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HomeMy WebLinkAboutX2022-1603 - Permit Application (3)Print Form Worksheet for Electrical/Mechanical/ Plumbing Application t � e 1. Project address NCity of Newport Beach Building Division 1 (Not mailing address) Building Permit No. WA G\ lW" Nd tMUc jwN Igor\- ?�ewm all la u F— F— Floor Suite r 2.Owner's Name Last I Y0qW\i\CAA First I MQ*\VVJ Owner's Street Address - �1\U `L\ WAfMol W-M"_ at. N Ot1 Oo✓t (+�aacy city u%NgIV �. '(h(Q G►^ State C/{-. Zip Telephone �^ L\V'Y) -split, Owner's E-mail Address _: LpgV LrJ J t Ar\ ei Vh a% . eon I 3.Applicant's Name Last I GV\O\/\CM _ First M_ -. Applicant's Street Address I1V1 l'\_ MoA.&ACk PV�MV1( _ _ _. City u (JM�%wir ti&&t State (Pr, zip —1;L/ -7 Telephone gV A�1J\tpryl..Applicant's E-mail Address Yh\,poP(1,OV %(,\*I e, ohM CO V✓1 4.Contractor's Name Last Cvu ") First Lois ' State Lic# /Or F,5?6 Contractors Street Address � /'Ke State /SrNOfC. I(.�.. 9 1S '2C000. rcfser! G LA City A ' Zip zJ3 � Telephone FP/ L/o vjZJ Contractor's E-mail Address LQC/anJsGfelnc l7Lp�BUM1siness Lic# �1U®7$5/s Mechanical Furnace Quantity up to 100,000 btu over 100,000 btul wall/floor heaters Heat Pumps/Package Units up to 100,000 btuF up to 1,000,000 btul up to 1, 750,000 btul > 1, 750,000 btu Boilers/Compressors up to 3 HPI 3 HP-15 HPF 15 HP-30 HP`- 30 HP-50 HPF-- >50 HPI— Air Handling Units up to 10,000 CFM1— > 10,000 CFMF— VAV BoxF__ Repair/Alter/Add HVAC Number ofZonesl- Ventilation Bathroom Fanl Exhaust Fanl Attic Exhaust Residential Hood Commercial Hood Metal Fireplace Gas Line Fire DampersF_— Electrical New Construction Quantity 1 & 2 Family S.FI Multi Family S.FI Receptacle, Switch Lighting Outlets Total Outletsl Lighting Fixtures Total Fixtures Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVAI 1-10 HP or KVAI 10-50 HP or KVAr 50-100 HP or KVAI Over 100 HP or KVAI Signs One branch circuit Add'I branch circuitr— Service 0-600V not over 2004 - 0-600V & over 2004— over 600V1 Temp PP/Piggy Back Sub Panel Other Bathroom Quantity Plumbing Quantity Water closet(toilet)I Backflow device up to 2'r Bidet Backflow device over 2"r Urinal F__ Regulatorsl' Bath Tubl Lawn Sprinkler System Shower stalll Roofdrainsl Lavatory(basin)r Hose bibbl Hydro -massage tubF_ Drinking fountain Kitchen Kitchen sink r --- - Grease trap F— Grease interceptorf— Garbage Disposal - - - P-trap Bar sink Sewer Vegetable sink Newsewerl Dishwasher Sewer alter/repair Laundry/washing trap Sewer abandonments Ice maker Floor sink coo 1 /cj oo Miscellaneous Floor drainf ipingl Waterater so softener— Water heater \ J�%'•�//Z i b Lavatory (basin)I Gas sys up to 4 outletsf— Gas sys # of outlets over 4, ].� n