HomeMy WebLinkAboutE2019-0748 - Permit ApplicationF,20\<D1-0-71-fq:7)
Worksheet for Electrical/Mechanical/ Plumbing Application P0
City of Newport Beach
Building Division a
�+<,rocar
1. Project Address (Not mailing address) pp Building Permit No.
_ 2O ry 7 m`rH— r—'v4_ C'0. C- —._ _ Floor Suite
Ci 2.Owner's Name Last _ _-. --_— First
Owners Street Address
._ 7_0,5-. d -h 5 _-J City State ZIP
Telephone F7777777 Owner's E-mail Address
C� 3. Applicant's Name Last �UR� First Applicant's Street Address M
__ 3 G Ls �e e..� _ /• City L' , /' C _ J� StateZip 2_6Z .__I
Telephone®--®v--s-- Applicant's E-mail Address
[714. Contractor's Name Last _j(Mq ii I J First c pm_ _ __ State Lic ri ryQ /rf�
Contractors Street Address
I city — C, / 1 . State C zip gl j 6 Z
Telephone Contractor's E-mail Address _ Business Lic#.
Mechanical
Furnace Quantity
up to 100,000 btu:C
over 100,000 btu:t
wall/floor heaterstl
i
Heat Pumps/Package Units
up to 100,000 btu:
up to 1,000,000 btu:t;
up to 1; 750,000
> 1, 750,000
Boilers/Compressors
up to 3
3 HP -15
15 HP -30 HPI
30 HP -50 HP'.[--]
>50 HP:C
Air Handling Units
up to 10,000 CFM:=
> 10,000 CFM:
VAV Box:
Repair/Alter/Add HVAC
Number of Zones:
Ventilation
Bathroom Fame
Exhaust Fan:_—I
Attic Exhaust:=
Residential Hood E7_1
Commercial Hood:—i
Metal Fireplace:eJ�
Gas Liner
Fire Dampers:=
Electrical
New Construction Quantity
1 & 2 Family S.F.tI
I
Multi Family S.F.t
Receptacle, Switch Lighting Outlets
Total Outlets:;
Lighting Fixtures
Total Fixtures:F--,
Total Low Voltage F_7
Separate Circuit:,
Motors/Transformers
0-1 HP or KVA:r®I
1-10 HP or KVA:F 77
10-50 HP or KVAt
50-100 HP or KVA:t
Over 100 HP or KVAt
Signs
One branch circuit=
Add'I branch circuit
Service
0-600V not over 200A:t!
i
0-600V& over 200A7___
over 600V:
Temp PP/Piggy Ba k
Sub Pane
Other:
Bathroom Quantity Plumbing Quantity
Water closet (toilet):
BidetCi
Urinal:
Bath Tub:t
Shower stall:=
Lavatory (basin):t
Hydro -massage tub:t7
Kitchen
Kitchen sink:=
Garbage Disposaht
Bar sink F_7
Vegetable sink:ej
Dishwasher=
Laundry/washing trap:t�
Ice maker:=
Floorsink:t
Miscellaneous
Floor draina
Water pipinga
Water softener.=
Water heater.;
Lavatory (basin):
Gas sys up to 4 outlets:=
Gas sys # of outlets over 4:11
Backflow device up to 2"1—I
Backflow device over 2":=I
Regulatorst�
Lawn Sprinkler System:t
Roof drainsa
Hose bibb:=
Drinking fountaimt
i
Grease trap :=
Grease interceptor=
P -trap:=
Sewer
New sewert�
Sewer alter/repair.0
Sewer abandonment