HomeMy WebLinkAboutX2019-2559 - Permit Application (3)Print Fora, Worksheet for Electrical/Mechanical/ Plumbing Application �Ew
e
n d N— �of City Building
Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
`/3y3 V17A1 k14RMAN /4VE.I Floor ( Suite I_�
F_ 2. Owner's Name Last
I A 1A L Pow wE Y
First
s.1-etre-,la
Owner's Street Address
-
`13Y3 VON le-AX4tAN S'' j'(a[,
City NEwed1t-T jiErW1
State rO-
Zip �(ar 6t#
Telephone qy �{ bt(.0-0g,1 Owner's E-mail Address
SMuL VOWw y (2 swietI4416(t 604&
3. Applicant's Name Last
I�YS
First I C(.i 12-1T
A licant's Street Address
02 CAM WEGL
j city (�UI,�E
State �;,
Zip 916/�
Telephone I qq q -533- s yS8.Applicant'sE-mail Address
CTNYS e-EMColr• NF_T.
F_ 4.Contractor's Name .Last FtF-re
State Lich
First C t4�G�'S
Contractor's Street Address
oc CF-OmWELL
City
fi?vjNFt.
State ram'.
Zip
�'tuld_
Telephone 1TNi-Y66-0Y60 1 Contractor's E-mail Address IC7_IYSCEMCo R.NET Business Licp
Mechanical
Furnace Quantity
up to 100,000 btu :r—
over 100,000 btu:F �
wall/Floor heaters:r_,
Heat Pumps/Package Units
up to 100,000 btu:r—
up to 1,000,000 btu:r—i
up to 1, 750,000 btu:F —'_
> 1, 750,000 btu:r—_—��
Boilers/Compressors
up to 3 HP:r-
3 HP-15 HP:r—_I
15 HP-30 HP(
30 HP-50 HP:1-9
>50 HP F_
Air Handling Units
up to 10,000 CFM:r-_
> 10,000 CFM:�--'.
VAV Box:r—
Repair/Alter/Add HVAC
Number ofZones :I—
Ventilation
Bathroom Fan:F_
Exhaust Fan:F
Attic Exhaust:r_'..
Residential Hood:-'..
Commercial Hood:r_..
Metal Fireplace:F—.
Gas Line F_
Fire Dampers:r-
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.Fr—_.'
Multi Family S.F:r
Receptacle, Switch Lighting Outlets
Total Outlets:r--_'.
Lighting Fixtures
Total Fixtures:r_l
Total Low Voltage:r•••.,
Separate Circuit:r_..
Motors/Transformers
0-1 HP or KVA:r_'
1-10 HP or KVA:F
10-50 HPorKVA:r-
50-100 HP or KVA-F_
Over 100 HP or KVAs_
Signs
One branch clrcuit:r—'.
Add'I branch circuit:r_'.
Service
0-600V not over 200A F -
0-600V & over 200A:r--'
over 600V:r_
Temp PP/Piggy Back-F_
Sub Panel F_
Other:r—®
Water closet (toilet):r—,
Bidet:r
Urinal
Bath Tub:r--'
Shower stall :r—•••'•,•••'•,
Lavatory (basin):r
Hydro -massage tuba —
Kitchen
Kitchen sink:r_'.
Garbage DisposaL•r—'•'••••.,'•'••••.,
Barsink:r—
Vegetable sink:r—
Dishwasherr
Laundry/washing trap:r_'
Ice makers—••.,
Floor sink:r—'..
Miscellaneous
Floor drain F_
Water piping:
Water softener:F
Water heater:F_
Lavatory (basin):[ --
Gas sys up to 4 outletsf—•
Gas sys A of outlets over 4:F_
BackBow device up to 2":r—•••.,
BackBow device over 2":r—'�
Regulators..F—
Lawn Sprinkler System F_
Roof drains:r—,
Hose bibb:r—�I
Drinking fountain:r_'
Grease trap:_'.
Grease interceptors—''•'•..''•'•..
P-trap-F—
Sewer
New sewer:r`••,.
Sewer alter/repairr —
Sewer abandonment:ri