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Home My WebLink AboutE2022-0370 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application a Print Form City of Newport Beach � � Building Division 1. Project Address (Not mailing address) Building Permit No. t - 6 r Li t. Floor F-- Suite F_ I 2.OwneYsName Last .,��,efi First i��✓1 Owner's Street Address /�� {^ � IJ 7— _ r ci -'��rro.!�`�: - Iv _. City LW �&tz.G(State I K Zip 47-7ed Telephone 3?F> 7� U -5 Owner's E-mail Address 'I � I— 3. Applicant's Name Last /. ;lYj (;/l GxGt`L.Z _ First xC-� Applicant's Street Address ✓I�+e Y�Y { +✓� City �--��J`,p+_ State FZ, Zip �Z�' Telephone I J — P-1/33'-JApplicant's E-mail Address 4. Contractor's Name Last I ( J First _ ✓ State Lic # �— Contractor's Street Address City State F_ Zip Telephone Mechanical Furnace Quantity up to 100,000 btu:r— over 100,000 btur— wall/floor heaters Heat Pumps/Package Units up to 100,000 btul up to 1,000,000 btul up to 1, 750,000 btuF_ > 1, 750,000 btu Boilers/Compressors up to 3 HPF___ 3 HP-15 HPF- 15 HP-30 Hf- 30 HP-50 HPF >50 HPf— Air Handling Units up to 10,000 CFMF___ > 10,000 CFMF___ VAV Boxl Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fanl Exhaust Fanl Attic Exhaustt— Residential Hood F— Commercial HoodF— Metal Fireplace Gas Line Fire Dampers Contractor's E-mail Address Electrical New Construction Quantity 1 & 2 Family S.FI Multi Family S.F) Receptacle, Switch Lighting Outlets Total Outlets Lighting Fixtures Total Fixtures Total Low Voltage Separate Circuit Motors/Transformers 0-1 HP or KVAI 1-10 HP or KVAI 10-50 HP or KVAI 50-100 HPor KVAI Over 100 HP or KVAI Signs One branch circuit Add'I branch circuitt— Service G-600V not over 200AF-- 0-600V & over 200AF-- over 600VF— Temp PP/Piggy Back Sub Panel OtherF Business Lic # Bathroom QuantityPlumbing Quantity Water closet (toilet) Bidet Urinal r Bath Tub Shower stall Lavatory (basin)F_— Hydro-massagetubf— Kitchen Kitchen sink Garbage Disposal. Bar sink Vegetable sink Dishwasher Laundry/washing trap Ice maker Floor sink Miscellaneous Floor drain Water piping Water softener Water heater Lavatory (basin) Gas sys up to 4 outletsF Gas sys # of outlets over 4r— Backflow device up to 2"F-- Backflow device over 2"F-- Regulators Lawn Sprinkler System Roof drains[ — Hose bibbF— Drinking fountain Grease trap Grease interceptor P-trapl Sewer New sewer Sewer alter/repair Sewer abandonment /1 D �2a•LV rq0"2,Z 14 th