HomeMy WebLinkAboutX2021-2607 - Misc (4)CORNER RECORD Agencylndex
Document Number 2021-2031
City of NEWPORT BEACH County of ORANGE California
Brief Legal Description LOT 66, TRACT NO. 7223, M.M. 274/7-18
CORNER TYPE COORDINATES (Optional)
N. E.
❑ Government Corner ❑ Control Elevation
❑ Meander ■ Property Units ❑ Metric U.S. Survey Foot
-- { ❑ Rancho ❑ Other Horizontal Datum
Zone Epoch Date
Date of Survey July 1, 2021 Vertical Datum
❑ Complies with Public Resources Code §§8801-8819
❑ Complies with Public Resources Code §§8890-8902
PLS Act Ref.: ■ 8765(d) 118771 ❑ 8773 ❑ Other:
Corner/ ■ Left as found
❑ Established
11 Rebuilt
❑ Pre -Construction
Monument: ❑ Found and tagged
■ Reestablished
■ Referenced
❑ Post -Construction
Narrative of comer identified and monument as found, set, reset, replaced, or removed:
■ See sheet #2 for description(s):
SURVEYOR'S STATEMENT
This Corner Record was prepared by me or under my direction in conformance with
the Professional Land Surveyors' Act on Judy 12 2021
Signed A P.L.S. or R.C.E. No. LS 4653
COUNTY SURVEYOR'S STATEMENT
This Corner Record was received
JULY 27, 2021
and examined aqViled DECEMBER 19, 2022
Signed pj_ P.L.S. ei R.G.GNo.
COUNTY SURVEYOR
Title
County Surveyor's Comment
BPELSG-2016 Page 1 of 2
6617
O _AND SCR
ON
MIEDEMA A
No.4653
P
OF CA0FO �\e
LA ND SU9L
vc' `N R.
N 9
d'NO. 6617
\FOF CA0'\'O
Document Number 2021-2031
A enc Index
MONUMENT DESCRIPTIONS:
MONUMENT NOTES:
OINDICATES FD. 1" I.P, LS 3246, DOWN 0.5', ACCEPTED • INDICATES FOUND MONUMENT AS NOTED
AS CORNER PER R1.
OINDICATES FD. 1" I.P., LS 3246, DOWN 0.6, ACCEPTED
- INDICATES FOUND CITY OF NEWPORT BEACH
MONUMENT WELLAND BRASS DISK, DOWN 1'.
AS CORNER PER R7 & R2.
O3
ACCEPTED AS POINT PER R1.
O
INDICATES FO. TAG IN EPDXY, LS 4459, FLUSH,
INDICATES SET NAIL LEAD & J6Q IN CONG. ON P.L.
ACCEPTED AS 3.00' (3.00' R2) FROM PROPERTY
CORNER PROD. 4.00' FROM THE CORNER, LS 4653, FLUSH.
ON P.L. PROD. PER R2.
O4 FD. 1" I.P., NO TAG, DOWN 0.2', ACCEPTEDAS RADIUS
REFERENCE MAPS:
POINT OF PINEHURST LANE.
R1 - INDICATES RECORD DATA PER TRACT NO. 7223,
M.M. 27417-18,
_R2- INDICATES RECORD DATA PER C.R. 2002-1425,
o
BIG CANYON DRIVE
R=520,00' M&M
L=131.RI
00'M&R1
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wl
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LOT 66 Ni
N
TRACT 1 O.7223
M.M.274/7-18 2'
h
DJ
rn >i
2
D=48°29'43" M&R1
,i
7
L=40.63' M&Rt
. J N
N�0°�35
\\
SCALE 1 "=30'
P O ,•�
63,64,
o
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� N o
B = 3
H2p°1352 N
1p / 19 3826
p�,
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BASIS OF BEARINGS:
V
BEARINGSARE BASED ON THE CENTERLINE OF PINEHURST
LANE BEING
NORTH 70'13'52" WEST PER TRACT NO. 7223. M.M. 274l7-18.
BPELSG-2016 Page 2 of 2
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915
www.newportbeachca.gov 1 (949) 644-3200
SETBACKS AND TOP OF SLAWFLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to ensure that the structure is located properly on site per the approved
drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings,
the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it
is equal or less than the dimension shown on building sections and elevations.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The
survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or
raised floor is built, but prior to starting wall framing.
Engineer/Surveyor's Name: Viktor Meum License #: 8682
Engineer/Surveyor's Address: 139 Avenida Navarro San Clemente CA 92672
Job Address: a
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation: Lower Level Finish Floor = 89 17'
* 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 Q are not ❑, per City approved plans. Describe any deviations
from plans:
I certify that top of slab/floor elevation(s)
any deviations from plans:
4 - 4 - 2o22
Date
is Q is not ❑, per City approved drawings. Describe
stamp and
OR P M v�f'4
� o
NO.8682 z
9rFOF CAUFO��\P
VM/ks
21116 ffc I
I
LOT 67
BIG CANYON
SCALE: 1"
L=131.00' R=520.00' d=14'2fi 04'
1
I n /
I LOT 66
_ N
0. 63 / /
R 448.00 I I
p.48'29'43' N �O 73;52, I w 6364 \
/� ,P/Nf
NO.8682 // �RST
T9TFOFCA��F���\P / \
/y'
/ o LOT 65
�o
a
y
11.53,
�'�Nti �Pc)Rr CITY OF NEWPORT BEACH
P COMMUNITY DEVELOPMENT DEPARTMENT
u X BUILDING DIVISION
cy< FonP.P 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915
www.newportbeachca.00v 1 (949) 644-3200
SETBACKS AND TOP OF SLAWFLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to ensure that the structure is located properly on site per the approved
drawings. This eeftifleate also veFifies the tap ef slab/fleer elevation dieted an the approved dfawirigs.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The
survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or
raised floor is built, but prior to starting wall framing.
Engineer/Surveyor's Name: Vildor Meum License #: 8682
Engineer/Surveyor's Address: 139 Avenida Navarro, San Clemente, CA 92672
Job Address: 4 Pinehurst
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation:
* 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 Q
are not ❑, per City approved plans. ire—ibe afty deviation
1 eertif�, that top of slab/floor
any de iatic::s `z,efn plans— setback letter with finish floor elevations issued 4-4-22
6—/o-ZZ
Date
Cro FOR P. M\
NO. 8682
Surveyor's stamp and ature
VM/ks
21116 M2
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 926588915
www.newportbeachca.gov 1 (949) 644-3200
SETBACKS AND TOP OF SLAB/FLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to ensure that the structure is located properly on site per the approved
drawings.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The
survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or
raised floor is built, but prior to starting wall framing.
Engineer/Surveyor's Name: Viktor Meum License #: 8682
Engineer/Surveyor's Address: 139 Avenida Navarro, San Clemente, CA 92672
Job Address: 4 Pinehurst
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation: NA
* If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the
elevations. Use same datum used in the survey of record.
I certify that the setbacks are 0 are not 0, per City approved plans.
f+am plans! see sketch for finish floor, tog of curb and finish surface
I certify that top of slab/floor elevation(s)
8-23 -2 2
Date
is Q is not 0, per City approved ar,^ ^^ no ... ;1—
c \
� VIKTOR P.
MEUM
m� No. 8682
Engineer/Surveyors stamp and si y, , z
21116 f(c3
N
_ — — — BIG CANYON
LOT 67
SCALE. I'
L=131.00' 11=5M..00' d=14'2604'
O
IF N
F--------� 1n�
LOT 66
6.0,
7RACT AAD. 7223
ALAI. 27417-16
6.0'
h66,
N
3
D- __ LOT 65
previously certified
Co
631
I I
Lmao.r,3
R-48.00
Am4829 N'o'f35`
W 63 �
�y u
PI N\RST` J� VIMEUMP
I * 8-23•ZZ
/ m�r� No. 868
yk�EWP�RT CITY OF NEWPORT BEACH
it ul n�> COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
,+Fork www.newportbeachca.gov 1 (949) 644-3200
BUILDING HEIGHT CERTIFICATION
Project Street Address: 4 Pinehurst Ln (Proj: D2021-0616)
Building Permit Number(s): 2268-2021; X2021-2607 (proj name: D2021-061
As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the
City of Newport Beach approved plan and original topographic survey and based the elevations listed
below on those plans.
Elevations shall include an allowance for roofing material thickness if not yet installed. Provide
each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans.
Use the format below on the back of this form if additional space is necessary or further
explanation is needed. Provide original copy to the inspector before roof framing inspection.
All elevation points are based on: O NAVD88 O NGVD29 O Assumed
per topographic survey prepared by RdM Surveying Inc dated 4/21/21
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.
Measurements on top of plywood.
RIDGES (3:12 slope or greater)
1. Approved elevation point of ridge is 133.10 and actual elevation point is 130.28
2. Approved elevation point of ridge is 133,10 and actual elevation point is 128.51
3. Approved elevation point of ridge is 133.10 and actual elevation point is 128.87
FLAT ROOFS, PARAPETS AND GUARDRAILS
1. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA
2. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA
3. Approved elevation point of flat roof or parapet is NA and actual elevation point is NA
Approved maximum elevation is 133.10 (101.10 avg. grade + 32' max building height) per AIA sheets 10 and 11.
I certify that the above height measurements are correct and the above project:
Ox IS in compliance with the City -approved plans. 5`u� OR P• M 'pG
OIS NOT in compliance with the City -approved plans (Provide explanation). a NO.8682
Please describe an deviation from the City -approved# it y plans on the back of this form.
CAL\FO�a�
Surveyor or Civil Engineer's* signature and seal Date
(Wet stamp and signature required) (IN21116 mc)
* License number of 33965 or lower
Form Building Height Certification 11/02/16
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: 4 PINEHURST LN.,
NEWPORT BEACH, CA.
ReportDate: 10-17-22
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:
80 Telephone If.
SO License / Reg. AF
FADY HAKIM
FADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
SECOND FLOOR SHEATHI
G 10-17-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other.
❑ Other:
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
I, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
I understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of �jructural systems by the City of Newport Beach, Building
Division.
10-17-22
STRIICTURAI nRSFRVATmN nnFa NOT WAWF ANY RFOIIIRFMFNTS
tom,iY,rv¢urrphm'vionRepnnCl,mn,�,ium
S [AMP OF S 1 RUG I UHAL UBSEKVER
RYAIITHnRvFn FMPI nYFFS OF THE CITY OF NFWPORT RFAC.H
F W Pon
e CITY OF NEWPORT BEACH
K = _ i COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
ol N 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: 4 PINEHURST LN.,
Report Dale: 09-21-22
CNB Inspector Name:
CNB Permit #:
NEWPORT BEACH, CA.
Building Owner Name:
Owner's Mailing Address (if different from site):
Owners Telephone #:
CNB Plan Check M.
Full Name of Structural Observer (SO):
SO E-mail Address: -
SO Telephone #:
SO License / Reg. A
FADY HAKIM
FADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
FIRST FLOOR SHEATHING
09-21-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
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;
I understand that all deficiencies which I have documented must be corrected, prior to
final acceptar of the structural systems by the City of Newport Beach, Building
Division. ��// An
ANY REOUIREMENTS FOR BUILDING
Fomn`Stm ftM101M ry LuRRe nSWIrvnrna
09-21-22
S I AMP OF S 1 RUG I URAL OBSERVER
OF TBF COY OF NEWPORT BEACH
SEW Pp�T .
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
Cy��UµN�P BUILDING DIVISION
100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658-B915
www-newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address: 4 PINEHURST IN.,
Report Date: 09-14-22
CNB Inspector Name:
CNB Permit#:
NEWPORT BEACH, CA.
Building Omer Name:
Owners Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone It.
SO License / Reg. #:
FADY HAKIM
FADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxesl
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(FloorlRoof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
DE F UNDA ION
SLAB DIMENSION &
09-14-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
REINFOICvIENT, ANCHOR
BOLTS, &HOLDOWNS
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
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 1 deficiencies which I have documented must be corrected, prior to
final acceptan f the structural systems by the City of Newport Beach, Building
Division. /%//�
09-14-22
51 AMY Ut 61 RUU I URAL UbbERVtR
FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Fn,miSbuRwzNldm'a,nnNcpnnCl,T,ua'Ipre
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 ] (949) 644-3200
Structural Observation Report
Project Address: 4 PINEHURST LN.,
ReportDate: 01-04-23
CNB Inspector Name:
CNB Permit#:
NEWPORT BEACH, CA.
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 / Reg. #:
FADY HAKIM
ADYHAKIM@FMHENGINEERING.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑
Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
EXTERIOR SHEAR WALLS
& ROOF SHEATHING
O1-04-23
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑
Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑
Other.
❑ Other:
❑ Other:
❑ Other:
®
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑
OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
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 depejencies which I have documented must be corrected, prior to
final acceptance of // �f&�ural systems by the City of Newport Beach, Building
Division.
01-04-23
S I AMF' OF S I KUG I UKAL UbSEKVER
FOR RI III nlNn INRPFCTInN RV Al ITNOR17Fn FNPI nwFR nF TNF nn V nF NFWPnRT RFACN
Fov Nmcl=X)O WmnRynd&lmltr iom
CITY OF NEWPORT BEACH
COMMUNtYV DEVELOPMENT DEPARTMENT
R(ntl/[NG DIVISION
110D iGivic Genter Driime Ij P.C. Box 11768 Q Newport Beach, ,CA92658-B..915
www.newooribeachcaaov 1 (949) 644-3200
Structural Observation Report
Project Address 4PINEHURST L„
NONBOIRT BEAGR i -A.
iReportDate: '07-1023
rCNBlhigpectin Name:
Cl Permili
Building Omer Name:
Owner''sMailing Address (if ddfererRfirom site);
Ovmerls Telephone#:
ENS PlanOheok#:
!FUII
So E-mail Address:
SO Telephone#.
SO.License /MReg.#:
IFADY IELAIKI M
rAI3YHAILIMOFMHIE'NGLNEERING..COAA
949-?45-8000
tC-/5736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoDlicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES DIAPHRAGMS
(FloorlRoof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional
Footings & Slab
C Concrete
❑ Steel
C Concrete
ALL VISIBLE FILALING
uAiIEN0IBERS, HARDNV'ARES
�07-100-23
❑I IMailFaundation,
IPrestrassed OCmnccete
7 Masonry
0 Concrete
C SlealDedk
&6EFAR rVAILS
0 OCaissom Eller.
Grade Beams
L Wood ormanwf.
Shear Panels
0 Mae=ly
0 (Vilood
-..
O Citiner:
F Other:
0 Clther:
CI 1Dther:
01fil TMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
0 OBSERVED DEFICIENCIES :AND COMMEt+Ill NO DEFICIENCIES
L. (REPORT CONTINUED ON ATTACHED (PAGES.
FINAL. STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved oumstruction documents, and all observed deirciencfesuvene aonrte�eGl.
I declare that illm following s[atemenill are tenure to the bast of wry kooWadge:
11. II am the lormsed design professional retained by the owner to be fin responsible
charge of the structwal observation;
3. II, or anotherihoensed designprofessional 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 aonstrwction documents;
3. 1 understand ifirajoll deficiencies which I have documented must be corrected, prior to
final accgpt'i Yr�a structural systems by the City of '.Newport Beach, Building
:Division.
07-9f(I-a(1?H
Fnmtr �irva��mlulb.m.nintlA�nr..S4nmu.inm
Fyr�\1 1l1aF�B:ial�lLLnloepv@oJ-�l�clAae�
O�`��WPORT
n
c
9</ FO nN`P
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address: 4 PINEHURST LN.,
NEWPORT BEACH, CA.
ReportDate: 06-10-22
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owners 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. #:
FADY HAKIM
ADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
TOP OF RETAINING
WALL HARDWARE
06-10-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
E! Wood
❑ Other.
❑ Otter:
❑ Other.
❑ Other:
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
1. I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. I, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3. 1 understand that al ficiencies which I have documented must be corrected, prior to
final acceptance structural systems by the City of Newport Beach, Building
Division_
06-10-22
STAMP OF S1 RUCI URAL OBSERVER
OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
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SEW POD T
e' CITY OF NEWPORT BEACH
13 �,. i COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 J Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address: 4 PINEHURST LN.,
NEWPORT BEACH, CA.
ReportDate: 06-02-22 CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owners Mailing Address (if different from site); Owners Telephone #:
CNB Plan Check Tk
Full Name of Structural Observer (SO):
SO E-mail Address: I SO Telephone #:
SO License I Reg. #:
FADYHAKIM
FADIHAKIM@FMHENGINEERIN.COMI 949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
RETAINING WALL
REINFORCEMENT
06-02-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other.
❑ Other:
❑ Other:
❑ Other:
❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge:
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 aI ficiencies which I have documented must be corrected, prior to
final acceptance structural systems by the City of Newport Beach, Building
Division.
06-02-22
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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: 4 PINEHURST LN.,
Report Date: 04-29-22
CNB Inspector Name:
CNB Permit #:
NEWPORT BEACH, CA.
Building Owner Name:
Owners Mailing Address (if different from site):
Owners Telephone M
CNB Plan Check M
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone M
SO License / Reg. #:
FADY HAKIM
FADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoDlicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
O Concrete
❑ Steel
❑ Concrete
MAT SLAB
REINFORCEMENT &
04-29-22
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
INTERIOR ANCHOR BOLTS
& HOLDOWNS
❑ 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:
CBSQ CAN BE REPLACED BY ABU
❑ 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. 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 efciencies which I have documented must be corrected, prior to
final acceptance th, structural systems by the City of Newport Beach, Building
Division. n„
04-29-22
STAMP OF STRUCTURAL OBSERVER
OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
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