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MECHANICAL
NO
YES
10.
Does the work include any refrigeration equipment?
0
❑
11.
Does the work include new rooftop equipment weighing a total of 250 lbs.
L
❑
or more?
12.
Does the work include altering the existing smoke detection system in the
®
❑
air plenum?
13.
Does the work include duct work with fire and or smoke dampers or duct
❑
extensions over 25 feet?
14.
Are there any new installations containing a commercial type kitchen
1
❑
hood, 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
❑
❑
existing luminaries in a permitted area?
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
MECHANICAL
• Boilers
• Spray booth
• Fire and/or smoke damper
• Medical gas system
• Medium pressure gas
piping
ELECTRICAL
• OSHPD 3 uses
• Dock or harbor power
• Photovoltaic or standby
generator
• Fuel cells
I certify that the above information is true and correct. /�
Signature: C/L Date: 9112-12-1
Print Name: 6 O'f-o rr S
Phone #: 4 Z S lk
3 S- g 6 7 o
FormSTOMMERCIAL MechanicalElecmcalPl=bingPlanCheckQuescionnwre
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