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Home My WebLink AboutB9907145 - PermitsPO. Box 1768 Newport Beath, California 92658-8915 Job Address:1 HOAG DR _ _ Floor tnsoector Area: 7 Owner.. Address: - Phone: Applicant: Address: Phone: Suite: Bldg: 1 HOAG HOSPITAL 301 NEWPORT BLVD NEWPORT BEACH CA 92658 949ft 6'65e1— gt#j.57144fl DILDINE DON/NADEL A tcH INC 1990 S BUNDY 4TH FL LOS ANGELES, VA 90025 310/826-2100 Code Edit: 97 Type of Construction: 2-1 hr sp Occupancy Group: b/s1 Added /New sq.ft. Bldg: 2597 Added /New sq. ft. Garage: No of Stories:- 3 No of Units: Building Department CIP Permit No: B9907145 Pennit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Legal Desc: Contractor. Address: Phone: WATSON INVES 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974-6421 Con State Lic: 436023 Lic Expire: 03/31/2001 Bus Lic: Lic Exp Date: Workers' Compensation Insurance -- Carrier Policy No: WC EXEMPT Expire: Building Setbacks Rear. Front Left: Right Use Zone: Parking Spaces: Construction Valuation: $52,000.00 Building Permit Fee: Plan Check Fee: Supplemental: Investigation Fee: Clean Up Deposit Energy Compliance: Fair Share: PUBLIC WORKS:'. $497.60 $35827 $0.00 $0.00 $1,000.00 $0.00 $0.00 Microfilm: Excise Tax : Park Ded: SJHTrans: San Dist Ca Seismic Safety: Disabled Review: TOTAL FEE :$2.569.51 / Description of Work: STORAGE ROOMS TO 1ST FL MEZZ meptemsaW6 pC 6502-99 (SLOGS 42.441 Architect: Address: Phone: Engineer. Address: NADEL ARCHIDON DILDINE 1990 S BUNDY 4TH FL LOS ANGELES, CA 90025 310/826-2100 State Lic: Phone: State Lic: Designer. Address: Phone: Special Conditions: Inspector FEES $2.60 Hazardous Mat $19.00 Fire Department $0.00 Add Fire Dep HMQ: $0.00 Plan Review Fee: 3199.04 $0.00 Other Fee: $0.00 Inspection Fee: $348.32 -) Planning Department 4". '0 Counter Review : $0.00 $10.92 Zoning Plan Check: $52.66 $41.60 Overlrme Plan Check Fee: $39.50 TO AL PAYMENT :5155.46 TOTAL DUE: $2,414.05 PAID OTHER DEPARTMENT: MAR 15 20@@°'" CHECK BY; CO OF orAPO!ijPPR01/AL TO ISSUE: WORK MUST BE STARTED WITH A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. APPROVALS FOUNDATION: ROUGH GRADE LINE & GRADE CERT/SETBACKS ERECTION PADS FOOTINGS SLAB ON GRADE DECK SLAB FRAMING: SUBFLOOR ROOF & BUILDING HT EXT. SHEAR/HOLD DOWNS GENERAL FRAMING INSULATION DRYWALL (SUSPENDED CEILING PLASTERING: INTERIOR LA: fH EXTERIOR LATH SCRATCH (2 DAY) BROWN (7 DAY) MASONRY FOOTING PRE -GROUT FIREPLACE MISC. INSPECTIONS: PERMIT EXTENSION 1ST EXP. LETTER 2ND EXP. LETTER PERMIT EXPIRED PERMIT CANCELED FINAL CERTIFICATE OF OCCUPANCY TYPE OF BUSINESS USE: Civet tem& misfratat- COMMENTS PLOT PLAN FOR ADDITIONS: Sketch a plot plan. Show all structures on site. Identi y addition. Street side at bottom of sketch. (Show North Arrow' $ Oa D/ DATE 5�,r W TO: TherG 1 1 OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY GE PERAIN( THAT 1 AV EXEMPT FRW ME CONTRACTORS LICENSE LAW FOR HIE FOLLOWING REASON (SEC. TW15. RUSNESS AND PROFESSIONS CODE: ANY CRY OR COUl1V WHIDI REQUIRES A PERMIT 70 CONSTRUCT. ALTER IMPROVE DEMOLISH. ON REPAIR ANY STRUCTURE PRIOR TO HS ISSUANCE. ALSO REOUIRES7HE APPLICANTFOR SUCH PEWIT TO FRE A SIGNED STATEMENT RIM HE OR SHE IS LICENSED PURSUANT 70 THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 !COMMENCING WITH SEC TOO)) CF DN. 3 OF THE BUSINESS AND PROFESSIONS COCEI) CR TTAT HE OR SHE IS EXEMPT TIEP.EFROM AND THE OASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF CEO. 73315 RY ANY APPLICANT FOR A PERMT SUBJECTS THE APPLICANT TO ACIVL PENALTY OF NOT MORE IRAN FIVE HUNDRED =LARS (3500): ❑ I. AS OWNER OF THE PROPERTY. OR MY EMPLOYEES W17H WAGES AS THOR SOLE COMPENSATION. WRL CO THE PICRIC. AND THE STRUCTUPEE IS NOT INTENDED OR OFFERED FOR SALE (SEC. TOM. BUSINESS AND PROFESSIONS COOS THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS 0R IMPROVES THEREON. AND WHO DOES SUCH WORK HAISELF OR HERSELF OR 'THROUGH NIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER. TIIE RURDD C OR IMPROVEMENT IS S&D WITHN ONE YEAR OF COMPLETION THE O,YNERNJUILOER WEL HAVE THE BURDEN OF PROV040 THAT HE 01 SHE 010 NOT ELRD OR IMPROVE FOR THE PURPOSE OF S:.LEI. 1. AS OWNER OF THE PROPERTY. AM EXCLUSNELY COJRIACTNG WITH LICENSED CONRACTORS 10 CONSTRUCT THE PROJECT ISEC TOM. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN CATTIER CF TILE PRCVERTY WHO WADS OR WPROVESIHEREON, AND WHO CONTRACTS FOR Si/..1 PROJECTS WITH A CONTRACTOR'S) LICENSED PURSANT TO Till CO'RRACTORS LICENSE UN). ❑ I ALI EXEMPT UNDER SEC .Bt P.C. FOR TITS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFTNM UNDER PENALTY OF PEPAJRY THAT 1 AM LICENSED UNDER PROVISIONS OF CHARIER 9 (C0 'JRHCNG WITH RECTO. NAOJ OF DN6KN 3 OF IRE BUSINESS AND PROFESSIONS CODE AND MY LICENSE IS N FULL FORCE ANO EFFECT. LICENSE 0.A55 ..../a DATE CONTRACT ��p WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE EGO/NAND OED.MLATIONS: I HAYS AND WILL LLUNTAPJ A CERTIFCATE OF CONSENT TO SRFNSURE FOR WORKERS' COMPENSATION. A5 PP.OVI0ED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE NOFO( FOR WHICH THIS PEEPUIT IS ISSUED. 1 HAVE AND WILL MYRIAM WORKERS COMPENSATION INSURANCE AS REQUIRED IN SECTION 3700 OF HIE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT LS IESUED, MY WORKERS COMPENSATION PISUPATICE CARRIER AND PIYJC? NUMBER ARE FARTRER POLICY ROARER TTHLS SECTION NEED NOT RE COM*LETED F THE PERMIT IS FOR DIE HUNDRED DLXLARS I31001 OR LESS). I CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR W1CCH THIS PLRWT IS ISSUED.; SHALL NOT ELMO/ ANY PERSON LN ANY MANNER SO A5 10 BECOME SUBJECT TO THE WORKERS' COAPENSAOCM LAWS OF CAUFOMN'A. WD AGREE THAT F H SHOULD BECOME SUBJECT TO THE WOPJ(ERS COFPENSAHON PROVISIONS OF SECTKYI 3700 OF TIIE LOON COOS, (SHALL FO MWITH COMPLY WTTH 1.... .(EPROVIISII�OXNS DATE 3- tS-DO APPLCANT,NI /&-& (A WARNNG: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND DIME SUBJECT AN EMPLOYER TO CRMNAL PENALTIES AND CTRL FINES UP TO EPEE H NOPID THOUSAND DOLLARS DIDO.000), N ADDITION TO THE COST OF CELIPENSAI1C N. DAMAGES A5 PROVIDED FOR N SECTION 3700 OF THE LABOR CODE. INTENE-ST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY (HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENONG AGENCY FOR THE PERFORMANCE OF THE WORMFOR WHICH THIS PERMIT RS ISSUED(SEC3097. ON.C.3 LENDERS NAME LENDERS ADDRESS 1 CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT TIIE ABOVE INFORMATION IS CORRECT. 1 AGREE TO CO'JPLY WITH ALL CITY AND COUNTY OTpNANCES AND STATE LAWS RET.LTIIG TO BURCNC CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF TITS CO(RFFY 10 ENTER UPON THE ABOVE -MEND: WED PROPERTY FCR ISPECTION PURPOSES. A Oa cAK wmcsoto PEWATTEE NAME (Natal S't.NARI EDF PERMIT FF AT PO Box 1768 Newport Beach, California 92658-8915 Job adr'ess:1: HOAG DR Bldg:1 Floor. Suite: Inspector Area: 8 HOAG HOSPITAL 301 NEWPORT BLVD NEWPORT BEACH, CA 92658 949/646-8901 New Construction Service 0 to 600V up to 200A 0 to 600V over 200A Over 600A/1,000A $0.00 $f ,,00 $u.00 Phone: Con. State Lic. Lic Expire: Bus. Lic.: Lic. Exp Date: iamg uepartment ELECTRICAL Penult No:. E2000.0445 Permit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Description of Work: )=LECISTORAGE ROOMS TO 1ST FL MEZZ /REPLC WNDWS WATSON INVESTMENT DL•VELOPMENT 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974-6421 : 436023 03/31/2001 0 to 1 HP/KW/KVA 1 to 10 HP/KIN/KVA 10 to 50 HP/KW/KVA 50 to 100 HP/KW/KVA over 100 HP/KW/KVA jICENSED CONTRACTORS DECIARAT01N _I hereby clam under penalty of perjury Matt am tensed under provisions of Chapter 9 (commencing wfih Section 7000) of Division 3 of the Business and Professions code. and my tense b h fullforce and effect. License No: 436023 Clmr: Conkocioc wATSON INVFSTMEM DEVHOPMENT Temp Power Pole Temp Underground Sub Panel Investigation Fee Plan Check Issuance WORKERS COMPENSATION DECLARATION 1 hereby otfmm under penalty of perjury one of the following declarations: _I have and wit maintain a certificate of torsion! to self -insure for waken' compensation• os provided for by Section 3700 of the labor code. for the performance of the work fccwhich this permit Is issued. _I hove and wD mdntoh workers' compzcotka knurance: os required by Section 3700 of the labor code. for the performance of the work for which the permit b Issued. My workers' compensation hsuanre carder and patty numbers lc Carter.. _ Policy number: WC FJW J j 'Tapirs : This section need not be complehed if the permit is for one hundred dollars ($1 Od) or less. 1 certify That in the performance of the work for which this peril is issued, I shall no; employ any person in any manner so as to became subject to the waken' compensation lows of California. and daagree That It I should became subject to the ssockes' compensation provisions of Section 3700 of the tabor code, l shall forthwith co rpywith those prm6slans. 00 Dalo' J 1 v Applicant Signature:Warning: to secure waken' compensation coverage k unlowfl, and shall abject an employer to criminal parolees and chill fines up to one hundred ($100.000). h oddtlon to the cost of compensation,damages as provided fa In Section 3706 of the lobar code. interest. and attorneys fees. he aby 'acknowledge owleity state tfal read this opplcahon: that the hfo,malan given iscorrect:and that lam the owner. or duy authorimd agent of the owner. I ogee to regulating Construction: and h dohig the work cuthated thereby. no person WO be employed in violation el the labor code of the state d lolks Catania reg towssdamentcanpenaibn hsurarnoe. Permittee Nome(Print) R f. f>,\ t,1C ` wziS;yt.3 Address : gnature of permittee Sr W �ji�� c' f Grounding Electrode Underground Underslab/Floor Rough Conduit Walls WORK MUST BE STARTED WITHIN A PERIOD OF 180 PAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL'4NO VOID. Job Address: 1 HOAG DR Bldg: 1 Inspector Area: 8 Code Edit: 97 Owner. HOAG HOSPITAL Address: '301 NEWPORTBLVD NEWPORT BEACH, CA 92658 Phone: 949/646-8901 Processed By: HVAC Items Furnaces up to 100k Btu/hr 0 $0.00 over 100k Btu/hr 0 $0.00 Wall/Floor Heaters 0 $0.00 Heat Pumps & Package Units up to 100k Btu/hr 0 up to 500k Btu/hr 0 up to 1M Btu/hr 0 up to 1.75M Btu/hr 0 over 1.75M Btu/hr 0 $0.00 $0.00 $0.00 $0.00 $0.00 Building Department Suite: Legal Desc.: Contractor. Address: Phone: Con. State LIc.: LIc Expire: Bus. LIc.: Lio. Exp Date: FEES MECHANICAL Permit No: H2000-0166 Permit Counter Telephone (949)644-3288/3289 Inspection ReeuestcTeiephone (949)644-3255 Desciipton of Work: MgCHISTORAGE ROOMS TO 1ST FL MEZZIHVACI MECH (B990714AI INSPECTOR NOTES & Compressors 3HP 3HP to 15HP nvc- 15HP to 30HP cver 3OHP to SOHP over SOHP Misc Items Fire Dampers Gas Line Metal Fireplace ICBO App.#- WATSON INVESTMENT DEVELOPMENT 18182 SERRANO AVENUE VILLA PARK CA 92667 714/974-6421 436023 03/31/2001 O $0.00 O $0.00 0 $0.00 O $0.00 O $0.00 O $0.00 O $0.00 O $0.00 TOTAL: 532.25 PAYMENT : $0.00 Ventilation Bathroom Fan 0 $0.00 VAV Box 0 $0.00 Exhaust Fan 0 $0.00 Attic Pan 0 $0.00 Other Down -Draft Fan 0 $0.00 0 $0.00 Residential Hood 0 $0.00 0 $0.00 Commercial Hood 0 $0.00 Repair/Alter/Add 1 $10.60 Investigation fee $0.00 Air Handling Units Plan Check $2.65 up to 10k cfm 0 $0.00 Issuance $19.00 over 10k cfm 0 $0.00 BALANCE: 532.25 rFN,SFD CONTRACTORS DECLARATION _I hereby affirm under penalty of perjury that l am licensed under provision of Chapter 9 (commencing with Sectioni000) of Division 3 of the business and professlons code, and my license Is In full face and effect. r� license No: 436023 Clans Datc5"I •O0 Conhvebr: WATSON INVESTMENT DEVELOPMENT WORKERS' COMPENSATION DECIMATION: Ihereby Gain under penally of perjury one of the falowIng decks ton= _I have and will maintain a certificate of consent to seNansun for workers' compensation, as provided for by Section 3700 of the labor code, for the pet/romance of the wok for which thls pannit Is Issued. _I hays and will maintain workers' compensation Insurance, as required by Section 3700 of the tabor code, for tin pedonnancs of the worn for which this pemdt Is Issued. My wakes compensation Insurance canter. and pocky number la : Gas Test Carla: Policy number: WC FXFMPT Fspke: (This section need not bo completed If the permit is for one hundred dollars (5100 or less). Fireplace - Final geigf 4:.:t in the pedomance o1 tin work for which this permit Is Issued, Ishall not employ any person In any manner so as to become subject to the workers' compensation laws of CatA.wNa, I agree that d I shard became subject to the worsen' compensation provisions of l 37tip of�lss �bo�oodL I shall forMrtth comply with those proviso , .BVACMood - Final Dote' - _'J t s ' o C Applicant Slgnatue!74 7�`.A W r.Jh%r,�` i )3 ' I-` Warning: False to secure Workers' compensation coverage Is unlawful, and shall subject an employer to criminal pertain and clv0 fins up to ons hundred thousand dollars (S100,000), In addition to the cost of comperoation,danages as provided for In Section 3706 of the bborcod*, Interest. and attorneys fees. I hereby aS nsvd Igo Watt haw read Erns ^aplladon; that the Information given Is correct and that l am the owns , a duty autlodad agent et the owner.) ag'*4 V rlf Nb i T'%Jn t DCHtih conpywi h city and Nett laws nputsd g intm'rnctbn and In doing the work authorized thereby, no person will be employed In violation of the labors cods of tltlroaYYMMttidooYY California Serpi to wsMmsn's compensation insurance. Permittee ajre (Print) ti P'M4C w.ecrt 6,J Address : Apurovals Undersiab/Floor HVACIHood - Rough Fireplace -Rough MAR 1 5 2000 Inspector/Date WORK MUST 8E STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR -HIS %-1 S- Op PERMIT BECOMES NULL AND VOIDa