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Home My WebLink AboutX2017-4056 - MiscX,408714056 30q 33rl SJ 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: 309 33rd Street Y Report Date: / l i ' CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address d different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNFCTIANS r1RRFRVFII lrharlr annlirehin k..i FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steep ❑ Concrete 5l-{ *11 hQtn) Lj ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles,Wood Grade Beams or Manuf. Shear Panels ❑ Masonry Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: I ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents. and all observed deficiencies ware cerrwrtarl 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. ')9 No. 4340 EXP: 12/31/2019 STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION RY AUTI MPUFn cNPI nYPPs nP TWX CITY Mc ucwoneT aceru FotmiV tm=R[ObsmatiotiReponar o ti.. 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: 309 33rd Street l Z6Report Date: /17 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 M SO License / Reg. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check anolicable boxes) 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. /til 1/21N/ J IAMY OF 5I KUL; I UKAL UBSEKVLK nRQFRVATInm nnFQ mnT wAIVC ANv RFOInivCMFNTQ rnP RIIII niur wcocr,TmU ov A, rrUnolTcn eru1R1 nWCC nC TUC nrm nc NCumnoT oeeru Forms\Strur alObse atiooRepon&lma cdom FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete 5r}j�QZ a f (tt I / ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles,Wood Grade Beams or Manuf. Shear Panels ❑ Masonry Woad ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: K01\316 ❑ 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. /til 1/21N/ J IAMY OF 5I KUL; I UKAL UBSEKVLK nRQFRVATInm nnFQ mnT wAIVC ANv RFOInivCMFNTQ rnP RIIII niur wcocr,TmU ov A, rrUnolTcn eru1R1 nWCC nC TUC nrm nc NCumnoT oeeru Forms\Strur alObse atiooRepon&lma cdom 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 (949) 644-3200 Structural Observation Report Project Address: 309 33rd Street Report Date: CNB Inspector Name: CNB Permit #: 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. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check aniolicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo 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 I Wood ❑ Other: ❑ Other: =0 Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. INAL 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. 3////11 i�tr��QPJV D RO( 42 1P i W No. 4340 m EXP: 12/31/2019 A s',�rFTOF CA 'rO, P STAMP OF STRUCTURAL OBSERVER OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomuVSrtucwrelObomatiovRepon&Inshacrio,ss CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 y ww.newportbeachca.pa_v 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: p CNB Inspector Name: CNB Permit #: 30933rd Street Ml�t�/ off, DATE OBSERVED ❑ Conventional Footincis & Slab Building Owner Name: Owner's 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. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footincis & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles,Wood Grade Grade Beams or Manuf. Shear Panels ❑ Masonry ,,Wood � 1& ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. *OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT: h 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 1 t ///V// QQY J� D. RO m QP y�F 2c P y CD No. 4340 m EXP: 12/31/2019UCTU A �TgrR OF CALO�a\P STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms%"sure Obsewat eaWan&lmt=tiom O� �gW P CITY OF NEWPORT BEACH u`" z COMMUNITY DEVELOPMENT DEPARTMENT C,q��aN�� BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachea.gov 1 (949) 644-3200 Structural Observation Report Project Address: 309 33rd Street Report Date: 1/21/2019 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. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED X Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete DE g Delta 3 Footings & HD's 1/21/19 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑Other: ❑Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No deficiencies Noted ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generall 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. 1/21/19 y��<i•QPJ" D. RpC Fy �P y Lu No. 4340 m EXP: 12/31/2019 * �T9 P OF CALFO��\P STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\StmctumlObservationRepoit&lnstnmtions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 309 33rd Street Report Date: � / CNB Inspector Name: CNB Permit#; Building Owner Name: Owner's Mailing Address (N different from site); Owner's Telephone M CNB Plan Check #: Full Name of Structural Observer (SO): Paul Rohrer SO E-mail Address: SO Telephone #: SO License / Reg. M ElMat Foundation, Prestressed Concrete Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED h FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo c eck a Iicable INDICATE LOCATION(-S-)--F-DATE OBSERVED oozes I OBSERVED ❑ Conventional Footin s& Slab ❑ Concrete ❑ Steel ❑ Concrete _E S r s f0 ElMat Foundation, Prestressed Concrete EJMasonry ❑ Concrete Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood orManuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: tjW6 ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structuregenerally complies with the approved construction documents and all observed d £ I 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 1 have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. FE e rc enc as were corrected. 91 No. 4340 EXP: 12/31/2019 SIAMP OF STRUCTURAL OBSERVER DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION aY AUTHORIZED EMPLOYEES nF THE rnv nr HCwonOT uoenu FortMSbu�turelObserva,iovRepon@Im,Ncllo�u WPO CITY OF NEWPORT BEACH a COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newDorYbeachca.00v (949) 644-3200 Structural Observation Report Project Address: Report Date: 309 33rd Street 41,2 c- i CNB Inspector Name: Building Owner Name: Full Name of structural Observer (SO): Paul Rohrer FOUNDATIONS Conventional Footings a Slab ❑ Mat Foundation, Prestressed Concre ❑ Caissons, Piles, Grade Beams ❑ Other: SHEAR WALLS ❑ Concrete ❑ Masonry ❑ Wood or Manuf. Shear Panels ❑ Other: CNB Permit #: Ga Owner's Mailing Address (if different from site); Owner's Telephone #: CN8 Plan Check #: SO E-mail Address: SO Telephone #: SO License / Reg. #: Paula PRSEinc.com 714-272-9579 S4340 FRAMES DIAPHRAGMS INDICATE LOCATION(S) DATE Floor/Roo OBSERVED OBSERV ❑ Stael ❑ Concrete s zs r ❑ Concrete ❑ Steel Deck ❑ Masonry ❑ Wood ❑ Other: ❑ Other. ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: l n ❑ FINAL STRUCTURAL OBSERVATION REPORT. 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 syWtural systems by the City of N Division. / ewport Beach, Building ✓ ❑ REPORT CONTINUED ON ATTACHED PAGES. Am No. 4340 EXP: 72/31/2019 a iv,mr Ur 6 I RUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYE ES OF THE CITY OF NEWPORT BEACH. Pesms?StrutturNObsrnviaalsPon&Irtswcria� 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 newoortbeachcagov (949) 644-3200 Structural Observation Report Project Address: 309 33rd Street Report Date: CNB Inspector Name: CNB Permit #: DIAPHRAGMS Floor/R000 IS �� 4UA6.1 DATE OBSERVED Conventional Footings & Slab 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. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL FI FMFNTC ANIn cnranuernnue M120CovCn FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/R000 n4V INDICATE LOCATION(S) OBSERVED 4UA6.1 DATE OBSERVED Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete i Lina °L F -T i 401/b j6 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ 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. . ) 16 111 No. 4340 EXP: 12/31/2019 STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. 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.newportbeachcagov 1(949)644-3200 Structural Observation Report Project Address: 309 33rd Street Report Date'f: ?,,S (�. CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): Paul Rohrer SO Email Address: SO Telephone #: '714-272-9579 SO License / Reg. #: S. Paul@PRSEine.corn ❑ Mat Foundation, Prestressed Concrete S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check a licabl b FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo e INDICATE LOCATION(S) OBSERVED oxes DATE OBSERVED Conventional -footincis & Slab ❑ Concrete ❑ Steel 11Concrete S. ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ 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 ninserved dafirlanriaa wa,a 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. '7_31t 6 Ar"��QPJV D. RO��F2 y FP w No. 4340 m EXP: 12/31/2019 'P 'y OF CALRO��\P STAMP OF STRUCTURAL OBSERVER OBSERVATION DOES NOT WAIVE ANY RFONIR9MFNTS FOR Rum mrin imaccr'nnu av Auruneoen coral nveee ..� r�� ..,'........................ -. Forms\SmawdObsmationReponal.,.,,io,u 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: 309 33rd Street ReportDate: J / / j CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing AWres (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. #: Paul Rohrer Paul@PRSEinc.com 714-272-9579 S4340 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check annficable boxes 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'll e01b, A No. 4340 EXP: 12/31/2019 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSYRVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footin s & 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: ❑ 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. I'll e01b, A No. 4340 EXP: 12/31/2019 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSYRVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. X2017-056 CITY OF NEWPORT BEACH 301 33rj S4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive i P.D. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: Building Permit 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 fiat 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: O NAVD88 O NGVD29 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 Building Inspector. RIDGES (3:12 slope or greater) y/Tl� 1. Approved elevation point of ridge is 1*L*7LM and actual elevation point is 127 al) 2. Approved elevation point of ridge 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 12l-';�and actual elevation point is ZZ•Z� 2. Approved elevation point of flat roof or parapet is and actual elevatidn 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: Ca"IS in compliance with the City -approved plans. OIS NOT in compliance with the City -approved plans (Provide explanation). Please describe any deviation from Surveyor or civil Eng (Wet stamp and * License number of 33965 or lower f rmsffiuitding I[cighl Cetlification 11/02/16 on the back of this form. 7 I Date 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.newportbeachea.gov 1 (949) 644-3200 Project Street Address: Building Permit Number(s): As the surveyor of record for the project at the above address, I hereby certify that I have review«d 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:. O NAVD88 O NGVD29 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 Building Inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is 127AR and actual elevation point is 124RU4 2. Approved elevation point of ridge is andactual elevation point is i 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 t23'a4nd actual elevationpoint is I 22 � . 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 1 certify that the above height measurements are correct and the above project: IS in compliance with the City -approved plans. e 0��""'' ISNOT in compliance with the CityC%)I_INr6 s (Provide explanation). Please descyibe anydeviation fr1 the C' -ap 3p9` k of this form. '"LIJARQQAMM) 11/20/1 Surveyor or Civil Engi ers* Qnat d al 3 Date (Wet stamp and signature requi 89OQ? * License number of 33965 or lower FQM%\Brulding Height Certification 11/02/16 PAUL ROHRER 3INEERS ustin CA 92780 '14) Z72-9579 a a' WORTSMAN RESIDENCE 309 33rd STREET NEWPORT BEACH CA Job No: 17-076 Designed By. PDR Date: _5/16/2018 PARTIAL S2.0 FOUNDATION PLAN Sheet No: T 2 0 Ca10ERTS, Inc. X2017.41056 page 1 of 304 33`A s4 -A (/)Secure (https://www.calcerts.com/) David Reed logged in [Logout] (login, cfm?process=logout) CBICERTS Inc. / Secure Home (/index1.cfm [My User Profile] (myinfo• _edit.cfm) HERS PROVIDER About (https://www.calcerts. com/about-us/) • Training • HERS Certifications (/training certification.php) • EPA 608 Certification (https://www.calcerts.com/epa-608-certification/) • Building Department Training (https://www.calcerts.com/hers-registry-training-for-building-departments/) • Training Schedule (/Training_schedule.cfrn) • Training Center Training Center Rooms (/ctc rooms.php) Earth Room (/ctc earth room.php) Hybrid Room (/ctc hybrid_room.php) Sky Room (/ctc_sky_room.php) Solar Room (/ctc solar room.php) Efficiency Test House (/ctc_efficiency.php) Find a Rater (/RaterSearch.php) Resources • Registry User Manual (https://www,calcerts.com/forms/2016CaICERTS Registry_User_M• anual_v101816.pdfj Field Support FAQ (https://www.calcerts.com/faq/index.html) • QII Handbook (/forms/2016 CaICERTS_QII Booklet_v2018-10-18%20Final.pdf) • CaICERTS Newsletter (https://www.calcerts.com/newsletters/) • Registry Help (https://calcerts.zendesk.com) • New (https://www.calcerts.com/news/) • Jobs at CaICERTS (https://www.calcerts.com/jobs_at_calcertss o Career Resources for Raters (https://www.calcerts.com/job-opportunities-placement-resourceso ^ Quality Assurance Reviewers (https://www.calcerts.com/quality-assurance-inspectors/) • Homeowner Consumer Information (https://www.calcerts.com/homeowner-consumer-information/) • Builders/HVAC Contractors Information (https://www.calcerts.com/buildershvac-contractors-information/) • CECAETMa Blueprint Newsletter (http://www.energy.ca.gov/efficiency/blueprints • Contact Us (https://www.calcerts.com/contact-us/) Menu MATCH FOUND BACK New Search MODIFY SEARCH PROJECT STATUS REPORT GENERAL INFORMATION Energy Standards Code Year: 2016 Project Name: Wortsman Remodel (Lower) Project Type: Alterations SFR Address: 309 33rd Street City / State / Zip: Newport Beach / CA / 92663 Enforcement Agency: City of Newport Beach https: //www. calcerts. comlbuildingDeptLookup. cfm?searchBy=2&lot_id=13 00609&step=3... 9/23/2019 Ca10ERTS, Inc. HERS VERIFIABLE COMPLETE MEASURES: OVERALL COMPLETE STATUS: CF1 R INFORMATION - Certificate of Compliance (Lists Required Energy Features) Certificate Type: Compliance Registered Form: CFIR-PRF-01 Registered Date: 12/14/2017 15:30 Registration Number: 217-P016566466A-000-000-0000000-0000 PDF: yj (cert_Sessionprint.cfm?source=1) CF2R INFORMATION - Certificates of Installation (Documents the proper Installation of required energy features) 91 Page 2 of 4 Easy to Verify @ calcerts. com System Form RegisteredDate Registration Number 217-P016566466A-000- CF2R-ENV-01-E 001-E01001 A-0000 (Fenestration 09/12/2019 20:17 Robert Mattox Installation) (R K M HEATING & AIR CONDITIONING INC) CF2R-ENV-03-E 09/12/2019 (Insulation Installation) 20:17 CF2R-MCH-01-E (Space Conditioning 09/12/2019 Systems, Ducts and 20:17 Fans) 217-P016566466A-000- 001-E03001A-0000 Robert Mattox (R K M HEATING & AIR CONDITIONING INC) 217-P016566466A-000- 001-M01001A-0000 Robert Mattox (R K M HEATING & AIR CONDITIONING INC) M) >I (cert_ Sessionprint.cfm? source=2) > (cert_Sessionprint.cfm? source=3) >'' (cert_Sessionprint.cfm? source=4) https://www.calcerts. com/buildingDeptLookup.cfm?searchBy=2&lot_id=1300609&step=3... 9/23/2019 CalCERTS, Inc. System 1 I rLK-MUH-20-1- of HERS Measures) (Duct Leakage) System 1 CF2R-MCH-23-H System Form (Airflow) System 1 CF2R-MCH-22-H Date (Fan Efficacy) System 1 CF2R-MCH-26-H (Rated Equipment) 2/2019 I.V '-""`uuulq-0000 7Robert Mattox (R K M HEATING & AIR CONDITIONING INC) 09/12/2019 20:17 09/12/2019 20:17 09/12/2019 20:17 System 1 CF2R-PLB-02-E 09/12/2019 (SO HWS Distribution) 20:17 217-P016566466A-000- 001-M23001A-0000 Robert Mattox (R K M HEATING & AIR CONDITIONING INC) 217-P016566466A-000- 001-M22001A-0000 Robert Mattox (R K M HEATING & AIR CONDITIONING INC) 217-P016566466A-000- 001-M26001A-0000 Robert Mattox (R K M HEATING & AIR CONDITIONING INC) 217-P016566466A-000- 001-B02001A-0000 Robert Mattox (R K M HEATING & AIR CONDITION Page 3 of 4 j>! (cert—Sessionprint.cfm? source=5) >1 (cert_Sessionprint.cfm? source=6) (' > (cert—Sessionprint.cfm? source=7) 4 > (cert Sessionprint.cfm? source=8) >� (cert Sessionprint.cfm? source=9) INU INC) CF3R INFORMATION - Certificates of Verification of HERS Measures) (Documents the verification System Form Registered Date Registration Number 217-P016566466A-000- System 1 CF3R-MCH-20-H 09/12/2019 001-M20001A-M20A (Duct Leakage) 20:50 Rex Hoefer Dang so (certSessionprint.cfm? (REX QUE urce=10) HOEFERDANG) 217-P016566466A-000- System 1 CF3R-MCH-23-H 09/12/2019 001-M23001A-M23A (Airflow) 20:50 Rex Hoefer Deng ; ' (cert—Sessionprint.cfm? (REX QUE source=11) HOEFERDANG) 217-P016566466A-000- System 1 CF3R-MCH-22-H 09/12/2019 001-M22001A-M22A (Fan Efficacy) 20:50 Rex Hoefer Dang I>, (cert—Sessionprint.cfm? (REX QUE source=12) HOEFERDANG) https://www.calcerts.com/buildingDeptLookup.cfm?searchBy=2&lot id=1300609&step=3... 9/23/2019 Ca10ERTS, Inc. 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(0 I All Rights Reserved https://www.calcerts.com/buildingDeptLookup.cfm?searchBy=2&lot id=1300609&step=3... 9/23/2019 XZ17-LI056 wPwngT 305 33rd 34 CITY OF NEWPORT BEACH REPORT OF SPECIAL INSPECTION TYPE OF INSPECTION: Epoxy set horizontal rebar dowels/retro-fit all thread rod AB's DATE: 8/29/2018 OWNER: Wortzman REGISTRATION No.: NB0569 PROJECT ADDRESS: 309 331a st, Newport Beach CA ARCHITECT: PaceENGINEER: Paul Rohrer PROJECT TYPE: Residential remodel/addition I BUILDING PERMIT: X2017-4056 Observation and verification of the following work: Installation of epoxy set horizontal rebar dowels at plumbing trench patch back areas (4) retro -fit all thread rod anchor bolts #4 horizontal rebar dowels installed at 16"oc each side of trench tied together w/ min 8" embedment into existing to new foundation slab on grade connection at (2) utility/plumbing trench patch back areas. See detail 1/S4.3 (4) 5/8"0 retro -fit all thread rods installed w/ min 8" embedment into existing exterior footing at bathroom wall new retro -fit anchor bolt locations. See detail 5/S4.3 All work done in accordance with City of Newport Beach Building Department approved construction plans, ICC Evaluation Service Report 2508, ASTM C172/C31, ACI 318-5.6, 5.8, 5.9, 5. 10, and CBC sections1903/1704.4. Holes were drilled to the required diameter and embedment depth, holes were blown out at 97 psi, brushed out, and then blown out again at 97 psi prior to epoxy application. All horizontal rebar dowels and retro -fit all thread rods were inserted into epoxy filled holes and rotated Y turn at time of installation. Simpson eox SET -XP was used. No problems noted at time of inspection. Steve Skeffington Deputy Inspector ICBO CERTIFICATIONS: 1030205-10,20,30, 40, 49, 50, 51, 55, 60,89 ICC CERTIFICATIONS: 1030205-83, 135, B6, C5, C8, E5, M5, P5, R5, CB ACI FIELD TECHNICIAN GRADE 1: 0023995 19386 Highridge Way • Trabuco Canyon • CA 92679 • (949) 228-1261 • steve@coastdevelopment.net OF CITY OF NEWPORT BEACH REPORT OF SPECIAL INSPECTION .. .,,,,,,vucupuumon -- Observation and verification of the following work: BUILDING PERMIT: X2017-4056 lnsse vl lon of epoxy set horizontal rebar dowels/retro-fit all thread rod (2) #4 horizontal rebar dowels installed T&B w/ min 8" embedment into existing exterior footings to new footing connection, (2 locations, 8 dowels total) See detail 1/S4.3 (16) #4 horizontal rebar dowels installed at 16"oc w/ min 8" embedment into existing exterior footing at new foundation slab on grade connection. See detail 1/S4.3 (14) 5/8"0 retro -fit all thread rods installed w/ min 8" embedment into existing exterior footing at new retro -fit anchor bolt locations. See detail 5/S4,3 All work done in accordance with City of Newport Beach Building Department approved construction plans; ICC Evaluation Service Report 2508, ASTM C172/C31, --- 318-5.6, 5.8, 5:9, 5. 101 and CBC sections 19b311704.4. Holes were drilled to the required diameter and embedment depth; holes were blown ouf at 97 si, brushed out, and then blown out a all at 97 si rior to e ox licatbn. All horizontal rebar dowels and retro -fit all thread rods were inserted into epoxy filled holes and rotated'/ turn at time of installation. Simpson epoxy SET xp w Vo pr_ _ obiems noted at time-nf �n�„o, +; as used. w3u[u5-10, 20, 30, 40, 49; 50, 51, 55, 60, 89 030205-83, B5, B6, C5, C8, E5, M5, P5, R5, CB GRADE 1: 0023998 rr s CITY OF NEWPORT BEACH REPORT OF SPECIAL INSPECTION I Observation and verification of the following work: BUILDING PERMIT: X2017-4056 Installation of epoxy set horizontal rebardowels/retro-fit all thread rod (2) #4 horizontal rebar dowels installed T&B w/ min 8° embedment into existing exterior footings to new footing connection. (2 locations, 8 dowels total) See detail 1/S4,3 (16) #4 horizontal rebar dowels installed at 16'bc w/ min 8" embedment into existing exterior footing at new foundation slab on grade connection. See detail 1/S4,3 (14) 5/8"0 retro -fit all thread rods installed w/ min 8" embedment into existing exterior footing at new retro -fit anchor bolt locations. See detail 5/S4,3 All work done in accordance with City of Newport Beach Building Department approved construction plans, ICG Evaluation Service Report 2508, ASTM C172/C31, ACI 318-5.6, 5.8, 5.9, 5,10, and CBC sections 1903/1704.4. Holes were drilled to the required diameter and embedment depth, hales were blown out at 97 si, brushed out, and then blown out a ain;at 97 si rior to e ox a lication. AH harizantal rebar dowels: and retro -fit all thread rods were inserted into epoxy filled holes and rotated '/ turn at time of installation. Sim sone ox SET -XP was used: No problems noted at time.:: of insnecti�n Steve icso c FIELD s-10, 20, 30, 40, 49, 50, 51, 55, 60, 89 33, B5, B6, C5, C8, E5, M5, P5, R5, CB 1:0023995 k„ iI $ " CITY OF NEWPORT BEACH REPORT OF SPECIAL INSPECTION CA -........ Il1/11 aggltlon -.-..- I Uut lNuilieu Observation and verification of the following work: BUILDING PERMIT: -X2017-4056 Installation of epoxy set horizontal rebar dowels/retro-fit all thread rod (10) #4 horizontal rebar dowels installed at 32"oc w/ min 8° embedment into existing : exterior footings turned down 90° into new interior footing. See detail 1/54.3 (8) #4 horizontal rebar dowels installed at 18"oc w/ min 81" embedment into existin footing turned down 90° into new footing. See detail 5/54.3 9 exterior (4) 5/1 retro -fit all thread rods installed w/ min 12" embedment into existin exterior footing at new HDU4 hold down locations, See detail 9/54.2 g for All work done in accordance with City of Newport Beach Building Department approved. construction plans, ICC Evaluation Service Report 2508, ASTM C172/C31, ACI 318-5.6, 5.8; 5.9, 5,10 and_CBC sections 3/1704 44 Hales were drilled to the required dl m rand embedment depth, holes were blown out at 101 si, brushed out, and then blown out a ain at 101 si rior to e ox a lication. Ali horizontal rebar dowels and retro -fit all thread rods were inserted into epoxy filled holes end rotated "% turn at time of installation. Simpson epox . SET XP was used. Vo rablems�qT�{ at time of insoPrti�l, Steve Skeffingto� ICBO CERTIFICATIONS: 1030205 ICC CERTIFICATION& 1030205-B,' ACI FIELD TECHNICIAN GRADE 1: 30; 40,,49, 50, 51, 55, 60, &8 16; C5, C8, E5, M5, P5, R5, CB as