HomeMy WebLinkAboutE2019-0138 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application
Z®�GQ 3 City of Newport Beach
,7 Building Division
I
"f. Project Address(Not mailing address) Building Permit No. 7)917
_.. _...... Floor 77— Suite
F 2. Owner's Name Last (� /q.G' // !� First F_7'— / C 6 G+ /, .i'
Owner's Street Address
,� qq City State F_ Zi�p✓I�
Telephone Owner's E-mail Address( �. (iJl %iy8y
F_ 3. Applicant's Name Last 2 (/J �� __..._ First�L L
Applicant's Stre�e^t Address
_. D- / !/ G.
O /llGl.... /�' /��(/ ,.. S. %t '/
City _/V,9 -.C. G. State � `t Zip
Telephone 17P 7 77 C/ z'. ��cant's E-mail Address CP li �G_// Uy e f - CG/Z qtr
4. Contractor's Name Last QD 2 or // First `' e /-7 7 , State Lic #
Contractor's Street Address
, r -o ....�17 ',, City O L C G State ('f',, Zip
Telephone F 777 47 on actor's E-mail Address Business Lic #
•CG
Mechanical
Furnace quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:f �..._� Y ---'.,
1 &2 Family S.F:F—
Water closet (toilet):F_ Backflow device up to 2':F
over 100,000 btu: F_
Multi Family S.F:F—
Bidet.F_ Backflow device over 2:_
wall/floor heaters:r
Receptacle, Switch Lighting Outlets
Urinal:F Regulators:
Heat Pumps/Package Units
up to 100,000 btu:FD�_l
Total Outlets:F_
Bath Tub:F— Lawn Sprinkler System:
up to 1,000,000 btu:r
Lighting Fixtures
Shower stall:r—, Roof drains:
up to 1, 750,000 btu:F—
Total
Lavatory (basin):�y', Hose bibb:
> 1, 750,000 btu:-.,
Voltatu e:��
Total Low Voltage:—
Hydro -massage tub:', Drinking fountain:—,
Boilers/Compressors
up to 3 HP:F—
Separate Circuier___.-.�__-'...
Kitchen
Grease trap F_
Kitchen sink:�V
Grease interceptor:F_
3 HP -15 HP:r—.
Motors/Transformers
Garbage Disposal:®. p -trap:
15 HP -30 HP
0-1 HP or KVA:
BarsinkF— Sewer
30 HP -50 HP:F_
1-10 HP or KVA:
Vegetable sink: New sewer:
10-50 HP or KVA:F—
Dishwasherf—'.. Sewer alter/repaid
>50 HPF_
50-100 HP or KVA:F—..
Laundry/washing trap:F— Sewer abandonment:
Air Handling Units
up to 10,000 CFM:F--Z—
Over 100 HP or KVAT
Ice maker. ,
>10,000 CFM:r
Signs
Floor sink:
VAV Box:F—
One branch circuit:F--
Miscellaneous
Repair/Alter/Add HVAC
Add'1 branch circuit:F_
Floor drain: '1 V
l�
Numberof Zones:F_
Service
Water piping:F_
Ventilation
Bathroom Fan:l----.
0-600V not over 200A:F_
Waterrheter:F— v
I
Exhaust Fana
0-600V &over 200A:��
Water (
ain):�v
Attic ExhausT.r
over 600V:��..
b
Lavatory (basin):
Residential Hood:—
Temp PP/Piggy Back:w'.
Sub Panel:w'
Gas sys 4 r— s: < -S (A
` t
Commercial Hood:—
O[herr—:��
o. Gas sys # of outlets
over ets over 4:r—'.
Metal Fireplace,Qt�l
V4 '`. \
,.-C)
Gas Line:
2I ; C)
-
Fire DampersaF—
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