HomeMy WebLinkAboutS2023-0067 - MiscCITY 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:
Property Owner
—v
Li
Licensed Contractor: ( S 7— IK I �G /`�J K Lic#:
The State of Californi1),-2 equiire"s that smoke nd 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.
ab_ 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
ar, 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 and rsigned, hereby' certify that I am the permittee or homeowner of the
project. I er a 'f that smoke alarms and carbon monoxide alarms are
present and teste b unctional in all the following locations:
Signature: Date:
NOTE: This elf- cation is only used for projects to the exterior of the structure where access to the
interior of the welling by the City of Newport Beach Building Inspector is not achieved during the course of
construction.
Forms\Smoke DelectorandCarbonMonoxideSelfCert 08/12/16
■■■■■■■■■■■NONE
■
■
■■■■■■■■■■■■■l
I■■■■■■■■
■■■■■■MEMNON�
OEM
iiiiii■■■■MEN
■■■■■iiiiii
I■■■■■■■■■■■■■■■■■■■■■
.. ■■■■■■■■■■■■■■■■■■■■■N
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA (PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
Project Name:
Saitman Residence Inspection Firm or Client: ERJ Inspections
Inspector's License Number:
On File Inspector's Name: Eric Maldonado
Job Address:
5 Malibu Circle Contractor: Back Bay Custom Pools
Newport Beach, CA
Permit No:
S2023-0067 Field Identification: Samples no 1 of 1
Cast Date:
04/11/2023 Description:
Shotcrete
Cement Type:
NR
Concrete Supplier:
Holliday Rock Specified F'c - PSI:
4,500
Admixture:
NR
Plant:
NR Cast By:
Eric Maldonado
Slump (C143):
2 in
Mix Design No:
4C451-500 No of Samples:
3
Air Content (C173) (C231):
NR
Ticket Number:
108174408 Total Yards:
10
Air Temp (C1064):
56F
Cast J Mix Time:
1 hour Concrete Temp (C1064):
80F
Location:
In back of residence pool remodel
Notes:
NR
NR = Not Reported. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C1231 (Unbonded
Method)
Date Specimens Received: 04/13/2023
Equipment Used:
On File
Report Date:
05/09/2023
SN of Equipment:
On File
Technician Name:
Marco Macias
Calib. / Recal. Date
On File
Test Data
Specimen ID
Number
Age at
Test
Date Of
Test
Time Of
Test
Specimen Dimensions (iri Area
1 (in) 2 (in) 3 (in) 4 (in) In2
Load
Lbs.
F'c
PSI
Break
Type;
115929.1.1
28
05/09/2023
11:10 AM
4.00
4.01
NA
NA 12.60
88,930
7,060
2
115929.1.2
28
05/09/2023
11:12 AM
4.00
4.01
NA
NA 12.60
93,050
7,380
3
115929.1.3
28
05/09/2023
11:14 AM
4.00
4.01
NA
NA 12.60
89,610
7,110
2
28-DAY Avg. PC PSI: 7,180
1 Test schedule Provided by the Client
] Dimensions 1 and 2 = Diameters; Dimensions 3 and 4 = Height; NA if Cylinder 2.2 > lid > 1.8
3 Break Type Designation DATA PER ASTM C1231(Unbundled Method) Figure 2; 1= Cone.2 = Cone and Crack, 3 =Columnar, 4 = Diagonal, 5 = Side Fracture, 6 = Side Fracture Point
THE TEST RESULTS ARE FOR INFORMATION ONLY
V Oervfez
Authorized Signature
Laboratory tests and results reported herein were performed for ERJ Inspections by Specialized Testing, Inc. oba Specialized Testing). Spe
pc
ialized Testing. I nc. authored! this report using jobsite information submitted by ERJ
Inspections. Specialized Testing. Inc. employs the laboratory engineer This report1G600 Planes r eau evard� except
G Sarrti without
written
Call nri lssion from specialized Testing, Inc. m10-001.1
City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 9265E
www.newportbeachca.gov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 5 Malibu Cir.Newport Beach.CA
Permit Number: 52023-0067
Inspection Type (s): Shotcrete
Inspection Date (s): 4-11-23 ( ) Periodic (0) Continuous
Describe Inspection, Including Location(s):
Arrived on site as requested by client to Conduct a continuous Shotcrete inspection in the placement of approximately 10 cubic
-YaFdsW-4&GG-pakshotorete-fo"eol-en"pe-femadeI --- ---
Temperature during placement was 80°and ambient temperature was 57"all bars had a minimum clearance from soils.All
einiarcementateel-.was-tied-in-place.-Size-location-ia Gearaace.was-in-confoaniEyw "tanscodesand-standards
- -
Work was in compliance with(ASTM C143 & ACI 506R-05)
List Tests Made:
Shotcrete samples taken - break test at 28 days.
Total Inspection Time Each Day:
Date: 4-11-23
Hours: 4 hours
List All Items Requiring Correction (Include Previously Listed Uncorrected Items):
Comments:
To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings,
specifications and aoolicable workmanship provisions of the U.B.C. except as noted above.
Special Inspector Si ature:
Date:
Z
4-11-23
Print Full Name:
Newport Beach Registration No.:
Eric Maldonado
Inspection No. NB-0781
SpeciahnspectionReport 08/25/2015
67