HomeMy WebLinkAboutH2022-0308 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division Q 1 '2 $-�2
1. Project AddreAss(Not mailing address) Building Permit No. 202 O
UP Vh)1AL fr . 4�.ur6rE Floor I Suite �—
F_ 2.Owner's Name Last I W prlucf C First I VA l00*L
Owner's Street Address
Z to • l I*L- city N , II, State Fol: zip 416 60
Telephone I Owners E-mail Address
r 3. Applicant's Name Last I
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First
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Applicant's Street Address
city �N}tcE CaFlt
State j4 Zip 9Lb a3a3
ZJI(O Coty)Nweep
C.I
Telephone Tq4kywv ?70
Applicant's E-mail Address
Oko Vt6To 04)r_
r 4. Contractor's Name Last
State Lic #
1
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First
Contractor's Street Address
1-2iltr CsTTOhweo
t,41(. A
City LIw FuetdT
State FC-4 Zip 4zvo
Telephone I 44%W10- 151L Contractor's E-mail Address I v*"e Vt(-n s-Ke ea -A , may Business Lic #
Mechanical
Furnace Quantity
up to 100,000 btu::
over 100,000 btu::-
wall/Floor heaters :F—
Heat Pumps/Package Units
up to 100,000 btu:F
up to 1,000,000 btu::
up to 1, 750,000 btu:F—
> 1, 750,000 btu::
Boilers/Compressors
up to HP::
3 HP-15 HP::
15 HP-30 HP:
30 HP-50 HP::
>50 HP:F—
Air Handling Units
up to 10,000 CFM::
> 10,000 CFM::
VAV Box::
Repair/Alter/Add HVAC
Number of Zones::
Ventilation
Bathroom Fare:
Exhaust Fan::
Attic Exhaust::
Residential Hood::
Commercial Hood:
Metal Fireplace::
Gas Liner
Fire namner(1F-
Electrical
New Construction Quantity
1 & 2 Family S.FI:
Multi Family S.F::
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures:F—
Total Low Voltage:r—
Separate Circuit:r—
Motors/Transformers
0-1 HP or KVA:
1-10 HP or KVA::
10-50 HP or KVA::
50-100 HP or KVA::
Over 100 HP or KVA:
Signs
One branch circuit::
Add'I branch circuit[ —
Service
0-600V not over 200A:
0-600V & over 200A::
over 600V::
Temp PP/Piggy Back
Sub Panel:
Other::
Bathroom Quantity
Plumbing Quantity
Water closet (toilet):�—
Backlow device up to 2"::
Bidet::
BackRow device over 2":F--
Urinal::
Regulators:
Bath Tub::
Lawn Sprinkler System[ —
Shower stall::
Roof drains::
Lavatory(basin)::
Hose bibb::
Hydro -massage tub:F-- Drinking fountain::
Kitchen
Kitchen sink::
Garbage Disposal:
Bar sink::
Vegetable sink
Dishwasher—
Laundry/washing trap:F—
Ice maker:
Floor sink::
Miscellaneous
Floor drain:
Water piping::
Water softener:
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets:r—
Gas sys # of outlets over 4::
Grease trap:
Grease interceptor:
P-trap:r—
Sewer
New sewer:
Sewer alter/repair.
Sewer abandonment::