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Home My WebLink AboutX2021-1311 - Permit ApplicationX �zl - 1311 Print ForWorksheet for Electrical/Mechanical/ Plumbing Application Zoo_%,.� m City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. I (PYJ, J-r-� Floor F.--.-.- Suite I- 2.Owner's Name ` Last - -� �- R Firs[- Owner'sStreetAddress City State Zip F_ Tele h e �- I Owners E-mail Address f' 3. Applicant's Name Last I l� L� First COM Mechanical Furnace Quantity up to 100,000 btu:r— over 100,000 btu:F— wall/floor heaters:: - Heat Pumps/Package Units up to 100,000 btu:F- up to 1,000,000 btu:F— up to 1, 750,000 btu F_ > 1, 750,000 btu F_ Boilers/Compressors up to 3 HP:F- 3 HP -15 HP:FW 15 HP -30 HPF_ 30 HP -50 HP:r- >50 HP:FW Air Handling Units up to 10,000 CFM:[-- > 10,000 CFM:r_ VAV Box:r— Repair/Alter/Add HVAC Number of Zones:. Ventilation Bathroom Fan:F— - Exhaust Fan:F— Attic Exhaust F_ Residential Hood:r—W Commercial Hood:F_ Metal Fireplace:F__ Gas Line:F-- Fire Dampers:r-- Electrical New Construction Quantity 1 & 2 Family S.F;: Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets:F_ Lighting Fixtures Total Fixtures Total Low Voltage:r— Separate Circuit f -- Motors/Transformers 0-1 HP or KVA:r- 1-10 HP or KVA:r- 10-50 HP or KVA:r 50100 HPor KVA:r_ Over 100 HP or KVA:rY— Signs One branch circuit F_ Add'I branch circuit:® Service 0-600V not over 200A::m 0-600V & over 200A:r— over 600VT_ Temp PP/Piggy Back:F— Sub Panel::- Other:r— Bathroom Quantity City (,� f /.S c;i C� <3. _ State -.,rl Zip �( C C (' Telephone iL p / .� 7i i � (C�'�Applicant's E-mail Address � (� C e Vlr,. 4l�ra�_1 r 1 -�-v: ` �, N r Backflow device over 2`:F_ Urinal F_ l Bath Tub:r - 74. Contractor's Name Lastt Firs 4 State Lic# /{ Contractor's Street Address State F_ Zip I------ Telephone r— Contractor's E-mail Address Business Lic 4 Mechanical Furnace Quantity up to 100,000 btu:r— over 100,000 btu:F— wall/floor heaters:: - Heat Pumps/Package Units up to 100,000 btu:F- up to 1,000,000 btu:F— up to 1, 750,000 btu F_ > 1, 750,000 btu F_ Boilers/Compressors up to 3 HP:F- 3 HP -15 HP:FW 15 HP -30 HPF_ 30 HP -50 HP:r- >50 HP:FW Air Handling Units up to 10,000 CFM:[-- > 10,000 CFM:r_ VAV Box:r— Repair/Alter/Add HVAC Number of Zones:. Ventilation Bathroom Fan:F— - Exhaust Fan:F— Attic Exhaust F_ Residential Hood:r—W Commercial Hood:F_ Metal Fireplace:F__ Gas Line:F-- Fire Dampers:r-- Electrical New Construction Quantity 1 & 2 Family S.F;: Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets:F_ Lighting Fixtures Total Fixtures Total Low Voltage:r— Separate Circuit f -- Motors/Transformers 0-1 HP or KVA:r- 1-10 HP or KVA:r- 10-50 HP or KVA:r 50100 HPor KVA:r_ Over 100 HP or KVA:rY— Signs One branch circuit F_ Add'I branch circuit:® Service 0-600V not over 200A::m 0-600V & over 200A:r— over 600VT_ Temp PP/Piggy Back:F— Sub Panel::- Other:r— Bathroom Quantity Plumbing Quantity Water closet(toileU:r— Backflow device up to 2":F— ":F— Bidet:r— Bidet F_ Backflow device over 2`:F_ Urinal F_ Regulators: Bath Tub:r - Lawn Sprinkler System:F- Showerstall:- Roofdrains:F- Lavatory (basin):r— Hose bibb:F— Hydro-massage tub:r— Drinking fountain:F_ Kitchen Kitchen sink:r— Garbage Disposal:r— Barsink:_ Vegetable sink :r— Dishwasher Laundry/washing trap: Ice maker:r— Floorsink:r Miscellaneous Floor drain:[-- Water rain:Water piping: - Water softener Water heater:r— Lavatory(basin): Gas sys up to 4 outlets:F— Gas sys # of outlets over 4::Y Grease trap:F— Grease interceptor.F— P-trap:r_ Sewer New sewer:: Sewer alter/repair. Sewer abandonment:F - I1 v !J7/VW