HomeMy WebLinkAboutX2019-1627 - Permit Application101
Print Form Worksheet for Combo Building & Solar Permit Application a `�Po"e
F_ Comm'I r Residential O0 Cih,^'of N6 sport Beach - Building Division W ��a (Q 2� o �
1 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood r Fir Li r Landslide rN/A Floor Suite No
274 COLLINS AVE, CORONA DEL R, C
2625 F—.
Description of Work
UseConst Type V IML, L -B
# Stories # Units (if Res)[
DEMOLISH EXISTIN61IN4 FA ILY RE IDENCE. NEW/SINGLE FAMILY TO BE BUILT ON
LOT 18/BLOCK NO.1 (2,406 LIVING S.F., 2 CAR GARAGE 395
S.F.)
Valuation -
New/Add SF 2,406 ' Remodel SFF
Garage/New/Add 395
$
Material/Labor
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OWNER'S NAME Last BDR, INC.
First
Owner's Address
Owner's E-mail Address
27489 AGOURA RD
City AGOURA HILLS State CA Zip 91301 Telephone 818.435.7775
APPLICANT'S NAME Last LINSDAY
First BRANDON
Applicant's Address
Applicant's E-mail Address
151 KALAMUS DRIVE, SUITE G-1
BRANDON@BRANDONARCHITECTS.COM
City COSTA MESA State CA
Zip 92626 Telephone714.754.4040
ARCHITECT/DESIGNER'S NAME Last LINSDAY First BRANDON F
Lic. No. C-35799
Architect/Designer's Address
Architect/Designer's E-mail Address
51 KALAMUS DRIVE, SUITE G-1
1FBRANDON@BRANDONARCHITECTS.COM
City COSTA MESA State CA
Zip 92626 Telephone 714.754.4040
ENGINEER'S NAME Last DEIHIMI
First FA Lic (Vo.�rn
Engineer's Address
Engineer's E-mail Address
23172 PLAZA POINTE DR. #145
AMIR@CORESTRUCTURE.COM
�i'f3DOSl IpZSp
City LAGUNA HILLS State CA
Zip 92653 Telephone, 949.954.7244 �)• .yam
lass
CONTRACTOR'S NAME/COMPANY ✓ t"1 /I
(`—
i ,� 1 �� Lic. No. jU
Contractors Address
Contractor's E-mail A�
ddre�sst
re
City .DA/.,(Q, t,� VLIS State I C '
Zip g l 3 D 1 Telephone. Z g 413,1'/)
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ^ �
SETBACKS LEFT SETBACKS RIGHT
; ' PLAN CHECK NO.
SE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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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
S
Job Address:
ONNAIRE
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? p(j ❑
2. Is there a solar photovoltaic or non -conventional system? ❑
3. Is there an electrical standby generator or fuel cell? K I ❑
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 [Y" 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?
9. Does project include an alternate plumbing method or material which requires submittal
of an alternate method and materials request?
I certify
Signature:
is true and correct.
Print Name: v kmw_dN L�A%N(}
Phone #: U, 15-4 4n,Q
Fomm\ RESIDENTIAL EMP Submittal Questionnaire 9-15
Date: a-'Zbg
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