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Home My WebLink AboutE2022-0656 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application n�ww-- City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. �— V35 L,'4r--5r c(,tF-1= PAV I- 3.Owner's Name Last First r Owner's Street Address - _. City Telephone Owner's E-mail Address Floor F—Suite {OI State F_ Zip I- 3. Applicant's Name Last _ ._ 1„y_.(_ __- _ _ First R� - A licant's Street Address i o o Z_ C-4A M 0,0 9-f > -Pf- City t-Alkiz TZE51N49&te FE;� zip Telephone 9S1-clq'7-6 S)Applicant's E-mail Addresscir ' 4. Contractor's Name Last First - R-I_�� - State Lic# Contractor's Street Address LL j--� -t O -. ' •--�_� T- ST City I Vf�NP State l I 4� Zip _--- �) 1 Telephone I _ _ Contractor's E-mail Address Mechanical Furnace Quantity up to 100,000 btur over 100,000 btur wall/floor heatersF— Heat Pumps/Package Units up to 100,000 btur- upto 1,000,000 btur- up to 1, 750,000 btur- > 1, 750,000 btur- Boilers/Compressors up to 3 HPF- 3 HP-15 HPr 15 HP-30 HPr- 30 HP-50 HPr >50 HPF— Air Handling Units up to 10,000 CFM f > 10,000 CFMr VAV Boxr- Repair/Alter/Add HVAC Number of ZonesF— Ventilation Bathroom Fan Exhaust Panr Attic Exhaustr- Residential Hood Commercial HoodF— Metal Fireplace Gas Liner - Fire DampersF— Electrical New Construction Quantity 1 & 2 Family S.F:r_ Multi Family S.F:_- Receptacle, Switch Lighting Outlets Total Outletsf Lighting Fixtures Total Fixtures Total Low Voltage Separate Circuitf- Motors/Transformers 0-1 HP or KVAF_ 1-10 HP or KVAF- 10-50 HP or KVAF! 50-100 HP or KVA�— Over 100 HP or KVAF_ Signs One branch circuit:F- Add'I branch circuitr- Service 0-600V not over 200Ar 0-600V & over 200Ar! over 600vF— Temp PP/Piggy Backr- Sub PanelF"Z:- Otherl- Business Lic # Bathroom Quantity Plumbing Quantity Water closet (toilet)— Backflow device up to 2"r Bidet Backflow device over 2T_ Urinal F-. Regulatorsr- Bath Tubf - Lawn Sprinkler SystemF Shower stall- Roof drainsF Lavatory (basin)f—' Hose bibbr Hydro-massagetubr-. Drinking fountainF— Kitchen Kitchen sink F_ Garbage Disposal Barsinki— Vegetable sink Dishwasher Laundry/washing trapf- Ice maker! Floor sinkr Miscellaneous Grease trap Grease interceptor P-trapF- Sewer New sewerf— Sewer alter/repairF-- - SewerabandonmentF- Floor drainr- Water pipingF- W ater softenerr— Water heater Lavatory (basin)r r Gas sys up to 4 outlets r Gas sys # of outlets over 4 ,[.:; Zmze off%