HomeMy WebLinkAboutP2018-0275 - Permit ApplicationV_\
Worksheet for Electrical/Mechanical/ Plumbing Application
Print Form = City of Newport Beach
2 \ CU Building Division
1. Project Address (Not mailing address) Building Permit No.
S ? fi1�'e I _ -- I Floor s7 Suite
n 2.Owner's Name Last - /G�yC First _-� /___ -i
Owner's Street Address ��--�-/ '/---�� p
�Lci r L S/ Sr _.S/�. _. _ _ _ C L--!-i._./-y�-� Stapte Zi
Telephone YT 3�'�j Owner's E-mail Address �e,C �_�%7�•d-S�_ Car + l .� --U i..-e no --- -- ---
3.Appliwnt's Name Lastleobz<V _I First
A licant's Street Address
J city—� State ZipJ
S______-____ _.- _ _
Telephone Applicant's E-mail Address > ---- ---
I_I 4. Contractor's Name Last - First �- State Lic# F
Contractor's Street Address
City-7 State n Zip F�;
Telephone I�11 Contractor's E-mail Address Business Lic#
Electrical Plumbing
Mechanical New construction Quantity Bathroom Quantity Quantity
Furnace Quantity
up to 100,000 btusl 1 & 2 Family STF7 Water closet (toilet)s Backflow device up to 2"s
over 100,000 btu :r—i Multi Family S.FI_7 Bidet F7 Backflow device over 2"�li
wall/floor heaters� :FReceptacle, Switch Lighting outlets Urinal s Regulatorssi
Heat Pumps/Package Units Total OutletsF-7 Bath Tubs Lawn Sprinkler Systemsi
up to 100,000 btusl Lighting Fixtures Shower stall Roof drainssl
up to 1,000,000 btuF77 Lavatory (basin): Hose bibb�
I
up to 1, 750,000 btus- Total Fixtures��
_ Hydro -massage tub:n Drinking fountain
Total Low Voltages) Kitchen Grease tra
> 1, 750,000 btu: ---
Boilers/Compressors �� Separate Circuit:r� Kitchen sink. p s�l
- - - - Grease interceptor: I
up to 3 HPF
- Motors/Transformers Garbage Disposal: P-traps)
3 HP-15 HPF_ 0-1 HP or KVAsJ Bar sink Sewer
15 HP-30 HPs-
1-10 HP or KVAs Vegetable sirZkf7p New sewer L
30 HP-50 HPF 10-50 HP or KVAr Dishwashers Sewer alter/repair
>50HP:57 50-100 HP or KVAs Laundry/washing traps Sewer abandonments
Air Handling Units Ice maker
sup to 10,000 CFM:7 Over 100 HP or KVA� J
Signs Floor sinks
:_— > 10,000 CFMB
One branch circuits Miscellaneous
VAV Boxs7
Repair/Alter/Add HVAC Addl branch circuit- Water piping'
Floor drains
Number of Zones7 Service
s
Ventilation 0-600V not over 200AF7 Water softener
Bathroom Fans s
- 0-600N &over 200A
Water heaters
Exhaust Fan: over 600V5
- Lavatory (basin)1-7
Attic Exhaust F
---- Temp PP/Piggy Back__ Gas Sys up to4outletss `
Residential Hoods
-. Sub Panel�I
_J Gas Sys #of outlets
Commercial Hoods ] Others
Metal Fireplaces-] V O�AC
Gas Lines)
Fire Dampers:s 40rq �� � (� c� • V