HomeMy WebLinkAboutP2019-0241 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �Po�
e
Pnnt Forel City of Newport Beach �
�� ®Z� Building Division �<aFap
1. Project Address (Not mailing address) Building Permit No.
5�vl
2.0wner's Name Last �.
Owner's Street Address
'•5371,, a C''T 'YS:r "`aJ'S'__ 1 city
Telephone �� Owners E-mail Address
['3.Applicant's Name Last Fr4`vie, First
A licant's Street Address r
I City
__ .. Floor
First
State Lc.rr, z
State Zip �-
Telephone 0 _ - _ _ _ _ _ I Applicant's E-mail Address
Fa. ntractor's Name Last -_ Ay p,ri11i`].y First ._ _..- _ _—. State Lic#
Contractor's street Address
city 'Y1•t r.. "'1_�` "ihi�state IC -Y4.1 Zip - pc,�71
TelephoneLi
i
B
-u I. `` Contractor's E-mail Address t w Business c M
K' L� —. �J "�1 [i� ��i i 7 -�v �C.:z�l'�� i lilt-. �v\�d 6? AiVtu.d� �I
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:r—
1&2 Family S.F. —:
Water closet (toilet):; Backflow device uptoTf
over 100,000 btu:ril
Multi Family S.FF7,
Bidet F—I Backflowde eover2'
wall/floor heaters:
Receptacle, Switch fighting Outlets
Urinal:�� Regulators:
Heat Pumps/Package Units
Total Outlets:l
Bath Tub::Lawn Sprinkler5yste .
up to 100,000 btu::,
Lighting Fixtures
shower stall:: Roof drains .::
P to 1, ,000 btu:
Lavatory (basin) r I Hose bibb:
00 btu:
'
• Total Fixture
-- --
I -----'
Hydro -massage tub � Drinking fountain:
> ,750 Obtuf_,; �
-Boil /compsots
'Eot L V '
o ge
5 arate Circui
-
Kitchen Greasetrap:F—
Kitchen F71
up to 3 H :�'.
Mo ansfotmers
sink
Grease interceptor.:
Garbage Disposah:
- P-trap—�
3 HP -15
0-1 HP A:F '',
Bar sink: Sewer
--
0H OHP:
1-10 or KVA.F—,
1 0 HP orKVA:
Vegetable sink F, NewsewerF_
Dishwasher :l Sewer alter/repair.
I >50 HP:
j��
(/'\ 00 HP KVA:i
Laundry/washingtrap ewer abandonment.-
or
Air diin nits
up to 10,000CFM-.F
0 r100 HPor KVA.��,
Ice mak .
Y
Floor si
> 10,000 CFM—i
VAV Box:r�
One branch circuit:—'
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit
Floor drain:
Number ofZon s
Service
Waterpipmgr `
Ventilation
Bathroom Fan:f"��
0-600V not over 200AI
b
Water softener a
�� /r
L.
Exhaust Fan.:—
Attic Exhaust::
0-600V&over 200A:
over 600V.F—
Water heater:; p- �l/'ol1(`A�'/)
_` /�T
Lavatory (basin).:_
`
jempPP/Piggy Back:
Gas Sys upto4outlets:
Residential Hood:
g.
mmer 'al H
-
Sub Panel F_ ,n
t2�
Gas sys N of outlets over 4:r
a
Other—.
- .flayj'
i SS
L?
t
c'V a{j ne:
in
ire Dampers:—�:
(/ p
ef
t^
YY `V
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