HomeMy WebLinkAboutF2006-0436 - PermitsCity of Newport Beach
Building Department FIRE COMBO Permit No: F2006-0436
PO Box 1768 Newport Beach, California 92658-8915
Job Address: 1 HOAG DR NB
Inspector Area fit
OF LOT
Owner: HOAG MEMORIAL HOSPITAL
Address: 1 HOAG DR
NEWPORT BEACH CA 92658
Phone: 949/764-4477
Applicant: LADOWICZ ELISABETH
Address: 1424 FOURTH ST, #403
SANTA MONICA CA 90401
Phone: 310/394-3500
Code Edit : 2001
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units :
Flood Zone:
Bldg Sprinklers:
0
0
0
0
N
Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255
Description: U!G FIRE CONNECTION "CHILD CARE CENTER"
2906-2006 (B2005-1425)
Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR
Contractor:
Address:
Phone:
WILLIAMS SCOTSMAN INC
9400 GALENA ST
RIVERSIDE CA 92509
951/360.7999
Con State Lic: 606382
Lic Expire: 11/30/2008
Bus Lic: BT30014664
Lic Exp Date: 04/24/2007
Workers Compensation Insurance
Carrier: ZURICH AMERICAN INS
Policy No: WC298356005
Expire: 04/01/2007
Issued Date: 02/09/2007
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
LADOWICZ ELISABETH
1424 FOURTH ST, STE 403
SANTA MONICA CA 90401
310/394-3500 State Lic: CO22692
State Lic:
Construction Valuation:
Building Overtime Plan Check :
Plan check Exten Fee:
$5,000.00
$0.00
$0.00
FEES
Fire Plan Check Fee :
Fire Permit/Inspection Fee:
Records Management:
Investigation Fee:
Residential Issuance Fee
$130.00
$130.00
$6.00
$0.00
$0.00
TOTAL FEE : $266.00 TOTAL PAYMENT : $130.00 TOTAL DUE : $136.00
Counter Review :
Zoning Plan Check Fee:
$0.00
$0.00
$0.00
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
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„Apr
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OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
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• • • • • •PEVIVIIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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APPROVALS
DATE
BY
COMMENTS
OWMONSURSe oLARAnO'
FIRE PROTECTION
I HERESY /FERN UNDER PENALTY OF PERJURY THAT I AM EXEWT FROM THE CONTRACTORS'
LICENSE LAW FOR THE FOLLOWING REASON (SEC. MCA BUSINESS AND PROFESSIONS CODE: ANY
CITY OR COUNTY WHICH REOUNES A PERMIT TO CONSTRUCT, ALmR, IMPROVE, DEMOLISH, OR
REPAIR ANY STRUCTURE. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLCANT FOR SUCH
PERMIT TO FLEA SIGNED STATEMENT THAT HE OR SHE 5 LICENSED PURSUANT TO THE PROVISIONS
OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE
BUSINESS AND PROFESSIONS COOEI) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS
FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT
SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5500),
I, 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
ISEC. TOE, BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE 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 BUILDING OR
IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER -BUILDER WILL HAVE THE
BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: 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 CONTRACTORS LICENSE LAW).
I AM EXEMPT UNDER SEC. BAPC. FOR THIS REASON
UNDERGROUND ROUGH PIPE
THRUST BLOCKS EXCAVATION
UNDERGROUND PIPING FLUSH
UNDERGROUND HYDRO TEST
UNDERGROUND/BACKFLOW APRV.
SPRINKLER HYDRO TEST
SPRINKLER FLOW TEST
SPRINKLER ROUGH PIPE
STANDPIPE HYDRO TEST
STANDPIPE FLOW TEST
STANDPIPE ROUGH PIPE
CHEM SYSTEM FUNCTION TEST
CHEM SYSTEM APPROVAL
CO2 SYSTEM APPROVAL
DATE OWNER
FM 200 FUNCTION
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF
CHAPTER B (COMMENCING WTM SECTION 7W0) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS
000E AND MY LCENSE IS N FULL FORCE AND EFFECT.
LCENS D 5 LIC NO C
DRY CHEM SYS FUNCTION TEST
DRY CHEN SYS FUNCTION APRV.
HALON SYS FUNCTION TEST
HALON SYS FUNCTION APPROVAL
DATE , — ( 7 CONTRACT°R 1�\}Vi
HOOD SYSTEM APPROVAL
WORKERS' COMPENSATION DEC
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOW NG DECLARATIONS:
VE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS'
PROVIDED FOR BY SECTION 3700 OF THE
DOCK PROTECTION ROUGH
DOCK PROTECTION HYDRO
DOCK PROTECTION FLOW
C NSATION, AS LABOR CODE, FOR THE
(a,p..FjEF PMANCE OF THE WORK FOR WHICH THIS PERMR IS ISSUED.
+IAI H AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY
FIRE ALARM SYSTEM
TION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH
_WS-PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY
ROUGH WIRING
NUMBER ARE:
CARRIER
SYSTEM FUNCTION TEST
CENTRAL STATION MONITOR
POLICY NUMBER
(THIS SECTION NEED NUT 9E COMPLETED IF THE PERMIT IS FUR ()NE HUNDRED DOLLARS
($100) OR LESS).
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I
B LL 0 PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
FIRE MISC.
WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME
SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE BOR
CODE. I SHALL FORTHWITH COMPLY WITH THOSE P VISIONS.
TANK REMOVAL
TANK INSTALLATION/TEST
DATE C ? —CI— 0'7 APPLICANT:
TANK PIPING PRESSURE TEST
WARNING: FMLUIE TO SECURE WORKERS' COMPENSATI6NN COVERA E IS UNLAWFUL, AND SHAL
SUBJECT AN EMPLOYER TO CTBMPNL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
MI I Ass ($100,000), IN AOOITICM TO TE cosi OF COWENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
FUEL MODIFICATION
OTHER
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING
AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC3097.
CIV.CJ.
LEWEESS NAME •• • • • • ••
LENOEIS/WORGSS •• • •
e
AND SMTE THAT THE ABOVE INFORMATION IS
I IERTIPI TRW "'HAT ItAOYWITH ALL
C 2�''TT. T 0 EE TO fpMPLY WITH ALL CPT AND COUNTY ORDINANCES AND STATE LAWS
REGRG TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS
UUPO``N THE ABOVE -MENTIONED PROOPPERRTYYFFOR INSPECTION PURPOSES.
UNT�Y TO ENTERER-
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CITY OF NEWPORT BEACH
UTILITIES DEPARTMENT
FIRE HYDRANT FLOW TEST
AMOUNT PAID: 3188.00 DATE: 3/30/2006
CHECK NO: N/A TIME: 1:40 P.M.
TEST NO: N/A WEATHER CLEAR
PROJECT:
PROJECT LOCATION:
TEST CONDUCTED FOR:
TEST PERFORMED BY:
TEST WITNESSED BY:
HOAG HOSPITAL CHILD CARE CENTER
043 LOWER HOAG DRIVE
HOAG HOSPITAL, LLOYD S. DICK
LOREN LOVE, GIL OOMEZ
FIELD OBSERVATIONS AND FLOW DATA
STATIC HYDRANT it : 2423
NH MANUFACTURER: JONES
STATIC PRESSURE, (Ps , psi), PRE -FLOW:
RESIDUAL PRESSURE, (Pr, psi) FLOWING:
FLOW HYDRANT # : 2424 LOCATION: 045 LOWER HOAG DRIVE
pc* ZCtO(o -ac
f ik-cc,9 IDr
LOCATION: #4I LOWER HOAG DRIVE
NUMBER & SIZE OF OUTLETS: 1 -4", 2 - 2.5"
100
90
F/H MANUFACTURER: TONES NUMBER & SIZE OF OUTLETS: I - 4°, 2 - 2.5"
STATIC PRESSURE, PRE -FLOW (INFO ONLY, NOT FOR TEST CALCS) :
F/H OUTLET SIZE (2.5 or 4.0): 2.5 (4, inches)
FLOW LOSS COEFFICIENT - TUBEC=I.O / BUTTCW.9
PRTOT GAUGE READING ( p, psi ):
80
0.9
OBSERVED FLOW: THE OBSERVED FLOW FROM HYDRANT OUTLET IS CALCULATED FROM THE.
FOLLOWING EQUATION: Qs29.83(Cd \ "gy =p
WHERE; Q IS THE OBSERVED FLOW IN GPM; d 13 THE OUII.ET DIAMETER IN INCHES; p IS THE PLTOT GAUGE
PRESSURE IN P&L AND C IS THE FLAW LOSS COEFFICIENT (C = 1.0 FOR FLOW TUBES AND C = 0.9 FOR BUIT
FLOW READINGS ).
OBSERVED FLOW (Qs, gpm): r 1503 GPM
DISCHARGE CALLS: THE DISCHARGE FOR A GIVEN FILE HYDRANT CAN BE DETERMINED FROM THE FOLLOWING
EQUATION USING THE INITIAL ( STATIC ) WATER PRESSURE AND THE RESIDUAL ( DYNAMIC )
WATER PRESSURE
Ps-20} r<
QP-QP
Pe —PP{
WHERE; Q (STATIC OR RESIDUAL) IS THE FLOW IN GPM; AND P (STATIC OR RESIDUAL) LS THE
PRESSURE IN PSI. NOTE: A 10 P51 DROP IS REQUIRED FOR VALID TESH
CALCULATED FLOW AT 20 psi (Qr, gpm):
4613
GPM
• IMPORTANT NOTE' THE MAXIMUM STATIC DESIGN PRESSURE FOR A FIRE SPRINKLER SYSTEM SHALL BE 50 PSI.