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Home My WebLink AboutH2023-0478 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application E��R City of Newport Beach z r. Building Division .J. _ _ A /t/J 1. Project Address (Not mailing address) Building Permit No. I117 7oz��-7$ -✓ � ��/�C / 7 (/ L C)rQIJ / l �- N Floor —. Suite r__ r 2. OwneStreet s Name Last n ✓1 j�/+ 1�� First � a Owners Street Address % ��jy(rJA—fj'Ci /J � Zip Telephone 310 sName Owners E-mail Address /+ XE �� F 3. Applicant's Name Last / y) c/�1 / First IJyr /'lF"/ / A licant's 5,yISAAtreet"/Addresse/ ✓�fi/Y l�, /'r (,,,f/ - �"_ city �— State r— ZIP F— Telephone I — Applicant's E-mail Address Co 4.contractor's Name Last First "� / IV � State Lic# -7� ,1 7` Contractors Street Address r `-�' V`r VVVrrr/// N �+Y - - 5/f %u e, _ City :_ _ State r- Zip F --- Telephone 7— Contractor's E-mailAddressRucinacc 1 it u r— Mechanical wall/floor heaters:/ 'r Heat Pumps/Package Units up to 100,000 btu:FT— up to 1,000,000 btu :r— up to 11750,000 btus— > 1, 750,000 btu:r— Boilers/Compressors up to 3 HP:r- 3 HP-15 HP I— 15 HP-30 HPr_ 30 HP-50 HP-.f >50 HPT_ Air Handling Units up to 10,000 CFM:r-- > 10,000 CFM:F_ VAV Box:r-- Repair/Alter/Add HVAC Number of Zones.:— Ventilation Bathroom Fan:r_ Exhaust Fan Attic Exhaustr` Residential Hood: Commercial Hood:' Metal Fireplaces_ Gas Line:r— Fire Dampers::� Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F:Ir Multi FamilyS.F:r— Receptacle, Switch Lighting Outlets Total Outlets :r r/ Lighting Fixtures Total Fixtures Total Low Voltage:. Separate Circuit. Motors/Transformers 0-1 HP or KVA:r- 1-10 HP or KVA::- 10-50 HPorKVA:r- 50-100 HP or KVA:r— Over 100 HP or KVA:F Signs One branch circuit:�— Add'] branch circuit:r-- Service 0-600V not over 200A:r- 0-600V & over 200A.: over 600V.-I Temp PP/Piggy Back,] Panel:r� -- Other.F— Kitchen Baddlow device up to 2":r— Backflow device over 2'Sr-- Regulators:r— Lawn Sprinkler SystemF Roof drains:` Hose bibbr — Drinking fountainT_ Grease trap:r� Kitchen sink:4Z Grease interceptors Garbage Disposal: P-trap_r Barsink: Sewer Vegetable Sink :r— Dishwasher ,Z_ej Laundry/washing trap :r— Ice makerr— Floorsink.: Miscellaneous Water closet (toilet):r Bidet s— Udnal l Bath Tub Shower stall Lavatory (basin)4�_ Hydro -massage Floor drain" r— L_- Water piping:r— Water softener:r— Water heater Ir-- Lavatory (basin):r� Gas sys up to 4 outletsf — L _. Gas Sys # of outlets over 4:r— New sewer: — Sewer alter/repair:r Sewer abandonment:r—