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HomeMy WebLinkAboutE2019-0206 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application - - City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. o W F-sr Coasr lit­-4y F'`� Floor I v Suite r 2. Owners Name Last First Owner's Street Address City I— State F_ Zip Telephone F— Owner's E-mail Address F_ 3. Applicant's Name Last y%f4-4A-F First Applicant's Street Address �--- oo Z U M jo fr p b� f- City LX "IrJo�Siate FEW II zip 9 Z5 3 z Telephone Il'j�� j,]�_`(im`1 Applicant's E-mail Address �I e �c � r r�q � % � 'I r`71 ens! {�-eC.i S ' Groff r 4. Contractor's Name Last I IS i� LI L� First r-� State Lic# CJ02 // Contractor's Street Address ' 1-� �J-�� [� ,;4T[ 3,Z ` City State—J Zip r�9_Tp�UZ Telephone r la d ' Contractor's E-mail Address ��� r w Business Lic # Mechanical Furnace Quantity up to 100,000 btu:F_ over 100,000 btu:F- wall/floor heaters:F— Heat Pumps/Package Units up to 100,000 btu:FW up to 1,000,000 btu:�W up to 1, 750,000 btu:[-- > 1, 750,000 btu:F- Boilers/Compressors up to 3 HP:F- 3 HP-15 HP:[ 15 HP-30 HP[ 30 HP-50 HP:FW >50 HP:F— Air Handling Units up to 10,000 CFM:F_ > 10,000 CFM:F_ VAN Box:F— Repair/Alter/Add HVAC Number of Zones:F— Ventilation Bathroom Fan:F- Exhaust Fan:F- Attic Exhaust:F— Residential Hood:F_ Commercial Hood:FW Metal Fireplace:F- Gas Line:FJ Fire Dampers:F_ Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F:F- Multi Family S.F:1— Receptacle, Switch Lighting Outlets Total Outlets:FW Lighting Fixtures Total Fixtures: B J Total Low Voltage:F— Separate Circuit:7- Motors/Transformers 0-1 HP or KVA:1_ 1-10 HP or KVA.f - 10-50 HP or KVA:FW 50-100 HP or KVA:F_ Over 100 HP or KVA:F_ Signs One branch circuit:F— Add'I branch circuitF- Service 0-600V not over 200A:F- 0-600V & over 200A:F— over 600V:F— Temp PP/Piggy Backf- Sub Panel:r— Other:re Water closet (toilet): Bidet:F- Urinal :F— Bath Tub f — Shower stallf- Lavatory(basin)f--_ Hydro -massage tub:F- Kitchen Kitchen sink:F_ Garbage Disposal: - Bar sink Vegetable sink:[— Dishwasher— Laundry/washing trap:[ — Ice maker. Floor sinkf — Miscellaneous Floor drain:F-6 Water piping f — Water softener:[ -- Water heater.F— Lavatory (basin):FW Gas Sys up to 4 outlets:7- Gas Sys # of outlets over 4:F- Backflow device up to 2":r— Backflow device over 2":F- Regulators:r— Lawn Sprinkler System:F- Roof drains:r— Hose bibb:F- Drinking fountain:F- Grease trap:n- Grease interceptor:r— P-trap:F- Sewer New sewer:F— Sewer alter/repair:F- Sewer abandonment:F_ 0768 - Z ©fl