HomeMy WebLinkAboutX2019-2363 - Permit Application (2)Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
LProlect Address(Not mailing address) Building Division (P
Building Permit No.
2. sdame 'Floor I__._.___—.: Suite
IOwner's Street .SheeDAddress Last
_-- _ -. _ First -
__-_-_- _ City �''�--•---- Telephone [—'—' State Zip
L • ,__ Owner's E-mail Address
r� it's Name Last
et Address _-_- - 7 First
4. Contractor's Name
ontractors Street Address
L3� f l
dephone Tfpg 7c-at
Mechanical
urnam Q
up to 190,000 btu;[
over 100,00o btu;[
wall/Boor heaters..-
rat Pumps/Package units
up to 100,000 btu:C
UP to 11000,000 btu f-
rww
AppkCity State Zipcant's E-mail Address --.
Last
First
h -.- state Liccity h
State �:.1: Zip �C P
�y�ii �ontractor's JAddress
1 10c
-VV ° J MC elQ��r c
l'7(0,6416L1lness Lic It—`
3 vu 74 G e 7
'Compressors
upto 3 HPF ---
3 HP 15'HP:F-, l
i
30HP-Some —1
>50 HP:
Handling Units
up to 10,000 CFM:7-
> 10,006 CFM:[_
VAV Rnrl
Bathroom Fai
Exhaust Far
Attic Exhausi
Residential Hood
Multi Family S.F:f
Receptacle, Switch Lighting Outlets
Total Outlets:r�-
Lighting Fixtur
tal Fixtures:-'
al w Voltage:[
to Circuitr
0-1 HP or KVA:�-'
1-10 HP or KVA:r--
10-50 HP or KVA:
50-100 HP or KVA:[—
Over 100 HP or KVA;r--
Signs
One branch circuit:[
Add'I branch circuit:[
Service
0-600V not over 200A
0-600V& over200
over 600 .
Temp PP/Piggy Back:r—
Sub Panel:
Otherr--
Bathroom Quantity
Plumbing
Quantity
Water closet (toilet)
--
BackRow device up to 2f -
Bidet:
BackRow device overt f—
Urinal[--
Regulators:-
Bath Tub:F—
Lawn Sprinkler System: -
Shower stall
Roof drains:-
Lavatory (basin).r---'
Hose bibb:F—'
Hydro -massage tuba---
Kitchen
Drinking fount inf--
_ Kitchen sink;r
_ etrap:�i
I DogepashingtrapF--
.P-trap
P-trap;
Sewer
New sewerSewer alter/repair:Lau
Sewer abandonment
Ice maker:F-
Floorsink:,-
Miscellaneous
Floor drain:- 1/V
Waterpiping:�-'D 0,
Watersohener
1 `
Water heater: h �1
Lavatory (basinf—.
Gas Sys up to 4 outlets:--' ��
Gas sys # of outlets over 4:[-- 0 \\\