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C IO N 0 IU U q g A 3 m ao °ggpigg' m N n l o' m Q 'ar �.°� oir° OQm S `-' � 0 m d 10 ro 0 � m *'Om � iOffff r S �• 37 6 O. �+ m .ff s y NoN V) mmm gc. 2 E. io �` dOo �➢� lag a�roPo C�b �n ;g: pia a�a' '" ' z�a m aJp -aO td mS F p o'a� ma 9sa Q�3& d �y D S � ryryO Q p 5 O`d0 ..m SNd O(TOON E m N O T p. Ron gm O gm boa ro 0�0 a w c a3. yN+�W ow�' � me S.3 mo ry= RmSw O. d R& . 9 0 gNID m •w Jn N o_ �'< � 3j' a � a '• p m ro nmrom i � �°d � °aJ 3•c9m i 2' H O a vrs v'"a 3 i o S`6 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newportheachca.gov 1(949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: 1 I L4 V Date: Permit 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: SCo k CAt,V -- e"V 1 S Ucense No (Iaoplicable) p b _ Installer's Mailing Address: '2DTC1 r m _ K�1 AP 1 t40 Phone # (required): Installer's Email: Sco VC- '-t�' L,Tt�e v, "Jp_tQY�FAX# N Ig . 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 Caldomia Green Building Standards Code (CGBSC) Section 301.1.1 and that all self -certification reports submitted will be based on the erode requirements contained therein. I declare that all plumbing fodures subject to the CGBSC 301.1.1 has been replaced meeting the low flow requirements: Kitchen faucets: 1.8 gat/minute at 60 psi I Shower heads: 1.8 gallminute at 80 psi 1 Water closet 1.28 gayflush Faucets: maximum Bow rate of 12 gallminute at 60 psi, and minimum 0.8 gallminute at 20 psi /4-23 Property Owner (Required) As the property owner of the project address noted above, I have read, understand and agree to participate in the Plumbing Furture Replacement Self -Certification Program. 1 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 rode compliance after the installation is complete. 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) 644-3260 Building Division P. O. Box 1768 Newport Beach, CA 92658 E`°''O CITY OF NEWPORT BEACH ° � Community Development Department I Building Division nn 100 Civic Center Dr.l P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.aov1(949)644-3200 �'�Lraox��r CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: I!Zc/ 0 OCr'_c-t'PU/-�- PERMIT NO.: XZ0 `ZO - I/G'�- 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) Franchise Hauler for Construction/Demolition Waste B"'VOC Contents Limitation [Y"Formaldehyde Emissions Limitation iS T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) 15'IT-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mach., /Plumb.,_HERS) & Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) L 1 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 • 1 certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct. • [certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing agency. GrA4LOf Date Signed: 3 re: CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportheachca.gov 1 (949) 644-3200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permit tee or homeowner) Project Address: I1 z'-/ (ti) &ea400l Av-e- Permit Number: _X2-0 Zn -// (o $ Property Owner. A%Jil. Licensed ContractoriAme-5 L)aa i.. sh ., 6j'u ,r Lic #: _Q 013 8 9' 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. ® 1Cll/ 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 ❑Er""� Smoke Alarms: Installed in each room used for sleeping purposes, outside 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 undersigned, hereby certify that 1 am the permittee or homeowner of the project. I further certify that Woke alarms and carbon monoxide alarms are present and tested to I in all the following locations: Signat Date: fir/ NOTE. elf -cent rs only used for projects to the exterior of the structure where access to the inte . r of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. FomslSmakeDeb,ctomndCarbonMonorideSelfCert 08/12/16 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 CONTRACTORIPROPERTY OWNER SELF-CER77FICA71ON DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: i i Z L4 Q r-e, viDate:_1 1 ( Z -3 Permit*. 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. Installers Name: 5co N -il t,Vk a yi s License No (rfappocalte) jg S�t b z Lj Installers tNaTing Address: *2-t77r L Gezv+� _ tS ,,, ,,. D � $� � Phone # (required) � . Installer's Email:_ _5c o lk Installer I certify that the Installation is in compliance with applicable code requirements. I further affirm that 1 have reviewed and understand the requirements of the 2019 California Green Building Standards Code (CGBSC) Section 301.1.1, and that all self-cerfification reports submitted will be based on the code requirements contained therein. I declare that all plumbing fbdures subject to the CGBSC 301.1.1 has been replaced meeting the low flow requirements: Kitchen faucets: 1.8 gaUminute at 60 psi Shower heads: 1.8 gallminute at 80 psi tlVdter closet 128 gayflush Faucets: miaximum flow rate of 12 gaUminute at 60 psi, and minimum 0.8 galirninute at 20 psi 114•23 Property Owner (Required) As the property owner of the project address noted above, 1 have read, understand and agree to participate in the Plumbing Fodure Replacement Self -Certification Program_ 1 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. k" bate Effmd 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 Mai 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 92M 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.newOortbeachcapov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 1124 W. Oceanfront 03/08/2022 Building Owner Name: Owners Mailing Address (ff different from site); Owner's Telephone #: CNB Plan Check*. Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Amir Deihimi amir@corestructure.com (949) 500-3800 C78194 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 Final Framing 03/08/22 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams Wood or Manuf. Shear Panels ❑ Masonry Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: .V ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: Final Framing Observation, No deficiencies. ❑ REPORT CONTINUED ON ATTACHED PAGES. 91 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. �• /�f�/ �y�T�� 03/08/2022 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE QROFESS/pN q � m No. C78194 {7 ti7 gTFOF CALIFO� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo=69wc4rtalOWmaboa Vort&IosnocWw 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: CNB Inspector Name: CNB Permit M 1124 W. Oceanfront 11/09/2021 Building Owner Name: Owners 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 #: SO License / Reg. P Amir Deihimi amir@corestructure.com (949) 500-3800 C78194 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 Exterior Shear and Roof and Floor Sheathing 11/09/2021 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams Wood or Manuf. Shear Panels ❑ Masonry Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: •a( ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: The above items are installed in accordance with engineered drawings; there were no observed deficiencies at the time of inspection. ❑ 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.. .i- I I IF' `--A5wdWA(1I`-- 11/09/2021 QROFESS/pN 9 DflF�� s � m No. C78194 Jl c l v o- �F gTFOF CAL)FOR STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo=v StNC1falObsel atlonRepon&imtmetiom 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.Qov 1 (949) 644-3200 Structural Observation Report Project Address: 1124 W. Oceanfront Report Date: 08/02/2021 CNB Inspector Name: CNB Permit M Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. M Amir Deihimi amir@corestructure.00m (949) 500-3800 C78194 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aunlicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED df Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Foundation Slab rebars 08lD2/2021 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: .0 ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: The above items are installed in accordance with engineered drawings; there were no observed deficiencies at the time of inspection. ❑ 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. 08/02/2021 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Sh =alObservato poR&Wtrucdom 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: 1124 W. Oceanfront Report Date: 04/22/2021 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. #: Amir Deihimi amir@corestructure.com (949) 500-3800 C78194 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloodRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Concrete wall footings, anchor bolts and holdowns 04/22/2021 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete - ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: .V1 ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: The above items are installed in accordance with engineered drawings; there were no observed deficiencies at the time of inspection. ❑ 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. 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. �/•fJ��r.�r /�� �� 04/22/2021 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE QROFESS/pN q Z c� m No. C78194 JT Clvo, �P �lFOF CAOF��� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Forms\S[mrn 10bse adon epottffilu c[iov o�Aqv'�` por?CITY OF NEWPORT BEACH " COMMUNITY DEVELOPMENT DEPARTMENT uT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 y<rFonNXwww.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: �� Z t/ W , a4azz riedo "' Building PermitNumber(s): Zr72W (/�� 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: WNAVD88 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 Ruildi t r �'��.L: rare RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is O.6r� and actual elevation point isy0 . evs—. 2. Approved elevation point of ridge is and actual elevation point is 3. Approved elevation point of ridge is and Yctual elevation point is I FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat �roofoparapet is G 33Ciand 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: 0 IS In compliance with the City -approved plans. OIS 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 seal (Wet stamp and signature required) * License number of 33965 or lower ronnalauilding Height Cetti9oadan 11/02/16 J-z ( el Date DEPUTY 1 INSPECTION 1-800-DEPUTYI �! Gen Contr: h Sub-Contr: s CG 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.gov 1 (949) 644-3200 SPECIAL INSPECTION REPORT Project Address: Rea VIt — 11.1- Hu-9. lb('64040a Permit Number: 94.1.01Q - 11 L 4R Inspection Type (s): Inspection Date (s): ( ) Periodic �,4 Continuous aft Describe Inspection, including Location(s): / _ _.P_��� §6F % .. RAr ht7pr._tSfCS.t..17 .. r..,. i�t�4In...tg .P ...... NAV� �YY1Lt�� ._.. /_ �nr Ri )l�iM—F>L1.(tk�p6 ...... .52 `E...._`t'_....LS�.ebC1✓._ Quals...._r.l�f+ file__./. .... 5t� MIT - List Tests Made: .._...._..._..__..r...._..._..._.................._...._........_........._......._...._........._....._......_...._...._....._..._....._.....:._........._...._........_....._...._....._.._--- _----- _----------- _ ff Total Inspection Time Each Day: Date �.t 2 2, _ .._..._.. Hours:�..._.._...._...._..._ List All Items Requiring Correction (Include Previously Listed Uncorrected Items): To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. Special Inspector :Signature: Datek. 2 Print FullName: Newport.Beach Registration No.: e4m &Prm r OAJ02 SpeciallnspectionReport 8-24-15 DAILY FIELD REPORT Priority Engineering 335 E. Blueridge Ave Orange CA 92865 (949) 391-8200 Project Address % Project No. Client / i Date Day Contractor Weather Equipment Te nician observation/Testing Of G Start _ End otaf Mileage j Pe�0. Time Time Hours i =f7ZO 2 6 _ )) 6 cJ Received By Representing k Technician DAILY FIELD REPORT Priority Engineering 335 E. Blueridge Ave Orange CA 92865 (949) 391-8200 ProjectAddress Project No. Client Date Day Contractor Weather Equipment Tj5GPni . cian Observation/Testing of Start Z� Q I------ --- End -J Total Mileage j Permit No. Time Time Hours -J vxn C, 4 4=1 A, Received By Representing Technician CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92668 www.nemortbeachca.gov 1(949) 644-3200 SPECIAL INSPECTION REPORT Project Permit Number: k -t DEPUTY I INSPECTION 1-800.DEPUTYI ��Gen Contr: y/' Sub-Contr. see Inspection Type (s): Inspection Date (s): U 9 ( ) Periodic (�) Continuous . ' . ', WAll ttenu7tMuift arrkdon (indu&PreWoL* Usted Uncorrected imm): " P � r i � a l e .• .1 � ! . 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