HomeMy WebLinkAboutX2019-0194 - Permit ApplicationCITY 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
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
1. Is the electrical service 600 amps or larger?
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2. Is there a solar photovoltaic or non -conventional system?
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3. Is there an electrical standby generator or fuel cell?
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MECHANICAL
1. Does conditioned space exceed 7,000 square feet?
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2. Does project include a basement or subterranean garage which requires mechanical
ventilation in lieu of natural ventilation?
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3. Does project include enclosed standby generator system w/ mechanical exhaust venting?
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PLUMBING
1. Does project include a hydronic heating system?
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2. Does project include a sump pump located inside structure to lift water discharge to grade level?
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3. Does project include a sewage ejector system?
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4. Does project include hot water boiler exceeding 120 gallon capacity or 400,000 B.T.U. input?
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5. Does project include a natural gas system exceeding 750,000 B.T.U.?
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6. Does project include a natural gas system w/ pressure exceeding 14 inch water column ['/s' psi]
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(Medium pressure or greater)?
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7. Does project include a vehicle compressed natural gas [CNG] fueling system?
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8. Does project include a Graywater system or Cistern rain water harvesting system?
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9. Does project include an alternate plumbing method or material which requires submittal
of an alternate method and materials request?
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I certify that the above information is true and correct.
Signature: 0,1 l� Date: I
Print Name:
Phone #:��` k 2—KZ9 L,
Forms\ RESIDENTIAL EMP Submittal Questionnaire 9-15
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Print Form Worksheet for Combo Building & Solar Permit Application SEW bq
F Comm'I Residential City of Newport Beach - Building Division m
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood r Fire Li r Landslide rN/A Floor Suite No
Description of Work
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OWNER'S NAME Last a Grt=A- - &A- First
Owner's Address Owner's E-mail Address
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City Nc,-frov-r State I i; Zip I
APPLICANT'S NAME Last o c.pt{p,, y First "ro
Applicant's Address Applicant's E-mail Address
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City I - _ ®� State Zip `j� Telephone -LIf >< _
ARCHITECT/DESIGNER'S NAME Last C�tuF J' First F— Lic. No. Fe - ZI 1 \S
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip F Telephoned
ENGINEER'S NAME Last Ld p p First s ijYhW . J Lic. No. S S 6 Z 7
Engiinneer's Address Engineer's E-mail Address
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City �� � y State ��Gfe, Zip i Telephone �SI .(000 - acmv_
CONTRACTOR'S NAME/COMPANY Lic. No. Class F
Contractor's Address Contractor's E-mail Address
City � State F_ zip r_ Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. i]I
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SETBACKS LEFT SETBACKS RIGHT PLAN CHr"'t N0. �J(��?:Q I
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USE ZONE DEVELOPMENT NO iJ wI 1 (/Llw PLAN CHEC C FEES $