HomeMy WebLinkAboutE2019-0110 - Permit ApplicationOuL-A \ -�_O�
orksheet
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1. Project Address (Not mailing address)
r Electrical/Mechanical/ Plumping Application
City of Newport Beach
Building Division
Building Permit No.
!/(7870
2.Owner's Name Last) Om Op w if
Owner's Street Address III J
/ )AAaUcc L9 YJ City
Telephone — Owper's E-mail Address r--s-—�--
/ First
City State Zip—'
[_ 3. Applicant's Name Last
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First
Floor I Suite
1 State l_ (,. Zip �2&,'O
Telephone I Applicant's E-mail Address I ki DJ�t
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JI 4. Contractor's Name Last }� ;n^ L�----.
First _--0�----v-r
Contractor/'s Street Address I / r' l
! L Lei t �_s7�oj VF .City f�/0 State (,
Telephone F_. Contractor's E-mail Address F N6W>OgT
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Mechanical
Furnace Quantity
up to 100,000 btu:r
over 100,000 btu:
wall/floor heatersF_
Heat Pumps/Package Units
up to 100,000 btu::m''
up to 1,000,000 btu F_
up to 1, 750,000 btu:r—
> 1, 750,000 btu:
Boilers/Compressors
up to 3 HP:r
3 HP -15 HP::_-'..
15 HP -30 HP:_.
30 HP -50 HP:F_
>50 HP::�
Air Handling Units
up to 10,000 CFM:F_
> 10,000 CFM F_
VAV Box::_
Repair/Alter/Add HVAC
Number of Zones:r__
Ventilation
Bathroom FamF—
Exhaust Fan F_
Exhaust:a
Residential Hood:F.
Commercial Hood:
Metal Fireplace:
:_l
Gas Liner—'
Fire Dampers:
Electrical
New Construction Quantity
I & 2 Family S.F:r—
Multi Family S.F::_!
Receptacle, Switch Lighting Outlets
Total Outlets::—.
Lighting Fixtures
Total Fixtures:-d(I),
Total Low Voltage F_
Separate Circuit F_
Motors/Transformers
0-1 HP or KVA:r
1-10 HP or KVA:F—
10-50 HP or KVA::O.-
50-100 HP or KVA:F_
Over100 HPor KVA::`I
Signs
One branch circuli:F_
Add'I branch circuit:
Service _
0-600V not over 200A:F_
0-600V& over 200A:F_
over 600VF_
Temp PP/Piggy Back F_
Sub Panel F_
Other.
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LicW — z_
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Business Lic N I
Plumbing
Bathroom Quantity
Water closet (toilet):
Bidet::
Urinal::
Bath Tub::
Shower stall:.
Lavatory (basin)::
Hydro -massage tub::
Kitchen
Kitchen sink::
Garbage Disposal::
Bar sink::
Vegetable sink:r_'.
Dishwasher
Laundry/washing trap:—'.
Ice maker::
Floor sink:r
Miscellaneous
Floor drain::—
Water piping::
Water softener.:
Water heater::
Lavatory (basin)::
Gas Sys up to 4 outlets:—.
Gas Sys p of outlets over 4::_.
Quantity
Backflow device up to 2"::_
Backflow device over 2":_.
Regulators:: -
Lawn Sprinkler System::—
Roof drains:y
Hose bibb::
Drinking fountain::�,
Grease trap::
Grease interceptor::
P-trap:F—
Sewer
New sewer::
Sewer alter/repair:
Sewer abandonment:r—
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