HomeMy WebLinkAboutH2022-0369 - Permits (2)Worksheet for Electrical/Mechanical/ Plumbing Application EWE,
' Print Form ' m
City of Newport Beach
Build' Divisio�G4,o0. P
on
f. Project Address (Not mailing address) Building Permit No.
._210._ Ap 1_f/ L^ A-j4_—_,.__BA480,f1 �tGA1�!a� (,�A_.Q24.0 Dli Floor Suite
i—I 2. Owner's Name Last S T//_�_C I First JDAJ f D
Owners Street Address _
City _� State n Zip I J�
Telephone Owner's E-mail Address
ri 3. Applicant's Name Last First
A licant's Street Address
City I State Zip _...
Telephone r Applicant's E-mail Address
r 4. Contractor's Name Last �',4 R R f l.LD First State Lic #
Contractor's Street Address
l.t ss_ �1_ S:T .__ .—_-------------_-----.._.. ___I city _ KRN6 E..-_..__ _ State ! rP _47.4
Telephone TI4)893 �1)6_ .Contractor's E-mail Address-'YpkiF Business Lic#
Mechanical
Furnace Quantity
up to 100,000 btu:
over 100,000 btu:F-7l
wall/floor heaters:[
Heat Pumps/Package Units
up to 100,000 btu:��
i
up to 1,000,000 btuF777
up to 1, 750,000 btu::
> 1, 750,000 btu:F---i
Boilers/Compressors
up to 3 HP:
3 HP-15 HP:II
15 HP-30 HPiI
30 HP-50 HP:F_J
>50 HPF777
Air Handling Units
up to 10,000 CFM:
> 10,000 CFMF777
VAV Box:F-7
Repair/Alter/Add HVAC
Number of Zones
Ventilation
Bathroom Fared
Exhaust Fan::
Attic Exhaust:r,
Residential Hood:F-
Commercial Hood:!,
Metal Fireplace:'
Gas Line:F_
Electrical
New Construction Quantity
1 & 2 Family S.F:r_1
Multi Family S.F::
Receptacle, Switch Lighting Outlets
Total Outletsf—n
Lighting Fixtures
Total Fixtures: 7
Total Low Voltage::l
Separate Circuitf77
Motors/Transformers
0-1 HP or KVA:7
1-10 HP or KVA:
10-50 HP or KVA.F_
50-100 HP or KVA::
Over 100 HP or KVAf77
Signs
One branch circultf—l1
Add'I branch circuit
Service
0-600V not over 2004-
0-600V & over 2004—
over 600V:
F 7I
Temp PP/Piggy Backf -
Sub Panel 7—
Other
Bathroom Quantity Plumbing Quantity
Water closet (tollet):F--,
Bidet::!I
Urinal ::�
Bath Tub:
Shower stall::)
Lavatory :' (basin)I
Hydro -massage tub::
Kitchen
Kitchen sink
Garbage Disposal F_
Bar sink::'
Vegetable sink:!,
Dishwashe
Laundry/washing trap:!
Ice maker
Floor sink:
Miscellaneous
Floor drain:F_
Water piping: -ill
Water softener::_
Water heater::)
Lavatory (basin)::I
Gas sys up to 4 outlets f —
Gas sys # of outlets over 4:F!
Backflow device up to 2"::
Backflow device over 2"f ____ I
Regulators::'
Lawn Sprinkler System
Roof drains:
Hose bibb::
Drinking fountaire[77
Grease trap::l
Grease Interceptor 7
P-trap
Sewer
New sewer::
Sewer alter/repair
Sewer abandonment;