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"/°!$ f I �, ,. vY Yr 4.}� eu,.,SSa3ppd 78 aw8 fi.Y� 3oafad uolloodsul [eiaads;o poda-d ;..,..; �-� muoa-gns :nuo:)mg laanaaa-oos-1 NOIlmas I i aaa V017-106 1491 Bay Ave W 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 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $188.00 RESIDENTIAL: NO FEE PROJECT:_ 1421 g�� OWNER'S NAME: ,.1 RE PHONE NO _`ice _2S4_ 2R(0 JOB ADDRESS: BUILDING PERMIT NO.(s):-J.J.6t f_- I40, Request is hereby made for the release of electrical on subject project only for the purpose of testing equipment and/or mechanical systems prior to building permit final approval. I agree that no building or structure shall be used or occupied until the Building inspector has issued a building permit final approval or Certificate of Occupancy. Moving in furniture, staging, showing for sale, or any use other than construction, shall be considered use or occupancy and a violation of this agreement (CBC 111.1). Furthermore, it is not our intent to use oroccuppthis building until all City regulations and conditions concerning this building have been co led with, and it is understood and agreed that the City of Newport Beach is hereby authoriz order disconnect of service without notification for any violation of the above conditions pri final app val or Certificate of Occupancy. --------------- ------------ -- ------------- --------- OWNER or TENANT SIGNATURE _ , , / DATE. PRINT name of owner or tenant: _ _. _ . . PHONE #: CONTRACTOR SIGNATURE: DATE: tI1SIlq _ PRINT name of contractor kJnTl b�vDjeLopM el r 4rto% PHONE #: �J," • (P� ._ o32Z (for office use only) APPROVED BY: l ➢S!'!it/ Buildino Inspector Date Forms\TEMPORARY POWER RELEASE APPLICATION. 09/13/2018 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 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) /VZ / , Project Address: Permit Number. Property Owner: A Licensed Contractor: Lic #: 9e6/ 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. ❑0a, 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 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. I, the undersigned, her y certify that I am the permittee or homeowner of the project. I further fy that smoke alarms and carbon monoxide alarms are present and teste funcY nal in all the following locations: Signature: _ Date: NOTE: This self -certification is only used for projects to the exterior of the structu whereccess to the interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. Fo,m.lSmokeOetectorandCarbonManoxideSelfCed 62/25116 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 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) /Z/2/_I Project Address: Permit Number: Property Owner: A Licensed Contractor: Lic #: 9ZI6/ 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: ❑mz 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 ❑EEk"" 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. I, the undersigned, her y certify that I am the permittee or homeowner of the project. I further fy that smoke alarms and carbon monoxide alarms are present and teste fun ct' nal in all the following locations: Signature: Date: NOTE. This self -certification is only used for projects to the exterior of the structu wh*ccessthe interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. FormslSmokeDetectorandCarbonMonoxideSelfCert 02/25n6 HARBOR ALL GLASS & MIRROR, INC. Costa Mesa, CA 92627 www.harborallglas s.com To whom it may concern: License #702412 Phone: 949-642-0424 Fax: 949-650-7493 Rami Designs has installed CR Laurence aluminum base shoe channel per detail 2/5D5 of the approved plans by KK Sungroup with date stamp of 4-14-17. We have installed 1/2" tempered monolithic low iron glass with a wet glazing system based on manufacturer suggested method and stainless-steel top rail. Regards, Jill Rodriguez Harbor All Glass & Mirror Inc. 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 CONTRACTORIPROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: 1 "rtA W , !F!ty Date: % • Z' • lei Permit #: 2D ZO(o 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: "'415a License No (if applicable) 92-110 1 Installer's Mailing Address: 147-11 $15 010Z Phone # (required): `i4F1 (o` -10322 Installer's Email: kqt#46 :::& q -Y- 20 FAX#: Installer 5zWV Jr. yGOV-P'GO#J, 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 applicable 2013 California Green Code and Newport Beach Municipal Code (NBMC) 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 NBMC 301. 1.1 has been replaced meeting the low flow requirements: Kitchen faucets: 1.5 gal/minute at 60 psi Shower heads: 2.0 gal/minute at 80 psi Water closet: 1.28 gal/flush Faucets: maximum flow rate of 1.5 gal/minute at 60 psi, and minimum 0.8 gal/minute at 20 psi (0-24. ► 9 Installers Signature Date Property Owner (Required) As the property own o the project address noted above, I have read, understand and agree to participate in the Plumbing Fixture R la ment Self -Certification Program. I further understand that by participating in this program, the plumbing 4une of be inspected by a City of Newport Beach Building Inspector during construction or after installationested. a Buil Ing Division may request and reserves the right to verify code compliance after the installafete. roperty Owner's Signature Date "b ALI>ei Gef m _qs,".1'-t- Print Name 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) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 Forms\Contractor-Owne,Sel!-CerlDeclamtion-Plumbing Fixture Replacement 08111/16 CITY OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.l P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.00v 1 (949) 644-3200 uALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: liz44 IJ, 06%&4 PERMIT NO.: � -ZZ 1-7 -- 17 -ID td 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 (65% min. reuse of nonhazardous waste) VOC Contents Limitation Formaldehyde Emissions Limitation �J T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mach., Plumb.) T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mach., Plumb., HERS) AOperations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) T� I 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 • I certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct. • 1 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. Responsible Person's Name: Responsible Person's Signature: g:,;:Pe,P fi' 4,1 JO -14 Del. Date Signed: p,jP Position/Title: 6 ry /71-).1,,, Notes: rAtm3\CALGreen Documentation compliance ceruorm I.mgr APRT CITY OF NEWPORT BEACH Q COMMUNITY DEVELOPMENT DEPARTMENT n BUILDING DIVISION V ply 2 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 c www.newportbeachca.gov 1 (949) 644-3200 - 4CtFp F��P CIVIL ENGINEER'S CERTIFICATION FORM From: Date: L Cil ATTENTION: GRADING ENGINEER, BUILDING DIVISION GPC No.: Tract/Subdivision/Lot No.: fr'1 i4 Rough: _Final:."/ rt• , Project Names: Owner/Developer: lit' z"'i" Type of Project: Notes: _ Tract: _ 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, f with the following changes to the approved grading plan. Description of Changes: ' _ " ` uRVEyO Company:�ri W cn i,q Name: (print) (sign) SIM— License No.: (RCE/LS) rormsmrvn engineers uenincaaon rorm n-ic i) CERTIFICATE OF COMPLETION CUSTOMER NAME: Andre brysha DATE: 4/3/19 ADDRESS (EQUIPMENT INSTALLATION): 1421 W Bay Ave CITY: ---Newport Newport Beach STATE: CA TYPE OF EQUIPMENT, SYSTEM, INSTALLATION: ZIP: 92661 3 -stop Garaventa Elvoron MR [X HALL DOORS COMPLY 3X5 CODE (ELEVATORS WITH SWING TYPE DOOR) (X) PHONE IN ELEVATOR CAB IS ACTIVE AND WORKING PROPERLY [Xl OWNERICONTRACTOR IS SATISFIED WITH THE LOOK 8 OPERATION OF THE ELEVATORIDUMBWAITER Cxl KEYS RECEIVED: YES IN NO ❑ NUMBER OF KEYS One Set 9 TRAINING. FOR.S.AFE QP_ERATION HAS BEEN PERFORMED Emergency Battery Lowering - System operation has been demonstrated. ® AFULL SE -OE-PR@ M-HASEEENIEFTANCONMOLLER [X COMPLETION PHOTOS TAKEN CX OPTIONAL PLANNED MAINTENANCE AVAILABILITY EXPLAINED LRi EM_ERG-EN_D)BATTE�OWERING E..XPLA_INED jF0R USE IN POWE R_OUTAGE. LR RE9-EST FOR INSTAL LA TIQN 9 R EQUIPMENT CHANO, E The following fieldlshop changes to the P.O./Contract are requested. We agree that McKinley Equipment will modify the P.O./Contract and Invoice these changes for time and materials. jg=: EQUIPMENT WILL BE RELEASED FOR OPERATION UPON FINAL PAYMENT ONLY.) 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