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Project: 2889 Way Lane
Project number:
Client: Novum
Report 1 of
Page 1 Of 1
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 108, 1701 or other sections of the code.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH
March 9, 2020
PROJECT ADRESS
STRUCTURAL OBSERVER OF RECORD (SOR)
PHONE NUMBER OF (SOR)
2889 Way Lane
Corona del Mar, CA
PETER SARKIS
949-331-8475
BUILDING PERMIT NO
STRUCTURAL OBSERVER
OBSERVER LICENSE NO
PETER SARKIS
SE 5038
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
ELEMENTS/CONNECTION
FOUNDATION
WALL
FRAMES
FLOORS
OBSERVATION LOCATION
Footings, Stem Walls
® Concrete
® Steel Moment Frame
® Concrete
General Framing
Matfoundation
®Masonry
® Steel Braced Frame
® Steel Deck
® Retaining Foundation
Others:
® Masonry Wall Frame
Others:
Hillside Special
Anchors
Others:
® Others
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
No deficiencies noted.
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1.1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OFTHEJURISDICTION.
2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO 1 HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS,
3. ALL NOTED DEFICIENCIES WHICH REM
ABOVE,
4.1 RECOMMEND THAT ACCEPTANCE OF
BE WITHHELD UNTIL ALL OBSERVED DEFT
HAVE BEEN INDICATED
THEJURISOICTION
3/09/2020
SIGNATURE OF STRUCTURAL
DATE Stamp of Structural Observer
11 ETR%�
1]991 skkypwCirde ( IfVJM, CA, 9 14
Suite O, TGI:(949)74&7170
PLOJect' 2889 Way Lane 'Y' SG sheet
SSK chant: Novi<am Do": 11/21/19 01
Title: Added Floor Joists Between Job: 2017-192
Kitchen and Living Room
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Project: 2889 Way Lane
Project number:
Client: Novum
Report 1 of
Page 1 of 1
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approv
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 108,1701 or other sections of the code.
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH
February 18, 2020
PROJECT ADRESS
STRUCTURAL OBSERVER OF RECORD (SOR)
PHONE NUMBER OF (SOR)
2889 Way Lane
Corona del Mar, CA
PETER SARKIS
949-331-8475
BUILDING PERMIT NO
STRUCTURAL OBSERVER
OBSERVER LICENSE NO
PETER SARKIS
I SE 5038
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAMES
FLOORS
ELEMENTS/CONNECTION
OBSERVATION LOCATION
Footings, Stem Walls
®Concrete
® Steel Moment Frame
® Concrete
General Framing
Matfoundagon
® Masonry
® Steel Braced Frame
® Steel Deck
Retaining Foundation
Hillside Special
Anchors
® Others:
® Masonry Wail Frame
Others:
Fj Others:
® Others
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
No deficiencies noted.
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1.1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OFTHEJURISDICTION.
2.1, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE WITH APPROVED PLANS AN4SPECIATIONS,
3. ALL NOTED DEFICIENCIES WHICH REMAIN TRECTED HAVE BEEN INDICATED
ABOVE,
4.1 RECOMMEND THAT ACCEPTANCE OF THER MS BY THE JURISDICTION
BE WITHHELD UNTIL ALL OBSERVED DEFICIENCORRECTED.
2/18/2020
SIGNATURE OF
DATE Stamp ofStrurturol0burvor
F
;', PrOJed' 2889 Way Lane By: SG Sheet:
r'ETRA 0�'� Novum � 3J03/20IMI SSK ?9
SLOO ORYPerRQmle Tel(M)748-71io Tide: New Entry Wall at Rock job. 2017-192
k 01
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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
CIVIL ENGINEER'S CERTIFICATION FORM
From:
City of Newport Beach
100 Civic Center Drive
Newport Beach. California 92658
ATTENTION: GRADING ENGINEER, BUILDING DIVISION
Date:
December 9, 2021
GPC No.: Tract/Subdivision/Lot No.: Rough: _Final: X
Project Names: 2889 Way Ln Residential Renovation
Owner/Developer: COG Caforio Day. Group LLC
Type of Project: Notes:
Tract: X 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 to public ways or City approved drainage devices. The grading has been
completed: in conformance with, with the following
changes to the approved grading plan.
Description of Changes: Field verified the storm drain for the above referenced site. The
alignment and elevation of said improvements are in substantial conformance with the approved
Civil Site Drainage Plan and surface drainage should function as intended.
Company: Walden and Associates
Name: Marcos F. Padilla k'- t �•� '` 1
(print) ,' (sign) \ r
r
License No.: 80426 (RCE/LS)
Forms0vil Engineer's Certification Form 9-13
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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.newoortbeachca aov 1 (949) 644-3200
Structural Observation Report
ProjectAddress: 2889 Way Lane
Report Date: 5/5/2021
CNBinspector Name:
CNB Permit #.
Building Owner Name: PETER SARKIS
Owner's Mailing Address (if different from sne);
Owners Telephone #:
CNB Plan Check #:
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
PETER SARKIS
psarkis@petrastructural.com
949-331-8475
S-5038
PLEASE INDICATE STRucrnRer FI CMCMTC AAIM rnouenrrnuc �es�..v�.. __.. _ _._.
FOUNDATIONS
X Conventional
Footin s & Slab
- - - - - - - --- - -• •• •-
SHEAR WALLS
❑ Concrete
-- ... ......,......v..,.ry
FRAMES
Steel
uv.w vuacnv=w
DIAPHRAGMS
(Floor/Roof)
❑ Concrete
julltl ft appliuduale,
INDICATE LOCATIONS)
OBSERVED
ALL
poxes
DATE
OBSERVED
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑Steel Deck
OBSERVED
XCeiasans,Plles,
Grade Beams
Wood orManuf.
Shear Panels
❑Masonry
Wood
THROUGHOUT
ALL CONSTRUCTION
Other:
❑Other.
❑Other.
ALL
HEKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
rOBSERVEDCOEFICIENOCIES
AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
X FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally com lies 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. d
STRUCTURAL
Fo.mzz�$tlueMetObzezntionReporc9lmy,rthugz
5/05/2021
01M it Ur 31 RUU I UKAL UISUVWttt
INSPECTION BYAUTHORIZED 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.newDortbeachca.00v 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit*
2889 WAY LANE
12/21/2020
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone M
CNB Plan Check*
Full Name of Structural Observer (SO): SO E-mail Address:
SO Telephone M
$O License I Reg. #:
PETER SARKIS PSARKIS@PETRASTRUCTURAL.COM
949-748-7170
S-5038
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED fchack annNcahla hnyaal
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
ALL WALL SHTG
12/21/2020
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
X Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑Other:
❑ Other:
❑ Other:
X ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
P1 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 1 have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach, Building
Division. �/
12/21/2020
S I AMF UI- b I KUG I UKAL U56ERVER
STRUCTURAL
Fomu StwMWObsemaiwRepo,tMuftc4mu
INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH.
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 926588915
www.newportbeachca.gov 1 (949) 644-3200
CONTRACTORIPROPERTY OWNER SELF -CERTIFICATION DECLARATION
FOR PLUMBING FIXTURE REPLACEMENT
Project Address:: Z C® gyeo ' zs--
Date: �?/® ® A4z Permit #: A 14' — A"J Vg
The following is to be completed by the California licensed contractor or owner, participating in the City of Newport
Beach Self -Certification Program. Please a or prin
Installer's Name: License No (if applicable) ? • 7V.
Installer's Mailing Address: Phone # (required): J/x-4
Installer's Email: _ t+1o6,.9 3a e.Pc[er r� 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 2019 California Green Building Standards
Code (CGBSC) 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 CGBSC 301.1.1 has been replaced meeting the low flow
requirements:
Kitchen faucets: 1.8 gal/minute at 60 psi
Shower heads: 1.8 gal/minute at 80 psi
Water closet: 1.28 gal/flush
Faucets: maximum flow rate of 1.2 gal/minute at 60 psi,
and minimum 0.8 gaVminute at 20 psi
ar J7® 7-4®2.2
Installers Sig re '� 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
the installation is complete.
Date
Email
This form must bcompleted and returned to the City of Newport Beach, Building Division, for a final approval
of the combinati n 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. 0. Box 1768
Newport Beach, CA 92658
FormslContractor-OWnerSelf-CertDeclaration-Plumbing Fixture Replacement 031g4122
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
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
r
Project Address:
Permit Number:
Property Owner:
Licensed Contractor:
Lic #: A 3 S " 7Z19
NOW
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that
existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors.
CRC Section R314.3, CRC R315.3 defines required locations.
Both boxes below must be checked:
0 Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
sleeping area in the immediate vicinity of bedrooms or in each hallway outside of
the rooms, and each level of the dwelling. Detectors are also required in
bedrooms with gas fired appliances
Smoke Alarms: Installed in each room used for sleeping purposes, outside
#E] each sleeping area, and on each level of the dwelling unit.
Retrofitted detectors may be battery operated for buildings where no alterations are
performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms)
shall comply with all applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturer's specifications.
1, the undersig ed, her by certify that I am the permittee or homeowner of the
project. I furer ce i that s oke alarms and carbon monoxide alarms are
present an t late do of in all tho following locations:
Signature: Date: "
NOTE: This self -certification is only used for projects to the exterior of the structure where access to the
interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of
construction.
FormslSmakeDetectomndCarbonMono)ddeSelfGort 08112n8
QUICK STATUS REPORT CaICERTS, Inc
Effective 04/22/2022 16:05 (Page 1 of 2)
Energy Standards Code Year:
2016
■
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■
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■
Easy to Verify @ calcerts.com
Project Name:
2889 Way Lane (1157863)
Project Type:
Alterations SFR
Lot ID:
1157863
Address:
2889 Way Lane
City/State/Zip:
Corona del Mar / CA 192625
Enforcement Agency:
City of Newport Beach
Permit Number:
x2019-2984 / 02-18-2020
OVERALL STATUS
COMPLETE
HERS VERIFIABLE MEASURES:
COMPLETE
ENV-01: Fenestration Installation
N/A
ENV insul lion Instillation j
r-� I
-r-f%A
nt
i
MCH-01: S'pace-Conditioning Systems, ducts and Fans
�:a 1 , - r' , ,- r•-� r - i
i r
N/A
r�,
System 1
MCH-21: Ducts Located InConditionedSpace r
I
System 1
MCH-23: Airflow
System 1
MCH-22: Fan Efficacy
System 1
MCH-26: Rated Equipment
System 1
PLB-02: SO HWS Distribution
N/A
System 2
MCH-21: Ducts Located In Conditioned Space
System 2
MCH-23: Airflow
System 2
MCH-22: Fan Efficacy
System 2
MCH-26: Rated Equipment
System 3
MCH-21: Ducts Located In Conditioned Space
System 3
MCH-23: Airflow
System 3
MCH-22: Fan Efficacy
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015
QUICK STATUS REPORT CaICERTS, Inc
Effective 04/22/2022 16:05 (Page 2 of 2)
ISystem 3 1 MCH-26: Rated Equipment 1 0 1
HERS Provide, C.ICERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015