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HomeMy WebLinkAboutX2018-3789 - Permit ApplicationX 7,0V75 - 7D7 -V9 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 RESIDENTIAL ELECTRICAL, MECHANICAL AND PLUMBING SUBMITTAL QUESTIONNAIRE r T 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. ELECTRICAL NO YES 1. Is the electrical service 600 amps or larger? ❑ 2. Is there a solar photovoltaic or non -conventional system? ❑ 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? ❑ 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? ❑ 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? ❑ 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 ['/z' psi] ❑ (Medium pressure or greater)? 7. Does project include a vehicle compressed natural gas [CNG] fueling system? ❑ S. Does project include a Graywater system or Cistern rain water harvesting system? ❑ 9. Does project include an alternate plumbing method or material which requires submittal ❑ of an alternate method and materials request? I certify the Signature: Print Nam Phone #: Forms\ RESIDE e: tth b v formation' tra and correct. Date: cl ' NTIALEMPSA.iftl Qu tm.nn ire 9-1 Print Form Worksheet for Combo Building & Solar Permit Application comm"Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F;rBuilding r !GradingfO Drainage �i� ch Plum cuvdCut n Cu Yd Fill I / / 1 7uite Project Address (Not mailing address) _i, Flood n Fire Liq Landslide ❑N/A Floor No r v,4,-- kte jk►Lv%,. `11G -7 /,Al.-, Description of Work ... � � • to � e� �. � Ill - V /Add SF z� Remodel SF Garag d �(�e d OWNER'S NAME Last First Use� Const Type F # Stories�I # Units (if Res) Valuation $ t7O Material/Labor 4 Owner's Address Owner's E-mail Address` City ._YT __-____,_--_ ___— J State R 17 zip Telephone APPLICANT'S NAME Last First ----- l - - - -( Appli ant's Address Applicant's E-mail Address I - - - �v,}� 2 - ---1 M_7_3 t%yeo--- n � � 2 -- City - - - _ l State I `" l Zip __ 1- Telephone 14 ARCHITECT4SIGNER'S NAME Last First J Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City _ �1e �✓k-- -� State I c�_ Zip �ll Telephone t�j S 2_4-,2- > ENGINEER'S NAME Last First Lic. No. Engineer's Address Engineer's E-mail Address City,-__---. �__-_-- State �; Zip �i2 Telephon 6 , I�prj��p CONTRACTOR'S NAME/COMPANY I Lic. No. ZlN t Class Contractor's Address Contractor's E-mail Address 3R 1IUCa_cP_ i lG aKl� i Y1_K ¢C� G i l Com �y�,n/-'q L ----_-----._._----� City 4 12M �j7+ _.- State C� _..i Zip 1K2.--! -- Telephone %i / D'7Zc7' j05- SETBACKS )zS SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ Cd6­1�