HomeMy WebLinkAboutH2021-0701 - Permit ApplicationVllorksheet for Electrical/Mechanical/ Plumbing Application ��W�R,
Print Form _ o`, m
City of Newport Beach : ;,:, �
Building Division � — z
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1. Project Address
� (Not mailing address) Building Permit No. H Z.02) - 0101
1%2(1 VR qny IJ _(_ Floor F_ Suite
r 2. owner's Name Last wQ11J�(ys First o
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Owner's Street Address q2LW 4 �a19Xy r- City Fo1 rs i th state �� CZV [
Zip (J
Telephone Crj4, 633 24,?5 Owner's E-mail Address
r— 3.Applicant's Name Last IMa/4),vz First jat,
Arlicant's Street Address I (7 I`/�1 � p
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Telephone /y� rb� —o2Qi Applicant's E-mail Address
F_ 4. Contractor's Name Last r D01bf) r/ec4lnr.-' nAG Q(rf First State Lic# Og Z•S
Contractor's Street Address ! nt)+P-n 1!5
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Telephone �)>Z,Zf, —�Z'] Contractor's E-mail Address Business Uc R �—
Mechanical
Furnace Quantity
up to 100,000 btu:�—
over 100,000 btu:r—
wall/floor heaters:r
Heat Pumps/Package Units
up to 100,000 btu:: —
up to 1,000,000 btu:
up to 1, 750,000 btu:F-
> 1, 750,000 btu :F—
Boilers/Compressors
up to 3 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 11
Bathroom Fan::
Exhaust Fan::
Attic Exhaust:
Residential Hood f—Commercial Hoodr—
Metal Fireplace[ --
Gas Line:r—
Fire Dampers:F--
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F:F--
Multi Family S.F::
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total FixturesF_—
Total Low Voltage:r—
Separate Circuit::
Motors/Transformers
0-1 HP or KVAr
1-10 HP or KVAr
10-50 HP or KVA:F_
50-100 HP or KVA:F_
Over 100 HP or KVAr
Signs
One branch circuit
Add'I branch circuit
Service
0-600V not over 200Ar
0-600V& over 2004—
over 600V:r
Temp PP/Piggy Back
Sub Panel:r
Other.•
Water closet (toilet):
Bidet I
Urinal :F—
Bath Tub:F_
Shower stall: -
Lavatory (basin)::
Hydro -massage tub:
Kitchen
Kitchen sink:
Garbage Disposal:
Bar sink.,[ --
Vegetable sink:F—
Dishwasher
Laundry/washing trap:F_
Ice maker:
Floor sink:
Miscellaneous
Floor drain:
Water piping:
Water softeners
Water heater
Lavatory (basin):
Gas sys up to 4 outlets:[ --
Gas sys 4 of outlets over 4:
Backflow device up to 2".:
Backflow device over 2"::
Regulators:
Lawn Sprinkler System::
Roof drains::
Hose bibb:�—
Drinking fountain::
Grease trap:
Greaseinterceptor::
P-trap::
Sewer
New sewer —
Sewer alter/repair—
Sewer abandonment: