HomeMy WebLinkAboutX2019-2363 - Permit Application (3)PrinCForfl'1 J rrunru1119 AI.JPJILt7LIUJI eE rogr
City of Newport Beach °
Building Division �,I c 9
�OwY P
1. Project Address (Not mailing address) Building Permit No. 'r' -j
w
Floor Suite F_
r 2.Owner's Name Last
Owner's Street Address
__.. City
Telephone r— Owner's E-mail Address F_
r 3. Applicant's Name Last
First
State F_ Zip F—
_... First _ Itosm C&p
A licarit's Street Address --
_ City �� StateF Zip 1.... 1 �J
Telephone +
P �'��' Applicant's E-mail Address �—
(- 4. Contractor's Name Last
Contractor's Street Address
,
Telephone I `/O,/ :cf- 4`q
Mechanical
Furnace Quantity
up to 100,000 btu. -I
over 100,000 btu::_-�
wall/floor heaters::Y
Heat Pumps/Package Units
up to 100,000 btu::`..
up to 1,000,000 btu:F—
up to 1, 750,000 btu -.1
> 1, 750,000 btu:r—.-
Boilers/Compressors
up to 3 HP:��
3 HP -15 -HP -r-
15 HP -30 HP
30 HP -50 HP:
>50 HP:r�'
Air Handling Units
up to 10,000 CFM::_
> 10,000 CFMT__
VAV Box:F tl
Repair/Alter/Add HVAC
Number of Zones:F_-
Ventilation
Bathroom Fan:��'
Exhaust Fan:r--
Attic Exhaust:F—
Residential Hood::—
Commercial Hood :F -
Metal Fireplace F_
Gas Line F_
Fire Dampers::
First s ,
_.._ _ e 3:.. _... Stare Lic# .,'. 5Z:,, -
_.. CityState Zip%i)
it Addressj Ni J �. y' r - -
1... 1 it �"7rt�. caBusiness Lic# Fr17 11 ,
New
Multi Family S.F.F_
Receptacle, Switch Lighting Outlets
Total Outlets:F—
Lighting Fixtur
tal Fixtures:r -.
al w Voltage-
_ to Circuit:r_ _
0-1 HP or KVA:�r�--�-----`���
1-10 HP or KVA:I /..
10-50 HP or KVA:I' G7/'.
50-100 HPor KVAf-
Over 100 HP or KVA:F-
Signs
One branch circuit;:—
Add'I branch circuit::-
Service
0-600V not over 200A
0-600V & over 200
over 600V.
Temp PP/Piggy Back::—
Sub Panel::_
Otherr-
Bathra
om Quantity Plumbing
Water closet(toiletf— Backflow
Bidet: Backflow
Urinal:I
Bath Tub: Lawn S
Shower stall::-
Lavatory(basin)
Hydro -massage tub:[— Drii
Quantity
device up to 2":F_
device over 2":F_
Regulators:
prinkler System F_
Roof drains:—
Hose bibb::-
Kitchen a trap:r-
140 nage
r--�
Kitchen sink L A m
11
P -[rap::
sink.: Sewer
egeta i 115 New sewer:
a e Sewer alter/repair.
Lau ashing trap::Y Sewerabandonment:r—
Ice maker.—
Floorsink::-.
Miscellaneous
Floor drain:-..
Water piping: D
Water softener: '10 103
Water heater: V . ` i
Lavatory (basin):F—
Gas Sys up to 4 outlets: F� •
Gas Sys# of outlets over 4.F •
a:.