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Home My WebLink AboutXR2023-0056 - Permit ApplicationKrZ262Y-06§-6 Worksheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No. " \VCknCNS i-I F- 2.0wner's Name Last 5�� First Owners Street Address Ciry Telephone Owner's E-mail Address Floor I Suite State F— Zip F— r 3. Applicant's Name Last ` C-Pn 2-,t, First q"L°J A licant's Street Address jj 1 Z city vl, t�cx.. etc- State F(!:�: Zip Telephone Otl S�7� _'JI Z,'Z-�, CO Applicant's E-mail Address t Q f c�\ �i V i P` czi� F- 4. Contractor's Name Last' 4 First _ ry State Lic #j'zZ i p Contractor's Street Address (�1� - 1 F-Q>CY1 - Y`C - _mil __..... l 1 ..' city L-FSY�- . _ State rz �]� J Zip - I C. &!� _ p QlJ pp Telephone I . 1 �_l. fj-0 Contractors E-mail Address ( Business Lic# Mechanical Furnace Quantity up to 100,000 btu�— over 100,000 btur— wall/floor heaters:F— Heat Pumps/Package Units up to 100,000 btu:r— up to 1,000,000 btuF — up to 1, 750,000 btu)— > 1, 750,000 btuir— Boilers/Compressors up to 3 HP:r 3 HP-15 HP:r__ 15 HP-30 HPF- 30 HP-50 HP-�— >50 HP:r— Air Handling Units up to 10,000 CFMF— > 10,000 CFMF— VAV Box:r— Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fan r— ExhaustFan:— Attic Exhaust:r— Residential Hood.: Commercial Hood:: Metal Fireplacell Gas Line:: Fire Dampers::— Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.F: Multi Family S.FF-- Receptacle, Switch Lighting Outlets Total Outletsff � Lighting Fixtures Total Fixtures:; Total Low Voltage) Separate Circuit: MotorslTransformers 0-1 HP or KVA:r 1-10 HP or KVA: 10-50 HP or KVA: 50-100 HP or KVA:: Over 100 HP or KVA:- Signs One branch circuit.r— Add'I branch circuit:t — Service 0-600V not over 2004 — 0-600V& over 200A:r— over 600V:�— Temp PP/Piggy Back Sub Panel Other.F— Water closet (toilet)F--- Bidet Urinal Bath Tub:: Showerstall Lavatory (basin): Hydro-massagetub:F— Kitchen Kitchen sink r Garbage Disposal Bar sink: Vegetable sink, Dishwasher Laundry/washing trap Ice maker) FloorsinkF— Miscellaneous Floor drain:: Water piping:F— Water softener Water heater:: Lavatory (basin): Gas sys up to 4 outlets r� Gas sys # of outlets over 4:F - Backflow device up to 2"r Backflow device over 2":r— Regulators: Lawn Sprinkler System: Roof drains:: Hose bibbo:' Drinking fountain:: Grease trap:F— Grease interceptorf — P-trap:: Sewer New sewer.: Sewer alter/repair: Sewer abandonment �CZeTZ3 — Syc..joc Cc6Ll ()o S,