HomeMy WebLinkAboutEL CAMINO REAL 420 09/01/2013��5�`�► TAKE -OFF WORKSHEET
PLAN CHECK #:
PROJECT ADDRESS: CL r TRACT: LOT:
Qty. ELECTRICAL Residential Envelope Fee by SO FT: Yes ❑ No ❑
OUTLETS: Switches ❑ Receptacles ❑
POWER: APPAR & LARGE APPLIANCES
LIGHTING: Fixtures ❑
SIZE&TYPE: HP KW KVA
KVAR
QTY.
POLE LIGHTING: Pole ❑ Platform ❑ Theatrical Type ❑
Up to 1 Incl.
'
❑
SWIMMING POOL SPA:
Over 1 to 10 Incl.
In"Car&"WoOWWW"No.fow.ascamnunnywento0PWronMnes
❑
SERVICES: 0-200A ❑ 201-400A 401-600A ❑ OVER 600A ❑
Over 10 to 50 Incl.
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❑
Temporary Power Pole ❑ Teml5orary Sub Pole ❑
Over 50 to 100 Incl.
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❑
Misc. Conduits & Conductors
Over 100
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❑
Other ELECTRICAL:
FIXED APPLIANCES NOT OVER i H.P
Water Softener:
TY.
A prnVrar7:"v ,. U
QTY.
Range: ❑
Heater:
❑
Landscaping & Irrigation Plan Check
D. W. ❑
Oven:
❑
Dryer: ❑
W. M.
❑
Top: ❑
FAU:
❑
Solar Heating System
W. H. ❑
Hood:
❑
Fan: ❑
Dis .:
❑
A.C. ❑ X11) u, ivat
Other:
❑
Certificate of Approprlafeneaa
Qty. MECHANICAL t1711 L-71 T-7
FAU Air Furnace includes ducts & vents up to 100,000 BTU
Toilet s
FAU Air Furnace includes ducts & vents over 100,000 to 1 Mil BTU PMPO"dWork:
FAU Air Furnace includes ducts & vents over 1,000,000 BTU
Appliance Vent installed and not included in appliance permit
ybePOwork tto a that
Compressor or Boiler u to 100,000 BTU
i a 0'* "00OYES No
Compressor or Boiler >100,000 BTU to 1,000,000 BTU
'
Compressor or Boiler > 1,000,000 BTU
Wash Basin:
Air Handling Unit < 2000 CFM
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Air Handling Unit > 2000 CFM and up to 10,000 CFM
UMM :
Air Handling Unit over 10,000 CFM
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Evaporative Cooler other that portable type
Lawn Sprinkler System, incl. Backflow
Vent Fans serving a single register with up to 10 Fans-
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Vent Fans serving a single register with > 10 Fans
9 Thor d+ rano arswre!0>v.mgaanOw+mnoOln�nn.d
Hood served by. a Mechanical Exhaust
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Re isters Inlets or Outlets
❑
Fire Dampers
Water Softener:
Duct Extension
A prnVrar7:"v ,. U
Ventilation System nota part of FAU System
Other MECHANICAL:
Qty
r:jIItIIz13CT►Cd
QTY.
Gas Piping System 1 to 4 Outlets
Toilet s
❑
Gas Piping System - Additional Outlets over & above 1-4
Bath Tub:
❑
Swimming Pool Piping (Excluding Heater & Gas
Shower:
❑
Private Sewage/Septic System
Wash Basin:
❑
Installation Alteration Repair Piping
Kitchen Sink:
❑
Building Drain Floor Drains or Floor Sink
Dishwasher:
❑
Lawn Sprinkler System, incl. Backflow
Laundry Tub or Tray:
❑
Vacuum Breakers Backflow Devices 1-5
Automatic Washer:
❑
Vacuum Breakers Backflow Devices ea >5
Water Heater:
❑
House Sewer Connection Abandonment Ca
Water Softener:
❑
Additional Building Sewer
Fire Sprinkler Heads
Landscaping & Irrigation Plan Check
Re -piping Potable Water
Industrial Waste Interceptor
Gas Pressure and Regulator
Solar Heating System
Other PLUMBING:
In Compliance with Federal Regulations, The City of Tustin does not discriminate on the basis of race, color, national origin, age or disability.
CITY OF TUSTIN V 300 CENTENNIAL WAY 0 TUSTIN CA 92780 • (714) 373-3131 or 3132 0 Fax 7141573-3129
REV /0/2006
3
PERMIT APPLICATION
CITY OF TUSTIN
kMMUNITY DEVELOPMENT DEPARTMENT
/573-3131
57 3-3J 31 or 714/573-3132 FAX: 714/ 573.3129
PLAN CHECK# ;t-2 �3 "Plan Cheek will e-vDire its 360 days from submittal date**.
PROJECT ADDRESS 10 I'AAD kj VALUATION OF PROJECT
**DESCRIBE -WORK TO BE DONE
:7 4k2, -V
APPLICANT (contact) NAM •
PROPERTY OWNER: (requiro)
I am the: Phone No. I ,
Name 427/
operty Owner El Arcktect
�
U Contractor U Engineer 3
Acicle6ss "',Atz"a
Employee of the j
L3.Owner E3 Contractor (verit7cation ofuxorker's C .... p. Reqired)
Phone Number
Email Address @
CONTRACT R XP., N�mef
Address City
State. License 4- _ -._Mass j'Exp:
State/ZIPPhone#
i;►SUg-CONTRACTOR: L3 YES ❑ NO
Email Address' @
4 ARC HtTECTcz0o.-Name
Address;,, City
--State License# Class"Exp p,
Phone #
Email Address; 11.�"@
E. ,R;,Co_Name .�,,,
City
State: Registration-# Class^ �^ Exp-,
4's tate/Zi;p t, Phone #
%
EmailAddress`
M
VOr RESIDENTIA BL( IKS MENA MUP-1-M-00 1' M GE
Room addition/Alteration sq. ft..
Linear feet of block wall, (x) max. 6'-87 high
Garage
Linear feet°of, retaining wall (x).max. 6'-8" high
light -frame sq. ft;
Linearfeet of woocl,fence (x) max. 6'-8" high
masonry sq. 'ft.
MM P TI 51, -5
4 -MA -INP REI-ROUR- MON WIMW M Q*� ON0WPOO Mr
Proposed Roofing Material
Patio enclosure —sq. ft.
[CC ER# of roofing
Patio cover sq. ft.
Roof area sq. ft.
Pool & Spa sq. ft.
if 7.01bs or over per sq. ft„ please provide structural analysis by registered engineer. Sign sq. ft.
Demolition sq. ft. Skylight
sq. ft. Fire sprinklers
,%PA 010- WX QN4RESIDENTIAV, ENAbWIMPRQVEMEN-,13L—l4!SW,,,�
GRAOINGWO
New Building Area sq. ft.
Grading area sq. ft.
Tenant Improvement ��s ft. Oped-pancy
C - Construction Type
For all waste collection bins or roil o mandatory t c CR&R Inc., City's franchise waste hauler. (Tustin City Code Section 4321 — Ord. No. 1325)
APPLICANT SIGNATURE: ff hu DATE: �