HomeMy WebLinkAboutH2022-0388 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application rEa%
City of Newport Beach
Building Division
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1. Project Address (Not mailing address) Building Permit No. .�'?,-r2, -
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Owner's Street Address
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licant's Street Address
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Zip I_
Telephone
Applicant's E-mail Address
I 4. Contractor's Name Last f 11,o p" Lo
First V -
State Lic #
Contractor's Street Address
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Mechanical
Furnace
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity tY Quantity
up to 100,000 btur-
1 & Z Family S.F
Water closet (toilet)-
Backflow device up to 2"_-
over 100,000 btu f !
Multi Family S.F)-
Bidet
Backflow device over 2"r
wall/floor heaters-
Receptacle, Switch Lighting Outlets
Urinal r
Regulatorsr-
HeatPumps/PackageUnits
up to 100,000 btur—
Total OutletsF7
Bath Tubr
Lawn Sprinkler Systemf
- -
upto 1,000,000 btuF
Lighting Fixtures
Shower stall
Roof drains
up to 1, 750,000 btur-
Total Fixturesy
Lavatory (basin)(
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Hose biblo f!
> 1, 750,000 btur-
IIIlll---�-----lfrrr'------
Total Low Voltage
a:
Hydro -massage tub-
Drinking fountains
Boilers/Compressors
to 3 HPr-
Separate Circuit
Kitchen sink
Grease trap)
up
Motors/Transformers
Garbage Disposals
Grease interceptor
3 HP-15 HP
0-1 HP or KVAf--
-- - P-trapF-
Bar sink+
15 HP-30 H
-
30 HP-50 HPs-
1-10 HP or KVAr
Vegetable sink
Sewer
Newsewerl
_
>50 HPs-
10-50 HP or KVAF—
Dishwasher
Sewer alter/repair
Air Handling Units
50-100 HP or KVAF—
Laundry/washing traps
Sewer abandonments
up to 10,000 CFMr-
Over 100 HP or KVA f--
Ice makers
>10,000 CFMJ
Signs
Floor sink
VAV Boxr-
Repair/Alter/Add HVAC
Number of Zonesf—I-
Ventilation
Bathroom Fans -
Exhaust Fans -
Attic Exhaustr-
Residential Hood f
Commercial Hoods -
Metal Fireplace[ -
Gas Line.s-
Fire Dampersr-
One branch circuitf —
Add'I branch circuit:r—
Service
O-600V not over 200A:r-
0-600V & over 200AF!
over 600VI--
Temp PP/Piggy BackF_
Sub Panel:)_
OtherF—
Miscellaneous
Floor drainf—
Water piping)
Water softeners
Water heaters
Lavatory (basin)s
Gas sys up to 4 outlets)
Gas sys # of outlets over 4r