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HomeMy WebLinkAboutE2022-0576 - Permit ApplicationPrint Form WorKsneet for tlectrlcal/Mechanical/ Plumbing Application City of Newport Beach Building Division 1.oProojeecctt Address (Not mailing address) Building Permit No. / D(%o 1 IA S Floor F— Suite r 2.Owner's Name Last Ic5 haw Owner's Street Address ' o co ArQ t 0. City ri Telephone Owner's E-mail Address FAli o S r 3. Applicant's Name Last al4cr _ First A licant's Street Address First Kama E) State r7,A— Zip 2(p 3185 lTtrwq _Avt, city bi-,,, l`h Z7S _State Fa Zip "LI �%1Q2_ (v Telephone r7(6l_��r`l�" Applicant's E-mail Address �Q,)1h. butld4U unt-YCOIrf- - - -. r 4. Contractor's Name Last Ir i �d First _ State Lic # Contractor's Street Address Telephone — Contractor's E-mail Address Mechanical Furnace Quantity up to 100,000 btu) — over 100,000 btur— wall/floor heaters) — Heat Pumps/Package Units up to 100,000 btur— up to 1,000,000 btuF— up to 1, 750,000 btu > 1, 750,000 btu)— Boilers/Compressors up to 3 HPF— 3 HP-15 HPIr- 15 HP-30 HPr- 30 HP-50 HPI— >50 HPf_ Air Handling Units up to 10,000 CFM)— > 10,000 CFMF� VAV Boxr— Repair/Alter/Add HVAC Number of Zonesr— Ventilation Bathroom FanF— Exhaust Fan r— Attic Exhaust) — Residential Hoodr— Commercial Hoodr— Metal Fireplace Gas Line) — Fire Dampersr— Electrical New Construction Quantity 1 & 2 Family S.F:F— Multi Family S.F:F-- Receptacle, Switch Lighting Outlets Total Outlets: Lighting Fixtures Total Fixtures Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVAr 1-10 HP or KVA) 10-50 HP or KVA) 50-100 HP or KVAr Over 100 HP or KVAF— Signs One branch circuit Add'I branch circuit) Service 0-600V not over 200A:) 0-600V & over 2004— over 600Vr Temp PP/Piggy Back Sub Panel:) Other City State F_ Zip Business Lic# F_ Bathroom Quantity Water closet (toilet) Bidet Urinal r Bath Tub) Shower stall Lavatory (basin) Hydro -massage tub Kitchen Kitchen sink Garbage Disposal Bar sink Vegetable sinkf — Dishwasher7 Laundry/washing trap Ice maker Floor sink Miscellaneous Floor drain Water piping Water softener Water heater Lavatory (basin) Gas Sys up to 4 outlets) Gas Sys # of outlets over 4)— Plumbing Quantity Backflow device up to Backflow device over 2"_ Regulators[ -- Lawn Sprinkler System Roof drains,. Hose bibbi-7 Drinking fountain[ -- Grease trap Grease interceptor P-trapf— Sewer New sewer Sewer alter/repair Sewer abandonment 6 7 r� - O5`/ 0