HomeMy WebLinkAboutP2019-0197 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application or
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City of Newport Beach
Building Qivision
1 Pr tAdd (N t Ili dd
ojec ress oma nga ress)
Building Permit No.
07 cT �t er—}
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M�i� �,
._ _ Floor
(-- Suite
2.owner's Name Last
11 First
Owner's Street Address
- - "
- _- -- --
-
City —'
State F Zip F
Telephone E77777-7
Owner's E-mail Address
rl, 3.ApplicanVs Name Last
�, First
-
A licant's Street Address
--
City F—
State F7 Lp
Telephone
Applicant's E-mail Address
4. Contractor's Name Last
First
State Lic #
8►3-
Contractor's Street Address
- - - --
- - _
_
_
'.�. City
' State F—ZIP F—i
Telephone
Contractor's E-mail Address
- Business Uc#
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity - Quantity
up to 100,000 btu:
1&2 Family S.F:
Water closet(toilet) Backflowdevice upto2f—
over100,000btu:F--.
Multi Family S.F:F,
_
Bidet _ Backfldw device over 2"F
��
_
wall/floor heaters: -—
Receptacle, Switch Lighting Outlets
Urinal: Regulators:F—
I
Heat Pumps/Package Units
upto 100,000 btu:—',.
Total Outlets:F—',.
Bath Tub:F— Lawn Sprinkler System:s—
up to 1,000,000 btus
Lighting Fixtures
Shower stalls—... Roof drains:s--
--
up to 1, 750,000 btu: ---I
Total
Lavatory (basin)F— Hose bibb�—.
—
> 1, 750,000 btus—
Voltags177
Total Low oltagek
Hydro -massage tubs••.._ Drinking fountain___
—
Boilers/Compressors
up to 3 HP:ri,
Separate Circuit
Kitchen
- kitchen sink: —I
kitchen
Grease interceptocf—_---
—'
3 HP-15 HP:�
Motors/Transformers
Garbage Disposal.,
p-trap:r,
15 HP-30 HPs—
0-1 HP or KVA�
Bar sink' Sewer
-
30 HP-50 HP:s-
1-10 HP or KVAf—,
Vegetable sink; New sewer.'
>50 HP:s--,
70-50 HP or KVAs
Dishwashers—; Sewer alter/repair:
Air Handling Units
50-100 HPor KVAF--.'
Laundry/washing traps-7 Sewer abandonment s--
- -
--,
up to 10,000 CFMs—
Over 100 HP KVA:-
Ice make rs—,
>10,000 CFMs--
Signs
Floorsink_ /
VAV Boxs--`
One branch circuits
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit
Floor drains--
Number ofZoness--
Ventilation
Bathroom FanF--
Service
OLOOV not over 200A5^
Water pin
Water heeer
Exhaust Fans
0600V &over 200As•,
Waterr heater \�
^.
Attic Exhaust
Residential Hood:
over 600V�--
Temp PP/Piggy Back—,
Lavatory (basin)
n \'
Gas sys up to4oudetss— t
•••
Sub Panel
— j
``''
Gas # 4s 3
Commercial Hoods
rys of outlets over
\_
Metal Fireplaces
Gas Lines--
Fire Dampers