephone 714-200 6541 Applicant's E-mail Address assistant@ultimatekonstruction.com F_ 4. Contractor's Name Last ao First Derick State Lic# 1036840 Contractor's Street Address 113892 Harbor Blvd, Suite 4A Telephone 714-468-4664 Contractor's E-mail Address Mechanical Furnace Quantity up to 100,000 btu:r over 100,000 btu:. wall/floor heaters:F— Heat Pumps/Package Units up to 100,000 btu: up to 1,000,000 btu up to 1, 750,000 btu:�— > 1, 750,000 btuF Boilers/Compressors up to 3 HP:� 3 HP -15 HP:F-- 15 HP -30 HPF- 30 HP -50 HP:� >50 HP:F-- Air Handling Units up to 10,000 CFM:r— > 10,000 CFM:F— VAV Box:F-- Repair/Alter/Add HVAC Number of Zones:F— Ventilation Bathroom Fan :- Exhaust Fan:F--- AtticExhaust:F — Residential Hood Commercial Hood:F— Metal Fireplace:F— Gas Liner Fire Dampers:F — City Garden Grove State FA Zip 2843 ultimateacrylics@gmaiLcom Business Lic# 6730076937 Electrical New Construction Quantity 1 & 2 Family S,F:F-- Multi Family S.F:r—' Receptacle, Switch Lighting Outlets Total Outlets:F— Lighting Fixtures Total Fixturesf— Total Low Voltage: Separate Circuit:— Motors/Transformers 0-1 HP or KVAr 1-10 HP or KVA). 10-50 HP or KVA) 50-100 HPor KVA) Over 100 HP or KVAr Signs One branch circuit: Adel branch circuit: Service 0-600V not over 200AF—_ 0-600V & over 200A) over 600V) Temp PP/Piggy Back: Sub Panel: Other Plumbing Bathroom Quantity Water closet (toilet)F-- Bidet toilet):Bidet :F_ Urinal Bath Tub:r Shower stall F_ Lavatory (basin)F-- Hydro-massage basin)Hydro-massage tub:_ Kitchen Kitchen sink Garbage DisposahF-- Quantity Backflow device up to 2")— Backflow device over 2") RegulatorsF— Lawn Sprinkler Systeme Roof drains-', Hose bibbF' Drinking fountain Grease trap: Grease interceptor P-trapF Barsink:i Sewer Vegetable sink:—. New sewerF__ Dishwasher Sewer alter/repair Laundry/washing trap: SewerabandonmentF— Ice maker Floor sink— % 1 0 Miscellaneous v Floor drain:—' Water piping F_ Water softener Water heater: Lavatory(basin)) Gas sys up to 4 outlets: Gas sys # of outlets over 4:F— �C2c � 61-b L'. 7TCI�Avy\� '��b IL