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X2017-0167 - Misc
Y2®17-0167 CITY OF NEWPORT BEACH 183G 1'or-iShelPe;e1jpj COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newoortbeachea.gov 1 (949) 644-3200 GAS METER RELEASE APPLICATION $PAID (Inspection/Administrative Fee: $188.00) PROJECT: 77? -fT— OWNER'S NAME: G�0 r 1 tCC�V co 3 � 3 � PHONE NO: ` q f % O S -Z g7Z JOB ADDRESS: /.P3_ �ar_ T</E.�f���D BUILDING PERMIT NO(s):__ }(ZOr7- !J/G 7 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: I agree not to occupy the i ing or structure until the Building Division has issued a Certificate of Occupancy. (Initial I agree not use or have this builsed or occupied until all City regulations and conditions have been complied with. (Initial ) I agree and understa 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 agre!t tage or store any furniture inside the building prior to Certificate of Occupancy. (Initial I understand the City of Newport Beach may order the servi discontinued without notification for any violation prior to Certific)Re of Occupancy. (Initial OWNER j _ DATE: PRINT name of owner or tenant: (?� >�A (0 t3 �' PHONE #:9fj-,70 —,?k 77 CONTRACTOR SIGNATURE: DATE: PRINT name of contractor Xa-Ne PHONE #: ?YY17- I-eYYY (for office use only) APPROVED BY: /- 7- Zd ZU Building Inspector Date PROJECT: 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](949)644-3200 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $194.00 RESIDENTIAL: NO FEE OWNER'S NAME: Aoit�_fyE<izcq} /�3C TesTPHONE NO ,_9Y//70r,2F72 JOB ADDRESS:-- ---- -------------_.,,.,__. ....... ..... -_._., BUILDING PERMIT NO.(s):X ,24/7 Q.LC_7- 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: PRINT name of owner or tenant: TE: _//7 /i 7 /Y CONTRACTOR SIGNATURE: DATE: PRINT name of contractor: Tv,.y_v cc .� c GiwSPHONE #: 9yf�723,-G,YY/r (for office use only) APPROVED BY: i7EiCY, Lleyn F Building Inspector Date Forms\TEMPORARY POWER RELEASE APPLICATION. 08/23/2019 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 PRE -GRADE MEETING AGREEMENT DATE: OB ADDRESS: / 7'i 3 6 POPPY�� FL X1=1 (� (� P L 1. The grading plan check number for this site is)<Z:7 -011.7 and will be referred to in all reports, certifications and correspondence. 2. STOP ORDERS Whenever any work is being done contrary to the provisions of the City Codes, the Chief Building Official or his authorized representative may order the work stopped by notice in writing served on any persons engaged in the doing or causing such work to be done and any such persons shall forthwith stop such work until authorized by the Chief Building Official to proceed with the work. 3. The stamped set of approved plans shall be on the job site at all times. 4. NOTIFICATION OF NONCOMPLIANCE If, in the course of fulfilling their responsibilities, the civil engineer, surveyor, the soils engineer, the engineering geologist or the testing agent finds that the work is not being done in conformance with the approved grading plans, the discrepancies shall be reported immediately in writing to the person in charge of the grading work and to the Building Division. Recommendations for corrective measures, if necessary, shall be submitted to the Building Division for approval. 5. When import or export of materials is required, haul routes to and from the site shall be approved by the City Traffic Engineer and hauling procedures shall be in accordance with Chapter 15 of the Newport Beach Municipal Code (NBMC). Contractor shall use Best Management Practices (BMP's) to insure that all water quality issues are addressed. 6. Between October 1 and April 30, erosion control BMP measures shall be in place. During the remainder of the year dry season wind erosion BMP's (dust control) shall be implemented. Sediment control BMP's shall be installed and maintained at all operational storm drain inlets internal to the project. BMP's to control off-site sediment tracking shall be implemented and maintained. Appropriate BMP's to prevent contamination of stormwater from construction activities shall be implemented. A "weather triggered" action plan and the ability to deploy BMP's to protect all exposed portions of the site within 48 -hours when the National Weather Service forecasts a 50% or greater chance of rain. 7. All fills shall be compacted throughout to a minimum of 90 percent compaction as determined by ASTM test method 1557 and approved by the soils engineer. Compaction tests shall be performed according to the preliminary soils report. - 8. All trench (including interior and exterior utility trenches) and retaining wall backfill shall be compacted throughout to a minimum of 90 percent relative compaction and approved by the soils engineer. 9. Whenever work on which required inspection/testing is covered by additional work without first .being inspected/tested, the Chief Building Official shall require by written notice that the work be exposed for examination. The work of exposing and recovering shall not entail or be subject to expense to the City of Newport Beach and will be the sole expense of the Permittee. 10. Landscaping of all slopes and pads shall be in accordance with 15.10.130 of the NBMC. 11. Approved drainage provisions shall be used to protect adjoining properties during the grading operation. 12. The permittee or his agent shall notify the Building Division when the grading operation is ready for each of the following inspections: a. PRE -GRADE MEETING When the permittee is ready to begin work, but not less than two days before any grading or brushing is started. b. DRAINAGE DEVICE INSPECTION After forming of terrace drains, down drains or after placement of pipe in subdrains, but before any concrete or filter material is placed. c. SPECIAL d. ROUGH GRADING When all rough grading has been completed, the rough grade report shall be provided to the Building Inspector at foundation inspection or sooner based on the Building Inspector's discretion. e. FINAL When all work, including installation of all drainage structures and other protective devices, has been completed and the as -graded plan, professional approvals and the required reports have been submitted. 13. All footing excavations, slab on grade areas and subdrains shall be inspected and approved by the Geotechnical Engineer or Engineering Geologist. Written approval shall be submitted to the Building Inspector. 14. Prior to the start of grading, all permanent property corner monuments shall be in place. Prior to any foundation inspections, proof of recordation of the "corner record" or "record of survey" with the County of Orange shall be provided. 15. The undersigned acknowledge a copy of the above and agree to comply with the Grading Code of the City of Newport Beach, the recommendations of the project soils report and any special requirements of the permit. 16. Prior to foundation inspection a Line and. Grade Certificate Form must signed and stamped by the surveyor of record and submitted to the building inspector. A Structural Observation Report may be required. 17. All parties listed below must be present for the pregrade meeting unless approved by the building inspector. OWNER/CONTRACTOR: O /y (/AZJVlL F `r^ y DESIGN CIVIL ENGR.: t.lt 'c'a- N1 ° Cori Cvtc. By: /_y By: GaM7 GlevtN �vv a vcI Address: 7G0 «'tv.a�2o� .a rJ Address: 3g,40 b , l t7G1'r" 6"tWt ,. G 014 Telephone: 9`ii- 7.23 -??2 Telephone: o14R GEOTECHNICAL ENGINEER: M GEOLOGIST.: � r By: ���� iri By:GQr Address: - Address: 1 D iC[ wwryt qL- F Za)J4/b Telephone: Telephone: �frl�'N9� 74zz_ ^ GRADINGCONTR.: 4�g I4D�t By: Address: To Telephone: ?;a- Mo - COORDINATOR: T By: Address: Telephone: NEWPORT BEACH REPRESENTATIVEN &7C17 -w- PHONEMt/0 3-2-(o0 INSPECTION REQUESTS: (949) 644-3255 ,.Ne .66. each Construction'I our ICtoridaythrough Friday 7:00 a m to 6`30 p h5. ratUrdays "` ' " 8: d 6' m. . to 6:00 p.n : .x Not ork on Sundays and Holidays / Fcrmslpregmde meeting agreement 8-12 i Si'-R1--qK-LER cL3NC'?t3T.. A1S S 0 t•i";1',) ;.� � ,� VALVE� � 3 � � 420 1@ l � �n� 6311 i. y stt t C44 �.A,9 �.. �`t7;' �` � CPI 'F 14 F 21 k Bill 14f e ,( fr � � a ff , ..,m /u `t- i' K ...,,`"" ��� 9 %`/�.� �.; •-Ql;�•� l:J � ip� Z"° I dp �g „(P,fq,,}� y i ABOVE NIEW RESIDENCE PAD= 89 5 ' [ ,c,l,erti 4m p11 � (2k t ..ate i -- 1' � '!t'f ?t3 i fd .' t B 'r'.A � � 1.3175 ' € , 1 I - ;c/nom,,,' �1Sa zr .It ..� 41,E ��-• t .mw-�,.:. l� � ry +��,..- Axa �,X,-,• ..r �u� (m.,. 1 � f } � Ift WfP i� f k , Ile lip (Fly, BASE MAP: GRADING PLAN, 1836 PORT SHEFFIELD PLACE, CITY OF NEWPORT BEACH, SHEET 2 OF 3, BY DUCA-MCCOY, INC.. DATED 7-31-2019 GEOTECHNICAL PLOT PLAN EXPLANATION 1836 PORT SHEFFIELD PLACE, APPROXIMATE LOCATION OF FIELD DENSITY TEST 0 10 2 0 NEWPORT BEACH, CA FEET APPROXIMATE LIMIT OF GRADING roiec no.: s e:igure: 72206-10 OCTOBER 2019 1r CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 MM.newoortbeachca qov 1 (949) 644-3200 Project Address: Report Date:. 1. I am the licensed design professional retained by the owner to be in responsible ector Name: CNB Permit#: 1838 Port Sheffield `12118/2018" QF my responsible charge, have, performed the required site valis at each significant Building Owner Name: Owners Mailing address (if differentiE approved construction documents; elephone M CNB Plan Check #: ArgyrosFull final acceptance of the structural a ems.by the City of Newport Beach, Building Division. S� Name of Structural Observer (SO): SO email Address: IIGNATURE.OF STRUC7URA ERVER OF RECORD DATF one #: SO License / Reg #: Farhad Manshadi Fefhad@eslfine.com ann rF gasen 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 wham I have designated above and is under QF my responsible charge, have, performed the required site valis at each significant construction stage to verify that the structu is in general conformance with the u approved construction documents; » u 3. 1 understand that all deQciencieIa which ave documented must be corrected; prior to. final acceptance of the structural a ems.by the City of Newport Beach, Building Division. S� DEC 18 2018 IIGNATURE.OF STRUC7URA ERVER OF RECORD DATF STAMP OF C36840 OBSERVER -. STRUCTURAL OBSERVATION DOEkNPT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. "" FO W", CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT DIVISIONBUILDING z 100 Civic Center Drive P.D. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: Date: f�uea.-M�GoY, 1rNG Nov. 5, 2014 3A4b Cv�sY�Wy 66MONA D&LO MAR; M- �12te2� ATTENTION: GRADING ENGINEER, BUILDING DIVISION GPC No.: Tract/Subdivision/Lot No.: Rough: _Final: X Project Names: 1836 r—ofter. Siirryaist.* Owner/Developer: Type of Project: Notes: — Tract: Drainage _Commercial A Other Kcl a•nr.�� _ 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: X in conformance with, X with the following changes to the approved grading plan. Description of Changes: Company: C Name: FITS J DUCA (Print) License No.:. U9,15, 24668 (RCE/94) c/viv 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.cov 1 (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Engineer/Surveyor's Address License # R -WS. 94 VOS 6A Job Address 1.69(a roar!" SNerpt st'o FL. r 4425 Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). Virile * Top of slab/floor elevation: e 50tjur Pi tet se 25 '('HOVV614 or 33 Shown VK t;+14 sheet 914t� * If slab/floor elevation varies, sketc a plan or section thro gh I b on the bac page d seci thq elevations. Use same datum used in the survey of record. I certify that the setbacks are)A are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is is not ❑, per City approved drawings. Describe any deviations from plans:.: . w, Al joi ti1L J. D/jG day Ma+.l rte. zass$ Date—� Engineer/Surveyor's imp and signature ', Fx ,•' ey ClVI1 Forms/SetbacksandTopofSlabElevationCert. 11 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92858-8815 www.nmoonbeachca.gov 1 (949)644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Engineer/Surveyor's Address Job Address 1034 Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: License # Q•%15. 9"S 2(ORs * if slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are)A are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is A is not ❑, per City approved drawings. Describe any deviations from plans: It 0 Sink. 4 gJ..2oi'7 "> No, 2466$ Dates— –' Engine6r/Surveyo s stamp and signatus� Erp 4Q. e_1�1 CIVI1 Foams/SetbackeandTopot5labElevationCert. PORT 6R,5Fr► 5 b D PL -Acs r s I 5.) is DECEIVED &y COMMUNITY OEVELOPMENT SPP 16 Z019 CITY OF NEWPORT BEACH CITYOF COMMUNITY DEVELOPMENT DEPARTMENT NEWPORT W-0 BUILDING, DIVISION 100 Civic center Drive I P,O. Box 1788 i Newport Beach, CA 92658-8915 wwwrasnortbeachca,gov i (949) 644-8200 � 111 KIM I U411241 01 R 11121 The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings, After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Engineer/Surveyor's Address Licensed R.& M 94."A Job Address Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). • Top of slab/floor elevation: PRAIN LIN v9 le N IN 9 &9A015 IN 5U�b'�"t,NTi' t GON1 1 NCS 'j i� * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks ares. are not 0, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevations) is A is not ❑, per City approved drawings. Describe any deviations from plans: Rtu l: v Na. 24568 Date Engineer/Surveyor's stamp and signature t4.�11 Fcs/Setbeeka'midTopat5labElevatimCcrt. Vivo =1 CITY OF NEWPORT BEACH M -0 artor the mp of aiablf OOr elevation is verified to match rho dovation sPoaffyod on the approved drawing, thm oonotaotar anis inspector can measuim the of the structure to rile top of ala Mw to verify tlmt it is equal orless than ��,. �;,,,..s _ z..:� _ _ .. Th' aform must be =ad ou by a rogiatex d surveyor or oivil,eo*i �d Wurvey mtud be done atter rho ooncrem fapm are or per. *a Perform surveys, a�ttsccebe slab is Poured or raised floor iabulk but prior to sta tiara watt Br4ineer/Surveyor s Name Bngineerl3urveYac's Address J, �? Aa d 4 �Y�taL� i {1 Iah Address- � p � 6 , � � Wu;Q Setbacks: Sketch a site plan OW OP&Wfy surveyed setbacks (use back l i> "TOP 'OfslabMoorelevation: Nr W^,A. LOCAP,Qt`t$ PtNb_ _ * IfsiaWoor ei � Wli4Li. L�9Y is ovst3an varlee. s a plan or,seaian ihroiit slaty ttm afki enww;7i a OteVeti(na. Use same da ,.m.w x...ti.. _:_. I ter"* that rho setbacks are , ,we not ci tram Plans: o>t Par City approved 0M. Describe my deviotiolls I o�� POR CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION c'f<re Va 100 Civic Center Drive I P;O. Box 17881 Newport Beach, CA 92858.8915 www.mewportbeachca.gov 1 (949) 644-3200 BU6ILDING HEIGHT CERTIFICATION Project Street Address:_ 18 96 POP -r +r uza ft sw, P. r> Building Permit Number(s): 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. Pr"de each Critical ridge and flat roof, or roof deck railing elevations Indicated on the approved pi ns. Use the format below on the back of this form if additional space is necessary or furtjror explanation Is needed. Provide original Copy to the Inspector before roof framing inspection. ; All elevation points are based on:O NAVD88 O NGV029 © Assumed Please provide the fallowing elevation information for the highest roof ridges, patroofs, or Parapets/guardrails. Additional elevation points may be reqn�ested ppyy.tthe 9ufldin in MSft. F41iayV �{� sit Inspector. RIDGES (3:12slope orgreater) 4a 1t�1.01 I. Approved elevation point of ridge is Ags 0.7b and actual elevationpoint is 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 and actual elevation point Is 2. Approved elevation point of flat roof or parapet is .and actual elevation point ism, 3. Approved elevation point of flat roof or parapetis and actual elevation point is t certify that the above height measurements are correct and the above project:^ ® IS in compliance with the City -approved plans. 0 ISNOT ,ompliance witht� a City-�ag roved plans (Provide explanation). VY1Please describe any deviation from2$•the C i pWi9t�tprove a `nsoj15 i,�'GH n _ Or GlYY 1 g � ,. �r.�� �t�30163En ineees signature and seal and signature required) ' °",� N 24668 " License number of 33965 or lower a, ea,,, f•}t F0ra3%Wldingnoi&btCwia1U1i0n 11lOL I6 X2017 -01G7 1836 Ror4 5he�rwj �d City of Newport Beach Special Inspector Manual Contractor: Valentine Sub -contractor: Marshall's Concrete CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 www. newportbeachca.aov 1 (949) 644-3200 SPECIAL INSPECTION REPORT Project address: 1836 Port Sheffield Trust -1836 Port Sheffield Permit Number: X2017-0167 Inspection Type (s): Reinforced Concrete Inspection Date (s):11121/2017 ( ) Periodic ( ) Continuous Describe Inspection, IncludinLocation(s): -Observed and verified rebar infection of Basement Walls, Drivel Walls Rad/WalConnectl per foundati�in ola>Lp -Reinforcement: ASTM ASTM A615 Grade 60: Basement and Driveway Walls: #5 rebar vertical and #4 rebar horizontal at 1 Zon center 9"on center outsideface Basement Wallsl & # 3 ties for Column to Pad/ Wall Connection, List Tests Made: Total inspection Time Each Day:' Date: 11 /21 /2017 Hours.. -- 4 -- — ---- -- ---- ----- .list All Items Requiring Correction (include Previously Listed Uncorrected Items)!: Comments: -All clearances maintained throughout ___ -El�kaf�CeI�fCQtlLexcessive�B,�RrLd d��@pious ►�,a:�ia�________.— -R.ebars-eQU1y_fe t6sn� ri r t(2J2Q = --- - — - -Reinforcement size and s.acing _conform oo approved I nsdetails 8/FD1, To the best of mY knowledge, tie work inspected was in accordance with the Building Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. ecial Inspector Signature: bate:. 11/21/2017 Print Full Name: - Newport Beach Registration No.: Charles Beardslee NB -0692 spenapnapecnonxaport ua/v/m1s 67 rI��vst rm ;Sw2 Rthl,t_ nas rt, txr r t Report of Special Inspection Project Name & rridrrss Port Sheffield Trust/1836 Port Sheffield New ott Beach Inspection Type(s)Reinforced Concrete Inspection Date(s) I Periodic x I Contiztuotzs Total Inspect on "l"i"me Each Day: ate /1/2_01$. .. �onrrs 4 � } ad:— t Full P z City of Newport Beach Special Inspector Manual Contractor: Valentine Sub -contractor: Marshall's Concrete CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 SPECIAL INSPECTION REPORT Project Address: 1836 Port Sheffield Trust -1836 Port Sheffield Permit Number:X2017-0167 Inspection Type (s): Reinforced Concrete Inspection Date (s): 10/25/2017 ( ) Periodic ( ) Continuous Describe Inspection,p Including Location(s): -Observed_and_v_erified rebar inspection of 12" thick basement _mat slab, per aw1an -paged. - _—_-- -Reinforcement_ A$TM A615 Gra a 60L Mat slab__ 5 er, rebar at 12" on cent_ ay,3op_end.batiom_and#S-do- cels ai_drixeway and_basementwRks_ Mist Tests Made: Total Inspection Time Each Day: Datep ' 10/25/2017... ---- Hours: 4----------.—i-_------------�-------}---- List All tems Requiring Correction (Include Previously. Listed Uncorrected Items)::. Comments: -All clearances maintained throughout. _ ::aebar_lrB-eA -ea sive rust and-delete1.ious -Rebar sect rely fast ned priortQ_pour. To the best of my knowledge, the work inspected was in accordance with the Bgilding Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. eclal Inspector Signature: -. Date: 10/25/2017 Print Full Name: Newport Beach Registration No.: Charles Beardslee NB -0692 speolel ,wlonR.,ff 08/25/2015 67 Y.2017-®167 X836 Pori She eIj pt CITY OF' E T BEACH BUILDING DIVISION 3300 Newport Boulevard I RO Box 1768 1 Newport Beach, CA 92W ww�;r w)ortbeachca.yo_v j (949) 644-3200 Project Addfess Report Date: CNB Inspector Name: CNB Permit #: 1836 Port Sheffield 7131/2019 ❑ Conventional Footings & Slain gj Concrete Building Owner Name:. Owner's Mailing address (if different from site) Owner's Telephone ik: CNB Plan Check #: Argyros 0 Masonry 0 Concrete .... FLIT Name of Structural Observer ISO): SO email Address: SO Telephone #: SO License / Reg #: Farhad Manshadi Farhad@esifine.com 714-835-2800 CE 36840 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) . OBSERVED DATE OBSERVED ❑ Conventional Footings & Slain gj Concrete 0 Steel Concrete Concrete Reinforcing; Driveway Wall Extension 7/31f2019 Q Mat Foundation, Prestressed Concrete 0 Masonry 0 Concrete oSteei Deck ❑ Caissons, Piles, Grade Beams o Wood oI Manuf Shear Panels .�Masonry wood 0 Other 0 Other Other Other Q ITEMS CHECKED ABOVE. ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: , This structural observation is specifically for the concrete driveway- retaining wall and footing: reinforcing., _ ❑ 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 st riements 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 thestructural observation: Z I, or another licensed design professional wtlorn I have designated above and is Linder 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. i understand that ail: deficiencies which I -have documented must be corrected, prior to final acceptance of thestrucfurai systems by the City of Newport Beach, Building Division_ um C 36840 STAMP :OF STRUCTURAL OBSERVER STRUCTURAL fl E ATiON.DOE$ NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORTBEACH. 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: 1636 Port Sheffield Report Date: 8-1-19 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): Scott Wallace SO E-mail Address: Scott@wallacese.cpm' SO Telephone #: 949-455-9875 SO License / Rea. #: SE 3613 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlirahle hnuesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof)' INDICATE LOCATION(S) OBSERVED DATE OBSERVED 71 Conventional Footings & Slab • ❑ Concrete ❑ Steel 'Fl Concrete Filtration Box foundation 7-31-19 ❑ Mat Foundation, Prestressed Concrete EI Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other. 4 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 thea proved construction documents, and pil 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 perfor eda required site visits at each significant construction stage to verify that str ure is in general conformance with the approved construction documents' 3. 1 understand that all deficiencie hichve documented must be corrected, prior to final acceptance of the struct al by the City of Newport Beach, Building Division. f9re1NMI 111111 STRUCTURAL OBSERVATION DOES Farms\xruclural0bservalion Repon&lustmaions 8-1-19 pRCFESSION N yr (1C0 SE 3613 P./30/EX Zm A sr SrRUCT��P Qe OF CAOF�/ STAMP OF STRUCTURAL OBSERVER DATE FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. ° CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION O'<rc0aa`" 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.00v 1 (949) 644-3200 Structural Observation Report Project Address: ?. Report Date: - SHEAR WALLS CNB Inspector Name: CNB Permlt#o ]93QlPDrt Sheifie)d DATE 5/18/2078 '- (Floor/Roof) Building Owner Name: OBSERVED Owner's Mailing address (If different from site) 0 Concrete Owner's Telephone M CNS Plan Check #: grgyrQs Footings & Slab a Full Name of Structural Observer (SO): SO email Address: 0 Masonry SO Telephone #: SO License I Reg M. Fartta� Mapshadl } Fpfhad®eslfsriit.com -' 714`Q35;2e,Q0 Cfa,�QQO rLCAbt INDILA I L 5I RULI URAL CLLMLN Ib ANI! LUNNLL1IUND UUbLKV6U (cneCK applicaule OOXesf FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATION(S) DATE (Floor/Roof) OBSERVED OBSERVED Conventional 0 Concrete ❑ Steel ❑ Concrete �-777777-77 Footings & Slab l7 Mat Fountlatlon, 0 Masonry 0 Concrete Steel Deck 77,777 7 Prestressed Concrete 0 Caissons, Plies, g3 Wood or Manuf. [3 Masonry E] wood Exterior and Intsrlor shcar Grade Beams Shear Panels walls and Coof shtl&.= 12 Other El Other 0 Other Other - ® ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. 0 OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES 0 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 ra8ponsible charge, haveperformed the require site visits at each significant construction stage to verify '(hat the struoture n general conformance with the approved construction documents; S. I understand that all deficlencii3s.which eve documented must be corrected, prior to final acceptance of the structural terns by the City of Newport Beach, Building Division. C 36840 STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. 0 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.aov1(949)644-3200 Structural Observation Report Pro)eclAddress: Report Date: FRAMES CNB Inspector Name: INDICATE LOCATION(S) CNB Permit#: ]838PArt SflefrNld(�, 5/.1612018'--'- (Floor/Roof) OBSERVED OBSERVED Building Owner Name: Owner's Melling address (if different from site) ❑ Steel Owner's Telephone #: CNB Plan Check P. Footings & Slab Full Name of Structural Observer (SO): SO email Address: E3 Concrete SO Telephone #: SO License I Reg #: Prestressed Concrete r .... FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATION(S) DATE (Floor/Roof) OBSERVED OBSERVED Conventional 0 Concrete ❑ Steel ❑ Concrete Footings & Slab Mal Foundation, [ Masonry E3 Concrete OSteel Deck Prestressed Concrete Caissons, Plies, EiWood or Manuf. C]Masonry ElWood Exterior arltl Inteftorshear 5'16201$ Grade Beams Shear Panels walls and.roof Shtlg_ Other ll Other Other Other ® ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. 0 OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED( ATTACHED PAGES D 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 requl!20 site visits at each significant Wristruction stage to verify that the structure general conformance with the approved constructlon documents; s. I understand that all deflclencies.whtc ave documented must be corrected, prior to final acceptance of'the sinuml tains by the City of Newport Beach, Building Division. OQROFES$/DH MAIv.0 <yc C 36840 mT CIVn. �P q OFCALtfO�� STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITYOF NEWPORT BEACH. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I PA. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.Dov 1(949):644-3200' Structural Observation Report Project Address Report Date: CNB Inspector Name: CNB Permit #: 1836 Port Sheffield 4/3/2018 ❑ Conventional Footings & Slab 13 Concrete Building Owner Name: Owner's Mailing address (if different from site) Owner's Telephone #: CNB Plan Check #: Argyros " ❑ Masonry ❑ Concrete ED Steel Deck Full Name of Structural Observer (SO): SO emall Address: SO Telephone M SO License / Reg #. Farhad Manshadi i Farhad@Lisifine.com 714-835-2800 CE 36840 PLEASE INDICATE STRUCTl1RAl F1 FMFntre amn rnnrnmrTrnmc ---- „- FOUNDATIONS SHEAR WALLS - FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab 13 Concrete [3 Steel Concrete 1-1 Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ED Steel Deck I7 Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry 0 Wood 2nd Floor Sheathing -4/3/2018 Other Other Other Other ® ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: This structural observation is specifically for the concrete drive way walls REPORT CONTINUED ON ATTACHED PAGES E3 FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the fnllnwinn. ctaremcnle „e r,,,e r� ik. ties, ,.r «.., CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1758.1 Newport Beach, CA 92658 www.newoortbeachca.aov 1 (949) 644-3200 Structural Observation Report Project Address: Report Dale: CNB Inspector Name: CNB Permit #: 1836 Port Sheffield 3/2/2018 0 Conventional Footings & Slab ® Concrete Building Owner Name: Owners Mailing address (if different from site) Owner's Telephone #: CNB Plan Check #; Argyros M Masonry 1:1 Concrete Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License I Reg #: Farhad Manshadl Farhad@esifine.com 714-835-2800 CE 36840 PLEASE INDICATE STRUCTURAL ELEMENTS ANn CONNFCTIn NS nRSFRVRn 6. —I, FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED 0 Conventional Footings & Slab ® Concrete LI -Steel 0 Concrete Wall Reinforcing 3/2/2018 0 Mat Foundation, Prestressed Concrete M Masonry 1:1 Concrete Steel Deck Caissons, Plies, Grade Beams Ej Wood or Manuf. Shear Panels E] Masonry El Wood 171 Other ❑ Other E3 Other Other ED ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. :EJ OBSERVED DEFICIENCIES AND COMMENTS: - - - - - - This structural observation is specifically for the concrete drive way walls - EI[AEPORT CONTINUED ON ATTACHED PAGES O 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 toverify 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 thecity of Newport Beach, Building Division. .E, e a- _ R Irs a -036840 T CIVIL T�FCALIf�P STAMP OF STRUCTURAL OBSERVER SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY O� NEWPORT BEACH;: 9tructoraiob , P osotyatidry Report Project Addr!!!: 1836 Po Report Date :, 7, CNB Inspector Name: CNB Permit #: Building Owner Name: Owners Mailing address (if different from site) Owner's Telephone #: CNB Plan Check* FOUNDATIONS J�- FRAMES Full Name of Structural Observer (80): SO email Address: SO Telephone #., SO License! Reg M 'Famed, Me n- in adl F had@esifine.com iaAf E3 Steel CE, -36B40-;1 rLCA3C INUMA I C ] I KUIw I UKAL CILLIVIUM 1.1 AIM W 1.1011IMM I 1VIVZI un=Kvitu jcnecK appliCauie coxes) DIAPHRAGMS INDICATE LOCATION(S) DATE FOUNDATIONS SHEAR WALLS FRAMES (Floor/Roof) OBSERVED OBSERVED rXI Conventional 1:1 Concrete E3 Steel 0Concrete HD'S top of basement, f - - 12/7/2017 Footings & Slab m Mat Foundation, El Masonry 17, Concrete E3Steel Deck Prestressed Concrete 0 Caissons, Piles, Ei Wood or Manuf. 0 Masonry El Wood Grade Beams Shear Panels 171 Other E] Other 13 Other E3 Other M ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. [I OBSERVED DEFICIENCIES AND COMMENTS: -ED REPORT CONTINUED ON ATTACHED PAGES 0 FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies Were corrected. aecipre, truIt I hertolloWin,g,s.tstpmentsar,etrue,.t.olne,,b,pq!.ptm Kge, y'. .nowle d 1. 1 am the licensed design Professional retained by the owner to be in responsible) charge of the structural observation: 2. kOr.another licensed design pipfessional whom I have designated above and is under 3. DEC 0 7 2017 OQROFESS/ONS MA 36840 OF A -W STAMP. OF STRUCTURAL 013SERVER ERVER,OF RECORD DATE WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P:O. Box 1768 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date:: CNB Inspector Name: CNB Permit#: 1036 Port She(jield:: DATE OBSERVED r - Building Owner Name: Owners Malting address (if different from site) Owner's Telephone #: CNB Plan Check #: yros ❑ Masonry ❑ Concrete ❑Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg #: .Ferhad Manshadi - ,Farhad@esifine.com 714-835-2800 , CE 36840 '• PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED - DATE OBSERVED F�l Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete - - -- - - --'' - - - - -- ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑Steel Deck — ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood rXi Other 1:1 Other El Other 1:1 Other Basement. wall reinforcemen 11/21/2017 © ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ... ..-. -❑ REPORT CONTINUED ON ATTACHED PAGES O 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; S. I understand [he[ all degbiencles which I documented must be corrected, prior to final acceptance of the structural ems by fhe City of Newport Beach, Building Division. WQU Z 1 2ni7. �ypFEBSIO/yq CoQ MANS SFJ i C 36840 it ATEOFCP�i STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT REACH. CITY OF NEWPORTBEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard j P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 1836. Port Sheffield 10/26/201.7 ❑ Conventional Footings & Slab - Building Owner Name: Owners Mailing address (if different from site) Owner's Telephone #: CNB Plan Check #: Argyros ❑ Masonry ❑ Concrete El Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg #: Farhad Manshadi Farhad@esifine.com 714-835-2800 CE 36840 ' PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel E3 Concrete x❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete El Steel Deck Mat slab reinforcing,. Basement wall dowels, 10/26/2017 ❑ Caissons, Piles, Grade Beams ❑ Woad or Manuf. Shear Panels ❑ Masonry El Wood Holdowns and A.B.''s 10/26/2017 ❑ Other ❑ Other 1:1 Other ❑ Other [K] ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES D 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 designatedabove 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. i understand thatall deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building. Division. t STAMP OF C 36840 STRUCTURAL OBS RV ION DOES NOTWAIVE ANY REQUIREMENTS. FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY OF NEWPORT BEACH X201 Oa 67 Community Development Department I Building Division 100 Civic Center Dr.1 P.O. Box 1768 1 Newport Beach, CA 92658 1836 Pori www.newoortbeachca.pov 1(949)644-3200 S'Re(beldd P) uALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: i/.? C /Jamar PERMIT NO.: x201-7— 0141 7 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) A'Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) X21 VOC Contents Limitation ,0 Formaldehyde Emissions Limitation ,JZ T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mach., Plumb.) )?1 T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) fd Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) ,IT 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 1 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: Date Signed:: Position/Title: Forms\CALGreen Documentation Compliance Cert Form 1-2017 Project Status Report CaICERTS, Inc Effective: 12/09/2019 19:27 1 of 3 !GENERI4L INKOi2,FI�4ION , ,. . Energy Standards Code Year: 2013 Project Name: 1836 Port Sheffield Place �. ■ % Project Type: New Construction SFR Address: 1836 Port Sheffield Place ■ City / State / Zip: Newport Beach / CA / 92660 L � ■ Enforcement Agency: City of Newport Beach ■ ■ Permit Number: X2017-0167 Easy to Verify @ calcerts.com HERS VERIFIABLE COMPLETE MEASURES: OVERALL STATUS: COMPLETE y, Certificate Type: Compliance Registered Form: CF1R-PRF-01 Registered Date: 12/09/2019 11:37 - Registration Number: 218-N0225652B-800000000 0000 3 } r 1iM CF1R-SRA-01 12/09/2019 219-NO250729A-000000000-0000 (Solar Ready Area) 19:05 m r'tm+h x� '1p0SPb t y �tk5 Ai ` r 'te a ihajbl4h..o�fr 3 15¢ � 2 :. Sr}*.44 P1'yA��J! 2;4.:x}W' {.R r� ^k6,' d' ay11� f azt... ,�3t S2zc�"CS•n`�s�K ,r kes� - r n; G , x. , Y,.s: l-:. ,. ,.,^; .9S��Ay'Td3 �u�"b;.4.vs3 'i} yy :fi'��s, >rx.t.fl ?+x'4r,� £f� I £ Ypppp�� kk ..vQQta'�k�Y'G'% .k5m-rk y. �� tf a✓vi 4 }6 y�.x�1T44iC f ft "... 1T )'k}. .yi'�,r, a�"'�2 i IJtB� k� � � ';e,S 3 �R i"�(.b}l�'�` },� � � ``t � {� f .�f,ry it xa...t.,i7n i 218-NO225652B-EO100001A-0000 CF2R-ENV-01-E 12/09/2019 Sebastian Moshayedi (Fenestration Installation) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-NO225652B-EO200001A-0000 CF2R-ENV-02-E 12/09/2019 Sebastian Moshayedi (Envelope Air Sealing) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-NO225652B-EO300001A-0000 CF2R-ENV-03-E 12/09/2019 Sebastian Moshayedi (Insulation Installation) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-LO100001A-0000 CF2R-LTG-01-E 12/09/2019 Sebastian Moshayedi (Lighting) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-NO225652B-MO100001A-0000 CF2R MCH O1 -E (Space Conditioning Systems, 12/09/2019 Sebastian Moshayedi 19:05 (TONY VALENTINE CONSTRUCTION Ducts and Fans) INC) 218-NO225652B-M2000002A-0000 System 1 CF2R-MCH-20-H 12/09/2019 Sebastian Moshayedi (Duct Leakage) 19:05 (TONY VALENTINE CONSTRUCTION INC) HERS Provider: CaICERTS Inc. CA Buildinq Enerqv Efficiencv Standards 2013 Residential Compliance Dec 2015 Project Status Report CaICERTS, Inc Effective: 12/09/2019 19:27 2 of 3 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2013 Residential Compliance Dec 2015 218-N0225652B-M2000003A-0000 System 2 CF2R-MCH-20-H 12/09/2019 Sebastian Moshayedi (Duct Leakage) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2000005A-0000 System 3 CF2R-MCH-20-H 12/09/2019 Sebastian Moshayedi (Duct Leakage) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2000006A-0000 System 4 CF2R-MCH-20-H 12/09/2019 Sebastian Moshayedi (Duct Leakage) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2300002A-0000 System 1 CF2R-MCH-23-H 12/09/2019 Sebastian Moshayedi (Airflow) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2300003A-0000 System 2 CF2R-MCH-23-H 12/09/2019 Sebastian Moshayedi (Airflow) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2300005A-0000 System 3 CF2R-MCH-23-H 12/09/2019 Sebastian Moshayedi (Airflow) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2300006A-0000 System 4 CF2R-MCN-23-H 12/09/2019 Sebastian Moshayedi (Airflow) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2200002A-0000 System 1 CF2R-MCH-22-H 12/09/2019 Sebastian Moshayedi (Fan Efficacy) 19:05 (TONY VALENTINE CONSTRUCTION - INC) 218-N0225652B-M2200003A-0000 System 2 CF2R-MCH-22-H 12/09/2019 Sebastian Moshayedi (Fan Efficacy) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2200005A-0000 System 3 CF2R-MCH-22-H 12/09/2019 Sebastian Moshayedi (Fan Efficacy) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2200006A-0000 System 4 CF2R-MCH-22-H 12/09/2019 Sebastian Moshayedi (Fan Efficacy) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2600002A-0000 System 1 CF2R-MCH-26-H 12/09/2019 Sebastian Moshayedi (Rated Equipment) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2600003A-0000 System 2 CF2R-MCH-26-H 12/09/2019 Sebastian Moshayedi (Rated Equipment) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2600006A-0000 System 4 CF2R-MCH-26-H 12/09/2019 Sebastian Moshayedi (Rated Equipment) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-M2700001A-0000 CF2R-MCH-27-H 12/09/2019 Sebastian Moshayedi (IAQ and MV) 19:05 (TONY VALENTINE CONSTRUCTION INC) 218-N0225652B-B0200004A-0000 CF2R-PLB-02-E 12/09/2019 Sebastian Moshayedi (SD HWS Distribution) 19:05 (TONY VALENTINE CONSTRUCTION INC) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2013 Residential Compliance Dec 2015 Project Status Report CaICERTS, Inc Effective: 12/09/2019 19:27 3 of 3 S.iAf�}`% ✓L{{ i'. � �+i � , f } +9` Y : - � ( "A.)ki' }''➢ 'Y 'ilk � S MP k £t Y^` Y i M ! � i 2�'. C� � ; C �i��a a# VeE) #yap i2 a entsxA. ��d ion Ap kf �t ,y} � P4 i RYi,q Yf SIs �L T� Pqr ,kitd J J 1'kl P , 010 •dei self y yy`� 5'£ bN/il IMM'-wo r -d --l- e �g_ 218-N0225652B-M2000002A-M20A System 1 CF3R-MCH-20-H 12/09/2019 Rex Hoefer Dan (Duct Leakage) 19:24 EX QUE HOEFERDANG) 218-N0225652B-M2000003A-M20A System 2 MCHage) 12/09/2019 Rex Hoefer Dang (DuctCF3R (Duct Leakage) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2000005A-M20A System 3 CF3R-MCH 20 H 12/09/2019 Rex Hoefer Dang (Duct Leakage) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2000006A-M20A System 4 CF3R MCH -20-H 12/09/2019 Rex Hoefer Dang (Duct Leakage) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2300002A-M23A System 1 CF3R MCH -23-H 12/09/2019 Hoefer (Airflow) 19:24 (REX QUE HOEFex ERDANG) 218-N0225652B-M2300003A-M23A System 2 CF3R MCH 23 H 12/09/2019 Rex Hoefer Dang (Airflow) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2300005A-M23A System 3 CF3R-MCH-23 H 12/09/2019 Rex Hoefer Dang (Airflow) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2300006A-M23A System 4 CF3R-MCH-23-H 12/09/2019 Rex Hoefer Dang (Airflow) 19:24 (REX QUE HOEFERDANG) " 218-N0225652B-M2200002A-M22A System 1 CF3R-MCH-22-H - 12/09/2019 Rex Hoefer Dang (Fan Efficacy) 19:24 (REX QUE HOEFERDANG) 218 -N0225652B-M2200003A-M22A System 2 CF3R-MCH-22-H 12/09/2019 Rex Hoefer Dang (Fan Efficacy) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2200005A-M22A System 3 MR -MCH -22-1112/09/2019 Rex Hoefer Dang (Fan Efficacy) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2200006A-M22A System 4 CF3R-MCH-22-H 12/09/2019 Rex Hoefer Dang (Fan Efficacy) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2600002A-M26A System 1 MR -MCH -26-H 12/09/2019 Rex Hoefer Dang (Rated Equipment) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2600003A-M26A System 2 CF3R-MCH-26-H 12/09/2019 Rex Hoefer Dang (Rated Equipment) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2600006A-M26A System 4 CF3R-MCH-26-H 12/09/2019 Rex Hoefer Dang (Rated Equipment) 19:24 (REX QUE HOEFERDANG) 218-N0225652B-M2700001A-M27A CF3R-MCH-27 H 12/09/2019 Rex Hoefer Dang (IAd MV Q and 19:24 (REX QUE HOEFERDANG) HERS Provider: CaICERTS Inc. 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Results are tabulated below: Soil Type Description Moisture Content (%) Optimum Dry Density Maximum (pct) 2 Import Sand 11.1 120.2 Summary of Field Density Tests Elevation Dry Moisture Relative Test Soil (ft) Density Content Compaction No. Date Type (pcf) (%) (%) 6 1/22/19 2 +21 113.9 12.3 94 7 1/23/19 2 t4 113.6 13.3 94