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HomeMy WebLinkAboutXC2023-0034 - Permit Application (2)Worksheet for Electrical/Mechanical/ Plumbing Application Print Form City of Newport Beach 242�— W�y Building Division v` vPHJ 1. Proje%Adress (Not mailing address) Building Permit No. 4301 4321 B� ch Street Newport Beach, CA Floor P Suite F_ Q 2. Owner's Name Last Barrett First Brad Owner's Street Address Wrigley City Irvine State CA Zip 92617 Telephone I949-305-3493 Owner's E-mail Address Ibbarrett@barrcomm.net IZ 3. Applicant's Name Last First Richard A licant's Street Address 175ingle[ree Drivee ciTy Newport Beach State Zip 2660 Telephone 14606-8807 Applicant's E-mail Address I— 4. Contractor's Name Last Contractor's Street Address Telephone Mechanical Furnace Quantity up to 100,000 btu: over 100,000 btu:F— 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: Boilers/Compressors up to 3 HP:F_ 3 HP-15 HP:1__ 15 HP-30 HPF- 30 HP-50 HP:F--- >50 HP:F_ Air Handling Units up to 10,000 CFM:F--- > 10,000 CFM:r— VAV Box: Repair/Alter/Add HVAC Number of Zones:F— Ventilation Bathroom Fan: Exhaust Fan: Attic Exhaust:_ Residential Hood F_ Commercial Hood: Metal Fireplace:F_ Gas Line:r— Fire Dampers: Contractor's E-mail Address lbeck-martin@sbcglobal.net First I State Lic# F_ City F— State r Zip Business Lic # Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 &2 Family S.Ft Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outletsr— Lighting Fixtures Total Fixtures Total Low Voltage Separate CircuitF— Motors/Transformers Signs 0-1 HP or KVAF__ 1-10 HP or KVAf 10-50 HPorKVAF- 50-100 HP or KVAt Over 100 HP or KVA F_ One branch circuit Add'I branch circuibF_ Service 0-600V not over 200At 0-600V& over 200A1 over 600V Temp PP/Piggy Back sub Panel Other: Water closet RoileUf__ Bidet r Urinal Bath Tub: - Shower stall: Lavatory(basin)I_ Hydro -massage tub: — Kitchen Kitchen sink: Garbage Disposal Bar sink Vegetable sink:— DishwasherF_— Laundry/washing trap Ice maker:F— Floor sinkr— Miscellaneous Floor drain: Water piping Water softener Water heaterf— Lavatory (basin) Gas sys up to 4 outlets[ Gas sys # of outlets over 4:F— Backflow device up to 2"F— Backflow device over 2"F-- Regulatorsr— Lawn Sprinkler System:r— Roof drains Hose bibbF-- Drinking fountain Grease trap Grease interceptor. P-trapr Sewer New sewer Sewer alter/repair Sewer abandonment= /C2Q2 3 - a03�