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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
FIRE SPRINKLER NFPA 13D SYSTEM
ROUGH INSPECTION CHECKLIST
_._
YES
NO
I.
Riser Construction and Location Aooroval
a. Drain valve
❑
b. Backflow device (single check)
❑
c. Bell activation device
❑
d. Inspector's test valve
N
❑
e. Riser sized per approved plans
2.
Pressure Test
a. System tested at operating pressure for 2 hours
❑
b. Pressure gauge installed
JN
❑
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
❑
4.
Piping
a. Material installed per plan
❑
b. Hangers per codes/prevent upward movement
❑
c. All CPVC piping shall be installed by persons who have been
❑
certified by the manufacturer for installation of CPVC piping
d. Piping protected from damage
❑
5.
Bell
a. Wiring installed per code
ICI
❑
b. Boxes Installed at proper locations
��
❑
NOTE:
CPVC plastic pipe in the garage shall not be exposed. Sprinklers that are
listed as
"Quick
Response" or "Residential" must be used.
CORRECTIONS AND NOTES:
FIRE SPRINKLE FPA 13D SYSTEM ROUGH INSPECTION APPROVED:
PERMIT#: _1'
BY: DATE:
Forms\Fire Sprinkler NFPA 13D System -Rough Inspection Checklist 05/12/2015
WP°�,. CITY OF NEWPORT BEACH
OAk
� Qq
COMMUNITY DEVELOPMENT DEPARTMENT
° BUILDING DIVISION
°+crao100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1(949) 644-3200
FIRE SPRINKLER NFPA 13D SYSTEM
FINAL CHECKLIST
(RESIDENTIAL)
Y NO
1.
Water meter proper size
El
2.
Fire sprinkler system installed per the approved plans
3.
All construction covers removed from sprinkler heads
21/
❑
4.
Cover plates are NOT to be installed, but shall be available on the jobsite
Z/
❑
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 inspector's 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 [,fir/ ❑
13. System installed per manufacturers specifications ®� ❑
NOTES:
FIRE SPRINKLER NFPA 13D SYSTEM FINAL APPROVED:
In PERMIT #:
BY: DATE: S `O
Farms\ Fire Sprinkler NFPA 13D System -FINAL Checklist RESIDENTIAL 05/12/201S
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 IQOA) .NiEDGWA License# LS g1v5 3
Engineer/Surveyor's Address 2.30/6 l 4400 pme31- P010 (k # W? - &4GLNa 110k"
Job Address 2338 /FR $VTZ--S STIR ct%
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation: /61, yt f Wf- j ;S'701 4e
* 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 ®, are not ❑, per City approved plans. Describe any deviations
from plans:
I certify that top of slab/floor elevation(s)
any deviations from plans:
to tv -/p-
Date
Forms/SetbacksandTopotSlabElevationCert.
is 11, is not ❑, per City approved drawings. Describe
KVI\SDEMgZ~OAw
Engineer/Surveyor's stamp and signatu yj
K
k4t�
p66 Q
a °o
J
L�
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:
2338 Arbutus Street
Report Date:
June 20, 2019
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Donato & Julia Pilla
714.235.1789
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S 4902
PLEASE INDICATE STRUCTURAL ELEMENTS 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
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑
Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑
Other:
❑ Other:
❑ Other:
1N Other:
Rou h Framing9
Whole house & Gara e
06119119
®
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. t"
05-10.19
DATE
pFtOFESgjO
F� Ft S. (9�
S 4902 Z
EX. 12/31 /20
*�j9TTj�UCI\k �P
FOF CAL�FO
STAMP OF STRUCTURAL OBSERVER
DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Forms\Stmaura]ObservationReport Instructions
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.crov 1 (949) 644-3200
Structural Observation Report
Project Address:
2338 Arbutus Street
Report Date:
May 10, 2019
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Donato & Julia Mile
714-235.1789
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S 4902
PLEASE INDICATE STRUCTURAL ELEMENTS 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
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
® Wood
Floor Sheating
05/09/19
❑ Other:
❑ Other:
❑ Other:
❑ Other:
00 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. \LV- 05•10.19
SIGNATURE OF SiT)2UCTURAL OBSERVER OF RECORD DATE
S 4902
Ek.12/31/20
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Foams\Src Mra ObservatioMVon&Iwrc ctiom
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:
2338 Arbutus Street
Report Date:
May 10, 2019
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone#:
CNB Plan Check #:
Donato & Julia Pills
714-235.1789
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yaser Salem
YSalem@TDS-AE.com
949.378.5842
S 4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aaolicable 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
Whole House & Garage
05/09/19
❑ Other:
❑ Other:
❑ Other:
❑ Other:
IM 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,
05.10.19
SIGNATURE OF T UCTURAL OBSERVER OF RECORD DATE
QROFESS/
S 4902 z
EX.12/31/20
�9T TR�C T URPR�'P
FOF CAUFO
STAMP OF STRUCTURAL OBSERVER
RTRIInTIIRAI ORSFRVATION nnFS NOT WAIVE ANY 9Po111RPMPNTR FOR RI III nimr. INSPFCTInN RV Al ITWnP17Fn FMPI nVFFS OF THE MTV OF NFWPnRT PrWW
For s\S Mral() smatioAWorc&L =ctiou
1
ri
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915
uv_vti+ » rrhF ichc. l (Jnv 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
8,5842
S 4902
PLEASE INDICATE STRUCTURAI FI FMFNTS AND Cr)NNFCTInNC f1RRFRVFI) /rhnr4 annl:rn6ln 1,....vet
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
x❑ 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
❑ Other:
❑ Other:
❑ Other:
❑ Other:
El 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.
SIGNATURE OF STRUCTURAL OBSERVER OF RECORD GArE
K3 r f
�t >. N�
40"')
rt '
.y 17f3.1 i8
R�
=o
n
�
F�F CFaL1Fv .
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECT ON BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Fmm��,n.vannohatirotlunRepun@Innmutlore
CORNER RECORD Agencylndex
Document Number
City of _ ,V67 POTT 1601—CN County of QL2 rQ/V'/_ _ . California
Brief Legal Description _ kp'f <14
CORNER TYPE COORDINATES (Optional)
N. _ — E _
Government Corner ❑ Control ❑ Elevation
Meander ❑ Property Units Metric ❑— U.S. Survev Foot
Rancho ❑ Other ❑ Horizontal Datum
Zone Epoch Dam
Detect Survey U` G__rQ _%l7_Venccal Datum_ _
❑ Complies with Public Resources Code §§8801-8819
❑ Complies with Public Resources Code §§8890-8902
PLS Act Ref.: ❑ 8765(d) 8771 ❑ 8773 ❑ Other:
Cotner/ Leff as found ❑ Established ❑ Rebuilt ❑ Pre -Construction
Monument: ❑ Found and tagged Reestablished D Referenced ❑ Post -Construction
Narrative of corner identified and monument as found. set, reset. replaced. or removed'.
11 See sheet N2 for description(s):
SURVEYOR'S STATEMENT Nur(-
7hu Corner Record was prepared by me or unner my direction In conformance withthe Professional Land Surveyors' Act on 7�'/!- 1%.nTF nt j
Si9nnn _ , PV__&14_1-- P.LS. or R.C.E. Wo
COUNTY SURVEYOR'S STATEMENT ----
Ths Cramer Record ,as received
and domuted and filed
S'gnec P,LS. or R C.E. No.
10le
County Surveyor's Comment
�ft•trse.�ro
Document Number _
ALEPPO STREET _ _
--'��"---- N88°]0'00"E 172.89'
�— '00"E
Agency Index _
N6°30'00'W
30.10, m I
i
\ N88010'00"E j
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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
BUILDING HEIGHT CERTIFICATION
Project Street Address:
Building PermitNumber(s): 2-0)9 '` 0 Ifir.'5�
As the surveyor of record for the project at the above address, I hereby certify that l 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 hack 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: U,NAVD88 U NGVD29Assumed
Please provide the following elevation information for the highest roof ridges, flat roofs, or
parapets/guardrails; Additional elevation points may be r ques�te� by the Building Ins ec
RIDGES (3:12 slope or greater)
1. Approved elevation point of ridge is 130,47 and actual elevation, point is
2. Approved elevation point rofridge 'is and actual elevation point is
3. Approved elevation point of ridge is and actual elevation point is
FLAT ROOFS, PARAPETS AND GUARDRAILS
1. Approved elevation point of flat roof or parapet is and actual elevation point is
2. Approved elevation point of flat roof or parapet is and actual elevation point is
3. Approved elevation point of flat roof or parapet is and actual elevation point is
I certify that the above height measurements are correct and the above project:
® I$ in compliance with the City -approved plans.
0 IS NOT in compliance with the City -approved plans (Provide
Please describe any deviation from the City -approved plans on the back of this form.
Surveyor or Civil Engineer's* signature and
(Wet stamp and signature required)
* License number of 33965 or lower
Pornm\Duilding Height CeHiOcetian 11102/1(,
Date
TOTAL ENGINEERING SERVICES, INC.
1651 East Fourth street, Suite 228 • Santa Ana, CA 92701 • Tel: (949) 378-5842 FAX :(949) 215-6142
July 16, 2019
Mr. Donato Pilla
2338 Arbutus St
Newport Beach, California 92660
RE: 2338 Arbutus St, Newport Beach
Dear Mr. Pilla:
This letter is in response to a couple of field question that was brought up to our attention
by the city inspector. The question is for floor joist that were used on the jobsite. Please
notice that Cascade BCI Series 6000 1.8 can be used instead of Weyerhaeuser TJI Series 210.
With the use of the Floor Joist, no ceiling joists are needed on the floor level, and can be
omitted from the plans. The second question is about the Header labeled B8. With the type
of door that he owner has chosen, and the manufacture's installation specifications for the
door to be operable, a deeper header was needed. In lieu of the 5 1/4" x 11 7/8" Header, a 5
1/4" x 20" is recommended to be used.
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.