HomeMy WebLinkAboutE2025-0304 - Permit ApplicationPrint Form &(�
Worksheet for Electrical/Mechanical/ Plumbing ApplicationCity of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No. _ G6 3Vq
11541 Santa Barbara Drive
Floor F__ Suite r
r 2. Owner's Name Last Frankel First Nadia
Owner's Street Address
121 West 19th Street,#7D City New York State NY Zip 10011
Telephone 310-920-1373 Owner's E-mail Address nadia.frankel@me.com
r 3.Applicant's Name Last lBatts First Amanda
ants
MAdsscnre
City Pomona State [CA Zip 91768
Telephone 800.524-2970 Applicant's E-mail Address projects@ddiAngthefuture.com
r 4. Contractor's Name Last 15ustainable Electric Solutions, Inc First 1Aaron Sims State Lich 0009030
Contractor's Street Address
308 W Monterey Ave City Pomona State FCA Zip 9176E
Telephone 800-524-2970 Contractor's E-mail Address projects@dfvingthefuture.com Business LicB BT30085243
-Mechanical
Furnace Quantity
up to 100,000 btui
over 100,000 btus
wall/floor heaters
Heat Pumps/Padtage Units
up to 100,000 btu:
up to 1,000,000 btuF—
up to 1, 750,000 btu::
> 1, 750,000 btu::
Boilers/Compressors
up to 3 HP:F-
3 HP-15 HP::
15 HP-30 HP
30 HP-50 HP::
>50 HP::
Air Handling Units
up to 10,000 CFM:
> 10,000 CFM:
VAV Be.
Repair/Alter/Add HVAC
Number of Zones[ —
Ventilation
Bathroom Fan:
Exhaust Fan: -
Attic Exhaust.: —
Residential Hood:
Commercial Hood:: —
Metal Fireplace::
Gas Line
Fire Damper54--
Electrica_lNewConstruction Quantity
1 & 2 Family S.F:
Multi Family S.F:
Receptacle, Switch Lighting Outlets
Total Outlets:
Lighting Fixtures
Total Fixtures:
Total Low Voltage:
Separate Circuit:
Motors/rransformers
0-1 HP or KVAs
1-10 HP ar KVA:
10-50 HP or KVA::
50-100 HPor KVA:
Over 100 HP or KVA:
Signs
One branch circuit:
Add'1 branch circuit:
Service
00.600V not over 200A:—
0-600V & over 200AI
over 600V:
Temp PP/Piggy Back:: —
Sub Panel: —
Other:
Bathroom Quantity PPlumbingQuantity
Water closet (toiletj__
Bidet::
Urinal F_
Bath Tub:
Shower stall_
Lavatory (basin):
Hydro-massagetub:
IUtchen
Kitchen sink �-
Garbage Disposal�—
Bar sink
Vegetable sinkF-
Dishwasher:
Laundry/washing trap
Ice maker
Floor sink
Miscellaneous
Floor drain
Water piping[ —
Water softener
Water heater
Lavatory (basin):
Gas sys up to 4 oudets:r—
Gas sys # of outlets over 4 f
BackBow device up to 2":F—
BackBowdevice over 2"f —
Regulatorsf—
Lawn Sprinkler System
Roof drains :F—
Hose bibb:r
Drinking fountain::_
Grease trap:
Grease interceptor :r—
P-trap: -
Sewer
Newsewer::
Sewer alter/repair.F—
Sewer abandonmend