HomeMy WebLinkAboutE2022-0202 - Permit ApplicationC20z2--02-02
Worksheet for Electrical/Mechanical/ Plumbing Application aEW�n
Print Form of : q m
City of Newport Beach z
Building Division °
1. Project Address (Not mailing address) Building Permit No.
-_...34 V1___>oiLatl-ffi'°PPTI_c'..,I"UwP� rich6A-;U0O .'Floor �ZC._AhY.r',Suite
f7 2. Owner's Name Last -D� 1 First v � - v( GL
Owner's Street Address
IM1 X 1;3 M`r� ccity F0 � t l 4 e ^�'i zip �1�tvy�
Telephones Owner's E-mail Address l` � .
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F-1 3. Applicant's Name Last t6 Firsvt
A licant's Street Addressg I �
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Telephone i Applicant's E-mail Address
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f7 4. Contractor's Name Last ...-V 1 11-1 7L-.f<'r __.. ...__I First _ C)„L �� 7-. _ Cbr n _g tm� Qi State Lic#
Contractors Street Address ✓�
f city 1 w e nn o, State FI Zip F7T, 1_ !_d— —i
Telephone C-1 OH 3�g- I ! Contractor's E-mail Address V„ o Y ret- 5--f -p ,t e - &t t e O.'/ Ru8rLiv#
Mechanical
Furnace Quantity
up to 100,000 btu:[
over 100,000 btu:
II
�
wall/floor heaters:;
Heat Pumps/Package Units
up to 100,000 btu:F_1
up to 1,000,000 btu:F_i
up to 1, 750,000 btu:__
> 1, 750,000 btu:[ )'!
Boilers/Compressors
up to 3 HP:F_
3 HP -15 HP:F __ _ 1
15 HP -30 HP
I
30 HP 50 HPf _
>50 HP:F_
Air Handling Units
up to 10,000 CFM.
> 10,000 CFM:F_
VAV Box:
F—II
Repair/Alter/Add HVAC
Number of Zones:,
Ventilation
Bathroom Fan:F_
Exhaust Fan:r—
Attic Exhaust:F—
Residential Hood:F_
Commercial Hood:;
Metal Fireplace:F_
Gas Line:F_
Fire Damnereor—
Electrical
New Construction Quantity
1 & 2 Family S.F.;
Multi Family S.F F7
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures
Total Low VoltageF77
Separate Circuit f 77
Motors/Transformers
0-1 HP or KVAf—�
1-10 HP or KVA:r
10-50 HP or KVA:F_
50-100 HP or KVA:F_
Over 100 HP or KVAF--
Signs
One branch circuit r--��
Add'I branch circuit',
Service
0-600V not over 200AF--.
0-600V& over 200A F_
over 600V:r
Temp PP/Piggy Back—',
Sub Panel F_
Other:.
Bathroom Quantity Plumbing Quantity
Water closet (toilet): -
Bidet F7
Urinal :7I
Bath Tub F_
Shower stall r_.i
Lavatory (basin):
Hydro -massage tubi—_
Kitchen
Kitchen sink:F_
Garbage Disposalf77
Bar sink
Vegetable sink F_
Dishwasher—
Laundry/washing !
Laund F7
rY 9 tra P�
Ice maker:[--
Floor
aker:[—Floor sink:[—�i
Miscellaneous
Floor drain F_
Water piping F_
Water softener.'
Water heater:[__7i
Lavatory (basin):r
Gas sys up to 4 outlets:.[
Gas sys # of outlets over 4:r--..
Backflow device up to 2"[77
Backflow device over 2":F7
RegulatorsF,
Lawn Sprinkler Systeme
Roof dramsi-77
Hose bibb:F—
Drinking fountain:F_,
t
Grease trap:F-i
Grease interceptor F7
P -trap F
Sewer
New sewers—I
Sewer alter/repair r—I,
Sewer abandonment:F—