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Home My WebLink AboutE2023-0788 - Permit Application (3)Worksheet for Electrical/Mechanical/ Plumbing Application zEW�� +��_ • City of Newport Beach G.,Foa...Pa Building Division " a : 1. Project Address(Notmailing address) y� Building Permit No. ry /t/fopon.T E1JTC7_ DIZ. Floor F-4--- Suite Lr C0 F_ 2. Owner's Name Last First Owner's Street Address City State F_ Zip F--_- Telephone F— Owner's E-mail Address _ _ _ F_ 3. Applicant's Name Last First A licant's Street Address City �� State I— Zip Telephone Applicant's E-mail Address r 4. Contractor's Name Last -�� First I _�06` StateLic# 6 6 2Z� Contractors Street Address 6pqL_t'Ti:L ZFZ9L ARQDyc, IS 12v city 94XAOState � Zip Kgg Telephone 1yQ - 'ZLu - yaea Contractors E-mail Address OWSL P4 A ( I.-25 61, r t_ov, Business Lic # wccomzz Mechanical Electrical New Construction Quantity up to 100,000 btu., over 100,000 btu::- wall/floor heaters Heat Pumps/Package Units up to 100,000 btu:: — up to 1,000,000 btu:r— unto I 750,000 btu:: > 1, 750,000 btu::— Boilers/Compressors up to 3 HP:F_- 3 HP-15 HP:F 15 HP-30 HP] 30 HP-50 HP:�i >50 HP:: Air Handling Units up to 10,000 CFM:k— > 10,000 CFM:F_ VAV Box:I Repair/Alter/Add HVAC Number of Zones:F— Ventilation Bathroom Fan:: — Exhaust Fan:r_ Attic Exhaust:: Residential Hood:! Commercial Hood:: Metal Fireplace:I Gas Line 7— Fir, nl mnprc - 1 &2 Family S.F:F— Multi Family S.F:: Receptacle, Switch Lighting Outlets Total Outlets: T Lighting Fixtures Total Fixtures:]— Total Low Voltage:] Separate Circuit:] Motors/Transformers 0-1 HP or KVA:r 1-10 HP or KVA::v 10-50 HP or KVA-1 50-100 HPorKVA:]— Over100 HPorKVA:— Signs One branch circuit:: Add] branch circuit:' Service 0-600V not over 200A:I 0-600V& over 200M7 -_- over 600V:I Temp PP/Piggy Back'I Sub Panelf — Other:F_— Plumbing Bathroom Quantity Water closet (toilet): Bidet: Urinal Bath Tub:: Shower stalk Lavatory (basin)::— Hydro-massagetub:: Kitchen Kitchen sink Garbage Disposal Bar sink r Vegetable sink.: Dishwasher Laundry/washing trap: ice maker.: Floor sinkk— Miscellaneous Floor drain:: Water piping:�— Watersoftenerl Water heater:: Lavatory (basin): Gas sys up to 4 outlets - Gas sys # of outlets over 4:: Quantity Backflow device up to 2"k Backflow device over 2°::— Regulators:] Lawn Sprinkler System:r Roof drains:F— Hose bibb:[_ Drinking fountain: Grease trap:] Grease interceptor:] P-trap:]— Sewer New sewer:: Sewer alter/repair. Sewer abandonment_