HomeMy WebLinkAboutE2022-0777 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application aEW'o
Pr"int Form City of Newport Beach
Building Division F7Q-1- - C�777 r
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1. Project Address (Not mailing address) Building Permit No.
L ,/4 , t OVOV( a VeQ of Floor �v Suite I
r 2. Owner's Name Last I.Li 7 First ` A N
Owner's Street Address
A'
�� City to FFO Zip
Telephone ' t' hh�ry L- , Owner's E-mail Address +- 0 ('
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F_ 3. Applicant's Name Last First
Applicant's Street Address
Af" /6 ()) F City State Zip
Telephone Applicant's E-mail Address
r 4. Contractor's Name Last First �! State Lic #
Contractor's Street Address
% J City State / Zip
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Telephone r �F,9 Contractor's E-mail Address � ,� Business Lic #
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Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btuF
1 & 2 Family S.F::
Water closet (toilet): Backflow device up to 2"::_
over 100,000 btu::!
Multi Family S.F::`
Bidet 1 — Backflow device over 2'T_
wall/floor heaters::_
Receptacle, Switch Lighting Outlets
Urinal :r_ Regulators::_
Heat Pumps/Package Units
Total Outlets:—
Bath Tub:F Lawn Sprinkler System:F
up to 100,000 btu:F—
Lighting Fixtures
Shower stall: Roof drains:: —
up to 1,000,000 btu::—
up to 1, 750,000 btu:—
Total Fixtures:—
Lavatory (basin): Hose bibb::—
-
> 1, 750,000 btu:—
Total Low Voltage:
Hydro -massage tub:: Drinking fountain:—
Boilers/Compressors 1
up to 3 HP
-
Separate Circuit:r
Kitchen Grease trap:
Kitchen sink:
Grease interceptor:
3 HP-15 HP:—
Motors/Transformers
Garbage Disposal
P-trap:F
15 HP-30 HP[-
0-1 HP or KVA:r—
Bar sink: Sewer
30 HP-50 HP
1-10 HP or KVA:r—
Vegetable sink: New sewer:F-
10-50 HP or KVA::—
Dishwasher Sewer alter/repair:r—
>50 HP
50-100 HP or KVA:r_
Laundry/washing trap— Sewer abandonment::
Air Handling Units
up to 10,000 CFM::—
Over 100 HP or KVA:r—
Ice maker ;
> 10,000 CFM f
Signs
Floor sink _
VAV Box[—
One branch circuit:®
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit:F_
Floor drain:
Number of Zones—
Service
Water piping: -
Ventilation
Bathroom Fan:
0-600V not over 2004:—
Water softener:
Exhaust Fan:: —
0-600V &over 200A::—
Water heater:
Attic Exhaust:F--
over 600V;F_
Lavatory (basin):
Residential Hood::r
Temp PP/Piggy Back::
�
Gas sys up to 4 outlets:
Commercial Hood:r—
Sub Panel:—
Other:_
Gas sys # of outlets over 4.f
Metal Fireplace::—
Gas Line:F—
Fire Oampers:F--