HomeMy WebLinkAboutXC2023-0063 - Permit Application (3)Worksheet for Electrical/Mechanicau viumging Application
City of Newport Beach
Building Division
1. Project Address (Not mailing address)
Building Permit No.
3 BIRCH STREET, NEWPORT BEACH, CA 92660 __... iFloor L Suite
I—, 2.Owner's Name Last HERTZ CORPORATION First t
Owners Street Address
8501 WILLIAMS ROAD City ESTERO j State FL Zip 33928
Telephone 239 301-7000 Owner's E-mail Address Ryan,Fung@hermcom
rl 3. Applicant's Name Last ARROYO _ j First CHRISTOPHER
A licant's Street Address
77WCiODCRESTLANE City ALISOVIEJO I State CA Zip 92656
Telephone 917-710-8612 Applicant's E-mail Address ARROYOC@BV.COM
I—, 4. Contractor's Name Last ITBDAFTER BIDDING _ First
Contractor's Street Address
City I
Telephone I I Contractor's E-mail Address
Mechanical
Furnace Quantity
up to I00,000 btu:
over 100,000 btu:—,'
wall/floor heaters
Heat Pumps/Package Units
up to 00,000 btu
up to 1,000,000 btu.
up to 1, 750,000 btu:F----',
> 1, 750,000 btu:(.
Boilers/Compressors
up to 3 HP:F_
3 HP-15 HP:F---
15 HP-30 HPF_—',
30 HP-50 HP:F—1
>50 HP::1
Air Handling Units
up to 10,000 CFM:F_—I
> 10,000 CFM:F—'
VAV Box:F__j
Repair/Alter/Add HVAC
Number of Zones:;
Ventilation
Bathroom Fan ri
Exhaust Fan[___
Attic Exhaust:.
Residential Hood:...
Commercial HoodF _
Metal Fireplace]��l,
Gas Line:'',,
Fire Dampers::
Electrical
New Construction Quantity
1 & 2 Family S.F:r—j
Multi Family S.Fr—I
Receptacle, Switch Lighting Outlets
Total Outlets: 4.000(o
Lighting Fixtures
Total Fixtures.(—,
Total Low Voltage:_;
Separate Circuit.!
Motors/Transformers
Signs
0-1 HP or KVAF_
1-10 HP or KVAF
10-50 HP or KVA:1
50-100 HPor KVA::—',.
Over 100 HP or KVA: 1.000t-
One branch circuif•
Add'I branch circuitF— j
Service
0-600V not over 200A:r—
0-60OV & over 200A 1.000p
over 600V:r
Temp PP/Piggy Back:F—
Sub Panel 2.000T,
Other. —
State LIc W `—,;
State F_ zip F__ 1
Business LIc a F—
Bathroom Quantity
Plumbing
Quantity
Water closet(tollet):F—I
Back0ow device up to 2".F--
Bidet:_,
Back0ow device over 2f —
UrinaLF__l
Regulators:(
Bath Tub:F—
Lawn Sprinkler System:F'
Shower stall f —
Roof drains:F—t
Lavatory(basinf—I
Hose bibb.
Hydro -massage tub: ,, Drinking Fountain:
Kitchen
Kitchen sink:F_j
Garbage Disposal:.
Bar sink:
Vegetable sink.,
Dishwasher:
Laundry/washing trap:F--'j
Ice maker:F--1
Floorsink:F--I
Miscellaneous
Floor drain—j
Water piping:Fl
Water softener:'
Water heater:(
Lavatory (basin):.,
Gas sys up to 4 outiets:r
Gas sys 9 of outlets over 4:F
Grease trap:F_
Grease interceptor..
P-trap:
Sewer
New sewer:[ —
Sewer alter/repair.
Sewer abandonment:,
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