HomeMy WebLinkAboutX2018-3789 - Permit ApplicationX 7,0V75 - 7D7 -V9
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL QUESTIONNAIRE r T
Job Address:
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 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.
ELECTRICAL NO
YES
1.
Is the electrical service 600 amps or larger?
❑
2.
Is there a solar photovoltaic or non -conventional system?
❑
3.
Is there an electrical standby generator or fuel cell?
❑
MECHANICAL
❑
1.
Does conditioned space exceed 7,000 square feet?
2.
Does project include a basement or subterranean garage which requires mechanical
❑
ventilation in lieu of natural ventilation?
3.
Does project include enclosed standby generator system w/ mechanical exhaust venting?
❑
PLUMBING
❑
1.
Does project include a hydronic heating system?
2.
Does project include a sump pump located inside structure to lift water discharge to grade level?
❑
3.
Does project include a sewage ejector system?
❑
4.
Does project include hot water boiler exceeding 120 gallon capacity or 400,000 B.T.U. input?
❑
5.
Does project include a natural gas system exceeding 750,000 B.T.U.?
❑
6.
Does project include a natural gas system w/ pressure exceeding 14 inch water column ['/z' psi]
❑
(Medium pressure or greater)?
7.
Does project include a vehicle compressed natural gas [CNG] fueling system?
❑
S.
Does project include a Graywater system or Cistern rain water harvesting system?
❑
9.
Does project include an alternate plumbing method or material which requires submittal
❑
of an alternate method and materials request?
I certify the
Signature:
Print Nam
Phone #:
Forms\ RESIDE
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Date:
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Print Form Worksheet for Combo Building & Solar Permit Application
comm"Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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OWNER'S NAME Last
First
Use� Const Type F
# Stories�I # Units (if Res)
Valuation $ t7O
Material/Labor 4
Owner's Address Owner's E-mail Address`
City ._YT __-____,_--_ ___— J State R 17 zip Telephone
APPLICANT'S NAME Last First ----- l - - - -(
Appli ant's Address Applicant's E-mail Address
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City - - - _ l State I `" l Zip __ 1- Telephone 14
ARCHITECT4SIGNER'S NAME Last First J Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City _ �1e �✓k-- -� State I c�_ Zip �ll Telephone t�j S 2_4-,2- >
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City,-__---. �__-_-- State �; Zip �i2 Telephon 6 , I�prj��p
CONTRACTOR'S NAME/COMPANY I Lic. No. ZlN t Class
Contractor's Address Contractor's E-mail Address
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City 4 12M �j7+ _.- State C� _..i Zip 1K2.--! -- Telephone %i / D'7Zc7' j05-
SETBACKS
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SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
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