The URL can be used to link to this page

Home My WebLink AboutX2022-0604 - Permitstl�h City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 fit.. ?1f Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH COMB Permit: X2022-0604 IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII�Iill II Project No : 0541-2022 Issued Date: 05/31/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 Job Address: 510 SUPERIOR AVE NB St: 1 FI: 1 Unit: 123 Description: COMM - TI NEWPORT HEALTH CENTER. REPLACING MRI UNIT 504 SF v Legal Desc.: IRVINE SUB LOT 169 BLK 2 PORS OF LOT 1 Owner: HOAG HEALTHCARE Address: ONE HOAG DR NEWPORT BEACH CA 92663 Phone: Applicant: LIEBKE STEVE Address: 1340 REYNOLDS AV STE 115 IRVINE CA 92614 Phone: 949-752-5052 Code Edit, 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 504 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood 7one: X 11 Construction Valuation: $150 Building Permit Fee: $1,564.00 Plan Check Fee: $1,360.68 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $78.00 Energy Compliance: $105.00 CA Seismic Safety: $0.00 Disabled Access: $150.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $5,004.85 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: n �� Address:Contract 6677 WEST THU DERBIRD S E C Address: 1340 REYNOLDS AVE 4115 GLENDALE, AZ 85306 IRVINE CA 92614 Phone: 602-390-2705 Phone: 949-752-5062 State Lic:CO25341 °aB°•° Con State Lic: 951506 Engineer: LEE DONALD E •.°° Lic Expire: 08131/2022 Address: 21008 SYLVANWOOD AV ° ' • ° • ° Bus Lic: °BT30071412 LAKEWOOD AV 90715 ° ° Lic Exp Date: 0313012023 Phone: 562-860-7896 State Lic:C-02311 Worker's Compensation Insurance Carrier: AMERISURE MUTUAL INS Policy No: WC2103602 Expire: 10/01/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: C) L, Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $409.46 $321.71 $0.00 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $104.00 -Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: • s 9 X • a •• ° a a•a.o• a-•oa �aaa:.e aanaa• ec N• o 0 a • x ° oa o ,,ara $0.00 $97.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,427.85 Fee Due at Permit Issuance : $2,577.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: YT 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through Iemployees' or personal effort, builds or improves the property, provided that the rovements 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 roved 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 ply 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 onelyear prior to completion of the improvements covered by this permit, I cannot legal' sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ubderstand that a copy of the applicable law, Section 7044 of the Business and Professions Code* iseaailable upon request when this application is submitted or at the following Web site:http://www.legihfo.ca.gov/calaw.html. Signature of ProjDeiJ%Q&ner or Authorized Agent Date QCENSED CQWIPACTOR'S DECLARATION nn 1 hereby 9ffirm urde9rj% Malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) f Di ision 3 of the Business and Pro a Coda, my Manse is in full force andeffect. License Class License No Date t Z Contractor Signatu`� l.6 Mti� V;OR1 RS' Cp&P NSATION DECLARATION W RN INNFAILURE•rOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE CST _ _ OMPENSAI IOA, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. hereby affirm upopr,pgralty of perjury one of the following declarations: ••1•he71 and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director ierfece of the work for which this permit is issued. Policy No. I hav€ and w11•rp2in;in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the I F 11 79me carrier and policy number are: ;aYltcfi• • • Policy Number of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any It, if I should become subjecLEo the work¢f�' compensation provisions of Section 3700 of the Labor Code, I shall ��// Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agree i comply with those provisions. ) of Applicant Date 5lsi ��.Z CLARATION REG G CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 correct. I agree to comply with all applicable city and county ordinances aid state laws relating to building construction. I authorize representatives of this city or co ty r the ab -identified property for inspection purposes. ` (nature of Prooertv Owner or Authorized Aqe .. Print Property Owners or Authorized Agent's Na ACTION PERMIT EXPIRED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF 21 OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION tSrg10TAPPLICABLE TO