The URL can be used to link to this page

Home My WebLink AboutX2022-1499 - Permit Application (4)Worksheet for Combo Building & Solar Permit Application r Comm'I F- Residential City of Newport Beach - Building Division Za�r I ��7A o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA j r;Building Grading f7Drainage r,Elec �'Mech TPlum cuvacuts cuvdFins Project Address (Not mailing address) F_ Flood F- Fire F_ Liq r Landslide N/A Floor Suite No 5020 Campus Dr. F1 210 Description of Work Usel- Const Type VBSprH IF Stories # Units (if Res)s 2,295 SF non -surgical orthopedic sports and spine medical clinic tenant improvement within an existing warm shell building Valuation $ New/Add SF� Remodel SF� Garage/New/Add 7—Material/Labor Fs270,000 OWNER'S NAME Last Alaghband First Fred Owner's Address Owner's E-mail Address Newport Campus LLC 5020 Campus Dr. Suite 250 falaghband@acsirvine.com City (Newport Beach State CA Zip 92660 Telephone 949.263.1920 APPLICANT'S NAME Last Schafer First Michael Applicant's Address Applicant's E-mail Address 23192 Alcalde Dr. Suite G mschafer@msa-corp.net City Laguna Hills State CA Zip 92653 Telephone 949.584.5426 ARCHITECT/DESIGNER'S NAME Last Schafer First Michael-Lic. Na. C-13366 Architect/Designer's Address Architect/Designees E-mail Address 23192 Alcalde Dr. Suite G mschafer@msa-corp.net City Laguna Hills State CA Zip 92653 Telephone 949.584.5426 ENGINEER'S NAME Last FirstF Lic. No. Engineer's Address Engineer's E-mail Address City State F Zip I— Telephoned CONTRACTOR'S NAME/COMPANY Column4Construction Lic. No. 992770 Class Contractor's Address Contractor's E-mail Address 5020 Campus Dr. Suite 250 alan@column4construction.com City Newport Beach State [CW-7 Zip 92660 Telephone 949.337.10884 SETBACKS REAR SETBACKS FRONT PERMIT NO. ^ 2o2 Z - qj q SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 138C- W2 7. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 317 , r.6 q x2sv1--1 Worksheet for Electrical/Mechanical/ Plumbing Application E�� City of Newport Beach ° Building Division Ga owx`" 1. Project Address (Not mailing address) Building Permit No. @OCampus Drive Floor Fi Suite 210 r 2.0wner's Name Last I Alaghband First Fred Owner's Street Address --- ---- -- -- ---- Newport Campus LLC 5020 Campus Dr. Suite 250 City Newport Beach State CA Zip 92660 Telephone 949.263.1920 Owners E-mail Address faaghband@acsirAne.com X 3.Applicant's Name Last i Schafer First I Michael Applicant's 12Alcaldet Address 23192 Alcalde or Suite G city Laguna Hills.. _ _ __... State CA _. Zip 92653 Telephone 949.584.5428 Applicant's E-mail Address mschafer@msa-corp.net [' 4. Contractor's Name Last Alvandl _ First Alan _._ State Lic# B_992770 Contractor's Street Address 5020 Campus Dr. Suite 250 _ _ _ _.. City Newport Beach _ _ _ _ State CA Zip 92660 Telephone 949.337.0884 Contractor's E-mail Address alan@column4constmction.com Business Lic# Mechanical Furnace Quantity up to 700,000 btu-1 over 100,000 btu:F— wall/Floor heaters .— Heat Pumps/Package Units up to 100,000 btu:r-- up to 1,000,000 btuvi up to 1, 750,000 btu:r— > 1, 750,000 btu:F— Boilers/Compressors up to 3 HP:I 3 HP-15 HP:Fi. 1 S HP-30 HPF--- 30 HP-50 HP:F— >SO HIP. Air Handling Units up to 10,000 CFM:�— > i0,000CFM:F VAV BoxF— Repair/Alter/Add HVAC NumberofZones:F— Ventilation Bathroom Fan:r Exhaust Fan: Attic Exhaust Residential Hood:r— Commercial Hood:ri Metal Fireplace :F— Gas Une:F — Fire Dampers:r Electrical New Construction Quantity 1 & 2 Family S.F: N/A Multi Family S.F: N/A. _ Receptacle, Switch Lighting Outlets Total Outlets:_ 57 Lighting Fixtures Total Fixtures: 41 Total Low Voltage: N/A Separate Circuity p Motors/rransformen 0-1 HPor KVAF2 1-10 HP or KVA'._2 10-50 HPor KVAf 1 50.100 HP., KVA:. N/A Over 100 HP or KVA: N/A Signs One branch circult: N/A Add'I branch circuit.N/A Service 0-600V not over 200A:_N/A_ 0-600V& over 200Af N/A over 600V N/A Temp PP/Piggy Back: N/A__.._ Sub PaneLl l other: N/A___; Bathroom Quantity Plumbing Quantity Water closet (toilet)F: 1 Backilow, device up to 2"F 1 Bidet BackBow device over 2f Urinal. Regulators.r— BathTubF— Lawn Sprinkler SystemF. Showerstall RoofdrainsF— Lavatory(basin)— Hose blbb:f Hydro -massage tub: Drinking fountainF Kitchen Grease trap r— Kitchen sinks Garbage Disposal _.— Exam-gacsinkr 3 Vegetable sink.ri Dishwasher Laundry/washing trap:- Ice maker Janitor's F-learslnkF 1— Miscellaneous Floor drain Waterpipingf—i — WatersoftenerF —' Water heater. Lavatory (basin) Gas Sys up to 4 outlets: Gas syS # of outlets over 4:F-- Grease interceptorF— P-trap Sewer Newsewerf- Sewer alter/repair: Sewer abandonment:F—