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Home My WebLink AboutB2005-3430 - PermitsCity of Newport Beach Building Department BLDG Permit No: B2005-3430 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 OF LOT Owner: Address: Phone: HOAG MEMORIAL HOSPITAL 301 N NEWPORT BLVD ORANGE CA 92869 Applicant: ASSI SECURITY INC Address: 18001 COWAN AVE, STE A IRVINE CA 92614 Phone: 949/955-0244 Code Edit : 2001 Type of Construction: Occupancy Group: U2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : Bldg Height : Bldg Sprinklers: Flood Zone: Issued:10/0612005 Suite: BIdg: 1 Legal Description: Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: Worker's Compen Carrier: Policy No: Expire: Description of Work: INSTALL PKNG CONTROL GATES "DOLPHIN" PRKG STRUC 2346-2005 (PHASE 2) IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR ASSI SECURITY 18001 COWAN SUITE A IRVINE CA 92614 949/394-6604 683831 01/31/2006 BT99100104 07/31/2006 sation Insurance CLARENDON NATL INS 01KR0027405 02/01/2006 Building Setbacks Use Zone: Parking Spaces: Rear: Front: Left: Right: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: TAYLOR WILLIAM C 2220 UNIV DR#200 NEWPORT BEACH CA 92660 714/574-1325 State Lic:S-000702 TAYLOR WILLIAM 2220 UNIVERSITY NEWPORT BEACH CA 92660 949/574-1325 Special Conditions: INSPECTOR Construction Valuation: $50 000.00 Building Permit Fee : $596.50 Plan Check Fee: $429.48 Investigation Fee: $0.00 Clean Up Deposit: $0.00 Disabled Acess : 50AO Demo Adm Fee: $1..09 ' Fee Increased $0. 0 PROCES'ED BY: PLANNING APPROVAL: GRADING APPROVAL : ' Microfilm: Excise Tax- Res: Excise Tax- Com: Supplemental P/C: Fair Share: General Sery DMO Refund DMO Dep TOTAL FEE : $1,086.48 FEES $0.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PAYMENT : Haz Mat Disclosure: CA Seismic Safety: Other: $0.00 $0.00 $0.00 Public Works Plan Ck: $0.00 $0.00 TOTAL DUE : $1,086.48 OTHER DEPARTMENT: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS Planning Dep - - Plan Check: $0.00 Counter Rev.: $60.00 OT Plan Check : $0.00 Fire Dep - - Plan Review: $0.00 Inspection: $0.00 2 - D22z5 ISSUANCE OR LAST VALID INSPECTION. APPROVALS DATE BY COMMENTS FOUNDATION: WATER QUALITY BMP'S ROUGH GRADE LINE & GRADE CERT/SETBACKS, ERECTION PADS FOOTINGS SLAB ON ( GRADE FRAMING: DECK SLAB SUBFLOOR ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING FIREPLACE THROAT INTERIOR & EXTERIOR INSULATION DRYWALL SUSPENDED CEILING SHOWER LATH EXTERIOR LATH SCRATCH (PLASTER) (2 DAY) MASONRY PRE -GROUT MISC. INSPECTIONS: OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 70313. BUSINESS ANO PROFESSIONS COOE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT. ALTER. IMPROVE. DEMOLISH. OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS UCENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE BUSINESS AND PROFESSIONS CODE)) 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 I5500) ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL GO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSINESS ANO 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,A5OWNER OFTHE PROPERTY. AMEXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC.7044. BUSINESS ANO PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR PROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORIS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.). OWNER'S NAME: DATE: LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE 15 IN FULL FORCE AND EFFECT. LICENSE CLASS DATE> /a—e-CS CO WORKERS' COMPENSA I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: La1 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. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: PERMIT EXTENSION 1ST EXP. LETTER 2ND EXP. LETTER BUILDING FINAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: Shared \Permits Dep\BldgPermit(Back)8/04 NAME: OWNER / BUILDER AGENT INFORMATION ADDRESS: DRIVERS LIC. NO. CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COUPLE TED IF THE PERMIT 15 FOR ONE HUNDRED DOLLARS 31001 OR LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.1 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF 1 SHOULO BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 37000F THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. WARNING: FAILURE TO SECURE WORKHPT COI' PENS..TION (:,VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND JIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5t00.000). IN ADDITION TO :0E 6GT LF.COMPENSATIOY. DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, INTEES I. ANO ATTORNFYS FF25. CONSTRUCTION LENUNG 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 (SEC.3097 CIV.C.,. . LENDER'S NAME_ _ LENDER'S ADDRESS' CERTIFY THAT 1 HI'/E HEAL TH.3 A. PULATINI MITI VTATE THAT THE ArOVE YL ORMATION IS CORRECT. I ACRE-. TO GOONEY WIT I ALL CITY AND I COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY \TOE ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES. ‹ TPA& 3)AC (:- :�✓1'r-I' fEHMI E NAME IPRINTI J SIfNAfIFPERM,TTEF !) nnrF City of Newport Beach Building Department ELECTRICAL Permit No: E2005-2019 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1 HOAG DR Bldg: 1 Floor: Inspector Area: 7 Code Edit: 2004 OF LOT Owner: HOAG MEMORIAL HOSPITAL Address: 301 N NEWPORT BLVD ORANGE CA 92869 Phone: 0 Issued Date: 10/06/2005 Processed By: New Construction Residential Multi -Family: 0 1-2 Family: 0 Suite: Description of Work: ELEC/PKNG CONTROL GATES "DOLPHIN STRUC" B2005-3430 (PHASE 2) Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: ASSI SECURITY 18001 COWAN SUITE A IRVINE CA 92614 949/394-6604 683831 01/31/2006 BT99100104 07/31/2006 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 Service 0-600V up to 200A: 0 $0.00 0-600V over 200A: 0 $0.00 Over 600V or 1000A: 1 $107.00 Signs Branch Circuit: Each Add Circuit: Time Clocks: 0 0 0 TOTAL: $197.25 FEES Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: 4 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 50 to 100 HP/KW/KVA: 0 Over 100 HP/KW/KVA. 0 $0.00 $0.00 $0.00 Inspector Notes: INSPECTOF $i6.0o $0.00 $o.00 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: PAYMENT: 0 $0.00 $0.00 BALANCE: Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: $197.25 O $0.00 1 $16.00 O $0.00 O $0.00 $0.50 $34.75 $0.0o $23.00 $0.00 (o22c0Y e �ED CONTRACTORS DECLARATION myy affirm underity 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, d my license is in full force and effect. No: 683831 Class: Date: Contractor: ASSI SECURITY WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the fallowing declarations: 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 ch this permit is issued. ave and will maintain workers' compensation insurance. as required by Section 3700 of the labor code. far the performance of the work for which This permit is issued. My workers' compensation insurance carrier and polity number is: Carrier: CLARENDON NAIL INS Polity nrimtar:0:KR3027405 Expire Date: 02/01/2006 (This section need not be completed if the permit is far one hundi ad dollars (31n0) or'e :r I certify that in the performance of the work for which this permit it issue J. I al .all ,.ot employ any pem anyttarttrbecome subject to the workers' compensation laws of California, and agree thaatt if I should become subject to the workers' compensatio Dater 'v--. / "-- b -Os Applicant ($100,000). in addition to the cost of compensar on,da.n%as as orokided far in t a, empinyer tor�rim'nal penaltiespIo hundred thousand dollars t6 `Ih t • d°. Taleres( eya fees. Waming: Failure to secure workers' compensation coverage is un'awful, a Id s 37 fie ra de, I shall forthwith comply with those provisions. hereby acknowledge that I have read this apnlicatiom the' the ihfarati in given id co, rear, and that 1 am the c veer, or duly authorized agent of the owner. I agree to comply with city and state laws regulating consh fiction; dnd in doing the worn authorized thereby, no person will be employed in violation of the labor code of the state of California relating to workmen's compensation insurance. n`D Permittec Name (Print) -+c AR D Pc0 ess Signature of L. mi Date: Approvals Grounding Electrode Underground Under Slab/Floor Rough Conduit Walls Rough Wiring Ceilings Rough Sevice Temp Power Utility Company Notified Final Inspector/Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.