HomeMy WebLinkAboutE2022-0911 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division ✓ V
1. Project Address (Not mailingaddress) Building Permit No. XC2022-1861
1301 DOVE ST.
Floor 2ND Suite 200
r 2. Owner's Name Last First
Owner's Street Address
CiTy F State F_ Zip
Telephone I Owner's E-mail Address
i— 3. Applicant's Name Last ZINN First
A l'Cant's Street Address 23286ARROYO VISTA City RSM State CA Zip 92688
Telephone 949-310-3357 Applicant's E-mail Address
ix 4. Contractor's Name Last IHACKNEYELECTRIC
Contractor's Street Address
123286 ARROYO VISTA
Telephone 949-264-4000 Contractor's E-mail Address
Mechanical
Furnace Quantity
up to 100,000 btur—
over 100,000 btul—
wall/Floor heaters
Heat Pumps/Package Units
up to 100,000 btul—
up to 1,000,000 bmr—
up to 1, 750,000 btul—
> 1, 750,000 btul—
Boilers/Compressors
up to 3 HPI-
3 HP-15 HPF
15 HP-30 Hf' —
30 HP-50 HPF
>50 HPF_
Air Handling Units
up to 10,000 CFMr—
> 10,000 CFMr—
VAV Box
Repair/Alter/Add HVAC
Number of Zoness—
Ventilation
Bathroom Fanl—
ExhaustFanl—
Attic Exhaustr—
Residential Hoods —
Commercial Hood
Metal Fireplacel—
Gas Linel—
Fire Dampersr—
GUY@HEIRSM.COM
First State Lic# 686221
City RSM State CA Zip 92688
GUY@HEIRSM.COM Business Lic# BT00017322
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.Ff
Multi Family S.FI
Receptacle, Switch Lighting Outlets
Total OutletsF—
Lighting Fixtures
Total Fixtures 15
Total Low Voltage
Separate Circuit
Motors/Transformers
0-1 HP or KVAr
1-10 HP or KVAr
10-50 HP or KVA1-
50-100 HP or KVAr—
Over 100 HP or KVAI
Signs
One branch circuit
Add'I branch circuit
Service
0-600V not over 200AF-
0-600V & over 200A[—
over 600V[--
Temp PP/Piggy Back
Sub Panel
Other
Water closet (toilet)
Bidet r
Urinal �—
Bath Tubl
Shower stall
Lavatory (basin)I
Hydro -massage tub[__
Kitchen
Kitchen sink r
Garbage Disposal
Bar sinkl
Vegetable sink_
Dishwasher
Laundry/washing trap
Ice maker
Floor sinkl
Miscellaneous
Floor drains
Water pipingl
Water softener
Water heaterl
Lavatory (basin)I
Gas sys up to 4 outletsr
Gas sys # of outlets over 4s
Backflow device up to 2"I
Backflow device over T'I
Regulators[
Lawn Sprinkler System
Roofdrainsl
Hose bibbF_—
Drinking fountainF_
Grease trapl
Grease interceptor
P-trapr
Sewer
New sewer
Sewer alter/repair
Sewer abandonments
roz2:-01-74