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Home My WebLink AboutB2005-2059 - PermitsCity of Newport Beach Building Department BLDG Permit No: 132005-2059 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: Inspector Area: 7 OF LOT Owner: Address: Phone: HOAG MEMORIAL HOSPITAL 301 N NEWPORT BLVD ORANGE CA 92869 Applicant: CHRIS/CAREY SIGNS Address: 2871 BLUE STAR ANAHEIM CA 92806 Phone: 714/630-8414 Code Edit : Type of Construction: Occupancy Group: Added Mew sq.ft. Bldg: Added'/New sq: ft. Garage No of Stories: No of Units : Bldg Height : Bldg Sprinklers: Flood Zone: Issued:10/12/2005 2001 U2 0 / Suite: Bldg: 1 Description of Work: SIGNAGE/MON, DIREC, I.O. "HOAG HOSPITAL" 1582-2005 'WORK IN PROGRESS" Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR Contractor: CSG CORPORATION Address: 2871 BLUE STAR STREET ANAHEIM CA 92806 Phone: ry4449.630-8414 Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: 376085 08/31/2007 BT03043004 03/31 /2006 Worker's Compensation Insurance Carrier. STATE FUND Policy No: Expire: 1589469 08/31/2007 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: PC Parking Spaces: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: AGOST MARK JOSEPH 651 ARROYO DR SAN DIEGO CA 92103 619-296-2096 State Lic:C-046994 NORDQUIST SIGN COMP. 312 W LAKE STREET MINNEAPOLIES MN 612-823-7291 Special Conditions: MD2005-091 Sign program Construction Valuation: $280,000.00 Building Permit Fee : $1,822.00 Plan Check Fee: $1,311.84 Investigation Fee: $1,822.00 Clean Up Deposit: $0.00 Disabled Acess : $0.00 Demo Adm Fee: $0.00. Fee Increased $146.49 PROCESSED BY: PLANNING APPROVAL: GRADING APPROVAL : Microfilm: Excise Tax- Res: Excise Tax- Corn: Supplemental P/C: Fair Share: General Sery DMO Refund DMO Dep $67.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEES Haz Mat Disclosure: CA Seismic Safety: Other: $0.00 $0.00 $0.00 Public Works Plan Ck: $53.00 TOTAL FEE : $5,442.33 TOTAL PAYMENT : $1,311.84 TOTAL DUE : $4,130.49 Planning Dep - - Plan Check: Counter Rev.: OT Plan Check : Fire Dep - - Plan Review: Inspect on: $220.00 $0.00 $0.00 $0.00 $0.00 2- 1 CD.[ 2 OTHER DEPARTMENT: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTE ti ti` CE OR LAST VALID INSPECTION. APPROVALS DATE BY COMMENTS/J/`'• OWNER -BUILDER DECLARATION UNDER PENALTY AS PERJURY THAT I AM EXEMPT FROM THE CONDUCTORS 1 HEREBY 700 THE THE FOLLOWING REASON (SEC. CON BUSINESS AND PROFESSIONS O COOT ANY INCENSE LAW COUNTY CITY Oil COUNTY WHICH REOARES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH. OR REPAID ANY STRUCTURE PRIOR TO ITS ISSUANCE. ALSO REQUIRES TIME APPICUIT FOR SUCH PERMIT TO FILEASIGNEDSTATEMENTTHATHEOISHEISLICENSEDPURSUANTTOTHEPROVISIONS THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING YATH SEC. IOBOU OF OV. 0 OF THE BUSINESS AND PROFES5gN5 CODE)) OR TIAT HE OR SHE IS EXEMPT THEREFROM NO THE BASIS SUUBJECTS ALLEGEDEXEMPTION. TO C RLPENALTTY OF NOT 14005 TINN BYYHUNDREDOLLARS T (IS F PERMIT 0 1. AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEW SOLE COMPENSATION. WILL 00 THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE ISEC. 7044. BUSINESS ARO PROFESSIONSOODT THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO (WADS OR IMPROVES THEREON. VINO WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH UPS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IAPROVEMENTS ARE NOT W TENDED OR OFFERED FOR SALE. IF. HOWEVER. ME BUILDING OR IMPROVEMENT IS SOLO WITHIN OWE YEAR OF COMPLETION. ME O1NERBUILDER WILL HAVE THE BURDEN OF PROVING THAT HE ON SHE 010 NOT BUILD OR IMPROVE FOR THE PURPOSE OF SNE.L ID AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING MTN UCENSE0 CONTACTORS TO CONSTRUCT THE PROJECT (SEC. ?OAF. BUSINESS AND PROFESSIONS COOS: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BULLS OR MPROVES THEREON. AMO WHO CONTRACTS FOR SUCH PROJECTS YATH A CONTRACTORS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.). OWNER'S NAME: DATE: FOUNDATION: -/ t /o'/ 0 J— S NQ ��%% ON < WATER QUALITY BMP'S r ROUGH GRADE /e)�� B�rA/000,05 QrY /OF � // /L�aeiV/L �+i- �K LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS SLAB ON ( GRADE FRAMING: DECK SLAB ,--,'» SUBFLOOR •,' ROOF&'BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT LICENSED CONTRACTORS DECLARATION 1 HEREBY AFFIRM UNDER PENALTY Of PERJURY THAT I AM LICENSED ENDER PROVISIONS OF CHAPTER 9 (COMMENDING WITH SECTIN T603) OF OMSICN O OF THE BUSINESS AND PROFESSIONS CODE NIO MY LICENSE 15 W FULL FORCE ARO EFFECT. LICENSE CLASS N INTERIOR & EXTERIOR INSULATION DRYWALL BATE 1 0-12• o r CONTRACTOR SUSPENDED CEILING WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEONR.ATIDNS: I HAVE NA WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF.WSURE FOR LYCEUMS' COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMt IS ISSUED. .` I HAVE NA WILL MNNTNN WORKERS COMPENSATION INSURANCE. AS REQUIRED BY i/ SECTION 3700 OF THE LABOR COOS. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15155UED. MY WORKERS COMPENSATION INSURANCE CARRIER AND POLICY NUI.IBER ARE: CARRIER SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT MISC. INSPECTIONS: POLICY NUMBER (7H15 SECTION NEED NOT BE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001011 LESS). !CERTIFY THAT W THE PERF0HMANDE OF THE WORK FOR WHICH THIS PERMIT 15ISSUED. 1 PERMIT EXTENSION SHALT NOT EMPLOY ANY PERSON W ANY MANNER 50 AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALKORIAA AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 3F00 OF THE LABOR CODE.] SHALL FORTHW TH COMFY WITH THOSE PROVISIONS. WNRNWG: FALURE TO SEOIR€ WJHKERS CJMPENSATIO N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPO'ER T^ CP'MINN PENALTIES AND CIVIL FINES UP TO ONE MINUTED THOUSAND DOLLARS (5100.0001 V A 0" ITC, TO 'HE COST nF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTIONS/06 OF TNc4BLR C 30E. Y TER'$T. NO ATTORNEK FEES 1ST EXP. LETTER 2ND EXP;LETTER BUILDING FINAL I HEREBY AFFIRM UNDER PENALTY OF ERJJENY THAT THERE ONSTRICTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH TH15 PERL5T IS ISSUED (SEC.1097, 'EIOER+NAVE A-1f g-OG CERTIFICATE OF OCCUPANCY TENANT NAME: OWNER I BUILDER AGENT INFORMATION NAME: ' LEN'ERR AMRfNS 4CEH1. Y THAT I HAVE IIGN 1H15 APPTIO MN suT.Ur STATE THE ABOVE W0ONAAIION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY VINO COUNTY ORONANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUIHOOSE REPRESENTATIVES OF THIS COY TO ENTER UPONINC ABOVEENTICNEO PROPERTY FOR INSPECTION PURPOSES. %� irhiiAtS"10�. ADDRESS: TYPE OF BUSINESS USE: DRIVERS LIC. NO. ppaadauYM4E I PHW). &-' VD MCI <ir.NVMHt rP)R.•F'IIti ared\Permits DeplBldgPernla(Back)8/04 City of Newport Beach Building Department ELECTRICAL Permit No: E2005-1132 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1 HOAG DR Bldg: 1 Floor: Inspector Area: 7 OF LOT Owner: Address: Code Edit: 2001 Suite: Description of Work: ELEC/SIGNAGE "HOAG HOSPITAL" B2005-2059 (WORK IN PROGRESS) Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR HOAG MEMORIAL HOSPITAL Contractor: CSG CORPORATION 301 N NEWPORT BLVD Address: 2871 BLUE STAR STREET ORANGE C ' 2869 ANAHEIM CA 92806 Phone: 1 Phone: 949.630.8414 Con State Lic: 376085 Issued Date: 10/1 •00 � Lic Expire: 08/31/2007 Bus Lic: BT03043004 Processed By: Lic Exp Date: 03/31/2006 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 200A: 0 $0.00 0-600V over 200A: 0 $0.00 Over 600V or 1000A: 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 Fixtures: 0 Sep Circuits: 0 Signs Branch Circuit: Each Add Circuit: Time Clocks: 31 0 0 TOTAL: $1,627.75 FEES Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: $0.00 1 to 10 HP/KW/KVA: $0.00 10 to 50 HP/KW/KVA: 50 to 100 HP/KW/KVA: Over 100 HP/KW/KVA: $713.00 50.00 $0.00 Piggy BacWTemp Power: Temp Power Pole: PAYMENT: $178.25 Inspector Notes: '1Spscr0R $0.00 $0.00 $0.00 $0.00 Woo $0.00 $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: BALANCE: $1,449.50 0 $0.00 0 $0.00 a $o.00 0 $0.00 30.50 $178.25 $713.00 $23.00 $0.00 2-\025\Z SED CONTRACTORS DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (cor rrendng with Section 7000) of Division 3 of the Business and Professions code. nd my license is in full force and effect. nse No: 378085 Class: Date: Contractor: CSG CORPORATION 0 ERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent la self -insure for workers' compensation. as provided far by Section 3700 of the labor code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor code, for the performance of the work for which this perrtit is issued. My workers' compensation insurance carrier and policy number Ic Carrier: STATE FUND Policy number:15894P9 Ex,lirt. Date: 08/31/2007 (This section need not be completed it the penal is for one hpmred dalhrs ($l00) or less. I certify That in the performance of the work for r hich tiis,.e.mit.s issued, I shall not employ any person in any manner 5o as to beco• sub'y4 a workers' compensation laws of California. and agree that if I should become subject to the workers compensation provsi0ns of • -a • 700 of the labs( -• •, 1.... . orrply with Nose provisions. Dater (42—t2 -05 Applicant Signature: Waming: Failure to secure worker' crrrpensrti-r co) 3r3,e is L3lawful, a. A shall subject an emplo allies and civil fines up to one hundred thousand dollars (5100.000), in addition t0 the Lost of cor.pensatidn,da, nages as providers for In Sedi m 3706 of the labor code, Interest, and attorneys fees. I hereby acknowledge that I have reed Hes apr!iretion, tha. the L fon,atiun gwen is coiled end that l am the owner. or duly authorized agent of the owner. I agree to comply WM city and state law, regulaLng construction: and in doing the work authorized thereby, no person will be employed in violation of the labor code of the state of Califomia relating to workmen's compensation Insurance. Rif P.:7 wara Permittee Name (Print)^ LYC%hL Signature of permittee>M Address : Dat t Q—fl 5 Approvals Inspector/Date Grounding Electrode Underground Under Slab/Floor Rough Conduit Walls Rough Wiring Ceilings Rough Sevlce Temp Power Utility Company Notified Final PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. l�iQ•CY� �� Project Name & Address BUILDING DEPARTMENT OCT 1 1 2005 CITY OF NEWPORT BEACH CALIFORNIA Report of Special Inspection Kcc&-- Kos/Jrcrc ..z v 77-c-,cS Permit Number / c2 /"e% /—LL/ f 4/14_, 7 AnirJ Inspection Type(s) Ll /L(G/lcj7l /eb.,Lf(/G e Inspection Date(s) /t' 3t c 4/O-u oS( ) Periodic [ ] Continuous Describe Inspection Made, including Locations. ,CY-CP- h(/v'O%LPCC _< 3) 3A hit -I 7) i/ 11 F12-F 1 /k.Pl-trig «raG o v 2 Fa-4.freaAAf r mg--cSU 7 SrO P.f� �h/C c , ,St->r c-tiP 3 O- 1 C cotJ4th 4✓L!``-,1,744/i-:ten List Tests Made 0A(4%.s/7r DP tt aVh 7,9f:AC ./Acen- '%1) Total Inspection Time Each Day: Date cl-DO'4 1v=3 /(/-li Hours 2.-- 2— List Items Requiring Correction, include uncorrected items previously listed comments. 500- 4-/ %fgCfr, 7 2 S?"--5- To the best of my knowledge. the work inspected was in accordance with the Building Department oved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as no Signed. Date Print Full Name: 4/4'( J lf/*7fWe7G{/-//< . 2tL Registration No (J yo 6 FORM 51-02,90 FROM : FAX N0. :7143771398 Oct. 20 2005 12:O3PM P1 that' Oz reArde ,'&, abion r Report of Special Inspection Project Name & Address WO'4# %(c&Or,n VA-Yf'sov%f zpC ! z s Permit Number Inspection Type(s) �OKC,Qir�j f ieaSPGs/lf��.re r/ Inspection Datc(s) [ ] Periodic [ ] Continuous Describe Inspection Made, including Locations. S61 A'/ J,4(47 List Tests Made. Total Inspection Time Each Day: Date Hours List Items Requiring Correction, include uncorrected items previously listed Comments: I#P r f4lioa r /"G S� fovtcO 0-6 —OS Cc -PLO To the best of my knowledge, the work inspected was in accordance with the Building Department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. Signed - Date pa-/ 9--os Print Full Name- d/I*1741) W/97tofi4G4-n: Registration No 0 1616 FORM 5I-02, 90 246