HomeMy WebLinkAboutH2022-0711 - Permit ApplicationWorksheek for -lectrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address)
Building Permit No. 75 2 ��
r— 2.Owner's Name Last
Owner's Street Address First
City
Telephone
Owner's E-mail Address
r 3 Applica t' N
-- Floor FSuite
State F_ Zip
n s ame Last
First
A lic nt's�Stre�etlAddress
(
W _ r _ ne City ���
- - �lV...__ Sta a 'Vr } Zip
TelephorVr }
Applicant's E-mail Address
4. Contractor's Name Last
Contractor's Street Address AM T� First State Lic
#
-f
4b,l IV
Telephone [ 17 ! ' 2
7-J S_. fo t Contractor's E-mail Address
Mechanical
Furnace Quantity
up to 100,000 btum
over 100,000 btu:l1!
wall/floor heaters:,F_
Heat Pumps/Package Units
up to 100,000 btu F—
up to 11000,000 btu.I
UP to 1, 750,000 btu.F
> 1, 750,000 btu:,
Boilers/Compressors
up to 3 HPr
3 HP-15 HPF7
15 HP-30 HP���
30 HP-50 HP:r
>50 HP:
Air Handling Units
up to 10,000 CFM:� �---
> 10,000 CFM-'7
VAV Box:
Repair/Alter/Add HVAC
Number of Zones-F
Ventilation
Bathroom Fan: -�
Exhaust FanF
Attic Exhaust:r�s�
Residential HoodyF___---
Commercial Hood:r—
Metal Fireplace:;
Gas Line: r-
Fire Dampers -F
Electrical
New Construction Quantity
1 & 2 Family S.F r—
Multi Family S.F:F_
Receptacle, Switch Lighting Outlets
Total Outlets
t
Lighting Fixtures
Total Fixtures:r��
Total Low Voltage-F
Separate Circuit:r—
Motors/Transformers
0-1 HP or KVA-
1-10HPorKVA:��
10-50 HP or KVA-1
50-100 HP or KVA
Over 100 HP or KVA:F6
Signs
One branch circuit:r_.�._
Add'I branch circuit: -9
Service
0-600V not over 20OA-F
0-600V& over 200A:r_
over 600V:r7
Temp PP/piggy Back:r
Sub PaneLf4-y
Other:
City State LZip
°111inessLic#
Bathroom Quantity
Water closet (toilet)..F—
Bidet
Urinal :r—
Bath Tub:!
Shower stall-.Jr___
Lavatory (basin):.
Hydro -massage tub:
Kitchen
Kitchen sink:!
Garbage Disposal:
Bar sink-F
Vegetable sink:r
Dishwasher
Laundry/washing trap-F
Ice maker:—
Floorsink:,F—
Miscellaneous
Floor drain:r�
Water piping:;
Water softener:1
Water heater-1
Lavatory (basin)!IF
Gas sys up to 4 outlets:r—
Gas sys # of outlets over 4-f
Plumbing
Quantity
Backflow device up to 2"T_
Backflow device over 2"
Regulators -F
Lawn Sprinkler System.
Roof drains:r
Hose bibbr
Drinking fountain -r
Grease trap:
Greaseinterceptocr
P-trapF
Sewer -
New sewer f
Sewer alter/repair:
Sewer abandonment-F