HomeMy WebLinkAboutX2021-2408 - Permit Application (2)Worksheet for Electrical/Mechanical/ Plumbing Application Print Form ,/^ O�I —^City of Newport Beach.[tl, ll r .GBuilding Division dIs
1. Project Address (Not mailing address) Building Permit No.
40 Von Karman Avenue
Floor Ground __.. Suite 100
F7 2. Owner's Name Last
First
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:a.
Owner's Street Address - - -
--
over 100,000 btu:'.
Multi Family S.F:r—
Bidet:: Backflow device over 2"::'.
City
State F_
Zip 7.
Telephone F_' Owner's E-mail Address
Total Outlets57
_
up to 100,000 btu: 1.0000
r 3.Applicant's Name Last
First
up to 1,000,000 btu::
up to 1, 750,000 btu:F
Total Fixtures: 63
A Iicant's Street Address
> 1, 750,000 btu::
Total Low Voltage::
Hydro -massage tub::. Drinking fountain::
Boilers/Compressors
up to 3 HP::
City
', State :
Zip
Telephone F— Applicant's E-mail Address
Garbage Disposal:Fl
P -trap::'..
15 HP -30 HP:
0-1 HP or KVAf4
F' 4. Contractor's Name Last
First
1-10 HP or KVA::
State Lic # F_
Contractor's Street Address
10-50 HP or KVA:
Dishwasher .Sewer alter/repair:.
>50 HP::
_...
I city
_.. State F_
Zip
Telephone 7 Contractor's E-mail Address
>10,000 CFM:
Business Lic # F_
Floorsink:r—
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:a.
1&2 Family S.F:
Water closet (toilet)::' Backflow device up to 2"::
over 100,000 btu:'.
Multi Family S.F:r—
Bidet:: Backflow device over 2"::'.
wall/floor heaters
Receptacle, Switch Lighting Outlets
Urinal :F—. Regulators:'
Heat Pumps/Package Units
Total Outlets57
Bath Tub:: Lawn Sprinkler System::
up to 100,000 btu: 1.0000
Lighting Fixtures
Shower stall f —'. Roof drains:—
up to 1,000,000 btu::
up to 1, 750,000 btu:F
Total Fixtures: 63
Lavatory (basin):F—I Hose bibb:F_
> 1, 750,000 btu::
Total Low Voltage::
Hydro -massage tub::. Drinking fountain::
Boilers/Compressors
up to 3 HP::
Separate Circuit:
Kitchen Grease trap:
Kitchen sink:
Grease interceptor
3 HP -15 HP::
Motors/Transformers
Garbage Disposal:Fl
P -trap::'..
15 HP -30 HP:
0-1 HP or KVAf4
Barsinkf Sewer
30 HP -50 HP:F-
1-10 HP or KVA::
Vegetable sink: New sewer.'
10-50 HP or KVA:
Dishwasher .Sewer alter/repair:.
>50 HP::
50-100 HPor KVA:F—
Laundry/washing trap:: Sewer abandonment::—
Air Handling Units
up to 10,000 CFM:
Over 100 HP or KVAf—
Ice maker::
>10,000 CFM:
Signs
Floorsink:r—
VAV Box: 2.0000
One branch circuit::
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit
Floor drain:
7.0
Number of Zones: 000
Service
Water piping:
Ventilation
Bathroom Fan::
0-600V not over 2004—
Water softener::
Exhaust Fan -F, _00001,
0-BOON&over 200A:�
Water heater:r
Attic Exhaust:
over BOON::
Lavatory (basin):r—
Residential Hood:r—
Temp PP/Piggy Back::
Gas sys up to 4 outlets::
Commercial Hood::
Sub Panel:
Other:—.
Gas sys # of outlets over 4:�—'.
Metal Fireplace::
Gas Liner
Fire Dampers::—