The URL can be used to link to this page

Home My WebLink AboutX2021-2212 - Permit ApplicationI Via Worksheet for Electrical/Mechanical/ plumbing Application o��.epam City of Newport Beach Building Division �p,f9^°�r I. Project Address (Not mailing address) Building Permit No. E v Floor �— Suite First owner's 2. Owner's Name Last State ZAP _ _ -_ -- -- - - Owner'sStreetAddress �, Ccity� �— Telephone— Owner's E-mail Address _ r, First 0 rC\C r 3.ApplicanPs Name Last • �.i«�.�e-� State ZP MM licant's Street Address City ( �JJ Y A ZC�\ �- Applicant's E-mail Address tl�(j Ali C � ` Telephone ',��A(� �� State Lich ql)CI '1 0 -1 First - _1 1. r. 4. Contractor's Name Last \\CI�`�� Contractjorr's; Street Address , City V\ice'- �-A_ Telephone C� ��_ _�C nttactor's E-mail Address �V~ Mechanical urnace Quantity up to I00,000 btur over 100,000 btur— wall/floor heaters :F seat Pumps/Package Units up to Ioo,000 btu: up to l poo,000 btu:) up to 1, 750,000 btuF— > 1, 750,000 btuF— Boilers/Compressors up to 3 HP:� 3 HP-15 HP'JL — 1 s HP-30 HPF- 30 HP-50 HPr— >50 HP:� Air Handling Units up to 10,000 CFM:F > 10,000 CFM�-- VAV Box:_ Repair/Alter/Add HVAC Number of Zones: Ventilation Bathroom Fanr— Exhaust Fanr Attic Exhaust: Residential Hood: commercial Hood:1 Metal Fireplace:F— Gas Line:F-- Tire Dampers: -- Electrical Quantity lew construction 1 & 2 Family S.Fr Multi Family S.F.- ieceptacle, Switch Lighting Outlets Total Outlets:F— Lighting Fixtures Total Fixtures:F, Total Low Voltages Separate Circuit: Motorsrrransformers 0-1 HP or KVA f 1-10 HP or KVAF-- 10-50 HP or KVAF-- 50-100 HPor KVA:F. Over 100 HP or KVA'F Signs One branch circuitr— Add'I branch circult:F —_ Service 0-600V not over 200Ar 0-600V & over 200A:r— over 600V:r— Temp PP/Piggy Back Sub Panel.) Oth4 — 7c- State ILv" Zip T211 to - BusmessLic# F Water closet (toilet) Bidet Urinal Bath Tubr Shower stall) Lavatory (basin) Hydro-massagetub:F- Kitchen sink Garbage Disposal: Bar sink Vegetable sinks Dishwasher Laundry/washing tmp:r— Ice maker•. Floor sink: Backflow device up to 27r BackBow device over 2":F— Regulators Lawn Sprinkler System Roof drains Hose bibbF— Drinking fountain) Grease trap) Floor drain) Water piping:F- Water softener) Water heater :F— Lavatory (basin): Gas sys up to 4 outlets) Gas sys # of outlets over 4:1— Grease interceptor.E— P-trap:F— New sewer.F— Sewer after/repair Sewer abandonment 22�2- IM