HomeMy WebLinkAboutH2022-0459 - Permit Applicationprint Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No. I
23 Ci,.�r I ))0- CuPC) 4c=, Oz h4C,r
r-_2.Owner's Name Last
Telephone 9,4c?-6�j GS r•0wner's E-mail Address
I— 3. Applicant's Name Last Q/t ���
A licant's Street Address
_C?,r n _ - city
Telephone 71�0 Applicant's E-mail Address
r 4. Contractor's Name Last 1 Q h l G-
Contractor's Street Address
Telephone 171V. _? q7 /090 Contractor's E-mail Address
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000 btu 1
1 & 2 Family S.F:F__
over 100,000 btu:
Multi Family S.F::
wall/floor heaters
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
Total Outlets:F_
up to 100,000 btu:—
bighting Fixtures
up to 1,000,000 btu::
up to 1, 750,000 btu:
Total Fixtures
> 1, 750,000 btu:
Total Low Voltage::
Boilers/Compressors
Separate Circuit
up to 3 HP:
3 HP-15 HP!
Motors/Transformers
0-1 HP or KVA::
15 HP- 30 HP
1-10 HP or KVA:
30 HP-50 HP:
10-50 HP or KVA)
>50 HP:
50-100 HP or KVA)—
Air Handling Units
up to 10,000 CFM:
Over 100 HP or KVA::
> 10,000 CFM:
Signs
VAV Box:
One branch circult:r—
Repair/Alter/Add HVAC
Number of Zonesr—:
Add'1 branch circuit::
Service
Ventilation
Bathroom Fanf-
0-600V not over 200A::
0-BOON &over 200Af_—
Exhaust Fan::
over BOON::
Attic Exhaust
Temp PP/Piggy Back::
Residential Hood:
Sub Panel::
Commercial Hood
—
Other) —
Metal Fireplace::
Gas Liner
Fire Dampers
/I,k"4 city
Floor Suite
First r._ <>
First
z)-ill e rt
Cd /1U ek 0, State 2�+_ Zip
State F_ Zip
fi( rAC_M« ori(COLItRCL.
First _I•G Gt �(•sf _,--_-_-- State Lic# ic>J'
City 1 60f-r,n r,._ State ._Zip -_7
J G ess r
piny (s1 M,�Y1'1G� /jCt �usmccic# I
Bathroom Quantity
Water closet (toilet)
Bidet:
urinal:
Bath Tub:
Shower stallF—
Lavatory (basin):
Hydro -massage tubf—
Kitchen
Kitchen sink:
Garbage Disposal:
Bar sink:
Vegetable sink
Dishwasher:
Laundry/washing trap:
Ice maker:
Floor sink
Miscellaneous
Floor drain:
Water piping:
Water softener:
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets:
Gas sys W of outlets over 4)
Plumbing
Quantity
Backflow device up to 2":
Backflow device over
Regulators:
Lawn Sprinkler System:
Roof drains:
Hose bibb:
Drinking fountain:
Grease trap:F—
Grease interceptor:
P-trap::
Sewer
New sewer:
Sewer alter/repair:
Sewer abandonmem: