The URL can be used to link to this page

Home My WebLink AboutB2001-0832 - PermitsBLDG Permit No: B2001-0832 City of Newport Beach Building Department 3300 Newport Blvd - PO Box 1768 Newport Beach, Califomia 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor. Suite: Inspector Area 7 Owner. Address: Phone: Applicant: Address: Phone: HOAG MEMORIAL HOSPITAL PRESBY 1 HOAG DR,BOX 6100 NEWPORT BEACH,CA92658.6100 949/646.8901 Code Edition: Type of Construction: Occupancy Group: Added/New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 0 No of Units : Receipt Number: 97 U2 Bldg: 1 Legal Descr: Contractor: Address: Phone: Con State LIc Lic Expire: Bus Lic: Llc Exp Date: Description of Work: SITE RETAINING WALL (SEE 6378-99), MC CARTHY BUI 100 BAYVIEW CIRCLE SUITE 3000 NEWPORT BEACH CA 949/7605560 411173 08/31/2001 BT00021561 03/31/2001 Workers'. Compensation Insurance -- Carrier. ST PAUL FIRE Policy No: WVK8500121 Expire: 04/01/2001 Building Setbacks Rear. Front Left: Right: Use Zone: Parking Spaces: FEES Construction valuation: $15,000.00 Building Permit Fee : Plan Check Fee: Investigation Fee: Clean Up Deposit: Disabled Access: $198.35 5142.81 50.00 $550.00 50.00 Microfilm: Exdse Tax- Res.: Exdse Tax- Com.: Supplemental P/C: Fair Share: TOTAL FEE : 5904.53 50.27 50.00 50.00 50.00 50.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA State Lic: CO23842 Special Conditions: State Uc: Seeto Hazardous Mat Disclosure: CA Seismic Safety. Fire Dep - Plan Review: Fire Dep - Inspection: $0.00 50.00 50.00 50.00 50.00 TOTAL PAYMENT : 50.00 TOTAL DUE : 5904.53 Planning Dep - - Plan Check: 50.00 Counter Rev.: 513.10 OverTime Plan Check Fee: 50.00 PROCESSED BY: Q4 .b • • PLANNING APPROVAL •• • • • • • ,•• ••••• FIRE APPROVAL;• ••• ••• •• • •• • • • • • • • • • • •• • • • ••• • •• ••• • • • • 9RADINQ A'PROVAL- pUBLICWORKS: : ••• ••. -•• ••• :•• • • •• • • • • •8• •• • •• • ••• • • ••• •• OTHER DEPARTMENT - PLAN CHECK BY• APPROVAL TO ISSUE; WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. Jo«211? APPROVALS DATE BY COMMENTS FOUNDATION: ROUGH GRADE LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS Stre, ?%/end/ �' f � xv t/ay/r 7 • — _� Cat., Gam) SLAB ON GRADE DECK SLAB FRAMING: SUBFLOOR ROOF 8 BUILDING HT EXT. SHEAR/HOLD DOWNS (vii ->S' Li Iva m s%s- iils y aiike Sr-9 GENERAL FRAMING INSULATION DRYWALL SUSPENDED CEILING PLASTERING: INTERIOR LATH EXTERIOR LATH SCRATCH (2 DAY) MASONRY FOOTING PRE -GROUT FIREPLACE MISC. INSPECTIONS: PERMIT EXTENSION OWNER -BUILDER DECLARATION I HEREBY AFFIRM CINDER PENALTY OF PERJURY THAT I .AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5. BUSINESS AND PROFESSIONS 0006 ANY CITY OR COUNTY W,11CH REQUIRES A PERMIT TO CONSTRUCT, ALTER IMPROVE, DEMOLISH. OR REPAIR ANY STRUCTURE, PRIOR TO tTS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS L f N5E0 PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAP (ER 9 (COMMENCING' WITH SEC. 70001 OF OI\ 3 OF THE BUSINESS AND PROFESSIONS CODED OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THEALLEGEDEXEMPTION. ANY VIOLATION OF SEC. 70315 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (55031' ❑ 1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. WILL CO THE WORK, AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC 7044. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND VINO ODES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE 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'. 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, 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 WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW). 0 I AM EXEMPT UNDER SEC._ . B.5 P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION THEByLAFFIRM 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, AND MY LICENSE 15 M FULL FORCE AND EFFECT. LICENSE CLP55._..__..: _ _.___ _ -LM^NO DATE. /2/'/ —CONTRACTOR WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER 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 WORK FOR WHICH THIS PERMIT IS ISSUED I HAVE AND WILL MAINTAIN WORKERS COMPENSATION INSURANCE AS REQUIRED BY SECTION 3/03 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERSOOMPENSATION INSURMICE CARRIER AND POLICY NUMBER ARE: 1ST EXP. LETTER 2ND EXP. LETTER PERMIT EXPIRED PERMIT CANCELED FINAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: CARRIER POLICY NUMBER (1H15 SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. ANC AGREE THAT IF 1 SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF 5ECT19N 3700 OF THE 1/q{ LFORTHLWTH COMPLY WITH %SEPROVISIONS. f/ wVTE // A➢PLH:ANT WARNING: FRI LIRE TO SECURE WOVIFZS' rOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIWAL TP jIALIES AAD CIULIKINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 40 TNiCQBT OF=.•OORENSRRON, DAMAGES 53 PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE��INO"PR�RES••HD#.TTORNE1•*i FEES. " COIN iIUR.4N Le. 4BfIfr/ENCY I HEREBY 'FIFM UNDER YENALTY OF 'PERJURY:THAT THERE 15 A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.309]. DCVO.) LENDERS NAME•• ••• a ••� ••• ••• •___y_ • • • • • •• ... • • • _ • • LENDERSADORFi•S • Jy_� Y • .L •_•_- 1 CERTIFY TWAT I ;^�%�'It TNIS*P(MCATI•H .WI1TAij TOONE FROI• INFORMATION IS CORRECT. I AGREE 1O COM WITI1•ALL 0TYMN0 Cly1NTV ��,y�'(1^A,'`,�''�,`'�'`� *NO STATE LAWS RELATR0 TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE PRESTENTATIVES OF THIS COUNTY TO ENTER UPON THE ,ABBOVVE-MENN/jTI fV�ED PROPERTY FOR INSPECTOR PURPOSES. l U/ •/ /f•/•F F(46 `V� . • • • • • • • • • )(