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Home My WebLink AboutX2010-1747 - PermitsCity of Newport Beach Building Department PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ ELEC/ Job Address: 1 HOAG DR NB Description:INSTALL (2) ILLUMINATED BUILDING IDENTIFICATION SIGNS @ BLDG 24 "HOAG" Inspector Area: 7 OF LOT Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL FD&C 500 SUPERIOR AVE #300 NEWPORT BEACH CA 92663 949-764-4486 SUMMER/C & C SIGNS 11632 ANABEL AVE GARDEN GROVE CA 92843 714-459-9578 Code Edit : 2007 Type of Construction: V-B 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: Issued Date: 08/30/2010 Legal Desc.: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR Contractor. Address: Phone: C & C SIGNS 11632 ANABEL AVENUE GARDEN GROVE CA 92843 71445943578 Con State Lic: 541345 Lic Expire: 09/30/2010 Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier - CALIFORNIA INS CO Policy No: 460095630206 Expire: 06/01/2011 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: PC-38 Parking Spaces: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phorte: COMB Permit No: X2010-1747 PROJECT NUMBER: 1388-2010 Inspection Requests/Telephone (949)644-3255 State Lic: State Lic: HEYER ROBERT 5325 E HUNTER AVE ANAHEIM CA 817 714-578-9555 pNsPECTnR Special Conditions: PA2005-200 CONTRACTOR'S AGENT AUTH LETTER ATTACHED. Fire Hazard Zone : N Construction Valuation: $7.000.00 Building Permit Fee: $164.50 Plan Check Fee: $118.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $11.30 Energy Compliance: $52.00 CA Seismic Safety: $0.00 Disabled Access . $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee : $1.00 • TOTAL FEE • $ 01.6a . • • • • • • • • • • • • • PROCESSED ••• •••• • ZONING APPROVAL: ••• • • GRADINGAPPROVIIL: ••• •�• ••• •• • • . • • • • • • • • • •• •• • • • • •• Solar System PC: Excise Tax: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: .•• • • • ... $0.00 Planning Department - $0.00 Plan check Fee : Fair Share : SJH Trans : $0.00 in -lieu Housing Fee : $0.00 Public Works Department - $0.00 Park Dedication : $0.00 $14.40 $0.00 $0.00 PAN Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $152.96 $240.00 $0.00 $0.00 $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service RefundDeposit Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $448.68 APPROVALTO,I$SUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 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 epurwithin one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the pose 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). ❑ t 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 f`I force and effect. ense Glas License No. to S' Co ya Contractor 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is i -d o. have and will maintain workers' compensation insurance, as requiredby. 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: Policy Number Expiration Date Phone # ❑ I certify that, in the •erformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje- • workers' pensation laws of California, and agree that if Ipshould become subject to the ,Workers' compensation 'rovisio s of Seri tr 3700 oft bor Code, I shall forthwith compI with those provisions. l Signature of Applicant DECLARATION R G CQNSgRUCTION LENDING AGENCY I hereby affirmunder penalty of y that there is a construction lending agency for the performance of the work for is sued this permit is (Section 30 7, Civil Code). Lender's Name Lender's 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 informati I agree to comply with all applicable city a I authorize representatives of this city or co Signature of Property Owner or Authorized Ag Carrier Name of Agent „faint Property Owner's or Authorized Agent's P01/01/2009 provided is correct. inanc-. - tate laws relating to building construction. the -• •ire-i.- ntified property or inspection purposes. �n ate 8 -go 40 ate 8-R,-ET) ACTION PERMIT EXPIRED DATE: By:,, PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL couA CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPL ANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY • • • • • • . • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • •• • • • • • • • • • • • •• ••• • • • • ••• •• . .... S. • • •• •.•• • • • • • • r OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION 700 N. ALAMEDA ST. SUITE 2-500 LOS ANGELES, CA. 90012 Tel: (213)897-0166 Fax: (213) 897-0168 CONSTRUCTION ADVISORY — CONSTRUCTION FINAL acuity Name and Address, Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach,CA 92663 Canzine & Co / C&C Signs Soo. ephdne Duane Longfellow $ It 10428 SL102176-30 11/30/2010 100 E YES Q YES Ps A 0 ❑ No A „of Women's Pavillion Signage CONSTRUCTION FINAL — The work has been completed and appears to substantially conform to the approved I ,s and applicable California Building Standards Code. Project closure requires that Final Verified Reports be suumitted and the Final Construction Costs be certified to the Office in accordance with Section 7-155, Article 4, Chapter 7, Part 1, Title 24, CCR. All submittals shall be sent to the Office indicated above. Failure to do so may result in a project closure status of "non-compliance." Any subsequent construction changes to an area, portion or project that has been issued a construction final must be done through a new permitted project, and not as a change order. Onsite visit with IOR to review construction documents and project status. All work completed per approved plans. DSE approval 11-30-10. Verified reports and T.I.O. reviewed and T.I.O. cleared. OSHPD FDD Field Staff: LLOYD DICK - ACO Report Received By/Title: OSHPD- Construction Final (06/08/99) DUANE LONGFELLOW - IOR,,,'(\\--;, /ace: 11/30/2010 Ae: 11/30/2010