HomeMy WebLinkAboutX2018-0260 - Miscx,2018-dz60
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted 'n yo ame listing yourself as the builder of
the property improvements specified at i l S�, !V
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to
make you aware of your responsibilities and possible risk you may incur by having this permit issued in
your name as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each
provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the
permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
kl� 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an
"Owner -Builder" building permit that erroneously implies that the property owner is providing his or her
own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious
financial risk for any injuries sustained by an unlicensed person and his or her employees while working
on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully
acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
fL2. I understand building permits are not required to be signed by property owners unless they are
responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.
�43. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit.
understand that I may protect myself from potential financial risk by hiring a licensed Contractor and
having the permit filed in his or her name instead of my own.
J�(A4. I understand Contractors are required by law to be licensed and bonded in California and to list
their license numbers on permits and contracts.
&5. 1 understand if I employ or otherwise engage any persons, other than California licensed
Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor
and materials, I may be considered an "employer' under state and federal law.
&_6. 1 understand if I am considered an "employer" under state and federal law, I must register with the
state and federal government, withhold payroll taxes, provide workers' compensation disability insurance,
and contribute to unemployment compensation for each "employee." I also understand my failure to abide
by these laws may subject me to serious financial risk.
k_7. I understand under California Contractors' State License Law, an Owner -Builder who builds
single-family residential structures cannot legally build them with the intent to offer them for sale, unless
all work is performed by licensed subcontractors and the number of structures does not exceed four
within any calendar year, or all of the work is performed under contract with a licensed general building
Contractor.
&A-8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be
held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any
latent construction defects in the workmanship or materials.
Forms\owner builder verifdoc 08/12/16 1 oft
Q. I understand I may obtain more information regarding my obligations as an "employer' from the
ne—rnallRevenue Service, the United States Small Business Administration, the California Department of
Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the
California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for
mo a information about licensed contractors.
10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and
understand that I am the party leg Ily and financially responsible for proposed construction activity at the
following address:I/s 5� S•
A�4 11. 1 agree that, as the party legally and financially responsible for this proposed construction
activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as
employers.
Q4 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to
any of the information I have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. If you contract with someone
who does not have a license, the Contractors' State License Board may be unable to assist you with any
financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor
or employee of that individual or firm is injured while working on your property, you may be held liable for
damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property
owner and returned to the City of Newport Beach, Building Division, for issuing the permit.
Note: A copy of the property owner's driver's license or form notarization is required to be
presented when the permit is issued to verify the property owner's signature.
Print name of property owner: T\ LAA t e C V Q k V
2
Property Owner's Signature: Date: 3 a 3
Note: The following Authorization Form is required to be completed by the property owner only
when designating an agent of the property owner to apply for a construction permit for the
Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal
responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file
the documents necessary to obtain an Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I
personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's
license, form notarization, or other verification acceptable to the agency is required to be presented when
the permit is issued to verify the property owner's signature.
Property Owner's Signature:
Date:
Note: A copy of the owner's driver's license or form notarization is required to be presented when the
permit is issued to verify the property owner's signature.
Farms\ovmer builder venfdoe 08/12/16 2 oft
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
TEMPORARY POWER RELEASE
APPLICATION
(Inspection/Administrative Fee)
COMMERCIAL: $188.00
RESIDENTIAL: NO FEE
PROJECT: Il 16
OWNER'S NAME:LLI
JOB ADDRESS: 7
BUILDING PERMIT NO (s) __42 1—k– CR
PHONE
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Request is hereby made for the release of electrical on subject project only for the purpose of
testing equipment and/or mechanical systems prior to building permit final approval.
I agree that no building or structure shall be used or occupied until the Building inspector has
issued a building permit final approval or Certificate of Occupancy.
Moving in furniture, staging, showing for sale, or any use other than construction, shall be
considered use or occupancy and a violation of this agreement (CBC 111.1).
Furthermore, it is not our intent to use or occupy this building until all City regulations and
conditions concerning this building have been complied with, and it is understood and agreed that
the City of Newport Beach is hereby authorized to order disconnect of service without notification
for any violation of the above conditions prior to final approval or Certificate of Occupancy.
OWNER or TENANT SIGNATURE.
PRINT name of owner or tenant:
CONTRACTOR SIGNATURE:
PRINT name of contractor:
APPROVED BY:
. _... DATE:
W.
PHONE #.q
_...... DATE:. ..2 3-) ..__..
PHONE #:91/
(for office use only)
Building Inspector
Forms\TEMPORARY POWER RELEASE APPLICATION. 01/30/2019
Date
;U018-0.260
j106 34A Sf
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915
www.newi)ortbeachca.gov 1 (949) 644-3200
SETBACKS AND TOP OF SLAB/FLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to insure that the structure is located properly on site per the approved
drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved
drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to
verify that it is equal or less than the dimension shown on building sections and elevations.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys.
The survey must be done after the concrete forms are in place or preferable after the concrete slab is
poured or raised floor is built, but prior to starting wall framing.
/Suiveyor'sName ✓ EFFR-E y P, . p,,4,,Lt License & 98-7
Engineer/Surveyor's Address Zytg GAaALc.tSrA JOEL s,,rz .5Aiy C4-tmr--Ae?-'i cA.
Job Address LlI(a 39 rr+ .5 N6�.I/borLr flC-4eFl
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation: SEE EG 6 -VAT 10 N CE --ri 1=1 C A I -C 6 /0 8 It's
* If slab/floor elevation. varies, sketch a plan or section through slab on the back page and specify the
elevations. Use same datum used in the survey of record.
I certify that the setbacks
from plans:
are U, are not ❑, per City approved plans. Describe any deviations
I certify that top of slab/floor elevation(s) is Q, is not 0, per City approved dra
any deviations from plans: SEE ei-EwrieN cFRTrFIcA-TG Sjeb f IS
00-yy .p 6QP
Date Eneineer/ a or'sn6H9r�i si t
Forms/SetbacksandTopofSlabEle ationCert.
Describe
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 926588915
www.newportbeachca.gov 1(929; 644-3200
SETBACKS AND TOP OF SLAB/FLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to insure that the structure is located properly on site per the approved
drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved
drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to
verify that it is equal or less than the dimension shown on building sections and elevations.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys.
The survey must be done after the concrete forms are in place or preferable after the concrete slab is
poured or raised floor is built, but prior to starting wall framing.
Hagineer/Suveyot'sName DCLAc%/-4S o. FoiTi P License 4$q'l
freer/Surveyor's Address Z 3 3 & T U STI N AMIE . A1EWPo a i /3 E AG61 cl"ro O
Job Address '1 ilo 39 rl�l $T_lyF—wPoR7 J5-rAacijCCOANeg-)Zb:Z?Z� 3bc#20)7-3i73)
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
*Top of slab/floor elevation: A 55Li M ErA /oo• 00 E LEV AT/ ren/
* If slab/floor. elevation. varies, sketch a plan.or section through slab on the back page and specify the
elevations. Use same datum used in the survey of record.
I certify that the setbacks are 4W, are not ®, per City approved plans. Describe any deviations
from plans:
1 c that to of F9 °}tb4lleear elevations is
certify p () ®, is not.fl, per City approved drawings. Describe
any deviations from plans:
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hspecdonType(s)
bspection'Date(s)
ListTestsMade
Xzo I s-0960
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Report of Special Inspection
/ ] Periodic Continuous
List1temsRequiftConeeficm, includeuncorrecteditemspreviouslylisted
Mule
rnmrnents-
To&ebestofmykaowled.ae,theworkinspectedwasinaccordencewiththe-BuildmgDep&-tmentapprovecI
design drawings, specificationsand applicable workmanslupprovisions ofthoUBC except asnoted above.
Sig,
Date 2�
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PtintFulIName: eRgjs�onNo.
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FORM SI -02,01
X;9,013- OA < D
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Report of Special Inspection
ProjectName &Address
PerrnitNumber
InspecdonType(s)
Inspectionbate(s)
ListTestsMade:
1.11141 Mn ,dt't
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Total Inspection Tune Each Day:
ListltemsRequiring Conection,includeuncoirecteditemspreviouslylisted
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To the best of my knowledge, the work inspected was in accordance w0 the Burlrlmg 1 Jepanmenr ttpproveo
desigadrawmgs, speei icationsaudappheableworkmanshipprovisionsoftheU.B.C. exceptasnotedabove.
Date a' c' r!. ,
`
PrintMName: ,? d r; /!f /�d ; ReZishationNo
' - FORM SI -02,01
City of Newport Beach Special Inspector Manual
Project Address:
Permit Number:,
inspection Type
Inspection Date
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive i P.O. Box 1768 1 Newport Beach, CA 92658
www.newoortbeachca:oov 1 (949) 644-3200
'SPECIAL INSPECTION REPORT
'qt It" I
( ) Periodic (
To th@ best of mowledge, the wor�C inspected was in accordance with the Builting Division approved design drawings,
snenlflcatinns an anolicehleworkmans io nrovisions of the U.B.C. exceot as noted a ove.
special In r Signature:
Describe Inspection, including Location(s):
.ems YS
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Print Full Name:
Newport Beach Registration No.:
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list TestsMade:
Total Inspection Time Each Day:
Date: i - 3
7- S'
Hours: I S
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List All Items Requiring Correction jInclude Prevlousl Listed Uncorrected ems):
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To th@ best of mowledge, the wor�C inspected was in accordance with the Builting Division approved design drawings,
snenlflcatinns an anolicehleworkmans io nrovisions of the U.B.C. exceot as noted a ove.
special In r Signature:
Date:
Print Full Name:
Newport Beach Registration No.:
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City of Newport Beach Special inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newoortbeachea.gov ](949)644-3200
SPECIAL INSPECTION REPORT r ti
Permit Number: 5,' gy le,0
Inspection Type (s): L -/-
Inspection Date (s):- - S -2
( ) Periodic " Continuous
-Describe_Inspection, Including Location(s):
: 'list Tests Made. -
/Cdi^.- �0�/2�� _ ���� <yc.✓ — (ilk S—
6 - — /F
f�_
Newport Beach Registration No.f
I ann7appliicable workmanshin ne-nviann �f daccordance r—with the Building Division approved design drawings,
Special In ` ctor i nature:
: 'list Tests Made. -
424Z/
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Print Full me: -
Newport Beach Registration No.f
�e �. r�✓(�on r, r
Spetlallevpe onPepon W03/3D36
N 1� — c�,6 L;
Date:
-Total Inspection lime Each Day:-'
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Hours:
<x i j
List All Items Requiring Correction (Include Previously Listed Uncorrected Items):.
Comments!
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I ann7appliicable workmanshin ne-nviann �f daccordance r—with the Building Division approved design drawings,
Special In ` ctor i nature:
'.: Date: -
424Z/
6 - — /F
Print Full me: -
Newport Beach Registration No.f
�e �. r�✓(�on r, r
Spetlallevpe onPepon W03/3D36
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67
COAST GEOTECHNICAL INC.
1200 W Commonwealth Ave., Fullerton, CA 92833 • Ph: (714) 870-1211 Fax: (714) 870-1222 Email: coastgeotec@sbcglobal.net
Daily Observation Report HRS. `
W.O.
Date
Name
Client
Address
Q Footings ❑ Key Way ❑ Grading ❑ Swim Pool ❑ Trench ❑,Other
,A , a,
Test
No.
Location
Elev.
or
Depth
Moisture
Content
%
Dry
Density
p.c.f.
%
Relative
Compaction
Test
Type
Soil
Type
Comments: �'"� a) �,
�, �� ; r,
;
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1P .1�.4(�` (t�r( (��,( �•_ rt ;fyl �T ,�. � jY� �.._
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Job Progress and Activity:
1
Comments: �'"� a) �,
�, �� ; r,
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1P .1�.4(�` (t�r( (��,( �•_ rt ;fyl �T ,�. � jY� �.._
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Page of
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By: i
Received By: !9 t
DON CARD
Deputy Inspectlon Services
218 W. Ave. Cordoba
San Clemente, Calif. 92672
Phone (949) 413-6248 Fax (949) 361-2118
Report of Special Inspection
List iestsmane:
Total Inspection Time Each Day:
Date sMv
Hours
List Items Requiring Correction, inelude uncorrected items previously listed
Comments:
To the the best of my knowledge, the work inspected was in accordance with the Building Department approved
design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. All
inspections based on four hour minimum. Inspections exceeding four hours will be billed at eight hours. Any
inspections beginning before 12:00 noon and end after 12:00 noon will be billed as eight hours
Signed: 1 Date -:
Print Full Name: Registration No. G
FORM St -02,01
X201$ -®x60 416 36�" Si
1.
Project status Report CaICERTS, Inc
Effective: 06/10/2019 19:20 1 of 2
,GE0tRAL INFOFkMATIO
Energy Standards Code Year:
2016
96
Project Name:
180116 -DSM
■
Project Type:
Alterations SFR
■
Address:
416 39th Street
0
City / State / Zip:
Newport Beach / CA / 92663
'..
Enforcement Agency:
City of Newport Beach
■
■
Permit Number/ Date:
X2018-0260 / 6/6/2018
Easy to Verify @ calcerts.com
HERS VERIFIABLECOMPLETE
MEASURES:
OVERALL STATUS:
COMPLETE
CF1R`�fN��, M.
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Certificate Type:
Compliance
Registered Form:
CF1R-PRF-01
Registered Date:
01/22/2018 15:12
Registration
Number.
218-P01001828OA-000-000-0000000-0000
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CF2R-ENV-Ol-E
06/10/2019
218-PO10018280A-000-001-EOIO01A-0000
Robert Wyatt
(Fenestration Installation)
19:14
(JALUC INC)
CF2R-ENV-03-E
05/22/2019
218-PO1001828OA-000-001-EO3001A-0000
Robert Wyatt
(Insulation Installation)
09:55
(JALUC INC)
CF2R-ENV-21-H
05/22/2019
218-PO1001828OA-000-001-E21001C-0000
(QII-AIS-Batt, Loose Fill,
09:55
Robert Wyatt
and SPF)
(JALUC INC)
CF2R-ENV-22-H
05/22/2019
218-PO10018280A-000-001-E22001A-0000
Robert Wyatt
(QII-Air Infiltration Sealing)
09:55
(JALUC INC)
CF2R-ENV-23-H
05/22/2019
218-PO1001828OA-000-001-E23001C-0000
Robert Wyatt
(QII-Installation)
09:55
(JALUC INC)
CF2R-MCH-01-E
218-PO10018280A-000-001-MOIOOIB-0000
(Space Conditioning
09/14/2019
Robert Wyatt
Systems, Ducts and Fans)
(JALUC INC)
CF2R-MCH-20-H
06/10/2019
218-PO1001828OA-000-001-M20001A-0000
System 1
(Duct Leakage)
19:14
Robert Wyatt
4
(JALUC INC)
CF2R-MCH-23-H
06/10/2019
218-PO1001828OA-000-001-M23001A-0000
System 1
(Airflow)
19:14
Robert Wyatt
(JALUC INC)
System 1
CF2R-MCH-22-H
06/10/2019
218-P01001828OA-000-001-M22001A-0000
Robert Wyatt
(Fan Efficacy)
19:14
(JALUC INC)
HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015
Project Status Report Ca10ERTS, Incl
Effective: 06/10/2019 19:20 2 of 2
HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015
CF2R-MCH-26-H
06/10/2019
218-P010018280A-000-001-M26001A-0000
System 1
(Rated Equipment)
19:14
Robert Wyatt
I(JALUC
INC)
CF2R-PLB-02-E
06/10/2019
218-P010018280A-000-001-B02001A-0000
System 1
(SD HWS Distribution)
19:14
Robert Wyatt
I(JALUC
INC)
NFOT�1
11a'o'wa s tiF.
"h_eiIFMerr�mat�on n , r r+
oftiERS MeasuY;es �
Systeme •rr
F m y tx.+:�9Qatreeldl
�t iRreg�stratio to NumberPa"
CF3R-ENV-21-H
05/22/2019
218-P010018280A-000-001-E21001C-E21A
System 1
(QII-AIS-Batt, Loose Fill,
Oscar Salmeron
and SPF) 09:54
(Nucleus)
CF3R-ENV-22-H
05/22/2019
218-P010018280A-000-001-E22001A-E22A
System i
(QII-Air Infiltration Sealing)
09:54
Oscar Salmeron
(Nucleus)
CF3R-ENV-23-H
07/05/2018
218-P010018280A-000-001-E23001C-E23A
System 1
(QII-Installation)
07:46
Oscar Salmeron
(Nucleus)
CF3R-MCH-20-H
06/10/2019
218-P010018280A-000-001-M20001A-M20B
System 1
(Duct Leakage)
19:09
Victor Salmeron
(Nucleus)
CF3R-MCH-23-H
06/10/2019
218-P010018280A-000-001-M23001A-M23A
System 1
(Airflow)
19:07
Victor Salmeron
(Nucleus)
CF3R-MCH-22-H
06/10/2019
218-P010018280A-000-001-M22001A-M22A
System 1
(Fan Efficacy)
19:07
Victor Salmeron
(Nucleus)
CF3R-MCH-26-H
06/10/2019
218-P010018280A-000-001-M26001A-M26A
System 1
(Rated Equipment)
19:07
Victor Salmeron
(Nucleus)
HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015
TOTAL ENGINEERING SERVICES, INC.
1651 East Fourth street, Suite 228 • Santa Ana, CA 92701 • TeL (949) 378-5842
July 23, 2018
Mr. Robert Wyatt
416 39th Street
Newport Beach, CA 92663
RE: 416 39th Street
Dear Mr. Wyatt:
vols .01960
416 Wit 54
PAX:( 949) 215-6142
This letter is in response to a field question that was brought up to our attention by the
Building Inspector. The question is related to the Subfloor sheathing used on the subfloor
and deck. Please not that in lieu of CDX Plywood, '/4" Tongue and Groove OSB board can
be used throughout the subfloor of the residence and the deck.
This opportunity to be of service is sincerely appreciated. Should you have any further
questions please do not hesitate to contact this office.
Very truly yours,
Yasser Salem, S.E.
Principal Engineer
Total Engineering Services, Inc.
a
CITY OF NEWPORT BEACH 1-116 3Q+,, Sf
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newaortbeachca.gov 1(949)644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
41639th Street
May 17, 2018
16 Conventional
Footin s & Slab
:tad r9-0 e
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
63S� `� 4:Za?
949-3744191
0311 2 01
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO. License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378-5842
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (chock annlicahla hnvpsl
,,FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
16 Conventional
Footin s & Slab
❑ Concrete
❑ Steel
❑ Concrete
Mat Foundation,
Pr stressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
Caissons, Piles,
rade eam
Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
❑ 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.
05.09-18
QRO F ESgjQ
S 4902 z
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EX. 12/31/18
�TRUCT�FP�\e ,
9T�CF CAO
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTSYOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Pot NS"a[Obsmatiov epon&[mmctiow
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Structural ObservationReport
Project Address:
416 39th Street
Report Date:
October 08, 2018
CNB Inspector Name:
CNB Pennit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
❑. Concrete
949.374.4191
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License! Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED /check annlicahle hnrasl
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑. Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
l`1 f4o)
❑ Caissons, Piles,
Grade Beams
'9, Wood or Manuf.
Shear Panels
❑ Masonry
'Sk Wood
604 tr-W a '6%—
r�T
❑ Other:
❑ Other:
❑ Other:
❑Other:
IV 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.
10.08.18
OF
O QRO FESS,
R S. 9�
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� EX. 12/31/18 M :
OF- CAU\F���.
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
FOMS$ SK Mm]06s alionl ort&Gs c iom
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newi)ortbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
416 39th Street
_
❑ Conventional
Footings & Slab
❑ Concrete
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
❑ Masonry
949.374.4191
❑ Steel Deck
Full Name of Structural Observer (SO):
50 E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS•AE.com
949.378.5842
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlirahle hnxeet
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
Wood
F
y�
f
❑ Other: J
❑ Other:
❑ Other:
❑ Other:
9.'TEMS 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 acceptanceofthe ctural systems by the City of Newport Beach, Building
Division.
T--iat^i'SC
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY
Fosms�5ssupunl06servazionReporc&Instsuctiom
FE
F� R S. meq!
CD S 4902 z
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� EX. 12/31/18 r17 ,
* 9TTRUCT�yRP��P .
FOF cwt
STAMP OF STRUCTURAL OBSERVER
BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.00v 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit#:
416 39th Street
October 08, 2018
❑ Conventional
Footings & Slab
❑ Concrete
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
❑ Masonry
949.374.4191
❑ Steel Deck
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
® Wood
NEW REVISED DECK AREA TO
THE RIGHT OF THE STAIR
10.09-18
❑ Other:
❑ Other:
❑ Other:
❑ Other:
® 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.
10.08.18
SIGNATURE OF'r$rRUCTURAL OBSERVER OF RECORD DATE
o QRO F ESSjO
F R S. �9
�D S 4902 z
EX. 12/31/18
CTU�P���
OF-
TAMP
F
TAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY of NEWPORT BEACH.
Fo=s\Sf ct reIOb ervatiou eport&Wauctions
PpRT
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9GrF0a��
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newl)ortbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit M.
416 39th Street
October 08, 2018
❑ Conventional
Footings & Slab
❑ Concrete
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
❑ Masonry
949.374.4191
❑ Steel Deck
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5841
54902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OSSFRVFn /rhark annlicahla hnvaal
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
hl1 14'1 F`
❑ Caissons, Piles,
Grade Beams
). Wood or Manuf.
Shear Panels
❑ Masonry
'51� Wood
RiO� OTapb a U
�C)"!
❑ Other:
❑ Other:
❑ Other:
❑ Other:
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 warn rorrerfad
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.
10.08.18
PRS FE SSip�q .
S 4902 z
m,
EX. 12/31/18 •Tr
�yT TFUC T SRP
Op CAO
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Fomn�l()Wmaiionit p n&lmmc4om
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newi)ortbeachca.gov (949) 644-3200
Structural Observation Report
Project Address:
416 39th Street
Report Date:
December 13, 2018
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Robert & Stacy Wyatt
❑ Concrete
949374.4191
i�—
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
_
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional
Footings & Slab
❑ Concrete
Steel
❑ Concrete
Y
(v Kole 4a.
i�—
d Mat Foundation,
Prestressed Concrete
❑ Masonry
r
❑ Concrete
❑ Steel Deck
❑ CaiseQ s, Piles,
<Giadp Beate
Wood or Manuf.
Shear Panels
❑ Masonry
Tf Wood
❑ Ot .
0 Other:
❑ Other:
Other: kOo
L
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES. AND COMMENTS:
li i
Ir
❑ 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;
& 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.
12.13.18
DATE
QRO FE
SSj�
S 1
c3 S 4902 z
wT
� EX. 12/31/18 F� �
�RUCI Q
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OgSERVATIONDOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
xza�$ o2so
COAST GEOTECHNICAL, INC. 416 34"h 54
1200 West Commonwealth Avenue, Fullerton, CA 92833 Ph:714-870-1211 Fax:714-870-1222 e-mail:coastgeotec@sbcglobal.net
May 9, 2019
Mr. Robert Wyatt
120 Tustin Avenue, Suite C-1080
Newport Beach, CA 92663
Reference:
W.O. 551218-02
Subject: Final Soils Report for 416 39" Street, Newport
Beach, California
1. Geotechnical Opinion Report for Proposed Remodel at 416 39th Street, Newport Beach, California;
by COAST GEOTECHNICAL, INC., W.O. 551218-01, dated March 2, 2018.
Dear Mr. Wyatt:
In accordance with your request, this final soils report has been prepared to address geotechnical
observations for the remodel to the existing residence. This report addresses requested
observations and testing. Copies of our daily reports are maintained in our files.
FOUNDATION EXCAVATIONS
The foundation excavations for the existing residence and additions were observed on May 7,
2018. The foundation excavations for the northwestern property line retaining wall and northern
side patio retaining wall were observed on April 8, 2019. The foundation excavations were found
to be acceptable at the time of our final observation.
INTERIOR SLAB SUBGRADE AND TRENCH BACKFILLS
The interior slab subgrade was observed on May 7, 2018. Probing and testing of the interior
residential slab area indicated acceptable geotechnical conditions for support of the proposed slab.
HARDSCAPE
Hardscape areas were observed on April 18, 2019, April 19, 2019, and May 7, 2019. Probing and
testing of hardscape subgrade areas indicated acceptable geotechnical conditions for support of the
proposed hardscape.
COAST GEOTECHNICAL, INC.
Mr. Robert Wyatt 2 W.O. 551218-02
Final Soils Report May 9 2019
OPINION
It is opinion of COAST GEOTECHNICAL, INC. that the summarized geotechnical conditions
approved by this office are in compliance with approved geotechnical reports and Newport Beach
building codes. The final grades appear to conform to approved plans.
We appreciate this opportunity to be of service to you.
Respectfully Submitted:
COAST GEOTECHNICAL, INC.
Ming-Tarng Chen oQPOF
RCE 54011
No. 5401i
Exp. 12/31f19
Andrew Santa Maria
Design SANTA MARIA
2833 Port Carlisle PI
Newport Beach, CA 92660
Tel. 949-533-8138
asantamaria949@gmail.com
June 17, 2019
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISIONIINSPECTIONS
100 Civic Center Drive
Newport Beach, CA 92658
RE: 41659'" Street -Site Drainage Confirmation
Permit No. X2018-0260
Building Department Official,
This communication is to confirm that the Site drainage plan for the Subject Project has been constructed and
installed per the submitted and approved Construction Document Sheet AS-1/Site Plan dated 3/19/19. All
drainage system components including area drains, French drains and piping were installed as approved and
designed.
Thank you,
Andrew Santa Maria
design SANTA MARIA
dSM + 2333 port carlisle pl, newport beach, ca 92660+ 949.533.8138 • asantamaria949@gmail.com