HomeMy WebLinkAboutX2017-4056 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4'Es
F
F_ Comm'I Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building r Grading
rbrainage r Elec FX_ Mech rx-. Plum Cu YdcutF Cu Yd Fill s
Project Address (Not mailing address) F_ Flood r Fire j Liq F_ Landslide rN/A Floor Suite No
130933rd Street
Description of Work
Use R3 Const Type B
Renovation of kitchens, baths
in an existing two story, two family residence and the addition of
R;AA41er.Repiac ... eRt eF
ex stiag-slidingdoar with new Wald epenings and windows
# Storiess # Units (if Res)F
hrough out. w
Valuation S
New/Add SFs
Remodel SF 1800 Garage/New/Add F
380,000
Material/Labor
OWNER'S NAME
Last ORTSMAN First JOHN
Owner's Address
Owner's E-mail Address
309 33RD STREET
OHN@GMMLA.COM
cityNEWPORT BEACH
State CA Zip 92627 Telephone 714 267 6067
APPLICANT'S NAME
Last PRICE First POHN BRYAN
Applicant's Address
Applicant's E-mail Address
7071 CABOT ROAD, SUITE
108 BRYAN.PRICE@CAPDESIGN.US
Ciry LAGUNA HILLS
State CA Zip 92653 Telephone 949 716 8258
ARCHITECT/DESIGNER'S NAME Last PRICE First FOHN BRYAN Lic. No. C-30696
Architect/Designer's Address
Architect/Designer's E-mail Address
PACE ARCHITECTURE, INC.,27071 CABOT RD, S-128 BRYAN.PRICE@CAPDESIGN.US
City LAGUNA HILLS
State CA Zip 92653 Telephone 949 716 8258
ENGINEER'S NAME
Last ROHRER First PAUL Lic. No. 340
Engineer's Address
Engineer's E-mail Address
17291 IRVINE BLVD, #152
PAUL@PRSEINC.COM
Ciry TUSTIN
State CA Zip 92780 Telephone714 272 9579
CONTRACTOR'S NAME/COMPANY HOLDEN CONSTRUCTION SERVICES Lic. No. 576388 Class
Contractor's Address
Contractor's E-mail Address
28892 EL APAJO
DONHOLDEN@COX.NET
City LAGUNA NIGUEL
State CA Zip 92677 Telephone 949 279 7488
SETBACKS REAR
SETBACKS FRONT PERMIT NO. In t
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. I
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
3Z ?
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive j P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL QUESTIONNAIRE
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?
11
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 [1/" psi]
❑
(Medium pressure or greater)?
7.
Does project include a vehicle compressed natural gas [CNG] fueling system?
A
❑
8.
Does project include a Graywater system or Cistern rain water harvesting system?
P"
❑
9.
Does project include an alternate plumbing method or material which requires submittal
of an alternate method and materials request?
Ia
❑
1 certify that the above info cation is true and correct.
Signature: Date: 17
Print Name: ¢ Y
Phone#:
Fotm RES[DEV7IAL EMP Submittal Qwsdomaim 9-15