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Home My WebLink AboutE2023-0615 - Permit ApplicationVIC11423 » 1011 f wV;il • �ls Worksheet for Electrical/Mechanical/ Plumbing Application eWPoq City of Newport Beach Building Division 7. Project/Address (Not mailing address) Building Permit No. -- - - O ,� - - - - -- - - - -- Floor Suite I 2. Owner's Name Last T - First Owner's Street Address -- I. city State F_ Zip L . - - Telephone —,�/Owners E-mail Address F_ 3. Applicant's Name Last !Ll / / _- -. First . j Applicant's Street Address li/7Gr p✓l•/ - City.�L �r�JtJ>d_ State �ip Telephone J ,�`2).,? J37-aPPIk::anct's E-mail Address l7El� cCs��✓✓i^ //r ��C rr�-r-� _ 2 F_ 4. Contractor's Name Last ( First State Lic# �— Contractor's Street Address _ - i _ _ _ City I State F_ Zip l __ Telephone FContractor's E-mail Address Business Lic # I Mechanical up to 100,000 over 100,000 btu:l wall/Floor heaters: Heat Pumps/Package Units up to 100,wQubta� up to 1,000,000 btu :F— up to 1r 750,000 btu:r > 1, 750,000 btuF_ Boilers/Compressors up to 3 HP:r- 3 HP-15 HP:F- 15 HP-30 HPF 30 HP-50 HPf—: >50 HP:r Air Handling Units up to 10,000 CFM:�— > 10,000 CFMF_ VAV B..[ Repair/Alter/Add HVAC Number of Zones:I—_ Ventilation Bathroom Fanf — Exhaust Fan Attic Exhaust Residential HoodF_ Commercial Hood:r_ Metal Fireplacer— Gas Line:r� Fire Dampers:r— Electrical New Construction 1 & 2 Family S.F:r— Multi Family S.F:I-- Receptacle, Switch Lighting outlets Total Outlets :r— Lighting Fixtures Total Fixtures:[— Total Low Voltage:C,,` Separate Circuit:r'L� Motors/Transformers 0-1 HP or KVA:� 1-10 HP or KVA:r 10-50 HP or KVAF_ 50-100 HP or KVA:r Over 100 HP or KVA:r- Signs One branch circuit Add'[ branch circuit: Service -- " 0-600V not over 200A:F- 0-600V& over 200A.r-. over 600V:r- Temp PP/Piggy Back-F_ Sub Panel/ / Bathroom Quantity Plumbing Quantity Water closet (toilet): Bidet:r Bath Tub:r Showerstalhf__ U Lavatory (basin):F r Hydro-massagetubF— Kitchen Kitchen sink: Garbage Disposal:r Barsinkr Vegetable sink[ — Dishwasher Laundry/washing trap Ice maker:r FloorsinkF-- Miscellaneous Floor dra[n:r Water piping :r— Water softener.F— Water heater: Lavatory (basin):r r ii. up to 4 outlets: Gas sys # of outlets over 4:r Backflow device up to 2"177 Backflow device over 2":r— Regulators :r- Lawn Sprinkler System:F_ Roof drains:F_ Hose bibbF — Drinking fountainF— Grease trap:r Grease interceptor.F_ P traps - Sewer New sewer. Sewer alter/repair.- Sewer abandonmentic-