HomeMy WebLinkAboutXC2023-0069 - Permit Application (3)Print Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
i. Project Address (Not mailing address) Building Permit No.
WORKSPACE -4685 MACARTHUR COURT
r 2. Owner's Name Last First
Owner's Street Address
City
Telephone
Owner's E-mail Address
r 3. Applicant's Name Last I First
A Iicant's Street Address
City r
Telephone
r 4. Contractor's Name Last
Contractor's Street Address
Telephone
Mechanical
Furnace Quantity
up to 100,000 btu:: —
over 100,000 btu:a
wall/Boor heaters:: —
Heat Pumps/Package Units
up to 100,000 btu:r
up to 1,000,000 btu:[m
up to 1, 750,000 btu:r—
> 1, 750,000 btu:r—
Boilers/Compressors
up to 3 HP:r--
3 HP-15 HP:r_
15 HP-30 HPr_v
30 HP-50 HP:r��
>50 HP:r�
Air Handling Units
up to 10,000 CFM::_
> 10,000 CFM:r--
VAV Box:r
Repair/Alter/Add HVAC
Number of Zones: 6
Ventilation
Bathroom Fan:r—
Exhaust Fan:1
Attic Exhaust:: —
Residential Hood:[ --
Commercial Hood:r—
Metal Fireplace:r--
Gas Liner_
Fire Dampers:7—
Applicant's E-mail Address
Contractor's E-mail Address
First
Floor F -- Suite 220
State F_ Zip
State F_ Zip
City F— State F_ Zip
State Lic # 1
Business Lic# r
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F:r—v
Multi Family S.F:r
Receptacle, Switch Lighting Outlets
Total Outlets: 25
Lighting Fixtures
Total Fixtures: 29
Total Low Voltage:r—
Separate Circuit:[—,
Motors/Transformers
0-1 HP or KVA:r3 Y
1-10 HP or KVA:rh
10-50 HP or KVA:r—
50-100 HP or KVA:r—
Over 100 HP or KVA:r—
Signs
One branch circuit:F-
Add'I branch circuit:r--
Service
0-600V not over 200A:r_
0-600V& over 200A:r
over 600V:r—
Temp PP/Piggy Back:r��
Sub Panel:F1
Other:: —
Water closet (toilet):
Bidet:r_
Urinal ::
Bath Tub:r—
Shower stall
Lavatory (basin):r—
Hydro-massage tuba
Kitchen
Kitchen sink::
Garbage Disposal::
Bar sink::
Vegetable sink:r_
Dishwasher1 —
Laundry/washing trap:r
Ice maker:rl
Floor sink:r—
Miscellaneous
Floor drain:r_
Water piping:
Water softener:[ —
Water heater:F1
Lavatory(basin):r—
Gas sys up to 4 outlets:r_
Gas sys # of outlets over 4:r —
Backflow device up to 2"::_
Backflow device over 2'S:
Regulators::
Lawn Sprinkler System:[ —
Roof drains:
Hose bibb.-F
Drinking fountain:r
Grease trap:
Grease interceptor.
P-trap:F —
Sewer
New sewed
Sewer alter/reparF_
Sewer abandonmentF