HomeMy WebLinkAboutH2021-0611 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No. //,�..11(ZO q
7 otr itLU �i /( 1 F (ff ( Y (G 2 G�vWvJ Floor � Suite r
r 2. Owner's Name Last I First
Owner's Street Address
City State F_ Zip
Telephone F Owner's E-mail Address
r 3. Applicant's Name Last I L✓!G/ $,> First
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A^7 licantA's Street Address p
` � ! e- Q L41;L✓1 P2 City A/lc Y� emState � Zip <,?so�
Telephone ';C>J 7(o.ZS363 Applicant's E-mail Address I,V �4j d , VlM F?'I' 767$Z (U�;I�laL2
r 4. Contractor's Name Last e/) (/5 Firs[ Z V State Lic # U / 2- Z
Contractor's Street Address
Q C410 YI 1 fL
City G State
Zip l Z,5vcJ.k—
Telephone
cio9 76 ?- s3s3 Contractor's E-mail Address
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Business Lic# 6 I'�0079-I s—
P1'\v%P�Ir e, "hhoc Co vi
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Furnace---�-lllllimiihaRffi�—Quantity-----New.Constructkn
-- — - of --- ---Bathroom-
-- -- - — uantity -
upto100,000btu :FT—
1&2 Family S.Ff—
Water closet(toilet):F— Backflow device up to 2":
over 100,000 btu:F_
Multi Family STF_
Bidet:F— Backflow device over 2":
wall/floor heaters:
Receptacle, Switch Lighting Outlets
Urinal:: Regulators:
Heat Pumps/Package Units
Total Outlets:
Bath Tub:r— Lawn Sprinkler System::
up to 100,000 btu:
Lighting 9 9 Fixtures
Shower stall: Roof drains::
up to 1,000,000 btu:
up to 1, 750,000 btu:F
Total Fixtures:
Lavatory (basin): Hose bibb::
> 1, 750,000 btu:
Total Low Voltage:
Hydro -massage tub: Drinking fountain::
Kitchen
Boilers/compressors
up to 3 HP:�
Separate Circuit :r—
Grease trap::
Kitchen sink:
Grease interceptor ::
3 HP-15 HP:�
Motors/Transformers
Garbage Disposal:
P-trap::
15 HP-30 HPF
0-1 HP or KVA::
Bar sink:: Sewer
1-10 HP or KVA::
Vegetable sink: New sewer :r-
30 HP-50 HP:F__
10-50 HP or KVA::
Dishwasher Sewer alter/repair.
>50 HP:
Air Handling Units
50-100 HPor KVA:
Laundry/washing trap:: Sewer abandonment
up to 10,000 CFM:
Over 100 HP or KVA:F
Ice maker:
>10,000 CFM:F___
Signs
Floor sink::
VAV Box:F—
One branch circuit:
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit
Floor drain::
Number of Zones
Service Service
Water piping:
Ventilation
Bathroom Fan::
0-600V not over 200A::
Water softener::
Exhaust Fan:
0-600V&over 200A::
over 600V:
Water heater.:
Attic Exhaust:
Residential Hood:
Temp PP/Piggy Back:
Lavatory (basin)::
Gas sys 4 s:F—
Commercial Hood:
SubPanel::
o tover
Gas sys#ofuletsver4:F—
Metal Fireplace::
Other:
Gas Line:FT
Fire Dampers: