HomeMy WebLinkAboutE2019-0557 - Permit ApplicationEzOtcl 01551
Worksheet for Electrical/Mechanical/ Plumbing Application��
f� �tlnYofr City of Newport Beach
Building Division
1. Project Address (Not mailing address)�� Building Permit No
Mechanical
Furnace Quantity
up to 100,000 btu F-77
over 100,000 btu:;
wall/Boor heaters:
Heat Pumps/Package Units
up to 100,000 btuF--
up to 1,000,000 btu:—'I
up to 1, 750,000 btu:C
> 1, 750,000 btu:;
-Boilers/Compressors
up to 3 HP:F777,
3 HP -15 HP:F—
15 HP -30 HPF—'
30 HP -50 HP:__ _
>50 HP.F777
Air Handling Units
up to 10,000 CFM:C
> 10,000 CFMF77
VAV Box:;
Repair/Alter/Add HVAC
Number of Zones:—'
Ventilation
Bathroom Fan:r—',
Attic 6
Residential
Commercial
Metal Fin
Gas
Fire
Electrical
New Construction Quantity
1 & 2 Family S.F:�
Multi Family S.E7I
Receptacle, Switch Lighting Outlets
Total Outlets:__
Lighting Fbaures
Total FlMuresf--'
Total Low Voltage'
Separate Circuit
Motors/Transformers
0-1 HP or KVA:F77
1-10 HP,or KVA:7
10-50 HP or KVA:F--I
50-100. HP or KVAF77
Over 100 HP or KVA:F',
Signs
One branch circui :F7
Add'I branchcircuinF—
Service
0-600V not over OOA:I
Ofi00V& overt F-7
over 60OV:.
Temp PP/Piggy Back:
Bathroom Quantity
Water closet (toilet):F7
Bidet:
Urinal :F_
Bath Tube,
Shower stall:
Lavatory (basin)i�i
Hydro-massagetub:F___7,,
Kitchen
Vegetable
Dishwi
Laundry/washing
(Floom
Miscellaneous
Gas Sys up to
Gas sys N of outk
/\ V
0
Plumbing
Quantity
Backflow device up to 2"177
Backflow device over
RegulatorsiF_
Lawn Sprinkler System:—'.
Roof drains:F---,
Hose bibb:�-
Drinking fountain:F
.Grease trap:
___..----
(Floor Suite
nees Name Last
t
First
_
Owners t Address
State City_
F-fiI
Zi_p
Sr
_. �r'Q7_Street
Ac i�(,41,,
Telephone � 777 L -!2¢S 2_i
Owner's E-mail Address
lk'i ^'� `-e -1'C e . •) f-ei rP , Ch44
3. Applicant's Name Last_��e$__-_____.__._.—
- __I First
A Ii cant's Street Address
i City C047T y State
C{r, zip �2b26_
r2o
_ 27 Z_._U1�(9aoai
--
Telephone _ 7/I (,SY 7194
Applicant's E-mail Address
4. Contractor's Name Last
-k First
_ State Uc# ¢; 330)b_',
Contractor's Street Address
_—_ '�7(=V I I/ Ar,•'.-"...
-__.
i Cary 7. y. T�--FF_��btSij _ State
_���'I.Zip
Telephone %/J GjS 7(5'Z_j
Contractor's E-mail Address
_ Business LicR ^�
�ij(/IQ OC( GIrG �p•t
Mechanical
Furnace Quantity
up to 100,000 btu F-77
over 100,000 btu:;
wall/Boor heaters:
Heat Pumps/Package Units
up to 100,000 btuF--
up to 1,000,000 btu:—'I
up to 1, 750,000 btu:C
> 1, 750,000 btu:;
-Boilers/Compressors
up to 3 HP:F777,
3 HP -15 HP:F—
15 HP -30 HPF—'
30 HP -50 HP:__ _
>50 HP.F777
Air Handling Units
up to 10,000 CFM:C
> 10,000 CFMF77
VAV Box:;
Repair/Alter/Add HVAC
Number of Zones:—'
Ventilation
Bathroom Fan:r—',
Attic 6
Residential
Commercial
Metal Fin
Gas
Fire
Electrical
New Construction Quantity
1 & 2 Family S.F:�
Multi Family S.E7I
Receptacle, Switch Lighting Outlets
Total Outlets:__
Lighting Fbaures
Total FlMuresf--'
Total Low Voltage'
Separate Circuit
Motors/Transformers
0-1 HP or KVA:F77
1-10 HP,or KVA:7
10-50 HP or KVA:F--I
50-100. HP or KVAF77
Over 100 HP or KVA:F',
Signs
One branch circui :F7
Add'I branchcircuinF—
Service
0-600V not over OOA:I
Ofi00V& overt F-7
over 60OV:.
Temp PP/Piggy Back:
Bathroom Quantity
Water closet (toilet):F7
Bidet:
Urinal :F_
Bath Tube,
Shower stall:
Lavatory (basin)i�i
Hydro-massagetub:F___7,,
Kitchen
Vegetable
Dishwi
Laundry/washing
(Floom
Miscellaneous
Gas Sys up to
Gas sys N of outk
/\ V
0
Plumbing
Quantity
Backflow device up to 2"177
Backflow device over
RegulatorsiF_
Lawn Sprinkler System:—'.
Roof drains:F---,
Hose bibb:�-
Drinking fountain:F
.Grease trap: