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Home My WebLink AboutB2001-3550 - PermitsCity of Newport Beach z Building Department CIP Permit No: B2001-3550 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor: Suite: Bldg: 1 Inspector Area: 7 Legal Desc: Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL 1 HOAG DRIVE NEWPORT BEACH CA 92663 WEAVER EMILY 4850 SARRANCA #203 IRVINE CA 9491552.2061 Code Edition : Type of Construction: Occupancy Group: Added/New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 3 No of Units: 97 II-1HR B Issued: 05/0112002 Receipt # Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: WATSON INVES 18182 SERRANO AVENUE VILLA PARK CA92667 714/974-6421 436023 03/3112003 BT98038807 10/31/2002 Workers' Compensation Insurance - - Carrier: Policy No: Expire: STATE FUND 229-0019928 01/0112003 Building Setbacks Rear: Front: Left: Right: Use Zone: Parking Spaces: Construction Valuation: $70.000.00 Building Permit Fee: $638.00 Plan Check Fee: $459.36 Supplemental: $0.00 Investigation Fee: $6.00 Clean Up Deposit: $1,106.09 Energy Compliance: $0.00 Fair Share: $ PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: GRADING APPROVAL: PUBLIC WORKS: Microfilm: Excise Tax : Park Ded: SJH Trans: San Dist: Ca Seismic Safety: sabled Review: $0.50 $0.00 $0.00 $o.00 $0.00 $0.00 $70.00 TOTAL FEE :$2,918.65 1 1 1 1 FEES Description of Work: TI13RD FLOOR (NO PLUM) 2739-2001 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: lnsiractor WOOD III JACK F 4850 BARRANCA #203 IRVINE CA 92604 949-552-2061 State Lic: C015130 State Lic: Hazardous Mat: Add Fire Dep HMG: Other Fee: TOTAL PAYMENT :$0.00 PLAN CHECK BY: APPROVAL TO ISSUE: - W RK MUST -BE START OR THIS PERMIT BECO $20.45 $0.00 $0.00 Fire Department: Plan Review Fee: Inspection Fee: Planning Department: Counter Review : Zoning Plan Check: OverTime Plan Check Fee: TOTAL DUE: $2,918.65 II- 06 $183.74 $446.60 $0.00 $0.00 $0.00 RIOD OF 180 DAYS FROM THE DATE OF VALIDATION ULL AND VOID. C�a))a(A17 APPROVALS FOUNDATION: ROUGH GRADE LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS /SLAB ON GRADE ,..,. FRAMING: !DECK SLAB - LSUBFLOOR---�----.�__.._._....__. 'ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT INTERIOR & EXTERIOR INSULATION 1DRYWALL ____ SUSPENDED CEILING — SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT MISC. INSPECTIONS: PERMIT EXTENSION ______ 1ST EXP. LETTER 2ND EXP. LETTER BUILDING FINAL !CERTIFICATE OF OCCUPANCY TENANT NAME: I2- TYPE OF BUSINESS USE: Shoreme clgPermit(Beck)B'1T COMMENTS 14 oz *C- 'ro 4- DATE I/24O .y TO: l Aft /4'.YOY=or4"T SOS /12,--A I 11 Jb'Z (mil OD kr t. C4 1114 REFUNDED 1440 OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON jSEC, 7031,5, BUSINESS ANO PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILEjA SIGNED STATEMENT THAT HE OR SHE 15 LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WRH SEC. 7000) OF DIV. 3 JF THE BUSINESS AND PROFESSIONS CODE)) OR THAT HE OR SHE 15 EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 1031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE L APPLICANT 1' TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($500 L,,. ; I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES NOTH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE MAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO ODES SUCH WORK HIMSELF 5 OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE § NOT INTENDED OR OFFERED FOR SALE. tF,HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER BUILCER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DI0 NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.). h,,; 1. AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC, 7044, BUSINESS ANO PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS 1511TH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW). BA P C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER (COMMENCING WITH SECTION 7000) OF DIVISION 0 OF THE BUSINESS AND PROFESSIONS III CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT. ❑CENSE CLASS LIQND. a 1 O7 �FANTRACTOR 'RA.M t W WORKERS- COMPENSATION DECLARATION I HEREBY AFFIRM UTIOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF'INSURE FOR WORKERS' *. -".-.,.COMPENSATION, A5 PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORX FOR WHICH THIS PERMIT IS ISSUED. I HAVE ANO WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: GARNER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (5100)OR LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 5O AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROV151ON50F SECTION 3700 OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WE THOSE PROO�VISIONS.e . /� % _�� TE: S-f-Ol NT: i . tt3 .`O^r WARNING( FAILURE TO SLdeA3 ROflK .d' CG AI ENSATION COVERAGE IS UNLAWFUL. AND D SHALL SUBJECT AN EMPLOYER TO OhIMINAL PEHALI.ES PIAO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000), IN A00PI<W TIT. THE COST OF (OMPENSATION, DAMAGES A5 PROVIDED FOR IN SECTION 3700 OF THE LA' -OR CF'DE. $ITFR'STyWD ATTORNEY'S FEES. CONSTRUCTION LONDING AGENCY I HEREBY AFFIRM NCUNDER F PENALTYHWORK FOR THAT THERE 15ACONSTRUCTION MENDING AGENCY FOR THE PERFORMANCE OF THE WORN FGR WHICH THIS PERMIT IS IBSUE018EC 3007, CIV.C.I. j LENDER'iNAME I CERTIFY TMAT I HP/E REAP, THIS APPUOATIOP. AND SWOT THAT TICE ABOVE INFORMATION 15 CORRECT. I AGREE TO COMPLY W TH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THEABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. TPEE 1$�MMF (PAIN') City of Newport Beach Building Department ELECTRICAL Permit No: E2001-1669 • . PO Box 1766/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Bldg1 Floor: Suite: Inspector Area: 7 Owner. Address: Phone: Issued Oa Processed HOAG HOS 1 HO flew construction Residential Multi -Family 1-2 Family Legal Desc.: Contractor: Address: Code Edit: 96 Description of Work: TII3RD FLOOR (NO PLUM) B2001-3550 WATSON INVESTMENT DEVELOPMENT 18182 SERRANO AVENUE 2663 VILLA PARK CA 92667 Phone: 714/974-6421 Con. State Lic- : 436023 Lic Expire: 03/31/2003 Bus. Lic.: BT98038807 Lic. Exp Date: 10131/2002 FEE ReceptaclelSwitchfOutIets ReceplOutlets 17 $16.49 0.00 Fixtures 2 $1.94 0.00 Sep Circuit 0 $0.00 Service / Signs 0 to 690V up to 21 rA 0 $0.00 Branch Circuit 0 $0.00 0 to 600V over 200A 0 $0.00 each Add Circuit 0 $0.00 Over 600A/1,000A 0 $0.00 Time Clocks 0 $0.00 TOTAL: $43.99 IN PE TOR NOTES: le/ales. o/c ter-1- To inspector Motors/Transformers IHP1KVAA 0 to 1 HPIKW/KVA 1 to 10 HPIKW/KVA 10 to 50 HP/KW/KVA 50 to 100 HPIKWIKVA over 100 HPIKW/KVA Piggy Back / Temp Power PAYMENT: $0.00 Temp Power Pole Temp Underground Sub Panel Record Managment Fee : Investigation Fee $0.00 Plan Check Issuance Supplemental Fee BALANCE: $43.99 $0.00 Woo S9.00 $0.00 $o.00 0 0 0 0 0 $0.00 $0.00 S9.00 $0.00 $0.00 $0.50 $0.00 $4.61 $20.45 $0.00 Attisre ONTRACTORS DECLARATION ofirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commendng with Section 7000] of Division 3 of the Business and Professions code, tiny license is in fullforce and effect. Memo No: 436023 Class Conhaclor: WATSON INVFSIMENT DFVFIOPMENI WORKERS' COMPENSATION DECLARATION I hereby affirm under penolly of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure for waken compensation, as provided tar by Section 3700 of the labor code, for the peformance of the work for which this permit Is Issued. _I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy numbers is: Cardec STAIF FOND Policy number: 229-001992E Explre : 01 /01 /2003 This section need not be completed if the permit is for one hundred dollars ($100} or less. rr I certify that In the performance of lira Robb fir which Psis pa mit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and agree that if I should t'come suSgxl L 04 y prkers' compensation provisions of Section 3700 of the labor code. I shall forthwith comply with those provisions. Dq�e: s- / • O. , ' r " r Icani Signature:9Q,a q Ct% : JRaming: Failure to secure workers compensation coverage is unl , and shall subject an employer to criminal penalties and civil fines up to one hundred / ($100,0001, in addition to the cost of aompfh-chon.cd, nsges'al prnv'p".d for in Sec lion 3706 of the labor code. Interest, and attorney's fees. r r c r 'r comply with city a correct; ihaU sre ?nod this appf tj onn' I l i injnrrr olla� t:�en is co d th; and person be e nploye authorized zed agent (he f labor owner.) hrest to comply with city cried stale'aws reg Uatl. rg Ednshudlory and h doing the watt authorized thereby, no person will be employed in violation of the labor code of the state of California foria relating to•dcrkri• *s compensation insurance. pemittee Name (Print) /41c-K w h_ Address : • nature of permittee:. pie S-/- vi Approvals Grounding Electrode Underground Underslab/Floor Rough Conduit Walls Rough Wiring Ceilings Rough Service Temp Power Utility Co. Notified Final Inspector/Date WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.. City of Newport Beach Building Department MECHANICAL Permit No: H2001-1203 PO Box 176813300 Newport Blvd., Newport Beach, California 92658-891 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Inspector Area: 7 Owner: Address: Phone: Issued Date: Processed By: HOAG HOSP 1 HO r'0 N Bldg: Code Edit: 97 PORT BEACH CA 9 05/0112002 HVAC Items Furnaces up to 100k Btu/hr over 100k Btu/h Nall/Floor Kea Heat Pumes & Pac up to 10ok Btu/hr up to 500k Btu/hr up to 1M Btu/hr up to 1.75M Btu/hr over 1.75M Btu/hr ,o $0.0 0 $0.'0 s 0 $0 00 ka e Uni O $0.00 O $0.00 O $0.00 O $0.00 O $0.00 TRACTORSDECLARATION 1 Floor: 63 Suite: Legal Desc.: Contractor: Address: Phone: Con. State Lic. : Lic Expire: Bus. Lic.: Lic. Exp Date: Boilers & Compressors up to 3HP over 3HP to 15HP over 15HP to 30HP over 30HP to 50HP over 50HP Misc Items Fire Dampers Gas Line Metal Fireplace ICB0 App.6- Description of Work: TI(3RD FLOOR (NO PLUM) B2001-3550 WATSON INVESTMENT DEVELOPMENT 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974.6421 436023 03/3112003 BT98038807 10/31/2002 0 $0.00 o $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 FEES TOTAL: $49.33 PAYMENT: $0.00 INSP CT R NOTES Inspecto' a d at a e .EXr 7a si�" Ventilation Bathroom Pan 0 $0.00 Exhaust Fan 0 $0.00 Attic Fan 0 $0.00 Down -Draft Fan 0 $0.00 Residential Hood 0 $0.00 Commercial Hood 0 $0.00 Repair/Alter/Add 2 $22.70 Alr Handling Units up to 10k cfm 0 $0.00 over 10k cfm BALANCE: $49.33 0 $0.00 nn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the business and professions code, cense Is to felt force and effect. No: 436023 Clore: ale: Conhaclor: WATSON INVESTMENT DEVELOPMENT WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to seN-0nsure for workers compensation, as provided for by Section 3700 of the labor code, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the labor code, for the performance of the work for which this permit is issued. My workers compensation Insurance carder and policy number Is : Cartier: STATE FUND Policy number: n04119928 Expire: 0110112003 (This section need not Le rompletad if thn permit is for one hundred dollars ($1o0 or less). I certify that In the performance of the work Mr a tia. this 'rentals Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that ti'shoc Id ',Adorns rR;e.t to the workers' comps provisions of 55dory17g0ol the labor code, l shall forthwith comply with those provisions. Dgle: t' I-b). plicant Signature:h��, Warning: Failure to secure workers' compensator covs.age Iv ur'aw ul, and shall subject an employer La criminal penalties and civil Ones up to one hundred thousand dollars (5100,000), In Idditior. to the lost of comeer aal.)n,damges as provided for In Section 3706 of the labor code, Interest, and attorney's fees. I hereby acknewhdge tlut 1 have cud Lis applkal'an; :ha. the 1-fonnaLan given Is correct: and that I am the owner, or duly authorized agent of the owner. l agree to comply with rity-nd state law revuladng conalr_ctlon and In doing the work authorized thereby. no person will be employed In violation of the labor code of the state of Cellar la relUiny to 'sr? men's aompensalion Insurance. ermittee Name (Print) RILM t. A[(. an Address : Signatup of permit fee' ie.,i f'-'Iojc s Date: VAV Box Other Record Management Fee: Investigation fee Plan Check Issuance Supplemental Fee Approvals UnderslablFloor o $0.00 $0.00 $0.00 $0.50 $0.00 $5.68 $20 .45 $0.00 Inspector/Date HVAC/Hood - Rough /7/�(e, Fireplace -Rough Gas Test Fireplace - Final HVAC/Hood - Final 1/ 370->; -�. WORK MUST BE STARTED WYTHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.