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Home My WebLink AboutX2020-0586 - Misc (3)CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: '710 Jasmine Ave. Report Date: CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Alessio Pigazzi 710 Jasmine Ave. Full Name of Structural Obseiver (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: j.Calen A. WIlson kalen@vectorse.com 714--576-6524 C83753 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlicahla hnrasl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS Floor/Roo INDICATE LOCATION(S) OBSERVED DATE OBSERVED F91_Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete A,(,& J04) rudrSjJ" CI Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: L7 Other: ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. 51 OBSERVED DEFICIENCIES AND COMMENTS: A-00 AP&WML MLVi 140bP0wL,3 MUCAJ1L (JiJbn P (LyuAL To A-0Q ftiwCru- SFq-oe ayt&,S T-o (2 Sl/ltj aY 4,rl-nt-f ❑ REPORT CONTINUED ON ATTACHED PAGES. D 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 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. A— 20 ZO �OFESSI� �R 9jtj\ C83753 F C 11O��tie STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Poms%S c=alObsmatiov cport&lstntctiotu CITY OF NEWPORT BEACH CONMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658 www.newgortbeachca.ciov 1 (949) 644-3200 SPECIAL INSPEqn(JIN REPORT Project Address: Q d 7 T,42,6-7 Permit Number: Inspection Type (s):- EPg2.VLz._b 0 Inspection Date (s): �Oxo Periodic ( %htontinuous :.z' A-4% Ad &I�A /r.&L A— C S 6 1 (0rt ALC d.,piricr, X7><Lo E- 1) 0 1) 0 LU a-- C X Aj- F(D UA 16 T�LCA 0 t) iC) co'(Aio 4- 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. In 11 SpecialinspeCtionRepart 8-2a15 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.newoortbeachcagov ((949) 644-3200 SPECIAL INSPECTION REPORT Project Address: 710 Jasmine Ave Permit Number: X2020-0586 Inspection Type (s): Epoxy Inspection Date (s): October 14, 2020 ( ) Periodic (x ) Continuous To the best of m knowledge, the work inspected was in accordance with the Building Division approved design drawings, specifications anl�applicable workmanship provisions of the U.B.C. except as noted above. Spnspeeto nature: Date: I 10-14-20 Print Fu ame: 'Newport Beach Registration No.: Mario Cordero NB-0714 08/25/2015 67 'awll algnod s,AepunS'IluM a Pug owll le s,AepmleS Pug smoH -01e11e Bgllllq awlusnp wnwlulw may 9 ue aq II!m uoou passed BUIpual%a uo loodsm Aue uop!ppe to wnwlulw wno4 9-SI1e461OAO pug 9Jno4 y 10 wnwlulw a uo Paseq Suo9oedsul IN 3WI113AVN11 SNnom'1'O Isunoweau I 1no 3WIi I NI 3WI1 1 F d0 1 3SVd ❑ 30Vd 1X3N NO oanNi1N00 '103fOVd SIHI NO Al3dVS 911S NO 3H1 NI 03M3AOOSIO 3103d30 d0 AVM ANV NI 14010"M 3H1 H3H113N 1VH103104110jNI St N010Ve1N00 ION 9300 MIOM anO'Q(OlOVN1NOtrenS HO 13NNOS 'RAIDS OIVS NI 03SNOONI 1SOO ONV 40 NO11031100 3H1 HOd NOU3V IV9313In11ISNI Ol *Z-NS IONS uo alnpegos peM }yeys lad OI:Z:Z le aol 6uloeds lieu pal;llaA Pue 809Z 2JSa 001 Am sped `6ulpuel llels Mau 1ol a;alouoo 6ullslxo o;ul AON30V ON A11VI03dS 001 sb6Zl09 1JOOM 11V SO091MONX AW dO 11339 3H10109103dSNl 3AVH I IV 30NVI MOO d0 NOUVOIA111130 IId SIHl lu30 V / seem leays nav le uolleoo-I 1 lieu Lill (a o1lab) pa�llew spell 1e9LiS lag u dw!S 6ulsn gels uol;epuno; pue 1(xpel q# to uol;epe;sul ladold pal;llaA '013'SNNVW3N'SS3LJJONd'SW3.1SONdsor'03103f3T1NNOM'N3NV1S3ldWVS 1'03103dSNI NNOMdO SNOUVOOI77P1tlWWI1S - S39dWVS NO SNMVW3N IVN0111O0V 13S NI Animno dWn9S 39dWVS d0 UAl 03MIDAN d S1S31 - - - 1 1!UOJV O1apiao Ope aweN (s)Joloadsul - - � JeealBu3 lolaeiluoo-qnS saeJPPv uollonl;suoo suhldOH 0 a aO JotaeJJgoO - - SSOJPPV -oul11eu91E) a�m0 ozW-9WZ-Ml8 ON 11W1a S0119160-1 lieusIE) aweN qof TM 911Sea MV sselppv qor ®6piJIU!Id epeueo e-1 jo 40 J awuedea Bu!pune leal{S poOM Je4O 1J ou!looJd ajw U AJuoselq PUUAVjUlUUL=l o3NINo3N Axod3 P s11o9 416uaAS 46!H-Q slwouo0 Pauo!sual isOd NO1103dSNl !oJluOD Aplenp A!gwessV!ee1S !elnlongS® aleJouoo Paaolu!aN U d0, 3dA1 sn-gej!euolaeu @ ao!go MS-066 WC) :'SJH VZ nc8 -806 (898) :XBA."l 92 4Z- L61 (009) :191 C9006 V0'Sa!�PV SOH VOCC9 XOH D'd 1210d321 N01103dSNl ik-Lnd3(1/-lVI03dS JJJNI SE11VNOI DUSNI'IVNOIJVN I z 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.clov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 703 & 703-1/2 Jasmine Ave. October 9, 2020 & Revised 10-16-20 R. Labare X2017-0904 X2018-0268 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Josef Szi eft 9 12 Corporate Plaza #250 Newport Beach, CA 92660 949-981-3310 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. M Jon E. De Cuir jonedcdecuir@gmail.com 310-849-2044 C-54914 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlicahle hoYasl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams IN Wood or Manuf. Shear Panels ❑ Masonry N Wood See Page 2 of Report 10.08.20 ❑ Other: ❑ Other: ❑ Other: ❑ Other: IN ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. See Notes Below: ❑ OBSERVED DEFICIENCIES AND COMMENTS: Where the structural system of both buildings have been constructed in accordance with approved construction documents, it is my recommendation that said areas may be accepted by the building official and covered. I have observed those areas and they are approved without deficiencies. IN 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 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. Revised 10-16-20 10.09.20 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Pomu�SirvaurelObservananReporti3��%�C�ons Jon E. De Cuir — Civil Engineer October 16, 2020 Mr. R. Labare City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Re: Addendum to Structural Observation Report Dated 10-08-20 703 & 703-1/2 Jasmine Ave. Building Permits X2017-0904 & X2018-0268 Dear Mr. Labare, I have observed to date the following at the above mentioned project: 1) All wood and concrete shear walls for both structures (i.e. main duplex and bonus structure). This includes all nailing, anchors, holdowns, straps, clips and connections. 2) All wood diaphragms for all floors and roof for both structures. This includes all nailing, straps, clips and connections. 3) All 42" wood guards (intended to be covered for opaque surface). The above observations are approved without any deficiencies. As stated on Page 1 of referenced SO report, it is my opinion where the structural systems of both structures have been observed and constructed in accordance with approved plans, I recommend said portions be accepted by the City of Newport Beach and that they may now be covered (both interior & exterior) at the convenience of the Contractor. Please note that this is not the final SO report as some remaining items must be observed after finishes have been applied (i.e. glass guard systems, etc.). Please feel free to contact me at 310-849-2044 should you have any questions. Sincerely, Jon E. De Cuir, P.E. R.C.E. C-54914 5924 Pacific Coast Hwy. #1 Redondo Beach CA 90277 310.849.2044 jonericdecuir@gmail.com CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: _ 710 Jasmine Building Permit Number(s): X2020-0586 (project 0474-2020) 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 (3:12 slope or greater) 1. Approved elevation point of ridge is 160.31' and actual elevation point is 146.78' 2. Approved elevation point of ridge is 160,31' and actual elevation point is 144.76' 3. Approved elevation point of ridge is 160.31' and actual elevation point is 153.94' FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA 2. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA 3. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA Max height = 160.31 per sheet A4.00. Base grade 131.31' + height allowance of 29.00' = 160.31' 1 certify that the above height measurements are correct and the above project: OIS 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 Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) * License number of 33965 or lower romtx\Onilding ][eight Ccnificntion I I/02/16 ��, '- NO.8682 � Date (1N 20066flic) �t 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.Qov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 710 Jasmine Ave. 6-24-2021 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Alessio Pigazzi 710 Jasmine Ave. Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License I Reg. #: Kalen A. WIlson kalen@vectorse.com 714-576-6524 C83753 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoDlicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloodRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams jajl Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood I Shear walls & Nailing on I House & Addition 2-3-2021 ❑ Other: ❑ Other: ❑ Other: ❑ Other: XI ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ 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 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- 1, 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 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. 6-24-2021 �ItOFESS[ptr , C83753 q 0 [ V IX, `ytiQ OF CALI�� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\StmeWre Observation epol&Ihstmc om 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 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $209.00 RESIDENTIAL: NO FEE PROJECT: l /0 :fAjfnjpt AVM Itiv(= OWNER'S NAME: /ICE-U1 T��G/ I Z 2 \ PHONE NO: JOB ADDRESS: 769 J-4sm1�✓g Gb4o—,9- /'1,1 710/j BUILDING PERMIT NO.(s): y. '�— O)D — 058 ( Request is hereby made for the release of electrical on subject project only for the purpose of testing equipment and/or mechanical systems prior to building permit final approval. I agree that no building or structure shall be used or occupied until the Building inspector has issued a building permit final approval or Certificate of Occupancy. Moving in furniture, staging, showing for sale, or any use other than construction, shall considered use or occupancy and a violation of this agreement (CBC 111.1). Furthermore, it is not our intent to use or occupy this building until all City regulations and conditions concerning this building have been complied with, and it is understood and agreed that the City of Newport Beach is hereby authorized to order disconnect of service without notification for any violation of the above conditions prior to final approval or Certificate of Occupancy. OWNER or TENANT SIGNA' .PRINT name of owner or tenant: A LESS IQ CONTRACTOR SIGNATURE: PRINT name of contractorM C,a� > DATE: /-)0 / /� p/ 4AZ2-I PHONE#: 7/7 962 DATE: I PHONE* 69-ZVIO (for office use only) APPROVED BY: _ C- \ /.2 _ 2s a Building Inspector IDate FonnffEMPORARY POWER RELEASE APPLICATION. 07101/2021 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 1. Oroject Address: _ �p :11311(,H Report Date: ' / I` ,y0� CNB Inspector Name: CNB Permit #: 19uilding Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check P Full Name of Struct ral Obs ry r (SO): 1; SO E-mail Address: yg_)4t41P6WrW57�1YK'Cow SO Telephone M qq3-qqZ-2)53 SO Li n /,Reg. #: e,M6 f 6 Am Xr PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) �^ FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventio al Faotin s Concrete ❑ Steel ❑ Concrete _ 1 Mat Foundation, ?restressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck J Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑Masonry ❑ Wood . _ LI Other: ❑ Other: ❑ Other: ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. PyW / ,�d_�� 1f14'f"1Gt' 614-fi-ah L •�pp"J1 ► 4 :-1 OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: the structure uenerallV complies with the approve I declare that the following statements are true to the best of my knowledge: 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1, 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 all deficiencies which 1 have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 1A - 12.121/2o2-I corrected QROFESS/ON �,AD Jgzq S 5696 A M 9��c RLCTUR 0Q� OF CA0 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Rvms\SwcwmlObservalioMepotl&Lrslrucliorts STRUCTURAL OBSERVATION REPORT INSTRUCTIONS When structural observation is required for a project, the structural observer shall perform site visits at significant construction stages throughout the progress of the work. Site visit frequency shall allow for correction of observed deficiencies without substantial effort or uncovering of the completed work. Structural observation site visits shall be performed for each construction stage identified on the approved construction documents. The structural observer may utilize the City of Newport Beach "Structural Observation Report" form, or a similarly formatted report, to record the required observation visits. If the City's form is not used the alternate report shall be on the structural observer's letterhead, state the site address, plan check and permit numbers, stages and elements observed, date observed, and complete contact information for the structural observer. All structural observation reports, regardless of form used, shall include the license stamp and wet signature of the structural observer responsible for the project. OBSERVED DEFICIENCIES When a deficiency is noted, the structural observer shall give copies of the completed structural observation report to the owner or owner's representative, project contractor, and the Chief Building Official or designee. The contractor shall resolve all deficiencies prior to final inspection or acceptance of the structural work by the Chief Building Official, or designee. FINAL STRUCTURAL OBSERVATION REPORT The structural observer shall submit a final structural observation report to the Chief Building Official, or designee, upon completion of the structural system. The final structural observation report shall state that the structural system conforms to the approved construction documents and that all previously observed deficiencies have been corrected. Final inspection or other acceptance of the structural system by the Chief Building Official, or designee, will not occur until the final structural observation report is received. PROJECT STATUS REPORT CaICERTS, Inc Effective 04/13/2022 07:12 (Page 1 of 3) �-�. CaENERAL INFORMATION i'ta Energy Standards Code Year: 2019 Project Name: Jasmine Avenue Residence L i Project Type: Alterations SFR Address: 710 Jasmine Avenue ; City/State/Zip: Corona del Mar / CA / 92625 L � • Enforcement Agency: City of Newport Beach Easy to Verify @ calcerts.com ■ Permit Number: X2020-0586 / 12-01-2020 OVERALL STATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE CF1R�1 Certificate Type Compliance —r ` Registered Form CF1R-PRF-01 Registered Date 2021 t7&1510:46:03 - I ;j _ Registration 220-P0100411'7:3C-000-OOd-00 000 �0000 Number r 11C,F2R I t " • a I } v CF2R-ENV-01-E 220-P010041173C-001-001-E01001B-0000 Fenestration Installation 2022-04-08 17:28:58 Alessio Pigazzi (Homeowner - Installer) CF2R-ENV-03-E 220-P010041173C-001-001-E03001B-0000 Insulation Installation 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-ENV-04-E 220-P010041173C-001-001-E04001B-0000 Roofing -Radiant Barrier 2022-04-08 17:28:59 Alessio Pigazzi (� (Homeowner - Installer) CF2R-MCH-01-E 220-P010041173C-001-001-M01001B-0000 Space Conditioning 2022-04-08 17:28:59 Alessio Pigazzi Systems, Ducts and Fans (Homeowner- Installer) CF2R-MCH-20-H 220-P010041173C-001-001-M20001B-0000 System 1: Main Duct Leakage 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019 PROJECT STATUS REPORT CaICERTS, Inc Effective 04/13/2022 07:12 (Page 2 of 3) CF2R-MCH-23-H 220-PO10041173C-001-001-M23001B-0000 System 1: Main Airflow 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-MCH-22-H 220-P010041173C-001-001-M22001B-0000 System 1: Main Fan Efficacy 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-MCH-26-H 220-P010041173C-001-001-M26001B-0000 System 1 Rated Equipment 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-MCH-27-H 220-P010041173C-001-001-M27001B-0000 IAQ and MV 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) Exhaust Fan CF2R-MCH-32-H 220-P010041173C-001-001-M32001B-0000 5628881 Local Mechanical Exhaust 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-PLB-02-E 220-P010041173C-001-001-B02001B-0000 SD HWS Distribution 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-MCH-20-H 220-P010041173C-000-001-M20002B-0000 System 2: ADU Duct Leakage 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) -0F2R-MCH-21-H 220 P1'004?173 400-001-M21002B 0000 System 2: ADU Ducts Located In % ,2022-04-08 17:28:59 Alessio Pigazzi ConditionedlSpace ' i 1 I` (Hornepwne -Installer) I f.= �2210 P010041173C 000=0�01-M23002B-0000 System 2: ADU CF2R-MCH-23;H ., l Airflow P022 04.08 17:28:59 _Alessi>Pigazzi) - (Homeowr Installer) CF2R-MCH-22-H 220-P010041173C-000-001-M22002B-0000 System 2: ADU Fan Efficacy 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) CF2R-MCH-26-H 220-P010041173C-000-001-M26002B-0000 System 2 Rated Equipment 2022-04-08 17:28:59 Alessio Pigazzi (Homeowner - Installer) Non Default Value: CF2R-MCH-01 - Heating System Type is different. Non Default Value: CF2R-MCH-01 - Cooling System Type is different. Non Default Value: CF2R-MCH-01 - SC System Status is different. Non Default Value: CF2R-MCH-01 - Duct System Status is different. Non Default Value: CF2R-MCH-01 - Duct System Status is different. CF3R`I a n. W. all a t ea' ffl System Form', ` " Registered Date : ` -Registration yamber CF3R-MCH-20-H 220-P010041173C-001-001-M20001B-M20B System 1: Main (Duct Leakage) 2022-04-08 17:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-23-H 220-P010041173C-001-001-M23001B-M23B System 1: Main (Airflow) 2022-04-08 17:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019 PROJECT STATUS REPORT CaICERTS, Inc Effective 04/13/2022 07:12 (Pane 3 of 31 CF3R-MCH-22-H 220-P010041173C-001-001-M22001B-M22B System 1: Main (Fan Efficacy) 2022-04-08 17:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-26-H 220-P010041173G-001-001-M26001B-M26B System 1 (Rated Equipment) 2022-04-08 17:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-27-H 220-P010041173C-001-001-M27001B-M276 (IAQ and MV) 2022-04-0817:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) Exhaust Fan CF3R-MCH-32-H 220-P010041173C-001-001-M32001B-M32B 5628881 (Local Mechanical Exhaust) 2022-04-08 17:29:39 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-20-H 220-P010041173C-000-001-M20002B-M20B System 2: ADU (Duct Leakage) 2022-04-08 17:30:15 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-21-H 220-P010041173C-000-001-M21002B-M21B System 2: ADU (Ducts In Cond Space) 2022-04-08 17:30:15 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-23-H 220-P010041173C-000-001-M23002B-M23B System 2: ADU (Airflow) 2022-04-08 17:30:15 Antonio Aguilar (CC2006602) (Inspector Felix) CF3R-MCH-22-H ' I- ' 220"P0)TOD'4 173C-000-001-M22002B-M22B System 2: ADU (Fan Efficacy) ,.2022-0 -08'17 30:15, i Antonio Aguilar (OC2006602) ✓ Felix) I r " (I1sp"r CF3R-MCW,26-H -: -: � , 1 2" t .fit-e i 220 P01004'1173C 000-Q�01-M26002B_ M268 System 2 (Rated Equipment)j 2022 04 m 17.30:15 Antomo'Agu`il`ar)(CC2006�02) (Inspector Feldc) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019 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 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has beeAsubAtt ypp��urrr vamp's i oyr,5elf as tFje build of the property improvements specified at V �/ 11►C /IV�PI K� GOPa✓�'T �• n%� We are providing you with an Owner B� uilder 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 DI CTIONS: 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 "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial 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 acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on property. . I understand building permits are not required to be signed by property owners unless they are rWponsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and ha Rig the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list the' icense numbers on permits and contracts. 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 aann ogIIaterials, I may be considered an "employer" under state and federal law. G. 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, a��n✓dd_Q ntribute to unemployment compensation for each "employee." I also understand my failure to abide /' /ye laws may subject me to serious financial risk. ! 7. 1 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 ctor. T 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be ble 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\owner builder verifdoc =12/I6 I of 2 ' 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 mom information about licensed contractors. - 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and LLL understand that I /loar ciall r roo �constron a at following address: 71-Iy WOPP e"Vo p hlJiC 1111. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as ern loyers. 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any 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; l��_(0 ?(4AW-t Property Owner's Signature: ,I 7 Date, Note: The following Authorization Form is required -to be completed by the property owner only 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 my personal 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: �A�-f10 JAJm)mc Ayi;Enya Name of Authorized Agent: M..Wi11iq LE-DefroL Tel No�Op S SOq� Address of Authorized Agent:1625 KAICLAe�000 A-V S Nc- 1 12 j' 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 Note: A copy of the owners drivees license, form notarization, or other verification a a le to the agency is required to be presented when the permit is issued to verify the property ow nature. Property Owner's Signature: Date: 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\oemer builder yerif.doc 08/I2/I6 2 of2