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HomeMy WebLinkAboutX2019-3005 - Permit Application[7r7int Worksheet for Combo Building & Solar Permit Application Ej Comm'IResidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I't8C Qd Building [7] Grading ❑Drainage WElec VNech plum CuvdCut lt.FyV V Cu Yd Fill Project Address (Not mailing address) ❑ Flood Fire E]Liq [-] Landslide �❑N/A Floor 501 MILFoRZ DP,. Co1e&1,j9 &6LM4e, F Suite No Description of Work Use R�q Const Type v�l # Stories© # Units (if Res)O GJU `� �Sel�ea� Valuation $ New/Add SF I Remodel SF Garage/New/Add Material/Labor OWNER'S NAME Last//� �l'(GYLLZ!'G I First � y �; Owner's Address Owner's E-mail Address x���na�oGl/.! �a�c •cow City Alai" State ® Zip h6Z5 Telephone PT/y3 APPLICANT'S NAME LastI First tAa Applicant's Address I A Applicant's E-mail Address City State Zip Telephon f ARCHITECT/DESIGNER'S NAME Last First Z Lic. No. ArchitectlDesigner's Address Architect/Designer's E- it Address ,3/511 Cszci� / e ev e u� iC�redeSi�/✓L City gs zU4I State ® Zip ,5 Telephoned ENGINEER'S NAME Last 2 j W5d5E First D Lic. No. -/nt Engineer's Address Engineer's E-mail Address ��� 23 C�rcG d ZSa M. a{' ri [JS�ts2 •CgoM Q Z ,/ 0 City l� rGs State C Zip 9 • Z X % _ 2�3a Telephone , / .ry ! p CONTRACTOR'S NAME/COMPANY i-� Lic. No. ��) jv ° Classl l rum o� ��t Contractors Address Contractors E-mail Address Ci/ iii Z_,Se sl Rd S /Oefi�C'� ( �i �TI"C %+�h Vt t"1rd�/ (. r✓/ City 1.2,a 7 M of r t State ® Zip Telephone Y9' qT— SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. PLAN CHE9K FEES $ imoo 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 Job Address: 30/ M1c.F0[,-b D/<L 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 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? I 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? 14 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 ['/i' psi] (Medium pressure or greater)? 7. Does project include a vehicle compressed natural gas [CNG] fueling system? 8. Does project include a Graywater system or Cistern rain water harvesting system? ■ rFA M Im i 9. Does project include an alternate plumbing method or material which requires submittal / of an alternate method and materials request? j, ❑ I certify that th Pove inf ,ationfis-t ue an correct. Signature: Date: Print Name: edvoliAll- ZG cr Phone #: " 0 O Forms\RESIDENTIAL EMP Subminal Questionnaire 9-15