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Home My WebLink AboutH2022-0023 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application Woo City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. N1022'0023 7AZ2-OQ20 G FOPNP Floor F Suite �— r 2. Owner's Name Last � ' First I Ti -' 1 Owner's Street Address - I�1 k •I City tjLNJ State !-7 � Zip f2DJ7J Telephone gyJ q33 _21 Owner's E-mail Address iV 3. Applicant's Name Last 441AL(,L First Saul Applicant's Street Address rZ1 /`I r _ CS I v� city -t 14ti61 Yt State r, ZIP I 4a > I Telephone '7/ ) r--102$ f Applicant's E-mail Address Sol to I . Q ' i I t(,j'�Y7'�®lr f F_ 4. Contractor's Name Last e5 R a yld ,M First State Lic # SZQ3�7 Contractor's Street Address 1 M31 �� stX j Dr' City %5 I Awl r'.j State /I F Zip q—c)- � Telephone (.15fW73-4Y. 1' Contractor's E-mail Address BusinessLic# Mechanical Furnace Quantity up to 100,000 btu:r 2 over 100,000 btu:r— wall/floor heaters:r— Heat Pumps/Package Units up to 100,000 btu:r— up to 1,000,000 btu:�— up to 1, 750,000 btu:r > 1, 750,000 btu:r Boilers/Compressors up to 3 HP:r 3 HP-15 HP:r 15 HP-30 HPr 30 HP-50 HP:r— >50 HP:r Air Handling Units up to 10,000 CFM.F_ > 10,000 CFMF_ VAV Box:r— Repair/Alter/Add HVAC Number of ZonesF-- Ventilation Bathroom Fan:r_— Exhaust Fan:r Attic Exhaust:r— Residential Hood:r— Commercial Hood :r— Metal Fireplace:r— Gas Linear ) Fire Dampers:r— Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F:r— Multi Family S.F.r Receptacle, Switch Lighting Outlets Total OutletsF — Lighting Fixtures Total Fixtures:F—1 — Total Low Voltage:r Separate Circuit: Motors/rransformers 0-1 HP or KVA:- 1-10 HP or KVA:1- 10-50 HP or KVA:r-- 50-100 HP or KVAT_ Over 100 HP or KVAf— Signs One branch circuitI Add'I branch circuit Service 0-600V not over 200A: 0-600V & over 200A: over 600V:r— Temp PP/Piggy Back Sub Panel:r Other: Water closet (toilet): Bidet: Urinal:r- Bath Tub :r— Shower stall :r— Lavatory (basin): Hydra -massage tub:r— Kitchen Kitchen sink:r— Garbage Disposal:: Bar sink:r— Vegetable sinkr— Dishwasherr— Laundry/washing trap:: Ice makerr— Floorsini — Miscellaneous Floor drain:r— Water piping:r— Water softener:: Water heater Lavatory (basin): Gas sys up to 4 outlets: Gas sys # of outlets over 4: Backflow device up to 2":r- Backflow device over 2"�— Regulators :r— Lawn Sprinkler System1_— Roof drainsf-- Hose bibb:r— Drinking fountain:r— Grease trap :r— Grease interceptor:r— P-trap: Sewer New sewer: Sewer alter/repair:r— Sewerabandonment:r— .�ASkeikk\ 1. IV,- \X�l S �n s�'O�,ah1 �uJ �vry MS��1�V-G� 611-4, �v �� $w , � kuk w(1c �1 l\�t-