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Home My WebLink AboutE2023-0537 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application EW�� City of Newport Beach Building Division - a, 1.Project Address (Not mailing address) Building Permit No. 7/rZ7 u - Floor -- Suite �— i— 2. Owner's Name Last s First Owner's Strreet Address ( 1 - M U h �` . V r G lot City 7TG rid State Zip �� 2 Telephone F Owners E-mail Address r 3. Applicant's Name Last U-2 z r First r A lGicant's Streett Addr s - — 7 City S A .,n ...iA State I / 6 Zip F9 a Z % Telephone T / FUq y�t7; Applicant's E-mail Address c)G.r0 and Q 4. Contractor's Name Last Z� First `' State Lic# IU 3 j%ZG Contractor's Street Address Telephone 't'7 p� w��./' Mechanical up to 100,000 btu:[77 over 100,000 btu::— 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: 3 HP-15 HP:[ 15 HP-30 HP[_- 30 HP-50 HP::— >50 HP Air Handling Units up to 10,000 CFM:r— > 10,000 CFM::— VAV Box::— Repair/Alter/Add HVAC Number ofZones::— Ventilation Bathroom Fan. Exhaust Fan:: — Attic Exhaust -- Residential Hood:I_ Commercial Hood:, Metal Fireplace:) Gas Liner _ Fire Dampers:,r- 47 Contractor's E-mail Address Electrical New Construction 1 & 2 Family S.F.F— Multi Family S.F:: Receptacle, Switch Lighting Outlets Total Outlets:: — Lighting Fixtures Total Fixtures:: — Total Low VoltageF— Separate Circuit:r— Motors/Transformers 0-1 HP or KVA:JF- 1-10 HP or KV4__ 10-50 HP or KVA:7- 50-100 HPorKVA��— Over 100 HP or KVA:[-- Signs One branch circuit::— Add'I branch circuit Service 0-600V not over 200A:[i 0-600V& over 200A:[__ over 600V:I — Temp PP/Piggy Back:: Sub Panel, Other..F— ciTy C -i &, „n_ &_ State a— Zip ga 6 7 /r's o de l ., 4 V ®Gm rail.- _ Business Lic# :—_ Bathroom Quantity Plumbing Quantity Water closet (toilet): Bidet Urinal :lr Bath Tub:: Shower stall :— Lavatory (basin): Hydro-massagetub:[— Kitchen Kitchen sink:: Garbage Disposal:: Barsink:: Vegetable sink:: Dishwasher Laundry/washing trap: Ice maker.: Floorsink.: Miscellaneous Floor drain:�- Water piping:: Water softener:F— Water heater Lavatory (basin):[ -- Gas sys up to 4 outlets f Gas sys # of outlets over 4:[— Backflow device up to 2".: Backflow device over 2'S: Regulators::— Lawn Sprinkler System Roof drains.: Hose bibb: Drinking fountain: Grease trap:: Grease interceptor: P-trap:[—� Sewer New sewerr— Sewer alter/repair r— Sewer abandonment::