HomeMy WebLinkAboutE2023-0235 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �EWFORT
City of Newport Beach
Building Division i1 %' 0235 a
lO �4C00.N\r
1. Project Address (Not mailing address) Building Permit No.
351 1Hospital Road. Newport Beach, CA 92663
Floor C—, Suite
_ 2.Owner's Name Last First
Owner's Street Address--
___ CiTy State F Zip
Telephone Owner's E-mail Address
3. Applicant's Name Last Hoover First William
Applicant's Street Address
35420 Peppertree Lane City Agua Dulce State F7 Zip 91390
Telephone 805-231-8552 Applicant's E-mail Address bh0over@brco.com
I^i 4. Contractor's Name Las[ Mesa Energy i First EmcorState Lic# 611215
Contractor's Street Address
2 Cromwell _! City Wine State FEA Zip 92618___
Telephone 949-460_0460 Contractor's E-mail Address asarhangian@emcor.net Business Lic# BT96039750
Mechanical
Furnace Quantity
up to 100,000 btu::;
over 100,000 btu:;
wall/floor heaters—',
Heat Pumps/Package Units
up to 100,000 btu::
up to 1,000,000 btuF
up to 1, 750,000 btu:—'
> 1, 750,000 btu:—'.
Boilers/Compressors
up to HP.:!
3 HP-15 HP::..
15 HP-30 HP[::—i
30 HP-50 HP:
>50 HP:�
Air Handling Units -
up to 10,000 177
> 10,000 CFMf--'.
VAV
Repair/Alter/Add HVAC
Number of Zones:'
Ventilation
Bathroom Fan::
Exhaust Fan F_
Attic Exhaustr—
Residential HoodE777
Commercial Hood!
Metal Fireplace:
Gas Line
Fire Dampers::'
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F::
Multi Family S.F.—',
Receptacle, Switch Lighting Outlets
Total Outlets::'
Lighting Fixtures
I q" q fJ
Total Fixtures1z'8Ml
Total Low Voltage f
Separate Circuit::'
Motors/Transformers
0-1 HP or KVA::;
1-10 HP or KVAF--
10-50 HP or KVA::
50-100 HP or KVAU—',
Over 100 HP or KVAE77
Signs
One branch circuit:
Add'I branch circuit::j_
Service
0-600V not over 200A:F
0-600V & over 200A:.
over 600V:�
Temp PP/Piggy BackF—
Sub Panel—',
Other::
Water closet (toilet)[—'.
Bidet:
Urinal :F—
Bath Tub::
Shower stall:
Lavatory (basin)'
Hydro-massagetub:
Kitchen
Kitchen sink:;
Garbage Disposal::
Barsink:
Vegetable sink:E7
Dishwasher[---
Laundry/washing trap:,
Ice maker.;
Floor sink
Miscellaneous
Floor drain:
Water piping:
Water softener.'
Water heater.'.
Lavatory (basin):
Gas sys up to 4 outlets::,
Gas sys # of outlets over 4:
Backflow device up to 2"::
Backflow device over XJ77
Regulators.'
Lawn Sprinkler System:'
Roof drains:
Hose bibb:
Drinking fountain:'
Grease trap:
Grease interceptor:',
P-trap::
Sewer
New sewer:
Sewer alter/repair:
Sewer abandonment::
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