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Home My WebLink AboutH2022-0325 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application � e City of Newport Beach p Building Division 2��7-Zol p 1. Project Address (Not mailing address) Building Permit No. MZUZ2-03 � 11 •� `+��7 U`m WDO OL_ �Floor F_ Suite I 2. Owner's Name Last First Owner's Street Address CiTy State F_, Zip F_ Telephone F Owner's E-mail Address I— 3. Applicant's Name Last (3 A* c— � First A Iicant's Street Address City State F_ Zip r Telephone �— Applicant's E-mail Address r 4. Contractor's Name Last a-Q `(,,,,,, ./t'G• First State Lic# --_ Contractor's Street Address ID�sR S �' Cu>wy Or\ �i�u.i City _ _ vl _ .. _ State [5F Zip Gi 510 Telephone ly—`i�_s�(sy Contractor's E-mail Address Qtr •r Obm 'Business Lic# Sj r/ ch }ttiry @9ttta G - Mechanical Furnace Quantity up to 100,000 btur— over 100,000 btus— wall/floor heaters Heat Pumps/Package Units up to 100,000 btul— up to 1,000,000 btu. up to 1, 750,000 btul— > 1, 750,000 btur— Boilers/Compressors up to 3 HPF3 3 HP-15 HIP 15 HP-30 Hk 30 HP-50 HPs— >50 HPs— Air Handling Units up to 10,000 CFMFT_ > 10,000 CFMr— VAV Boxr— Repair/Alter/Add HVAC Number of Zoness— Ventilation Bathroom Fanr— Exhaust Fan[ --- Attic ExhaustF_ Residential Hoods — Commercial Hoodr— Metal Fireplacer— Gas Liner_ Fire Damperss— Electrical New Construction Quantity 1 & 2 Family S.Fs Multi Family S.Fs Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total FIxturesr Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVAs 1-10 HP or KVAs 10-50 HP or KVAs 50-100 HPorKVAf— Over 100 HP or KVAF— Signs One branch circuits" Add'I branch circuitF— Service 0-600V not over 200A5 0-600V & over 200A5 over 600V5 Temp PP/Piggy Back Sub Panel Other Bathroom Quantity Plumbing Quantity Water closet (toileUr Bidet s Urinal s Bath T.1 Shower Lavatory (basin) Hydro -massage tubs Kitchen Kitchen sink s Garbage Disposal Bar sink Vegetable sink Dishwasher— Laundry/washing traps Ice makers Floor sinks Miscellaneous Floor drains Water pipings Water softeners Water heaters Lavatory (basin)s Gas sys up to 4 outletss Gas sys # of outlets over 45 Backflow device up to 2"r Backflow device over 2"r Regulators Lawn Sprinkler System Roof drains Hose bibbs Drinking fountain Grease trap Greaseinterceptof P-traps Sewer New sewer Sewer alter/repairs Sewer abandonments