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HomeMy WebLinkAboutX2016-4206 - Miscx2016- 4206 30/ V;a Z;do Sod xf.x'.ohT KF 0i CITY OF NEWPORT BEACH REPORT OF SPECIAL INSPECTION TYPE OF INSPECTION: Epoxy set horizontal/vertical rebar dowels DATE: 11/20/2018 OWNER: Feuerstein I REGISTRATION No.: NB0569 PROJECT ADDRESS: 301 Via Lido, Newport Beach CA ARCHITECT: JJAB Designs ENGINEER: RCE Consultants PROJECT TYPE: Residential remodel/addition BUILDING PERMIT: X2018-2883 Observation and verification of the following work: Installation of epoxy set horizontal/vertical rebar dowels (2) #4 horizontal rebar dowels installed T&B with min 6" embedment into existing exterior footing (holes drilled angled down) at new to existing exterior footing connections. See detail New to Existing footing connection 12/SDI (5 locations) (2) #4 horizontal rebar dowels installed T&B with min 6" embedment into existing exterior footing (holes drilled angled down) at new to existing exterior footing connections and vertical #4 rebar dowels installed into existing footing to new foundation slab on grade connection, installed at right side of house pop out areas near exit door and elevator exterior wall. See detail New to Existing footing connection 12/SD1 (15 dowels) All work done in accordance with City of Newport Beach Building Department approved construction plans, ICC Evaluation Service Report 2508, ASTM C1 72/C31, ACI 318-5.6, 5.8, 5.9, 5.10, and CBC sections1903/1704.4. Holes were drilled to the required diameter and embedment depth, holes were blown out at 99 psi, brushed out, and then blown out again at 99 psi prior to epoxy application. Rebar dowels were inserted into epoxy filled holes and rotated Y2 turn at time of installation. Simpson epoxy SET -XP was used. No problems noted at time of inspection. Steve Skeffington Deputy Inspector ICBO CERTIFICATIONS: 1030205-10,20,30,40,49,50,51, 55, 60, 89 ICC CERTIFICATIONS: 1030205-B3, B5, B6, C5, C8, E5, M5, P5, R5, CB ACI FIELD TECHNICIAN GRADE 1: 0023995 19386 Highridge Way • Trabuco Canyon • CA 92679 • (949) 228-1261 • steve@coastdevelopment.net DEPUTY 1 INSPECTION( 1-800-DEPUTYi GenContr CfitA(Altl1 �yt,Lllrj Sub-Contr 4 S Inspection Project Name & Address Permit Number X Zo 144 InspectionTyp-(s) Inspection Date(s) 1 1'' ($ [ ] Periodic j !'] Continuous Total Inspection Time Each Day: Fff List Items Requiring Correction, include uncorrected items previously listed i Comments: To the best of my knowledge, the work inspected approved design drawings, specifications and al except as noted above. Signed: Print Full Name: "�1n'►��r in accordance with the Building Department tble workmanship provisions of the U.B.C. Dated?l{B Registration No. FORM SI -02;90 J X04 6 -14 206 304 Wa Lido SOUd CITY OF NEWPORT BEACH 3 z COMD-IUNM DEVELOPMENT DEPARTWNt w AQP BUILDING DIMION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.-6ov (949) 644-3200. StructuralObservation Report Project Address: - J_ Report Date: p LInspectuName: 01�0 % 9 aBuilding Owner Name:Owner's Mailing Address (if different from site); one m.Full Name of structural Observer (SO): SO E-mail Address: #:ALI IZEz&rt A(cG� rterh9 G, PLEASE INnICATC QTDIL+Tue Ar Or e.¢ure Aun nn.rue..r......: .. CNB Permit #: K?06-42a� CNB Plan Check #. SO License / Reg. #: FOUNDATIONS SHEAR WALLS ❑ Conventional ❑ Concrete Footin s & Slab FRAMES DIAPHRAGMS (Floor/Roof) ❑ Steel ❑ Concrete cnscice 11caD1e DOXea INDICATE LOCATIONS) OBSERVED DATE OBSERVED ❑ Mat Foundation, ❑ Masonry Prestressed Concrete ❑ Concrete O Steel Deck ❑ Caissons, Piles, ❑ Wood or Manuf. Grade Beams Shear Panels ❑ Masonry ❑ Wood ❑ Other. ❑ Other. ❑ Other. ❑ Other., ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: / ar � �d�� c •t L/ i1 "!� /LI ��ntsrarn ©�j�%�irn� - ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT: fie Stl'U cture generally Comoiles with the annrnved rnnafnirtinn dnrumanfs mnd .Ii .J.—. a 1 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 responsibleQpOFESS/ON charge of the structural observation; ® PVA RE zqF 91F2 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 h O construction stage to verify that the structure is in general conformance with the e6 No. 41068 m approved construction documents; Exp: 3/31/ I� a� 3. 1 understand that all defic' cies which I have documented must be corrected, prior to c final acce tante of ctural systems by the City of Newport Beach, Building Division `r� Cryl)� . 9rFOF CAUFO / LSIGANOF UCTURALOBSERVER OF RECORD pq � / STAMP OF STRUCTURAOBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. '. Fonm\StmctuNOWwetluoasport&ioclmgwm 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.aov 1(949) 6443200 Structural Observation Report LIQ 6 Project Address: t J '301 \I A Lt 1:6 Report Date: Po CNB Inspector ame: • �v CNB Permit c ec applicable INDICATE LOCATIONS) OBSERVE/D� DAD p S C, . �,�, f 1 boxes DATE OBSERVED � sf��L. XZOI Building Owner Name: M Owners Mailing Address (N different from site); Owner's Telephone* - CNB Plan Check #: rCA"w ._ ❑ Other: 288ro- 20 Full Name of Structural Observer (SO): ALI KE7-s>ct SO E-mail Address: AIiG�F'GC_en SO Telephone #: C141) SO License / Reg. V. •Gof,t 4"-qsq,4 G PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED h kA FOUNDATIONS X , Conventional Footin s ❑ Mat Foundation, Prestressed Concrete�� SHEAR WALLS 11Concrete ❑ Masonry FRAMES ❑ Steel ❑ Concrete DIAPHRAGMS Floor/Roof) IJConcrete ❑ Steel Deck c ec applicable INDICATE LOCATIONS) OBSERVE/D� DAD p S C, . �,�, f 1 boxes DATE OBSERVED � ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood - ❑ Other: ❑ Other. ❑ Other: ❑ Other: ,xr,ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS- - ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the annroved cenatn,ction decumanfe ...d n I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. _ QpOFESS/ON rpQ�® Pd� R�Fj9� 2 y G\ 8 No. 41068 Cr Fxp:$131/1 `5Yr CIVIC/ F OF CAOF�;%:' STAMP OF STRUCTURAL OBSERVER a i muu i unAL UutlERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FamuVSwqurelnWerve�ionRepon&Luwc�ianv CITY OF NEWPORT BEACH CONUvIUNM DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O: Box 17681 Newport Beach, CA 92658-8915 wwrwr.newoort eachca.00v 1 (949) 644-3200. Structural Observation Report Project Address: Report Dale: .' - CNB Inspector Name: CNB Permit #. INDICATE LOCATIONS) DATE Building Owner Name:.. Owners Mailing Address (if different from site); Owner's Telephone #: CNB'Plan Chock #: MrS. ❑ Concrete ❑ Steel - ❑ Concrete Full Name of Structural Observer (Soy SO E-meil Address: SO Telephone*. (OJ4.1) SO License / Reg. V. ALL KEz&el -q -194 k5AIO&A PLEASE INDICATE STRI ICTIIRAI CI PMPNTQ ANO t-niumPCTinNS nRRF'RVCr FOUNDATIONS FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATIONS) DATE Floor/Root) OBSERVED OBSERVED ❑ Conventional ❑ Concrete ❑ Steel - ❑ Concrete Footings & Slab - I ❑ Mat Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck Prestressed Concrete ❑ Caissons, Piles, >tWood or Manuf. ❑ Masony O Wood Grade Beams I Shear Panels r ❑ Other. ❑ Other. ❑ Other. ❑ Other. ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - - ❑ REPORT CONTINUED ON ATTACHED PAGE ❑ FINAL STRUCTURAL OBSERVATION REPORT: —� The structure generally complies with the approved construction documents. and all ehaarva•I Ae....ae....a.......___ _____._� I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Divisio No. 41088 Exp: 3131/ 11 STAMP OF STRUCTURAL. Jr muu i UKAI. UaSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fum,aSStnictu,e104vva1bnaryonarM.....wy - . CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION. 100 Civic Centerprive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newDortbeachca.00v 1(949) 644-3200. Structural Observation Rennrt Project Address: - .56 301 �laa Lldo Report Dale: /o.'_ >/_ i�, - CNB Inspector Name: "Ldv. —L— CNB Permit #. Building Owner Name: .. Ownefs Mailing Address (d different from site); R ck Owner's Telephone#: X CNB Plan Check f;. Full Name of Structural Observer (SO): ALI KEZ F SO E-mail Address: Allat-ee-erls.Grl SO Telephone #: `' SO License / Reg, n+: -i 4 L- e , PLEASE INDICATE STRUr_Tuaet PI OUPWTC Akin Cf1WWCP71nue - FOUNDATIONS R WALLS FRAMES --- — DIAPHRAGM ... MICIiR Y ucagre INDICATE LOCATION(S) ®oxer DATE ❑ Conventional rete ❑ Steel On—) ❑ Concrete OBSERVED OBSERVED Footin s &Slab - ❑ Mat Foundation, nry !Shear ❑Concrete ❑ Steel Deck Prestressed Concrete ❑ Caissons, Plies, Grade Beams or Manuf. Panels ❑ Masonry Wood ❑ Other. . ❑Other. ❑Other. s� cma uncW%cu-ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ' . ❑ REPORT CONTINUED ON ATTACHED PAGES ❑ FINAL STRUCTURAL OBSERVATION REPORT. I declare that the following statements are true to the best of my knowledge: I- 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is In general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 6 r STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH, Farmsl$p��ipp,ey,myr�Nar—„ oro CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION II . 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newoortbeachca.aov 1(949)644-3200. Structural Observation Reuort . r_ Project Address: �IOI l-ido Report Date: - /�'-X jO CNB Inspector Name: fZtck La CNB Permit P. Building Owner Name: _ Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): AL -i, 11m7at=it SO E-mail Address: SO Telephone #: &141) 44 SO License /Reg. #: ❑ Other: ❑ Other. PLEASE INDICATE STRUCTUROI FI FMFNTR ANff CfINNFf`Tinuc nnceevu i_. __._ FOUNDATIONS ❑ Conventional Footings & Slab SHEAR WALLS ❑ Concrete FRAMES ❑ Steel DIAPHRAGMS (Floor/Roof)OBSERVED ❑ Concrete vn p Y4rmaw INDICATE LOCATIONS) YVAU6 DATE OBSERVED ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other. ❑Other: ❑Other. Dffi ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally comolies with the approved construction documentsd II b an a o served deficlenclea were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to, be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Di 7% No. 41068 Exp: 3131/ Iq 'TAMP OF STRUCTURAI UG.OMM IUN UOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo�me�St,uclu,¢i0bswetioMePort&rupuctiooa CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newoortbeachca.aov 1(949)W-3200, Structural Observation Reoort r_ 7 Project Address: 301 Vl at Lt dp Report Date: /0 - //- / CNB Inspector Name: R tck � CNB Permit M, Y,p INDICATE LOCATION(S) nL e- X Building Owner Name:.. Mr B r � e-Aw Owners Mailing Address (d different from site); Owner's Telephone #: CNB Plan Check #: . OBSERVED ❑ Conventional ❑ Concrete Full Name of Structural Observer (SO): ALt KE7AE1 SO E-mail Address: SO Telephone #: (q44) 4 SO License / Reg. #: Footings & Slab t PLEASE INDICATE STR[Ir-Tuaet FI FMFIJTiQ AWn CnNIWFCTrrlarc nneonv�n FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGM Y,p INDICATE LOCATION(S) YVAGi DATE Ruof) OBSERVED OBSERVED ❑ Conventional ❑ Concrete ❑ Steel ❑ Concrete Footings & Slab ❑ Mat Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck Prestressed Concrete ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry Wood ,l� i AV/ j" � / .r '500, ❑ Other: ❑ Other. ❑ Other. ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally DOmDIISS with the annrnved ennsfrudinn dnn,mnnfe snA .ri 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 1 have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building ni.,ie1,... f n QAOFESSION k�f \ RE<''J� Exp: 331/19 mr CIVIC' �TFOF GAL\FOP STAMP OF STRUCTURAL OBSERVER 1.vv 1 v, voacrcM JUN uues NUT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORRED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Pam,aVSwcM1uelObservLLionaepoM&rYWctbw CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUII,DING DIVISION. 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newoorttleachca.aov (949) 644-3200, Structural Obsarvatinn Reannra Proiect Address. �tsl �I t at Lt Report Date: . 4 � ibR CNB Ir s e: -- - CNB Permit Building Owner Neme:L— .. Owner's Mailing Address ('d different thin site); Ick G Owners Telephone#: CNB Plan Chack P Full Name or Structural Observer (SO): A L t Izael SO E-mail Addrass: .. AIt Gr rce-�n3 • Gore SO Telephone #: (144) 4 2$� -- ZDi:r�:� SO License/ Reg. ;.1: i FoOtin s & Slab - 4& PLEASE INDICATE STRUCTURAL ELEMENTS AND cONNFfSTrnRrC e�Qern..e.. ,_ _ _. FOUNDATIONS - SHEAR WALLS FRAMES DIAPHRAGMS v. a "I'll,�IOAO,a INDICATE LOCATION(S) DATE ❑ Conventional ❑ Concrete ❑ Steel Floor ❑ Concrete OBSERVED OBSERVE12 FoOtin s & Slab - ❑ Mat Foundation, Prestressed Concrete p Masonry - ❑ Concrete ❑ Steel Deck - -' ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear ❑ Masonry IX, Wood ��i: Panels L 3'fyu ; f�N'� C7 Other. 11Other. 13 Other. ❑Other. • - •••....• ,wr.cu AOU V M AKC APPROVED AND ❑ OBSERVED DEFICIENCIES AND COMMENTS:' ❑ FINAL STRUCTURAL OBSERVATION REPORT: III iunowing statements are trueto the best of my knowledge; 1. I am the licensed design professional retained by the owner to. be in responsible charge Of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to fi als acceptance of the structural systems by the City of Newport Beach, Building Divi SrRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS PO(INViVlldylg���jp���r„���� ❑ REPORT CONTINUED ON ATTACHED PAGE'S. v, •a. No. 41068 4, Exp: 3/311, i STAMP OF STRUCTURAL OBSERVER INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.00v 1 (949) 644-3200, Structural Observation Reuort Project Address: -3c l yr Lt dD Report Date: �f_ �� T ' CNB Inspector Name. ^ LV . e CNB Permit #: Na DOxes r2 ►ck � KZp(1P_ Building Owner Name: .. WS. F�e Owner's Mailing Address (if different from site); Owner's Telephone t. CNB Plan Check A —w Full Name of Structural Observer (SO): ALI KEgAr-t — SO E-mail Address: - a1�G� rce-en9 t SO Telephone*. (4t+J) 2886- Zot 40 SO License / Reg. #: ❑ Masonry ❑ Other. l*1 r� . t PLEASE iNn1CATP 4T0I12-Tuo Ar cr 0190KIVO Aun nne to rw i... FOUNDATIONS ❑ Conventional Footings & Slab SHEAR WALLS ❑ Concrete FRAMES ❑ Steel .,v DIAPHRAGMS Floor/ ❑ Concrete V=u aneuR a rleame DOxes INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Mat Foundation, Prestressed Concrete LI Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Other: ❑ Wood or Manuf. Shear Panels ❑ Other: ❑ Masonry ❑ Other. X Wood{ ❑ Other: r� . ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generate complies with the approved construction documents d II b an a o served deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to. be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division STRUCTURAL OBSERVATION DOES NOT WAIVE Fam,a�Sw<twelObservetwnRepon@resyuctiaw c� No. 41068 9�7 Exp: 3/311 s�qT CIVI�,'4 FOF CAI,1P� /" MAMP OF STRUCTURAL ORSFRVFR IaSPFCTIfIa ov el rcunonen �..,., ....�..-- CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Bax 17681 Newport Beach, CA 92658-8915 www.newoortbeachca.aov 1(949) 644-3200 Structural Observation Renort -Project Address: 3 - 61 N% L-1 Report Date: 3- 2&- I8 CNB Inspector Name. CNB Permit #: I,N(S) INDICATE LOCATION(S) OBSERVED YVACi DATE OBSERVED IZtck L•lot e. ❑ Concrete ❑ Masonry Building Owner Name: .. MiIS.ro r ti Owner's Mailing Address (x different from site); Owner's Telephone #: CNB Plan Check #: w -- ❑ Masonry 288ro - Zo Full Name of Structural Observer (SO): ALt t�Ezaet SO E-mail Address: - AIrG� rce-en9 Gorr, SO Telephone #: (014ot) SO License / Reg. ❑ Other. ❑ Other. _q G 106, PLEASE INDICATE STRUCTURAI FI PMPNT3t AMn rnlJN9CTInk1Q FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo I,N(S) INDICATE LOCATION(S) OBSERVED YVACi DATE OBSERVED Conventional Footin s $ Slab ❑ a oun a ion, Prestressed Concrete ❑ Concrete ❑ Masonry ❑ Steel ❑ Concrete ❑ Concrete ❑ Steel Deck { qq G/vH >r {O' �j lR �. O ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other. ❑ Other. PC ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deflciencles 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. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division.�OFCAU� R P pFESS/p N Q�� P�� REIgF N0.41088 m w m * Exp: 013111 SI URE 0111 STRUCTURAL OBSERVER OF RECORD - UAFF ._ STAMP OF STRUCTURAL ERVER at KUU i UKnL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomutSt,oeWWO0 wetionlUport&rmhv tbw 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.nmportbeachca.gov 1(949) 644-3200 Structural Observation Report Project Address: - -301 �laa Ltdo Report Date: � 2"� "`9'r—k-La CNB Inspector Name: CNB Pemdt#: a VY0Ye0 INDICATE LOCATIONS) OBSERVED Crtn�,� S p 9'r—k- � x I&- Building Owner Name: _ Mrs. Eevymi e Owner's Mailing Address (If different from site); Owners Telephone #: CNB Plan Check #: +w — ,� 2M&- ZGI Full Name of Structural Observer (SO): AL1 tEzaet SO E-mail Address: al►G,m4e-eri9-Gcr" SO Telephone #: ��,�� SO License / Reg. A ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. _q G PLEASE INDICATE STRUCTURAL ELEMENTS ANn CnNNFCTinNC nascovon FOUNDATIONS {( Conventional Footin s SHEAR WALLS ❑ Concrete FRAMES ❑ Steel DIAPHRAGMS Floor/Roo ❑ Concrete a VY0Ye0 INDICATE LOCATIONS) OBSERVED Crtn�,� S p YVACi DATE OBSERVED V ❑ Mat Foundation, Prestressed Concrete ,dSstirrs¢P118�j Grade Beams I ❑ Masonry ❑ Wood or Manuf. Shear Panels ❑ Concrete ❑ Masonry ❑ Steel Deck ❑ Wood _ ❑ Other: ❑ Other. ❑ Other. ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents and all ob d d serve eficiencles 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 �..k charge of the structural observation; 2I ,x\ !IEZgF 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 u No. A10G8 construction stage to verify that the structure is in general conformance with the ml approved construction documents;r. Exp: 3/31A 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final accepts a of the structural systems by the City of Newport Beach, Building JT9T CJVIL Division. ��F CALIFOP i `� '�� l8 STAMP OF STRUCTU ERVER SIGNAT E F STR CTURAL OBSERVER OF RECORD DA o t (cut, i Un L U JUERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORRED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomuVSi,ucN,elObservetiaNtePON&hutnktiana 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.newooftbeachca.aov 1(949) 644-3200. Structural Observation Report No, .ProjectAddress:�f- Report Date: _ CNB Inspector Name. CNBPermit#: 3D! lOt I tIcb DATE OBSERVED gick Lv 2otlo-4Z0(o Building Owner Name: M(S.�8 i P�f^ Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check* ZS$G- 2Oi Full Name of Structural Observer (SO): SO E-mail Address: - SO Telephone #: (q q) SO License I Reg. #. ALI KEZ&el Ali 61 -44e -ens -Grit, 44&-qsq4 G PI FACF imnir ATF CTPIIf_TI IPAI F1 FMFNTS AND CONNECTIONS OBSERVED (check aoolicable boxes) UNDATIONS' SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventional Foogn s ❑ Concrete ❑ Steel ❑ Concrete �' n ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck n J Ci ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other. ❑ Other. ❑ Other. ❑ Other: r� ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - - ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The s vucture generally complies with thea proved 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. 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. 1 understand that all deficiencies which I have documented must be corrected, prior to final accep ce of the ctural systems by the City of Newport Beach, Building Division. /% t i I CO c No. 41066 m cc Exp: 31311 �� z sT9rFOFCAIFOP�\P STAMP OF STRUCTURAt-OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fame\Swcturel0leervelioNkpotlBcLuwnbos CITY OF NEWPORT BEACH commuNTTY DEVELOPMENT DEPARTMENT BIIII.DING DIVISION. 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newaortbeachca.aov 1(949) 644-3200, Structural Observation Report "0. 1 -Project Address: - Report Date:CNB S Inspector Name: CNB Permit #: 361 \11;n. LIcfo ❑ Conventional Footings & Slab glclk LVL55%fe, -4 Building Owner Name: M(S. r �" w Owner's Mailing Address (If different from site); — Owner's Telephone P. CNB Plan Check #: 2AA& - ze>1zo Full Name of Structural Observer (SO): - SO E-mail Address: SO Telephone #. &I,") SO License / Reg. #: ALt KEZAer a ill 6 me-en9 Gct•n 44&-qsqA 44ioeob PLFASF INnICATF STRIICTIIRAI FI_FMENTS AND CONNECTIONS OBSERVED (check aonlicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood {� Other ap ❑ Other. ❑ Other: ❑ Other: i.' -' ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. OBSERVED*,P66AND COMMENT 2 Cr W 1 p y; 'Velt, (Ates 4t x 3 (GrNcs 1. A /. I, / 0, r. z ZS yz.j ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: 1 The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to. be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building No. 41008 Exp: $011 11 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\ troch Mbu atwnRcp ALmln wm X016- 4206 CITY OF NEWPORT BEACH 301 wo L,'4 3oud COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive 1 P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1(949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: 36/ VIA Zpo SO /JLC Building Permit Number(s): X Za / 6 4 2.0 6) 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 aI 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: M NAVD88 NGVD29 ® Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is 3 �J 12 and actual elevation point is 3�• �� 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 is 3. Approved elevation point of flat roof or parapet is and actual elevation point is I certify that the above height measurements are correct and the above project: aIS in compliance with the City -approved plans. ® IS NOT in compliance with the City -approved plans (Provide explanation; ' Please describe any deviation from the City -approved plans on the back of this form. ?�JC { �+� 6.,x. 468 3 Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) * License number of 33965 or lower For \Buildiag height CcAiOca[ion 11/02/16 Date COMMUNI'T'Y DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachea.gov (949) 644-3200 BUILDING Gy HEIGHT CERTIFICATION Project Street Address: 361 I/IA L/PO SOULi Building Permit Number(s): X Za / 6 4- 2 ,0 �p 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. I 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: M NAVD88 ® NGVD29 ® Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or - parapets/guardrails. Additional elevation points may he requested by the Building Inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is 3'5-' %Z' and actual elevation point is 35 08 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 is 3. Approved elevation point of flat roof or parapet is and actual elevation point is I certify that the above height measurements are correct and.the above project: Dd IS in compliance with the City -approved plans. v �� D G,6yrydcr`\ 0 r1 7F Q No. 46M a 'O IS NOT in compliance with the City -approved plans (Provide explanation). N D1r Please describe any deviation from the City -approved plans on the back of this form. za/'p�p CAL1F� � �, 45.4693 9121119 Surveyor or Civil Engineer's* signature and seal Date (Wet stamp and signature required) * License number of 33965 or lower Fot=\6u0dingHeight Cenification 11/02/16 i�;s�°�ia� the s�tbact� are m .�.d.K�..��„ ��. yfr}Y�'M1k y_V.. kk - kk S'b of a commn property line fence where 500A of the well thickrI and foundaition will be buift aver the adjacerft propeI ADDRESS OF ADJOINING PROPERTY 2 (See PRtKT NAME SIGNATURE OF PROPERTY OWNER 5KT—E 119515TRIM10701k • Iiiiii I.*' .. KY PLAT$ PROPERTY. 10 j V jo, LSCS „3". SUBJECT PROPERTY: �� R CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $188.00 RESIDENTIAL: NO FEE PROJECT: OWNER'S NAME: JOB ADDRESS: BUILDING PERMIT NO.(s): NO: 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: TE: PRINT name of owner or tenant:/,_ _ PHONE #: CONTRACTOR SIGNATURE: _ __ _ _,_.... /._._.. PRINT name of contractor, .e /i%�r G�LD&&1PHONE #: APPROVED BY: �/(for office u,56 only) 7l/ Building Inspector Forms\TEMPORARY POWER RELEASE APPLICATION. 09/13/2018 Date Projec Date: The fa,,,..,,,y cumPletea Dy the California licensed contractor or owner -builder, participating in the City of Newport Beach Self -Certification Program. Please type or print. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 ) Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Installer's Name: Installer's Mailing Installer's Email: I License No (ifapplicable) `i,�V OOo Phone (required)NQ yM W C_b— qzu, 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 gal/minute at 20 psi staller's Signature /-��� Date Property Owner (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 Buildino Division may ranilper and rese yes the right to verify code compliance after lZ 6�ao�� Date 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 #: (949) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 PormslConiraclor-OvmerSel/-CerGeclaralion-DishnasherGalbage Disp'i/a(e,Closef 12/18/13 Project Status Report Ca10ERTS, Inc Effective: 01/14/2020 02:18 1 of 2 GENERAL INFORMATION Energy Standards Code Year: 2013 Project W16-4012 Name: -F Project Type: Alterations SFR ■ Address: 301 VIA LIDO SOUD City / State / Zip: Newport Beach / CA / 92663 Enforcement Agency: City of Newport Beach ■ ■ ■ Permit Number/ Date: X2016-4206 / 1/1/2016 Easy to Verify @ calcerts.com HERS VERIFIABLECOMPLETE MEASURES: OVERALL STATUS: I COMPLETE CF1111 INFORMATION,'.;Certificate of Compliance (Lists Required Energy Features) Certificate Type: Compliance Registered Form: CF1R-PRF-01 Registered Date: 12/07/2016 20:55 Registration Number: 216-A04S2729A-000000000-0000 CF211 INFORMATION"' Cer rcates pf Ins all tlgn (Oocurngiants *he roper installation of rgqufret4" y r energyfeatures}u. s f fa r u,. .�» ' sr»as..' n i. W. °; a System orm 4 f giste edron,Tlumber "I"" De a 216-A0452729A-E0100001B-0000 CF2R-ENV-01-E 01/14/2020 Howard Phillips (Fenestration Installation) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-E0200001B-0000 CF2R-ENV-02-E 01/14/2020 Howard Phillips (Envelope Air Sealing) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-E0300001B-0000 CF2R-ENV-03-E 01/14/2020 Howard Phillips (Insulation Installation) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) CF2R-MCH-01-E 216-A0452729A-M0100001B-0000 (Space Conditioning Systems, 01/14/2020 02:07 Howard Phillips (DEPENDABLE GRAHAM AIR Ducts and Fans) CONDITIONING INC) 216-A0452729A-M2000001A-0000 System 1 CF2R-MCH-20-H 01/14/2020 Howard Phillips Vi (Duct Leakage) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2000002C-0000 System 2 CF2R-MCH-20-H 01/14/2020 Howard Phillips (Duct Leakage) 02:09 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2300001B-0000 System 1 CF2R-MCH-23-H 01/14/2020 Howard Phillips (Airflow) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2013 Residential Compliance Dec 2015 Project Status Report CaICERTS, Inc Effective: 01/14/2020 02:18 2 of 2 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2013 Resldential Compliance Dec 2015 216-A0452729A-M2300002C-0000 System 2 CF2R-MCH-23-H 01/14/2020 Howard Phillips (Airflow) 02:09 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2200002D-0000 System 2 CF2R-MCH-22-H 01/14/2020 Howard Phillips (Fan Efficacy) 02:09 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2500001B-0000 System 1 CF2R-MCH-25-H 01/14/2020 Howard Phillips (Refrigerant Charge) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2500002C-0000 System 2 CF2R-MCH-25-H 01/14/2020 Howard Phillips (Refrigerant Charge) 02:09 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2600001B-0000 System 1 CF2R-MCH-26-H 01/14/2020 Howard Phillips (Rated Equipment) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-M2700001B-0000 CF2R-MCH-27-H 01/14/2020 Howard Phillips (IAQ and MV) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) 216-A0452729A-B0200001B-0000 System 1 CF2R-PLB-02-E 01/14/2020 Howard Phillips (SD HWS Distribution) 02:07 (DEPENDABLE GRAHAM AIR CONDITIONING INC) CF3R INFORMATL,DN - Cer AfecaYes nf'Werificatio� (Doctii 1onY5 V13 I"rif ati,99" lVf HERScMeasuresj System t Form 'u *Q# iZi istere tt l Rggistr itgon NumbQK r, ate System 1 System CF3R-MCH-20-H Leakage) 01/14/2020 216-A0452729A-M2000001A-M20A Jeremy Collins (Duct 02:17 (Aura Energy Compliance) System 2 CF3R-MCH-20-H Leakage) 01/14/2020 A-M2000002C-M20C Jeremy Collins (Duct 02:18 (Aura Energy Compliance) System 1 CF3R-MCH-23-H 01/14/2020 216-A0452729A-M2300001B-M23B Jeremy Collins (Airflow) 02:17 (Aura Energy Compliance) System 2 CF3R-MCH-23-H 01/14/2020 216-A0452729A-M2300002C-M23C Jeremy Collins (Airflow) 02:18 (Aura Energy Compliance) System 2 CF3R-MCH-22-H Efficacy) 01/14/2020 216-A0452729A-M2200002D-M22D Jeremy Collins (Fan 0218 (Aura Energy Compliance) System 1 CF3R-MCH-25-H Charge) 01/14/2020 Jeremy Collins5A M2500001B-M25B (Refrigerant 02:17 (Aura Energy Compliance) System 2 CF3R-MCH-25-H Charge) 01/14/2020 A M2500002C-M25C Jeremy Collins (Refrigerant 02:18 (Aura Energy Compliance) System 1 CF3R-MCH-26-H Equipment) 01/14/2020 216-A0452729A-M2600001B-M26B Jeremy Collins (Rated 02:17 (Aura Energy Compliance) CF3R-MCH-27-H 01/14/2020 216-A0452729A-M2700001B-M27B (IAQ and MV) 02:17 Jeremy Collins (Aura Energy Compliance) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2013 Resldential Compliance Dec 2015 CALIFORNIA CUSTOM LIFT Elevators • Dumbwaiters • Wheelchair Lifts • Stair Lifts • Hillclimbers December 11, 2019 Caldwell Builders, Inc. 15211 Victoria Lane Huntington Beach, CA 92649 In reference to your request, this letter states that the Residential Elevator: CER -1100 -2 -Same Installed by: California Custom Lift, Inc. Install Date: 11-4-2019 Job: 301 Via Lido Soud, Newport Beach, CA 92663 Meets all manufacturers specifications and safety codes ASME/ANSI-A17. Best Regards, Renee Knecht Administrative Assistant California Custom Lift, Inc. C-11 State Certified Installation Company Contractors State License License Number#417741 13802 West Street • Garden Grove, CA 92843-3913 • (800) 244-9039 • (714) 554-1300 • Fax (714) 554-1241 Contractors Lic. No. 417741