HomeMy WebLinkAboutH2022-0627 - Permit Application (2)PrintForm WtirksheetlfbifLiectrical/Mechanicall Plumbing
City of Newport Beach
Building Division
Application -
1. Project Address (Not mailing address)
Building Permit No. .Vt Zo I-L - d (o 1'1
9 2. Owner's Name Last
Owner's Street Address }
city
Telephone 7777 Owner's E-mail Address
,!` 3. Applicant's Name Last -!)1.au:x;_, - __
A licant's Street Address
�` �} t l• -1_ c!` __ �� City �_ r a State Zip F7Z& (i 1. L
r� 7
Telephone /y 3(p I f C3 Applicant's E-mail Address
First
-__ ... Floor F —. Suite
is
vtAx
State I Zip
4. Contractor's Name Last : t s- N1?7 _ prst _ _ -_ _ State Lic# 147 ilf
Contractor's Street Address
City - State F; Zip F I
Telephone Contractor's E-mail Address
Mechanical
Furnace Quantity
up to 100,000 btuFT
over 100,000 btu-
wall/Floor heaters
Heat Pumps/Package Units
up to 100,000 btuF—
up to 1,000,000 btu:
up to 1, 750,000 btu)
> 1, 750,000 btu)
Boilers/Compressors
up to 3 HPF
3 HP-15 HPF-
15 HP-30 HPF_
30 HP-50 HPI
>50 HPF—
Air Handling Units
up to 10,000 CFNi
> 10,000 CFMI—
VAV Boxl
Repair/Alter/Add HVAC
Number of Zones
Ventilation
Bathroom Fanl
Exhaust FanF_
Attic Exhaust)
Residential Hood
Commercial Hood
Metal Fireplace:
Gas Line
Fire Dampersf—
Electrical
New Construction Quantity
1 & 2 Family S.F
Multi Family S.Fa
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures.
Total Low Voltage
Separate Circuit
Motors/Transformers
0-1 HP or KVA�—:
1-10 HP or KVA:r—
10-50 HP or KVAI
50-100 HP or KVAI
6ver100 HP or KVA:r t°-#,
Signs
One branch circuit
Add'I branch ciftui{I
Service
0-600V not over kOA:r--
0-600V & over 20041
over 60OV:r—
Temp PP/Piggy Back
Sub Panel:)
Other:)
Bathroom Quantity
•
Water closet (toilet)I'�
•' Bidet—'
Urinak
Bath Tub
Shower stall
Lavatory (basin)l
Hydro -massage ttibl
Kitchen
Kitchen sink
xo,y Garbage Disposal;
Bar sink:r--
Vegetable sink
Dishwasher[--
Laundry/washing trap
Ice makerr—
Floor sink
Miscellaneous
Floor drain)
W4er piping:?
Water softenerF—
Water heater
Lavatory(basiNl
Gas sys up to 4 outlets)
Gas sys # of outlets over 4l
Lic If
Plumbing
Quantity
BackBow device up to Z'C7
BackFlow device over 2"F—
RegulatorsC7
Lawn Sprinkler System:[ --
Roof drains:)
Hose bibbl
Drinking fountain—
. Greasetrapt—
•
Grease interceptorf
P-trap
Sewer
New sewerF_
Sewer alter/repair
Sewer abandonmentF—