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Home My WebLink AboutF2014-0552 - Misc (2)t-ul MW1)r, CITY OF NEWPORT BEACH 'COMMUNITY DEVELOPMENT DEPARTMENT BUILDINGDIVISION 3300 Newport Boulevard I P.O. Box 17681 Newport Beach, CA 92658 www.newoortbeachca.gov 1 (949) 644-3275 PRE -GRADE MEETING AGREEMENT JOB ADDRESS: /S 1. The grading plan check number for this site !s 0Z4fZA/3 and will be referred to in all reports, certifications and correspondence. 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 any 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 D !vision. 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 to control offsite 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 determined by ASTM test method 1557 and approved by the soils engineer. Compaction tests shall be performed according to the preliminary soils report. 8. 'All french (including Interior and exterior utility trenches) and retaining wall backfill shall be compacted throughoutto a minimum of 90 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 Offfcfal 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 Permittee. 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. i 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 permittee 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 concrete or filter material is placed: c. SPECIAL d. ROUGH GRADING When all rough gradfng`has been completed, the rough grade report shall be provided to the Building Inspector at foundatlon inspection or. sooner based on the Building Inspector's discretion. e. FINAL When all work, including installation of all drainage structures and other protective devices, has been completed and the as -graded plan, professional approvals and the required reports have been submitted. 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 tq the Building Inspector. 14. Prior to the start of grading, all permanent property corner monuments shall be in place.. Prior to any foundation inspections, proof of.recordation of the "corner record" or "record of survey" with the County ofOrange 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 Line 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..— OWNER/CONTRACTOR: VWA eA- A V -C 141 DESIGN CIVIL ENGR.:. /moi/ / ,f 1'1 In& By: rt By; Address: io r trd �Thec7 , Z ° Cyvq a t [ 11 Address:./✓% 4Ve. /1/uvhrro , +�C/e`r�. Telephone: r9.3Z^ 6L, D— Telephone: y't9 `<i92 858 GEOTECHNICAL ENGINEERd .f GEOLOGIST.: ` By: !� vXu� By: Address: 61 Address: Telephone: Telephone: GRADING CONTR.:COORDINATOR: By: - -I-)GVI By: Address: -�I N4Lae L 5-A Address: Telephone: �lq !TI -��Gt Telephone: NEWPORT BEACH REPRESENTATIVE: PHONE M INSPECTION REQUESTS: (949) 644-3255. Newoort 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 Fomslpregreda meeting agreement 842 CORNER RECORD Document Number 2013 - City of NEWPORT BEACH County of ORANGE California Brief Legal Description PARCEL 5, LLA No. 2001-OD1, INST. No. 20010242602 O.R. COORDINATES (optional) CORNERTYPE N Government Corner ❑ Control ❑ E Zone NAD27❑ NAD83[1 Meander E]Property ® NAD83 Epoch Rancho El F1Elev. D Vertical Datum: NGVD29❑ NAVD88 Date of Survey 12107/2013 Units: Metric❑ Imperial ❑ U.S. Survey Li Corner — Left as found ❑ Found and tagged ❑ Established ❑ Reestablished ® Rebuilt ❑ Identification and type of corner found; Evidence used to Iden ar procedureVsed to est fish or reestablish the corner: WE tQ®ig SEE PAGE 2 BEE 3 7 2010 OC sullivremyr A description of the physical condition of the monument as found and as set or reset: SEE PAGE 2 SURVEYOR'S STATEMENT ((WAN. sRLThis Corner Record was prepared b me or under mydirection in conformance with Fthe Pro(essio u eyor' ct on G» 17 AV 5. Pd EUM Signed P.L.S. No. 4384 . 4384 aQ/ COUNTY SURVEYOR'S STATEMENT This Corner Record was received and examined and filed Signed Title County Surveyor's Comment P.L.S. or R.C.E. No. Page 1 oft 804412 Document Number SURVEY NOTES: ALL DATA SHOWN HEREON IS MEASURED & RECORD PER R1 INDICATES RECORD OR CALC'D FROM RECORD PER RECORD RI OF SURVEY No, 99-1044, R.S.B. 195/10-16. • FOUND 1" IP & TAG STAMPED 'RCE 21687' PER R1. ° Off, FOUND LEAD & TAG STAMPED 'RCE 21687' as h0 PER R1. ti� No FOUND WELL MONUMENT WITH 2" BRASS CAP STAMPED 'RCE 21687' PER R1, 0 SEARCHED, FOUND NOTHING. SET 3/4" IP & TAG STAMPED 'LS 4384'. SEARCHED, FOUND NOTHING, ❑ SET LEAD & TAG STAMPED 'LS 4384', q FLUSH IN CONCRETE DRIVEWAY. c� 2013 - V / rr- r r co n o o- a SCALE: 1 "=50' /Oo \ i O \ \ ro m { o N --19 -- E \ - JRodial \ 77 r � I� 1� m N o, . ti '• PARCEL 5 `?o Off/ o�o; LLA No. 2001-001\ wo pE ; INST. No. 20010242602 O.R. N �v0 2of2 `\\ JN CITY OF NEWPORT BEACH P.O. Box 1768, Newport Beach, CA 92658-8915 SETBACKS AND TOP OF SLAB/ FLOOR ELEVATION CERTIFICATE The purpose of this Certification 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 buildings 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. Engineer/Surveyor's Name: Olav S. Meum License #: 4384 Engineer/Surveyor's Address: 139 Avenida Navarro/ San Clemente, CA 92672 Job Address: 15 Troon Newport Beach CA Setbacks: Sketch a site plan and specify surveyed setbacks (use back page) • Top of slab/floor elevation: 223.50 feet • 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 0 are ❑ are not per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) 0 is ❑ is not per City approved drawings. Describe any deviations from plans: OLAV S. F� MEUM p J A 12-18-13 N N0.4384 Date 9TF OF CAS tF�Engineer/Surveyor's stamp and signature �. OSM/Vm 14412ffc 3300 Newport Boulevard, Newport Beach No forms or stringline�l l PARCEL fi l E 126.33'� l 111ine, S For—Forms223.50 F. F.A�r PARCEL 5 R.S.B. 195/10-16 ' z—Forms line k Rebar line 4" inside of bldg, line Rebar line 4" inside of� bldg. line i i i No forms or line i i i stringline- � \ Rebar line \ 4" inside of� bldg. line PARCEL 4 4 Y0.0 SCALE: l' --JO' CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 09-10-18 CNB Inspector Name: CNB Permit #: Building Owner Name: Phlll Talleur Owners Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Neno Grguric neno@structureseng.com 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes 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. ocuments;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 09-10-18 51 AMP UV 51 KUU I UKAL Ut35E11VER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FormsV trod mlObservation eport&Iv coons FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Exterior plywood of Shear wpil 0 nrifilinp q-1 09-10-18 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ® Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: M 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. 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. ocuments;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 09-10-18 51 AMP UV 51 KUU I UKAL Ut35E11VER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FormsV trod mlObservation eport&Iv coons CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 01-26-18 CNB Inspector Name: CNB Permit #: Building Owner Name: Phlll Talleur Owner's Mailing address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License/ Reg. #: Jordan Crugnale jordan@structureseng.com 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aonlicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Flcior/Roop INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams Vwood or Manuf. Shear Panels ❑ Masonry Vwood All Shear walls and framing 01-26-18 ❑ Other: ❑Other: ❑ Other: ❑ Other: t/ COMMENTS/EXCLUSIONS Shear and framing structurally approved. Exclusion: One side (exterior) plywood shear wall gridline 3-1 at bath 5 not installed, pending inspection. ❑ 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. 01-26-18 -ORD DATE No. 59487 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FormssSwcmmlObservationReport@Ins W ctions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING IDIVISION 3300 Newport Boulevard l P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit#: INDICATE LOCATION(S) OBSERVED 02-26-15- Conventional Footings & slab ❑ Concrete Building Owner Name: Phill Talleur Owners Mailing address (if different from site); Owner's Telephone #: CNB Plan Check#: Full Name of Structural Observer (SO): SO email Address: SO. Telephone#: SO License / Reg. Jordan Crugnale jordan@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL FLFMFNTS Awn nnNNFeTtnNs nRSFRVFn 1nhnme nr,nrrsr,Ie t,....e�t FOUNDATIONS. SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVEDvo—. Conventional Footings & slab ❑ Concrete ❑ Steel ❑ Concrete (N) Fire place FTG. Reinf. Great Rm. & Music Rm. 02-26-15 ❑ 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: Pipes through footings observedand locations approved. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL. OBSERVATION REPORT: The structure generally complies with the. approved construction documents,: and all observed deficiencies were corrected. Ideclare that the following statements are true tothe 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 Divisioo/n�� 02-26-15 �p`vc1000FE3s — a`rj ta0 Glp�4''l�, m No. 59487 M Exp. 12-31.15. OF CALIF STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. rorms Smmiumlob ervulim,Repon&rnslrntlions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.aov 1 (949) 644-3200 Structural Observation Report ProjectAddress: 15 Troon Dr Report date: 12-08-14 CNB Inspector Name: CNB Permit #: Building Owner Name: Phill Talleur Owner's Mailing address (if different from site): Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License! Reg. Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED tcheck annlicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE. LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footin s & Slab ❑ Concrete ❑ Steel ❑ Concrete Plywood sheathing on top of Sports Court metal roof 12-08-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck deck. ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry )r Wood ❑ Other: ❑ Other: ❑Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE. APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. 0 REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally:complies with the approved construction documents, and allobserved deficiencieswere 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 Divi ' nn. , V / l/ v 12-08-14 No. 59487 EXP. 1231.75 OF STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Formsl5ttududOb:ervaVonRema&Ingmuiom EPo ` CITY OF NEWPORT BEACH ' COMMUNITY DEVELOPMENT DEPARTMENT z =' BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.gov 1(949)644-3200 Structural Observation Report Project Address: 15. Troon Dr Report date: CNB Inspector Name: CNB Permit #.' INDICATE LOCATION(S) OBSERVED 9-29-14 ❑ Conventional Footings & Slab ❑ Concrete Building Owner Name' Phill Talleur Ovmer's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #. Full Name: of Structural Observer (SO): SO email Address: SO Telephone #: SO License/ Reg. #: Erik Gibbs erik@structuresinc.biz 949-715.-0775 59487 ; PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES 'DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE r. OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Metal deck Diaphragm aboV Sports Gru irt and mPtRI rnnf 9-23-14 ❑ Mat Foundation, Prestressed. Concrete. ❑ Masonry ❑ Concrete X Steel Deck taming at gyri. ❑ :Caissons, Piles, Grade. Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry 11 Wood ❑ Other: < ❑ Other: ❑ Other: ❑ Other. ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. 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 licenseddesign professional retained by the owner to be in responsible �yROt-ES3/per charge of the structural observation; ,�,a�` a:� GRGG��; 2 I, or another licensed design professional whom I havedesignated above and is under myresponsible charge, have performedthe requiredsite visits at each significant W P m construction stage to verifythat the structure is in general conformance with the No. 59487 approved construction documents; : Exp. 12,31-13 3 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systemsby the City of Newport Beach, Building Dlvlsio; n.OF��Ct;U�i 9-29-14 STAMP OF STRUCTURAL OBSERVER SIGNATURE OF RUCTURA ` ERVER'OF RECORD ' DATE STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY' AUTHORIZED: EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\SttutturalObserveuonRepon&Wvuctiou CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 6-13-14 CNB Inspector Name: CNB Permit#: Building Owner Name: Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Phill Talleur ❑ Concrete Plywood roof sheathing 8-1-14 Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Jordan Cru nate jordan@structuresinc.biz 949-715-0775 59487 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 Plywood roof sheathing 8-1-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck and the low roof around the ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry Wood ame Room. ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ 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 8-1-14 DATE 4Q�OPGOGRo n Z � m No.59487 m Exp. 12-31.15 .A.. y CMI reQF CALIF STAMP OF STRUCTURAL OBSERVER CTRI ICTI IRAI r1RCFR11ATIr1N nr}FC NOTWAR1F ANV RFOI IIRFMFNTC FOR Rim nimr INCPFr..Tim RV AI ITHMUM FMPI nVFFS nF THF CITY OF NEWPORT BEACH Forms\StmourMObsemdtlevRepon&Innruct,ons CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.00v (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: FRAMES 7-8-14 INDICATE LOCATION(S) OBSERVED DATE OBSERVED Building Owner Name: Phil] Talleur Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check M Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes 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 7-8-14 No 59487 EXP, 92-31-15 `P�g CIVIt- �OF CALIFOR STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmaur ObservntionRepon&lnstrunions FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Metal deck diaphragm garnpornnnr,7-8-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete Steel Deck Woob i)fAP0PlA,&M'1 'PECK d MONr of IAS. ❑ 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: None. ❑ 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 7-8-14 No 59487 EXP, 92-31-15 `P�g CIVIt- �OF CALIFOR STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmaur ObservntionRepon&lnstrunions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: INDICATE LOCATION(S) OBSERVED 6-13-14 ❑ Conventional Footings & Slab ❑ Concrete Building Owner Name: Phil] Talleur Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg.V: Erik Gibbs erik@structuresinc.biz 49-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoialicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete Exterior wood shear walls 6-13-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ 'Caissons, Piles, Grade Beams IXWood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: , None. ❑ 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 6-13-14 PROFESS, �a0 G'yo— y,9� o_ f po' 59487 •, 31-15 0 I T ®\OFCALIFOR�\� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Fours\Stmnora ObsewationRe ft&Instructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - - 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: INDICATE LOCATION(S) OBSERVED 5-30-14 ❑ Conventional Footings & Slab ❑ Concrete Building Owner Name: Owners Mailing address (if different from site); Owner's Telephone #: CNB Plan Cheek* Larry Talleur ❑ Masonry ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 Roof plywood diaphragm above 5-30-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck CL ❑ 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: None. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. 1 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 5-30-14 DATE No. 59487 Exp. 12-31-15 `PT CIVIL �P OF CALIF STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Strmtura Ob ervationRep a&Instmetions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.pov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 5-15-14 CNB Inspector Name: CNB Permit M Building Owner Name: Owner's Mailing address (if different from site); Owner's Telephone M CNB Plan Cheek* Larry Talleur ❑ Concrete Floor plywood diapbraom above anrnqp 5-15-14 Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. M Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 Floor plywood diapbraom above anrnqp 5-15-14 ❑ 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: None. ❑ 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. 5-15-14 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmcture OMervationReport&Imvuctiom CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.gov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit#: INDICATE LOCATION(S) OBSERVED 5-12-14 ❑ Conventional Footings & Slabrai ❑ Concrete Building Owner Name: Larry Talleur Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED Icheck annlicahle boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slabrai ❑ Concrete ❑ Steel ❑ Concrete High roof plywood Sit i n/I 5-12-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck patg-FLr ❑ 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: None. ❑ 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. 5-12-14 OF No. 59487 12.31.18 . d'T,q ClV11. �P �CFCALIPH STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\StrvcturWObservetionReport&Instructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 4-29-14 CNB Inspector Name: CNB Permit#: Building Owner Name: Larry Talleur Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 UMU wall rein orcemen sorts court (final lift) 4-29-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: XITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ 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: f. 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 No. 59487 Exp. 12-31-15 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Panns\9mduralUbxnw�iunRepun&Imm,ciiuns CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.ctov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 4-17-14 CNB Inspector Name: CNB Permit #: Building Owner Name: Owners Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Larry Talleur ❑ Concrete CMU wall reinforcement @ 4-17-14 Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License I Reg. #: Erik Gibbs erik@structuresinc.biz 49-715-0775 59487 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 CMU wall reinforcement @ 4-17-14 ❑ Mat Foundation, Prestressed Concrete Masonry ❑ Concrete ❑ Steel Deck ports court 47N LIF7 L/'1Ck6' Cable ❑ 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: None. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. 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 systerps by the City of Newport Beach, Building Division. 4-17-14 DATE No. 59487 Exp. 1231-15 OF CALIfO�� STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo,ms\StmvturalObservationReport&Irmtructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.aov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report dale: 4-14-14 CNB Inspector Name: CNB Permit#: Building Owner Name: Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Larry Talleur ❑ Concrete CMU wall reinforcement @ 4-14-14 Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 CMU wall reinforcement @ 4-14-14 ❑ Mat Foundation, Prestressed Concrete Masonry ❑ Concrete '❑ Steel Deck garage and sports court ❑ 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: None. ❑ 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 No. 59487 Exp. 12-31.15 4-14-14 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmcmral06servatiovRepon@Insuuaio� CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 4-9-14 CNB Inspector Name: CNB Permit#: Building Owner Name: Owner's Mailing address (if different from site); Owners Telephone #: CNB Plan Check #: Larry Talleur ❑ Concrete CMU wall reinforcement @ 4-9-14 Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. M Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 CMU wall reinforcement @ 4-9-14 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck kitchen, garage and sports court ❑ 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: None. ❑ 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 QgOFESS/p No. 59487 Exp. 12.31.15 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Struouml0bse ationRep n&Instructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: INDICATE LOCATION(S) OBSERVED 4-4-14 ❑ Conventional Footings &Slabnd ❑ Concrete Building Owner Name: Larry Talleur Owner's Mailing address (if different from site); Owner's Telephone M CNB Plan Check#: Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 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 &Slabnd ❑ Concrete ❑ Steel ❑ Concrete Lift for CMU walls @ 4-4-14 El Mat Foundation, Prestressed Concrete Masonry ❑ Concrete ❑ Steel Deck Game room, kitchen and apedsWoriln ae . ❑ Caissons, Piles, Grade Beams O Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood 1st lift for CMU walls at ❑ Other: ❑ Other: ❑ Other: ❑ Other: S ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ REPORT CONTINUED ON ATTACHED PAGE$. ❑ 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: 7. 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 4-4-14 DATE IV 0-59487 EXP. 12-3f-85 Cq OR% STAMP OF STRUCTURAL OBSERVER DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. F..m S.0., Obswvion ,a&I,w. ow. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: INDICATE LOCATION(S) OBSERVED 3-27-14 ❑ Conventional Footings & Slab ❑ Concrete Building Owner Name: Owners Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Larry Talleur Masonry ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License I Reg. #: Erik Gibbs erik@structuresinc.biz 49-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloodRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete 2" CMU @ game room 3-27-14 ❑ Mat Foundation, Prestressed Concrete Masonry ❑ Concrete ❑ Steel Deck kitchen 2" CMU sorts cou ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood t<„ ❑ Other: ❑ Other: ❑ Other: ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ 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 3-27-13 No. 59487 Exp. 12,31.15 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\StmeturdObservmi.nReIO Instructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.,qov (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit#: INDICATE LOCATION(S) OBSERVED 3-18-14 ❑ Conventional Footings & Slab ❑ Concrete Building Owner Name: Owner's Mailing address (if different from site); Owners Telephone #: CNB Plan Check #: Larry Talleur ❑ Masonry ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License / Reg. M Neno Grguric neno@structuresinc.biz 949-715-0775 59487 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 Floor framing and sheathing ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck @ breakfast, great room, dining,music bed 5 and 3-18-14 ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry Wood t bath 5 ❑ Other: ❑ Other: ❑ Other: ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ 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 f' 3- OBSERVER OF RECORD DATE No. 59487 Exp. 1231.15 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmdura ObservationReWa&Instructions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard ( P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.Dov 1(949)644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: CNB Inspector Name: CNB Permit#: INDICATE LOCATIONS) OBSERVED 1-13-14 Conventional Footings& Slab ❑ Concrete Building Owner Name: Owner's Mailing address (if different from site); Owner's Telephone #: CNB Plan Check #: Larry Talleur ❑ Masonry ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License I Reg. #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATIONS) OBSERVED DATE OBSERVED Conventional Footings& Slab ❑ Concrete El Steel ❑ Concrete Slab on grade @ Gameroom 1-13-14 ❑ 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: None. ❑ 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 OBSERVER STAMP OF STRUCTURAL OB5ERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stmoura ObsemationRewa&Instructions CITY OF NEWPORT BEACH F� COMMUNITY DEVELOPMENT DEPARTMENT >� BUILDING DIVISION 'gC�F01tN�.:.3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 9265f ' www.newDortbeachca:gov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Dr Report date: 1-6-14 CNB I Inspector. Name: CNB Permit#: Building Owner Name: wnOer's Mailing address (if different Bomsite); Owner's Telephone#: CNB Plan Check* Larry Talleur ❑ Concrete Slab on grade @ .breakfast, 1-6-14 Full Name of Structural Observer (SO): SO email Address: - SO Telephone #i SO License/ Reg. M. Erik Gibbs erik structuresinc.biz 949-715-0775 59487 - 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 Slab on grade @ .breakfast, 1-6-14 ❑ Mat Foundation, ' Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck great Tm, stairs &-bath5 ❑ 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: None. rCO3 ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL&TRUCTURALOBSERVATION REPORT: o efruetma nanerally romolies. with the aeeroved 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 conformancewith 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 ' ORD DATE SIGNATURE OF STRU OBSERVE O STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Form Stmc [ObSM4tioNi ft&lnst—lwns ok �4Ae CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION .3300 Newport Boulevard. IP.O. Box 1768 1 Newport Beach, GA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: lS Troon Dr Report date: CNB Inspector Name: CNB Permit#. INDICATELOCATION(S) OBSERVED 12-16-13 j�Conventional Footin s&Slab El Concrete Building Owner Name: Larry Talleur Owner's Mailing address (if different from site) Owner's Telephone #. CNB Plan Check # Full Name of Structural Observer (SO):. SO email Address: SO Telephone #: SO License / Reg #: Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes' FOUNDATIONS `. SHEAR WALLS : FRAMES DIAPHRAGMS (Floor/Roof) INDICATELOCATION(S) OBSERVED DATE OBSERVED j�Conventional Footin s&Slab El Concrete El Steel ❑ Concrete Remainin footin as 12-13-13 El Mat Foundation, Prestressed Concrete ❑ Masonry 11 Concrete ❑ Steel Deck and grade beams. X Cg11eso s pgeS� , Grade Beams. ❑ Wood orManuf. Shear Panels ❑ Masonry El Wood 11 Other: ❑ Other. ❑ Other: 11 Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: None. 171 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 /QROF p charge of the structural observation; ��Q O GRO!F 2. 1, or another licensed design professional whom I have designated above and Is under - �`6 &'q 2c, my responsible charge, have performed .the required site visits at each significant �O m construction stage to verify that the structure is in general conformance with the approved construction documents; No. 59487 A \ 3:. I understand that all deficiencies which I have documented must be corrected, prior to EXPA2.31.13 final acceptance of the structural systems by the City of Newport Beach Building sr CIVi� �4 Division. �rF OF CALoF STAMP OF: STRUCTURAL OBSERVER SIGNATURE OF STRUC OBSERVER OF RECORD DATE STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo�mslSlrvaualObservatioMeport@InstrucuoN r_. CITY OF NEWPORT BEACH 4 �E,W PORT COMMUNITY DEVELOPMENT DEPARTMENT �?1 BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newoortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address 15 Troon Dr Report date: CNB Inspector Name: CNB Permit #: INDICATE LOCATION($): OBSERVED 11-12-13 Nf Conventional Footings & slab ❑ Concrete Building Owner Name: Larry Talleur Owners Mailing address (if different from site); Owner's Telephone :#: CNB Plan Check #'. Full Name of Structural Observer (SO)[ ; SO email Address: SO Telephone M SO License / Reg; Erik Gibbs erik@structuresinc.biz 949-715-0775 59487 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS I— SHEAR WALLS FRAMES DIAPHRAGMS I...(Floor/Roof) INDICATE LOCATION($): OBSERVED DATE.: OBSERVED. Nf Conventional Footings & slab ❑ Concrete ❑ Steel ❑ Concrete See Attached plan 11-8-13 ❑ Mat Foundation, ❑ Masonry - 13 Concrete ❑ .Steel Deck' Prestressed Concrete. ❑ Caissons, Piles, ❑ Wood or Manuf. ❑ Masonry. ❑ Wood 'Grade. Beams Shear Panels O Other: ❑ Other:': ❑ Other ❑ Other ❑ ITEMS CHECKED ABOVE ARE APPROVED. AND WITHOUT DEFICIENCIES. i OBSERVED DEFICIENCIES AND COMMENTS: None. ❑ REPORT CONTINUED ON ATTACHED PAGES. 0 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 QROFESg/O O GRG &'<c: ti� �� G� Zc c� �' �4' 2 I` w No. 59487 \y� Exp.72.31-13 final acceptance of the structural systems. by the City of Newport Beach, Building Divisi d'T C1Vt� �P Y2f0FCALI � STAMP OF.STRUCTURAL OBSERVER SIGNATURE O STRUCTU SERVER OF ECORD DATE STRUCTURAL OBSERVATION DOES NOT WAIVE ANY` REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZEDEMPLOYEES OF THE CITY OF NEWPORT BEACH. For \Shunuwol ervalimReport&Luhuchons CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: s Report date: CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing address (If different from site); Owner's Telephone M CNB Plan Check #: T � ❑ Concrete bRtD/.tNcs% ", -.6- �'7-1 oN SN�ET 5 n� Full Name of Structural Observer (SO): SO email Address: SO Telephone #: SO License I Reg. ERIK 03f�S -7)5-0773 ❑ Wood or Manuf. Shear Panels PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventional Footin s&Slab ❑ Concrete ❑ Steel ❑ Concrete bRtD/.tNcs% ", -.6- �'7-1 oN SN�ET 5 n� ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: Cl Other: ❑Other: ❑ 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. 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, AI WrKIA IRP' nE STRI ICTI R S RPvrP n1 RECORD DATE STRUCTURAL Fariv�5,mdueilObeervationRepon&Imrunions OQROFESS/0 �0 GROG 2� /0 m\ L � No. 59487 A �\ Ex 12-31-13 ,\sT� CrVI� �•P/` \FCF CALIFOF:% STAMP OF STRUCTURAL OBSERVER ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. �EWP°Rr... CITY OF NEWPORT BEACH O '' Lv i COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION cq�,FORN`P ` 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca oov 1 (949) 644-3200 Structural Observation Report Project Address: 15 Troon Drive Report date: CNB Inspector Name: CNB Permit#: checx applicable 10-25-13 INDICATE LOCATIONS) OBSERVED Exterior & interior ad footings throughout. See attached highlighted DATE OBSERVED 10-25-13 Building Owner Name: Owner's Mailing address (if different from sfte); Owner's Telephone M. CNB Plan Check #: Phill Talleur X ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. Full Name of Structural Observer (SO): Erik Glbbs SO email Address: SO Tele hone #: SO License / Reg. #: erik@structurersinc.biz 949-%15-0775 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION FOUNDATIONS Conventional Footin s & Slab ❑ Mat Foundation, Prestressed Concrete ❑ Caissons, Piles, Grade Beams SHEAR WALLS ❑ Concrete ❑ Masonry ❑ Wood or Manuf Shear Panels FRAMES ❑ Steel ❑ Concrete ❑ Masonry S OBSERVED DIAPHRAGMS (Floor/Roof) ❑ Concrete ❑ Steel Deck ❑ Wood checx applicable boxes INDICATE LOCATIONS) OBSERVED Exterior & interior ad footings throughout. See attached highlighted DATE OBSERVED 10-25-13 ❑ Other: 1 ❑ Other: ❑Other. ❑Other: X ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. E3 OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the aooroved constru&inn 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. e No. 99487 Exp. 12-31.13 ../vI P OP CAOIF "" STAMP OF STRt1CTHRAI m XUc IUr LUa LRVATIUN DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORIZED EMPLOYEES OF THE CITYOF NEWPORT BEACH. Pomu4Svucn„elobae,velioMeport&rnnrvcnons 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: Report Date: CNB Inspector Name: CNB Permit#: ' 16 TROON D P, DATE OBSERVED. Conventional Footin s&Slab ❑ Concrete Building Owner Name: Owner's Mailing Address (if different from site), Owner's Telephone #: CNB Plan Check #: ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck Full Name of Structural Observer (SO):, SO E-mail Address: SO Telephone M SO License I Reg. ik C Gi,nE erlKO, STror- UN 1( .�) �. PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED. Conventional Footin s&Slab ❑ Concrete ❑ Steel ❑ Concrete 1_7. PAL) LODTI 1G 0 -Ji -13'. ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck SEE f -TTAC 0 C 0 ❑ Caissons, Piles,: Grade Beams ❑ Wood orManuf. Shear Panels ❑ Masonry ❑ Wood .�) �. ❑ Other. > ❑Other` ❑ Other: ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. 0 OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON. ATTACHED' PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the proved 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; oFROFESSlO, 2 I, or another licensed design professional whom I have designated above and is under h�Q`'� �0 GRG& <� my responsible charge, have performed the required site visits at each significant y = c construction stage to verify that the structure is in general conformance with the approved construction documents;No. sgasr z a 1 understand that all deficiencies which I have documented must be corrected, prior to Exp.12-31-13 final acceptance of the structural systems by the City of Newport Beach, Building Division. sp cin, r /% ° / \ grFOF CALlFO�a `� !0 7- 203 STAMP OF STRUCTURAL OBSERVER TVUE OF STRUCTURA ERVER OFRECORD. , DATE STRUCTURAL OBSERVATION DOESNOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORVED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo=%Swctwaomb avooR opt&W cmrte CITY OF NEWPORT BEACH BUILDING HEIGHT CERTIFICATION 3300 Newport Blvd. P.O. Box 1768, Newport Beach, CA 92658-8915 (949)644-3275 BUILDING HEIGHT CERTIFICATION Project Street Address: 15 Troon Drive. Newport Beach CA As the surveyor of record for the above project, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topography 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 ridge and midspan elevation indicated on the approved plan. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to building inspector before roof framing insnection_ Benchmark is based on: Q NAVD88 ❑ NGVD29 ❑ Assumed Ridge over Mud Room Allowable overall elevation above the benchmark of: 222.65' is: 30.87' Actual overall height above the benclunark as measured, is: 29.68' Allowable midspan elevation above the benchmark of: n/a is: n/a Actual midspan elevation above the benchmark is: n/a I certify that the above height measurements are correct and the above project: ✓❑ IS in compliance with the City -approved plans ❑ IS NOT in compliance with the City -approved plans (Provide explanation) LAND (00. �P. Please describe any deviation form the City -approved plan on the back of this fonnr�0 Fo t40-8682 June 2, 2014 Date Pagel Surveyor or Civil Engineer's signature and (Wet stamp and signature are required) VM/VM 14412n,c Ridee over kitchen Allowable overall elevation above the benchmark of 222.65' is: 31.45' Actual overall height above the benclunark as measured, is: 30.23' Allowable midspan elevation above the benclunark of: n/a is: n/a Actual midspan elevation above the benchmark is: n/a Ridge over great room: Allowable overall elevation above the benclunark of: 222.65' is: 30.62' Actual overall height above the benchmark as measured, is: 29.46' Allowable nnidspan elevation above the benclunark of n/a is: n/a Actual midspan elevation above the benchmark is: n/a Ridee over circular stairs Allowable overall elevation above the benchmark of: 222.65' is: 31.45' Actual overall height above the benchmark as measured, is: 30.44' Allowable midspan elevation above the benchmark of: n/a is: n/a Actual midspan elevation above the benchmark is: n/a Main ridge overgallery: Allowable overall elevation above the benchmark of: 222.65' is: 32.95' Actual overall height above the benchmark as measured, is: 31.54' Allowable midspan elevation above the benclunark of n/a is: n/a Actual midspan elevation above the benclunark is: n/a Main ridge over music room: Allowable overall elevation above the benchmark of: 222.65' is: 31.28' Actual overall height above the benchmark as measured, is: 30.41' Allowable midspan elevation above the benchmark of: n/a is: n/a Actual midspan elevation above the benclunark is: n/a Main ridge over bedroom 5: Allowable overall elevation above the benchmark o£ 222.65' is: 31.45' Actual overall height above the benclunark as measured, is: 30.42' Allowable midspan elevation above the benclunark of n/a is: n/a Actual midspan elevation above the benclunark is: n/a Page 12 i i_ } e // air% ^..,,.. a� fit WIW o _ ?it t uPf trjrj±i r lr.w III Jill V N rl� D_ Ta Ile ur Residence .r�i {,;1 qtr q�= = O a # 15 Troon Drive ',}4�i1'71}i{r y 2q} D y� N F8 Newport Beach •California • 92660 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) 844-3200 FIRE SPRINKLER NFPA 13D SYSTEM ROUGH INSPECTION CHECKLIST 1. Riser Construction and Location AgProyal a. Drain valve b. Backflow device (single check) c. Bell activation device d. Inspector's test valve e. Riser sized per approved plans 2. Pressure Test a_ System tested at operating pressure for 2 hours b. Pressure gauge installed 3. Sorinkler Heads shall not be installed in the fittings odor to the fittings being cemented in place (temocrary test olucs) a. Installation and spacing of temporary test plugs 4. Pi in a. Material installed per plan b. Hangers per codes/prevent upward movement c. All CPVC piping shall be installed by persons who have been certified by the manufacturer for installation of CPVC piping d. Piping protected from damage 5. Bell a. Wiring installed per code b. Boxes installed at proper locations NO NOTE: CPVC plastic pipe In the garage shall not be exposed. Sprinklers that are listed as "Quick Response" or'Residential' must be used. CORRECTIONS AND FIRE SPRINKLER NFPA 131) SYSTEM ROUGH INSPECTION APPROVE/Dr' / 1 PERMIT#: BY: ) DATE:�� Fares\Fm Sprinkler NFPA 1 05ys m -Rough nspec on Chmklun 05/12/2015 wP°� CITY OF NEWPORT BEACH 'n COMMfUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CAYft04� 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-8915 www.newportheachca.gov 1(949) 6443200 SYSTEMS: 10. Clearances around sprinkler heads and riser- no obstructions ❑ 11. Operating pressure gauge installed at riser showing proper water pressure ❑ 12. Back flow preventer installed ❑ 13. System installed per manufacturers specifications ❑ NOTES: FIRE SPRINKLER NFPA 13D SYSTEM FINAL APPROVED: PERMIT#. 2Ol T Q BY: DATE: / 0 r? /L FIRE SPRINKLER NFPA 13D SYSTEM FINAL CHECKLIST (RESIDENTIAL) YES NO 1. Water meter proper size ❑ 2. Fre sprinkler system installed per the approved plans ❑ 3. All construction covers removedfrom sprinkler heads ❑ 4. Cover plates are NOT to be installed, but shall be available on the jobsite ❑ 5. All tape and paint removed from sprinkler heads ❑ 6. Finish trim installed around sprinkler heads ❑ 7. Proper signage posted at all required locations ❑ 8. Flow test conducted and bell tested ❑ 9. Location of inspector's testing valve in approved location I I ❑ SYSTEMS: 10. Clearances around sprinkler heads and riser- no obstructions ❑ 11. Operating pressure gauge installed at riser showing proper water pressure ❑ 12. Back flow preventer installed ❑ 13. System installed per manufacturers specifications ❑ NOTES: FIRE SPRINKLER NFPA 13D SYSTEM FINAL APPROVED: PERMIT#. 2Ol T Q BY: DATE: / 0 r? /L COAST GEOTECHNICAL, INC. 1200 West Commonwealth, Fullerton, CA 92833 • Ph: (714) 870-1211 • Fac: (714) 370-1222 • email: coastgeotee,@1sbeglobal.net March 9, 2022 W.O. 405310-10 Mr. Phil Talleur RLLTF Trust P.O. Box 1369 Ontario, CA 91762 Subject: Final Soils Report for New Residence at 15 Troon Drive, Newport Beach, California Dear Mr. Talleur: In accordance with your request, this final soils report has been prepared to address geotechnical observations and testing performed since completion of rough grading. This report addresses requested observations and testing. Copies of our daily reports are maintained in our files. FOUNDATION EXCAVATIONS Foundation excavations for the residence were observed on November 27, 2013. Two fire place footings were observed on February 17, 2015. The footing excavation for part of the eastern property line wall was observed on October 26, 2015. The entry gate footing in front of garage area was observed on September 20, 2018. The front entry column pad footings were observed on June 30, 2020. The front site wall footings were observed on July 20, 2020 and August 21, 2020. The front stairwell entry was observed on August 26, 2020. The footings excavations were found to be acceptable at the time of our final observation. INTERIOR SLAB SUBGRADE AND TRENCH BACKFILLS The interior slab subgrade and trench backfills for the residence were observed on December 13, 18, and 20, 2013. Probing and testing of the interior residential slab area indicated acceptable geotechnical conditions for support of the proposed slab. POOL AND DIVING PLATFORM FOUNDATION The pool bottom was observed on November 9, 2020. The excavation was founded in competent existing soil and is acceptable for its intended use. The diving platform foundation consisted of four 30 inch diameter piles, drilled 32 feet deep from existing grade. The slide foundation consisted of two 36 inch diameter piles drilled to 11 feet deep COAST GEOTECHNICAL, INC. Mr. Talluer z W. 0.405310-10 Final Soils Report March 9 2022 measured from existing grade. The excavation of the piles was observed on May 10, 2021. The excavations and piles were found to be acceptable at the time of our final observations. HARDSCAPE The partial eastern and southern side walkway subgrade area next to garage and sports court was observed on April 28 and May 25, 2017. The driveway/garage entry subgrade was observed on November 21, 2019. The curb and gutter subgrade in front of the driveway was observed on January 16, 2020. The front entry stairwell subgrade was observed on August 26, 2020. The logia subgrade was observed on October 2, 2020 and December 15, 2021. The rear patio/walkway subgrade around the pool and along the southern side of the house was observed from December 10, 2021 through January 24, 2022. The pool equipment area subgrade was observed on March 4, 2022. Probing and testing of the exterior hardscape areas indicated acceptable geotechnical conditions for support of the proposed hardscape. OPINION It is opinion of COAST GEOTECHNICAL, INC. that the summarized geotechnical conditions approved by this office are in compliance with approved geotechnical reports and Newport Beach building codes. The final grades appear to conform to approved plans. We appreciate this opportunity to be of service to you. Respectfully Submitted: COAST GEOTECHNICAL, INC. Ming-Tarrig Chen RCE 54011 No. 54011 Exp. 12/31/23 COAST GEOTECHNICAL, INC. Mr. Talluer 3 W. 0.405310-10 Final Soils Report March 9 2022 References 1. Geotechnical Engineering Investigation, Proposed New Residence, 15 Troon Drive, Newport Beach, California; by COAST GEOTECE[NICAL, W.O. 4053 10-01, dated October 1, 2010. 2. Update of Existing Geotechnical Report for 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-02, dated January 21, 2013. 3. Bottomless Trench Drains for 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-03, dated March 29, 2013. 4. Rough Grade Compaction Report, 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-04, dated August 29, 2013. 5. Opinion Report, Water Intrusion at 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-05, dated May 17, 2019. 6. Monitoring Well Installation at 15 Troon Drive, Newport Beach, California; by COAST GEOTECFMCAL, W.O. 405310-06, dated October 15, 2019. 7. Monitoring Well #2 Installation at 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-07, dated December 17, 2019. 8. Foundation Recommendations for Proposed Pool Diving Platform at 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-08, dated May 12, 2020. 9. Response to Geotechnical Report Review Checklist for Proposed Pool, Diving Platform and Slide at 15 Troon Drive, Newport Beach, California; by COAST GEOTECHNICAL, W.O. 405310-09, dated December 14, 2020. 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.newportbeachce.gov 1 (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: Toal Engineering, Inc. 139 Avenida Navarro San Clemente, CA 92672 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: 3/28/2022 GPC No.: 0297-2013 Tract/Subdivision/Lot No.: Rough: _Final: _2L Project Names: 15 Troon Dr., Newport Beach, CA Owner/Developer: Phillip Talleur Type of Project: Notes: _ Tract: _ Drainage Single Family Residence _ Commercial X Other Industrial Yardage for Project: Notes: 375 Cut: 0 Borrow: 40 Fill: 335 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: X in conformance with, -----------------------with--the-following -shanges4e the approved grading plan. Description of Changes: Q N M Company: Toal Engineering, Inc. w No. 57587 Name: Caleb Rios (pent) CAS License No.: 57587 RCE (RCE/LS) Forma\elvll Engmeera Gertlflcatlon Form 9-13' 14412fg. CITY OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.1 P.O. Box 1768 Newport Beach, CA 92658 www.newportbeachca.aov (949) 644-3200 E ALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: 16—W'bf® Y J'6- PERMIT NO.: )(2,6VS—oq gy 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) IJ Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) Ee VOC Contents Limitation Cd' Formaldehyde Emissions Limitation ®' T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) 2" T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) 2"' Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) I 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 • 1 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: Resp nsi a Person's Si nature: Date Signed p e Pgs(tiop/Title � Notes,— Forms\CALGreen Documentation Compliance Cert Form 1-2017 Notice to the City of Newport Beach and Contractor/Owner Elevator Certified as "Safe to Operate" Contractor: RLLTF Trust Contract No: CA -213729 Address: 15 Troon Drive, Newport Beach, CA 92660 Elevator Type: E2 -H The Contractor/Owner is required to register this elevator as a structural component as outlined as per your local regulations. To assist with this registration process the following information is provided and should be included in the registration form, as provided by your local Department of Building and Safety or city office Permit / Plan # (if applicable): NA Weight Capacity: 882lbs Person Capacity: 4 Persons Traveling Speed 59fpm Class Residential This elevator complies with your local AHJ. Building Regulated Items as Noted by Elevator Contractor This certification is issued subject to a qualified person (where appropriate), provided by others, certifying that the building housing the subject elevator is in a satisfactory condition and built to manufacturers specifications. Implicit in this building certification is the acknowledgement that the safety of elevator users and or elevator workers is not compromised including the satisfaction of all Statutory Authority requirements. It is recommended that the elevator should not be placed into service until the building has been certified as outlined in items below. This includes the rectification of items as noted by the elevator certifier. The following list is provided as a service and does not cover all building related items because our competence in certification only relates to elevator technicalities. This plant is safe to operate subject to the items below: Certifier Name: Brian Endres CEO Signature: 4 W64 ko Date: 10/13/2021 Contractor/Owner Name: Signature: Date: California Sydney Melbourne Brisbane Perth 143 E16th Street 1/75 Coyish Circle 1/1 Belgium Avenue 4/300 Lullen Avenue East, 15/75 Robinson Costa Mesa, CA 92627 Eastgardens 2036 Richmond 3121 Eagle Farm Ayenue, Belmont P 02 9666 3939 P 03 94214222 P 07 3014 0633 P 08 94600666 �EWPoRT CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT u r BUILDING DIVISION c, � oRN P 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newportbeachca.gov 1 (949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: /6- Date:- 5 Date: to -rj— Permit #: X 2A13 — iAto i 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: ,2*Ae� fT. Curr-aln License No (if applicable) 163 9`973 w u 1;Tyo, E4 go Installer's Mailing Address: /�, Phone # (required): 7/4 727-82/6 Installers Email:J'!1�/i�el fLrMP404AA0401gQ9ozaof y FAX#: 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 2013 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 IDate 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. __21i Re rs Signature Date ��►��.... Ir.�a112a,1 � alniCe�.cA►vi Print Name Email 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 Community Development Department Building Division P. O. Box 1768 Newport Beach, CA 92658 FormslContmctor-OmerSelf-CertDeclaration-Plumbing Fixture Replacement 01/2720 Phone: (949) 718-1888 Fax #: (949) 644-3250