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Home My WebLink AboutX2021-3285 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach Building Division rn `LD L l 1. Project Address (Not mailing address) �>Q_r_L.' Building Permit No. r 2.Owner's Name Last Owner's Street Address city Telephone hikel, TIc� �L� Owners E-mail Address 3. Applicant's Name Last �,4 First G3Z3 Floor l rr —. Suite I First ca—`r State �: Zip F—i A hcant s Street Address � �. Z� >✓ U�R-S+ City �T0 Ja�511State �, Zip Telephone _ (C( l7 _ - fZCD_ Applicant's E-mail Address 1^ x-wse2 J-P wv G. e-v,, L 14. Contractor's Name Last ��VLA �j wIL, _ First _ _ _ _ State Lic # Contractor's Street Address 25b t. �E?AY-cie_ 3T, Telephone 7 tr-< {4t- J JL D Contractor's E-mail Address C Mechanical Furnace Quantity up to 100,000 btu'; over 100,000 btu wall/floor heaters. Heat Pumps/Package Units up to 100,000 btuF up to 1,000,000 btur_ up to 1, 750,000 btu > 1, 750,000 btuF— Boilers/Compressors up to 3 HP 3 HP-15 HPs 15 HP-30 H) 30 HP-50 HP>F—I, >50 HPF_ Air Handling Units up to 10,000 CFMF�;;_ > 10,000 CFMf_ VAV Box[— Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fan Exhaust FanF Attic ExhaustF_— Residential Hood9 X Commercial HoodF__— Metal FireplaceF_— Gas Line Fire Dampers Electrical New Construction Quantity 1&2Family S.Ff r_ Multi Family S.FF_ Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total Fixtures Total Low Voltager— Separate CircuitF— Motors/Transformers Signs City F�i _ __ State 5, ZIP 72 `2—&Z(, �„uk� Business Lic# 0-1 HP or KVAr� 1-10 HP or KVAF_ 10-50 HP or KVAr 50-100 HP or KVAr Over 100 HP or KVAr One branch circuit Add'I branch circuit).. Service O-600V not over 200Ar 0-600V & over 200A) over 600Vr Temp PP/Piggy Back Sub Panels Other � Plumbing Bathroom Quantity Quantity Water closet (toilet)' BackFlow device up to 2") Bidet BackRow device over 2"f— Urinal RegulatorsF Bath Tub) Lawn Sprinkler SystemF— Shower stalls Roof drains Lavatory(basin)C7 Hose bibbF Hydro-massagetubr Drinking fountain Kitchen r Kitchen sinks —, Grease trap — Garbage Disposal Grease interceptor[ P-trap Bar sink; Sewer Vegetable sins New sewer Dishwasher Sewer alter/repairF_ Laundry/washing trap— Sewer abandonment Ice makers Floor sinkf- Miscellaneous Floor drain Water piping Water softeners Water heater. Lavatory (basin) Gas sys up to 4 outletsr Gas sys # of outlets over 4r