HomeMy WebLinkAboutX2016-0768 - Permit ApplicationV �201U - D-IUV
Prior Form Worksheet for Electrical/Mechanical/ Plumbing Application?EWA a
City of Newport Beach ,
Building Division " a,
1. Project Address (Not mailing address) Building Permit No. N .NR,,
12 ) Ir, , / r ._a. & Gt✓
Floor I Suite
F_ 2. Owner's Name Last_dV1G
Owner's: Street Address. -
First jvlavla
- - -
_. _._1��_'
City �— State F_ zip
Telephone l Owner's E-mail Address
wall/Floor heaters—
Heat Pumps/Package Units
r. 3.Applicant's Name Last R�11Q. ._
First Crtg
A licant's Street Address
-ZLf 6570.. hi_TFI-LrR
Telephone FT295.--02T-7 Applicant's E-mail Address
_
City L4& uw,4 fv tGGvbZ State c,4. Zip _. �)I at,—, -7
)OCcc.Lcsfa5t'Sfeg_oS 14 00
4. Contractor's Name Last /Z e - T d
Contractor's Street Address
FirstG'1"�i, ✓ 1 S State Lic #
- iY303 (,
21t 6 510._ N Lohr 1z C VGA
CRY L 51 u c )1 i&c I 'State C 6 Zip FTZI 6-7-7
Telephone ,/i9 Z(-025... Contractor's Address
-
k.tLt, BusinessLicri I
d.5{ -s Ir .. ccu c,�Grn .
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:—.
1&Z Family S.F:F__
Water closet (toilet):r— Backflow device up to TF__
over 100,000 btu
Multi Family S.FF—
Bidets BackRowd$jviceover T':_
wall/Floor heaters—
Heat Pumps/Package Units
Receptacle, Switch Lighting Outlets
Urinal; -44 /� yegulatorsr_
up to 100,000 btu:
Total Outlets:_
Bath Tubj\ L&Sprinkler System:
up to 1,000,000 btur—
Lighting Fixtures
°'��
Shoy(basiwer tiV� V Roofdrains
up to 1, 750,000 btuF
Total Fixtures:—
):
bibs:
Lavatory (basin): A Hosebibbr—
> 1, 750,000 btuf--,
Total Low Voltage
Hydro-massagetub:�—F__ Drinking fountains
Kitchen a\
Boilers/Compressors
up to 3 H
Separate Circuit_
Kitchen \ Grease trap:
sink:
Grease interceptor
- - 3 HP -15 HP-trap-
Motors/Transformers
Garbage Disposal:
- 15 HP 30 HPF_.
0-1HPor KVAr—
Bar sink: Sew r
30 HP 50 HP:�
1-10 HP or KVA;�_
Vegetable sink ew wer:�—
'
>50HPF—'.
10-50 HP or KVA:r—
Dishwashe U V Sewer al r/repair
`� I/ 1'
Air Handling Units
50-100 HP or KVA�
Laundry/washing trap Sew bandonment�—
up to 10,000 CFMF_
Over 100 HP or KVAF--
Ice maker
> 10,000 CFM
Signs
Floor sink:
VAV Box—
One branch circuit
Miscellaneous r
Repair/Aker/Add HVAC
Number ofZones :r—.
Add'I branch circuit
Service
Floordraln:_
Water piping:
Ventilation
Bathroom Fan:—,
0-600V not over 200AF—
Water softener
ExhaustFarrF—
0-600V&over 200A:F—
Waterheaterr--��./
�.1
Attic Exhaust:
over 6ackf"_
Temp PP/Piggy Back
� n / q7
Lavatory (basin):_ vs6� ( � , UU / %� //
_ Residential Hood—
Sub Panel:
Gass su
y pto4outletsF—_
Commercial Hood—
O[her:�
Gass s k of outlets over 4F
Y
Metal Fireplace:r—
,A,�1
O.,� / /V 9`yy/y/�v��,W(f��'✓
Gas Line-
Fire Dam ers�
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