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Home My WebLink AboutE2021-0863 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application City of Ne 1. Project Address (Not mailing address) W wport Beach Building Division Building Permit No. `s _ G F 2. Owner's Name Last owner's Street Address p J I U�..L Floor ` First JAtit •� r---- Suite �— � E V SQ�A -- Telephone Owner's _ City te�11 V Zip r 3. Applicant's Name E-mail Address d� Last- Aoolicant,s Street Address °v�l � - First a3 -1 Sr�l"� `iC-A'1(C. rtve, Telephone � sJ tt _ �. 0%0 Applicant's E-mail Address "11 fit' [n V Gty IA- ,-� State Zip I lJ(�lp� F_ 4. Contractor's Name Last Contractor's Street Address Telephone r----- - Contractor's E-mail Address Mechanical Furnace Quantity Electrical New Construction Quantity up to 100,000 btu.•r- — 1 & 2 Family S.F:r-- over 100,000 btu:r— Multi Family S.F{— wall/floor heaters:— Heat Pumps/Package Units Receptacle, Switch Lighting Outlets up to 100,000 btu:r— Total Outlets up to 1,000,000 btur-- Lighting Fixtures to 1, 750,000 btu:r—— Total Fixtures:r-- > 1, 750,000 btuF -- Boilers/Compressors Total Low Voltage f -- UP to 3 HP:r.__ Separate Circuit :r-- 3 HP-15 HP f. _ Motors/Transformers 15 HP-30 HPr-- 0-1 HP or KVAr- 30HP-50 HP.F_ 1-10HPor KVA:r-- >50 HP F_ 10-50 HP or KVA f Air Handling Units -- 50-100 HP or KVA f _ up to 10,000 CFNI f Over 100 HP or KVAr— > 10,000 CFM:r— Signs VAV Box :r— Repair/Alter/Add HVAC One branch circuit:r— NumberofZones :r— Service Add'I branch circuitr— Jentilation Bathroom Fan:r- 0-600V not over."AF—I Exhaust Fan:r— 0-600V& over200A:[_ Attic Exhaust: _ over 600V:r— Residential Hood F_ Temp PP/Piggy Backr-- Commercial Hood:r-- Sub Panel:r-- Metal Fireplaces— Other f Gas Liner — Fire DampersF_ City First Bathroom State Lit # a�T4W7ZOa j State r— Zip I Business Lic # Quantity Plumbing Water closet (toilet)F_ Bidet:r— Udnal :F— Bath Tub :r— Shower stall F_ Lavatory (basin):r— Hydro-massage tub :r— Kitchen Kitchen sink :r— Garbage Disposal:r-- Bar sinkr Vegetable sink :r— Dishwasher Laundry/washing trap F_ Icemaker f — Floor sinkF_ Miscellaneous Floor drainf — Water piping Water softener Water heater:r— Lavatory (basin):r-- Gas sys up to 4 outlets:r— Gas sys # of outlets over 4:r-- Quantity Backflow device up to 2":r— Badd!OW device over 2":r-- Regulators :r— Lawn Sprinkler Systenn r_ Roof drains r— Hose bibb:r— Drinking fountain:r— Grease trap:r Greaseinterceptorr— P-trap:r— Sewer New sewer:r— Sewer alter/repair:F— SewerabandonmenCr--