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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division X201 r238V
(— Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F
1 Hoag Dr. Newport Beach, CA 92663
# Units
Tenant Name Hoag Hospital
2. Description of Work
Use
Propose to install Tesla Batteries and ancillary equipment outdoors.
State F Zip Telephone
Valuation $ 150,000.00
Extg Sq Ft F New/Added Sq Ft 2252 Total Sq Ft
No. F
Architect/Designer's Address
# Stories
r New r' Add (— Alter F_Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
First
Owners Address
Owner's E-mail Address
City
State F Zip Telephone
F_ 4. Arch itect/Designer's Name Last
First 7— Lic.
No. F
Architect/Designer's Address
Architect/Designers E-mail Address
City
State Zip Telephoned
FX_ 5. Engineer's Name Last Naes
FirstCheree Lic.
No. F
Engineer's Address
Engineer's E-mail Address
i
4240 E. Jurupa St. Ste. 402
cnaes@core-states.com
City Ontario
State CA Zip 91761 Telephone909-471-1895
F_ 6. Contractor's Name Last TBD
First 7 Lic. No. F_
Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F_ Telephoner
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $
PriPSt FoWorksheet for Electrical/Mechanical/ Plumbing Application 9471")rm City of Newport BeachBuilding Division
1. Project Address (Not mailing address) Building Permit No.
1 Hoag Drive Floor Suite F_
F 2.Owner's Name Last First
Owner's Street Address
1 Hoag Drive City Newport Beach State CA Zip 92663
Telephone I Owner's E-mail Address
FX 3. Applicant's Name Las[ Naes First Cheree
AIicanCs Street Address
4240E. Jump. St. St&402 City Ontario State CA Zip F91761
Telephone 909-471-1895 Applicant's E-mail Address cnaes@core-states.com
I— 4. Contractor's Name Last JTBD First State Lic # �—
Contractor's Street Address
City State F_ Zip
Telephone F— Contractor's E-mail Address
Business Lic#
Mechanical
Furnace Quantity
Electrical
New Construction Quantity
Plumbing
Bathroom Quantity Quantity
up to 100,000 btu::
1&2 Family S.F:
Water closet(toilet):: Backflow device up to T':
100,000 btu:
Multi Family S.F:
Bidet: Backflow device over 2"F--
":walover
l/floor heaters::
wall/floor
Receptacle, Switch Lighting Outlets
Urinal: Regulators
Heat Pumps/Package Units
Total Outlets::
Bath Tub: Lawn Sprinkler System:
up to 100,000 btu::
Lighting 9 9 Fixtures
Shower stall:: Roof drains::
up to 1,000,000 btu::
up to 1, 750,000 btu:
Total Fixtures::
Lavatory (basin): Hose bibb:
> 1, 750,000 btu:
Total Low Voltage::
Hydro -massage tub: Drinking fountain:
Kitchen Grease trap:
Boilers/Compressors
up to 3 HP::—
Separate Circuit
Kitchen sink:
Grease interceptor:
3 HP -15 HP::—
Motors/Transformers
Garbage Disposal::
P -[rap:
15 HP -30 HP:
0-1 HP or KVA::
1-10 HP or KVA::
BarsinkSewer
::
Vegetable sink: New sewer::
30 HP -50 HP:r-
10-50 HP or KVA:F--
Dishwasher Sewer alter/repair:
>50 HP::
50-100 HP or KVA::
Laundry/washing trap: Sewer abandonment:
Air Handling Units
up to 10,000 CFM::
Over 100 HP or KVA:_
Ice maker:
>10,000 CFM:F
Signs
FloorsinT
VAV Box::
One branch circuit
Miscellaneous
Repair/Alter/Add HVAC
Add'I branch circuit::
Number of Zones::
Service
Water ruing::
Water piping::
Ventilation
Bathroom Fan::
0-600V not over 200Ar—
Water softener:
Exhaust Fan::
0-600V &over 200A::
Water heater:
Attic Exhaust:
over 600V:r—
Temp PP/Piggy Back::
Lavatory (basin):
Gas sys up too outlets:
Residential Hood::—
Commercial HoodF—
Sub Panel:1,600
Gas sys # of outlets over 4F__
Other::
Metal Fireplace::
Gas Liner
Fire Dampers: