HomeMy WebLinkAboutH2022-0209 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
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City of Newport Beach2022-oZp a�
Building Division ° Y
1. Project Address (Not mailing address) Building Permit No. 174zo_ Z _,G ZU 1 7
--�t 5 z. _
I�VVI _-- -- Floor Suite
2.Owner's Name Last r �-lJ p FirstC (_ V '_1Z la
Owner's Street Address
City � State 17 Zip F7
Telephone _H t.3- 2 bJ l Owner's E-mail Address C1 ft Fl-io R. L y " Lc, ,. [' rv-)
❑ 3. ApplicanVs Name- Last —_ G �(,.; ^(Z.. _ _ First / yN OR%(, -yl
A licant's Street Address
9
3016 Lv G 4 J Zvi CityLc f j7g- NV�u't State �H Zip ( -Z�y
Telephone Applicants E-mail Address Ft tlf'C1Wv(e LL,-..,rt�.%��'i (L, (,.,.r.1
4. Contractor's Name Last ��2vV _ First L State Lic # %ti Lf
Contractor's Street Address
City State F7 Zip
Telephone I Contractor's E-mail Address Business Lic# F7777771
Mechanical
Furnace Quantity
up to 100,000 btu:"
over 100,000 btu:
wall/floor heaters:
Heat Pumps/Package Units
up to 100,000 btu:=
up to 1,000,000 btu:
up to 1, 750,000 btu :F- - -
> 1, 750,000 btu:
Boilers/Compressors
up to 3 HP:F_71
3 HP -15 HP:�
15 HP -30 HPF__7
30 HP -50 HP:_ -
>50 HPF-77-1
Air Handling Units
up to 10,000 CFM:-
> 10,000 CFM:
VAV Box r
Repair/Alter/Add HVAC
Numberof Zones:1777
Ventilation
Bathroom Fan:
Exhaust Fan 177
Attic Exhaust.
Residential Hood
Commercial Hoodf-7-71
Metal Fireplace:
Gas Line
Fire Dampers:
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 &2 Family S.F[71
Multi Family S.F:1-7
Receptacle, Switch Lighting Outlets
Total Outletr.E-77
Lighting Fixtures
Total Fixtures[—_
Total Low Voltage:
Separate Circuit:,
Motors/Transformers
0-1 HP or KVA:171
1-10 HP or KVA:
10-50 HP or KVA:F---]
50-100 HP or KVA:C
Over 100 HP or KVA: 7
Signs
One branch circuit:
Add'I branch circuit
Service
0-600V not over 200A:CI
0-600V & over 200A:r_7
- - over 600VF71
Temp PP/Piggy Back:
Sub Panel:
Other.C-7
Water closet (toilet):7I
Bidet7.:fI
Urinal'II
Bath Tub:
Showerstall:F7
Lavatory (basin):
Hydro -massage tub:
Kitchen
Kitchen sink F7
Garbage Disposal
Bar sink
Vegetable sink F7
Dishwasher
Laundry/washing trap:
Ice maker:
Floor sinkE771
Miscellaneous
Floor drain:
Water piping.
Water softener:
Water heater:C
Lavatory(basin):
Gas sys up to 4 outlets:
Gas sys # of outlets over 4:F-7
Backflow device up to 2":F77
Backflow device over 2"[771
Regulators:
Lawn Sprinkler System
Roofdrains:F7
Hose bibb:171
Drinking fountain:177
Grease trap F7
Grease interceptor
P -trap:
Sewer
New sewer
Sewer alter/repair.
Sewer abandonment.