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HomeMy WebLinkAboutS2023-0188 - PermitsCity of Newport Beach eafW�R Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u T Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �9t/coaN�P 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: ■■■■■■■M■■■■■■ D ............. �Il g ■ ■■■■■■■MEMO■■■ ■■■ ■■■■■■ MEN OEM ■■EMMEMEM MEMEN No I!■■■ E■■■■M MEEM■M MEN 'iMMMM■MMEMEMEME ME■MMEMEMMEMEM 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