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Box 17681 Newport Beach, CA 92658-8915 www.newoortbeachca aov 1 (949) 644-3200 PRE -GRADE MEEATING AGREEMENT DATE.• (' JOB ADDRESS: `"[ / 1. The grading plan check number for this site is and will be referred to in all reports, certifications and correspondence. os-z;�Z. 2. STOP ORDERS Whenever any work is being done contrary to the provisions of the City Codes, the Chief Building Official or his authorized representative may order the work stopped by notice in writing served on any Persons engaged in the doing or causing such work to be done and arty such persons shall forthwith stop such work until authorized by the Chief Building Official to proceed with the work. 3. The stamped set of approved plans shall be on the job site at all times. 4. NOTIFICATION OF NONCOMPLIANCE If, in the course of fulfilling their responsibilities, the civil engineer, surveyor, the soils engineer, the engineering geologist or the testing agent finds that the work is not being done in conformance with the approved grading plans, the discrepancies shall be reported immediately in writing to the person in charge of the grading work and to the Building Division. Recommendations for corrective measures, If necessary, shall be submitted to the Building Division for approval. 5. When import or export of materials is required, haul routes to and from the site shall be approved by the City Traffic Engineer and hauling procedures shall be in accordance with Chapter 15 of the Newport Beach Municipal Code (NBMC). Contractor shall use Best Management Practices (BMP's) to insure that all water quality issues are addressed. 6. Between October 1 and April 30, erosion control BMP measures shall be in place. During the remainder of the year dry season wind erosion BMP's (dust control) shall be implemented. Sediment control BMP's shall be installed and maintained at all operational storm drain inlets internal to the project BMP's tD control. off -sits sediment tracking shall be implemented and maintained. Appropriate BMP's to prevent contamination of stormwater from construction activities shall be implemented. A "weather triggered" action plan and the ability to deploy BMP's to protect all exposed portions of the site within 48-hours when the National Weather Service forecasts a 50% or greater chance of rain. 7. All fills shall be compacted throughout to a minimum of 90 percent compaction as debennined by ASTM test method 1557 and approved by the soils engineer. Compaction tests shall be performed according to the preliminary soils report 8. All trench {ncluding interior and exterior utility trenches) and retaining wall backfill shall be compacted throughout to a minimum of g0 percent relative compaction and approved by the soils engineer. 9. Whenever work on which required inspection/testing is covered by additional work without first being insPected/tested, the Chief Building Official shall require by written notice that the work be exposed for examination. The work of exposing and recovering shall not entail or be subject to expense to the City of Newport Beach and will be the sole expense of the Pennittee. 10. landscaping of all slopes and pads shall be in accordance with 15.10.130 of the NBMC. 11. Approved drainage provisions shall be used to protect adjoining properties during the grading operation. 12. The permittee or his agent shall notify the Building Division when the grading operation is ready for each of the following inspections: a. PRE -GRADE MEETING When the pennittee is ready to begin work but not less than two days before any grading or brushing is started. b. DRAINAGE DEVICE INSPECTION After forming of terrace drains, down drains or after placement of pipe in subdrains, but before any conerets or filter material is placed. c. SPECIAL d. ROUGH GRADING When all rough grading has been completed, the rough grade report shall be provided to the Building Inspector at foundation inspection or sooner based on the Building Inspector's discretion e. FIRAL When all work, including installatidr4 of all drainage struchrres _and oth®r protective devices; has been 13. All footing excavations, slab on grade areas and subdrains shall be inspected and approved by the Geotechnical Engineer or Engineering Geologist Written approval shall be submitted to the Building Inspector. 14. Prior to the start of grading, all permanent property comer monuments shall be in place. Prior to any foundation inspections, proof of recordation of the "comer record" or "record of survey" with the County of Orange shall be provided. 15. The undersigned acknowledge a copy of the above and agree to comply with the Grading Code of the City of Newport Beach, the recommendations of the project soils report and any special requirements of the permit 16. Prior to foundation inspection a Lime and Grade Certificate Form must signed and stamped by the surveyor of record and submitted to the building inspector. A Structural Observation Report may be required. 17. All parties listed below must be present for the pregrade meeting unless approved by the building inspector. 18. All duplex construction requires separate utilities (sewer, water, gas, electrical, fire sprinkler risers). OWNER/CONTRACTOR: DESIGN CML ENGR.: T LOhI StJ By: 7dy-4dY_ it BY: _ Address: _ °' J;lz e- Ae0)L � E.I G (�_ Address: %A 2 ( Telephone: �tid%'es�aJ_. %fir_J2ft AUTelephone: GEOTECHNICAL ENGINEER. R Mc Sv LA$ By: aN cot„new.. Address: �nJ or�orrieQ�n,�i'1s0 t.tt3 Telephone: C�tyk) S2y-'�52L GRADING CONTR.: 6v- e ' w By: 1 Address: ?1r; / J, J 4-- Telephone: 71 / y - 720 — f % GEOLOGIST.: Save as lo¢Je By: Address: Telephone: By: Address: Telephone: NEWPORT BEACH REPRESENTATIVE: PHONE INSPECTION REQUESTS: (949) 644-3255 Newport Beach Construction Hours: Monday through Friday: 7:00 a.m. to 6:30 p.m. Saturdays: 8:00 a.m. to 6:00 P.M. No work on Sundays and Holidays Fcr MPmgMde meeting agreement 6-18 m N m z O Q v m w O 9 m rD O { .. s r am o ec e o oc o 0 0l e cccoc o y W m T W W W W n n c a o a �Jo wda�m'mJ n V 3.J�mOo o C7 J 0 0 . 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D CITY OF NEWPORT BEACH CONIMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 w,mv newportbeachca.gov 1 (949) 644-3200 SETBACKS AND TOP OF SLAWFLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Paul D. Craft License 9 P.L.S. 8516 Engineer/Surveyor's Address 8512 Oxley Circle, Huntington Beach, CA 92646 Job Address 4701 Hampden Road, Corona del Mar, CA Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: 140.92 top of forms (F.SLAB) * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are 0, are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) any deviations from plans: 7/20/2020 Date JN:19005 Forms/SetbacksandTopofSlabElevati_..____ is 0, is not ❑, per City approved drawings. Describe 9Z9Z5 VB HBV391EadM3N ceuaaaw�iocr .. _ 33NIGIsae BHnea \ .00L8 3, 00,00,NN r AY T -. I 17 Tjj a IM 1 CITY OF NEWPORT BEACH CONIMUNITY 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 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Paul D. Craft Engineer/Survevor's Address 8512 Oxley Circle, Huntington Beach, CA 92646 Job Address 4701 Hampden Road, Corona del Mar, CA Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: bio planter License # P.L.S. 8516 * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are x❑, are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is x❑, is not ❑, any deviations from plans: 7/26/2021 Date JN:19005 Fonns/SetbacksandTopofSIabElevaiionCert. per City approved drawings. Describe 3C R=21 BY: P. D. C. 7/21/2021 1. = 10' 301 PCC R=15' 303 3EC BC R=85' ­ 0 SSI PROJECT SURVEYOR: APEX LAND SURVEYING, INC. 8512 OXLEY CIRCLE HUNTINGTON BEACH, CA 92646 PHONE: (714)488-5006 FAX: (714)333-4440 4701 HAMPDEN ROAD NEWPORT BEACH, CA STAKING EXHIBIT I SHEET NO. 2 OF 2 CITY OF NEWPORT BEACH CONINIUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachea.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: 4701 Hampden Road, Corona del Mar, CA Building Permit Number(s): 4 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: O NAVD88 O NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building Inspector. RIDGES (3:12slope or greater) Approved elevation point of ridge is154.59 and actual elevation point is 154.51 Approved elevation point of ridge is 154.5s I and actual elevation point is 15421 Approved elevation point of ridge is 154.59 and actual elevation point is 154.38 Approved elevation point of ridge is154.59 and actual elevation point is 154 17 Approved elevation point of ridge is and actual elevation point is Approved elevation point of ridge is and actual elevation point is Approved elevation point of ridge is and actual elevation point is FLAT ROOFS, PARAPETS AND GUARDRAILS Approved elevation point of flat roof or parapet is and actual elevation point is Approved elevation point of flat roof or parapet is and actual elevation point is Approved elevation point of flat roof or parapet is and actual elevation point is Approved elevation point of flat roof or parapet is and actual elevation point is 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: OIS in compliance with the City -approved plans. 4t:n_compliance with the City -approved plans (Provide explanation). 1P� A/U Pleas@- -i a,i�Dlr 'Fa --op from the City -approved plans on the back of this form. n 17� '' 10/11/2021 N 19005k Surveyor or Ci it Engineer's* signature and seal Date (Wet sk rrrp'and signature required) * License cl m'ber o,d.3965.or lower 11/U2/16 Y.�gWPORT �qCl F,O RNA - 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.newi)ortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 4701 HAMPDEN RD., Repart Date: 11-03-20 CNB Inspector Name: CNB Permit#: NEWPORT BEACH, CA. Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone A. SO License I Reg. #: FADY HAKIM FADYHAKIM@FMHENGINEERIN.COM 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSFRVF_n lrherk annlicwhle hnvnal SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED FFOUNDATIONS onventional otin s & Slab ❑Concrete ❑Steel ❑Concrete ALL VISIBLE FRAMING11-03-20 MEMBERS, HARDWARESat Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck & SHEAR WALLS ressed Concrete ❑ Caissons, Piles, ❑ Woad or Manuf. ❑ Masonry ❑ Wood Grade Beams Shear Panels ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES 11 REPORT CONTINUED ON ATTACHED PAGES. ® FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity 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 th tructural systems by the City of Newport Beach, Building Division. ROFE 1, P ti rn w 7 3 30/22 '9JF.OFivi CA F0 11-03-20 STAMP OF STRUCTURAL OBSERVER VRE VI'J UG,.n LV60CKV[KUr KLUUKU UAIG �STRUCTURALO SERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING it BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fours\Slrvv'IumI06.vcnanonM1epon3lnnm�lium' � �gW PORT O 6, e.l C't<rF00.��P. 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.eov 1 (949) 644-3200 Structural Observation Report Project Address: 4701 HAMPDEN RD., NEWPORT BEACH, CA. ReportDate: 09-17-20 CNB Inspector Name: CNB Permit #: Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone M CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: FADY HAKIM ADYHAKIM@FMHENGINEERIN.COM 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED [check aoolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ROOF SHEATHING 09-17-20 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES ❑ 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 ficiencies which I have documented must be corrected, prior to final acceptance It tructural systems by the City of Newport Beach, Building Division. �� 09-17-20 J 1AMV OF J I KUU I UKAL UdLtKVLK nnFS NOT WAIVF ANY RFOIIIRFMFNTS FOR Run nINO INRPFCTION RV d11TNOROFn FMPI nWFS nF THE CITV nF NFWPr1PT PFeCN Fmmsl tm malObscmtiooRepon&lmWttiol' 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 1 (949) 644-3200 Structural Observation Report Project Address: 4701 HAMPDEN RD., Report Date: 07-23-20 CNB Inspector Name: CNB Permit#: NEWPORT BEACH, CA. Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: FADY HAKIM FADYHAKIM@FMHENGINEERIN.COM 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete FOUNDATION DIMENSION & REINFORCEMENTS 07-23-20 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ANCHOR BOLTS, & HOLDOWNS ❑ Caissons, Piles, Grade Beams ❑ Wood or Mari Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that 1 deficiencies which I have documented must be corrected, prior to final accept in of the structural systems by the City of Newport Beach, Building Division. 07-23-20 61WAt.Ii1#1;&39 i9011111111VIIIgo] :b9d:tiNN nnFA mn WAIVF ANY RFOIIIRFMFNTB FOR nim nlNd INSRFCTInN RV AIITNr1P17rn FMRI nVFFS nF THE CITY nF NCwonoT ncnnH Forms\StNclumlObsclolltiuiiRa ua&lmtmctimu 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.gov1(949)644-3200 Structural Observation Report Project Address: 4701 HAMPDEN RD., NEWPORT BEACH, CA. ReportDate: 07-21-21 CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check P. Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: FADY HAKIM FADYHAKIM@FMHENGINEERIN.COM 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings 8 Slab ❑ Concrete ❑ Steel ❑ Concrete BIO RETENTION WALL REINFORCEMENT 07-21-21 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES ❑ 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 de iencies which I have documented must be corrected, prior to final acceptance of structural systems by the City of Newport Beach, Building Division. 1Z, 07-21-21 J I nNir Ur a 1 nw I Ur LUCatnvtn FOR BUILDING INSPECTION RV AMNOR17ED EMPLOYEES OF THE CITY OF NEWPORT REACH Fo,mvlSlmcmralObservmianRcpon&Imwcliov pUk, m CITY OF NEWPORT BEACH >_ Y d� z COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 4701 HAMPDEN RD., NEWPORT BEACH, CA. Report Date: 08-05-20 CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: '.. SO Telephone #: SO License / Reg. #: FADY HAKIM FADYHAKIM@FMHF-.NGINF,ERIN.COMI 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete FENCE WALL REINFORCEMENT 08-05-20 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck DETAIL 15/D1 ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑Other: ❑Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure 2enerally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; e. I understand that I deficiencies which I have documented must be corrected, prior to final acceptan of the structural systems by the City of Newport Beach, Building Division. // 7 08-05-20 FOR BUILDING INSPECTION RY At1THORi= EMPLOYFFS OF TRF CRY nF NFWPORT RFACH fnmss5vunmal(@ama,ionMaawkLnunniun. 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 CIVIL ENGINEER'S CERTIFICATION FORM From: fT Consulting Engineers 11251 Gardenaire Ln Garden Grove, CA 92841 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: September 06, 2021 GPC No.: 2225-2019 Tract/Subdivision/Lot No.: Rough: _Final: x Project Names: 4701 HampdenRd Owner/Developer: Yoon and Shinhve Chung Type of Project: Notes: Constructed era roved Tans _ Tract: x Drainage p pp p _ Commercial _ Other Industrial Yardage for Project: Notes: 12 cyCut: Borrow: Constructed per approved plans Fill: 6 cy Export: I hereby approve the grading for 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: final grading in conformance with, drainage with the following changes to the approved grading plan. Description of Changes: None a NoINH q<F, Company: IT Consulting Engineers v o Z2 a Name: John Tran �l're civk�Fo��\P (print) (sign) License No.: 62653 (RCE/LS) Forms\Civil Engineers CertiFlcation Form 9-13 oRa CITY OF NEWPORT BEACH p� d �, Community Development Department I Building Division J n 100 Civic Center Dr.[ P.O. Box 17681 Newport Beach, CA 92658 0www.newoortheachca.gov 1 (949) 6443200 c�4rox�F'� GALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: `r744/ /Tah/°3fly ff- Ql PERMIT NO.: 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) C3' Franchise Hauler for Construction/Demolition Waste C3'-VOC Contents Limitation ir-Formaldehyde Emissions Limitation LET-24 Energy Certificate of Installations (Env., Qli, Lighting, Photovoltaic, Mach., Plumb.) F3 T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mach., Plumb., HERS) R Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) EZ 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 Information 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. Responsible Person's Name: Signed: 0.3 / • )-01-/ Responsible Person's signature: —A,Lt.� iD. ; , i., 9'_ v.a a i vi i •y a .a vi��. L.ul��.tt COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION ,N 100 Civic Center Drive I P.O. Box 1768 ) Newport Beach, CA 926588915 www.newportbeachca.gov ((949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT ProlectAddress: �W Date: -,-' O?-/ Permit#: ? ?:� ✓�Z f � The following is to be completed by the California licensed contractor or owner, participating in the City of Newport Beach Self -Certification Program. Please type or print. Installer's Name: �LAC-. License No (if applicable) 7/ Installer's Mailing Address: ' 2/,2 Phone # (required): iyA ©—E,�ray Installer's Email: /v,rricg= FAX#: c' 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 2D13 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: 1.8 gal/minute at 80 psi Water closet: 1.28 gal/flush Faucets: maximum flow rate of 1.5 gal/minute at 60 psi, and minimum 0.2 gal/minute at 20 psi Installer'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. 7 -- ?e. � -/-- -2� -2----1� �� Property Owner's Signature Date %fG-l'f/.l—/�/�- �f'4t•-(.)!.%, l/d't C17LIyY.d l �- `� "��w Q� ! � (t�w Print Name �' Email r 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 Phone: (949) 718-1888 Community Development Department Fax #: (949) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 Forms\Contractor-Ow erSelf-CertDeclaration-Plumbing Fixture Replacement 01/27/20