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401 ip�2 d 35 174014 0cer4n �-ron 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:newoortbeachca.aov 1 (949) 644-3200 FIRE SPRINELER NFPA 13D SYSTEM ROUGH INSPECTION CHECKLIST YES NO 1. Riser Construction and Location Approval a. Drain valve ❑ b. Backflow device (single check) ❑ c. Bell activation device ❑ d. Inspector's test valve ❑ e. Riser sized per approved plans 2. Pressure Test a. System tested at operating pressure for 2 hours E❑ b. Pressure gauge installed E❑ 3. Sprinkler Heads shall not be installed in the fittings prior to the fittings being cemented in place (temporary test plugs) a. Installation and spacing of temporary test plugs E ❑ 4. Pining a. Material installed per plan E ❑ b. Hangers per codes/prevent upward movement ❑ c. All CPVC piping shall be installed by persons who have been E ❑ certified by the manufacturer for installation of CPVC piping d. Piping protected from damage E❑ 5. Bell a Wring installed per code ❑ b. Boxes installed at proper locations ❑ NOTE: CPVC plastic pipe in the garage shall not be exposed. Sprinklers that are fisted as "Quick Response" or "Residentler must be used. CORRECTIONS AND FIRE SPRINKLER NFPA 13D SYSTEM ROUGH INSPECTION APPROVED: PERMIT #. FZ � - 0 q BY: DATE: %• Z _/ ? F -'m \fire Sp,hkler NWA 1 D System - ftv h Inspection Checklist 08/11/2016 CITY OF NEWPORT BEACH COAIMUNM 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 FIRE SPPJNKI:FR NFPA 13D SYSTEM - -FINAL CHECKLIST (RESIDENTIAL) 17x�k 1. Water meter proper size ❑ 2. Fre sprinkler system installed per the approved plans ❑ 3. All construction covers removed from sprinkler heads jg� ❑ 4. Cover plates are NOT to be installed, but shall be available on the jobsite 2' ❑ 5. All tape and paint removed from sprinkler heads ❑ 6. Finish trim installed around sprinkler heads (� ❑ 7. Proper signage posted at all required locations ❑ 8. Flow test conducted and bell tested ❑ 9. Location of inspectors testing valve in approved location ❑ SYSTEMS: 10. Clearances around sprinkler heads and riser - no obstructions ❑ 11. Operating pressure gauge installed at riser showing proper water pressure ❑ 12. Back flow preventer installed ❑ 13. System installed per manufacturers specifications ❑ NOTES: FIRE SPRINKLER NFPA 13D SYSTEM FINAL APPROVED: PERMIT*. iC ;� O j –7 BY: L A4 P 6 2 EEfh DATE: U— I©— I �,q®q Ocean -rod W CITY OF NEWPORT BEACH COINMITNITY 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 PRE -GRADE MEETING AGREEMENT DATE: �� Ob - JOB ADDRESS: Z 56 ti/ UCeA.A FO 1. The grading plan check number for this site is 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 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. 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. ndscaping of all slopes and pads shall be in accordance with 15.10.130 of the NBMC. �oved 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. 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 "comer 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. OWNER/CON CTOR: DESIGN CIVILENGR.: Rd AA 5t,6!_� to _ By. By: Address: r Address: Telephone: 56 Telephone: GEOTECHNICAL ENGINEER: ASL) f-4GEOLOGIST.: By: Address: oVl C IStti Ve Telephone:�(� P�2G2� GRADING CONTR.: _19 o 0 :� o J a By: Address: ur 1 __ P Telephone: 7-z 6 -5`2 D— 9 ?J-? By: Address: Telephone: COORDINATOR: \ a By: Address: Telephone: NEWPORT BEACH REPRESENTATIVE: PHONE INSPECTION REQUESTS: (949) 6443255 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 Fonnstpregmde meeting agreement 8-12 caS�Y�t Aft t1. A/ CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 i Newport Beach, CA 92658-8915 www.newoortbeachca aov i (949) 644-3200 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $188.00 RESIDENTIAL: NO FEE PROJECT:.u}__y_Lc� — ... �b OWNER'S NAME: 6 V ��(fE(pP�jFLLif PHONE NO JOB ADDRESS: __ __ , O - Inr, O CGs�ri ✓ �r nwA BUILDING PERMIT NO.(s):. Request is hereby made for the release of electrical on subject project only for the purpose of testing eauioment 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 pwMit 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 �_ � � �� DATE: 0/2 PRINT name of owner or tenant. it, �hV2-L PHONE CONTRACTOR SIGNATURE: .J� i IDATE: 412Z�lq _ PRINT name of contractorJL✓Qf6(✓ --411W G?C- PHONE #:'7(y [f o3: /4 Da ---------------- (for office use APPROVED BY: FOMBAFEMPORARY POWER RELEASE APPLICATION. 03/29/2019 G -z .-r-- / S Date 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 CIVIL ENGINEER'S CERTIFICATION FORM Date: —� f ) (0 % Zl� 65 ATTENTION: GRADING ENGINEER, BUILDING DIVISION GPC No.: TracUSubdivision/Lot No.: Rough: _Final: Project Names: N i Owner/Developer:_5SSP(✓ Type of Project: Notes: _ Tract: _ Drainage _ Commercial _ Other Industrial Yardage for Project: Notes: _ Cut: _ Borrow: Fill: _ Export I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow topubli� c ways or City approved drainag The grading has been completed: /—� _ in conformance wit ARC with the following changes to the approved grading plan. 6 of Moss A Description of Changes: V —t 7� •31.2 N Company: qrF 0 �FQ I y-�� Name: , %G -F, Woc�� eylA�) ,ARLM (print)(sign) License No.: tii"� R 7 j p (RG&66) mee—o'—) Forms%GIVO Engineers Genincation Form 9.13 CITY OF NEWPORT BEACH O II etn COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 low www.newportbeachca.gov 1 (949) 644-3200 C.,111FO RNP. CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: q O !V (a-1 0Ce&Ar &A)9_ lla v®c + 1 yli ®�- Date: ; / // % Permit#:6 7D17— The D1"7®The following is to be completed by the California licensed contractor or owner, participating in the City of Newport Beach Self -Certification Program. Please type or print. Installer's Name: DMZt.64A,4 i—Q l License No (if applicable) Installer's Mailing Address:g:l��� i d% Dl,: / is (hone # (required):;T7r2-102.V Installer's Email: ), lfON Q. LTi,- I a Cy,-, FAX #: Installer I certify that the installation is in compliance with applicable code requirements. I further affirm that I have reviewed and understand the requirements of the applicable 2013 California Green Code and Newport Beach Municipal Code (NEMC) Section 301,1,1 and that all self -certification reports submitted will be based on the code requirements contained therein. I declare that all plumbing fixtures subject to the NBMC 301.1.1 has been replaced meeting the low flow requirements: Kitchen faucets: 1.5 gal/minute at 60 psi Shower heads: 2.0 gal/minute at 80 psi Water closet: 1.28 gal/flush Faucets: maximum flow rate of 1.5 gal/minute at 60 psi, and minimum 0.8 gal/minute at 20 psi 2hah 9, Date Property Owner (Required) As the property owner of the project address noted above, I have read, understand and agree to participate in the Plumbing Fixture Replacement Self -Certification Program. I further understand that by participating in this program, the plumbing system will not be inspected by a City of Newport Beach Building Inspector during construction or after installation unless requested. The Building Division may request and reserves the right to verify code compliance after Date Email This form must be completed and returned to the City of Newport Beach, Building Division, for a final approval of the combination permit. Please return this form to the Building Division by mail or fax. Please mail to: City of Newport Beach Phone: (949) 718-1888 Community Development Department Fax #: (949) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 Forms\Contmctor-OwnerSelf-CertDeclamtion-Plumbing Fixture Replacement 08/11/16 CIT`( OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.] P.O. Box 1768 1 Newport Beach, CA 92658 )ON ti 1(949)644-3200 GALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: Z 7 a c/ 4-V 0C PERMIT NO.: >�'i0 17— 2131- THIS 131 THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE. The following section shall be completed by a person with overall responsibility for the planning and design portion of the project. REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S) Franchlse Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) ff1--V-0C Contents Limitation E Formaldehyde Emissions Limitation n --T--24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) 9--7'24 Energy Certificate of Verifications or Acceptance ( Env., Qli, Lighting, Photovoltaic, Mach., Plumb., HERS) C9—Operations and Maintenance Manual MOISTURECONTENTOF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) C�certify that the moisture content of the wall and floor framing is less than 19 percent as determined in accordance with Section 4.505.3 of CAL Green prior to being enclosed. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the Information provided is true and correct. • i certify that the installed meas_+res, materials, components, or manufactured devices ldenthled on this certificate conform to all applicable codes and regulations, anti the installation is consistent with the plans and specifications approved by the enforcing agency. Responsible Person's Name: I Responsib"rson's Signature: Date Sinned: PositionrJ at e: Notes: CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newportbeachca.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. Engineer/Surveyor's Name (tan/ Afa-Dew4- License# —1-5 Y(05'3 Engineer/Surveyor's AddressZ 3(`Jlfe L/rf L'-' %O(2E�j Q/L.AS�a/` L46VA* Job Address z KO N W • O 6-64#,l %7¢o/ro' Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: 12 . L( 7 * 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 ®, are not ❑, per City approved plans. Describe any deviations I certify that top of slab/floor elevation(s) is A, is not ❑, per City approved drawings. Describe any deviations from plans: /l 1-149 Date Forms/SetbacksandTopofSlabElevationCert. stamp and o c,c.;,v 14--,FwT" N L-% 3'1" A � -I f— 34 " 1,sA3114 "� 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.newportbeachea.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: ZVC2q (AJ oe�r�P*Mr Building Permit Number(s): As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. Provide each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to the inspector before roof framing inspection. All elevation points are based on: S NAVD88 O NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building Inspector. /" DO) 5 vh-cte *v r - RIDGES (3:12 slope or greater) /V/Jfg?tr•Ae' 1. Approved elevation point of ridge is Vp, and actual elevation point is VV .1600 2. Approved elevation point of ridge is and actual elevation point is 3. Approved elevation point of ridge is and actual elevation point is FLAT ROOFS, PARAPETS AND GUARDRAILS W. RAWA4 1. Approved elevation point of flat roof or parapet is 34.5Oand actual elevation point is 3yS0 2. Approved elevation point of flat roof or parapet is and actual elevation point is 3. q„„roved elevation point of flat roof or parapet is and actual elevation point is rr•— \90 SURL I certify that the above height measurements are correct and the above project: %EDEF41 _ © IS in compliance with the City -approved plans. 6 a OIS NOT in compliance with the City -approved plans (Provide explanatio j rw��z[� Please describe any deviation from the City -approved plans on the back of this form. Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) * License number of 33965 or lower Forms\Building Height Cenific.Uml 11/02/16 Date 4 CORNER RECORD Document Number City of PGW WOW 96ACH County of aItW (P 7 California Brief Legal Description LeT 3.0 BGOG(c Z!j 80rcN Mfi&% COORDINATES (Optional) CORNER TYPE N. Government Corner ❑ Control ❑ E. Zone NAD270 NAD830 - - - - Meander ❑ Property & NAD83 Epoch Rancho ❑ Other ❑ Elevation. Vertical Datum: NGVD290 NAVD88 p Date of survey ,APRIL • 20ff Units: Metric❑ Imperial❑ U.S. Survey* Corner — Left as found ❑ Found and tagged ❑ Established ❑ Reestablished ® Rebuilt ❑ Identification and type of comer found; Evidence used to identify or procedure used to establish or reestablish the comer: t<'t FAME IL- JUL f+l�w�sL,ri 015 OC',RI-Im. joy A description of the physical condition of the monument as found and as set or reset: SURVEYOR'S STATEMENT 'This Corner Record was prepared by me or under my direction in conformance with the Professional Land Su`rv-eyors' Act on -7- ZO 'I r Signed P.L.S. or R.C.E. No. Y�Df 3 .r,r COUNTY SURVEYOR'S STATEMENT This Corner Record was received examined and filed Signed I P.L.S. or R.C.E. No. Title County Surveyor's Comment 2009 Page 1 of 2 F M N /SCALE 1"=40' 28TH STREET_ FD. LEAD AND TAG, _ UNREADABLE, ACC. AS c MON PER RS. 2004-1084 do 27TH STREET —CE ON LINE o ON LINE\ 00 ~v 26TH_S ET _ 79.50' (79.50') ON LINE /l 25TH STREET` N55024'17"E 75.00' (75.00')" AJJAP OF NI WPORT °.° �,31;ACH NLA7. 3/28 -!BLOCK 213 il j2959," 1' O/S FROM P.L.,,NO REF. 4 7 75.00'(75.00') �\ N �NJ v N 75.00'(75.00') o /N55 °18'32"E 75.00'(75=1 _79.50' (79.50 24TH STREET N o 0 v uI►lAi ►►• _v ■ INT. FALLS ON M.H., FD. (4) L&T TIES STAMPED RCE 21005 PER R.S.2004-1084, R.S.B. 204/4 • FOUND MONUMENT AS NOTED. A INT. FALLS ON M.H., FD. (4) L&T TIES STAMPED L.S. 6902 PER R.S.2006-1034, R.S.B. 228/36. ❑ INDICATES C.L. INT FALLS ON M.H. SET (4) L&T TIES STAMPED L.S. 4653 2.00 ' FROM THE INT. O SET LEAD AND TAG L.S. 4653 ON P.L. PROD OR C.L. 2.00' FR. THE COR. Jli1--LIiAL-AlYL-1AV-L.U.--VJJ.-----'------ 349.50' FD. S&W TAGGED, I.S. 6965," PER N55124'17"E 429.00' S. 2012-1046, M.M. 260/38. O INDICATES RECORD DIST PER M.M.3/26. (()) INDICATES RECORD DIST PER P.M. 2008-125, P.M.B. 369/33-34. BASIS OF BEAREVGS: THE C.L. OF THE ALLEY BEING N34039'08"W PER R.S. 1 ON LINE 2012-1046, R.S.B. 260,:38. p J m Gi ALLEY Q FD. L&T TAGGED, "L.S. 63, m PER C.R. 2009-0877. J m V FD. S&W TAGGED, "L.S. 5023," PER R.S. 2012-1046, M.M. 260/38. S.F.N., ESTAB. BY INT. 338.19'((338.54, 755018' 2"E 417.69' FD.,L&T TAGGED, "L.S. 4599," �L PER P.M. 2008-125, P.M.B. 369/33-34. ALLEY nol-7-.2135 ,909oceaA GonI W CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report ProjeU q,dress• w v��•�N � vv1� 0 (� Report date: j f1 [("� I a CNB Inspector Name: CNB Permit #* X26o-14 . Building Owner Name: ?�^ r V Owner's Mailing address (if different from site): Owners Telephone #: CNB Plan Check #: (01 •- 9-0 j Full Name of Structural Observer (SO): fr95 erw^ SO eC)mail Address: �,J (erlr.MS5 SO Telephone #: y q 5v SO License / Reg. #: e - I 1719 I ISPA� Footin s & Sla D1 CAQF INnIf:ATF QTRI1(-Ti IRAI FI FMFNTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONjb SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ConventionalConcrete ❑ Steel ❑Concrete Footin s & Sla ❑ Mat FoundatioMasonry ❑ Concrete ❑ Steel Deck P�restressed Conc❑ Caissons, PileWood Beamsear ❑ Other: r Manuf. Panels ❑ Other: ❑ Masonry ❑ Other: ❑ WoodGrade ❑ Other: A MEMS CHECKED ABOVE ARE A :?1' POVED AND WITHOUT DEFMIENC!ES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: f � I i ❑REPORT CONTINUED ON ATTACHED PAGES. rth1nFINAL STRUCTURAL OBSERVATION REPORT: e 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 DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo,mflSwn,vilObsm'alimRepon&IMrvnio�a CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.aov 1 (949) 644-3200 Structural Observation Report /re�tOAddressJ 'a n ^ I �" I _ ..}_ Report date: `�� / /_ y .n CNB Inspector Name: CNB Permit #: V DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete " Building Owner Name: Owner's Mailing address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): P✓ M-(7 5�i )lnti�`o" SO email Address: '(? (/' i C, pt/0 C9 S $ ril P f�� rS�3 SO Teleph ne #: 'J 1 L � 0 o- 2i ` SO License / Reg. #: �. ✓ .. V,��,; l� ❑ Other: _Shear ❑ Other: p1 FASG imniCATF RTRI ICTI IRAI FI FMFNTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete " ❑ Steel ❑ Concrete O Mat Foundation, .Prestressed Concrete ❑ Caissons, Piles, Grade Beams ❑ Masonry ❑ Wood orMahuf. Panels ❑ Concrete ❑ Masonry ❑ Steel Deck Wood V,��,; l� ❑ Other: _Shear ❑ Other: ❑Other: ❑ Other: CNTEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: Tha atrnehrro ncneraNv emmnnos with rho annrnved 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 DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forrts\SuuclunlObsen eiionReporl&IngrucrioK CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www newoortbeachca.00v 1 (949) 644-3200 Structural Observation Report Project Ad res : Report dale: fo r Y CNB Inspector Name: C B Permit #: INDICATE LOCATION(S) DATE FOUNDATIONS SHEAR WALLS Buil�jng �ner Name: Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: 2�ral-2� ih �a, lri'/ 4T'7 ❑ Concrete ❑ Steel ❑ Concrete Full Name of Structural Observer (SO): 6t�(c Q$8Xwo-� SO email Address: Pn-1C"smvnN?J &MAIL) SO Telephone #: r OD 9IT- Zf- SO License! Reg. #: S-071 AND CONNECTIONS OBSERVED check applicable boxes PLEASE INDICATE STRUCTURAL ELEMENTS DIAPHRAGMS INDICATE LOCATION(S) DATE FOUNDATIONS SHEAR WALLS FRAMES (FloodRoof) OBSERVED OBSERVED Cl Conventional ❑ Concrete ❑ Steel ❑ Concrete Footings & Slab ❑ Mat Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck Prestressed Concrete ��-� E3 Caissons, Piles, Wood or Manuf. ❑ Masonry ❑ Wood 1 7' ) Grade Beams Shear Panels ❑ 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 generallycomplies with thea roved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: \G� r 1C F. MO 1. I am the licensed design professional retained by the owner to be in responsible S charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under co NO 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 AN, e approved construction documents; 1 >9 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 cA LIFO STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INUMA; I IVN Ni AU I nun¢.cU Hca yr -.... corms\ZirunuralObsna,ian0.eponalrutruc,ian 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 C*rtir-tiilra1 Inhservation Report .a.w s��C, �771� Protect Add es � Q � `�:�°N�°W 6'•' t p " ? Cf ^ / Report Date: /�(Ifdlfferent YI r Name: CNB YCNB Permit #: s 2 l.w Builldddiing Owen/er Name: Owners Mailing Address from site); Owner's Telephone #: CNB Plan Check #: rap Ql� � V7 f�• D GMS Floor/ oof) OBSERVED OBSERVED Full Name of Stmctursl Observer (SO): nk4 SO E-mail Address r/nom d3 n �rLs race SO Telep.507'"��n (� °� /� 5�0 License Re gy#: Footin s $ Slab neon i..1.....0 � nlirnhlc hnYPSf PLEASE INDICATE STRUG I UKAI_ tLrlvtCly 1 a POMU .a.•.� • • •-� --- -- -- --- INDICATE LOCATION(S) DATE FOUNDATIONS SHEAR WALLS FRAMES _ D GMS Floor/ oof) OBSERVED OBSERVED ❑ Conventional ❑ Concrete ❑ Steel ❑ Concrete Footin s $ Slab ❑ Mat Foundation, ❑ Masonry ❑ Concrete ❑Steel Deck PrestressedCains, Piles, Piles, El Wood or Manuf. ❑Masonry Wood ❑ Caissons, Grade Beams Shear Panels rr-Q ❑ Other: ❑ Other: ❑ Other: - ❑Other: VITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: _. .-.,,.._,....e..«. end au nheerved deficiencies were corrected. I The structure generally compues Wnn Uic ar •... --•_.. ____..-_----. 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 myresponsiblecharge, 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. - //. d.-- -r +f _ l0 5E0 ARC/, \GF. MOSS, 7th * No. C19718 N� REN. 7131119 \Q 9�F Off?' OF CA4�F STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BT AU I numccU cinrwl � �� -•-•• FotmsVSlmc lObsc tionR poa&lnswctions 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.newpo beachca.gov 1 (949) 644-3200 Structural Observation Report Project Address{{: `' dT (fVf f%i%��-c�f✓(6i.,d'� Rep rt Date: `vr `� CNB Inspector Name: J.l, CNB Permit #: j{'�,(�1J".j.') ✓ Buildh Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: r Full Name of Structural Observer (SO): /' sr,�,,�tcnn�,ssd-^�dQa� SO E-mail Address: S Telephone #: I 5-67 =Z7sy2� SO License I Re #: r r ill PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check appiicabIs boxes I declare that the following statements are true to the best of my knowledge: 1. 1 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 -3,1� 3o. C19718 REN. 7/37!19 STAMP- OF STRUCTURAL OBSEHVhK DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fom,ssaimamlObsrn ionR pon&Innrvctions FOUNDATIONS SHEAR WALLS FRAMES DGMS oo R t( loof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab El Concrete El Steel ❑ oncrete ❑ Mat Foundation, Prestressed Concrete. ❑ Caissons, Piles, Grade Beams ❑ Masonry ❑ Wood or Manuf. Shear Panels ❑ Concrete ❑ Masonry ❑ Steel Deck Wood 2 ❑ 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 general!y 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. 1 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 -3,1� 3o. C19718 REN. 7/37!19 STAMP- OF STRUCTURAL OBSEHVhK DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fom,ssaimamlObsrn ionR pon&Innrvctions 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 Observation Report Project Address: �% �.-. Report Date: p l 'J CNB Inspector Name: CNB PP 'I 'n,•. DATE OBSERVED ❑ Conventional Footin s & Slab Mat Foundation, Prestressed Concrete ❑ Concrete El Masonry Building Owner N�a g p Owners Mailing Address (if ifferen6fro I e); Owner' l Telephone #: CNB Plan Check #: ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood Fu/ll Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License /Reg. #: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ve•varc Akin rn NNICr•nnNC r1R4Fi2vrn (rhnrk annllcabla haxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED ❑ Conventional Footin s & Slab Mat Foundation, Prestressed Concrete ❑ Concrete El Masonry ❑ Steel El Concrete ❑ Concrete El Steel Deck _ f11Z AI�CJ}?QJ ❑ Caissons, Piles, Grade Beams ❑ 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: Seo MOSS Cy,T 1. I am the licensed design professional retained by the owner to be in responsible 'lam Ors. 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 ..1 NB 019718 construction stage to verify that the structure is in, general conformance with the C 7131)19 Q approved construction documents; -uj REN• _. 3. 1 understand that all deficiencies which I have documented must be corrected, prior to l.9r OQ' final acceptance of the structural systems by the City of Newport Beach, Building F OF CP1'�� Division. �=IGNATUREVFSTRUU J—V STAMP OF STRUCTURAL OBSERVER URAL OBSERVER OF RECORD DATE STPEIMIRAI nRAFRVATInN noEs NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH FmmsZtmcw lObservationRepnrt&lns=m tion D44101 INSULATION INSTALLED BUILDING PRODUCTS 600 S. VINCENT AVE. AZUSA CA 91702 PH: 626.812.6070 FX: 626.334.8167 LIC.# 888804 OJINC.COM Insulation Certificate Your Home/Building has been insulated with Owens Corning Fiberglass Insulation, which is designed for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies that Owens Cornina Fiberglass Insulation has been professionally installed in this home/building to provide the following thermal performance and meets Title 24 requirements. Insulation is installed in the structure described below as follows: Work Area Roof Ceiling Area (4 vz" Rigid R-30 Y4 FL) Roof Ceiling Area (vaulted Roof Ceiling Area) Between Floor Area Garage Ceiling w/ Living Above Overhangs Exterior Walls Interior Walls Item Installed R-30 Unfaced Fiberglass Batt Insulation Closed -Cell Spray Foam R-19 Unfaced Fiberglass Batt Insulation R-19 Unfaced Fiberglass Batt Insulation R-19 Unfaced Fiberglass Batt Insulation R-19 Unfaced Fiberglass Batt Insulation R-13 Unfaced Fiberglass Batt Insulation Job Name: SFR 2404 W Oceanfront IN Job Address: 2404 W Oceanfront Newport Beach, CA 92663 * Expandable Foam Caulking to meet Title 24 Air Infiltration Standards is Included Signed wcno caw i..0PM Victoria Lopez- Office Coordinator; Griff Jenkins -General Manager; Todd Riffey-Prod. Manager Date: December 4, 2018 R- means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values. Keep this certificate with your other valued papers. If you ever sell this home/building, this certificate should be passed on to the buyer. X2017-2s3S Project"Status Report C CaICERTS, Inc Effective: 08/05/2019 05:57 1 of 2 GENERALINFORMATiON Energy Standards Code Year: 2013 LE Project Name: 2404 Oceanfront ■ , , Project Type: New Construction SFR f % Address: 2404 W. Oceanfront ■ M e City / State / Zip: Newport Beach / CA / 92663 L Enforcement Agency: City of Newport Beach ❑ ■ ■ Permit Number: X2017-2135 Easy to Verify @ calcerts.com HERS VERIFIABLE MEASURES: COMPLETE OVERALL STATUS: COMPLETE GFS 39FORMATIO V icate, of Compliance (Lists RequiNed Energy Features) n. Certificate Type: Compliance Registered Form: CFIR-PRF-01 Registered Date: 05/26/2015 14:12 Registration Number: 215-NO13767OA-000000000-0000 ADDIT ONLCF]s, .'.. System p Reg fere' R a n e , CF1R-SRA-01 (Solar Ready Area) 07/18/2019 219-NO153803A-000000000-0000 22.39 "''IN�FOY2MAT�ION Ceitificates of Instdtlat�on (D0Cumerits he proper ins Ilation of tequired enelgy,features) System Farm fteg�ster`ed Re9stration Number )r Date FENVol-E 07/16/2019 OOOlA-0000 Andrew Miner (Fenene stration Installation) ( 15:07 (ANDREW ) LEEOMINER CF2R-ENV-02-E 07/09/2019 215-NO13767OA-EO200001A-0000 Victoria M Lopez (Envelope Air Sealing) 14:20 (OJ Insulation, L.P.) CF2R-ENV-03-E 07/09/2019 215-NO13767OA-EO300001A-0000 Victoria M Lopez (Insulation Installation) 14:20 (OJ Insulation, L.P.) CF2R-LTG-01-E07/16/2019 215-NO13767OA-LO100001A-0000 (Lighting) 15:07 Andrew Miner (ANDREW LEE MINER) CF2R-MCH-01-E 07/18/201922:39 215-NO13767OA-MO100001A-0000 (Space Conditioning Systems, Victor Goldbaum Ducts and Fans) (GOLDBAUM'S AIR/HEATING) System 1 CF2R-MCH-20-H 07/18/2019 V 5 N Goldbaum OrA-M2000002A-0000 (Duct Leakage) 22:39 (GOLDBAUM'S AIR/HEATING) CF2R-MCH-21-H 07/39/2019 215-NO13767OA-M2100002A-0000 System 1 (Ducts Located In Conditioned Victor Goldbaum Space) (GOLDBAUM'S AIR/HEATING) System 1 CF2R-MCH-23-H 07/18/2019 V 5 N Goldbaum 2-013767O-M200002A-0000 (Airflow) 22:39 (GOLDBAUM'S AIR/HEATING) HERS Provider: CaICERTS Inc. Project Status Report CaICERTS, Incl Effective: 08/05/2019 05:57 System 1 CF2R-MCH-22-H 07/18/2019 215-N0137670A-M2200002A-0000 Victor Goldbaum (Fan Efficacy)22:39 (GOLDBAUM'S AIR/HEATING) CF2R-MCH-27-H 07/18/2019 215-N0137670A-M2700001A-0000 (IAQ and MV) 22:39 Victor Goldbaum (GOLDBAUM'S AIR/HEATING) CF2R-PLB-02-E07/16/2019 215-N0137670A-B0200003A-0000 (SD HWS Distribution) 1 15:07 Andrew Miner I(ANDREW LEE MINER) CF3"00 MATI sOf Verificatjon,(,6'0'Cu,eq,ts,, verification of HERS Measures)'Sy,, Stan! form,. ' R' eglift6red.,., "Dat,e Regibstration.Niumber' CF3R-MCH-20-H 07/18/2019 215-N0137670A-M2000002A-M20A System 1 (Duct Leakage) 22:40 John Kwan (J.K. Air Balancing & Duct Testing) CF3R-MCH-21-H 07/18/2019 215-N0137670A-M2100002A-M21A System 1 (Ducts In Cond Space) 22:40 John Kwan (J.K. Air Balancing & Duct Testing) CF3R-MCH-23-H 07/18/2019 215-1\10137670A-M2300002A-M23A System I (Airflow) 22:40 John Kwan (J.K. Air Balancing & Duct Testing) CF3R-MCH-22-H 07/18/2019 215-N0137670A-M2200002A-M22A System 1 (Fan Efficacy) 22:40 John Kwan (J.K. Air Balancing & Duct Testing) CF3R-MCH-27-H 07/18/2019 215-N0137670A-M2700001A-M27A (IAQ and MV) 22:40 lJohn Kwan (J.K. Air Balancing & Duct Testing) HERS Provider: CaICERTS Inc.