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X10 It 9 09 cl 'A /w ? oi Rse m cA Ave. ZIP Fc)j k,3 SeAtA CITY OF NEWPORT BEACH C0MMUN=DEVEWFME.Nr DEPARTMENT IffUnDING DIVISION wwwjr"��gw I FM SFPJlw� NFPA 13D SYSTEM b, Badftwdevice (shjedm*) r- Bed acffvabon device d- Irtspedoes led waive R-sersbod Peres plarls 2. PraimmaTest a- SysIamtmdectatoperaftpressmabr2[arias b. Pressurmig�awulxgge E I El 3. dug not tie ktataffed fin ffleftk=re"t3 the WtHogds ai chase (tamriaraytest DL=l iL hAgadmand spadmoffernporarytestpangs F- I 4. Pbkw a- UakmkmtAedperpkn b- HmVem per codem#wwart upward c. Ag CPVC poM dial be irmtaW by persons v4w have been El caffied by to mangy m tr aft of CPW pifmV pmbacled from damage1 a- Wrkv kmb&-d per code Q. b. Boxes kmtded at WvW kcaffam Nurt- *&kkrs twi i4 Isled as 'aidck ResponW GrRiesklenW must be used- GORRECTlONS AND NOTES: FIRE SPRINKLER NFPA 13D SYSTEM ROUGH INSPECTION APPROVED. pERmrrg -PD Da 0 - 6 3 (, -Z— BY, 'b A y(b DATE- 5 Lg2p 'Pb lNSci-}tA _CrrY OF aORT BEACH C0mmUN0FyJDKvlLGPA0W aURDINGWWRON is enter .[P.O... 92 . i. 1 :� �3 i.. aSYSTEM 1 e itY a ii :i alESi 1 5i s NO Cmer plates..T' to be InstalecL bLI did be avallabie m tm jObSff)3■I i 5. All Ispe armf part rammed from Wet head■I ■ 7. Properskinsga_ at _l reqA-ed bomfi3m■I ! 3 Flow imst cmuicled and bed_ !1 ! SYSTEMS: . ciemwices, amid six b jdm heads mid riser- it ■ 11. OperalmV pressure- -_ showmV proper water- ■ i pmventer installed■ ! NOTES. PERMIT 4'- c- CITY OF NEWPORT BEACH CONINIUNITY 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: � l/ 1-7 JOB ADDRESS: d � �n5 / / 4 kL/C 1. The grading plan check number for this site is ,_&-a '�q 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. 6. 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. 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 comer monuments shall be in place. Prior to any foundation inspections, proof of recordation of the "comer 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: 12 Co DESIGN CIVIL ENGR.: 04��1o91Itf8P/H INC By: LMG �1t ✓b\�7z By: 014✓ Iveomy Address: �1`�bb741OdAILO KD .T2WtnC Address: mow. pew/ Aw't CC<ee�rru�(e Telephone: C(41 —' A3I 3 _S`I lO Telephone: g49'4_?Z•B54; GEOTECHNICAL EN INEER: Ub�� GEOLOGIST.: By:""l By: Address: —3 5 LJ % SGvW �/a ohs A� <, Address: Telephone: -2Zq —6nb Telephone: GRADING CON/� TR.: ,�'/ - N COORDINATOR: By: LA�w i By: Address: Ml -Siu7J Address: Telephone: %( D— S J 9 a i% Telephone: NEWPORT BEACH REPRESENTATIVE: PHONE#: INSPECTION REQUESTS: (949) 644-3255 Newport Beach Construction Hours: Monday through Friday: 7:00 a.m. to 6:30 p.m. Saturdays: 8:00 a.m. to 6:00 p.m. No work on Sundays and Holidays Forms�pregrade meeting agreement 8-12 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 BUILDING HEIGHT CERTIFICATION Project Street Address: Building Permit Number(s): re As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. Provide each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to the inspector before roof framing inspection. All elevation points are based on: O NAVD88 O NGVD29 © Assumed f3ys� p OA/ f r,�.✓s FF� /lo. !v 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 /44. 7 / and actual elevation point is 144,2o 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: IS in compliance with the City -approved plans. O IS NOT in compliance with the City -approved plans (Provide explanation). Please describe any deviation from the �� La I Surveyor or Civil gineer's*sii (Wet stamp a d signature * License number of 33965 or lower JERALD E. PLS 7169 of this form. I � i Date FormsWuilding Height ccdiriwtion I l/02I16 CITY OF NEWF'ORT BEACH . 1 COMMUNITHD VEI ®P1�IENT DEPARTMENT c 13'UIILDING DIVISION ''^c"4Fna e 100 Civic Center Drive I P.O. Box 1768 i hiewport 9each, CA 926588916 www.newnoribeachca.aov 1(949) 644-3200 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 fo 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 priorto starting wall framing. Engineer/6urveyor s Nam Anhorn Land Surveying License it L8 7159 Engineer/Surveyor's Address 128 S. Le Salle Street Job Address 420 Polnsettia Ave, Corona Del Mar Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). "Top of slab/floorelevatlow 1%00 * If slab/floer elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey ofreeord, I certify that the setbacks are a, are not EJ, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is Q, Is not 0, per City approved draw4s. Describe any deviations from plans: August 12019 Date Farms/Se*acksandTopoiSlabBlevationCen. CORNER RECORD Document Number_ City of NEWPORT BEACH County of Brief Legal Description LOT 16 OF BLOCK 443 OF CORONA DEL MAR TRACT. 2017- ORANGE , California MM 3/41-42 COORDINATES (Optional) CORNER TYPE N. E. Government Corner ❑ Control ❑ Zone NAD270 NAD830 Meander ❑ Property M NAD83 Epoch Rancho ❑ Other ❑ Elevation Vertical Datum: NGVD290 NAVD880 Date of Survey APRIL 17, 2017 Units: Metric❑ Imperial❑ U.S. Survey❑ Corner — Left as found ❑ Found and tagged ❑ Established Do Reestablished ❑ Rebuilt ❑ Identification and type of comer found; Evidence used to identify or procedure used to establish or reestablish corner: Found as described on the reverse of this sheet. Received JUN 14 2017 OC Survey A description of the physical condition of the monument as found and as set or reset: See Page 2 SURVEYOR'S STATEMENT �). This Corner Record was prepared by me or under my direction in conformance with the Profe io�Tihand Syrveyors' Act on APRIL 17, 2017 L.S. 7432 Signed —� P.L.S. or R.C.E. No. L.S. 7432 * EXP.12/31/17 COUNTY SURVEYOR'S STATEMENT SEAL This Corner Record was examined and Signed County Surveyor's Comment P.L.S. or R.C.E. No. 2007 Page 1 of 2 Document Number 2017- SECOND AVENUE N49`27'40"W 149,91' QO 3 (N49°28'19"W 149.97') H 117.9P (117_9s) ((118 )) I o 17 (or 0 7------------- fool 00 I N W M �+ I� � N w 3 I N49°28'49"W 117.91' N a n z l � LOT 16, BLOCK 443 0' w _a Q O I Na, BK. 3, PAGE 41-42 M.M. F- m� H- I a NMM49/°��28'_4{7� W y 117{.9�1Ld ' 8 to O if7 I �O(/U[/OUO VLSG�NJ ��VLS QUO I I O N O I © N .yO' Z --------- Z NM ---- m I o� I� Zel HIM 0'6 7/g� Z4 � I o 0 I r7 O � M Q� w I I ^ //�� M�/7 /��7 //�� /�/� �7 5 1 ao N I 1� [YoUI%lJoUo V/ l � 01I M M of r M: �F Of-- O — — _ —^NI Z T � C�oG7o 224f16 f10�7 0 SIT Nv117.91' (11791) ((118')) �NI Q2 r ------ _----2r ® S49°27'02"E 149.91' (S49°28'19"E 149.91') ALLEY 0' 25' 50' SCALE: 1" = 5i RECORD DATA NOTES: ( )INDICATES RECORD DATA PER �.R. 2016-1037 RECORD DATA NOTES: THE BASIS OF BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF POINSETTIA AVENUE BEING N4034'07"E PER C.R. 2016-1037 & P.M.B. 347/23-24. MONUMENT NOTES: INDICATES MONUMENT FOUND AS -NOTED. 1Q FOUND 4-2.00' CROSS TIES STAMPED LS 5023 OVER MANHOLE, ACCEPTED AS CENTERLINE INTERSECTION PER P.M. No. 2004-144, P.M.B. 347/23-24 Q FOUND NAIL & TAG STAMPED "P.L.S. 8516" ON PROPERTY LINE PROJECTED AT 2.00' OFFSET PER C.R. 2016-1037 �,_Q3 FOUND SPIKE AND WASHER J STAMPED IS 5023" ACCEPTED AS _I CENTER LINE INTERSECTION PER Q C.R. 2008-0438 ® FOUND SPIKE AND WASHER STAMPED IS 4184" ACCEPTED AS CENTER LINE INTERSECTION PER PM No. 2004-144, P.M.B. 347/23-24 Q5 FOUND NAIL AND TAG STAMPED "LS 6902" ON PROPERIY LINE PROJECTED AT 2.00' OFFSET PER PM. 97-105, P.M.B. 298/49-50 © FOUND 3/4" I.P. CONCRETE FILLED WITH NAIL, DOWN 6", NO REFERENCE, ACCEPTED AS PROPERTY CORNER Q7 FOUND 3/4" I.P. TAGGED "LS 2312" FLUSH. NO REFERENCE, ACCEPTED AS PROPERTY CORNER. Q8 FOUND NAIL AND TAG STAMPED "P.L.S. 6723" AT PROPERTY LINE PROJECTED AT 2.00' OFFSET IN LIEU OF NAIL AND TAG STAMPED "P.L.S.6723" AT PROPERTY CORNER PER PM. 2000-155, P.M.B. 325/31-32 Q SET NAIL AND TAG STAMPED "LS 7432" FLUSH AT PROPERTY LINE PROJECTED, AT 2.00' OFFSET UNLESS OTHERWISE NOTED. Page 2 of 2 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca,gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Parrott 420 Poinsettia Ave NB 11.24.2020 X2017-2099 Building Owner Name: Owner's Melling Address (If different from site); Owner's Telephone #: CNB Plan Check #: Fadavi All R 1472-2017 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License I Reg. #. Basil Fawez Ammari bammari@gouvisgroup.Com 949 279 7410 C052030 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 & Slab ❑ Concrete R Steel ❑ Concrete Roof level Interior and exterior Final light gauge metal framing 11 /94/202 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck with roof diaphragm nailing only. ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry X Wood Roof diaphragm ❑ Other. Other: Steel framing ❑ Other: ❑ Other: M ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No Deficiencies. Some fixes chocked via photos. ❑ REPORT CONTINUED ON ATTACHED PAGES. 10 FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed defleiencies 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 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. 11/24/2020 STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDUa31NSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomK�3lnqumloleorvolmnrtcyonal,vlmabm CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca gov 1(949) 644-3200 Structural Observation Retort ProjectAddress: 420 Poinsettia Ave_. — Report Date: CNB Inspector Name: CNB Permit #: Building Owner Neme: Owners Melling Address ('IF different from site); Owner's Telephone #:� CNB Plan Check#: Full Name of Structural Observer (SO): DK Eosakul SO E-mail Address: SO Telephone #: SO License! Reg. #: decsakul@gouvisgroup.com (949) 752-1612 $5226 PLEASE INDICATE STRtJrTuaal l:1 PUMITC AUn ....��...,._. FOUNDATIONS ❑ Conventional Footin s & SI SHEAR WALLS ❑Concrete FRAMES ❑ Steel DIAPHRAGMS Floor/R Concrete ❑ Steel Deck ❑Wood other UIRSUR applicoole INDICATE LOCATIONS) OBSERVED lop and bottom febars Holdown and A.B. installation @ Bonus Room -Dowels for perimeter emu wall and planter wails Reber In concrete Wall @ elevator we I 0 RoD� b ck 0 lot 11 xxx DOX@S DATE OBSERVED +) /i�q ❑ Mat Found on, Prestresse oncrete ❑ Masonry ❑ Concre 1 q/'�� ❑ Cale ns, Piles, G da Beams ❑ W or Manuf. S ar Panels ❑ Ma my 1 /�q/� 0 1 that: tear: other: 1 '�q �� 0 ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No WIC-19,T109-1 ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally comDlies with the approved epnstp c+Ipti day.me..•_ a -A _II -------�---._.. . OR—vww uo1n.1ou1wv* were correcreD. 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. t, 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. tlxi o 1AIVIr Ur b I KVU I UKAL U55ERVER O 1 Kuu lve WOOCK AnaN Does NOT WAIVE ANY REQUIREMENTS FOR BUILDING 0PECTION 13YAUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Fammslnuluml0haorva�IpnRaP�rt&InstmoNom 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.aov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit* 420 Poinsettia Ave. Building Owner Name: owners Meiling Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: DK Eosakul deosakul@gouvisgroup.com (949) 752-1612 S5226 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNFCTInNR nRSFPUrn FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS FloorlRoo I INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional ❑ Concrete ❑ Steel EA Concrete Footin s & Ste ❑ Mat Found on, ❑ Masonry ❑ Concrete ❑ Steel Deck Prestresse oncrete ❑ Cais ns, Piles, ❑ Woo or Manuf. ❑ Me my ❑ Wood G de Beams S ar Panels then. that: Other: Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. -Top and bottom rebars -Holdown and A.B. installation a Bonus Room -Dowels for perimeter emu wall and planter walls -Rebar In concrete wall @ elevator �l1l�we Cj Ic0 0 Ufl a Sic - tt0 1 /i�q rip 1 IZa(/r�0 r r ❑ OBSERVED DEFICIENCIES AND COMMENTS: No tsTirog tic,ip ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure Is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 5 VAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Fo=Otmtlneatobsetoatlnneppftmnstmotlons CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-8915 www.newoortbeachca,Qov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: 11.24.2020 CNB Inspector Name: CNB Permit#: X2017-2099 420 Poinsettia Ave NB Owner's Melling Address (if different from site); Owner's Telephone #: CNB Plan Check M Building Owner Name: 1472-2017 Fadavi All R Full Name of Structural Observer (SO): SO E-mail Address: bammari@gouvisgroup.com SO Telephone #: 949 279 7410 SO License I Reg. #: C052030 Basil Fawaz Ammari ,ram Akin rnwurcr71nmS nRSLFRVFD Icheck aonlicable boxes) PLEASE IN DIGAI t to I KUL, IV MAL cl-cnlcn t o r 2. �..�..,.,-....--..— ---- DIAPHRAGMS '-- --- INDICATE LOCATIONS) DATE FOUNDATIONS SHEAR WA4LS FRAMES (Floor/Roof) OBSERVED OBSERVED Roof level interior and exterior 11 /24/202 ❑ Conventional ❑ Concrete Steal ❑ Concrete Footings & Slab FI al li ht au a metal framin ❑ Mal Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck with roof dlaphragm nailing only. Prestressed Concrete Masonry Wood Roof ❑ Caissons, Piles, ❑ Wood or Manuf. ❑ die hra m Grade Beams Shear Panels ❑ Other: k Other: Steel framing ❑ Other: ❑ Other: M ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No Deficiencies. Some fixes checked via photos. ❑ REPORT CONTINUED ON ATTACHED PAGES. ® FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure Is In general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 11/24/2020 It . C052M Exp.12/3i/20 STAMP OF 5"1"KUU I URAL UOi UKvcr[ STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Form1451nmIumlObsorvallonRapotl&LulmcOmu (2e'.s�4�ce CITE' OF NEWPORT BEACH — COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92608-8915 www.newportbeachca aov 1 (949) 644-3200 Structural Observation Report Project Address/: Ifs Report Date: �j ko ���"l CNB Inspector Name: CNSP,erfnIttA wrY�ao Buifding Owner Name; Owner's Mailing Address (if different from site); Owner's Telephone M CNB Plan Check #: Full ame of Structural Observer (SO): 50 E-mail Address: SO Telephone #: SO License I Reg. #; c9-Sj� �arnrY+o.,vl® ec1�r(S rov q�tcv=tE�-tb1a- �SC�,'O PI FARP INnIC.ATF CT12II1-TII0.e1 CI CPACwITQ nnin FOUNDATIONS SHEAR WALLS �� FRAMES .. DIAPHRAGM .��uv v..v�...w „V4Y,G INDICATE LOCATIONS) YVAOJ DATE Flo0rlRo OBSERVED OBSERVED ❑ Conventional/ RU Concrete ❑ Steel ❑ Concret ©�� �y�lpn O� Feelings & ab ❑ MatFo-dation, ❑ .Masonry ❑ Con to ❑ Ste eck Prestres d Concrete ❑ Ca1 ons,. Plies, ❑ Wood or Manuf. ❑ asonry p ood ( �� ��`� G de Beams Shear Panels q ther. ❑' Other: ix Other: Other: ( C1 V& Onr a ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. QQOFES,Sf� - . ❑ OBSERVED DEFICIENCIES AND COMMENTS: �fle' 11 No, C052030 7 70 Exp,12/M1/20 I V I OQ • F - ❑ REPORT CONTINUED O ACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT; The structure isAerall complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant -construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. No. CO&IM F5V. 12✓31/10 STAMP OF STRUCTURAL OBSERVER SI R-Cr( RAL CBS8WATICN DCEB NOTMINEANY REWIRFNENTS FOR BUILDINGINSPEC110N BYAUr OR7ED BVFLOYEES CF THE CnYCF NWPORT BEACH, Form+151mnu,40bervo,ionReport&InsWc,ione BE 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.aov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 420 Poinsettia Ave. i Owner's Telephone #: Building Owner Name: Owner's Mailing Address (if different from site); CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: DK Eosakul deosakul@gouvisgroup.com (949) 752-1612 S5226 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Sla ❑ Concrete ❑ Steel Concrete ❑ Steel Deck ❑ wood Other: -Top and bottom rebars -Holdown and A.B. installation @ Bonus Room -Dowels for perimeter cmu wall and planter walls -Rebar in concrete wall @ elevator wall pRaof Desk ;1 *A X1 { Ala ❑ Mat Found on, Prestresse oncrete ❑ Masonry ❑ Concret ❑ Cais ns, Piles, G de Beams ❑ woo or Manuf. S ar Pls an Is ❑ Ma my I a ther: ther: Other: 11 li A,�C i) ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO Ve�'1Clemc.�2l� . ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; I understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\S"c=alObservatiaM port&Inehuctions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 420 Poinsettia Ave. Report Date: 01-20-2020 CNB Inspector Name: CNB Permit#: Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone M CNB Plan Check M Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Mark for DK Eosakul mmatsuyama@gouvisgroup.com 949 752 -1612 S5226 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloodRoop INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footing 5 a Sla ❑ Concrete ❑ Steel 'Li Concrete Bottom 2 layers of 01-20-2020 ❑ Mat Found on, Prestresse oncrete ❑ Masonry ❑ Concret ❑ Steel Deck reintorcement tor 3rd Floor Slab ❑ Cais ns, Piles, G de Beams ❑ Woo orManuf. Sb4ar Panels [I me my ❑ Wood ther: ther: Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No deficiencies found. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 01-20-2020 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Povo Smcw lObservaioo eporc&mevmclioos Re,s��ce 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: Llk 1r,Sewo. ccvtyGf Report Date: ko _1z Vk CNB Inspector Name: CNB Permit #: r Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full ame of Structural Observer (SO): z R. SO E-mail Address: �o & SO Telephone #: q�w=tSa 161� SO License ! Reg. #: 4 C04gasb c �n..w cl® Q". rw .Cory) PLEASE INDICATE STRUCTURAL ELEMENTS AND,CONNECTIONS OBSERVED (check auolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGM (Floor/Ro INDICATE LOCATION(S) OBSERVED - DATE OBSERVED ❑ Conventional A Concrete ❑ Steel ❑ Concret OljSehk7siS4� O-P— PA4 Footin s & ab ❑ MatFo dation, ❑ Masonry ❑ Con ete ❑ Ste eck LfJ.2k a•s�p� p�, Prestres d Concrete ❑ Ca i ons,. Piles, ❑ Wood or Manuf. Elasonry ❑ cod G de Beams Shear Panels ❑ ther: ❑ Other: Other: Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. QpOFES$/� ❑ OBSERVED DEFICIENCIES AND COMMENTS: fie. m No. C052030 ;p Exp. 12/31/20 N Z1/VI 99 o OW ❑ REPORT CONTINUED ACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. 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 thestructural systems by the City of Newport Beach, Building Division. A STAMP OF STRUCTURAL OBSERVER STRUCK R X OBSERVATICN DOES NDTVVU\/EANY REGt11REIVENTS FCR BUILDING INSPECnCN BYAU1r-OR1ZED ENPLOYEES OF hE CITYOF N=WDORi BEACH. FaringS"mu�O�ation epoa&Inactions Rc RQS0Q<� -��(ti3 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.newaortbeachca.00v 1 (949) 644-3200 Structural Observation Report Project Address: l�(c� Report Date: CNB Inspector Name: CNB Permit*ao X)-01 —dry Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name Iof Structural Observer (SO): SO E-mail Addrep. baMr�as��o�5gco�Q•�m SO Telephone #: ��a �� SO License / Reg. #: SSd✓� , PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED !check annlirahle hnxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATION(S) DATE (Floor/Roof) OBSERVED OBSERVED IX Conventional ❑ Concrete ❑ Steel ❑ Concrete Footin s a, Slab ❑ Mat Foundation, ❑ Mason ❑ Concr to ❑ Steel D k OF kla$,Q & Prestressed Concrete ❑ Caissons, Piles, ❑ W d or Manuf. ❑ M onry ❑ Woo Grade Beams S ear Panels ❑ Other: ❑ ther: ❑ Other: ❑ O er: �oGUOns� IJg' ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: (n oe C05203p 6tp 12/31/2o IV1 Q. OIMF- ❑ REPORT CONTINUED ACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. 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 thestructural systems by the City of Newport Beach, Building Division. a No. COSM • 12/31/m STAMP OF STRUCTURAL OBSERVER STRUCTURAL OB.SERvATICN DOES NOT W11VEANY RECUIREVFNTS FCR BUILDING INSPE-70N BYAUTl-ORIZFD EVPIAYEES CE THE GTYCF hEVPORT BEACH. Forms\StmnuralObservetioNteport&Inswctions sJ" Nw---IoK CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov ( (949) 644-3200 Structural Observation Report Project Address: 20 ED)r"-SC-'T10 AVG Report Date: G(—))—Iq CNB Inspector Name. CNB Permit H: 2-0911 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Stmclurat Observer (SO)'. SO E-mail Address: SO Telephone #: SO License / Reg. #: C �Sh✓•iL 1i r-12 1L 01(F-90JSu(J Casza3-0 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OFISFRVFn Trherlr �nnitrnhlu hnvn�l FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roo INDICATE LOCATION(S) V OBSERVED DATE OBSERVED $L Conventional Footings & Slab ❑Concrete ❑Steel ❑Concrete N9 z F1,00K 47-11—(q ❑ Mat Foundation, Prestressed Concrete ❑ Masonry/on to ❑Steel De IfrOM L qy' .,Q oNL �/ ❑ Caissons, Piles, Grade Beams ❑ wo or Manuf. ear Panels ❑ asonry ❑ Woo ❑ Other: Other: Other: ❑ ther: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: UED: "�Lw)P SL BoTTvM m - NLj/-' ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the .owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. I�ffJJ e lil�fAL I� Fck' #0t A G:-/(_ro i No. Exp. 12/31/20 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. I-Ifni,iSu 11 Ih—I.I RgInalmwcuunI 4-23 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: Zo P0,Ns6-TIA AV(-:, Li-ll-19 X2o1--2.0 Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: -12 CNB Plan Check If: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: CVIY/0l- 1) r'12 )L KvSH T° nDUVISC,120d,C-oM 0/(�9Q3So(<3 GaSzv3-0 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED 'al Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete fV9 Z FfoOle S 4Q 1 —f r —IR -❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Con to ❑Steel De LfrOfv. L Ay _IQ oNL'/ ❑ Caissons, Piles, Grade Beams ❑ Wo orManuf. ear Panels ❑ asonry o ❑ Wth ❑ Other. Other: Other: ❑ er. ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: evzCrieV&PN9 L.oD,e SLA13 S'Citam m A/Ly. rvo Lb e rf c l C-iv s. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. j No. C01S= &p.12/31/20 STAMP OF STRUCTURAI STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORU:ED EMPLOYEES OF THE CITY OF NEWPORT BEACH. IinmsllUwtnnll IM1ccrvTmnl4p,n&I,uvunm,u CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: N2� nth8�28�2�1 Report Date: CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check M Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Basil Amman bammari@gouvisgroup.com 949-2797410 C52030 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footin s & Sla Concrete ❑ Steel ❑ Concrete J� ❑ Mat Founds n, Prestressed ncrete ❑ Masonry ❑ Concre ❑Steel De G'..('{�-�-.ilt eaf ❑ Caisso ,Piles, Grad eams ❑ Wood orManuf. Shear Panels ❑ Ma my ❑Woo �A/qL( q(�ytp /�1, J lT ❑ Ot r: ❑ Other: ❑ ther: ❑ her. P! Y TEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; y 2. I, or another licensed design professional whom I have designated above and is under c7 Q C052030 my responsible charge, have performed the required site visits at each significant wU DO No. construction stage to verify that the structure is in general conformance with the Exp. 12/31/20 approved construction documents; S 3. 1 understand that all deficiencies which I have documented must be corrected, prior to �-��, C I V y final acceptance of the structural systems by the City of Newport Beach, Building FOF CP��F Division. A t ZB 41 I STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FormsV tma=10l ervatioMeport&lmtructiom CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca,gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 7/31 aV(`i - Building Owner Name: Owner's Mailing Address (If different from site); Owner's Telephone #; CNB Plan Check A Full Name of Structural Observer (SO): SO E-mail Address; SO Telephone #: SO License / Reg. A �rnc.�0 So ( s.. Rifq— 6e2h 43 120517 0 PLEASE INDICATF STRUCTURAI FI FMFNTR Amn CnrdNFCTlnNIC nnscnvGn r,---- i FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED �Q Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete 6rt 61" 0Yl ca-t—aGf ✓ Ju r ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck �«yt{�. tye K. ❑ Caissons, Plies, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other; ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and Is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; S. I understand that all deficiencies which I have documented must he corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 7/3 / j NO. C052030 EV. I V31/20 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\4fmpuralObw,vnlbnRuporl&Letruotio,u CITY OF NEWPORT BEACH P.O. Box 1768, Newport Beach, CA 92658-8915 SHORING WALL LOCATION CERTIFICATE The purpose of this Certification is to depict the location of the southerly and northerly shoring walls in relation to the property boundaries. This form must be filled out by a registered surveyor or civil engineer authorized to perform sulveys. Engineer/Surveyor's Name: Wm. Alan Brooks License #: 6921 Engineer/Surveyor's Address: 139 Avenida Navarro, San Clemente, CA 92672 Job Address: 420 Poinsettia Location(s): Sketch a site plan and specify surveyed location(s) (use back page) I certify that the forms for the southerly and northerly property line walls in relation to the property boundaries as shown on the attached sketch are accurate as measured. Form boards were measured on 10-4-2018. V .ALM � o. 6921 10/4/18 \CALIFS% (NNl`t • '(_ _ I NS Date Engineer/Surveyor's stamp and signature AB/ ks 17072wall local 3300 Newport Boulevard, Newport Beach Fd. N&T LS7432 ® 2' OS per CR in progress POINTSETTIA AVENUE _- rn �I 31 �I N� BLOCK 443 d1 LOT 16 ZI UM 3141-42 11 120. SCALE. • 1"=20' f'd. N&T LS7432 ® 2' OS per CR in progress 0 U m p �N * /p�love eA WWo. 21 K' 1 1 1 Fd. N&T PLS6723 ® 2' OS— -� a'" Yo 34 08 f 30.01 d N&T LS7432 ®2' OS per CR in progress — - — _ _ ALLEY _ _ per CR in progress SOL rv`u, .12?4 : 6 L..�33 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.newl)ortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: olri.Sc -4-(-�T-ll 2011-20 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): KUSN4k FLIP SO E-mail Address: SO Telephone #: of SO License / Reg. #: 9flL 19, KVSYIIAL@G,vvVISG oup,COA, g 138t� C06Zo3a PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED h k I' bl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) c ec app ca a INDICATE LOCATION(S) OBSERVED buxrs DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concr ❑ Steel De A�Jg PAD Foc,J 1 N P. Caissons, Piles, Grade Beams ❑ Wo or Manuf. S ear Panels ❑ M onry ❑ Wo ❑ Other: Other: Other: ❑ ther: fff, ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: OJR&Egu CW 3,0 O/V lJALL W2 ALor\LG pIDUr/E b AigbFk O0g.calev€ role `Ml 14 CoLU" ND b r 1 I .1VC1 ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. -1-1-:7-tq — UF STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. 17orms\Structuml0bscry tionRcport&lnstmctions vlytp33 CITY OF NEWPORT BEACH `�iPuriLTl�ii�i�LLYLLVi1� Ni Ol lTVIE T BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov (949) 644-3200 Structural Observation Report Project Address: t O- tires- Report Date: 6`.-T&-ee .CNB Inspector Name: CNB Permit #: x•�of - a Building Owner. Name, n /�� A pOwners Mailing Address (i different from site); a Owners Telephone #: CNB Fian ihecic #: t A CA k oo Gj i Full Name of Structural /O�b erver (SO): Basil Ammari SO E-mail Address: SO Telephone #: SO License I Reg. #: (lsn V. h r` bammad@gouvisgroup.com 949-2797410 C52030 PLEASE INDICATE STRUCTURAL ELEMENTS AND -CONNECTIONS 08SERVEDh Be FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) c c applicable INDICATE LOCATION(S) OBSERVED boxes DATE OBSERVED ❑ Conventional al Footings R Clah ❑ Mat Foundation, Prestressed Concrete Concrete ❑ Masonry ❑Steel ❑ Conc ❑Concrete ❑Steel eck ❑ Caissons, Piles, Grade Beams Ofher.(o{I - ❑ Wo orManuf. ear Panels 'Other. ❑ onry Cther. ❑ od Othar: S lS ✓/I� J��� r C 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 dneumante ,rJ su 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 generat 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. �17 a I A V Uh SI KUU I URAL UBSERVER SI RUI; I URAL OBSERVATION DOESNOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPOk I BEACH. fi, u\Sfwmm]0bs tion port$ Wdfom VA -Tob Nun-.yCA : (n L, 13 =3 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newiportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit it: P_O DINS-' 'TIC PVC-. 6-2.o-I9 X2.01-4--'-09q Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone* CNB Plan Check If: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone * SO License / Reg. #: KUIVAL -1) (o12 J3RSiL t9 - )<U1W6L@&,OUVIS6,1e0UP. (OM �041'36D 3 Ca5zo3ID PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED 9 Conventional Footings & Slab f;A Concrete ❑ Steel ❑ Concrete CnRIDLNC R-C A,Q1-? ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concr e ❑ Steel D ck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ M sonry ❑ W d ❑ Other: ❑ Other: Other: Other: IR ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: 09 ` PQED fuVr)DATIoN F2oM 64 LIN- -( NJ) 1-?_ DCFICIC C =S. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. kVs14AL 6-z.o No. C052030 Exp. 12/31/20 V STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. 1'roans\StmcwnlObscrvationRcpon&inswctions T06 Nuk �t& , 6 G 0 i? 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.00v 1 (949) 644.3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: ZO TIA AVIE. S- • I X2017- Z.O. Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: kuJnaL FpR Pklill F)• kVSHnL�fr ovvfSGRovP, (, 9 q 138Dt 3 COS203W PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roof INDICATE LOCATION(S) OBSERVED DATE OBSERVED t& Conventional Footings 8,Slab Lg Concrete ❑ Steel Concrete 10LIN= -lD 1-2 S-$—(q. ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel D k ❑ Caissons, Piles, Grade Beams. ❑ Wood or Manuf. Shear Panels ❑ Me my ❑ W od ❑ Other: ❑ Other. i�/they. Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: 04 v=1 FCa1/Nt CW 1.17 p f-for 4RID LtN C— ,j1-2 AND iOAb FoO71 t R NO D CFICIwcf ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. kVW � yf BPdl( A, --- S 4-19 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STRUCTURAL OBSERVATION DOES NOT I' nrmAslniuwuluhunrnimnanpin&In¢ruuium. No. C=030 Exp.12131120 STAMP OF STRUCTURAL OBSERVER BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. 044 3 CITY OF NEWPORT BEACH O13�MITIMi T`,t DE W LLOi'MENT DEPART :qENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.cov 1 (949) 644-3200 Structural Observation Report Project Ad ass: Report Date: CNB Inspector Name: CNB Permit#: Building Owner Name: Owner's Mailing Ad ress (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SOy. SO E-mail Address: SO Telephone #: SO License! Reg. #: Basil Ammari bammad@gouvisgroup.com 949-2797410 C52030 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS ORS.FRvrn rwh.rk :...... x FOUNDATIONS f Conventional Footin s , Slab SHEAR WALLS ❑ Concrete FRAMES ❑ Steel DIAPIiRAGMS (FloodRool7 ❑ Concrete INDICATELOCATION(S) I OBSERVED %1 At S Ge.H.� I�r to DATE OBSERVED c ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete COI De ❑ Caissons, Piles, Grade Beams ❑ Wood Manuf. Sh Panels❑ ❑ Me my Other: ❑ er: ther: ;t0h9er : a 'p �{ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. i am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance vnth the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the sUuctural systems by the City of Newport Beach, Building Division. // S 1 ANIF UY S 4 KUQ4 URAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPEC110H BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo, \Shu 10WerveuoAeport mmdbw 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.00v1(949)644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 420 Poinsettia Ave. 10-01-2018 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone A SO License / Reg. #: Ben for DK Eosakul bqu@gouvisgroup.com 949 752 -1612 S5226 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNFCTIONS ORSFRVFn 1,h., k 6n eeI FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) V OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Concrete Shoring wall 9 10 01-2018 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck Reinforcement ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No Correction. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 10-01-2018 3 No. S 6226 Exp. 8W19 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FoemeVS"Ca 10bs tioN Von&rrrswction CITY OF 1VEI WORT BEACH - COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 MML.9ewportbeachca.gov 1(949) 644-3200 ^4kW� �� Report Date: l v — CNBlnspectorName: ® CNS_Pyeannn: tBuildIngr Name: Owner'sMalling Address (if different from site); Owners Telephone #: P7i� V CNhec tructural Observer (SO): - SO E-mall Address: SO Telephone 4k SO License PLEASH lWnI('®TF CTRHCTfloer L"r ICMGAITC wun. .-I . FOUNDATIONS -- - - - - SHEAR WALLS --- - - FRAMES ....acrcveu DIAPHRAGM cneBK a IlCabl@ INDICATE LOCATION(S) boxes DATE ❑ .Conventions! Footin K Concrete ❑Steel loor/Ro ❑ Conoret OBSERVED obw b l4n b ` OBSERVED s & ab ❑ Mat Fo ation, Prestrea Concrete ❑ .Masonry ❑ Con to ❑ Ste Deck ♦ (+�Qt a s` ob PJ , ❑ Cdi ons, Plies, Glde Beams ❑ Wood or Manuf. Shear Panels ❑ sonry D cod ❑ ther. ❑`Other other: Other. '-"0.0 onj ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. pOFE ❑ OBSERVED DEFICIENCIES AND COMMENTS: a None Wo, 0052030 Exp. 12/81/20 a !V1 ❑ REPORTCONTINUED ACHED PAGES, ❑ FINAL STftUCTU6AL OBSERVATION REPORT: The structure j0604ily ..4.'. 1. 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 she visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; a. 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. 10-"1 STAMP OF STRUCTURAL OBSERVER SfRU71SUV.OSMWAMONDCEiNOrVWWAMFEWR94ENfS"BUILDNGINSFECIICNBYAUffDRi EDSVPLOr�CFnECRycF*vpcwBEAoi Fwmtl3pauowpi0yawltaMyww�Inswcria,u BE 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: Report Date: CNB Inspector Name: CNB Permit #: 420 Poinsettia Ave NB 11.24.2020 X2017-2099 Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Fadavi Ali R 1472-2017 Full. Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Dissakorn Eosakul deosakul@gouvisgroup.com 949-752-1612 S5226 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 & Slab ❑ Concrete 19 Steel ❑ Concrete Roof level interior and exterior Final light gauge metal framing 11/24/2020 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ® Wood Roof diaphragm ❑ Other: A Other: Steel framing ❑ Other: ❑ Other: R ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: No Deficiencies. Some fixes checked via photos ❑ REPORT CONTINUED ON ATTACHED PAGES. IR 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. 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. Wi_ if ` 11/24/2020 SIAMPOF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fomv Stm tmlObs rvaSoNtepoe[&rnnucnoo CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1 M8 1 Newport Beach, CA 92658-8915 www.newoortbeachca.00v 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Permit #: 420 Poinsettia Ave NB 11.24.2020 X2017-2099 Building Owner Name: Owner's Mailing Address (A different from site); Owner's TelephCNB Plan Check #: Fadavi Ali R JCNB 1472-2017 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #SO License / Reg. #: Basil Fawaz Ammari bammari@gouvisgroup.com 9492797C052030 PLEASE INDICATE STRUCTURAL ELEMENTS AND coNNFCTInNc nRSFRVPn re6n b --n.. ki— k---- I FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LO0AT10N(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete R Steel ❑ Concrete_ Roof level interior and exterior Final light au a metal framin 11/24/202 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck with roof diaphragm nailing only. ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry )4 Wood Roof dia hra m - ❑ Other: Other: Steel framing ❑ Other: ❑ Other: M ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: - - No Deficiencies. Some fixes checked via photos.. ❑ REPORT CONTINUED ON ATTACHED PAGES. ® FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 11/24/2020 S I AMI' UI- S IRUCTURAL OBSERVER DATE STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fomss mmisalObservationRepost&lmmmtions WE 1)eput}-Inspectr,ons, 111C. 1' iIyinSi;(,cIor. c o iti aa+�lY Re-pri of Spes:za1_hispecfioll- Cell(949) 291-3912 Fax(949) 481-5866 Email rpaquettezi@cox.nef 1903 Via Pimpollo San Clemente, CA 926T9 Name & Address Pacific Residence --- Permit Number_X2017_3672 -- Inspection Typc(s) Shoring Beam Steel Inspection _^__ _— - _____ Inspection Datc(s) 08/02U- [ ] Periodic [ ] Continuous Describe Inspection Made., including Locations: Observed steel shoringJbeams outside ddrilW-holes- for size rade_as per detail 1/SH3 & General Notes on the approved Ip ans. Soldier Piles #12-WJ2x1521Et-5 W12xaZ #6-14 1N.8_x_24,#21-?4 WBx67 .#25-27 N 2x87 Mill eq sW4_coTply with_Qpruved plans _�_--------- List Tests Made: Total Inspection Time Each Day: Date 08/02/t8 _ ----- Finurs mti_n List Items Requiring Correction, include uncorrected items previously listed Comments., To the best of my knowledge, the work inspected was in accordance with the Building Department. approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as no ed above Sigtaed; 1 "11i% gate 8/02/18_m Print Full Name: �� PaWe—t?e __"— Registration No. N-B--0615 __. FORM St-02,90 Q�oIF G E#64433 DATED:9/10/19 s a No. S 52269� m 8/30/21 CLASS B LAP LENGTH -, REINF. SLAB 9 UCTU �OF CAS -AFC PER PLAN. cn'', Z 9 w3 a m m EQ. EQ. SLAB TOWEL SEE SCHED FOR - SIZE DRILL $ EPDXY — DOWR TO CONC. WALL W/SINiP. SET-XP 12'1 -- WALL PER PLAN. NOT TO SCALE FIELD FIX FOR WALL DOWELS Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 626-8441 9 Fax (562) 946-0026 REGISTERTED INSPECTORIACI TECHNICIAN DAILY REPORT SWIT Job No. 19 Date 1 9/10/19 TYPE OF ❑ Reinforced Concrete ❑ Welding DIA/Epoxy INSPECTION IN Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address 420 Poinsettia Tract No. rflpo Phase Lot No, Job Name Pacific Residence Permit No.2017- Ma Issued By Newport Beach Type of Structure Residential dwelling Architect B.G.A. Material Description (type, grade, source) Simpson set x-p Engineer EcasakUl �pQxy art ! #6 � 6_rebar dowels f Contractor A & R Corp. Inspector's NameS. Skuljan Subcontractor pICarlo TESTS PERFORMED SET# TRUCK# TICKET# SAMPLE LOCATION SLUMP AIR TEMP CONIC TEMP WATER ADDED TIME CAST MIX# REMARKS INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED CHECKED, ETC. Observed placement of (4) #5 at shearwall W5 and (5) # 6 dowels at grid line # 2c and ct, ondevel 2, 12" emb. Into predrinedl and leaned holes for. thg,deck.as per rill #GE#64433. All,appears as per RFL_,I CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. 1" SIGNATURE OF REGISTERED INSPECTOR R.C. NB-0574 Newport Beach SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE n PAnF 1 nF 1 TIME IN TIME OUT SAMPLES 9:00 1111:30 //_'1 1/�) 0 Approved By V- �� " -v`. Project Superintendent White - Office Copy . Canary - Accounting Copy a Pink - Inspector's Copy • Goldenrod - Jobsite Copy SITI F-049 S:\FORMS\DAILY REPORT TEMPLATES & FORMS\Concrete Tech -Inspector's Daily Report Template.dot ©Southwest Inspection &Testing, Inc. Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 9 (714) 526-8441 9 Fax (562) 946-0026 REGISTERTED INSPECTOWACI TECHNICIAN DAILY REPORT SWIT Job No. 190168 Date 9/10/19 TYPE OF ❑ Reinforced Concrete ❑ Welding ❑ DIA/Epoxy INSPECTION Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address 420 Poinsettia Tract No. an Phase Lot No. Job Name Pacific Residence Permit No.2017 2 ,g Issued By Newport Beach Type of structure Residential dwelling Architect B G.A. Material Description (type, grade, source) Simpson Set x-p Engineer Eoasakul Epoxy and #5 & 6 rebar dowels Contractor & R Corp. Inspector's NameS. SkUlfan Subcontractor DICarlo TESTS PERFORMED SET# TRUCK# TICKET# SAMPLE LOCATION SLUMP AIR TEMP CONIC TEMP WATER ADDED TIME CAST MIX# REMARKS INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED CHECKED, ETC. Observed placement of (4) #5 at shearwall W5 and (5) # 6 dowels at grid line # 2c and cl, on level 2, 12" emb. Into predrilled and leaned holes for. the deck as per rfi #GE#64433. All appears as per RFI. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR R.C. NB-0574 Newport Beach SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF 1 TIME IN TIME OUT SAMPLES 9:00 11:30 0 Approved By /► ^ A Project Superintendent White - Office Copy • Canary -Accounting Copy • Pink - Inspector's Copy . Goldenrod - Jobsite Copy SnT F-049 S:\FORMS\DAILY REPORT TEMPLATES & FORMS\Concrete Tech -Inspector's Daily Report Template.dot ©Southwest Inspection &Testing, Inc. Continuous Inspection & Materials Testing SOUTHWEST �����������A& A6. A& A& Inspection & Testing, Inc. 441 Commercial Way, La Habra, CA 90631-6168 (562)941-2990 - (714)526-8441 FAX (562)946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, C1064 --- CONCRETE: X MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 420 S POINSETTIA, NEWPORT BEACH JOB M 190168 DATE: 08/02/2019 JOB NAME: PACIFIC RESIDENCE PERMIT M X20172099 ISSUED BY: NEWPORT BEACH ARCHITECT: ENGINEER: CONTRACTOR: A & R CONSTRUCTION SUB: DICARLO CONCRETE LOCATION IN STRUCTURE: FOOTINGS; COLUMNS TRACT: PHASE: LOT #: CONCRETE SUPPLIER: HOLLIDAY ROCK PLANT: MIX M 4C501_007 TYPE OF CEMENT: II / V ADMIXTURE: TICKET M 125054427 SLUMP: 4.50 in. WATER ADDED: 0 gal. AIR TEMP: 0 F CONCRETE TEMP: 87 F MIXING TIME: 56 min. TIME CAST: 09:00 DATE CAST: 07/05/2019 RECEIVED AT LAB: 07/06/2019 SPECIMENS MADE BY: MICHAEL FEKRY SPECIFIED PSI @ 28 Days: 5000 LAB M 146439 TESTING INFORMATION: SAMPLE IDENTIFICATION: 1845281 1845282 1845283 AGE DAYS: 28 28 28 DATE TEST: 08/02/2019 08/02/2019 08/02/2019 SIZE (in.): Height X Diameter 8.000 X 4.007 8.000 X 4.000 8.000 X 4.000 AREA (in.k): 12.61 12.57 12.57 CRUSH LOAD (Ibs.): 83780 80620 82560 COMPRESSIVE STRENGTH (psi.): 6640 6410 6570 HEIGHT -DIAMETER RATIO: CORRECTION FACTOR: CORRECTED STRENGTH (psi.): BREAK TYPE: III III III C.T.M. USED: Forney96 Forney96 Forney96 REMARKS: ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: FOR INFORMATION: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC. SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING ZAFAR AHMEDjtf--J PRINCIPAL ENGINEER ASTM C39 BREAKS: I=CONE - II=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED Continuous Inspection & Materials Testing SOUTHWEST 000000000000000 Inspection & Testing, Inc. 441 Commercial Way, La Habra, CA 90631-6168 (562)941-2990 - (714)526-8441 FAX (562)946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, C1064 --- CONCRETE: X MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 420 POINSETTIA AVE. CORONA DEL MARJOB #: 190168 DATE: 06/10/2019 JOB NAME: PACIFIC RESIDENCE PERMIT #: 2017-2099 ISSUED BY: NEWPORT BEACH ARCHITECT: BGA ENGINEER: GOUVIS ENGINEERING CONTRACTOR: A & R CONSTRUCTION SUB: DICARLO LOCATION IN STRUCTURE: FOOTINGS - 1-2 / B-D TRACT: PHASE: LOT #: CONCRETE SUPPLIER: HOLLIDAY ROCK PLANT: IRVINE MIX #: 3C401-052 TYPE OF CEMENT: V ADMIXTURE: POZZ / 70ON TICKET #: 108121024 SLUMP: 4.00 in. WATER ADDED: 0 gal. AIR TEMP: 62 F CONCRETE TEMP: 80 F MIXING TIME: 79 min. TIME CAST: 09:05 DATE CAST: 05/13/2019 RECEIVED AT LAB: 05/14/2019 SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 4000 LAB #: 141439 TESTING INFORMATION: SAMPLE IDENTIFICATION: 1825278 1825280 1825281 AGE DAYS: 7 28 28 DATE TEST: 05/20/2019 06/10/2019 06/10/2019 SIZE (in.): Height X Diameter 8.000 X 4.003 8.000 X 4.000 8.000 X 4.000 AREA (in.A'): 12.59 12.57 12.57 CRUSH LOAD (Ibs.): 53100 72250 71230 COMPRESSIVE STRENGTH (psi.): 4220 5750 5670 HEIGHT -DIAMETER RATIO: CORRECTION FACTOR: CORRECTED STRENGTH (psi.): BREAK TYPE: IV IV IV C.T.M. USED: Forney96 Forney96 Forney96 REMARKS: ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: FOR INFORMATION: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC. SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING ZAFAR AHMEO' � PRINCIPAL ENGINEER ASTM C39 BREAKS: I=CONE - II=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED Continuous Inspection & Materials Testing Inspection & Testing, Inc. 441 Commercial Way, La Habra, CA 90631-6168 (562)941-2990 - (714)526-8441 FAX (562)946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, C1064 --- CONCRETE: X MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 420 POINSETTIA, CORONA DEL MAR JOB M 190168 DATE: 05/30/2019 JOB NAME: PACIFIC RESIDENCE PERMIT #: X2017-2099 ISSUED BY: NEWPORT BEACH ARCHITECT: ENGINEER: CONTRACTOR: A & R CORP SUB: DI CARLO CONCRETE LOCATION IN STRUCTURE: WALLS TRACT: PHASE: LOT M CONCRETE SUPPLIER: HOLLIDAY ROCK PLANT: SANTA ANA MIX #: 4C501_007 TYPE OF CEMENT: II / V ADMIXTURE: TICKET #: 125053131 SLUMP: 5.00 in. WATER ADDED: 0 gal. AIR TEMP: 64 F CONCRETE TEMP: 76 F MIXING TIME: 66 min. TIME CAST: 10:05 DATE CAST: 05/23/2019 RECEIVED AT LAB: 05/24/2019 SPECIMENS MADE BY: NATHAN HALEY SPECIFIED PSI @ 28 Days: 5000 LAB #: 141917 TESTING INFORMATION: SAMPLE IDENTIFICATION: 1827311 1827312 1827313 1827314 AGE DAYS: 7 28 28 28 DATE TEST: 05/30/2019 06/20/2019 06/20/2019 06/20/2019 SIZE (in.): Height X Diameter 8.000 X 4.000 8.000 X 4.000 8.000 X 4.000 8.000 X 4.000 AREA (in.k): 12.57 12.57 12.57 12.57 CRUSH LOAD (lbs.): 61960 85660 84520 84330 COMPRESSIVE STRENGTH (psi.): 4930 6810 6720 6710 HEIGHT -DIAMETER RATIO: CORRECTION FACTOR: CORRECTED STRENGTH (psi.): BREAK TYPE: III III III III C.T.M. USED: BK Forney% Forney96 Forney96 REMARKS: ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: FOR INFORMATION: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC. SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING ZAFAR AHM/EY V / PRINCIPAL ENGINEER ASTM C39 BREAKS: I=CONE - II=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED Continuous Inspection & Materials Testing SOUTHWEST 000000000000000 Inspection & Testing, Inc. 441 Commercial Way, La Habra, CA 90631-6168 (562)941-2990 - (714)526-8441 FAX (562)946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, C1064 --- CONCRETE: X MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 420 POINSEITTIA AVE, NEWPORT BEACHJOB #: 190168 DATE: 06/28/2019 JOB NAME: PACIFIC RESIDENCE PERMIT #: N2019-035 ISSUED BY: NEWPORT BEACH ARCHITECT: ENGINEER: GOUVIS ENGINEERING CONTRACTOR: A & R CORPORATION SUB: DICARLO CONCRETE LOCATION IN STRUCTURE: FOOTINGS TRACT: PHASE: LOT #: 16 CONCRETE SUPPLIER: HOLLIDAY ROCK PLANT: MIX #: 3C401_052 TYPE OF CEMENT: ADMIXTURE: TICKET #: 125053957 SLUMP: 5.00 in. WATER ADDED: 0 gal. AIR TEMP: 0 F CONCRETE TEMP: 79 F MIXING TIME: 53 min. TIME CAST: 10:26 DATE CAST: 06/21/2019 RECEIVED AT LAB: 06/22/2019 SPECIMENS MADE BY: MICHAEL FEKRY SPECIFIED PSI @ 28 Days: 4000 LAB #: 143942 TESTING INFORMATION: SAMPLE IDENTIFICATION: 1835204 1835205 1835206 1835207 AGE DAYS: 7 28 28 28 DATE TEST: 06/28/2019 07/19/2019 07/19/2019 07/19/2019 SIZE (in.): Height X Diameter 8.000 X 4.000 8.000 X 4.000 8.000 X 4.000 8.000 X 4.000 AREA (in.k): 12.57 12.57 12.57 12.57 CRUSH LOAD (lbs.): 54540 71970 83120 84680 COMPRESSIVE STRENGTH (psi.): 4340 5730 6610 6740 HEIGHT -DIAMETER RATIO: CORRECTION FACTOR: CORRECTED STRENGTH (psi.): BREAK TYPE: I III II II C.T.M. USED: I BK Forney I Forney96 JBK REMARKS: ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: FOR INFORMATION: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC. SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING ZAFAR AHMZ� PRINCIPAL ENGINEER ASTM C39 BREAKS: I=CONE - II=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED PROJECT STATUS REPORT CaICERTS, Inc Effective 03/29/2022 15:29 (Page 1 of 4) t Energy Standards Code Year: 2016 Project Name: GE 64433 Poinsettia Avenue ■ 00 Project Type: New Construction SFR Address: 420 Poinsettia Ave. ■ City/State/Zip: Corona del Mar / CA / 92625 L � • Enforcement Agency: City of Newport Beach ■ Easy to Verify @ calcerts.com Permit Number: B2005-0655 OVERALLSTATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE Certificate Type Compliance , _, Registered Form CF1R-PRF-O. Registered Date 2020-01-14,1A1'07:41 _ j a •. ,, j �\ 1 ✓ j _ , Registration 217-P0103404060-000 000-0000000-0000 Number CFIR-SRA-01 2022-03-08 07:51:30 217-P010340406D-R01001A f CF2R-ENV-01-E 217-P010340406D-000-001-E01001A-0000 Fenestration Installation 2022-03-10 10:12:45 Greg Bucilla (� (BGA) CF2R-ENV-03-E 217-P010340406D-000-001-E03001A-0000 Insulation Installation 2022-03-10 10:12:44 Greg Bucilla (BGA) CF2R-ENV-04-E 217-P010340406D-000-001-E04001A-0000 Roofing -Radiant Barrier 2022-03-10 10:12:45 Greg Bucilla (BGA) CF2R-LTG-01-E 217-POI0340406D-000-001-L01001A-0000 Lighting 2022-03-10 10:12:44 Greg Bucilla (BGA) HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 PROJECT STATUS REPORT CaICERTS, Inc Effective 03/29/2022 15:29 (Page 2 of 4) CF2R-MCH-01-E 217-PO 1034040613-000-00 1 -MO 1001 A-0000 Space Conditioning 2022-03-10 06:33:01 Todd Sanders Systems, Ducts and Fans (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-20-H 217-P010340406D-000-001-M20002A-0000 System 1 Duct Leakage 2022-03-10 06:33:01 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-20-H 217-P010340406D-000-001-M20003A-0000 System 2 Duct Leakage 2022-03-10 06:33:02 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-20-H 217-P010340406D-000-001-M20004A-0000 System 3 Duct Leakage 2022-03-10 06:33:02 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-21-H 217-P010340406D-000-001-M21002A-0000 System 1 Ducts Located In 2022-03-10 06:33:02 Todd Sanders Conditioned Space (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-21-H 217-POl 0340406D-000-001 -M21003A-0000 System 2 Ducts Located In 2022-03-10 06:33:02 Todd Sanders Conditioned Space (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-21-H 217-POl 0340406D-000-001 -M21004A-0000 System 3 Ducts Located In 2022-03-10 06:33:02 Todd Sanders Conditioned Space (20 / 20 PLUMBING & HEATING INC) System 1 j CF2R-MCH-23-H 1 : 2Tf7 P 1'0340406D-000-001-M23002A-0000 � Airflow 2022 03;10106:33:03 T dd ySandets (©F'LQ PLUMBIN6AlHEATIN.G INC) ' i , 217 P01034"0406D 000-001-M23003A-0000 " System 2 CF2R-MCH-23-H Airflow 2022 03 10 0&33 03 Todd S,ani (20 f20 PLUMBING`& HEATING INC) CF2R-MCH-23-H 217-P010340406D-000-001-M23004A-0000 System 3 Airflow 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-22-H 217-PO10340Sander06D-000-001-M22002A-0000 System 1 Fan Efficacy 2O22-03-10 06:33:03 Todd ,mac t! (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-22-H 217-P010340406D-000-001-M22003A-0000 System 2 Fan Efficacy 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-22-H 217-PO10340406D-000-001-M22004A-0000 System 3 Fan Efficacy 2O22_03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-25-H 217-P010340406D-000-001-M25002A-0000 System 1 Refrigerant Charge 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-25-H 217-P010340406D-000-001-M25003A-0000 System 2 Refrigerant Charge 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-25-H 217-P010340406D-000-001-M25004A-0000 System 3 Refrigerant Charge 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 PROJECT STATUS REPORT CaICERTS, Inc Effective 03/29/2022 15:29 (Page 3 of 4) CF2R-MCH-26-H 217-POl 0340406D-000-00 1 -M26002A-0000 System 1 Rated Equipment 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-26-H 217-P010340406D-000-001-M26003A-0000 System 2 Rated Equipment 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-26-H 217-PO10340406D-000-001-M26004A-0000 System 3 Rated Equipment 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-MCH-27-H 217-POl0340406D-000-001-M27001A-0000 IAQ and MV 2022-03-10 06:33:03 Todd Sanders (20 / 20 PLUMBING & HEATING INC) CF2R-PLB-02-E 217-P010340406D-000-001-BO2005A-0000 SD HWS Distribution 2022-03-10 10:12:43 Greg Bucilla (BGA) CF3R-MCH-20-H 217-PO 1 0340406D-000-00 1 -M20002A-M20A System 1 (DuctLeakage) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) System 2 CF3R-MCH-20-H -- i r 2022 0309 18:52:57 21(7FOS10340406t--000-001-M20003A-M20A Raymond Hernandez(CC2016d.p�- 13 -� (Duct Leakages) (Qbs6lute Ef�'iciency Group) System 3 CF3R-MCH-20-H +. ( 2022-03,-0918`.52 57 217 P010340406D 000-d01 M20004A-M20A -Rayrpond Hernandez (CC2016013) (Duct Leakage) ,.. �� .... (Absolute Efficiency Group) CF3R-MCH-21-H 217-PO10340406D-000-001-M21002A-M21A System 1 (Ducts In Cond Space) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-21-H 217-PO10340406D-000-001-M21003A-M21A System 2 (Ducts In Cond Space) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-21-H 217-POl0340406D-000-001-M21004A-M21A System 3 (Ducts In Cond Space) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-23-H 217-P010340406D-000-001-M23002A-M23A System 1 (Airflow) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-23-H 217-PO10340406D-000-001-M23003A-M23A System 2 (Airflow) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-23-H 217-PO10340406D-000-001-M23004A-M23A System 3 (Airflow) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-22-H 217-PO10340406D-000-001-M22002A-M22A System 1 (Fan Efficacy) 2022-03-09 18:52:57 Raymond Hernandez (CC2016013) (' (Absolute Efficiency Group) HERS Provider CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 PROJECT STATUS REPORT CaICERTS, Inc Effective 03/29/2022 15:29 (Page 4 of 4) CF3R-MCH-22-H 217-P010340406D-000-001-M22003A-M22A System 2 (Fan Efficacy) 2022-03-09 18:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-22-H 217-P010340406D-000-001-M22004A-M22A System 3 (Fan Efficacy) 2022-03-09 18:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-25-H 217-P010340406D-000-001-M25002A-M25A System 1 (Refrigerant Charge) 2022-03-09 18:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-25-H 217-P010340406D-000-001-M25003A-M25A System 2 (Refrigerant Charge) 2022-03-09 18:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-25-H 217-P010340406D-000-001-M25004A-M25A System 3 (Refrigerant Charge) 2022-03-09 18:53:21 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) MR-MCH-26-H 217-P010340406D-000-001-M26002A-M26A System 1 (Rated Equipment) 2022-03-0918:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) CF3R-MCH-26-H 217-P010340406D-000-001-M26003A-M26A System 2 (Rated Equipment) 2022-03-09 18:52:58 Raymond Hernandez (CC2016013) (Absolute Efficiency Group) System 3 CF3R-MCH-26-H ' - 202-03;09i18:52:58� 2iTF P 1034;6406D=U00-001 M26004A-M26A R � N d Hernandez (Rated Equipment) ym6 (CC2016913),, (PPsolute Ej Clancy' roup) F '2117 P010340406D 000-5'101-M27001A-M27A CF3R-MCH-27 (IAQ and MV) 1 2022 03,-A9 18M:58 .Raymond Hempndbz/(CC201601;3) (Absolute Efficiency Group) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Cec 2015 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 CIVIL ENGINEER'S CERTIFICATION FORM Date: 3/25/Zo22 ATTENTION: GRADING ENGINEER, BUILDING DIVISION 13k 443 M s 41-42 GPC No.: 64433 Tract/Subdivision/Lot No.: 16 Rough: _Final: X Project Names: Pac;PC_ Fes IdeY1C2 Owner/Developer: (0022 0.LQO Type of Project: Notes: Tract: _ Drainage _ Commercial _ Other Industrial Yardage for Project: Notes: _ Cut: _ Borrow: Fill: _ Export: I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: 3/25/22 in conformance with, FZec(-14 (!22d)ht5 with the following changes to the approved grading plan. Pkr h Description of Changes: NONe- G l.D Company: PB StdnV2 t U H p 9 Name: .Tf.CrV AOrkg to, P I (Print) ,9 sign) 0 \ �OFGAS�F License No.: 7159 (RC LS) Lngineers cenricavon roan &13 CITY OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.i P.O. Box 1768 i Newport Beach, CA 92658 www.newportbeachca.00v i (949) 644-3200 CAL:(REEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: 420 Poinsettia PERMIT NO.: X2017-2099 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) )it Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) 30 VOC Contents Limitation J�] Formaldehyde Emissions Limitation ff7 T•24 Energy Certificate of Installations (Env., 011, Lighting, Photovoltaic, Mech., Plumb.) 7 T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) 3V Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) N/A❑ 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. I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulation and the installation is consistent with the plans and specifications approved by the efttaing a%ency,. Responsible Person's Name: Responsib 9son' ig t Date Signed: Position/Title: Notes: rorn'SWALGreen Documentation Compliance Cart Form 1-2017 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 CIVIL ENGINEER'S CERTIFICATION FORM From: A6 2 co, 42.0 Poi n Se is Aug CorOm Del Par, CA gZ6Z5 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: 3128/ZOZ2 t3k ,W3 MM s 41-42 GPC No.: 64433 TracJJt/Subdivision/Lot No.: 16 Rough: _Final: ZC Project Names: P06FIC 2eSiUer1C2. Owner/Developer: A 4 Coy--QX Lk, Type of Project: Notes: X Tract: _ Drainage _ Commercial _ Other Industrial Yardage for Project: Notes: _ Cut: _ Borrow: Fill: _ Export: I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: 3/25 22 in conformance with, Rec(5e Grad hi with the following changes to the approved grading plan. plph Description of Changes: A/00e- G L Company: PB t { e-) p LD H R. 9 Name: T,;cry f)y h 2ro P ' (print) ,9 sign) O \ �OFGA��� License No.: 7159 (RC L$j Forms\Civil Engineers Certificabon Form 9-13 CITY OF NEWPORT BEACH G COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 926588915 www.newportbeachca.gov 1 (949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: 420 Poinsettia Date: 02.28.22 Permit #: X2017-2099 The following Is to be completed by the California licensed contractor or owner, participating in the City of Newport Beach Self -Certification Program. Please type or print. Installers Name: 2020 Plumbing a Heating Inc. License No (if applicable) 1001965 Installers Mailing Address: 7343 Orangewood Drive, Suite B, Riverside, Ca 92504 Phone # (required): 951-396-2020 Installers Email: plumbingsemice@2020ph.com 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: 1.8 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 0.2 gal/minute at 20 psi z-2a-z0z2 Installer's Signature Date Property Owner (Required) As the property owner of the project address noted above, I have read, understand and agree to participate in the Plumbing Fixture Replacement Self -Certification Program. I further understand that by participating in this program, the plumbing system will not be Inspected by a City of Newport Beach Building Inspector during construction or after installation unless requested. The Building Division may request and reserves the right to verify code compliance after the installation is complete. % 02.28.22 Properfrowndre Signature Date All R. Fadavi ali@aandreorp.com Print Name Email This form must be completed and returned to the City of Newport Beach, Building Division, for a final approval of the combination permit. Please return this form to the Building Division by mail or fax, Please mail to: City of Newport Beach Phone: (949) 718-1888 Community Development Department Fax #: (949) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 Forms)Contractor-OwnerSelf-CanDeclaration-Plumbing Fixture Replacement 01/27/20 CITY OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.1 P.O. Box 1768 1 Newport Beach, CA 92658 www.newnortbeachca.gov1(949)644-3200 CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: 420 Poinsettia PERMIT NO.: X2017-2099 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) K Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) X VOC Contents Limitation )V Formaldehyde Emissions Limitation j7 T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) I7 T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mach., Plumb., HERS) )V Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) N/A❑ 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. • I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulatio�n ryand the installation is consistent with the plans and specifications approved by the e#jj#Aing agency,_ >ible Person's Name: dal v F f 1k)C UA-tw Date Signed: Position/Title: Z z �'- Notes: ..vwiucmau�u'I nNno u-C lO l III l 11 i-GVt/ o Celebrating 55Years A TRU.1.1E0 PARTNER IN INNovArroN, uuaurr r, SFRwce Structural Job -Site Observation Project: Pacific Residence Job No. 64433 Phase #: Tract #: Engineer: Kushal D Date: 9-16-19 Visit Purpose Comments ❑x Walk thru with compliance letter: Yes ❑ No ❑ New ❑X Rewalk ❑ ❑ Clarifications & Field fixes: Yes ❑ No ❑ New ❑ Rewalk ❑ ❑ Address homeowner issues & concerns: Yes ❑ No ❑ New ❑ Rewalk ❑ ❑ Observation Type E] Foundation, Footings & Slabs ❑ Framing: Interior ❑ Framing: Exterior ❑ Framing Interior & Exterior ❑ Corporate Walk ❑ Special Inspection per COG. ❑ Hardware Only, Post Tension ❑ Floor Sheathing ❑ Roof Sheathing Slab & Details by others At the time of our visit, work had progressed to the point of: Bldg. # / Lot #: Unit #: ❑ Foundation Trenched (Reber & Hardware Installed) ❑ ❑ ❑ ❑ ❑ ❑Areas at Ceiling & Walls covered with Gypsum Board ❑ ❑ ❑ ❑ ❑ ❑ First Floor Sheathing ❑ ❑ ❑ ❑ ❑ ❑ Roof Sheathing ❑ ❑ ❑ ❑ ❑ ❑ Final Framing with Correction ❑ ❑ ❑ ❑ ❑ ❑ Roofing Material Stacked and Loaded ❑ ❑ ❑ ❑ ❑ ❑ Exterior Walls Covered ❑ ❑ ❑ ❑ ❑ ❑ Interior Walls Covered ❑ ❑ ❑ ❑ ❑ ❑ Insulation Installed ❑ ❑ ❑ ❑ ❑ ❑ Final Framing Pick-ups Completed ❑ ❑ ❑ ❑ ❑ ❑ (Refer to previous walk through lists) ❑ ❑ ❑ ❑ ❑ Observed 2nd Floor slab. Top mat only. No deficiencies. Per our visit: ❑ Refer to the attached walk-thru lists to be addressed by the construction personnel ❑ Field fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued Some undocumented corrections were fixed during walk thru - Our finding and recommendations are provided to help increase the conformity of the structures with approved place and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing and back charges. Site observation was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warranty expressed or implied. Field. Superintendent %rtV 10 %�'�.=i✓t✓ Sianature Time In: / ,a-.'C3 !'Z'd Time Out: If you have any questions please contact the office. 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: (760)325-2863 Sob N r-. m 6 wf- n 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: Report Date: CNB Inspector Name: CNB Permft C 410 P-aTTI AVF . 9-I - k20) -20 Jq Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone a: CNB Plan Check e: Full Name of Structural Observer (SO): SO Email Address: SO Telephone V: SO License I Reg. C V HAL I BAIL ku&r1&LbroUy 1A & ftyptcom Q _uk�g0 CocLV PLEASE INDICATE STRUCTURAL ELEMENTS AND CnNNECTInNS nR3ERVFn frhnelr nnnitrnhla hnvP*% FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roan INDICATE LOCATION(S) OBSERVED DATE OBSERVED t;KConventional Footin s ✓f, Slab ❑ Concrete ❑ Steel Cl Concrete „ry 2 9- i t Iq ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑Steel D L • Caissons, Piles, Grade Beams ❑ W orManuf. ear Panels ❑ ry ❑ We ❑ Other. Other. ❑ her. ❑ ther. ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: 'U u 4 kgor- -otg. ag mA7 orvLy D A -s% 6 REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents and all observed deficiencies were corrected. I declare that the following statements are true to the beat of my knowledge; — 1. 1 am the licensed design professional retained by the owner to be in responsible OQ�ED'I'o charge of the structural observation; ' F"7- 2. I, or another licensed design professional whom I have designated above and Is under ti w 11, my responsible charge, have performed the required site visits at each significant y y construction stage to verify that the structure is in general conformance with the u m No. C052000 70 i approved construction documents; * Exp.12/31/20 d 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 N9 L+ V t ��e Division. k t$ STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE crry OF NEIfmit BEw. ranuimacpenatmradoer r Celebrating 55Years r Structural Job -Site Observation Project: Pacific Residence Job No. 64433 Phase#: Tract#.,- , Engineer: Kushal D Date::9-11-19- i Visit Purpose Comments - ®Walk thru with compliance letter: Yes ❑ No ❑ New ❑ Rewalk Q{-� Observed bottom mat only.- ❑ Clarifications & Field fixes: Yes ❑ No ❑ New ❑ Rewalk ❑ ,2nd Floor slab ,' ❑ Address homeowner issues & concerns: . Yes ❑ No ❑ New ❑ Rewalk ❑ ❑ Observation Type ©Foundafion Footings -&$labs ❑Framing: Interior ❑ Framing: Exterior ❑ Framing Interior & Exterior ❑ Corporate Walk ❑ Special Inspection per CSC. ❑ Hardware Only, Post Tension ❑ Floor Sheathing ❑ Roof Sheathing Slab & Details by others At the time of our visit, work had progressed to the point of: Bldg. #/ Lot #:_ Unit#: ❑Foundation Trenched (Reber & Hardware Installed) ❑ ❑ ❑ ❑ ❑ ❑Areas at Ceiling & Walls covered with Gypsum Board ❑ ❑ ❑ ❑ ❑ ❑First Floor Sheathing ❑ ❑ ❑ ❑ ❑ ❑ Roof Sheathing ❑ ❑ ❑ ❑ ❑ []Final Framing with Correction ❑ ❑ ❑ ❑ ❑ ❑ Roofing Material Stacked and Loaded ❑ ❑ ❑ ❑ ❑ ❑Exterior Walls Covered ❑El ❑ ❑ ❑ ❑ Interior Walls Covered ❑ ❑ ❑ ❑ - ❑ ❑ Insulation Installed ❑ ❑ ❑ ❑ ❑ ❑Final Framing Pick-ups Completed ❑ ❑ ❑ ❑ ❑(Refer to previous walk through lists) ❑ ❑ ❑ ❑ ❑ Observed second floor slab.- Bottom -mat only. No deficiencies. _. Per our visit: ❑ Refer to the attached walk-thru lists to be addressed by the construction personnel ❑ Field fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued EiSome undocumented corrections were fixed during walk thru: h Our finding and recommendations are provided to help increase the conformity of the structures with approved place and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing and back charges. Site observation was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warranty expressed or implied. Field Superintendent �e.a—\,fit l� �"b"r�g.��ii.. Signature Time In: � (�(? ry, p'tr+, Time Out: If you have any questions please contact the office. 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: 1760)325-2863 v i CeleGrati/zd 55Yeaa-s N DATE: 9-9-19 PAGE: I OF: I PROJECT NAME: Pacific Residence JOB #: 64433 LOT #: PLAN #: CLIENT NAME: NOTES: Observed second floor slab. Bottom mat only. W.T. PERSONNEL: KushaID ❑ CORPORATE WALK ❑ HARDWARE ONLY, POST TENSION SLAB & DETAILS BY OTHERS ❑SPECIAL INSPECTION PER CBC. ❑ INTERIOR []EXTERIOR ❑x FOUNDATION ❑ ROOF ❑INTERIOR & EXTERIOR ONLY ❑ FLOOR SHEATHING ITEM # / CODE ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 ❑ 7 ❑ 8 ❑ 9 ❑10 ❑11 ❑12 ❑13 1114 ❑15 ❑16 ❑17 ❑18 ❑19 ❑20 ❑21 ❑22 ❑23 ❑24 ❑25 DESCRIPTION / CODE (SEE BELOW) CODE A: Item not installed. Install item as shown on the approved plans. CODE B: Installation not complete. Complete installation of item as shown on the approved plans. CODE C: Item not visible. Unable to determine if item was installed. Verify installation. CODE D: Condition different than plans. Need field fix. Contact Project Manager @ Newport Beach Office. NOTE: All marked corrections shall be fixed/applied as indicated above. Superintendent Name 1-2r dy "'L arrL Signature �i z o Time In' v"Cr hr� Time Out 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: (760)325-2863 F"...A J kf Celebrating 5-5Years Structural Job -Site Observation Project: pacific Residence Job No. 64433 Phase#: Tract#: _ Engineer: KushalD Date: 9-9-19 Visit Purpose Comments Walk thru with compliance letter.. Yes ❑ No ❑ New ®1 Rewalk ❑ i Observed boifom mat only ❑ Clarifications & Field fixes: Yes ❑ No ❑ New ❑ Rewalk ❑ i2nd Floor slab ❑ Address homeowner Issues & concerns: Yes ❑ No ❑ New ❑ Rewalk ❑ ❑ Observation Type ®Foundation, Footings & Slabs i ❑ Framing: Interior ❑ Framing: Exterior ❑ Framing Interior & Exterior ❑ Corporate Walk ❑ Special Inspection per CBC. ❑ Hardware Only, Post Tension ❑ Floor Sheathing ❑ Roof Sheathing Slab & Details by others At the time of our visit, work had progressed to the point of: Bldg. # / Lot* Unit* ❑Foundation Trenched (Reber & Hardware Installed) ❑ ❑ ❑ ❑ ❑ ❑Areas at Ceiling & Walls covered with Gypsum Board ❑ ❑ ❑ ❑ ❑ ❑ First Floor Sheathing ❑ ❑ ❑ ❑ ❑ ❑Roof Sheathing ❑ ❑ ❑ ❑ ❑ ❑Final Framing with Correction ❑ ❑ ❑ ❑ ❑ ❑ Roofing Material Stacked and Loaded ❑ ❑ ❑ ❑ ❑ ❑ Exterior Walls Covered ❑ ❑ ❑ ❑ ❑ ❑ Interior Walls Covered ❑ ❑ ❑ ❑ ❑ ❑ Insulation Installed ❑ ❑ ❑ ❑ ❑ ❑ Final Framing Pick-ups Completed ❑ ❑ ❑ ❑ ❑ ❑ (Refer to previous walk through lists) ❑ ❑ ❑ ❑ ❑ Per our visit: ;Refer to the attached walk thru lists to be addressed. by the construction personnel> LiField fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued Some undocumented corrections were fixed during walk thru ' Our finding and recommendations are provided to help increase the conformity of the structures with approved place and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing and back charges. Site observation was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warranty expressed or implied. Field Superintendent I !� I-C`I,'L'�; Signature Time In: I C, " tic, Time Out: f 6 If you have any questions please contact the office. 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: (760)325-2863 o Celebrating 55 Years A TRUST EO P,APFNEa IN INNOVATION, QUALITY E SERVICE Structural Job -Site Observation Project: 420 Poinsttia Job No. 64433 Phase #: Tract #: Engineer: Ben Qu for DK Date: 10-01-18 Visit Purpose Comments ❑J Walk thru with compliance letter: Yes ❑ No ❑ New ❑J Rewalk ❑ Concrete shoring ❑ Clarifications & Field fixes: Yes ❑ No ❑ New ❑ Rewalk ❑ Wall Reinforcement ❑ Address homeowner issues & concerns: Yes ❑ No ❑ New ❑ Rewalk ❑ Per Plan ❑ Observation Type ❑ Foundation, Footings & Slabs 17 Framing: Interior ❑ Framing: Exterior ❑ Hardware Only, Post Tension ❑ Corporate Walk Slab Detailed by others ❑ Floor Sheathing ❑ Special Inspection per CBC. ❑ Roof Sheathing At the time of our visit, work had progressed to the point of: Bldg. # / Lot #: CUB& Unit #: +❑ Foundation Trenched (Reber & Hardware Installed) ❑� ❑ ❑ ❑ ❑ ❑ Hardware only, Post Tension Slab & Details by others ❑ ❑ ❑ ❑ ❑ ❑ First Floor Sheathing ❑ ❑ ❑ ❑ ❑ ❑ Roof Sheathing ❑ ❑ ❑ ❑ ❑ ❑ Final Framing with Correction ❑ ❑ ❑ ❑ ❑ ❑ Roofing Material Stacked and Loaded ❑ ❑ ❑ ❑ ❑ ❑ Exterior Walls (Shear) w/List ❑ ❑ ❑ ❑ ❑ ❑ Interior Walls Framing w/List ❑ ❑ ❑ ❑ ❑ ❑ Insulation Installed ❑ ❑ ❑ ❑ ❑ ❑ Final Framing Pick-ups Completed ❑ ❑ ❑ ❑ ❑ ❑ (Refer to previous walk thru lists) ❑ ❑ ❑ ❑ ❑ Per our visit: ❑ Refer to the attached walk-thru lists to be addressed by the construction personnel ❑ Field fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued ❑ Some undocumented corrections fixed during walk thru Our finding and recommendations are provided to help increase the conformity of the structures with approved place and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing and back charges. Site observation was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warranty expressed or implied. Field Superintendent Signature Time In: Time Out: If you have any questions please contact the office. 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: (760)325-2863 Structural Job -Site Observation Proiect. Pacific Residence Phase #: Engineer: Visit Purpose 0 Walk thru with compliance letter: Yes ❑x ❑ Clarifications & Field fixes: Yes ❑ ❑ Address homeowner issues & concerns: Yes ❑ Celebrating 55Years Job No. 64433 Tract #: Date: 9-20-19 Comments No ❑ New ® Rewalk ❑ Flagpole footings per No ❑ New ❑ Rewalk ❑ detail 7/sc314, 2locations, No ❑ New ❑ Rewalk ❑ 0 Observation Type 91Foundation, Footings & Slabs []Framing: Interior ❑ Framing Interior & Exterior ❑ Corporate Walk ❑ Hardware Only, Post Tension ❑ Floor Sheathing Slab & Details by others At the time of our visit, work had progressed to the point of: Bldg. # / Lot* Unit #: ❑ Foundation Trenched (Rebar & Hardware Installed) ❑Areas at Ceiling & Walls covered with Gypsum Board ❑ First Floor Sheathing ❑ Roof Sheathing ❑ Final Framing with Correction ❑ Roofing Material Stacked and Loaded ❑ Exterior Walls Covered ❑ Interior Walls Covered ❑Insulation Installed ❑ Final Framing Pick-ups Completed ❑ (Refer to previous walk through lists) ❑ Framing: Exterior ❑ Special Inspection per CBC. ❑ Roof Sheathing ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Per our visit: ❑ Refer to the attached walk-thru lists to be addressed by the construction personnel ❑ Field fix letters will be sent from our office to be applied ❑ Letters of compliance will be issued ❑ Some undocumented corrections were fixed during walk thru Our finding and recommendations are provided to help increase the conformity of the structures with approved place and correspondence. Be advised that changes should be verified with building department, our findings shall not be construed, as authorizing and back charges. Site observation was made only to check general conformance with approved plans and correspondence. The content of these observations is understood to be an expression of professional opinion by this engineer that is based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warranty expressed or implied. Field Superintendent David Fowler Time In: Time Out: If you have any questions please contact the office. Signature 4400 Campus Drive, Newport Beach, California 92660 P: (949)752-1612 F: (949)752-5321 2150 East Tahquitz Canyon, Suite 9 Palm Springs, California 92262 P: (760)323-5090 F: (760)325-2863