HomeMy WebLinkAboutE2022-0775 - Permit Application (3)Print Form WorK;-�Ahpx,'� for Electrical/Mechanical/ Plumbing Application ��WPORr
City of Newport Beach
Building Division
C,CI FORNP
1. Project Address (Not mailing address) Building Permit No.
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Floor
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�- Suite
r 2.Owner's Name Last
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First
.51,111-1
Owner's Street Address
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City
State �®
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Zip F_�
Telephone
Y
Owner's E-mail Address
3. Applicant's Name Last IT�cc)v
First
Applicant's Street Address
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Telephone t f {• �Q -;(G
Applicant's E-mail Address
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r 4. Contractor's Name Last tJw2l( �S'.�, '�
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First
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State Lic#_10Z33-
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Contractor's Street Address
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Telephone (Y _919-_
Contractor's E-mail Address
t*_ Business Lic # C;T 3w69�s\`
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000 btu —
1 & 2 Family S.F;F
over 100,000 btu:-
Multi Family S.F::�
wall/floor heaters::�
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
up to 100,000 btu::
Total Outlets:: -
up to 1,000,000 btu:
Lighting Fixtures
up to 1, 750,000 btuF�
Total Fixtures:
> 1, 750,000 btu:r_
Total Low Voltage::-
Boilers/Compressors
Separate Circuit:: -
up to 3 HP-T�
3 HP-15 HPI
Motors/Transformers
15 HP-30 HPI�
0-1 HP or KVAF
30 HP-50 HP:1F
1-10 HP or KVA:1-
10-50 HP or KVA:s_
>50 HPF
50-100 HP or KVA:��
Air Handling Units
up to 10,000 CFM:s`
Over 100 HP or KVA:1
> 10,000 CFM f
Signs
VAV Box::�
One branch circuid
Repair/Alter/Add HVAC
Add'I branch circuit::
Number of Zones]
Service
Ventilation
Bathroom Fan:r�
0-600V not over 200A: 11
Exhaust Fan:
0-600V &over 200A:s_
Attic Exhaust:`
over 600V::-
Residential Hood:F
Temp PP/Piggy Back:s__
Commercial Hood:��
Sub Panel:r—
Metal Fireplace:: —
Other::v
Gas Line:F
Fire Dampers]
Bathroom Quantity Plumbing Quantity
Water closet (toilet)::- Backflow device up to 2"F__
Bidet f- Backfow device over 2T
Urinal f- Regulators::_
Bath Tub::` Lawn Sprinkler System: -
Shower stall:Roof drains:: -
Lavatory (basin):: Hose bibb:
Hydro -massage tub:: Drinking fountain::_
Kitchen
Kitchen sink: —
Garbage Disposal::
Bar sink:[ —
Vegetable sink:!
Dishwashers_
Laundry/washing trap::
Ice makerf—
Floor sink::
Miscellaneous
Floor drain:r—
Water piping-[
Water softener f
Water heater-F
Lavatory (basin):s�
Gas sys up to 4 outlets:s
Gas sys # of outlets over 4:F-
Grease trap:: -
Grease interceptorf
P-trap:r
Sewer
New sewer -:
Sewer alter/repair.
Sewerabandonment f -