HomeMy WebLinkAboutB2000-0049 - PermitsCity of Newport Beach
Building Department CIP Permit No: B2000-0049
PO Box 1768 Newport Beach, California 92658-8915. Permit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255
Job Address: 1 HOAG DR Floor:
Inspector Area: 7
Owner:
Address:
Phone:
Appliranf -
Address:.
Phone:
Suite: Bldg: 1
Legal Desc:
HOAG MEMORIAL HOSPITAL PRESBYTERIAN Contractor: c21.4_,,,,yw-p.7
1 HOAG DR - Address:-
NEWPORT BEACHCA92658
949/64C 0301- 574 +4 Sir Phone:
TAYLOR & ASSOCIATES (MIKE PETERSEN)
220 N UNIVERSITY DR - - -- Lic Expire:
NEWPORT BEACH CA 92660 Bus Lic:
949/574-1325 Lic Exp Data
Code Edit : - 97
Type of Construction:
Occupancy Group: ' S-4
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:._.
Con State Lic:
Workers' Compensation Insurance - -
Carner:
Policy No:- - -
Expire:
Description of Work: RECONFIGURE 4TH LEVEL PARKING STRUCTURE -
0039.2000
Architect:
Address:
Phone:
Address:
Phone:
Designer:
Address:
Phone:
Inspector-
REGIER D RANDY -
- 2220 UNIVERSITY DR --
NEWPORT BEACH CA - 949/574-1325 State Lic: CO23842
Engineer:
State Lic:
No of Stories: - 5 LVLS / q `y _ Special Conditions: •
S
No of Units: / oa ��
1t�0� �" FQ�N �, � o/ lb
FEES. NA • - - -
Construction Valuation: $10,000.00
Building. Permit Fee: $138.80
Plan Check Fee: $99.94
Supplemental: $0.00
Investigation Fee: $0.00
Clean Up Deposit: $200.00
Energy Compliance: $0.00
Fair Share: - $0.00 -
Building Setbacks Rear:
Front:
Left:
Right:
Use Zone:
Parking Spaces:
Microfilm:
Excise Tax :
Park Ded:
SJH Trans:
San Dist:
Ca Seismic Safety:
- Disabled Review:
$1.56
$0.00
$0.00
$0.00
$0.00
$2.10
$32.00
TOTAL FEE :$646.08
Hazardous Mat:
Add Fire Dep HMQ:
Other Fee:
$19.00
$0.00
$0.00
Fire Department:
Plan Review Fee:
Inspection Fee:
Planning Department:
-Counter Review
Zoning Plan Check:
OverTimePlan Check Fee:
TOTAL PAYMENT :$155.46 TOTAL DUE: $490.62
$55.52
$97.16
$0.00
$0.00
$0.00 --
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
GRADING APPROVAL:
PUBLIC -WORKS:
ESQ �i
Z/(((O0
OTHER DEPARTMENT:
PLAN CHECK BY:
APPROVAL TO ISSUE:
WORK MUST BE STARTED WITH A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION. _ _
OR THIS PERMIT BECOMES NULL AND VOID.
APPROVALS
DATE - f--_. -BY
OMRtENTS
BUILDER DEC
FOONDA` IO
ROUGH GRADE
LINE &GRADE-CERTISET'8A
ERECTION PADS
DOTING
1111111111
SLAB -ON GRADE
DECK SLAB
-RA tvilNf.::.
UBFLOOR ,. -,
OOF&- BUILDING HT
EXT. SHEAR/HOLD DC)VJNS'
GENERALFRAMING
INSULATION_ _... - _...
DRYWALL
SUSPENDED CEILING
-_--_ - PLASTERING:
INTERIOR LATH
EXTERIOR LATH _
SCRATCH ' t2 DAY)
BROWN (7 DAY)- -
MASONRY --_ -_
FOOTING
PRE -GROUT
FIREPLACE-
ISC.4N5-r'EC
PERM T EXTENS!OP
1ST EXLETTER
2ND EXP. LETTER
- PERMITEXPIRED
PERMIT CANCELED
PLOT PLAN FOR ADDITIONS: Sketch a plot p
Show all structures on site. Identify addition. -Street -side
al bottom of sketch. {Show North Arrow
e�
annu.0 r■mnn.■nu
nnnnu■nnuiannnuius
111...................
11111111111111111111111111
pr. 2Gt �u—nnumMOMMOMM .MUM Min
FINAL
CERTIFICATE OF 0( Ar
I HEHERY A :5M-UNDER PE4ALTY-C#'-PeP.XWY Yttnl I;SNt-EXLAIPT FR 'M THE CORI RACTORS
ENS: LAW W9 -HE FO1 LOW N'3 StASOk 1890. iQ355. RE?i'.:1ESS ANO PPUFESS!ONS GOD': ANY
Y OR awry: wwcf. RHYJIPEE LANITTE COh 1BJC,T. All'EY, PM'P(51E,LDEM0t08. Olt
PE IAJR ANY STROOTUPF P4iR-TO:TS DSO OE: AL SOR .NI-ly^-T8£ i-PPJEAN T FOR SUCH Pit Rye'
TO ALEA SIGNED STATEMENT :MAT HE OR J LIGEN 0 EL Jn4T i( INE p JY ONS OT THE
' C7T`A2 ORSJ.: ASP LAW. d4:'(EH S ICOMMENTHIG W(TE SEC .7 C40F'HL 30€ RAE BL&NESS
'ND PROFESSIONS GCSES OR HAT HE OP SHE is 0:097 TFE PERSONA AND THE?ANDS FOR Atilt
M LIC O EEEMPTIOH ANY 910LATXN 0 SEC' iO3 LE SY ANY APPLICANT FORA Pc 0 T SURJECTS
THE AR4E ICANT 10A M% RENALIY OF NOT MORE IRAN FIVE RUNOPRO WM AI 5£Y'
L7 t ASOWNEROF STE PROREHtt OR MY EMPLOYEES NITS WAGES AS THEIR SOLE
G(MMEN WILL GO IRE WORK AND INE STPII'O UWE Iv NOT fi_ !ENCF0 CA. O-FER0 FO.SA_E. S
19F, 144 INE$$ ANDFROE'ESSLONS COS -'SE GMTRACTORS .LICENSEE-4W. ROES NC' APPLY
5 AN YN;;g OF, 4K OPERIY WHORIM. J:,. 014IMPROVES MiEDPOF, AND WHO FOES SUCK lihRB
I
H MS-i OR H>. F OR TI+R(N)GR 7 AS OP HER, ONA EMPLOYEES P Oie p4'O THA: SIJCN
3 IMP!?OSEM ri's API NOS INTi .OED OR OFFERER FOR SCR i. N(W t, E34 R ❑IE RAGING
;01 P,.VENCi'O" IS:.0.O 44`4R. ONE YEAR (! `GOMINA I N THE (YNN0E-SJI CEP N:L£-+IA V«Yli=_.
Rt-D4-H(.er o-409410 THAT RE OP SHE DIU NOT MAD OR MARONEYOR THE PLI POSFOE SdE,.
L� I, AS OWNER CI THE 790Y RERTAM EXCLUSIVELY CON!RACTIN. WITH21GEVSTIO
bON-'RACTORE TO GOMSWOOT THE PRCLECT 1SEO 7034 RUS ME99 AND P 0a 8Stars (Soot, T,IG
RA'TORS-LICENSE LAW DOGS NOT APP01 TO AN /ttssuts or.i =PP P RTy yr i0 RNACS OR
IM� 'F0"F"ER^HI-A.N0.$i_SS-COVIi u ! 99 TOrts.pIi0JEr:3SWiTt4A RA NTEACRR gCENS6')
PJP.uANETOTILE 001TRA IORE LICENSE LAIN'-
JA
T
aA
F
I A{f EriE tRTi DER VEf__ _ PG, Or ISIS,'?EASCH
AF
)0MMFr CIN
E
4Y1'
F
C ASS :_ -_
D CONTRACTORS DECLARATION
ILTY Or PERJURY Y NIA( N LIGENSITO U
N >(a) OEI DIVISION, 3 OF INK BUS NE
!!C NNE%I'1'!CT.
0
(3YISHN6-)F
1IOFESSI(N:R
WORKERS' COMPENSATION T)Edi.ARATtON - -
EIlY AFFIRM UMORI, PENAI I OFPERJURY ONE OE TREED tabs: CI ARAI ION - _
I HAVE AND WILL (AMMAN A OF MirICARi OF CONSENT TO E_FINSU F R WORKERS
oMR-J SIGN' 0. -OVIJE OP KY SEGION WOO OF THE LABOR CODE FOS THE
PERFORMANCE EN THE WORK FOS NORG•( THIS PEPSIS iSISSUES
TENA
TYPE C)F RUsiNF S ,SSE
DATE:1.0 hold) -_
TO. -_�1� b4ed
Orr
I RAVE MID NIL JANTAYS WO R I S. ,,JMF 45A 04 imsuRANcts, As HEENAN J sy
SECTION (400I IRE tA13PC 00E OP -TIFF PEH4 INIMANCE OE THE WORK POI? MAMA
11,IS PERMITS ISSUED. MY NO R RS COMMENIIAIKJ, INSURANCE OMSIFR AN0P( ICY
NUMBER AllE
•
APm ONMvr IPl
CO (NSA !IO4 A9E
l R E WORM, 9LY9
POPE, 1S IF SF )R4 cc.
t. TI 0IFT-K AF 5 gf:ofil. T yt-RED {3UFbAR
OR
AN
FTRt AA4 CREE i*IA
04700 ISIENiS4' S00T
WIT,
4 H0. RC
S-IS
CT'
r11 HI
NAJ141N( FAILURE TO SECURE WORKERS' S CAMP NSATI JI OKCEPA(. 6UNt RWFUL AN>
Sk.IELPST AN EM.PLOIA ITO CROANIk. PENALITES ASS ENE EWES OP 10 0V( IAlPBFD TRC
IXM At6 myEEEDOEINACOP ION TOT W -COST CE• DAMPENS ARCH, 7AFAGES ES —PROVIDED.-
FC'TtNi 3iG0DE1NE LARNE CODE_UT FST-AAJJ-GTTO.NEn9ESS. - --- -
AR
s>EI$S
OER3
T
N LENDING AGENCY
R910000R PENADTY;N' FERILRVTrIAT THERE 15A CONSTRAiCTI NLE DON0.
-. _ .
Il90.NCE CF'lE YRXVI(IOfl'thi!CM TEAS PERMIT I.,SSUEU{ :; 3J97Gff Cl:_
AGREES(
=-CFKASTF
N'HEA
C
4140 Tlin$-IPF:.I0ATIDN ANTS &TAB
T
Pl ANbi3CLTTY
IY AIifNORRT-.
SI:
AP_OVE. WFORMAT
NO STA0 GO
TE LAWS F'
ELAT:
P
tfiG.oa/7 lA 7Z6Si? b/vo
City of Newport Beach
PO Box 1768 Newport Beach, California 92658-8915
Building Department
Permit Counter Telephone (949)644-3288/3289
ELECTRICAL Permit No: E2000-0019
Inspection RequestsTelephone (949)644-3255
Job Address: 1 HOAG DR Bldg: 1 Floor: Suite:
Inspector Area: 8
Owner:
Address:
Phone:
Code Edit: 96
Legal Desc.:
HOAG MEMORIAL HOSPITAL PRESBYTERIAN Contractor:
1 HOAG DR Address:
NEWPORT BEACH CA 92658
949/646-8901
Processed By: ,... /7
BRIGGS ELECTRIC INC
16662 MILLIKAN AVENUE
IRVINE CA92714
Phone: 714-863-9901
Con. State Lic.: 297836
Lic Expire: 08/31/2001
Bus. Lic.: 80003113
Lic. Exp Date:
New Construction
Residential
Multi -Family
1-2 Family
Service
0 to 600V up to 200A
0 to 600V over 200A
Over 600A/1,000A
0 $0.00
0 $0.00
0
0
0
$0.00
$0.00
$o.00
Receptacle/Switch/Outlets
Recep/Outlets 0 $0.00
Fixtures
Sep Circuit
O $0.00
O $0.00
Signs
Branch Circuit 0 $0.00
each Add Circuit 0 $0.00
TOTAL: $23.38 PAYMENT: $0.88
FEE
Description of Work: RECONFIGURE 4TH LEVEL PARKING STRUCTURE
B2000-0049
INSPECTOR NOTES:
Inspector
Motors/fransformers. (HP/KVAL
0 to 1 HP/KW/KVA
1 to 10 HP/KW/KVA
10 to 50 HP/KW/KVA:.
50 to 100 HP/KW/KVA
over 100 HP/KW/KVA
Other
Time Clocks
1 $3.50
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
Temp Power Pole
Temp Underground
Sub Panel
O $0.00
O $0.00
0 $0.00
O $0.00
O $0.00
Investigation Fee $0.00
Plan Check $0.88
Issuance $19.00
BALANCE: $22.50
I ICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed Under provisions of Chapter 9 (commencing with Section 7000) of givision 3 of the Business and 'Professions code,
and my license is in fullfcsce and effect.
License No: 297836 Class' Confractor. BRIGGS ELECTRIC INC
• 0
WORKERS' COMPENSATION 9ECLARA-ION l hereby affirm under penal'yof perjury one of 'ha following declarations: _
_I hove and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of ft' labor code. fdr the performance
of the work for which this permit is issued.
I 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 insurance carter and policy numbers Is:
Calder REUANCF NATIONAL Polleynumber. NWA014770301 Expire :07/01/2000
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I certify That in the performance of the work forwhicn this permit is issued, I shall not employ any person i
of California, and agree hat if I should become subject to the workers' compensation provisions of Section 3700
Dale:. 1 1 0 0 App;icanr Signotcr
Warning: Failure to secure workers compensation coverage is unlawful. and shall subject an err(ployer to criminal cities and del fin p to one hundred
;$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 acknowledge that I have read this application: that the Information giver is correct; and that I am the owner, or duly aukhoriized agent of Inc owner. I agree to
comply wit city and state lows regulating conseuctllon; and in doing the work authorized thereby, no person will be omployeo in violation of the labor code of the state of
- California relating to workmen's oompep 'ion insurance. ^/
Permittee Name (Print) Fk AA) t Address :
anner so as to beoo bjecf to the workers' compensation laws
labor code, I shall fo{t comply with those provisions.
Signature of permitte
Date: Z////ad
it
Approvals
Grounding Electrode
Underground
Underslab/Floor
Rough Conduit Walls
Rough Wiring Ceilings
Rough Service
Temp Power
Utility Co, No ified
Final /til,,,{{{
fir
Inspector/Date
WORK MUST BE STARTED WITHIN A PERIOD OF 180
DAYS FROM THE DATE OF VALIDATION OR THIS
PERMIT BECOMES NULL AND VOID..