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Home My WebLink AboutX2010-1134 - PermitsCity of Newport Beach Building Department PO Box 1768 Newport Beach, California 92658-8915 Combination Type - BLDG/ / r l Permit Counter Telephone (949)644-3288 COMB Permit No: X2010-1134 PROJECT NUMBER: 0886-2010 Inspection Requests/Telephone (949)644-3255 Job Address: 1 HOAG DR NB Description:INST STEEL CANOPIES (8) @ CHILD CARE CTR Inspector Area: 7 OF LOT Owner: HOAG HOSPITAL FD&C Address: 500 SUPERIOR AVE #300 NEWPORT BEACH CA 92663 Phone: 949-764-4486 Applicant: COURTNEY ROY Address: 2328 BROWN DEER CHINO HILLS CA 91709 Phone: 909-374.4198 Code Edit : 2007 Type of Construction: II-B Occupancy Group: E Added /New sq.k. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: Issued Date: 01 /05/2011 0 N 0 Construction Valuation: $105,000.00 Building Permit Fee: Plan Check Fee: Overtime Plan Ck: Investigation Fee: Record Managemen Energy Compliance: CA Seismic Safety : Disabled Access : Fee Increase: Fee: Additional Fee : Hazardous Mat : $1,067.50 $820.60 $0.00 $0.00 $135.75 $0.00 $0.00 $105.00 $0.00 $0.00 $0.00 Building Green Fee : $5.00 •.. TOTAL Ff q: $ • • PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • • • a7 • • Legal Desc.: 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: EIDE INDUSTRIES INC 16215 PIUMA AVE CERRITOS CA 90703 562-402-8335 211771 07/31/2011 Worker's Compensation Insurance Carrier: FIREMAN'S FUND Policy No: Expire: Building Setbacks Use Zone: Parking Spaces: Solar System PC : Excise Tax: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: I. •.• •.• • • • • •I..* • • WZC80985443 07/01/2011 Rear: Front: Left: Right: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State tic: SANDERS SCOTT JOHN 2895 VELASCO LN COSTA MESA, CA 92629 714-957-3203 State Lic:S-003902 Special Conditions: Fire Hazard Zone : N $0.00 Planning Department - $0.00 Plan check Fee : $150.00 Fair Share : $0.00 SJH Trans : $0.00 $0.00 In -lieu Housing Fee : $0.00 $0.00 Public Works Department - $0.00 Park Dedication : $0.00 $0.00 $0.00 $0.00 Plan Check Fee : PM/ Plan Check : $30.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit $0.00 $153.72 $0.00 $0.00 $0.00 $0.00 $0.00 $472.97 Fee Due at Permit Issuance : $1,994,60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • • • • • • • • • 4PgRAIITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. g,ZO1092- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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 (_) all of or ( portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 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 it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner - builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 4 I A I hereby affirm under penalty ofperjury that I am licensed under provi ns of Ch of Division 3 of the Busines and Pr essions Code, and my license is in fu force and L. se Class G l o3 ctb nse No. 2-1 1 771 �r Late '7 3 t ntractor Signature f r� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN b SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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 ATTORNEY'S FEES. 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, issued by the Director of Industrial ,Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is pier 9 (colmencing with Section 7000) Iffect. �I oftcdNo L33 I perfo `carrier Name of Agent ❑ I certify that, in the p so as to become subject ��` w kers' compensation ianature of Applicant h 4e and will maintain workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the nce of the work for which this p: rmit is issued. My workers' compensation insurance carrier and policy number are: Policy Nurrlber Expiration Date Phone # hich this permit is issued, I shall not employ any pe son in any manner n laws of California, and agree that, if I should ecome subject to the he Labor Code, I shall forthwith complLwith thos= provisions. I c 11 ormance o'ithe work for the work: ..' compensal sibs of I.:I tion 3700 of DECLARATION REGARING CO STRUCTIO, LENDING AGENCY I hereby affirmunder penalty of pe ury that there is a construction lending agency for the perfo is sued this permit is (Section 3097, Civil Code). Lender's Name Lender's Address mance of the work for By my signature below, I certify to each of the ollowing: I am the property owner or authorized to act on the property owner':. behalf. I have read this application and the information I h..ye provided is ..rrect. I agree to comply with all applicable city and coun iordinances anstate laws r slating to building construction. I authorize representatives of this city or county trj'j nter the abovi dentified property for inspection purpo s. Signature of Property Owner or Authorized Agent - I _ t1 rant Property Owner's or Authorized Agent's Name: \tr, ham- ican.S1F. // ACTION DATE: PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED Gel S—t1 PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPL ANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: • FOR OFFICE USE ONLY • ••• • • ••• • • • • • • •. • • • •• • • • . . • • • •. • • • • • • • •• • • • •. • • • ••• • • • •. ••• • • • • • • • • • • • • • .• • • • • • • • • • • • •• ••• • • •• •• • • • 1/01/2009 710 E. Parkridge Ave., Suite 105 Corona, California 92879 (951)710-1160 Fax (951)710-1167 G EOT E K Geotechnical Environmental Materials FIELD MEMORANDUM — FOOTING OBSERVATIONS TO: FROM: SUBJECT: DATE: CARY BROOKS, HOAG MEMORIAL HOSPITAL Ed LaMont, GeoTek, Inc. Footing Observations, Sun Shade Canopies, Child Care Facility September 28, 2011 As requested, GeoTek has observed footing excavations for proposed sun shade canopies to be located at the Child Care facility of Hoag Memorial Hospital. Observations were made by an engineering geologist. Plan details were prepared by EIDE Industries, Inc. Upon observation, the 27 excavations observed for the 7 proposed shade structures all appear to expose native soil materials, predominantly consisting of thinly bedded siltstone. Some of the excavations also appear to expose a varying amount of fill, but with native material at the bottom. Groundwater is also observed to be filling some of the excavations. All of the excavations observed are considered to be suitable for the intended us from a geotechnical perspective. Loose materials and/or debris at the bottom of the excavations should be removed prior to placing concrete. Water should also be removed from the footings just prior to pouring concrete. If you have any questions or need additional information, please don't hesitate to ask. OF CAL) Edward H. LaMont Engineering Geologist, CEG 1892 ARIZONA CALIFORNIA IDAIIO NEVADA