HomeMy WebLinkAboutE2024-0140 - Permit ApplicationPrint Form
Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address)
Building Permit No.
Suite
I- 2. Owner's Name Last 55 L M- / /. _ _ - First 7 ,4_-(
Owner's Street Address Q e- --- - - _.
�G�W_ 7''/.® _ _ City t/✓ /..�! State Zip
Telephone VDTA,/,1)� Owner's E-mail Address �0r
r 3.Applicant's Name Last SU OLt First
Applicants Street Address �w
City State F_- Zip F—'
Telephone Applicant's E-mail Address
V4. Contractor's Name Last U I� S L _ - L; GFirst V 16. P _ State Llc # ,y7/ 73,Zj
Contractor's Street Address JJ
33 Mgq)bU vV pr city L{ �7 1� f7 State F0_4f�Zip _ �Z)Ll /
Telephone l 0 v�-! Contractor's E-mail Address !!, //nnl!,,,,// 6 l�{r, %' /� Cdi _l y.'(7C`T ,�& / Y � L �ar 1 e,.. us ness Lic # F
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000 btu[_-
1 & 2 Family S.Fr
over 100,000 btu[_-
Multi Family S.FF__
wall/floor heaters
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
up to 100,000 btu[_-
Total Outlets
up to 1,000,000 btur-
Lighting Fixtures
up to 1, 750,000 btu[_-
Total Fixtures:F
> 1, 750,000 btu[_-
Total Low Voltage:[_
Boilers/Compressors
Separate Circuit
up to 3 HPf--
3 HP-15 HPr-
MotorslTransformers
15 HP-30 Ht
0-1 HP or KVAr__
30 HP-50 HPr-
1-10 HP or KVAF-
10-50 HP or KVA:r—
>50HPr_
50-100 HP or KVA:r__
Air Handling Units
up to 10,000 CFMF___
Over 700 HP or KVA�
> 10,000 CFMr-.
Signs
VAV Boxr-
One branch circuitr—
Repair/Alter/Add HVAC
Ackil branch circuitT—
Number ofZoness-
Service
Ventilation
Bathroom Fanr—
0-600V not over 200AF-
MOOV &over 2004i
Exhaust Fanr-
over 600VF--
Attic Exhaust
Temp PP/Piggy BackF—
Residential Hoodr—
Sub P elf—
Commercial Hoo d
Oththet
Metal Fireplace
Gas Line
Fire Dampers
Plumbing
Bathroom Quantity Quantity
Water closet (toilet):
Bidet r
Urinal
Bath Tubr
Shower stall
Lavatory (basin)[_
Hydro -massage tub:
Kitchen
Kitchen sink:
Garbage Disposal:
Bar sink
Vegetable sink
Dishwasher.
Laundry/washing trap:[_
Ice makerr
Floor sink
Miscellaneous
Floor drain[_
Water piping[_
Water softener[_
Water heater[_
Lavatory (basin)[_
Gas sys up to 4 outlets[_
Gas sys # of outlets over 4[_
Backflow device up to 2":F--
Backflow device over 2"r
Regulators:F_
Lawn Sprinkler System
Roof drains:F_
Hose bibbr
Drinking fountains
Grease traps
Grease interceptor
P-trap:F—
Sewer
New sewers
Sewer alter/repair[_
Sewer abandonments