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Home My WebLink AboutE2024-0005 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application City of Newport Beach 6 .. Building Division Building 24Z� aoQS a,r t. Project Address (Not mailing address) ding Permit No. � �1 /11 0 � 3$/5 sa�dvr Lam. Goranc/ /� r �/r Floor 11 � Suite ttl— r 2. Owner's Name Last St�� ✓I--- First yc..i0%L N /V Owner's Street Address �- vr6/5 SaY)oLLYt2 641 City Gdl ✓1� State �z( zip Telephone I qW 697—y SSo Owner's E-mail Address bI64.6T;ij ,•GO/'✓L F_ 3. Applicant's Name Last I E�L0.MZ First A licantI's Street Address � . /'1. Poe--# City 40akta_ State IG_— Zip g��29 Telephone ql�(�' ��—z�ZApplicant's E-mail Address r1.Y1fC-q�-{�Lc,�rpp _GO 7' T YLL i— 4. contractor's Name Last0-Y'� Z First State Lic#3Fj2� Contractor's Street Address r"2" `— �y1�7� �72 City M1�;t1Q rylk-1,4— State r�Zip 91 �OZc� Telephone Contractor's E-mail Address 4.-1'�VYQVL�SLC7 �,sin�ess Lic# �- Mechanical Furnace Quantity up to 100,000 btu:r— over 100,000 btu:— wall/floor heaters Heat Pumps/Package Units up to 100,000 btut— up to 1,000,000 btu: up to 1, 750,000 btu:: >1, 750,000 btu: Boilers/Compressors up to 3 HP:r- 3 HP-15 HP: 15 HP-30 HPr- 30 HP-50 HP f >50 HPF Air Handling Units up to 10,000 CFM1— > 10,000 CFM: VAV Box: Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fan: Exhaust Fan: Attic Exhaust: — Residential Hood: — Commercial Hood Metal Fireplace Gas Linear -- Fire Dampersl -- Electrical New Construction Quantity 1 &2Family S.FT— Multi Family S.F: Receptacle, Switch Lighting Outlets Total Outlets:r Z Lighting Fixtures Total Fixtures:r— Total Low Voltage:r— Separate Circuit:r— Motors/Transformers 0-1 HP or KVA:r- 1-10 HP or KVA:r- 10-50 HE or KVA:r- 50-100 HP or KVA:r— Over 100 HE or KVAF_ Signs One branch circuit:r— Add'I branch circuit Service 0-600V not over 200AF — 0-600V & over 200A:r— over 600V: Temp PP/Piggy Back Sub Panel:r-- Other:r-- Plumbing Bathroom Quantity Quantity Water closet (toilet):r— Bide[: urinal Bath Tub:r— Shower stall f — Lavatory (basin): Hydro -massage tub:r— Kitchen Kitchen sink:r— Garbage Disposal:r— Barsink: Vegetable sink:r— Dishwasherr— Laundry/washing trap:r— Ice maker:r— Floor sink:: Miscellaneous Floor drain:r— Water piping:r— Water softenerr— Water heatecr— Lavatory (basin): Gas sys up to 4 outlets: Gas sys # of outlets over 4:r— Backflow device up to 2":r- Backflow device over 2":r- Regulators: Lawn Sprinkler System:r— Roof drains: Hose bibb:r— Drinking fountain: Grease trap: Grease interceptor: P-trap:r— Sewer New sewer Sewer alter/repair: Sewer abandonment:r—