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Box 1768 1 Newport Beach, CA 92658 8915 www.newl)Drtbeachca.gov p (949) 644-3200 M K21-29 Structural Observation Report S.O.#1 ProjectAddress: Report Date: CNS inspector Name: CNBPermit 4. 316 ISLAND AVE. 11/16/2021 Building 'Owner lName: Owner's Mailing Address Qifdilferent from sitaip Owner's Telephone#: CNB Plan Check#: Full Name ofStmotural Observer (SO): SOE-mail Address SO Telephone#: SOt cemsa%1 Reg. fk QIANG XIAO 714)662-0559 S.5289 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED jcheck applicable boxes; FOUNDATIONS SHEAR WALLS '.. FRAMES DIAPHRAGMS fRoodRa" l INDICATE LOCATION(S) OBSERVED DATE OBSERVED { 0 Conventional LB Concrete X steel El Concrete footings & Slab ALL THE WOOD AND STEEL j © Mat Foundation, i0 Masonry ICI Concrete 'C Steel (Deck AND THE HARDY F {ZAME Prestressed Concrete O'Caissons,Ries, XWoodorManu( [I Masonry El Wood CONNECTIONS ARI�OKAY Grade Beams Shear Panels El Other. C Cher. X Other: D Other WITH OUR PLANS AN INFO. X ITEMS CNECKED A9ovE ARE APPRovED AND WITHOUT DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS- 1 ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT. and all observed deficiencies were corrected. I declare That the following statements are true to the best of my knowledge: p( 1. t am the licensed design professional retained by the owner to be in responsible Gi charge of the structural observation; �\ 0 2. I, or another llicensed design professional whom l have designated above and is under y my responsible charge, have performed the required site visits at each significant NO. construction stage to verify that the structure is in general conformance with the S. 5289 approved construction documents, OP8/3Q/22 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach., Building Division. 11 /16/2021 STAMP OF STRUCTURAL OBSERVER SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STRUCTURALOBSERVATION DOES NOT WAIVE ANYREOUIREMENTSFOR BUILDINGINSPECTION BY AUTHORIZED EMPLOYEESOF THECITYOFNEWPORTIBEACH. �Fen�ti<`Sini 9urul(tMerv:ninnliennnSlnnrvetiom From: Jeffrey Horne dwd.jhorne@gmail.com t$ Subject: For Kala house Date: November 17, 2021 at 8:33 AM To: rozfishes@gmail.com Please make 3 copies r rkw rt%yr .. CITY OF NEWPORT BF.AtCH C0NnR.T77YDEVELOPMENT DEPARn ENT BUILDENGD117510V ..°"'°""\ ' 100 CMc Center DNye I P.O. Bor 17681 Nowpol Beach, CA 9285E-8915 NYnV_Ik]IWLYIbF3:Ci1Cd.OH'! I (WO) 84432lM MK21-29 Structural Observation Report S.0-#1 PAea AJdmaw Pagm Da4: Cle3 lnu .r III.: ONO PoIit:Y: 316 ISLAND AVE. 11/16/2021 FAUN Goner NarnW. Dare's N61Yp AddrKA It d"Wart frm otN2 Owera TeleRhme N: fNO Non Chak N: RI I Name of 51140"ml 13"GrAr 19fif MEi plmare ; QIANG XIAO aG TeleFliGa N: so UCBrwA: Fv1g. N. rl4)882.0559 S,5289 PLEASE INDICATE STRUCTURAL ELENEWS AND CONNEGI'IONS UBI FRIVEld JECOM a le9bla tlOtte) FOUNDATIONSSHEAR WALLS FRAAdE3 DIAWIRAGNB INDICATE LOCATIONI9) DATE frtoOAlee Ovac VCD ouscmED C G;naanuanal D Conlree, xSteel 7 Colaete ALL THE WOOD AND STEEL Fixanar,AGIab L Mat FourAatlan, U mmonq L Canaela J 51Eal Oark AND THE HARDY Ff tAME ~m *An (anrTPM I Cal!sons, Plies. XWDM cr manur. I Mawlry I Mad CONNECTIONS ARE OKAY caede BeAme 3hw Panes r Oeme: n city: X OUIeI: 1 Other: WITH OUR PLANS ANM INFO. T- ITENIS CHECKED ABOVE ARE APPROVED AND WITIMU r DEPWIENCISS, C OBSERVED DEFICIENCIES AND C0IANL]IT9: Cl nt3X)1!T C017TINVCD CNArTACKq PH•A S L FINAL STRUCTURAL OBSERVATION REPORT' lilt ah tall oweNllymaMIaA With the apprOrod CaaAtNetlan d(SeRmenm, Mall allab Md denCIARCleh WAPA CNIaCNd I daders that tie fdlmingslaiamunts are two D the bast of my MonledW: 1. I am the Ihxn,ed dmign prurrniuual mLyiml Iry le, toner lu be :n ro:puiniW, G chrge of the structural Ohaervaliaa; \ .. 1, ar 4Tlol1Y learaAt daelyn Pafoolow wharf I Mini 4 Wlatad abovo Ana le uMor ��uu�� ND, in), reeponams charga, have paAcvmaa the raqured Hle vINW at a it Ngntdcert cl wntautm,n stage tC YWN that the etuclure to In general noefomhnoe Win the S. j= upan PL constuEllhn dowmerne; Iv. ... I tmderstand that all defieiercias Y.htch I have cocumerned must ba rpnccied. Prior to fins a6.cldal .c ur us: oIrr, u141 syaUana by alu City al NinypA OuiUiag Daieion. 11 /16/2021 FJTAL1P UFtfTRb.rURu URi1FRVFR iiUN4TJe@GrFiTRNTh)RAL GF.eERUER O°RECUfte nATE SINICMML OfAMAhba Q=NOT WINE AM REgUIRENENTE FdR eULONe WAPWTOR AY AUTHOR® EYPLWIES dE 1110RY OF IEMPUr 6 t4 .a...c,�....rw.•a..�.ana1ew.. City of Newport Beach Special Inspector Manual CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.00v 1(949) 644-3200 SPECIAL INSPECTION REPORT Project Address: 316 Island Avenue Permit Number: x2021-1858 Inspection Type (s): Epoxy Inspection Inspection Date (s): 9/9/2o21 ( ) Periodic (0) Continuous i Describe Inspection, Including Locations : Arrived on to conduct a continuous observation of an epoxy dowel installation and pad footing reinforcement Checked in with Observation (A): installation of 66 #4 Grade 60 dowels 0 pad footings per detail S-1113 observation (C): pre -placed reinforcement of pad footings per 8-1 Foundation Plan Epoxy = Simpson Set-XP22-N (1000133693) Exp. 10/18/23 1 not. we'. d. !led he, , clesmad Ma , bo Is or.., and high piesso. � ahFodtj,. ..,� fp�� of Material, emb d ... ent, 1-1-1 and clearances were all in conformance with approved documents. List Tests Made: N/A Total; inspection Time Each Day: Date: 9/9/2021 Hoprs:. is 4 hours To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above - Special �lnspeM Signature: ;cDate: V-__"_ 1 9/9/2021 Print Full Name: ::Newport Beach Registration No.: Edwin Jimenez Inspection No. NB-0731 ::fl ::fl City of Newport Beach Special Inspector Manual CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.cov 1 (949) 644-3200 SPECIAL INSPECTION REPORT Project Address: 316 Island Avenue Permit Number: x2021-1858 _ Inspection Type (s): GPR Testing Inspection Date (s): 11/16/2021 ( ) Periodic (0) Continuous Describe Inspection, Including Location(s): Arrived on site at 9:I10am as requested by client to perform ground penetration radar scan. Proper procedures were followed as recommended by GSSI. Per request of the client the scanning took place at the front door. 5 G.P.R. scans were taken for to determine the distance between the thickness of the concrete footings .After performing the scans, according to the G.P.R. the thickness of the footings is approximately 19-1/T"wide and 24"deep . The concrete was scanned utilizing a Structure Scan Mini XT (Geophysical SurveySystem). List Tests Made: GPR Testing to determined the thickness of the footings at the front door. Total Inspection Time Each Day: Date: 11/16/21 j 1 Hours: 4 hours List All Items Requiring Correction (Include Previously Listed Uncorrected Items): To the best of mY knowledge, the work inspected was in accordance with the Building Division approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. Special inspector Nature: Date: 11/16/21 Print Full Name: Newport Beach Registration No.: Edwin Jimenez I Inspection No. NB-0731 5r daimsR dioaReporc 08/25/2015 67 City of Newport Beach Special Inspector Manual CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.cov 1 (949) 644-3200 SPECIAL INSPECTION Final Proiect Report Project Address: 316 Island Avenue Permit Number: x2021-1656 Inspection Type (s): GPR Testing Inspection Date (s): 11/16/2021 This is to certify that I performed special inspection on the following portions of the work at the above address which re uired continuous inspection, and which I was employed to inspect: fi to i i After performing the testing , I have determined that the concrete footing is in compliance with the approved and signed plans Based upon my personal observation and written reports of this work, it is my udgment that the inspected work was performed to the best of my knowledge, in accordance with the approved pans, specifications, and the applicable workmanship provisions of the Uniformed Building Code. /Special ignature: i Date: 11/16/21 i Print Full Name: Newport Beach Registration No.: Edwin Jimenez Inspection No. NB-0731 SpeciallnspectionFinalProjectReport 08/25/2015 M 70 M O�6 � O N U fa z H 4- V) � � N � � C N � - i a U - c U) — C: Mro � Q � N N N O Q U E +- O U W U n 0 Y M t c a� o� N N � N v I 00 — 0� t!P Mo N EO = t ry W Q z O 4� j 3 CO z . 3 `� / 1 Y d � n\ W p E N U) o N u E Q N r) c'? HEATHER EUSEBIO Department Assistant heusebio@newportbeachca.gov 949-644-3290 CITY OF NEWPORT BEACH 100 Civic Center Drive, Newport Beach, California 92660 newportbeachca.gov BEACH vd+ LOPAW' NT DEPARTMENT irE 'l G DDYTSIG O. Box 17681 Newport Beach, GA 92658-8915 www.newportbeathca.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 restriptimg construction -related noise on Saturday in High Density Areas effgctive 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 no�i;Ya�. is not allowed on Saturday or Sunday in High Density Areas in accordance with Newport Beach Municipal Cade 10.28.040. As the owner of"the, property, I am responsible to ensure all persons working on the property, comply with this provision of the Newport Beach Municipal Code. Project Address: -3 ! �0 fs IAPOL ",( Owner's Name: 9( 0 Owner's Signature; Contractor's Signature: Date: ladih FarmslAcknawledgmenl No SaWMay_Canstruellon HlghOensllyArass 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 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) Project Address: Permit Number: X 2,t5o7,t - l 05 d Property Owner: KessYY l GA-Z"a Licensed Contractor: Lic #: 97-7U3 The State of California now requires that smoke and carbon monoxide detectors must be installed in all residential buildings California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors. CRC Section R314.3, CRC R315.3 defines required locations. Both boxes below must be checked: ®f] Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms or in each hallway outside of the rooms, and each level of the dwelling. Detectors are also required in bedrooms with gas fired appliances RJ Smoke Alarms: Installed in each room used for sleeping purposes, outside each sleeping area, and on each level of the dwelling unit. Retrofitted detectors may be battery operated for buildings where no alterations are performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms) shall comply with all applicable standards and must be approved by the State Fire Marshall. The devices must be installed per manufacturer's specifications. I, the undersigned, hereby certify that I am the permittee or homeowner of the project. I further certify that smoke alarms and carbon monoxide alarms are present and tested to be functional in all the following locations: Date: NOTE: This s&-certification is only used for projects to the exterior of the structure where access to the interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. Fortes\SmokeDetectomndCarbonMonobdeSelfCert 08/12/16