HomeMy WebLinkAboutX2020-1900 - Permit Application (6)Worksheet for Electrical/Mechanical/ Plumbing Application 1EW�R>
P, ni Form o4
City of Newport Beach �
_
Building Division (—(2,U%Z—(ap1,5
t
1. Project Address (Not mailing address) Building Permit No. i 7-0zo — 10100 f-707,Z-
'406_Sca1llti0.(r _Dri 1Ses. 1po,�, 3ece�n -Ca Floor F-- Sulte �—
r 2.Ownees Name Last First I ,So V'1vt
Owner's Street Address
2 W ! rAm incs� _pr/ city 0ewV0,1+ \&each state [Tz- zip 92 &CC
Telephone (L116)&q& - l J 2L Owner's E-mail Address
r 3. Applicant's Name Last C2Y'uCaVl ti-e.S First
A licant's street Address
26Ca S Pop14+- Aye APV 11j city dv-ec. State Ce zip 2 2f
Telephone J(-1114)9i0-C Y26 ApplicantsE-mailAddress do ile s- ce-yQC Y1 Ye_S PYo WC%,V V k-61C WkcC.\ • VLL:i'
r 4.Contractor'sName Last0+�� MQ&('-t.VNCQ,1 First F State Lic# 9T45 70
Contractor's Street Address
tS431 2e-& It Ale. sct iEi city Iv P1n state Ca zip Fqtl80
Telephone (7111) "0 -6Y28 Contractor's E-mail Address Business Lic # 3T 30O51 -"
Mechanical
Furnace Quantity
up to 100,000 btui
over 100,000 btuF —
wall/floor heatersF—
Heat Pumps/Package Units
up to 100,000 btuF—
up to 1,000,000 btur
up to 1, 750,000 btur—
> 1, 750,000 btul—
Boilers/Compressors
up to 3 HPs�
3 HP-15 HP:s
15 HP-30 HPs_
30 HP-50 HPI—
>50 HPF —
Air Handling Units
up to 10,000 CFMI—
> 10,000 CFMI—
VAV Boxl—
Repair/Alter/Add HVAC
Number of Zoness
Ventilation
Bathroom Fanl—
Exhaust Fanl—
Attic Exhausts
Residential Hoodl—
Commercial Hoodl—
Metal Fireplacel—
GasU4 —
Fire Dampers) —
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.FI
Multi Family S.Fs—
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixturesl
Total Low Voltag IF---
SeparateCircuitq 1
Motors/Transformers
0-1 HP or KVAr
1-10 HP or KVAF-
10-50 HP or KVAI-
50-100 HP or KVAI
Over 100 HP or KVAF—
Signs
One branch circuit
Add'I branch circuit
Service
0-600V not over 200A:5
0-600V & over 200A1
over 600V1
Temp PP/Piggy Back
Sub Panel
Other
Water closet (toilet)
Bidet s
Urinal s
Bath Tubl
Shower stalll
Lavatory (basin)
Hydro -massage tubs
Kitchen
Kitchen sink
Garbage Disposal[ —
Bar sinks
Vegetable sink
Dishwasher
Laundry/washing traps
Ice makers
Floor sink
Miscellaneous
Floor drains
Water pipings
Water softeners
Water heaters
Lavatory (basin)I
Gas sys up to 4 outletsl
Gas sys # of outlets over 4s
Backflow device up to 2"I
Backflow device over 2"s
Regulatorsr
Lawn Sprinkler Systems
Roof drains
Hose bibbs
Drinking fountain
Greasetrapl
Grease interceptors
P-traps
Sewer
New sewers
Sewer alter/repair
Sewer abandonments