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Home My WebLink AboutB2005-0784 - PermitsCity of Newport Beach Building Department BLDG Permit No: B2005-0784 PO Box 1768 Newport Beach, Califomia 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor. Suite: Inspector Area: 7 Owner. HOAG MEMORIAL HOSPITAL PRES RINELLA NEAL Address: 1 HOAG DR NEWPORT BEACH CA 92660 Phone: 949R64-4478 Applicant: RINELLA NEAL Address: 2220 UNIVERSITY DR NEWPORT BEACH CA92660 Phone: 949-574-1325 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: Issued:03/26/2005 2001 U2 Bldg: 1 Legal Description: Contractor: MILES & KELLEY CONSTRUCTION COMPANY INC Address: Phone: Con State Lic: Lic Expire: Bus LIc: Lic Exp Date: 1102 E VALENCIA DRIVE FULLERTON CA 714-773-9272 312206 02/28/2007 BT00018695 12/31/2005 Worker's Compensation Insurance Cartier. STATE COMP Policy No: 1679210 Expire: 01/01/2006 Building Setbacks Rear. / Front / Left / Right: / Use Zone: PC Parking Spaces: Description of Work: PLANTERS & RETAINING WALL & SCREEN 0671-2005 Architect Address: 2220 UNIVERSITY DR NEWPORT BEACH CA92660 Phone: 949-574-1325 State LIc:CO21102 Engineer. TAYLOR WILLIAM C Address: 2220 UNIV DR 1200 NEWPORT BEACH CA92660 Phone: 714/574-1325 State Lic:S-000702 Designer: Address: Phone: Special Conditions: Construction Valuation: $75,000.00 Building Permit Fee : $759.50 Plan Check Fee: $546.84 Investigation Fee: $0.00 Clean Up Deposit: $0.00 Disabled Acess : $0.00 Demo Adm Fee: $0.00 Fee Increased $0.00 PROCESSED BY: PLANNING APPROVAL: GRADING APPROVAL: Microfilm: Excise Tax- Res: Excise Tax- Corn: Supplemental P/C: Fair Share: General Sery DMO Refund DMO Dep TOTAL F $36.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEES Haz Mat Disclosure: CA Seismic Safety: Other: 30.00 30.00 $0.00 Public Works Plan Ck: $0.00 Planning Dep - - Plan Check: $110.00 Counter Rev.: $0.00 OT Plan Check : $0.00 Fire Dep - - Plan Review. $0.00 Inspection: $0.00 : $1,452.84 TOTAL PAYMENT : $759.50 TOTAL DUE : 5693.34 9- OTHER DEPARTMENT: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR ST VALID INSPECTION. APPROVALS DATE BY CPM EATS OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE UM FOR THE FOLLOWING REASON (SEC. TOILS. BUSINESS AND PROFESSIONS CODE ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT. ALTER, IMPROVE CELYJLISH, OR REPAIR ANY STRUCTURE, TO ITSHE0 ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FLLE A SIGNED STATEMENT THATTHE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTACTORS LICENSE LAW (CHAPTER 9 (COMMENONG WITH SEC. 7000) OF DN. 3 OF THE BUSINESS AND PROFESSIONS COMB OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE CANS FOR THE ALLEGED EXEMPTION. ANY NOTATION OF SEC. T051.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TOACIVIL PENALTY OFNOT MORE THAN FIVE HONORE°DOLLARS(SWOT ME ❑ I.ASOWILL OF THE THEWPROPERTY. THE PAYEMPLOYEES HIN WAGESASTHEIR EDF COMPENSATION, WILL DO THE VYORK,AND THE STRUCTURE 15 NOT INTENDED OR OFFEREOFOR SALE (SEC. TOM, BUSINESS AND PROFESSIONS C00E'. MOVES CONTRACTORS LICENSE LAW DOES NOT APPLY PLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND IVNODOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OwN EMPLOYEES. PROVIDED THAT SUCH MPROVEMENTS ARE NOT INTENDED OR 0FFEREO FOR SALE. IF, HOWEVER, THE BUILDING ON IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNERBUILCER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE 010 NOT BUILD OR IMPROVE FOR THE PURPOSE OF S4EI ❑ I. AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS COOS: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR ROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CCNTRACTOS) LICENSED RI PURSUANT TO THE CONTRACTORS LICENSE OWNER'S NAME. DATE: FOUNDATION: b/1 I/f qt. A �-r/t.4S WATER QUALITY BMP'S I ROUGH GRADE LINE & GRADE CERT/SETBACKS I ERECTION PADS /%%�� ' FOOTINGS �/( /�/Y��' v / SLAB ON c GRADE J d n f /40 Er/ uDALe c-cosh[ puke �1 l��/O4'�C ///% / j//G ,4G/d1� /// wl° //LL ` F MING: J FRAMING: /A ' 1` DECK SLAB." . ' TiJ �� 11—., 5i n/ !!J Gt�J SUBFLOOR / ROOF & BUILDING HT �/ � - �/ /2'YL/2 oriA�Id / aN` / EXT. SHEARIHOLD DOWNS / GENERAL FRAMING FIREPLACE THROAT LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I NM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION IWII OF DIVISION I OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT, LICENSE CUSS LTC. NO,T �� INTERIOR & EXTERIOR INSULATION DRYWALL DATE a J CONTRAC-_� � " SUSPENDED CEILING WORKERS' COMPENSATION DE LARAT N I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE ANO WILL MAINTAIN ACERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' C MPENSATION, AS PROVIDED FOR BY SECTION S]W OF THE LABOR COOS, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT SECTION 5700 OF THE LABOR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER MISC. INSPECTIONS: POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETE° IF THE PERMIT 15 FOR ONE HUNDRED DOLLARS (510010R LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.' PERMIT EXTENSION SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I SHOULD BECOME SUOJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3703 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS, WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAw0UI. AND SHALL SUBJECT AN EMPL9Y9R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND DOLMS (Sl0.C.0), IN NOTION .0 TAUT COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN 0, WM SECTION 1706THE 1 COOK. IN.ERES'. ANO ATTORNEYS FEES. 1ST EXP. LETTER 2ND EXP.LETTER BUILDING FINAL �� I ;OASTRUCTI(•N LENDING AGENCY I HEREBY AFW. A UNE ER PFNfY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC,1EI91, CIV C1 LEND,As HAMA CERTIFICATE OF OCCUPANCY TENANT NAME: OWNER / BUILDER AGENT INFORMATION NAME: IENOP.S A^GRASS ' CF'TIFI Ti AT 'Y AVE RENO THIS APYICATION N.0 E EAT THAT THE ABOVE INFORMATION IS CDR' ECT. 1 MARE, TC• COMPLY MT.. ALL CITY AND CJUP TY ORDINANCES ADD STATE LAWS RELATING TO SOLON; CONS'R'ICTION, N.a HEREBY AUIHOFRE REPRESENTATIVES OF THIS OTY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY-C9 INSPEo.TION PU SOS. / r �i/ I4._ eo ADDRESS: TYPE OF BUSINESS USE: DRIVERS LIC. NO. _ i IFER ATI' /'� �4(/ r ��/ O,j ared\Permits Dep\BldgPermit(Back)8/04