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Home My WebLink AboutB2000-1569 - PermitsCity of Newport Beach Building Department BLDG Permit No: B2000-1569 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Joli1lddress: 1 HOAG DR. Floor: Suite: _ Bldg: 1 - Description of Work:. SHORING FOR PARKING STRUCTURE - 1290-2000 Inspector Area:7 LegalDescr: Owner.- - HOAG MEMORIAL HOSPITAL Contractor: CALEX ENGINE - - - --- _ Architect: Address: 1 HOAG DR Address: 23651 PINE STREET Address: NEWPORT BEACH CA 92658.6100 - NEWHALL CA Phone: - 949/574-4488 Phone: 818/367-2177 - Phone: Applicant: CUNNINGHAM MICK - -Con State Lic: 420054 - - - Engineer: Address: - - - 2220 NORTH UNNERSRY DR - - Lic Expire: 04/30/2002 - Address: . NEWPORT BEACH CA 92660 Bus Lic: Phone: 949/574-1325 Lic Exp Date: - Phone: Inspector REGIER D RANDY - - - 2220 UNIVERSITY DR NEWPORT BEACH CA 949/574-1325 State Lic: CO23842 Code Edit: 97 - Workers' Compensation Insurance -- Designer: Type of Construction: I Carrier. - FREMONT COMP INS CO Address: Occupancy Group: b Policy No: WN9976166802 - Added /New sq.ft.-Bldg:- - - -- - - - - - -Expire: -- - 10/01/2000 - - - -- --- - -- - - - Phone: - - Added /New sq. ft. Garage: - -- - -- - - No of Stories: 0 - Building Setbacks Rear: - / - Special Conditions: No of Units: --- -_ Front: / Left: / - - _ - Right / Use Zone: Parking Spaces: Construction Valuation: $228.125 00 State Lic: PAID 14 MO CITY OF NEWPORT BEACH FEES Building Permit Fee : 51,268.00 Microfilm: $6.50 Additional Fire HMQ: $0.00 Planning Dep - - Plan Check Fee: $912.96 Excise Tax- Res.: $0.00 Fair Share: $0.00 Plan Check: $0.00 InOestigalon Fee;_:_ 5000-_ __Excise Tax-Com.:__-__-___ $0.00______... Iiazardous Mat: Disdosure:._'. $0.00- Counter Rev.- _$0.00___.__.. Clean Up Deposit: $1,000.00 - Supplemental P/C: $0.00 _ Park DED: $0.00 OverTime Plan Check Fee:.. $0.00 Energy Compliance : $0.00 SJH Trans.: - $0.00 - CA Seismic Safety - $0.00 - Fire Dep - - -Disabled Access:'. $0.00 -.-.. - - - Oth6rFee: - $0.00 --- PlanReview:. $0.00 inspection:---.._... _ _---$0.00 _ TOTAL FEE : $3.187.46 - TOTAL PAYMENT : $912.96 TOTAL DUE : $2.274.50 PROCESSED BY: - - PLANNING APPROVAL: FIRE APPROVAL: GRADING APPROVAL PUBLIC WORKS: OTHER DEPARTMENT: PLANCHECKBY: APPROVAL TO ISSUE: WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROMTHEDATE OF VALIDATION- . OR THIS PERMIT BECOMES NULL AND VOID. 31044 - 426- ;l-7B4( APPROVALS C49 - 260' SSA (r. rzas) 0 DATE BY COMMENTS FOUNDATION: ROUGH GRADE 7•/d00 IS hi, No" Sea x a LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS .2+7reda!` YAO «a ale theascv 1 �W�S d" •d' {/r westeAS ,', OL /Wea'n r+ r$wA net Terra s - C A '4VS- arcluson 9/lf.ASo As - SLAB ON GRADE DECK SLAB FRAMING: SUBFLOOR ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS 9AtCs >37is lsne'te /wwSPtt7AR n 'Wag" m✓te--n , hen c 0s4W-Ca& )..gAl1va //as ' • al »f a Ao?t&rvxt GENERAL FRAMING /*Pe -�/ 9D✓i� »h/R fl/9l Meat S� 8-48 en flE /C" /-r rhfee has/ G5Jtairc'77 INSULATION DRYWALL }}jn�o�r,mI u2) treat. Of l^II.pis jr.;/- 8-16-0D at: 4»scn*/ ddtty. /+ L/4/to/f add4 n� FI .0YS /S-21 GAI /j4tts mart SUSPENDED CEILING PLASTERING: INTERIOR LATH EXTERIOR LATH SCRATCH BROWN (2 DAY) (7 DAY) MASONRY FOOTING - PRE -GROUT PLOT PLAN FOR ADDITIONS: Sketch a plot plan. Show all structures on site. Identify addition. Street side at bottom of sketch. (Show North Arrowl FIREPLACE MISC. INSPECTIONS: PERMITEXTENSION OWNER-BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 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, 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 LICENSED 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 ND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY'w'PLICANT F. A PERMIT SUBJECTS THE APPLICANT TO ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($500)'. ❑ 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 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'BUILOER 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 AM EXEMPT UNDER SEC BA PC FOR THIS REASON DATE OWNER 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 CODE, AND MY LICENSE IS W FULL FORCE AND EFFECT. LICENSE CLASS DATE ' 14 r O O CONOIACTON4L'e,6 r ✓ tQ WORKERS' 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, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. • X I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REOUIRED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: 1ST EXP. LETTER 2ND EXP. LETTER PERMIT EXPIRED - PERMITCANCELED CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS/. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO A5 TO BECOME SUBJ T TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AA1{D AGREE THAJ�F ,',,'�y,,',JCO BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVI$(ONE OF SECTHE LABOR CODE. I SHALL FORTHWITH COMPLY WITH T I�SE PSIGNS. DATE: "" I Li r O d APPL WARNING FAILURE TO SECURE WORKERS' COMPENSATIOtLCOVERAG@ IS UMAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP If0 ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES, FINAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: MOQ•eNal - - REFUNDED _._ DATE ilktrittL tag, lY 2Lt/ ( TO: 41 C CO. CONSTRUCTION LENDING AGENCY - I HEREBY AFFIRM UNDER PENALTY OF PENURY THAT THERE IS A CONSTRUCTION LENDING AGENCY -FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS" ISSUEO-ISEC3097, CIVC). - -LENDER'S NAME ------------------------------- LENDERS ADDRESS I CERTIFY. THAT I HAVE READ MIS. APPLICATION AND STATE THAT THE ABOVE INFORMATION IS 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 Tp ENTER UPON THEABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. K �/( )3&57 it ' St 0/3/ z Permit it /j- saw- /5-69 P/C H /294-;€Y,>7 COMM ENTS S-m-ez ge;/ san. oAi 3177-6 1202 .au_ ni A io U / so To uag4 lecie . 44wQ813 4ttP r 8 2-9--eo libhikes did/as z.4 ff�f1S5 soils TseN An) sate Edoe slit from 6%t! t5tsw( //4o,rr t. &d : f oft Inn/044e dar, //ihss �a W te%as,E SAlea x/i% B 3o-01* he.;f e/ Te_. iidis na proga ss arachos cN sirs. �%' Pi41S4 $,s-eo 61-e,garcn 7:t/fi4nxs SSI4-J i./ei w,as 'IU/B Q/9J --to R2.5 8 = is ma Asa Atalif Se:4 / sal ft-am ettovnnca) oi- Aim? /#,m v ," 4047. J� -ita fr1.y3irY� /07.29 1/- 64 y /j d/... S/%/e c IN pGiY� d 44w,_ Ram City of Newport Beth Buildirttj DepartMent PLUMBING Permit No: P2001-0691 PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 Permit tthter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job rcet:l HOAG DR Inspector Area: 7 Owner. Address: Phone: Issued : Processed By. Bldg: 1 Floor: Code Edit: 97 HOAGH•:'ITAL 1 HO'<DR N f' ORT BEACH 94974-4488 Bathroom Fixture Toilet Bidet 0 Urinal 0 Bath Tub 0 Shower Stall 0 Wash Basin 2 Hydro -Mass Tub 0 Floor Sink 0 $15.30 $0.00 $0.00 $0.00 $0.00 $15.30 $0.00 $0.00 A 92660 Floor Drain Kitchen Fixtures Kitchen Sink: Garbage Disp Bar Sink Vegetable Sink Ice Maker Dishwasher LndrylTrap Suite: Legal Desc.: Description of Work: PLUMTfEMP TRAILER B2000-3905 Contractor: MILES & KELLEY CONSTRUCTION COMPANY INC Address: 1102 E VALENCIA DR FULLERTON CA Phone: 714-773-9272 Con. State Lic.: 312206 Lic Expire: 02/28/2003 Bus. Lic.: BT00018695 Lic. Exp Date: 12/31/2001 O $0.00 O $0.00 O $0.00 O $0.00 O $0.00 0 $0.00 0 $0.00 0 $0.00 FEES INSPECTOR NOTES: 9k,& Not Regulator 0 $0.00 Lawn Sprinkler 0 $0.00 Mist Water Piping 1 $3.85 Water Softener 0 $0.00 Water Heater 0 $0.00 Gas up to 4 outlets 0 $0.00 Gas over 4 outlets 0 $0.00 Backflow up to 2" 0 $0.00 TOTAL: $86.28 PAYMENT: $13.26 Backflow over 2" 0 Hose Bibb 0 Drinking Fountain 0 Roof Drain 0 Grease Trap 0 Grease interceptor 0 P-Trap 0 Other BALANCE: $73.02 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Sewer Sewer 0 $0.00 Sewer Alter/Repair 1 $18.60 Sewer Abandon 0 $0.00 Record Management Fee: $0.27 Investigation $0.00 Plan Check $13.26 $0.00 Issuance $19.70 Supplemental Fee $0.00 ENSED NTRACTORS DECLARATION her y 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 code, a license is in full force and effect. e No: 312204 Class: _ Oa - -"*Q t COSMIC err: MILES & KELLEY CONSTRUCTION COMPANY INC WORKERS COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and vw0 lG maintain a certificate of consent to sensure for workers' compensation, as provided for by Section 3700 of the labor code, for the performance of the work for shtick 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 is: Carder. STATE COMP Polley number:-046-0009197 Expire :01/01/2002 (This section need not be completed if the permit is for one hundred dollars ($100) or less. I certify Thal in the peJo rice of the work forwhich this permit is issued. I shall not employ any person in any smggecap as to become subjers(to the workers' osmpensetian laws of Callbm rd agr that d l sho Id become subject to the workers' caapensaaon Droll on 3700 of la r 1 shall Want Signature: d comply with those provisions. �6 _ Warning: Failure to secure workers' Compensation coven*` is hmaw"rl, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the costnf comp: nsallanpatrieges as provided for to Section 3706 of the labor code, Interest, and attameys fees. thereby a KI tIudge that I have read this application: that the information given is correct PM that -I am the owner; or duly authorized agent of the owner. I agree to comply with o state laws regulating construction; and in doing tiewoi K autrythrd the. Eby. no person will be employed in violation of the labor code of the stale of Cadent thing to workmen's .ompyd Iumnce. mittee Na e Sig re of permittee: `address : Date: C9 - 6 - O Approvals Inspector/Date Soil Pipe (ground) Sewer Water Pipe hexameter- ?Vwejtorial Gas Pipe (ground) Plumbing (rough)#a Gas Pipe (rough) Water Heater Gas PSI Test Gas Co Notified Final WORK MUST BE STARTED WITH I A PER19 • OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. _cy' ?Li