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HomeMy WebLinkAboutXC2023-0185 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical) Plumbing Application City of Newport Beach Building Division " d 1. Project Address (Not mailing address) Building Permit No. gQ r1 e--,) Po.-V C E�_r� 1%9_tVE . N,u+ebg—t 6RA �2cA Floor r suite \ ao r 2. Owner's Name Last First OVINE ca�ficEj Owner's Street Address City r State F_ Zip Telephone F— Owner's E-mail Address I /"�/{�., F_ 3. Applicant's Name Last "¢�J,NA Q q-- First (s - �U / �0D A licant's Street Address taCD23 f�L �J �e��s AQ�. CiTy $Ar.sM FE S(TLZhf State Cf\ Zip Dio '7-O Telephone I�Z-cj(�}�S(p� Applicant's E-mail Address I 4. Contractor's Name Last Contractor's Street Address kc)&V� �-ut_-mr-,s vELcl RvE. Telephone �$-ci (o@-OI S(oS Contractor's E-mail Address Mechanical Furnace Quantity up to 100,000 btut over 100,000 btu:r— wall/floor heatersF_— Heat Pumps/Package Units up to 100,000 btur— up to 1,000,000 btuF— up to 1, 750,000 btur— > 1, 750,000 btu Boilers/Compressors up to 3 HPT- 3 HP-15 HPt 15 HP-30 HPr- 30 HP-50 HPF— >50 HPf— Air Handling Units up to 10,000 CFM f — > 10,000 CFMF— VAV BoxF— Repair/Alter/Add HVAC Number of Zonesr— Ventilation Bathroom FanF— Exhaust FanF— Attic Exhaust Residential Hood Commercial HoodF— Metal FireplaceF— Gas Line Fire DampersF— fk¢'ty�a .�¢j2 nsnr.+OC2@Cf 1[_L{;. C-t2xC . c-e rn First Cf\ ELe CIQ_\CM- `r,&^tTh RLS . State Lic# toSS�tjl� city -AwssA C{ see,o s State Cfk Zip "lo%-}'v fs+Ltv2o .FiEQ.wga�F-2@C f1Ec£cTC.1C, siness Lic# ��� Electrical I Plumbing "'II New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F:r— Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets:r— Lighting Fixtures Total Fixtures:r— Total Low Voltage Separate Circuit Motors/Transformers Signs 0-1 HP or KVA: TS kVA 1-10 HP or KVAF- 10-50 HPorKVAr- 50-100 HP or KVA[__ Over 100 HP or KVA:r— One branch circuit)— Add'I branch circuit) Service 0-600V not over 200A:r- 0-600V & over 200AF— over 600VF— Temp PP/Piggy Back:r— Sub Panel:r— Other Water closet (toilet)F-- Bidet F_ Urinal F_ Bath TubF— Shower stall Lavatory (basin)F-- Hydro-massage tubt- Kitchen Kitchen sink Garbage Disposalf— Bar sinkr— Vegetable sinkf— Dishwasher Laundry/washing trap Ice maker Floor smkF— Miscellaneous Floor drain) — Water pipingF— Water softenerF— Water heatert— Lavatory (basin) Gas sys up to 4 outlets:r— Gas sys # of outlets over 4t 13'3(10, Backflow device up to 2 f _ BackFlow device over 2"1__ Regulators Lawn Sprinkler System:r— Roof drains f Hose bibbF— Drinking fountain Greasetrap Grease interceptor P-trap[ Sewer New sewerF— Sewer alter/repair Sewer abandonment D f'Gaoa3