HomeMy WebLinkAboutH2022-0549 - Permit ApplicationWorksheet for Electrical/Mechanical/
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Plumbing Application �EW�Rr
_ _
City of Newport Beach
Building Division _
C7CIFORN`'
1. Project Address (Not mailing address) Building Permit No. 1- 2 o2Z H Cl
1111t➢�o 1 \C�LI.J_v9_
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Floor I — Suite
r 2. Owner's Name Last I Fcaf -A
First
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Owner's Street AddressLl
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Ci I )o i_ iJ - State � zip 4 'Ljn L (� -
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Telephone I C�Lj Cv -, e' Owner's E-mail Address
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r 3. Applicant's Name Last
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Applicant's Street Address
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City�J.e� A- - State Zip
Telephone I f l Z '13._ d L 1 Applicant's E-mail Address
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4. Contractor's Name Last ' <
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First 061 VI State Lic #
Contractor's Street Address
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State � Zip
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Telephone S-2 $43`-01.q c1 Contractor's E-mail Address
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Business Lic # -
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000
1 & 2 Family S.F:r_
over 100,000 btu:
Multi Family S.F:1
wall/floor heaters:—
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
—
Total Outlets::_
up to 100,000 btu::
Lighting Fixtures
up to 1,000,000 btu:r—
up to 1, 750,000 btu®
Total Fixtures:(
> 1, 750,000 btur
Total LowVoltage::—
Boilers/Compressors
up to3HP.a
Separate Circuit
3 HP-15 HP
Motors/Transformers
15 HP-30 HP
0-1 HP or KVA::-
-
30 HP-50 HP:r—
1-10 HP or KVA::�
-
10-50 HP or KVA::—
>50 HP-T
50-100 HP or KVA::—
Air Handling Units
up to 10,000 CFM::�
Over 100 HP or KVA:1
> 10,000 CFMF
Signs
VAV Box::_
One branch circuit:
Repair/Alter/Add HVAC
Add'I branch circuit:: -
Number of Zones:-
Service
Ventilation
Bathroom Fan:r
0-600V not over 200A::—
Exhaust Fan:
0-600V & over 200A:F_
Attic Exhaust:`
over 600V::-
Temp PP/Piggy Back:F—
Residential Hood:r
Sub Panel::—
Commercial Hood f
Other:: —
Metal Fireplace::_
Gas Line]
Fire Dampers:`
Plumbing
Bathroom Quantity Quantity
Water closet (toilet):
Bidet 9
Urinal
Bath Tub:
Shower stall:: —
Lavatory (basin)::
Hydro -massage tub:
Kitchen
Kitchen sink::
Garbage Disposal:
Bar sink::
Vegetable sink:
Dishwasher:-
Laundry/washing trap:
Ice maker.':—
Floor sink:
Miscellaneous
Floor drain-F
Water piping:®
Water softener:
Water heater::
Lavatory (basin):
Gas sys up to 4 outlets::
Gas sys # of outlets over 4:r—
Backflow device up to 2":r—
Backflow device over 2"::—
Regulators::
Lawn Sprinkler System:F
Roof drains:: —
Hose bibb:—
Drinking fountain:r�
Grease trap f
Grease interceptor::
P-trap::—
Sewer
New sewer::_
Sewer alter/repair::—
Sewer abandonment:r-