HomeMy WebLinkAboutXC2024-0305 - Permit ApplicationPrint Form
�X Comm'I r Residential
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
P Building P Grading I —Drainage X Elec P Mech r Plum Cu Yd Cut
Project Address (Not mailing address) f Flood r Fire r Liq r Landslide
Cu Yd Fill
EN/A Floor
Suite No
38 Hoag Rd S, Newport Beach, CA 92663
Description of Work
Use
Const Type
Installation of two (2) EV charging stations with dual circuits per station.
# StoriesF
# Units (if Res)I
Valuation $
New/Add SF
Remodel SF
Garage/New/Add
Material/Labor
• 5,006
OWNER'S NAME Last
Owner's Address
Ho First
Owner's E-mail
Marcelo
Address
138 Hoag Rd S
marcelo.ho@hoag.org
City
Newport Beach State
CA Zip
192663 Telephone
9497648352
APPLICANT'S NAME Last
Applicant's Address
Nguyen First
Applicant's E-mail
Danny
Address
I7391 Lincoln Way
evpermitting@vvdcomm.net
City
Garden Grove State
CA Zip
192841 Telephone
7148976300
ARCHITECT/DESIGNER'S
Architect/Designer's
NAME Last
Address
First
Architect/Designer's
Lic. No.
E-mail Address
City
1 State
I Zip
( Telephone
ENGINEER'S
Engineer's
NAME Last
Address
First!
Engineer's
Lic. No.l
E-mail Address
City
State I
Zip I
Telephone
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Video Voice Data Communications
Lic. No.
Contractor's E-mail Address
821598 Class
C10
17391 Lincoln Way
evpermitting@vvdcomm.net
City
Garden Grove State
CA Zip
92841 Telephonef7148976300
SETBACKS REAR SETBACKS FRONT PERMIT NO. 'CZ0Z41• 0 3G5
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. peOOV4 12 75
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
-rint Form
1. Project Address (Not mailing address)
138 Hoag Rd S, Newport Beach, CA 92663
fl 2. Owner's Name
Owner's Street Address
138 Hoag Rd 5
Worksheet for Electrical/Mechanical/ Plumbing Application
City of Newport Beach
Building Division
Building Permit No.
Last 'Ho
Telephone 19497648352
fl 3. Applicant's Name
Applicant's Street Address
17391 Lincoln Way
Telephone 17148976300
First 'Marcelo
City 'Newport Beach
Owner's E-mail Address 'marcelo.ho@hoag.org
Last 'Nguyen
4. Contractor's Name
Contractor's Street Address
17391 Lincoln Way
Floor '
Suite '
State 'CA Zip 192663
First 'Danny
City 'Garden Grove
Applicant's E-mail Address 'evpermitting@vvdcomm.net
Last 'Nguyen
Telephone 17148976300
First 'Danny
State ICA Zip 192841
City 'Garden Grove
Contractor's E-mail Address 'evpermitting@vvdcomm.net
State Lic # 1821598
State 'CA Zip 192841
Business Lic # '
Mechanical
Furnace Quantity
up to 100,000 btu:1
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:!
15 HP-30 HP'
30 HP-50 HP:'
>50 HP:'
Air Handling Units
up to 10,000 CFM:'
> 10,000 CFM:'
VAV Box:'
Repair/Alter/Add HVAC
Number of Zones:'
Ventilation
Bathroom Fan:'
Exhaust Fan:'
Attic Exhaust:'
Residential Hood:'
Commercial Hood:'
Metal Fireplace:'
Gas Line:!
Fire Dampers:'
Electrical
New Construction Quantity
1 & 2 Family S.F1--
Multi Family S.F:'
Receptacle, Switch Lighting Outlets
Total Outlets:1--
Lighting Fixtures
Total Fixtures:'
Total Low Voltage:' —
Separate Circuit:'
Motors/Transformers
0-1 HP or KVA:'
1-10 HP or KVA:1--
10-50 HP or KVA:'
50-100 HP or KVA:1 —
Over 100 HP or KVA:1--
Signs
Service
One branch circuit:
Add'I branch circuit:1
0-600V not over 200A:'--
0-600V & over 200A:'—_
over 600V:'
Temp PP/Piggy Back:' --
Sub Panel:!
Other:'
Bathroom
Kitch
Quantity
Water closet (toilet):' --
Bidet:'
Urinal:�—
Bath Tub:r—
Shower stall:'
Lavatory (basin):!
Hydro -massage tub:J
en
Kitchen sink :1--
Garbage Disposal:'--
Bar sink:'
Vegetable sinkl--
Dishwasher'
Laundry/washing trap:'--
Ice maker:1--
Floor sink:'
Miscellaneous
Floor drain:'
Water piping:r—
Water softener:[
Water heater:'
Lavatory (basin):[
Gas sys up to 4 outlets:!
Gas sys # of outlets over 4:'
Plumbing
5
Quantity
Backflow device up to 2":j
Backflow device over 2":'
Regulators:r—
Lawn Sprinkler System:' --
Roof drains:'
Hose bibb:'
Drinking fountain:' --
Grease trap:'
Grease interceptor:!
P-trap:!
New sewer:!
Sewer alter/repair:!
Sewer abandonment:'--
ewer