HomeMy WebLinkAboutX2019-1515 - Permit ApplicationMECHANICAL NO YES
10. Does the work include any refrigeration equipment? �'fj ❑
11. Does the work include new rooftop equipment weighing a total of 250 lbs. �T ❑
or more?
12. Does the work include altering the existing smoke detection system in the [ ❑
air plenum? r
13. Does the work include duct work with fire and or smoke dampers or duct (j ❑
extensions over 25 feet?
14. Are there any new installations containing a commercial type kitchen � L3hood, Types I or II?
ELECTRICAL NO YES
15. Does the work include a new service, sub panel, or transformer rated ❑
over 400 amps?
16. Does the work involve more than 5 branch circuits? ❑
17. Indoor lighting: Any new or replacement lighting over 50% of the existing ❑
lighting in the area?
18. Outdoor lighting: Any new or replacement lighting over 50% of the j� ❑
existing luminaries in a permitted area?
1-121
19. Does the work involve any high voltage installations (over 600 volts)? ❑
ITEMS NOT ELIGIBLE FOR M.E.P. PLAN REVIEW WAIVER
PLUMBING
• New restroom facilities
• Septic tanks, cesspools
• Chemical waste
• Combination waste & vent
I certify that the above
Signature
MECHANICAL
• Boilers
• Spray booth
• Fire and/or smoke damper
• Medical gas system
• Medium pressure gas
piping
is true and correct.
Print Name: Q -e bov"r L -1, 4��'Gt-e v 5
Phone#: r94 -c?) �S51--731'T
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Forms\COMMERCIAL MechanicalElecMca[M mbingPI.CheckQuestionnaire
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ELECTRICAL
• OSHPD 3 uses
• Dock or harbor power
• Photovoltaic or standby
generator
• Fuel cells
Date: �"1 GLr� . Z3
Job Address:
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
COMMERCIAL
MECHANICAL, ELECTRICAL, AND PLUMBING
QUESTIONNAIRE FOR PLAN REVIEW WAIVER
211I5� 1 '21- 11 I -f N ,zw')ov'I Ce a S f Dri `vC
The above -proposed project may require electrical, mechanical, and or plumbing plan checking.
The following questions are regarding the new proposed work and the applicable areas it
serves. If the answer to a question below is "YES," a plan check is required for the Electrical,
Mechanical, and/or Plumbing portion of work. To expedite the permit process, please submit
this questionnaire along with an application and three (3) sets of plans.
NOTE: The Chief Building Official may make exceptions for minor work, additions, and
alterations.
COMMERCIAL TENANT IMPROVEMENTS ONLY
,MNERAL NO YES
olls the area of work more than 2,500 square feet? ❑
2. Is the area of work for OTHER THAN an occupancy classification and °�A E3(use) of B (office), or M (retail)? e
3. Does the area of work require a concurrent review from any other City
department or outside agency (i.e. Health, Fire, or Public Works)? ❑
PLUMBING NO YES
4. Does the work include more than 9 plumbing fixtures? 0 ❑
5. Is the potable water piping 2 -inches or greater?
Imo;
❑
6. Does the work involve the installation of any pumps?
`v
❑
7. Does the work include a gas system other than typical low pressure
10
❑
system?
8. Are there any installations, alterations, or relocations of a grease
'0
❑
interceptor and or clarifier?
9. Is the plumbing work above the ground floor in a high-rise building?
4
❑
7 Comm'I F
Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
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Description of Work
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Valuation$ v0(2
Material/Labor
OWNER'S NAME `r V I KtLast P450V a I.. First p
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Owner's Address Owner's E-mail Address
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APPLICANT'S TME Last ��-[S� $ f/v� First
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Applicant's Address Applicant's E-mail Address
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ARCHITEC- Last first Lic. No.
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City �— State Zip Telephone
ENGINEER'S NAME Last f First F Lic No.F..._—..
Engineer's Address Engineer's E-mail Address
City State �— Zip Telephoned'
CONTRACTOR'S NAME/COMPANY (yj('i I _Ia�,`..rgC.�.,LLic.No. .�133.... Class
(I 1'f�V�Y�i/�
Contractor's Address Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT - PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
SE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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