HomeMy WebLinkAboutE2019-0346 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application EW�Rr
Print Form City of Newport Beach r
Building Division
1. Project Address (Not mailing address) Building Permit No.
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Floor F_, Suite
[W 2. Owner's Name Last First I
Owner's Street Address
' City State F_ Zip
Telephone F—. Owner's E-mail Address
[- 3. Applicanfs Name Last F -r4 L7 Ar- First �U
Alicant's Street Address _
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I�r_t� City (A Z5WOgE State G/% Zip `)�53z
Telephone I Applicant's E-mail Address I
[_ 4. Contractor's Name Last �Llr�, _ First WI )L( State Lic# 3cZ �L�p
Contractor's Street Address
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Telephone U S��-�//0 Contractor's E-mail Address /' Business Lic# .
Mechanical Electrical Plumbing
Furnace Quantity New Construction Quantity Bathroom Quantity Quantity
up to 100,000 btu:w 1 & 2 Family S.F:F— Water closet (toilet):-' Backflow device up to 2":F—
over 100,000btu:F— Multi Family S.F:F— Bidet: Backflow device over 2":F—
wall/floor heaters:F_ Receptacle, Switch Lighting Outlets Urinal: Regulators:—.
Heat Pumps/Package Units Total Outlets:�Y Bath Tub:r— Lawn Sprinkler System:F—
up to 100,000 btu:F--
Lighting Fixtures Showerstalf— Roof drains:F—
up to 1,000,000 btu:F—
Lavatory (basin); Hose bibb:�m
up to 1, 750,000 btu:r�__-- Total Vo4aes: v,
Hydro -massage tub:-, Drinking foun[ain:��.
> 1, 750,000 btu:�� Total Law bldageF Kitchen
Boilers/Com ressors Grease trap:
P Separate CircuiClr..�-�.�._�.�_.�. Kitchen sink:
up to 3 HP:I_.-.--- - Grease interceptor:
Motors/Transformers Garbage Disposal:r-
3 HP -15 HP:F__ P -trap f _
0-1 HP or KVA:�Y... Bar sink: Sewer
15 HP -30 HPF_
1-10 HP or KVA:F_s. Vegetable sinkf_ New sewer F_
30 HP -50 HP:F—
10-50 HP or KVA:r— Dishwasher—
' Sewer alter/repair:F—.
>50 HP:FW 50-100 HPor KVA:F4 Laundry/washing trap:r— Sewerabandonment:F—
Air Handling Units
Over 100 HP or KVA:F_ Ice maker
up to 10,000 CFM:1__:
>10,000 CFM:FY Signs Floor sink:F_
VAV Box:F- One branch circuitf Miscellaneous
Repair/Alter/Add HVAC Add'I branch circuit: Floor drain:
Numberof Zones:F_ Service Water piping:
Ventilation 0-600V not over 200A:�V
Water sokener.F--
Bathroom Fan:F_
0-600V &over 200A:F— Water heater. I 040
1
Exhaust Fan:
over 600V:�m Lavatory (basin):— '
Attic Exhaust:
Temp PP/Piggy Back:-. Gas sys up to 4 outlets:F_. �—
Residential Hood:-- I--
Sub Panel:l Gas sys # of outlets over 4i�v
Commercial Hood:F_J
Other:F_ T I D
Metal Fireplace:- -�r� I C1'
Gas Line:F_
Fire Dampers:F_