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Please change the name to: 949-933-3221 r borw Durborow Construction License No. B 885353 Thank you in advance for this modification. Sincerely, C _) Nl. J. Knitter 949-752-1177 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 oov 1 (949) 644-3200 OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION (HSC 19825) NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at _�,"1 wn,(P" oC ® ty�j ay, 0 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An a6Pn+nf the owner cannot execute this notice unless you, the property owner, obtain the prior approval. of the permitting authority. P r� a OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION. .. DIRECTIONS: Read and initial each statement below to signify you understand or verify this infcrrna(ion. 1. I understand a frequent practice of unlicensed persons is to have the property owner o4tain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subjectIJQ%dzious financial risk for any injuries sustained by an unlicensed person and his or her employees while, -working on my property. My homeowner's insurance may not provide coverage for those injuries. I amaoijlfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. WI understand building permits are not required to be signed by property owners unless they are sponsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder' I am the responsible party of record on the permit. I aving rstand that I may protect myself from potential financial risk by hiring a licensed Contractor and the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list ,/� 4heir license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer' under state and federal law. 6. 1 understand if I am considered an "employer' under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide bbbby//these laws may subject me to serious financial risk. �LW� 7. I understand under California Contractors' State License Law, an Owner -Builder who builds (single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be eld liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. Forms\owner_builder_verifdoc 08/12/16 1 oft ON reMal 1 understand I may obtain more information regarding my obligations as an "employer" from the Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building derstand that I am the party legally and financially responsible for prop sed rmit applied st uct on activity at the f Ilowingaddress: L7, 11. I agree that, as the party legally and financially responsible for this proposed construction ctivity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. rnyf12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be rdspor$sible Qm6 for verifying whether or not those Contractors are properly licensed and the status of their worl�ers' compensation insurance coverage. °gym em o Before a building owner and returned t permit City of Newport Beach, Building Div siion, or issuing thebpermt�hf+Pfrty Note: A copy of the property owner's driver's license or form notarization is requirtfv to< be m < Presented when the permit is issued to verify the property owner's signature. �o d Print name of property owner: Property Owner's e< �000 Date: 1-rW Note: The Wowing Authorization Form is required to be completed by the p when designating an agent of the r roperty owner only property owner to apply for a construction permit for the Owner Builder. Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: df Date: a Note: A copy of the owner's drive license or form notarization is required to be presented when the permit is issued to verify the property owner's signature. Forms\owner_builder_verif.doc 08/12/16 2 of 2 goo©<< GEOTECHNICAL INTERNATIONAL LAN & ASSOCIATES Civil, Structural & Geotechnical Engineering and Land Survey 13139 Harbor Boulevard, Garden Grove, CA 92843 Tel: (714) 414-9215, Fax: (714) 537 — 7974, Email: Lan4ham9 a hotmail.com MEMO GEOTECHNICAL ACCEPTANCE OF EXCAVATED FOOTING TRENCHES/HOLES August 17, 2021 M J Knitter c/o Chris Durborow DURBORO WCONSTRUCTION 949-933-3221 cdurborow�durborowconstruction com Permit No.: X2021-2031 Subject: Geotechnical Acceptance of Excavated Footing Trenches/Holes for Proposed Remodel, Knitter Residence, 17 Monaco, Newport Beach, CA 92660 The excavated footing trenches/holes exposed firm competent bearing earth materials generally consisting of silty fine sand with some clay, damp and dense/stiff and are considered geotechnically acceptable and suitable for the intended use. The allowable bearing earth pressure of 1,500 psi can be used. Processing for installation of the proposed footings can be started. Loose slough soils/mud, if any, should be removed from the trench/hole bottoms prior to concrete pour. If you have any questions or require clarification, please contact this office. This opportunity to be of service is sincerely appreciated. Very truly yours, Lan N. Pham, P.E. Chief Engineer RGE 686, exp. 03/31/2023 R.P.I. Depu Inspections Inc. www.deputyinspector.com 1,r (949) 291-3912 CITY OF NEWPORT BEACH i"(itTi UNITV DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive P.O. Box 1768 j Newport Beach, CA 92658 (949) 644-3200 Flu �,. x e..e.0Y. Project Address: Knitter Residence 17 Monaco Newport Beach Ca. Permit Number:X2021-2031 Inspection Type Inspection Date Is): 08/17/21 r 1 Periodic Continuous Describe Inspection, Indudin Location(s): :Observed cleaning and embedments for dowels and all threads at existing footings & slab. (131) #4 bar, (28) #5 bar, All threads (12) 5/8 AB's, (2) 5/8 HDUS, (2) 718 HDUB, (2) 1" HDU 11 @ existing concrete. :Details are 5/SD1.1, 6/SD1.1, 9/SD1.1, 21/SD1.1, 22/SD1.1 on approved plans. Simpson Set -XP ICC ESR 2508 epoxy was used as per approved plans. j Total Inspection Time Each Day: Date: 08/17/21 Hours: 10AM / PM - I� To the Gest of n,v. xnowle specifications and applic3d dge the. work inspected vras=in accordance v idi the B.irding, Division aoproved design drawings, Rick Paquette R.P.I. Deputy Inspections Inc. 1903 ViaPimpollo San Clemente, Ca. 92673 08/17/21 Beach Regis NB -0217 No.: R.P.I. Inspections Inc. www.deputyinspectoi-.com (949)291-3912 CITY OF NEWPORT BEACH CO I;4IU ITS DEVELOPMENT DEPA12T.VIE tiv'I BITTLDING DIVISION 100 Civic Center Drive i P.O. Box 1768 I Newport Beach, CA 92658 11 .. <1(949)644-3200 Project Address: Knitter Residence 17 Monaco Newport Beach Ca, Permit Number: X2021-2031---_--- inspection Type (s): Placement__ Inspection Date 1s): 08/20/21 { ) Periodic (✓) Continuous _ Describe Inspection_ includingLocation(s): _.—_._..._.. Observed rebar footing bars, slab bars, forms, AB's, & HD's for size, grade, laps, bends and length as per plans. /Details are 5/SD1.1, 61SD1.1, 9/SD1.1, 21/SD1.1, 22/SD1.1 on approved plans. ;All work was found to comply with the approved plans and specifications & applicable building codes. Ltst Tests Made: Durborow Construction of my knowledge, the work in ected was in accordance with the 9uilding Division approved design drawings, is and apqkable �.vorkmansryp p ovisions of the U.B.C. except as noted above. 08/20/21 - — — --- -- ----- Rick Paquette NS -0217 R.P.I. Deputy Inspections Inc. 1903 Via Pimpollo San Clemente, Ca. 92673 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.aov (949) 644-3200 Structural Observation Report Proj� Address: ���� Report Date: 0 CNB Inspector Name: CNB Permit #: /AA M Conventional Footin s &Slab El Concrete Building Owner Name: ,r6Nirlt�42 Owners Mailing A dress (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name f Structural Ober o): SO mail Address: SO Telephone #: SO License / Reg. #: it YQ/1 /1/TA�/� ❑ Caissons, Piles, Grade Beams ❑Wood or Manuf. Shear Panels , COYVI PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTInN3 nRCFavFn FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventional Footin s &Slab El Concrete El Steel Ll Concrete � �� � �N� o 0 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck it YQ/1 /1/TA�/� ❑ Caissons, Piles, Grade Beams ❑Wood or Manuf. Shear Panels ❑ Masonry El Wood h'lAq ��� ` i� ❑ Other: 11Other: ElOther: 10:1Other: bq ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: 0004&— ❑ 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. / ^ 0 siAMF UH STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo=m Smc ObsmationP port&1¢ ctions 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 Addrresss:, Report Date: CNB Inspector Name: CNB Permit #: J/ P `sa Z-ep F"Y �%6 /y/go ljf ?I DATE OBSERVED `X10 -10al Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Gk" 1w%, ❑ Mat Foundation, Prestressed Concrete 08&11 10%1 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Gni% NA® S � 3- El Masonry PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check anolicable boxesl 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. STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo='Shuc 10bse tiov poft&G t uctwm FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams oo orManuf. Shea Panels El Masonry Wood �yLrr?li a jL D��r�4� ❑ Other: ❑ r: ❑ Other: ❑ Other:, ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo='Shuc 10bse tiov poft&G t uctwm CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 r ,4 0iJ_� !'� v 1 (949) 644-3200 Structural Observation Report Project Address: f 144 Report Date: CNB Inspector Name: CNB Permit #: Building Owner Name: Owne s Maifi g Address (if different from site); Owner's Telephone #: CNB Plan Check #: ❑ Steel ❑ Concrete _ __OBSE_R_ Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License) Reg. #: - L'�' �w ✓''i-! %`L U =%rig Sit 3''= Z i '✓%/j ❑ Masonry �-t�, i..'.�9�flt.�/fie j;'S -f G PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED_ DATE VED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete _ __OBSE_R_ I Mat Foundation, Prestressed Concrete 1-1 Masonry CI Concrete f-1 Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood orManuf. Shear Panels ❑ Masonry Wood ❑ Other: ❑ Other II F Other: Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: LI 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. 1, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 0� vESSIpyq i�gYRON ,kYpP/ , < /7 s. SjAT .Clv��.. E OF CNO , STAMP OF STRUCT"URAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive j P.O. Box 1768 1 Newport Beach, CA 92658-8915 -3200 Structural Observation Report Project Address: j Report Date: CNB Inspector Name: CNB Permit #: Building Owner Name: Owne s Maili g Address (if different from site); Owner's Telephone #: CNB Plan Check #: k -1V l tf,e,1 L ❑ Concrete _ _ L_ Full Name of Structural Observer (SO): S/O E-mail Address: SO Telephone #: SO License I Reg. M 01 LYC' !"'�ar�lrf /'GLr( toi.✓E4�i/n/'e`js. d?�� SSG (7�', Lii% PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete _ _ L_ I Mat Foundation, Prestressed Concrete I:I Masonry ❑ Concrete 1 Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood orManuf. Shear Panels El Masonry Wood 1 ❑ Other: ❑ Other: _ 1 Other: 1 Other ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGER. ❑ 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. 1, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. _V �!, QROEESS/ONgI r tw E OF CAS\E v STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. I'nrm.rKauarr.dDh.,m„ru.nR�p„n.c)mmre:„� CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report te: ?o-04 CNB Inspector Name: CNB Permit #: oA1Az-'V /tD / o DATE OBSERVED ❑ Building Owner Name: Owners Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: �L /Ltio/L✓�es ���/.to✓LEnlb�nl/yE& �,Y9Sa?�j"3Z3 G7'2 N PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED /chock annlirahla hnvocl I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR Forms\StrucmralObserva[iavRepott&Ivstmctioos /1//-9/Z.0-24 DATE QRpFESS/py9�`0 ��'gYRON '•�. � 77 Mo STAMP OF STRUCTURAL OBSERVER BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams X Wood or Manuf. Shear Panels I ❑ Masonry Jit Wood I lr-�orlAr pQ,W;' / q ❑ Other: ❑ Other: ❑ Other: ❑ Other: ey ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR Forms\StrucmralObserva[iavRepott&Ivstmctioos /1//-9/Z.0-24 DATE QRpFESS/py9�`0 ��'gYRON '•�. � 77 Mo STAMP OF STRUCTURAL OBSERVER BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. PROJECT STATUS REPORT CaICERTS, Inc Effective 04/19/2022 15:59 (Pape 1 of 2) Energy Standards Code Year: 2019 Project Name: Knitter, Margie & MJ - Remodeled Residence ■ �■ ■ Project Type: Alterations SFR Address: 17 Monaco ■ City/State2ip: Newport Beach / CA / 92660 L � Enforcement Agency: City of Newport Beach ■ Permit Number: X2021-2031 Easy to Verify @ calcerts.com OVERALLSTATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE Certificate Type Compliance , Registered Form CF1R-PRF-01 Registered Date 2022-, :22:45 3 � Registration Number 221-P01006Zpp79C-000109 0-0 00000- 000""> r) ' m? { -1 J J -1 �r V � CF2R-ENV-01-E 221-13010062879C-000-001-E01001A-0000 Fenestration Installation 2022-04-14 08:50:28 Christopher Durborow (DURBOROW CONSTRUCTION) CF2R-ENV-03-E 221-P010062879C-000-001-E03001A-0000 Insulation Installation 2022-04-14 08:50:28 Christopher Durborow (DURBOROW CONSTRUCTION) CF2R-MCH-01-E 221-P010062879C-000-001-M01001A-0000 Space Conditioning 2022-04-14 08:50:28 Christopher Durborow Systems, Ducts and Fans (DURBOROW CONSTRUCTION) CF2R-MCH-20-H 221-P010062879C-000-001-M20001A-0000 System 1: 1ST FLR Duct Leakage 2022-04-14 08:50:28 Christopher Durborow (DURBOROW CONSTRUCTION) CF2R-PLB-02-E 221-P010062879C-000-001-602001A-0000 SD HWS Distribution 2022-04-14 08:50:28 Christopher Durborow (DURBOROW CONSTRUCTION) HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019 PROJECT STATUS REPORT CaICERTS, Inc Effective 04/19/2022 15:59 (Pace 2 of 21 Non Default Value: CF2R-MCH-01 - SC System Status is different. Non Default Value: CF2R-MCH-01 - SC System Status is different. Non Default Value: CF2R-MCH-01 - Duct System Status is different. Non Default Value: CF2R-MCH-01 - Duct System Status is different. Non Default Value: CF2R-MCH-01 - E06 changed from Yes to No. Syste!1:1ST FLR CF3R-MCH-20-H 221-P010062879C-000-001-M20001A-M20A (Duct Leakage) 2022-04-14 08:54:52 Jayme Carden (CC2005489) (Maximum Performance Housing, Inc.) HERS provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019