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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 $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL : • • • • • • • • • • • • • • „Apr • •• • • •• • • • • • • • •• • • • • •• •�• • • • • • • • • OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: bc,,n.r (4U fl • • • • • • •PEVIVIIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • •••• • • • ••••• •• •••• •• • •••. • ••• • •• ". .'mod f P^E fi{• S cE ±$yi�^Yq�y c..Y GN 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 ($100,000), IN AOOITICM TO TE cosi OF COWENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. FUEL MODIFICATION OTHER CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC3097. CIV.CJ. LEWEESS NAME •• • • • • •• LENOEIS/WORGSS •• • • e AND SMTE THAT THE ABOVE INFORMATION IS I IERTIPI TRW "'HAT ItAOYWITH ALL C 2�''TT. T 0 EE TO fpMPLY WITH ALL CPT AND COUNTY ORDINANCES AND STATE LAWS REGRG TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS UUPO``N THE ABOVE -MENTIONED PROOPPERRTYYFFOR INSPECTION PURPOSES. UNT�Y TO ENTERER- ia -77 CO*j$,: I ���� p I__ • DA e F19NFIrAPnrmiNk 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.