HomeMy WebLinkAboutX2022-0107 - Permit Application (2)Worksheet for Electrical/Mechanical/ Plumbing Application
^nt Form
City
of Newport Beach
Building Division_
1, Project Address (Not mailing address) Building Permit
F"'"� OPNJ
No. I
3$5 P%utCv it a �V2
Floor �y Suite 2a2� 203 r 2,16
r 2. Owner's Name Last Jl/i /CYavpr..
First
Owner's Street Address
�r
city 76;pJ-Oel /3e..4 state OA zip 9V663
35S Ol��t'ti Rve_. Strife I
Telephone 7/1/-366-Ve66 Owner's E-mail Address I
_
$nyikk4vah 9MCetI.cost,
/
r 3. Applicant's Name Last ��
First �rPJrZo
A Iicant's Street Address
city �,.x,(6,M/ State ra zip IOQg'
�Y22- Le,KwH AVM
Telephone Applicant's E-mail Address
I OL7_0 Cover
r 4. Contractor's Name Last ,Sca+r t;� r S
First �rC�c.roi state Lit # I $� 3 $
q
_
Contractor's Street Address
A/2-2- AV,-,
city Qrao/dw' State CA Zip I 91OOgg
Telephone :ZG-�j4�S�-S"92S Contractor's E-mail Address
i.� c( %du.j.2,,�, BusInessLIc# r$T?Oo7S/s3
rr Gr sqn urS bar
Mechanical
Furnace Quantity
up to 100,000 btu.-1
over 100,000 btu:
wall/floor heaters:FW
Heat Pumps/Package Units
up to 100,000 btu::
up to 1,000,000 btu:F-
up to 1, 750,000 btu:F__
> 1, 750,000 btu::-
Boilers/Compressors
up to 3 HP::-
3 HP-15 HP:F_
IS HP-30 HPr
30 HP-50 HP::`
>50 HP::_
Air Handling Units
up to 10,000 CFM:.
> 10,000 CFM::v
VAV Box:�-
Repair/Alter/Add HVAC
Number of Zones:�J
Ventilation
Bathroom Farr.
Exhaust Fan:F_
Attic ExhaustF—
Residential Hood::—
Commercial Hood:F_
Metal Fireplace:f
Gas Une::_
Fire Dampersf_
Electrical I Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F:F-
Multl Family S.F:Fw
Receptacle, Switch Lighting Outlets
Total Outlets:
Lighting Fixtures
Total Fixtures: 6
Total Low Voltage:: —
Separate Circuit:F_
Motors/Transformers
0-1 HP or KVA:F-
1-10 HP or KVA:F_
10-50 HP or KVA:F-
50-100 HP or KVA::—
Over100 HP or KVA:F_
Signs
One branch circuit:`
Add'I branch circuit::L
Service
0-600V not over 200A::-
0-600V & over 200A::-
over 600VF_
Temp PP/Piggy Back
Sub Panel:�-
Otherne
Water closet(toilet):r 2
Bidet::
Urinal :r—
BathTub:4-
Shower stalf —
Lavatory(basin)
Hydro -massage tub:: —
Kitchen
Kitchen sink:
Garbage Disposal:F_
Bar sink
Vegetable sink
Dlshwasher:
Laundry/washing trap:
Ice maker..
Floor sink::_
Miscellaneous
Floordrain:F—
Water piping:F
Water softener:r—
Water heater..
Lavatory (basin):: -
Gas Sys up to 4 outlets:: -
Gas sys # of outlets over 4::-
Backflow device up to 2":F—
Backflow device over 2"F_
Regulators:: —
Lawn sprinkler System:r_.
Roof dralns:F—
Hose bibb:F_
Drinking fountain::
Grease trap:
Grease Interceptor.:
P-trap:F_
Sewer
New sewer:
Sewer alter/repair::y
Sewer abandonment:r—