HomeMy WebLinkAboutX2018-0799 - Misc (3)X2018-0789
,221 MariGplj Ave
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915
1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owners Mailing Address (if different from stte);
Owners Telephone #:
CNB Plan Check #:
ani i`?.., a...t i•,'
6.a..i :L5!*6.6i;,. 271'
-.
'� s �•, -`;r '=1
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License I Reg. M
77
t, ti4
'i 'n )
❑ Caissons; Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
,b,'Conventional
Footin s Sap
(11Concrete
O Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons; Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
13 ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge;
1. I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. I, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division,
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Fumes\Slmcmra[DMcmaliunRepod&lnxinmtinns
t!.
0
C01%04UNI'TY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive 1 P.O. Box 17681 Newport Beech, CA 92668-8915
wuyw.newPr0rtbeach0,gov 1 (949) 844-3200
Protect Address: —.—__
ZZ( 1•'iA)tl(& t:) _AIL �
Report Elate: / —
` l `�?
—� CNB Insoecter Name:
Vit
I CNH Permit #:
XZatf�'
Building Owner Name:
Owners Mailing Addrmss (if dlt€erent
from site}: Owners Telephone �:
..i
CNB Pian Check 4:
h4ta7-t l3/A2rIG —
65A"C
(�,tc�)$041 &11
❑ Other .. �� .:7 Other:. yyq- e,---__._ -----
0 _ _ iL®� prl�
Full Name of Structural Observer (SO):
SO E-mail Address: -��—
Telephone #:
iSO License t Reg. k
Ylkt� l3uct�/�tC
_141(o Cd 6c51,t)L5G.C.en<i
/ZK ! (-}p t,.Ei 9 l.�t YY�i r-� SA "K (c4 t' fs L FLIL e�-, Ct REPORT CONTINUED ON ATTACHED PAGES.
FOUNDATIONS S l S1iEdaRtAtAk6.3
..
FRAMES Df,4Pf RAGMS EFtPfCATE L.00ATtON{S) PATE ,
CI Conventional Concrete
{6`ftsorf OBSERVED 1 OBSERVED
`) Steel " Concrete
Footings &Slab _ ___
_.._
:_I Mat Foundation, ❑ Masonry
_Prestressed Concrete
CI Concrete n Steel Deck
v
M Caissons, Plies, C7 Wood or Manuf.
Grade Beams Shear Panels
Masonry Wood {
I
Other- woof ❑ Other.,
❑ Other .. �� .:7 Other:. yyq- e,---__._ -----
0 _ _ iL®� prl�
TEMCHECKED ABOVE ARE APPROVED
AND WITHOUT DEFiCtEPYCIES:fi�lhS
OBSEI EDEFIC1EiNClES ANP C4MFAENYS: tx t�4.sJvsE i ids saw car 43YVSP- ou C g e4 t Tt�t �. 2 iS
.�u 5
ur„%�
11L^J�4 O�� t4�, �Li7 �a4&T L_ ,5r�Lcp �'�j K lvlL PiOtclt oto
1'" P � ~Tzx AVoxp pA+M^sDrPs&. • ok `Tt7 C'e,PPt.4� llRl
/ZK ! (-}p t,.Ei 9 l.�t YY�i r-� SA "K (c4 t' fs L FLIL e�-, Ct REPORT CONTINUED ON ATTACHED PAGES.
0 FINAL STRUCTURAL OBSERVATION REPORT:
The structure $ataerally comp8iea wfth the aPproued canstruc#Ion documenks anei atI observed deftcienofes avare ctarrected
1 declare that the following statements are true to the best of my knowledge:
9. I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
?_. 1, or another licensed design professional whom i have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division.
STAMP OF S1 RUC "'URAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REOUIf ENi FOR BUILDING INSPECTION BY AUTHORRED EMPLOYEES OF TRIP OrY OF NEWPORT BEACH.
.`mfnd3!ru<Wnilitha;'eatesalty+eRSirctmoxionc
J
e
F
a)
DEVELOPMENTCOMMUNITY
BUILDING DIVISIO
y Is
3
Project Address:
Report Date:CNe
I?
Inspector Name:
CNB Permit#:
LL i
r
DATE
I
XZ015-07
Building Owner Name:
Owners Malting Address (if different #rom site};
1 Owner's Telephone k
CNB Plan Check #: ,
Mf:.lLi (�✓,a(ZrtC�
`5iknl�
i{3t�� �t>4�`3Gr! t
I
Full Name of Structural Observer (SO):
_
SO E-maii Address:
' SO Telephone#:
SO License 1 Reg. th i
1AIrJ 11)
14 mi [ ise5lr.?GSG_CcrHt
04vs-is-oc iq
eST147
,iIII, Ir, '. S' x .
'T' '
.FS iF IPll.
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAP14RAGMS
INDICATE LOCATION(S)
DATE
(FloorlRoaf)
OBSERVED
OBSERVED
❑ Conventional
❑ Concrete
.W �
0 steel
CI Concrete
Footings & Slab
❑ Mat Foundation,
Cl Masonry
❑ Concrete
❑ Steel Deck
Prestressed Concrete
❑ Caissons, Piles,
0 Wood or Manuf.
❑ Masonry
XWood
Grade Beams
hear SPanels
K Other: w000
O Other:
0 Other:
r7 Other:
?�?Oxls
"
If,
f4%wa�tc l.IF..D PIZ [.45
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
Z� OBSERVED DEFICIENCIES AND COMMENTS. Q{imJtr�fx PiiM� s 'ter �pp_ au c � � L• -M -V,, 2 G
�'rC,Lhti1G �.i�rx'•uC' "Pea5T_� tJ•uJ�„Go�rs sem• c{- Lnta�.oa.�
"i-1^.._ Ok.-'Z•�,,te.�st2-� '2x�
'A00 -zas "AWACM
- tlerac�-o�� �iC�� '�'Lci. JatsT
wwe t ZxG
G � ,,s/ Sbt_to I'i�fx 14``l.Yl,
-tw•rc.kt -Tc, "^�a
'T I Ou-fTt1 G8 G' ilI elf?. rnlh4A- i Avotq 7Lut.. gitrx4.-
2+C
oV -M CVi j??LE DBLti
Mill; 141,
t.�•pue-% $^ rz, r„r„�y�t� 2�t/2 r`� 144 fSL FI II
DEPORT CONTINUED ON ATTACHED PAGES,
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
1. I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. 1, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division.
PnmmAAmhir tOls MearmReporl8elnramerin,ix
9 /Z.,/ i %
{
k t+c L
A i
IPG4r Zid7
£ t�137riq t
(y,ttt j>
STAMP OF STRUCTURAL OBSERVER
L
i
Project Status Report
X90 It O -M
=/"Mari0.ola Ais0, Ca10E
Effective: 04/22/2019 07:27 1 of 21
GFtkgg
Energy Standards Code Year:
2016
Project Name:
Barnes Remodel
■
J
Project Type:
Alterations SFR
■
Address:
221 Marigold Ave.
■
City / State / Zip:
Corona del Mar/ CA/ 92625
r
L �
Enforcement Agency:
City of Newport Beach
■
■
Permit Number/ Date:
X20180799 /H2O18-0593 / 8/1/2018
Easy to Verify @ caicerts.com
HERS VERIFIABLE
COMPLETE
MEASURES:
OVERALL STATUS:
COMPLETE
n -r3 NFORMATiON
CertlflcabR of Compliance (Lists Required Energ`y'Features) — -
i
Certificate Type:
Compliance
Registered Form:
CF1R-PRF-01
Registered Date:
03/19/2018 21:06
Registration
Number:
218-PO10068674A-000-000-0000000-0000
NORMATON
Ce wife f Ins f rail Doeu
nts F et rop r meta tion r u r
,��$
� �
System
e rs er'
Re is atro
,N�mbe�
�.
218-PO10068674A-000-001-EO1001A-0000
CF2R-ENV-0I-E
04/19/2019
Larry Holman
(Fenestration Installation)
19:37
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
218-PO10068674A-000-001-EO3001A-0000
CF2R-ENV-03-E
04/19/2019
Larry Holman
(Insulation Installation)
19:37
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
CF2R-MCH-01-E
218-P010068674A-000-001-MO1001B-0000
(Space Conditioning
04/19/2019
19:37
Larry Holman
Systems, Ducts and Fans)
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
218-P010068674A-000-001-M20001A-0000
System 1 of 2
CF2R-MCH-20-H
04/19/2019
Larry Holman
(Duct Leakage)
18:27
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
218-P010068674A-000-001-M20001A-0000
System 2 of 2
CF2R-MCH-20-H
04/19/2019
Larry Holman
(Duct Leakage)
19:39
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
CF2R-MCH-21-H
218-PO10068674A-000-001-M21001A-0000
System 1 of 2
(Ducts Located In
04/19/2019
18:27
Larry Holman
Conditioned Space)
(RANCHO VIEJO AIR CONDITIONING &
HEATING)
GF3RtIN��SR-1�AT�OIe►'�Cert�flEate�ofiferif[cat�anu�6ac?irnr��tli�e�v�ei€t�attpn��f[EII�SFleasuresl,
."$ �" ,. ..r �'.. i, '.�.-a""<:M
.to sin:.,.;. ;.'�° ek,°,z,. ,^ �
.. ':.e ., int z,.� ri�m.?=a�.�r'�� �a:� ,, .,..r�` :�sd, r,�s . E,c,,.rii :,'.Ns*s'*r%s�
�"�(
i✓
Re�istratian NnmGer,
F
HERS Provider: CaICERTS Inc.
Project Status Report CaICERTS, Inc
Effective: 04/22/2019 07:27 2 of 2
System 1 of 2
CF3R-MCH-20-H
(Duct Leakage)
04/19/2019
19:43
218-P010068674A-000-001-M20001A-M20A
Don DeAngelis
(Coast Aire)
io
218-P010068674A-000-001-M20001A-M20A
System 2 of 2
CF3R-MCH-20-H
04/19/2019
Don DeAngelis
(Duct Leakage)
19:41
(Coast Aire)
218-P010068674A-000-001-M21001A-M21A
System 1 of 2
CF3R-MCH-21-H
04/19/2019
Don DeAngelis
(Ducts In Cond Space)
19:43
(Coast Aire)
HERS Provider: CaICERTS Inc.