HomeMy WebLinkAboutXC2024-0305 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application oE�E��arm
(K Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F- Building F_Grading
j-Drainage 5<Elec r'Mech Plum cuvdCut CUYdnllF
Project Address (Not mailing address) r Flood j- Fire F_ Liq r Landslide i-N/A Floor Suite No
38 Hoag Rd S, Newport Beach, CA 92663 F_ F_
Description of Work
Use F—Const Type
Installation of two (2) EV charging
stations with dual circuits per station.
# StoriesF_ # Units (if Res)F_r
Valuation
New/AddSFF-
RemodelSFF Garage/New/Addl
$ F,006
Material/Labor
OWNER'S NAME
Last Ho First Marcelo
Owner's Address
Owners E-mail Address
38 Hoag Rd S
marcelo.ho@hoag.org
City Newport Beach
State CA Zip 92663 Telephone 497648352
APPLICANT'S NAME
Last Nguyen First Danny
Applicant's Address
Applicant's E-mail Address
391 Lincoln Way
vpermitting@vvdcomm.net
City Garden Grove
State CA Zip 92841 Telephone 148976300
ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. F
Architect/Designers Address
Architect/Designer's E-mail Address
City I
State F Zip F TelephoneF
ENGINEER'S NAME
Last First F_ Lic No.r
Engineer's Address
Engineers E-mail Address
City
State F_ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY ideo Voice Data Communications Lic. No. 821598 Class 10
Contractors Address
Contractors E-mail Address
7391 Lincoln Way
evpermitting@vvdcomm.net
City Garden Grove
State CA Zip 92841 Telephone 7148976300
SETBACKS REAR
SETBACKS FRONT PERMIT NO. YCZ0 - a 305
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. PiM•'Z
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
FintForm Worksheet for Electrical/Mechanical/ Plumbing Application �r-o
City of Newport Beach
Building Division
1. Project Address (Not mailing address) Building Permit No.
38 Hoag Rd S, Newport Beach, CA 92663
Floor F— Suite F—
r 2. Owner's Name Las[ Ho First IMarcelo
Owner's Street Address
8 Hoag Rd S city Newport Beach State F^ Zip Fi663
Telephone 497648352 Owner's E-mail Address marcelo.ho@hoag.org
r 3. Applicant's Name Last Nguyen
First Danny
Applicant's Street Address
391 Lincoln Way �
City arden Grove State h^ Zip FTS41
Telephone 148976300 Applicant's E-mail Address vpermitting@wdcomm.net
I- 4. Contractor's Name Last Nguyen First Danny State Lic # 21598
Contractor's Street Address
V391 Lincoln Way City arden Grove- State CA Zip 92841
Telephone 148976300 Contractor's E-mail Address v ermittin
p g@wdcomm.net Business Lic#
Mechanical
Furnace Quantity
up to 100,000 btu:: -
over 100,000 btu::-
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 btu::-
Boilers/Compressors
up to 3 HP::-
3 HP-15 HP:r-
15 HP-30 HP:-
30 HP-50 HP::-
>50 HP:: -
Air Handling Units
up to 10,000 CFM::-
> 10,000 CFM::-
VAV Box:r—
Repair/Alter/Add HVAC
Number of Zones.: -
Ventilation
Bathroom Fan:r—
Exhaust Fan:
Attic Exhaust:: -
Residential Hood:: -
Commercial Hood:: -
Metal Fireplace:: -
Gas Line:: -
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:
Lighting Fixtures
Total Fixtures.: -
Total Low Voltage:: -
Separate Circuit:
Motors/Transformers
0-1 HP or KVA::-
1-10 HP or KVA:r-
10-50 HP or KVA:
50-100 HP or KVA::-
Over 100 HP or KVA.:
Signs
One branch circuit::-
Add'I branch circuit:: -
Service
0-600V not over 200A:
0-600V & over 200A:
over 600VF_
Temp PP/Piggy Back: -
Sub Panel::-
Other:: -
Water closet (toilet):F-
Bidet:: -
Urinal r—
Bath Tub::-
Showerstal f -
Lavatory(basin)::-
Hydro-massage tub.: -
Kitchen
Kitchen sink :r-
Garbage Disposal:F-
Bar sink:: -
Vegetable sink::-
Dishwasher:-
Laundry/washing trap:: -
Ice maker :r-
Floor sinkf-
Miscellaneous
Floor drain: -
Water piping: -
Water softener:: -
Water heater:: -
Lavatory (basin):: -
Gas Sys up to 4 outlets::-
Gas Sys # of outlets over 4a
Backflow device up to 2"::-
Backflow device over 2".F-
Regulators:: -
Lawn Sprinkler System:
Roof drains:
Hose bibbF-
Drinking fountain:
Grease trap::
Grease interceptor.:-
P-trap::
Sewer
New sewer:: -
Sewer alter/repair::-
Sewer abandonment::