HomeMy WebLinkAboutH2022-0627 - Permit ApplicationFnntForm Wdrksheetjf6ritElectric'el/Mechanical/ Plumbing Applicetion �EWnR,
City of Newport Beach
Building Division'-,�
1. Project Address (Not mailing address)
Building Permit Na.
Floor
Suite
2. Owner's Name Last -- ----- ---
Owner's Street Address ._ 1_17 X,1 �:�. - - First
----- �_Z_tat]r_--------__-_.----- City F— State Zi
Telephone Owner's E-mail Address
_ Applicants Name Last First
A licant's Street Address --- -----.--
C tir
City ssT State FC Zip L�
Telephone (
a C1 Applicant's E-mail Address i
i-; 4. contractor's Name Last ,
Contractor's Street Address � �f st State Lic#F USE
(C
Telephone
F_ zip I !
-- ---. city State
Telephone �— Contractor's E-mail Address Bt
Mechanical
Furnace Quantity
up to 100,000 btu F t"
over 100,000 btuF_
wall/floor heaters
Heat Pumps/Package Units
UP to 100,000 btu—
up to 1,000,000 btu:F
UP to 1, 750,000 btur—
> 1,750,000 btuF_
Boilers/Compressors
up to 3 HPF_(-
3 HP-15 HPF_
15 HP-30 HPF —
30 HP-50 HPF -
>50 HPF_
Air Handling Units
up to 10,000 CFM:--
> 10,000 CFMF
VAV Box—
Repair/Alter/Add HVAC
Numberof ZonesF
Ventilation
Bathroom Fan --
Exhaust Fang!
Attic Exhaust:--
Residential Hood.F
Commercial Hood --
Metal Fireplace: --
Gas Lind —
Fire Dampers:!
Electrical
New Construction Quantity
1 & 2 Family S.F:T7
Multi Family SY177
Receptacle, Switch Lighting Outlets
Total outlets:
Lighting Fixtures
Total Fixtures:-'
Total Low Voltage:!',
Separate Circuit—
Motors/Transformers
0-1 HP or KVA:—'.
1-10 HP or KVAF7
10-50 HP or KV4—.
50-100 HP or KVAE777
ever 100 HP or KVA:r '*,
Signs_--~�
One branch circuit:1
Add'[ branch circuit
--
Service IF
_--
0-600V not over 2
0-600V & over 2
over 6
Temp PP/Piggy 8
Sub Pa
Bathroom Quantity
•
Waterdoset (toilet)
:
♦ Bidet f
urinal
Bath Tube,
Showetstallf7
Lavatory(basin)T_
Hydro -massage mb f-
Kitchen
Kitchen sink—
-. Garbage Disposal
Bar sink:-'.
Vegetable sink
Dishwasher—
Laundry/washing trap:! -
Ice maker--
Ploor sink --
Miscellaneous
Floor drainF—
WVer piping
Water softener --
Water heaterF—
Lavatory(basin)
Gas Sys up to 4 outletsi—
Gas sys If of outlets over 41—
Plumbing
Quantity
Backflow device up to 2" 9
BackFlow device over 2T
Regulators—'
Lawn Sprinkler System: -
Roof drains_,
Hose bibbF
Drinking fountain:--
Grease trap:_
Grease interceptor_
P-trap:—
Sewer -
New sewer:_
Sewer alter/repair--
Sewerabandonment-_