HomeMy WebLinkAboutH2022-0692 - Permit ApplicationWorksheet for V__ ee rical/iVlechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
5 NI1, j:�'Q, \., -L-. r, \ �,,
F_ 2.Owner's Name Last I
Owner's Street Address ' ' `c>
T I
Telephone
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I J (o — mm>-5o_ 6vP&er's E-mail Address
Floor F Suite I
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U.� S
c141po RN�P
First���r-Z; �
City COU ds_ .-AFL rw q Mate ! ! Zip I `'� Z % `Z T` ,
F 3. Applicant's Name Last --
��.� First 4 �.
Applicant's Street Address ��
Zk Z `� .�t-t'sv`1E1r`� --�►� City ��fiq a Z c�k A� !*ate Zip p
Telephone i 1Lt_ �Li,7 Applicant's E-mail Addresswo
F_ 4. Contractor's Name Last
Z.Ey S First State Lic #
Contractor's Street Address
� Zj Z ` ....` ►KK 1N d'_ . _ �a city State Zip
Telephonercj2C_ � Contractor's E-mail Address v ,-r . a a„� o« i
Mechanical
Furnace Quantity
up to 100,000 btuF
over 100,000 btu:--
wall/floor heaters::
Heat Pumps/Package Units
up to 100,000 btu ���
up to 1,000,000 btu �i
up to 1, 750,000 btu-1
> 1, 750,000 btu
Boilers/Compressors
up to 3 HP:�
3 HP-15 HP:��
15 HP-30 HP:�
30 HP-50 HP]
>50 HP'�_
Air Handling Units
up to 10,000 CFM I�
> 10,000 CFM:�
VAV Box:!
Repair/Alter/Add HVAC
Number of ZonesF--
Ventilation
Bathroom Fan:
Exhaust Fan: IF
Attic Exhaust:—m�
Residential Hood.-F W'
Commercial Hood::
Metal Fireplace: -
Gas Line::_._
Fire Dampers
_—•_r--4}.11LL �cJ"-u-lA \.UtiAIV
Electrical
New Construction Quantity
1 & 2 Family S.F::
Multi Family S.F:F
Receptacle, Switch Lighting Outlets
Total Outlets::_
Lighting Fixtures
Total Fixtures:F77
Total Low Voltage:r
Separate Circuit::
Motors/Transformers
0-1 HP or KVA:
1-10 HP or KVA:I
10-50 HP or KVA:I- -
50-100 HP or KVA:i
Over 100 HP or KVA::`
Signs
One branch circuit:F
Add'I branch circuit:��
Service -
0-600V not over 20OA-7
0-600V & over 200AF
over 600VF
Temp PP/Piggy Back: IF vv
Sub Panel:I
Other:=�
Bathroom Quantity
Water closet (toilet):F�-•
Bidet ::�
Urinal :��
Bath Tub::
Shower stall::
Lavatory (basin):.
Hydro -massage tub::
Kitchen
Kitchen sink:F
Garbage Disposal•:
Bar sink:
Vegetable sink::
Dishwasher
Laundry/washing trap::
Ice maker:
Floor sin k:F—
Miscellaneous
Floor drain::
Water piping::_
Water softener::
Water heater-7—
Lavatory
(basin):
Gas Sys up to 4 outlets::
Gas Sys # of outlets over 4:1
Plumbing
Quantity
Backflow device up to 2"::7
Backflow device over 2":F—
Regulators::
Lawn Sprinkler System ���
Roof drains:�—
Hose bibb _
Drinking fountain::
Grease trap:F�6
Grease interceptorl��
P-trap::
Sewer
New sewerF_
Sewer alter/repair:'
Sewer abandonment::v—