HomeMy WebLinkAboutH2022-0527 - Permit ApplicationWj n o r' "Worksheet for Electrical/Mechanical/ Piumbing Application
City of Newport Beach
20�2 �,2%
Building Division
1. Project Address (Not mailing address) Fop„„
i Building Permit No. .
Floor
---__-- Suite
Ow2.Owner's Name ------ G Last
ner'sStreetAddress. -7-a---- First '
City
State r Zip
Telephone Owners E-mail Address - --------�-
C' 3. Applicant's Name Last
A licant's Street Address - - -�-- ---- First
- i
Telephone �{ ---- --- I,un___ State Zip ��-•7y��-a
1 iJ L.>'G� Applicant's E-mail Address
C 4. Contractor's Name Last r I ��n ``` - - ---
Contractor's Street Address - +�_-� First State Lic#
J �r
irC I\'lam
Telephone:.--
Frnace
echanical
Quantity
100,000 btu
100,000 btu
loor heatersPackage Units
100,000 btu000,000 btu:J_750,000 btui-71
750,000 btu.r—••.,'
up to 3 HPE1
3 HP-15 HPf'
15 HP-30 HPF_
30 HP-50 HPF I
>50 HP f
Air Handling Units
up to10,000 CFM
> 10,000 CFM f4
VAV Boxl
Number of Zones
Ventilation
Bathroom Fan[ --
Exhaust Fan
Attic Exhaust
n000
Commercial Hood
Metal Fireplacer-
Gas Liner
Fire Dampersl-
Contractors E-mail Address
city - _-------' State zip f
Business Lic #
New Construct! lectrical
Quantity
1 & 2 Family S.F;F—
Multi Family S.F:r-
Receptacle, Switch Lighting Outlets
Total Outlets f
Lighting Fixtures
Total Fixtures:
Total Low Voltage:
Separate Circuit-;
Motors/Transformers
0-1 HP or KVA:r-I
1-10 HP or KVA:I
10-50 HP or KVA:r
50-100 HP or KVA:�!'
Over 100 HP or KVAF-,
Signs
One branch circuit f -7
Add'I branch circuit
Service -------.
0-600V not over 200A -
0-600V& over 200A:r-
over 600Vr-
Temp PP/Piggy Backf`77
.Sub Panekr-
Other:r-
Bathroom Quantit Plumbing
Kitchen
If Quantity
Water closet(toilet)�I Backflow device up to 2"
Bidet ' Backflow device over 2 f:
Urinal Regulator$F-
BathTubF Lawn Sprinkler System;r
Shower stalIF7 Roofdrainsf
Lavatory (basin):!' Hose bibbF7
Hydro-massagetubr�'� Drinking fountain :r-
Kitchen sink;
Garbage Disposal
Bar sink:r
Vegetable sinkF_
DishwasheF7
Laundry/washing trap_—'.
Ice makerF_
Floor sinkF_
Miscellaneous
Floor drains!'.
Water pipingr-
Water softener-,.
Water heaterr—;
Lavatory(basin)F
Gas sys up to 4 outlets:r-
Gas Sys # of outlets over 4r-
Grease trap:_
Grease interceptor-.
P-trap:r-
Sewer
New sewer:-'
Sewer alter/repai,l
Sewer abandonment.r-