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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive i P.O. Box 1768 i Newport Beach, CA 92658-8915
www.newportbeachca.gov i (949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address: 11 1? rive
Permit Number: —Wig- 95'
Property Owner: �J t S( lcnCJ @„`,d, 2
Licensed Contractor:
Lic #:
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.
❑ 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
❑ 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:
Signature: Date:
NOTE: This self -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.
Forms\SmokeDetectorandCarbonMonoxideSelfCert 08/12/16
CITY OF NEWPORT BEACH b
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
DATE:
SUBCONTRACTOR AGREEMENT
PROJECT ADDRESS
Subcontractors may provide services to Contractor. In addition to the terms and conditions
negotiated by the parties for particular projects, Contractor and Subcontractor hereby agree that
the terms and conditions of the Subcontractor Agreement (the "Agreement') shall apply to the
subject property.
SCOPE OF WORK: The subcontractor has been hired by e PibL, �.
to furnish all of the material, and perform all of the work for the above project as described on the
plans and permits in accordance with the scope described herein and the terms of the Contract
Agreement.
Forms\SubcontractorAgreement 9-2016
ERJ
INSPECTIONS INC.
The Industry Leader.
MATERIAL TESTING & INSPECTION
ADDRESS: 1637 DAVIS STREET CORONA, CA 92882
EMAIL: administration@erjinspections.com
Job N m
Pool & Spa
Job Address,
11 Honors Drive Newport Beach
Type of Structure
Pool ands a
En ineer
Pool Engineering Inc - Ron Lacher R.C.E.
Architect
N/A
Contractor
SO -Cal Pools
Buildina De arment City of Newport Beach
Material (grade -type) 4500 psi
Inspector's Name
Edwin Jimenez
ProjectSpecs
Approved & Signed documents
References JACI 506 R-05 and approved and signed documents
C'.nriac Rtanriarric 2016 California Buildina Code Volumes 1 & 2
WEB: www.erjinspections.com
OFFICE: (951) 427-0646
Permit No.
S2018-0224
Date
5-8-2019
Epoxy High Strength Bolts
Fire -Proofing Reinforced Concrete
Quality Control Reinforced Masonry
Welding 1
O Other [ b tCCete_.. �!
Per request of our client an ERJ inspections representative has conducted a shotcrete inspection.
Pool and Spa:
Provided continuous inspection in the placement of, approximately 50 cubic yards of Shotcrete @4500PS1, for pool
and spa .Work performed took place in the back of the residence. Shotcrete temperature during placement was
79of and ambient temperature was 67°F . Work performed was in compliance with (ASTM C143 & ACI 506R-05).
Slump, temperature and water levels were within tolerance. A Blow -Pipe was utilized to control and remove
rebound All bars had a 3" minimum clearance from soils. All reinforcing steel was tied in place ; size location and
clearance was inconformity with the approved and signed structural plans.
Edwin Jimenez /Inspection No. NB -0731
Terms: 10 days, all reports will be held until amount is paid in full. Services billed at 4 and 8 hour minimums, with a 2 hour charge for cancellations. Should ERJ Inspection, Inc. be required to
institute legal action for the collection of a debt incurred as the result of the acceptance of this service ticket, ERJ Inspections Inc. will be entitled to attorney fees and costs incurred in said suit. This
field report presents a summary of observations and testing by ERJ Inspections, Inc. construction inspection personnel. Our work does not include supervision or direction of the actual work of the
contractor, his employees, or agents. The contractor should be informed that neither the presence of our field representative nor the observation and testing by our firm shall excuse him in any way
of defects discovered in his work. It is understood that our firm will not be responsible for job or site safety on this project.
The work Inspected
FGIMET F-1 continued on next page 1 ofEl 1
DID NOT MET TIME IN I IME OUT I ST HOURS I OT HOURS
7:00am 2:30pm 8
The requirements of the approved documents All inspections are based on a 4 hour mi ' over 4 hrs = 8 hour minimum
v i ICC No. 8234467 SoCal Pools
Signature of Register Inor Agency, cert & No. Approved by Representing
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SHOTCRETE
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA (PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Pool & Spa INSPECTION FIRM OR CLIENT: ERJ Inspections
PROJECT ADDRESS: 11 Honors Drive INSPECTOR'S NAME: Edwin Jimenez
Beach, Ca INSPECTOR'S LICENSE NO.: ICC 8234467
PERMIT NUMBER: S2018-0224 FIELD IDENTIFICATION: Pool & Spa
CAST DATE
5/8/19
DESCRIPTION
SHOTCRETE
CEMENT TYPE
NR
CONTRACTOR
So -Cal Pools
SPECIFIED F'c - PSI
4500
ADMIXTURE
Nscom Flyash
CONC. SUPPLIER
Cemex
CAST BY
Edwin Jimenez
SLUMP (C143)
2 - in.
PLANT
4486A
NO. OF SAMPLES
3
AIR (C173)
C231
NR
MIX DESIGN NO.
1524227
TOTAL YARDS
50
AIR
TEMP(C1064)
4.00
TICKET NUMBER
28063222CONCRETE
CAST /MIX TIME
NR / 40min
TEMP(C1064)
52°F
LOCATION OF POUR
Work performed took place at the back of the residence
NOTES
Specimens were tested in accordance with ASTM C1231 (Unbonded Method).
9:19 AM
NR = Not Reported. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
TATE SPECIMENS RECVD.
5/9/19
EQUIPMENT USED
On File
tEPORT DATE
6/5/19
SN OF EQUIPMENT
On File
ECHNICIAN
On File
CALIB. / RECAL. DATE
On File
SPECIMEN IDENTIFICATION
NUMBER
AGE AT
TEST
(DAYS)'
DATE
OF
TEST
TIME
OF
TEST
SPECIMEN DIMENSIONS4N.2
AREA
SQ. IN.
LOAD
LBS.
Fc
PSI
BREAK
TYPE'
1
IN.
2
IN.
3
IN.
4
IN.
83688.1. 1
28
6/5/19
9:13 AM
4.00
4.01
NA
NA
12.60
72,450
5,750
3
83688.1. 2
28
6/5/19
9:16 AM
4.00
4.01
NA
NA
12.60
71,600
5,680
3
83688.1.3
28
6/5/19
9:19 AM
4.00
4.01
NA
NA
12.60
71,940
5,710
3
Avg. F'C 28 = 5,710
'Test Schedule Provided by the Client
2Dimensions 1 and 2 = Diameters: Dimensions 3 and 4 = Height; NA if Cylinder 2.2 > 1/d > 1.8
36reak Type Designation Per ASTM C39 Figure 2: 1 = Cone, 2 = Cone and Crack, 3 = Columnar, 4 = Diagonal, 5 = Side Fracture, 6 = Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH / COMMENTS: THE AVERAGE 28 -DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE
Author d Sig ure
Page 1 of 1 MT -OF -001.1
2-14 V1
DL Acoustics
Homeowner
11 Honors Dr.
Newport Beach, CA, 92660
14301 Middletown Lane Westminster, CA 92683
Voice/Fax 714.373.3050 dlubman@dlacoustics.com
August 22, 2019
Report emailed to: schurch920@aol.com
Pool and or Spa Noise report for residence at 11 Honors Dr., Newport Beach, CA
Dear Homeowner:
At about 10:00 a.m. Thursday, August 22, 20191 measured the pool and or spa equipment
noise at your nearest neighbor's residence to test for compliance with the Newport Beach noise
regulation (10.26.025).
Newport Beach Residential Noise Standard
For Noise Zone 1 (residential) the N. B. regulation's daytime noise level standard (maximum
noise level from 10 p.m. to 7 a.m.) is 55 dBA — corrected for ambient noise. The nighttime noise
standard (max noise level from 7 a.m. to 10 p.m.) is 50 dBA. The measurement is corrected for
ambient noise and rounded to the nearest decibel as shown below.
I am pleased to report that measured pool and or spa apparatus noise meets the Newport
Beach noise standard for 24-hour use. Pertinent details of my findings are reported below.
Locations and values of daytime noise measurements
Uncorrected pool and or spa noise + ambient noise measured at property line: 49.89 dBA
Ambient noise level measured at this location: not needed
Pool and or spa equipment noise corrected for ambient noise: not applicable
Pool and or spa equipment noise rounded to the nearest decibel: 50 dBA
50 dBA (Pass for 24 hour use)
The currently installed pool and or spa apparatus noise of 50 dBA meets the Newport Beach
noise code for both "daytime" use (7 a.m. to 10 p.m.) and "nighttime" use (10 p.m. to 7 a.m.),
since the noise corrected for ambient does not exceed 50 dBA.
If you have any questions about this report, please do not hesitate to contact me at (714) 373-
3050 or by email at dlubman(a_dlacoustics.com
Sincerely yours,
B" LAVIMM
David Lubman, FASA, FINCE
Acoustical Consultant
Orange County Certification #200524
C�7>2-0 i:20, -OE 2- y
APPENDIX A:
Measurement Instrumentation
Equipment
August 22, 2019
The acoustical equipment used in the performance of this test is in accordance with
ASTM and ANSI (American National Standards Institute) requirements. Key elements
are as follows:
Critical sound measuring instruments (sound analyzer, calibrator, and microphone) are
annual calibrated by an independent NAVLAP certified laboratory. The most recent
calibration was on 07/31/19. All calibration documents are available for inspection upon
request.
Critical instruments employed were:
Bruel & Kjaer — Type 2270 Type I Precision Sound Analyzer SN # 3002720
Bruel & Kjaer - Type 4189 microphone, SN # 2850866
Bruel & Kjaer — Type 4231 Field Sound Calibrator, SN # 2588671