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HomeMy WebLinkAboutH2022-0627 - Permit ApplicationFnntForm Wdrksheetjf6ritElectric'el/Mechanical/ Plumbing Applicetion �EWnR, City of Newport Beach Building Division'-,� 1. Project Address (Not mailing address) Building Permit Na. Floor Suite 2. Owner's Name Last -- ----- --- Owner's Street Address ._ 1_17 X,1 �:�. - - First ----- �_Z_tat]r_--------__-_.----- City F— State Zi Telephone Owner's E-mail Address _ Applicants Name Last First A licant's Street Address --- -----.-- C tir City ssT State FC Zip L� Telephone ( a C1 Applicant's E-mail Address i i-; 4. contractor's Name Last , Contractor's Street Address � �f st State Lic#F USE (C Telephone F_ zip I ! -- ---. city State Telephone �— Contractor's E-mail Address Bt Mechanical Furnace Quantity up to 100,000 btu F t" over 100,000 btuF_ wall/floor heaters Heat Pumps/Package Units UP to 100,000 btu— up to 1,000,000 btu:F UP to 1, 750,000 btur— > 1,750,000 btuF_ Boilers/Compressors up to 3 HPF_(- 3 HP-15 HPF_ 15 HP-30 HPF — 30 HP-50 HPF - >50 HPF_ Air Handling Units up to 10,000 CFM:-- > 10,000 CFMF VAV Box— Repair/Alter/Add HVAC Numberof ZonesF Ventilation Bathroom Fan -- Exhaust Fang! Attic Exhaust:-- Residential Hood.F Commercial Hood -- Metal Fireplace: -- Gas Lind — Fire Dampers:! Electrical New Construction Quantity 1 & 2 Family S.F:T7 Multi Family SY177 Receptacle, Switch Lighting Outlets Total outlets: Lighting Fixtures Total Fixtures:-' Total Low Voltage:!', Separate Circuit— Motors/Transformers 0-1 HP or KVA:—'. 1-10 HP or KVAF7 10-50 HP or KV4—. 50-100 HP or KVAE777 ever 100 HP or KVA:r '*, Signs_--~� One branch circuit:1 Add'[ branch circuit -- Service IF _-- 0-600V not over 2 0-600V & over 2 over 6 Temp PP/Piggy 8 Sub Pa Bathroom Quantity • Waterdoset (toilet) : ♦ Bidet f urinal Bath Tube, Showetstallf7 Lavatory(basin)T_ Hydro -massage mb f- Kitchen Kitchen sink— -. Garbage Disposal Bar sink:-'. Vegetable sink Dishwasher— Laundry/washing trap:! - Ice maker-- Ploor sink -- Miscellaneous Floor drainF— WVer piping Water softener -- Water heaterF— Lavatory(basin) Gas Sys up to 4 outletsi— Gas sys If of outlets over 41— Plumbing Quantity Backflow device up to 2" 9 BackFlow device over 2T Regulators—' Lawn Sprinkler System: - Roof drains_, Hose bibbF Drinking fountain:-- Grease trap:_ Grease interceptor_ P-trap:— Sewer - New sewer:_ Sewer alter/repair-- Sewerabandonment-_