HomeMy WebLinkAboutE2021-0226 - Permit ApplicationPrint FoWorksheet for Electrical/Mechanical/ Plumbing Application o° e EWER,
rm
City of Newport Beach p
Building Division
1. Project Address (Not mailing address) Building Permit No.
I Floor r— Suite
F— 2.Owner's Name Last First
Owner's Street Address
Cary F State F— Zip
Telephone F Owner's E-mail Address
F— 3. Applicant's Name Last First
A licant's Street Address
CITy F— State F— Zip
Telephone F Applicant's E-mail Address
r 4. Contractor's Name Last First State Lic k �—
Contractor's Street Address
Telephone
Mechanical
Furnace Quantity
up to 100,000 btu:1—
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:F—
Boilers/Compressors
up to 3 HP::
3 HP-15 HP:F-
15 HP-30 HP:-
30 HP-50 HP::
>50 HP:
Air Handling Units
up to 10,000 CFM:
> 10,000 CFM:
VAV Box:r
Repair/Alter/Add HVAC
Number of Zones:: —
Ventilation
Bathroom Fan
:�—
Exhaust Fan:
Attic Exhaust:
Residential Hood:
Commercial Hood:[ ---
Metal Fireplace:
Gas Liner
Fire Dampers::
Contractor's
action ' Quantity
Farn F::
Multi Family S.F::
Receptacle, Switch Lighting Outlets
Total outlets 1 od
Lighting Fixtures
i
Total Fixt es:
Total Low Vol age:
Separate Circus .
Motors/rransformers
0-1 HP or KVA:
1-10 HP or KVA:
10-50 HP or KVA:
50-100 HPor KVA::
Over 100 HP or KVA::
Signs
One branch circuitr—
Add'I branch circuit
Service
0-600V not over 2 A
0-600V & over A:
over
Temp PP/Piggy Back ,
Sub Panel
Others
City
State F— Zip F—
Bathroom 1 ry'f-� Quantfq�
Water closet (toilet):
Bidet:
Urinal:
Bath Tub:
Shower stall:
Lavatory(basin):
Hydro-massagetub::
Kitchenj('`—�� dd``ff Kitchen sink:
Garbage Disposal:
Barsink:
Vegetable sink:
Dishwasher
Laundry/washing trap::
Ice maker:
�,JJFFIon sink::
Miscellaneous
F oor drain::
Water piping:
Water softener::
Water heater.:
V Lavatory (basir):F--
Gas sys up to 4 outlets:F —
Gas sys ti of outlets over 4:
Plumbing
Quantity
Backflow device up to 2"::
Backflow device over 2"::
Regulators:
Lawn Sprinkler System
•.�—
Grease trap:
Grease interceptor
P-trap:
Sewer
New sewer:
Sewer alter/repair:
Sewer abandonment:
5-ZDz\— b