HomeMy WebLinkAboutX2022-0051 - Permit ApplicationWorksheet print Form'for Electrical/Mechanical/ Plumbing Application rEWPoR,
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City of Newport Beach k 2d Z2 OOCj�
Building Division
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1. Project Address (Not mailing address) Building Permit No.
26.2&./"✓/_._ ve— Floor... r Suite F_.
f— 2.Owner's Name Last _.. First �Ov...... __..
Owner's �Street Address t""7-vrt {y [Elk
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_o`r.7/�__. jr-•'vlC�..._1JL _.... __ City �%ot..)...... State I/d:, zip /0-��%7_.
Telephone 9�. -6363 Owner's E-mail Address �`
rl3.Applicant's Name Last C,;�:\�jZC First 5vstivC�
AddressA bG v
✓La'+ j9sv-e- S'CE City 0 State Zip
Telephone I ?# ,?• I-/r•(7 Applicant's E-mail Address I C-e-51. j6A(9 05 C0-r
r' 4. Contractor's Name Last
Contractor's Street Address
city
Telephone Contractor's E-mail Address F_
Mechanical
Furnace Quantity
up to 100,000 btu
over 100,000 btuf—
wall/floor heaters{—.
Heat Pumps/Package Units
up to 100,000 btuf—
up to 1,000,000 btu:F—
up to 1, 750,000 btu—
> 1, 750,000 btu:-
-Boilers/Compressors
up to 3 HPF__
3 HP-15 HP—
15 HP-30 HP--
30 HP-50 HPf
>50 HPF_
Air Handling Units
up to 10,000 CFM—
> 10,000 CFM—'
VAV Box—
Repair/Alter/Add HVAC
Number of Zones
Ventilation
Bathroom Fan - —
Exhaust Fan:
Attic ExhaustF—
Residential Hood:
Commercial Hood --
Metal Fireplace'
Gas Line —
Fire Dampers: --
Electrical
New Construction Quantity
1 & 2 Family S.F:F_
Multi Family S.F:_
Receptacle, Switch Lighting Outlets
Total Outlets:) / y i
Lighting Fixtures '�
Total Fixtures tr2
Total Low Voltage
Separate Circuit:—
Motors/Transformers
0-1 HP or KVA:F_
1-10 HP or KVA--
10-50 HP or KVA—
50-100 HP or KVA:_
Over 100 HP or KVA:—''.
Signs
One branch circuit:--
Add1 branch circuit:F_
Service
0-600V not over 200A:F-
0-600V & over 200A—',
over 600V:--
Temp PP/Piggy Back
Sub Panel:'..
Other: —
First _.... _.. _ State Lic#
State f Zip F /
Business Lic# B',' !J
Plumbing
Bathroom Quantity Quantity
Water closet (toilet):
Bidet F
Urinal f—,L.
Bath Tub:—
�r�'_;
Shower stall•. / I 1.
Lavatory (basin)% —
Hydro -massage tubf
Kitchen
Kitchen sink:!
Garbage Disposal:;
Bar sink:
Vegetable sinkF_
Dishwashefi
Laundry/washing trap —
Ice maker-i
Floor sink:',.
Miscellaneous
Floor drain:;
Water piping: -
Water softener:-)
Water heater—'_
Lavatory (basin) F--
Gas sys up to 4 outlets:—,
Gas sys # of outlets over 4:—
Backnow, device up to 2"F__
Backflow device over 2'
Regulators: -
Lawn Sprinkler System:F_
Roof drains:'
Hose bibb—
Drinking fountain:
Grease trap
Grease interceptor:F_
P-trap:..
Sewer
New sewer: -
Sewer alter/repair:
Sewer abandonment: