HomeMy WebLinkAboutX2018-0232 - MiscV01-0.732
CITY OF NEWPORT BEACH pq Via rinrence
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
BUILDING HEIGHT CERTIFICATION
Project Street Address: 119 V404 -
Building
404 -Building Permit Number(s): Y loft 7-3�Z
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: 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)
ffif if (L,'dLE`1. Approved elevation point of ridge is Z3 f cr and actual elevation point is Z3 r S
RuT'— 2. Approved elevation point of ridge is 2�Z `s` and actual elevation point is —Z—z'
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 and 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 poih
I certify that the above height measurements are correct and the above project: �gc'o� MIEOF�I
V PIV01 y O
IS in compliance with the City -approved plans. Z
4653
OIS NOT in compliance with the City -approved plans (Provide explanati
Please describe any deviation from the City -approved plans on the back of this form. ATF OF CAO
0 -/P
Surveyor or Civil Engineer's* signature and seal Date
(Wet stamp and signature required)
* License number of 33965 or lower
FormsOuilding Height Certification 11/02/16
,%a'wP°tA CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
5, r BUILDING DIVISION
c 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-891 k�CSIVED
�c°Ry www.newgortbeachca.gov 1 (949) 644-3200 COMMUNITY
DEVELOPMENT
GAS METER RELEASE DEC 0 9 2019
APPLICATION
(Inspection/Administrative Fee: $194.00) CITY OF
PROJECT: �_« �. A. �--w-�-µ�-i .. _.. PoqT Sew
OWNER'S NAME: S >t_I _ S� -t? 5 _ PHONE NO: 31J 9c( S - SS0 j
JOB ADDRESS: 119 -41,4
BUILDING PERMIT No(s):__),e_Z'1 � •• 02-37-
Request
237-
Request is hereby made for the early release of the gas meter on the subject property only for the purpose
of testing mechanical systems prior to Certificate of Occupancy.
I HEREBY DECLARE:
• 1 agree not to occuRb ing or structure until the Building Division has issued a Certificate of
Occupancy. (Initial �
• I agree not use or have this building used or occupied until all City regulations and conditions have
been complied with. (Initla
• 1 agree and understand the following must be completed and approved prior to the release of the
gas meter. (Initial
1. Electrical system shall be completed and inspected.
2. The fire sprinkler system and alarm bell shall be operational and tested.
3. The project is four (4) weeks away from final completion.
4. Clear all holds from City Departments.
• I agr e not t stage or store any furniture inside the building prior to Certificate of Occupancy.
(Initial
• 1 understand the City of Newport Beach may order the service b scontinued without notification
for any violation prior to Certificate of Occupancy. (Initla
OWNER _`�-JN_�))VVV
PRINT name of owner or tena
CONTRACTOR SIGNATURE:
PRINT name of contractor C
APPROVED BY:
_DATE:
�7�� JotiJ PHONE #: Wil I
PHONE #:
/J (for office use only) r}
72
_ _. ..._._._..� __.a.a.e. _--.___..- y`�_x_...._...
Building Inspector Date
I U
Project
Date:
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 j Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION
FOR PLUMBING FIXTURE REPLACEMENT
r
Permit
The following is to be completed by the California licensed contractor or owner -builder, participating in the City of
Newport' Beach Self -Certification Program. Please type or print.
Installer's Name:
�� � >4 � � � License No (ii applicable)
Installer's Mailing Address: tSt' ( t3c Phone (required):
Installer's Email: , FAX #.
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 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 galiminute at 20 psi
(1.7-3.-1
Property'19Wner (P,equired)
As the property owner of the project address noted above, I have read, understand and agree to participate in the
Plumbing Fixture Replacement Self -Certification Program. I 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.
rdgnarure
Jr Un
Print Name
116//j
Date
�SMPso/t(16
Email
This form must be completed and returned to the City of Newport Beach, Building Division, for a final approval
of the plumbing 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 r: (949) 644-3250
Building Division
P. O. Box 1768
'wport Beach, CA 92658
Cernecla 2;ion-nishv:asherGarbzge0isp'P/zterCloset 12/18/13
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION a�CEIVED ay
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 COMMUNITY
www.newportbeachca.gov 1 (949) 644-3200 )EVROPMENT
TEMPORARY POWER RELEASE
APPLICATION
(InspectioNAdministrative Fee)
COMMERCIAL: $194.00
RESIDENTIAL: NO FEE
PROJECT: 1 I 9 -41 '�" FI_ t=
OWNER'S NAME: 3':i'A �— S\ "— 'S �,—I PHONE NO: �I
JOB ADDRESS
BUILDING PERMIT NO.(s)
Z'>lg • U2.
NOV 0 1 2019
"ITY OF
GLpOR-r BO'G�
99; •S'SL')S
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 or occupy this building until all City regulations and
conditions concerning this building have been complied with, and it is understood and agreed that
the City of Newport Beach is hereby authorized to order disconnect of service without notification
for any violation of the above conditions prior to final approval or Certificate of Occupancy.
-------------------------------------------------------------------------------------------------------------------------------
OWNER or TENANT SIGNATURE: DATE:
PRINT name of owner or tenant: PHONE #: 31-)
CONTRACTOR SIGNATURE:.__ DATE: Imo_
PRINT name of contractor:_�_ 1� v �� PHONE qo 3L1
(for office use only)
APPROVED BY:
Building Inspector Date
Forms\TEMPORARY POWER RELEASE APPLICATION. 08/23/2019
PURCHASE
R( _ D_
'KN # PO -20232
-CUSTOM METALWORKS --
Naddour's Custom Metalworks
2165 S. Grand Ave.
Santa Ana , California
92705
Phone
Vendor Address
PRL Glass Systems Inc.
13644 Nelson Ave.
City of Industry, CA, 91746
626-961-5890 x2077- lynna@prlglass.com
Deliver To
Ivana Talamantes
2165 S. Grand Ave. Date: October 02, 2019
Santa Ana , California Ref# ; Sailhouse 119 Via
92705 Florence
1 34.1821 x45.3125 1.00
112' Tempered Starphire Low Iron EA
Polished Edges
No Bug
2 39.8570 x 45.3125 9.00
'1/2" Tempered Starphire Low Iron EA
Polished Edges
No Bug
3 36.1708 x 45.3125 3.00
'1 /2" Tempered Starphire Low Iron EA
Polished Edges
No Bug
4 38.6840 x 45.3125 1.00
112" Tempered Starphire Low Iron EA
Polished Edges
No Bug
Terms & Conditions
Goods are subject to our inspection and approval. If shipment will be delayed for any reason, advise us immediately. Stating all the
necessary facts. To avoid errors, note specifications carefully and if unable to complete orders as written notify us promptly.
XXIS-Oz3z
699 V;a gorence
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.newl2ortbeachea.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
12/7/18
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. #:
Juan Miguel
juan@esifine.com
714-835.2800
C87016
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 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 verity 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
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Root)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
r
Conventional Footings
r Concrete
r Steel
r Concrete
Exterior Shear Walls,
Excluding Trellis
12/7/18
•
Mat Foundation,
Prestressed Concrete
r Masonry
r Concrete
r Steel Deck
rCaissons,
Piles, Grade
Beams
w, Wood or Manuf. Shear
IPanels
�— masonry
r Wood
F
Other:
r Other:
r Other:
r Other:
r
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
r
OBSERVED DEFICIENCIES AND COMMENTS:
r REPORT CONTINUED ON ATTACHED PAGES
r FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 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 verity 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
INVILTAGIBLINIATAME-4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1788 1 Newport Beach, CA 92858-8915
www.newportbeaohca.g (949) 844-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
10/15/18
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. #:
Juan Miguel
juan@esifine.com
714-835-2800
C87016
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
.. 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 verity that the structure is in general conformance
with the approved construction documents;
I 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.
10/15/18
SIGNATU EOF STRU TURAL OBSERVER OF RECORD DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional Footings
r— Concrete
Steel
1_77 Concrete
Exterior Shear Walls
10/15/18
Mat Foundation,
Prestressed Concrete
Masonry
Concrete
r Steel Deck
..
Caissons, Piles, Grade
Beams
B
ro Wood or Manuf. Shear
Panels
Masonry
Wood
Other:
(. •••• Other:
F Other:
r Other:
)✓',
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
OBSERVED DEFICIENCIES AND COMMENTS:
). REPORT CONTINUED ON ATTACHED PAGES
).. FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
.. 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 verity that the structure is in general conformance
with the approved construction documents;
I 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.
10/15/18
SIGNATU EOF STRU TURAL OBSERVER OF RECORD DATE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92558-8915
www.newoortbeachea.00v 1 (949) 644-3200
Structural Observation Report
Project Address:
Report Date: CNB Inspector Name:
CNB Permit #:
119 Via Florence
9/12/18
INDICATE LOCATION(S)
OBSERVED
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. #:
Emily Wright
emily@esifine.com 714-835-2800
C62784
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable 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. 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 verity that the structure is in general conformance
with the approved construction documents;
3. 1 understand that a0 deficiencies which I have documented must be corrected, prior
to final acceptance of the structural systems by the City of Newport Beach, Building
9/12/18
DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
1171,
Conventional Footings
r Concrete
177 Steel
r), Concrete
Floor Sheathing
9/12/18
ri
Mat Foundation,
Prestressed Concrete
Masonry
Concrete
171 Steel Deck
Caissons, Piles, Grade
Beams
. Wood or Manuf. Shear
Panels
': Masonry
, Wood
r
Other:
177 Other:
F.' Other:
r, Other:
✓
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
OBSERVED DEFICIENCIES AND COMMENTS:
r REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
he structural 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 verity that the structure is in general conformance
with the approved construction documents;
3. 1 understand that a0 deficiencies which I have documented must be corrected, prior
to final acceptance of the structural systems by the City of Newport Beach, Building
9/12/18
DATE
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive ( P.O. Box 1768 1 Newport Beach, CA 92658-8915
www,newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
6/14/18
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. #:
Juan Miguel
jusn@esifine.com
714-835.2800
C87016
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 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 verity 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.
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional Footings
F Concrete
FSteel
r Concrete
Rebar at interior footings atarage
/14/18
Mat Foundation,
Prestressed Concrete
r Masonry
r Concrete
r Steel Deck
i✓
Caissons, Piles, Grade
Beams I
r Wood or Manuf. Shear
Panels
Masonry
r Wood
Other:
r Other:
�r_ Other.r
r Other:
P7
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
r
OBSERVED DEFICIENCIES AND COMMENTS:
r REPORT CONTINUED ON ATTACHED PAGES
r FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 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 verity 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.
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:
119 Via Florence
Report Date:
5/2/2018
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owners Telephone M
CNB Plan Check #:
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone M
SO License/Reg. M
Dale Forbes
dale@esifine.com
714-835-2800
C30407
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
1 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 verity 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
5/2/2018
DATE
6 1 HMP OF 5I KUU I UKAL U[7Jt KVtK
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
W
Conventional Footings
l� Concrete
Steel
Concrete
Slab rebar
5/2/2018
Mat Foundation,
Prestressed Concrete
)"` Masonry
Concrete
I� Steel Deck
F-
Caissons, Piles, Grade
Beams
r Wood or Manuf. Shear
Panels
F Masonry
i` Wood
(�
Other.
r Other:
r Other.
r Other:
P
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
F
OBSERVED DEFICIENCIES AND COMMENTS:
(� REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
The structural generally complies with the approved construction documents, and all observed deficiencies were corrected.
1 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 verity 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
5/2/2018
DATE
6 1 HMP OF 5I KUU I UKAL U[7Jt KVtK
CITY OF NEWPORT BEACH
CONIMUNITY DEVELOPMENT DEPARTMENT
BI)ILDING 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:
119 Via Florence
Report Date:
4/25/18
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):
SO E-mail Address:
SO Telephone #:
SO License/Reg. #:
Dale Forbes
dale@esifine.com
714-835-2800
C30407
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 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 verity 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.
�tR i! lNy"`u^'" 4/25/18
OF STRU TU RAL OBSERVER 0F RECORD DATE
OSSFRVFR
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
P
Conventional Footings
F Concrete
r Steel
r Concrete
Remaining Ab's HD's Ftg.
Rebar&pads ,Ao —r
4/25/18
Mat Foundation,
Prestressed Concrete
r Masonry
r Concrete
r Steel Deck
Caissons, Piles, Grade
Beams
Wood or Manuf. Shear
Panels
—
I Masonry
r Wood
Other:
(� Other:
f- Other.
Other:
P
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
i
OBSERVED DEFICIENCIES AND COMMENTS:
81�c W OS /l:b G r
I` REPORT CONTINUED ON ATTACHED PAGES
(� FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 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 verity 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.
�tR i! lNy"`u^'" 4/25/18
OF STRU TU RAL OBSERVER 0F RECORD DATE
OSSFRVFR
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:
119 Via Florence
Report Date:
4/17/18
CNB Inspector Name:
CNB Permit #:
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. M
Dale Forbes
dale@esifine.com
714-835-2800
C30407
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
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 verity 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.
�d� �Gl� 4/17!18
SIGNAT E OF STRU TURAL OBSERVER OF RECORD DATE
14110aziiTt9a
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
I✓
Conventional Footings
Concrete
Steel
F Concrete
M HD's Ftg. Rebar
4/17/18
Mat Foundation,Mason
Prestressed Concrete
ry
(W Concrete
I� Steel Deck
*
Caissons, Piles, Grade
Beams
r Wood or Manuf. Shear
Panels
r Masonry
1 Wood
*
Other:
F Other:
r Other:
JV Other:
W
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
OBSERVED DEFICIENCIES AND COMMENTS: 'T✓ 1GGLcn.X3
ZQ
0 O D 'S
PAQ5@ G
�2FAUS
& 6 Pa 'r
1 REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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
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 verity 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.
�d� �Gl� 4/17!18
SIGNAT E OF STRU TURAL OBSERVER OF RECORD DATE
14110aziiTt9a
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.nov 1 (949) 644-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
4/25/18
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owners Mailing Address (If different from site);
Owners Telephone #:
CNB Plan Check #:
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License/Reg. #:
Dale Forbes
dale@esffine.com
714-835-2800
C30407
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 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 verity 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... _
4/25/18
DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional Footings
r Concrete
r Steel
Concrete
Remaining Ab's HD's Ftg.
Rebar & pads, 5 -AQ tr--cbf.
4/25/18
*
Mat Foundation,
Prestressed Concrete
r Masonry
r Concrete
Steel Deck
I✓
Caissons, Piles, Grade
Beams
r: Wood or Manuf. Shear
Panels
)-- Masonry
!Y Wood
Other:
r Other:
r Other:
iy Other:
We
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
OBSERVED DEFICIENCIES AND COMMENTS:
r REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 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 verity 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... _
4/25/18
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.newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
4/17/18
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. #:
Dale Forbes
dale@esifine.com
714-835-2800
C30407
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 1 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 verity 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.
V 111" 4/17/18
OBSERVER OF RECORD DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
I✓
Conventional Footings
r Concrete
I" Steel
F Concrete
HD's Ftg, Rebar
4/17/18
Mat Foundation,
Prestressed Concrete
r Masonry
r< Concrete
! Steel Deck
r
Caissons, Piles, Grade
Beams
1 Wood or Manuf. Shear
Panels
r Masonry
I� Wood
r
Other:
F Other:
Other:
Other:
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
1y
OBSERVED DEFICIENCIES AND COMMENTS: C_"L) p,�
2) ns c Fto E `f 114Dis
2VAOS
e G '
2
D
REPORT CONTINUED ON ATTACHED PAGES
j� FINAL STRUCTURAL OBSERVATION REPORT:
The structural 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. 1 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 verity 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.
V 111" 4/17/18
OBSERVER OF RECORD 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.newoortbeachca.gov 1(949) 644-3200
Structural Observation Report
Project Address:
119 Via Florence
Report Date:
1/14/19
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. #:
Dale Forbes
DalekLesifine.com
714-835-2800
C307tY4
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
declare that the following statements are true to the best of my knowledge
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 verity 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. �
7w `,�A
— 1/14/19
SIGNATU E OF STRU TURAL OBSERVER OF RECORD DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
r
Conventional Footings
r— Concrete
- Steel
Concrete
Final Framing For General
Conformance
1/14/2019
Mat Foundation,
Prestressed Concrete
Masonry
(" Concrete
Steel Deck
Caissons, Piles, Grade
Beams
, Wood or Manuf. Shear
Panels
- Masonry
Wood:
Other:
r— Other:
r Other:
Other:
r
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
�'
OBSERVED DEFICIENCIES AND COMMENTS:
Final framing does not include trellis.
F REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
he structural generally complies with the approved construction documents, and all observed deficiencies were corrected.
declare that the following statements are true to the best of my knowledge
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 verity 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. �
7w `,�A
— 1/14/19
SIGNATU E OF STRU TURAL OBSERVER OF RECORD DATE
I
DEPUTY 1 INSPECTION
1-800-DEPUTY1
Gen Contr:
CITY OF NEWPORT BEACH Sub Contr:
COMMUNITY DEVELOPMENT DEPARTMENT XZ18-0.239
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 119 Wa IF-10rence
www.newportbeachea-gov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: I e" I ;X
Permit Number: z—
Inspection Type (s):
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 asp noted above,
SpecialinspedlonReport 8-2415
4
2
Report of Special Inspection
114
.��. pIy��311ii1111e�
Project Name & Address Si
Permit Number
Inspection Type(s) C
Inspection Date(s) 5fig [ J Periodic
List Tests Made: Sgg
Total Inspection'17f'me 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 draw' gs, specifications and applicable workmanship provisions of the U.B.C.
except as noted above
Signed: .. Date -....... ......
Print Full Name: Registration No. Du c I
FORM 51-02;90
DEPUTY I INSPECTION
1-800-DEPUTYI
Gen Contr: Sailhouse
Sub Contr: Alan Const
Report of Special Inspection
Project Name Address: Simpson Res 1119 Via Florence
Permit Number: X2019-0232
Inspection Type(s)RX
Inspection Date(s) 6/13/2019 [ ] Periodic [ ] Continuous
Describe Inspection Made, including Locations:
Observed the Placement of Simpson SRT -XP epoxy with 44 and 45 rehar dowels to the
existing concrete footings and slah in the garage_
List Tests Made:
Total Inspection Time Each Day:
List Items 12equiring Correction, include uncorrected items previously listed
Comments
To the best of my knowledge, the work imspected was in accordance with the Building
Department approved Oesign rawin s, specifications and applicable workmanship
provisions o the a .-e cept as n ed above.
Sig] __
Date (o i3 -:0,Print Full Name: Chad Rrummel Registration No N13-411
FORM SI -02,90
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.clov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: Simpson Residence, 119 Via Florence, Newport Beach, CA
Permit Number: X2018-0232
Inspection Type (s)
Inspection Date (s)
5/1/18
dowels
Periodic
Describe Inspection, Including Location(s):
Observed the placement of #4 reinforcing steel dowels at new to existing slab. ( slab cuts extend from butlers pantry
past stairs and mud room to rear of residence). Placement was using Simpson Set XP epoxy (lot # 1000002415,
exp 1/20). Detail C/S-1.
Prior to placement verified min embed and proper cleaning of holes using nylon brush and compressed air.
Total Inspection Time Each Day:
Date: 5/1 /18
Hours• Min
List All Items Requiring Correction (include Previously Listed Uncorrected Items):
Comments:
Other than any noted discrepancies all work was done per approved plans, job site specifications, applicable codes, RFPs and WPS's to the best of my
knowledge and appeared to be in compliance at time of inspection.
Special Inspector Signature: Date:
5/1/18
Print Full Name: i Newport Beach Registration No.:
Peter Gilpin NB -0381
Speciallnspection Report 8-24-15
Dw= r r e crrorr
1-800-DAgMI s
Gen Contr.
Report of Special Inspection
Name &
Permit Numuar
Inspection Type(s)
Inspection Date(s)
Describe Inspectio;
L Tests Made:'-
Total
ade
Total Inspection 'rime Each Day:
] Periodic [ y,,. ,,,. j
Date
:... s
Hours
List Items Requiring Correction, include uncorrected items previously listed
Comments:
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 U.B.C.
except a; -noted above.!
Signed 1— Date ; :�k
N y
Print Full Name. kr-- P Registration No.
I FORM 51-02i 90
/-
Project Status Report 11q WA'Florence CaICERTS, Inc
Effective: 11/27/2019 10:22 1 of 2
GENERAL INFORMATION
Energy Standards Code
Year:
2016
Project Name:
119 Via Florence Ave - 119 Via Florence
Ave.
■
Project Type:
Alterations SFR
■
Address:
119 Via Florence Ave.
5.
City / State / Zip:
Newport Beach / CA / 92663
•
Enforcement Agency:
City of Newport Beach
■
Permit Number/ Date:
X2018-0232 / 3/23/2018
Easy to Verify @ calcerts.com
HERS VERIFIABLECOMPLETE
MEASURES:
OVERALL STATUS:
COMPLETE
CP1R IN'FORMATIOf� � Qrtificate of Complia -.' is Required EnergyFeatures)
Certificate Type: Compliance
Registered Form: CFIR-PRF-01
Registered Date: 11/27/2018 09:07
Registration 218-PO10025S90C-000-000-0000000-0000
Number:
CF2R INFORMA
T0�11' Ce ' icates.of Ins ff " It�n jpocu
rite e' rop 'r /nstt)tation df, r gwred
energy atures fe�...i.w,v
st''+` x
.
System
T"firm a Y
dateed
H.; ,gR�yistration f u beY
"R
CF2R-ENV-01-E
11/27/2019
218-PO1002559OC-000-001-EO1001A-0000
(Fenestration Installation)
09:56
Melissa Trimarche
(SAILHOUSE HOMES INC)
CF2R-ENV-03-E
11/27/2019
218-P01002559OC-000-001-EO3001A-0000
(Insulation Installation)
09:56
Melissa Trimarche
(SAILHOUSE HOMES INC)
CF2R-LTG-01-E
11/27/2019
218-PO1002559OC-000-001-LO1001A-0000
(Lighting)
09:56
Melissa Trimarche
40
(SAILHOUSE HOMES INC)
CF2R-MCH-01-E
218-P01002559OC-000-001-MO1001D-0000
(Space Conditioning
10.11/2019
Melissa Trimarche
Systems, Ducts and Fans)
(SAILHOUSE HOMES INC)
CF2R-MCH-20-H
11/27/2019
000-001-M20001B-0000
System 1
(Duct Leakage)
10:11
Me8lissa Trimarche
(SAILHOUSE HOMES INC)
CF2R-MCH-28-H
11/27/2019
218 -PO 000-001-M28001B-0000
System 1
(Return Duct Design)
10:11
Trimarche
Melissa(SAILHOUSE
HOMES INC)
CF2R-PLB-02-E
11/27/2019
218 -PO OC-000-051-BO2001A-OOQO
System 1
(SD HWS Distribution)
09:56
Trimarche
Melissa(SAILHOUSE
HOMES INC)
CF2R-MCH-20-H
11/27/2019
000-001-M20002C-0000`
System 2
(Duct Leakage)
10:11
Messsa Trimarche
(SAILHOUSE HOMES INC)
CF2R-MCH-28-H
11/27/2019
218-P01002559OC-000-001-M28002B-0000
System 2
(Return Duct Design)
10:11
Melissa Trimarche
(SAILHOUSE HOMES INC)
CF3R INFORMATION - Certificates of Verification (Documents the verification of HERS Measures)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015
Project Status Report Ca10ERTS, Inc
Effective: 11/27/2019 10:22 2 of 2
System
Form
Registered
Date
Registration Number -
CF3R-MCH-20-H
11/27/2019
218-00alme5onOC-000-001-M20001B-M20C
System 1
(Duct Leakage)
10:18
Oscar(Nucleus)
System 2
CF3R-MCH-20-H
11/27/2019
218-PO1002559OC-000-001-M20002C-M20D
Oscar Salmeron
(Duct Leakage)
10:19
(Nucleus)
System 1
CF3R-MCH-28-H
11/27/2019
218-PO1002559OC-000-001-M28001B-M28C
Oscar Salmeron
(Return Duct Design)
10:18
(Nucleus)
System 2
CBR -MCH -28-1-111/27/2019
218-PO1002559OC-000-001-M280028-M28C
Oscar Salmeron
(Return Duct Design)
10:19
(Nucleus)
HERS Provider: CaICERTS Inc.
CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2Q35