HomeMy WebLinkAboutX2019-0924 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application rEWeoa,
o� m
City of Newport Beach
Building Division
44no0.N�
1. Project Address (Not mailing address) Building Permit No.
1-2-2-11 ✓V1't"5o' Q(-, N,e 104ir4_60-� Cd4. 92le6 or
Floor Suite
r 2.Owner's Name Last ..._80VrSG1/�.. First _...g
Owner's Strqtreet Ad��^drnees�-s. V ta�i / �---
_2-�11 Yr-UAD,- sic-, _. _ City IFULCJ VT" _. State I (ik Zip _92(Q _.
Telephone io_?_ _5_25_05704 Owner's E-mail Address
�13. Applicant's Name Last t/l�*Y ...First
A licqant's Street Address q
-133 N� City � State � Zip g2GZ7...
Teleph 1099491- 3153 Applicant's E-mail Address S,Q �-//�{ s61c r, cwn _.
4. Contractor's Name Last -r f-4k� ( ._._ First __.. __. State Lich (O.Z,??-
Contractor's Street Address
IF q 3 3 to City 1(��AgYRAL14� State Ivr' Zip 12.427
ele hone 041 32b-3162 Contractor's E-mail Address _. __. Business Lic# F
Mechanical Electrical Plumbing
Furnace Quantity New Construction Quantity Bathroom Quantity Quantity
up to 100,000 btu F— 1 & 2 Family S.F:F Water closet (toilet): Backflow device up to 2":[_
over 100,000 btu:F— Multi Family S.F:r—I Bidet: :. Backflow device over 2":r—
wall/floor heaters F_ Receptacle, Switch Lighting Outlets Urinal Regulators:!
Heat Pumps/Package Units Total Outlets: Bath Tubs. Lawn Sprinkler System:F_
up to 100,000 btu:F—' Lighting Fixtures
Shower stalLr—. Roof drains:,
up to 1,000,000 btu:[ --
Lavatory (basin) f -Hose bibb:�
up to 1, 750,000 btu ::J',. Total Fixtures:
Kitchen sink.: ;
> 1, 750,000 btu: Total Low Voltage: Hydro -massage tub
Kitchen Drinking Greasetra fountain:
Boilers/Compressors Separate Circuits-_ pF
F
HP -15 HPs' up to 3 HP: Grease interceptor:
Motors/Transformers Garbage Disposalf
P -trap:
-0-1 HP or KVAI_—. BarsinkF— Sewer
15 HP -30 HPF_
1-10 HP or KVA:�_ Vegetable sinkr— New sewer:'
30 HP -50 HP:F
10-50 HE or KVA:r— Dishwasher—
Sewer alter/repair:F_
>50 HPF-- 50-100 HE or KVA:F— Laundry/washing trap: Sewer abandonment:
up to 10,000 CFM:— '..
Air Handling Units -
Over 100 HP or KVA:�', Ice makers_,.
>10,000 CFMF_ Signs Floorsink)
VAV Box:F_ One branch circuit:— Miscellaneous
Repair/Alter/Add HVAC Add'I branch circuit: Floor drain -F—.. X� a
Number of Zones: Service, \
Water piping
Ventilation 0-600V not over 200A I--:
0-BOON &over 200A
Bathroom Fan:erF_ Watater h enerF— Iy� •Y _ •
Exhaust Fan over 600VWater baaterF
�
I Lavatory (sin)�
t
Attic Exhaus
Temp PP/Piggy Back Gas sys up to4outletsf— s
Residential Hood Sub Panel. Gas sys # of outlets over 4:F—
Commercial Hood �� �.
Other:��i'..
Metal Fireplacef— � �
Gaserr
Line — r1I 1►1C_„t�\'
Fire Damppers: � Yl5'I'�I LQ,��1'1. �WI►�!//V►�/v/y/