HomeMy WebLinkAboutH2022-0180 - Permit ApplicationPn tt dorm° Worksheet for Electrical/ echanicai/ PlumWng Appflcafion
City of Newport Beach
Building Division
a.
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1. Project Address (Not mailing address) Building Permit No.
221 Ave- t iL:c -. 13eCIi ---C4/ . — .Floor F—
Suite
r 2.Owner's Name Last
__`l\4_0U<A... _ _ —_�L tok4S First
_.
Owner's Street Address
1"70 NLwes.>T_ CMV\r Rir _.CaryQ�P(-- - LR_-c-"-a- - l-
state
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Gc Zip
Telephone ggrj ' Owner's Email Address
r3. Applicant's Name Last „ _ "Vc�------- ---- - - -- - -- - First
Street Address 1
Applicant's `?
6/�D --... P*00C . -1-ve ...Q�__1s _. -___. ___ City vAeA _--. State
FN zip Z_Z,
Telephone '( _, yt2 ^, Applicants E-mail Address _ � •-
_ "Y -�_ . rt(I�.S._CewuGy
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r 4. Contractor's Name LanIm e _TWk( r1 - First _
_ State Lic# 91q$_10
Co77ntra'cftoes StreetAddress
s C:N
City VS
VIA _ State
Il_n Zip . Z 7 EU -
Telephone F Contractor's E-mail Address
Business Lic# $j3CpSi3iy
Mechanical
Furnace Quantity
up to 100,000 btu:F—
over 100,000 btul
wall/Floor heaters
Heat Pumps/Package Units
up to 100,000 btu�—
up to 1,000,000 btu:
up to 1, 750,000 btu:_
> 1, 750,000 btu•.—
Soilers/Compressors
- upto3-HP.F_1
3 HP-15 HPI
15 HP-30 HPr-
30 HP-50 HP.F_
>50 HP:F—
Air Handling Units
up to 10,000 CFM. _
> 10,000 CFMI
VAV BoxF—
Repalr/Alter/Add HVAC
Number ofZonesF__
Ventilation
Bathroom Fan:F—
Exhaust Fan:
Attic ExhaustF—
Residendal HoodF—
Commercial Hood
Metal Fireplace:F--
Gas LineF—
Fire Dampers
Electrical
New Construction Quantity
1 & 2 Family S.F�_—
Multi Family S.F:I
Receptacle, Switch Lighting Outlets
Total Outlet,
Lighting Fixtures
Total Fixtures_
Total Low VoltageF—
Separate GTcuid
Motors/Transformers
0-1 HP or KVAI-
1-10 HP or KVAI
10-50 HP or KVAI
50-100 HP or KVAI
Over 100 HP or KVA:F--
Signs
One branch circuit
Add'I branch circuit
Service
0-600V not over 200AF-
0-600V & over 200A1
over 600V1—
Temp PP/Piggy Backs
Sub Panel:l
Othed
Bathroom _ Quantity Plumbing Quantity
Water closet (toiletf _ Backflow device up to 2"I
Bidet:— Backlow device over 2":r—
Urinal :— Regulators
Bath Tubl Lawn Sprinkler System:
Showerstalll Roof drains
Lavatory(basin):F— Hose bibbF—
Hydro-massagetubr-- Drinking fountain
Kitchen Grease trap
Kitchen sink {-
- Grease interceptor
lGarbage Disposa
P-traP:
Bar sink: Sewer
Vegetable sink- New sewerT—
Dishwasheri Sewer alter/repalrf-_
Laundry/washing trapfr— SewerabandonmentF—
Ice maker /� ^ Floor sink— L, /S' / 1-02q
Miscellaneous L///lJl l///.v
Floor drairil
Water piping I 'I�
Water softener—
Water heated
'Labat6ry'(basin)I_
Gas # o o tl 4 over
e 4F__
Gas sys#ofoutlets over4l