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Home My WebLink AboutX2007-1320 - PermitsCity of Newport Beach Building Department COMB Permit No: X2007-1320 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ ELEC/ / / Inspection Requests/Telephone (949)644-3255 Job Address: 1 HOAG DR NB Inspector Area: 7 OF LOT Owner. Address: Phone: Applicant: Address: Phone: Project : Legal Desc.: HOAG MEMORIAL HOSPITAL/PRESBYERIAN 1 HOAG DR C-023 NEWPORT BEACH CA 92663 949.764-4467 DEEN TOM/TRC 21 TECHNOLOGY DR IRVINE CA 92618 949-727-9336 Code Edit : 2001 Type of Construction: Occupancy Group: U2 Added /New sq.fL Bldg: 0 Added /New sq. ft Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Issued Date: Description: (19) LIGHT STANDARDS @ PARKING LOT 1176-2007 1176-2007 (1)(g16' &(18)@25' 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: PERRY WAYNE INC 8281 COMMONWEALTH AVENUE BUENA PARK CA 90261 714/825-0352 300345 09/30/2008 BT02092602 08/31/2007 Worker's Compensation Insurance Carrier: SEA BRIGHT Policy No: BB1071086 Expire: 01/01/2008 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: PC Parking Spaces: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: SEQUERIA LEONARD JOHN 62622 BALEARIC RD DANA POINT CA 92629 714-544-2783 State Lic:C-052787 Special Conditions: HOAG PC Construction Valuation: $72.000.00 Building Permit Fee: $803.80 Plan Check Fee: $578.74 Overtime Plan Ck: $0.00 Investigatin Fee: Record Management : Energy Compliance: CA Seismic Safety : Disabled Access : Fee Increase: Fee: Additional Fee : Hazardous Mat : PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $56.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 • • • • • • • • • • • • • • ••• • • • • • • • • San Dist : Excise Tax: NMUSD Fee: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: •• • • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $56.27 $0.00 $0.00 •:T9TrAli € : $1,583.88 • • • • • *00 • . . ^T • • • • • • - • • • • • • • • • • • •• • • • • • • • • • • FEES Planning Department - Plan check Fee : $75.00 Fair Share : SJH Trans : $0.00 $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit TOTAL PAYMENT : $155.61 TOTAL DUE : $1,428.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 Soma $0.60 S0.o0 is.ovo PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 70315, BUSINESS AND PROFESSIONS CODE ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER. IMPROVE, DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WTIM SEC. 7000) OF DM 3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.6 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF El NOR MORE THAN FIVE HUNDRED DOLLARS (5600): I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WLL DO THE WORK, AND THE STRUC- TURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH 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 HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.): I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS ❑ LICENSE LAW.). I AM EXEMPT UNDER SEC B. & P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE WSS LICENSE NO - DA ✓ B 9 d7 CONTRACTQR\WAynE Potty 1Nc. WORKERS' COMPENSATION DECLARATION BY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SEC 3700 LABOR CODE FOR THEtERFORMANCE OF THE WORK FOR WHICH THIS PERMIT LS ISSUED. D WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE, FOR THE PERFORM- F THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER i.PO! NUMBER (Tg18 SECTION NEED NOT 8E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). FY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MAN - AS TO BECOMESUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT THE WORKERS' COMPENSATION PROVISIONS OF SEC.3700 OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE' APPLICANT: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HERESYAFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CN.C). LENDERS NAME LENDER'S ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY TOAME ENTER UPON ✓ PROPERTY FOR Bd9PbevyRPOSES. PERMIT7EE NAME (PRINT) ♦ ` /w lLL�) (�'en bevy SIGNATURE OF PERMI I 199 / ' DATFJ�� r/D 7 ACTION PERMIT EXPIRED DATE: BY: PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL 123o'FribweN CERTIFICATE OF OCCUPANCY ISSUED TENANT NAME TYPE OF BUSINESS FOR OFFICE USE ONLY • • •• • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • •• ••• • • • • • • ••••••• • • • • • •• • • • • • • • • • • • •• ••• • • •• •• • • • C TRC r Mountain View T: (650) 967-2365 F: (650) 967-2785 r San Ramon T: (925) 275 2550 F: (925) 275 2555 Daily Field Report .7 Fullerton T: (714) 441-3090 F: (714) 441-3091 r Oakland T: (510) 267-1970 F: (510) 267-1972 r Fairfield T: (707) 423-2523 F: (707) 428-1725 Project Number 1651-26 Daily Field Report Number F-49 Page 1 a 1 Date 8/14/2007 Project Hoag Hospital Soil Nail Wall Location Newport Beach, CA Time 1:00 PM Day Tuesday Client TRC Solutions Inspector of Record Technician ADC Assistant General Contractor TRC Superintendent Gary Russell Project Engineer Chung Hsu Grading, Excavation, or Other Contractor - I Don McCoy Contractor Foreman - I Joe Connelly Weather/Temperature clear, sunny, 70's Grading, Excavation, or Other Contractor - II Contractor Foreman - II Gauge ID Field Observations: A site visit was conducted, as requested by Gary Russell (TRC), to observe the drilled piers for light pole foundations in the East and West parking lots. Upon arrival, 19 piers had already been drilled. The piers were drilled to a depth of 6 feet, 30-inches in diameter. The piers were generally straight and clean. There was some minor amount of loose material in the bottom of the piers. Two piers had some minor water which should be removed to allow the bottom to dry. The piers appear to be in general conformance with the project plans. 0Continued on Next Page