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HomeMy WebLinkAboutX2019-4035 - Misc (2)X U ICI - L-1 03 �; Sops i�00900 BWL4 w• i0o civic ► ! 9 i 9 S r PRE -GRADE MEE77NG AGREEMENT VA-M t n o zp dOB AwRw& yW161 c d L 1 1• � 9� P nrmberttrrtfds tg. li cornespondarum arid WE be rued to in as reports, am akagens Z slims a]RnERs FlibOrmw any Work ir being done cmdrmy m the provisions of the Bei3dtrrg O at or his a M W order the era(¢ C1tS V Su dY r wq Persorm In Se doing or eus6g sad►work to be dace and W such by trtfee eW wrifvfq sar►ed as any wlfnaffia Ahcft edbYtwCfd•f&a�ng.OW=Wia �°P h proceed vr�a the work & 1Tre stamped set of apprvvad pleas be onifa jab alte at all Sues. 4' LC93U"11199 OF MON�K In file comes of frdffllknB their respaquealffieg, the u9vrT enghwer, r. lbe-angimering geabgklf arthe testing 29WIt fonds that &S Coat is lot being done the P 9radng pdauts, the dlscepa►sies slaalf 60 y ®wrBlrg to .of the 9radh4 rrorh and to to Building ElfufsIbm for contras measures, ifnsca=wY. 2 d he submitted to ffica riding vivision fur appmvaL 5. When art or 024=t of sus is regrmed, heed routes to and from the site shag be approved by On try rM5c Engbu mw and haurM Proms shag be in accordance with Chapter 15 of to Newport Beach M Code � Cm4�mg me shall Best Managerueat Prae�fBti e$ S1 to Insure that 28 water quality fi Bc&mm October 1 and Apa 30. woman control Wp nammeas shag be m piece.: During the r�mder of the Yew dX season wind erosion B•ip's (dust Goatrolj shag be inp(dne�d, $e rt eurhol_tftp'i shall be . ems aoii '>siah �m23 aE' a-B—opeiaffo!!i shiner drum bde6 intmosl m the project p3t�s in conk", off-sife sediment tzc(rmg shag be fmpdemmbld anif Appropriate, MWPs to prevent won "of sfgrmwata fiver Construction actor's shad be nn . A "e mfber h%gend' action plan and the abilityto dgdoy Bi6P°s to protect aff eapused portions of the afhe within 48-hours when the NaGbrtil Wasiber Se vhx forecasts a 509E or greater dance Ofrahm. - F• rAll Ox hell tt�m ghoto a minim an of 90 percent mmpacfian as determined by ASTM test pra�iimry sods report 557 and approved by time sn8s enghrnaer, Compaeflon bats shag be PerformedaeeoNhrg in fine 10. Landscapheg of all slopes and pads shall be 4Q a=cmiaoea with 15.10.130 of the A MC 11_ Approved dMin2ge Provisions shag be used to PrObu:t adlolnirn3 Properties during the gradag ®peraff n CORNER RECORD Agencylndex Document Number City of NEWPORT BEACH County of , California Brief Legal Description LOT 20, BLOCK 3, MAP OF EAST NEWPORT, M.M. 3/37 CORNER TYPE ® Government Corner ❑ Meander ❑ Rancho ® Other Horizontal Datum / Zone Epoch Date / 6 — 6-1 - 20 Vertical Datum ❑ Complies with Public Resources Code §§8801-8819 ❑ Complies with Public Resources Code §§8890-8902 COORDINATES (Optional) E. Date of Survey ® Control ®X Property N. Elevation Units ® Metric ❑X U.S. Survey Foot PLS Act Ref.: ❑ 8765(d) ® 8771 ® 8773 ❑ Other: Corner/ ❑X Left as found ❑ Established ❑ Rebuilt ❑ Pre -Construction Monument: ❑Found and tagged ❑Reestablished ❑X Referenced ❑ Post -Construction Narrative of corner identified and monument as found, set, reset, replaced, or removed: ❑✓ See sheet #2 for description(s): SET 9' TIE TO THE NW CORNER OF LOT 20. SURVEYOR'S STATEMENT This Corner Record was prepared by me or under my direction in conformance with the ProfessioJr,al-L-affd Surveyor ct on /C) — / Z_ - Z(}zb Signed � P.L.S. orfi-C &. No. 8549 COUNTY SURVEYOR'S STATEMENT This Corner Record was received and examined and fled Signed Title County Surveyor's Comment P.L.S. or R.C.E. No. OPELSG-2016 Page i & 2 Index Nr (' 00 . j (.00'p ) 00 3nN�n e aN 7Sb 2 I 6p•0 a3,Eo.gy, ttN 1�1 Cu .6p•p� �.LeZ6,LLN O ^. Cu n oC M l) bp•073.6a Be, LLN 0) o Fc�s I ci O O (_00 0e) m' o �°LN ,or `��0� 3.5t.E �cD __E Lua2 0 0 1 ,3Q ci M O p C)M mIM O n)O O c u cv ZC13 -= Z 0 c 4 '•I W ca m m 0 LU a 0 z LL m0 W m m rNmm 3 In O 0 W I Q mw ONF Ln OO W U ir zcc Hm w3 Jm maw F--? O � m cn W J cc J om7 O N = d F=-m z�rn 0o ti c% O0 m LJL U- a Q LL JUN WX z j_ < ZdV mF- j 0 t" Z Z m Q¢ z F- m � ¢ LL U- w- zo NmmQ mW UUH V Luca Z Z Z X F=-W H H H XX BPELSG-2018 Pogo 2 of 2 consultants engineering geoterbnical applications CITY OF NEWPORT BEACH October 27, 2020 Building Department Project No. SM120.2 100 Civic Center Drive Newport Beach, CA 92660 Subject: COMPACTION REPORT FOR PLACEMENT OF FILL FOR PROPOSED LIVE/WORK (Mixed Use) DEVELOPMENT LOCATED AT 504 W. BALBOA BOULEVARD NEWPORT BEACH, CALIFORNIA City of Newport Beach Grading/Building Permit #: X2019-4035 Associated References: 1. "Geotechnical Investigation for Proposed Live/work (Mixed Use) Development Located at 504 W. Balboa Boulevard, Newport Beach, California," by EGA Consultants, Inc., dated July 8, 2018, 2. "Structural Plan, Live/Work Lofts, 504 W. Balboa Blvd., Newport Beach, CA," by Plan North Engineers, dated December 16, 2019, updated February 24, 2020. 3. 'Precise Grading Plan, 504 W. Balboa Blvd., Newport Beach, California," by Commercial Development Resources, dated February 24, 2020. 4. "Response to Geotechncial 2n' Review City Comments dated 1/29/20 for Proposed Live/Work (Mixed Use) Development Located at 504 W. Balboa Boulevard, Newport Beach, California," by EGA Consultants, Inc., dated March 4, 2020. To City Building/Grading Officials: In accordance with the City of Newport Beach building requirements, we are submitting this compaction report for the grading of the subject building pad. This report includes the test results performed at the subject lot during the placement of on -site soil material in the area of the proposed building pad. The site earthworks operations were performed by the sub- contractor, Tight Quarters, Inc. Excavation and grading of the subject lot commenced on September 16, 2020 and was complete by September 25, 2020. Prior to grading, temporary shoring was installed in accordance with the above referenced precise grading plan (see Reference 3 above). The pipe and board shoring was installed by Tight Quarters, Inc. and field -verified by EGA Consultants. To date, site grading included the removal of the upper 21/z feet of the old fill and native material, including 6 inches of scarification, located within the limits of the proposed building pad. The lot was roughly divided into front and rear halves; excavated, and recompacted to bring the entire lot to finished subgrade. One Kubota SVL 90-2 track loader was utilized for the purpose of compaction and grading control. On -site soils were moisture treated via a 2-inch diameter water hose during the grading process to bring the moisture content to near -optimum. For cohesion -treatment, 3 (three) pallets Portland Cement were blended into the newly -placed fill. Each pallet contains 40 bags dry mix, each weighing 94 pounds and approximately 1.33 cubic yards. Prior to the placement of fill, the excavation bottoms were inspected and approved by a Certified Engineering Geologist employed by EGA Consultants. The exposed surface was scarified, moisture conditioned and recompacted to a minimum of 90% relative compaction. Field density test results are tabulated on Table 1, Summary of Field Density Tests, 375-C Monte Vista Avenue - Costa Mesa, CA 92627 • (949) 642-9309 • FAX (949) 642-1290 All earthwork operations were performed under continuous observations by this firm and were performed in accordance with geotechnical specifications outlined in the soils report by EGA Consultants, Inc., dated July 8, 2018. The building pad was graded in accordance with the 2019 CBC and the City of Newport Beach Building standards and are approved for construction. Based on our continuous observations and testing, the subject and adjacent sites are not impacted by the site grading operations to date. This report includes the test results performed at the subject site during the placement of on - site soil material in the area of the proposed building pad. Additional observations and testing are required in areas to receive exterior improvements (driveway approach, flatwork, etc.) capillary break, and utility trench backfill. I certify that all rough grading work was done in compliance with the above -referenced Soils Report and the work complies with City of Newport Beach grading regulations. All soils values and geotechnical specifications outlined in the above -referenced soils report remain valid. This opportunity to be of service is appreciated. If you have any questions, please call. Very truly yours, EGA Consultants, Inc. DAVID A. WORTHINGTON CEG 2124 Principal Engineering Geologist cc: (1)Addressee (1) Sage Modern, Inc., Adn: Jon Somitch PAD CERTIFICATION REPORT: 504 W. Balboa Blvd., Newport Beach, CA Project No. SM120.2 October 27, 2020 David A. Worthington No. CEG2124 CERTIFIED"� ENGINEERING / TABLE 1 SUMMARY OF MOISTURE DENSITY RELATIONSHIPS (ASTM: D1556) Sample Depth Dry Moisture Maximum Optimum Relative Number/ Below Density Content Density Moisture Compaction Location Grade (PCF) (°/a) (PCF) (°/d) N ft FD-1 3.0 101.2 11.4 112.0 10.5 90 SEC of Bldg. Pad FD-2 2.0 103.8 11.6 112.0 10.5 93 S. Central Bldg. Pad FD-3 1.0 101.6 11.3 112.0 10.5 91 SWC of Bldg. Pad FD-4 0.5 102.8 11.5 112.0 10.5 92 Central Bldg Pad FD-5 2.5 101.8 11.2 112.0 10.5 91 NWC of Bldg. Pad FD-6 1.5 103.8 11.3 112.0 10.5 93 NE Edge Bldg. Pad FD-7 O.5 102.6 11.6 112.0 10.5 92 N. Central Bldg Pad FD-8 FG 105.1 11.4 112.0 10.5 94 NEC of Bldg Pad FD-9 FG 103.8 11.4 112.0 10.5 93 NWC of Bldg Pad FD-10 FG 106.0 11.5 112.0 10.5 95 SWC Bldg, Pad FD-11 FG 104.8 11.2 112.0 10.5 94 SEC Bldg. Pad FD = Field Density Test "FG" = Finish Grade (Ground Level Pad) PAD CERTIFICATION REPORT: 504 W. Balboa Blvd., Newport Beach, CA Project No. SM120.2 October 27, 2020 TABLE 2 SUMMARY OF MAXIMUM DENSITY TEST (ASTM D 1557) Sample Maximum Optimum Location Density Moisture PC °/a Fill/Native - Beach Sands 112.0 10.5 Per soils report dated July 8, 2018 PAD CERTIFICATION REPORT: 504 VV. Balboa Blvd., Newport Beach. CA Project No. SM120.2 October 27, 2020 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newl)ortbeachca.gov 1 (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. 8549 PLS Scott Sturm, PLS Engineer/Surveyor's Name Engineer/Surveyor's Address Aaron Albertson, P.E. License # 65513 RCE 4121 Westerly Place, Suite 112, Newport Beach, CA 92660 Job Address 502 and 504 W. Balboa Newport Beach Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: 504= 9.30FFE plan. Field shot=+-9.30 502 = 9.26 FIE plan. Field shot-9.27+- * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are ❑, are not. ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is®, is not ❑, per City approved drawings. Describe any deviations from plans: Vertical elevations of the plan are within industry standard accepted range to meet approved precise grading plan. within 0.01' of proposed FEE. 11 /9/2020 Date Forms/SetbacksandTopotSlabElevationCen. Engineer/Surveyor's stamp and signature Q NO. 66513 EXP. 9/30/21 CIVIL �_ OF CAI 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.00v 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: 504 Balboa Blvd, Newport Beach, CA 1/21/2022 X20194036 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 6014th Street, #129, San Francisco, CA 94107 415�319&5566 2779.2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: David M Fulton, PE david plan•nodhoom 208412.8744 89429 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/RooQ INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Fcotin s & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Plies, 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: D REPORT CONTINUED ON ATTACHED PAGES. N 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 STRUCTURAL OBSERVATION DOES NOT WANE PomuVShuc�welObemetionRepon&l,utrvclio,u DAVID M FULTON C 89429 CIVIL ENGINEER STAMP OF STRUCTURAL OBSERVER INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. 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.pov 1 (949) 644-3200 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 8/10/2021 CNB Inspector Name: CNB Permit #: x2019-4035 Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check* 502 Balboa West Partners, LLC 6014th Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. #: David M Fulton, PE david@plan-norh.com 208412-8744 89429 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck This observation includes sheeting and nailing for the interior shearvrells, including double sided where applicable. and the associated holdowns. This also includes the inside face of all exterior double sidedsheamalls. El Caissons, Piles, Grade Beams ❑Wood or Manuf. Shear Panels El Masonry ■Wood 8/10/2021 ❑ Other: ❑ Other: ❑ 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. 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 � DAVID M Fy c FULTON ni c� m C 89429 p N CIVIL ENGINEER STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo=\S ctwnl0bsrnahonFe ott&rvsu„ wns 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.ciov1(949)644-3200 Structural Observation Report Project Address: 504 W Balboa Blvd, Newport Beach, CA Report Date: 3/26/2021 CNB Inspector Name: CNB Permit #: x20194035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Blair Porteous 601 4th Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. #: David M Fulton, PE david plan-ncrth.com 208-412-8744 89429 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 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck This observation Includes all third floor sheathing, nailing, drag straps, and blocking, between grdinesDItE. ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry M Wood 3/26/2021 ❑ Other: ❑ Other: ❑ 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. 1 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 3/26/2021 UAIt DAVID M -c4 ��2= FULTON 2 � m C 89429 tpT CIVIL ENGINEER \Q- 9T�. Q� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Sirvcmml0bservmionRepon&Innrvnions 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 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 3/17/2021 CNB Inspector Name: CNB Permit #: x20194035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 601 4lh Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. #: David M Fulton, PE david@plan-nofth.com 208.412-8744 89429 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 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ■ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood This observation Includes sheathing and nailing for shear strip specified in detail 4/S41 0 of rawin set dated 31BL021 3/17/2021 ❑ 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. 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 I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building 3/17/2021 DATE DAVID M -ey h�2-' r7 FULTON CZ � m C 89429 NT CIVIL ENGINEER \Q- STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHORRED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\S�mcwreiObrervaiionaepon&Insuvdions 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.pov 1 (949) 644-3200 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 2/8/2021 CNB Inspector Name: CNB Permit #: x2019-4035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check M 502 Balboa West Partners, LLC 60141h Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. #: David M Fulton, PE david@plan-north.com 208-412-8744 89429 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 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck This observation includes all second floor sheathing nailing, drag lines, and blocking Drag strap (including blocked diaphragms). not installed along ll beInstllede5aefaceofhebealalledand illbe pan of future the sher inspe on. and win he pad of future shear inspection. ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels Masonry ❑ Mason M Wood 2I82021 ❑ Other: ❑ Other: ❑ 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. 1 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 � DAVID M C' y FULTON C � m C 89429 NT CIVIL ENGINEER ,r 9%n nQ� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\SwcwraleWervarioaRepon&Instivdions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 4114/2021 CNB Inspector Name: CNB Permit #: x20194035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 601 4th Street, #129, San Francisco, CA 94107 415-31M566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone if: SO License / Reg. #: David M Fulton, PE david@plan-north.conh 208412-8744 89429 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED /check annlieahle hnreel 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 ❑ Other: ® Wood or Manuf. Shear Panels ❑ Other: ❑ Masonry ❑ Other: ❑ Wood ❑ Other: This observation includes sheathing, nailing, and associated attachments for the sheatwall along gnd E, third level, detailed on the drawing set dated 3/812021 4/9/2021 ® 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 4/14/2021 DATE DAVID M)CIVILENGIN FULTON� (C89429 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Forms\Stm =alObaeNatioM port&lnstm tious CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 4/9/2021 CNB Inspector Name: CNB Permit #: x2019-4035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 601 4th Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: David M Fulton, PE david@plan-north.mm 208-412-8744 89429 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 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ® Wood This observalion includes sheathing, nailing, and drag connections as part of the 3rd floor exterior 4/912021 ❑ Other: ❑ Other: ❑ 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 4/14/2021 DAVID M -F2('Xl,y FULTON C89429 CIVILENGINEER \Q'9.. Q� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Sl a wmlObse atiuo eport&L,s aiow 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 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 4/1412021 CNB Inspector Name: CNB Permit #: x20194035 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 601 4th Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: David M Fulton, PE david@plan-north.com 208-412-8744 89429 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 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Mari Shear Panels ❑ Masonry III Wood This obi includes sheathing, nailing, and evvelovrthe 3erd rormadinphmgmatthe roof spacel 4/9/2021 ❑ Other: ❑ Other: ❑ Other: ❑ Other: N 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 4/14/2021 DATE DAVID M cti FULTON Z c3 m C 89429 A ipT CIVIL ENGINEER \Q- 9T.. Q� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Forms\Smuc 10bservaiion qon&L tmctioos 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 Structural Observation Report Project Address: 504 Balboa Blvd, Newport Beach, CA Report Date: 11/16/2020 CNB Inspector Name: CNB Permit #: x2019-4035 Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: 502 Balboa West Partners, LLC 601 4th Street, #129, San Francisco, CA 94107 415-319-5566 2779-2019 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: David M Fulton, PE david@plan-north.com 208.412.87" 89429 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 N Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood This observation includes all foundation reinforcing, wall anchors, holdown anchors, and column embeds 11/16/2020 ❑ Other: ❑ Other: ❑ 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 DAVID M oy((I,- FULTON C89429 CIVILENGINEER \9n Q� STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Farms\StructuralObservationRepon&lmtrvctiom 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 BUILDING HEIGHT CERTIFICATION Project Street Address: 504 W. BALBOA BLVD Building Permit Number(s): X2019-4035 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: OX 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 39.83 and actual elevation point is 39,61 2. Approved elevation point of ridge is 39.83 and actual elevation point is 39.63 3. Approved elevation point of ridge is 39.83 and actual elevation point is 39.66 FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat roof or parapet is and actual elevation point is 2. Approved elevation point of flat roof or parapet is and actual elevation point is 3. Approved elevation point of flat roof or parapet is and actual elevation point is I certify that the above height measurements are correct and the above project: OIS in compliance with the City -approved plans. O n IS NOT in compliance with the City -approved plans (Provide explanation). * PLS No.8549 Please describe any deviation from the City -approved plans on the back of this form. k 4�F CAS PLS 8549 4/8/2021 Surveyor or Civil Engineer's* signature and seal Date (Wet stamp and signature required) * License number of 33965 or lower Forms/Building Weight Certification I IM2/I6 engineering geoteeb#ical applications consultants January 10, 2022 Project No. SM120.3 CITY OF NEWPORT BEACH Building Department 100 Civic Center Drive Newport Beach, CA 92660 Subject: FINAL GRADING CERTIFICATE HARDSCAPE COMPACTION, UTILITY TRENCH BACKFILL AT NEW RESIDENTIAL PROPERTY LOCATED at 604 W. BALBOA BOULEVARD NEWPORT BEACH, CALIFORNIA City of Newport Beach Grading/Building Permit #: X2019-4036 Associated Documents: 1. "Geotechnicat Investigation for Proposed Live/work (Mixed Use) Development Located at504. W. Balboa Boulevard; Newport Beach, California," by EGA Consultants, Inc., dated July 8, 2018. 2. "Structural Plan, LiveNVork Lofts, 504 W. Balboa Blvd., Newport Beach, CA," by Plan North Engineers, dated December 16, 2019, updated February 24, 2020. 3. "Precise Grading Plan, 504 W. Balboa Blvd., Newport Beach, California," by Commercial Development Resources, dated February 24, 2020. 4. "Response to geotechnical 251 Review City Comments dated 1129/20 for Proposed Live/Work (Mixed Use) Development Located at604 W. Balboa Boulevard, Newport Beach, California," by EGA Consultants, Inc., dated March 4, 2020. 5. "Compaction Report for Placement of Fill for proposed LiveiWork (Mixed Use) Development Located at 5D4 W. Balboa Boulevard, Newport Beach, California," by EGA Consultants, Inc., dated October 27, 2020. To City Building/Grading Officials: In accordance with the City of Newport Beach building and grading requirements, we are submitting this final compaction report for the grading of the subject building pad, utility trench backfili, and exterior improvements. The site earthworks operations were performed by the sub -contractor, Tight Quarters, Inc. Excavation and grading of the subject lot commenced on September 16, 2020. All utility trench backfiil and flatwork subgrade was completed by December 20, 2021. Site grading included the removal of the upper 2%s feet (+ 6 inches of scarification) of the old fill and native material located within the limits of the proposed building pad. The lot was roughly divided into halves, excavated and recompacted to bring the entire lot to finished subgrade One Kubota SVL 90-2, two jumping -jack wackers, two vibratory plates, and water hoses were utilized for the purposes of compaction and grading control. On site soils were moisture treated via a 2-inch diameter water hose during the grading process to bring the moisture content to near -optimum. 375-C Monte Vista Avenue • Costa Mesa, CA 92627 • (949) 642-9309 • FAX (949) 642-1290 For cohesion -treatment, three (3) pallets (40 bags each weighing 94 pounds) of Portland Cement were blended into the newly -placed fill. Field density test results are tabulated on Table 1, Summary of Field Density Tests. Utility trench backfill was completed using compacted spoils. All earthwork operations were performed under continuous observations by this firm and were performed in accordance with geotechnical specifications outlined in the soils report dated July 8, 2018. I certify that all grading and compaction work was done in compliance with the soils report for this project and the work complies with City of Newport Beach grading regulations. All soils values and geotechnical specifications outlined in the soils report remain valid. Based on our continuous observations and testing, the subject and adjacent sites are not impacted by the site grading operations to date. This opportunity to be of service is appreciated. If you have any questions, please call. Very truly yours, EGA Consultants, Inc. DAVID A. WORTHINGTON CEG 2124 Principal Engineering Geologist/President :Copies: (1)Addresses (1) Sege Modern, Inc., Attn: Jon Somitch FINAL. COMPACTION REPORT: 6041N, Balboa Boulevard, Newport Beach. CA Project No. SM120.3 January 40, 2022 2 i David A. `' Worthington No. CEG212"4/ CERTIFIEDty. ENGINEERING TABLE 9 SUMMARY OF MOISTURE DENSITY RELATIONSHIPS (ASTM: D1556) Sample Depth Dry Moisture Maximum Optimum Relative Number/ Below Density content Density Moisture Compaction Location Grad$ (PCF) (efa) (PDF) 001) FD-1 3.0 101.2 11.4 112.0 10.6 90 SEC of Bldg, Pad FD-2 2.0 103.8 11.6 112.0 10.5 93 S. Central Bldg. Pad FD-3 1.0 101.6 11.3 112.0 10,5 91 SWC of Bldg. Pad FDA 0.5 102.8 11.5 112.0 10.5 92 Central Bldg Pad FD-5 2.5 101.8 11.2 112.0 10.5 91 NWC of SW :: Pad. FD-6 1.5 103.8 11.3 112.0 10.5 93 NE Edge Bldg. Pad FD-7 0.5 102,6 11.6 112.0 10.5 92 N. Central Bldg Pad FD-8 FG 105.1 11.4 112.0 10:5 94 NEC of Bldg Pad FD-9 FG 103.8 11.4 112.0 10.5 93 NWC of Bldg Pad FD-10 FG 106.0 11.5 112.0 10.5 95 SWC Bldg. Pad FD-11 FG 104.8 11.2 112.0 10.5 94 SEC Bldg. Pad FD-12 FG 101.6 12.0 112.0 10.5 91 Utility Trench aK II FINAL COMPACTION REPORT: 504 W. Balboa Boulevard, Newport Beach, CA Project NoAM120,3 January 10, 2022. FD-13 FG 103.8 11.7 112.0 10.5 93 Utility Trench Badcflll FD-14 FG 102.7 118 112.0 10.6 92 Su made FD-15 FG 105.9 11.9 112.0 10.5 95 Network FO-16 FG 107.3 12.1 112.0 10.5 96 Rear Parking and Approach "FD' = Field Density Test. "FG" = Finish Grade (Ground Level Pad) TABLE 2 SUMMARY OF MAXIMUM DENSITY TEST (ASTM D 1557) Sample Maximum Optimum Location Density, Moisture fe - Fill/Native —Beach Sands 112.0 10.5 Per soils report dated July 8, 2018 FINAL COMPACTION REPORT! 504 W. Balboa Boulevard, Newport Beach, CA Project No, SM120.3 January 10, 2022. CITY OF NEWPORT BEACH Community Development Department I Building Division 100 Civic Center Dr.1 P.O. Box 17681 Newport Beach, CA 92658 www.newportbeachca.gov 1(949) 644-3200 CALOREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: ` o we A BW PERMIT NO.: XZQ 19 .- "1035 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) 55 Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) ® VOC Contents Limitation IN Formaldehyde Emissions Limitation 1>1 T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mach., Plumb.) Q T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mach., Plumb., HERS) l Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) t�c 1 certify that the moisture content of the wall and floor framing is less than 19 percent as determined in accordance with Section 4.605.3 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. • 1 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 Peerson's Name: Ressiible P r n' ignature: . 0/1 JorAi c�h 0. • Date Signed: PositionlTitle: 11312--Z `CLT�C d Poncfgt.. Notes: Forms\CALGreen Documentation Compliance Cert Form 1-2017 PROJECT STATUS REPORT CaICERTS, Inc Effective 01/19/2022 08:53 (Page 1 of 2) 1FiS'?fii H"' {R �T' d� H'� 4 F p Y �INW.11 �nY F" 11i' p}' -"ATS p'{� 19 tom' SUM X F F Td]' I' �`,0 "•(j1'i! { £i=3 t�$.d D' wi�°MdE Y✓)ApY YA..j Energy Standards Code Year: 2016 ❑ ■ Project Name: 504 Balboa Blvd W ■ • 0 06 ■ ■ Project Type: New Construction SFR Address: 504 Balboa Blvd West ■ City/States Newport Beach / CA / 92661 L ■ Enforcement Agency: City of Newport Beach ■ Easy to Verify calcerts.com Permit Number: 2019-4035 OVERALL STATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE Certificate Type , Compliance Registered Form CF1R-PRF-0ut -.0110 141,n ..0 Registered Date 2021 08 9 545 06 ) ,...,,' G z `t. � t ...s. ;; Registration S4 219-P0102445p-000-000 600FIOb0 di56U ,- 1 Number , - NOW~ OINNINW4 CF1R-SRA-01 2022-01-18 14:17:09 219-P010244504D-R01001A CF1R-SRA-02 2022-01-1814:17:09 219-P010244504D-R02001A ra , i``', 11 CF2R-ENV-01-E 219-P010244504D-000-001-E01001A-0000 FenestrationInstallation 2022-01-1814:05:32 Blair Porteous (Sagemodern) CF2R-ENV-03-E 219-P010244504D-ODD-001-E03001A-0000 Insulation Installation 2022-01-1814:05:32 Blair Porteous (Sagemodem) CF2R-LTG-01-E 219-P010244504D-000-001-L01001A-0000 Lighting 2022-01-18 14:05:32 Blair Porteous (Sagemodern) HERS Provider.. CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 PROJECT STATUS REPORT CaICERTS, Inc Effective 01/19/2022 08:53 (Page 2 of 2) CF2R-MCH-01-E 219-P010244504D-000-001-M01001A-0000 Space Conditioning 2022-01-1814:05:32 Blair Porteous Systems, Ducts and Fans (Sagemodern) CF2R-MCH-20-H 219-P010244504D-000-001-M20002A-0000 System 1 Duct Leakage 2022-01-19 08:52:58 Blair Porteous (Sagemodern) CF2R-MCH-21-H 219-P010244504D-ODD-001-M210D2A-0000 System 1 Ducts Located In 2022-01-19 08:62:58 Blair Porteous Conditioned Space (Sagemodern) CF2R-MCH-23-H 219-P010244504D-000-001-M23002A-0000 System 1 Airflow 2022-01-19 08:52:59 Blair Porteous (Sagemodem) CF2R-MCH-22-H 219-P010244504D-000-001-M22002A-0000 System 1 Fan Efficacy 2022-01-19 08:52:69 Blair Porteous (Sagemodern) CF2R-MCH-27-H 2022-01-19 08:52:59 219-P010244504D-000-001-M27001A-0000 Blair Porteous IAQ and MV (Sagemodern) CF2R-PLB-02-E 219-P010244504D-000-001-B02003A-0000 SD HWS Distribution 2022-01-18 14:05:32 Blair Porteous (Sagemodern) r J l CF3R-MCI-�=� � 2�9-Pb10244504D b00.-'4i01 M20062A M20A System 1 } 2022 Of 19 0$ 51:34 ,Juarf Vfilasoino)+(CC '16034)' (Duct Leakage"i (Juan Villasliffor) CF3R-MCH-21-H 219-P010244504D-000-001-M21002A-M21A System 1 (Ducts In Cond Space) 2022-01-19 08:51:34 Juan Villasenor (CC2016034) (Juan Villasenor) MR-MCH-23-1-1 219-P010244504D-000-001-M23002A-M23A System 1 (Airflow) 2022-01-19 08:61:35 Juan Villasenor (CC2016034) (Juan Villasenor) CF3R-MCH-22-H 219-P010244504D-000-001-M22002A-M22A System 1 (Fan Efficacy) 2022-01-19 08:51:35 Juan Villasenor (CC2016034) (Juan Villasenor) CF3R-MCH-27-H 219-P010244504D-000-001-M27001A-M27A (IAQ and MV) 2022-01-19 08:51:35 Juan Villasenor (CC2016034) (Juan Villasenor) HERB Provider CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive j P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 CONTRACTORIPROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT ProjectAd�ls:q �(5) ti Date: 11Z 2 Permit #: )c Zo l � - Y63 5- 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. a Installer's Name: ., %s��4n 1) License No (ifapplicable) / sc i/23 Installer's Mailing Address: S Af o if, j L . . It, IC. 9 J654o(ne # (required): 7/H HG 9- o7S F Installer's Email: :. r.. wJ/e� '7T L 7FAX #: Installer 1 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: 2.0 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 0.8 gal/minute at 20 psi - ®, 2— 4-Zbz2, Installer's Signature Date Prooertv 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. 50Z 13CA100c, 1v(SI I `tJACts CL C Z/C/h Property Owner's Signature 'ja � 9fat'-�. 6r Aleu/t all. r Cw 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 Forme)Contractor-Owneraelf-CortDeclamton-Plumbing Fixture Replacement 08111/16 Phone: (949) 718-1888 Fax #: (949) 644-3250 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.aov 1 (949) 644-3200 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $209.00 RESIDENTIAL: NO FEE PROJECT: OWNER'S NAME: 6 I c it i -�Ce) u 5 PHONE NO: � % % S JOB ADDRESS: SU 9 W c,) a bo IJIuJ IV \ ��s'I IJ ("+` BUILDING PERMIT NO.(s): `X Zo 19 Yo3S 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 be 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 SIGNATURE:_-_ __ _ __ DATE: <423�z PRINT name of owner or tenant:. 6-fo, Rbr� c�Sv�PHONE #: CONTRACTOR SIGNATURE: K- DATE: _ltJz?Izc_W__ _ PRINT name of contractor: oo. S_a ,��_ PHONE #: 275 -1 21e_ (for office use only) APPROVED BY: ti Building Inspector Date Forms\TEMPORARY POWER RELEASE APPLICATION. 07/01/2021 Plan North Engineers 250 Bobwhite Ct Ste 130 Boise, ID 83706 Monday, November 30, 2020 Jon Somich Sagemodern 65 Annie Street San Francisco, CA 94105 Subject: 504 Balboa Masonry Wall Reinforcing Revision Dear Jon, As discussed by phone on 11/24/2020, it is acceptable to provide (1) #4 horizontal bar at 24" OC in lieu of (2) horizontal bars at 48" OC, as required by Keynote 03 on sheet 5100. Please let me know if you have any additional questions. Sincerely, David M Fulton, P.E. Principal and Owner of Plan North Engineers (208) 412-8744 david@plan-north.com Attachments: None engzneer:ng - 1. f geotech; al PROJECTNAME applications LOCATION consultants y `' SUPERINTENDENT, FIELD REPORT CON ACTOR(S) TO: File ENGINEER EOUIPMENT ON SITE PERSONNEL ON TYPE OF isoils INSPECTION ❑ sReinforced Concrete REQUIRED fl P.Inf,m.A AAaenn.., ✓ 2471-0 PROJECT NO. ni IL y / ❑ Structural Steel Assembly ❑ Quality Control ❑ Drainage ❑ Epoxy SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS:. , s ✓ oes��c c Mwn cHE a /'1�Yu1n r �F Cvtr'fw}2 j 3RF�,c �roL NGt/ rro"W'0fii'?o /Sf�iu.r��y e ti 31Y �f C64eSKlc' /loaf_ ©✓E/L R/1.�'�-ct. � s I � i� � r=- H un„� �s� � r.�,/� i sQu✓.�/ Pwfi�.� �- o✓F.-��,� gh Z" �✓�,,+� fht Woau r�rnno,.2n �+n R- / T�-tMNfo/T'z TESTS PERFORMED: CYLINDERS: RECOMMENDATIONS: PERSONNEL ON SITE 61 OF TITLE (POSITION) t_�j EGA CONSULTANTS 375-C Monte VistaAvenue Costa Mesa, CA92627 TOTAL HRS (949)642-9309 (4 HR. MIN.) FAX (949) 642-1290 engineering geotechnical applications consultants FIELD REPORT TO: File DAY PROJECT NAME LOCATION G W. SUPERINTENDENT CONTRACTOR S y ENGINEER QUIPMENT ON SITE PERSONNEL ON DATE PROJECT NO. TYPE OF ❑ Soils ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑ Reinforced Concrete U Drainage ❑ Epoxy REQUIRED I ❑ Reinforced Masonry ❑ Asohalt U Other SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS: (Da T I ( o sFd2.✓� /f',o Gy m i7LrzrrL7-(kS molt- /✓15w Foe, PuaiCTiJ� r--Dl2 Mr1t4Q9 a rri 121f1jiFwPA&# Of L= s— oy. w64W`C M -Z?r— �. c-_.✓�,n �5 c. A-J$ • 64-1- h-2-r._-�s (3 f�- r� r- D-r IJ &: P� g r , 2M f7 &- X.fb ofNYrr�IQ6, r�or,tVu A-PP✓i90S:A 640-W/at PFr�sPr�c-/IaF TESTS PERFORMED: CYLINDERS: RECOMMENDATIONS: PERSONNEL ON SITE ARRIVAL DEPARTURE TISITEN TRAVEL SUBTOTAL ---> 6'�9�.��r$r SI TUR F S PERINTENDENT, TITLE (POSITION) / / EGA CONSULTANTS 375•CMonte Vista Avenue Costa Mesa, CA 92627 TOTAL HRS (949)642-9309 (4 HR. MIN.) FAX (949) 642-1290 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newoortbeachca.cov 1 (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. 8549 PLS Scott Sturm, PLS Engineer/Surveyor's Name Aaron Albertson, P.E. License # 65513 RCE Engineer/Surveyor's Address 4121 Westerly Place, Suite 112, Newport Beach, CA 92660 Job Address 502 and 504 W. Balboa Newport Beach Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: 504= 9.30FFE plan. Field shot=+-9.30 502 = 9.26 FIFE plan. Field shot-9.27+- * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are ®, are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is ®, is not ❑, per City approved drawings. Describe any deviations from plans: Vertical elevations of the plan are within industry standard accepted range to meet approved precise grading plan. within 0.0 P of proposed FIFE. 12/12/2020 Date Folms/Setbacks=dTopofSlabElevationCert. Engineer/Surveyor's stamp and signature NO. 65513 Z W. 9/30/21 CIVIL CAL CORNER RECORD Agencylndex o I�Document Number 2020-0539 City of NEWPORT BEACH County of ORANGE , California Brief Legal Description LOTS 20-21, BLOCK 3, MAP OF EAST NEWPORT, M.M. 3/37 CORNER TYPE Government Comer Control Meander ® Property N. _ Elevation COORDINATES (Optional) E. Units Metric 0 U.S. Survey Foot ` — Rancho ® Other Horizontal Datum Zone Epoch Date ' Date of Survey March 2, 2020 Vertical Datum Complies with Public Resources Code §§8801-8819 Complies with Public Resources Code §§8890-8902 PLS Act Ref.: ® 8765(d) ® 8771 118773 ® Other: Comer/ ® Left as found Established r 1 Rebuilt ® Pre -Construction Monument: Found and tagged ® Reestablished ❑ Referenced n Post -Construction Narrative of comer identified and monument as found, set, reset, replaced, or removed: N See sheet #2 for description(s): SEE SHEET 2 SURVEYOR'S STATEMENT This Comer Record was prepared by me or under my direction in conformance with the Professional Land Surveyors' Act on March 3, 2020 Signed P.L.S. -- ^. No. PLS 8549 COUNTY SURVEYOR'S STATEMENT This Corner Record was received MARCH 3, 2020 and examined and.filed JUNE 18, 2020 ' , Signed : -�' �'' • �;rl ' % P.L.S. No. 6617 Title COUNTY SURVEYOR County Surveyor's Comment LA O 3UR R. u�ti . 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