HomeMy WebLinkAboutH2023-0404 - Permit ApplicationF �Opo
---- Print_ WorkSheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach 7
Building Division iA-L07, 0—
1. Project Address lNotmalling address) Building Permit No. I
,�5 664C k Floor Suite F
r7_ 2. owner's Name Last First
Owner's Street Address _ 1��
CmF_ Stater zip
Telephone I Ownees E-mail Address I
3.Applicants Name Last J_0q_V_V&JA First
State F�Fr_,
_7 CRY zip
Telephone
7r+ Applicant's E-mail Address
State Llc # F_
r74. contractors Name Last First
Contractor's Street Address
City
state F�Z zip 27 CS
Telephone F—Contractor's E-mail Address Business Lic#
Mechanical
Furnace Quantity
up to 100,000 btuF—
over 100,000 btuF_
wall/floor heater4—
Heat Pumps/Package Units
lip to 100,000 btuF_
up to 1,000,000 btu-.F--
up to 1, 750,000 btu.F--
> 1, 750,000 btu.F—
Bollers/compressors
up to 3 HPF__
3HP-15HPJ7
IS HP-30 HPF_
30 HP-50 HP[ _ _
>50 HPF77
Air Handling Units
up to 10,000 CFMF_
> 10,000 CFMF--
VAV BoF
Repair/Alter/Add HVAC
Number ofZones.F—
Ventilation
Bathroom Fan_�_
Exhaust Fanf--
AtticExhaus4—
Residential HoodF_
Commercial Hwdf--
Metal Fireplace —
Gas Line f—
Fire DampersF_7
Electrical
New Construction Quantity
1 & 2 Family S.F-F_
Multi Family S.Ff—
Receptacle, Switch Lighting Outlets
Total Outietsf--
Lighting Fixtures
Total Fixtures[ —
Total Low Vo[tBgeF—
Separate Orcuitf—
Motors/Tronsformers
0-1 HP or KVAF7
I-IOHPorKVA[-
1G-50 HP or KVAf__
50-100 HP or KVAF_
Over IGO HP or KVA..F—
Signs
One branch circuit-r—
AddI branch circuitf—
Service
0-600V not over 2004-
0-600V&_over 200AT_
over 600VF_
Temp PP/Piggy Back[ —
Sub Panel f—
Other.[
Bathroom
Water closet (tollet)f—
Bidet.F_
Urinal F_
BathTub-F7
ShowerstalIF7
Lavatory (basin)—
Hydro-massagetubf
Kitchen
Kitchensinkf—
Garbage Disposal
Bar sink[
Vegetabiesinki—
Dishwashe,F—
Laundry/washing trapf—
Ice makerf—
Floor sinkf7
Miscellaneous
Floor drainf—
Water pipingF--
Water softenerf--
Water heat"F7
Lavatory (basm)[_
Gas sys up to 4 outlet4
Gas sys # of outlets over4f
Quantity Plumbing Quantity
Backflow device up to 2-1—
Backfiow device over rF—
RegulatorsF__
Lawn Sprinkler System.-r—
Roof draInsF_
Hose bIbbF_
Drinking fountain
GrwsetmpF—
Grease interceptorr--
P-trapF7
Sewer
New sewerf-77
Seweralter1repairf—
Sewer abanclonmentf—