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HomeMy WebLinkAboutX2022-0720 - Permit ApplicationVU©rksheet for Electrical/Mechanical/ Plumbing Application 01_0)'*�o,�mn"," Print Form City of Newport Beach Building Division �07Tc> 1. Project Address (Not mailing address) Building Permit No. ---C/lf_- - __ ---- --- __.------._..-._ __ Floor �- Suite r r 2. Owner's Name Last �tli�l>: (�u1vL1�� First Owner's Street Address city ��� ��fState Zi Telephone Owner's E-mail Address 3. Applicant's Name Last First l$- - -- - ----- -- t--- Applicant's Street Address ''tt 9 - city IU.Q k eI m State i Zip Telephone 7 j �} `%� (7 Applicant's E-mail Address Qj �,� < ----- -- - - - - �.L. 1_ 5�,/.- 4. Contractor's Name Last 1'{:� �+SS�fi�QN (�� First - _ — State Lic # Contractor's Street Address, i� 1J 1 i�_"� __.. - City [1 tf.-1.1`� -- State ' zip _!�s ss Lic # Telephone ll �% � i Contractor's E-mail Address A.�- �b�(�1� ��,��li''BusmessLic# �-_-- Mechanical Furnace Quantity Electrical New Construction Quantity up to 100,000 btu::— 1 & 2 Family S.F:r— over 100,000 btu:F— Multi Family S.F:F ____ -- wall/floor heaters:- Receptacle, Switch Lighting Outlets Heat Pumps/Package Units Total Outlets:r— up to 100,000 btu: Lighting Fixtures up to 1,000,000 btu: up to 1, 750,000 btu: Total Fixtures:r� > 1, 750,000 btu:-; Total Low Voltage: Boilers/Compressors up to 3 HP:�- Separate Circuit:, - ----- 3 HP-15 HP:�- MotorslTransformers 0 1 HP or KVA:r77 15 HP 30 HPr- ------ - 1-10 HP or KVA:r- 30 HP-50 HP:1 - -----J - 10-50 HP or KVA:F_ >50 HP:r- - . 50-100 HP or KVA:r+ Air Handling Units up to 10,000 CFM:r over 100 HP or KVA:r— > 10,000 CFM: Signs VAV Box:r One branch circuit:r�: Repair/Alter/Add HVAC Add'I branch circuit: Number of Zones: Service Ventilation Bathroom Fan:r 0-600V not over 200AF— Exhaust Fan:I - 0-600V & over 200A:F_ over 600V:F— Attic Exhaust:r-� - - --- - Temp PP/Piggy Back:r� Residential Hood: Commercial Hood: - � y Sub Panel• / Z� Sub Panel: Metal Fireplace:r-- Gas Linel .. 76�J Fire Dampers::- Bathroom Quantity Plumbing Quantity Water closet (toilet): Bidet :F—_ Urinal Bath Tub: Shower stall: Lavatory (basin): Hydro -massage tub: Kitchen Kitchen sink:! Garbage Disposal f Barsink:r- Vegetable sink:F_ Dishwasher Laundry/washing trap:- Ice maker:r� Floor sink:r— Miscellaneous Backflow device up to 2":r-- Backflow device over 2":r— Regulators:r Lawn Sprinkler System:r-- Roof drains:_Fv Hose bibb:r— Drinking fountain:T Grease trap: Greaseinterceptor:r P-trap::. Sewer New sewer::' Sewer alter/repair: Sewer abandonment:r— Floor drain: Water piping: Water softener: Water heater: Lavatory (basin)100, 4 91. 6 Gas sys up to 4 outlets: Gas sys # of outlets over 4:r_