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Home My WebLink AboutX2009-1346 - PermitsCity of Newport Beach Building Department COMB Permit No: X2009-1346 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Combination Type - BLDG/ / 1082-2009 Description: PARKING S` ^' Lori 5 Resin? tn, (eilv3Z9 1082-2009 IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR SPFc Job Address: 1 HOAG DR NB Inspector Area: 7 OF LOT Owner: Address: Phone: Applicant: Address: Phone: HOAG HOSPITAL FD & C 500 SUPERIOR STE 300 NEWPORT BEACH CA 92663 949-764-4486 ZOLL GREG 500 SUPERIOR NEWPORT BEACH CA 92663 949-764.446E Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Issued Date: 03/02/2010 2007 I-B-SPR S2 Construction Valuation: $100.000.00 Building Permit Fee: $1,005.00 Plan Check Fee: $773.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $9.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $100.00 Fee Increase: Fee: $30.00 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee : $4.00 TOTAL FEE : $2,305.32 Project : Legal Desc.: Contractor: OW N ER/BLDR Address: Phone: Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Cartier: Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: 1 Use Zone: Parking Spaces: Solar System PC : Excise Tax: Grading Permit Fee: Grading PC Fee: WO Insp. Fee : Electrical %: Mechanical %: Plumbing %: FEES Architect: Address: Phone: Engineer: Address: Phone. Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N $0.00 Planning Department - $0.00 Plan check Fee : $119.00 Fair Share : $0.00 SJH Trans : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $120.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $868.32 VO MICHELLE 921 SW WASHINGTON ST., STE 250 PORTLAND OR 97205 503-227-4860 State Lic:CO28580 State Lic: Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Fee Due at Permit Issuance : ••• • 1oR $0.00 $144.72 $0.00 $0.00 $0.00 $0.00 $0.00 $1,437.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • -• • • • �• • • • •• • • • IIU�LIC• WORKgAPeRCVAL: • • • • • ••• • • • • • • • PLAN CHECK BY: • • • • APPROVAL•Tt 1SS0@. PERMITS EXPIRE 180 DAYS AFTER 1S:UA7JC, CR•2AT•VALID 1415rECTION. • • •••• .:.•:.••••••••:•• thfr- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who through employees' or personal effort, builds or improves the provided that the improvements are not intended or offered for safe. If, however, the building or improvement is sold e year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the f sale). owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, ss and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). 0 I am exempt from licensure under the Contractors' State License Law for the following reason: ACTION PERMIT EXPIRED DATE: BY: PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL 0=L1'10 - CERTIFICATE OF OCCUPANCY ISSUED By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year DECLARATION OF COMPL ANCE WITH CODE OF FEDERAL nor to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built asapplicable an owner- 3ed contractors. 1 understand that a copy of the law, REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. il. e pon request when this application is ubmitted or at the ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: under if it has not been constructed in its entirety by lic Section 7044 of the Business and Professions Code, is following Web site:http:f/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorize LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ❑ I have and will maintain workers' compensation insurance, as required insurance Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation carrier and policy number are: Carrier Policy Number Expiration Date Name of. Agent Phone # ❑ 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 become subject tothe workers' compensation laws of California, and agree that, if Ipshould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirmunder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: e I am the property owner or authorized to act on the pro • - I have read this application and the information I hav- • ovide• s • I agree to comply with all applicable city and county ., • n 1 authorize representatives of this city or county to - th I�' Signature of Property Owner or Authorize e /� Print Property Owner's or Authorized Aggnf s ie: er rty owner's behZlf. ••• rreyt. • •••• an stale lap/salon jalatir� tp building co• nswuction. • !lderQifed plooert).fos in pgctlonj?urpose • 000 dt•Z- - �• e ,8I11JO EPA AOMD Q ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY 01/01/2009 •• • ••• ..• : • • • • •••:• •:• •• WESTCOAST October 22, 2010 Mr. Paul Sobeck City of Newport Beach 330o Newport Boulevard P.O. Box 1768 Newport Beach, CA 92658 Re: Hoag Hospital Presbyterian South Parking Structure Waterproofing 1 Hoag Drive Newport Beach, CA Dear Mr. Sobeck; Please allow this letter to document that the Neogard vehicular deck waterproofing system installed by Ladner Coating on the above referenced parking deck was installed per Westcoast Roof Consulting's specification. Please let me know if there are any questions regarding the information provided. Sincerely; Westcoast Roof Consulting Mark Curry Cc: Greg Zo11/Hoag Hospital Greg Holcomb/MPA Ricardo Ramirez/Ladner Coatings