HomeMy WebLinkAboutP2018-0199 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application �EWP°Rr
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No. �
Floor F Suite
F; 2. Owner's Name Last
First
Owner's Street Address
-J City I State F Zip
Telephone Owner's E-mail Address
F 3. Applicant's Name Last First
Applicant's Street Address
7: City J State I Zip ! —
Telephone Applicant's E-mail Address
F 4. Contractor's Name Last
First State Lic #
Contractor's Street Address
- I
City _ State F Zip
Telephone ' Contractor's E-mail Address
Business Lic #
Mechanical
Furnace Quantity
up to 100,000 btu:
over 100,000 btu:i
wall/floor heaters:
Heat Pumps/Package Units
up to 100,000 btu:1
up to 1,000,000 btu:r—',
up to 1, 750,000 btu:
> 1, 750,000 btu:( v
Boilers/Compressors
up to 3 HP:F
3 HP-15 HP:[
15 HP-30 HPI
30 HP-50 HP]
>50 HP:1
Air Handling Units
up to 10,000 CFM:F
> 10,000 CFM:F
VAV Box:
Repair/Alter/Add HVAC
Number of Zones:(
Ventilation
Bathroom Fan:F
Exhaust FanT 7
Attic Exhaust:r I
Residential Hood:::
Commercial Hood:::
Metal Fireplace:::
Gas Line:
Fire Dampers f 7
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F:F
Multi Family S.F:F
Receptacle, Switch Lighting Outlets
Total Outlets:
Lighting Fixtures
Total Fixtures:::
Total Low Voltage:Ft 6
Separate Circuit::
Motors/Transformers
0-1 HP or KVA:::
1-10 HP or KVA:::
10-50 HP or KVA:::
50-100 HP or KVA:r—
Over 100 HP or KVA:::
Signs
One branch circuit:[—
Add'I branch circuit:-!
Service
0-600V not over 200AF7
0-600V & over200AF 7
over 600VF 7
Temp PP/Piggy Back:::
Sub Panef—
Other:r:
Water closet (toilet): J
Bidet:F
Urinal F -7
Bath Tub::
Shower stall:r:
Lavatory (basin):
Hydro -massage tub::l
Kitchen
Kitchen sink :F —1
Garbage Disposal:F-7
Bar sink:
Vegetable sink:
Dishwashers
Laundry/washing trap::
Ice maker::
Floor sink:[,
Miscellaneous
Floor drain::
Water piping:
Water softener::
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets::
Gas sys # of outlets over 4:r:
Backflow device up to 2":
Backflow device over 2"::
Regulators:n
Lawn Sprinkler System::
Roof drains::
Hose bibb::
Drinking fountain::
Grease trapf J
Grease interceptor::
P-trap::
Sewer
New sewer::
Sewer alter/repair:
Sewer abandonment::]