HomeMy WebLinkAboutX2021-2023 - 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 ELEC MECH PLUM GRAD
R
1111
2111121111
121 II I2III
COMB Permit : X2021-2023
Project No : 1764-2021
Issued Date : 12/23/2021
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 12/23/2024 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
11 HOAG DR NB
COMM TI & ADDITION "JAMES IRVINE BUILDING" 6218 SF ADD, 6665 SF TI
HOAG MEMORIAL HOSPITAL
510 SUPERIOR AV STE 290
NEWPORT BEACH CA 92663
949-355-9268
DIONNE CHRISTOPHER
10 EDELMAN
IRVINE CA 92603
949-660-9178 X 1157
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:
2019
V-B-SPR
A-3/B
6218
0
0
0
Y
X
Construction Valuation: $1,500,000.00
Building Permit Fee: $8,671.00
Plan Check Fee: $7,543.77
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Record Management : $306.00
Energy Compliance: $550.00
CA Seismic Safety : $0.00
Disabled Access : $944.00
Hazardous Mat $0.00
Building Green Fee : $60.00
TOTAL FEE : $44,448.37
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
SLATER BUILDERS INC
3100 - B PULLMAN STREET
COSTA MESA CA 92626
714-615-6108
675832
08/31/2023
BT30025319
02/28/2022
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone: PC38
Excise Tax:
Additional Fee :
Grading Bonds Fee:
Grading PC Consultant :
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing °A°:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
d'1
a
CYPRESS INS COMPANY
SLWC245302
02/16/2022
Rear: 0
Front: 0
Left: 0
Right: 0
Parking Spaces:
$0.00
$0.00
$0.00
$1,790.88
$1,020.00
$393.12
$152.00
$2,270.07
$1,783.62
$1,459.33
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
NOUIZILI ILYES M
10 EDELMAN
IRVINE CA 92618
949-788-4054 State Lic:C032135
BISHOFF RYAN WILLIAM
3300 IRVINE AVE #245
NEWPORT BEACH CA 92660
949-862-8510 State Lic:S-006250
Special Conditions: ROBERT'S WASTE
TO HAUL DEBRIS
Fire Hazard Zone : N
Planning Department -
Plan check Fee :
Fair Share :
SJH Trans :
In -lieu Housing Fee :
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $812.00
San Dist : $12,983.18
NMUSD Fee: $1,865.40
Plan Check Fee : $13,235.65
$416.00
$0.00
$0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit Issuance :
$0.00
$619.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
$31,212.72
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Irkk
1
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 Iicensure 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 L) all of or L) 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m licensed under provisions o GtI7 er, (c p encing with Section 7000) of visio 3 of the Business and Profgssions de, and c nse is in full force
and effect. License Class License No 62 / 55 A� Date (Contractor Signatur/
WORKERS' COMPENSATION DECL ATION
WARNING: 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
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:
qi 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
ormance of the work for which this permit is issued. Policy No.
Date
ave and will maintain workers' compensation insurance, as require y d b Section otheaoroe,orapeormance o e work or which Is rmits Issue 3700 f Labor Code, f the performance f the k f h h this ' d. My workers' compensation
in ranee carrier a poll cgfnumber re:
Carrier
Name of Agent
❑I certify that, in the performance of the ork for which
that, if I should become subject to the rkers' com
Signature of Applicant
DECLARATION REGAR(D'ING CONSTRUCTION LENDI ' AGENCY
I hereby affirm under penalty of perjury that there is a • *structien lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
Policy Number.. 5L /�� T <c—. 0)-- Expiration Date
Phone# 9/'J9/ „2.G �f
n/
s permit is
ation pro
z/6-2,2-
ued, I shall not employ any person in any manner so as to became subject to the worker compensate laws of California, and agree
ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
By my signature below, I certify to each of the folio 'Ing:
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 nd state law = relating to building construction.
I authorize representatives of this city or county t, nter the ove-ident' property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DE
RATION OF COMPLIA ' E WITH CODE OF FEDERAL
REGULATIONS PART 61 OF ITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRED
❑ I SUBMITTED ASB TOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I�Lf�4SBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Date/ „2,3 �G,1
CITY OF NEWPORT BEACH
COIVIMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-8915
www.newportbeachca.gov I (949) 644 3200
PRE -GRADE MEETING AGREEMENT
DATE: 1-25-2022
JOB ADDRESS:
11 HOAG
1. The grading plan check number for this site is 1764 2021 and will be referred to in all reports, certifications
and correspondence.
2. STOP ORDERS Whenever any work is being done contrary to the provisions of the City Codes, the Chief
Building Official or his authorized representative may order the work stopped by notice in writing served on any
persons engaged in the doing or causing such work to be done and any such persons shall forthwith stop such
work until authorized by the Chief Building Official to proceed with the work.
3. The stamped set of approved plans shall be on the job site at all times.
4. NOTIFICATION OF NONCOMPLIANCE if, in the course of fulfilling their responsibilities, the civil engineer,
surveyor, the soils engineer, the engineering geologist or the testing agent finds that the work is not being done
in conformance with the approved grading plans, the discrepancies shall be reported immediately in writing to
the person in charge of the grading work and to the Building Division. Recommendations for corrective
measures, if necessary, shall be submitted to the Building Division for approval.
5. When import or export of materials is required, haul routes to and from the site shall be approved by the City
Traffic Engineer and hauling procedures shall be in accordance with Chapter 15 of the Newport Beach Municipal
Code (NBMC). Contractor shall use Best Management Practices (BMP's) to insure that all water quality issues
are addressed.
6. Between October 1 and April 30, erosion control BMP measures shall be in place. During the remainder of the
year dry season wind erosion BMP's (dust control) shall be implemented. Sediment control BMP's shall be
installed and maintained at all operational storm drain inlets internal to the project BMP's to control off -site
sediment tracking shall be implemented and maintained_ Appropriate BMP's to prevent contamination of
stormwater from construction activities shall be implemented. A "weather triggered" action plan and the ability
to deploy BMP's to protect all exposed portions of the site within 48-hours when the National Weather Service
forecasts a 50% or greater chance of rain.
7. All fills shall be compacted throughout to a minimum of 90 percent compaction as determined by ASTM test
method 1557 and approved by the soils engineer. Compaction tests shall be performed according to the
preliminary soils report.
8. All trench (including interior and exterior utility trenches) and retaining wall backfill shall be compacted
throughout to a minimum of 90 percent relative compaction and approved by the soils engineer.
9. Whenever work on which required inspection/testing is covered by additional work without first being
inspected/tested, the Chief Building Official shall require by written notice that the work be exposed for
examination. The work of exposing and recovering shall not entail or be subject to expense to the City of
Newport Beach and will be the sole expense of the Permittee.
10. Landscaping of all slopes and pads shall be in accordance with 15.10.130 of the NBMC.
11. Approved drainage provisions shall be used to protect adjoining properties during the grading operation.
12_ The permittee or his agent shall notify the Building Division when the grading operation is ready for each of the
following inspections:
a. PRE -GRADE MEETING When the permittee is ready to begin work, but not less than two days before any
grading or brushing is started.
b. DRAINAGE DEVICE INSPECTION After forming of terrace drains, down drains or after placement of pipe in
subdrains, but before any concrete or filter material is placed.
c. SPECIAL
d. ROUGH GRADING When all rough grading has been completed, the rough grade report shall be provided to
the Building Inspector at foundation inspection or sooner based on the Building Inspector's discretion.
e. FINAL When all work, including installation of all drainage structures and other protective devices, has been
completed and the as -graded plan, professional approvals and the required reports have been submitted.
13. All footing excavations, slab on grade areas and subdrains shall be inspected and approved by the Geotechnical
Engineer or Engineering Geologist Written approval shall be submitted to the Building Inspector.
14. Prior to the start of grading, all permanent property corner monuments shall be in place. Prior to any foundation
inspections, proof of recordation of the "corner record" or "record of survey" with the County of Orange shall be
provided_
15. The undersigned acknowledge a copy of the above and agree to comply with the Grading Code of the City of
Newport Beach, the recommendations of the project soils report and any special requirements of the permit.
16. Prior to foundation inspection a Line and Grade Certificate Form must signed and stamped by the surveyor of
record and submitted to the building inspector. A Structural Observation Report may be required_
17. All parties listed below must be present for the pregrade meeting unless approved by the building inspector.
18_ All duplex construction requires separate utilities (sewer, water, gas, electrical, fire sprinkler risers).
OWNER/CONTRACTOR:L-AT. iz GA.=t(-P DESIGN CIVIL ENGR_: Wart tkJco M
By-.
Address:
Telephone:
t Li) (S -GAle ss
By: i tyke C6r5 e
Address: lO 6./timr,rt , Ifwa-, 1
Telephone: 1Y9- 7 8' - `10S r
GEOTECHNICAL ENGINEER_ Woo. f11+7',2i'1 tAk IdA19 /GEONod__LOGIST.Nod__'f t-c.'
t
By: M4 MVP / / JA (aw, By: g o ck (I kelA , ry
Address: (000 r 1/4-1 / CP6Vb Address: ()Cc', R c kr444 C z A
Telephone: ���'j�p Telephone: 51-' ` 5300
GRADING CONTR.:
By:
Address:
Telephone:
(2+44-A :',:ir
097-1; -2,'y'
COORDINATOR:
By:
Address:
Telephone:
NEWPORT BEACH REPRESENTATIVE: CHRIS SANCHEZ PHONE #: 949-644-3287
INSPECTION REQUESTS: (949} 644-3255
Newport Beach Construction Hours:
Monday through Friday: 7:00 a.m. to 6:30 p.m.
Saturdays: 8:00 a.m. to 6:00 p.m.
No work on Sundays and Holidays
Farmslpregrade meeting agreement 6-18