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Home My WebLink AboutE2023-0772 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application Print Form City of Newport Beach Building Division 9 1. Project Address (Not mailing address) Building Permit No. FZ023. 07A � 20n . . 130 Newport Center Drive Floor r Suite r 2. Owner's Name Last Joe First Woldenberg Owner's Street Address 401 Newport Center Drive City Newport Beach State CA Zip 92660 Telephone 949.720-3300 Owner's E-mail Address jwoldenberg@irvinecompany.com r 3. Applicant's Name Last Breck First A lica f Street Address 3187 Airway Ave. Bldg C City Costa Mesa State ICA Zip 92626 Telephone 949.368.3003 Applicant's E-mail Address I— 4. Contractor's Name Last Contractor's Street Address ijbreck@pbsengineers.com First City State F_ Zip State Lic fi F— Telephone i Contractor's E-mail Address i Business Lic ft Mechanical Furnace Quantity up to 100,000 btu:r— over 100,000 btu:r-- wall/Floor heaters:r— Heat Pumps/Package Units up to 100,000 btu :r— up to 1,000,000 btuF— up to 1, 750,000 btu:r— > 1, 750,000 btu:r— Boilers/Compressors up to 3 HP:r- 3 HP-15 HP:r_ 15 HP-30 HPr- 30 HP-50 HP-. -- >50 HP:r— Air Handling Units up to 10,000 CFM1— > 10,000 CFM:r— VAV Box:r— Repair/Alter/Add HVAC Number of Zones Ventilation Bathroom Fan:r� Exhaust FanF__ Attic Exhaust:r— Residential Hood:r— Commercial Hood:r_— Metal Fireplace f — Gas Liner Fire Dampers:r� Electrical New Construction Quantity 1 & 2 Family S.FF__ Multi Family S.FF— Receptacle, Switch Lighting Outlets Total Outlets 30 Lighting Fixtures Total Fixtures:r— Total Low Voltage:r— Separate Circuit:r—i Motors/Transformers Signs 0-1 HP or KVA1__ 1-10 HP or KVA: 10-50 HP or KVAF__ 50-100 HP or KVA: Over 100 HP or KVA: One branch circuit Add'I branch circuit Service 0-600V not over 200A: 0-600V & over 200A: over 6004— Temp PP/Piggy Back® Sub Panel Other:r__ Plumbing Bathroom Quantity Quantity Water closet (toilet): Bidet:r- Urinal �— Bath Tub Shower stall:r— Lavatory (basin): Hydro -massage tub: Kitchen Kitchen sink:r— Garbage Disposal :r— Bar sinkf— Vegetable sink:r— Dishwasherr— Laundry/washing trap: Ice maker :r— Floor sink: Miscellaneous Floor drain: Water piping :r— Water softener:r—_ Water heater:r-- Lavatory (basin):r—_ Gas sys up to 4 outlets: Gas sys k of outlets over 4:r® Bacclow device up to 2":r- Backflow device over 2": Regulators:r— Lawn Sprinkler System Roof drains: Hose bibb: Drinking fountain:r— Grease trap:r— Grease interceptor: P-trap Sewer New sewer Sewer alter/repair:r— Sewer abandonment:r—