HomeMy WebLinkAboutP2019-0158 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application z E ��
City of Newport Beach
Building Division zi
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1. Project Address (Not mailing address) Building Permit No.
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1 FWio�LrzrdJ 17'h,_ l"1Gll _. _ ___ _. _ __ __. Floor ' Suite
2. Owner's Name Last First
Owner's Street Address - - - - - - -- -
city State F_, Zip
Telephone Owner's E-mail Address
F_ 3. Applicant's Name Last Firs[
A licant's Street Address
City F—,; State F_ Zip F'''.
Telephone r Applicant's E-mail Address
4. Contractor's Name Last First State Lic#
Contractor's Street Address
City F -_ State Zip
Telephone', Contractor's E-mail Address -I Business Lic #
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu -.
1&2 Family S.F(__7
Water closet (toilet):C BackRow device up to 2"f--
over 100,000btuf—;
Multi Family S.Ff -:
Bidet 17 Backfldw device over 2"F
wall/floor heatersf --
Receptacle, Switch Lighting Outlets
Urinal: Regulators:—
Heat Pumps/Package Units
up to 100,000 btu:_
Total Outlets:F
Bath Tubfr 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): Hose bibbs
—,
> 1, 750,000 btu:—.
Total Low Voltage
Hydro -massage tub: Drinking tr ip
Boilers/Corn ressors
P
up to3HP._—
Separate Circuit
Kitchen
Grease
- Grease trap_
Kitchen sink:�ii
Grease interceptor._
3HP-15HP:� —,
Motors/rransformers
L_�
Garbage Disposa-
P-trap:F—
HHPr
0-7 HP or KVA:_
Barsink_', Sewer
30 HP-50 HP:_
50
1-10 HP or KVA:�—',
Vegetable sink�� New sewer:
>50 HPf
10-50 HP or KVA:r—;
Dishwashers' Sewer alter/repair.
50-100 HPor KVAf—
Laundry/washing trapf—_ Sewerabandonment:F—
Air Handling Units
up to 10,000 CFM:�_!
Over 100 HP KVA:�—.
Ice make r—',
> 10,000 CFM.ff
Signs
Floorsinkl
VAV Box:F
One branch circuit:
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit_
Floor drains
Number ofZonesi__
Service
Water piping:_
Ventilation
Bathroom Fang —
0-600V not over 200A.5—
Water softener_
Exhaust Fan^
Exhaust
& over 200Af
Water heaters
.
Attic Exhausts —
—
over 600Vf—'
Temp PP/Piggy Back:.
Lavatory (basin)_
Gas Sys up to 4 outlets��
Residential Hoods
Commercial Hoo—
d
Sub Panel
Gas Sys # of outlets over 4 s
.�'.
Metal Fireplace—
Other
-
Gas UneF—
Fire Dampers