HomeMy WebLinkAboutP2019-0194 - Permit Applicationt)rint,orrj :2 Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address)
Building Permit No. 2, O1 q , vt GI L/
zgyt7dt�� _ �P, Ljiee -Floor I Suite r
Name Last
_ --_ -- - -i
Owners Street Address
_ First
_2.O
_-- .___--_._. _._.--- __.__
'' city
I State ZJ
Telephone �-. Owner's E-mail Address
13.ApplicanVs Name Last
First
A licant's Street Address - �-
_';
--�------
l�-'�-�------
cityI
--- State zip
P
Telephone F Applicant's E-mail Address
-
_...__-
4. Contractor's Name Last
Contractor's Street Address - -- -
First
_-
State Llc# f
Ciry F—
State F_I Zip
Telephone �- Contractors E-mail Address
�
F_
Rucineccl4M
Mechanical
Furnace Quantity
up to 100,000 btu
over 100,000 btuF-_
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 HPF—
3 HP-15 HP f
15 HP-30 HPF
30 HP-50 HP:r�-I.
>50 HP:r—,.
Air Handling Units
up to 10,000 CFMT-',
> 10,000 CFM: _
VAV Box.-
Repair/Alter/Add HVAC
NumberofZones:F
Ventilation
Bathroom Fan:-'
Exhaust FanF -.
Attic Exhaustr-
Residential Hoodr-
Commercial Hoodr—'
Metal Fireplace f
Gas Une:r_-
Fire Dampersr-
New ConstructiElectrical
on Quantity
1 & 2 Family S.FF-
Multi Family S.F;F_
Receptacle, Switch Lighting Outlets
Total Outlets:r
Lighting Fixtures
Total FixturesF-
Total Low Voltage-
Separate Circuit
Motors/Transformers
0-1 HP or KVA:F_'.
1-10 HP or KVAF_
10-50 HP or KVA f
50-100 HP or KVAF-
Over 100 HP or KVAJ
Signs
One branch circuit:
Addl branch circuit:-'.
Service -- _
0-600V not over 200Af-7
0600V & over 200A:r_-
over 600Vr
Temp PP/Piggy Back:`.
Sub Panel:
Other
Bathroom Quantity
Plumbing
Quantity
Water closet hoilet)F-'l
BackBow device up to 2--f-7
Bidet:
BackNdw device over 2'f_
UrinaLF-j
Regulators.
Bath Tub.-
Lawn Sprinkler System:[--
Shower stall:F-
Roof drainsF-
Lavatory (basin)f -.
Hose bibb:--,
Hydro -massage tub:-- Drinking fountain-.
Kitchen
Kitchen sink �-
Garbage Disposal.
Bar sink-,'
Vegetable sink
Dishwasher-',
Laundry/washing trap.
Ice maker:-
Floorsinkf
Miscellaneous
Floor drain:
Waterpiping:�
Water softener.
Water heated --
Lavatory(basin)r-,
Gas Sys up to 4 outlets:
Gas Sys # of outlets over4:T-
Grease trap:-'
Grease interceptor.F-
P-trapF--
Sewer
New sewer.
Sewer alter/repair-'..
Sewer abandonment: