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Home My WebLink AboutXR2023-1932 - Permit Application�� Worksheet for Electrical/Mechanical/ Plumbing Application 3111swW19" Print FormCity of Newport Beach Building Division L".J." V,C» YYV[ T4r11Y[J,O]Y�YIC]]r Building Permit No. 3v 1 DVewtn5 S F (-k Floor F— Suite F— r 2.Owner'sName Last i'Y'Q First- Owner'sStreetAddress City NewP� _ q�State �G� I t p. Zip C+i7 tl.� Telephone q 4 q ; 03 Owner's E-mail Address t r 3. Applicant's Name Last �Q�e _ First _ _ (^p_(M Q.T- A licant's Street Address I�� zip _ _.. r I City State Telephone F Applicant's E-mail Address r 4. Contractor's Name Last 1=(4 7Uj1 (yt First _. .. .. ..,_. State Lic# LN 41633 Contractor's Street Address VQ _- .- — _. City Np/'-�'r/t �'(C�IYWr.Oa State 5 Zip _ -. 16.0/Q_ _ Telephone Ff / b br� 0 �L53 Contractor's E-mail Address Business Lic # 7_ Mechanical Furnace Quantity up to 100,000 btu over 100,000 btur— walVFloor heaters[ -- Heat Pumps/Package Units up to 100,000 btur up to 1,000,000 btuT— up to 1, 750,000 btuF— > 1, 750,000 btur Boilers/Compressors up to 3 HPr 3 HP-15 HPr 15 HP-30 HPF_ 30 HP-50 HPr— >50 HPF— Alr Handling Units up to 10,000 CFMF— > 10,000 CFMF— VAV Boxr Repair/AlterlAdd HVAC Number of ZonesF— Ventilation Bathroom Fan Exhaust Fanr— Attic Exhausts Residential Hood Commercial Hood Metal FireplaceF— Gas LineFF__ Fire Dampers Electrical New Construction Quantity 1 & 2 Family S.F:_ Multi Family S.F:_ Receptacle, Switch Lighting Outlets Total OutletsFq— Lighting Fixtures Total Fixturesr— Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVAF-- 1-10 HP or KVAf-- 10-50 HP or KVAr 50-100 HP or KVAF— Over 100 HP or KVAT_ Signs One branch circuit Add'1 branch circuit Service 0-600V not over 200AF- 0-600V& over 200Ar over 600Vf— Temp PP/Piggy Back Sub PanelF— Other Bathroom Quantity Plumbing Quantity Water closet (toilet)— Backflow device up to 2"_ Bidet f— Backflow device over 2"F— Urinal Regulators Bath TubF— Lawn Sprinkler Systemf— Shower stallF— Roof drainsF— Lavatory (basin)— Hose bibbf— Hydro-massage tub— Drinking fountainF— Kitchen Grease trap Kitchen sink r Grease interceptor Garbage Disposal P-irapr Bar sink Sewer Vegetable sink New sewer Dishwasher Sewer alter/repairF— Laundry/washing trap Sewer abandonmentF— Ice maker Floor sink Miscellaneous 4-0 Floor drain—®. Water piping 0 iw Water softener— Lq"J Water heaters Lavatory (basin)r Gas sys up to 4 outletsr Gas sys # of outlets over 4r V