HomeMy WebLinkAboutE2024-0209 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application o4�EW�Ra
Print Form City of Newport Beach _ �_
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Building Division
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1. Project Address(Notmailing address) Building Permit No. E2.G24702ocI
_ _ I _ door F-- Suite F
r 2. Owners Name Last QY\G� First I ( /1 I •(y p ,
owner's Street Address q �-1V��f -
152:� - a'I-� City 1 �YtTI t�AK�Ji1 tate � Zip
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Telephone a,j-�(� aQ-�' Owner's E-mail Address
r: 3. Applicant's Name Last �j�O� _ _ First rc�OYV7�0,_
Applicant's Street Address
lY 1 . City State Zip
Telephone C'.I I(1 ���2`� Applicant's E-mail Address
r 4. Contractor's Name Last ova iA r c-bwo_�a _ ♦ First
Contractors Street Address C'pV"\
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Telephone _ U ��_ Contractor's E-mail Address
Mechanical
Furnace Quantity
up to 100,000 btul
over 100,000 btuF—
wall/floor heaters: —
Heat Pumps/Package Units
up to I00,000 btuF—
up to 1,000,000 btu: —
up to 1, 750,000 btu:
> 1, 750,000 btu::
Boilers/Compressors
upto3HPj-
3 HP-15 HP:
15 HP-30 HP:
30 HP-50 HP:
>50 HP:
Air Handling Units
up to 10,000 CFMF_
> 10,000 CFM:
VAV Box:
Repair/Alter/Add HVAC
Number of Zonesf—
Ventilation
Bathroom FanF—
Exhaust Fan:
Attic Exhaust
Residential Hood: —
Commercial Hood:
Metal Fireplace
Gas LlneF—
Fire DampersF_—
Electrical
New Construction Quantity
1 &2 Family S.F:
Multi Family S.FF—
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures:r—.
Total Low Voltage::
Separate Circuit
Motors/Transformers
0-1 HP or KVA:
1-10 HP or KVA::
10-50 HP or KVA::
50-100 HPor KVA::
Over 100 HP or KVAIi
Signs
One branch circuit:FT—
Add'I branch circuit
Service
0-600V not over 200Af-
0-600V & over 200A::
over 600VF—
Temp PP/Piggy Back
Sub Panel
Other:ri
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Bathroom Quantity
Water closet (toilet)::
Bidet:,
Urinal :F
Bath Tub::l
Shower stall:
Lavatory (basin):'
Hydro -massage tub::
Plumbing
Kitchen
Kitchen sink:',
Garbage Disposal::
Bar sink
Vegetable sink F!
Dishwasher
Laundry/washing trap::,
Ice maker::
Floor sink:
Miscellaneous
Quantity
Backflow device up to 2"::
Backflow device over 2"::
Regulators::
Lawn Sprinkler System::
Roof drains::
Hose bibb:
Drinking fountain::
Grease trap::
Grease interceptor
P-trap:r
Sewer
New sewer.:
Sewer alter/repair.
Sewer abandonment:
IN
Floor drain::
Water plping.1 \
Water softener:
Water heater::
Lavatory (basin):
Gas sys up to 4 outlets:F —1-
Gas sys # of outlets over 4::
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