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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'