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Home My WebLink AboutX2019-2167 - 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 - BLDG GRAD ELEC 111111IIIIIIIIIIIIIIII IIII(1111111111111 COMB Permit : X2019-2167 Project No : 1572-2019 Issued Date : 02/06/2020 Inspection Area : 7 Job Address: Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: 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 LANDSCAPE IMPROVEMENTS, WOOD FENCE WI STEEL FRAMES 5' HIGH X 41 LF & GRADING/DRAINAGE, 4-FOOT CMU WALL (WATER FEATURE) AND RAISED FLOOR IRVINE SUB BLK 1 LOT 172 POR OF LOT HOAG MEMORIAL HOSPITAL 301 N NEWPORT BLVD NEWPORT BEACH, CA 92869 RABBEN BILL 833 DOVER DR #9 NEWPORT BEACH, CA 92663 949-548-3459 Code Edit : 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $400.000.00 Building Permit Fee: $2,968.00 Plan Check Fee: $2,643.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $48.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $400.00 Hazardous Mat $0.00 Building Green Fee : $16.00 TOTAL FEE : $8,238.17 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: C D G BUILDERS INC 24 EXECUTIVE PARK #150 IRVINE CA 92614 949-892-3510 921615 09/30/2020 BT30044670 09/30/2020 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS 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 %: WC2Z91470101020 01/20/2021 Rear: I Front: I Left: I Right: / Parking Spaces: $0.00 $0.00 $0.00 $0.00 $875.00 $761.25 $0.00 $388.51 $0.00 $0.00 Plan Check Fee : Architect: Address: Phone: State Lic: Engineer: Address: Phone: Designer: Address: Phone: WELTON JEREMY 26461 RANCHO PARKWAY SOUTH LAKE FOREST CA 92620 949-916-3440 State Lic:S-004614 HERMAN DANIEL 8333 DOVER DR #9 NEWPORT BEACH CA 92663 949-548-3459 Special Conditions: Fire Hazard Zone • N Planning Department - Plan check Fee : Fair Share : SJH Trans : In -lieu Housing Fee : Public Works Department - Park Dedication : $0.00 PiW Plan Check : San Dist : NMUSD Fee: $3,524.16 ° m • v m • $41.25 $0.00 $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: Fee Due at Permit Issuance : • ••• , RUE? E WONCS 4PI?!ROVAL: • • ° ° ° m • °PLANE CHECE4 BY • ° • m m APPROVAL TO ISSUE: m °c m C <.° o m ° ° c c 0° m ° moo co° $0.00 $57.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,714.01 0 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 iiem(s) 'h (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 L) 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 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 legall 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 O f s',///N�� offf the Business and Prof-s a • --, . ,;/y'1�I cense�' force and effect. License Class License No Date Contractor Signature �, ✓ /, �T�w 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 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 Industrial Relations as provided for by Section 3700 rmance of the ork for which this permit is issued. Policy No. pe lal have and will insurance carrier an Carrier Name of Agent tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .!icy numbe -C ❑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' compens tion I that, if I should become subjectworker compens n provisions otion 3700 of the Labor Code, I shall forthwith comply with those provisions. ��/t7�—� Signature of Applicant DECLARATION RE A I CO CTION LE ING 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 Lender's Address ($100,000), IN ADDITION TO THE of the Labor Code, for the My workers' compensatio umber Expiration Date Phone # s of California, and agre: 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 ordinances and st to laws relating to building construction. I authorize representatives of this city or cou to e -the above- n 'f' ro ert f pection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 - - ❑ I SUBMITTED ASBPSTO! NQTIFICOON i0 DEPA ; • •• • ••• • .. • : • • ❑AQMD • • ••• ••- • •• PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 742 CF/ FOR OFFICE USE ONLY • • • • • • • ••• ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION • • • • • • SIGNATURE: •• • • • • • • _'• • • • •• • ••• • • • • • • • ••• •• ••• X2ol01- 211n CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-8915 www.newportbeachca.gov I (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: civTEC 999 Corporate Dr., Suite 100 Ladera Ranch, CA 92694 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: July 1, 2020 GPC No.: 1572-2019 Tract/Subdivision/Lot No.: Rough: _Final:' Project Names: Hoag Hospital Newport Beach - Memorial Gardens Owner/Developer: Hoag Hospital Newport Beach Type of Project: Notes: _ Tract: Drainage Commercial X Other _ Industrial Yardage for Project: Notes: 38 Cut: Borrow: 8 Fill: 30 Export: I hereby approve the grading for thisproject in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: substantially in conformance with and with the following changes to the approved grading plan. Description of Changes: updated site plan from landscape architect and relocation of 2 catch basins and 12-inch PVC storm drain line due to existing conditions in the field. Company: civTEC Name: Thomas E. Carcelli (print) (sign) License No.: C-81640, exp. 9/30/2021 (RCE/LS) Forms\Civil Engineers Certification Form 9-13