HomeMy WebLinkAboutS2021-0183 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application �r
Print Form 4: a4 a
'
City of Newport Beach '
. S �-L 101 g 3 �
Budding. Division
,<IRpPw'
1. Project Address (Not mailing address). Building Permit No.
Mechanical
Furnace. Quantity
up to 100,000 btu f -_,
over 100,000 btuT_
wall/floar heatersF _
Heat Pumps/Package Units
up to 300,000Imu f —
up to 1,,000,000 btu --
up to 1, 750,000 btu f--
>:1, 750,000 btur—
Bollers/compressors
up to 3 HPF
3:HP-15 HPf_'.
15 HP -30 H[f_
30HP 50 HPf
>50 HP f —
Air Handling Units
Up to 10,000 CFMT_'.
> 10,000 CFMF_
VAV Box®
Repair/Alter/Add HVAC
Number of Zonesf—'.
ventilation
.Bathroom FanT_
Exhaust Fan®—_
Attic Exhaust f —
Residential Hood_^.
Commercial. Hood
Metal Fireplace
GasLiner—
Fire Dampers
Electtrical
New Construction Quantity
I & 2Family S.FT_
Multi Family sq—
Receptacle, Switch Lighting Outlets.
Total Outlets FS—
Lighting Fixtures
Total Fixtures
Total tow Voltage—.
Separate Circuit[—
Motors/Transformers
0.1 HP orKVAF
1-10 HP or KVA f1
10.50 HP or KVAF—:.
50-100 HP or KVAf_.
Over 100 HP or KVA f
Signs
One branch circuit
Addlbranch circuit~'.
Service
0-600V not over 200A.F-
0-600V& over 2004—
over 600vf—
TempPP/Piggy Back
Sub Panel
Other
Bathroom Quantity Plumbing Quantity
Water closet (toiletf —
Rbet
Urinal _
Bath Tub—
Showerstallf—
Lavatory(basin)F_
Hydro-massagetubF—
Kitchen
Kitchen sink:_—*.
Garbage Disposal f —
Bar sink
Vegetable slnkf
Dlshwasheil —.
Laundry/washing trap:.
Ice maker.
Fioorsinkf
Miscellaneous.
Floordralr;F_
Water piping.
Water softenerf��
Water heaterf—
Lavatory (basm)F _.
"Gassys up to.4 outletsF—
Gas sys It of outlets over4F—
Backflow device up to 2"r—
Backflow device over 24—
Regulatomr—
Lawn: Sprinkler System:'
Rooff draimf
Hose bibb f -
Drinking fountain
Grease trap f
Greaseinterceptorf—
P trap f —
Sewer
New sewerf—
Seweralter/repair _
Sewer abandonmentF
i�''�
_. Floor I
900 Newport Center DL
_.
suite F_.
r', 2.Ownees Name Last Host Hotel and Resorts, Inc.
First
Owner's Street:Address _
City Bethesdo
State MD
Zip 20817.
6903 Rockledge DY., Ste 1500
Telephone F_ Owners E-mail Address
r, 3. Applicant's Name Last Zoscak
First Lisa:
Address
Juan
State CA
Zip 92675
rLcant's:5treet
232 Paseo Adelanto, Ste A
City San eapisuano
Telephone 949493-9548 Applicant's E-mail Address
Iisa@aquatictechnologies.com
r: 4.Contmctor's Name Last Aquatic Technologies
State.Uc# 744177'..
First F
Contractor's Street Address
32232 Paseo Adelanto, Ste A
CitySan Juan Capistrano
State CA
Zip 92675 ".
Telephone 949493-9548 Contractor's E-mail Address
Business Lic # BT97021623
hsa@aquatiaechnologies.com
Mechanical
Furnace. Quantity
up to 100,000 btu f -_,
over 100,000 btuT_
wall/floar heatersF _
Heat Pumps/Package Units
up to 300,000Imu f —
up to 1,,000,000 btu --
up to 1, 750,000 btu f--
>:1, 750,000 btur—
Bollers/compressors
up to 3 HPF
3:HP-15 HPf_'.
15 HP -30 H[f_
30HP 50 HPf
>50 HP f —
Air Handling Units
Up to 10,000 CFMT_'.
> 10,000 CFMF_
VAV Box®
Repair/Alter/Add HVAC
Number of Zonesf—'.
ventilation
.Bathroom FanT_
Exhaust Fan®—_
Attic Exhaust f —
Residential Hood_^.
Commercial. Hood
Metal Fireplace
GasLiner—
Fire Dampers
Electtrical
New Construction Quantity
I & 2Family S.FT_
Multi Family sq—
Receptacle, Switch Lighting Outlets.
Total Outlets FS—
Lighting Fixtures
Total Fixtures
Total tow Voltage—.
Separate Circuit[—
Motors/Transformers
0.1 HP orKVAF
1-10 HP or KVA f1
10.50 HP or KVAF—:.
50-100 HP or KVAf_.
Over 100 HP or KVA f
Signs
One branch circuit
Addlbranch circuit~'.
Service
0-600V not over 200A.F-
0-600V& over 2004—
over 600vf—
TempPP/Piggy Back
Sub Panel
Other
Bathroom Quantity Plumbing Quantity
Water closet (toiletf —
Rbet
Urinal _
Bath Tub—
Showerstallf—
Lavatory(basin)F_
Hydro-massagetubF—
Kitchen
Kitchen sink:_—*.
Garbage Disposal f —
Bar sink
Vegetable slnkf
Dlshwasheil —.
Laundry/washing trap:.
Ice maker.
Fioorsinkf
Miscellaneous.
Floordralr;F_
Water piping.
Water softenerf��
Water heaterf—
Lavatory (basm)F _.
"Gassys up to.4 outletsF—
Gas sys It of outlets over4F—
Backflow device up to 2"r—
Backflow device over 24—
Regulatomr—
Lawn: Sprinkler System:'
Rooff draimf
Hose bibb f -
Drinking fountain
Grease trap f
Greaseinterceptorf—
P trap f —
Sewer
New sewerf—
Seweralter/repair _
Sewer abandonmentF