HomeMy WebLinkAboutX2019-0886 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
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City of Newport Beach
Xq ^M _0617)/_ Building Division
1. Project Address (Not mailing address) Building Permit No.
254"7 r Floor F—. Suite r
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V 3
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F. 2. Owner's Name Last I
First
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu: - .
Owner's Street Address
City [ _ State
F_
Zip F_�,
Bidet -.F— Backflow device over 2":��-
Telephone F Owner's E-mail Address
Receptacle, Switch Lighting Outlets
Urinal:: Regulators:F
Heat Pumps/Package Units
3. Applicant's Name Last2iS'i-/'r
First
upto100,000btu:
Lighting Fixtures
A licanv Street Addrersss,�
City O fcvlca.2 ',, State
F,.
zip Fc1x cib
t.
769� . N • 1 �A.S ^-. S'\
Hydro -massage tub:- Drinking fountain:-.
> 1, 750,000 btu:F
Telephone c -z 4)S14-grt7L Applicant's E-mail Address
sg\2C C,,c- C -o w.
Separate Circuit:-.
Motors/Transformers
'..
F_ 4. Contractor's Name Last Ye i—P_ c_ G
p-tra
; ` P
Bar sink:
State Lic # H,4 g2-c>s
First
Contractor's Street Address
City adTnn State
��
Zip NZB6g
-76Z_
N. �'\ti 0 T+
t'Cp
trap:: Sewer abandonment::
It--�'1
Over 100 HP or KVA:�J,
Telephone-/tat�,S(�. Q�l?d' Contractor's E-mail Address
�\Er,'1'K�fOO c�n�. c..pw
Business Lic# F
Mechanical
Furnace Quantity
'Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu: - .
1&2 Family S.F. -
Water closet (toilet):, Backflow device up to 2":F_
over 100,000 btu::.
Multi Family S.F::-..
Bidet -.F— Backflow device over 2":��-
wall/floor heaters:-
Receptacle, Switch Lighting Outlets
Urinal:: Regulators:F
Heat Pumps/Package Units
Total Total Outlets:-,
Bath Tub:: Lawn Sprinkler System:-
upto100,000btu:
Lighting Fixtures
Shower stall:F_ Roofdrains:F_
up to 1,000,000 btu:
Total Fixtures:a
Lavatory (basin): Hose bibb:F—
up to 1, 750,000 btu::—
Total Low Voltage:,
Hydro -massage tub:- Drinking fountain:-.
> 1, 750,000 btu:F
Kitchen Grease trap:F—'
Boilers/Compressors
up to 3 HP:�-�
Separate Circuit:-.
Motors/Transformers
Kitchen sink:
Grease interceptor:F
1 Garba a Disposal:
�
3 HP -15 HP -.F
p-tra
; ` P
Bar sink:
15 HP -30 HP
0-1 HP or KVA:
0-1
1-10 HP or KVA:
/�� �/� Sewer
\ � VJJJegggeteble sink: New sewer
30 HP -50 HP:F�
10-50 HP or KVA:F�
Dishwashers Sewer alter/repair:
>50 HP::-
50-100 HPor KVA-.Fundry/washing
t'Cp
trap:: Sewer abandonment::
Air Handling Units
up to 10,000 CFM:-'
Over 100 HP or KVA:�J,
/}
/ Ice maker:
�!
>10,000 CFM::—
Signs
FloorsincF_ 1
VAV Box:F—.
One branch circuit:-,
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit:F
Floor drain:F
Number of Zones:-
Ventilation
Service
0-600V not over 200A::-
Water piping::
Water softener.
Bathroom Fan::—
0-600V & over 200A:—',
Water heater.
Exhaust Fan :F_
over 600V::J
Lavatory (basin): � �,c1 I '✓
Attic Exhaust:-Uf�L
Residential Hood:F—
Temp PP/Piggy Back:-.
Gas sys up to 4 outlets:�_
Commercial Hood::-
Sub Panel F_
Gas sys#of outlets over 4:W
Metal Fireplacef—
Other::-..
�� I 6
Gas Liner
Fire Dampers: