HomeMy WebLinkAboutX2018-2348 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �EW�Rr
Print Form City of Newport Beach �� e
Building Division
C9<I FORR`P
1. Project Address (Not mailing address) Building Permit No.
Floor Suite
2. owner's Name Last it �, ,(� S _ First iQ
Owner's Street Address av
iq D ! �o -- vd — - City Y State Zip —
Telephone ! (ttiL Owner's Address �,� �Y
. -- ---
ir
r MAn UM
�.� First
3. Applicant's Name Last !�
A licant's Street Address
-Sv1i-t --10 _ _% City rte Zip
Telephone ®q •��.�� Applicant's E-mail Address if - n , C�
4. Contractor's Name Last First 140 State Lic # Jr�
Contractor's Street Adddress�y /�
10Fd �• "(Ar"61WAO _ ��. i, City -Gin State �'i Zip
Telephone F Contractor's E-mail Address c o . � I Business Lic #
Mechanical
FM ace Quantity
Electrical
New Construction Quantity
- - ---
Plumbing
Bathroom Quantity Quantity
— ---
Lip to 100,000 btu:1
1 & 2 Family S.F:r
Water closet (toilet):', Backflow device up to 2":1_7
over 100,000 btu:—
Multi Family S.Fr J
Bidet :F', Backflow device over 2"��
wall/floor heaters]
Receptacle, Switch Lighting Outlets
Urinal :FI Regulators:F
Heat Pumps/Package Units
I
Total Outlets: i
Bath Tub:F77 Lawn Sprinkler System:
�I
up to 100,000 btu:r—�'
Lighting 9 9 Fixtures
Shower stall: Roof drains:F�
up to 1,000,000 btu:1�
Lavatory (basin): Hose bibb:�l
up to 1, 750,000 btu:1
> 1, 750,000 btul
I
Total Fixtures: ' 1J
Total Low Voltage:r-7
Hydro -massage tub:[--7 Drinking fountain:—J
Boilers/Compressors
up to 3 HP:F—i
Separate Circuit:F�
Kitchen Grease trap: �l
Kitchen sink: 7
Grease interceptor:F7
3 HP-15 HP:�—I
Motors/Transformers
Garbage Disposal:
P-trap: F_l
15 HP-30 HPf - --�
0-1 HP or KVA:��
1-10 HP or KVA:�
Bar sink: Sewer
Vegetable sink: New sewer::
30 HP-50 HP:�-�
10-50 HP or KVA:rr
Dishwasher Sewer alter/repair:F-7
>50 HPI
50-100 HP or KVA:C-71
Laundry/washing trap: Sewer abandonment:n
Air Handling Units
up to 10,000 CFM:[
Over 100 HP or KVA:C�
Ice maker:F7
> 10,000 CFM:(
Signs
Floor sink:
VAV Box:-
One branch circuitf�
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit J
Floor drain:
Number of Zones]
Service
Water i in
P P g:
Ventilation
Bathroom Fan:r� �
0-600V not over 200A:F�
0-600V & over 200A:"
Water softener:n
01&WhOt Water heater:I
Exhaust Fan:F�
Attic Exhaust:F�l
over 600V:1-_-7
J
Lavatory (basin):r �
Residential Hood:f — �i�
Temp PP/Piggy Back
Sub Panel:
Gas sys up to 4 outlets::
Commercial Hood: F �
--�
Other:F
Gas sys # of outlets over 4::
Metal Fireplace
—
Gas Lind
Fire Dampers:F