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Home My WebLink AboutX2019-0131 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP i III III III IINI IIVI II II IIIIII II1I IIII IIUI II11 w COMB Permit : X2019-0131 Project No : 0107-2019 Issued Date : Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1 HOAG DR NB Description: COMM - STEEL STRING LIGHT STRUCTURE CANOPY Legal Desc.: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR OF LOT Owner: HOAG MEMORIAL HOSPITAL Address: Phone: 1 HOAG DR NEWPORT BEACH CA 92663 949-764-4496 Applicant: SCHOLZ JUSTIN Address: 6461 GLOBAL DR CYPRESS CA 90630 Phone: 714-6364542 Code Edit : 2016 Type of ConstructiorE0 e e Ocaupanc et°b»Group. e ee o ° U Adeid°/Rew sq.ft. Bldg: 0 Adltede/Nets sq. 1t.K®arogr. 0 0 No oa ata-ies: 0 No of, Units : 0 Bldgellegah4: ° ° ° °0 Bldg Spgipklers: ° e Flotdeone: Contractor: KINDNESS GENERAL CONTRACTORS INC Address: 12891 NELSON STREET GARDEN GROVE CA 92840 Phone: 714-636-4542 Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: 780044 03/31/2021 BT30065867 01/31/2020 Worker's Compensation Insurance Carrier: TRAVELERS INDEMNITY CO Policy No: C07K077678TCT19 Expire: 01/01/2020 Building Setbacks Use Zone: Rear: / Front: / Left: I Right: / Parking Spaces: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Architect: State Lic: PANEK GREG 138 W BORROMEO AVE PLACENTIA CA 92870 State Lic:C-079148„ Consrgction Valrfation:° $50,000.00 o e e BuiildinQ Permit Fee:° ° ° $746.00 elan Chick Fee: ° Se49.02 Overtime Plan Ck: $0.00 Investigation Fear e ° $0.00 Record ManagenF.Veni $28.00 Energy Compliance: $0.00 CA Seismic Safety : $14.00 Disabled Access : $87.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,607.2 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee : Grading Bonds Fee: Grading PC Consultant : Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Planning Department - $0.00 Plan check Fee : $0.00 Fair Share : $0.00 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PNV Plan Check : $41.25 San Dist: $0.00 NMUSD Fee: $0.00 $40.00 $0.00 $0.00 $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $730.27 Fee Due at Permit Is uanc: f $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $877.00 PUBLIC WORKS APPROVAL: o PLAN CHECK BY: APPROVAL TO ISSUE: 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, demolish, 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License 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 700 ) of11Divjsion 3 of the Business and Pssion and my license is in full force and effect. License Class License No Dat 4'I r9 119 Contractor Signet ---- 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: ve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 ottlte tabor Coda,,bbs the Ce of the work for which this permit is issued. Policy No. • 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. Niywerlers' compensation ranee carrier and policy number are: • Carrier Policy Number Expiration Date Name of Agent Phone # . • • 01 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 la; of California,„ah82gteE that, if I should become subject to the er ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •• • • •• • Signature of Applicant DECLARATION REGA N CO I hereby affirm under penalty of perj Lender's Name By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. 1-have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter t ye -identified prope or inspection purposes. 1 Signature of Property Owner or Authorized Agent �r.3=-Print Property Owner's or Authorized Agent's Name just -raj 5� 0 t. CTION LENDING AGENCY Da_ 4' 19 VI 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 Address ACTION DATE BY EC{ ATION OF CO IANCE WITH CODE OF FEDERAL REGULATIONS PART 610F TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY • • • • • • • • • • • Date PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED ❑EPA PERMIT EXTENDED 1_DAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED * o El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: 7ZDic/I-0i) li T _-- I. I - i I J J I 7»,Ara I_1 1 �C ti fl eI 0 (1) xi- - *�-- CAST IRON PIPE SLEEVE DETAIL - i — --- ( t sod — —J-- — —� ----- f E -. p. 9148 03/31 /20 - -- _ —.. _ Y �■ice■ (E. --I—,— PLUMP ENGINEERING C-0 S LTD INC. AKIN E S C.•ICAUFO 1QI\M\ tulmind t-. •1*VE EN EuEcTMEMNSE A 'ErifMnRAf- 9 4E.KA 8583$ Li • •VE,LI- 114) 85-.- HOAG HOSPITAL(14) S.1812076 1� I 7 I I 1