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HomeMy WebLinkAboutX2020-1900 - Permit Application (6)Worksheet for Electrical/Mechanical/ Plumbing Application 1EW�R> P, ni Form o4 City of Newport Beach � _ Building Division (—(2,U%Z—(ap1,5 t 1. Project Address (Not mailing address) Building Permit No. i 7-0zo — 10100 f-707,Z- '406_Sca1llti0.(r _Dri 1Ses. 1po,�, 3ece�n -Ca Floor F-- Sulte �— r 2.Ownees Name Last First I ,So V'1vt Owner's Street Address 2 W ! rAm incs� _pr/ city 0ewV0,1+ \&each state [Tz- zip 92 &CC Telephone (L116)&q& - l J 2L Owner's E-mail Address r 3. Applicant's Name Last C2Y'uCaVl ti-e.S First A licant's street Address 26Ca S Pop14+- Aye APV 11j city dv-ec. State Ce zip 2 2f Telephone J(-1114)9i0-C Y26 ApplicantsE-mailAddress do ile s- ce-yQC Y1 Ye_S PYo WC%,V V k-61C WkcC.\ • VLL:i' r 4.Contractor'sName Last0+�� MQ&('-t.VNCQ,1 First F State Lic# 9T45 70 Contractor's Street Address tS431 2e-& It Ale. sct iEi city Iv P1n state Ca zip Fqtl80 Telephone (7111) "0 -6Y28 Contractor's E-mail Address Business Lic # 3T 30O51 -" Mechanical Furnace Quantity up to 100,000 btui over 100,000 btuF — wall/floor heatersF— Heat Pumps/Package Units up to 100,000 btuF— up to 1,000,000 btur up to 1, 750,000 btur— > 1, 750,000 btul— Boilers/Compressors up to 3 HPs� 3 HP-15 HP:s 15 HP-30 HPs_ 30 HP-50 HPI— >50 HPF — Air Handling Units up to 10,000 CFMI— > 10,000 CFMI— VAV Boxl— Repair/Alter/Add HVAC Number of Zoness Ventilation Bathroom Fanl— Exhaust Fanl— Attic Exhausts Residential Hoodl— Commercial Hoodl— Metal Fireplacel— GasU4 — Fire Dampers) — Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.FI Multi Family S.Fs— Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total Fixturesl Total Low Voltag IF--- SeparateCircuitq 1 Motors/Transformers 0-1 HP or KVAr 1-10 HP or KVAF- 10-50 HP or KVAI- 50-100 HP or KVAI Over 100 HP or KVAF— Signs One branch circuit Add'I branch circuit Service 0-600V not over 200A:5 0-600V & over 200A1 over 600V1 Temp PP/Piggy Back Sub Panel Other Water closet (toilet) Bidet s Urinal s Bath Tubl Shower stalll Lavatory (basin) Hydro -massage tubs Kitchen Kitchen sink Garbage Disposal[ — Bar sinks Vegetable sink Dishwasher Laundry/washing traps Ice makers Floor sink Miscellaneous Floor drains Water pipings Water softeners Water heaters Lavatory (basin)I Gas sys up to 4 outletsl Gas sys # of outlets over 4s Backflow device up to 2"I Backflow device over 2"s Regulatorsr Lawn Sprinkler Systems Roof drains Hose bibbs Drinking fountain Greasetrapl Grease interceptors P-traps Sewer New sewers Sewer alter/repair Sewer abandonments