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Home My WebLink AboutE2019-0236 - Permit Application4J" CZ) flea Worksheet 1 oZ d— I�3 S-49 Pal/ for Electrical/Mec ani &IS11 t x-)C+eF Plumbing Applicatio City of Newport Beach Building Division 1. Project Address (Not mailing address) Building Permit No, 4?/?, 7-4l7 Floor r 2. Owner's Name Las[ I f First --_— Owner's Street Address City Telephone Owner's E-mail Address. n Sic SYr�t OZ3Y Suite F_ State I Zip F,-__. r 3. Applicant's Name Last /P N/�� First ican`t's 'Stre7 Address�� tD/ V R city PaW Ksitgowjate FZA Zip '1253� Telephone C1 <l 7--)'_gJ� Applicant's E-mail Address fi V eh a� 11 I 1MI L°.7 r 5 `�( jt nBEYS 9. Contractor's Name . Go>l�] Last ( e/�+'1l First � �/ � State Lic# 3cl Contractor's Street Address Telephone Mechanical Furnace Quantity UP to 100,000 btu :ra-- Over 100,000 btu:F-- wall/Boor heaters: --- Heat Pumps/Package Units up to 100,000 btu:[ ---- up to 1,000,000 btu :r_ up to 1, 750,000 btu :F— > 1, 750,000 btuT_ Boilers/Compressors up to 3 HP:f 3 HP-15 HP:F_ 15 HP-30 HP[ 30 HP-50 HP.f >50 HP Air Handling Units up to 10,000 CFMF_ > 10,000 CFMf---- VAV Box:r--- Repair/Alter/Add HVAC NumberofZones:�— Ventilation Bathroom Fan: Exhaust Fan Attic ExhaustT_ Residential HoodF_ Commercial Hood :F— Metal Fireplace: -- Gas UneF_ Fire Dampersr— City Contractor's E-mail Address New construct electrical Quantity Bathroom 1 & 2 Family S.FF-- Multi Family S.F:F_ Receptacle, Switch Lighting outlets Total Outlets: Lighting Fixtures Total Fixtures�a Total Low Voltage:r— Separate Circuit:_& Motors/Transformers 0-1 HP or KVA:F- 1-10 HP or KVA:F- 10-50 HPor KVA1_ 50-100 HP or KVA:F_ Over 100 HP or KVAf Signs One branch circuit:F- Add'1 branch circuit:F— Service 0-600V not over 200A:r- 0-600V& over 200A:F— over 600VF— Temp PP/Piggy Backe Sub Panel:FZ_— Other:�— State I Zip Business Lic # Plumbing Quantity Quantity Water closet (toilet):` Bidet Urinal :�— Bath Tub:F_ Shower stall•[_ Lavatory (basinf- Hydro-massagetub:r— Kitchen Kitchen sink:F— Garbage Disposal:F_ Bar sink:r— Vegetable sink:r® Dishwasherf -_ Laundry/washing trap:F- Ice makes__--- FloorsinkF— Miscellaneous Floor drain:! Water piping Water softener:F- Water heater r- Lavatory (basin): Gas sys up to 4 outlets:_ Gas Sys # of outlets over Backflow device up to 2":rd BackBow device over 2":1__ RegulatoisF_ Lawn Sprinkler System:F_ Roof drains:r— Hose bibb:r— Drinking fountain: Grease trapol r- Grease interceptor.F P-trap:(- Sewer New sewer.F—LL Sewer alter/repair:F-- Sewerabandonment:-6 ?5w16 - bZAc.)