HomeMy WebLinkAboutP2019-0195 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division �o
1. Project Address (Not mailing address)
Building Permit No. �p _ 5 �--
`'<;Foaer
I q
Floor Suite l
2.Owner's Name Lan , �-- - -
Owner's Street Address First
City State ZI
-
Telephone ---- --
�,, Owners E-mail Address
f_' 3. Applicant's Name Lag _ ---: -- -
-. First
A Is Street Address --_-
- _ J Cif, � -..--- --
State �� Zip
Telephone ', Applicant's E-mail Address
#Contractor's Name Last
-
,
First
Co
Contractor's Street Address
_
-----�-�-�- _��--�--
-. _. State Lic#
_�_.._
CRY
F--,, State �� Zip
Telephone
Contractor's E-mail Address
Business Lic#
chanical
FFumaceQuantity
ty
-,
Electrical
New Construction Quantity
Plumbing
Bathroom - 9 Quantity
Quantity
00000 btu.
over 100,000 btu:-
1 & 2 Family S.F:F-.
Water closet (toilet), Backlow device up to 2"�-'..
wall/Floor heatersf---
Multi Family S.F:�-
Receptacle, Switch Lighting Outlets
Bidet�- BackFldw device over 2"
Urinal:-'i
Heat Pumps/Package units
UP to 100,000 btu:_
TotalOutlets:-;
Regulators:-
Bath Tub: Lawn Sprinkler System_,
-
UP to 1,000,000 btu^
Lighting Fixtures
Shower stall:-', Roof drains:�--
__ ..
UP to 1, 750,000 btu.':-
Total Fixtures-'
�'" -' �_.
Lavatory (basin)l Hose bibbf7
> 1, 750,000 btu f -,
Total Low Voltag-,
e
Hydro -massage tub:— Drinking fountain: -,
Boilers/Compressors
up to 3 HP:-
Separate Circuit -I
Mtchen -
- - Grease trap:
Kitchen sink
^
3 HP-15 HP.
Motors/Transformers
r--, Grease interceptor:-.
Garbage Disposals
15 HP-30 HP:-'.
0-1 HP or KVAt_
P-trap::
Bar sink -'
30HPSOHP:�-'
1-10 HP or KVA :�-
Sewer
-
Vegetable sink:-' New sewer:-
>50 HP:'
10-50 HPor KVA::_�
Dishwashe�_-'', Sewer alter/repair-'..
Air Handling Units
UP to 10,000 CFM.F -,
50-100 HP KVA�-,
or __
Over 100 HP or KVAf -'.
Laundry/washing trap F_ Sewer abandonment —
-
> 10,OOOCFM f:
-1
Signs
Ice maker-'
Floorsinkr-i
VAV Box:
One branch circuit�-;
Miscellaneous
Repair/Alter/Add HVAC
Number ofZones:�-',
Add'I branch circuit:-
Service
Floor drain::
Ventilation
Bathroom Fan: -
O-600V not over 200A:F_
Water piping::
Wataterh
Ezhaust Fan::-
0-600V&over 200A::-
Water hea[er.:-
heater:
Attic Ezhaust:�—
aver 600V::
-
Lavatory (basin) : -
Residential Hood:-
Temp PP/Piggy Back-.
Gas sys up to # outlets:
-
Commercial Hood:
-
Sub Panel:
Gas Sys #of outlets over 4aO
Metal FireplaceF_
Other--
Gas Une f--
FireDampers-