HomeMy WebLinkAboutX2019-2384 - Permit Application<<�i�i<u.�s � v;4„„
Prih'V orm
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
X2011 _,2384
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor
11 Hoag Dr. Newport Beach, CA 92663
Tenant Name (Hoag Hospital
Suite No
#Units I
2. Description of Work
Propose to install Tesla Batteries and ancillary equipment outdoors.
Extg Sq Ft I
New/Added Sq Ft 12252 Total Sq Ft
Ix New r Add r Alter r Demo
Use I
Valuation $
150,000.00
# Stories
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last I First I
Owner's Address Owner's E
mail Address
I I
City I
State I
Zip I
Telephone)
r 4.
Architect/Designer's
Architect/Designer's Name Last
Address
I
First
Architect/Designer's
I
E-mail Address
Lic. No.
I
I
City
I State
Zip
I TelephoneI
5.
Engineer's
Engineer's Name Last
Address
!Nees
First ICheree
Engineer's
E-mail Address
Lic. No.
i
14240
E. Jurupa St. Ste. 402
Icnaes@core-states.com
City
(Ontario State
ICA Zip
191761 Telephonel909-471-1895
r 6.
Contractor's
Contractor's Name Last
Address
ITBD
First
Contractor's
I Lic. No. I
E-mail Address
Class'
I
I
City
I State
Zip
I TelephoneI
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO
—
OCCUPANCY - GROUP CHECK FEE
PLAN $
Pril'h Form
Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach x2oi 4 4 381.1
Building Division
1. Project Address (Not mailing address)
Building Permit No.
11 Hoag Drive
✓ 2. Owner's Name
Owner's Street Address
11 Hoag Drive
Telephone 1 Owner's E-mail Address 1
• 3. Applicant's Name
Applicant's Street Address
14240 E. Jurupa St. Ste.402
Telephone 1909-471-1895
✓ 4. Contractor's Name
Contractor's Street Address
Floor Suite 1
Last 1 First 1
City 'Newport Beach State CA Zip 192663
Last INaes
First ICheree
City 'Ontario
Applicant's E-mail Address Icnaes@core-states.com
Last ITBD
Telephone 1
Contractor's E-mail Address
State t Zip 191761
First 1
City
State
State Lic # 1
fl Zip I
Business Lic # 1
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu:l
1 & 2 Family S.F:1
Water closet (toilet):'— Backflow device up to 2"1—
over 100,000 btu
Multi Family S.Ft
Bidet 1—_ Backf low device over 2"1
wall/floor heaters:'!
Receptacle, Switch Lighting Outlets
Urinal:'— Regulators
Heat Pumps/Package Units
Total Outlets:
Bath Tug --Lawn Sprinkler System
up to 100,000 btu:1
Lighting 9 9 Fixtures
Shower stall:'— Roof drains:
up to 1,000,000 btu:'
Lavatory (basin):'— Hose bibb.
up to 1, 750,000 btu:'—
Total Fixtures:j
Hydro -massage tub:'— Drinking fountainr—
> 1, 750,000 btu—
Total Low Voltage:)
Kitchen '
Grease trap:
Boilers/Compressors
Separate Circuit
Kitchen sink :1—
Grease interceptor
up to 3 HP:1--
Motors/Transformers
Garbage Disposal:'
P-traps
3 HP -is HP: 1--
0-1 HP or KVA:'—
Bar sink. Sewer
15 HP-30 HP1
1-10 HP or KVA:1
Vegetable sink New sewer:'
30 HP-50 HP:1--
10-50 HP or KVA:'—
Dishwasher'— Sewer alter/repair
>50 HP:t
50-100 HP or KVA:I
Laundry/washing trap Sewerabandonment-—
Air Handling Units
up to 10,000 CFM:1
Over 100 HP or KVAI
Ice makerr—
>10,000CFM:�—
Signs
Floor sink :l—
VAV Box:'—
One branch circuit
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit:'—
Floor drain]
Number of Zones]
Service
Water piping:
Ventilation
0-600V not over 200Ar—
Water softeners
Bathroom Fan:l
0-600V & over 200A:1
Water heater
Exhaust Fan:I
over 600V:
Lavatory (basin)
Attic Exhaust:'
Temp PP/Piggy Back:
Gas sys up to 4outletsr
Residential Hood:
Sub Panel: 1,600
Gas sys # of outlets over 4:'—
Commercial Hood:
Other
Metal Fireplace:l
Gas Line:'
Fire Dampers:l