HomeMy WebLinkAbout45 Tp Hoag Dr 07-08-08City of Newport Beach
Building Department ELECTRICAL Permit No: E2008-0335
PO Box 1768 Newport Beach, California 92658-8915
Job Address: 45 (TP) HOAG DR Bldg: 1 Floor.
Inspector Area: 7
Code Edit: 2007
Owner: HOAG HOSPITAL FD&C
Address: 500 SUPERIOR AVE STE 300
NEWPORT BEACH CA 92663
Phone: 949-764-4486
Issued Date: 06105/2007
Processed By:
LLD
New Construction
Residential
Multi-Farrlily.
1-2 Family:
Service
0-600V up to 200A:
0-600V over 200A:
Over 600V or 1000A:
O/H to U/G
Suite:
Legal Description:
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
TEMP POWER SYSTEMS
625 S FEE ANA ST
PLACENTIA CA 92807
714-223-5693
696713
10131/2008
BT00009683
09/30/2008
Receptacle/Switch/Outlets
Receptacles/Outlets: 0
O 60.00 Fixtures: 0
0 $0.00 Sep Circuits: 0
Low Voltage 0
Signs
1 $29.10 Branch Circuit: 0
O $0.00 Each Add Circuit: 0
O $0.00 Time Clocks: 0
O $0.00
Description of Work: ELECITEMP POWER POLE "ADVANCED TECH"
X2007-3021/2554-2007
ELECTRICAL FINAL 404)
Inspector/Date G - ) n - O S I - " _ e07,
See. PwcF uyldel2, 1 1I005 D12
R-ddte 01c Pal, rtE M
FEES
Motors/Transformers (HP/KVA)
$0.00 0 to 1 HP/KW/KVA: 0 60.00
$0.00 1 to 10 HP/KW/KVA 0 $0.00
60.00 10 to 50 HP/KW/KVA: 0 60.00
$0.00 S0 to 100 HP/KW/KVA: 1 $48.80
Over 100 HP/KW/KVA: 0 $0.00
$0.00
$0.00
Moo
Piggy BackfTemp Power: 0 $0.00
Temp Power Pole: 1 $25.50
TOTAL Fee : 6196.80 Plan Check Fee : $0.00
D CONTRACTORS DECLARATION:
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.
ay license Is In lull t rue and effect. X jl
No: 696713 Class: _ Date: x Fir/17 Cadres -tar: TEMP POWER SYSTEMS
WORKERS' COMPENSATION DECLARATION; I hereby aff rm under penalty of perjury one of the fallowing declarations:
e and will maintain a certificate of consent to self.insure for workers' compensation, as provided for by Section 3700 of the labor code, fa the performance of the work for
h this permit is issued.
e 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
workers compensation insurance ranter and policy numher is
Carrier: OLD REPUBUC Policy number.A1CW49500702 Expire Date: 10/01/2008
(This section need not be completed if the permit is for one hundred ddlers ($100) or lees.
I certify that in the pertonrance of the work forwhidi this penrit is issued. I shall not employ any person in any Danner so as to become subject to the workers' compensation
laws of California, and agree that if I should became subject to the workers' compensation provisions of Section 3 of the labor code, I shall lorthwith comply with those provisions.
Applicant Signature:
titles and civil fines up to one hundred thousand dollars
Date: )e 6(31D o
Warning. Far e o secure workers' compensation coverage is unlawful, and shall subject an
($100,000), in addition la the cost of compensation.damages as proNded for In Section 3706 of the laf6r co9e. interest and ahomeys fees.
• •
I hereby acknoMedge that I have read this aFpliw••tidnilhat theil69rrr ryidr�iven iyco•ec�antl that I am the owner. or duly authorized agent of the owner beI agree
conicity with city and state laws re9uleting:ontu&jorr and irsoi,rg the hark autltnz€d tReigety. no person will be ernployed in violation of the lean code of the state of
California relating to workmen's corpensafon•nsdtabce. • • . :• • • • • •
+�•c�• • 'riR.i�• •••• •• ••
Permitter Name (Print) C '�%b1T Address :
Signature of permitter: ,..2‘....._ i//// V r/ --
r •
• • •• • •
•• •
• • • • •
• • • • • •
••• •• •• • • ••• 00
Date: &a/v/DO
Temp Underground:
Sub Panel:
0
2
0
0
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due at Permit Issuance : $196.80
$0.00
$35.40
50.00
$0.00
$1.00
$34.20
$0.00
$0.00
$7.10
PERMITS EXPIRE I80 DAYS AFTER ISSUANCE OR
LAST VALID INSPECTION.
WORKSHEET FOR MECHANICAL -ELECTRICAL • PLUMBING PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DEPARTMENT V �J , 354
'
Cheek Appropriate Box for Applicant PLEASE PRINT OR TYPE /' (/�
BUILDING PERMIT NO.
Iw ssuronaISJOe
2694 - Wee
JFLOOR
1. PROJECT ADDRESS (NOT tutAiuNG ADORESs)
S (- P) kFoA-&- b R Q-e
SUITE
■ 2. OWNERS NAME LAST FIRST
I-10AG RoSPITAL-
OWNER'S E-MAIL ADDRESS
PHONE NO.
ADDRESS
NOR(. DR •
CITY
II.Lt^cwfot GE• 1
STATE
GA
ZIP
q'Z-b63
a 3. CONTRACTOR'S NAME LAST FIRS
-rent? Powci f1ST 6MS
BUSINESS L_ IC.
STATE LIC.
No.&14f-I3 Class CI°
ADDRESS - - - -
.625 Kt AniA Sr -
CONTRACTOR'S EaufA1LADDRESS
CITY PLAccAnIA . STATE GA ZIP
PH4Lf$D 1�NE NO.
-It 3,StoDt7
MECHANICAL
ELECTRICAL
PLUMBING
ITEM NO.
ITEM NO.
ITEM NO.
FURNACE:
up to 100,000 Btu
NEW CONSTRUCTION (ONLYI:
BATHROOM:
Water closet (todet)
RESIDENTIAL 1 & 2 FAMILY
SQ. FT
Aver.:.: 100,000 Btu •
Bidet
wall/floor heaters .
RESIDENTIAL MULTIFAMILY
SQ. FT.
.Urinal
HEAL PUMPS'& PCKG UNITS:
. up to 100.0oo Btu
.
Bath tub
Receptacle. switch &
fighting outlets
TOTAL OUTLETS
Shower stall
Lavatory (basin)
up to .:.500,000 Btu
Hydro -massage tub .
up.to . 1,000;000.Btu
_
Lighting fixtures -
TOTAL FIXTURES:
KITCHEN;
Kitchen sink
up to t,t50;Od0 Btu `•
over 1.750,000 Btu:
SEPARATE CIRCUIT: •
Garbage disposal
BOILERS & • •
COMPRESSORS:
up to- 3 HP
Bar sink
MOTORS/TRANSFORMERS:
0 - 1
HP
KVA
VeNjetable sink
Ice maker
Dishwasher
over. 3 HP to 15 HP
1 - 10
Laundry /washing trap
over ,15 HP to 30 HP
10 - 50
Floor sink
over 30 HP to 50 HP
50 : - 100
SO
I
Floor drain
over 50 HP
over 100
MISCELLANEOUS:
Water piping
:, .
AIRHANDLNG.UNITS:
up to 10.000 tarntarnone
SIGNS:
branch circuit
Watersditener •, .
______
Water heater ' • • • ••-
••
KAAk 10,000 cfm .
addl branch circuit
Gas systems - • • •' •
•
•
- VAV box.
SERVICE:
0-600V not over 200A
I
• • • •
up:to 4:outlets
-
REPAIR /ALTER ! ADD'N !
HVAC ®Tdao6 R'
No: of zones onl q.3p
%
it of oulets'over 4
•:.:
Baddldw device - ' .
- •
.•
O.60OV over 200A
up to 2' diam. • • • • •
• ' .'
over 600V
over 2' diam. • • :• -
I0'3l-o%
VENTILATION:
bathroom p to Px-�
C�
PORARY POWER POLe)
Regulators
Lawn sprinidersystems • .;.•
PIGGYBACK
I
Roof drains • • • •
ei9,austfan A itW
00707,
SUB PANEL: 2.MAm P
t2.0 f 7.4 D v 10.
Jam...
Hosebibb
attic exhaust. - t o I
Drinking.fountain
residential hood-
Grease trap • .
commercial hood _ •
- .
OTHER: •
100 AMP -FOCI 6t.E
OiscoNNal
1 Li avuL. Ste —Vitt ,
•PANEL-
1
.
Grease interceptor -
dOWnAraftexhaust
P-Trap
METAL FIREPLACE
SEWERS
New sewer -
OASUNE
Sewer alterfrepair
FIRE DAMPERS
Sewer abandonment
applicationiortitAEMP . --rPI 4 s1b