The URL can be used to link to this page

Home My WebLink AboutH2023-0530 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application o� City of Newport Beach z Building Division a, G4rpaNP 1. Project Address (Not mailing address) Building Permit No. Floor F— Suite r 2. Owner's Name Last _q O n 7 First Owner's Z/4 Street Address l� D r1lP 4 G rl%Y• City I State r- Zip (— Telephone 6' f -1 6 IO - -i % Owner's E-mail Address r 3. Applicant's Name Last TQ 4✓ First TSQR L A licant's Street Address 142iz V�eV- "Dr• v city State 7_;{_ziP 9Z(oaq- Telephone '7(q ']ZI-- 0I Applicant's E-mail Address _TC cr`S1 rieCr;-3 18 GJ Pypq/ .�O /s I- 4. Contractor's Name Last -Z'8 First J State Lic # F— Contractor's Street Address City F— State F_ Zip Telephone _—_ Contractor's E-mail Address I Business Lic# F _— Mechanical Furnace Quantity up to 100,000 btu_ — over 100,000 btu:s— wall/Boor heaters Heat Pumps/Package Units up to 100,000 btu.F_ up to 1,000,000 btu:_ -- up to 1, 750,000 btu:_-- > 1, 750,000 btu:_-- Boilers/Compressors up to 3 HP:r- 3 HP-15 HP:r-- 15 HP-30 HPs 30 HP-50 HPF— >50 HIP :_— Air Handling Units up to 10,000 CFM:r' > 10,000 CFM:r-- VAV Box:_— Repair/Alter/Add HVAC Number of Zoness Ventilation Bathroom Fan. Exhaust Fan Attic Exhausts! Residential Hood:_ — Commercial Hood Metal Fireplace (i Gas Line._ Fire Dampers., Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F:ri Multi Family S.F:F-- Receptacle, Switch Lighting Outlets Total Outlets: — Lighting Fixtures Total Fixtures:_ -- Total Low VoltageF— Separate Circuit:_ Motors/Transformers 0-1 HP or KVA:_ 1-10 HP or KVA:r- 10-50 HP or KVA.r 50-100 HP or KVA:r- Over100 HPorKVA:_— Signs One branch circuit_— Add9 branch circuitF— Service 0-600V not over 200AF— 0-600V & over 200A._— over 600V:s— Temp PP/Piggy Back :_— Sub Panels-- Other:F Water closet (toilet):ri Bidet:r— Urinal :F_ Bath Tub:_ - Shower stall r— Lavatory (basin):r— Hydro-massage tub_ Kitchen Kitchen sink:_ — Garbage Disposal: -- Bar sink:r— Vegetable sink:ri Dishwashers-- Laundry/washing trap F— Ice maker:__ Floorsinkr Miscellaneous Floor drainf— Water piping: — Water softener s— Water heaters' Lavatory (basin)_ Gas sys up to 4 outletsF_ Gas sys # of outlets over 4�_ BackBow device up to 2"1 BackBow device over Regulators[ Lawn Sprinkler System:__ Roof drains:rs Hose bibb:r-_ Drinking fountain:_ Grease trap: Grease interceptor.F P-trap: - Sewer New sewer:_— Sewer alter/repair:_ Sewer a bandonment:,f_