HomeMy WebLinkAboutX2019-3820 - Permit ApplicationPnntForm Worksheet for Combo Building & Solar Permit Application
❑ Comm,l (Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u
4U op„m
Building AGrading Drainage OIElec - gmech 'Plum
Cu Yd Cut. Cu Yd FillEl
Project Address (Not Mailing address) E Flood Fired Liq Landslide ❑N/A Floor
1313 !/v . /�� � %� Suite No
C
Description of Work
2� 67rn O L ( Use 7 Const Type V1,3
.!/f �}- 1`i of (s L 1^y.nl L+/- JL�1'/D'+tdc_i.=; -
L l 2
ti w f�N7' 2 'ia r sfi q} f # Stories # Units (if Res)
% (j'e( L id/in.� flY)TCy J7 A¢- '/If
New/Add SFIY79T,577 Remodel SFValuation $ / CSo !UOL
Garage/New/Add io 3!i .Material/Labor
OWNER'S NAME Last--�
S'F'!rf/L.r%2aitif %�.FJN/EL1' First f4.v o
Owner's Address
,3Owners E-mail Address
city C� I7/I h E I State �
Zip / 262 Telephone
APPLICANT'S NAME Last
r .!"/G G 1 First�--
Applicant's Address ,Applicant's E-mail Address
3aca-m>:� j�r6��+tgvaf" iJ✓L
_ %3 %_ lJ E SiG—/%c S c Lt.7/3 aciL /✓�/
City
✓i i`Yl State Zip /� zk. z ` Telephone 7/ y &2 y- -7
ARCHITECT/DESIGNER'S NAME _y
Last t_. � S � �/ First �3 /L
�— Lic.No. C l77SL,/a
Architect/Designer's Address Architect/Designer's E-mail. Address
City DTI..StateI Gey— 'Zip�r-'7(c, ZS Telephone?/`t—�LY-'c-L'
ENGINEER'S NAME Last
First Lic. No.
Engineer's
%5�S' (�'
Engineer's Address
71
Engineer's E-mail Address -
r---� � f/i.�a✓q,lG� Jtiis>e /�:aiG—, c.::
.City /y %J ,Ll c i StateI r'..'4 Zip l �-(v. / r''T. Telephone /�T —2 Lr' —: ,, gc:iis
CONTRACTOR'S NAME/COMPANY Sv�jy e�
/ Sce,f} G/�ef� Lic. No. ET", js _Classn
_Contractor's Address
Contractor's E-mail Address
��++
C!i SC/; 4;/tet 6T6 N JG,/) G 2v CO 09q
City /jf 1G16T,4 I State Zip Telephone
y �z 3-z y�
SETBACKS REAR SETBACKS FRONTPERMIT NO. {_"9
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE �v l
DEVELOPMENT NO PLAN CHECK FEES $
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.newporlbeachca.gov 1 (949) 644-3200
RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL QUESTIONNAIRE _
Job Address:
The above -proposed project may need electrical, mechanical 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.
1. Is the electrical service 600 amps or larger?
Does project include a hydronic heating system?
2. Is there a solar photovoltaic or non -conventional system?
2.
Does project include a sump pump located inside structure to lift water discharge to grade level?
3. Is there an electrical standby generator or fuel cell?
yyy
3.
MECHANICAL
El
1. Does conditioned space exceed 7,000 square feet?
Does project include hot water boiler exceeding 120 gallon capacity or 400,000 B.T.U. input?
.�
2. Does project include a basement or subterranean garage which requires mechanical
ventilation in lieu of natural ventilation?
5.
Does project include a natural gas system exceeding 750,000 B.T.U.?
3. Does project include enclosed standby generator system w/ mechanical exhaust venting?
El
PLUMBING
i
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?
.�
El
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 [%" psi]
(Medium pressure or greater)?
L
Does project include a vehicle compressed natural gas [CNG] fueling system?
ylll���
El7.
El
8.
Does project include a Graywater system or Cistern rain water harvesting system?
11
9.
Does project include an alternate plumbing method or materiaI which requires submittal
of an alternate method and materials request?
fes{
Print Name: „1� P 6 L
Phone #: 7/1/--
Foms\ RESIDENTIAL SNIP Submittal Qnestionvaim 9-15
Date: ! %y
F Comm'I i Residential City of Newport Beach - Building Division
NOTE i �^ -90) obi
PI AN CHFRK FFFs nl lc or Wont nt ci ionmr-rn C 7
—7—
,F, -Building FGrading
F -Drainage F_Elec F_Mech F-plumCu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) Flood r Fire r- Liq f- Landslide rN/A Floor Suite No
t'2/
E
r,,
Description of Work
Use F—Const Type r--
.
# Stories # Units (if Resf
New/AddSF[
Remodel SFF -- Garage/New/Add �—
Valuation $
Material/Labor
OWNER'S NAME
Last, -v First F
Owner's Address
- Owners E-mail Address
City
State Zip Telephone
-------------
APPLICANT'S NAME
Last i First
Applicant's Address
'' Applicant's E-mail Address
r,
D 756
City
State r- Zip �-- Telephone
ARCHITECT/DESIGNER'S NAME Last Lic. No.
f First
J.,i F
-Architect/Designer's
Architect/Designer's Address
5 j E-mail Address
City
State r—V Zip [--- Telephoner-.-�—
ENGINEER'S NAME
Last Firstr-------- Lic.No.r-----
Engineer's Address
Engineer's E-mail Address
City r--
State r---- Zipr—- Telephoner----
CONTRACTOR'S NAME/COMPANY { Lic. No. 1---__- ClassF—
of
f
Contractor's Address
- .Contractor's E-mail Address
CdY
State r__-- .Zip r----- Telephone[—
elephonef—SETBACKSREAR
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $