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Home My WebLink AboutF2002-0324 - PermitsCity of Newport Beach Building Department PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 FIREPROT Permit No: F2002-0324 Permit Counter Telephone, (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Bldg: 1 Inspector Are rfd Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL 1 HOAG DR NEWPORT BEACH CA 92663 949-574-4488 Edit Code: Type of Construction: Occupancy Group: Added /New sq.ft. Eidg Added /New sq. rt. Garage: No of Stories. : No of Units 97 Floor: Suite: Description of Work: UNDERGROUND FIRELINE 2822-2001 Legal Desc.: vy Contractor: PAN -PACIFIC PL a �e e�i.\\ek Address: nrke017911 MITCHELL SOUTH .?V XV IRVINE CA c Phone: 949/474-9170 Con. State Lic.: Lic Expire: Bus. Lic.: Lic Exp Date: 093910 7�, plena 10/31/2003 BT00003287 4144 t15o3ctf 02/28/2003 Workers' Compensation Insurance -- Carrier: ULICO CASUALTY Policy No: WCS-1116781,9 Expire: 0790112003 Issued : 09/17/2002 FEES Construction Valuation: $25,000.00 Fire Plan Check Fee : Fire Permit/ Inspection Fee: Record Management : Investigation Fee: $240.98 $334.70 $0.50 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA 949/574-1325 State Lic: CO23842 Special Conditions; State Lic: $0.00 $0.00 TOTAL FEE : $576.18 TOTAL PAYfrENT : S0.00 TOTAL DUE : $576.18 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: `OTHER DEPARTMENT: PLAN CHECK BY: �-' APPROVAL TO ISSUE: WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FRO THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. l r, APPROVALS DATE BY COMMENTS OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORG LICENSE LAW FOR THE FOLLOWING REASON (SEC 7031 5, BUSINESS AND PROFESSIONS CODE': ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOMSH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TOFILE A NTRACTtGMED STATEMENT THAT HEORCOMMESHE IS ICIN WITH SEC_FDIV.HE 3VISIONE OF THE CONTRACTORS LICENSE TAW (CHAPTER 9 {COMMENCING WITH SEG T0001 OF OIV. OF THE THE PERMIT TN OF SEC.7031.5 BY ANY APPLICANT FDR A BASIS FORInEESAND EPROFESSIONS coon) VRATIOHOOSSHE 0SEXEMPT THEREICAMN FOR FOR THE ALLEGED EXEMPTION. OA ANY OR THAT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNBREO DOLLARS($500)'. 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE {SEC. ]016, BUSINESS ANO PROFESSIONS CODE THE OONTRACTORS LICENSE LAW ODES NOT APPLY TO AN 0NMER OFE PROPERTY WHO BUILOS'CR IMPROVES THEREON, AND WHO DOES 9UCH WORN HIMSELF OR HERSELF OR THROUGH HIS 0R HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLO WITHIN ONE YEAR OF COMPLETION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PRGJING THAT HE OR SHE DID HOT BUILD ORIMPROVE FOR THE PURPOSE OF BALE 1. 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 IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE coxrRAc3oasucENSE LAW.). I AM EXEMPT UNDER SEC e a P.C. FOR THIS REASON FIRE PROTECTION,I UNDERGROUND ROUGH PIPE 9-C� THRUST BLOCKS EXCAVATION' i q,c3 • J I/�� / Thrust to` tttto 2 kl.A $ J1* Prr T rus UNDERGROUND PIPING FLUSH �/�C{.�3 FE�JTT ./�/� l�,� o Q4i.IQ.T{�A.[ Ap��(J �'�I'� QI6dS UNDERGROUND HYDRO TEST 3'14r03 1i+o 11 r‘• /J LIAy_AA. LA L�„-�Z r. 4l{E�TY ./ UNDERGROUNDIBACKFLOW APRV. _ y ,p t.on SPRINKLER HYDRO TEST p� / f-3 At ^`�� `/ (,.{-iT„ ite 5 .2 SPRINKLER FLOW TEST i! /'' �� t [ �(/ L 1 /J '�%� SPRINKLER ROUGH PIPE I� J9 I].,3.i-Ci c) i p F ^^ Vl�J J �nJI �.'9J�� // ` - %%% Ml)Y.1L'ty� �B.i I[.'y� STANDPIPE HYDRO TEST / j 'J /� LI N IP. e_ n ,l VO STANDPIPE FLOW TEST .^/�1se ,'1 '/T 'I Let �SLp\C''1,'I St,' I ()Nast; D•-f T STANDPIPE ROUGH PIPE 10 ��Qi�j CHEM SYSTEM FUNCTION TEST ) �� CHEM SYSTEM APPROVAL I J> a -Da Mo PE �I 'e-O DATE OWNER 14 An I FIRE ALARM SYSTEM I C j J p }1��3l LLLi" LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9(COMMENCING WITH SECTION]000) OF DIVISION 30F THE BUSINESS AND PROFESSIONS c,DE AND MY LICENSE IS IN FULL FORCE AND EFFECT. ROUGH WIRING 4 ' 0' u ) Vn (- LC, ' SYSTEM FUNCTION TEST I F�fLpcc4 ]f`'i[tta .4 F-De.„ /�_ �4n ,��,/// CENTRAL STATION MONITOR S_I Eo3 mtvip lS aUCENSEE CLASS Lc. NO. /� /UATE 'I - i I 0 C[WRM.TOR jjesirtogria Y L� LI R La 4- i iQ(1' I PIALctt WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFANSURE FOR WORKERS' C MPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE M40 WILL MAINTAIN WORKERS COMPENSATION INSURANCE AS REQUIRED BY SECTION 3700 OF THE LABOR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH p�.. LI,'j-CIF'`` wn�� ff ciAfT ,N�.-0.1 L! FIRE MISC. �_ , TANK REMOVAL TANK INSTALLATION/TEST r`� [[ /^�,�{ ,,// At�� F']� YIMKI.- PACT\ At. fY3 -roe. TANK PIPING PRESSURE TEST MEDICAL GAS PIPING TEST THIS PERMIT IS ISSUED, MY WORKERS -COMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE CROSS CONNECTION TEST CARRIER NUMBER MISC. INSPECTIONS: POLICY (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUMORS] DOLLARS N100)OR LESS) 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 BECOM SUBJECT TO THE ?COIFCUtarn- PR &SS. i � F ZS 01G- !I%/zi -I, MAC I�I it G r c -'1Pas- ?Min' 1 (-Colo nrr - r l*Jf �,G/36 /h,•L I WORKERS COMPENSATION LAWS OF CALIFORNIA, AND AGREE THA I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECT N CO OF THE LABOR 000E, I SHALL FORTHWITH COMPLY �WIWI THOSE ISIO ATE'. 9-1 `-0 2-A LwrNT: . .y /zc 5&4D4"mar acne..., S Al' At.: EY • WARNING: FAILURE TO SECURE AGRKEHS' bOMPE.ISA(ION LOVER E IS UNLAWFUL, MID SHALL SUBJECT AN EMPLOYER TO CRIMINA', PENAL, IFS AND GML FLIES UP TO ONE HUNDRED THOUSAND DOLLARS (310000% IN ADDITION TD THE Cory U', ^OM?ENSA NON, DAMAGES AS PROVIDED FOR IN SECTION 37OS OF THE LABOR CODE, I.ITGF EST( AND UTORiFY'S FEES L CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR 'H _ PERFORMANCE. OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.309], CIVO). LENDER'S NAME LENDER'S ADORE'S__- - r I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON I" IF ABCV^l1ENRORFD PROPERTY FOR INSPECTION PURPOSES FINAL 3-v f-03 1\ 0 PER }��• 17/-bZ / . Ln,lil - •T . en -.i 0,V 444k Dekio fl & ckzutes —Mcca. City of Newport Beach Building Department GRADING Permit No: G2001-0360 PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor: Suite: 2 , ,sj 6 -" Code Edit: 97 Inspector Area 7 Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL. 1 HOAG DR NEWPORT BEACH CA 92663 949-574-4488 REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA 949/574-1325 Geo. Tech. Engr.: Address: Phone: State Lic Valuation: Yard a FILL: Yardag UT: LEW MARSHALL 200 CITADEL DR LOS ANGELES CA 90040 323-889-5300 $0.00 450 44499 Bldg: 1 AL Legal Desc.: Contractor: MC CARTHY BUI Address: 20401 S. W. BIRCH ST STE 300 Phone: 949/780-5580 Con. State Lic.: 411173 Lic Expire: 08/31/2003 Bus. Lic.: BT00021561 Lic. Exp Date: 03/31/2003 Cartier: Policy No: Expire: ST PAUL FIRE WVK8500217 04/01/2003 Issued Date: 09/03/2002 Grading Permit : Plan Check Fee: Permit Fee: Clean Up Deposit : Investigation Fee: Fee Increased: PROCESSED BY: PLANNING' TRAFFIC: SUBDNISION: $0.00 $3,520.00 600.00 $0.00 Drainage Permit: N Planning Dept - Counter Review : Zoning Plan CK : $0.00 $54.04 Fair Share : Description of Work: PRECISE GRADING 2822-2001 Architect: Address: Phone: Engineer: Address: Phone: Workers' Compensation Insurance - - Address: Phone: Special Conditions: REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA 949-574-1325 Designer: inSPeCtor State Lic: CO23842 State Lic: FEES SJH Trans Corridor : Park Ded Fee Record Mgmt: $0.00 $0.00 $0.00 $135.00 TOTAL FEE : $13,069.04 TOTAL PAYMENT : $227.00 TOTAL DUE : $12,842.04 OTHER D PLAN CHECK APPR.VAL. T PC/FEES $0.00 $1,760.00 WORK MUST BE STARTED T IN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOME - LL AND VOID. / _f�5-z/ APPRDVALS ; DATE: BY F'REGRADE MEE TET INC; ie0P/740 GRADING /NSPI.:flTI,C.)`.: AREA DRAINS ROUGH GRADE AEIYIF" d 4 PREPAVING MEE: CURB ANC) GIII-11-..f4. i. PAVEMENT 5 AGGREGATE EMNI. ; - F LATWORK STORM DRAIN ATCH BASIN%In - EReSte'1975.' e oCtr- THEP. r , - i ; -- i PRECISE GRADICr, Ir:.T-..1,--7, ; .... DOCUMENTS FINAL GRADING I;1 ' ' FINAL / "GMNIENTS 2:1744._elesi 7.1tec Lif=1[4. /I/ 3 -15caltht-1 ASA3 ddtrv-c — CERTIFICATE TTVC.: t1t1v.'ri (;F'' ,FNGR., FIRM RECEIVED ROUGH GRADL: PF,u)ciP"; — FINAL GRADING ITEEct; CIVIL CERTIFICATE SLAB ELEVATION CPR IEICA TN- Y.1,1"61- 1,11\1D.1.11,) A1"14Ai TASLDErt C0FC! 1TION ;:(31::41 r2; rtrAA rt: Attt tAt rA.F. , r '1:13 .r,t.-1 A'R M tor -0, trAs 4 L.A. 'At 1911.408.957480.Arifitt`.0NA C'Jit ch1' CA/4'R/ ' t•Ar...; AA, 41012 801 ArJor `1.9130r At A OA rt c, cAavAti A AAAA, 4991 r..crr •N't if! "., f-Tri 0(1 Vl14i150104ILl. „.. ,s s. :Ajp A, r 4.11108111111 A" i.), AON'AAAA tr ir 1101111.4.11CArtir0+11.1.345 041101 AMAT1ON I ry r.) c 9901.JUIIY 48 '.AN'Aid, Pr(:)AJAN),A, UECLARATION rr'11,01" A t 110 rt-r A CA'Ar.-1r. I CA,VPrRitAl.CN Cr13r1r ilt At . ri0t-titortir.rCetrfAV WARYI'JG F-Atl tPi,:. :0 SActriAlt 'AI:Al,'Ki ' COM( '.N.'oo, r."'-. CA,Jr.,RAGi'. ;S wit AAAHL 41:0 ti.v." 00. t ARS 451tr1A11- .r. MX:I :10,2 10 W. l'..C:,` L' C01-.40r KVAATION DA.MAIAA:S AS r'1,.....`VII)A..1; :0. Strf,TtOrt 1r0A (1' 0 tALArtAtr 111.1111. itt fEkr.ST AN.: A- reRNAY 112.76 CUMSTRUr"Iterl Lert101,1,Cr AGENCY 30140r,r A„At r -r .-Artt t;.. Ati , v_rc a ko1/4