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Home My WebLink AboutB2001-3585 - PermitsCity of Newport Beach Building Department BLDG Permit No:B2001-3585 3300 Newport Blvd - 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 Legal Descr: Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL 1 HOAG OR NEWPORT BEACH CA 92663 STOUT DENNIS 871 N MAPLEWOOD ST ORANGE CA 92867 714-744-2845 Code Edition: 97 Type of Construction: Occupancy Group: SIGN Added/New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: No of Units: Receipt Number: Suite: Bldg: 1 Contractor: Address: Phone: Description of Work: INST (4) GROUND DIRECTIONAL & (2) WALL DIRECTIONAL ILLUM SIGNS 2781-2001 LETTERING CO 17822 GEORGETOWN LANE HUNTINGTON BEACH CA92647 714/848-5596 Con State Lic: 782512 Lic Expire: 08/31/2002 Bus Lic: Lic Exp Date: Workers' Compensation Insurance - - Carrier: ZENITH INS CO Policy No: z046818701 Expire: 01/11/2002 Building Setbacks Rear: Front: Left: Right: Use Zone: Parking Spaces: Construction valuation: $8:000.00 Building Permit Fee : Plan Check Fee: Investigation Fee: Clean Up Deposit: Disabled Access: PROCESSED BY: PLANNING APPROVAL: FIRE APPROVAL: GRADING APPROVAL: PUBLIC WORKS: $126.10 $90.79 $0.00 $200.00 $0.00 Microfilm: $16.50 Excise Tax- Res.: $0.00 Excise Tax- Com.: $0.00 Supplemental P/C: $0.00 Fair Share: $0.00 TOTAL FEE : $460.41 1 1 1 1 PC Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA 9491574-1325 State Lic: CO23842 Special Conditions: State Lic: FEES Hazardous Mat Disclosure: CA Seismic Safety: Fire Dep - Plan Review: Fire Dep- Inspection: $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PAYMENT : $90.79 TOTAL DUE : $369.62 OTHER DEPARTMENT: PLAN CHECK BY: APPROVAL TO ISSUE: Planning Dep - - Plan Check: Counter Rev.: OverTime Plan Check Fee $27.02 $0.00 $0.00 WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES -NULL AND VOID: - - - - - - - - - - -- - - - -- - APPROVALS DATE BY COMMENTS FOUNDATION ROUGH GRADE LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS A 16 SLAB ON GRADE FRAMING: DECK SLAB SUBFLOOR ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 70315, BUSINESS AND PROFESSIONS CODE: ANY CRY 0R COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH. OR REPAJR ANY STRUCTURE. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE BUSINF$5 AND PROFESSIONS CODEN 0R THAT HE 0R SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031,5 BY MJY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5500)' 0 I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES MATH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC. 7041, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO ODES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS PRE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.). `J I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING NTH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7014. BUSINESS AND 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 NTH A CONTRACTORIS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.). 0 1 A4J EXEMPT UNDER SEC. 0 6 P C FOR THIS REASON GATE OWNER INTERIOR & EXTERIOR INSULATION DRYWALL SUSPENDED CEILING SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF CM510N 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE 15 IN FULL FORCE AND EFFECT. 4 LICENSE CLASS LIC �.�� DATE ` )D-e- —�� CONT WORKERS' COMPENSAT DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: MISC. INSPECTIONS: PERMIT EXTENSION 1ST EXP. LETTER 2ND EXP, LETTER BUILDING FINAL ERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: 2) DATE TO: LiNlat REFUNDED I HAVE AND 1MLL MAINTAIN A CERTIFICATE OF CONSENT TO SELFANSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR EY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WMLL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE TABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE'. CARRIER POLICY NUMBER MIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 15 FOR ONE HUNDRED COLLARS (S I00) 0R LESS). 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO A8 TO BECOME SUBJECT TO THE WORKERS COMPENSATION JAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENBATIONyPROVISIONS OF SECTION 3700 OFgTHE LABOR CC�OOS, I SHALL FORTHWITH COMPLY WITH OVISIGALS APPL WAkNINObFAIAILURE 'TO 52CURE WORKERS' �N COVERAGE 15 UNLAWFUL, AND SHALL -SI IPIECT, AN EMPLOYER TO CRIMINAL PENALTIE5 ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLAR" (b'TC600' IN PPOI1ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BIL ICI 3706 C F THE 13OR CODE, INTEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR T.1E PERFORMANCE LF THE WJEX:OR A.II:H THIS PERMIT IS ISSUED (5EC.309I, CIV.O J, ENDERS NAME LENDT9'S ADEME S I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER C1ON TI 'EA VT PENTIC'IT9 PFOPERTY FOR W PECTION PURPOSES. El9M-(PRINT) RMITTEE 1 V 'R DATE 9 ;4 2._1 City of Newport Beach Building Department ELECTRICAL Permit No: E2001-1898 PO Box 1768/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address:1 HOAG DR Bldg: 1 Floor: Suite: Inspector Area: 7 Owner: Address: Phone: Receipt #: Processed By: Code Edit: 96 HOAG HOSPITAL 1 HOAG DR NEWPORT EACH CA 92663 Legal Desc.: Contractor: Address: Phone: Con. State Lic Lic Expire: Bus. Lic.: Lic. Exp Date: Description of Work: ELEC/ILLUM SIGN (6) B2001-3585 LETTERING CONCEPTS 17822 GEORGETOWN LANE HUNTINGTON BEACH CA 92647 7141848-5596 782512 08131/2002 New Construction Residential Multi -Family 1-2 Family Service 0 to 600V up to 200A 0 to 600V over 200A Over 600A/1,000A Receptacle/Switch/Outlets ReceplOutlets 0 $0.00 0 $0.00 Fixtures 0 $0.00 0 $0.00 Sep Circuit 0 $0.00 Signs O $0.00 Branch Circuit 1 $20.45 O $0.00 each Add Circuit 5 $20.25 O $0.00 Time Clocks 0 $0.00 TOTAL: $71.83 FEE INSPECTOR NOTES: 4 Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA 1 to 10 HPIKWIKVA 10 to 50 HP/KW/KVA 50 to 100 HPIKW/KVA over 100 HP/KW/KVA Piggy Back / Temp Power PAYMENT: $10.18 Temp Power Pole 0 $0.00 $0.00 Temp Underground 0 $0.00 $0.00 Sub Panel 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 Record Managment Fee : $0.50 Investigation Fee $0.00 $0.00 Plan Check $10.18 Issuance $20.45 Supplemental Fee $0.00 BALANCE: $61.65 SED CONTRACTORS DECLARATION ereby of6•m under penally al perjury 'hat I am licensed under provisions u] .:hapter 9 [corn' encing with Secnan 7000; of Division 3 of the Business and Professions code, nd my license is in lullforce and effect. e No: 782512 Class: Contractor: LETTERING CONCEPTS WORKERS' COMPENSATION DEC( ARA.TION I hereby affirm under penally of perjury one of the fallowing declarations. I hove acid will maintain a cerlificolc of consent to self -insure for worked compensation, as provided for by Section 3700 of the labor code, far the performance of the work for which Pre pencil is issued. I have and wit rnalnlaln workers compensallon insurance, as required by Sec lion 3703 of the labor code, for Ike performance of the work far which this pm rnrl is issued. My workers' compensarlon ,nsm ante carder and policy numbers is. Corner: ZENITH INS CO Policy number: z046H1e701 Expire:01/11/2002 This section need nol be completed if the permit is for one hundred dollars ($ j 00) or less. 4 codify Ihal in the performance of the work forwh'.ch This permit is issued, I shall nal employ any person in any manner so as to becorn.. b;ecl tothe worrers' com,sensalion lows of California, and agree Mal if l should become subject to the workers' compensation provisions of Sec!' • . rr of the labor oPd.t'I1 forth drsiIi. T4nlh fho'e p•owsions. ' Da ;pre Applicant Signa �,.� failure to secure workers' compensation coverage Is unlawful, and shall subjec riminal penalilos and civil fines up In nne hundred 1$ I00,000J, in adddlon to the cost of compensallon,damages as provided for In Section 3706 of the labor code, interest, and ;llarr-eys fees. hereby acknowledge Ihal I have read this application: that the lnformolion given is coned, and lhol I am the owner. or day aufhrrized dent Or the owner.) agr ie to comply with city and stale laws regulating construction; and In doing the work oulhorbed thereby, no person will be employed in violation of the labor code of the stale of California relating to workmen's corn cation insurance. Permittee Name (Print) JV Signature of permitte Address: patle: Approvals Grounding Electrode Underground UnderslablFloor 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 PERM(TBECOMES NULL AND VOID..