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Home My WebLink AboutX2022-0859 - Misck2b22 - 0�5q 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 OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION (HSC 19825) NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been s b it ed in your name listing yourself as the buil r of the property improvements specified at 4 i f�f j {, 6 01F� _ 6D 14 2�Z We are providing you with an Owne-BB`uirlder Acknowledgment and Information Ve ification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. - 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers onmy property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I urstand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list th it license numbers on permits and contracts. 2Z-5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. :Z46. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee:' I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. (4. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. Forms\owner builder verifdoc 08n2/16 1 of 2 12� ABSTRACT OF TRUST AGREEMENT CERTIFICATION OF TRUST (Cal. Probate Code § 18100.5) THIS AGREEMENT is made and entered into this 21st day of June, 2021, between DAVID LEVY, of the County of Orange, State of California, herein designated as Settlor; and LAWRENCE A. KLIGER, herein designated as Immediate Trustee. The name of the trust is THE DAVID LEVY FAMILY TRUST dated October 24, 1991. IT IS AGREED BETWEEN THE PARTIES HERETO AS FOLLOWS: 1. This Abstract of Trust Agreement is to be construed as a "Certification of Trust" under California Probate Code § 18100.6, as amended. Its purpose is to certify the existence of the trust, the identity and powers of the Trustee, the manner of taking title to assets, and to summarize some of the more important provisions of the Trust so that the Trustee can deal with third parties, such as financial institutions, stock transfer agents, brokerage houses, title companies, insurance companies, and others, without disclosing the entire Trust, which is a private and confidential document. 2. All third parties dealing with the Trustee may rely on this Abstract of Trust Agreement as a true statement of the provisions of the Trust described herein as of eo�,\ the date this Abstract of Trust Agreement is presented to such third party (regardless of the date of execution of this Abstract), unless the third party has actual knowledge that the representations contained herein are incorrect. 3. This Abstract of Trust Agreement meets all requirements of a Certification of Trust (Cal. Probate Code § 18100.5). 4. Description of Trust: The parties hereto desire to confirm the establishment of a revocable trust on the date first above written, and amendments thereto, for the benefit of Settlor and containing, among others, the following provisions: 5. THE DAVID LEVY FAMILY TRUST is not of record in any court of law and has not been recorded in the real property records of any county. 6. THE DAVID LEVY FAMILY TRUST is amendable and revocable by the Settlor. 7. . Initial Trustee. LAWRENCE A. KLIGER is designated as Immediate Trustee, to serve until the death, resignation or incompetency. Page 1 of 3 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.Qov 1 (949) 644-3200 Structural Observation Report Project Address: 135 Jasmine Creek Dr Report Date: 03/09/2023 CNB Inspector Name: CNB Permit #: x2022-0859 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone M CNB Plan Check #: Levy David TR 135 Jasmine Creek Dr 0789-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Mohammad Jalalpour mjalalpour@sazaninc.com 443-942-2153 S6696 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roo1] INDICATE LOCATION(S) OBSERVED DATE OBSERVED $I Conventional Footings 9-SiaL ❑ Concrete ❑ Steel ❑ Concrete Patio foundation 03/08/2023 ❑ 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: N/A ❑ 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: Q 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. I 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. 03/09/2023 DATE STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Foetus\Stmmwa ObsenaiionRe on Inswc ons 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: 135 Jasmine Creek Dr Report Date: 04/10/2023 CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License I Reg. #: MUSTAFA BDAIWI mb@mbarchaa.com 949-300-7355 C33953 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 ❑ Other: ❑ Other. IN Other. Wood ❑ Other: structure of balcony 04/10/2023 IN ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. 10 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 Division. lip_- 04/10/2023 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fe,ms\Strut W valObsavaRONiapon&G�struc4orts 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.gov (949) 644-3200 ADDRESS CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION NO.: x 10;20- 0 651 THIS FORM SHALL BE COMPLETED ND 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) anchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) C Contents Limitation ormaldehyde Emissions Limitation 24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, MecF $Fumb., HERS) Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) ill 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. • 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. Person's Name: 0 Date Si Notes: ble -ormo\C Lbreen Documentation Compliance Cert Form 1-2017