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X2020-1762 - Misc
XUZO-R02 k q 1 j- -C bay A\t-r,- CITY OF NEWPORT BEACH CO3DMDNUYDXVjM0pmKNTDEPARUWMT BUILDINGDIVIRroly tr avic CarderDrhe I I_ Mi�__ yrr PRE -GRADE MEEnfgG AGREEMENT �6JOSADDRES&- I- � 9=dMVPfim dock mr�bertorttaLs side and 7rao 116 Z and wM be referred to in ao Rpm moons z crap M y4mevw NW wo,* Is bang dam contrary to Me Wovisincs af the 17g wor his ae� rePn-"%mtm&Sas to iW �wnVs�d my • uns muthor;med •N cute Miff Brmdmg. off. to Proceed with Pusml� °. •aHnwidr su�dn 3. TIN stamped set of mPpr*vedPfiI=MfW be on the Job aft stall biota, i HIMI it,AIMM OF NON CE g in t5e comae of ftdmkv their IM Me Wei; englumer, the waammuree approved gradin) P sGeftiet Or � besting agent Mds � b; � heft done Qac persarr ae d�r'eparachs sbag bo reported im naff vn*mg to neasures� if of tris gtadit Wm* and to the Building D'n�an �mcorre�ve may., shag hesubmnitted tofhe.Buffdlog ffir®um forappmv-E 5. Erotic 'and Of its is required, haul routes to and fmm the site shmil be awpmt Vad by the. CRy � dial[ be ha accordance vdHr an vzetw quality � Com} Contr+cflnr also® Ise Brat Yarupeeneot pry M&RwsP) to� i insum� mues f Between October 1 and April 39, erosion control SUP measures shag be in place. During the rider of tier lt�+' dry season Wald erosion BMP's enabled- and — _ . (dust wlibol) shag &se s�teme�d. Sed>mQnt eoll$inl_@Ia�°ri stela 6e »laui�meai a� a"!1 aperstiorsa�l sto ar draw irelmts mrtenmd to the pm fi BId n to control otf-si e sediment traddog shag be implemented and nraadaimeeL Appropriate MEws to sicrulwa�-from contrition aetiY�es shall be iile P4>:verst eomtalnm�fiom. of to deploy BEF-6 to protect ag exposed Portions of ffia= s"na yn y'weaHrer artalagen the nmol Plan and the a'ft t'orecarts a 50% or grxaser choice ofraun, Service 7. Ail hQ shag tae: throughout sags to a mia*nwn of 99 Percent compaction as d6bwndned by ASTM test premmi 155E and approved liY the mgt engineer, Carupaction tests shag he Pr�'y souls report, Performed according to the S. AU fiv utlo m(nwluding ftl f99 and exterior u0ty trenches) and retaining wall bacM shah be compscted Percent relative compaction and approved by the soft enginew: 9. bylaearev� work on which required aspeciicu os covered by additional won* without fast beirg the aMmInihadom.Lire sneak if ef Bufcrmg O�c7al shag require by WnYfmn notice that tine work be exposed for Newport Beads and arff be Hee �g and recovering, shun not ental or he suged to expense to the City of sole expense of the permit m t0. La WscrPfng of all slopes and pads shag be in accordance with 15.99.138 of the MEMO. i1_ Approved drainage Provisions shag be used to. protect P ar4oirsin4 Properties during the gnadulg ®PeraSarr. i L wr W agent sha0 notify do "ding Division vA the gr>dhlg baa is ready for wKGh of *4 12 :Pa� Wt nu! Wm Von tiro dos 6e(one MY --ane YEk'iHIG When Yia paentMs'r ft r.sdY to dag� vradG a or�� e�a �N9iPEC�'Dlf. A/W' iotudn9 of ienaes �" down des dr ~ p� of PR° °1 tL any. atffitm � c .. eentw � sok �t shag be p mOwd to MWa8 mop Wadingor _ t* &+S� d gq fopachrr at fora�dotlan drafirsOs ateoetr and afwr psairMr des' box tool a When 09 wm*, bcb i and tw r **W nporis haws won and the ssww d PIM% W~60081 app""Oft ,ErN w i � �MV'mf by 0. GooW id 13. AS ft SM yyfm ap owgi wd � be submOmd en 1M Buffaing kmPsco°r E`er` � ahaH w io P� pror b arry s&l be 14 Prfar 4s ** b`wt u fgradkoNfi ofPOWEVNA mor retard' ar'romm dsNW with M. C.rcatf/ of QM9s euPs�O°s' pho umd i. Is a cow of dw awn► and s➢R� md .Ply y�flsqui� off tw pw of is T6. ur,t B.. afffi. pr.j.d� report N e.rlk nem : Lim and Grads Cartels Farm mmt ldgn.d aid >� by flr m" Yo' d IS. d a and wldn9 i aid dor A Shubr-a pA� � w n9uf& i7- All pensee Wad balm must he prassd *w h* FVW=b � onfem � th.6ra71itn9 trsPsc°°r- pE5fG9f avg...� OWNERIUMCIRACTM MY: Br- S v L U j2- , z 4uaw Address:ph r o T.� Tafsp6orm /I _ �/%�1��A✓�•' .sus-� GEGMHNICAL ENG 1.-;;2 Addr.m Takphom Tafaphww fT n V COORTHNATUR: GRAMG CO :/ r✓ gp; BY u —�--- Address: Address.,Address.,✓ i OG Tewoof : Teb*twrw N o1 --c.,-+ L PHONE#: NEWPORT BEACH REFFESERTATNE: 007ECTIf9N REOMMTS: (9481 644 -UM twmSdAMSA C Mm than Nouns" Monday through Friday 7A0 a -m. to 6:30 p•m. 9attndays: a:00 a.m. to 6:00 pm No Work an Sundays and Hoffday�. Received As all in Blue , next time it will not be accepted. Ppi253DC 1st Chprk MENDER LINE PF0.Rid R2 l� N62°3]'00' E3TABATRG'ETME F0.0M ,• l \ jl Pr•n• c/L°G'sREErar S \FARS OF R9 VAV\>i i 9 '6051 ��°� AI U.S. HARBOR BULIWEAOLME FDTOP "FLS p96 PER YAEss1£Y SURVEY OF IS' IN TOP OF3EAWA l I� NEWPORT KH d R2 i R2 T 2 -A OROMARYHISH=ELME LOTS 1 THQfI B OF LK N PAR 2 OF R5 E5Ta0 ArnfcaNGIEFROM S POMT'A'PMM OF MAP . THE BAY FRONT , ,(N.*s} ' \ g SECTION OFTHE BALB�A 9 10 u lg m \DJS� se9"3GWET 6040 o.TS 1 ii 13' N.T$ TRACT BK I5 MM ,fir NRaOD:M'E 6000 _X T 0� NSS. 15 MYVFN.UE36 WNE(ABANOONED) �' / 1 N / 39TNWE "£ �_ MEA LTNEPERR16 R2 m�� g f PAR 4 �OF R5 C- A\ 7 UD PARI OF R� /J F' �L BAYAVENUEAO WNE(ARANDONED) _ _C_ LOT5ITHRU80FBLOCK230F THE EAST 5I0E ADDITION TO.I( A. $ THE BALBOA TRACT, B� 1 i $ UC BK 4,P&20,M.M. ; L - pa - DETAIL V ' 9 _'_10 A �• NTS. € O 240.08290'GO) 60m'(RI) 1 e � 590°W'ar'E 329.99' Pp L1a3E1£D%PERM ALLEY A.-.'.EA SIS aF BEA0.M65) 330'(plJ 'REVS43'W 154' FROM F°4 -2.N' OFFSETIEAD TACK C/LIMI:R d TA63TRADS,'154653•AT3EWER MANHOLE PER R2 ACCEPTED AND FILM AT WE RECORD OF SURVEY NO. 2020-1162 REQUESTOF oTEMNGEw"" '"°�°°'30� IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, TIME PVE STATE OF CALIFORNIA INSTRUMENT NO. BEMG A SURVEY OF THATCERTAIN PAW,,,D,,,,ED IN DEED RECCRDM 3ANUAW 3, 2020 BOOK PAGE_ AS MST N0.2O20WDO31609 OF OFFICIAL MOMS IN THE OFFICE OF ME C°UNTV 0.ECOMR OF SAID C°UNTV HU6H NGWEN COUNTY C.R.REOCAt ER DATE OF SURVEY: FEB 10, 2022 By HOME A. ROGEM Ll NO. 5336 HORSONSURV S D(yOT, PURPOSE: SURVEYOR'S STATEMENT COUNTY SURVEYOR'S STATEMENT. .�OOFSU.MWASFNMPER8]62Np) THLSMAPCOPQEMYNVIBENTEA5URVFI MAGE BY ME, W NOFESSLMALIANDSURV OM'ARTO MUNDER MY DIRECTION IN CONFORMANCE WITH ThIE TM— a�.CFWRRARA �.NO 24162 ,FTAB HANDMONUMEMTIE 5USN'MQUMEMEMSOFTIEFROFE63I°NALGND s"RVEY°0.5' AOPERTY OE3CRIESCINDEEDRECOMED3ANVARY ACT, AT WE REQUEST OF"RVD,ULRECORD°WNER IN3,2020 AS MST NO. 20200PoVJIW9. 0.0. 6FYTEMBEIi .IER°ME A.0.0GER5 PATE BASES OF BEARINGS: LSMO.5336 RKP RD,6BVrv[[4Rnr O.CR uw w THECENTERI3NEOFALLEY NORTEOF BLVD, ET, SHAIBOA "H'31REET,sHOWN AS ABBREVIATIONS,EEAMH MONOMON EASTON PMA. 65/32, AND 0.5303/36.0"NGE' COUNTYRECCRTREETAND COUNTY PEC°RpS. SNF SEARO¢D, NOTHING FOUND • Pp MON AS NOTED AS NOT; CLWE 0 SETM°NUMENTASNOTEO POC FOUNDCEN'EFOUND REFERENCES; Ph PROPER O SETTER', TACKd ERTYC RNM ESTA B'p EGTABLIIHED 155336' ATPRCP@ryCORNE0. N 1NDIGTE MAP OF HEL ADDITION TO ERAUOA RA L/TG 1EAD/TAG sETLEAD.TACKGTAG,STAMPED EAST SIDEApp1TLON TO WE BA180A TUL1', ® MM. M20. 1FAD?ACK °LG 5336'MTOP OF WALL, PROD PRODUCED LOD OFFSET TO P/L P2 INDICATES MEASURED d RECORD DATA PER RECORD STRAM 9MpLER TIES OF SURVEY N°. 2016-L9], GSA, 303/36. ESTABLISHMENT NOTES: R9 INDICATES MEASURED dPECWD pATA PEp PApCELMAP NOTES: 2013-I67,P.M .MV2526. O ESTAGUATREC ANH,EAND DIST A4 INDICATES RECORD DATA PER ITEM III OF DEODEE OF FROMCEM@LWEINTE0.0FALLF' 0 VACATED BYRESOLURON NO. SUPMOR COURT OF ORANGE COUNW'GECOR WmI Y STREE7PEN p3' OF N9�I°, 8-M1928 IN BK 183, PG 6]5, OR. BE8CNRECEM BK402EPS1SEC.0. OB '05TR°ALONGN'LYFRODOFC/L A3 MSTRUMENT G'STRE'FTATGIC 0.5 INDNO. DI(AANDONL � ITEMDOFSK183,P64T5,0.0. EORTE3DEE00.EC°RDED2-3-2020 N0. 202WWBOIfi09, 0.0. WiIH BAY AVE(ABANpONEp) PER PER �'0.D T HIEN T1pELOM ESTAB ATpECANG1EF0.0M POLNT"B'PFR 0.4 MENDER LINE PF0.Rid R2 l� N62°3]'00' E3TABATRG'ETME F0.0M ,• l \ jl Pr•n• c/L°G'sREErar S \FARS OF R9 VAV\>i i 9 '6051 ��°� AI U.S. HARBOR BULIWEAOLME FDTOP "FLS p96 PER YAEss1£Y SURVEY OF IS' IN TOP OF3EAWA l I� NEWPORT KH d R2 i R2 T 2 -A OROMARYHISH=ELME LOTS 1 THQfI B OF LK N PAR 2 OF R5 E5Ta0 ArnfcaNGIEFROM S POMT'A'PMM OF MAP . THE BAY FRONT , ,(N.*s} ' \ g SECTION OFTHE BALB�A 9 10 u lg m \DJS� se9"3GWET 6040 o.TS 1 ii 13' N.T$ TRACT BK I5 MM ,fir NRaOD:M'E 6000 _X T 0� NSS. 15 MYVFN.UE36 WNE(ABANOONED) �' / 1 N / 39TNWE "£ �_ MEA LTNEPERR16 R2 m�� g f PAR 4 �OF R5 C- A\ 7 UD PARI OF R� /J F' �L BAYAVENUEAO WNE(ARANDONED) _ _C_ LOT5ITHRU80FBLOCK230F THE EAST 5I0E ADDITION TO.I( A. $ THE BALBOA TRACT, B� 1 i $ UC BK 4,P&20,M.M. ; L - pa - DETAIL V ' 9 _'_10 A �• NTS. € O 240.08290'GO) 60m'(RI) 1 e � 590°W'ar'E 329.99' Pp L1a3E1£D%PERM ALLEY A.-.'.EA SIS aF BEA0.M65) 330'(plJ 'REVS43'W 154' FROM F°4 -2.N' OFFSETIEAD TACK C/LIMI:R d TA63TRADS,'154653•AT3EWER MANHOLE PER R2 4 SVR2000181 0 Initiated In Review Appealed Recorded Approved Closed Back (OCPW_MapApplication? menu ld=a28t0000000KFmgAAG) Clone Application Map Detail Number Project Number Assigned Map Number Map Number Range Status Project Manager/Planner Name Legal Description Assessor Parcel Number (APN) Planned Community Address Request Withdrawal (OCPW_MapRequestChange? clickedMenu Name=Req uestW ithdrawal&mapAppl Inquiry SVR2000181 OC20-18542 - 1417 E Bay Ave, Newport Bch 2020-1162 Approved Lots 9 and 10 in Blk 23 of East Side Addition to the Balboa Tract, in the City of Newport Bch. Lots 9 and 10 in Blk N of the Bayfront Section of Balboa Tract, in the City of Newport Bch. Financials Review/Comments Clearances CoA Project Files Contact Receipts ExtensionsMithd rawals - - - - -._--- - i View Activity Report (OCPW_ViewNotesOnDetail? clickedMenuName=viewNotes&mapAppld=a03t00000077hNlAAI&menuld=a28t000000OKFmgAAG) , Fee There is no information to display in this section Deposit ere is no information to display in this section 4 O N N C O . U En CL 'Q m N N N U C (D C — c a7 M (n U O_ O) O_.s N N U U C O a7 � a) O_ .• C a7 -0O "O U M O_ N O_ U a7 a) N iL.+ 7 l6 CU N a3 U -0 w O (D C w m O U L Q C O_ a7 aS U N N L C +-' O T M U � Q O_ 7 Q N C N O C .r- O N U )a) CL T O Q C a3 CL N _O N ;R "06 (0 G L Q m J cn Q) o — N N f6 4-0 X N +� O N a Y C O C C .` U_ (D aS CC),- E a (n Y a 73 Z. m y O co V U N V A � N N a) T N n H Q_ O N Z d' N O 7 0. !A Q 4.10' n.4.55 4.03' P/L C) t. P/L CONC FORM m CONC FORM 4.13' 4.0 1' 4,67' N ALLEY LAND A. s No. 533 sT Exp. 12/31 1 qlf OF CAQ� RORIZON SURVEYS 1417 E BAY AVE - NEWPORT BEACHLAND SURVEYING & 115 N 5w, (xbnw1W l 8 — --70 Sw, Gobnel, CA 91775 OW I I I PHOTOGRAMMETRY TEL: (818) 554-9042 STAKING FOR BUILDING CORNERS ') k " �I' EMAIL: 1,58185585610tZymail com �.w�'ti"! �„n�, ��'�%y uaJuugoea(39rrlSlndo,lPu rzyneyloS/sm�o..� c.i an7ru3 s -P e u .Is s,ao,Canan�,t.aoou &rq ale(1 aueld moa,} stroltu�nop ,Cuff aglaasaQ 's3ulAvu.ap panoaddr, ,CII,) and '� lou sl sI (s)uollrnala aooLj/gels.}o dol wip Xjp.lao } — ----- :suuld moi} suoIIeznap Aue aquoso(} 'suvld panoaddu 61ij aad `❑ tou a. e 'Ip l mu sNaeglas oyl leg) Cjnaao } paoaaa,}o ,Canans aqa ul pasn cunlup acus asrl suoµunala otp djpAs, pue a9ud Innq oyl no gels gAnanp uoll',�Is ao ueld e yolals `saueA uonenala aooL};gels j1 uoilenala aooL}/quls jo daj, „ (a ed pitq asn) sjorgras pa,CaAans ti;lands pne usld aacs e yoloNS a> ogoS ssaappV qof I ssaapPV s,ao,(ananS;aaamaud t —_,,,7 # asilaar'7 f �.4 - ��— GZC 1 � aweN s,ata;CananS aoatn8crl 3utme.L} Ilem 3ul}nns M aoud uaq `ilknq sc aoop pasitu .to paanod sl quls olaaouon ILII aai,pa alquaajaad ao aaeld cat tae sauoj ala.tauo,) ayl aalje auop aq Isnut Xa,uns ay.l, slonans cwoj.led of pozuoyuae-laaul$ua ItAla ao .Iori?Hans p1.111si8aa e :Cq Ino pally aq lsnui uuoj slq,L. 'suonenala pue suonnas-ulpllny uo umoys uolsuamip acp Milli ssal .aa lunba sl it leq) ii4!10A oI tooL}/gels jo dol acp ob aantan.ns aqd jo iggaay acp amsnaut uua aop-odsut puia aorwiluou acp 'Attimeap panoadde acp uo paylaads uopenal2 aya yolum m paLjl.laA sl uo[7eAa10 coop/gels jo dol aql aagV 's$ulmuap poAoaddu m ll uo po}ou .(ooLllquls.lo dot Nil saL}L.taA -)spa olvot Ilia-) sola. -s8ul.meap paAoadde aql and its uo Apadoad pa}enal sl a.m}-)nils acp lsgl amsul oI sr alualjpaaa snp jo asodatid aq.l_ IlVDIA11113D NOLLVA3151 HOO'IA19V IS 40 dOl (INV SMI )VUIIS OOZE -479 (6t76) I Ao PDqOeOqIJOClM8kJ WMM 9L69969Z6 VO 'goeag laodmBN 199GL xog 'O'd I anup aaluaO OIAlo OOL NOISIAM ONI(Illf)ff ,LN':IIN.LllVd34 ,LNI NdO'13A30 AlIN}IWINOD HDV:iff 1NOdMgN JO ALCD COAST GEOTECHNICAL, INC. 1200 W Commonwealth Avenue, Fullerton, CA 92833Eh; (714) 870-1211 Fax (714) 870-1222 Email• coast wte Asbcelobal net December 18, 2020 KSRVD, LLC C/o Mr. Khaj ak Kassabian 429 Santa Monica Boulevard, Suite 360 Santa Monica, CA 90401 References: W.O. 587819-03 Subject: Rough Grade Compaction Report, Proposed New Residence at 1417 East Bay Avenue, Newport Beach, California Geotechnical Engineering Investigation of Proposed New Residence at 1417 East Bay Avenue, Newport Beach, California; by COAST GEOTECHNICAL, INC., W.O. 587819-01, dated February 6, 2020. 2. Response to Geotechnical Report and WQMP Review Checklist of Proposed New Residence at 1417 East Bay Avenue, Newport Beach, California; by COAST GEOTECHNICAL, INC., W.0, 587819-02, dated September 18, 2020. Dear Mr. Kassabian: Forwarded herewith is the rough grade compaction report for the subject site. The grading operation for construction of the building pad was conducted from December 11, 2020 through December 16, 2020. COAST GEOTECHNICAL, INC. provided periodic observation and testing during grading. PLACEMENT OF FILL Compacted fill material was placed on the subject site to provide adequate support for the proposed structure. Overexcavation extended down to competent native earth material. The depth of overexcavation was about three to four feet below existing grade. The exposed surface was scarified, moisture conditioned and compacted to a minimum of 90% relative compaction. Subsequent fills were placed in six to eight inch loose lifts, moisture conditioned as needed, and compacted to a minimum of 90% relative compaction by earth moving equipment. The upper two foot of fill soils were mixed with Portland cement, to mitigate caving during excavations for exterior footing for the mat slab. Footing spoils may be used in the upper two to six inches to reach finish grades in the house and garage pad. Limits of grading are shown on the attached Plate 1. COAST GEOTECHNICAL, INC. Mr. Kassabian 2 W.O. 587819-03 Rough Grade Compaction Report December 18 2020 Equipment used for compacting the fill soils consisted of a Cat 953C track loader and 287B rubber track loader. Soils were moisture conditioned by a water hose where needed. Earthwork was by JD Demolition and Grading. Barrow pits were excavated to complete final grades. The pits extended about three to four feet below grade and may be backfilled with footing spoils. Backfill shall be placed in six to eight inch loose lifts; moisture conditioned as needed with a water hose, and compacted to a minimum of 90% relative compaction. TESTING Maximum density optimum moisture relationship determinations were performed for each soil type encountered during grading operations. Test results were as follows: Laboratory Standard: (ASTM:D-1557) 4 -inch diameter mold; 1/30 fti volume; 5 layers at 25 blows per layer; 10 lb. hammer dropped 18 inches !Soil ':''.e , z t L + ks,l Classtfication Cptunum Moisture % ;Max Dry Demity Ibs/ft3 Type _ ti , Light Gray Tan to Tan Fine to I Medium Grained Sand 10.0 112.0 Gray to Tan Fine to Medium II Grained Sand Mixed with 9.5 115.0 Cement Compaction tests were performed a minimum of every two feet and/or 500 cubic yards of compacted fill soils placed. These tests were performed in accordance with ASTM test methods. The test results are summarized in Table 1. The approximate test locations are shown on Plate 1. FOUNDATIONS - RESIDENCE The residence shall be supported by a mat foundation. The structural engineer should design the thickness and reinforcement requirements for the mat foundation for the building based on the anticipated loading conditions. The mat foundation slab should be at least twelve inches thick, with a perimeter footing a minimum of 24 inches below the lowest adjacent grade. A modulus of subgrade reaction of 100 pci may be used in the design of the mat foundation. Reinforcement shall be determined by the structural engineer. The mat foundation may utilize an allowable bearing value of 1,800 pounds per square foot. This value is for dead plus live load and may be increased by 1/3 for total including seismic and wind loads where allowed by code. The structural engineer's reinforcing requirements should be followed if more stringent. COAST GEOTECHNICAL, INC. Mr. Kassabian 3 W.O. 587819-03 Rough Grade Compaction Report December f8 MIn All foundation bottoms shall be observed and approved by COAST GEOTECHNICAL, Inc. prior to placement of the capillary break. LATERAL DESIGN Lateral restraint at the base of footings and on slabs may be assumed to be the product of the dead load and a coefficient of friction of 0.35. Passive pressure on the face of footings may also be used to resist lateral forces. A passive pressure of zero at the surface of finished grade, increasing at the rate of 300 pounds per square foot of depth to a maximum value of 3,000 pounds per square foot, may be used for compacted fill at this site. If passive pressure and friction are combined when evaluating the lateral resistance, then the value of the passive pressure should be limited to 2/3 of the values given above. FLOORSLABS Due to liquefaction potential at the subject site, it is recommended that a mat foundation be used for the proposed structure. The minimum thickness of the mat is twelve inches. Slab on grades shall be designed in accordance with current CBC codes. Site soils are non plastic. Subgrade soils shall exhibit a minimum relative compaction of 90% to the depth determined by the geotechnical engineer. The soil should be kept moist prior to casting the slab; however, if the soils at grade become disturbed during construction, they should be brought to approximately optimum moisture content and rolled to a firm, unyielding condition prior to placing concrete. COAST GEOTECHNICAL, Inc. to verify adequacy of subgrade soils prior to placement of vapor barrier or capillary break. Section 4.505.2.1 of the California Green Code requires the use of a capillary break between the slab subgrade and vapor barrier. The capillary break material shall comply with the requirements of the local jurisdiction and shall be a minimum of four inches in thickness. Geotechnically coarse clean sand is acceptable; however, some localities require the use of four inches of gravel (1/2 -inch or larger clean aggregate). If gravels are used, a heavy filter fabric (Mirafr 140N) shall be placed over the gravels prior to placement of the recommended vapor barrier to minimize puncturing of the vapor barrier. Additionally, a vibratory plate should be used over the gravels prior to placement of the recommended filter fabric to smooth out any sharp protuberances and consolidate the gravels. Slab areas should be underlain by a vapor retarder consisting of an engineered plastic film (as described by ASTM:E-1745). In areas where a moisture sensitive floor covering will be used and/or where moisture infiltration is not desirable, a vapor barrier with a permeance of less than 0.01perms (consistent with ACI 302.2R-06) such as 15 mil. Stego Wrap Vapor Barrier, or equivalent, should be considered, and a qualified water proofing specialist should be consulted. The vapor barrier should be underlain by the above described capillary break materials and filter COAST GEOTECHNICAL, INC. Mr. Kassabian 4 W.O. 587819-03 Rough Grade Compaction Report December 18 2020 cloth. The capillary break materials should be compacted to a uniform condition prior to placement of the recommended filter cloth and vapor barrier. The vapor barrier should be properly lapped and sealed. SEISMIC DESIGN Based on the ASCE7-16, the following seismic design parameters are provided. These seismic design values were determined utilizing latitude 33.6195269 and longitude -117.934454 and calculations from the Structural Engineers Association California hazards by location seismic tool application. A printout of the SEA hazards by location is attached. * Site Class = D * Mapped 0.2 Second Spectral Response Acceleration, Ss = 1.383g * Mapped One Second Spectral Response Acceleration Si = 0.491 g Site Coefficient from Table 1613A.33(1), Fa= 1.0 * Site Coefficient from Table 1613A.3.3(2), Fv = * 1.809 * Maximum Design Spectral Response Acceleration for short period, SMs = 1.383g * Maximum Design Spectral Response Acceleration for one -second period, SM, _ * 0.888g * 5% Design Spectral Response Acceleration for short period, Sns = 0.922g 5% Design Spectral Response Acceleration for one -second period, Sp, = *0.592g * Fv, SM,, and SDI are calculated based on Table 11.4-2 of ASCE7-16. Since S, is more than 0.2, the project structural engineer shall perform required calculations to make sure that a site response analysis is not required according to 11.4.8 of ASCE7-16. SETTLEMENT The maximum total post -construction static settlement is anticipated to be on the order of 1/2 inch. Differential settlements are expected to be less than 1/2 inch, measured between adjacent structural elements over a distance of 40 feet. Seismic induced settlements are addressed in the original report. EXPANSIVE SOILS Results of expansion tests indicate that the near surface soils have a very low expansion potential. UTILITY LINE BACKFILLS All utility line backfills, both interior and exterior, shall be compacted to a minimum of 90% relative compaction and shall require testing at a maximum of two -foot vertical intervals. Utility lines shall be placed at appropriate depths. Shallow pipes can be damaged by the forces imposed by compacting backfill soils. If shallow pipes are not capable of withstanding the forces of backfill compaction, slung backfill will be recommended. COAST GEOTECHNICAL, INC. Mr. Kassabian 5 W.O. 587819-03 Rough Grade Compaction Report December 18 2020 HARDSCAPE AND SLABS Hardscape and slab subgrade areas shall exhibit a minimum of 90% relative compaction to a depth of at least one foot. Deeper removal and recompaction may be required if unacceptable conditions are encountered. These areas require testing just prior to placing concrete. Hardscape shall be at least four inches thick and reinforced with #3 bars on 18 inch centers both ways. CHEMICAL ANALYSIS An on-site soil sample showed a soluble sulfate content of 49 ppm, which is a negligible sulfate exposure. Concrete with Type 11 2,500 psi may be utilized; however, the saltwater environ may cause damage to exposed concrete and a designed concrete should be considered. DRAINAGE Positive drainage should be planned for the site. Drainage should be directed away from structures via non -erodible conduits to suitable disposal areas. The structure should utilize roof gutters and down spouts tied directly to yard drainage. Pipes used for storm/site water drainage should be stout enough to withstand the force of compaction of the soils above. This force can be considerable, causing some weaker pipes to collapse. Drainage pipes shall have a smooth interior. Pipes with a corrugated interior can cause the buildup of deleterious matter, which can impede or block the flow of site waters and, as such, are not recommended. All storm/site water drainage pipes should be in conformance with the requirements of Table 1102.5 of the California Plumbing Code. Unlined flowerbeds, planters, and lawns should not be constructed against the perimeter of the structure, If such landscaping (against the perimeter of a structure) is planned, it should be properly drained and lined or provided with an underground moisture barrier. Irrigation should be kept to a minimum. The current CBC recommends five percent slope away from structures for landscape areas within ten feet of the residence. Hardscape areas shall be sloped a minimum of two percent where within ten feet of the residence unless allowed otherwise by the building official. Minimum drainage shall be one percent for hardscape areas and two percent for all other areas. We do not recommend the use of infiltration best management practice (BMP) such as bottomless trench drains, infiltration trenches, infiltration basins, dry wells, permeable pavements or similar systems designed primarily to percolate water into the subsurface soils within five feet of foundations. Due to the physical characteristics of the site earth materials, infiltration of waters into the subsurface earth materials has a risk of adversely affecting below grade structures, building foundations and slabs, and hardscape improvements. From a geotechnical viewpoint surface drainage should be directed to the street. The WQMP requirement shall be addressed by the Civil Engineer. COAST GEOTECHNICAL, INC. Mr. Kassabian ( W.O. 587819-03 Rough Grade Compaction Report December I S 2020 POST -GRADING SERVICES During construction of the residence, it is recommended, and at times required by the regulatory agency, the following be observed and/or tested by the geotechnical engineer: • Foundation excavations • Testing of fills placed to reach finish grades • Backfill and compaction testing of interior and exterior trenches • Slab subgrade compaction testing prior to placement of capillary break • Hardscape subgrade It is the responsibility of the developer to schedule the required observations and testing. REGULATORY COMPLIANCE I hereby certify that the subject grading was observed by a representative from this office, and the work was done in full compliance with the Grading Ordinance of the City of Newport Beach and in accordance with the best accepted practices of the applicable chapter of the California Building Code. All cuts, fills or processing of original ground under the purview of this report have been completed under the observation of and with selective testing by COAST GEOTECHNICAL, INC. and found to be in compliance with the Grading Code of the City of Newport Beach. The completed work has been observed by COAST GEOTECHNICAL, INC. and is considered adequate for the development. Our findings were made and recommendations prepared in accordance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subject to review by the controlling authorities for this project. We appreciate this opportunity to be of service to you. Respectfully submitted: COAST GEOTECHNICAL, INC. Ming-Tarng Chen RCE 54011 COAST GEOTECHNICAL, INC. Mr. Kassabian 7 W.O. 587819-03 Rough Grade Compaction Report December 18, 2020 COMPACTION TEST RESULTS TABLE I Test No. Location .Weight Below ';, Proposed Pro- 'Grad Moisture Contents Dry Unit t C Compaction f 6/1 ...... .... 1:,Da e Date tw !tt,' I Pad Area 3.03.5 10.7 103.0 1 92.0 12/11/20 2 Pad Area 3.03.5 10.2 102.6 1 91.6 12/11/20 3 Pad Area 1.52.0 9.8 104.4 11 90.8 12/14/20 4 Pad Area 1.52.0 9.8 105.1 11 91.4 12/14/20 5 Pad Area 3.03,5 12.1 104.2 1 93.0 12/15/20 6 Pad Area 2.02.5 9.5 102.5 1 91.5 12/15/20 7 Pad Area 1.0-1.5 9.6 105,8 11 92.0 12/15/20 8 Pad Area 1.52.0 10.3 106.0 H 92.2 12/15/20 9 Pad Area 0.0-0.5 9.5 107.1 11 93.1 12/16/20 10 Pad Area 0.0-0.59.7 E9.5 106,5 11 92.6 12/15/20 11 Pad Area 0.0-0.5 106.4 .11 92.5 12/15/20 F.G,: Finish Grade COMPACTION TEST LOCATIONS Scale: 1"= 20' I Borrow NJ s i. ' Pit :rt '?Y lam. Approximate Limits of Grading • .t2 II 4 i 100LL6$8 • 9 i v� - ' Approximate 3 Compaction IL Test Location � em az'e � •:'v; 8�7-7 a •+11 - °� �� :N I a , 5 ot mWnN Bn J L� s y. -- �.�w��.��.�.— — — Alley Rough Grade Compaction Report Work Order 587819-03 1417 E. Bay Avenue Newport Beach, California Plate No. 1 COAST GEOTECHNICAL, INC. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION FOµ 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newuortbeachca.gov 1 (949) 644-3200 Structural Observation Report Protect Address L9 7 BA L H✓ I f.f r,II:, Report Dale:/ J �LC� , CNB Inspector Nanle: CNB Permit S: Building Owner Name: —r— Owner's Meiling Addie s (if different from site); Owner's Telephone At CNB Plan Chert It: Full Name of Structural Observer (SO)'. SO E-mail Address: SO Telephone N: SO License / Reg. 9 AAM" ! iuUV, r.i, q Irl,'r1Pl it Ip.–Btl ASI I11 'I) l ]-1'iq :;5947 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloorlRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Cl Conventional Footings & Slab I Concrete u Steel L Concrete f_; Mat Foundation, Concrete L_ Masonry ❑ Concrete 1_I Steel Deck _Prestressed -:l Caissons, Piles, Grade Beams - I Wood m Mount. Shear Panels t".I Masonry L.1 Wood _ 1 Other: _ ❑ Other: ❑ Other: LI Other: D ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: I 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 It Lie. to the best of my knowledge: 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the strurlural observation, 2. I, or another lictu sed 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. O QRpFESS ISSa10 � A� N 66947 oJ- ATF of ca��F°�a S"I"AMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. �n CITY OF NEWPORT BEACH COtNINIUNITY DEVELOPLMENT DEP.ARTMEiNT 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 P oiect Address I Report Cate `,/,3�./y� CNB lnspenlar Neme. ONE Permit fk Bmitlmg Owner Name: Owners blading Address (rf different from site); Owner's Telephone m' CNB Plan Gheck & Full Name of Structural Observer (SO): SO E-mail Address SO Telephone 7: SO License / Rag.,".' 1 3 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check a plicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATIONS) DATE (Floor/Root) - OBSERVED OBSERVED L Conventional 17 Concrete C Steel L Concrete Foods s 8 Slab L Mat Foundation, ❑ Masonry Concrete = Steel Deck Prestressed Concrete ❑ Caissons, Piles, N Wood or Manuf. L Masonry @ Wood Grade Beams Shear Panels - - -1 Other: Other: C Other: L Other: L Other: !f ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. q 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 deficlencles were corrected. I declare that the following statements are true to the best of my knowledge: i. i the licensed design professional retained by the owner to be in responsible ESS/ �, charge of the structural o design broien; 2. I. or another licensed design professional whom I have designated above and is Under �RI SS L q mV responsible charge, have performed the required aide visits at each significant construction stage to verify that the structure is in general conformance with the H �jNo.0 66947�'� T�I approved construction documents. a T 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 Sf Division. 9 � OF CAL1F� LG-'���� SIGNAiUP.E OF STRUCTURAL OBSERVER OF RECORD DA STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT `NAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Cal - Dept, of SUllding, & Safety —,r l rkST �� a--=,kq �r1*Builtlin Pznnit tJumber . \�p(e Jab Name 8 Atltlrers �,.' ES*T B General Contractor c or -Cr„ _ Subco aceor ngineer a •ILS - N q Architeq A� Client Name & Address Relhforced Concrete ❑ Masonry ❑Hi-Tensiie1Bolting ❑ Chemical Anchors El Pr , ' Pre -Stressed Concrete ❑ Welding A Other 5�. ► Descnptwn of Work Inspected � �l l 5 � it .l _ Sam les - urs H Concrete Grout Mortar Prisms o _ Date Time In1Time OutReg Time. pt� All inspeclinn based on a minimum of haurs & over 4 haurs- a hOum annlnlum In addlllOn, any maoeChon 2Xtandli g peat noon hour will be an a t ur minimum. Over A hour penotl and Saturday inspections will be billed at Lme and a half ation Of Compliance: To the best of my knowledge, the work inspected oompiies with tthe approved plans, specifications and applicable sections of the uniform building de exc oted above inspectors Signature b•,3n. L Date10.3n. of Inspector S LD. Number ox&k APPwetl By 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.newoortbeachda aov1(949)644-3200 Project Address: 1417 EAST BAY AVENUE Building Owner Name: RSRVD, LLC Full Name of Structural Observer (SO): PLAMEN PETROV, P.E. Structural Observation Report Report Date: _ _ - CNB Inspector Name: SO E-mail Address: CONSULTING@PMA-BG.COM FOUNDATIONS SHEAR WALLS FRAMES Floor(Ror ❑ Conventional ❑Concrete ❑Steel ❑Concrete Footin s & Slab ❑ Mat Foundation, - ❑ Ma§bnry ❑ Concrete ❑ Steel Deck Prestressed Concrete Wood ❑ Caissons, Piles, ! ❑ Wood or Maniif. ❑Masonry Grade Beams Shear Panels' ❑Other. ❑Other: ❑ Other: ❑ Other: — jX ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ FINAL STRUCTURAL OBSERVATION REPORT: site); Owner's Telephone #: and all statements are true to the best of my knowledge: I declare that the following 1. 1 am the licensed 'design professional retained by the owher 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;must be 3, 1 understanncet of the all defistructural systemsvby the City of Newport Bea e documented oha Buflding final accep Division. — croon DARE SO Telephone #: (714) 717-7542 JA,�aqle 0"r 'Amer CNB Permit #: CNB Plan Check #: SO License I Reg. #: c66947 ❑ REPORT CONTINUED ON ATTACHED PAGES. STAMP OF STRUCTURAL OBSERVER J—raREUr-ai -• _--- AIVE ANY REQUIREMENTS FOR BUILDING INSPECTION 8 AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. BTRUCTURAL OBSERVATION DOES NOT W Furme'.SwcnvelObecrva,ionacpanBr^evucibro CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov (949) 644-3200 Structural Observation Report Project Address: 1417 EAS': BAY AVEW)E Report Date: �y (i Yi P 2/ CNB Inspector Name. CNB Permit #: Building Owner Name: Owner s Mallin Add ess (W different from site): Owner's Telephone #: CNB Plan Check #: KSF.VJ, LL,' -02, 7AN1'A niOAl1.Cd BLV?. 43'i0 ❑ Mat Foundation, Prestressed Concrete SANTA MONICA, CA 90401 ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: PLAMEN n tPOV, F.E. CONS ULT I4'. 0 P MA" Bt; .(]O)H (-IL14)/L7-7S47 C66H4'7 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable hnxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED D Conventional Footings & Slab Ll Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ,- Wood I ❑ Other: ❑ Other: ❑ Other: ❑ Other: 0 ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: i::] 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 ttY7/ µ Q�FESS/p,, �R I SspL10 No.0 66947 'a5 J �t rT CIV\� �Q 9TF GAt STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. CITY OF NEWPORT BEACH rsCOMMUNITY DEVELOPMENT DEPARTMENT ;M BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov1(949)644-3200 Structural Observation Report Project Address: 141? FA.- r'..'e' A\;S;clf IL�. Report Date:// G/ /%1Gl CNB Inspector Name: CNB Permit #: Building Owner Name: Owner s Mailing Address_ (if different from site): Owner's Telephone #: CMB Plan Check #: o S.'v. LLJ: — ❑ Concrete ❑ oundation. Prestressed Concrete Z viN rxi.. G Concrete L Steel Deck Full Name of Structural Observer (SO) SO E-mail Address: $O Telephone #: SO License r Rag. #: riAI]-N FET1tr, , _.,, ry ,'.:TT r i. r. ..,, CC7M 17':41 11 7–iSd2 -*,tid47 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED N Conve tional Footing & Slab'i/,�r��' L Concrete C Steel ❑ Concrete ❑ oundation. Prestressed Concrete C Masonry G Concrete L Steel Deck gl Qaissons. Piles, Gra Beams J Wood or Manuf. Shear Panels ❑ Masonry 1✓��'�'% n Wood / ''��'L'`' Cf�r �/2' ❑ Other: L7 Other: G Other: .^i Other: 15 ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: J 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 ronstruction 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. o QRCFESS/ ISSpL10 .y No.0 66947 -A O_ , * rl C11 V �P qTF CF CA1.1F�� STAMP Or STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. I 1, i_.. "I 11 , 11 1, 1..,.. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportboachca.gov 1(949) 6443200 BUILDING HEIGHT CERTIFICATION Project street Address: __L4,1 i E, C)." Building Permit Number(s): As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. 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: tGg.. NAVD88 0 NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardralls. Additional elevation points may be requested by the Building Inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is '218,C) ; and actual elevation point is 37 �Y G 2. Approved elevation point of ridge is3� 0 and actual elevation point is3'V)J5. 3. Approved elevation point of ridge is 4 ] 1 and actual elevation point Is-a7,85i FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat roof or parapet is '3132 and actual elevation point is 33,0 t. 2. Approved elevation point of flat roof or parapet is '. C and actual elevation point is 1. � i. 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: O15 in compliance with the City -approved plans. OIS NOT in compliance with the City -approved plans (Provide explanation). Please describe any deviation from the City -approved plans on the b ck of this form. IRND .a,_ - CF� Fes% eyor or Civil Engine s*signature and s ab � y o Dat eV (Wetstamp and signature required) — �o * License number of 33965 or lower * EXP 2 ,P No.��3Fov UluildingaeighlCnniflcatioull1@1169j0 SOF CAVE wnan•xovaeaaoam� $ S"_� E. O ! ••••e.si:.'�i:i.:.".i.Y{e::n S wrx W.,: 3 ! �" g S1J3LHOWeoaewe ��^33 gp HONVWAVS1RV3 6}� 3 I -- 77 gill co el1�f "4i4`� 1 1 kill I'M I IH if kD O u O 3 I _ T Il S RE1 { -9 i 1 8[ i 1@ -'f al na ` i.y — I ar z — I I � � I =1 — i'$ ' I �• a � � � is 1 —, .° 59 CITY O NEWPORT • • Dr. VWON 100 Chqc Cardber Drive P.D., 9& iA58— I Newport CA 92655 -MI5 rrr FME. :i �' I aSYWM 1 .o !ia IIsi. i1 vi YES • 1. iVartermeterpraQarsi� � ❑ 2 Fre s}slot iffiGe d per#w a ppwa d plats ❑ 3 AI<cart*uc5ano7versremoved fmmsprkddaheads ❑ 4 Cover plates am NOT io be irmbded, bei dwl be avati" w ft jobsde � ❑ 5 AI{ tape and paid rertajed tam winder hems ❑ 3 Fsiftl:tirn is1 19 anmmd-spriWwheads 7. Proper sg apasted at al reqjked bmgDm ❑ 8_ Fbw fest rarikchad and beg 1 L'1 of ispeck3es iesdng vshe in appravedfata% / SYSTEMS: - I ■ FIRE SPRINKLER NFPA 13D SYSTEM FINAL APPROVED. PF_RMrT t 8Y'. ) (?= DATE' D Z FQrt \Fre Sa Ort N AMS�-FlNAL Q�e231IstRBiOEMiAL05/12/Z(115 NEWPORTCITY OF BUHMINGDIV190N FM SPRPM,ER AWA 13D SYSTEM _ m w _ I 2N1- M _ Rser Consfnmdon andloca6ori Aaonavat ._..__._ a. Dradn vidve _._.... tL Baddlow device (mvk dmmi j a. Beff auk device ❑ CL inspedin`s ted valve ❑ e. Riser sb ed Per approved pfars / 2 PnessuraTest a: System tssted at ope'afsrg pressure far 2 Batas b. Pressure gauge istaled ❑ 3. Suadclsr Fids sial not be insfafled in the ffim prior to fm fittmcls beirie cxrttented in Place ftermyormytest oluosl . a. hstaffar and spacing of WnporW test pfugs j ❑ 4_ a. MatmW iiswed perpian [j b- Hwgem per upward mawamerd Id a AS CPUC pipkV steal be iisfaW by persam etto nave been cuffied by the marubchaw far k=Wafbon of CPUC pq*-g CL pipm pro Uwn damage [� 5 Be& a_ 4 aiv kmWed per code ❑ b. Boxes ftp at proper Iacadans ❑ NOTE GPVC plastic pipe lrt tfte garage shaA iiof be exposed. Spruttkters tttaf are listed as `Q>dck Response' or `Residert6aP must be used CORRECTIONS AND FIRE SPRINKLER NFPA 130 SYSTEM ROUGH INSPECTION APPROVED; PERMIT P. 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Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: Date: Forkert Engineering & Surveying, Inc. April 17, 2022 22311 Brookhurst St, Ste 203 Huntington Beach, CA 92646 ATTENTION: GRADING ENGINEER, BUILDING DIVISION GPC No.: 2172-2018 Tract/Subdivision/Lot No.: Rough: _Final: x Project Names: 1417 E. Bay Avenue Owner/Developer: Type of Project: Notes: _Tract: Drainage Single Family Residence _ Commercial x_ Other Industrial Yardage for Project: Notes: 0 Cut: _ Borrow: 74 Fill: _ Export: I hereby approve the grading or this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: x in conformance with, with the following changes to the approved grading plan. Description of Changes: Company: Forkert Engineering & Surveying, Inc. Name: Thomas Ruiz (print) License No.: RCE 58627 at `rp0't� CITY OF NEWPORT BEACH M Community Development Department ! Building Division 100 Civic Center Drl P.O. Boz 1758 Newport Beach, CA 92658 www.newo0rdM3chceoov (949) 644-3200 c�+.rros+�O CALL MEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS l � l • 1, % �V E• PERMIT NO.:_ p 2 Oa 0 . 1'4 b Q 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) M Franchise Hauler for Construction/Demolition Waste C Contents Limitation Formaldehyde Emissions Limitation tZ/�7-24 Energy Certificate of installations (Env., QII, Lighting, Photovoltaic, Meth„ Plumb.) @ T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech„ Plumb., HERS) 0 Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) [ 1 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 I certify under penalty of perjury, under the laws of the State of California, the infomaation 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 regulations, and the installation is consistent with the plans and specifications approved by the enforcing agency. g .t N®tesy— 1, -S' -2-,, LO '� L s®ry a anoe: , I w�-ovLer rrg" I CALFORNIA CUSTOM LIFT N C. Elevators • Dumbwaiters • Wheelchair Lifts • Stair Lifts • Hillclimbers k m, April 19, 2022 KSRVD, LLC 429 Santa Monica Blvd., #360 Santa Monica, CA 90401 Attention: Khajak In reference to your request, this letter states that the Residential Elevator: GER-950-3-Adj Installed by: California Custom Lift, Inc. Install Date: 4-19-2022 Job: 1417 East Bay Avenue, Newport Beach, CA 92661 Meets all manufacturers specifications and safety codes ASME/ANSI-A17. Best Regards, Renee Knecht Administrative Assistant California Custom Liff, Inc. C-11 State Certified Installation Company Contractors State License License Number#417741 13802 West Street • Garden Grove, CA 92843-3913 • (800) 244-9039 • (714) 554-1300 • Fax (714) 554-1241 Contractors Lic. No. 417741 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660.0008 Expiration Date: November 30, 2022 ELEVATION CERTIFICATE Importer. Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A—PROPFRTV 1NFfhoeen-rrrnr _ -- -- - --- --'•••^^�^ _ t -UH INSURANCE COMPANY USE Al. g Owner's Name C Policy Number. g et Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and No. Company NAIC Number: AY AVE. Iry City State ZIP Code T� NEWPORT BEACH California 92661 A3. Property Description (Lot and Black Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 9 a 10 IN BLK 23 OF EAST SIDE ADDITION TO THE SALBOA TRACT; APN: 048-181-32 A4. Building Use (e.g., Residential, Non•Resfdential, Addition, Accessory, etc.) RESIDENTIAL A5. LatitudelLongitude: Lat. 33.59949N Long. 117.89082W Horizontal Datum; ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain Hood insurance. A7. Building Diagram Number 18, A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings inthe crawtspaceorenclosure(s) within 1.0foot above adjacent grade 0 c) Total net area of flood openings In A8.b N/A sq in d) Engineered flood openings? 0 Yes 9 No A9. For a building with an attached garage* a) Square footage of attached garage 751 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of food openings in A9.b 645.744 sq in d) Engineered flood openings? [@ Yes ❑ No SECTION 8 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name B3. state NEWPORT BEACH 060227 ORANGE Calffomla 84. Map/Panal 85. Suffix B6. FIRM in 87. FIRM Panel 88. Flood B9. Base Flood Elevation(s) Number Date ENectivef Zone(s) (Zone AO, use Base Rood Depth) Revised Date 06059C0382 Vii, 3/21/2019 3/21/2o1g AE 8.0 FEET B'fo, indicate Me source of the ease Flood Elevation (BFE) data or base flood depth entered in item Be: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 89:. ❑ NGVD 1929 dC NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (ORA)? ❑ Yes Z No Designation Date: N/A ❑ CBRS ❑ OPA =EMA Form DAM -An 119liah naPraces as previous editions. Form page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 • tmrvK 'Acyl: in these spaces, Copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.Q. Route and Box No. Policy Number. 140 Er aA%f AVE. City State ZIP Code NEWPIRT f3F-ACjd CA Q 9ZGE;1 Company NAIC Number Q.I 16 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: (] Construction Drawings' []Building Under Construction* 1Z Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -530, AE, AH; A (with 8FE), VE, V1430, V (with BFE), AR, AR/A, ARIAE, ARIA1-A30, ARIAH, AWAO. Complete Items 02.a -h below according to the buildingdiagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: OCS BM NO. NB1-4-71 Vertical Datum: 7,828 Indicate elevation datum used for the elevations in items a) through h). below. ❑ NGVD 1929 0 NAVD 19x8 r-1 Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basemenL crawlspace, or enclosure floor) Check the measurement used. 9.00 feet meters b) Top of the next higher floor 19.92 feet Q meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet 0 meters d) Attached garage (top of slab) 7.75 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 11.50 ® feet meters 0 Lowest adjacent (finished) grade next to building (LAG) 7.36 Q feet. ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8.94 feet 0 meters h) Lowest adjacent grade at lowest elevationof deck or stairs, including structural: support N/A ❑ feet F] meters SEC'T'ION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is 10 be signed and seated by a land surveyor, engineer, or architect authorized by law toCertify elevation information. I certify Met the information on this Car0cate represents my best efforts to interpret the data available. statement may be punishable by fine or Imprisonment under 18 U.S. Code; Section 1001. 1 understand that any fake Were latitude and longitude in Section A provided by a licensed land surveyor? TE@ Yes 1] No ❑ Check here if attachments. Certifier's Name License Number JEROME A. ROGERS LS 5336 QLAI') 0 SU Ltle AND SURVEYOR A.OG'F•G.F`� ��SE Company Name , tS' o HORIZON SURVEYS Address 12140ARTESIA BLVD, #204 6 R City state ZIP Code ARTESIA California 1l 90701 Signatur 1.11? Date Telephone Ext. 8-31-22 818-5549042 Copy all - ges of this Elevation nificate and all attachments for (1) community omciat, (2) insurance agenlleompany, and (3) building owner. Comments (including type of equipment and location. per C2(e), if applicable) C2(e). LOWEST EQUIPMENT IS ELECTRICAL PANEL. ENGINEERED FLOOD OPENINGS: TWO OPENINGS AT 29.575.25" TWO OPENINGS AT 24"X7" CCnxn c._-. n '-'•'^' �•"� ���'�-�� t �L ��r Replaces all previous editions. Form Page 2 of -6 ELEVATION CERTIFICATE OMB No. 1660-0008 .•• • I^^ � , Kepiaces an previous editions. Form Page 3 of 6 Expiration Date: November 30, 2022 IMPORTAthese spaces, copy the corresponding information from Section A- NiStmet;A�ddressprt�(includingApt., Building FOR INSURANCE COMPANY USE Unit, Suite; andlor Bldg. No.) or P.O. Route and Box No. Policy Number: 141-1 C-. SAI AVe City State ZIP Coda 1 >a PC) R'i Company NAIC Number N SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) For Zones AO and A (without BFE), complete items El—ES. If the Certificate is intended to support a 1_011,4A or LOMB -F request, complete Sections A, Band C. For Items EI—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet ❑ meters E3above or ❑below the HAG. b) Top of bottom floor (including basement, crawispace; or enclosure) is ❑ feet F] meters []above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is © feet ❑ meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No Q Unknown. The local Official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A. B. and E for Zone A.(without a FEMA -issued or community -issued SFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Ownees Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. .•• • I^^ � , Kepiaces an previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 'ORTANT: In these spaces, copy b (ding Street Address (including Apt, I4 I'd I<- BAY AVE - information from Section A. andfor Bldg. No.) or P.O. Route and Box No. No. 1660-0008 'tion Date: November 30, 2022 Number. h` - 3 (12/19) Replaces all previous editions. Form Page 4 of 6 City State ZIP Code Company NAIC Number' W5WPOAT tSEACN CA a 9I.G6i pr SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local officialwho is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B, C (or E),. and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 -G10. In Puerto Rico onfy, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO. G3. ® The following information (Items G4 -G10) is provided for community floodplain management purposes. ----------------- G4. Permit Number G5. Date Permit issued G6. Date Certificate of X2020-1762 CompliancefOccupency Issued 11(3/2020 G7. This permit has been Issued for: New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ofthe building: 9.00 ®. fee ❑ meters Datum NAVD88. G9. BFE or (in Zone AO) depth of flooding at the building site: 8.00 0 feet ❑ meters Datum NAW 88 G10. Community's design flood elevation: 9.00 Ej feet ❑ meters Datum NAVD88 Local Official's Name Title MELISSA XUBISCHTA ACTING PRINCIPAL ENGINEER Community Name Telephone NEWPORT BEACH 949-644-3278 Signature Date 4/6/22 Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. 'EMA Form QB6 0 3 - 3 (12/19) Replaces all previous editions. Form Page 4 of 6 OMB No. 1660.0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. � c 140 ,13A4 AVE ' i PC I City State ZIP Code Company NAIC NuYnber N tn- k/Pofz,r BEACH CA [a ` zro6 i Nits If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. k P .cC P oto Ona Photo One Caption c4it ia.J O O Lt 2bZZ CtearPholo=;42ne? r I� Pheto Two Photo Two Caption .CIearPl7otoTwa� FEMA Form 086-0-33 (12119) Replace all previous editions.. Foran Page 5 of 6 MUILuirvu rnv I UUKAI'na PROJECT SUMMARY Project Name: Address: City, State, Zip: Building Department: Permit Number: Building Energy Code: New Residence 1417 East Bay Ave Newport Beach, CA 92663 Newport Beach, City of X2020-1762 2019 Standards HERS VERIFIABLE MEASURES ENERGY CODE COMPLIANCE CERTIFICATE OF COMPLIANCE (CF1 R) Scan to Validate COMPLETE-� COMPLETE DATE DOCUMENT TITLE REGISTRATION NUMBER 07/09/2020 CF1R-PRF-01-E Performance Compliance 420-POl0077017A-000-000-0000000-0000 CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER 04/19/2022 CF2R-ENV-01-E Fenestration 420-P010077017A-000-001-E01026A-0000 04/19/2022 CF2R-ENV-03-E Insulation Installation 420-PO10077017A-000-001-E03027A-0000 04/19/2022 CF2R-ENV-04-E Roofing Radiant Barrier 420-P010077017A-000-001-E04028A-0000 04/19/2022 CF2R-LTG-01-E Lighting 04/21/2022 CF2R-MCH-01a-E HVAC, Ducts and Fans D09 changed from "ZoneControlled" to "NotZoneControlled" D10 changed from "MultiSpeed" to "SingleSpeed" D09 changed from "ZoneControlled" to "NotZoneControlled" D70 changed from "MultiSpeed" to "SingleSpeed" D09 changed from "ZoneControlled" to "NotZoneControlled" 1310 changed from "MulOSpeed"to "SingleSpeed" 04/21/2022 CF2R-MCH-27a-H Mechanical Ventilation 04/19/2022 CF2R-MCH-32-H Local Mechanical Exhaust 08/13/2021 CF2R-PLB-22a-H Hot Water Distribution 04/19/2022 CF2R-PVB-01-E Photovoltaic Systems 04/19/2022 CF2R-SRA-01-E Solar New Construction continued on next page - 420-P010077017A-000-001-1-01020A-0000 420-P010077017A-000-001-M01069A-0000 420-P010077017A-000-001-M27076A-0000 420-POl0077017A-000-001-M32019A-0000 420-POl 0077017A -000-001-B2201 OA -0000 420-P010077017A-000-001-P01024A-0000 420-POl0077017A-000-001-RO1025A-0000 STATUS O STATUS O O O O O �1rrrt I� NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using i 0 1 information that has been uploaded to that registration platform by third parties that are not affiliated or related to 0 li CHEERS.Therefore, CHEERS is not responsible for, and cannotguarantee, the accuracy or completeness of the pagelof4 Information contained in this certificate. CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER HVAC1 Scan to Validate 04/21/2022 CF2R-MCH-25b-H Refrigerant Charge 420-P010077017A-000-001-M25080A-0000 04/21/2022 CF2R-MCH-25b-H Refrigerant Charge 420-P010077017A-000-001-M25081A-0000 04/21/2022 CF2R-MCH-25b-H Refrigerant Charge 420-P010077017A-000-001-M25082A-0000 04/21/2022 CF2R-MCH-26-H High SEER & EER 420-P010077017A-000-001-M26083A-0000 04/21/2022 CF2R-MCH-26-H High SEER & EER 420-P010077017A-000-001-M26084A-0000 04/21/2022 CF2R-MCH-26-H High SEER & EER 420-P010077017A-000-001-M26085A-0000 Whole areal 04/21/2022 CF2R-MCH-20a-H Duct Leakage 420-P010077017A-000-001-M20070A-0000 04/21/2022 CF2R-MCH-22a-H Fan Efficacy 420-P010077017A-000-001-M22072A-0000 04/21/2022 CF2R-MCH-23a-H Airflow Rate 420-P010077017A-000-001-M23071A-0000 Whole area2 04/21/2022 CF2R-MCH-20a-H DuctLeakage 420-P010077017A-000-001-M20073A-0000 04/21/2022 CF2R-MCH-22a-H Fan Efficacy 420-P010077017A-000-001-M22075A-0000 04/21/2022 CF2R-MCH-23a-H Airflow Rate 420-P010077017A-000-001-M23074A-0000 Whole arl 04/21/2022 CF2R-MCH-20a-H Duct Leakage 420-P010077017A-000-001-M20077A-0000 04/21/2022 CF2R-MCH-22a-H Fan Efficacy 420-P010077017A-000-001-M22079A-0000 04/21/2022 CF2R-MCH-23a-H Airflow Rate 420-P010077017A-000-001-M23078A-0000 continued on next page - �1r •rft NOTICE: This compliance summary report has been generated by a registration platfomt provided by CHEERS using :II S information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. STATUS Page 2 of 4 CERTIFICATE OF VERIFICATION (CF3R) DATE DOCUMENT TITLE REGISTRATION NUMBER 04/21/2022 CF3R-MCH-27a-H Mechanical Ventilation 420-P010077017A-000-001-M27076A- 04/21/2022 M27A 04/19/2022 CF3R-MCH-32-H Local Mechanical Exhaust 420-P010077017A-000-001-M32019A- CF3R-MCH-26-H M32A 04/19/2022 CF3R-PLB-22a-H Hot Water Distribution 420-P010077017A-000-001-B22010A- High SEER & EER B22A HVAC1 04/21/2022 CF3R-MCH-25b-H Refrigerant Charge 04/21/2022 CF3R-MCH-25b-H Refrigerant Charge 04/21/2022 CF3R-MCH-25b-H Refrigerant Charge 04/21/2022 CF3R-MCH-26-H High SEER & EER 04/21/2022 CF3R-MCH-26-H High SEER & EER 04/21/2022 CF3R-MCH-26-H High SEER & EER Whole areal 04/21/2022 CF3R-MCH-20a-H Duct Leakage 04/21/2022 CF3R-MCH-22a-H Fan Efficacy 04/21/2022 CF3R-MCH-23a-H Airflow Rate Whole areal 04/21/2022 CF3R-MCH-20a-H DuctLeakage 04/21/2022 CF3R-MCH-22a-H Fan Efficacy 04/21/2022 CF3R-MCH-23a-H Airflow Rate Whole area3 04/21/2022 CF3R-MCH-20a-H DuctLeakage 04/21/2022 CF3R-MCH-22a-H Fan Efficacy continued on nexrpage- 420-P010077017A-000-001-M25082A- M25A 420-P010077017A-000-001-M25080A- M25A 420-P010077017A-000-001-M25081A- M25A 420-P010077017A-000-001-M26083A- M26A 420-P010077017A-000-001-M26084A- M26A 420-P010077017A-000-001-M26085A- M26A 420-P010077017A-000-001-M20070A- M20A 420-P010077017A-000-001-M22072A- M22A 420-P010077017A-000-001-M23071A- M23A 420-P010077017A-000-001-M20073A- M20A 420-P010077017A-000-001-M22075A- M22A 420-P010077017A-000-001-M23074A- M23A 420-P010077017A-000-001-M20077A- M20A 420-P010077017A-000-001-M22079A- M22A Scan to Validate STATUS O O O �1t'rf� NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using II information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 3 of 4 CERTIFICATE OF VERIFICATION (CF3R) DATE 04/21/2022 DOCUMENT CF3R-MCH-23a-H TITLE Airflow Rate REGISTRATION NUMBER 420-P010077017A-000-001-M23078A- M23A Scan to Validate STATUS \tr. rfy NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using :I S information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERCHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the Page 4 of 4 qw information contained in this certificate. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive ) P.O. Box 1768 ) Newport Beach, CA 92658-8915 www.nmMortbeachca.gov 1 (949) 6443200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: Date: Ll A 11117 C, , A -y Aoe, tifN%QAPF J:,et—C Permit The following is to be completed by the California licensed contractor or owner, participating in the City of Newport Beach Setf-Cartification Program. Please type or print. InstallersName7t>um1,c. Ora.raN -e-Dp r1dWi-t,�'LicenseNo(if applicable) C-36-6l�8.Z33 Installer's Mailing Address: )75ZI 6(2FF-PLN, . Phone #(required):,?/4-PYI-I'M 30 Installers Email_'Z>J°5+-467CrYnTrvtAr510,„.ta-AFAX #: NI/} Installer I certify that the installation is in compliance with applicable code requirements. I further affirm that I have reviewed and understand the requirements of the applicable 2013 California Green Code and Newport Beach Municipal Code (NBMC) Section 301.1.1 and that all self -certification reports submitted will be based on the code requirements contained therein. I declare that all plumbing fixtures subject to the NBMC 301.1.1 has been replaced meeting the low flow requirements: Kitchen faucets: 1.5 gal/minute at 60 psi Shower heads: 2.0 gal/minute at 80 psi Water closet: 1.28 galiflush Faucets: maximum flow rate of 1.5 gal/minute at 60 psi, and minimum 0.8 gal/minute at 20 psi Insfailer'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. 4/21/2022 Property Owner's Signature Date KHAJAK KASSABIAN KZZK@AOL.COM Print Name Emelt 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 Community Development Department Building Division P. O. Box 1768 Newport Beach, CA 92658 Fmmelcontmcwr-ownersaB-canDeciamton-Plumbing FI#uxe Replacement 08111118 Phone: (949) 718-1888 Fax #: (949) 644-3250 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 ACKNOWLEDGMENT OF NO CONSTRUCTION -RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS On June 11, 2019, the City Council adopted an ordinance restricting construction -related noise on Saturday in High Density Areas effective August 12, 2019. I acknowledge that any construction -related noise, (including, but not limited to operating power equipment or machinery in a manner that produces noise) is not allowed on Saturday or Sunday in High Density Areas in accordance with Newport Beach Municipal Code 10.28.040. As the owner of the �ro�erty, I am responsible to ensure all persons working on the property comply with this provision of the Newport Beach Municipal Code. C CC"E d C1.CC C ,project Address 1417 E. Bay Ave m PertAlt Number. _ 1406-2020 ff. < (CCC Owner's Name:KSRVD, LLC. Own..... Owner's Signature: YA_ `"� `-' Contractor's Signature: Date: 9/1512020 FonnsWcknowtedgment_No_Saturday_Con*udon_HlghDenaltyAmas 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.pov 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 1411 `' 6. 3 6,q ted+ . 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 agent of the owner cannot execute this notice unless you,.the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS. Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an aivnenBuilder" building permit that erroneously implies that the property owner is providing his or her om own Tabor and material personally. I, as an Owner -Builder, may be held liable and subject to serious "E financiel 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 am willfully 6 acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers oq Mflproperty. 2A understand building permits are not required to be signed by property owners unless they are c ° `° rare po€ moble for the construction and are not hiring a licensed Contractor to assume this responsibility. de��E 3 j understand as an "Owner -Builder" I am the responsible party of record on the permit. I ` E understand that I may protect myself from potential financial risk by hiring a licensed Contractor and havjrtig the permit filed in his or her name instead of my own. _V24`9"understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. W5. I 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. %1/6. I 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 by these laws may subject me to serious financial risk. _/�J. 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. UI understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held 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\ow er builder verif.doe 08/12/16 1 Of 2 �r 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal 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.csib.ca.gov for more information about licensed contractors. A&W. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I aT tle part , le ally and financi2Uv responsible for proposed construction activity at the following address: 11. I agree at, as arty paleg y and inan y Ids s 'e for this proposed construction activity, I will abi a by all applicable laws and requirements that govern Owner-Builders as well as employers. In�12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to 7ny of 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 responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the City of Newport Beach, Building Division, for issuing the permit. Note: A copy of the property owner's driver's license or form notarization is required to be presented when the permit is issued to verify the property owner's signature. Print name of property owner: Property Owner's Signature: uuIS ctJ Date: lf' �0 ;•°°° Note: The following Authorization Form is required to be completed by the property ovmi@, pnly when designating an agent of the property owner to apply for a construction permit.for the •° ° Owner -Builder. • • • •: .' ° ° ° ° AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF•• Excluding the Notice to Property Owner, the execution of which I understand is mype'iienal •„°°' 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: Tel No Address of Authorized Agent: 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: Date: % y� Note: A copy of the owner's driver's 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 Secretary of State :est �e Statement of Information (Limited Liability Company) IMPORTANT — Read instructions before completing this form. Filing Fee –$20.00 Copy Fees – First page $1.00; each attachment page $0.50; Certification Fee - $5.00 plus copy fees KSRVD, LLC (Enter the exact name of the I.I.C. If you 201930210172 1 CALIFORNIA Addresses 19-E11325 FILED In the office of the Secretary of State of the State of California OCT 30, 2019 This Space For Office Use an alternate name, see instructions.) or Place WO irganization (only if formed a. Street Address of Principal Office- Do not list a P.O. Box City (no abbreviations) State Zip Code 429 SANTA MONICA BLVD STE 360 SANTA MONICA CA 90401 b. Mailing Address of LLC, if different than Item 4a City (no abbreviations) State Zip Code 429 SANTA MONICA BLVD STE 360 SANTA MONICA CA 90401 u Street Address of California Office, If Item 4a is not in California- Do not list a P.O. Box City (no abbreviations) StaleZip Cade 429 SANTA MONICA BLVD STE 360 SANTA MONICA CA 90401 it no managers nave Dean appointed or elected, provide the name and address of each member. At least one name and address 5. Manager(s) orMember(s) must be listed. If the manager/member is an individual, complete Items Be and Sc (leave Item 5b blank). If the manager/member is an entity, complete Items Sb and 5c (leave Item Sa blank). Note: The LLC cannot serve as its own manager or member. If the LLC has additional managers/members; enter the names) and addresses on Form LLC -12A (see instructions). a. First Name, if an individual - Do not complete Item 51, Middle Name- Last Name Suffix KASSABIAN b. Entity Name - Do not Complete Item 5a e<000 c c Q. Address o. City in abbreviations) State Zip Code 429 SANTA MONICA BLVD STE 360 SANTA MONICA C l 90401 WFs. 53rvice"of Process (Must provide either Individual OR Corporation.) - °' O6 Deo¢ JINDIVIDUAL— Complete Items Be and 6b only. Must include agent's full name and California street address. aWGelffo mia Agers, Name (if agent is not a corporation) - Fi Middle Name Last Name Suffix KHAJAK Suffix Knt's ASSABIAN - City (no abbreviations) o bcS1rcet Address if ant is not a'cor oration - Do not enter a P.O. Box - 429 SANTA ImgONICA BLIU S�fE360 City (no abbreviations SANTA MONI8A State Zip Code CA 90401 c CORPORATy,QN— Complete Item 6c only. Only include the name of the registered agent Corporation. yC. b91i%inia Registerrrd=6'orTorate Agent's Name (if agent is a corporation) — Do not complete Item Be or 6b - ccpO Deco ' 7. Type of Business a. Describe the type of business or services of the Limited Liability Company REAL ESTATE INVESTMENT 8. Chief Executive Officer. If elected or a000inted a. First Name Middle Name Last Name Suffix b. Address - - City (no abbreviations) State I Zip Code 9. The Information contained herein, including any attachments, is true and correct. 10/30/2019 KHAJAK KASSABIAN MANAGER Date Type or Print Name of Person Completing the Form Title Signature Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the fled document enter the name of a person or company and the mailing address. This information will become public when fled. SEE INSTRUCTIONS BEFORE COMPLETING.) Name: Company: Address City/State/Zip: L LLC -12 (REV 01/2017) - Page 1 of 1 2017 California Secretary of State ......... . ,wwwsos.ca.6ov/bus1ness1be 1 OPERATING AGREEMENT OF KSRVD, LLC, a California Limited Liability Company THIS OPERATING AGREEMENT ("Agreement') is made- effective as of October 30, 2019, by KHAJAK KASSA13LAN and DIANA KASSABIAN, TRUSTEES OF THE KHAJAK KASSABIAN AND DIANA KASSABLAN REVOCABLE TRUST U/D/T DATED DECEMBER 19, 2003 (hereinafter collectively referred to as the "Members"), as the initial members of KSRVD, LLC, a California limited liability company (the "Company"). NOW, THEREFORE, pursuant to the Act, the following shall constitute the operating agreement, as amended from time to time, for KSRVD, LLC, a California limited liability i company. ARTICLE 1. DEFINITION& The following terms used in this Agreement shall have the following meanings (unless otherwise expressly provided herein): Act means the California Revised Uniform Limited Liability Company Act in Sections 17701, et sea., of the California Corporations Code, as the same may be amended from time to time.. • Agreement means this Operating Agreement. • Articles means the Articles of Organization for the Company originally filed with the California Secretary of State and as amended from time to time. Capital Contributions means the amount of money and the fair market value of ` any property other than money contributed to the Company by the Members with • E respect to such Member's Membership Interest in the Company. _ ` E • Cash Flow means, with respect to any given period, the cash proceeds received C C C C ° from the Company from the sale, other disposition or refinancing of any or all of < < ` C C C C the Property (including payments of principal and interest on obligations received by the Companyin connection with such sale or other disposition) in excess of amounts necessary to discharge Company obligations with respect to such Property, plus the net income of the Company as determined for federal income tax purposes, increased by cost recovery and other deductions used in determining � cc ° C such net income that do not involve cash expenditures, and decreased by debt service payments, and expenditures required to be capitalized for federal income tax purposes. .l ' 1 somooe � a E E 6 � E �m000 eC C 0 e© ©cco l - - EXHIBIT A INITIAL CAPITAL CONTRIBUTIONS AND INTEREST OF MEMBERS Name and Address Initial Caul Contribution Interest KHAJAK KASSABIAN and DIANA $2,000 _ 100% KASSABIAN, TRUSTEES OF THE KHAJAK KASSABIAN AND DIANA KASSABIANREVOCABLE TRUST U/DIT DATED DECEMBER 19, 2003 429 Santa Monica Blvd., Suite 360, Santa Monica, CA 90401 11