Loading...
HomeMy WebLinkAboutXC2022-2113 - Permit Application (2)Print Form Worksheet for Electrical/Mechanical/ Plumbing Application EWER, a° o — City of Newport Beach z Building Division �tn�r� 1. Project Address(Not mailing address) Building Permit No. XGag3a-a I J 360 San Miguel Dr. Floor Suite �— r 2. Owner's Name Last I Rhodes Development Lumpy" First Owner's Street Address Avocado Ave, Suite YU i City ewpo eac State F11 Zip "� Telephone I Owner's E-mail Address r 3. Applicant's Name Last First A licant's Street Address ammo e u.e City Frpe rano eac State Zip s Telephone rMum— Applicant's E-mail Address a@kw-architects.com r 4. Contractor's Name Last First State Lic # Contractor's Street Address Telephone Mechanical Furnace Quantity up to 100,000 btu:r over 100,000 btu:r wall/Floor heaters:r Heat Pumps/Package Units up to 100,000 btu: — up to 1,000,000 btu:r up to 1, 750,000 btu:r > 1, 750,000 btu:r Boilers/Compressors up to 3 HP:r 3 HP-15 HP) 15 HP-30 HPr 30 HP-50 HPF_ >50 HPF__ Air Handling Units up to 10,000 CFMr— > 10,000 CFNAF VAV Box:— Repair/Alter/Add HVAC Number of Zones:F Ventilation Bathroom Fan:r Exhaust Fan:_ Attic Exhaust:r Residential Hood:r Commercial Hood:_ Metal Fireplace:[ --- Gas Line Fire Dampers:F— Contractor's E-mail Address City F_ State F_ Zip Business Lic # Electrical I Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.Fr— Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets: 69 Lighting Fixtures Total Fixtures 43 Total Low Voltage:r— Separate Circuit:— Motars/rransformers 0-1 HP or KVAF___ 1-10 HP or KVA)- 10-50 HPor KVAF- 50-100 HPorKVA:r— Over 100 HP or KVA) Signs One branch circuitr— Add'I branch circuitf Service 0-600V not over 200A) 0-600V & over 2004— over 600Vr Temp PP/Piggy Backr— Sub Panel) Other:r— Water closet (toilet) Bidet:r Urinal Bath Tub:r Shower stallf— Lavatory(basin):F Hydro -massage tub:r— Kitchen Kitchen sink:r— Garbage Disposal Bar sink:r— Vegetable sink:r— Dishwasherr Laundry/washing trap Ice maker :r— Floor sink:r— Miscellaneous Floor drain Water piping Water softener) Water heater Lavatory(basin)r Gas sys up to 4 outletsF_ Gas sys # of outlets over 4) Backflow device up to 2":r- Backf ow device over 2":r— RegulatorsF_ Lawn Sprinkler System:r Roof drains Hose bibbF— Drinking fountain.F— Grease trap) Grease interceptor:r P-trap Sewer New sewer Sewer alter/repair)— Sewer abandonmentr—