HomeMy WebLinkAboutH2018-0551 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
F -Ib... _..._.. D-11`-�U.. �l �__. -. _.. __ __-_Floor F - Suite F -_
-
F- 2.Owner's Name Last
L.. _', rust
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu f _�
Owner's Street Address
--
City �'. State
Zip
Multi Family S.Ff77
Bidet:- Backflow device over 2":F-,.
Telephone F
Owner's E-mail Address
Urinal:F Regulators:r
ri 3. Applicant's Name Last
_.: First
_
Lighting Fixtures
licant's Street Address
City State
Zip
F'
fFA
Telephone I _
Applicant's E-mail Address
> 1, 750,000 btu: - .
"lJ��J 4. Contractor's Name Last
Boilers/Compressors
up to 3 HP:
State Lic#
�/v,/%`(fi5.___ 5l)I�IMG- First
C../trtactor's Street Address
�7
IIU �1-_f-liI V-l/l36%
-
�(.fE� _....: ,V i City L7%5N_Iu ,DC._. State
� zip
z"J L,J .',.
Telephone-7G�,b7/Contractors E-mail Address or-f-wr4PF A/V (
Business Lic# F_
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu f _�
1 & 2 Family S.F. _
Water closet (toilet): Backflow device up to 2".F
over 100,000 btu:
Multi Family S.Ff77
Bidet:- Backflow device over 2":F-,.
wall/floor heaters
Receptacle, Receptacle, Switch Lighting Outlets
Urinal:F Regulators:r
Heat Pumps/Package Units
Total Outlets:-,
Bath Tub: Lawn Sprinkler System:
up to 100,000 btu:
Lighting Fixtures
Shower stall Roof drains
up to 1,000,000 btu:—,
Lavatory(basin):F— Hose bibb:F77
up to 1, 750,000 btu[
Total Fixtures:
Hydro-massagetubr— Drinking fountain:
> 1, 750,000 btu: - .
T e:-
Total Low Voltag'�
Kitchen Grease trap
Boilers/Compressors
up to 3 HP:
Separate Circuit:-�
Kitchen sink
Grease interceptor
Garbage DisposaLr�
3 HP 15 HP:r�,
MotorslTransformers
0-1 HP or KVA:F
P -trap:
trap F-
Barsink:F Sewer
15 HP 30 HPF-.
1-10 HP or KVAFi
Vegetable sink F_ New sewer.
30 HP 50 HP -.F-
10-50 HP or KVA:r
Dishwasher Sewer alter/repair:
>50 HP:F_
50-100 HP or KVAF-j
Laundry/washing trap.— Sewer abandonment:;
Air Handling Units
up to 10,000 CFM: -
Over 100 HP or KVAF7
Ice maker. 77
>10,000 CFM F_
Signs
Floor sink : -'1�] ��(L=,\ .- �'S�
VAV Box: 777
Repair/Alter/Add HVAC
One branch circuit-.
Add'I branch circuit
Miscellaneous
_
Floor
Number of Zones
Service
Water piping:
piping
Ventilation
Bathroom Fan :-
0-600V not over 200A
Water Water softener.�0
Exhaust Fan :r—.
0-BOON&over 200AF—,
Water heater:r
'
Attic Exhaust:-'.
over 600V: F_
Lavatory (basin)
Residential Hood:-'
Temp PP/Piggy Back:-',
Gas sys up to4outletr.7—'
Commercial Hood:-
Sub Panel �;
Gas sys # of outlets over4:�
Other.�
Metal Fireplace:r�',
Gas Line
Fire Dampers:-