HomeMy WebLinkAboutXC2023-0151 - Permit Application (2)Print Form Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
Irvine Ave
Floor I` — Suite 200
F_ 2. Owner's Name Last Carrera
First Jimmy
Owner's Street Address
201 Sandpointe Ave. Suite 470
City South Coast Metro
State CA
Zip 92707
Telephone 949.381.5100 Owner's E-mail Address
jimmy@astreetpartners.com
r 3. Applicant's Name Last Gastelum
First Alexandra
Applicant's Street Address
3150 Bristol St. Suite 205
City Costa Mesa
State CA
Zip 92626
Telephone 949.724.1499 Applicant's E-mail Address
r 4. Contractor's Name Last Montgomery
State Lic # �—
First JZack
Contractor's Street Address
115261 Transistor Lane City Huntington Beach State CA Zip 92649
Telephone 714.898.1646 Contractor's E-mail Address tack@stellrechtbg Business Lic# F_—
Mechanical
Furnace Quantity
Up to 100,000 btu:r—
over 100,000 btu::—
wall/Floor heaters:: —
Heat Pumps/Package Units
up to 100,000 btu:: —
up to 1,000,000 btu:
UP to 1, 750,000 btu::—
> 1, 750,000 btu::—
Boilers/Compressors
up to 3 HP::-
3 HP-15 HP::—
15 HP-30 HP:-
30 HP -SO HP::—
>50 HP:: —
Air Handling Units
up to 10,000 CFM::—
> 10,000 CFM::—
VAV Box::—
Repair/Alter/Add HVAC
Number of Zones3 _
Ventilation
Bathroom Fan:r—
Exhaust Fan:: —
Attic Exhaust:: —
Residential Hood:: —
Commercial Hood:: —
Metal Fireplace:!
Gas Line f:
Fire Dampers::
Electrical
New Construction Quantity
1 & 2 Family S.FF—
Multi Family S.F::—
Receptacle, Switch Lighting Outlets
Total Outlets: 24
Lighting Fixtures
Total Fixtures: 30
Total Low Voltage :r—
Separate circuit: F—
Motors/Transformers
0-1 HP or KVA::-
1-10 HP or KVA:pi, tlI
10-50 HP or KVA/:'�
50-100 HP or KVA::—
Over 100 HP or KVAK�
Signs
One branch circuit::—
Add'I branch circuit:: —
Service
0-600V not over 200A::—
0-600V & over 200A::—
over 600V::_
Temp PP/Piggy Back
Sub Panel::—
Other:: —
Plumbing
Bathroom Quantity Quantity
Water closet (toilet):
Bidet:
Urinal :F—
Bath Tub:: —
Shower stall:: —
Lavatory (basin):: —
Hydro -massage tub:[ --
Kitchen
Kitchen sink:
—
Garbage Disposal: F—
Bar sin k::
Vegetable sink::—
Dishwasher:—
Laundry/washing trap:: —
Ice maker:: —
Floor sink
Miscellaneous
Floor drain::
Water piping::
Water softener:[ --
Water heater::
Lavatory (basin):: —
Gas sys up to 4 outlets::
Gas sys # of outlets over 4::—
Backflow device up to 2"::
BackBow, device over 2"::
Regulators:: —
Lawn Sprinkler System:
Roof drains:: —
Hose bibb::—
Drinking fountain::—
Greasetrap::—
Grease interceptor:
P-trap::
Sewer
New sewer:r—
Sewer alter/repairr—
Sewerabandonment: