HomeMy WebLinkAboutP2022-0320 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application SaCity of Newport BeachBuilding Division '/ St-C
1. Project Address (Not mailing address) Building Permit No. '.
4601 JAMBOREE RD
Floor F— Suite
F_ 2.Ownees Name Last First
Owner's Street Address - - - - - - - - -----
- City F_: State r Zip I _. _.
Telephone F_ Owner's E-mail Address
rX 3. Applicant's Name LastKIM First DAVID - -
A licant's Street Address
16035 PHOENIX DR city INDUSTRY Sta t CA -' Z' F- _—_—
Telephone 626-9341112 Applicant's E-mail Address
ix 4. Contractor's Name Last MTM CONSTRUCTION INC.
Contractor's Street Address
116035 PHOENIX DR
Telephone 626-934-1112 Contractor's E-mail Address
e p 91745
davidkim@mtmincus
First
State Lic S 659142 j
City INDUSTRY State CA _ Zip 91745._.. _.
davidkim@mtmincus Business Lic 1f BT30079093
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000 btu—
1 & 2 Family S.F:I-f—
over 100,000 btur_.—
Multi Family S.F[_
wall/floorheatersF—',.
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
up to 700,000 btu—
Total Outlets:F8_
up to 1,000,000 btuf-,
Lighting Fixtures
up to 1, 750,000 btu—',
Total Fixtures: F4 --
> 1, 750,000 btu: —
Total Low Voltage f -
Boilers/Compressors
up to 3 HPf—'.
Separate Circuit:r_.
3 HP-15 HPf_-
Motors?ransformers
15 HP-30 HP[
0-1 HPorKVA:r-
30 HP-50 HP.f—,
1-10 HP or KVAf_
10-50 HP or KVAF_
>50 HPF_
50-100 HPor KVA�
Air Handling Units
up to 10,000 CFMF—_
Over 100 HP or KVA:r—.
> 10,000 CFMF_
Signs
VAV Box—;
One branch circuit
Repair/Alter/Add HVAC
Add'I branch circuitF--
NumberofZonesF—I
Service --
Ventilation
Bathroom Fan-
0-600V not over 200AF--
Exhaust Fan—,
0-600V&over 200AF—..
Attic Exhaust—_-
over 600V:I
Residential Hood—'
Temp PP/Piggy Back:r—
Commercial Hood:—..
Sub Panel r—
Metal Fireplace —
Other.F_
Gas Liner—
1 / 2a 2 Z-- G;
iii
Fire Dampers—
Bathroom Quantity
Plumbing
Quantity
Watercloset(toilet). _
Backflow device up to 2"F_
Bidet; —I
Backflow device over 2"F_
Urinal f ---
Regulators:
Bath Tube'..
Lawn Sprinkler System
Shower stall —'I
RoofdrainsF—
Lavatory(basin).{—'_
Hose bibbF—
Hydro-massagetub:F_ Drinking fountain
Kitchen
Kitchen sinks:
Garbage Disposal:r--,—
Bar sink:',
Vegetable sinkF—
Dishwasherr
Laundry/washing trap:—;
Ice maker[ —
Floor sink:r—',
Miscellaneous
Floor drain f —
Water piping
Water softener:r—'
Water heater
Lavatory(basin):I--'..
Gas Sys up to 4 outlets:—'..
Gas Sys # of outlets over 4 f
Grease trapF-
Grease interceptorF—
P-trap
Sewer
New sewerf—
Seweralter/repairF
SewerabandonmentF--