HomeMy WebLinkAboutX2021-1371 - Permit Application (2)' Print FormWorksheet for Electrical/Mechanical/ Plumbing Application �EW�Rr
—
Plumbing Quantity
City of Newport Beach
Backflow device up to 2"::
Bidet:F
Backflow device over 2":r—.
Building Division
Ge, .
1. Project Address (Not mailing address) Building Permit No.
as
Ill Veroli, Newport Coast, CA, 92657
.. Floor F"�..�.....
I
Suite I��....�.._�.
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r 2.Owner's Name Last Shane
First Arie
Drinking fountain:
Owner's Street Address
Grease crap::..
Garbage Disposa6r:
11. Verol,
City Fort Coast
r
State FA Zip 92657
Telephone 49-235-4375 Owner's E-mail Address
New sewer:
Dishwasher.
larieshenl@gmail.com
Laundry/washing trap:
r, 3. Applicant's Name Last rmony
First rmony
A icant's Street Address
6 Foxhill _.
city ry
city
_.
State Zip 92604
Ca
Telephone 492285218 Applicant's E-mail Address
oronarmony@gmaiLcom
r 4. Contractor's Name Last lArmony
State Lic# 95689
First oron
Contractor's Street Address
15333 Culver Drive, Suite 340-154
City rvine
State FA Zip 92604
Telephone 492285218 Contractor's E-mail Address
Business Lic#'.
oronarmony@gmaiLcom
Mechanical
Furnace Quantity
up to 100,000 btu::..
over 100,000 btu:-
wall/floor heatersi —
Heat Pumps/Package Units
up to 100,000 btu F_
up to 1,000,000 btu:F
up to 1, 750,000 btu:a
> 1, 750,000 btu::
Boilers/Compressors
up to 3 HP::
3 HP -15 HP..F
15 HP -30 HPF
30 HP -50 HP:[
>50 HP:F—
Air Handling Units
up to 10,000 CFM:'
> 10,000 CFM:F.
VAV Box:—'.
Repair/Alter/Add-HVAC
Number of Zones:F—
Ventilation
Bathroom Fan::
Exhaust Fan:
Attic Exhaust::—.
Residential Hood:r
Commercial Hood:F—
Metal Fireplacer—
Gas Lme:a
Fire Dampers:F
Electrical
New Construction Quantity
1 & 2 Family S.F:r_
Multi Family S.E:
Receptacle, Switch Lighting Outlets
Total Outlets:r6
Lighting Fixtures
Total Fixtures:r—
Total Low Voltage:F
Separate Circuit::—
Motors/Transformers
0-1 HP or KVA._
1-10 HP or KVA::
10-50 HP or KVA::
SO -100 HP or KVA:�
Over 100 HP or KVA:r—
Signs
One branch circuit::
Add'[ branch circuit::
Service
O.600V not over 200A::'
0-600V & over 200A::.
over 600V::
Temp PP/Piggy Back:,
Sub Panel:'
Other::
Bathroom Quantity
—
Plumbing Quantity
Water closet (toilet)::'
Backflow device up to 2"::
Bidet:F
Backflow device over 2":r—.
Urinal:
Regulators:'.
Bath Tub::
Lawn Sprinkler System::
Shower stall:
Roof drains:.
lavatory (basin)::
Hose bibb::
Hydra -massage tub F_
Drinking fountain:
Kitchen
Kitchen sink::
Grease crap::..
Garbage Disposa6r:
Grease interceptor::.
P -trap: F.
Bar sink::
Sewer
Vegetablesink:F
New sewer:
Dishwasher.
Sewer alter/repair:'
Laundry/washing trap:
Sewer abandonment:
Ice maker::—
Ploorsink:
Miscellaneous
Floor drain:
Water piping::.
Water softener::
Water heater::
Lavatory lbasin):r
Gas sys up to 4 outlets::
Gas sys # of outlets over 4::