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Home My WebLink AboutH2022-0518 - Permit ApplicationFlint Form Worksheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. 01Zq Zo T _. '-_. Floor -R `2d 22- 0513 F— Suite F� r 2. Owner's Name Last Owner's Street Address - ,,, --- - First -- --- - -- -.�„� T-1- --'� -_-t __Z_0.Rtc:-_C 1_ City / tate G_. F - Telephone _ Gt�' e1q%". Owner's E-mail Address 3. Applicant's Name Last 1 - ----- - - ------ First �r A licamjStreet Address 4-� Cif' � 'p-�--l- - ---- - - - --- - l�� L_�31 --_ State RW Zip I___ '_ ___ Tele hone P Applicant's E-mail Address I 4. Contractor's Name Last First p 7 ._-.-_-__. _--...-_. V�. State Lick �i __��'�7{{``--��,C..� Contractor's Street Address '7j�� + ;�- _---._-j b fi -K -._ , --J✓ _s:2.1{`JZ7 _.._--. City-"�.g�'t -- /--- State Uzip Telephone Mechanical Furnace Quantity up to 100,000 btuE7- over 100,000 btu f wall/floor heaters Heat Pumps/Package Units up to 100,000 btuF.T- up to 1,000,000 btuF— up to 1, 750,000 btuf— > 1, 750,000 btuF- Boilers/Compressors up to 3 HPF- 3 HP-15 HPF77 15 HP-30 HPF- 30 HP-50 HPF - >50 HPs- Air Handling Units up to 10,000 CFMF- > 10,000 CFMs VAV Boxr- Repair/Alter/Add HVAC Number of ZonesF— Ventilation Bathroom Fan �- ExhaustFanF— Attic ExhaustF-- Residential Hoodr— Commercial Hood_ Metal FireplaceF— Gas Lines - Fire Damperss— Contractors E-mail Address Electrical New Construction Quantity 1 & 2 Family S.Fs- Multi Family S.F:F7 Receptacle, Switch Lighting Outlets Total Outlets:F-- Lighting Fixtures -- Total Fixturess- Total Low Voltage! Separate Circuit Motors/Transformers 0-1 HP or KVA:r- 1-10 HP or KVAF- 10-50 HP or KVAF-- 50-100 HPorKVAt- Over 100 HP or KVA:r— Signs One branch circuit f — Add'I branch circuid Service 0-600V not over 200AF- 0-600V& over200AF- over 600VF — Temp PP/Piggy Back: Sub Panel:r-- Otherr— Lic k Bathroom Quantity Plumbing Quantity -Water closet (toilet)F- Bidet F7 Urinal F- Bath Tubf-- Shower stall Lavatory(basin)F--. Hydro -massage tub: Kitchen Kitchensink f7- Garbage Disposals - Bar sinkF Vegetable sinkF- Dishwasheri Laundry/washing trap f Ice makes — Floor sink:F- Miscellaneous Floor drainr- Water piping Water softener[ - Water heaterr— Lavatory (basin)F- Gas sys up to 4 outletsF— Gas sys k of outlets over 4F-- Backflow device up to 2°1— Backflow device over 2"177 Regulators7 Lawn Sprinkler System_ Roof drains 7 Hose bibbf-- Drinking fountain — Grease trapF- Greaseinterceptor P-trapF— Sewer New sewerl— Sewer alter/repair Sewer abandonments-