HomeMy WebLinkAboutH2019-0074 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application
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City of Newport Beach
Building Divisionz
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1. Project Address [Not mailing address) Building Permit No. I
10 avenida cumbre
Floor F_ Suite F_
r 2. owner's Name Last First
Owners Street Address
10 avenida cumbre City newport beach State ca Zip 92660
Telephone i Owner's E-mail Address
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:—,
FX_ 3. Applicant's Name Last mith
First kevin
over 100,000 btu:F—
Multi Family S.F::'
A licaor's Street Address
wall/floor heaters:F--',
Receptacle, Switch Lighting Outlets
Urinal F_Regulators:
7433 ben6ow st
City acramenio
State
Zip 5822
Telephone 16861-7800 Applicant's E-mail Address
Shower stall: Roof drains:
up to 1,000,000 btu:r—'.
up to 1, 750,000 btu :—
Total Fixturesr—.
1-save@4-yes.com
> 1, 750,000 btu::
FX_ 4. Contractor's Name Last mith
Hydro -massage tub:: Drinking fountain:—.
State Lic # 81981
First kevin
Contractor's Street Address
Motors/Transformers
Grease .
Garbage Disposal:' �.
P -trap:
15 HP -30 HP:
11295 sunrise gold clr
F1
City ancho cordova
State ca W.
Zip FS742
Telephone 6 8 61 7800 Contractor's E-mail Address
Business
Lic #
1-save@4-yes.com
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:—,
1&2 Family S.F:F.
Water closet(toilet):F— Backflow device up to 2":F—
over 100,000 btu:F—
Multi Family S.F::'
Bidet:F_ Backgow device over 2":F—
wall/floor heaters:F--',
Receptacle, Switch Lighting Outlets
Urinal F_Regulators:
Heat Pumps/Package Units
Total Outlets:.,
Bath Tub:F. Lawn Sprinkler System:F—
up to 100,000 btu:F—
Lighting Fixtures
Shower stall: Roof drains:
up to 1,000,000 btu:r—'.
up to 1, 750,000 btu :—
Total Fixturesr—.
Lavatory (basin): Hose bibb:�_.
> 1, 750,000 btu::
Total Low Voltage:F__
Hydro -massage tub:: Drinking fountain:—.
Separate Circuit::.
Kitchen 1
Grease trap:F_
Kitchen sink::
interceptor::
up to 3 HP::
3 HP -15 HP::
Motors/Transformers
Grease .
Garbage Disposal:' �.
P -trap:
15 HP -30 HP:
0-1 HP or KVA::
Bar sink: Sewer
30 HP -50 HP:F—'
1-10 HP or KVA:F—.
Vegetable sink New sewer:
10-50 HP or KVA:r—.
Dishwashers Sewer alter/repair:_.
>50 HP::
50-100 HPor KVA:F--
Laundry/washing trap: Sewer abandonment:F
Air Handling Units
upto10,000CFM:r�
Over 100 HP or KVA:�
Ice maker::
> 10,000 CFM::.
Signs
Floor sink:F
VAV Box:F_—
One branch circuiCF
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit::
Floor drain:
Number of Zones::
Service
Water piping:
Ventilation
Bathroom Fan :3�
0-600V not over 200A::'
Water e
Exhaust Fan:��
0-600V &over 200A::
tenF_
r h
Water h
Attic Exhaust:
Attic ExhaustFTemp
over BOON::
asln):F—
Lavatory (basin):
Residential Hood:
PP/Piggy Back F_
Sub Pek:.
Gas sys up to4outlets:r—
Commercial Hood:—'.
Othther::
Gas sys#of outlets over 4:F—.
Metal Fireplace:
Gas Liner
Fire Dampers :I —