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HomeMy WebLinkAboutH2022-0444 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application aEW� PrintForm�"-' o� e City of Newport Beach 7. Project Address (Not mailing address) Building Division Building Permit No. Z OZ2- Vli-/ CJ >-D ✓l J_. _ _ _ _ . Floor F_ Suite F_ 2.Owner's Name Last First Owner's Street Address - - - - City State Zip Telephone Owner's E-mail Address r 3. Applicant's Name Last Applicanfs Street Address City State I— Zip Telephone Applicants E-mail Address F_ 4. contractor's Name Last - First r`l�� -- - State Lic# 32-77/-L Contractor's Street Address 4 ti cP.3 et at city vlevj 7 u AJ VI a State zip _.._ 2 Q/- Telephone 'z /,3_j5r'7d5T_ Contractor's E-mail Address �rIJ ✓h�4 /��+t frp;-Ce-- Business Uc# UGC Mechanical Furnace Quantity up to 100,000 btu—, over 100,000 btul wall/floor heaters Heat Pumps/Package Units up to 100,000 btu' up to 1,000,000 btuf— up to 1, 750,000 btu > 1, 750,000 btu Boilers/Compressors up to 3 HP, 3 HP-15 HPI 15 HP-30 HPF_ 30 HP-50 HP.-F_ >50 HP�_ Air Handling Units up to 10,000 CFM�__ > 10,000 CFMs VAV Boxf— Repair/After/Add HVAC Number of Zones Ventilation Bathroom Fans Exhaust Fan:r Attic Exhaus) Residential Hood Commercial Hood) — Metal Fireplace:r- Gas Line Fire Dampers:r Electrical New Construction Quantity 1 & 2 Family S.FT7 Multi Family S.FF Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total FiMuresf —'. Total Low Voltage Separate Circuit: Motors/Transformers 0-1 HP or KVAI 1-10 HP or KVA)- 10-50 HP or KVAI 50-100 HP or KVAs Over 100 HP or KVAI Signs One branch circuit Add'I branch circuit Service 0600V not over 200A)- 0-800V& over 200A1 over 600V1 Temp PP/Piggy Back Sub Panel)— Othe) Bathroom Quantity Water closet (toilet) Bidet )— Urinal �— Bath Tubs Shower stall Lavatory (basin) Plumbing Quantity Baddlow device up to 2"1— Backflow device over Regulators Lawn Sprinkler System[ -- Roof drains Hose bibbl Hydro-massagetubf-- Drinkingfountains Kitchen Kitchen sink Garbage Disposal Barsin) Vegetable sink Dishwasher— Laundry/washing trap Ice maker Floor sinkf— Miscellaneous Floor drains Water pipingF— Water softener f — Water heater Lavatory (basin) Gas sys up to 4 outletsl Gas sys # of outlets over 4l Grease trap Grease interceptor P-trapf.- Sewer New sewer Sewer alter/repairc— Sewerabandonment:r—