HomeMy WebLinkAboutX2019-0057 - Permit Application (3)ON
F- r Worksheet for Combo Building & Solar Permit Application ���"'°
Print Form
x � I� 0 57 City of Newport Beach - Building Division
Comm'I Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G,,.oa+•'
rx-Building r Grading
Drainage (X Elec r Mech r Plum cuvdcut 4145 Cu Yd Fill 30
Project Address (Not mailing address) I- Flood r Fire C- Liq r Landslide /A Floor Suite No
4537 Camden DR
F_
Description of Work
Use R -3/U Const Type VP -SPK
NEW 1 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT
# StoriesF # Units (if Res)F_
Valuation $Ii>L4/ �
Material/Labor 1,300,000
New/Add SF 6,565
Remodel SF F-Garage/New/Add 2,075
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
4531 CAMDEN RD
City NEWPORT BEACH
State CA Zip 92625 TelephoneF�
APPLICANT'S NAME
Last TEALE First MARK
Applicant's Address
Applicant's E-mail Address
2900 BRISTOLE ST A-203
mteale@tealearchitecture.com
City COSTA MESA
State CA Zip 92626 Telephone (949) 975-0123
ARCHITECT/DESIGNER'S NAME Last TEALE First MARK Lic. No. C-22162
Architect/Designees Address
Architect/Designees E-mail Address
City I—
State F_ Zip F— Telephone—
ENGINEER'S NAME
Last HAKIM First FADY Lic. No,Fc-C75736
Engineer's Address
Engineer's E-mail Address
410 GODDARD, SUITE 200
FADYHAKIM@FMHENGINEERING.COM
City IRVINE
State CA Zip 92618 Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY Lic. No. i Class'
Contractor's Address
Contractor's E-mail Address
City �
State F— Zip F— Telephoned'
SETBACKS REAR
SETBACKS FRONT PERMIT N0.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. an
l UZ-ZO 19
USE ZONE
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.newportbeachea.gov 1(949) 644-3200
RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL QUESTIONNAIRE
Job Address: 1A .J
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.. .
1. is the electrical service 600 amps or larger?
I
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2. Is there a solar photovoltaic or non -conventional system?
Qj
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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?
0
❑
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? 9 ❑
3. Does project include a sewage ejector system? V ❑
4. Does project include hot water boiler exceeding 120 gallon capacity or 400,000 B.T.U, input? [a' ❑
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 ['W psi]
(Medium pressure or greater)? �' ❑
7. Does project Include a vehicle compressed natural gas [CNG] fueling system? Qj ❑
8. Does project Include a Graywater system or Cistern rain water harvesting system? 1Y ❑
9. Does project include an alternate plumbing method or material which requires submittal
of an alternate method and materials request? e ❑
I certify that the abov formation is true and correct.
Signature: Date:
Print Name:
Phone#: ,%ftf ZZ O/.3
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