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Home My WebLink AboutB2000-1822 - PermitsMicrofilm:... _$15.60 Excise Tax : $0.00 Park Ded: $0.00 SJH Trans: $0.00 - San Dist: $0.00 Ca Seismic Safety: $4.20 Disabled Review: $32.00 PC FEES Architect: Address: - Phone: Engineer: Address: - - Phone: Designer: Address: Phone: Inspector State Lic: State Lic-: CHARTIER DAVID 296 REDONDO AVE LONG BEACH, CA 90803 562/987-4666 Special Conditions: - Hazardous Mat: Add Fire Dep HMQ: Other Fee: -TOTAL FEE :$1,074.31 TOTAL PAYMENT :$274.18 $97.92 $171.36 $0.00 $13.17 $0.00 $19.00 $0.00 $0.00 Fire Department: Plan Review Fee: Inspection Fee: Planning Department: Counter Review : Zoning Plan Check: OverTime Plan Check Fee: TOTAL DUE: $800.13 - • E STARTED .7THA PERIOD OF 180 DAYS FROM THE DATE OF VAL. OR THIS PERMIT BECOMES NWLL. AND VOID. City of Newport Beach Building Department CIP Permit No: B2000-1822 PO Box 1-768 Newport Beach, California 92658-8915 - -Permit Counter Telephone (949)644-3288/3289 Inspection-RequestsTelephone-(949)644-3255- Jlob Address: 1 HOAG DR Floor: Inspector Area: 7 Owner: Address: Phone: Applicant: - Address: -Phone: HOAG MEMORIAL HOSPITAL 1 HOAG DR - - NEWPORT BEACH CA 92658 949/760-2070 Code Edition : Type of Construction: Occupancy Group: Added/New sq.ft. Bldg: 150 Added/New sq. ft:-Garage: No of Stories: - - 1 No of Units: 97 I-SPR B Suite: Bldg: 1 - Description of Work: TI CARDIOLOGY ROOM 121 (1496-20001 - - CONVERT. TWO OFFICES INTO ONE Legal Desc: Contractor: Address: - - Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: MILES & KELLE 1102 E VALENCIA DR FULLERTON CA 312206 02/28/2001 BT00018695 12/31/2000 Workers' Compensation Insurance - - Carrier: RELIANCE INSURANCE CO Policy No- - QN8573059 - - Expire: 09/30/2000 Building Setbacks Rear: Front: - Left: Right: Use Zone: Parking Spaces: Construction Valuation $20,000.00 - Building -Permit Fee: - $244.80 Plan Check Fee: $176.26 Supplemental: $0.00 Investigation Fee: $0:00 Clean -Up Deposit: $300-,00 ..Energy Compliance: _. $0.00 Fair Share: $0.00 - - PROCESSED BY: --- ZONING APPROVAL: FIRE APPROVAL: -- ---GRADING APPROVAL: - - PUBLIC WORKS: --- - ? _® ~�* - w - -� � - --- -- y »r'% T. S» armWNS �� y=Fi/ .�. T.« k_fEMIOR « i&� v City of Newport Beach PO Box 1768 Newport Beach, California 92658-8915 Building Department Permit Counter Te%phane (949)644-3288/3289 ELECTRICAL Permit No: E2000-0926 Inspection RequestsTelephone (949)644-3255 Job Address: Z Inspector Area: 8 Owner. Address: Phone: HOAG DR Bldg: 1 Floor: Suite: Code Edf: 96 Legal Desc.: HOAG MEMORIAL HOSPITAL Contractor: Description of Work: ELEC/TI CARDIOLOGY ROOM 121 182000-18221 B2000-1822) INSPECTOR NOTES: MILES & KELLEY CONSTRUCTION COMPANY INC 1 HOAG DR NEWPORT BEACH CA 92658 949/760-2070 Processed By. ...4-}- Address: Phone: Con. State Llc.: 312206 Lic Expire: 02/28/2001 Bus. Lic.: BT00018695 Lic. Exp Date: 12/31/2000 FEE 1102 E VALENCIA D FULLERTON CA New Construction Residential Multi -Family 1-2 Family Service 0 to 600V up to 200A 0 to 600V over 200A Over 600A/1,000A r Inspector Receptacle/Swkch/Outlets r nsforme - HP/KVA Recep/Outlets 4 $3.60 0 to 1 HP/KW/KVA 0 $0.00 Fixtures 3 $2.70 1 to 10 HP/KWIKVA 0 $0.00 Sep Circuit 0 $0.00 10 to 50 HP/KW/KVA 50 to 100 HP/KW/KV Mon over 100 HP/KW/KV O $0.00 Branch Circuit 0 $0.00 O $0.00 each Add Circuit 0 $0.00 Other O $0.00 Time Clocks TOTAL: $26.87 PAYMENT: $1.57 O $0.00 O $0.00 0 $0.00 0 $0.00 0 $0.00 O $0.00 Temp Power Pole Temp Underground Sub Panel Investigation Fee Plan Check Issuance BALANCE: $25.30 O $0.00 0 $0.00 O $0.00 O $0.00 0 $0.00 $0.00 $1.57 $19.00 IJCENSED CONTRACTORS DECLARATION( I hereby affirm m under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 71700) of bvision 3 of the Business and Professions code, and my license is in fullforce and effect License No: 312206 Clam Cenkador. MItFS & KELLEY CONSTRUell Nis rCMPANY INr WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: - - - - - have and will maintain a cenlricate of consent to setf-Insure far workers' compensation, as provided for by Section 3700 of the labor code, fa the performance - ofthe work tor which this permit is issued. --- - - - _I have and will maintain waken' compensation Insurance, as required by Section 3700 of the labor code, for the performance of the work for which this pernit is issued My workers' compensation Insurance carrier and porky numbers is: Cooler: RELIANCE INSURANCE rn Poky number gl`Z5953 Expire : Ot/30/3000 This section need not be completed if the permit is for one hundred dollars ($100) or less. I certify that In the performance of the work for which this permit Is issued I shall not employ any of California. and agree that if I should become subject to the workers' compensation provisions of Section 37 Date: Applicant Signature: blaming: Failure to secure workers' compensation coverage is unlawful, and shall subject an emp Dyer to criminal penalties and ivil manner so as to bacon bar code. I shall to ubject to the nply with Mose up to one hun f$100,000j, in addition to the cost of canpensation,damages as provided for In Section 3706 of the tabor code. interest, and attc neys fees. I hereby acknowledge that I have read this application: that the information given is correct: and that I am the owner, or duly as thorded agent of the comply with city and stale laws regulating construction: and In doing 1 e work authored thereby, no person will be employed -Pt violation of the labor California relating to workmen's com •Pon Insurance. 1V ,L,- j� Permittee Name (Print Usk �` Address : ! 1 1 ca. �.� Q Signature of permittee: .� Date: v "94-1 —at thesae- CITY OF NEWPORT BEACH 1 WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.. Approvals Grounding Electrode Underground - Underslab/Floor Rough Conduit Walls Rough Wiring Ceilings Rough Service pc 2 4 9IrCo Final d to Inspector/Date City of Newport Beach PO Box 1768 Newport Beach, Califomia 92658-8915 Building Department MECHANICAL Permit No: H2000-0550 Permit Counter Telephone (949)644-3288/3289 El Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Inspector Area: 8 Bldg: 1 - Floor: Suite: Code Edit: 97 Legal Desc.: Owner: HOAG MEMORIAL HOSPITAL Address: 1 HOAG DR NEWPORT BEACH CA 92658 Phone: 9491760-2070 Processed By: N- HVAC Items - Furnaces up to 100k Btu/hr 0 $0.00 aver 100k Btu/hr 0 $0.00 Wall/Floor--Heaters--0- - $0.00-- Neat Pumps & Package Units up to 100k Btu/hr 0 $0.00 up to 500k Btu/hr 0 $0.00 up to 1M Btu/hr 0 $0.00 up to 1.75M Btu/hr 0-- $0.00 over 1.75M Btu/hr 0 $0.00 ra.T.S'WLa d• p!� Contractor: - Address: Phone: Con. State Lic. Lic Expire: Bus. Lit.: - LIc. Exp Date: Description of Work: MECHANICAL/TI CARDIOLOGY ROOM 121 B2000-182$ Inspector INSPECTOR NOTES _ MILES & KELLEy CONSTRUCTION COMPANY INC 1102 E VALENCIA DR - - - - - - FULLERTON CA - - - :-312206 - - - - 02/28/2001 BT00018695___ 12/31/2000 Boilers & Compressors up to 3HP 0 over -3RP to-15BP -0 over15HP to 30HP 0 over 30HP--to -50RP------0- over 50HP 0 Misc Items Fire Dampers -0 Gas Line 0 Metal Fireplace 0 ICBO App.9- FEES( Ventilation $0.00 Bathroom Fan 0 $0.00 $0.00 --- _.. Exhaust Fan - 0 $0.00 -- $0.00 Attic Fan 0 $0.00 $0.00-- Down-DraftFan-- 0---S0_00-- $0.00 Residential Hood 0 $0.00 Commercial Hood 0 $0.00 $0.00 Repair/Alter/Add 1$10.60 $0.00 Air Handllna Units $0.00 up to 10k cfm 0 $0.00 over l0k cfm I TOTAL: $45.50 - PAYMENT : $5.30 '( BALANCE: $40.20 0 $0.00- VAV Box Other Investigation fee Plan Check Issuance $10.60 $0.00 _ _... $0.00 $0.00_ $5.30 $19.00 J ICFNSED CONTRACTORS DECLARATIOf---- ---- ----- - - I - - - I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with Section T000i'of Division 3 of the business and professions code, ADnro /els inspector/Date and my Ikense Is In full force and street. - _ license No: ;12206-. aims. Dale: Contractor. MILES& KELLEY CONSTRUCTION "COMPANY INC ---UnderslablFloor --- -- -WORKERS' -COMPENSATION DECLARATION: I herebyaMnm under penalyofpedjmyone ol the followingdedara0wa: i - -- -- HVAC/Hood - Rough I have and will maintain a certificate of consent to self -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. - - - - Fireplace -Rough - - - - tab - I have and nil maintain workers' compensation Insurance, as required by Section 3700 al the or code, for the performance of the work for which this permit a issued. My worker's conpensatlen Insurance carder and policy number Is : - - Gas Test COMM; RELIANCE INSURANCE CO Palley number ON8573059 Erplre: 09/30/2000 - (This section need not be completed if the permit is for one hundred dollars ($100 Ie - , Fireplace - Final I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person 1 su ct to the workers' compensation laws - of California, and agree That NI should become subject to the workers' compensation provisions of Se 700 uI - L Mwkh comply with those provisions. HVAC/H Dale: Applicant Signature : so as to bec e labor lode, I - -Waning: Failure to secure workers' compensation coverage Is unlawful. and shall subject an employer to criminal penaltiesand civil fines up toone hundred-. thousand dollars (9100.000), In addition to the cost of compensatiogdamages as provided for In Section 3706 of the labor cape, Interest, and attorneys fees. I hereby acknowledge that I have read this application; that the Informatlen given Is correct; and that I am the owner, or duly &henzed agent of the owner. l agree _ comply with city and state laws regulating construction and In doing the work authorized thereby, no person will be employed in violation of the labor code of the s California relating to workmen's com(ensation Irwurence. -. Permittee Marne (Print )JQV_ G��u Address : Signature of permitteei, 1 / Date: ?Li -C10 r . RHIN A PERIOD OF 180 '�- ALIDATION OR THIS NULL AND VOID. - - - - - City of Newport Beach PO Box 1768 Newport Beach, California 92658-8915 Building Depa ent PLUMBING Permit No: P2000-0803 Permit Counter Tel' phone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Jab Address:1 HOAG DR Bldg: 1 Floor: Inspector Area: Owner. Address: -- Phone: Processed By. 8 Code Edit: 97 HOAG MEMORIAL HOSPITAL 1 HOAG DR NEWPORT BEACH CA 92658 949/760.2070 Suite: - - Description of Work: PLUMBINGII'I CARDIOLOGY B2000-1822 Legal Desc.: Contractor: Address: _. INSPECTOR NOTES: MILES & KELLEY CONSTRUCTION COMPANY INC 1102 E VALENCIA DR - - - -- - - - -_- - FULLERTON CA - - Phone: Con. State Lic.: 312206 Lic Expire: 02/28/2001 Bus. Lic.: - BT00018695 --- Lic. Exp Date: 12/31/2000 FEE, Bathroom Fixtures Toilet 0 Bidet 0 Urinal - 0 Bath Tub -.. 0 Shower Stall - 0 Wash Basin 0 Hydro -Mass Tub 0 Floor Slnk 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Floor Drain Kitchen Fixtures Kitchen Sink: Garbage Disp Bar Sink Vegetable Sink Ice Maker Dishwasher Lndry/Trap Inspector 0 $0.00 Regulator 0 $0.00 Lawn Sprinkler 0 $0.00 O $0.00 - - Misc - 0 $0.00 Water Piping - - 0 $0.00 1 $7.40 Water Softener 0. $0.00 0 $0.00 Water Heater 0 $0.00 O $0.00 Gas up to 4 out 0 $0.00 0 $0.00 Gas over 4 outl 0 $0.00 O $0.00 Backflow up to T I 0 S0.00 TOTAL: $28.25 PAYMENT: $1./6 BALANCE: $26.40 1 Backflow over 2" 0 _ $0.00 - Hose Bibb 0 $0.00 Sewer Drinking Fountain - 0 $0.00 - Sewer 0 Roof Drain 0 - $0.00 Sewer Alter/Repair 0 Grease Trap. 0 $0.00 - Sewer Abandon 0 Grease Interceptor 0 $0.00 P-Trap 0 $0.00 Investigation Other Plan Check 0 $0.00 Issuance 0 - $0.00. $0.00 $0.00 $0.00 $0.00 $1.85 $19.00 ICFa4Fn CONTRACTORS DECLARATION _I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of and my license B in full force and effect. - - - license No: 312206 Clem Dale: Conhaefar: MITES A KELLEY CON: vision 3 of the Business and Professions code, UCRON COMPANY INC WORKERS COMPENSATION DECLARATION:I hereby affirm under penally ofperjury one of the fallowing declarations: _I have and wit maintain a certAcafe of consent to self -Insure for workers compensation, as provided for by Section 3700 of th labor code, for the performance of the work far whIck this penult Is Issued. - I have and MI molntdn workerscompensation Insurance. as required by Section 3700 of the labor code. for the perfobnanck of the work for which this permit is issued. My workers' compensation Insurance carver and potty number is: Cards: RELIANCE INSURANCE CO Polley number. ON8573059 Expire : DIND (This section need not be completed if the permit is for one hundred dollars ($100) .e A I certify that In the performance of the work for which this permit is issued. I shall not employ any person In any so as to become of California. and agree that If I should become subject to the workers' compensation provisions of Section 3 . i of labor cods I balm Apparent Signalise• ar-MNI -1 Warning: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and thousand dollars i$I00,000j, In addition to the cost of compensation,damages as provided for In Section 3706 of the labor code.' I hereby acknowledge that I have read this application: that the information given Is correct: and that I am the owner, or duly comply with dfy and state laws regulating construction; and In ddng the work authorized thereby. no person will be employed I California relafing_to workmen's corn Hon Insurance. _ - l�l Permittee Name (Print) ; ' V.� �� i/ Address : / CCOOcC Signature of permittee: Date: 11 fin e est bats a the workers' compensation laws h comply with those provisions. • up to one hundredp pta and alit agent of the s fees. the abor �!k`bf an000 itfe state of CITY OF NEWPORT BEA Approvals Soil Pipe (ground) 9- "-ea Sewer Water Pipe (ground) Gas Pipe (ground) Plumbing (rough) s Pipe (rough) W Ga Fi ter Heater PSI Test Co Notified Inspector/Date Atz.." 9 lay, MUST BE STARTED WITHIN A PER •. • ;r FROM THE DA • - LMDATION OR D RS PERMIT BECOMES NULL AND VOID.