HomeMy WebLinkAboutXR2023-1848 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �EW�
City of Newport Beach
Building Division
1. Project Address (Not mailing address) 1
c/.�' /� .l q n (� Building Permit No. 61
( O./ Jtr + W � A V ! `/i U��y _ Floor F —, Suite. F
F- 2. Owner's Name Last Kdd _ First A-5L '1'0
Owner's Street Address ���ll.F /( /
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l 7 m— li✓Ait� (z ,/G 6i
City &/iIC)XTAq%ClIr State IX Zip J Z CZ S
Telephone 9 yy�6 Owner's E-mail Address
FJ-<3. Applicant's Name Last JP#J6r Av First
A slicant'ssSStreet Address 1� �L/ I�' �� 1 _
T 6.5: 72moc pi c-, ✓ ve 5,- __ city I /�'i4-lr/�l(AW 6 State � Zip .. q 0
Telephone 8f1 -621 /L 1-3 Applicant's E-mail Address �b,^n&Jv1 e.o
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r 4. Contractor's Name Last
Contractor's Street Address
Mechanical
Up to 100,000
over 100,000 btu:l
wall/Boor heaters:
Heat Pumps/Package Units
up to 100,000 btu :r
up to 1,000,000 btu :r
upto 11750,000 btu:
> 1, 750,000 btu:r
Boilers/Compressors
up to 3 HP:r
3 HP-15 HP:r
15 HP-30 HPr77
—
30 HP-50 HP:r
>50 HP:r
Air Handling Units
up to 10,000 CFM.:
> 10,000 CFM:
VAV Box r
Repair/Alter/Add HVAC
Number of Zones:r--
Ventilation
Bathroom Fan
Exhaust Fan:r
Attic Exhaust :r
Residential Hood:: —
Commercial HoodF —
Metal Fireplace:r
Gas Line:F—
Fire Dampers:r�-
0.vw )ON' - First I t)Ywin State Lic
C
Contractor's E-mail Address
Electrical
New Construction
1 & 2 Family S.F::
Multi Family S.F:r—
Receptacle, Switch Lighting Outlets
Total Outlets -
Lighting Fixtures
Total Fixtures:&T
Total Low Voltage:r
Separate Circuit
Motors/Tyansformers
0-1 HP or KVA:r
1-10 HP or KVA:r
10-50 HP or KVA:r-
50-100 HP or KVA::
Over 100 HP or KVA:r--
Signs
One branch circuit:r
Addl branch circuitr
Service
0-600V not over 200A:r
0-600V & over 200A:r
over 600V:r--
Temp PP/Piggy Back
Sub Panel:ru
Other:F
—
city
O�-
State rA— Zip
Business Licu L�
Bathroom Quantity Plumbing Quantity
Water closet (toilet).
Bidet:
Urinal
Bath T47—
Shower stall•FF
Lavatory(basin)C
Hydro-massagetub:
Kitchen
Kitchen sink F f
Garbage Disposal 7—
Bar sink
Vegetable sink
Dishwasher
Laundry/washing trap:F
Ice maker
Floor sink
Miscellaneous
Floordrain:r—
Water piping:r—
Water softenerri
Water heater:r—
Lavatory(basin):r—
Gas sys up to 4 outlets:
Gas sys # of outlets over 4:r—
Backnow, device up to 2":r—
BackBow device over 2":r—
Regulators:F—
Lawn Sprinkler System: -
Roof drains :F—
Hose bibbF —
Drinking fountainf --
Grease trap:r
Grease interceptorr—
P-trap:r—
Sewer
New sewers—
Seweralter/repair.
Sewer abandonment