HomeMy WebLinkAboutX2015-1313 - Permit Application (2)YM6 d a,3w3
print Form Worksheet for Combo Building & Solar Permit Application
r ' omm'I Residential City of Newport Beach - Building Division
Pj NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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Material/Labor
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OWNER'S NAME Last Q j C)CEy�)First
Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last CM (c
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last; 54
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ENGINEER'S NAME Last � �
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Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANYLic.
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REA SETBACKS FRONT
PERMIT NO.
SETBACKS LE SETBACKS RIGHT
PLAN CHECK NO. '-i 1 lt.1 'S
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
CITY OF NEWPORT BEACH X 0 S - 1313
COMMUNITY DEVELOPMENT DEPARTMENT
BIDINGDSION
100 Civic Center Drive II PUQLBOX 1768 1I
681 Newpo Beach, CA 92858-8915
www,newportbeachca.gov 1 (949) 844.3200
RESIDENTIALELECTRICAL, MECHANICAL AND PLUMBING
SUBMITTAL 0UF.:Tir-%K1 1A1
Job address:
RE
The above -proposed project may 'need electrical, mechanical orlumbing pians for plan check, These
questions are directed to the new work requested for the applicable permit requested not what exists In order
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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.
dT_: The Chief Building Official may make exceptions for minor work, additions, and alterations:
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1, Is the electrical servic 0 am -sor larger?
2. Is there a solar photovoltaic or non -conventional system?
3. is there an electrical standby generator or fuel cell?
ECHANICA
1. Does conditioned space exceed 7,000 square feet?
`7 NO YES
C4CCS, ❑
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? ❑
PLUAAAINNG [! ❑
I. Does project Include a hydronic heating system?
2. Does project include a sump pump located inside structure to lift :water discharge to grade level? Q�
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 Q,T.U.?
8. Does project include a natural gas system w/
(Medium pressure or greater)? pressure exceeding 14 inch water column jI" psi]
7. Does project Include a vehicle compressed natural gas [CNG] fueling system? z' ❑
8. Does project include a Graywater system or Cistem rain water harvesting system? er
9. Does project include an alternate plumbing method or mIo 0
of an alternate method and materials request? water
which requires submittal
I certify that the
rmatid correct.
Signature:
Print Name: Ll h, IeM Date:
Phone #;: " __-- ---
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