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Home My WebLink AboutX2021-2276 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP I11211tII1IIiHIII��D�D INSPECTOR II COMB Permit: X2021-2276 Project No : 1968-2021 Issued Date : 10/25/2021 Inspection Area : 7 Job Address: Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/25/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays 1 HOAG DR NB COMM TI 550 SF "GAMMA KNIFE SOURCE REPLACEMENT" (BUILDING 47) IRVINE SUB BLK 1 LOT 172 POR OF LOT HOAG MEMORIAL HOSPITAL - PO BOX Y NEWPORT BEACH, CA 92658 NGUYEN KONG 38 TECHNOLOGY DR IRVINE, CA 92618 949-466-3874 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: Construction Valuation 2019 V-A- SPR B 550 0 0 Y X $50,000.00 Building Permit Fee: $810.00 Plan Check Fee: $704.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $28.00 Energy Compliance: $61.00 CA Seismic Safety : $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,748.70 Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: • Lic Exp Date: SOUTH COUNTY CONTRACTORS 161 EXETER WAY #87 CORONA, CA 92882 949-205-6304 988175 11/30/2021 BT30048035. 07/31/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee : Grading Bonds Fee: Grading PC Consultant : Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I Parking Spaces: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: ONODERA DAVID 555 CAPITOL MALL, STE 650 SACRAMENTO, CA 95814 916-669-5930 State Lic:CO28964 CHEN YU-NING 100 CALIFORNIA ST STE 1000 SAN FRANCISCO, CA 94111 415-218-5428 State Lic:S-005706 Special Conditions: Fire Hazard Zone $0.00 Planning Department - $0.00 Plan check Fee : $0.00 Fair Share : $0.00 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $52.00 $0.00 $0.00 $0.00 N Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $756.70 Fee Due at Permit Issuance : • e• • Oat • CL • • o°• a• pf'i •" Zen a •rms01. a•Pa• • m4.eoa _,.•._...• Waa.ea $ p. ° ° • OOOa• 000000 • •4v•C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $992.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: "utu • `�; ti ' � PUBLIC WORKS APPROVAL: p • O ° � q oQ c, ` aPaN C�WECK BY: C APPROVAL TO ISSUE: J 0e 4,0 J4 V,.� 0 41 00 0 00 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). 0 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). O 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 exeaLfjpre licensure under the Contractors' State License Law for the following reason: By my signature belcfW 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 tructure.t at.l 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 Vrofessions Cq414,9, ib 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 LTCEFISED CONtIjACTOR'S DECLARATION herby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio . ) of Division 3 of the Business and Proffer io def�rlr�my license is in full force ,and efkct. License lass License No Date Contractor Signature /f �JJ�� VIIj KERS'rdMP£NSATION DECLARATION WAjj22UI$: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '4IJ$T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Wet; affirm rdee4nalty of perjury one of the following declarations: ❑ I•tyave 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 rfoOr•yr•3erica ofJ19.w1#91 for which this permit is issued. Policy No. 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 Expiration Date Na. a of Agent Phone# I certify that, in the performance of the wo for which this permit is issued, I shall 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 su ect to he work c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant OA/ Io Z55 9I DECLARATION REG DI NSTRUCTION LENDING AGENCY I hereby affirm under enalty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I -certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is cor ect. I agree to comply with all applicab e city and county ordinances d ate laws relating to building construction. I authorize representatives of this city or count to nt- the ab ntified property for inspection purposes. Signature of Property Owner or Autho ized Agent Print Property Owner's or Authorized Agent's Nam Val est4Tve—o/� at ACTION DATE BY ON OF COMPLIANCE WITH CODE OF FEDERAL REGULATI I. S PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO ❑EPA ••• PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED QM D OTIFICATION IS • • • • • • • • • • '• • LCABLE •TQ • • ••. ••• • • • • • • • • •• • • ee• Goo O • •e e o e e p O 0 0 O 0 00 0C O • • • • • 0e O 0 0 '0 0 JC.