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Home My WebLink AboutH2021-0639 - Permit ApplicationPrint Form Workshee: far Electrical/Mechanical/ Plumbing Application EWro �`� R>@ City of Newport Beach I Building Division "�'� 1. Project Address (Not mailing address( Building Permit No. H 2o'I l _ 0 G 3 9 l4 / "1 Floor F Suite F--._..� r 2.Owner's Name Last First Owner's Street Address City State F_ Zip rTelephone F— Owner's E-mail Address 1/J��¢ 3Name Last ' App.icant's Street Address. Applicant's (/ ) - City I State F Zip Telephone -Applicant's E-mail Address ri— 4. Contractor's Name Last I ;// First State LicR ``7 Contractor's Street Address f� /jer, Ij( A City Telephone _2!L E"761-ontractors E-mail Address Mechanical Furnace Quantity up to 100,000 btu:: over 100,000 btu:: wall/floor heaters:r Heat Pumps/Package Units up to 100,000 btu.: up to 1,000,000 btu: up to 1, 750,000 btu:r— > 1, 750,OOQbtu:r Boilers/cAmpressors �— !!f up HP:r d./ 3HP-15 -15 HP: ✓� 15 HP-30 HPr 30 HP-50 HP:r >50 HP:r_ Air Handling Units up to 10,000 CFM:r > 10,000 CFM:— VAV Box:: Repair/Alter/Add HVAC Number of Zones: Ventilation Bathroom FamF— Exhaust Fan:r Attic Exhaust:r Residential Hood:r Commercial Hood:: Metal Fireplace Gas Une:r Fire Dampers:r Electrical New Construction Quantity Bathroom 1 & 2 Family S.F:r— Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets:: Lighting Fixtures Total Fixtures�— Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVA:r 1-10 HP or KVA:r-- 10-50 HPorKVA:r- 50-100 HP or KVA: Over 100 HP or KVA:F_ Signs One branch circuit Add'I branch circuit Service 0-600V not over 200A:r 0-600V& over 200A:r-- over 600V:r Temp PP/Piggy Back:r— Sub Panel:r Other:r i tate I I /6Zis- WlAill, Business Lic # Quantity Plumbing Quantity Water closet (toilet): Bidet:r— Urinal: Bath Tub:r— Shower stall:r— Lavatory(basin): Hydro -massage tub:: Kitchen Kitchen smk:r— Garbage Disposal:r— Bar sink Vegetable sink:: Dishwasher Laundry/washing trap: Ice maker:: Floor sink:r— Miscellaneous Floor drain: Water piping:r- Water softener :r— Water heater:r— Lavatory (basird: Gas sys up to 4 outlets: Gas sys # of outlets over 4:r Backflow device up to 2": Backflow device over 2":r Regulators:r— Lawn Sprinkler System:r Roof drains:r— Hosebibbt Drinking fountain:r— Grease trap:r Grease interceptor:r P-trap:r Sewer New sewer:r Sewer alter/repairr Sewer abandonment:F_ 2O?� T)ZOIa` 0, O{.