HomeMy WebLinkAboutX2021-3451 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
Print Form City of Newport Beach ��56
Building Division
1. Project Address (Not mailing address) Building Permit No.
MacArthur Blvd
FX_, 2. Owner's Name Last Castaldo -
Floor 1 &2 Suite
First Melissa
Owner's Street Address
4450 MacArthur blvd City Newport Beach State CA Zip 92660
Telephone (949) 509-1444 Owner's E-mail Address mcastaldo@markiv.com
3. Applicant's Name Last Smarker First Jessica
rA I cant's Street Address
4770 Campus Drive, suite 100 City Newport Beach State CA. Zip 92660
Telephone (9949)851 3080 _. Applicant's E-mail Address jsmarker@hhendy.mm
F_ 4. Contractor's Name Last First F_
Contractor's Street Address
_. _. __.. _ City
Telephone Contractor's E-mail Address �—
Mechanical
Furnace Quantity
up to 100,000 btu:F—
over 100,000 btu:
wall/floor heaters:[ --
Heat Pumps/Package Units
up to 100,000 btu:F—
up to 1,000,000 btu:F—
up to 1, 750,000 btu:s—•...
> 1, 750,000 btu:F
Boilers/Compressors
up to 3 HP:F_
3 HP-15 HP:F_
15 HP-30 HPs
30 HP-50 HP:s--..
>50 HP:(',..
Air Handling Units
up to 10,000 CFM:r
> 10,000 CFM:r—..
VAV Box:l3
Repair/Alter/Add HVAC
Number of Zones!F,
Ventilation
Bathroom Fan:F—
ExhaustFan:F—
Attic Exhaust:F_
Residential Hood:l
Commercial Hood:F—
Metal Fireplace:[—
Gas Line:F—
Fire Dampers:s_
Electrical
New Construction Quantity
1 & 2 Family S.F:r
Multi Family S.F:F—
Receptacle, Switch Lighting Outlets
Total Outlets: 153
Lighting Fixtures
Total Fixtures: 109
Total Low Voltage:s—
Separate Circuit:
Motors/Transformers
0-1 HP or KVA:I1
1-10 HP or KVA:
10-50 HP or KVA:F_
50-100 HP or KVA:F_
Over 100 HP or KVA:s—••••••••..
Signs
One branch circuit:F
Add'I branch circuitri....
Service
0-600V not over 200A:F
0-600V& over 200A:F_
over 600V:F_
Temp PP/Piggy Back:F—
Sub Panel:
Other.F—
'..
State Lic It
State F_ Zip
Business Lic# F,
Plumbing
Hydro -massage tub.l Drinking fountain:F_'.
Kitchen
Kitchen sink:.
Garbage Disposal:F
Bar sink:..
Vegetable sink:s—'.
Dishwasher
Laundry/washing trap F_
Ice maker: 1
Floor sink:F—
Miscellaneous
Floor drain:',
Water piping:'..
Water softeners••••.
Water heater:
Lavatory (basin):
Gas Sys up to 4 outlets:F—
Gas Sys # of outlets over 4:r—
Grease trap:F_
Grease interceptor F_
P-trap.s�i,.
Sewer
New sewer7i''..
Sewer alter/repair:,
Sewer abandonments-'