HomeMy WebLinkAboutH2022-0336 - Permit ApplicationPrint ForWorksheet for Electrical/Mechanical/ Plumbing Application �EW�nR,
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City of Newport Beach Building Division as `'
t. Project Address (Not mailing address) Building Permit No. ZoZ Z 6
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Floor F__ Suite
r 2. Owner's Name Last �(01 First 5'-•A--J
Owner's Street Address 415- coLmr4 Siriee;T- city I NQ%1 faf.T" State FC--A Zip tp
2443
Telephone 7— Owner's E-mail Address (— 3. Applicant's Name Last I IZL%A f (6e-7L— First I M 1 &.etI T4 be— t_,
A licant's Street Address
11 2y M0%-ff T4 A2. City 1VH7f1��2 State I zip gpba 1
Telephone 'fr — f / Applicant's E-mail Address �(�(( ,Q�t(,I�iON s'11 /.11(.., (v/'�
4. Contractor's Name Last %'1 (( ��,�((�(�� ()EQ6IIIJ First State Lic # chb 3
Contractor's Street Address
IJJ?,,Lf /"ar *114;Tnr D2y/E city Wi (r—met. state CA zip �0601
Telephone
Mechanical
Furnace Quantity
up to 100,000 btu:1
over 100,000 btu:F_
wall/floor heaters::
Heat Pumps/Package Units
up to 100,000 btu:F_
up to 1,000,000 btu::
up to 1, 750,000 btu:
> 1, 750,000 btu:
Boilers/Compressors
up to 3 HP:
3 HP-15 HP::-
15 HP-30 HP:-
30 HP-50 HP:—
>50 HP.:
Air Handling Units
up to 10,000 CFM::
>10,000 CFM:F —
VAV Box::
Repair/Alter/Add HVAC
Number of Zones:
Ventilation
Bathroom Fan:: —
Exhaust Fan:: —
Attic Exhaust::
Residential Hood::
Commercial Hood::
Metal Fireplace: —
Gas Line:r
Fire DamnarrF
Contractor's E-mail Address
Electrical
New Construction Quantity
1 &2 FamilyS.F::—
Multi Family S.F::
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures
Total Low Voltage:
Separate Circuit:
Motorsrrransformers
0-1 HP or KVA:
1-10 HP or KVA::
10-50 H P or KVA::
50-100 HP or KVA::
Over 100 HP or KVA:
Signs
One branch circuit::
Add'I branch circuit:
Service
0-600V not over 200A:
0-600V& over 200A:
over 600V::
Temp PP/Piggy Back:
Sub Panel:
Others
Business Lic #
Bathroom Quantity Plumbing Quantity
Water closet (toilet):
Bidet::
Urinal
Bath Tub:r
Shower stall:r—
Lavatory (basin)
Hydro -massage tub::
Kitchen
Kitchen sink:F_
Garbage Disposal:
Bar sink:r
Vegetable sink::
Dishwasher
Laundry/washing trap:
Ice maker.{ —
Floor sink::
Miscellaneous
Floor drain::
Water piping:
Water softener:
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets::
Gas sys It of outlets over 4:F —
Backflow device up to 2":r
Backflow device over 2":r—
Regulators::
Lawn Sprinkler System:
Roof drains:
Hose bibb:r
Drinking fountain:
Grease trap:
Grease interceptor::
P-trap::
Sewer
New sewer.:
Sewer alter/repair:
Sewer abandonment::