HomeMy WebLinkAboutX2020-2766 - Permit ApplicationI� Worksheet for Electrical/Mechanical/ Plumbing Application
Print Form o°
City of Newport Beach
Building Division
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1. Project Address (Not mailing address) Building Permit No. N2,0) u+�7. 446
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- Suite F_
2.Owner's Name Last II
Xokivas
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Owner's Street Address
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_. City t7-.Yr—_ � __-_-_ State
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72
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Telephone �— Owner's E-mail Address
3. Applicant's Name Last ) .0
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First IIB
Applicant's re
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City /� State
Zip C' fty
4Aa-dress
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Telephone Yu �j '-� Applicant's E-mail Address
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r-, 4. Contractor's Name Last b-c cfs
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Contractor's Street Address
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Tele hone _ y s � � y "�fl./ � Contractor's E-mail Address yt ` 1 _ -fc cyy ^. � '. Business Lic kQ'Q-jO- N �' a vC drJ-
Mechanical
Furnace Quanti
Electrical
New Construction Quantity
/ Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:
1 & 2 Family S.F:F_1 -"I
Water closet (toilet f - Backflow device up to 2":r—_
over 100,000 btu:
Multi Family S.F:
`��Ouutl��ets
Bidet Backflow device over Tf
wall/floor heat s:F--..
ut
Receptacle, Switch Lighting
Urinal f— Regulators:F—
Heat Pumps/Packag Units
Total Outlets:l-�T
Bath Tub:: Lawn Sprinkler System:r-
- up to 100,000 b .
Lighting Fixtures ��
Shower stall:', Roofdrains::
up to 1,000,000 btu:
to 1, 75Q000 btu:
Total Fixtures:—C%%j}
Lavatory (basin):F Hose bibb::
k
up
U"'
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Hydro -massage tub : Drinking fountain
> 1, 75Q000 btu:
Total Low VolTagg:
Kitchen Grease trap:
Boilers/Compressors
up[o3 �F—'
•
Separate Cir it:
Kitchen sink•-,
Grease interceptor:
3 HP -I HP::
Motors/Transformers
Garbage Disposal:
P-trap::
15 HP 0 HPr®®
0-1 HP or KVA::-
Bar sink:: Sewer
1-10 HP or KVA:F—.
Vegetable sink: New sewer:
30 HP-5 HP:F_
:
10-50 HP or KVAF_
Dishwasher Sewer alter/repair:
>50 HP:
50-100 HPor KVA:
Laundry/washing trap:' Sewer abandonment:
Air Handling Units
up to 10,000 CFM:
Over 100 HP or KVA:r
Ice maker:F_
>10,000 CFM:
Signs
Floor sink: _
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VAV Box:
One branch circuit:—�
Miscellaneous
Repair/Alter/Add HVA
Add'I branchdreuit:F_
Floor drain.F_
Numberof Zon s:F—
Service
Water piping.: r
Ventilation
Bathroom an:r
0-600V not over 200A:F—'.
Water
0-600V& over 200A:�
cheater
Water heater.
Exhaust �.
over 600V:�v.
B9
Lavatory (basin):
Attic Exhaust:
Temp PP/Piggy Back::
Gas sys up to 4 outlets:F—Residential
Hood: /
Sub Panel:r7-
Gas syskof outlets over 4:F
Commercial Hood:
---.
Other::
Metal Fireplace:f
Gas Line: —
Fire Dampers:F—