HomeMy WebLinkAboutXC2022-2115 - Permit ApplicationPrint Form' Worksheet for Combo Building & Solar Permit Application E q>
City of Newport Beach - Building Division o c
FX Comm'I r Residential =
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c.o.."
Building r Grading rDrainage iElec j-jlPlech r�Plum cuYdCut F cuYdFill
Project Address (Not mailing address) F-; Flood r Fire r Liq r Landslide I N/A Floor Suite No
1441 Avocado Ave.
703
Description of Work
Use Const Type
s project is I.I. is an existing vacant suite. is an dermatologist office, including exam
..
rnnms natipnt Ini ngp nffiraq lAh rpctrnnm and ctnranp
#Stories $ (if Res)
''
9Uoits
i�YlY1LC'l� .
-. --
._.-__---------._. ----
80
Ff
New/AddSF� Remodel SF 1618-
Garage/New/Add a/New/Add -
Valuation$
Material/Labor
OWNER'S NAME Last Rhodes Development Company First
Owner's Address
Owner's E-mail Address
1401 Avocado Ave, Suite 901
rgraves@rhodesdev.net (Owner's Rep: Rob Graves)
Newport Beach CA
City State Zip 92660 Telephone (949) 279-1 __
APPLICANT'S NAME Last Hsu
First Anthony
Applicant's Address
Applicant's E-mail Address
26961 Camino de Estrella, Suite 200
a@kw-architects.com
_ -
City Capistrano Beach State C'4
Zip 92624 Telephone 949-388-1250
- -- -
ARCHITECT/DESIGNER'S NAME Last Wiggle
First Lic. NoCary 11042
.
Architect/Designer's Address
Architect/Designer's E-mail Address
26961 Camino de Estrella, Suite 200
gary@kw-architects.com
t apisrano Beach CA
City C_ ' State �
9269-388-1250
Zip 24 Telephone94
ENGINEER'S NAME Last
First �— Lic. No.�
Engineer's Address
Engineers E-mail Address
city � State
Zip Telephoned
CONTRACTOR'S NAME/COMPANY
Lic No. Class
Contractor's Address 0 CIE- O � �2
/ l
q-QOContractor's E-mail Address _
�auf-j e�ckeY, h T—
Cito'l-N't r State I -
Zip l 2w�o� Telephone
-q3C
Ae
REAR SETBACKS FRONT
PERMIT NO.G
LEFT SETBACKS RIGHT
E
PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $
Print Form Worksheet for Combo Building & Solar Permit Application ow
fX Comm'1 F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading rDrainage 'Flee rilDlech
j—OPlum cuYdCutF CuYdFill F
Project Address (Not mailing address) F_ Flood r Fire j— Liq r Landslide f N/A Floor Suite No
1441 Avocado Ave.
703
Description of Work
Use ConstType 1A
This is I.I. is an existing vacant suite. I.I. Is an dermatologist
office, including exam
project
rnnmgpatient lounnp�nffirp�l�rpctrn�and ctnragpctnraqp
# StoriesF # Units (if Res)
���it
New/Add SFF— Remodel SF 1, 1 Garage/New/Add F—
Valuation $
Material/Labor
OWNER'S NAME Last Rhodes Development Company First
Owner's Address
Owner's E-mail Address
1401 Avocado Ave, Suite 901
rgraves@rhodesdev.net (Owner's Rep: Rob Graves)
City Newport Beach State CA
Zip 92660 Telephone (949) 279-1257
APPLICANT'S NAME Last Hsu
First Anthony
Applicant's Address
Applicant's E-mail Address
26961 Camino de Estrella, Suite 200
a@kw-architects.com
City Capistrano Beach State CA
Zip 92624 Telephone 949-388-1250
ARCHITECT/DESIGNER'S NAME Last Wiggle
First Cary Lic. No. -11042
Architect/Designer's Address
Architect/Designees E-mail Address
26961 Camino de Estrella, Suite 200
gary@kw-architects.com
City Capistrano Beach State CA
Zip 92624 Telephone 949-388-1250
ENGINEER'S NAME Last
First F_ Lic. NoF
Engineer's Address
Engineer's E-mail Address
City State F_
Zip F__ Telephoned
CONTRACTOR'S NAME/COMPANY
Lic. No. F—ClassF_
Contractor's Address
Contractor's E-mail Address
City State F_
Zip F_ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 7
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
Worksheet for Electrical/Mechanical/ Plumbing Application
Print Form �EWaoRr
City of Newport Beach
Building Division
1. Project Address(Not mailing address) Building Permit No.
1441 Avocado Ave
Floor Suite
r 2. Owner's Name Last I
Rhodes Development Company First
Owner's Street Address Avocado Ave, suite Yu I City ewpor eac State I jC71— l9Z6�0� Zip I
Telephone F Owner's E-mail Address
r 3. Applicant's Name Last I Hsu First I
Anthony
A licant's Street Address jC7� �)Z624�
ammo e s re a, u e a
City pes rano ea< State I Zip I
Telephone I198� Applicant's E-mail Address a w-arc a s.com
i— 4. Contractor's Name Last First State Lic # F_
Contractor's Street Address
City F_ State F_ Zip
Telephone F_ Contractor's E-mail Address Business Lic # F_
Mechanical
Furnace Quantity
up to 100,000 btuF_
over 100,000 btuF_
wall/floor heaters
Heat Pumps/Package Units
up to 100,000 btu:..
up to 1,000,000 btu:.
up to 1, 750,000 btu:
> 1, 750,000 btuF--
Boilers/Compressors
up to 3 HP::
3 HP-15 HP:
15 HP-30 HPF_
30 HP-50 HP:F_
>50 HP:: —
Air Handling Units
up to 10,000 CFM:
> 10,000 CFM:F_
VAV Box:
Repair/Alter/Add HVAC
Number of Zonesd—
Ventilation
Bathroom Fan:F—
Exhaust Fan:: —
Attic Exhaust:
: —
Residential Hood:F—
Commercial Hood
Metal Fireplace::
Gas Une::—
Fire Dampers::
Electrical Plumbing
New Construction Quantity Bathroom Quantity Quantity
1 & 2 Family S.F::
Multi Family S.F:
Receptacle, Switch Lighting Outlets
Total Outlets: 7t
Lighting Fixtures
Total Fixtures 39
Total Low Voltage::
Separate Circuit:
Motors/Transformers
0-1 HPor KVA:
1-10 HP or KVA:-
10-50 HP or KVAI
50-100 HP or KVA:_
Over 100 HP or KVA:
Signs
One branch circuit
Adel branch circuit
Service
0-600V not over 200A:
0-600V & over 200A::
over 600V:
Temp PP/Piggy Back
Sub Panel
Other
Water closet (toilet)
Bidet
Urinal:
Bath Tub:F—
Shower stall:
Lavatory (basin)
Hydro -massage tub:
Kitchen
Kitchen sink:
Garbage Disposal:
Bar sink::
Vegetable sink:
Dishwasher
Laundry/washing trap
Ice maker:
Floor sink::
Miscellaneous
Floor drain::
Water piping:
Water softener
Water heater:
Lavatory (basin):
Gas sys up to 4 outlets::
Gas sys # of outlets over 4::
Backflow device up to 2":F—
Backflow device over 2" .:
Regulators:
Lawn Sprinkler System:
Roof drains:
Hose bibb:
Drinking fountain
Grease trap:
Grease interceptor.:
P-trap:
Sewer
New sewer
Sewer alter/repair:
Sewer abandonment:
Print Form Worksheet for Electrical/Mechanical/ Plumbing Application zEWenR,
Print City of Newport Beach t
Building Division
.tea...
1. Project Address(Not mailing address) Building Permit No.
1441 Avocado ve
Floor F Suite �—
r 2.owner's Name Last I
Rhodes Development Comipun-y First
Owner's Street Address
Avocao ve, m e city eac State I F11—
�—', _ ZAP I
Telephone
Owner's E-mail Address
173. Applicant's Name...- Last. so First jAnthony .. __. _ ... _.. .
licant's Street Address
APjC}�
ammo e s re w a, e City apa rano BeachState I Zip 926I4
Telephone I""""'"" _ Applicant's E-mail Address laCWKw-arcmtects.conn - - ---
r 4. Contractor's Name Last I First I State Lic #
Contractor's Street Address
Telephone F Contractor's E-mail Address
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
up to 100,000 btu -i
1 & 2 Family ST:7
over 100,000 btu:-,,
Multi Family S.F.—,.
wall/floorheatersF—
Receptacle, Switch Lighting Outlets
Heat Pumps/Package Units
up to 100,000 btu)
Total Outlets:71 _ ..
-- - -
to 1,000,000 btu:—.
Lighting Fixturesup
up to 1, 750,000 btu—'
Total Fixtures. 39
> 1, 750,000 btuF-'
Total Low Voltage:-;
Boilers/Compressors
Separate Circuit_,
up to 3 HPf--
-
3 HP-15 HPf
Motors?ransformers
15 HP-30 HP�—
0.1 HP or KVA�
—,
30 HP-50 HPr
1-10 HP or KVAF-,
10-50 HP or KVA)_
>50 HP:r,.,
50-100 HP or KVAf—,,
Air Handling Units
up to 10,000 CFMI.'
Over 100 HP or KVAF
>10,000 CFM)—'
Signs
VAV Box:F-7
One branch circui[F—'.
Repair/Alter/Add HVAC
Add'I branch circuit)i'
Numberof Zones:—.
Service- -- -
Ventilation
Bathroom Fan:—.
0-600V not over 200A)
ExhaustFan)—
0-60ON & over 200A:F7—
Attic Exhaust:r—
over 600VF---
Residential Hooch -
Temp PP/Piggy Back
Commercial Hoodf
Sub PanelF—
Metal Fireplace
Otherr—
Gas Line—
_ ___
Fire Dampers[—.
City I State I— Zip I
Business Lic #
Bathroom Quantity
Plumbing Quantity
Water closet(toilet))';
BackRow, device up to 2-- —
Bidet:F--1
Backflow device over 2"r-7
Urinal f—'
RegulatorsF-;
Bath Tub:li
Lawn Sprinkler System:F-
Showerstall{—
Roof drains
Lavatory(basm))
Hosebibbi
Hydro -massage tube' Drinkingfountainr—
Kitchen
Kitchen sink E
Garbage Disposal;
Bar sink(
Vegetable sink
Dishwasher
Laundry/washing trap
Ice makers
Floor sink:
Miscellaneous
Floor drain)
Water piping
Water softener
Water heater)
Lavatory (basin)[ --
Gas sys up to 4 outlets:r—
Gas sys # of outlets over 4:�
Greasetrap
Greaseinterceptor:F--1
P-trap—'
Sewer
New sewer;
Sewer alter/repair
Sewer abandonment'