HomeMy WebLinkAboutX2019-2830 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
' _-.. u 70_r _.. yi. Cti, _.tweal-.ieP._.-/?_&&.4 -Floor Suite
1— 2. Owner's Name Last _... First uSO1n'^. _...
Owner's QQStreet Address
gCity A r State zip g2lnlo 0
Telephones / ! S Z/ O 48.....
r- 3. Applicant's Name Last I tea/ First S _...
Applicant's Street Address Q� ""_� ^ �,�• _
/Y � J� _ _ City CAS State railf zip I yG(p 27
Telephone 9t,�31tQ y. Applicant's E-mail Address S.GGt�I.�%�ftu3/'w7ri4501cc4_r e-gyt, _ _....
f- 4.Contractor's Name Last l�LA 5.016,�c.. First _... State Lic#
Contractor's Street Address
9
ct23 Vow"1 Jt City r.4,r_
State 1_6K Zip CJ2.4f 1 7
r
Telephone go8_r{ay 3,933,. Contractor's E-mail Address - Business Lic# F_
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu::
1 & 2 Family SY F_
Water closet (toilet) — Backflow device up to 2'TJ _
over 100,000 btu::
Multi Family 5 FF_
Bidet F— Backflow device over 2'S:_'.
wall/floor heatersr—
Receptacle, Switch Lighting Outlets
Urinal F_ Regulators:F_
Heat Pumps/Package Units
Total Outlets:—',
Bath Tub-' Lawn Sprinkler System:.
up to 100,000 btu F_
Lighting 9 9 Fixtures
Shower stall:—. Roof drains:.
up to 1,000,000 btu:
Lavatory (basin)::'. Hose bibbar—
:up to 1, 750,000 btu
Total Fixtures:
Hydro -massage tub, Drinking fountain:
> 1, 750,000 btrrr
Total Low Voltage:,
Kitchen F—
Grease trap:
BoilersfCom ressors
P
up to 3 HP:I
Separate Circuit:
Kitchen sink I
— Grease interceptor:[
3 HP -15 HPP:
Motors/Transformers
Garbage Disposal f
P -trap: F—
t 5 HP -30 HP:
0-1 HP or KVA::I
Bar sink, Sewer
_
1-70 HP or KVA:F_'
Vegetable sinklF—New sewer:)—
30 HP -50 HP'[—,
10-50 HP or KVA:1—_
Dishwashers— Sewer alter/repair:
>50 HP F-
50-100 HP or KVA:F_
Laundry/washing trap Sewer abandonment:F—
Air Handling Units
up to 10,000 CFM::_
Over 100 HP or KVA:F_
Ice maker:—'
>10,000 CFM::
Signs
Floor sinkF_
VAV Box':
One branch circuit:F_
Miscellaneous
Repair/Alter/Add HVAC
Add] branch circuit::',
Floor drain:F_
Number of zones:[--
Service
Water piping':/)
�•
Ventilation
Bathroom Fan
0-600V not over 200A:
A jA� w4r
Water softener: ✓
Exhaust Fan .
0-600V &over 200A:
over 600V.:
Water heater:
I�
Attic Exhaust.
—
TempPP/Piggy Back::
Lavatory (basin):
f45 V -
Gas sys up to 4 outletsF_
Residential Hood:
Commercial
mercial Hood':
Panel-,
,
::ComSub
Gas sys # of outlets over 4:r—
Other:—
Metal Fireplace::
Gas Liner
Fire Dampers::