HomeMy WebLinkAboutX2014-1743 - Permit Application7. Does the project include a natural gas system with pressure exceeding 14 inch water
column ['/" psi] (Medium pressure or greater)? [�
8. Does the project include a vehicle compressed natural gas [CNG] fueling system?
9. Does the project include a Graywater system or Cistern rain water harvesting system?
10. Does the project include an alternate plumbing method or material which requires
submittal of an alternate method and materials request?
I certify that the above i rmatioryi true and correct.
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Print Name: f�ily , �C3i I N ':�'T-O'J
Phone #: —414
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FOOn51RESIDENTIAL EMPSubnilnd Questimm. 4-12 2
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL QUESTIONNAIRE
Job Address: '(01 c Llrp
The above -proposed project may need electrical, mechanical or plumbing plans for plan check. These
questions are directed to the new work requested for the applicable permit requested not what exists. In
order for this to be accurately determined and to eliminate confusion or delays in the permitting please
complete or have the design professional complete the questions below.
If the answer to a question below is "YES," an electrical, mechanical or plumbing plan check is required.
To expedite the permit process, please submit an application, plans (2 sets) and be prepared to pay plan
check fees.
NOTE: The Chief Building Official may make exceptions for minor work, additions, and alterations.
1. Is the electrical service larger than 400 amps?
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2. Is there a solar photovoltaic or wind turbine electrical generation system?
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3. Is there an electrical standby generator or fuel cell [diesel or natural fuel source]?
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4. Is there the installation of dock power exceeding 50 amps originating from residential
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electrical system?
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MECHANICAL
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1. Does the conditioned space exceed 7,000 square feet?
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2. Does the project include a basement or subterranean garage which requires
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mechanical ventilation in lieu of natural ventilation?
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3. Does the project include an enclosed standby generator system with mechanical
exhaust venting?
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4. Does the project include a refrigerant system [ex: refrigerated wine cellar, walk-in
coolers or freezers]?
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5. Does the project include a high efficiency tankless water heater with a fan or
a condensing furnace?
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PLUMBING
1. Does the project include a hydronic heating system?
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2. Does the project include a sump pump located inside the structure to lift water
discharge to grade level?
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3. Does the project include a, sewage ejector system?
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4. Does the project include a hot water boiler exceeding 120 gallon capacity or
400,000 B.T.0 input?
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5. Does the project include a gas system with more than one tankless water heater or
for more than 3,500 square feet of living space?
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6. Does the project include a natural gas system exceeding 750,000 B.T.U.? 0
Print Form Wrksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division o
F Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading r�brainage F_Elec rMech rPlum Cu Yd cut �y� Cu Yd Fill a i� (J
Project Address (Not mailing address) (- Flood r Fire r Liq r Landslide F_N/A Floor Suite No
79 IV I
Description of Work D -no \ COrA iSTt `ii, Or Tr t1PlL
Use F Const Type g
#Stories #Units (if Res) IT
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mcrsr 910 SF v2
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New/�F •1�+� Re od SF Gara a ew/Add ���
Valuation
Material/Labor
OWNER'S NAME Last First I Dkoa) CA
Owner's Address/
Owner's E-mail Address
City I State (_ ��— Zip _CT; � Telephoner- Jq
APPLICANT'S NAME LastFirst C'.,WASMIPIA(:4_
Applicant's Address Applicant's E-mail Address
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City I QDS7A �A&l State FCA Zip q3C TelephoneFT (Cl4�
ARCHITECT/DESIGNER'S NAME Last 9_5; l%CY"S First CTS Lic. No. 316-3
Architect/Designer'sAddress Architect/Designer's E-mail Address
[-3M\ AMC.Is@.bp&.AdOA ChVtZO�. COM
City(? QSTA State F&k Zip I (o v1 Telephone � • y'� �"1 i�
ENGINEER'S NAME Last hi�U��� 'Dt First �1��AP<t> Lic.No.C, q'q O
Engineer's Address Engineer's E-mail Address
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City -vA At'�VA State I CIA-- Zip Telephone M, O
CONTRACTOR'S NAME/COMPANY iymo fit- Lic.No. Class
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Contractor's Address Con actor's E-mail Address
D� State Zip�ECity DFTelephone '7
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SETBACKS REAR �_ SETBACKS FRONT PERMIT NO. / 17 -I
SETBACKS LEFT (i( SETBACKS RIGHT PLAN CHECK NO. Tq p I
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USE ZONE '—�— DEVELOPMENT NO V '' OP PLAN CHECK FEES $
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