HomeMy WebLinkAboutE2023-0412 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
9"VE',City of Newport BeachBuilding
Division
1. Project Address (Not mailing address) Building Permit No.
AT.__�0 1,46_ li_- __._... _ __.--_--_._____.- .._____ _ -__- Floor Suite F—
F-1 2.Owner's Name Last Lget,__t-.d,r9 j (+V _ -{ % irst
Owner's Street Address
City ', State F Zip F_
Telephone Owner's E-mail Address
F_ 3. Applicant's Name Last , First
.'�
Applicant's Street Address -y�� --
City t�(�t ate
�J /r _V _ �� Zip _II,
Telephone Applicant's E-mail Address i/ �d iCOO -Oct
4.Contractor's Name Last CFirst I I State Lic#
Contractor's Street Address
State 'r"'j'ZiP
Telephone G-6! G7l/ Contractor's E-mail Address G Business Lic# �—
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:
1 & 2 Family S.P.
Water closet(tollet):F---- Backflow device up to T':C1
over 100,000 btu:r—
Multi Family SY F__ 71
BideCF---- Backflow device over 2"1 7
wall/floor heaters:;
Receptacle, Switch Lighting Outlets
Urinal: Regulators;
Heat Pumps/Package Units
up to 100,000 btu:
Total Outlets:F
Bath Tub: Lawn Sprinkler System:
up to 1,000,000 btu:—
Lighting Fixtures
Shower stall F_ Roofdrains:77
up to 1, 750,000 btu:r-7
Total Fixtures E��
Lavatory (basin) F_Hose bibb:C
__
> 1, 750,000 btu :F_
Total Low Voltagef7
Hydro -massage tub:F7 Drinking fountalreF
Boilers/Compressors
up to 3 HP:
Separate Circuit: _ _ I
Kitchen Grease
_: --
Kitchen sink : i
�� Grease interceptor:
-- - -
3 HP-15 HP-.F
Motors/Transformers
Garbage DisposaL�'��
P-trap:F—I
15 HP-30 HP��
0-1 HP or KVA:F—i
Barsink:F Sewer
30 HP-50 HP:F:
1-10 HP or KVA:�
Vegetable sink: New sewer.F`
10-50 HP or KVA:C
Dishwasher—. Sewer alter/repair .
>50 HPF777
50-100 HP or KVAE771
Laundry/washing trap:, Sewer abandonment;
Air Handling Units
up to 10,000 CFM:rJ
Over 100 HP or KVA:r—
Ice maker.0
>10,000 CFM
Signs
Floorsink:�
VAV Box
Repair/Alter/Add HVAC
One branch circuit:-
Add'I branch circuit:�9
Miscellaneous
Floor draimC `/A+ `'' `� ✓� oU
Number ofZones:F-7—!
Ventilation
Service
0-600V not over 200A.�
Water piping /�4
� �tj3 � _I
Water a v
Bathroom Fan:r—
Exhaust Fan:
0-600V& over 200A:�1
heater.F
Water heater.
Attic Exhaust:r
over 600V177
Lavatory (basin):
Residential Hood:
- -- -
,
Temp PP/Piggy Back:
Sub :�—
Gas sys up to 4outlets:F
Commercial Hood:—
Other.�-
Gas sys # of outlets over4:�
Metal Fireplace
Gas Line F_
Fire Dampers F_