HomeMy WebLinkAboutE2021-0778 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application fgalwqw,,City of Newport Beach
Building Division:...:::
1. Project Address (Not mailing address)
Building Permit No.
Floor
Suite'
r 2.Ownses Name Last
1
First IQ
Owner's Street Address
'
City
�
State l^Zip I I
Telephone i
Owner's E-mail Address
[— 3.Applicant's :Name Last I
.-I'b c� First
A IiTV,s Street Address
yu� 61!"3 Sfi,
city
N, R,. state G�1; ziP 5z6b3
Telephone 5711v-l2636'10t 66
Applicants E-mail Address ovKC_ d(_g'a—
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4. Contractor's Name Last
First
State Llc ri �� 3.50
Contractor's Street: Address
City
State Zip—
Telephone
Contractor's Email Address
BuVness Lit#
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
'Bathroom Quantity
Plumbing
Quantity
up to 100,000 btu :r—
1&2 Family S.F:
Water closet(toileU::
-Backflow, device up to 2`.:
over 100,000 btu::
Multi Family S.F.:
Bidet.:
Backflow device over 2'::
wall/floor heaters:_
Receptacle, Switch Lighting Outlets
Urinal �
Regulators::
HeatPumpslPackage Units
Total Outlets:
Bath Tub::i
-
Lawn Sprinkler System
up to 100,000 btu•:
Lighting Fixtures
Shower stall::
Roof drains:'—
up to 1,000,000 btu::
Lavatory (basin)::
Hose bibb:
up to 1, 750,000 btu::
Total Fiutures:r—
Hydro -massage tub::
Drinking fountain.:
> 1, 750,000 btu::
Total Low Voltage::
Kitchen
"
Grease trap
Boilers/Compressors
up to HPF
Separate CircuihF
p. 7
-.
Kitchen sink:,
Grease interceptor
3 HP-15 HP:F_
Motors/Transformers
Garbage Disposal:F �
-. P-trap:
15HP-30 HP:
0-1HPor KVAF:
Barsink::l
Sewer
1-10 HPor KVA::
Vegetable sinkF_11
New sewer::
30 HP-50 HP::
1050 HPor KVA::I
Dishwasher:
Seweralter/repair:
>50 HP.:
50-100HPor KVA::
Laundry/washing trapF___1
Sewer abandonmenn:
"
Air Handling Units
'up to 10,000 CFM[—
Over 100 HP or KVA:
Ice maker.:
> 10,000 CFM:r—
Signs
Floor sinki
-
VAV Box:F_
One branch circuit:—
Miscellaneous
Repair/Alter/Add HVAC '
Add'I branch circult:—
Floordrain:F
."
Number ofZonesf-
Service
Water pipingF7
Ventilation
Bathroom Fan—
0-600V not over 20DAf—
Watersoftenecr—
Exhaust Fan::
0 600V &over 200AF-7
Water heater[77
Attic .Exhaust:
over fiODV:
Lavatory(basln):r—
Residential Hood::
Temp PP/Piggy Back:
Gas sys up to 4 outlets:
Commercial Hood::
Sub Panel::
Other.
Gas sys # of outlets over4:F
Metal Fireplace::
Gas Liner—
c
Fire Dampers;:
L/