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Home My WebLink AboutX2019-1766 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �Ew�Ra City of Newport Beach , Building Division �.. 1. Project Address (Not mailing address) Building Permit No. / OD W O ST 7D W f Floor z Suite r� z r 2. Owner's Name Last VZr(.Q?ue,T First Le Owner's Street Address�A /b0 4..,WR ST �,/wY City � State Zip �— Telephone E_r---6qcr- g&Z Owner's E-mail Address �y.(_' Np.l i%ItrpblT - cbeo. r 3. Applicant's Name Last �_-- First A licant's Street Address City r— State F_ zip F--- Telephone r__®_- Applicant's E-mail Address I- 4. Contractor's Name Last First 0 M State Lic # S Z Contractor's Street Address / S 34r3CAG1< -5. Telephone ri7 6e1Z—Zij3t Contractor's E-mail Address F Mechanical Furnace Quantity up to 1 o0,000 btu:F— over 100,000 btu:r wall/Floor heaters:f ---- Heat Pumps/Package Units up to 100,000 btu:: — up to 1,000,000 btu:r up to 1, 750,000 btu:r > 1, 750,000 btu:F Boilers/Compressors up to 3 HP:[ -- 3 HP-15 HP:r 15 HP-30 HPr� 30 HP-50 HP:F- >50 HP:F-,-- Air Handling Units up to 10,000 CFM:r� > 10,000 CFM:r VAV Box:r Repair/Alter/Add HVAC Number of Zones:F— Ventilation Bathroom Farer Exhaust Fan:F-- Attic Exhaust:ru— Residential Hood:r Commercial Hood:r® Metal Fireplace:rs Gas Line:r-- Fire Dampers Electrical New Construction Quantity 1 & 2 Family S.F:r_ Multi Family S.F:r_ Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total Fixtures:r_ Total Low Voltage:[ Separate Circuit Motors/Transformers 0-1 HP or KVA:r 1-10 HP or KVA:r- 10-50 HP or KVAr- 50-100 HP or KVAJ� Over 100 HP or KVA:F_ Signs One branch circuit:r� Add'I branch circuit:r— Service City C'b r � f-/ State [�_k Zip Z( 0-600V not over 200A:ri 0-600V& over 200A:[5�q� over 600V:r— Temp PP/Piggy Back:ri Sub Panel:r� Otherr— i Business Lic# 576640z Plumbing Bathroom Quantity Water closet (toilet): Bidet: Urinal :F__ Bath Tuba_ Shower stall: Lavatory (basin): Hydro -massage tub:r— Kitchen Kitchen sink:r— Garbage Disposal: Bar sink: Vegetable sink :r— Dishwasher: Laundry/washing trap:r_ Ice makers_ Floor sink:: Miscellaneous Floor drain :r— Water piping :r— Water softener Water heater Lavatory (basin): Gas sys up to 4 outlets:: Gas sys # of outlets over 4:r0 Quantity Backflow device up to 2":r_ BackRow device over 2":r- Regulators:r_ Lawn Sprinkler System :r— Roof drains:r— Hose bibb:r_ Drinking fountain:r_ Grease trap:r— Grease Interceptor .F_ P-trap:r— Sewer New sewer.: — Sewer alter/repair: Sewer abandonment ::-