HomeMy WebLinkAboutX2021-2599 - Permit Application (3)Print Form Worksheet for Electrical/Mechanical/ Plumbing Application woo,
City of Newport Beach Building
(0400 ( �
Building Division ��../
1. Project Address (Not mailing address) Building Permit No.
FASHION ISLAND -401 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA 92660
Floor
F—
Suite
r 2.Ownees Name Last WOLDENBERG
First POE
Owners Street Address
FASHION ISLAND- 401 NEWPORT CENTER DRIVE
City NEWPORT BEACH
State CA
Zip 92660
Telephone 949-720-3300 Owner's E-mail Address JWOLDENBERG@IRVINECOMPANY.COM
Iz 3.Applicant's Name Last BRECK
First JAMES
licant's Street Address
rA
2301 DUPONT DRIVE -SUITE 150
City IRVINE
��
State I`^
Zip 92612
Telephone 949-379-7395 Applicant's E-mail Address
JBRECK@LINWOODENGINEERING.COM
r 4. Contractoes Name Last
Contractor's Street Address
Telephone
Mechanical
Furnace Quantity
up to 100,000 btu:: —
over 100,000 btu:[ —
wall/floor heaters:: —
Heat Pumps/Package Units
up to 100,000 btu::_
up to 1,000,000 btu:
up to 1, 750,000 btu::—
> 1, 750,000 btu::—
Boilers/Compressors
up to 3 HP:--
3 HP-15 HP::-
15 HP-30 HP:
30 HP-50 HP::—
>50 HP::
Air Handling Units
up to 10,000 CFM:F—
> 10,000 CFM _
VAV BoxT_
Repair/Alter/Add HVAC
Number of Zones:: —
Ventilation
Bathroom Fan:F_
Exhaust Fan:F_
Attic Exhaust:
Residential Hood:F—
Commercial Hood:r
Metal Fireplace::_
Gas Line f —
Fire Dampers:: —
First
City F State F_ Zip
State Lic #
Contractor's E-mail Address Business Lic# I —.
Electrical
New Construction Quantity
1 & 2 Family S.F:,,
Multi Family S.F:�
Receptacle, Switch Lighting Outlets
Total Outlets:F—
Lighting Fixtures
Total Fixtures
Total Low Voltage:
Separate Circuit:
Motors/Transformers
0-1 HP or KVA:
1-10 HP or KVA:
10-50 HP or KVA:
50-100 HP or KVA:
Over 100 HP or KVA::_
Signs
One branch circuit:
Add'I branch circuit: 10
Service
O-600V not over 200A::
0-600V & over 200A:
over 600V:—
Temp PP/Piggy Back:: —
Sub Panel:
Other:
Bathroom Quantity
Plumbing Quantity
Water closet(toilet)F_
Backflow device up to 2'::
Bidet
Backflow device over 2`[
Urinal:
Regulators:-
BathTub::
Lawn Sprinkler System_
Shower stall:—
Roof drains
Lavatory (basin):
Hose bibb:
Hydro -massage tub:
Drinking fountain.-:
Kitchen
Kitchen sink
Garbage Disposal
Bar sink
Vegetable sink
Dishwasher
Laundry/washing trap:
Ice maker:
Floor sinkr—
Miscellaneous
Floor drain
Water piping:
Water softener::
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets::
Gas sys # of outlets over 4:r—
Grease trap:-_
Grease interceptor--
P-trap:-
Sewer
New sewer. -
Sewer alter/repair-
Sewerabandonmem