HomeMy WebLinkAboutX2018-1152 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application ®r'Nillo,
I— Comm'[ j Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE ATTIME OF SUBMITTAL
I—Building [-Grading
[—DrainageF—'Elec FMach F7PlumCu rd Cut Cu Yd Fill�
Project Address (Not mailing address) r7 Flood r Fire F7 Liq r Landslide (—N/A Floor Suite No '
Description of Work
Use Const Type
# Stories # Units (if Res)r—
Valuation
t
New/Add SF[
Remodel SFr Garage/New/Add F
$
Material/Labor
OWNER'S NAME
Last First
Owners Address
- Owners E-mail Address
City
State , Zip F—TelephoneF
APPLICANT'S NAME :
Last First
Applicant's Address -.
Applicant's E-mail Address
City
1
State , - Zip F Telephone)
ARCHITECT/DESIGNER'S NAME Last ` First— Lic. No.
Architect/Designees.Address
Architect/Designer's E-mail Address
City
I
-State F Zip I Telephone,—
ENGINEER'S NAME
Last First F_ Lic. NoT
-.. Engineer's Address
Engineer's E-mail Address
City
State. Zip F Telephone—
CONTRACTOR'S NAME/COMPANY Lic. No.Class�—
Contractor's Address ,-.
Contractors E-mail Address -
City
I
State 1 Zip I Telephoner—
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECKNO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach m
Building Division
1. Project Address (Not mailing address) Building Permit No.
.........Floor Suite'.
F_ 2.Owner's Name Last First
Owners Street Address
City State Zip F_—'..
Telephone ' Owner's E-mail Address
F_ 3. Applicant's Name Last First
A licant's Street Address
'.. City � State Zip
Telephone Applicant's E-mail Address
F_ 4. Contractor's Name Last First State Lic #
Contractor's Street Address
City State Zip--,.
Telephone F Contractor's Ep;IrAddres1,, B wKess—
Mechanical
Furnace Quantity
]
New nstruQuantity
=mlly
Plumbing 1
Bathroom Quartity Quantity
Y
upto100,000btu::
:C—.
Water closet(toiletj:Q'"--Bac ow device up to 2".F_
over 100,000 btu: —'
Multi Family S.F.F—
Bidet: Backflow device over 2`1
wall/floor heaters::
Receptacle, Switch Lighting Outlets
Urinal: Regulators::
Heat Pumps/Package Units
Total Outlets :r—
Bath Tub F_Lawn Sprinkler System
up to 100,000 btu -
Lighting Fixtures
Shower stall:: Roof drains::
:up to 1,000,000 btu
-
::up to 1, 750,000 btu
Total FiMures::
Lavatory (basin): Hose bibb::
> 1, 750,000 btu:
Total Low Voltage.--
Hydro -massage tuba— Drinking
trap
-
Boilers/Compressors
-
Separate Circuit:—'.
Kitchen
Grease trap:-
Grease
Kitchen sink :r—.
up to 3 HP:
'-----
3 HP -15 HP::—
Motors/Transformers
Grease interceptor.
Garbage Disposak: -
- - _ P-trap:F
HP -30 HP:
0-1 HP or KVA:r'.
Barsink.ri Sewer
30 .
0 HP -50
-50HP-.F—
1-10 HP or KVA:�
Vegetable sink New sewer.:
--
10-50 HP or KVA:f'
Dishwashers-. Seweralter/repair.
>50 HP:�-I
50-100 HP or KVA:r—.
Laundry/washing trap Sewer abandonment:
Air Handling Units-
up to 10,000 CFM:I
Over 100 HP or KVA::
Ice makers—,
>10,000 CFM F_
Signs
Floorsink::0
............ ....
VAV Box:
One branch circuit :r�
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit i:—.
Floor drain:
Number of Zones:
Service
Water
Ventilation �_
Bathroom Fany
0-600V not over 200A:�-.
pipingT_
Water sokener.�—
Exhaust Fan:—
0-600V& over 200A::_
Water heater
r
Attic Exhaust.—
over
Lavatory
Tem PP/Pi Back.
p
.,-7''
VV
Residential Hood-,-
SggbyPoe�
Gas up to 4 outlets �(It
y p
Gas Sys# of outlets over 4.p h
Commercial Hood®.
Other:
Metal Fireplace:-
--
53-1 U,Gas
Line:)
Fire Dampers::u