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Home My WebLink AboutB2001-3535 - PermitsCity of Newport Beach Building_ Department CIP Permit No: B2001-3535 PO Box 1768 Newport Beach, California"92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor: Inspector Area: 7 Legal Desc: Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL 1 HOAG DRIVE NEWPORT BEACH CA 92663 WEAVER EMILY 4850 BARRANCA #203 IRVINE CA 949/552.2061 Code Edition : Type of Construction: Occupancy Group: Added/New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 3 No of Units: 97 II-1 HR B Issued: 05/01/2002 Receipt # Suite: Bldg: 1 Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: WATSON INVES 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974-6421 436023 03/31/2003 BT98038807 10/31/2002 Workers' Compensation Insurance - - Carrier: Policy No: Expire: STATE FUND 229-0019928 01/01/2003 Description of Work: TENANT IMPROVEMENT (NO PLUM) 1ST FLOOR 2739-2001 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: WOOD III JACK F 4850 BARRANCA #203 IRVINE CA92604 949-552-2061 State Lic: C015130 inspector State Lic: Building Setbacks Rear: / Special Conditions: Front: / Left: / Right: / Use Zone: PC Parking Spaces: FEES Construction Valuation: $60,000.00 Building Permit Fee: Plan Check Fee: Supplemental: Investigation Fee: Clean Up Deposit: Energy Compliance: Fair Share: PROCESSED BY: ZONING APPROVAL: FIRE APPROVA0.: GRADING APPROVAL: $581.00 $418.32 $0.00 $0.00 $1,100.00 $0.0 -r Microfilm: $70.90 Excise Tax : $0.00 Park Ded: $0.00 SJH Trans: $0.00 San Dist: $0.00 Ca Seismic Safety: $0.00 Disabled Review: $60.00 Hazardous Mat: Add Fire Dep HMO: Other Fee: TOTAL FEE :$2,850.82 TOTAL PAYMENT :$1,251.94 PLAN CHEC BY: APPROVAL TO $20.45 $0.00 $0.00 Fire Department: Plan Review Fee: Inspection Fee: Planning Department: Counter Review : Zoning Plan Check: OverTime Plan Check Fee: TOTAL DUE: $1,598.88 A I—Ccv DC 1i is WORK MUST BE STARTED WRH/A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES /JULL AND VOID. $167.33 $406.70 $0.00 $27.02 $0.00 PUBLIC WORKS: OaA Licn APPROVALS ( DATE BY COMMENTS FOUNDATION: ROUGH GRADE [LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS FRAMING: DECK SLAB _^ ROOF & BUILDING HT _ EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT INTERIOR & EXTERIOR ;INSULATION !DRYWALL (SUSPENDED CEILING Tg5SHOWER LATH --- EXTERIOR LATH !SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT MISC. INSPECTIONS: PERMIT EXTENSION 1ST EXP. LETTER 2ND EXP. LETTER BUILDING FINAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: 6hare0161EgPermIEElacR 910I $ I no ireAr— DATE i � 102- TO: V4DG6, Muva'It { /0la) i —4—prr-C. A tu,sTrupt OWNER -BUILDER DECLARATION l HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON {SEC. 7011.5, BUSINESS AND PROFESSIONS CODE: ANY CRY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH, OR REPAIR ANY STRUCTURE. PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO TVP PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 70101 OF DIY. 3 OF THE BUSINESS AND PROFESSIONS CODED OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION, ANY VIOLATION OF SEC. 7031.3 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNOREO DOLLARS (5500): 12 I, A5 OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WU. DO THE WORK, AND THE STRUCTURE LS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO { AN OWNER OF PROPERTY WHO BUILDS ORIMPROVES THEREON, AND WHO DOES SUCH HIMSELF i OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVICED THAT SUCH IMPROVEMENTS ARE S z NOT INTENDED OR OFFERED FOR SALE. IF,HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF OOMPLETON, THE OWNER BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR g _ SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). { ) I, AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED n i CONTRACTORS TO CONSTRUCT THE PROJECT{SEC. 7044. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS UCENSE 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 CONTRACTORS LICENSE UW ). fj EXEMPT UNDER 5E0. Ba P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION HEREBY AFFIRM UNDER PENALTY OF PERJURY TSIO AM LICENSEDHBUST UNDER PROVISIONS I OF CHAPTER 9 (COMMENCING ENSEING WITH FUL SECTION 7000) EFFECT DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT. UCENSE CLASS S-1 • oZ LC NO. �1116o13 CONTRACTOR /l-R1,- WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFINSURE FOR WORKERS' ,_-..COMPENSATION. A5 PROVIDED FOR SY SECTION 3700 OF THE LABOR CCOE, FOR THE PERFORMANCE OF THE YVORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE ANO 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 CARRIER AND POLICY NUMBER ARE: CARRIER fS) POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED COLLARS 15100) OR LESS). CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO A5 TO BECOME SUBJECT TO THE 1 WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF 1 SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 37000E THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS - 'A..A. LOT ARNING: FAILURE TO SECURE WORKERCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 'F SUBJECT AN EMPLOYER ,TO OP(MI1AL pa (A1r'Eg AMC CIVIL FINES UP TO ONE HUNDRED THOUSAND € DOLLARS (5100,000). IN 1DOITCN T7 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN IL SECTION 3700 OF THE LABOR SIAE A )ER:ST AN_D A-TORNEY'S FEES. Cc NP,TRUC:TIoN LANDING AGENCY I HEREBY AFFIRM LANCER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 15E0 3097, CIV C.). REFUNDED LENDER', NAME >—s-->--r, LENPERS NOIRES_ • 1 FEEIIF1 THAT ilia: READ HIS APr IJATON lND STATE 41- 1t3 TI'F ABOVE INFORMATION IS CORRECT. I AGJEE TO LbMPLY PATH ALL DIY AND (AUNTY LR.I (ARCED AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HERESY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE AGOVEMENTIONED PROPERTY FOR INSPECTION PURPOSES. r)c<;_3-jfir3o5L' ITTEE I'AMFSPBINT) I I L .-jam (l..1w-r.. iCA/OL,,Ln•I City of Newport Beach Building Department PO Box 1768/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 ELECTRICAL Permit No: E2001-1855 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Inspector Area: 7 Owner. Address: Phone: Issued Date: Processed By: New Construction Residential Multi -Family 1-2 Family Service 0 to 6004 up to 200A 0 to 600V over 200A Over 600A/1,000A Bldg: 1 Floor: Suite: Code Edit: 96 CA 92663 Legal Desc.: Contractor: Address: Phone: Con. State Lic. Lic Expire: Bus. Lic.: Lic. Exp Date Receptacle/Switch/Outlets ReceplOutlets 13 $12.61 Fixtures 0 $0.00 0 Sep Circuit 0 $0.00 Skins 0 $0.00 Branch Circuit 0 $0.00 0 $0.00 each Add Circuit 0 $0.00 0 50.00 Time Clocks 0 $0.00 TOTAL: $36.71 CONTRACTORS OFCLARATION Description of Work: ELEC/TI 1ST FLOOR B2001-3535 1 P CTOR NOTEpg 1n �M WATSON INVESTMENT DEVELOPMENT / ram✓ 18182 SERRANO AVENUE VILLA PARK CA 92667 �/b/jL Oe tar- 5G/-, 714/974-6421 : 436023 �• /(�L o7� i /P'Z%%g� c.d."Gcf 03/31/2003 BT98038807 Motors/Transformers (HPIKVAI 0 to 1 HP/KWIKVA 1 to 10 HP/KW/KVA 10 to 50 HP/KW/KVA 50 to 100 HPIKW/KVA over 100 HP/KW/KVA 10/31/2002 FEE $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.50 Piggy Back /Temp Power PAYMENT: $8.24 Temp Power Pole Temp Underground Sub Panel Record Managment Fee : Investigation Fee $0.00 Plan Check Issuance Supplemental Fee BALANCE: $28,47 affirm under penalty of perjury that I am ricensed under provisions of Chapter 9 lcommencing with Section 70001 of Division 3 or the Business and Processions code, my license is in fulltorce and etfecl. se No: 936023 Class: Conlraclon WATSON INVESTMENT DEVELOPMENT WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a oertlficote of consent to sell -insure fa workers compensation, as provided for by Section 3700 al the labor code. for the performance of the work for which this permit Is Issued. I have and wit maintain workers compensation insurance, as required by Section 3700 of the lobar code for the performance of the work for which this permit is issued. My workers' compensation insurance canner and pdicy numbers is: Caller: STATE FOND Policy number: 229.0019920 Expire : pl/01/2003 This section need not be completed if the permit is for one hundred dollars ($100) or less. I certify that in the performance of C:e work fu which I=iis pednit is Bsued.I shall not employ any of California, and agree that if I shautd Leann sunjact Pi th- worl 315. compensation provisions of Seca iet(ore:S- i - Ca. Applicant 7o. A. _I_ L&)cJ.a=r,. Warning' Failure to secure waters ands compensation coverage Is a awful, and shall subjeo an employer to criminal penaltes and civil lines up to one hundred on in any manner so as la become subject to the workers' compensation laws 3700 0l the labor code, I shall forihWllh comply with those provisions. {1100pe3j, in addl'hn 'of' 2 cast o. co, npeniation.abmages a- prrviC sd Ic. In Section 3706 of the Wbor code, interest, and attorneys fees. I hereby acknowle 1gc th_t I have eau Iho applicartPnl that 'he into ma , given Is correct; and that I am the owner, or duly authorized agent of the owner. I agree to comply with cily ano'state laws regulating construction; and in ddng ework authorized thereby, no person will be employed In violation of the labor code of the state al California relating to workmen's compensation insurance. P.,errnittee Name (Print) Suture of permittee:-Lys Ad ress : Date: S_1-ns b-b)Aa, Approvals 0 0 0 0 0 Grounding Electrode Underground UnderslablFloor pplu,SSei . q2 Rough CondultlWails Rough Wiring Ceilings Rough Service Temp Power Utility Co. Notified Final $0.00 $3.15 $2045 $0.00 Inspector/Date c7/2 Vac �t WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.. City of Newport Beach Building Department MECHANICAL Permit No: H2001-1198 PO Box 1768/3300 Newport Blvd., Newport Beach, Califomia 92658-891 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Bldg: 1 Inspector Area: 7 Owner: Address: Phone: Issued Date: Processed By: HOAG HOSP 1 HOAG NEWP Code Edlt: 97 E T BEACH C /01/2002 HVAC Items Furnaces up to 100k Btu/hr over 100k Btu/hr So.00 o So.00 Nall/Floor Heater- 0 $0.00 Heat Pumps & Package Units up to 100k Btu/hr 0 $0.00 up to 500k Btu/hr 0 $0.00 up to 114 Btu/hr 0 up to 1.75M Btu/hr 0 over 1.75M Btu/hr 0 $0.00 $0.00 $0.00 92663 Floor: Suite: Legal Desc.: Contractor: Address: Phone: Con. State Lic. LIc Expire: Bus. LIc.: Lic. Exp Date: Boilers & Compressors up to 3HP over 3HP to 15HP over 15HP to 30HP over 30HP to 50HP over 50HP Misc Items Fire Dampers Gas Line Metal Fireplace ICB0 App.#- Description of Work: MECH/TI 1ST FLOOR B2001-3535 WATSON INVESTMENT DEVELOPMENT 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974-6421 : 436023 03/31/2003 BT98038807 10/31/2002 FEES o $0.00 o $0.00 o $0.00 0 $0.00 0 $0.00 INSPECTOR NOTES Inspscto' tat /i '! Z 14-6 or Aar -gZ Ventilation Bathroom Fan 0 $0.00 Exhaust Fan 0 $0.00 Attic Fan 0 $0.00 Down -Draft Fan 0 $0.00 Residential Hood 0 $0.00 Cosmrercial Hood 0 $0.00 0 $0.00 Repair/Alter/Add 2 $22.70 o $0.00 Air Handling Units 0 $0.00 up to 10k cfm 0 $0.00 over l0k cfm TOTAL: $49.33 PAYMENT : $17.02 BALANCE: $32.31 0 $0.00 VAV Box Other Record Management Fee: Investigation fee Plan Check Issuance Supplemental Fee 0 $0.00 $0.00 $0.00 $0.50 $0.00 $5.68 $20.45 $0.00 4IC ED ONTRACTORS DECLARATION tUtifer affirm under penalty of perjury that l am licensed under provlslons of Chapter 9(commencing with Section 7000) of Division 3 of the business and professions code, a my license Is In full force and effect. se No: 436073 Class: ale: Conhaclor: WATSON INVESTMENTOEVELOPMENT WORKERS' COMPENSATION DECLARATION: I hereby COMM under penalty of perjury one of the followln9 declarations: I have and will maintain a certificate of consent to set -Insure for workers' compensation, as provided for by Section 3700 of the labor code, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the labor code, for the performance of the work for which this permit is Issued. My workers compensation Insurance carrier and policy number Is Carer. STATE FUND Policy number: 2^9-D91992$ Expire: 01/0102003 (This section need not be cot.Tple•ed if the permit is for one hundred dollars ($100 or less). I certify that in the performarce of the uork f or wh'c's this permit is Issued, I shall not employ any person In any manner so as to become subject to the walkers' compensation laws of California, and agree that k l sho'ild,5ceob,e Suhiect to the workers' comp on provlslons of Section 370-0yft elabor code, l shall forthwith comply with those provisions. ale: S- 1 61 pplicant Signalure: L1/ Warning: Failure to secure workers' componsatioo coverage Is "lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In admfa. r.o the cost of :Oh ,persa!on,d-mages as provided for In Section 3706 of the labor code, Interest, and attorney's lees. hereby ack.,ow.edtle Mal I &meraad this appllcal'oni the: lh., inioniie on given Is correct; and that I an. the owner, or duly authorized agent of the owner. I agree to comply with r.Iry one sate lass re guL4.lg constriction Lnd In doing the work authorised thereby, no person will be employed In violation of the labor code of the state of California rehtinv to workmen's comperuatlon insurance. ermittee Name (Print) Rlr lc Lyons ...k Address Si Approvals Underslab/Floor HVACIHood - Rough Fireplace -Rough Gas Test Fireplace - Final HVAC/Hood - Final Inspector/Date WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.