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HomeMy WebLinkAboutE2017-0315 - Permit ApplicationK-f') 025elCy paw/O et o, ht'w AOD z Sko Aavccs I Z �'` ©l7 12917 D315 Worksheet for Electrical/Mechanical/ Plumbing Appticati City of Newport Beach . 1 / Building Division Building Permit No. Print Form 1. Project Address (Not mailing address) !Hoag Hospital, One Hoag Drive, Newport Beach Floor rg 2. Owner's Name Last (Brooks Owner's Street Address 'One Hoag Drive Telephone I(949)764-4496 • Owner's E-mail Address iX 3. Applicant's Name Last !Proctor Applicant's Street Address 1150 Paularino Avenue, suite A120 Telephone I(949) 852-9995 r 4. Contractor's Name Contractor's Street Address Applicant's E-mail Address First (Cary City 'Newport Beach Y.' State CA Zip 192663 icary.brooks@hoag.org First (Jim City (Costa Mesa State 'CA Zip 92626 Ijproctor@fbaengr.com Last I 130cet3't car, I[y39\ 1-6.4\K\wvi Me - Telephone 7k05 614_2_600 Contractor's E-mail Address 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 HPI 30 HP-50 HP:' >50 HP:) Air Handling Units up to 10,000 CFM:��' > 10,000 CFM:! VAV Box:I— Repair/Alter/Add HVAC Number of Zones1-- Ventilation Bathroom Fan] Exhaust Fan: Attic Exhaust: Residential Hood: Commercial Hood: Metal Fireplace:! Gas Line:I — Fire Dampers:! Elect :1 New Construction First Il�` City I "-1‘x5V ri I bbeckek‘ Quantity 1 & 2 F: mily S.F: Mult Family S.F:I Receptacle, Swi h Lighting Outlets otal Outlets:I7 Lighting Fixtu es Total Fixtures:I8 T. al Low Voltage] Separate Circuit:I1 Motors/Ira sformers 0-1 HP or KVA:( 1-10 HP or KVA: 10-50 HP or KVA: 0-100 HP or KVA: 0 Signs A Service 0-6 00 HP or KVA1 ne branch circuit:I— d'I branch circuit:) OV not over 200A:I2 0-a 00V & over 200A] over 000vj — Te • PP/Piggy Back:j Sub Panel: 2 Other:( State Lich Icty-,x97'36 State Ir Zip ' id% Q o 191r S,et(ANtc,LowBusinessLic4I&ToIo13033 Bathroom Quantity Kitche Water closet (toilet): Bidet:( Urinal Bath Tub: Shower stalk' Lavatory (basin): Hydro -massage tub:( Kitchen sink :I Garbage Disposal:( Bar sink:) Vegetable sink: Dishwasher! aundry/washing trap: Misce aneous Ice maker: Floor sink:( Floor drain] Water piping: Water softener: Water heater:! Lavatory (basin):I— Gas sys up to 4 outlets: Gas sys # of outlets over 4:I Plumbing Quantity Backflow device up to 2": Backflow device over 21 Regulators: Lawn Sprinkler System: Roof drains: Hose bibb: Drinking fountain Grease trap: Grease interceptor: P-trap:( Sewer New sewer: Sewer alter/repair: Sewer abandonment! n I �02 In , 93L5 1