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HomeMy WebLinkAboutH2021-0502 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application 16WPOyT o a City of Newport Beach I n Building Division �J� 4 oawr 1. Project Address (Not mailing address) Building Permit No. yy .,4 " q / / ti '.. J Floor Suite `-�! �_' s �-j r 2. Owner's ` P Last. _ •�- City State : Zip Firs[ ti — Owner's Street Address - � / Telephone i yG1 �(`;U/ Owner's E-mail Address _ r 3.ApplicanVs Name Last _. r , f _I First Y A Ill's Street Address 4 / --_-- _ City State _5 e— r'01. Zip Telephone Fi Applicant's E-mail Address _ 4. Contractor's Name Last First State Lic# Contractors Street Address 1164-1 City Telephone ! Contractor's E-mail Address //I is , Mechanical Furnace III���QuQuantity anti up to 100,000 btua '�y over 100,000 btu: + wall/floor heaters:, Heat Pumps/Package Units up to 100,000 btu: up to 1,000,000 btu:F—': up to 1, 750,000 btu:F_ > 1, 750,000 btu:��, Boilers/Compressors up to 3 HP:F__ 3 HP 15 HP.F--,, 15 HP-30 HPF_ 30 HP-50 HP:F >50 HP:F_ Air Handling Units up to 10,000 CFMF__ > 10,000 CFM: VAV Box; Repair/Alter/Add HVAC Number of Zones: Ventilation Bathroom Fan: Exhaust FareF— Attic Exhaust:—' Residential Hood:'_ Commercial Hood:F—', Metal Fireplace:r Gas Liner Fire Dampers:F_ Electrical New Construction Quantity 1&2 Family S.F: Multi Family S.F: ; Receptacle, Switch Lighting Outlets Total Outlets, Lighting Fixtures Total Fixtures:', Total Low Voltage:—IJ Separate Circuit[77i1 Motors/Transformers 0-1 HP or KVAF-7 i-10 HP or KVA:F-- 10-50 HP or KVA:F' 50-100 HP or KVA: Over 100 HP or KVA:_ Signs One branch circuit: Add'I branch clrcuit:l 1 Service 0-600V not over 200A:—I 0-600V & over 200A:F—I over 600V.-F77 Temp PP/Piggy. Back:' Sub Pane f Other: rn�u eh 4JState 6F Zip To.-...I' .V . -, Business Lic # F i Bathroom Quantity Plumbing Quantity Water closet(toilet).F�7 Backflow device up to 2".�— Bidet: : Backflow device over Z".�!, Urinal:F77 Regulators:_ Bath Tub:F; Lawn Sprinkler System Showerstall f—, Roof drains: Lavatory (basin):—; Hose bibbF_ Hydro -massage tub F77 Drinking fountain—'. Kitchen Grease trap: Kitchen sink r Grease in[erceptorF—. Garbage Disposal r—'I P-trap: Bar sink: � Sewer q � New sewer:: Vegetable sink: Dishwasher— Sewer alter/repair:F Laundry/washing trap:a1 Sewer abandonment: Ice maker.F-I Floor sink Miscellaneous Floor drain:F__ Water piping:��i Water softener:�_' Water heater: Lavatory (basin):' Gas sys up to 4 outlets:Fl. Gas sys # of outlets over 4:F- 4