HomeMy WebLinkAboutH2023-0195 - Permit ApplicationWorksheet for Electrical/Mechanical/ Plumbing Application EwaOq
City of Newport Beach °
Building Division " a
1. Project Address (Not mailing address) Building Permit No.
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r 2.Owner's Name Last First LUG
Owner's Street Address
. _ __ _H,t&6 o0.S___{YOaW _ _�__.P.S._. City �— State r— Zip
Telephone I Owners E-mail Address
r- 3. Applicant's Name Last First O�
A licant's Street Address
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Telephone 141 -?J6' Applicant's E-mail Address (J Y4 Its. ;NL L a,,,)_ '
r 4.Contractor's Name Last First J State Lic# I -I 51
Contractors Street Address
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Telephone 355'�10°\ T Contractor's E-mail Address V,r1 Business Lic#
Mechanical Electrical Plumbing
New Construction Quantity room BathQuantity Quantity
Furnace Quantity
up to 100,000 btui 1 & 2 Family S.F:r— Water closet (toilet):r— Backflow device up to 2":
over 100,000 btu: Multi Family S.F: Bidet: Backflowdevice over 2'Sr-
wall/floor heaters: Receptacle, Switch Lighting Outlets Urinal :r Regulators:r`
Heat Pumps/Package Units Total Outlets.F— Bath Tub: Lawn Sprinkler System
up to 100,000 btu:- Lighting Fixtures Showerstall:: Roof drains:
up to 1,000,000 btu :r�
Total FlMures:r— Lavatory (basin): Hose bibb:
up to 1, 750,OOO btu:
-- _ Hydro -massage tub: Drinking fountaim:
> 1, 750,000 btu:r Total LowVoltage:r _
Kitchen Greasetrap:
Boilers/Compressors Separate Circuit:— Kitchen sink :r—
up to 3 HP:r Grease interceptorF
Motors/Transformers Garbage Disposal:r-
3 HP-15 HP:� P-trap:�
0-1 HP or KVA:r— Bar sink— Sewer
15 HP-30 HP:
1-10 HP or KVA:r— Vegetable sink:r— New sewer.
30 HP-50 HP:r __ _---
10-50 HP or KVA:�—Dishwasher— Seweralter/repair.F—Y
>50 HP:r— 50-100 HP or KVA:r— Laundry/washing trap: Sewerabandonment:r—
Air Handling Units
up to 10,000 CFM:)F:S;Z— Over 100 HP or KVA:r— Ice makecr—
>10,000CFM:r� Signs Floor sink:
VAV Box:r One branch circuitr— Miscellaneous
Repair/Alter/Add HVAC Add'I branch circuit :r— Floordrain:r—
Number ofZones :— Service Water piping
:r—
Ventilation 0-600V not over 200A:Water softener:
r—
Bathroom Fan :�--
0-60ON&over 200A:r— Water heater :r—
r—
Exhaust Fan :r
over 600V:r— Lavatory(basin):r_
Attic Exhaust:r
Temp PP/Piggy Back:— Gas sys up to 4 outlets:r
Residential Hood:r_
Sub Panel :r— Gas sys # of outlets over4::
Commercial Hood:ri
Other—
:r
Metal Fireplace:
Gas Linear—
Fire Dampers:r-®