HomeMy WebLinkAboutX2018-3562 - Permit ApplicationX 201 9 - 3 SG 2 / 275 5 - 20 /,9
Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
Floor r_ --__I, Suite
2.Ownees Name Last '��� First ��QL
Owner's Street Address rr \\ �`
City Ne(J State IN��i Zip /
Telephone �2^[-Vb'9 wner's E-mail Address-j��'.rI/
F; 3. Applicant's Name Last S yQL.. _ Firsty
A licant's Street Address
City �; State Zip z&;.� .
Telephone -,' 9 -,��� r Applicant's E-mail Address �/ C� ' _'-�✓.f �. v e_VM-%
4. Contractor's Name Last f_� �D�L '�. First 6�6State LkN Iy1'_L7/
Contractor's Street Address �7
City i/�j�C��! State Ft�g Zip 7 �
Telephone Contractor's E-mail Address SN /� �r/Jf?7 Business Lic# F.® --------
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu :r �
1&2 Family S.F:F—
Water closet(tollet)F-- Backflow device up to 2":r—
over 100,000btu:F—
Multi Family S.F.t—
Bidet:t Backflow device over 2":r_..
wall/Floor heaters:;
Receptacle, Switch Lighting Outlets
Urinal :[_ Regulators:F_.
Heat Pumps/Package Units
--e
Total Outlets:t
Bath Tub:F Lawn Sprinkler System:7—
up to 100,000 btu :f
Lighting 9 9 Fixtures
Shower stall F_ Roof drains:—'.
up to 1,000,000 btu:
—'
Lavatory Hose
up to 1, 750,000 btu:_,
Total Fix[ures:�-�,
getu F—
fountain
Hydro -massage tub: Drinking fountain:_'
> 1, 750,000 btu:r--'.
i
Total Low Voltage:;
Kitchen Greasetrap:F_
Boilers/Compressors
up to 3 HP:
Separate Circuit:F
Kitchen sink:[
- Grease intercetrap Y.
3 HP -15 HP. -F____7-
Motors/Transformers
0-1 HP or KVA:�-;
Garbage Disposal:—:
P-trap:r®,,.
Bar sink: Sewer
15 HP -30 HPF�.
1-10 HP or KVA:r—
Vegetable sink New sewer.-',
30 HP -50 HP:F—i
10-50 HP or KVA: �
Dishwashe Sewer alter/repair.
>50 HPF_1
50-100 HP or KVA:�
Laundry/washing Laundry/washingtrap ' Sewer abandonment-r--
�
bandonment:[Air
AirHandling Units
upto10,000CFM:
-
Over 100 HP or KVA:F I
Ice maker.,
>10,000 CFM:IF-1
Signs
FloorslnkF_
VAV BoxF777One
branch circuit:��iI
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit:
Floor drain
Number ofZones•.F___
Service
Waterpiping:r
Ventilation
Bathroom Fan:f--
0-600V not over 200A:F--�
Wataterer ener.F_
Exhaust Fan:!,
0-600V & over ZOOA:
Water heater
h
Attic Exhaust!
over 600V:�
�
Temp PP/Piggy Back: i�
Gas sys up to4outlets.�
s up tory Cutlets:
Residential Hood:
Sub Panel: '
Gas sys # of outlets over4:
Commercial Hood:—�
Others—�,
Metal Fireplace:�i,
Gas Line—
Fire Dampers:F_