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Home My WebLink AboutB2001-3031 - PermitsCity of Newport Beach Building Department BLDG Permit No:B2001-3031 3300 Newport Blvd - 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 Owner: Address: Phone: HOAG HOSPITAL 1 HOAG DR NEWPORT BEACH CA 92658 949/574-4488 Suite: Bldg: 1 Legal Descr: Contractor: Address: Phone: Applicant: CUNNINGHAM MICKITAYLOR & ASSOC GHARITSAUS EDMOND T Address: 2220 NO UNIVERSITY DR NEWPORT BEACH CA 92660 Phone: 949/574-1325 Code Edition: Type of Construction: Occupancy Group: Added/New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: No of Units : Receipt Number: 97 0 Lic Expire: Bus Lic: Lic Exp Date: Description of Work: LITHOTRIPTOR PAD 2405-2001 MC CARTHY BUI 100 BAYVIEW CIRCLE SUITE 3000 NEWPORT BEACH CA 949/760-5580 Con State Lic: 08/31/2003 BT00021561 03/31/2002 Workers' Compensation Insurance - - Camer: ST PAUL FIRE Policy No: WVK8500217 Expire: 04/01/2002 Building Setbacks Rear: Front: Left: Right: Use Zone: Parking Spaces: FEES Construction Valuation: 825.000.00 Building Permit Fee Plan Check Fee: Investigation Fee: Clean Up Deposit: Disabled Access: PROCESSED BY: PLANNING APPROVAL' FIRE APPROVAL; GRADING APPROVAL: PUBLIC WORKS: ••• • ••• 5319.05 8229.72 50 • Microfilm: Excise Tax- Res.: se Tax- Com.: lemental P/C: Share: OTAL FEE : $1.542.56 • ••• •.• ••• •• ••••. • e • • • • • •• • • • • .• -.- • • 1 - • •• •• •• • • • - • _• ••- • • • .• • • • • • • • • • •• • • 547.50 59.00 50.00 50.00 50.00 Architect: Address: Phone: 411173 Address: Phone: Designer: Address: Phone: Spedal Conditions: I nsPector REGIER D RANDY 2220 UNIVERSITY DR NEWPORT BEACH CA 949-574-1325 State Lic: CO23842 Engineer: 320 NO HALSTEAD ST, STE 200 PASADENA CA 91107 State Lic: S-002942 Hazardous Mat Disclosure: CA Seismic Safety: Fire Dep - Plan Review: Fire Dep - Inspection: 50.00 $0.00 50.00 591.89 5223.34 TOTAL PAYMENT : ;321.61 TOTAL DUE : ;1.220.95 WORK MUST BEST Planning Dep - - Plan Check: Counter Rev.: OverTime Plan Check Fee Y6p 581.06 50.00 50.00 D WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BMES NULL AND VOID. ••• •• APPROVALS DATE BY COMMENTS FOUNDATION: ROUGH GRADE LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS SLAB ON GRADE t°ll6GBt 0.(V FRAMING: DECK SLAB SUBFLOOR ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I NA EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWNG REASON (SEC 70315, BUSINESS AND PROFESSIONS CODE' ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT. ALTER. IMPROVE. DEMOLISH. M REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE WPUCANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WTH SEC. MOO) OF V. 3 OF THE BUSINESS AND PROFESSIONS CODED OR THAT HE ON SHE IS EXEMPT THEREFROM ANO THE SASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 70315 BY ANY APPUCNR FORA PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUMORED DOLLMS10500). DI, AS OWNER OF THE PROPERTY. CR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, `ALL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC 7044. BUSINESS AND PROFESSIONS COOS. THE CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN OWNER Of PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF. HOWEVER, THE BJILONG OR IMPROVEMENT IS SOLD SNTHIN ONE YEAR OF COMPLETION, THE CWNERBUILOER MALL RAVE THE BURDEN OF PROVING THAT HE OR SHE BD NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING PATH UCENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN CANNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON. MO NANO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) UCENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.). I MI EXEMPT UNDER SEC. B.& P.C. FOR THIS REASON DATE OMIER INTERIOR & EXTERIOR INSULATION DRYWALL SUSPENDED CEILING SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I MI UCENSED UNDER PROVISICIS OF CHAPTER S (COMMENCING LATH SECTION 7000) OF CARBON 3 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE'S IN FULL FORCE AND EFFECT. LICENSE CLASS UC. NO. yTTE__�Q • / 1 % / C CTON WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND BILL MANTO N A CERTIFICATE OF CONSENT TO SELFJNSURE FOR WORKERS' COMPENSATION, A4 PROVIDES FOR BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR YMICH THIS PERMIT IS ISSUED MISC. INSPECTIONS: PERMIT EXTENSION 1ST EXP. LETTER 2ND EXP. LETTER BUILDING FINAL CERTIFICATE OF OCCUPANCY /44/ TENANT NAME: TYPE OF BUSINESS USE: I HAVE AND WALL I.WNTMN WORKERS' COMPENSATION INSURANCE. AS REOUIRED BY SECTION 3700 OF THE LABOR COOS, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS COMPENSATION INSURANCE CARRIER AND PRICY NUMBER ARE CARRIER POUCY NUMBER (THIS SECTOR NEED NOT BE COMPLETED IF THE PERMIT 15 FOR ONE HUNDRED DOLLARS (5100) OR LESS) I CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR VMICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY MY PERSON IN ANY MANNER 50 A5 TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT F I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE TABOR CODE,' SHALL 'ORTHATH COMPLY WITH THMELPROSASIONS.f' 10•l2-.'I r okk- IMATLAIPBHA WARNING: FALURE TO •1ECDRE NI COMPENSATOR COVERAGE IS UNLAWFUL, AND BALL SUBJECT AN EMPSOYEI.TOpB111 tEl THOUSAND CL FINES UP TO ONE HUNDRED THOUS DOLLARS (SI00.Wf)?IR ROAI•N TO THE CO OF COMPFNSATON, DAMAGES AS PROVIDED FOV N SECTION 3704 OF THJng. OSIEANTERESTO1C ATTORNEYS FEES. CONSTRUL'TION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY O PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY 142R THIPPERFOIr1ANC$ QUITE IAOR FOR .BIRCH THIS PERMIT IS ISSUED (SEC,3097, CNC.). • • • • • • • • • • • • •LENOIRE LM$ : • • F • • S CERTIFY THAT I IIATa READ Sus APPIOATON AND STAOIIAT ME ABOVE INFORMATION IS CORRECT. !AGREE TO COMPLY WTN ALL CRY AND COUNTY ORDINANCES NO STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF TH5 COUNTY TO ENTER UPON -�'BO� jIgIITPURPOSES. N. PROPERTY FOR INSPECTION PPOSES. • F* 4• • 1 • • 1D•) 2-O I