HomeMy WebLinkAboutH2023-0091 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
*,S7*0City of Newport Beach
Building Division1.
Project Address(Not mall!ng address) Building Permit No.
._._.._ __ _._ _1`c�_� _ ._ V "r-w.. A _-.. Floor Suite
F2.owner's Name Last First
Owner's Street Address _ --- - - - - _ -- -- _ - -� - -- _ -
city 'I State Zip —
Telephone Owner's E-mail Address
F_'.. 3.Applicant's Name Last First
A licant's Street Address -
_.__City —' State F7 Zip [7777777
Telephone F Applicant's E-mail Address
r 4. Contractor's Name Last -', first _ ,. State Lic# gC �tr'l
-
Contractors Street Address
city State Zip
Telephone )0-C.�.'31)—qy`S�ontractor's E-mail Address -�b ,J-� ,`C (' � �' Business Lic#
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
room BathQuantity Quantity
up to 100,000 btu::
1 & 2 Family S.F::
Water closet (toilet): Backflow device up to 2":17
over 100,000 btu::
Multi Family S.F::
Bidet:: Backflow device over 2"::—,
wall/floor heaters:r
Receptacle, Switch Lighting Outlets
Urinal:F_ Regulators:F__
Heat Pumps/Package Units
up to 100,000 btu:F—
Total Outlets:,
Bath Tub:: Lawn Sprinkler System:
-- -
up to 1,000,000 btu::
Lighting Fixtures
�-
Shower stall: goof drains::
I __
-
up to 1, 750,000 btu.
Total Fixtures:
Lavatory (basin):— Hose bibb::
-- --_..
--
>1, 750,btu �'
_ _
Total Low Voltage::
���
Hydro -massage tub:: Drinking fountain::
—
Boilers/Compressors
Separate Circuit:__
Kitchen
Grease trap::
Kitchen sink:
up to3 HP: "Z,
3 HP 15 HPF77
Motors?ransformers
Grease interceptor.:
Garbage Disposal �;
P-trap:
15 HP 30 HP:
0-0 HP or KVA:�—!
Bar sink: Sewer
30 HP-50 H&:T�
1-10 HP or KVA::
Vegetable sink New sewer
10-50 HP or KVA::i
Dishwasher Sewer alter/repair::J
>50 HP:_—�
50-100 HP or KVAF77
Laundry/washing trap:F_ Sewer abandonment:_
Air Handling Units
up to 10,000 CFM-.F
Over 100 HP or KVA::j
Ice maker::
> 10,000 CFM::
Signs
Floor sink::
VAV Box::
One branch circuit:
Miscellaneous
Repair/Alter/Add HVAC
NumberofZones:
Add'I branch circuit:,
Service
Floor drain::
Water piping::
Ventilation
Bathroom Fan:
0-600V not over 200A::—
F_ LLL
Water softener: i
Fxhaust Fare
0-BOON&over 200A:�
Water heater. ���^ 1`—
(J �
Attic Exhaustr—,
over 60OV:
Lavatory(basin)::
_
Residential Hood:
Temp PP/Piggy Back::
Gas Sys up to4outlets:�
Commercial Hood:
:
:Other
Sub Panel::
Gas Sys #of outlets over 4 :F
Metal Fireplace::
� (�
Gas Liner���
Fire Dampers:—
Z