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Home My WebLink AboutX2019-2384 - 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 ELEC IllIIIIIHIDIIIIIH III1IIIIIIDIIIIIIIIIIUI COMB Permit : X2019-2384 Project No : 1720-2019 Issued Date : 11/25/2019 Inspection Area : 7 Job Address: Description: Legal Desc.: 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 1 HOAG DR NB COMM 980kW ENERGY STORAGE SYSTEM IRVINE SUB BLK 1 LOT 172 POR OF LOT Owner: HOAG MEMORIAL HOSPITAL Address: 1 HOAG DR NEWPORT BEACH, CA 92663 Phone: Applicant: NAES CHEREE Address: 4240 E JURUPA ST#402 ONTARIO CA 91761 Phone: 909-471-1895 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 2016 V-B U 0 0 Construction Valuation: $150,000.00 Building Permit Fee: $1,468.00 Plan Check Fee: $1,277.16 Overtime Plan Ck: $0.00 Investigation Fee: Record Management : Energy Compliance: CA Seismic Safety : Disabled Access • Hazardous Mat Building Green Fee : $0.00 $14.00 $0.00 $0.00 $0.00 $0.00 $6.00 TOTAL FEE : $3,246.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: RUBICON PROFESSIONAL SERVICES Address: 3370 CHASTAIN GARDENS DR #220 KENNESAW CA 90144 Phone: 770-485-1013 Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: 986642 09130/2021 BT30069327 10/31/2020 Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee : Grading Bonds Fee: Grading PC Consultant : Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: $384.32 $0.00 $0.00 Plan Check Fee : AMERISURE MUTUAL WC210206903 07/15/2020 Rear: / Front: / Left: / Right: / Parking Spaces: Address: Phone: State Lic: Engineer: STEVENSON CAREL THEODORE Address: 1706 PLUM LANE #114 REDLANDS CA 92374 Phone: 909-793-4629 State Lic:C-068555 Architect: Designer: Address: Phone: Special Conditions: Fire Hazard Zone $0.00 Planning Department - $0.00 Plan check Fee : $0.00 Fair Share : $0.00 SW -I Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $40.00 $0.00 $0.00 $0.00 N Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $1,552.96 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: eee••• • INSPE •• • ••• •• es••s• • •seem Be• •••• $0.00 $57.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,693.52 V"= • • •••••u • • • • • • •• • • • • e •• • ••ee•• •eee• •••••• • e • o eoee• • •a••• 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 theapplicable 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt frorR licensure under the Contractors' State License Law for the following reason: 44 signature bell✓ I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a Structur%tRatl *rave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Cody„ is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. St oefure of Properw,Owner or Authorized Agent LIC4NSED 6ONTI$ACTOR'S DECLARATION I ITejgtly affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of I Sion f he Business and Pro -s . -, : - _ - `e is .:. force and effect. LI'tertse Glass License No Date b` 'Contractor Signat .... OJV(ERS' COIJIPENSATION DECLARATION WARNIK: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE ' • . TH... • • . eetR CAS ($100,0001, IN ADDITION TO THE • $fOF.COMPENSATIOISLAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t hereby' affirm under penalty of perjury one of the following declarations: .... w I have and �NIII airantain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the pert rmance of tffe°08rk for which this permit is issued. Policy No. Date 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. My workers' compensation ins. rote carrier and policy number are: Carrier Piolicy Number Expiration Date Name of Agent Phone # certify that, in the perfo ante of the work for whichitliis pe that, if I should become su ject to '.� workers' compensation pr Signature of Applicant -- - DECLARATION R A ING CO. r - CTION LENDI AGENCY I hereby affirm un re" p nalty o = - ry that there i oinstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil r ode) Lender's Name Lender's Address R is is visions I shall not employ any person in any manner so as to become subject to the workers' coryryensati. laws California, and agrec Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / '"/ 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 cou ty'. 'nances and state laws relating to building construction. I authorize representatives of this city or county en a above -identified property for inspection purposes. Signature of Property Owner or Authorized Age. "®v�� Print Property Owner's or Authorized Age ' ame ACTION PERMIT EXPIRED DATE COMPLIANCE WITH CODE OF FEDERAL ONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED ❑EPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED FOR OFFICE USE ONLY X;019-z38N lioag Dr CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658 www.newportbeachca.00v I (949) 644-3200 SPECIAL INSPECTION REPORT Project Address: 1 Hoag Dr., Newport Beach, CA Permit Number:1720-2019 Inspection Type (s): Post Installed Anchor Bolts Inspection Date (s): 12/16/2019 ( ) Periodic (V) Continuous Describe Inspection, Including Location(s): POST -INSTALLED CONCRETE ANCHORS -Performed-visual-inspeetionof-plaeelnentof post-installed-eoncrete-anebers as -fellows Type of anchor : Mechanical Wedge Anchors HILT! KB-TZ SS304 Size of anchor (diameter and lengthy):5/8diameter. Depth of embedment:4 1/2 Substrate-and-tocation-of-Anchors. At Storage Energy Battery Room for 8" Existing Concrete Pad Drill sizes were verified to meet the manufacturers specifications. Diameter, depth, and cleanliness of holes was also List Tests Made: N/A Total Inspection Time Each Day: Date: 12/16/19 Hours: 8 I T List All Hems Requiring Correction (Include Previously Listed Uncorrected Items): No discrepancies noted Comments: All appear as-perplans as -per -details A/S4O —NQdiscrepanciesnoted To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. Special Inspector Signature: Date: i 12/16/19 Print Full Name: I Newport Beach Registration No.: Wahba Isaac I NB-0751 specialinspectlanReport 8-24-15