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Home My WebLink AboutG2003-0125 - PermitsCity of Newport Beach Building Department G D-6C14...e, r. 't )A. GRADING Permit No: G2003-0125 PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 1 HOAG DR Floor: Suite: Inspector Area 7 Code Edit: 2001 Owner: Address: Phone: Applicant: Address: Phone: Geo. Tech Address: Phone: State Lic: HOAG MEMORIAL HOSPITAL 1 HOAG DR BOX 6100 949-574-4467 HOAG MEMORIAL HOSPITAL 1 HOAG DR BOX 6100 949-574-4467 Engr.: Valuation: Yardage FILL: Yardage CUT: KEMPTON JUSTIN 1370 VALLEY VISTA DR 9150 DIAMOND BAR CA 91765 909-396-0335 $0.00 241 2580 Bldg: 1 Legal Desc.: Contractor: Address: Phone: Con. State Lic : Lic Expire: Bus. Lic.: Lic. Exp Date: Carrier: Policy No: Expire: DPR CONSTRUC -� 4220 VON [CARMAN AVE, STE 100 NEWPORT BEACH CA92660 949/955-3771 599846 08/31/2004 BT00017729 12/31/2003 NATIONAL UNION FIRE 7085343 09101/2003 Issued Date: 07/29/2003 Grading Permit : Y Plan Check Fee: Permit Fee: Clean Up Deposit : Investigation Fee: Fee Increased: Drainage Permit : N $0.00 Planning Dept- $1,070.00 V/ Counter Review : $0.00 Zoning Plan CK : $0.00 $0.00 $0.00 $1,164.00 Fair Share : Description of Work: GRADING FOR NEW BUILDING 0931-2003 Architect: Address: Phone: Engineer: Address: Phone: Compensation Insurance -- Address: Phone: Special Conditions: RINELLA NEAL 2220 UNIVERSITY DR NEWPORT BEACH CA 92660 949-574-1325 State Lic: CO21102 BOYLE DAVID ALAN 2076 S GRAND AVE SANTA ANA, CA 92705 714/957-8144 Designer: State Lic: C-018559 FEES SJH Trans Corridor : Park Ded Fee : Record Mgmt: $0.00 $0.00 P/C FEE $3,419.70 $0.00 $0.00 $160.00 TOTAL FEE : $5.828.70 TOTAL PAYMENT : $710.00 TOTAL DUE : $5.118.70 PROCESSED BY: PLANNING: TRArFIC. SUBDNIt ION• • 1 i ,„ ,, „- i OTHER DEPARTMENT: PLAN CHECK BY: APPROVAL TO ISSUE: Net -4i ct WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL. AND VOID. �_ 17/I APPROVALS DATE BY COMMENTS PREGRADE MEETING GRADING INSPECTION AREA DRAINS Op 7/0 V � ROUGH Gj»ADE REPORT APPROVED ROUGW-GRADE APPROVAL P f@R(X'IING MEETING CCLUJiB //AND GUTTER PAVEMENT SUBGRADE AGGREGATE BASE FLATWORK OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC, 7031 5. BUSINESS AND PROFESSIONS CODE. ANY CITY Oft COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH. OR REPAIR ANN STRUCTURE, PRIOR TO ITS ISSUANCE. AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE BUSINESS AND PROFESSIONS CODED OR THAT HE OR SHE 15 EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANN VIOLATION OF SEC. 7031. 5 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5500). 0 I. A5 OWNER OF THE PROPERTY. 0R MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. WILL DO THE WORK. AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC. 7000, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TC 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 0R IMPROVEMENT 15 SOLD WITHIN ONE YEAR OF COMPLETION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NQT BUILD OR IMPROVE FOP. THE PURPOSE OF SALE.), L I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS COOS. THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OP IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A OONTRACTOR(51 LICENSEE PURSUANT TO THE CONTRACTORS LICENSE LAW.). ❑ I AM EXEMPT UNDER SEC. B S P.C. FOR THIS REASON DATE _ OWNER STORM DRAIN CATCH BASIN EROSION CONTROL OTHER PRECISE GRADING INSPECTION DOCUMENTS FINAL GRADING REPORT APPROVED FINAL LICENSED CONTRACTORS DECLARATION I HEREBY AFFRM 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 COOE. AND MY LICENSE 15 IN FULL FORCE AND EFFECT. LICENSE CLASS___ _ �_. _////-�. 3. _ - _.. - LIC...� DATE ZIT T 4 CONTRACTOR 'WTORKERS' COMPENSATION DECLARATION 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. A5 PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED. 1 HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 37000F THE LABOR OOOE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CERTIFICATE TYPE NAME OF ENGR. FIRM RECEIVED BY ROUGH GRADE REPORT FINAL GRADING REPORT CIVIL CERTIFICATE SLAB ELEVATION CERTIFICATE (FEMA) CARRIER POLICY NUMBER (1 HIY 50V 1IV N Ntt0 NV I Dt V VMPL0I tV R I Ht YtHMI I IS F05 UNt HUNVNt U MULLAHS MOD OR LESS). !CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 155UED.1 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 A5 TO BECOME SUBJECT TO THE MOULD BECOME SUBJECWORKERS' ?OCOMPENSATION THE WORKE S' COMP F CALIFORNIA. AND FNS OF SEC ION3 f10 OF THE LABOR Y) CODE. II HALL FORTTHWITH COMPLY WITH DATE. *' '�/•CA� . C. ! APPLICANT WARNING: FAILURE TO SECURE WCREERS' 90) ENSQTION GLVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENAL'„ES NIO CVO. FINE$ UP TO ONE HU BRED THOUSAND DOLLARS (5100,00), N AODITION TO THE L6.T 50 COA.PENSATICN, DAMAGES AS PROVIDED FOR IN SECTION 370 Of THE LABOR CODE INTEF(°S ATl OMNE', 5 FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE 5 A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE 00299 WORK[ OR V99(^5. THIS PFIRMR 1515SUED (SEC 3007. CIV C J. LENDER'S NAME_, -, . I CERTIFY THAT I HAVE READ THIS APPLICATION ANU STATE THAT T.IL t OVE INFORMATION (5 CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE /ABOVE-MENDONED >'O°EPTy FOR! /�PC �EyTION PURPOSES.• • • • • �" ORS L' eaa'AL'KZvs La- . City of Newport Beach Building Department GRADING Permit No: G2005-0201 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: Suite: Inspector Area: 7 Code Edit : 2001 Owner. Address: HOAG MEMORIAL HOSPITAL 1 HOSPITAL DR NEWPORT BEACH CA 92658 Phone: Applicant: HOAG MEMORIAL HOSPITAL Address: 1 HOAG DR BOX 6100 Phone: 949-574-4467 Geo Tech. Engineer: KEMPTON JUSTIN Address: Phone: Valuation: Yardage FILL: Yardage CUT: 1370 VALLEY VISTA DR #150 DIAMOND BAR CA 91765 $0.00 0 0 Description of Work: GRADING FOR NEW BUILDING 0931-2003 (REPLACE 62003-0125) Legal Description: Contractor: MC CARTHY BUILDING COMPANIES INC Address: 20401 S W BIRCH STREET SUITE 300 Phone: 949/851-8383 Con State Lic:411173 Lic Expire: 08/31/2005 Bus Lic: 8T00021561 Lic Exp Date: 03/31/2006 Worker's Compensation Insurance Carrier: Policy No: 51WC13594800 Expire: 04/01/2006 Issued Date: 07/01/2005 Architect: Address: Phone: Engineer: Address: Phone: INSPECT° RINELLA NEAL 2220 UNIVERSITY DR NEWPORT BEACH CA 92660 949-574-1325 State Lic: CO21102 BOYLE DAVID ALAN 2076 S GRAND AVE SANTA ANA, CA 92705 714/957-8144 State Lic: C-018559 Designer: ARCH INSURANCE CO Address. Phone: Special Conditions: Grading Permit: Y Plan Check: Permit Fee: WO Inspection Fee: Investigation Fee: Fee Increase: WO Plan Review Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 , FEES Drainage Permit: N SJH Trans Corridor:: Park Dedication: Records Management: Fair Share: ISSUE FEE $0.00 $0.00 $0.50 $0.00 $23.10 $0.00 TOTAL FEE : $23.60 TOTAL PAYMENT : $0.00 TOTAL DUE : $23.60 Planning Department Counter Rev: Zoning Plan Ck: $0.00 $0.00 PROCESSED BY: PLANNING: TRAFFIC : SUBDIVISION i a 1 APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO Other DEPARTMENT: PLAN CHECK BY: ` 01 E s `(J5 \k- N C%107 APPROVALS DATE BY COMMENTS WATER QUALITY BMP'S PREGRADE MEETING GRADING INSPECTION AREA DRAINS ROUGH GRADE REPORT APPROVED ROUGH GRADE APPROVAL PREPAVING MEETING CURB AND GUTTER PAVEMENT SUBGRADE AGGREGATE BASE FLATWORK OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5. BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DrMOLISH, 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 LICENSED PURSUANT TO THE PROVISIOMF. OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE BUSINESS ANO PROFESSIONS CODE)) OR THAT HE OR SHE 15 EXEMPT THEREFROM AND THE SA515 FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPUCANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED COLLARS MOO). ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSINESS ANO PROFESSIONS COOS: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, ANO WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED 0R OFFERED FOR SALE. IF. HOWEVER. THE BUILDING OR IMPROVEMENT 15 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 CONTRACTORS 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 MA EXEMPT UNDER SEC. B.S P.C. FOR THIS REASON DATE OWNER STORM DRAIN CATCH BASIN EROSION CONTROL OTHER PRECISE GRADING INSPECTION DOCUMENTS FINAL GRADING REPORT APPROVED FINAL CERTIFICATE TYPE NAME OF ENGR. FIRM RECEIVED BY ROUGH GRADE REPORT FINAL GRADING REPORT CIVIL CERTIFICATE SLAB ELEVATION CERTIFICATE (FEMA) REVISED 11/6/03 LICENSED CONTRACTORS 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 �/CTODE, AND MY LIICC�ENSSEE IS IN FULL FORCE AA�ND EFFECT. `i l l� I� / .)13TESE SS____, �____ \eNTRACTOR/ /~I I�/yFV' 7 WORKERS' COMPENSATION DECLARATION FIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. AVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' MPENSATI N, 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: CARRIER POLICY NUMBER (I HIS SEC, ION BLED nu/ MB I:UMYLEI BU IF I HE ✓LHMI 113 FUR UNE HUNUH[U UULL040 (510010R LESO). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I 5 ALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SE ON 3700 OF THE LABOR — CODE,ISH9LL FORTHWITH COMPLY WITH THOS DNS ` /BATE 7LII SS LICARI: 1 WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO Cl PENALTIES AND:EnIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.9W), IN AOOITIO0UI N TOTO THE POST f /F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LIBOR COCK,, N'ERFS', AYO ATTORIXEY'S FEES. CGMS?4UC'Ii ION }ENUING'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, LENDERS NAME LENDER'SADORFSS, I CERTIFY TCIT HA19 R-AD THIF Ap^LICA TIDY AND SV TE THAT THE ABOVE INFORMATION 15 CORRECT. 7 ..6REE I. COMELY WIT:: ALL air AND COUNTY OP'Y"ANC75 MID STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE.MENTIONEO PROPERTY FOR INSPECTION PURPOSES. Gtx. &ire I�uVY 7-1-oC PERM! T F DATE HOAG HOSPITAL June 30, 2005 Mr. Ja) Elhettar Building Director City of Newport Beach 3300 Newport Blvd. Newport Beach, Ca. 92663 RE: Change of Contractor Request Dear Mr. Elheuar. Please accept this request to have DPR Construction, listed as contractor, removed from Grading Permit #G2003-0125 and changed to McCarthy Building Companies. The reason for this request is because Hoag Memorial Hospital removed DPR from the project back in May 2004 and our construction schedule has been adversely affected. The scope of work under our permit with the City of Newport Beach has been done in phases: excavation & shoring along with the construction of structural walls, underground utility piping (OSHPD), and the precise grading (CITY). This Cogeneration Plant will be completed and closed out with all required City documentation no later than September 30. 2005. Thank you for your help in this matter. Should you any questions, please feel free to contact me at 949-764-4492. Sincerely, Larry G. Engwall, P.E. Project Manager EaciliticsDesign & Construction Hoag Memorial Hospital Presbyterian 45Y I LC ITN TER TO CHANGE CONTR ACTOR 2005-07-aLdoc •4VHA