HomeMy WebLinkAboutE2021-0775 - Permit Application�PlrjtFarl�4 Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division n
1. Project Address (Not mailing address) 5<,rnner
Building Permit No.
!floor _ Suite
r 2.Owner'sName
Las[ �-C'- i
Owner's Street Address -� --- - First
city l State Z'
Telephone ---
�_ _ j Owners E-mail Address
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' 3. Applicant's Name ------- ' ._ last ,.`�d.b cN -__: - ' First T
A Iicant's Street Address
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�utl WL S� City >J,
-_ State G__.J Zip `l--bb3
Telephone �(1(, b� --: --
Taj l b d Applicants E-mail Address QT CariS IvO c ox is c- d- Car -
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Contractor's Name Last ,
...E.. ! First
Contractor's Street Address - --- State Lic# C3-�936p__.
-- _I city _ State I —
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�� Zip I ' -- -
Telephone F�I CornraRrn sE-mail Address
Business Lk # S'�Tio01y39Y
Mechanical Electrical Plumbing
[Furnace New Construction QuantityQuantity Quantity Bathroom Quantity
up to 100,000 btu - 1&2 Family S.F:f-Water closet(toiletf j BackRow device up to 2':�over100,000 btu: Multi Family S.F:�-
Bidet. BackBovv device over 2",
wali/floorheaters.•r Receptade,5witch Lighting OutletsLi htin FiMuresPumps/Package Units Urinal: i Regulators
Totaf Outlets ---
up to 100,000 btu• -I Bath Tu6177 Lawn Sprinkler System-
up to 1,000,000 btu; - Showerstalkf77 Roof drainsF-.
up to 1, 750,000 btu: Total Fixtures• -!. Lavatory (basin):I— Hose bibbF-`
>1, 750,000 btu; Total Low Voltager Hydro -massage tub _-__ Drinking fountain_;
Boilers/Compressors Kitchen
Separate CirculeF- Grease trap:
3 HP-15 HBr-, '
upto3 HP�- Kitchensink -'.
Greaseinterceptor�-
' motors/Transformers Garbage Disposal: 15 HP30 HP� 0-1 HP or KVA� Bar sink: .Sewer P-trap:�'
1-10 HP or KVA�
30 HP-50 HP:�-' Vegetable sinkr-' New sewer:-'
So-100 HP10-50 HP or KVAor KVAf :1 -11 DishwasheF-7 Seweralter/repair
:
Air Handling Units 1 .... ; Laundry/washing Icemarap(�— Sewerabandonment�_ I-
'upto70,000CFM�-' Over 100 HP or KVqF- -'
Ice make .
>10,000 CFM-F Signs Fkwrsinki 7
VAVBox:F- One branch circuit.
Numberof Zones:- Service Miscellaneous
Repair/Alter/Add HVAC Add'I branch circuit• Floor drain:
L4
-
Ventilation Wer softping� "
0-600V not over 200A.�-I
Bathroom Fan �- - Water softener•
0-600V& over 200A:
Exhaust Fan:-- - � Waterheater.r--' -
over 600VF
Attic Exhauso�-' I Lavatory (basin}•,!',
Temp PP/Piggy Back.
Residential Hood.-', f-- -I
Gas sys upto4outlets:�-;
Commercial Hood: Sub Panela -
I;_.�._-[ Gas sys#ofOutlets over 4:F
Metal Fireplace: Other. _ -
Gas Liner
Fire Dampers:- f// /