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Home My WebLink AboutX2010-2390 - PermitsCity of Newport Beach Building Department COMB Permit No: X2010-2390 PROJECT NUMBER: 1873-2010 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone•(949)644-3255 Combination Type - CIP/ ELEC/ GRAD/ / Job Address: 1 HOAG DR NB Description:"MOBILE TOMOTHERAPY TRAILER" PARKING PAD & SITE WORK ADJACENT TO CANCER CENTER (BLDG 41) Inspector Area:. 7 OF LOT Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL FD&C 500 SUPERIOR AVE, STE 300 NEWPORT BEACH CA 92663 949-764-4486 CHARTIER DAVID 3633 LONG BEACH BLVD LONG BEACH CA 90807 562-595-5666 Code Edit : 2007 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. fL Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: Issued Date: 11/23/2010 Legal Desc.: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: QUESTAR ENGINEERING 20062 BIRCH ST #300 NEWPORT BEACH CA 92660 949-250-0060 933785 06/30/2011 BT30015583 01/31/2011 Worker's Compensation Insurance Carrier: OAK RIVER INS Policy No: 2200055253101 Expire: 04/29/2011 Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: Parking Spaces: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: 949 CHARTIER DAVID 3633 LONG BEACH BLVD LONG BEACH CA 90807 562-595-5666 State Lic:C015736 BEALL RICK 4500 E PACIFIC COAST HWY #100 LONG BEACH CA 90804 562-985-3200 State Lic:S-003503 Special Conditions: Fire Hazard Zone : N -szornits4 Construction Valuation: $120,000.00 Building Permit Fee: $1,150.00 Plan Check Fee: $828.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $68.40 Energy Compliance: $72.00 CA Seismic Safety : $0.00 Disabled Access' $120.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $14.40 Building Green Fee : $5.00 TOTRI PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • • eeee • • • • • • Solar System PC: Exdse Tax: $0.00 $0.00 Grading Permit Fee: $240.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 Electrical %: echanical %: umbing %: • ••• • • • • • • •• • . • . • • $201.25 $0.00 $0.00 Plan Check Fee : Planning Department - Plan check Fee : Fair Share : $120.00 $0.00 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 $1,105.85 PUBLIC WORKS APP • F�4. PLAN CHECK BY: • • • • • • • •• • • APPROVAL TO ISSUE: • •• •• • • • • • •'PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Fee Due at Permit Issuance : $0.00 $165.60 $0.00 $0.00 $0.00 $0.00 $0.00 $1,878.80 OWNER -BUILDER DECLARATION ACTION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its PERMIT EXPIRED issuance, also requires the applicant tor the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more thah five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or ( )portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who through employees' or personal effort, builds or improves the property, provided that the 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 it was not built or improved for the PERMIT CANCELLED DATE: BY! PERMIT EXTENDED Erse I, as owner PERMIT FINAL I, as of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 5'Z.`l" ‘\ Business and Professions Code: The Contractors' State License. Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License CERTIFICATE OF Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner - builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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 is in full force and effect. Li se Class nse No. c e '2y . p ontractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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, issued by the Director of In. , 'al Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Poli N pert ye and will maintain workers' compensation insurance, as required. by, Section 3700 of the Labor Code, for the ance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: er Policy Number Expiration Date Name of Agent Phone # 0 I certify that,in the performance of the work for which this permit is issued, I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation n Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applical�, s �r with I / -Z 7�- et DECLARATION RE ARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan and state laws relating to building construction. I authorize representatives of this city or county t t ire -identified property for inspection purposes. ?Itdpnature of Property Owner or Authorized Age - e• <<- 73 • 07 Property Owner's or Authorized Agent's Name: r 'M �l�LOMD.v OCCUPANCY ISSUED DECLARATION OF COMPL ANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AMID ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: • • • • • • • • • • • FOR OFFICE USE ONLY • • • • ••• • • • • • • • • • • • • • • • • • • • • • .• • •• ••• • • • • • • • • • • • • • • • •••• '• . •. . • • 01/01/2009 City of Newport Beach Building Department PO Box 1768 Newport Beach, California 92658-8915 ELECTRICAL Permit No: E2011-0119 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1 HOAG DR Bldg: 1 Floor Suite: Description of Work: ELEC/TEMP POWER POLE, SERVICE, SUB PANEL"MOBILE TOMOTHERAPY TRAILER" X2010-2390 Inspector Area: 7 Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR OF LOT Owner: HOAG HOSPITAL FD&C Address: 500 SUPERIOR AVE, STE 300 NEWPORT BEACH CA 92663 Phone: 949-764-4486 Issued Date:02/22/2011 Proc essed By: Contractor: NATIONAL CONSTRUCTION Address. 1550 E CHESNUT AVE Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: SANTA ANA CA 92701 714-285-0243 687160 04130/2012 BT96009014 07/31/2011 Code Edit: 2010 Worker's Compensation Insurance Carrier : TRAVELERS INDEMNITY Policy No: TC2JUB4246B88A10 Expire :12/31/2011 ISE ter a4..Q New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 200A: 0-600V over 200A: Over 600V or 1000A: 0/H to U/G 1 0 0 0 $37.75 $0.00 $0.00 $0.00 TOTAL Fee : $104.10 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 FEES Motors/Transformers (HP/KVA) O.to 1 HP/KW/KVA: 0 $0,00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 1 $33.10 Plan Check Fee : $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance : • ••• ••• .•• •.• • • • • • • • • . • • • . • • • • • • • • • • • • • • • •• • PERMITS EXPIRE MO DAYS AFTER ISSUANCE OR LA .•. • • • ••• •.••••••• • • •••• • • • • • •• • •••• .•. ••• ••• •• • • •• •• VALID INSPECTION 0 1 0 0 $0.00 $23.00 $0.00 $0.00 $1.05 $0.00 $0.00 $0.00 $9.20 $104.10 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)(Section 7031.5, Business and. Professions Code: Any city or county that requires a permit to construct,. alter, Improve, emolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or U 1 portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who through employees' or personal effort, builds or improves the property,. provided that the 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 it was not built or improved for the purpose of sale). ❑ I, as owner of the property am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves am ves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner - builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when thisapplication is submitted or at the following Web site:http://www.Ieginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Ch.. for 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and - - Licens Cla S License No. Date —Ori Contractor Signature WORKERS' DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN,L ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS. MOD , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, ` ND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self -insure for workers' co pensation issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ame of A ent 0 I certify that, in the perform Ice t = rk for which this permit is issued, I shall not:employ any person in any manner so as to become subject to the �: compensation taws of California, and agree that if f shouldbecome subject to the workers' compensation provi i• ri,'r.: 3700 of the Labor Code, I shall forthwith comply with those pr visions. Signature of Applicant Date x 0 G7i t- 1 I DECLARATION R A - ; 4 I Cs NSTRUCTION LENDING AGENCY I hereby affirm, under penalt of erjury that there is a construction' lending agency for the performance of the work for which this permit is issued (Sectio 30'7, Civil Code). Lenders Name P I' No. I ave and will maintain workers' compensation insurance, as required; by, Section. 3700 of the Labor Code, for the perfor ance of the work for which this permit is issued, My workers' compensation insurance carrier and policy number are: Ca ' r Policy Number Expiration Date g Phone # Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ow I have read this application and the information I have pro I agree to comply with all applicable city and county ordin I authorize representatives of this city or couhly ttyente Signature of Property Owner. or Authorized Age Print Property Owner's or Authorized Agent's N ers behalf t state laws relating to building construction.. ,`7, e= .entified property for inspection purposes. ig Date \%ottda V I vt o5 ACTION DATE: BY: PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL 5--44-tI CERTIFICATE OF OCCUPANCY ISSUED • FOR OFFICE USE ONLY • ••• ••• ••• ••. • • • • • • . • • • • • • • • • • • • • • • • • •• • • • • •.• • • • . . • • •• ••5 • • • ••• • • •-• • • • • • • •• • • • • • TYP_01/01/2009 Partial Site Plan V\f_% • • • • • • • •• 1,7IIIFTIII Jlllil�� m • • • •• • rola im vo ore L rf� ER OEN]ER z w kffi -6; a �Y <4 PA E2.1 P DO REQUEST FOR INFORMATION RFI: 012 FROM: Questar Construction. 20062 SW Birch Street, Suite 300 Newport Beach, CA 92660 PROJECT: HOAG - Cancer Center (Tomo Trailer) I Hoag Dr., Newport Beach, CA 92663 Response Needed by: ASAP SUBJECT: Concrete pad design QUESTION Date: 3/10/11 30B # 2113 ARCHITECT: c I a Architects David Chattier SUB TRADE: Concrete/Soils SPEC/PAGE: N/A DETAIL: SUBMITTED BY: Alex Lee 1,500 i'sF The sub grade soil was tested to conform to the requirements of the structural design of footings at 1 PSI as specified on S1.0. Please confirm per phone conversations that the structural design was less than e spe Ifled 1,500 and that design is not subject to the requirement set forth as noted on the C and S drawings. Potential Delays: REPLY: POTENTIAL COSTS: _ YES _X_ NO Advea b'e r541 46e4''T h efress . /S oo s-F (CO° ( tad t to 1 a --a � a ,) 4/yg /e BS% & q eo °`' acceek4 %Z9 .m sir Anot- NaQ-ostf'' OSHPD REVIEW: YES NO CHANGE ORDER REQ'D: YES: NO__ OSHPD # SL-102354-30 SIGNED: DATE: