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City of Newport Beach - Application O4 �EWPo`
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LE /PLU /MECH P/C FEE PLANNING P/C FEE $
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EV PMENT # --
PLAN CHECK FEE $
TOTAL FEES PAID $
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Building Permit No.
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Furnace Mechanical
Quantity
up to 100,000 btu:rte
over 100,000 btur_
wall/floor heatersf�
Heat Pumps/Package units
up to 100,000 btur_
up to 1,000,000 btu:r_
UP to 1, 750,000 btu:rte
> 1, 750,000 btur_
Boilers/Compressors
up to 3 HPr_
3 HP -15 Hp.1'
15 HP -30 HPf'
30 HP -50 HPF_
>50 HP:r--
Air Handling Units
UP to 10,000 CFM
:r—
> 10,000 CFMFr
VAV Boxr�
Repair/Alter/Add HVAC
New Construction ctrical
Quantity
1 & 2 Family SYF_
Multi Family S.F:r—
Receptacle, Switch Lighting Outlets
Total Outlets:r—
Lighting Fixtures
Total Fixtures:rte
Total Low Voltage
:r' --
Separate Circuit[--
Motors/Transformers
Signs
Number Of Zones ;r�
Ventilation Service
Bathroom Fan :r --
Exhaust Fan :F _—
AtticExhaust;F —
Residential HoodFr
Commercial Hood:r_
Metal FireplaceFr
Gas Linear --
Fire Dampems __
0-1 HP or KVA
i-10 HP or KVA;r--
10-50 HPorKVA:r-
50-100 HP or KVA;r--
Over 100 HP or KVA:rte
One branch circuit :r—
Add'I branch circuitr—
0-600V not over 200A:r—
0-600V & over 200A F_
over 600V:r—
Temp PP/Piggy Back :r—
Sub Panel:r—
Otherr—
Bathroom
Business Lic #
Quantity Plumbing
Water closet (toilet) F_
Bidet :r—
Urinal i —
Bath Tub
Shower staff
:r—
Lavatory (basin)F —
Hydro-massagetub:r
Kitchen
Kitchen sink
Garbage Disposal:r—
Bar sink:r—
Vegetable sink :r—
Dishwasherr
�r----•---
Laundry/washing trap
Ice maker
Miscellaneous
Floor
Water p
Water soft
Water hi
Lavatory (b,
Gas sys up to 4Outlets
:r—
Gas sys # of outlets over 4:r—
Quantity
Backflow device up to 2":r--
BackNow device over 2":r-
Regulators
:r—
Lawn Sprinkler System
:r—
Roof drains:r—
Hose bibb:r—
Drinking fountain
:r --
Grease trap;[•—�
Grease interceptor:r—
P-trap;r—
Sewer
New sewerr—
Sewer alter/repair:r—
Sewerabandonment:r-
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