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HomeMy WebLinkAboutH2023-0404 - Permit ApplicationF �Opo ---- Print_ WorkSheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach 7 Building Division iA-L07, 0— 1. Project Address lNotmalling address) Building Permit No. I ,�5 664C k Floor Suite F r7_ 2. owner's Name Last First Owner's Street Address _ 1�� CmF_ Stater zip Telephone I Ownees E-mail Address I 3.Applicants Name Last J_0q_V_V&JA First State F�Fr_, _7 CRY zip Telephone 7r+ Applicant's E-mail Address State Llc # F_ r74. contractors Name Last First Contractor's Street Address City state F�Z zip 27 CS Telephone F—Contractor's E-mail Address Business Lic# Mechanical Furnace Quantity up to 100,000 btuF— over 100,000 btuF_ wall/floor heater4— Heat Pumps/Package Units lip to 100,000 btuF_ up to 1,000,000 btu-.F-- up to 1, 750,000 btu.F-- > 1, 750,000 btu.F— Bollers/compressors up to 3 HPF__ 3HP-15HPJ7 IS HP-30 HPF_ 30 HP-50 HP[ _ _ >50 HPF77 Air Handling Units up to 10,000 CFMF_ > 10,000 CFMF-- VAV BoF Repair/Alter/Add HVAC Number ofZones.F— Ventilation Bathroom Fan_�_ Exhaust Fanf-- AtticExhaus4— Residential HoodF_ Commercial Hwdf-- Metal Fireplace — Gas Line f— Fire DampersF_7 Electrical New Construction Quantity 1 & 2 Family S.F-F_ Multi Family S.Ff— Receptacle, Switch Lighting Outlets Total Outietsf-- Lighting Fixtures Total Fixtures[ — Total Low Vo[tBgeF— Separate Orcuitf— Motors/Tronsformers 0-1 HP or KVAF7 I-IOHPorKVA[- 1G-50 HP or KVAf__ 50-100 HP or KVAF_ Over IGO HP or KVA..F— Signs One branch circuit-r— AddI branch circuitf— Service 0-600V not over 2004- 0-600V&_over 200AT_ over 600VF_ Temp PP/Piggy Back[ — Sub Panel f— Other.[ Bathroom Water closet (tollet)f— Bidet.F_ Urinal F_ BathTub-F7 ShowerstalIF7 Lavatory (basin)— Hydro-massagetubf Kitchen Kitchensinkf— Garbage Disposal Bar sink[ Vegetabiesinki— Dishwashe,F— Laundry/washing trapf— Ice makerf— Floor sinkf7 Miscellaneous Floor drainf— Water pipingF-- Water softenerf-- Water heat"F7 Lavatory (basm)[_ Gas sys up to 4 outlet4 Gas sys # of outlets over4f Quantity Plumbing Quantity Backflow device up to 2-1— Backfiow device over rF— RegulatorsF__ Lawn Sprinkler System.-r— Roof draInsF_ Hose bIbbF_ Drinking fountain GrwsetmpF— Grease interceptorr-- P-trapF7 Sewer New sewerf-77 Seweralter1repairf— Sewer abanclonmentf—