HomeMy WebLinkAboutX2019-0825 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application FWeoRT
City of Newport Beach 05 5 7 - 2019
Building Division X2 19 — /10 Q 82
1. Project
tA�Address (Not
mailing address) B-ulilddiingPermit No. F_
' "" " `bl ✓ LN" �V II ' tCJT - Floor 1_: Suite
r'
2. Owner's Name Last ti First
Owner's Street Address
City State F_; Zip ('_
Telephone F -_—.—__e_— Owner's E-mail Address
r, 3. Applicant's Name Last 0Utii First
rpplicant's�7Street Address
1/� ��� �%
l �Z�j /C E SI ViCi City I ` q 4 State Zip /�r�
Telephone l'l� ''%� Applicant's E-mail Address If
� `✓
F_ 4. Contractor's Name Last r First 0 State Lic #�
Contractor's Street Address --r ---- --- --. --
�• Jj yG'l .. City Fp�� State (C�. Zip ll d2
Telephone Contractor's E-mail Address �( V�: �� stZ'�LLs (;.c) M Business Lic # I
Mechanical
FurnaceQuantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:r
1 & 2 Family S.F:F
closet (toilet)•F— Backflow device up to 2':ri,
over 100,000 btu:f_—
Multi Family SYF_
Receptacle, Switch Lighting Outlets
alter
� Bidet._ Backflow device over 2"F_.
wall/Floor heaters:--
P Urinal:'. Regulators,
�'I
Heat Pumps/Package Units
up to 100,000 btu:r
Total Outlets, -F_
/�
\' ath Tub F_Lawn Sprinkler System:r—
up to 1,000,000 btu :r—,
Lighting FixturesOtit/���~"'
Shower stall: Roof drains:_
up to 1, 750,000 btu:r--
Total Fixtures:—��
Lavatory(basin):FHose bibb:r—
'
>1, 750,o00btu :�—'�
Total Low Voltage:r—
Hydro -massage tub::— Drinking fountain:Fo'
Boilers/CompressorsGrease
Separate Circuit:
Kitchen
trap:—'
Kitchen sink:
up to 3 HP:r_®
Motors/Transformers
Grease interceptonF_
Garbage Disposal:
3 HP -15 HP:F
0-1 HP or KVA:F_
P-trap:F
Bar sink:-
15 HP -30 HP�—�
30 HP -50 HP:r—'
1-10 HP or KVA:a
Sewer
Vegetable sinkr— New sewer:w',
>50 HPF—'.
10-50 HP or KVA:F
Dishwasher[—', Sewer alter/repair.'.
Air Handling Units
50-1aA
Laundry/washing trap Sewer abandonment -
up to 10,000 CFM:F—
Over 1A:�—'I
Ice maker:F
>10,000 CFM
Signs SignsFloorsink:
VAV Box:--_�—;
One it:F
MIs [lane usRepair/Alter/Add
HVAC
Add'Iit: —',
Floor drain
Numberof ZonesServiceWater
piping:Ventilation
Bathroom Fan:��,
0 -BOON :
Water softener0-BOON
re—
Exhaust Fa[::�J
over 600V.�
Water heater:
Attic ExhausCF�
--
Temp PP/Piggy Back:
Lavatory(basin):
Gas sys up to 4 o
Residential Hood;�A
Sub Panel:
Commercial Hood:�_
Other:
ver4:�l
F Gas sys # of outlets over
l
Meal Fireplace:r--
Gas Line :f --'
Fire Dampers:--'.