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X2017-3580 - Permit Application
Worksheet for Electrical/Mechanical/ Plumbing Application frel—MCity of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. L56- & l_ 147-6- __. ---Floor r Suite 2.Ownees Name - Last �^ / -- --_- - - - o�� � First 1.41 L Ow�n+er's Street Addr/e/s�s. tr "" "`- -- _-- / -- - - - -- 7 City l.�r lAn State Zip _-L�,, Telephone © Owner's E-mail Address 3. Applicant's Name Last _ _ � r�'T-s _ _ _ First �C lican/t'`s St��r/e/e�__t Addr ss ' ` � lE}I<LYl �1Pr/L ._-_ ' /'�._._. _-L 8 CiTy State J,L�.LI" ZiP._�•IDC`7 Telephone � ITY61 Applicant's E-mail Address ,like.. Z-oG et,,.. is-.eoy 5+r I, c.-; t) v r' 9. Contractor's Name. Last 2�-'Ts. _ _ First C'- _ State Lic T Contractor's Street Address ,,hr , _,17 ,--/1 _- IirCQ/L_--- _ -- - r city '-s' State 7,k ZIP 7a, rTele phone [ d a -{OP ✓f✓c�70�p��—Contractors E-mail Address gusiness Lich _ g � Mechanical Furnace Quantity Electrical New Construction Quantity Plumbing Bathroom Quantity Quantity up to. 100,000 btu 1&2 Family S.FT— Water closet (toilet) Backflow device up to 2" over100,000btuf ,.: - Multi Family S. - Bidet Backflow device over 2": wall/floor heaters— Receptacle, Switch Lig Ing Outlet Urinal RegulaC-7 Heat Pumps/Package Units 100,000 btu—Lighting Total tlets: Fixtures Bath Tub Lawn Sprinkler S,upto up to 1,000,000 btuF—Shower stall /Roofdrains: up to 9, 750,000 btu:—; , Total Fixtures: Lavatory(basin):�— Hose bibb. ' > 1, 750,000 btu:7-' - Total Low t e: Hydro -massage tub: Dri ing fon Boilers/Compressors IIII------ up to3 HPF- Separate r I. I then - ��RU G Kitchen sink: Grease - Grease intercep r HP 15 HP� - Motors/Transformers K� ,/' . /t�I�LV�_J\ 0-1 HP A• Garbage Disposal: .t� P-trap:re' 15. HP -30 HP�� or Bar sink Sewer 30 HP 50 HP:r- 1-10 HP or KVA:�i' Vegetable sink: New sewer.F >50 HPF77 10-50 HP or KVA------ , y s Dishwashers—, Sewer alter/repair.—', - Air Handling Units 50-100 HP or KVA:� Laundry/washing trap: SewerabandonmenT.F up to 10,000 CFMF_____ Over 100 HP or KVAI —' Ice maker. > 10,000 CFM: 77 Signs 9 Floorsink: ' VAV Box One branch circuit:F Miscellaneous Repair/Alter/Add HVAC Addl branch circuit.I—' Floor drain Number ofZonesF_-1 ServiceA Water piping: Ventilation Bathroom Fan '. 0-6000 not over 200A: Water softeners— f Exhaust Fan. 0-6000 &over 200Ar-. over 600V:�-. n pj i Water heater. v11 Ir 1 Attic Exhaust F-" Temp PP/Piggy Backe-, �%) Lavatory ry (basin} Residential Hood Gas sys up to4outl s:[�" Commercial Hood:' Sub PaneL7- - Gass s#ofoutletsov 4:r— Y .Metal Fireplace:C—' Others— ('� / ,{ Gas Lines — �-I 3 ' (/ t Fire Dampers �