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£z01q•0950
1000 Bri5401 S4
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
Job Address: %ir-4,cz� Oar% %mss L
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
GE��L NO YES
1.
°Irjghg area of work more than 2,500 square feet?
❑
`°<°o°
%2.
m is jhe area of work for OTHER THAN an occupancy classification and
❑
(6se) of B (office), or M (retail)?
mE®.
° c 3.
Do64s the area of work require a concurrent review from any other City
department or outside agency (i.e. Health, Fire, or Public Works)?
❑
PLUMBAG
NO
YES
4.
Does the work include more than 9 plumbing fixtures?
Z�
❑
5.
Is the potable water piping 2 -inches or greater?
Z�
❑
6.
Does the work involve the installation of any pumps?
0
❑
7.
Does the work include a gas system other than typical low pressure
❑
system?
8.
Are there any installations, alterations, or relocations of a grease
❑
interceptor and or clarifier?
9.
Is the plumbing work above the ground floor in a high-rise building?
❑
MECHANICAL
NO
YES
10. Does the work include any refrigeration equipment?
,,
❑
11. Does the work include new rooftop equipment weighing a total of 250 lbs.
Ef
❑
or more?
12. Does the work include altering the existing smoke detection system in the
J�
❑
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
hood, Types I or II?
ELECTRICAL
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?
A ■I
NO YES
KNIFE
18. Outdoor lighting: Any new or replacement lighting over 50% of the ®, • • �•]
existing luminaries in a permitted area? '••'
•u•
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:_ Date: — mks - \
Print Name:
Phone #:
Forms\COMMERCIAL MechanicalElectricalPlumbingPlanCheckQuestionnaim
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