HomeMy WebLinkAboutE2022-0905 - Permit ApplicationWorkshee% for Plamlii Bing Application �EWPoRr
City of Newport beach ` 0.21-
Building Division z
c9G/FORNT
1. Project Address (Not mailing address) Building Permit No.
Floor I Suite
F_ 2.Owner's Name Last 1� First 4;,-W
Owner's Street Address -
City State Zip
Telephone Owner's E-mail Address
r-' 3. Applicant's Name Last 1/M//t -O First
Applicant's Street Address
City State F7 Zip
Telephone Applicant's E-mail Address
F_ 4. Contractor's Name Last ^ `' r/ r `
(�\(\i�,(��!�� First 1 � �'(� State Lic #
Contractor's Street Address FV
City I VA.__ State Zip <ii7�9?7D
contractor's L-mail Address \ W
CA-,/ � Business Lic #
Mechanical
Quantity
New ConstructionQuantityFurnace
up to 100,000 btu:L-_
1 & 2 Family S.F f
over 100,000 btu:r
Multi Family S.F:r
wall/floor heaterd .-
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
Total Outlets:r
up to 100,000 btu:F—
Lighting Fixtures
up to 1,000,000 btu:I
up to 1, 750,000 btu:, F_
Total Fixtures:F�
> 1, 750,000 btu::�
Total Low Voltage:!
Boilers/Compressors
Separate Circuit:r—
up to 3 HP:r_
3 HP-15 HP::`
Motors/Transformers
e
15 HP-30 HP['
0-1 HP or KVA:r_
30 HP-50 HP:��®_
1-10 HP or KVA:r��
10-50 HP or KVA:r—
>50 HP:r�
50-100 HP or KVA;:-
Air Handling Units
up to 10,000 CFM:F—
-
Over 100 HP or KVA:r�
> 10,000 CFM:r��
Signs
VAV Box:!
One branch circuit-F
Repair/Alter/Add HVAC
Add1 branch circuit -:
Number of Zones::
Service
Ventilation
0-600V not over 200AF71
Bathroom Fan:r��
0 600V & over 200A:r__
Exhaust Fan :l F_
—
over 600V:
Attic Exhaust::
Temp PP/Piggy Back:r�
Residential Hood:
Sub Panel:r—
Commercial Hood—[
-
Otherr_
Metal Fireplace-F___
Gas Line-F
Fire Dampers:F_�-
Bathroom Quantity
Water closet (toilet):
Bidet:r�
Urinal:r—
Bath Tub:r�
Shower stall:r—
Lavatory (basin):!
Hydro -massage tube
Kitchen
Kitchen sink:
Garbage Disposal:r®
Bar sink:F
Vegetable sink::
DishwasherI-
Laundry/washing trap:F
Ice maker:[ --
Floor sink:F ---
Miscellaneous
Floor drain:r—
Water piping:r°
Water softener:r—!
1� Water heater:r®
Lavatory (basin):ri
Gas sys up to 4 outlets:r7
Gas sys # of outlets over 4:r.—
Plumbing
Quantity
Backflow device up to 2":
Backflow device over 2":r®
Regulators:
Lawn Sprinkler System::
Roof drains::
Hose bibb':
Drinking fountain
Grease trap:`
Grease interceptor:
P-trap:r—
Sewer
New sewer:r-s
Sewer alter/repair.
Sewer abandonment-F
�, I
Worksheet for Combo Building & Solar Permit Application
W Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL j
_4 i uraoing I Drainage F_ Elec Mech ( Plum Cu Yd Cutl
Cu Yd Fill
ject Address (Not raining address) I- Flood F7 Firer Liq F_ Landslide F N/A Floor
uite No
FFF
Description of Work
New/Add SF
OWNER'S NAME
Owner's Address
City
Remodel SF
Last
Use F Const Type r
# Stories # Units (if Res)s
Valuation $ / 0
Garage/New/Add Material/Labor , t
First
Owner's E-mail Address
State
Zip Telephone
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Architect/Designer's Address Architect/Desi9 ner s E-mail Address
city State Zip Telephone
ENGINEER'S NAME Last
First Lic. No.
Engineer's Address Engineer's E-mail Address
...
amity State
F _ Zip Telephone
ACTOR'S NAME/COMPANY ' iv Lic. No. ��- �/
® ��?�Gyt1 � � _ _ i Z. Class _
cress// Contractor's E-mail Address
[K�
State Zip F76 Telephone
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK N0.
DEVELOPMENT NO
PLAN CHECK FEES $