HomeMy WebLinkAboutS2023-0188 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Combination Type -
Work Class - Other
111111III �11111111111111111111111111111111111111111111Pool Permit : S2O23-o188
Plan Check No : PC2023-2193
Issued Date : 09/07/2023
Final Date:
Permit Status: Issued
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 701 PATOLITA DR
Description: SFR NEW SPA 76 SF
Owner: GREGORY NEWMAN
Address : 24351 TITUS DR
DANA POINT, CA 92629
Phone
Applicant: BRETT STEELE
Address : 4921 E LEEDS
ORANGE, CA 92867
Phone : (714) 496-1427
Owner/Builder :
Address :
Phone
Legal Desc :
Contractor :
BRETT STEELE
Address :
4921 E LEEDS
ORANGE, CA 92867
Phone :
(714) 496-1427
Con State Lic
: 923975
Lic Expire :
10/31/2024
Bus Lic :
BT30042152
Bus Lic Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone : X
Use Zone:
—1�
PROCESSED BY: ���tltltl
SPECIAL CONDITIONS:
Architect
Address :
0
Phone:
State Lic
Engineer :
THOMPSON MATTHEW
Address :
1201 N TUSTIN AVE
r
ANAHEIM, CA 92807
4
Phone:
(714)630-6100
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
$40,000.00
0
0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fterl
,Section 7031,5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
Crofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
I, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the
IT provennents are not intended or offered for sale, if, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
.rnproved for the purpose of sale).
❑ I, as owner of the property am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and. Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
11 1 am exempt from licensure under the Contractors' State License Law for the following reason ____ ---- _
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements coverod by this permit, I cannot legalf)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:ltwww.teginfo.ce.govjcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am Itcensed under provisions of Chapter 9 (commencing with SectkPEIES
1sio 3 of the Business and Prof Co e, an y liner sa is in f II force
and effect. License Class License No Da Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUadECT AN EMPLOYER TO CRIMIAND CIVIL FINES UP TO ONE HUNG HOUSAND DOLLARS P1000,000), rN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEE&
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers' compensation. issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for if
arformanee of the work for which this permit is issued. Policy No.
11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatio
�surance carrier and policy number are:
eerier Policy Number Expiration Date
�ATme of Agent Phone #
JI certify that, in the pertormanc he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should becuma subject a t workers sahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Apollo _ - _ _ - _
ECt_ARATION REGA G C STRU LEN � NCYV `
hereby affirm under pen that there is a construction lending agency for the performance of the work for which this permit Is Issued {Section 3097, i 'I Cods).
endars Name Lenders Address
y my signature below, I certify to each of the following: v�
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and corn I nces and to laws relating to building construction.
I authorize representatives of this city or county t nt �Hrt;• aJ� e- entijad property for inspection purposes.
ACTION DATE BY( V (LARATRON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
t REGULATIONS PART 51 OFTiTLE 40 AND AQMD RULE
PFRMTTEXPIREP j d U I SIJBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA All required alarms, latches gates and fences which serveas part of a pool/spa barrier, shall
----- 4I� — ----- --- --- ----
PERMITexrENDEo ( � 7--r�AciMD be in place priorto approval to fill pool/spa &shall remain in place & be maintained for the
P€RMITFiNAt ^ iJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
CERTIFICATE OF 'Z�+.%y y/%�\j PROPOSED DEMOLITION
OCCUPANCY ISSUED 1 SIGNATURE:
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA (PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
Project Name:
Newman Residence
Inspector's License Number:
On File
Job Address:
701 Patolita Drive
Corona Del Mar, CA
Permit No:
52023-0188
Inspection Firm or Client: NBC Consultants Inc.
Inspector's Name: Jon Newsom
Contractor: Brette Steele
Field Identification: NR
Cast Date:
09/22/2023
Description:
Concrete Cylinder
I
Concrete Supplier:
Bender Ready Mix
Specified I - PSI:
4,500
Plant:
Santa Ana
Cast By:
Jan Newsom
Mix Design No:
3450038shot
No of Samples:
3
Ticket Number:
SA-101798
Total Yards:
7
Cast / Mix Time:
8:30 am
Concrete Temp (C1O64):
68F
Location:
New spa
Notes:
NR
NR = Not Reported. Results relate only to the tested specimens.
Cement Type: N R
Admixture: N R
Slump (C143): 2 in
Air Content (C173) (C231): NR
Air Temp (C 1O64): 62F
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C1231(Unbonded Method)
Date Specimens Received: 09/26/2023 Equipment Used:
Report Date: 10120/2023 SN of Equipment:
Technician Name: Michael Ahdunko Calla. / Recal. Date
Test Data
On File
On File
On File
Specimen ID
Number
Age at
Test
Date Of
Test
Time Of
Test
Specimen Dimensions (Iri Area
1 (in) 2 (in) 3 (in) 4 (in) Ins
Load
LES.
I
PSI
Break
Type
119542.1.1
28
10/20/2023
10:46 AM
6.00
6.01
NA
NA 28.32
190,630
6,730
3
119542.1.2
28
10/20/2023
10:48 AM
6.00
6.01
NA
NA 28.32
187,350
6,620
3
119542.1.3
Hold
28-DAY Avg. I PSI: 6,680
lest schedule Provldea by the Client
z Dimensions 1 and 2 = Diameters: Dimensions 3 and 4 = Height, NA if Cylinder 2.2 > Id > 1.0
R Break Type Designation DATA PER ASTM C1231 (Unhanded Method) Figure 2. 1 = Cone, 2 = Cone and Crack, 3 = Columnar. 4 = Diagonal. 5 = Side Fracture, 6 = Side Fracture Point
THE TEST RESULTS ARE FOR INFORMATION ONLY
Authorized Signature
Laboratory tests and results reported herein were performed for NBC Consultants Inc. by Specialized Testing, Inc. hurt Specialized Testing), Specialized Testing, Inc. authored this report using proud Information submitted by
NBC Consultants Inc.. Specialized Testing. Inc. employs the laboratory engineer. This report shall not be reproduced, except In full without written permission from Specialized Testing, Inc.
10600 Pioneer Boulevard, Suite G Santa Fe springs. California 90670 m, in Of .1
Report of Special Inspection
Project Name & Address Newman Res., 701 Patolita Dr.,
Permit Number S2023-0188
Inspection Type(&) R/C
Inspection Dates)
9-22-23 I IPeriodiclr (Continuous
Describe Inspection Made, including locations:
Shotcrete Inspection
Verified the Reinforcing steel for size, grade, lap, location, clearances and
bonding. Per Details on the approved plan per Sheets 100 of Standard Pool Plan
Details 1 -12. Placed approx. 10 cubic yards of 4500psi shotcrete,
Mix Design# 450038shot, Shotcrete Supplied by Bender R/M.
With one set of cylinders made for testing. Slump: 2"
Truck# J.0 / Nochi-1
Ticket# SA-101798
Location:
1) New Spa
Work is complete for the areas listed.
List Tests Made
Total Inspection Time Each Day:
List Items Requiring Correction, Include Uncorrected Items Previously Listed:
To the best of my knowledge, the work inspected was in accordance with the Building Department
approved design drawings, specifications and applicable workmanship provisions of the IBC except as
noted above.
Signed: Date:
9-22-23
Prime p lI N Jon Newsom Registration No. NB-0303
FO&M swz. zoi4
NBC Consultants Inc.
6941 Dresden Circle
Huntington Beach, CA 92647
Office 714-943-2777 Fax 714-892-5829
REGISTERED INSPECTOR'S REPORT
Joe No. Data 9-22-23
Time —
TYPE OF
Reinforced Concrete
tructurai steet Assembly Quality Control
INSPECTION
REQUIRED
Post Tension Concrete
Reinforced Masonry
Wood Construction__---.-.---913acCelings
tre Proofing Epoxy
aft Reber
ther _
city: Corona Del Mar
Job Address: 701 Patolita Dr.,
Job Name: Newman Res.
Permit No.: S2023-0188 Issued By: Newport Beach
Type of re: New Spa
Architect: Pool Engineering
Material Description (type, grade, source):
Engineer. Pool Engineering
4500psi Shotcrete
contractor Brett Steele Pools
Bill To:
Subcontractor:
Inspectors (a) Name: Jon Newsom
Contact into: Brett @ 714-496-1427
TEST PERFORMED BSteele27@Yahoo.com
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
6x12
2"
3
Spa
I
j INSPECTION SUMMARY- LOCATION OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED. JOB PROBLEMS. PROGRESS REMARKS, ETC.
INCLUDES INFORMATION ABOUT AMOUNT OF MATERIAL PLACED OR (WORK PERFORMED. NUMBER, TYPE A IDENTIFICATION
NO'S OF TEST SAMPLES TAKEN: STRUCTURAL CONNECTIONS (WELD MADE, N.S. SOLTS TORQUE) CHECKED, ETC.
Shotcrete Inspection
Verified the Reinforcing steel for size, grade, lap, location, clearances and bonding.
Per Details on the approved plan per Sheets 100 of Standard Pool Plan Details 1 -12.
Placed approx. 10 cubic yards of 4500psi shotcrete, Mix Design# 450038shot,
Shotcrete Supplied by Bender R/M. With one set of cylinders made for testing.
Slump: 2"
Truck# J.0 / Nochi-1
Ticket# SA- 101798
Location:
1) New Spa
Work is complete for the areas listed.
T
CERTIFICATE OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE
ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE
FOUND THIS WORK COMPLIES WITH THE APPROVED PLANS, SPECFICATIONS
AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS
SIGNATURE OF REGISTERED INSPECTOR
1036034 ICC
S ALTY NO. AGENCY
lob
CONTINUED ON NEXT PAGE ❑
TIME IN TIME OUT
7:30am -1. 9:30am_ 4
F
O.T. - SAMPLES
3
ALL INSPECTIONS SAND ON A MINIMUM OF 4 HOURS AND OVER 4 HOURS�HOUR
MINIMUMS, IN ADDITION, ANY INSPECTION EXTENDING PAST THE NOON HOUR WILL
BEAMS-HOURMINIMUM
Atwro"d by.. ..
Project Superintendent