HomeMy WebLinkAboutH2022-0518 - Permit ApplicationFlint Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
01Zq Zo T _. '-_. Floor
-R `2d 22- 0513
F— Suite F�
r 2. Owner's Name Last
Owner's Street Address - ,,, --- - First
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Telephone _ Gt�' e1q%". Owner's E-mail Address
3. Applicant's Name Last 1
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First �r
A licamjStreet Address
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L_�31 --_ State RW Zip I___ '_ ___
Tele hone
P Applicant's E-mail Address
I 4. Contractor's Name Last First p 7
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Contractor's Street Address '7j�� �+ ;�-
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Telephone
Mechanical
Furnace Quantity
up to 100,000 btuE7-
over 100,000 btu f
wall/floor heaters
Heat Pumps/Package Units
up to 100,000 btuF.T-
up to 1,000,000 btuF—
up to 1, 750,000 btuf—
> 1, 750,000 btuF-
Boilers/Compressors
up to 3 HPF-
3 HP-15 HPF77
15 HP-30 HPF-
30 HP-50 HPF -
>50 HPs-
Air Handling Units
up to 10,000 CFMF-
> 10,000 CFMs
VAV Boxr-
Repair/Alter/Add HVAC
Number of ZonesF—
Ventilation
Bathroom Fan
�-
ExhaustFanF—
Attic ExhaustF--
Residential Hoodr—
Commercial Hood_
Metal FireplaceF—
Gas Lines -
Fire Damperss—
Contractors E-mail Address
Electrical
New Construction Quantity
1 & 2 Family S.Fs-
Multi Family S.F:F7
Receptacle, Switch Lighting Outlets
Total Outlets:F--
Lighting Fixtures --
Total Fixturess-
Total Low Voltage!
Separate Circuit
Motors/Transformers
0-1 HP or KVA:r-
1-10 HP or KVAF-
10-50 HP or KVAF--
50-100 HPorKVAt-
Over 100 HP or KVA:r—
Signs
One branch circuit f —
Add'I branch circuid
Service
0-600V not over 200AF-
0-600V& over200AF-
over 600VF —
Temp PP/Piggy Back:
Sub Panel:r--
Otherr—
Lic k
Bathroom Quantity Plumbing Quantity
-Water closet (toilet)F-
Bidet F7
Urinal F-
Bath Tubf--
Shower stall
Lavatory(basin)F--.
Hydro -massage tub:
Kitchen
Kitchensink f7-
Garbage Disposals -
Bar sinkF
Vegetable sinkF-
Dishwasheri
Laundry/washing trap f
Ice makes —
Floor sink:F-
Miscellaneous
Floor drainr-
Water piping
Water softener[ -
Water heaterr—
Lavatory (basin)F-
Gas sys up to 4 outletsF—
Gas sys k of outlets over 4F--
Backflow device up to 2°1—
Backflow device over 2"177
Regulators7
Lawn Sprinkler System_
Roof drains 7
Hose bibbf--
Drinking fountain —
Grease trapF-
Greaseinterceptor
P-trapF—
Sewer
New sewerl—
Sewer alter/repair
Sewer abandonments-