Newport Beach City Council
April 9, 2024

As discussed above, the 2006 General Plan EIR concluded that build out under the General Plan would result in a significant and unavoidable impact to historical resources; however, since the existing hotel buildings and complex on the subject property were found ineligible as historical resources, the proposed Project would have no direct impact on built environment historical resources pursuant to CEQA. In addition, the Project would have a less than significant impact on identified historical resources in the Project Vicinity. As discussed in the Historic Architectural Setting section above, one designated historical resource, the Modern 9-story commercial office twin towers at 500 Newport Center Drive (CHR Status Code 2S2) is approximately 0.46 miles 900 Newport Center Drive 86 ESA / D202100966.00
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away from the Project Site and would not be either visually or physically adversely affected by the proposed Project. One potential historical resource, the Pacific Life Insurance Co. Building at 700 Newport Center Drive, is a Modern International Style commercial building built in 1973 that was designed by master architect William Pereira. It is approximately 0.2 miles from the Project Site and would not be either visually or physically adversely affected by the proposed Project. The proposed Project would have no impact the site of the 1953 Boy Scout Jamboree, a California Point of Historical Interest that does not meet the California Register criteria (CHR Status Code 7P) and is adjacent to the subject property in the area that is now Fashion Island.

Therefore, for the purposes of the Addendum to the City of Newport Beach General Plan 2006 Update DEIR for the proposed Project, this Report finds that the proposed Project would not cause any substantial adverse change in the significance of a historical resource as defined in Section 15064.5 and as such would not have any significant effects on historical architectural resources.
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Bibliography
Berkman, Leslie. "Architects See More Theaters in Their Future," The Los Angeles Times, September 14, 1986.

Bissell, Therese. "William E. Blurock: 1922-2012." Architectural Record, November 17, 2015.

Bond. "Design: Marriot Launches a Hotel Design Program with Cornell, New York." Hotelier India, February 12, 2019, https://www.hotelierindia.com/design/marriott-launches-a-hotel- design-program-with-cornell-new-york. Accessed November 29, 2021.

Chicago Architecture Foundation. "Postmodern." 2018. Chicago Architecture Center website, http://www.architecture . org/architecture-chicago/visual-dictionary/entry/postmodern/.

Accessed January 5, 2022.

City of Newport Beach, "City of Newport Beach Council Policy Manual: K-2 Places of Historical and Architectural Significance," Adopted as A-15 — 5-28-1985, amended to K-2 — 1-24- 1994, and most recently amended on 8-8-2017. Newportbeachca.gov website:
https://www.newportbeachca.gov/government/city-council/council-policy-manual .

Accessed January 7, 2022.

City of Newport Beach, Newport Beach General Plan, Chapter 7: Historical Resources Element, City of Newport Beach, 2002, p. 6-3 — 6-5.

City of Newport Beach, "Newport Beach Municipal Code," Title 21. Local Costal Program Implementation Plan, Ch. 21.70 Definitions," Codepublishing.com website, https://www.codepublishing.com/CA/NewportBeach/#!/htmI NewportBeach2l/NewportBe ach2l70.html. Accessed January 7, 2022.

Crawford, K. A. "Department of Parks and Recreation Primary Record: T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion." Prepared by Crawford Historic Services, 2014.

The Cultural Landscape Foundation. "A New Focus on Postmodemist Landscapes." 2016. https://tclf.org/news/features/new-focus-postmodernist-landscapes . Accessed January 3, 2022.

Emmert, Fred L., and Richard N. Frost. Real Estate Masterwork Series: Newport Center/Fashion Island Newport Beach, California. Los Angeles: CreateSpace Independent Publishing Platform, 2017.

Hill, John. "Of Ducks and Decorated Sheds: A Review of I Am a Monument." The Journal of the American Institute of Architects. July 31, 2009. Architect Magazine website, http://www.architectmagazine.com/design/of-ducks-and-decorated-sheds-a-review-of-i-am- a-monument o. Accessed January 5, 2022.
"Inside Marriott International's Global Design Resource Library." Epiphany Studio website, https://epiphany-studio.com/-blog/2019/4/ 17/inside-marriott-internationals-global-design- resource-library. Accessed December 11, 2021.
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The Irvine Historical Society. "Irvine Ranch History: From Mexican Land Grant to Great Irvine Ranch." Irvine History Historical Society website, 2020, https:Hirvinehistory.org/wp- content/uploads/2020/10/Irvine-Ranch-gives-way-to-Urban-Development.pdf Accessed December 19, 2021.

The Irvine Historical Society. "Irvine Ranch History: Irvine Ranch Gives Way to Urban Development." Irvine History Historical Society website, 2020, https:Hirvinehistory.org/wp-content/uploads/2020/1 O/Irvine-Ranch-gives-way-to-Urban- Development.pdf. Accessed December 19, 2021.
"Legacy — TBP/Architecture." tBPArchitecture website, https://tbparchitecture.com/legacy/ .

Accessed December 17, 2021.
"Marriott Hotel Slates Newport Beach Opening." The Los Angeles Times. February 2, 1975.

Marriott International. "Our Story." Marriott International website, https://hotel- development.marriott.com/our-story/, accessed December 11, 2021.

National Register Bulletin 15: How to Apply the National Register Criteria for Evaluation.

Accessed June 27, 2020, at http://www.nps.gov/nr/publications/bulletins/pdfs/nrbI5.pdf .

National Register Bulletin 16A: How to Complete the National Register Registration Form.

Accessed June 27, 2020, at https://www.nps.gov/nr/publications/bulletins/pdfs/nrb16a.pdf "The Newport Beach Marriott Hotel. It's a work of art." The Los Angeles Times. April 13, 1975. "The Newport Beach Marriot is now open." The San Francisco Examiner. June 8, 1975. "Our Escape Weekend is a work of art." The Los Angeles Times. May 18, 1975.

Prosser, Daniel. "Los Angeles Citywide Historic Context Statement, Context: Commercial Development, 1859-1980, Theme: Hotels, 1870-1980." Prepared for the City of Los Angeles Department of City Planning, 2017.

Sandoval-Strausz, A.K. Hotel: An American History. New Haven: Yale University Press, 2007.

Ragland, Jenifer. "The Irvine Family." Los Angeles Times. January 1, 2000. "Year -long program: Marriott `shopping' coming to close." Press -Telegram. April 9, 1975.

Wallach, Ruth, Linda McCann, Dace Taube, Claude Zachary, and Curtis C. Roseman. Images of America: Historic Hotels of Los Angeles and Hollywood. Charleston, SC: Arcadia Publishing, 2008.
"William E. `Bill' Blurock Obituary." Orange County Register. June 24, 2012. 900 Newport Center Drive 89 ESA / D202100966.00
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Appendix A
Professional Qualifications

r ESA
J
Margarita Jerabek-Bray, PhD
Historic Resources Director

EDUCATION
Margarita Jerabek-Bray, Ph.D., has 32 years of professional practice in the Ph.D., Art History,
United States with an extensive background in historic preservation, University of California,
architectural history, and historical archaeology. She specializes in American Los Angeles
Architecture, Modern and Contemporary Architecture, Urban History and M.A., Architectural
Design, and Cultural Landscape, and is a regional expert on Southern California History, School of
architecture. Her qualifications and experience meet and exceed the Secretary Architecture, University
of the Interior's Professional Qualification Standards in History, Architectural of Virginia
History, and Archaeology. Margarita assists clients with strategic advice and Certificate of Historic
historic preservation consultation services to support project success. Highly Preservation, School of
experienced and solution oriented, she provides historic resources management Architecture, University
and preservation consultation services for all stages of project development, of Virginia
from due diligence through planning and design, to preparation of required B.A., Art History,
documentation for environmental review and permitting. She provides expert Oberlin College
historic preservation services for environmental review and, when necessary, implements mitigation requirements and preservation treatment measures. 32YEARS

EXPERIENCE
Margarita is a highly experienced and respected authority in the evaluation, AWARDS
management and treatment of historic properties, and is expert in the zozo Gold Nugget Merit
preparation of legally defensible documentation for compliance with Sections Award, PCBC, Best
106 and 110 of the National Historic Preservation Act (NHPA), National Rehabilitation Project
Environmental Policy Act (NEPA), Section 4(f) of the Department of 2018 Merit Award,
Transportation Act, California Environmental Quality Act (CEQA), and local Environmental Analysis
ordinances and planning requirements. She has managed and conducted Document, Association
of Environmental
hundreds of projects for public and private clients throughout California and the p l p p g
Professionals
United States, and as primary investigator she has authored numerous historic 2oi6 Preservation
resources technical reports, plan reviews, HABS/HAER/HALS reports, salvage Design Award,
inventories, rehabilitation plans, relocation plans, construction monitoring Interpretive Exhibit,
reports, interpretive programs, as well as curated exhibits, provided input for California Preservation
interpretive websites and assisted in the development of content for Foundation
documentary films.
2014 Preservation
Award, Los Angeles
Margarita Directs ESA's Southern California Historic Resources Practice, leading Conservancy
a team of historians, architectural historians, and preservation specialists who 2014 Westside Prize,
are a part of ESA's more than 30-member Cultural Resources Group. She has Westside Urban Forum
conducted a broad range of planning and technical studies for development 2014 Design Award:
projects throughout Los Angeles County. Her relevant on -call contracts with Westside Urban Forum
various municipalities and agencies throughout the Southland and her West 2012 Preservation
Hollywood experience, including historic resource assessments for commercial, Design Award,
industrial, studio, and residential resources, is summarized below.

California Preservation
Foundation

Margarita Jerabek-Bray, PhD

PROFESSIONAL Relevant Experience

AFFILIATIONS
Agency On -Call Preservation Contracts Margarita currently manages ESA's on - California Preservation
Foundation
call preservation consulting contracts with the City of Santa Monica, City of Hermosa Beach, and serves as principal investigator for historic resources for Santa Monica
our on -call contracts with the City of Los Angeles's Department of Public Works Conservancy
Bureau of Engineering, and Los Angeles Unified School District.

Society of Architectural
Historians, Life Member
PolicyDocuments Margarita has contributed her preservation planning American Institute of
expertise to several projects including Lincoln Specific Plan (Whittier), and CPA - Architects (AIA),
7 (Culver Studios). Her knowledge of preservation policy and law is also National Allied Member
demonstrated in the Citywide Survey and General Plan Update completed by ESA Neutra Institute, Fellow
for the City of Hermosa Beach, and the Culver City General Plan Update.

City ofSanta Monica On -Call Historic Preservation Services, Santa Monica, CA.

Project Manager/PrincipalArchitectural Historian. Dr. Jerabek is the primary point of contact and contract administrator for ESA's on -call contract for historic preservation services with the City of Santa Monica. Under her 12-year tenure, ESA's historic division has prepared hundreds of studies including preliminary assessments, landmark assessments, structure of merit assessments, Secretary of the Interior's Standards plan reviews and preservation recommendations, landscape assessments, character -defining features reports and CEQA impacts analyses.

Historic Resources and Preservation Consultation Service for Santa Monica City Hall, CityofSantaMonica, CA. Project Manager/PrincipalArchitectural Historian. Prepared a Section 106 Effects Evaluation report and provided mitigation services pursuant to a Memorandum of Agreement for Structural Seismic Upgrades, ADA Improvements, Relocation of Wood Paneling, and Adaptive Re -use of the Historic Jail under a grant from the Federal Emergency Management Administration (FEMA). Dr. Jerabek was the primary point of contact, provided project management and agency coordination, and served as principal architectural historian for the project. ESA prepared a HABS report for the historic jail located in the northeast wing of City Hall; conducted Plan Reviews and provided preservation recommendations for the seismic upgrades; reviewed proposed ADA improvements and provided recommendations to avoid impacts; reviewed the wood paneling relocation plans and worked with the City to select a qualified master craftsman and conducted construction monitoring for the project; reviewed the jail rehabilitation project for conversion of the two-story jail into an IT Center and offices and provided design consultation for conformance with the Standards, including in -kind replacement of the historic windows; curated, designed and oversaw installation of an interpretive exhibit in the IT Center lobby. Follow-on services for the City included Preservation Consultation and Monitoring for restoration of the entrance to City Hall, and Paint Analysis and color recommendations for repainting City Hall. Dr. Jerabek also conducted a Landscape Analysis and provided Plan Reviews for the City's Ken Genser Square and Tongva Park projects that received a 2014 DesignAwardfrom the Westside Urban Forum.

City ofHermosa Beach On -Call Historic Preservation Services Project Director.

ESA has performed a number of surveys, Certificate of Appropriateness, and CEQA compliance reviews for historic structures while serving as a historic preservation consultant for the City of Hermosa Beach. Projects include historic resources surveys on three of the oldest commercial buildings in the downtown area of Hermosa Beach for the City of Hermosa Beach: Bank of America Building at 90 Pier Avenue, the Hermosa Hotel at 26 Pier Avenue, Art Deco -style Community Center, and the Neoclassical Revival -style Bijou Theatre located at

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1221-1227 Hermosa Avenue. ESA prepared a comprehensive assessment of each building, and reviewed all plans for compliance under the local preservation ordinance and CEQA, which stipulate the use of the Secretary of the Interior's Standards for Rehabilitation as mitigation. Upon implementation of rehabilitation work on the Bijou, ESA also monitored all construction work until final completion. ESA was later commissioned to undertake a Certificate of Appropriateness and CEQA compliance review of interior tenant improvements to the Bijou Theater for conformance with the Secretary of the Interior's Standards. ESA has carried out site reviews of the work to examine the scope and nature of selective demolition and new construction, provided guidance on technical preservation matters, and undertook a substantial completion review of the works. Most recently, ESA provided project review for tenant improvements, and conducting construction monitoring and oversight for restoration of ornamental plasterwork in the Bijou Building. Additionally, ESA provided paint analysis and restoration treatment recommendations for the Art Deco -style Hermosa Beach Community Center.

Hermosa Beach General Plan Update and Ells City ofHermosa Beach, CA. Project Managerfor Cultural Resources/Principal Architectural Historian. Managed ESA's Cultural Resources scope of work and collaborated with Raimi & Associates and PMC to provide consulting services to the City of Hermosa Beach for preparation of a Comprehensive Integrated General Plan and Coastal Land Use Plan Update and EIR Focused on Sustainability and Low Carbon Future.

Directed city-wide reconnaissance survey to identify potentially eligible historical resources. Developed historic contexts and themes for the City's historical resources. Reviewed and provided recommendations for revisions to the preservation ordinance. Provided input for preparation of historic preservation goals and policies for the General Plan update. Managed preparation of the cultural resources technical report, and oversaw preparation of the historic resources, archaeological and paleontological discussions and analyses for the EIR.

CityofLongBeach, Environmental Consultation and HABS Documen tation.

Margarita has assisted the City of Long Beach by preparing documentation for the City Hall and Library Complex HABS and associated landscape plaza; she provided historic resources support for the City's EIR, and prepared documentation for the Atlantic Theater HABS and an Interpretive Exhibit for installation in the new North Long Beach Public Library.

City of Whittier, Preservation Consultation Services for the Public Library Rehabilitation Project Margarita lead a Historical Resources Assessment and Impacts Analysis and provided design consultation for rehabilitation of the Modern -style Whittier Library. Constructed in 1958, the property is significant for its association with Mid -Century Modernism, postwar period institutional properties, and architect William Henry Harrison. ESA found that the library possesses sufficient historical significance and architectural merit to convey its significant as an individual resource under National Register Criteria A and C.

Margarita's role on the project was to direct and manage the ESA project team, coordinate with the architect and City, provide review and internal quality assurance/quality control to the ESA team in the preparation of both the Historic Resources Assessment to evaluate the significance and integrity of the building, as well as for the plan review that was conducted to evaluate the proposed project's conformance with the Secretary of the Interior's Standards for the Treatment of Historic Properties, and hearing attendance. ESA is

Margarita Jerabek-Bray, PhD

currently completing a HABS report as baseline documentation for the rehabilitation project.

CityofBurbank Historic Preservation Consultation Services Margarita directed preparation of ESA's historic resources technical report and CEQA impacts analysis, and prepared the historic section of the IS/MND for the Burbank Reservoir No.1 Replacement Project, which evaluated the eligibility of the Burbank Reservoir facility and analyzed the potential impacts of the Project for compliance with the CEQA. Margarita directed preparation of ESA's historic resources technical report and historic resources EIR section for the Burbank Bob Hope Airport Replacement Terminal Project EIR, which evaluated the eligibility of the buildings and structures for eligibility as a potential historic district and as individual resources, and analyzed the potential impacts of the Project for compliance with the CEQA. While the Airport did not appear eligible as a historic district, ESA evaluated 11 hangars and buildings over 45 years in age as potential individual resources. The majority of the buildings and structures were found ineligible, however, Hangars 1 and 2, which are the earliest intact hangars, were recommended eligible for the National Register, California Register, and for local listing. Under contract with the City of Burbank, Margarita managed and conducted a historic resources impacts analysis and plan review for Rehabilitation of the Casting Building as a Fitness Center, by Marmol Radziner and Associates, AIA, located in the Disney Studio's Historic District. The Project repurposed and expanded the existing 4,000 square feet Casting Building on the Studio Lot by about 8,700 square feet for an Employee Fitness Center adjacent to the historic Commissary. Margarita provided design consultation for conformance with the Secretary of the Interior's Standards to rehabilitate the Casting Building as a fitness center. To reduce potential impacts, Margarita prepared a HABS report to record the Casting Building in professional large format HABS photographs and a narrative history and description of the building.

SoCalHistoricResource Surveys. Margarita has managed and conducted several large historic resources survey projects including three surveys for the Adelante-Eastside (Boyle Heights), Wilshire Center/Koreatown, and Normandie 5 redevelopment areas that were among the earliest to utilize SurveyLA tools and methods and to employ the Multiple Property Documentation Approach, working in close collaboration with the Los Angeles Office of Historic Resources.

These surveys have been incorporated into the Los Angeles Citywide Survey.

Other notable accomplishments include Hermosa Beach Citywide Survey, and Santa Monica North of Wilshire Survey for which she served as Project Director.

Mills ActApplicationsandArchitectural Conservation. Margarita has assisted applicants in Los Angeles, Beverly Hills and West Hollywood with the preparation of Mills Act Applications. Her expertise in the preservation of Modern architecture is represented by the Landmark nomination and Mills Act Application for Victor Gruen's Rosenstiel Residence, 1210 Coldwater Canyon Drive in Beverly Hills. Her forward -looking landmark nomination for a Mills Act application for the Post -Modern Sun Tech Townhomes in Santa Monica, illustrates her broad ranging knowledge in resources of the recent past. Her conservation and interpretation skills are represented by the award -winning Montebello Home Savings and Loan project that involved cleaning and restoration of the historic bank building and art works designed by Millard Sheets Studio, and design and installation of a 5-panel interpretive exhibit and rediscovery of a lost tapestry originally designed for the building, for which she received a California Preservation Design Award, 2016. Her in-depth and award -winning preservation work includes the RMS Queen Mary Survey of Fine

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and Decorative Art, the RMS Queen Mary Historic Structure Report, and the Queen Mary Conservation Management Plan (California Preservation Foundation Preservation Design Award, 2012).

Environmental Documentation and Compliance with CEQA. Margarita has prepared a full range of CEQA documentation for historic preservation projects throughout greater Los Angeles including Categorical Exemption Letters, assessments and plan reviews for Certificates of Appropriateness, Initial Studies/MNDs, Focused EIRs, and EIRs. A partial list of important environmental documents for projects in Los Angeles involving substantial historical analysis completed by Dr. Jerabek-Bray includes the LAX Specific Plan Amendment Study EIR, Academy of Motion Pictures Project EIR, The New Century Plan EIR for Westfield, Washington Square EIR, Sunset Doheny Mixed - Use EIR, One Santa Fe Mixed -Use MND, Lindbrook & Gayley Mixed -Use MND, 6230 Sunset Mixed -Use Project EIR, Hollywood Center EIR, Palladium EIR, Sunset and Crescent Heights EIR, and Yucca and Argyle EIR. In Santa Monica she contributed to the Fairmont Miramar Hotel & Bungalows Revitalization Plan EIR, St. John's Health Center Development Agreement Addendum EIR, Santa Monica Pier Gangway Project and Phase 4 Structural Upgrade, and CEQA support for the Santa Monica -Malibu Unified School District -Wide Facilities Plan. In Pasadena her experience includes the Glenarm Power Plant Repowering Project EIR. In Long Beach she provided expertise and support for the Art Exchange Redevelopment Project EIR support, and the Golden Shore Master Plan EIR.

Educational Facilities and University Campuses, CA. Principal In Manager. Dr. Jerabek-Bray has conducted numerous
evaluations of school and university campuses throughout Southern California.

Under ESA's on -call contract with the Los Angeles Unified School District, she has managed and completed over 30 task orders involving historic resources, including campus assessments, character -defining features analysis, and project reviews for compliance with CEQA. For example, Margarita managed and conducted preparation of a historic resources technical report for Jefferson High School and provided preservation design consultation for this site -specific school upgrade and modernization project under the District's School Upgrade Program (SUP). The proposed project included the rehabilitation of existing character -defining buildings and landscapes, demolition and removal of non- contributing buildings, and construction of new facilities. Rehabilitation work included modernization and seismic upgrade to existing buildings. Because the school site is considered a historical resource under CEQA, Margarita provided design consultation for conformance with the Secretary of the Interior's Standards to reduce potential project impacts to less than significant. Once project plans were developed, Margarita oversaw review of the proposed project by ESA historic staff and completed impacts analysis findings regarding potential project impacts to identified historical resources that would be affected by the project. Margarita also provided project management, oversight and contributed to the preparation of CEQA and NEPA procedural guidelines to help the Los Angeles Unified School District (LAUSD) to comply with the historical resources requirements of CEQA and NEPA, and to implement practical approaches to preserving culturally significant resources whenever possible. The LAUSD's Office of Environmental Health and Safety requested the preparation of CEQA and NEPA guidelines, in addition to design guidelines and treatment approaches, specifically in support of the School Upgrade Program, and generally to guide ongoing repair and maintenance work on these sites. The guidelines build upon the District's ongoing efforts to identify historical

Margarita Jerabek-Bray, PhD

resources, including the recently updated Historic Context Statement, survey of 55 campuses, creation of an ArcGIS-compatible database with current and previous survey results, and a Historic Resources Inventory. Dr. Jerabek-Bray worked with LAUSD and facilities staff to determine the scope, class, and type of projects that would impact historical resources and need to be addressed in the procedural guidelines. As a final work product, Dr. Jerabek-Bray authored a CEQA and NEPA procedural guidelines document that included the following sections: introduction, regulatory setting, environmental setting, project description, management and planning guidelines, procedural low charts for CEQA and NEPA/Section 106, and standard mitigation measures.

Margarita served as the project manager and principal investigator for the district -wide cultural resources survey for Long Beach Unified School District (LBUSD) which included the evaluation of 70 potentially eligible District school facilities for listing in the National Register and California Register, and included preservation guidelines for the district -wide facilities modernization program.

She conducted CEQA Compliance reviews for select projects including rehabilitation of Long Beach Polytechnic Auditorium and Woodrow Wilson Auditorium. Margarita completed a district -wide historic resources survey for the Santa Monica Unified School District, and provided preservation consultation for modernization and additions to selected school sites.

As part of the larger USC Master Plan Project Margarita prepared a historic resources analysis for the USC Student Union Project IS/MND evaluating the Formalist Modern Norman Topping Center and impacts to the adjacent Commons Building and surrounding historic district. She also prepared a HABS report for the Schoenburg Institute at USC. Other HABS reports for educational facilities include the Gymnasium at the University of La Verne, and the Administration Building at Harvard -Westlake Academy.

Harkham Hillel Hebrew Academy Renovation and Expansion Project, Historic Resources Assessment and Impacts Analysis, Beverly Hills, CA. Principal In Manager. Margarita directed the historic significance analysis of two school buildings —the original Oakhurst Building designed by master architect Sydney Eisenshtat in 1963 in the Modern Style and the Doheny Building constructed in 1989 and designed by Harshad Patel. She oversaw preparation of an intensive -level Historic Resource Assessment Report for the two buildings in accordance with the California Office of Historic Preservation's requirements for preparing historic resource evaluation reports. ESA found that the Oakhurst Building is eligible for listing on the National Register of Historic Places and the California Register of Historical Resources under criteria A/1 and C/3, but it did not meet the requirements for local eligibility under the City of Beverly Hills criteria.

The client plans to rehabilitate the existing buildings, which would be updated for current use and continue to function as school buildings. The proposed project would add two additions to the rear of the property in order to accommodate additional classroom and gymnasium space. Margarita oversaw preparation of a character -defining features analysis and provided design consultation for conformance with the Secretary of the Interior's Standards to reduce potential project impacts to less than significant. She also conducted an impacts analysis of the proposed project and prepared a preservation plan that was incorporated into the project as a project design feature to ensure the project would meet the Secretary's Standards for Rehabilitation. The project has been reviewed and approved by the City of Beverly Hills as an Initial Study/Mitigated Negative Declaration.

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Rehabilitation of the Dunbar Hotel, 4255 S. Central Avenue, Los Angeles, CA.

Project Manager/PrincipalArchitectural Historian. As a Project Manager, Dr.

Jerabek-Bray directed a careful space -by -space inventory of character -defining features (including all windows) associated with the Dunbar Hotel's period of significance (1928-1970). This included photo documentation of each feature along with a written description, condition, and treatment options. ESA recorded 425 character- defining features and spaces into an electronic database. Dr. Jerabek was principal author for the rehabilitation report that included a project description, methods, historical background and construction history, accompanied by historic photographs, an architectural description of existing conditions, a maintenance plan for high -integrity features, a restoration plan for low -integrity features, and a replication plan. The written report also provided a list of any issues and concerns that should be taken into account during the building rehabilitation and for the long-term preservation of the Dunbar Hotel. The hotel reopened in June 2013 as a senior living facility amidst local fanfare, "An encore for the historic Dunbar Hotel," Los Angeles Times, June 11, 2013. The project was the recipient of the 2014 Westside Prize from the Westside Urban Forum and recipient of a 2014 Preservation Award from the L.A. Conservancy.

Historical Resources and Preservation Consulting Services for The Culver Studios, Culver City, CA. Project Manager/PrincipalArchitectural Historian. Since late 2014, Dr. Jerabek-Bray and ESA' s Historic Resources Practice has provided a suite of services including historical resources evaluation, environmental review and documentation, and historic preservation consultation services for the CPA-6 Specific Plan, and the CPA-7 Specific Plan known as "The Innovation Plan," a blueprint for the future of The Culver Studios. Dr. Jerabek is the point of contact for historic services, attends client and city meetings, attends public hearings, provides technical direction and advice, directs and conducts the preparation of report deliverables, directs and conducts construction monitoring, and acts as the City's preservation officer for the Innovation Plan.

The Plan will transform the 14.3-acre Studio into a new media production hub, keeping the Studio on the vanguard of changing production practices in the entertainment industry. The Culver Studios is a motion picture studio in downtown Culver City established in 1919 by Thomas Ince, and eventually became the home of RCA, one of the "Big Eight" major motion picture companies in the Los Angeles metropolitan area. The Studio was the production site of historically significant motion pictures like King Kong, Gone with the Wind, and Citizen Kane. The Innovation Plan will restore and re -group historic structures adjacent to the Mansion, build new support buildings near existing historic sound -stages, and establish a creative campus in the core of the 14.3-acre studio lot. The Studio's 100-year history will be showcased, historic bungalows will be preserved, and original landscaping in front of the Mansion will be restored. The Innovation Plan balances the need to provide state-of-the-art studio facilities, while retaining the Studio's unique ambiance and prominent place in the community. ESA surveyed and evaluated the Studio's historical resources, provided input to the development of The Plan to reduce impacts to historical resources, completed HABS report for Bungalows S, T, U and V, prepared a Relocation and Rehabilitation Plan for the bungalows, conducted construction monitoring for relocation of the bungalows, conducted plan reviews for tenant improvements to the Mansion and associated historic buildings in the historic core, conducted a landscape analysis, and provided documentation and input for the landscape restoration. ESA also prepared the environmental documentation for The Innovation Plan EIR, and is

Margarita Jerabek-Bray, PhD

implementing the mitigation program for historical resources including HABS documentation of Stages 2/3/4 and a salvage program, preparation of a preservation plan for the Studio, and development of an interpretive program for the Studio.

Historic Resources and Preservation Consultation Services for the Redevelopment of the Fred C. Nelles State Reform School, Whittier, CA. Project Manager/PrincipalArchitecturalHistorian. The Fred C. Nelles Correctional Facility is a listed California State Landmark, and is significant as the state's first reform school for boys. The 1920s-1930s Tudor Revival -style campus is currently vacant and will soon be redeveloped as a multi -use residential and commercial project, "The Groves", entitled under the certified Lincoln Specific Plan EIR. For over a decade, Dr. Jerabek-Bray has been providing Historic Resources and Preservation Consultation services to the developer, Brookfield Homes. Work began with preparation of a historic resources assessment report to clarify the regulatory status and assessed the potential eligibility of a historic district. No district was found to be present, but eight individual resources were identified. Margarita conducted an opportunities and constraints analysis and provided input to the developer on managing impacts to historic resources and the feasibility of adaptive reuse of the individual buildings for the project.

She directed preparation of feasibility studies for the EIR, that were peer reviewed by the City's consultants. She provided peer review of the Lincoln Plan EIR on behalf of the developer, and attended city meetings and hearings for the EIR. Once the EIR was certified, she worked with the developer's architect to prepare rehabilitation plans for the individual resources to be retained and adaptively reused. The rehabilitation plans were peer reviewed by the City and the City's preservation consultant. She directed ESA's historic team in the completion of a HABS/HALS for the campus, with photography by Positive Image. She also worked with Eye -Glass Productions on a documentary film, and oral histories. Dr. Jerabek-Bray assisted the client to implement a full suite of mitigation measures including a heritage trail, a signage program, oral histories, salvage program, and construction monitoring for rehabilitation historic buildings. She recently completed consultation services and construction monitoring for adaptive reuse of the school's Commissary as a community center (The Commons), which is the first historic building to be restored. The Commons project received a Gold Nugget merit award (2020) for best rehabilitation project from Pacific Coast Builders Conference (PCBC).

Home Savings and Loan Art and Architecture Conservation Services, Interpretive Exhibit, Montebello, CA. Project Manager/PrincipalInvestigator. Margarita provided project management and oversight for the conservation work of the art and architecture and an interpretive exhibit for the Montebello branch of Home Savings and Loan Association. Constructed in 1973, the Montebello branch was designed by Millard Sheets (1907-1989), an accomplished, nationally prominent artist and designer, with integrated art works by the Millard Sheets Design Company. The building and art works were preserved in preparation for the building's new use as a medical office by PIH Health. ESA provided oversight for the conservation work undertaken by Preservation Arts.

Additionally, Margarita assisted with the development of a project schedule, conducted conservation monitoring and documentation, and provided project oversight during the implementation of the conservation project to ensure that the cleaning and repair of the art works and exterior architectural materials was conducted in accordance with accepted standards for art and architectural conservation work, that the work completed is of acceptable quality, and that the project stayed on schedule and within budget. After the conservation work was completed, she oversaw the development of an interpretive exhibit to

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J
beautify the interior and protect the building's important art, architecture, and history. The exhibit contains professionally mounted permanent narrative panels and photographic enlargements with captions illustrating the key information about the Montebello Branch and its historic use. One of the highlights of the interpretive exhibit is a reproduction of the original tapestry hung its original location for which ESA coordinated with the Mingei International Museum. The project was the recipient of a prestigious 2016 Preservation Design Award from the California Preservation Foundation.

Rancho Los Amigos South Campus EIR, County of Los Angeles, Department of Public Works, Downey. CA. Project Manager/PrincipalArchitectural Historian.

The County of Los Angeles (County) proposes redevelopment of a portion of the Rancho Los Amigos (RLA) South Campus which is located in the City of Downey.

The 74-acre RLA South Campus was the home of the "Los Angeles County Poor Farm" that was established in 1880s to provide room and board to indigent citizens in exchange for agricultural labor, then served as an infirmary and later evolved into a hospital facility in 1932. The RLA South Campus functioned as a major hospital complex from 1956 to the 1990s, when it was abandoned. The RLA South Campus is currently unoccupied and has been designated as the RLA Historic District in the National Register of Historic Places. The County is proposing redevelopment of a 21-acre portion of the RLA South Campus with County uses, including a Sheriff's Station Crime Laboratory, Internal Services Department Headquarters, and Probation Department Headquarters. The project will include supporting parking and installation of utilities and other features on a site that has been abandoned for nearly 30 years. Building demolition and/or repurposing or relocation of existing buildings will be required. ESA lead the CEQA process on behalf of the County, including preparation of all technical studies in support of a full -scope EIR for the RLA South Campus Project. This included a Historic District Evaluation, archaeological surveys, traffic, water supply, arborist services, and all other CEQA-required topics. ESA is also served in an Executive Consultant role to the County, to advise on other potential future projects at the RLA Campus.

r ESA

EDUCATION
MS, Historic
Preservation, University
of Pennsylvania
BA, Design, University of
California at Davis
9 YEARS EXPERIENCE

PROFESSIONAL

AFFILIATIONS
Latinos in Heritage
Conservation, Education
Committee Member
California Preservation
Foundation, Member
Society of Architectural
Historians, Southern
California Chapter
Member
National Trust for
Historic Preservation,
Member
AWARDS
Albert Binder Travel
Fellowship, 2012 and
2013
Alison Garcia Kellar
Senior Architectural Historian
Alison is a senior architectural historian with 9 years of professional and academic experience with a background in historic preservation, design, and museum collections. Her work with historic resources and cultural heritage in California has included managing and authoring historic resource assessments, National Register Nominations, historic structure reports, feasibility studies, Federal Historic Preservation Tax Credit applications, in addition to extensive archival research and resource documentation. Alison applies her understanding of preservation design and historic interiors to inform impacts analyses of proposed development and recommendations for adaptive reuse.

Relevant Experience
Earl Carroll Theatre Historic Structure Report, Los Angeles, CA. Senior Architectural Historian. Alison was the lead author of the Historic Structure Report created for the rehabilitation of the historic Earl Carroll Theatre in Hollywood.

Constructed in 1938, the property is significant for its association with owner - operator Earl Carroll, Hollywood nightlife, and architect Gordon B. Kaufmann. The theatre is a listed LA Historic -Cultural Monument and has been identified as eligible for the National Register. In recent years, the theatre has been rented by television network studios as sound stages, and as a result some public areas have been modified overtime. Alison conducted supplemental in-depth research, participated with the creation of a detailed interior and exterior character - defining features analysis, and assisted with the analysis of the theatre's current condition. She developed recommendations in compliance with the S01 standards that sensitively guide stakeholders with ongoing preservation efforts.

Pennoesign Celes King III Swimming Pool Historic American Building Survey, Los Angeles, Departmental Grant, CA. SeniorArchitectural Historian, Deputy Project Manager. ESA was hired to 2011-2013 conduct HABS documentation for the City of Los Angeles Park and Recreation Department. Constructed in the early 1960s, the Celes King III Swimming Pool was designed by architect Albert Criz in the Mid -Century Modern -Expressionist style.

Alison conducted in-depth research related to the history of the surrounding recreational complex, construction of the swimming pool, architect, and neighboring communities.

Alpine Village Preservation Consulting Services, Unincorporated Los Angeles County, CA. Senior Architectural Historian. Alison was the lead author of the preliminary historical significance evaluation determination for the Alpine Village complex, a European -style shopping center located near Torrance, California.

Comprised of seven buildings constructed between 1969 and 1974, the complex is an example of an increasingly rare type of roadside architecture, and retains high historic integrity. Alison participated in conducting in-depth construction chronology research, determining the complex's period of significance, and

Alison Garcia Kellar, M.S.

identified both interior and exterior character -defining features for the property to help guide ongoing planning efforts.

Whittier Public Library, Whittier CA. Senior Architectural Historian. Alison was the lead author of the Historic Resources Assessment which determined that the library is significant as an individual resource under National Register Criteria A and C. Constructed in 1958, the property is significant for its association with Mid - Century Modernism, postwar period institutional properties, and architect William Henry Harrison. Alison assembled the construction history for the library and the Whittier Civic Center. She created a detailed character -defining features analysis identifying significant and contributing features at the property's interior, exterior, and site. Alison coordinated with the project architect to ensure that the project met the Secretary of the Interior's Standards (S01) in order to meet community's contemporary needs while respecting the building's historic character. Alison authored and oversaw the production of a HABS report to document the library building prior to selective demolition and project construction.

Benjamin Franklin Elementary School Historic Resource Evaluation and Mitigated Negative Declaration, San Diego, CA. Senior Architectural Historian.

Alison conducted an HRA for the 1930s, 40s, and 50s-designed elementary school campus. The property was found to be a historic district eligible for its association with the post-war development of the Kensington neighborhood, and for its association with two master San Diego architects. The proposed project was reviewed for compliance with the Secretary of the Interior's Standards, and a CEQA analysis was performed, resulting in the Mitigation Measures and design considerations for future construction within the district. Alison authored and oversaw the production of a HABS report to document the campus and its buildings prior to project construction.
1202 31" Street Promenade Preservation Consulting, Santa Monica, CA. Senior Architectural Historian. Constructed in 1949 as a JC Penny department store, the commercial building was designed in the Late Moderne style. ESA previously worked to produce a Landmark Assessment Report, and today, the property is recognized as a City of Santa Monica Landmark. Alison conducted a S01 Standards conformance review of a proposed tenant improvement project for a Certificate of Appropriateness.
1221 Hermosa Avenue Preservation Consulting, Hermosa Beach, CA. Senior Architectural Historian. ESA serves as a historic preservation consultant to the City of Hermosa Beach, and has a longstanding relationship with the building at 1221 Hermosa Boulevard, known as the Bijou Building. The building is a former historic theatre and bank designed in the NeoClassical Revival style, constructed in 1923.

Alison evaluated proposed tenant improvement modifications including the removal of non -original features and the retention of original features related to original theatre and bank uses. Alison has conducted design reviews which included an understanding of all modifications to the space over time, character - defining features analyses, and reviews of proposed plans against CEQA thresholds and the S01 Standards for compliance. Alison is currently participating with overseeing the construction monitoring efforts for the theatre space as part of this ongoing project.

Alison Garcia Kellar, M.S. �,,��

J
Universal Hilton Historic Resources Technical Report and Environmental Impacts Report for 555 W Universal Terrace Parkway, Los Angeles, CA. Senior Architectural Historian. The Universal Hilton Hotel was designed by master architect, William L. Pereira in 1983 in the Postmodern style. As one of Pereira's final commissions, the hotel building was originally part of a master plan and was designed to accommodate visitors to the expanding Universal Theme Parks.

Alison conducted in-depth architect and postmodern style research, and evaluated the property for historic significance as part of the Historic Resources Technical Report.

Los Cerritos Wetlands Restoration Plan Program, Cultural Resource Assessment, Seal Beach, CA. Senior Architectural Historian. The Los Cerritos Wetlands Restoration EIR project will reinstate historic wetlands to a previously developed oil rig/production site that has been in operation since the early 20t" century. As part of the larger restoration plan program, ESA was hired to conduct a cultural resources study to observe, document, and prepare preliminary mitigation measures related to identified built environment resources. Alison collaborated with the archeology team during a field visit to identify potential sites for later investigative studies. She reviewed historic aerial photographs, and conducted research to determine the companies and general ages of oil -industry related infrastructure including oil rigs, operations sheds, and decommissioned tank farms. Mitigation recommendations presented for the structures included Historic Resource Assessment reports to be conducted in the future. 3325 Monterey Road CEQA Impacts Analysis and Design Review, San Marino, California. Senior Architectural Historian. A two-story Art Deco style single-family residence, constructed in 1927 in San Marino, California was determined to be a historic resource. Proposed modifications to the residence included a two-story rear addition and building rehabilitation. Alison assisted with preservation design consultation and conducted a plan review for conformance with the SO1 Standards for the proposed project. She coordinated with the project architect to better convey preservation components of the proposed work into the drawing set for city review. The review required a character -defining features analysis to determine the level of significance of the remaining features.

Golden Gate Village Historic Resource Evaluation, Marin City, CA. Architectural Historian. The highly -intact Golden Gate village low-income housing complex was constructed in 1958 to house many of the former Marinship workers and their families. Designed by prominent mid-century designers including Aaron G. Green, John Carl Warnecke, and Lawrence Halprin, the property serves as an example of a well -designed housing complex, significant as a product of post-war urban development and for its prominent mid-century designers. Alison performed the site visit and conducted research through local and private archival repositories, plan analysis, and interviews, to produce the report narrative and historic evaluation for the property. Today, the property is listed on the National Register of Historic Places.

McDonnell Hall/Our Lady of Guadalupe Chapel Historic Structure Report, San Jose, CA. Architectural Historian. Constructed as a parish church in 1914, the building moved to its current location in 1953. Here, the building served as a

Alison Garcia Kellar, M.S.

newly formed Catholic Mission, the Center of Our Lady of Guadalupe. The property is associated with civil rights activist and labor rights leader Cesar Chavez, and the mid-20th century Mexican American civil rights movement. Alison assisted with the research, production, and design recommendations, including bringing the building back to its appearance during its period of significance, which required a meticulous analysis of the building's historic integrity. The property today is listed as a National Historic Landmark.

Historic YMCA Hotel Preservation Consulting in the Embarcadero, San Francisco, CA. Senior Architectural Historian, Project Manager. Built in the early 201h century, the building was formerly a YMCA hotel used by young navy men and is currently a hotel along the waterfront with an adjacent YMCA recreational center. The hotel was proposing modifications which included rehabilitation work and reconfiguring the interior lobby space. Alison researched and documented the interior evolution by reviewing old plans, movies filmed on -location, post cards, and existing fabric. She established the building's construction chronology with a focus on the building's public spaces at the interior, overseeing the entire production of the report and created recommendations to update the client's proposed plans which included acceptable sensitive modifications to historic features and recommendations for potential future demolition.

Palo Alto History Museum Historic Preservation Consulting, Palo Alto, CA.

Architectural Historian. The Spanish Revival style Roth Building was the original location of the Palo Alto Medical Foundation. The former medical building is undergoing a conversion into a local history museum with gallery space, interpretive areas, and archival and study rooms. Alison assisted with secondary research efforts of both the medical foundation and the building, upon modifications to the museum's scope of work. She conducted a Part 2 Federal historic rehabilitation tax credit application review which included recommendation to best comply with the Secretary of the Interior's Standards for Historic Preservation.

Half Moon Bay Barn and Jail Museum Historic Resource Evaluation and Preservation Consulting, Half Moon Bay, CA. Senior Architectural Historian. The City of Half Moon Bay was working with a local historical society to implement a history museum at the site of its early 20th centuryjail and adjacent barn. Alison conducted an in-depth historic resource assessment then reviewed proposed plans for buildings and site modifications to accommodate gallery space, offices, and archival storage. Coordinating with project architects, she assisted with the creation of recommendations for project compliance with the Secretary of the Interior's Standards for Rehabilitation.

Toscano Hotel Preservation Consulting, Sonoma State Historic Park, Sonoma, CA. SeniorArchitectural Historian. The two-story wood framed Toscano Hotel was constructed in the 1850s and is a contributing resource to the Sonoma Plaza National Historic Landmark District and the Sonoma Plaza National Register Historic District. Alison conducted a Secretary of the Interior's Standards reviews of proposed changes to the interior of the building. Proposed changes included the conversion of a portion of the building from a hotel saloon museum display area into a retail concession area for the California State Parks. Project recommendations included sensitive design solutions to maintain original features.

EDUCATION
M.Sc. Historic
Preservation University
of Colorado, Denver
2013
B. Arch. Sarvajanik
College Surat, India.
2010
xv�y:►�» �����y�

CERTIFICATIONS/

REGISTRATION
Registered Architect
Council of Architecture,
India #CA/2015/68539
Anokhi Varma
Architectural Historian
Experienced Conservation Architect with a demonstrated history of working in the architecture & planning industry. Areas of expertise include Historic Structure Assessment, NRHP Nominations, Secretary of Interior Standards, LiDAR Scanning, HABS/HAL documentation, and Cultural Resource Management. Skilled in AutoCAD, Adobe Design, Revit. Strong arts and design professional with an MSc Historic Preservation focused in Historic Preservation and Conservation from the University of Colorado at Denver.

Relevant Experience
5426 San Fernando Road Historic Due Diligence Services, Glendale, CA Coauthored 5426 San Fernando HRA report, conducted building permit search and construction history for a cluster of 6-7 buildings on the site. 1221 Hermosa Beach Construction Monitoring, Hermosa, CA Conducted construction monitoring and prepared relevant reports subsequently identifying, documenting the historic features to be retained and observing the restoration process.
2311 N Hollywood Way Historic Resources Assessment, Burbank, CA Coauthored 2311 N Hollywood way HRA report, conducted building permit search and construction history the building on the site.
1499 Carla Ridge Historic Resources Assessment, Beverly Hills, CA Coauthored 1499 Carla Ridge HRA report, conducted building permit search and construction history the building on the site.

Restoration and Adaptive Reuse of 14th Century Surat Castle, Surat, India Served on a team of experts tasked with making decisions comprised of archaeologists, architects, and engineers for the Surat Municipal Corporation, City of Surat. Prepared a design brief inclusive of architectural conservation design, adaptive reuse plans, interior design, utility services, site development, design and landscape design. Coordinated and supervised archaeological digs, endoscopic tests, nondestructive tests, and prepared a comprehensive assessment report recounting condition of the various construction layers of the Castle. Managed a team of junior architects and interns, scheduled Prepared construction documents based on the design briefs, condition assessment recommendations and building codes along with maintaining the integrity of the heritage site. Curated furniture and antiquities, developed branding, and created display content to showcase Castle as a historic exhibit and prevalent construction practices of the Tughlaq, Mughal, Dutch and British Surat. (Project Area: 107,640 Square Feet)

Anokhi Varma

Revival of Irish Presbyterian Mission Chapel, Surat, India Prepared redesign proposal and construction documents based on the evaluation of a 110-year-old gothic chapel with documentation and condition mapping and supervised onsite conservation work.
(Project Area 3767 Square Feet)
Restoration and rejuvenation of historical edge of Gandhi Garden (Victoria Garden), Surat Municipal Corp., India
Part of the Urban Renewal project of historic district of the city. Rejuvenation, pedestrian ization and development of the early 19th C Gandhi garden of historical edge.
(Project Area 7,007 Square Feet)
Heritage development of area between four historic gates of Vadodara, Vadodara Municipal Corp., India
Conducted archival research, on -site study of construction techniques, study of historical maps, investigative research to look for footprints, conduct authentic restoration and revival of the historical precinct to make it an inherent component of the urban social space.
(Project Area 21,000 Square Feet)
Restoration and Adaptive Reuse ofJuni Sudhrai, Surat Municipal Corp., India Conducted an evaluation of early 20th century Dutch construction style site "Juni Sudhrai" consisting of two corporation buildings. Provided condition assessment report with proposed conservation methods. Prepared bid documents estimate and rate analysis for civil and conservation works, interior works, utility services. (Project Area 8,611 Square Feet)
Heritage Impact Assessment, Surat Municipal Corp., India Prepared HIA to assess, analyze effects and consequences of the development of the Macchiwar (fish market) in the old town area on the historic monument Khwaja Dana Saheb's Rouza (a mausoleum).

Sarvajanik College of Engineering and Technology and Veer Narmad South Gujarat University. Visiting Faculty (January2015 - April2019). Conducted undergraduate level classes for Architectural Conservation, Adaptive Reuse Studio, History of Art and Literature, Basic Design, Architectural journalism, and Architectural Graphics.

Barlow Preservation Services LLC, Boulder, Colorado. Historic Preservation Intern (March 2013 - March 2014). 2013 Old Town Louisville historic resource reconnaissance survey of individual properties. Developed and maintained database, drafted survey document, assisted with site inspections, historic context writing, research photography, and scholarship typical of an architectural historian. Aided in the restoration of historic windows, doors, exterior trim including paint removal and surface prep, wood repairs, glazing, and other traditional skills.

Appendix B
DPR 523 Forms

Appendix C
SCCIC Records

STATE OF CAUFORNIA—THE RESOURCES AGENCY no N01 rK I T �LQ41L DEPARTMENT OF PARKS AND RECREATION Reg. No
' POINT OF HISTORICAL INTEREST D
lo -Tv
By —
County Narnei
Orange te of I953 National Boy Scout Jamboree
LocatioNewport Beach, -Irvine Ranch where now stands Newport Center Historical Significance:

P
This was the only time the Boy Scout Jamboree -has- ever been held in .

California. Detailed report is attached.
i
{
i THIS POINT OF HISTORICAL INTEREST IS NOT A STATE REGISTERED HISTORICAL LANDMARV RECOMMENDED: _ APPROV o
tgn u hairman, County Board of S isors Signature —Chairman, State Historical -sources Commission Date ? Date -�.;-• / / q/�hr ` ' �;.
r-DPR.1147 (REV. 8.70)y .-w a: _ .. z' ? ssso--sp s.is su TRIP ® Cal -__ 30-i8
;�..

30-162284
July 28, 1977
Orange County Historical Commission
431 City Drive, South
Orange, California 92668
Dear Commissioners:

This will acknowledge receipt of a Point of Historical Interest request for the site of 1953 National Boy Scout Jamboree. Your request will be a ept er gen a o e State
Historical Resources Commission meeting which will be held in Yreka. You will be notified of the action taken at this meeting.

Sincerely,
Original Signed by
Dr.
gnos Vollon
Dr. Knox Mellon
Executive Secretary
KM:SE:nr
50203-768 3-77 5M SEPT OW I. OSP
SURNAN4E

30-162284
a
THIS FORM IS ON NCR (NO CARBON REQUIRED) PAPER. PLEASE USE TYPEWRITER. SIGN ALL 3 COPIES; REMOVE AND RETAIN VINK COPY. TRANSMIT ORIGINAL AND TRIPLICATE TO: DEPARTMENT OF PARKS AND RECREATION, P.O. BOX 2390, SACRAMENTO, CALIFORNIA 95811. DO NOT FOLD.

STATE OF CALIFORNIA—THE RESOURCES AGENCY DO NOT WRITE IN THIS BLOCK DEPARTMENT OF PARKS AND RECREATION Reg. No
POINT OF HISTORICAL INTEREST Date
By
County Orange Nam tite of 1953 National Boy Scout Jamboree Location Newport Beach - Irvine Ranch where now stands Newport Center Historical Significance:

This was the only time the Boy Scout Jamboree has ever been held in California. Detailed report is attached.
-�
JUL 2 11977
Ors;?

THIS POINT OF HISTORICAL INTEREST IS NOT A STATE REGISTERED HISTORICAL LANDMARK IR MMENDED: j APPROVED:
ignatur hairman, County Board of Supc ison Signature --Chairman, State Historical Resources Commission ate � Date
DPR-1+47 (REV. 0.7211 26206-168 9-75 aw TRIP a) oeP

THE APPLICATION FOR THE SITE
OF THE 1953 NATIONAL BOY SCOUT

JAMBOREE TO BECOME A CALIFORNIA

POINT OF HISTORICAL INTEREST OR A

HISTORICAL LANDMARK
Jason Keyes
1125 Emerald Bay
Laguna Beach, Ca.

Boy Scouts of America
Troop 35

ige 2
30- 84
��pREE I RV/HF
� 1 9 5
('0urs of a�
The 1953 National Boy Scout Jamboree held on 3,000 acres of the Irvine Ranch where the Newport Center is now located was the only Boy Scout Jamboree that has ever been held in California. From July 17-23 50,000 Boy Scouts took part in a Jamboree which they would never forget. It is unique to our California history and deserves consideration for a point of Historical Interest or a Historical Landmark.

There were two reasons why the Jamboree was held. One of the purposes was.to put the skills and knowledge of the Boy Scouts to use, -and to teach them the leadership they would need in their future lives. The second purpose was to show the people of the. United States and the world the ideals of scouting. Over 100,000 people came to see the overnight city which would stay for a week. The Boy Scouts and the workers had a population higher than the city of Santa Ana.

For three years many groups and individuals dedicated
their lives to the preparation of the 1953 Jamboree. The per- son responsible for getting the Jamboree here and leading the preparations for it was William Spurgeon III. Mr. Spurgeon, a man who spent his life working for scouting was at that time Vice -President of the Irvine Ranch.

The preparation needed was enormous. He got the Marines to kill all the snakes, rats and mice on the site.The Marines also set up tents for hospitals . Over 6,000 hblas-zto be dug for flagpoles and other purposes. An amphitheater for 100,000 people was created. Forty-five shower tents requiring 50,000 feet of.pipes were made. Better than 1,500,000 gallons of water per day were used for cooking, drinking, and cleaning . There was a 16,000 car parking lot made for the use of the visitors. One of the most impressive things built, the avenue of flags, had 60 flags of countries with Boy Scouting.
0

30-162284
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Most of the boys came by train to L.A., Fullerton or Santa Ana where they took a bus to the Jamboree. A hundred specially chartered trains had to be used. It was the biggest migration to California since the Gold Rush a century before. Every day 16 buses were taken to one mile of Hunington Beach reserved for their use. Every scout had the chance to swim in the Pacific Ocean.

Communication was perfectly handled by Pacific Telephone, the.Telegraph Company and the Santa Ana Postal Service.

The Santa Ana Postal Service handled all of the incoming and outgoing mail. They set up five mail tents where you -could mail a letter home.

Pacific Telephone sent William Gazlay to handle telephone communication. To call someone you would call JAMBOREE 1953 and one of the 200 Pacific Telephone employees at the 'twenty man switchboard would answer. They would ge-t the boy wanted and get the boy to one of the five telephone tents. The boy would then make a collect call home. The Telegraph Company operated -the same way as Pacific Telephone did.

Feeding 50,000 hungry stomachs isn't easyl For instance, the number of hotcakes served would make a pile higher than the Empire State Building. There were 23,256 lbs. of chicken, 100,000 drumsticks and 100,000 thighs. There were 25,840 lbs. of steak, 52,350 pounds of ground beef, 36 miles of hot dogs and 500,000 eggs. There were 22,584 pounds of carrots, 32,560 heads of lettuce, 7 ttons of tomatoes and 169,000 loafs of bread. There were 150,000 dounuts daily. The amount of food the boys ate in those seven days would be*enough to feed an average family for 500 yearsl

*'age 4
30-162284
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The 50,000 Boy Scouts included 200 scouts from Canada, Japan, Brazil, Cuba, Denmark, France, Germany, Greece, Isreal, Mexico, Norway, Sweden, Turkey, Pakistan, Venezuela, Switzerland and the Phillipines who enjoyed the Third National Jamboree.

Many planned and unplaned things took place. Vice -President Nixon came and talked to the boys. Many movie stars came and put on a show voluntarily, names like Bob Hope, Jeff Chandler,. Debbie Reynolds, James Stewart, Jane Powell and Danny Kaye to name a few.

Spectacular rodios were popular with the boys. One of the most impressive things was put on by 8,700 scouts. The show"Scouting Trail to the Future" showed scouting skills in Jamboree packing, burro packing, canoe camping, first aid, disaster work, and last but not least, physical fitness drills.

One of the most impressive sites was the Saturday night show when 50,000 boy scouts lit 50,000 candles as a rededication to the Scout Oath.

On Sunday church services of Catholic, Christian Science, Jewish, Mormon, Buddist and Protestant faiths were led by high leaders in each faith.

A•National Jamboree leaves quite an impression on a person.

Anyone who has been to a Jamboree knows that it is one of the highest points in your life. Many of the boys who are now some of our most respected.citizens have returned to see the place where they camped. They cannot find it though. There isn't anything to direct them to where it was held. For this reason and the reason that the people should relise this did take place I believe that it should be made into a California Historical Landmark or Point of Historical Interest.
-For.'the Eagle Project of
Jason•B. Keyes
0

BIBLIOGRAPHY
1) Interviews;
2) Telephone;
3) Magazine;
j._
I953
-rs of P
a) Statem-ent by Mr. William Gazlay,
personal interview, May 1, 1977.
b) Statement by Mrs. William Spurgeon III,
personal interview, May 5, 1977•
c) Statement by Mr. Art Remely, personal
interview, May 6, 1977.
a) Statement by Miss. Elaine Skiba,
National Boy Scout Headquarters,
New Brunswick, New Jersey, public
relations department, May 9, 1977•
b) Statement by Mr. Abe Gelb,
National Boy Scout Headquarters,
New Brunswick, New Jersey, audio-
visual department, May 9, 1977•
a) "... the Third National Jamboree",
The Orange County Magazine ,
Summer 1953, Vol. 1, Num. 2,pp. 3-7.
3) Pamphlets; a) The 1953 National Jamboree,1953t
pp. all.
4) Newspaper
Articales;
a) "70,000 at Scout Services Los
-Angeles Examiner, July 20, 1953, P• 10
sec. 1.
b) 'Picture; Whittier News, July 20, 1953,
p. 1, sec. 1.
c) "L.A. Council Sending 1200 To Jamboree,
The Whittier News, July 7, 19539 P• 1,
sec. 1.

BIBLIOGRAPHY (continued)
30-162284
,P`A�REE I RV/�,F
mooi 9 5 3
TS Of
d) "Scouting Executive Claims Jamboree -Will
Have Great Effect Abroad", The Whittier
News, p. and sec. unknown.
e) "Welcome Boy Scout's", Los Angeles
Examiner, pp.1-8, sec. XII, July 17.
f) "Jamboree News", The Register, July 15,
special edition.
g) "Jamboree News", The Register, July 17,
special edition.
h) "Jamboree News", -The Register, July 19,
special edition.
i) "Jamboree News", The Register, July 24,
special edition.
5) Pictures; a) from Mr. Charles Rethaermel.
b) from Mr. Art Remely.
c) The Register,.July 17, 1953•
d) The Register, July 19, 1953•
e) The Register, July 20, 1953-

30-162284
Fact
�rl i�A Public Relations Division, Boy Scouts of America North Brunswick, N.J. 08902
SCOUTENG/USA c2011249-6000
History of Jamborees
THE BEGINNING When Lord Baden-Powell, the founder of the Scouting movement, witnessed the success of his first large gathering of Scouts from all over the British Empire and many other countries in 1913 at Birmingham, England, he began to consider plans for a regular biennial gathering of Scouts from around the world.

The words "rally" or "exhibition" didn't suit him, and he chose a new term, "jamboree." Originally the word meant, "...a carousel, any noisy merrymaking." But B-P liked the word, and i.t has since passed into the language as designating "a national or international gathering of Scouts."
The word "jamboree" has meant a great -broadening experience of living together in fellowship for hundreds of thousands of boys and adult leaders during Scouting's history.

NATIONAL There have been eight national jamborees in this country since 1937• BSA JAMBOREES The ninth, the 1977 National Scout Jamboree, takes place at Moraine' State Park between Butler and Newcastle, Pa. Several new and exciting aspects of today's Scout program are a major part of the jamboree program.

Each year there is a jamboree somewhere in the world. The BSA holds its annual jamboree generally every 4 years, and the World Scouting Committee holds an international jamboree for its 100-plus-member Scout associations every four years. It's possible for a U.S.

Scout to attend a national or international jamboree every two years.

Here's the list of Scouting/USA jamborees:
(A jamboree planned for 1935 was canceled because of an infantile paralysis epidemic).
1 - 1937,
Washington, D.C.
2 - 1950,
Valley Forge, Pa.
3 - 1953,
Irvine Ranch, Calif.
4 - 1957,
Valley Forge, Pa.
5 - 1960,
Colorado Springs, Colo.*
6 - 1964,
Valley Forge, Pa. I
7 - 1969,
Farragut State Park, Ida.
8 - 1973,
Farragut State Park; Ida.
and
Moraine State Park, Pa.
9 - 1977,
Moraine State Park, Pa.
*Golden Jubilee Jamboree commemorated
50th Anniversary of BSA

30-162284
WORLD JAMBOREES The first "Imperial and International Jamboree was scheduled by Lord Baden-Powell for 1918, provided the First World War should end in 1917. But -the war went on for another year, so the jamboree was held in 1920 at Olympia Hall, London. The First World Jamboree was different from the ones which evolved -47 from it, since it was more of a display and exhibition than a camp. At Olympia the custom of printing a daily Scout newspaper began. The jamboree was attended by 8,000 Scouts from 34 countries.

These were the world jamborees:

Total Attendance BSA Attendance
1 - 1920, England 8,000
301
2 - 1924, Denmark 6,000
56 3 - 1929, England 50,000
1,300
4 - 1933, Hungary 28,000
406
5 - 1937, Holland 37,000
.814
6 - 1947, France 30,000
1,151
7 - 1951, Austria 15,000
700
8 - 1955, Canada 15,000
1,500
9 - 1957, England* 35,000
1,700
10 - 1959, Philippines '11,999
309
11 - 1963, Greece 14,000
621
12 - 1967, United States 12,017
4,435
13 - 1971, Japan 20,587
7,947
14 - 1975, Norway 17,000
2,500
-Commemorated 100th anniversary
of Baden-Powell's
birth and 50 years of British
Scouting
The 15th World Jamboree is scheduled for
the summer of 1979
in Iran
OTHER JAMBOREES During 1977 members of Scouting/USA also will be represented at
the following national jamborees:

Canadian National Jamboree, Cabot National
Park on Prince
Edward Island, July 5-12.

Iceland National Jamboree, National Training
Center Ulfljotsuatn
near Rekjavik, August 1-14.
6th Caribbean Jamboree, Kingston, Jamaica,
August 5-14
VISITORS TO Scouting associations from other nations have been invited to BSA JAMBOREE participate in the 1977 National Scout Jamboree at Moraine State Park. They include:

Australia Germany
Mexico
Austria Greece
Norway
Canada Guatemala
Scotland
China Honduras
Switzerland
Denmark Ireland
Thailand
England Japan
Trinidad
Finland
11 4/77

30-162284

IME IRVINE COMPAW
550 Newport Center'Drive
-Newport Beach, California 92663
(714) 644-3011
May 12, 1977
Mr. Jason B. Keyes
1125 Emerald Bay
Laguna Beach, CA 92651
Dear Jason:

Congratulations on your efforts to have the site of the 1953 International Boy Scout Jamboree dedicated as a
California State Historical Monument.

The Irvine Company was proud to host this most unusual
event on its property where Newport Center is now located.

In fact, as sponsor, we invested $250,000 to help make
the jamboree a success.

As owner of the land on which this unique historical event took place, we wholeheartedly agree and encourage you to seek recognition of the site by the State Historical Com- mission as a Historical Monument.

Please let us know if we can be of further help. Best
wishes for your success.

Sincerely,
Michael L. Manahan
Manager, Community Relations
MLM/ss

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1.s's neu,-est and acre trait of the historic Ir,4ne Ranch", - Facilities - are, •la.id 'out to sectiwellons with ' dmg •These. cam'a; l.r:�: L';,
at_v "of 35,W3 overlooking Newport Beach and Corona regions and easy to ttxate sections with dtu� Stores (o sts), s•v.ip � Scans from the del afar. This aL boy boom town fills numerous sicrns to -aid the scouts and halls, telephone and the v ^ y r tries. Jamboree a population of 50,00G and completes visitors to find their way."In• addition Tradinz posts and is L.-;_'tl,. "' �'="d rational Boy fiee months of • rerovation of quiet to the scout's tents, there are many Photo by }tell - i t r -- -
�,�s.
�3,000Chemical Pillll
afer e

30.71162284.
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Y as raisin of 54 fla;s of nations havin- - Y , ion .,Ui, host �: region to the jamboree and including C,-4'f(vnia,•Arizona, Utah, t}3srt11 followed tho huistin2 of thr. United St.ztes \e�ada and the Hawaiian Is;and;, fFtegister p h o tol.

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AN ADDITIONAL FACT
A FILM?
30-162284
rs
Many people whom I have -talked to)have said that there was a film produced about the 1953 jamboree. Here are the names of those people and what they said.

A documentary film was created and directed by George
Murphy.He and two other business men payed for most of the film. The rest of the money was payed by the United States State Department. It was made to be shown all through the world to show the ideals of Boy Scouting.

The Register Newspaper, page 1,.
sec. 1, July 15, 1953-
A..film was made on the Jamboree and James Stewart did
the production og at least the first and last part of the film on the Jamboree.

Statement by Mrs. William Spurgeon III,
personal interview, May 5, 1977.

The National Brodcasting Company ( N.B.C.*) made a
film about the Jamboree. For what use I don't know.

Telephone call to; Abe Gelb, The Audio-
visual department, Boy Scout Headquarters,
New Brunswick, New Jersey, May 9, 1977•
Whether all three are the same picture I do not know. There might be one, two or maybe even three pictures on the 1953 Boy Scout Natinal Jamboree.

30-162284
1 2
3 4
5 6
7 8
9 10
11 12
13 14
18 19
20 21
22 23
24 25
26 r
0 J

RESOLUTION OF THE BOARD OF SUPERVISORS OF

ORANGE COUNTY, CALIFORNIA
June 14, 1977
On motion of Supervisor Riley, duly seconded and carried, the following Resolution was adopted:

BE IT RESOLVED that this Board hereby approves submission of an application to the State of California Resources Agency - Department of Parks and Recreation for the designation of the site of the 1953 National Boy Scout Jamboree as a Point of Historical Interest, and appoints the Chairman of the Board to sign the application. 'JUL 2 1 1977
AYES: SUPERVISORS THOMAS F. RILEY, RALPH B. CLARK, PHILIP L. ANTHONY, LAURENCE J. SCHMIT AND RALPH A. DIEDRICH
NOES: SUPERVISORS NONE
ABSENT: SUPERVISORS NONE

STATE OF CALIFORNIA
ss.

COUNTY OF ORANGE )
I, JUNE ALEXANDER, Clerk of the Board of Supervisors,of .Orange-C•ourLty, California, hereby certify that the above and foregoing Resolution was 'du-Yy-.aLnd .regul'arTy .adopted by , the said Board at a regular meeting thereof held on the • 14t.h': da-y of, -- June" i 1917 ., and passed by a unanimous vote of said oard- ,; I Tti,�� IN WITNESS WHEREOF, I have hereunto set my ha•ndi;at'd,,.,9eaT-this' •14th•`. day of 11C , 19 77 1 ---�•7 i
• •U �E..LEXA•Nq�R'
Resolution No. 77-978 Clerk o � th;�"Boa"r ' Q 'Supervisors Authorize Application - Boy Scout of Orange. Co'�niy, California Jamboree Site as Point of - i

30-162284
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30-177063
State of California — The Resources Agency

DEPARTMENT OF PARKS AND RECREATION

PRIMARY RECORD
Other Listings
Review Code
Primary #
HRI #
Trinomial
NRHP Status Code
Reviewer Date
Page I of 2 *Resource Name or #: Hyal I Regency Hotel
P1. Other Identifier:
*P2. Location: ❑ Not for Publication 0 Unrestricted *a. County: Orange and (P2b and Plc or P2d. Attach a Location Map as necessary.) *b. USGS 7.5' Quad: Newport Beach Date: 1977 T 6S; R 10W '/4 of '/4 of Sec 26 ; M.D. B.M. c. Address: 1107 jamboree Road City: Newport Beach Zip: 92660 d. UTM: Zone: I ; 417623 mE/ 3720100 mN (G.P.S.)
e. Other Locational Data: (e.g., parcel #, directions to resource, elevation, etc., as appropriate) Elevation: A.P. Number 440 132 41 *P3a. Description: (Describe resource and its major elements Include design, materials, condition, alterations, size, selling, and boundaries) The Hyatt Regency Hotel is a hotel complex located on an approximately 5 acre lot at 1107 Jamboree Road in Newport Beach, Orange County, California. It is located to the southeast of the Back Bay Ecological Reserve and to the east of the Newport Dunes and is bounded by Back Bay Drive to the west and south, by Jamboree Road to the east, and by the Back Bay Golf Course to the north.

The hotel complex was constructed in the 1960s and consists of four main buildings used as guest quarters. They are primarily two- and three-story, wood frame structures with flat roofs and a stucco finish on the exterior €ai;ades. The entrances to the rooms face the exteriors of the buildings with covered walkways providing access to the rooms on each story. The two-story, U-shaped Bay Building is located on the western edge of the property. A pool and arbor are located within the central open space of the Bay Building. The three-story, rectangular -in -plan Catalina building is located to the east of the Bay Building. It is constructed of wood framing and was reportedly built in 1960. The two-story, L-shaped Balboa building is located to the east of the Catalina building.

A pool and a shuffleboard court are located to the northeast of the Balboa building. The two-story, rectangular -in -plan Lido Building is located to the northeast of the Balboa building and features a central courtyard with a pool. Additional office space and guest facilities, including meeting rooms, ball rooms, a restaurant, and a spa, are located to the southwest of the main guest quarters. Parking lots are located on the southwestern and southeastern edge of the property wrapping around the main guest quarters.

The Hyatt Regency Hotel does not appear to be significant enough for listing in the National Register under Criteria A, B, C, and/or D. The hotel complex is not known to be significantly associated with individuals or historic events in the history of Newport Beach, and it does not appear to be a significant representation of an architectural style. *P3b. Resource Attributes: (List attributes and codes)
*P4. Resources Present: 17Building ❑Structure ❑Object ❑Site ❑District ❑Element of District ❑Other (Isolates, etc.)

30-177063
State of California —The Resources Agency Primary #
DEPARTMENT OF PARKS AND RECREATION HRI #
PRIMARY RECORD Trinomial
rage c or c
Kesource Name or 0: (Assigned by recorder)
P5a. Photo or Drawing (Photo required for buildings, structures, and objects.)
T7i�r R
Windshield Survey
*P11. Report Citation: (Cite survey report and other sources, or enter "none.") None owl
P51J. Description of Photo: (View,
date, accession #) View of the Bay
Building facing north, December

14. 2006.
*P6. Date Constructed/Age and
Sources: @❑Historic
❑Prehistoric ❑Both
*P7. Owner and Address:

Hyatt Regency Newport Beach
1107 JamboreeRoad
Newport Beach, CA 92660
*138. Recorded by: (Name,
affiliation, and address)
EBI Consulting
Four A Street
Burlington, MA 01803
*P9. Date Recorded: December
15, 2006
*P10. Survey Type: (Describe)
*Attachments: ❑NONE 17Location Map ❑@Sketch Map ❑Continuation Sheet ❑Building, Structure, and Object Record ❑Archaeological Record ❑District Record ❑Linear Feature Record ❑Milling Station Record ❑Rock Art Record ❑Artifact Record ❑Photograph Record ❑ Other (List):

DPR 523A (1195) *Required information
DPR 523A-Test (8/94)

30-177063
State of California —The Resources Agency Primary #
DEPARTMENT OF PARKS AND RECREATION HRI#
LOCATION MAP Trinomial
Page I of l `Resource Name or #: Hyatt Regency Hotel
*Map Name: Location Map *Scale: See below *Date of Map: 2006 J
r�
f
'
1 r
`
t!
i E
_
1 '
ti
Lnd
* Projea Site L : Site BJ%r at 250'.5007, I000' and I12 mlt DPR 523J (1195) "Required information

30-177063
State of California —The Resources Agency Primary #
DEPARTMENT OF PARKS AND RECREATION HRI#
SKETCH MAP Trinomial
Page I of 1 *Resource Name or # (Assigned by recorder) Hyatt Regency Hotel *Drawn By: Hyatt Regency Hotel 'Date: 2006
Nealrr- Dunes
�J A
I1, Sl 1 I 1 \I \P
Ilona m,
EcaYi9rai ca,.�•.S
North
4I
Plarn HwWta c I It Rill
15 CI" Sh%
29 Pool 6 Spi
P9aza Arbo,
1e Ttw BLI71 S p
70 Lido 1
Pula C "CA
I7 R0,a noo
31 Finosc CW44"
Gayle" S•q,•anru SP't
I B eatoa Pod 6 Spa
3? Calm rt" _.
oftes
19 '"" cxrda�
33 Avaler. Ram `
Palm Room
70 Tie Wine C ehm
34 Ldo Ptxa 6 Spa
. -
Sales A Calc ring Ivp%Lwr!',

2. Harbor Aoorr'
35 Gdl Pro Shop d eke RertW
i � I, {
Pat* Ronal
Y2 Bw Pch amm
36 Ew-�,Ntve Boa,dr
SmIdbar L.wnq«
:7 Surf rkx_
37 Go" Cane
Cxmst Ruurt bwld,rgs
Garden Room 111
la L agm, na,m
38 AmW,41 haater
1 Garden Rrxxn H
25 4rwan Rotrn
39 s�hku soa1d Cuwt
® w
Ganlen A, um I
24 human Reaour.
40 Pahaedes Temps CAt
Sd Restananl

2.' Ie,ra,:n Hour`
41 Lobby Leungt
l� Gw.:.:
1 Lu0bv
29 Terrace Arbor
r„_F.. .------�
r scale and north arrow.

DPR 523K (1/95) -Requtreo rntormation

30-177534
State of California Primary #
DEPARTMENT OF PARKS AND RECREATION HRI # VJ/G-
PRIMARY RECORD Trinomial
NRHP Status Code
Other Listings
Review Code Reviewer Date
*Page 1 of 9 *Resource Name or #: T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion *P1.Other Identifier: Bloomingdales Department Store
*P2: Location: Not for publication Unrestricted X a. Count Orange And (132b and 132c or P2d. Attach a location map as necessary.) CUCcc�vV t_ 6-4mc k QUO,J *b. USGS Quad Newport Beach *Date: 1975 T; R; % of % of Sec. B.M. c. Address: 701 Newport Center Drive City: Newport Beach Zip: 92650 d. UTM: (Give more than one large or linear resources) Zone: Me/ mN e. Other Locational Data (e.g. parcel #, directions to resource, elevation, etc. as appropriate); APN: N/A
*P3a. Description (Describe resource and its major elements, include design, materials, condition, alterations, size, setting and boundaries.)
The subject building is a three-story with basement, rectangular shaped, Modern Contemporary style, commercial department store. The building has a concrete foundation, stucco and brick exterior and a flat roof with a large penthouse structure. The facades of the structure contain simple, restrained arched columns that extend the full height of the building with the arch detail resting at the roofline. The roof edge extends out over the facades, allowing the columns to stand separately at a distance from the wall of the building. Large, horizontal, openwork metal screens have been placed across the vertical columns on several of the facades. An open, concrete walkway with metal railway extends from the building on one side, connecting the building to one of the parking structures.

Bloomingdales signage is present on the roof area and above the entrances. The entrances include pairs of metal and glass doors in an opening with a black marble surrounds. No windows are present. The building is sited within the larger Fashion Island Shopping Center complex. The building is in good condition with alterations noted at the entrance areas including door and facade changes.
*P3b. Resource Attributes: (List attributes and codes) HP 7: 3+ Story Commercial Building P4. Resources Present: Building X Structure
Object Site District Element of District
PSb. Description of Photo: (View, date Accessions
#) View E/03/01/2014
*P6. Date Constructed/Age and Source Historic
X Prehistoric Both c.1967/Orange County
Assessor's Records
*P7. Address: Bloomingdales, 701 Newport
Center Drive, Newport Beach, CA
*P8: Recorded by: (Name, Affiliation, Addressl
K.A. Crawford, Crawford Historic Services, P.O.

Box 634, La Mesa, CA
*P9. Date Recorded: 03/01/2014 *P10. Type of Survey: (Describe) Intensive *P11: Report Citation (Cite Survey Report and other sources, or enter "None".) None *Attachments: None Location Map Sketch Map Continuation Sheet X Building, Structure and Object Record X Archaeological Record District Record Liner Resource Record Milling Station Record Rock Art Record Artifact Record Photograph Record Other (List):

30-177534
State of California —The Resources Agency Primary #
DEPARTMENT OF PARKS AND RECREATION HRI#
RESIDENCE, STRUCTURE, AND OBJECT RECORD *NRHP Status Code *Page 2 of 9 *Resource Name or # (Assigned by Recorder): T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
B1. Historic Name: The Broadway Department Store
B2: Common Name: Bloomingdale's Department Store
B3. Original Use: Commercial/Department Store
B4: Present Use: Commercial/Department Store
*65: Architectural Style: Modern
*66: Construction History: (Construction Date, alterations and dates of alterations) The subject building was constructed in approximately 1967. The building has been altered with interior and exterior alterations and renovations.
*B7. Moved? X No Yes Unknown Date: Original Location
*B8. Related Features: Fashion Island Shopping Center
139a. Architect: William Pereira and Welton Becket b. Builder: Unknown *1310. Significance: Modern Architecture Area: Newport Beach Period of Significance: 1967-Present Property Type: Commercial Applicable Criteria: A and C
(Discuss importance in terms of historical or architectural context as defined by theme, period, and geographic scope. Also address integrity.

The subject property is located within the city of Newport Beach along West Pacific Coast Highway providing easy access to the beach. Newport Beach is an affluent, upscale community in Orange county centered around the bay area. Tourism is currently a major part of the local economy. Some settlers purchased land from the State of California for $1 an acre. The area was largely uninhabited until the 1870s when a ship's captain, ignoring warnings about sailing into the area, successfully found a landing site and unloaded his cargo. This prompted James Irvine, of the Irvine company and ranch fame, to launch port facilities and named the area "New Port" for obvious reasons. Due to the availability of port facilities and commercial activities, a small city began to grow quickly and in 1906, the city of Newport Beach was officially incorporated. The Pacific Electric Railway established a terminus in the area, connecting it to Los Angeles and creating more business opportunities. Small settlements grew up on Newport Island, Balboa Island, the Peninsula, Lido Isle, West Newport and the area developed into a prime tourism and commercial area, as well as very desirable residential housing. The subject property was built in 1967 as part of the Fashion Island Shopping Center, an upscale commercial lifestyle center, and part of the larger Newport Center. Four anchor stores were built including: Buum's, J.W. Robinson's, The Broadway, and 1.C. Penney. These four buildings were designed by William Pereira and Welton Becket and were flanked by several smaller stores. The Spanish architectural theme gradually evolved over time as new stores were added, J. C.

Penney was converted to atrium use after the retailer ceased operations, and the construction of Bullock's Wilshire and Neiman Marcus in the 1980s. In 1998, the shopping center underwent a major expansion and renovation based on the design of Jon Jerde, adding the Island Terrace Food Court, an eight -screen movie theater, and three new avenues of shops, all of which converge in a circular courtyard with the animated "Iris Fountain." The subject property, the former The Broadway department store, was purchased by Bloomingdale's in 1996 and underwent extensive renovations to upgrade the building to reflect the Bloomingdale's brand. In the early 2000s, the shopping center underwent additional renovations and additions, including landscaping changes, the addition of a carousel and a restaurant wing. The carousel was remove din 2010 during an additional major renovation. Due to the various phases of renovation and expansion, the subject property has lost a significant amount of integrity and the overall setting has been altered extensively by the expansion and changes, resulting in a loss o historic context.
811. Additional Resource Attributes: lust attributes and codes) None *812. References: McAlester and McAlester. A Guide to American Houses. 1991: (Sketch Map with north arrow required.) Historicaerials.com: County of Orange Assessor's Records: City of Newport Beach Building Department Records. •. ..••. +
B13. Remarks: None v n�1 . MAP
*B14: Evaluators: K.A. Crawford j'd N v;. jm 1
*Date of Evaluation: 03/01/2014
G„ ��GNV,IT OGLw

30-177534
State of California — The Resource Agency

DEPARTMENT OF PARKS AND RECREATION
CONTINUATION SHEET Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
(Continued from page 2)
Integrity Statement
In regard to the seven aspects of integrity — location, design, setting, materials, workmanship, feeling and association — the c.1967 Modem Contemporary style commercial building on this property has retained its original location. The building has not been moved. The setting, feeling, and association have not remained intact as the shopping center area surrounding the structure has changed substantially with major expansion projects and the addition or removal of major elements. The design, materials and workmanship have basically remained the same with the exception of the entrance areas which have been upgraded and alte3red to create a more up-to-date appearance. . The integrity level is good and the condition of the building is good.

National Register of Historic Places Eligibility Evaluation The property was assessed under National Register of Historic Places Criterion A for its potential significance as part of any historic trends or events that may have made a significant contribution to the broad patterns of our history. The building was constructed as part of the overall continuing commercial and residential development of the Newport Beach area which began in the 1880s and continues to the present time. There is no significant trend or event associated with the property. Therefore, the property does not appear to meet the criteria for significance under Criterion A: Event.

The property was assessed under National Register of Historic Places Criterion B for its potential significance and association with a person of importance in national history. There is no evidence to suggest that any of the persons associated with the construction or development of the building were considered important *in the history of the property or nation. None of the persons associated with the property appear to be historically significant at the level necessary to meet the criteria for National Register of Historic Places. Therefore, the property does not appear to meet the criteria for significance under Criterion B: Person.

The property was assessed under National Register of Historic Places Criterion C for its potential significance as a property which embodies the distinctive characteristics of a type, period, method of construction or style of Modem Contemporary architecture, represents the work of a master architect, builder or craftsman, possesses high artistic values, or represents a significant or distinguishable entity whose components lack individual distinction. The building's original doors have been replaced; causing a minimal loss of integrity as the overall mass, design and scale of the structure have been maintained. A review of the structures designed by William Pereira and Welton Becket was undertaken to provide a context or evaluating the subject property. Both men were prolific architects, designing buildings in the United States and around the world, many of which are listed on historic registers and serve as iconic and significant structures of Modem architecture. William Pereira designs included the Newport Beach Civic Center, the Hall of Science University of Southern California, the Rio de Janeiro International Airport, and U. S. Navy Department Office Complex in Washington, D.C. in 1967, the same year the subject property was designed. Welton becket is responsible for the design of the Los Angeles Music Center, the Pan Pacific Auditorium, the Santa Monica Civic Auditorium, and the Pauley Pavilion at UCLA.

These men produced important, significant examples of Modem architecture and, upon review, the Bloomingdales structure does not appear to meet the criteria for eligibility when compared to their overall body of work. This building is one of their lesser designs and may possibly have been designed by another member of the firms as the project schedule for these companies during the late 1960s was very impressive.

The building's style does not rise to a level of significance to qualify for the National Register of Historic Places. Therefore, the property does not appear to meet the criteria for significance under Criterion C: Architecture as a good example of Modern Contemporary style architecture.

The property was assessed under National Register of Historic Places Criterion D for its potential significance and its ability to convey information. The property does not yield, or may not be likely to yield, information important in prehistory or history. In order for buildings, structures, or objects to be significant under Criterion D, they need to "be, or must have been, the principal source of information." This is not the case with this property. Therefore, the property does not appear to meet the criteria for significance under Criterion D: Information Potential.

In summary, the property does not appear to qualify for the National Register of Historic Places under any of the above criteria.

Therefore, the building is not considered to be an historic resource for the purposes of the NHPA. The property was not accessed for eligibility under the California Register or local Newport Beach Register eligibility.

30-177534
State of California —The Resource Agency

DEPARTMENT OF PARKS AND RECREATION
CONTINUATION SHEET Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA View East
March 1, 2014

30-177534
State of California —The Resource Agency

DEPARTMENT OF PARKS AND RECREATION

CONTINUATION SHEET
Primary #
H RI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services
Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA View North
March 1, 2014
Date 03/01/2014

30-177534
State of California —The Resource Agency

DEPARTMENT OF PARKS AND RECREATION
CONTINUATION SHEET Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA View South
March 1, 2014

30-177534
State of California — The Resource Agency

DEPARTMENT OF PARKS AND RECREATION
CONTINUATION SHEET Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA View West
March 1, 2014

30-177534
State of California — The Resource Agency

DEPARTMENT OF PARKS AND RECREATION
CONTINUATION SHEET Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA View Southeast
March 1, 2014

30-177534
State of California — The Resource Agency

DEPARTMENT OF PARKS AND RECREATION

CONTINUATION SHEET
Primary #
HRI#
Trinomial

Bloomingdales Fashion
*Recorded by K.A. Crawford/Crawford Historic Services Date 03/01/2014 Continuation X Update
T-Mobile West LLC LA02458A/SC075 Bloomingdales Fashion
Bloomingdales, Fashion Island, 701 Newport Center Drive, Newport Beach, CA 11 5
f
QVIC p�
1 ' i 701 NewpoA CadaDr R Da \
` � ,t
111, 1�1
Data ux a6jA*
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Appendix D
Phase I Environmental Site
Assessment

Phase I Environmental Site Assessment
Marriott Newport Beach
900 Newport Center Dr
Newport Beach, California 92660
EBI Project No. 1320000294
September 08, 2020
Prepared for:

Eagle Four Partners
1400 Newport Center Drive, Suite 230
Newport Beach, CA 92660
Prepared by:

EBI Consulting
A, environmental I engineering I due diligence

A EBI Consulti "1
environmental I engineering I due diligence
09/08/2020
Mr. Kory J. Kramer
Eagle Four Partners
1400 Newport Center Drive, Suite 230
Newport Beach, CA 92660
Subject: Phase I Environmental Site Assessment
Marriott Newport Beach
900 Newport Center Dr, Newport Beach, California
EBI Project No. 1320000294
Dear Mr. Kory J. Kramer:
21 b Strrct
Burlington, MA 01803
Tel: (781 } 273-2500
FAx: (781) 273-3311
www_ebi[onsult r7g_com
Attached please find our Fhase / Eniironmental Ste Asgasgnent (the report) for the above -mentioned asset (the Subject Property). During the survey and research, our surveyor met with agents representing the Subject Property, or agents of the owner, and reviewed the Subject Property and its history. The report was completed according to the terms and conditions authorized by you, the Client. This report has been completed in conformance with the ASTM Standard E 1527-13 and the Proposal and Scope of Work for Acquisition Level Property Condition Report, Additional Reports and Environmental Site Assessment between Eagle Four Partners and EnviroBusiness, Inc. and dated August 14, 2020.

The purpose of this report is to acquire environmental information, observe the general condition and maintenance status of the Subject Property, to suggest remediation and/or maintenance practices considered customary for the Subject Property to continue in its current operation, compared to properties of similar age and condition, and to identify recognized environmental conditions in connection with the Subject Property described in this report.

This R43ot was performed utilizing methods and procedures consistent with established commercial practices and in conformance with industry standards. The suggestions represent EEV Cbnv1tiVs opinion based on written, graphic or verbal information, the property condition and data available to us at the time of the survey.

Factual information regarding operations, conditions or data provided by the Client, occupants, owner or their representative has been assumed to be correct and complete.

There are no intended or unintended third party beneficiaries to this report, except as expressly stated herein.

EBI is an independent contractor, not an employee of either the issuer or the borrower, and its compensation was not based on the findings or recommendations made in the report or on the closing of any business transaction.

We declare that, to the best of our professional knowledge and belief, we meet the definition of Environmental Professional as defined in §312.10 of 40 CFR 312 and we have the specific qualifications based on education, training, and experience to assess a property of the nature, history, and setting of the Subject Property. We have developed and performed the all appropriate inquiries in conformance with the standards and practices set forth in 40 CFR Part 312.

Thank you very much for the opportunity to provide environmental consulting services to Eagle Four Partners.

Should you have any questions or require additional information, please do not hesitate to contact the undersigned.

Respectfully submitted,

EBI CONSULTING
ENVIROBLrgNESS, INC_ LOCATIONS I ATLANTA, GA I ML.TmORE, MD I BURUN6TON, MA I CHICA{GO_ IL DALLAS, TX I DENVER, CO I HOUSTON_ TY, i LOS A�IGELES_ CA I NE'.".' YORK. NY I PHOENIX_ AZ i PORTLAND. OR SAN FRANCISCO. CA I SEATTLE, VVA I YORK. PA

A EBI Consulti "1
environmental I engineering I due diligence
Christopher Evans
Project Scientist
21 b Strrct
Burlington, MA 01803
Tel: (781 } 273-2500
FAx: (781) 273-3311
www_ebi[onsult r7g_com
Hallie Vitolo
Senior Program Director
[email protected]
603.818.2750
ENYIROBLf51NESS, INC_ LOCATIONS I ATLANTA, GA I 94LTmORE, MD I BURLIN6TON, MA I CHICAGO, IL DALLAS, TX I DENVER, CO I HOUSTON_ TY, I LOS A�IGELES_CA I NE'.".' YORK. NY I PHOENIX -AZ I PORTLAND. OR SAN FRANCISCO. CA I SEATTLE,WA I YORK. PA

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

TABLE OF CONTENTS
EXECUTIVE SUMMARY............................................................................................................................

1.0 INTRODUCTION......

W3

1.1 Purpose...................................................................................................................................................................................3

1.2 Scope-of-Services..................................................................................................................................................................3

1.3 Assumptions, Limitations and Exceptions........................................................................................................................ 3

1.4 Special Terms and Conditions.............................................................................................................................................5

1.5 Data Gaps............................................................................................................................................................................... 5

2.0 SUBJECT PROPERTY DESCRIPTION...............................................................................................6

2.1 Ownership and Location.....................................................................................................................................................6

2.2 Subject Property Improvements........................................................................................................................................6

2.3 Current Use of the Subject Property...............................................................................................................................6

2.4 Municipal Services & Utilities.............................................................................................................................................6

2.5 Adjoining Properties............................................................................................................................................................. 7

2.6 Physical Setting.......................................................................................................................................................................7

2.6.1 Topography......................................................................................................................................................................7

2.6.2 Geology and Soils......................................................................................................................................................... 7

2.6.3 Hydrogeology and Hydrology....................................................................................................................................7

3.0 USER PROVIDED INFORMATION.................................................................................................... 8

3.1 Title Records..........................................................................................................................................................................8

3.2 Environmental Liens and Activity and Use Limitations.................................................................................................8

3.3 Specialized Knowledge.........................................................................................................................................................8

3.4 Commonly Known or Reasonably Ascertainable Information...................................................................................8

3.5 Valuation Reduction for Environmental Issues................................................................................................................8

3.6 Owner, Property Manager, and Occupant Information................................................................................................ 8

3.7 Reason for Performing Phase I ESA..................................................................................................................................8

4.0 RECORDS REVIEW..............................................................................................................................9

4.1 Standard Environmental Records......................................................................................................................................9

4.1.1 Federal, State and Tribal Agency Database Records............................................................................................ 10 4.1.2 Local Regulatory Agency Records.......................................................................................................................... 13 4.1.3 Vapor Migration........................................................................................................................................................... 14 4.2 Historical Use of the Subject Property and Adjoining Properties........................................................................... 14 4.2.1 Aerial Photographs and Maps...................................................................................................................................14

4.2.2 Street Directories.......................................................................................................................................................15

4.2.3 Recorded Land Title Records.................................................................................................................................. 15 4.2.4 Property Tax Records................................................................................................................................................ 15 4.2.5 Environmental Liens and Activity and Use Limitations.......................................................................................16

4.2.6 Previous Environmental Reports.............................................................................................................................16

4.2.7 Other Historical Records and Interviews.............................................................................................................16

5.0 SUBJECT PROPERTY RECONNAISSANCE...................................................................................17

5.1 Methodology and Limiting Conditions...........................................................................................................................17

5.2 Hazardous Substances and Petroleum Products......................................................................................................... 17 EBI Consulting iv

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

5.2.1 Hazardous Substances and Petroleum Products (Identified Uses)..................................................................17

5.2.2 Hazardous Substances and Petroleum Products (Unidentified Uses)............................................................ 17 5.2.3 Unidentified Substances Containers...................................................................................................................... 17 5.3 Waste Generation, Storage, and Disposal..................................................................................................................... 17 5.4 Underground Storage Tanks (USTs) & Aboveground Storage Tanks(ASTs)......................................................... 18 5.4.1 Existing Storage Tanks................................................................................................................................................18

5.4.2 Former Storage Tanks................................................................................................................................................ 18 5.5 Oil -Containing Equipment and Polychlorinated Biphenyls (PCBs).......................................................................... 19 5.6 Additional Site Conditions................................................................................................................................................ 19 6.0 INTERVIEWS.......................................................................................................................................20

7.0 CONSIDERATIONS OUTSIDETHE SCOPE OFASTM PRACTICE E 1527-13......................... 21 7.1 Asbestos -Containing Material (ACM)............................................................................................................................ 21 7.2 Radon.....................................................................................................................................................................................22

7.3 Lead -Based Paint(LBP)......................................................................................................................................................22

7.4 Lead in Drinking Water..................................................................................................................................................... 23 8.0 FINDINGSAND OPINIONS.............................................................................................................24

9.0 RECOMMENDATIONS...................................................................................................................... 25 10.0 REFERENCES....................................................................................................................................26 Appendix Photographs
Appendix B Figures
Appendix C Pre -Survey Questionnaire and Other Relevant Documentation Appendix D Professional Qualifications
Appendix E Regulatory Database Report
Appendix F Historical Documentation
Appendix G Analytical Results
Appendix H Terminology
EBI Consulting v

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

EXECUTIVE SUMMARY
At the request of Eagle Four Partners, EBI has performed a Phase I Environmental Site Assessment (ESA) of the property located at 900 Newport Center Dr in Newport Beach, California, herein referred to as the Subject Property. The main objective of this ESA was to identify reGng►7ized environmental cor6tions in connection with the Subject Property, defined in ASTM Practice E 1527-13 as the presence or likely presence of any hazardous substances or petroleum products in, on, or at a property: 1) due to any release to the environment, 2) under conditions indicative of a release to the environment, or 3) under conditions that pose a material threat of a future release to the environment. De minimis conditions are not recognized environmental conditions. This ESA also includes a preliminary evaluation of certain potential environmental conditions that are outside the scope of ASTM Practice E 1527-13.

The Subject Property includes one, irregular -shaped parcel, totaling approximately 9.53 acres. The Subject Property is currently improved with a full -service Marriott hotel complex comprised of four structures, including one 15-story tower, one ten -story tower, several 3-story wings, and a single -story section all with a total of 532 guestrooms (513 standard rooms and 19 suites). The Subject Property includes a basement level extending beneath a portion of the site. The hotel also includes a guest parking area that includes five levels of subterranean parking. The majority of existing improvements were reportedly constructed in 1975 with the 15-story tower being added in 1985. There are currently no manufacturing or industrial operations conducted at the Subject Property.

Below is the Assessment Summary Table presenting our recommended actions for the Subject Property. EBI's Findings and Opinions are presented in Section 8.0, and recommendations for further action or investigation are presented in Section 9.0.

Report Section
No
REC
H REC
CREC
Other
Recommended
Estimated
Further
Action
Cost
Action

2.3 Current Use of the
X
Subject Property

2.5 Adjoining Properties
X

4.1 Standard
X
Environmental
Records

4.1.3 Vapor Migration
X

4.2 H istorical Use of the
X
Subject Property and
Adjoining Properties

5.2 H azardous
X
Substances and
Petroleum Products

5.3 Waste Generation,
X
Storage, and Disposal

5.4 U nderground
X
Storage Tanks
(USTs) &
Aboveground
Storage Tanks
(ASTs)

5.5 Oil -Containing
X
Equipment and
Polychlorinated
Biphenyls(PCBs)

5.6 Additional Site
X
Conditions
EBI Consulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California Report Section
No
REC
H REC
CREC
Other
Recommended
Estimated
Further
Action
Cost
Action

7.1 Asbestos -Containing
X
Develop and
$500
Material (ACM)
implement Asbestos
Operations &
Maintenance (O&M)
Plan

7.2 Radon
X

7.3 Lead -Based Paint
X
(LBP)

7.4 Lead in Drinking
X
Based upon the
$1,650
W ater
findings of the limited
lead -in -drinking water
screening, EBI
recommends that
Harbor Landing Room
189 & 106 and Pacific
Pointe Room 401
Bathroom be re -tested
after normal usage
resumes in order to
confirm the lead
concentrations
detected during the
initial testing
EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

1.0INTRODUCTION
This report documents the findings, opinions, and conclusions of a Phase I Environmental Site Assessment (ESA) of the property located at 900 Newport Center Dr in Newport Beach, California.

1.1 PURPOSE
The purpose of this ESA was to identify reoog3ized environmental conditionsand certain environmental conditions outside the scope of ASTM Practice E 1527-13 in connection with the property at the time of the property reconnaissance.

1.2 SCOPE -OF -SERVICES
This ESA was conducted utilizing a standard of good commercial and customary practice that was consistent with the ASTM Practice E 1527-13. Any significant scope -of -work additions, deletions or deviations to ASTM Practice E 1527-13 are noted below or in the corresponding sections of this report. The scope -of -work for this assessment included an evaluation of the following:
• Physical characteristics of the Subject Property through a review of referenced sources for topographic, geologic, soils and hydrologic data.
• Subject Property history through a review of referenced sources such as land deeds, fire insurance maps, city directories, aerial photographs, prior reports, and interviews. • Current Subject Property conditions, including observations and interviews regarding the following: the presence or absence of hazardous substances or petroleum products; generation, treatment, storage, or disposal of hazardous, regulated, or biomedical waste; equipment that utilizes oils which potentially contain PCBs; and storage tanks (aboveground and underground). • Usage of surrounding area properties and the likelihood for releases of hazardous substances and petroleum products (if known and/or suspected) to migrate onto the Subject Property. • Information in referenced environmental agency databases and local environmental records, within specified minimum search distances.
• Past ownership through a review of available prior reports and local municipal file review.

The scope -of -work also included consideration of the following potential environmental conditions that are outside the scope of ASTM Practice E 1527-13: asbestos -containing materials (ACM), lead -based paint (LBP), lead in drinking water, and radon.

1.3ASSUMPTIONS, LIMITATIONSAND EXCEPTIONS
This Phase I Environmental Site Assessment (the report) has been prepared for the use of Eagle Four Partners, in accordance with our Standard Terms and Conditions for Third Party Due Diligence Services approved and signed by Eagle Four Partners (the Agreement), and with the limitations described below, all of which are integral parts of this report. A copy of the signed Standard Terms and Conditions for Third Party Due Diligence Services is maintained at the EBI Consulting office in Burlington, Massachusetts. To the extent any provisions of this report conflict with the terms of the Agreement, the Agreement will control.

EBI has performed this Phase I Environmental Site Assessment in conformance with the scope and limitations of ASTM Standard E 1527-13, Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process. This report was prepared with no exceptions or deletions from ASTM Standard E 1527-13.

This Phase I Environmental Site Assessment has been prepared to assess a parcel of commercial real estate with respect to the range of contaminants within the scope of the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) (42 U.S.C. §9601) and petroleum products. As such, this practice is intended to permit Eagle Four Partners to satisfy one of the requirements to qualify for the innocent EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California landowner, contiguous property owner, or bona fide prospective purchaser limitations on CERCLA liability:
that is, the practices that constitute "all appropriate inquiry into the previous ownership and uses of the Subject Property consistent with good commercial or customary practice" as defined in 42 U.S.C. §9601(35)(B).

In defining a standard of good commercial and customary practice for conducting an environmental site assessment of a parcel of property, the goal of the processes established by this practice is to identify recognzed environmental oonditions The term recognized environmental conditions means the presence or likely presence of any hazardous substances or petroleum products in, on, or at a property (1) due to a release to the environment, (2) under conditions that indicate an existing release or a past release, or (3) under conditions that pose a material threat of a future release of any hazardous substances or petroleum products into structures on the property or into the ground, ground water, or surface water of the property. The term includes hazardous substances or petroleum products even under conditions in compliance with laws. The term does not include de minimis conditions that generally do not present a threat to human health or the environment and that generally would not be the subject of an enforcement action if brought to the attention of appropriate governmental agencies.

The information reported was obtained through sources deemed reasonably ascertainable, as defined in ASTM Standard E 1527-13; a visual site survey of areas readily observable, easily accessible or made accessible by the Subject Property contact and interviews with owners, agents, occupants, or other appropriate persons involved with the Subject Property and a review of standard federal, state, and tribal environmental record sources. Municipal information was obtained through review of reasonably ascertainable standard government record sources and interviews with the authorities having jurisdiction over the Subject Property. Findings, conclusions, and recommendations included in the report are based on our visual observations in the field, the standard environmental record sources and municipal information reasonably obtained, information provided by the Client, and/or a review of readily available and supplied documents and drawings. EBI relies completely on the information, whether written, graphic, or verbal, provided by the Subject Property contact or as shown on any documents reviewed or received from the Subject Property contact, owner or agent, or municipal source, and assumes that information to be true and correct unless the information is known to be inaccurate or if it is obvious, based on other information obtained as part of the assessment, that the information is not accurate. Although there may have been some degree of overlap in the information provided by these various sources, EBI did not attempt to verify independently the accuracy or completeness of all information reviewed or received during the course of these environmental services.

The information reported, as well as EBI's findings, conclusions, and recommendations are based upon sources deemed reasonably ascertainable, as defined in ASTM Standard E 1527-13; a visual site survey of areas readily observable, easily accessible or made accessible by the Subject Property contact and interviews with owners, agents, occupants, or other appropriate persons involved with the Subject Property and a review of standard federal, state, and tribal environmental record sources. Municipal information was obtained through review of reasonably ascertainable standard government record sources and interviews with authorities having jurisdiction over the Subject Property. Eagle Four Partners agrees that EBI has no obligation to independently verify the accuracy or completeness of the information reviewed or received during the course of these environmental services.

EBI renders no opinion as to the presence of hazardous substances or petroleum products in, on or under un-surveyed and/or inaccessible portions of the Subject Property. Unsurveyed and inaccessible portions of the Subject Property are described below. In addition, EBI renders no opinion as to the presence of hazardous substances or petroleum products in, on or under the Subject Property where direct observation of the interior walls, floor, or ceiling of a structure was obstructed by objects or coverings on or over these surfaces.

EBI Services and opinions are based on the scientific or technical tests or procedures specifically set forth in the scope of the Services described in this report. The ASTM Standard E 1527-13 does not encompass analytical testing to evaluate asbestos containing materials, radon, lead -based paint, drinking water quality, indoor air quality, stored chemicals, debris, fill materials, surface water, or subsurface samples (soil and groundwater) as part of a Phase I ESA. Because geologic and soil formations are inherently random, variable, and indeterminate in nature, the Services and opinions provided under this Agreement are not guaranteed to be a representation of actual conditions on the Subject Property, which are also subject to change with time as a result of natural or man-made processes, including water permeation. In performing the Services, EBI used that degree of care and skill ordinarily exercised by environmental consultants or engineers performing similar services in the same or similar locality at the same time and under similar circumstances. No other representation, expressed or implied, and no warranty or guarantee is included or intended. The report EBI Consulting 4

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California speaks only as of its date, in the absence of a specific written update of the report, signed and delivered by EBI.

Additional information that becomes available after our survey and draft submission concerning the Subject Property should be provided to EBI so that our conclusions may be revised and modified if necessary, at additional cost.

Client and EBI agree that to the fullest extent permitted by law, EBI shall not be liable to Client for any special, indirect, consequential, punitive, exemplary, incidental or indirect damages or losses whatsoever, whether caused by EBI's negligence, errors, omissions, strict liability, breach of contract, breach of warranty or other cause or causes whatsoever.

The assessment was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession, and in accordance with generally accepted practices of other consultants currently practicing in the same locality under similar conditions.

1.4 SPECIAL TERMS AN D CONDITIONS
This Phase I Environmental Site Assessment (the report) has been prepared to assist Eagle Four Partners in its underwriting of a proposed mortgage loan on the Subject Property. This report can be relied upon by only the parties stated in the transmittal letter at the front of this report. In the event that EBI provides a purchaser written permission to use this report, EBI's liability to such purchaser is limited to the cost of the report.

Amendments to EBI's limitations as stated herein that may occur after issuance of the report are considered to be included in this report. Payment for the report is made by, and EBI's contract and report extends to Eagle Four Partners only, in accordance with our Standard Terms and Conditions for Third Party Due Diligence Services.

1.5 DATA GAPS
Any data gaps identified herein, as defined by ASTM Practice E 1527-13 § 3.2.20, are not considered to have significantly affected the ability to identify recognized environmental conditions in connection with the Subject Property and do not alter the conclusions of this report.

EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

2.0 SUBJECT PROPERTY DESCRIPTION

2.1 OWNERSHIPAND LOCATION
According to Land Title Inquires, Inc., the Subject Property is currently owned by "HHR Newport Beach, LLC." The Subject Property is located at 900 Newport Center Dr in the city of Newport Beach, Orange County, California. The Subject Property includes one, irregular -shaped parcel, identified by the Orange County Assessor's Office as Map 442, Parcel 491, Lot 02, totaling approximately 9.53 acres. The Subject Property is located in the southwest quadrant of the intersection of Santa Barbara Drive and Newport Center Drive.

Figure I - Location Map depicts the location of the Subject Property on a street map of Newport Beach, California. Figure 2 - Locus Map depicts the location of the Subject Property on the Newport Beach OE S, CA, Tustin, CA, Laguna Beach, CA, and Newport Beach, CA United States Geological Survey (USGS) 7.5 Minute Topographic Quadrangles. Figure 3 - Site Plan depicts the configuration of the Subject Property and adjoining properties.

2.2 SUBJECT PROPERTY IMPROVEMENTS
The Subject Property is currently improved with a full -service Marriott hotel complex comprised of four structures, including one 15-story tower, one ten -story tower, several 3-story wings, and a single -story section all with a total of 532 guestrooms (513 standard rooms and 19 suites). The Subject Property includes a basement level extending beneath a portion of the site. The hotel also includes a guest parking area that includes five levels of subterranean parking. The majority of existing improvements were reportedly constructed in 1975 with the 15-story tower being added in 1985. Renovations have reportedly been completed periodically over time.

The existing buildings are situated throughout the Subject Property. Areas of the Subject Property surrounding the existing buildings include the following: asphalt- and concrete -paved surface parking areas; concrete walkways, located throughout the Subject Property; and landscaping throughout the Subject Property.

Land and building areas are as follows:

SUBJECT PROPERTY IMPROVEMENTS
Address
Floors
Basement
Area (SF)
DOC
Lot Size (Acres)
900 Newport Center Drive
I, 3, 10, 15
Yes
Not
Reported
1975 &
1985

9.53 SF: Square Feet DOC: Date of Construction

2.3 CURRENT USE OF THE SUBJECT PROPERTY
At the time of assessment, the Subject Property was occupied by "Newport Beach Marriott Hotel & Spa," a full -service hotel that includes 532 guestrooms. Additional on -site amenities include 24 meeting rooms, a beauty shop, a spa, a restaurant, a coffee shop, guest laundry room, and three pools. There are currently no manufacturing or industrial operations conducted at the Subject Property.

2.4 MUNICIPAL SERVICES& UTILITIES
The Subject Property is serviced by the following municipal services and utilities:

MU N ICIPAL SERVICES AN D UTILITIES
Utility
Provider/Source
Potable Water Supply
Irvine Ranch Water District
Sewage Disposal System
City of Newport Beach
Electrical Service
Southern California Edison
Natural Gas Service
The Gas Company
Oil Service
Not applicable
Heating/CoolingHeating/Cooling Systems
Closed -loop chilled waters stem and boilers
Emergency Power
Two diesel fired emergency enerator with associated day tanks EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

2.5ADJOINING PROPERTIES
Property use in the vicinity of the Subject Property is primarily characterized by residential and retail/commercial development, as well as a golf course.

ADMINING PROPERTIES
Direction
Findings
North
The Subject Property is bound to the north by Santa Barbara Drive, beyond which are commercial office buildings located at 840 and 880 Newport Center Drive.

East
The Subject Property is bound to the east by Newport Center Drive, beyond which is a parking structure associated with the Fashion Island Shopping Mall, a commercial store located at 901 Newport Center Drive, and a restaurant located at 951 Newport Center Drive.

South
The Subject Property is bound to the south by a private, gated residential community.

West
The Subject Property is bound to the west by the golf course portion of the Newport Beach Country Club which as a central address of I Clubhouse Drive.

Northwest
The Subject Property is bound to the northwest by a residential complex located at 1001 Santa Barbara Drive.

No visual evidence of adverse environmental conditions was observed during the survey of the adjoining properties. Sites listed in the regulatory databases are discussed in Section 4.1.

2.6 PHYSICAL SETTING

2.6.1 Topography
The Subject Property is located at an elevation of approximately 180 feet above mean sea level (msl). The topography of the Subject Property is tiered and slopes gently to the southwest. The Subject Property is located in a relatively flat area, and the general slope of the surrounding region is to the southwest (see Figure 2, which depicts the location of the Subject Property on the Newport Beach OE S, CA, Tustin, CA, Laguna Beach, CA, and Newport Beach, CA United States Geological Survey (USGS) 7.5 Minute Topographic Quadrangles).

2.6.2 Geology and Soils
No bedrock outcroppings were observed at the Subject Property. Information concerning the geology of the Subject Property was obtained from the USGS Ground Water Atlas of the United States, California region (1995). The Subject Property is located within the Pacific Border physiographic province, which is characterized by steep rolling hills and mountains and consists of severely folded, faulted, commonly metamorphosed marine and continental sediments.

According to the EDR GeoCheck Physical Setting Summary, the dominant soil composition in the vicinity of the Subject Property is reported as moderately well -drained "Myford" sandy loam. Near -surface geology in heavily developed areas such as the Subject Property and vicinity is considered "urban land" and is characterized by a non -homogeneous distribution of soil and fill types. Excavation and backfilling for building foundations, utility conduits, subway systems and other construction results in a varied subsurface profile. In this setting, estimation of local subsurface parameters such as permeability, moisture content, and organic fraction is not feasible without site -specific testing data.

2.6.3 Hydrogeology and Hydrology
No natural surface water bodies were identified on or adjacent to the Subject Property. The nearest downgradient surface water body is the Newport Bay (Pacific Ocean), located approximately 0.65 miles to the west of the Subject Property.

Local groundwater gradient is expected to follow surface topography; therefore, groundwater flow near the Subject Property is expected to flow to the southwest. Groundwater depths and flow gradients are best evaluated by a subsurface investigation involving the installation of at least three groundwater monitoring wells and precise measurements of hydrostatic pressure. Monitoring wells were not observed on the Subject Property.

EBI Consulting 7

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

3.0 USERPROVIDED INFORMATION
The following section summarizes information provided by Eagle Four Partners, the User, with regard to this Phase I Environmental Site Assessment. Additionally, a User Questionnaire was forwarded to the designated client contact. The User Questionnaire has been completed and returned to our offices. The information requested in the User Questionnaire is intended to assist in gathering information that may be material to identifying recognized environmental conditions in connection with the Subject Property. The User Questionnaire and any additional documentation referenced below is presented in Appendix C.

3.1 TITLE RECORDS
Title record information associated with the Subject Property has not been provided to EBI by the User. A detailed discussion regarding review of information obtained from other sources is presented in Section 4.2.3 of this report.

3.2 ENVIRONMENTAL LIENSAND ACTIVITY AND USE LIMITATIONS The User has provided no information regarding environmental liens or activity and use limitations in connection with the Subject Property. A discussion regarding environmental liens is presented in Section 4.2.5 of this report. A detailed discussion regarding activity and use limitations is presented in Sections 4.1.1 and

4.1.2 of this report.

3.3 SPECIALIZED KNOWLEDGE
The User provided no specialized knowledge that is material to recognized environmental conditions in connection with the Subject Property. EBI was not provided with or made aware of previous environmental assessments or other documentation that is material to recognized environmental conditions in connection with the Subject Property, except as presented in Section 4.2.6 of this report.

3.4 COMMONLY KNOWN OR REASONABLY ASCERTAINABLE INFORMATION The User has provided no commonly known or reasonably ascertainable information within the local community about the Subject Property that is material to recognized environmental conditions in connection with the Subject Property.

3.5VALUATION REDUCTION FOR ENVIRONMENTAL ISSUES
The User has provided no information regarding valuation reduction for environmental issues in connection with the Subject Property.

3.6 OWNER, PROPERTY MANAGER, AND OCCUPANT INFORMATION
The User provided contact information for the Subject Property owner, manager and/or occupants.

3.7 REASON FO R PERFO RM I N G PHASE I ESA
The User retained EBI to complete this Phase I Environmental Site Assessment in connection with a real estate transaction.

EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

4.0 RECORDS REVIEW

4.1 STANDARD ENVIRONMENTAL RECORDS
A review of standard environmental databases maintained by Federal, state, and tribal offices was completed through Environmental Data Resources, Inc. (EDR) of Shelton, Connecticut. The databases were searched for properties with reported environmental conditions located within approximate minimum search distances as specified by ASTM Standard E 1527-13, by using geocoding information that identified the coordinates of the properties in the databases or by checking the street addresses of practically reviewable non-geocoded "orphan" properties within the same zip code. The database report is presented in Appendix E.

The database report identified ten "orphan sites". Orphan sites are those sites that could not be accurately mapped or geocoded due to inadequate location information. EBI attempted to locate these sites via vehicular reconnaissance and interviews with personnel familiar with the area. Based on this research, EBI did not identify listed orphan sites within the approximate minimum search distances that may be considered likely to have impacted conditions at the Subject Property.

It should be noted that plotted locations of listed sites are not always accurate. With regard to listings that are determined or suspected to be inaccurate, based on information from other sources such as direct observation or consultation with individuals familiar with the property, EBI uses the best available data when evaluating the location of listed sites discussed below.

The following table provides a summary of the findings of the environmental database report. Specific properties identified within the database report are further discussed in the sections below. Properties that are identified within the database report that are not discussed further in the sections below are not considered to be a concern to the Subject Property based on one or more of the following rationale: absence of reported releases, current regulatory status, distance, presumed hydrogeologic gradient and/or nature/extent of contamination.

SUMMARY OF FEDERAL, STATE, AND TRIBAL AGENCY DATABASE FINDINGS Database
Target
Property
Search
D istance
(Miles)
1 Total
Plotted
NPL
1 0
0 0
0 NR
0 Delisted NPL
1 0
0 0
0 NR
0 CORRACTS
1 0
0 0
0 NR
0 RCRA-TSDF

0.5 0
0 0
NR
NR
0 RCRA-LQG

0.25 0
0 NR
NR
NR
0 RCRA-SQG

0.25 1
4 NR
NR
NR
5 US ENG CONTROLS

0.5 0
0 0
NR
NR
0 US INST CONTROLS

0.5 0
0 0
NR
NR
0 ERNS

0.125
1 NR
NR
NR
NR
I
FUDS
1 0
0 0
1 NR
I
FINDS
I
TP
NR
NR
NR
NR
NR
I
SEMS

0.5 0
0 0
NR
NR
0 SEMS-ARCHIVE

0.5 0
0 0
NR
NR
0 RCRA-VSQG

0.25 0
0 NR
NR
NR
0 SWF/LF

0.5 0
0 0
NR
NR
0 LUST

0.5 1
3 6
NR
NR
10 UST
I

0.25 1
3 NR
NR
NR
5 HIST UST

0.25 1
2 NR
NR
NR
3 AST

0.25 0
0 NR
NR
NR
0 VCP

0.5 0
0 0
NR
NR
0 DRYCLEANERS

0.25 0
2 NR
NR
NR
2 BROWNFIELDS

0.5 0
0 0
NR
NR
0 CORTESE

0.5 1
2 5
NR
NR
8 SWEEPS UST
1 0.25
0 2
NR
NR
NR
3 ENVIROSTOR
1 0
0 0
2 NR
2 CERS HAZ WASTE
1 0.25
8 4
NR
NR
NR
13 CERS
I
TP
NR
NR
NR
NR
NR
I
HWTS
3 TP
NR
NR
NR
NR
NR
3 EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California Database
Target
Property
Search
D istance
(Miles)
1 Total
Plotted

WMUDS/SWAT

0.5 1
0 0
NR
NR
I
HWP
1 0
0 0
1 NR
I
CHMIRS

0.25 1
1 NR
NR
NR
2 RESPONSE
1 0
0 0
0 NR
0 HIST CORTESE

0.5 1
2 4
NR
NR
7 CA FID UST
1 0.25
0 2
NR
NR
NR
3 CERS TANKS
1 0.25
1 4
NR
NR
NR
6 HAZNET
2 TP
NR
NR
NR
NR
NR
2 EMI
I
TP
NR
NR
NR
NR
NR
I

RGA LUST

0.5 3
6 12
NR
NR
21 CPS-SLIC

0.5 0
0 1
NR
NR
I

INDIAN LUST

0.5 0
0 0
NR
NR
0 INDIAN UST

0.25 0
0 NR
NR
NR
0 INDIAN VCP

0.5 0
0 0
NR
NR
0 EDR Hist Auto

0.25 0
2 NR
NR
NR
2 4.1.1 Federal, State and Tribal Agency Database Records National Priority List (NPL)
The NPL database, also known as the Superfund List, is a subset of CERCLIS and identifies sites that are ranked as high priority for remedial action under the Federal Superfund Act and is searched to 1.0 mile.

Delisted National Priority List (NPL)
The National Oil and Hazardous Substances Pollution Contingency Plan (NCP) establishes criteria that the EPA uses to delete sites from the NPL. In accordance with 40 CFR 300.425(e), sites may be deleted from the NPL where no further response is appropriate. The Delisted NPL database is searched to 0.5 mile.

Superfund Enterprise Management System (SEMS)
SEMS tracks federal hazardous waste sites, potentially hazardous waste sites, and remedial activities performed in support of the USEPA's Superfund Program. The list was formerly known as CERCLIS and was renamed at the end of 2015. The list contains data regarding potentially hazardous waste sites that have been reported to the USEPA by states, municipalities, private companies, and private persons, pursuant to Section 103 of the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA). SEMS also contains sites that are either proposed to or on the National Priority List (NPL), as well as sites that are in the screening and assessment phase for possible inclusion on the NPL. SEMS is searched to 0.5 mile.

SEMS - ARCHIVE
SEMS - ARCHIVE tracks sites that have been removed from the SEMS list. This list was formerly known as the CERCLIS- NFRAP list and was renamed SEMS - Archive at the end of 2015. SEMS-ARCHIVE sites may be sites where, following an initial investigation, no contamination was found, contamination was removed without the need for the site to be placed on the NPL, or the contamination was not considered sufficient to warrant Federal Superfund action or NPL consideration. SEMS - Archive is searched to 0.5 mile.

Resource Conservation and Recovery Act (RCRA) - Corrective Action Tracking Svstem (CORRACTS) RCRAInfo is EPA's comprehensive information system, providing access to data supporting the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste Amendments (HSWA) of 1984. RCRAInfo replaces the data recording and reporting abilities of the Resource Conservation and Recovery Information System (RCRIS). The database includes selective information regarding sites that generate, transport, store, treat, and/or dispose of hazardous waste as defined by RCRA. The RCRA-CORRACTS database identifies TSD facilities that have conducted, or are currently conducting, corrective action(s) as regulated under RCRA and is searched to 1.0 mile.

RCRA non-CORRACTS Treatment, Storage and/or Disposal (TSD) Facilities RCRA non-CORRACTS Treatment, Storage and/or Disposal (TSD) facilities are required to register hazardous waste activity under the Resource Conservation and Recovery Act (RCRA), and the database is searched to

0.5 mile.

EBI Consulting 10

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California RCRA Hazardous Waste Generators
Hazardous waste generators tracked under the Resource Conservation and Recovery Act (RCRA) are classified as either Large Quantity Generators (LQGs), Small Quantity Generators (SQGs), or Conditionally Exempt Small Quantity Generators (CESQG). A RCRA-LQG is defined as a facility that generates over 1,000 kilograms (Kg) of hazardous waste, or over I Kg of acutely hazardous waste per month. A RCRA-SQG is defined as a facility that generates between 100 Kg and 1,000 Kg of hazardous waste per month. A RCRA-CESQG is defined as a facility that generates less than 100 Kg of hazardous waste, or less than I Kg of acutely hazardous waste per month. RCRA Hazardous Waste Generator listings are searched for the Subject Property and adjacent properties only.

Federal Engineering Control / Institutional Control Registries The completion of site cleanup activities may include the implementation of engineering controls or institutional controls as part of the response action. Engineering controls include various forms of caps, building foundations, liners, and treatment methods to create pathway elimination for regulated substances to enter environmental media or effect human health. Institutional controls include administrative measures, such as groundwater use restrictions, construction restrictions, property use restrictions, and post remediation care requirements intended to prevent exposure to contaminants remaining on site. Deed restrictions are generally required as part of the institutional controls. Federal Engineering Control / Institutional Control Registries are searched to 0.5 mile.

Emergency Response Notification System (ERNS)
ERNS is a national database used to collect information regarding reported releases of petroleum products and/or hazardous substances. The database contains information from spill reports submitted to Federal agencies, including the EPA, the U.S. Coast Guard, the National Response Center, and the U.S. Department of Transportation. A review of this database was conducted in order to determine whether any spills or incidents involving releases of hazardous substances or petroleum products have occurred at the Subject Property.

State and Tribal equivalent NPL Sites and CERCLIS Sites State and tribal equivalent NPL and CERCLIS databases were searched for sites located within 1.0 mile and 0.5 mile of the Subject Property, respectively.

State and Tribal Spills Sites (Spills)
A review of available Spills databases was conducted in order to determine whether any spills or incidents involving releases of hazardous substances or petroleum products have occurred at the Subject Property.

State and Tribal Landfill Sites and Solid Waste Disposal Sites The state and tribal landfill and solid waste disposal site databases identify active or inactive landfill and transfer station facilities, as well as open dumps that failed to meet RCRA Subtitle D Section 4004 criteria for solid waste landfills or disposal sites and are searched to 0.5 mile.

State and Tribal Registered Storage Tank Sites
The State Registered Storage Tank database is a listing of sites with registered above ground and/or underground storage tanks and is searched for Subject Property listings and adjoining property listings.

State and Tribal Leaking Storage Tank Sites
Leaking Storage Tank Sites are properties where releases of hazardous substances or petroleum products from underground storage tanks (USTs) and/or aboveground storage tanks (ASTs) have been identified and reported to state, tribal, or local agencies. State and Tribal Leaking Storage Tank databases are searched to 0.5 mile.

Voluntary Cleanup Program (VCP) Properties
The Voluntary Cleanup Program (VCP) database identifies sites that are undergoing self -directed investigation/cleanups under the guidance of the state regulatory agency. The VCP database is searched to 0.5 mile.

State and Tribal Engineering Control / Institutional Control Registries The completion of site cleanup activities may include the implementation of engineering controls or institutional controls as part of the response action. Engineering controls include various forms of caps, building foundations, liners, and treatment methods to create pathway elimination for regulated substances to enter environmental media or effect human health. Institutional controls include administrative measures, such as groundwater use restrictions, construction restrictions, property use restrictions, and post remediation care EBI Consulting I I

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California requirements intended to prevent exposure to contaminants remaining on site. Deed restrictions are generally required as part of the institutional controls. State and Tribal Engineering Control / Institutional Control Registries are searched to 0.5 mile.

State and Tribal Brownfields Sites
Brownfields are properties for which the expansion, redevelopment, or reuse may be complicated by the presence or potential presence of a hazardous substance, pollutant or contaminant. Cleaning up and reinvesting in these properties takes development pressures off of undeveloped, open land, and both improves and protects the environment. Listing as a Brownfield site or a property that may be within a larger designated Brownfield area, does not necessarily indicate the property itself is contaminated. State and Tribal Brownfield databases were searched to 0.5 mile.

Detail Summary
Site Name:

NEWPORT BEACH MARRIOTT HOTEL; HMH PROP INC; HOST MARRIOTT CORP NEWPORT BCH
Databases:

SWEEPS UST, UST, HAZNET, HWTS, FINDS, EMI, CERS HAZ WASTE, CA FID UST, CERS TANKS, CERS
Address:
900 NEWPORT CENTER DR
D istance:

Subject Pro ert
Direction:

NA
Gradient:

NA
ID No.:

Comments:

The UST, SWEEPS UST, CA FID UST, and CERS TANKS listings are related to the operations of one, on -site, I0,000-gallon diesel fuel UST. As per the SWEEPS UST listing, the Action Date is reported as "09-15-92." No other pertinent information is reported. The Subject Property UST is further discussed in Section 5.4 of this report.

The remaining listings are generally related to routine generation of hazardous materials from at least 1993-2019 associated with the operation of a full -service hotel. As per the HAZNET listings, reported wastes generated on -site include: unspecified oil -containing waste, other inorganic solid waste, tank bottom waste, asbestos containing waste, and aqueous solution with total organic residues less than 10, among others. The generation of hazardous materials associated with hotel operations is considered unlikely to represent an environmental concern to the Subject Property.

Site Name:

PACIFIC FINANCIAL PLAZA; ASPHALTO WASTE WATER SUMP NO
Databases:

CERS, CERS TANKS, CERS HAZ WASTE, WMUDS/SWAT, HIST UST
Address:
840 NEWPORT CENTER DR
D istance:

Adjacent
Direction:

North
Gradient:

Cross radient
ID No.:

Comments:

The listings associated with "Pacific Financial Plaza" appear to be generally related to office use. The utilization of an AST is noted on the CERS TANKS listing while AT&T is noted as a generator of waste on the CERS HAZ WASTE listing. This is likely related to cellular equipment attached to the adjacent office buildings.

The listings associated with "ASPHALTO WASTE WATER SUMP NO" appear to be related to a waste water treatment/pump station. A review of current and historical aerial photographs does not indicate that the north adjacent property has been used for waste water treatment of pumping/storage purposes. Hence, it is possible, that clerical operations associated with the wastewater pump/treatment center are located within the adjacent office building or that a lift station is located in this area Based on the absence of reported releases, conditions associated with these listings are considered unlikely to represent an environmental concern to the Subject Property.

Site Name:

NORDSTROM INC 333
Databases:

RCRA-SQG, ERNS, CERS HAZ WASTE, CERS
Address:
901 NEWPORT CENTER DR
D istance:

Adjacent
Direction:

East
Gradient:

Crossgradient
D No.:

CAR000281717
EBI Consulting 12

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California Comments: These listings are generally related to the operation of a commercial clothing store located on the east adjacent property. The RCRA-SQG listing does not report any violations. The ERNS listing notes that a drum fell off a pickup truck at a job site near the adjacent property address. The drum reportedly spilled diesel fuel onto the ground. The spill was reported to have been addressed. Based upon the absence of reported violations and the reported type of operations, conditions associated with the east adjacent property are considered unlikely to represent an environmental concern to the Subject Property.

Site Name:

PACIFIC FINANCIAL PLAZA
Databases:

LUST, CERS, HIST CORTESE, CORTESE
Address:
800 NEWPORT CENTER
Distance:

0.07 miles
Direction:

North-northeast
Gradient:

Upgradient
ID No.:

Comments:

As per the listings, a nearby facility to the northeast is listed as a LUST facility. According to the listing, the Potential Contaminants of concern are listed as "gasoline" while the Potential Media Affect is reported as "soil." The Status is reported as "Completed - Case Closed" as of 1 1 /26/ 1990. Based upon the separating distance, the current regulatory status and the reported impact to soil only, conditions associated with the nearby LUST facility are considered unlikely to represent an environmental concern to the Subject Property.

4.1.2 Local Regulatory Agency Records
Local municipal offices consulted during the completion of this assessment included the following:

City of Newport Beach Building Division
EBI contacted the City of Newport Beach Building Division for information regarding past uses of the Subject Property. According to a review of available records for the site, the earliest available permits for review were dated in 2001. According to the reviewed permits, various renovations and tenant improvements have been performed on the existing hotel from at least 2001-2020.

EBI searched the online database for any permits issued around 2005 (the reported year of installation for the on -site UST; see Section 4.2.7 below) in an effort to identify information related to the on -site UST system, however, no records associated with the UST were identified during the review process.

Orange County Health Care Agency (OCHCA)
EBI contacted the OCHCA regarding information about hazardous substances and industrial waste for the Subject Property and surrounding properties. As of the date of this report, EBI had not received a response to this inquiry. Upon receipt of the agency response, if the provided information has a material effect on the findings of this report, EBI will forward this information as an addendum to this report. If no response is received, or no material information is identified, our report will not be modified.

South Coast Air Quality Management District (SCAQMD)
EBI contacted the SCAQMD regarding a record search for violations, site inspections, and equipment used at the Subject Property. An online search of the SCAQMD database revealed that they do not have any files for the Subject Property.

Department of Toxic Substances Control (DTSC)
EBI searched the DTSC's databases of Hazardous Waste and Substances Site List Site Cleanup and EnviroStor List that includes NPL sites, State Response Sites, Voluntary Cleanup Sites, School Cleanup Sites and Corrective Action Sites at the website http://www.envirostor.dtsc.ca.gov/public/default.asp . The Subject Property was not identified on the databases.

State Water Resources Control Board
EBI searched the SWRCBs GeoTracker database through their website. This website lists regulated facilities in California including leaking USTs, other contaminated properties reported on the Spills, Leaks, Investigations and Cleanup List (SLIC), wells, land disposal sites, military sites and permitted UST sites. The Subject Property was not identified on the databases.

EBI Consulting 13

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

4.1.3 Vapor Migration
EBI conducted a vapor migration screening survey of the Subject Property. EBI's site observations and review of the environmental database report (cited in Section 4.1) did not identify any conditions on the Subject Property or on adjoining properties that would indicate a REC relative to vapor migration at the Subject Property.

This vapor migration screening was conducted in accordance with ASTM E 1527-13 and is not intended to satisfy the requirements of ASTM E2600-15. The scope of this screening was limited to visual observations and review of the environmental database report and did not include the collection and laboratory analysis of air samples to confirm or refute the presence of airborne contaminants by vapor intrusion.

4.2HISTORICAL USE OFT HESUBJECT PROPERTY AND ADJOINING PROPERTIES EBI attempted to determine the history of the Subject Property dating back to 1940 or first developed use.

No environmentally significant conditions were identified on the Subject Property or surrounding properties during the historical review. The historical use of the Subject Property and surrounding area is summarized in the following sections.

4.2.1 Aerial Photographs and Maps
Historical aerial photographs and historical fire insurance maps may be used to evaluate changes in land use and to identify visible/labeled areas of potential environmental concern. Historical topographic maps provide information related to physical land configuration such as elevation, ground slope, surface water and other features. While most buildings in densely developed urban centers are not depicted, topographic maps typically show structures equal to or larger than the size of a single-family residence in rural areas. Other notable features such as woods, pipelines, municipal boundaries, and areas of filled land are often marked on topographic maps.

A search for historical aerial photographs, historical fire insurance maps and historical topographic maps depicting the Subject Property and vicinity was conducted by Environmental Data Resources, Inc. (EDR). The EDR Report indicated that fire insurance map coverage for the vicinity of the Subject Property was not available. A copy of the search documentation letter is presented in Appendix F. It should be noted that the scale of the available aerial photographs precludes the distinct identification of structures and/or land uses on or in the vicinity of the Subject Property. Historical images depicting the Subject Property reviewed are summarized in the following table. Copies of the images are presented in Appendix F.

AERIAL PHOTOGRAPH

AND MAP SUMMARY
Period
Subject Property Historical
Surrounding Area Historical
Source(s)
U ses
U ses
1896, 1901,
No structures or other notable
No structures or other notable
Topographic Maps
1902, 1932,
features are depicted on the Subject
features are depicted on the
1935
Property.
surrounding properties.
1938, 1947,
The Subject Property appears to
The surrounding properties appear
Aerial Photographs
1952
consist of vacant land.
to consist of vacant land.
1963
Conditions on the Subject Property
Conditions on the surrounding
Aerial Photographs
are similar to those depicted on the
properties are similar to those
1952 Aerial Photograph.
depicted on the 1952 Aerial
Photograph, with the exception of
the west adjacent property which
appears to be improved with the
existing off course.
1972
Conditions on the Subject Property
The east adjacent property now
Aerial Photographs
are similar to those depicted on the
appears to consist of an
1963 Aerial Photograph.
asphalt -paved parking lot. The
existing residential buildings on the
south adjacent property are now
apparent.

EBI Consulting 14

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 1977
The Subject Property is now
The existing restaurant structure is
Aerial Photographs
improved with structures
now apparent to the east.
resembling a portion of the existing
hotel com Iex.
1985
The northern portion of the Subject
The north adjacent commercial
Aerial Photographs
Property appears to be under
office buildings are now apparent.
construction with the existing
15-storyhotel tower.
1989, 1990,
Conditions on the Subject Property
Conditions on the surrounding
Aerial Photographs
1994, 2005
are depicted as they exist at the
properties are similar to those
present day.
depicted on the 1985 Aerial
Photograph.
2009, 2012
Conditions on the Subject Property
The east adjacent property now
Aerial Photographs
are depicted as they exist at the
appears to be under construction
present day.
with the existing commercial
clothing store.
2016
Conditions on the Subject Property
Conditions on the surrounding
Aerial Photographs
are depicted as they exist at the
properties are depicted as they
resent day.
exist at the present day.

4.2.2 Street Directories
Street directories are commercial publications containing names and addresses, and in many cases, occupations of the occupants of a particular community. The directories may also contain information pertaining to business processes conducted within a community. A search for historical street directories was conducted by Environmental Data Resources, Inc. (EDR). Historical street directories were reviewed and are summarized below. Copies of the street directories are presented in Appendix F.

According to a review of the historical street directories, the Subject Property has been occupied and operated as a Marriott Hotel since at least 1995. A review of the listings indicated that the on -site hotel has included various additional commercial businesses including restaurants, a rental car location, and a spa.

4.2.3 Recorded Land Title Records
Land title records provide information on previous ownership of a property. Typically, deeds signifying transfer of a land parcel are recorded in county files and can be researched to determine the identity of past owners.

A "chain of title" is a continuous record of ownership for a specific parcel. A 50-year chain of title search was conducted by Land Title Inquiries, Inc. The land title records did not identify deed restrictions, activity and use limitations, or environmental liens associated with the Subject Property. A listing of the former Subject Property owners and property transfer dates is presented below. Copies of the land title records are presented in Appendix C.

RECORDED LAND TITLE RECORDS
Year
Dated
Issues
Noted
Owner
1968
No
The Irvine Company
1993
No
Marriott Corporation by Deed
1994
No
HMH Properties Inc. by Deed
2007
No
HHR Newport Beach LLC by Deed

4.2.4 Property Tax Records
According to Land Title Inquires, Inc., the Subject Property is currently owned by "HHR Newport Beach, LLC." which acquired the Subject Property in 2007. A listing of the former Subject Property owners was not available for review.

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Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

4.2.5 Environmental Liens and Activity and Use Limitations EBI retained Land Title Inquiries, Inc. to conduct a search for Environmental Liens and Activity and Use Limitations for the Subject Property. The search was completed by a title professional from Land Title Inquiries, Inc. The Environmental Lien Search Report indicated that no environmental liens or Activity and Use Limitations were found of record. A copy of the Environmental Lien Search Report is included in Appendix C.

4.2.6 Previous Environmental Reports
EBI was not provided with or made aware of previous environmental assessments or other documentation regarding environmental investigations performed for the Subject Property. EBI did not identify previous environmental reports for the Subject Property at local agencies or other sources contacted during this assessment.

4.2.7 Other Historical Records and Interviews
Mr. Juan Lopez, Director of Engineering at the hotel, was interviewed to obtain information regarding the history of the Subject Property. According to Mr. Lopez, he has been familiar with the Subject Property for approximately two years. Mr. Lopez reported that the on -site hotel consists of four structures and a total of 532 guestrooms. Mr. Lopez noted that the majority of the on -site elevators are overhead traction cable -driven systems. He reported that the site has two hydraulic elevators. Additionally, Mr. Lopez reported that the Subject Property utilizes one, 10,000-gallon diesel fuel UST that reportedly supplies fuel to the two on -site emergency generators. Mr. Lopez noted that each generator also utilizes an approximately 50-gallon above -ground day tank. Mr. Lopez stated that to the best of his knowledge, the on -site UST was installed in 2005 and that it did not replace a pre-existing on -site UST. He noted that the UST utilizes an electronic leak detection system and that the system is checked regularly. Mr. Lopez was not aware of any known leaks from the on -site UST in the past.

EBI Consulting 16

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

5.0 SUB.ECT PROPERTY RECONNAISSANCE
The Subject Property reconnaissance was conducted by Mr. Christopher Evans, EBI Project Scientist, on September I, 2020. Mr. Evans was accompanied by and interviewed Mr. Juan Lopez, the Director of Engineering for the hotel.

5.1 METHODOLOGY AND LIMITING CONDITIONS
The Subject Property reconnaissance consisted of visual and/or physical observations of the Subject Property and improvements, adjoining properties as viewed from the Subject Property boundaries, and the surrounding area based on visual observations made from adjacent public thoroughfares. Building exteriors were observed along the perimeter from the ground, unless described otherwise. Building interiors were observed as they were made safely accessible, unless described otherwise.

At the time of the survey, the weather was sunny and approximately 75 Fahrenheit. During the survey, representative tenant spaces, mechanical spaces, and/or equipment components were observed. There were no other significant portions of the Subject Property that were inaccessible or excluded from this survey.

5.2 H AZARD 0 U S SU BSTAN C ES AN D PETROLEUM PRODUCTS

5.2.1 Hazardous Substances and Petroleum Products (Identified Uses) Notable hazardous substances or petroleum products in connection with identified uses observed at the Subject Property are described below.

HAZARDOUS SUBSTANCES AND PETROLEUM PRODUCTS
General Type of
Approximate Quantity / Container /
Location
Storage Condition
Material
Material
Cleaning Compounds
Various sized containers, ranging from aerosol
Janitorial Closets,
Good: No leaks or
and Janitorial Supplies
cans to five -gallon pails
maintenance room,
spills
flammable cabinets
HVAC Treatment
(Several) 5-gallon Plastic Containers: H-550
Basement Boiler
Good: No leaks or
Compounds
Microbiocide
Room
spills
(Several) 5-gallon Plastic Containers: Nalsperse
73551 Dispersant and Detergent
Pool Treatment
(Numerous) I -gallon plastic containers:

Pool Maintenance
Good: No leaks or
Compounds
Muriatic Acid
Room
spills
(Numerous) 5-gallon plastic buckets: Calcium
Hypochlorite
EBI did not identify evidence of significant leaks, spills, or the improper handling of petroleum or hazardous substances that might impact the environmental condition of the Subject Property. However, it should be noted that a compliance audit was beyond the scope of work for this assessment and was not performed.

5.2.2 Hazardous Substances and Petroleum Products (Unidentified Uses) EBI did not observe evidence of hazardous substance or petroleum products containers at the Subject Property that were not in connection with identified uses.

5.2.3 Unidentified Substances Containers
EBI did not observe evidence of unidentified substances containers at the Subject Property.

5.3 WASTE GENERATION, STORAGE, AND DISPOSAL
EBI identified the following waste streams generated at the Subject Property:

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Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

WASTE GEN ERATION, STORAGE,

AND DISPOSAL
Classification
Type of W aste /
Type of Storage /
Disposal Method /
Generation Process
Location
Contractor
Non -regulated Solid Waste
Municipal Solid Waste /
Numerous solid waste
Contracted trash -pick up
Routine Site Operations
dumpsters & trash
compactor
Cardboard Recyclables /
Routine Site Operations
I Hydraulic Compactor /
(Receiving Dock
Non -regulated Liquid Waste
Sanitary Sewage / Routine
NA (Municipal Sanitary
City of Newport Beach
Site Operations
Sewer
Regulated Solid or Liquid
None identified
NA
NA
Waste
Biomedical Waste
None identified
NA
NA
No evidence of improper solid waste management or the improper disposal of hazardous substances or petroleum products was observed at the time of reconnaissance.

5.4 UNDERGROUND STORAGE TANKS (USTS) &ABOVEGROUND STORAGE TANKS (AST S)

5.4.1 Existing Storage Tanks
Based upon site reconnaissance, interviews, and a review of state and local records, EBI identified the following USTs and ASTs located at the Subject Property.

STORAGE TANKS
Capacity
Contents
Location
Year
Construction
Leak Detection /
Staining /
Installed
Materials
Prevention
Releases
(1)
Diesel
Near receiving
Reportedl
Not Provided
Veeder Root electronic
None identified
I0,000-gallon
Fuel
dock - north
y 2005
leak detection system
UST
side of the
hotel
(2) 50-gallon
Diesel
Generator
Not
Steel
Not Identified
None identified
day tank ASTs
Fuel
rooms
re orted
EBI observed one I0,000-gallon diesel UST near the receiving dock on the northern portion of the Subject Property. The tank is reportedly double -walled and is equipped with a leak monitoring system. A review of the SWEEPS UST regulatory database listing indicates that the 10,000-gallon diesel UST was initially registered at the Subject Property starting in 1988. EBI has requested records from the Orange County Health Care Agency in an effort to obtain any records associated with the current UST. However, as of the date of this report, EBI had not received a response to this inquiry. Site personnel do not report any leaks associated with the tank at this time. EBI was provided with a Monitoring System Certification form and an Overfill Prevention Equipment Inspection Report dated September 16, 2020. EBI was also provided with the results of tank tightness testing that was conduced on September 16, 2020. This test confirmed that the tank and lines passed. A copy of this documentation is included in Appendix C. Based on the results of this testing and the continued operation of the leak detection system, the UST at the Subject Property is not considered an environmental concern in connection with the Subject Property at this time.

5.4.2 Former Storage Tanks
Based upon site reconnaissance, interviews, and a review of state and local records, EBI identified no evidence of former USTs or ASTs located at the Subject Property.

EBI Consulting 18

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

5.501L-CONTAINING EQUIPMENT AND POLYCHLORINATED BIPHENYLS(PCBS) Polychlorinated biphenyls (PCBs) are a chemical component of many dielectric fluids, heat transfer fluids, hydraulic fluids, lubricating oils, paints, or coatings manufactured prior to July 2, 1979. Equipment that may potentially contain PCBs includes electrical equipment such as transformers or capacitors or hydraulically operated equipment, such as elevators, compaction equipment, or manufacturing equipment. The manufacture and distribution in commerce of PCBs was banned for use in 1979 by the United States Congress, which enacted the Toxic Substance and Control Act (TSCA). In accordance with US Code of Federal Regulations Title 40 - Protection of Environment, Chapter I - Environmental Protection Agency, Subchapter R - Toxic Substance Control Act (TSCA), Part 761 - Polychlorinated Biphenyls (PCBs) Manufacturing, Processing, Distribution in Commerce, and Use Prohibitions, the owner of a transformer or other PCB -containing equipment is responsible for equipment maintenance and remediation in the event of a leak or release.

The following oil -containing equipment was identified at the Subject Property:

OIL -CONTAINING EQUIPMENT
Classification
Type of Equipment
Year Installed /
Staining / Releases
Location
Identified
Hydraulic Equipment
(2) Passenger
Not reported /
No
elevators
shorter portions of
the hotel
Hydraulic Equipment
(1) Cardboard Baler
Not reported /
No
I Trash com actor
receiving dock

5.6 ADDITIONAL SITE CONDITIONS
The following is a summary of visual and/or physical observations of the Subject Property on the day of the site visit. Photographs of pertinent Subject Property features are presented in Appendix A.

ADDITIONAL SITE CONDITIONS
Condition
Identified
Interior Drains, Trenches, or Sums
No
Interior Stains or Corrosion
No
Unusual Odors
No
Interior Pools of Liquid
No
Stained Soil or Pavement
No
Stressed Vegetation
No
Indications of Solid Waste Disposal
No
Exterior Pits, Ponds, or Lagoons
No
Wastewater or Stormwater Disc har a/Dis osal
No
Oil -Water Separators or Clarifiers
Reported, but not observed
Septic Systems or Cesspools
No
Wells (Drinking Water Wells, Monitoring Wells, Agricultural/Irrigation Wells, or Process Water Wells
No
Petroleum or Natural Gas Pipelines/Easements
No
The site contact indicated that he believed the Subject Property utilized grease interceptors for on -site kitchen operations, but EBI personnel did not visually observe their presence during the site reconnaissance for the Phase I ESA.

EBI Consulting 19

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

6.0INTERVIEWS
The site contact or Key Site Manager was contacted to be interviewed to obtain information regarding recognized environmental conditions in connection with the property. Additionally, a Pre -Survey Questionnaire was forwarded to the designated Subject Property contact. The Pre -Survey Questionnaire has not been completed and returned to our offices. The information requested in the Pre -Survey Questionnaire is intended to assist in gathering information that may be material to identifying recognized environmental conditions in connection with the Subject Property.

INTERVIEWS
Contact / Affiliation
Date of
Years Associated
Telephone
Communication
with the Subject
No.

Property
Juan Lopez
09/01/2020
2 (949) 640-4000
Director of Engineering
Newport Beach Marriott Hotel & Spa
Pertinent information from the interviews is presented in applicable sections of this report.

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Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

7.0 CONSIDERATIONS OUTSIDE THE SCOPE OF AST PRACTICE E 1527-13 The following sections address environmental issues or considerations at the Subject Property that parties may wish to assess in connection with commercial real estate that are outside the scope of ASTM Practice E 1527-13 (non -scope considerations).

7.1 ASBESTOS -CONTAINING MATERIAL (ACM)
Asbestos is a term used to describe a group of six naturally occurring crystalline fiber minerals. Asbestos has excellent thermal stability, a high degree of tensile strength, and has been used extensively in the textile, insulation, and building industries, particularly as a component in fireproofing, decorative coatings, insulation materials, and as reinforcement for plaster binders in building products. Asbestos -containing building materials are generally classified as friable or non -friable. Friable materials are those that can be crumbled, pulverized, or reduced to powder by hand pressure, or by normal use or maintenance can be expected to emit asbestos fibers into the air. Non -friable ACM is a potential concern if it is damaged by maintenance work, demolition, or other activities, at which time it may be considered friable.

EBI conducted a limited screening survey for the presence of ACM at the Subject Property. EBI identified friable suspect ACM in the form of sheet rock/joint compound composite material and 2'x4' white perforated acoustical ceiling tile and non -friable suspect ACM in the form of vinyl floor tile and associated mastic, various construction mastics and caulking and roofing materials. These materials were observed to be undamaged and in good condition at the time of assessment. EBI collected representative bulk samples of suspect ACM at the Subject Property. Please note that the scope of work for this survey was limited to the sampling of friable materials or damaged non -friable materials in accessible areas and that destructive sampling of undamaged non -friable materials was not conducted. Additional suspect ACM may be present in inaccessible areas, including, but not limited to, roofs, pipe chases behind solid walls and ceilings, concealed floor coverings, the interior of machinery or equipment, or water and sewer systems. Suspect ACM samples were submitted to Environmental Hazards Laboratory located in Richmond, Virginia for laboratory analysis by polarized light microscopy (PLM).

The following table presents the sample location, asbestos content, friability, general condition, and estimated quantity of bulk samples of suspect ACM collected at the Subject Property:

ASBESTOS SAMPLING RESULTS
Sample
Material
Location
Asbestos
Friability
Condition
Estimated
No.

Content
Quantity
I
joint Compound
Building F Fire
NAD
Friable
Good
1,600 sf
Command Room
2 Gypsum Board
Building F Fire
NAD
Friable
Good
1,600 sf
Command Room
3 Textured Ceiling
Harbor Pointe
NAD
Friable
Good
100 LF
Stucco
4 Hard Elbow to
Harbor Pointe -
NAD
Friable
Good
100k sf
Fiberglass Insulation
Pool Pump Room
5 joint Compound
Harbor Pointe - 10
NAD
Friable
Good
I00k sf
Floor Linen Closet
6 Gypsum Board
Harbor Pointe - 10
NAD
Friable
Good
100k sf
Floor Linen Closet
7 Stucco Ceiling
Harbor Landing -
NAD
Friable
Good
I Ok sf
Room 149
8 joint Compound
Harbor Landing -
NAD
Friable
Good
20k
I st Floor Linen
Closet
9 Gypsum Board
Harbor Landing I st
NAD
Friable
Good
20k
Floor Linen Closet
10 White Texture Ceiling
Pacific Pointe (1985
NAD
Friable
Good
70k
Building) - Room
1502
EBI Consulting 21

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California Sample
Material
Location
Asbestos
Friability
Condition
Estimated
No.

Content
Quantity
11 Spray on Fireproofing
Pacific Pointe -
NAD
Friable
Good
70k
Laguana Meeting
Room
12 Spray on Fireproofing
Pacific Pointe - 16
NAD
Friable
Good
70k
Floor Stairwell by
Elevator
13 Joint Compound
Pacific Pointe - 4th
NAD
Friable
Good
150k
Floor Linen Closet
14 Gypsum Board
Pacific Pointe - 4th
NAD
Friable
Good
150k
Floor Linen Closet
15 Spray On Fireproofing
Pacific Landing - 3rd
NAD
Friable
Good
20k
Floor Linen Closet
Laboratory analysis of screening samples did not identify ACM. The asbestos laboratory report is presented in Appendix G
It should be noted that the limited visual screening survey conducted under the scope of work for this assessment does not constitute a full asbestos inspection, in which all areas of the buildings would have been thoroughly surveyed and sampled. The possibility exists for ACM to be present in areas of the buildings not accessed or sampled by EBI personnel. Based on the limited scope of this assessment, additional suspect ACM may also present in areas of the buildings that were accessed as part of this assessment. The sampling conducted as part of this limited visual screening survey is not designed to comply with regulatory requirements for planned building material disturbances including, but not limited to, renovation or demolition.

Materials found to contain 1 % asbestos, via samples collected as part of this limited visual screening survey, have not been identified as non -ACM, and shall be considered suspect ACM with regard to future disturbance Due to the continued distribution of a wide variety of asbestos -containing building materials, asbestos may be present in some of the roofing, flooring, wall and ceiling materials, caulking/putties, adhesives, spackling compounds, and insulation materials, as well as other building materials that may be used at the Subject Property. Sampling many of these materials requires techniques that may be destructive to subject facilities, and in the case of roofing material, may void warranties. It is recommended that an asbestos inspection be performed in accordance with all applicable federal, state, and local regulatory requirements prior to renovation, demolition, or other activities that could cause a material disturbance. Any removal or disturbance of ACM or suspect ACM should be performed by properly trained personnel and in compliance with federal, state, and local regulations

7.2 RA D O N
Radon is a naturally -occurring, colorless and odorless radioactive gas that is generated primarily in granitic rocks. The United States Surgeon General has published information that radon is a cause of lung cancer.

Radon usually enters a building through openings in the foundation, and therefore is a potential health concern to residents of the lowest level of a building with inadequate ventilation.

The EPA Map of Radon Zones indicates that Orange County is located within a Zone 3 radon area. Zone 3 is defined as an area that has a low potential for radon gas, with a predicted average indoor radon screening level less than 2.0 picoCuries per liter (pCi/L). The EPA recommended Action Level for radon is 4.0 pCi/L.

Based upon the non-residential nature of the Subject Property and in accordance with the scope of work for this assessment, EBI did not conduct a limited short-term radon screening at the Subject Property.

7.3 LEAD -BASED PAINT (LBP)
Use of lead in household paint was banned by the U.S. Environmental Protection Agency (EPA) effective January I, 1978. The EPA and the U.S. Department of Housing and Urban Development (HUD) consider lead -based paint as containing a lead concentration equal to or greater than 1.0 milligram per square centimeter (mg/cm) or 0.5% lead by weight, as defined by Title X of the 1992 Housing and Community Development Act.

EBI Consulting 22

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California Based on the non-residential use of the existing buildings and in accordance with the scope of work of this assessment, a lead -based paint (LBP) survey was not conducted at the Subject Property.

7.4 LEAD IN DRINKING WATER
Lead has historically been used in pipes, solder, and brass fixtures used in water distribution systems and building plumbing systems. In 1986, EPA banned the use of lead at concentrations exceeding 0.2% lead in solder and 8% lead in other plumbing materials. Lead in drinking water results primarily from corrosion of lead containing materials in service lines or from corrosion of lead containing materials in building plumbing systems such as lead solder, brass, bronze, and other lead containing alloys. The EPA Action Level for lead in public drinking water supplies is 15 parts per billion (ppb) or 0.015 milligrams per liter (mg /L).

EBI conducted a limited lead -in -drinking water screening program at the Subject Property. Potential drinking water sources identified in representative occupied areas included kitchen/Bathroom cold -water taps. Sample collection procedures generally followed the screening strategy outlined in the EPA protocol for Lead in Drinking Water in Schools and Non -Residential Buildings (EPA Publication 812-B-94-002). EBI coordinated with property management personnel to assure that an appropriate number of target sources were restricted for a period of no less than six hours prior to sampling. EBI collected one first -draw (static) sample at each target source and one second -draw sample following a 30 second flush of the source. Samples were collected in laboratory -prepared containers. A total of 40 samples were collected from 20 separate locations and submitted to iATL, Inc., located in Mount Laurel, New Jersey, for laboratory analysis in accordance with EPA Method 200.8. The following table presents the sample locations and laboratory analytical results:

LEAD IN DRINKING WATER SCREENING
RESULTS(mg/L)
Sample
Nos.

Sample Location
First Draw (Static)
Second Draw (30
Second Flush)
1,2
Kitchen Sink by Stove

3.00 -
3,4
Pacific Pointe - Room 1600 Bathroom

1.20 -
5,6
Pacific Pointe - Room 1601 Bathroom
<1.00
-
7,8
Pacific Pointe - Room 1502 Bathroom

1.90 -
9,10
Pacific Pointe - Room 1503 Bathroom

1.30 -
1 1,12
Pacific Pointe - Room 1504 Bathroom

1.80 -
13,14
Harbor Pointe - Room 1046 Bathroom

1.90 -
15, 16
Harbor Pointe - Room 631 Bathroom

1.40 -
17,18
Harbor Pointe - Room 633 Bathroom

1.00 -
19, 20
Harbor Pointe - Room 647 Bathroom
<1.00
-
21, 22
Harbor Landing - Room 189 Bathroom

25.6 2.6
23,24
Harbor Landing - Room 188 Bathroom

8.6 -
25, 26
Harbor Landing - Room 192 Bathroom

4.0 27,28
Harbor Landing - Room 271 Bathroom

2.0 -
29, 30
Harbor Landing - Room 106 Bathroom

57.2 1.2
31, 32
Harbor Landing - Room 314 Bathroom

9.7 -
33, 34
Harbor Landing - Room 304 Bathroom

4.1 -
35, 36
Pacific Pointe - Room 401 Bathroom
Void*

1.2 37, 38
Pacific Pointe - Room 407 Bathroom

2.9 -

39. 40
Pacific Pointe - Room 404 Bathroom

1.7 -
Bold: Lead detected at a concentration equal to or greater than the EPA Action Level of 0.015 mg/L Laboratory analysis indicated that one first -draw (static) sample exhibited lead concentrations greater than the EPA Action Level of 15 PPB. This sample was collected from the Harbor landing Room 189 and 106.

Second -draw (thirty-second flush) samples collected from this location exhibited lead concentrations below the EPA Action Level. All samples collected from the remaining target sources exhibited lead concentrations below the EPA Action Level. Flushing of the system resulted in a reduction of reported lead concentrations. This reduction suggests that the likely source of lead is associated with the building plumbing system and/or fixtures, rather than the municipal water supply. The lead -in -drinking water laboratory report is presented in Appendix G.

EBI Consulting 23

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

8.0 FINDINGSAND OPINIONS
EBI has performed this Phase I Environmental Site Assessment of the Subject Property in conformance with the scope and limitations of ASTM Standard E 1527- 13. Any exceptions to, or deletions from, this practice are described in Section I of this Report.

This assessment has identified no evidence of recognized environmental condition (REC) in connection with the Subject Property.

However, the following considerations outside the scope of ASW Ractice E 1527-13 were identified in connection with the Subject Property:

EBI conducted a limited screening survey for the presence of asbestos -containing materials (ACM) at the Subject Property, including the collection of 15 bulk samples of suspect ACM. Laboratory analytical results did not identify asbestos in materials that were sampled as part of this survey. These materials were observed to be undamaged and in good condition at the time of assessment. Please note that this survey was limited to observations of accessible areas and that the scope of work for this assessment did not include the collection and laboratory analysis of bulk samples of undamaged suspect ACM. Additional suspect ACM may be present in inaccessible areas, including, but not limited to, roofs, pipe chases behind solid walls and ceilings, concealed floor coverings, the interior of machinery or equipment, or water and sewer systems. Based on the condition of the identified ACM, these materials do not currently pose a significant environmental threat to the occupants of the Subject Property. ACM do not present a problem when maintained in good condition. However, additional sampling, removal, and disposal arrangements may be necessary should building construction or renovation activities be conducted. Asbestos is a condition outside the scope of ASTM E 1527-13 and is not considered a recognized environmental condition (REC).

EBI conducted a limited lead -in -drinking water screening program at the Subject Property. Potential drinking water sources identified in representative occupied areas included kitchen/Bathroom cold -water taps. EBI collected one first -draw (static) sample at each target source and one second -draw sample following a 30 second flush of the source. A total of 40 samples were collected from 20 separate locations and submitted to iATL, Inc., located in Mount Laurel, New Jersey, for laboratory analysis in accordance with EPA Method 200.8. Laboratory analysis indicated that one first -draw (static) sample exhibited lead concentrations greater than the EPA Action Level of 15 PPB. This sample was collected from the Harbor landing Room 189 and 106. Second -draw (thirty-second flush) samples collected from this location exhibited lead concentrations below the EPA Action Level. All samples collected from the remaining target sources exhibited lead concentrations below the EPA Action Level. Flushing of the system resulted in a reduction of reported lead concentrations. This reduction suggests that the likely source of lead is associated with the building plumbing system and/or fixtures, rather than the municipal water supply. Lead in drinking water is a condition outside the scope of ASTM E 1527-13 and is not considered a recognized environmental condition (REC).

EBI Consulting 24

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

9.0 RECOMMENDATIONS
Based upon the findings of this investigation, EBI offers the following:

EBI recommends the development and implementation of an Asbestos Operations and Maintenance (O&M) Plan for the Subject Property. This O&M Plan provides the procedures and guidelines that, when used during facility cleaning, maintenance, and general operations, will minimize human exposure to asbestos fibers and minimize release of asbestos fibers to the environment. This O&M Plan is a long term management approach. Estimated cost: $500. EBI additionally recommends that a comprehensive asbestos inspection be conducted prior to significant renovation or demolition of the building.

Based upon the findings of the limited lead -in -drinking water screening, EBI recommends that Harbor Landing Room 189 & 106 and Pacific Pointe Room 401 Bathroom be re -tested after normal usage resumes in order to confirm the lead concentrations detected during the initial testing. Estimated cost:
$ I ,650
EBI Consulting 25

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California

10.0 REFERENCES
Source Reviewed
Date(s)
Source Details
ASTM Designation E 1527-13 Standard Practice for
2013
Environmental Site Assessments: Phase I
Environmental Site Assessment Process
City of Newport Beach Building Division
09/02/2020
https://www.newportbeachca.gov/g
overnment/departments/communit
y-development/building-division/pe
rmit-history-by-address-modificati
ons
EDR Aerial Photo Decade Package (Inquiry Number
1938, 1947, 1952, 1963,
EDR, 6 Armstrong Road, Shelton,
6166775.8S) Ship Date: August 24th, 2020
1972, 1977, 1985, 1989,
CT 06484, (800) 352-0050.
1990, 2005, 2009, 2012,
2016, 9999
EDR City Directory Abstract (Inquiry Number
1920, 1921, 1922, 1925,
EDR, 6 Armstrong Road, Shelton,
6166775.5S) Ship Date: August 25th, 2020
1926, 1930, 1936, 1941,
CT 06484, (800) 352-0050.
1945, 1946, 1950, 1952,
1955, 1956, 1960, 1961,
1965, 1966, 1970, 1971,
1975, 1980, 1986, 1991,
1992, 1994, 1995, 1997,
1999, 2001, 2002, 2004,
2009, 2015
EDR Historical Topo Map (Inquiry Number
1896, 1901, 1902,
EDR, 6 Armstrong Road, Shelton,
6166775.4S) Ship Date: August 24th, 2020
1932,1932, 1935,1935, 1942,
CT 06484, (800) 352-0050.
1948,1948, 1949,1949,1950,
1951, 1965,1965,1965,
1972,1972,1972,
1981,1981,1981,
2012,2012,2012,2012
EDR Sanborn Map Search/Print (Inquiry Number
EDR, 6 Armstrong Road, Shelton,
6166775.3S) Ship Date: August 24th, 2020
CT 06484, 800 352-0050.

EDR Radius Map Report (Inquiry Number
EDR, 6 Armstrong Road, Shelton,
06166775.2R) Ship Date: August 25th, 2020
CT 06484, (800) 352-0050.

EBI Consulting 26

Appendix A
Photographs

Phase I Environmental Site Assessment
EBIProiect # 1320000294
Marriott Newport Beach
900 Newport Center Dr, Newport Beach, California
-- �L —
W
W,,, F
n t.
s�
I : View of the Subject Property; 10-story tower portion of the site. 2 : View of the 15-story tower portion of the Subject Property. ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 3 : View of one of the three-story wings.
4 : Outdoor area for hotel guests.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 5 : Outdoor area for hotel guests.
6 : Outdoor area for hotel guests.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 7 : Outdoor area for hotel guests.
a
Z
8 : View of the on -site UST near the receiving dock on north side of the site. ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 9 : On -site UST.
10 : Receiving dock area.
ulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California I I : Paved valet parking area.
12 : Guest self -parking area.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 13 : Trash compactor.
14 : Cardboard baler.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 15 : Service areas for hotel staff.
16 : Electronic leak detection system for on -site UST. ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 17 : Elevator within staff service area.
18 : Service areas for hotel staff.
ulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California o
4W
19 : One of two on -site emergency generators.
11f
20 : Day tank associated with an on -site generator.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 21 : Stairs to basement level of the Subject Property.
22 : Basement level walkway.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 23 : Maintenance room and paint storage area.
24 : Hazardous materials stored in flammables cabinet.

EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California i N
r
A.
r+ ��
25 : HVAC chemicals.
26 : Interior view of a common guestroom configuration.

EBI Consulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 27 : Interior view of a common guestroom configuration. 28 : Interior view of a common guestroom configuration. ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 29 : Interior view of a common guestroom configuration. 30 : Atrium area near hotel lobby.
ulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 31 : Hallway leading off hotel lobby.
32 : Pool equipment room.
ulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California T
l
6WA%
i
1 z
1 33 : Pool chemicals.
tl yypCt�i4q
34 : Pool chemicals.

OXIDIZER
ulting

Phase I Environmental Site Assessment
EBI Proiect # 1320000294
Marriott Newport Beach
900 Newport Center Dr, Newport Beach, California
35 : Pool chemicals.
36 : Hydraulic elevator equipment.
e
V
EBI Consulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 37 : Subterranean parking levels.
38 : North adjacent office buildings.

EBI Consulting

Phase I Environmental Site Assessment
Marriott Newport Beach
EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 39 : East adjacent commercial building.
40 : West adjacent golf course.

EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Dr, Newport Beach, California 41 : Northwest adjacent residential building.
ulting

Appendix B
Figures

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411ti
EBI GIS, Sources: Esri, HERE,eGarmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, Esri China _(Hong Kong), Esri Korea, Esri (Thailand),,.,NGCC, (c) OpenStreetMap contributors and the GIS UserlCommunity
Legend
�s Project Site
Site Radius at'/4 and '/2 mile
Figure 1: Site Location Map

MARRIOTT NEWPORT BEACH
900 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
PN:1320000294
Date: 8/24/2020
N
EBI Consulting
environmental I engineering I design

y 'LTTT4b- r
f Y �
tit
IL
_tom. ino_a u.!f ace
EBI GIS, Copyright:© 2013 National Gepgraph'ic S*o ieYyyiubed AV
Legend
Project Site
USGS 24K Quad: Newport Beach OE S, CA 1986, Newport Beach (digital), CA 1986 Site Rad iu s at '14 and '�2 mile Tustn, CA 1986, Laguna Beach, CA 1986 Date: 8/24/2020
Figure 2 - Topographic Map N

MARRIOTT NEWPORT BEACH
900 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660 ,4,EBI Consulting
PN:1320000294
� environmental I engineering I design

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Drive, Newport Beach, California Subject '�
' Commercial
'+■� jk Office
` Property 'r Buildings
■ *' Parking
Garage
M*A4
Residential I k
Buildings ti d
IL.�
I
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4ht IL� h
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Golf �+ F 4 #
Course ` at
' ■
} ,< Commercial
Clothing
4r + . J _ Store
■
. 7 �
.+ Residential
Buildings•.' I� Restaurant
FIGURE 3 — SITE PLAN
Not to scale
EBI Consulting

Phase I Environmental Site Assessment Marriott Newport Beach EBI Project # 1320000294 900 Newport Center Drive, Newport Beach. California Subject
Property
oft
,3
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3—
48 n.ab'-
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NOTE —

ASSESSOR'S BLOCK &

ASSESSOA
M.
361-1

PARCEL NUMBERS
BOOK 44:

SHOWN IN CIRCLES

COUNTY C
FIGURE 4 — TAX MAP
Not to scale
EBI Consulting

Appendix C
Pre -Survey Questionnaire and Other
Relevant Documentation

Eagle Four Partners
Marriott Newport Beach Proposal & Contract 900 Newport Center Drive, Newport Beach, CA 92660 To:

DOCUMENT TRANSMITTAL SHEET
Date:

Mr. Kory J. Kramer August 14, 2020
Fax number or email address: Total number of pages including cover:
3 N Please return completed questionnaire and any digital files to:

Barb Hammond — [email protected]
M Please submit all hardcopy documentation with a copy of this questionnaire to:

EBI Consulting
Attn: Production Group
21 B Street
Burlington, MA 01803
Re: Phase I ESA AAI User Questionnaire for the Subject Property known as or located at:

Marriott Newport Beach, 900 Newport Center Drive, Newport Beach, CA 92660 EBI Project #:

TBD
PHASE I ESA AAI USER QUESTIONNAIRE (ASTM E 1527-13)
Dear User (Client),
Presented below is the User Questionnaire as cited in the Appendix X3 of ASTM Standard E 1527-13, Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process. This questionnaire is designed to address one of the requirements to satisfy the intent of the Standard, as noted in Section 1.1 of ASTM E 1527-13. Specifically, in order to qualify for one of the Landowner Liability Protections (LLPs) offered by the Small Business Liability Relief and Brownfields Revitalization Act of 2001 (the "Brownfields Amendments"), the User (the Client) must provide the information addressed below (if available) to EBI. Failure to provide this information could result in a determination that "all appropriate inquiry" is not complete.

Thank you,
EBI Consulting
EBI Consulting
environmental I engineedna i due diligence

Eagle Four Partners
Marriott Newport Beach Proposal & Contract 900 Newport Center Drive, Newport Beach, CA 92660 Subject Property Name: Marriott Newport Beach EBI Project #: TBD Address: 900 Newport Center Drive Newport Beach CA 92660 I. Are you aware of any environmental cleanup liens against the Subject Property that are filed or recorded under federal, tribal, state or local law?
Yes No Unknown / Not Applicable
If yes, please attach a copy.

2. Are you aware of any Activity and Use Limitations (AULs), such as engineering controls, land use restrictions or institutional controls that are in place at the site and/or have been filed or recorded in a registry under federal, tribal, state or local law?
Yes 0Unknown / Not Applicable
If yes, please attach a copy.

3. As the user of this ESA do you have any specialized knowledge or experience related to the Subject Property or nearby properties? For example, are you involved in the same line of business as the current or former occupants of the Subject Property or an adjoining property so that you would have specialized knowledge of the chemicals and processes used by this type of business? Or, do you have documentation (i.e., Phase I ESAs, Phase II subsurface investigations, Tank Removal reports, remedial reports, asbestos sampling and/or abatement reports, lead -based paint sampling and/or abatement reports, etc.) for the Subject Property that may be relevant to the Phase I ESA? (9/ No / Unknown / Not Applicable
Comments: DLtn— PrY-1-1 L.I /ETA' 0WIJS A(xJ0 Wt.*,*JAC4(4'3 )U4Wd%04T_ 6f.A-C t� coaL- u66 wthc+k c S AD -9:> -P4i
5s'4c-'r A¢OP4eit Wr Aw ftQ--- Me- ,f�tJ�6 I SS�o�J

4. Does the purchase price being paid for this Subject Property reasonably reflect the fair market value of the Subject Property?
es No / Unknown / Not Applicable
If you conclude that there is a difference, have you considered whether the lower purchase price is because contamination is known or believed to be present at the Subject Property? Yes / No
Comments:

EBI Consultlnew
enwronmentaf I engineering I due diligence

Eagle Four Partners
Marriott Newport Beach Proposal & Contract
900 Newport Center Drive, Newport Beach, CA 92660

5. Are you aware of commonly known or reasonably ascertainable information about the Subject Property that would help the environmental professional to identify conditions indicative of release or threatened releases? For example, as user,
a. Do you know the past uses of the Subject Property?
b. Do you know the specific chemicals that are present or once were present at the Subject Property? c. Do you know of spills or other chemical releases that have taken place at the Subject Property? d. Do you know of any environmental cleanups that have taken place at the Subject Property? Comments: II"/A-
Please attach copies of previous environmental reports prepared for the Subject Property.

6. As the user of this ESA, based on your knowledge and experience related to the Subject Property are there any obvious indicators that point to the presence or likely presence of contamination at the Subject Property? Yes / No / Unkno`wn, / Not Applicable
Comments:

Please be sure to attach copies of documentation, as available.

Completed by:

Name G' " K�
fA t�4C l- 0kiCrX.� LLc
Company Name
EBI Consultlnra
envifonmental I engineering ( due diligence
V4A-- )A 44A-
g Zi �6 LQ-11
Date

Land Title Inquiries, Inc.
8349 Lorraine Dr.

Strongsville, OH 44149
Phone (440) 846-LAND Email: [email protected]
Order No. 20-581
Subject Property Address: 900 Newport Center Dr., Newport Beach, CA.

Current Owner of Record: HHR Newport Beach LLC
50 year List of Ownership/Env Lien/AUL Report prepared exclusively for:

EBI Consulting
EBI Project No. 1320000294 Effective Date: August 18, 2020

Land Title Inquiries Order No. 20-581
1) The Irvine Company held title since at least 1968.
2) Marriott Corporation by Deed recorded 1/4/1993 in Document No. 93-03805. 3) HMH Properties Inc. by Deed recorded 8/2/1994 in Document No. 94-0483723. 4) HHR Newport Beach LLC by Deed recorded 3/5/2007 in Document No. 2007000140000.

Land Title Inquiries Order No.20-581

ENVIRONMENTAL LIEN/AUL SEARCH
We have done a search of Orange County Recorders Records for Environmental Liens" only on the subject property as identified as 900 Newport Center Dr., Newport Beach, CA. APN: 442-491-02 and find the following:

None found
We have done a search of Orange County Recorders Records for Activity & Use Limitations "AUL's" only on the subject property as identified as 900 Newport Center Dr., Newport Beach, CA. APN: 442-491-02 and find the following:

None found

ENVIROSTOR
— , and Facili,._
Cleanup Sites
0 Federal Superfund
■ State Response
0 ❑ Voluntary Cleanup
0 ❑ School Cleanup
0 ❑ Evaluation
0 ❑ School Investigation
0 ■ Military Evaluation
0 ❑ Tiered Permit
0 ❑ Corrective Action
0 Field Points
STATUS
EAU Statuses
0 Permitted Sites
0 Operating
0} Post -Closure
0' Non -Operating
+❑ Other Sites
0 GIS Layers
900 Newport Center Dr Newport Beach CA lacific Life Ins Map Address
Morgan Stanloy 0 L J
`_1�.:ridian
KBS Realty Advisors
R
Irell & Manella LLP
NextVR, Inc BI
91 0
Yard
o Takeout
ATM "
0 IAIG
Newport Beach r Sporting goods stop
Marriott Hotel & Spa 9
U
GA RN
Men's clothing sto
0 vineyard
GlMing store
The Cheesecake Factory
Takeout • Delivery
Apple Fashion Islan
Electronics star
Brooks Brothers Le Pain Q
Clothing More
Q
v
Nespresso Bc
Newport
50 m Map IROVW a map error
— 0 SITES EXPORT THIS LIST TO EXCEL

PROJECT NAME STATUS PROJECT TYPE ADDRESS CITY

GEOTRACKER
0 Sites and Faciliti, INFO
0 Cleanup Sites
LUST Cleanup Sites
0 Cleanup Program Sites
0 ❑ Military Cleanup Sites
0 ❑ Military Cleanup Sites
0 ❑ Military Privatized Sites
0 ❑ Military UST Sites
❑ AL DTSC Cleanup Sites
0 Permitted Facilities
0 Waste Discharge Requirements
(WDR) Sites
❑ 0 Permitted USTs - INFO
❑ DTSC Hazardous Waste Sites
❑ Land Disposal Sites
0 Irrigated Lands Regulatory
Program Sites
❑ Oil / Gas Sites
0 Confined Animal Sites
0 Other Sites
❑ ❑ Project Sites
❑ ❑ Non -Case Information Sites
❑ 0 Sampling Points - Public
❑ 0 Field Points
❑ 0 AGLand Domestic Wells
® SIGNIFIES A CLOSED SITE
oogle
900 Newport Center Dr Newport Beach CA
Map Address
c�
Morgan Stanley
Meridian 9 go
KBS Realty Ad+risors
9 CT
Irell & Manella LLP
NextVRr Inc
191
0 0
8 ATM r
Newport Beach
Marriott Hotel & Spa 9 O
V
Z
ASKS
Sporting go
Men's clo
0 (i1 Vlney
Clo#hir
The Cheesecake Factory
Takeout • Delivery
Apple Fashic
Electra
Lt'
Brooks Brothers
Clothing Store
50 m Map , Report a map error
±1 SITES CURRENTLY VISIBLE ON MAP

s Mewwi�.
�= City of Newport Beach Building Department CIP Permit No: 62001-3847 �?
,. PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Floor: 5 Suite: 510 Bldg: 1 Description of Work: REM (1) GUESTROOMISOUTH TOWER #510 2910-2001
Inspector Area: 7 Legai Desc: P BK 75 PG 33 PAR 1 hispeetor Owner: HMH PROPERTIES INC
Contractor:

BRENTWOOD IN
Architect:

KIDA GARY
Address: 10400 FERNWOOD RD
Address:
1529 KEEL DRIVE
Address:
400 N 5TH ST, STE 1030
BETHESDA, MD 20817
CORONA DEL MAR CA 92625
PHOENIX AZ 85004
Phone: 301-380.8091
Phone:
949-720-1018
Phone:
602-251-0900 State Lie: C019337
Applicant CUMMING, LLCIBLAINE RHEA
Con Slate Lie:
527484
Engineer:

Address: 30250 RANCHO VIEJO, STE F
Lie Expire:
0313112004
Address:

SAN JUAN CAP CA 92675
Bus Lic:

BT00015978
Phone: 9491234-1770
Lie Ecp Date:
091300002
Phone:

State Lie:

Code Edition : 97
Workers' Compensation
Insurance --
Designer:

Type of Construction: R1
Carrier:

STATE FUND
Address:

Occupancy Group: I
Policy No:
229-98-0015177
AddedlNewsq.ft. Bldg:

Expire:
01/0112003
Phone:

AddedlNew sq. ft. Garage:
_.

No of Stories: 400-TI
Building Setbacks
Rear: I
Special Conditions:

No of Units:

Front: I
Left
Issued: 02126/2002
Right: 1
Use Zone:

APF
Receipt #
Parking Spaces:

FEES
Construction Valuation: $30,000.00
Building Permit Fee: $360.00
Microfilm:
$0,50
Hazardous Mat:
$20,45
Fire Department.

Plan Check Fee: $259.20
Excise Tax:
$0.00
Add Fire Dep HMQ:
$0.00
Plan Review Fee:
$103.68
Supplemental: $0.00
Park Ded:
$0.00
Other Fee:
$0.00
Inspection Fee:
$252.00
Investigation Fee: $0.00
SJH Trans:
$0.00
Planning Department:

Clean Up Deposit: $750.00
San Dist:
$0.00
Counter Review:
$0.00
Energy Compliance: EO
Ca Seismic Safety: $0.00
Zoning Plan Check:
$0.00
Fair Share: 0.00
Disabled Review: E50.00
OverTime Plan Check Fee:
$0.00

TOTAL FEE
1 795.83
TOTAL PAYMENT : 362.88
TOTAL DUE: 1 432.95
PROCESSED BY: --
ZONING APPROVAL:

FIRE APPROVAL:

GRAD,NG AP?ROVAL:

PUBLIC WORKS:
r�rucn nceeer��ceir.

APPROVALS DATE SY COMMENTS OWNER -BUILDER DECLARATION
FOUNDATION: G2 �J</Nh /�J ✓� I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS FOUNDATION: _ rv„ LIOENSELAWFOR THE FOLLOWING REASON(SE0.T0315, BUSINESS AND PROFESSIONS CODE ANY CITY p

ROUGH GRADE OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH OR RPPAIR ANY ..............—___.___.._ STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FLEA

LINE & GRADE CERTIS ETBACKS CLONED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WIN SEC. 1000) OF OIV, 3OF TIE SUCWECS ECTI ERON PADS , ^` -� �m .0 PROFESSIONS COI OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE - „- ALLEGEDI.EMPTON ANY VIOLATION OF BE.,TWLE BY ANY APPLICANT FOR A PERMIT SB.IECTSTHE' FOOTINGS L APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED COLLARS F"0):
-- I '--- ---- '— — o "'N
p L.. AS OWNER OF THE PROPERTY OR MY EMPLOYEES VPTH WAGES AS THEIR SOLE ( MPE RATION. WILL DO THE FESS4 AND THE THECSTRUCTURER IS NOT INTENDED OR OFFERED FOR SALE SLAB ON GRADE I 1 p AN SEC, 7X4
OF PROCRANDRTY WHOFR JILDS 5CO0EaHECONTRA TCRS EON,

ICENSEWHO

ES DOES NOT APPLY ORK III US E LF
R„-„,.,. ...,. v...,...w"...................__ ..,. �_ -"„ ,, ,fEfE AN HERSELF

OR THROUGH

BUI IE OR HE ORIMPROVESEES PRC IDE VJHO DOES SUCH IMPROVEMENTS ORRHNTE40EDOR OFFERED
FOR
IF HOWEVER.

THE
FROVING THAT SWEMENT 1VEMENT9 ARE
_ -__... _ ,... _.,.., NOT INTENOEC OR OFFERED FOR SALE. IF,HOWEVER. THE BUILDING OR IMPROVEMENT 1880L0 WITHIN FRAMING ! ONE YEAR OF COMPLETION, THE OWNER�BUILOER W LL HAVE THE BURDEN OF PROVING THAT HE OR _ _ { SHE DI D NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) DECK SLAB f f3I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 1 __ ._._ .„._ .... CONTRACTORS TO CONSTRUCT THE PROJECT ISEC. 7046, BUSINESS AND PROFESSIONS CODE: THE

SU BFLOOR LONTRACTORR LICENSE JAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR - IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORIS) LICENSED g ROOF & BUILDING HT — FURSUANT TO THE CONTRACTORS LICENSE LAW.). .. _
EXT. SHEARIHOLD DOWNS-� ....-" � � � LAM EXEMPT UNDER RE0. BARG, FOR THIS REASON

GENERAL FRAMING
FIREPLACE THROAT DATE awNER
LICENSED CONTRACTORS DECLARATION ygT, ....� -' - I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF e INTERIOR &EXTERIOR _ CHAPTER 9 (COMMENCING WIN SECTION 1000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS f1 .-- ,E —. �._ _. _..e_.__�._--_�._.w._................_. _-...__�..___.�_ . D 'b Z -2 e 2 CONTRACTOR

INSULATION T CODE AND MY LICENSE IS IN FULLFORCEAND EFFECT DRYWALL _ �J 6Z LccENsecws8 Mc No
SUSPENDED CEILING _ _ �, •lei?E�--1+r.DP�
SHOWER LATH WAak, bmTi 3 I( 1 E WORKERS COMPE ATION DECLARATION EXTERIOR LATH I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS' g SCRATCH (PLASTER) (2 DAY) E--�v„•• (HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF INSURE FOR WORKERS' -- --- ------"-COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE 1A00R CODE FOR THE

MASONRY PRE -GROUT PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,

I HAVE AND WLL MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REWIRED BY I --SECTION 3700 OF THE LABOR CODE, FOR THE PERFORUMANCE OF THE WORK FOR WHICH

THIS PERMIT IS ISSUED MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY MISC. INSPECTIONS: NUMBERARE:

CNWIER M

POLICYNUMBER

LNG FINAL

FICATE OF OCCUPANCY
TYPE OF BUSINESS USE:
$ /5-0 REFUNDED
DATE UN 97,
TO: k V
15�r? lY
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (3I00) OR LESS).

I CERTIFY THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED, I —SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE

WORKERS' COMPENSATION LAWS OF OALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVI�ONS OF SECTION 3J00 OF THE LABOR CODE, I SMALL FORTHWITH COMPLY W9Ti1 THOSEP VISIONB
DATe: C TI` - 2-6. IP L PUCMIT. �/
NI NG' FNLURE TO SECURE W NERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL

SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ONES UP TO ONE HUNDRED THOUSAND DOLWiS (5100,GOD), IN ADDITION TO THE COS- 9F COMPENSATION. DAMAGES AS PROVIDED FOR IN CONSTRUCTIPR 1 ENLING PGENCY
I HEREBY AFFIRM UNDER PENALTY OF PER-L'T' THAT TI ElE IAA WLSTRUCTION LENOIN FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PER, AT IS 19SyGD IS EC.30 I, CN.CJ.

LENDER'S NAME
LENDER'SAD➢RESS
CORRECT- I AGREE i(- COMPLY 4 ITH M L CITY 1NO COON,Y C IDINANCeS AND STATE L IJS RELATING

TO BUILDING CON TRUCTON, RNLI HERBY AU,
NO I REPHEJEN-ATIVES OF T 119 COIjNT� TO ENTER
WON THE AS ENTIONEOPROPERttF =PECTfC`I'UHPO,ES
SNareMIdgPemlitMack)Ml ✓a✓d 64A
2 �4�4W1'�1afY.:.
f �JJ `m City of Newport Beach Building Department CIP Permit No:

PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255
Job Address: 900 NEWPORT CENTER DR Floor:

Suite:

Bldg 1 Description of Work: REM (1) GUESTROOMISOUTH TOWER #510 INCREASE VAL PMT #82001-3647
Inspector Area: 7 Legal Desc: P BK T5 PG 33 PAR 1
44 �%
Owner: HMH PROPERTIES INC
Contractor:

BRENTWOOD IN
Architect: KIOA GARY
Address: 10400 FERNWOOD RD
Address:
1529 KEEL DRIVE
Address: 400 N 5TH ST, STE 1030
Or
BETHESDA. MO 20817
CORONA DEL MAR CA 92625
PHOENIX AZ 85004
Phone: 3101380-8091
Phone:
949-720-1018
Phone: 6021251-0900 Stale Lic: C019337
Applicant: CUMMING, LLC/BLAINE RHEA
Can State Lic:
527484
Engineer:

Address: 30250 RANCHO VIEJO, STE F
Lic Expire:
03/3112004
Address:

SAN JUAN CAP CA 92675
Bus UC:

BT00015978
Phone: 949/234-1770
Lic Exp Date:
09/3012002
Phone: State Lic:

Code Edition: 97
Workers' Compensation Insurance --
Designer:

Type of Construction:

Carrier:

STATE FUND
Address:

Occupancy Group: I
Policy No:
229-98-0015177
Added/New sq.ft. Bldg:

Expire:
0110112003
Phone:

Added/New sq. ft. Garage:

No of Stories: 9
Building Setbacks Rear: I
Special Conditions:

No of Units:

Front: 1
Left: I
Issued: 0310112002
Right: I
Receipt #
Construction Valuation: $32,500.00
Use Zone:

Parking Spaces:

FEES
F
Building Permit Fee:
$384.60
Microfilm:
$0.50
Hazardous Mat:
$0.00 Fire Department:

Plan Check Fee:
$276.91
Excise Tax:
$0.00
Add Fire Dep HMO:
$0.00 Plan Review Fee:
$0.00
Supplemental:
$0.00
Park Ded:
$0.00
Other Fee:
$0.00 Inspection Fee:
$0.00
Investigation Fee:
$0.00
SJH Trans:
$0.00
Planning Department:

Clean Up Deposit:
$0.00
San Dist:
$0.00
Counter Review :
$0.00
Energy Compliance:
$0.00
Ca Seismic Safety:
$0.00
Zoning Plan Check:
$0.00
Fair Share:
$0.00
Disabled Review:
$0.00
OverTime Plan Check Fee:
$0.00
TOTAL FEE : 662.01
TOTAL PAYMENT : 0.00
TOTAL DUE: $662.01
PROCESSED BY: OTHER DEPARTMENT:

ZONING APPROVAL:

FIRE APPROVAL:

GRADING APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE: �LVJ
WORK MUST SE STARTED WITH A PERIOD OF YBO DAYS FROM THE DATE OFVALIDATfON OR THIS PERMIT BFCOMES NULL AND VOID.

PUBLIC WORKS:

APPROVALS DATE BY COMMENTS OWNER -GUILDER DEC LARATION
®r�a�� - --
FOUNDATION. I HEREBY PERFIN UNDER PENALTY OF PERJURY THAT I BUSINESS EKND PT FROM THE CONTRACTORS --.-....... _...'Y' `�_ ORCONTY FORREQUIRES PREASON (SEC 7o3i MIT TOCONTRUC,TERIANDPROFNCLIGS CODOR REPAIR ANY
ROUGH GRADE ( .m SR UCTUREWHICH REQUIRES I S ISSUANCE,
ALSO

CONSTRUCT ALTER I APPLICANT

FOR SUCH TERM TO FILE A
___- _. _ _______..-__��.,e___.-.�. STRUCTURE, PRIOR TO ITS IGSUANCE, AL60 REQUIRES THE aPPLILANi FOR SUCH FERMI i0 FILE A

LINE & GRADE CERTISETBACKS SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE ..w- ................",.",_..,------- .�_�_.__ _ --- CONTRACTORS LICENSE LAW IOHAPTER 9 (COMMENCING WITH SEC. )000) OF DIV. ] OF THE BUSINESS ERECTION PADS a AND PROFESSIONS CODE)) OR THAT HE OR SHE IS UEMPT THEREFROM AND THE BASIS FOR THE -"'"'"'"'"'"'""`- ALLEGEOEKEMPTION ANY VIOLATION OF SEC.TO]I.5 BY ANY APPLICANT FOR A PERMIT SUBJECTSTHE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FINE HUMORED DOLLARS(SS00):

I, AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE _.�__..____.._.,,_,.__.._...._ _,_ ....... ............ ,y.,.......... _. .. __ .._.. ., _.....,, _ __._, ,,. ..._.� COMPENSATION, W LL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE SLAB ON GRADE x (SEC. TON. BUSINESS AND PROFESSIONS CODE' THECOWMCTORSUCENSELAWOCESNOTAPPLYTO _.__ _.,-__—_ _..�.." __...,r,"............ ....... ...e.�-,. AN OWNER OF PROPERTY WHO EUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF

OR HERSELF OR THROUGH HI OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE ..+ ...... ( ........ _ ,__ .. _..._.. NOT INTENOEDOROFFERED FOR SALE IF. HOWEVER THE SUILDINGOR IMPROVEMENTIS SOLO WITHIN FRAMING ONE YEAR OF COMPLETION, THE OMER.BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR ......... ... _ ,,, �__.. SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OFSALE) DECK SLAB -� ❑ I. AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED - _.._.. ___,..... --- " CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. TOU, BUSINESS AND PAOFESSIONe CODE THE SUBFLOOR 1T I HEREON. AND RSEC, N COPERTY WHO BWLDS ED CONTRACTORS LICENSE LAW GOES NOT APPLY TO AN OWNER OF TOR IMPROVES THEREON. AND WHO CONTRACTS L FOR SUCH PROJECTS WTH A CONTRACTOq(s) LICENSED ROOF &_BUILDING HT LL_a _�.� -_�,^�_w� Pugsuarvr TO THE coNTRAcrags LICENSE ww.).

EXT. SHEARIHOLD DOWNS B.I P.C. FOR THIS REASON
3ENERAL FRAMING
— -- I � � LICENSED CONTRACTORS DECLARATION
�Y. __ _. __ ____ ............ _. __ �_
INTERIOR & EXTERIOR 1 HEREBY OMME INOEfl PENALTY OF PERJURY THAT AM THE EL UNDER PRROFES I OF CHAPTER 9 (COMMENCING WITH SECTION DE E DIVISION ] OF THE BUSINESS AND PROFESSIONS rJ r� i CODEMD MY LICENSE IS IN FULL FORCE AND EFFECT
_ LICENSE CLASS
LIC. NO.

ID CEILING—' - •.uLL�-^V^"p^p••_ppp"—-.'---'-- DATE �% - /- D CONTRACTORZ101 ATH _ _ _ WORKERS' COMPENSATION DECLARA
LATH a _ IHEREB'Y AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECILNS. (PLASTER) (2 DAY) I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' —COMPENSATION. AS PROVIDED FOR BY SECTION 310E OF THE USSR CODE. FOR THE PRE -GROUT a �� vv PERFORMANCE OF THE WORK FOR MICH THIS PERMIT IS ISSUED. -� _�------���� I HAVE AND WLL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY y`- '—SECTION 37H OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT Is ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY ECTIONS`. NUMBER ARE
�-� �^ CARRIER

PERMIT EXTENSION
1 ST EXP. LETTER
DATE
TYPE OF BUSINESS USE:

REFUNDEC
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS MISS; OR LESS).

I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I —SHALL NOT EMPLOY ANY PERSON IN ANY MANNW

BECOME EJECT T E

WORKERS' COMPENSATION LAWS OF CALIFORNIAT T IF CUED
C E
SUBJECT TO THE WORKERS' COMPENSATIONPROS 10 WOF E BOR
CODEE,IISHALL FORTHWITH COMPLY WITH THOSE PDATE: TL Q I 0 Z� APPLICANT.Wkumi : FAIWR-i TO rS-URE WORKERS' OOMPE 6 ON UL. AND SHALL S EMECEMPLOYE.A TO _RIMINAL PENALTIES AND CIVILE H DREO THOUSAND OOIlgPS I31B0,00Li. IN AODRAN TO THE COST OF COMPENAGES PROVIDED FOR IN

CONSTRUCTION LENDING AGENCY

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC 3091 CIV 0 ). 'LE40ER's LAME
LEdDE.[S ADDRESS _
I CEF?IFY THAT I HAVL-READ ThO APPLL.ATLM AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY A,4D COUNTY ORDINANCES AND STATE LAWS RELATING

TO BUILDING CONSTRUCTION, AND HEREBY AUTHORRE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON TFIE ABO IE-M�EO PROPERTY FOR INSPECTION PURPOSES.

S hareMIDgPermigE aT%JB W I

V
F��.

City of Newport Beach
Building Department
FIREPROT Permit No:

F2002-0050
PO Box 176W3300 Newport Blvd., Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255
Job Address:
900 NEWPORT CENTER DR Bldg: 1
Floor: 5
Suite: 510 Description of Work:

FIRE SPRINKLERSITI
0302.2002
Inspector Area:7
Legal Desc.:
® '
Owner:

HMH PROPERTIES INC
Contractor:

COSCO FIRE PR
Architect:
%r
Address:
10400 FERNWOOD RD
Address:
321 E GARDENA BLVD
Address:

BETHESDA, MD 20817

GARDENACA
Phone:

Applicant: COSCO FIRE PROTECTION INC
Address: 321 E GARDENA BLVD

GARDENA CA
Phone: 9491975-0766
Edit Code: 97
Type of Construction:

Occupancy Group:

Added /New sq.R. Bldg:

Added /New sq. ft. Garage:

No of Stories.:

No of Units:

Construction Valuation: $450.00
Fire Plan Check Fee : $106.00
Fire Permit? Inspection Fee: $106.00
Record Management: $2.50
Investigation Fee: $0.00
PROCESSED BY:

ZONING APPROVAL:

FIRE APPROVAL:

Phone: 7141974-8770
Con. State Lic.:
577621
Lic Expire:
0913012603
Bus. Lic.:

BT00022773
Lic Exp Date:
07/3112002
Workers' Compensation Insurance - -
Carrier:

ZURICH INS CO
Policy No:

WC3520373
Expire:
0110712003
Issued : 02114/2002
FEES
Phone: State Lic:

Engineer:

Address:

Phone: State Lic:

Designer:

Address:

Phone:

Special Conditions:
$0,00
$0,00
TOTAL FEE 214.50 TOTAL PAYMENT: $0.00 TOTAL DUE 214.50
OTHER DEPARTMENT:

PLAN CHECK BY:

APPROVAL TO ISSUE:
(��n�VnJe��'fr-•�
WORK VST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID.

PC 1. � �`l
gell� Um_

APPROVALS

DATE - BY

T COMMENTS
- FIRE PROTECTION
L. UNDERGROUND ROUGH PIPE
-

THRUST BLOCKS EXCAVATION

UNDERGROUND PIPING FLUSH
_

UNDERGROUND HYDRO TEST
;
UNDERGROUNDlEACKFLOW APRV
':SPRINKLER HYDRO TEST

SPRINKLER FLOW TEST

SPRINKLER ROUGH PIPE

STANDPIPE HYDRO TEST

STANDPIPE FLOW TEST
!STANDPIPE ROUGH PIPE
-

MCHEM SYSTEM FUNCTION TEST
.CHEM SYSTEM APPROVAL

FIRE ALARM SYSTEM

ROUGH WIRING

SYSTEM FUNCTION TEST
..,_.._.. _..._.,. _.. ...._. .. _..... .. ..__. __
......... .... ..
�CEN"FRAL STATION MONITOR
... FIRE MISC
..._.. ._....
. ... ... ..._ _..
_ ...... . ... . ,... .

TANK REMOVAL
__,..
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MEDICAL GAS PIPING TEST

CROSS CONNECTION TEST
MISC. INSPECTIONS. -
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(OPINER-BUILDER DECLARATION
I HERB" AFFIRM ONOSR PEKA-T'( OF PERIURY THAT I AM EXEMPT FROM THE CONINAOTOP.S i LICENSE LAINFOR THE=OLLOLM NC FUOGN (cnc 7031.5 BUSINES S ANO PROFESSIONS CODE ANY CITY OR COUNP! MICH REOUIRBS A. PERMIT TO CONSTRUCT, ALTER. VAPROWE. OEIAOLISH OR REPAIR ANY STRICTURE PRIOR TO ITS CSUA'IOE ALSO PI THE APR't CANT FOR SUCH PERM1.IT 14 FILE 56NEC STATEMENT TF1EN. THAa HF CR H L. UCEHSED PUP.SUANL TO THE PRO451^YS OF iH= CONTROOTORS LICENSE .WW ICH41CI P 9 OI,fE YLINC. WITH DEC 70001 IF 0111 S OF THE BUSINESS AND PROFESSIONS CODE)) OR THAT HE UP, SHE Is EKBAPT THEREFROI: AHD THE BASIS FOR THE A' LFGFC EFTAUGH N.JI N.LATUN OF CRT 70.1:58\1IY P IGNf FORA ECLAT CIA IF TIF AFP AN TC CULL I' NALPI TF LIST ANNET,1ANFIVEH1dOR OR LLn (500) T N NFR 9F JNF FOP RTOR III FI11I GIFFS WITH N CF_ - TNIIR lip L(TIPMrATION UAL ( THEWORx LINETH1 KLUN TURF C 1OT LFTFNE ROROFF RF FOR qIF g ( FC 70<1 MBFIFMIR PRCFFfl IOIN,COO THE CC ITRA.TORF IICEN-,F IANWF., N(TnPP VTJ AN OYRJFR pF Fr1NFRTY WIiO RU I (- 11 U,I ROVFK TH=RFON FIT) III 111. 91111 b`xRF1 HIAL_FLF i ,jPFFUR TIGIIIH W-:N HADOI FIPO, CIFDTIAT 3LRLH I TLOVFNFNTS ANT NCITRTFLCM OR CFFF.CFF TF _1 F lB H']NF/FR THE IJI DINGOR II11PO MjJ ICC LLMU HW ONE IFP OFCOIII FTI(N TIFF GIAMIRCLAI PFRVILL HAVFTHI BURCH OFCRG NCTH dF GRILL IDN TBIIFCOF IklFBOFURTHEFI F F ]F A,.F
I, F NL4 -1 1.1 FROPERVI ALI EX IL J- UGNI CI11' fH LCEN LCl f.JNCF1..B1 EO 1,11FUII TH'RI {.EG OLIN. E'I SI ILC9 AM" H,.OFEISPIN.. COCE TH' Afl NTHACTUI'5 [,CI U',L LAW i I)UL NO( APVL'( -I[)AN O'ANLN OF riL PROFERIY WHO RJI.D5 OR IMPRO/ES MERLON, AMC WHO COINT RMGTS f0R BUD IT PROILCTJ UJTH A CON CRACTOR(0) IIGFNSE➢ i M IRCUAHT TO I HL CON I iACTOPS L CENSE LAW),
�- I AN EXEMPT UNGERSEC eBPC FaRTHIS REASON t
BASE 0,VAR

LICE NSEDCONTR ACTORS DECLARATION

I HEREBY AFFIRM ,IYOER FENALTY OF PENJUV THAT I PIT LICENSED UNDER PROVISIONS OF CHAPTER 5 (CO -I 1ENC 1 G WWII SECTION a005) OF DMSION : OF THE BUSINESS AND PROFESSIONS CODE A NS MY LLE 15E o IN FULL FORCE AND EFFECT
WORKERS' COMPEP45ATION DECLARATION
I HEREBY AFFIRl.1 LNOEP PENALTY OF PER)'JRY O]NE OF T4E FOLLOWINS CE:'. ARATION- I HAT AND HILL B FINTAN A CERTIFICATE OF CONSENT TO SELF INSURE FOR GOF.KERS' CONPCIISATIOM AS PRO'NOED FOR BW 'Y SECTION S]OF THE LABOR CODE FOR THE PERFORMANCE OF THE AuCRK =OR WHICH THIS PERMIT IS ISSUED I HAVE CHIC VILL LIA:NTAIN Y40FKEPS COMPENSATION INSURANCE, AS REQUIRED BY ''- SECTION P00CF THEI-ASOR CODE, FOR THE PEPFORIAANCEGF THEWORKFORNMIOH TWS PERMIT IS ISSUED, MY 000RKERS' COMPENSATION INSURANCE CARRIER AMC POLICY

NUUBER AGE

CARRIER
POLICYNJUSER_ _ - __-
(THIS SECTION NEED NOT BE COMPLETED IF THE PEi6V: IS FCR ONE HUNDRED COLLARS IS I00) OR LESSI

I CFRTIF'Y FIAT IN THE PFRFORMANCE OF THE WORK FOR WHICH TWS PERMIT IS ISSUED, I [HAIL NOT ELIPLOY ANY PERSON IN ANY ]MANNER 60 AS TO BECOME SUBJECT TO THE WORKERS COMPENSATION LAWS 01 CAUFORIp A, AND PGREE THAT' F I SHOULD BECOME JI, F TO THE WINNER' OtrPEN6A11UC1 PFOV.ADNB OF 4ECTIDIN L,RO OF --LABOR OI _IT
LLFORTT�HWITH COI PLYWITH THOSE PrcOVIS
DATE �(/ ePPLIGPN �w
WARNING. FAILURE TO SECURE'.SURK.AIF COLIF'NS,.rM LOVEPAOE M UNLAWFUL, AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PCNALIIES 100 Cl/IL KNIPS UP TO ONE HUNDRED THOUSAND DOLLARS (911A000) IN ADDITION TO'ik C05! nF CGFIIPENSyTION, OAIA4GES AS PRDVIDED FOR IN GECTION 3706 OF THE LABOR CODE ] T C TANG rrORI 'S FFES

CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE 19 A CONSTRUCTION LENDING AGE14CY FOR THE PERF U A :TICE C F THELAJRK F�F AA CH I IS REST I� IL IBSULJ S.0.109.', GV.0 I LENDER'S:VAMP—
LENDER'SADDNEso'
CORRECT ]AGREE TO GCVW WTH AIL'CITYANO COUNTYORDINANCES ANDSTTE LAWS RELATING

TO BJILCING CONSTRUCTIUM AND MERELY AJTHORME REPRECFNTATV/ES OF THIS COUNT'( TO ENTER UPON THE AA MEINTIONF I,PPRO F VF N�ICPEC FN PUR.CSTS
'IA i �H��//) ' ♦ / 7_ JA h?/

whu*a
City of Newport Beach Building Department ELECTRICAL Permit No: E2001-2004 J
PO Box 1768/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspecfion RequestsTelephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: 5 Suite: 510 Description of Work: ELECTRICAL/SOUITH TOWER #510 B2001-3847
Inspector Area: 7
Owner:

Address: 10400 FERN%

BETHESDA,
Phone: 301-380-8091
Issued Dalk 0212612002
Processed
Code Edit: 96 Legal Desc.: P BK 75 PG 33 PAR 1
INC Contractor:

BRENTWOOD INTERNATIONAL
RD Address:
1529 KEEL DRIVE
20817
CORONA DEL MAR CA 92625
Phone:
949-720-1016
Can. State Lic.:
527484
Lic Expire:
030112004
Bus. Lic.:

BT00015978
Lic. Exp Date:
0913012002
New Construction
Receptacle/SWitchlOutiets
Residential
Recep/Outlets
5 $4.85
Multi -Family
0 $0.00
Fixtures
5 $4.85
1-2 Family
0 $0.00
Sep Circuit
0 $0.00
Service
Signs
0 to 600V up to 200A
0 $0.00
Branch Circuit
0 $0.00
0 to 600V over 200A
0 $0.00
each Add Circuit
0 $0.00
Over 600AI1,000A
0 $0.00
Tlme Clocks
0 $0.00
TOTAL: $33.07
!"Specter
FEE
Motors/rransformers IHPIKVAI
Temp Power Pole
0 $0.00
0 to 1 HPIKWIKVA
0 $0.00
Tamp Underground
0 $0.00
1 to 10 HPIKWIKVA
0 $0.00
Sub Panel
0 $0.00
10 to 50 HPIKW/KVA
0 $0.00
0 $0.00
50 to 100 HPIKW/KVA
0 $0.00
0 $0.00
over 100 HPIKWIKVA
0 $0.00
Record Managment Fee:
$0.50
Investigation Fee
$0.00
Piggy Back / Tamp Power
0 $0.00
Plan Check
$2.42
Issuance
$20A5
Supplemental Fee
$0.00
PAYMENT: $2.42
BALANCE: $30.65
der penally of perjurytined I am licensed under provisions of Chapter g ieonenencing with Section 7000) of Divlslon 3 of the Business and Proresslons code, in Iullforce and effect.

Connector. BRENTWOOD INTERNATIONAL
W_OR�kR5' COMPENSATION DECIARA➢ON I hereby affirm under penalty of perjury one of the following declaraibns:
1 have and will rreintain a certificate of consent to selHnsure for workers' compensation, as pmyided for by Section 37M of the labor code, for the performance, of the work for which this peril is issued
I have and will maintain workers' compensation insurance, as required by Section 37W of the labor rode, for the performance of the work for which This remnit is issued.

My workers' mrnpertsakon Insurance caller and policy numbers is:

Carder. STATE FOND Pogcynumber: 229-98-0015177 Expire :01/0112003 This section need not he completed if the permit is for one hundred dollars ($100) or less.

I certify that in the performance of the work for which this pdh.ht is,$suei', I:Ftall n.l employ any person in any ne as to Ito the ers'c pensatien laws efcal' ia, and agree that if l should become subject mine MN- rs'cc.npbnsation prowslore of section 37 alabor s orthwilh co lywi ose previsions. ate: /Applicant Signalur
Warning: Failure to secure workers'cpmpensalion wvemge is unlawf and shall sublect one oy MMnal pen as evil 1 ne hundretl
(5100,000), in addition tor the rosl of cerriperhsatien,tlameges as provided ra'i'Se on 370b OF Ih^tabor code, interest, and al fees.

I hereby acknowledge that I have rech ill appli mtion; Thai the Hirynhation gis :n is cmrea'an4 th-t I r m the owner, or duly authorized agent of the owner. I agree to comply with city antl state laws regula"ng unsf[ ion; and -p d,ing the w.xk euthonzed Me-eby, nc person will be employed in yiodati an of the labor code W the stale of California relating to workmen's camp.nsad d 5urance.
- R rmittee Name (Print) ll —Address: /-�
Signatittee: ure of r nG Date: 2
2 g-z6z�
Approvals InsoeclorlDate
Grounding Electrode
Underground
Underslab/Floor
Rough Conduit Walls
Rough Wiring Ceilings 0-7
Rough Service
Temp Power
Utility Co. Notified
Final
WORK MUST SE STARTED WITHIN A PERIOD OF 180

DAYS FROM THE DATE OF VALIDATION OR THIS
PERMIT BECOMES NULL AND VOID..
- —/ qs 2�1

City of Newport Beach
Building Department MECHANICAL Permit No: H2O01-1294
PO Box 176813300 Newport Blvd., Newport Beach, California 92658-891 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: 5 Suite: 510 Description of Work: M£CHANICALlSOUTH TOWER #510 82001.3847
Inspector Area: 7 Code Edit: 97 Legal Desc.: P BK 75 PG 33 PAR 1 Inspector

INSPECTOR NOTES
Owner:

HMH P S INC
Contractor:

BRENTWOOD INTERNATIONAL
Address:
00 FERNWOO RD
Address:
1529 KEEL DRIVE
BETHESDA, MD 0917
CORONA DEL MAR CA92625
Phone:
301.380-8091
Phone:
949-720-1018
Con. State Lic.:
527484
Issued ate:
02126/2002
Lic Expire:
03/3112004
Bus. Lic.:

BT00015978
Processed By:

Lic. Exp Date:
0913012002
HVAC Items
Boilers & Compressors
Ventilation
Furnaces
Zh�
up to 3HP
0 $0.00
Bathroom Fan
0 $0.00
VAV Box
up to look Bt
$0.00
over 3HP to 15HP
0 $0.00
Exhaust Pan
1 $5.70
over look Btu/hr
0 $0.00
over 15HP to 30HP
0 $0.00
Attic Fan
0 $0.0c
Other
Wall/Floor Heaters
0 $0.00
over 30HP to 50HP
0 $0.00
DOWn-Draft Pan
0 $0.00
Heat Pumps & Package
Units
over 50HP
0 $0.00
Residential Hood
0 $0.00
up to look Btu/hr
0 $0.00
Misc Items
Commercial Hood
0 $0.00
Record Management Feet
up to 500k Btu/hr
0 $0.00
Fire Dampers
0 $0.00
Repair/Alter/Add
0 $0.00
Investigation fee
Gas Line
0 $0.00
Air Handling Units
Plan Check
up to 1M Btu/hr
0 $0.00
up to 1.75M Btu/hr
0 $0.00
Metal Fireplace
0 $0.00
up to l0k cfm
1 $7.95
Issuance
over 1.75M Btu/hr
0 $0.00
ICED App.#-
over 10k cfm
0 $0.00
Supplemental Fee
TOTAL: $38.01
PAYMENT:
$3.41
BALANCE: $34.60
ereb affirm under penalty of perjury that l am licensed under provisions of Chapter 9 icommencing with Section 7000) of Division 3 of the business and professions code, nd license is In full force and effect.
m No: 52]a69 Gloss: aZ'• 26 Conhactor: BRENTWOOD I1,17ERNATIONAL WOgaeRS'COMPENSAIION DECLARA71 N: l hereby atom underpenalty of perjury one of the fallowing declaragom:
✓✓1 have and will maintains certificate of consent In self -Insure lorworkenr compensation, as provided lot by Section 3700 of the labor code, forthe performance of the work for which this permit is Issued.
_I have and will maintain workerscompensation Insurance, as required by Section 3190 of the labor code, for the performance of the work for which this permit is Issued.

My workers compensation Insurance carrier and policy number Is :

Cement STATE FUND Policy number. 2294S.0015177 Expire: 011011200 (This section need not be completed if the permit Is for one hundred dollars ($100 or less) I certify that In the perforsionce of the work far which this hermit is asned I shall not emplApemany m r so s to becomesu ect to t rkers* compensation laws ofC arnla, andpgre¢thal nlshould became subjectblhe wo�kers'conr•--sall�v37 f orlhwllh comply with those provisions.

D e: Z- C- G -c,ti--'Appl,xMf Signatur
W.mbm: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto crlmina nalties and civil Tines up to one hundred thousand dollars ($100,000), In addition to the cost of compensadon,damages as providod for it Faction 3706 of the labor code, Interest, and attorney's fees. 1 hereby acknowledge that I have read hds apnlicatian; that th, intamed,on givcn to co,: ec.: and that I am the owner, or duly authorized agent of the owner. ) agree to comply with city and state laws regutrOnr cons }action and In doing the wc.k aith rized tPcr0y, Ana person will be employed in violation of the labor code of the state of Cafit ornla rent ring to worxmea's eomp:ns,,)Ign in'uran, Pe Itiee Name (print) 4-C, J 7 Address: � S 2" � �� 6:' C Sign atur If permittee: Octe- ^ -Z
Approvals
UnderslablFloor
HVACIHood - Rough
Fireplace -Rough
Gas Test
Fireplace - Final
HVACIHood - Final
0 $0.00
$0.00
$0.00
$0.50
$0.00
$3.41
$20.45
$0.00
InspectorlDate
?2 O z
WORK MUST BE STARTED WITHIN A PERIOD OF 180

DAYS FROM THE DATE OF VALIDATION OR THIS
PERMIT BECOMES NULL AND VOID.
-�? -(/�) T--? -jr-1-

a4e qno a ' City of Newport Beach Building Department PLUMBING Permit No: P2001-1659 ' PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 Permit Counter Telephone (949)6443288 Inspection RequestsTelephone (949)644.3255 Job Address:900 NEWPORT CENTER DR Bldg: 1 Floor: 5 Suite: 510 Description of Work: PLUMBING/SOUTH TOWER#510 B2001-3847
Inspector Area: 7 Code Edit: 97 Legal Desc.: P BK 75 PG 33 PAR 1

INSPECTOR
NOTES:

Inspecter
Owner: HRIH P TIES INC Contractor: BRENTWOOD INTERNATIONAL AlRN OD RD Address: 1529 KEEL DRIVE
BETHESDA, 20817 CORONA DEL MAR CA 92625
Phone: 301.380-8091 Phone: 949-720-1018
Can. State Lic.: 527484
Issued te: 02/2612002 Lic Expire: 0313112004
L
Bus. Lic.: BT00015978
Processe Lic. Exp Date: 0913012002
FEES
Bathroom Fixturel Floor Drain 0 $0.00 Regulator 0 $0.00 Backflow over 2" 0 $0.00 $0.00
Toilet 1 7.95 Kitchen Fixtures Lawn Sprinkler 0 $0.00 Hose Bibb 0 $0.00 Sewer
Bldet $0,00 Kitchen Sink: 0 $0.00 Misc Drinking Fountain 0 $0.00 Sewer 0 $0.00
Urinal 0 $0.00 Garbage Disp 0 $0.00 Water Piping 0 $0.00 Roof Drain 0 $0.00 Sewer Atter/Repair 0 $0.00
Bath Tub $7.95 Bar Sink 0 $0.00 Water Softener 0 $0.00 Grease Trap 0 $0.00 Sewer Abandon 0 $0.00
Shower Stall 1 $7.95 Vegetable Sink 0 $0.00 Water Heater 0 $0.00 Grease Interceptor 0 $0.00 Record Management Fee: $0.50
Wash Basin 1 $7.95 Ice Maker 0 $0.00 Gas up to 4 outlets 0 $0.00 P-Trap 0 $0.00 Investigation $0.00
Hydro -Mass Tub 0 $0.00 Dishwasher 0 $0.00 Gas over 4 outlets 0 $0.00 Other Plan Check $7.95
Floor Sink 0 $0.00 Lndry/Trap 0 $0.00 Backflow up to 2" 0 $0.00 $0.00 Issuance $20.45
Supplemental Fee $0.00
TOTAL: $60.70 PAYMENT: $7.95 BALANCE: $52.75
Ice TRAOTORSE UFLATION
A
rm under penalty of perjury that I am licensed under provisions of Chapter9 (commending with Sectors 70001 of Division 3 of the Business and Professions code, Anoravals InsnectorlDans.lsinul
Wlrebyy
lore. aad effect.
2740a crouir �le: Contractor: BRENTWOOD INTERNATIONAL
Soil Pipe (ground)
WORKERS' COMPENSATION DECLARATION: I hereby affirm under penally of perjury one of the following declarations:

Sewer
_I have and will maintain a certificate of consent to sell -insure for workery compensation, as provided for by Section 3700 of the all code, for the performance of the work for whlck this permit is Issued.

Water Pipe (ground)
_I have and will maintain workers' compensalion insurance, as required by Section 3700 of the labor code, for the performance of the work for which this permit is issued, My workers' compensation insurance carver and policy number b:

Gas Pipe (ground)
Crider STATE FUND Palley number 229-99-0015177 Expbe:01/01/2003 (This section need not be completed if the permit is for one hundred dollars ($100) or less.

Plumbing (rough) ii
I codify that in the performance of the work for which this p .nnit "t lei I shc.l not amplw any person In any manner so as to become subject to the workers' compensation laws of Call io, and agree that It l should become subject tole works 3'c3-1p-r.Aicn provisions of Section 37M of the labor code. I stroll forthwith comply Win those, provisions.

Gas Pipe (rough)
Oat . �ry-Want Signature:

Water Heater
Worming: Failure to secure workers' compensation coverage 6 unlawful, and shall subject on employer to criminal penalties and civil fines up to one hundred thousand all($100,0001. in addition to the earl o'com-s^rsaita ,daral s as pr�vlded:orin,: ,;on 3706ofthe laborcode, interest, and attorneysfees.

Gas PSI Test
I herebyacknowledge that thou. read l is opplico,bn;Ihat,he,normation pmen is rol al that I am theowner, orduly authorized agent of the owner. I agree to Gas Cc Notified
comply with city and state laws regulating -oast ^ion; an 1 in doll 1C the w rk oult.nrkeci Llereby, no person will be employed in violation of the labor pace of the state of sca on lmuranc ^
Califomio relatingto workmen'
' � ��_C--- �$ /- 3 2 %-- �EL'C ��----
^/qp
Final
-O-ti - - ---L -
- P dtee Name (Pont -- - � -
Address :

WORK MOST HE STARTED WITH114 A PERIOD OF-180- - - -
7 %�6'LS�
s 2

DAYS FROM THE DATE OF VALIDATION OR THIS
Signal pe mlRee: Dati
PERMIT BECOMES NULL AND VOID.

G`f/�

City of Newport Beach - Building Division ��IIINIIINIIINIIINIIIIINIIIIIINIIIINIINIII� IN s5 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 3 3 1 3 8 Permit Counter Phone (949)644-3288
u
gc Combination Type - CIP ELEC MECH PLUM
Job Address: 900 NEWPORT CENTER DR NB
DescriptiomCOMM -REPLACE WALK-IN COOLER "HARBOR POINTE BLDG MARRIOTT" Inspector Area: 7 Legal Desc.: P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC Contractor: HANSEN COLD STORAGE CONSTRUCTION Address:

PO BOX 579
LOUISVILLE, TN 37777
Phone:

Applicant:

HOCKINSON WESLEY
Address:
4410 DISTRICT BLVD
VERNON CA 90058
Phone:
323-846-5676
Code Edit: 2010
Type of Construction:

Occupancy Group:

Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:

Construction
Building Permit Fee: $246.20
Plan Check Fee: $177.26
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management :
$35.00
Energy Compliance:
$55.00
CA Seismic Safety:
$0.00
Disabled Access:
$80.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
-$0.00 -
Building Green Fee:
$1.00
TOTAL FEE: $778.16
Address:
4410 DISTRICT BLVD
Address:

VERNON CA 90058
Phone:
323-846-5676
Phone:

Con State Lic:
609752
Engineer:

Lic Expire:
01/31/2015
Address:'
Bus Lic:
. . BT30045402
Lic Exp Date:
11130/2014
Phone:

Worker's Compensation Insurance
Designer:

Carrier:

INS CO OF THE WEST
Address:

Policy No:

WSD500318203
Expire:
01/01/2014
Phone:

Building Setbacks
Use Zone:

Solar System PC:

Excise Tax:

Grading PC Consultant
Grading Permit Fee:

Grading PC Fee:

WQ Insp. Fee
Electrical %:

Mechanical %:

Plumbing %:

Rear: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$59.29
$50.81
$42.35
COMB Permit: X2013-3138
Project No: 2654-2013
Inspection Requests Phone (949)644-3255

THOMAS LAUREN
10372 SW BONANZA WAY
TIGARD OR 97224
503-317-1023 State Lic:C-058785 ,
Special Conditions:

Planning Department -
Plan check Fee:

Fair Share
SJH Trans
In -lieu Housing Fee :

Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $327.33
ICI
Fire Department
$31.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $460.83
PROCESSED BY: fug _ _ - PUBLIC WORKS APPROVAL:

ZONING APPROVAL: ✓ �iL 1'W� PLAN CHECK BY:�
GRADING APPROVAL: APPROVAL TO ISSUE: /
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. V oo�

OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale).

I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).

J I am exempt from Iicensure under the Contractors' State License Law forth e following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improve ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/fw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent

JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of vision 3 of the Business and ProfE nd effect. License Class License No Date I l Contractor Signature _ JORKERS' CSfTQ['9-;4SATION DECLARATION IV
ARNINGyFAILURE TO SECERE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OBe ®i SOMPENSATION, gVMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm und*V6Ejlalty of perjury one of the following declarations:
law, Section 7044 of the Business and
license is in full force
($100,000), IN ADDITION TO THE
T bVe and wilPmaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, f .nce of the � work for which this permit is issued. Policy No. e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatoor ce carrief land policy number are:
fie,' •'•• Policy Number Expiration Date
:re oCAgent Phone#
certify that, rtrtt{na rformart
of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa n laws f California, and agreE F, iflshould become surbject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of ApQ'jc'aD/•/ •. G" Date.�t )

CLARATION RE DING ON T CTIO LE ING AGENCY
:reby affirm under penalty of erj that there is a onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name
Lender's Address
3y my signature below, I certify to eaeh of the following:

I am the property owner or authorized to act on the property owner's behalf.

I have read this application and the information I hav
provided is correct.

I agree to comply With all applicable city and county
dinances a d state laws relating to building construction. E( I authorize. representatives of this city or county to en r the abo identified property for inspection purposes.

Signature of Property Owner or Authorized Agent
�r- 'y,
., r Print Property Owner's or Authorized Agent's Name:fit J�.�e� 11�CI t`i5 ,St7YM f]d7F
ii3'

DECLARATION QF I ERITHCODE OF
PUFF C.IR}RZ tril, LMT
FEDER4L RE PfORPi S PART" OFRELEZ AND
AOWRVLE1403.
�a rtr atR n
,
i StNT�iTFN.+SI�'S7tk5 �k'iTN-ld`d7i(9H TE�ir:
❑ EPA
0 AQVD
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PE,[dWti"esTF#vL'iEl?
13 ASBESTOS NOR 7di3td}S ArOTAPPL)CAB ETO

POSEDOEMOLITKIM
A iGW1iT}TA�4,C '� - 18-, L1,
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I

DEPUTY IINSPECTION
1-800-DEPUTYI
Gen Contr `l 11'I1111 . t 114 (w�o.'IaR,�,
5ub•Coa r
Report of Special Inspection
Project Name & Address
-'k,
Inspection Type(s)
Inspection Dates)» t t "'1- r
Describe Inspection Made, including Locations:—
List Tests Made: -- ---
Total Inspection Time Each Day:
+er",e, �]'I.9Arkk""
] Periodic [ ] Continuous
List Items Requiring Correction, include uncorrected items previously listed Comments:.„a.

To the best of my knowledge, the work inspected was in accordance with the Building Department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. -
P
a. t
54gned:.,:....».-
s,Iz-, k Date
Print Full Name: ilk, °6 Registration No.

FORM SI-02i 90
n

®� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u
n"n Combination Type - CIP ELEC MECH PLUM
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM - TI "MARRIOTT" "HARBOR POINTE BLDG" 153 ROOMS Inspector Area: 7 Legal Desc.: P BK 75 PG 33 PAR 1
Owner. HHR NEWPORT BEACH LLC Contractor:

Address: 6903 ROCKLEDGE DR #1500 Address:

BETHESDA MD 20817
Phone
Applicant: CRESPO JOHANNA
Address: 2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone: 310-326-3050
Code Edit : 2010
Type of Construction: I-B-SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 10
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone:

Building Permit Fee: $1,548.94
Plan Check Fee: $1,115.24
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$1.00
Energy Compliance:
$108.51
CA Seismic Safety:
$0.00
Disabled Access:
$180.85
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat :
$0.00
Building Green Fee:
$8.00
TOTAL FEE: $3,921.63
PROCESSED BY:

ZONING APPROVAL:

GRADINNNA VVAAL:
v
Phone:
il►►X����►►���0�►��I3��►�����►I��►�6 6►��►►�► II
COMB Permit: X2013-1668
Project No : 1436-2013
Inspection Requests Phone (949)644-3255
Issued
lia SPEC i OR
CONTINENTAL CONTRACTORS, INC Architect:

TYNER RUSSEL EDWARD
410 SEVERN AV STE 410 Address:
2630 SEPULVEDA BLVD
ANNAPOLIS MD 21403
TORRANCE CA 90505
410-263-6614 Phone:
310-326-3050 State Lic:C014979
Con State Lic:
886008
Lic Expire:
10131/2014
Bus Lic:

ST30041102
Lic Exp Date:
10131/2014
Engineer:

Address:

Phone:

State Lic:

Worker's Compensation Insurance Designer:

Carrier: HARTFORD INS CO OF THE MIDWEST Address:

Policy No: 5095623456
Expire: 09/26/2014 Phone:

Building Setbacks Rear: / Special Conditions: 532 HOTEL ROOMS MAXIMUM Front: /
Left: /
Right: /
Use Zone: CV Parkino Spaces: 532 Fire Hazard Zone : N
Solar System PC :
$0.00
Planning Department -
Fire Department
Excise Tax:
$0.00
Plan check Fee :
$0.00
Fire Inspection:

Fair Share :
$0.00
Fire Plan Rev
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check :
$0.00
Electrical %:
$372.98
San Dist:
$0.00
Mechanical %:
$319.70
NMUSD. Fee:
$0.00
Plumbing %:
$266.41
Plan Check Fee
$0.00
$0:00
0 $0.00
$0.00 =
$0.00
$0.00
$1,625.23 Fee Due at Permit Issuance : $2,296.40
PUBLIC WORKS APPROVAL:

PLAN CHECK BY: d
! 1
APPROVAL TO ISSUE:

PERMITS EXPIRE 130 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. i
0 DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:

By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.

Signature of Property Owner or Authorized Agent Date

LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 000 of Division 3 of the Business and Professions Code end my lice9�e is in II force and effect. License Class License No Contractor Sig IaA �f!i✓i

NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations:

I have and illirla.°}ntain a certificate of consent to self -insure for workers' compensation, issued by the ornVnce of the wol'K forwhich this permit is issued. Policy No. have and wig enadretain workers' compensation insurance, as required by Section 3700 of the Labor Code, Iralce carrier and policy number are:
rFr� Policy Number
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date
JI certify that, iq the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre M,iPl,should1t,28 6 subject to the workers' compAsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. yy a u;e of A[ an
IECLARATION e2E DIAG CONSTRUCTION LENDING AGENCY
hereby affirm onMr*analty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, bivil Code). e11 Names Lender's Address
y4Aysignature • be••va loI certify to each of the following:
•
I am the property owner or authorized to act on the property owner's behalf.

I have read this application and the information I have provided is Correct.

I agree to comply with all applicable city and county ordinances and state laws relating to building construction.

I authorize representatives of this city or cc t o enter t e ove-ide fled oparty for inspection purposes. ignature of Property Owner or Authorized Age It zC � Print Property Owner's or Authorized Agent's Nam , ITtl Y.I Ak L' S t� ii.1t !ii✓ 1i i4,— Date ,ACT"I MTF
RV
€➢Ert TF0N07FiMPLVWCENq-1—rfCODEOF"
i{Fji ER-Hf,T,f#A tMT
FEDER4L REGUA TIONS PART 61 OF TIME 40 AND
Al2MORMEWT1
PFRF.FFT n-'PfRFf3
❑ f.4;ffi8fff7YTFis€iFY.iTiI;M)-U-ATKWTO-
D EPA
E3 t QND
i?•C`iFrt?TC4r"fCLL
P€RiutPTt�rF. EAIC+.r�
® AsBEsTosjionicAijoN TAPPLicAEt.E To
Pl?aPO5ED FJT4 V-
FEN4rr PFrF& 5- 13'11
CER-17FCATEOF
CrC,: ifa,Sf�i'n"tSSJfD
SlChii Af @F1ft:.

��'ekr� CITY OF NEWPORT BEACH
a , . ,i\ n Community Development Department I Building Division r 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92068.8918 o �i m MM,newoortbeachca.00v 1(949) 644-3200
C;R,YORN�r

CAL GREEN DOCUMENTATION COMPLIANCE CERTIFICATION
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT, CA PERMIT NO.: X2013.1668

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 GAL 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 OWNERS) 6X VOG Contents Limitation
MX Formaldehyde Emissions Limitation
Cl Operations and Maintenance Manual
El T 24 Energy LTG Installation Certificates
© T-24 Energy MEGH Installation Certificates (Le, HVAC, Ducts, Fans, Hot Water, HERS)

MOISTURE CONTENT OF BUILDING MATERIAL (NEW RESIDENTIAL CONSTRUCTION ONLY) ❑ I certify that the moisture content of the wall and floor framing Is toss than 19 percent as determined in accordance with Section 4.605.3 of CAL Green prior to being enclosed,

DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided Is true and correct.
• I certify that the Installed measures, materials, components, or manufactured devices idontifled 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. fV
Fom�c�GPiGreenPgwmmiaUgn W mpOgnwGgrERgv4m AAR

a CITY OF NEWPORT BEACH
s °n Community Development Department I Building Division qn,Q`Ive4 :. 10D Civic Center Drive ( P.O. Box 1768 I Newport Beach, CA 92668.8015 www.neuyyortbeachca,gax)(949) 644-3200
trFMR��

FORMALDEHYDE EMISSIONS VERIFICATION CHEMISTS
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA PERMIT NO.: X2013-1668 ormaidohydo emissions verification of non-structural engineered wood, hardwood plywood, particleboard, end medium density fiberboard composite wood shall be identified on this checklist. Formaldehyde limits shall meet the limits specified in the 2010 Edition of the CAL Green Code, Attach product specification sheets and other supporting documents. Use additional sheets, If necessary.

Proddnt Cet ar
)-e00ion
Product
Produot
)=ortna(deh d
)_(ryrit ,
ltem,(I
(e a paint carpet,.Y =.
adheeNa) . ;..,,_
(e g aauroam
kit he
.Manuraabrrer
_ : _._ ; .
spactncngen
_ (e9 model#)
Content s
. ,(tn psrls permlAiitc) ).
ttnpadspQrmPgan)
, :Sae Allach °rahtas -
UltraStock

1. MDF
Bathroom
Temple-Inland
Premium MDF
a,01

2. Cherry Veneer MDF
Bathroom
Flakeboard
Premier MDF
<.01
.11

3. Plywood
Bathroom
Aruco
Sierra Pine
<01
.05
4•
Doors
Guestrooms
Milennium
Infinity
.13
.11

5. Doors
Guestrooms
Millennium
Infinity
.13
.15

6. Doors
Guestrooms
Millennium
Ovation
.11
.11

7. Carpet
Guestrooms
Signature
121818
<,g
.11

8. Carpet
Guestrooms
Tat Ping
BX00911-144
<.9
.11

9. Carpet Pad
Guestrooms
Leggett & Platt

0.05 .05
NOTES: "Door Products are CARBII Compliant.

CITY Or NEWPORT BEACH
�41, } �fl''I Community Development Department I Building Division 45i) 100 Civic Center Drive I P.O. Box 17081 Newport Beach, CA 02668.8916 wwuv.new o�rtpeachca,dov 1(049) 044-3200

VOC CONTENT VERIFICATION CHECKLISTS
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA PERMIT NO,: X2013-1668 OC content verification of paints, coatings, carpets, cushions, resilient flooring, adhesives, sealants, and Mike shall be Identified on this checklist. VOC limits shall meet the limits specified In the 2010 Edition of the CAL Green Cade.

Attach product specification
sheets and other supporting documents. Use additional sheets, If necessary.

Product Category
Location product VOC Content Product
(In parts per million) or
VOC Content Lbnil
ItaM fF (e.g, paler, carpet,
adhesive)
(e.p, bedroom, Speetficatlon
tdtchon) Manufacturer (ea model#) Standard (e.g,
(In parts per million)
aae Allach Tables
Green Label Plus)
�•
Paint
Guestroom
Sherwin Williams
ProMar
<.50 g/I
100

2. Latex Caulk
Guestroom
DAP
Alex Plus

44.4 g/I
100

3. Silicone Caulk
Guestroom
GE
Supreme Silicone
20 g/I
100
4,
Mud
Guestroom
Joint Compound
Diamond Veneer
<2g/I
100
5•
Wallcovering Adhesive
Guestroom
Roman
Pro-880
<20 g/1
50 6,
Primer Sealer
Guestroom
Sherwin Pro
Multi -Purpose
50 g/I
100

7. Thinset Mortar
Guestroom
Laticrete
252 Silver

0.00 g/I
100
pec ra oc ro
81 Epoxy Grout
Guestroom
Laticrete
Premium Grout
0,031 g(I
65 Waterprooflng
9•
Membrane
Guestroom
Laticrete
Hydro Ban

0.00 g/I
250

10. Carpet Pad Adhesive
Guestroom
Parabond
M-260
California Compliant
Top GUnProunhuT

91. Latex Adhesive
Guestroom
Chance
Multipurpose
0 g/l
100

12. Cove Base Adhesive
Guestroom
Chapoe
Safe -Set 400
5 g/I
50 13.

Carpet
Guestroom
Signature
121818
Green Label Plus

14. Carpet
u s room
a Ing
Green Label Plus

15. Carpet Pad
Guestrooms
Leggett & Platt
Green Label Plus
NOTES:

@NY^tYpORT
_
n

CITY OF NEWPORT BEACH
Community Development Department
Building Division
109 Civic Center Olive
P.O. Box 1760
r rrise`�
Newport Beach, CA 026WIhi16
wwmimis rortbeaahoa.aov
(049) 644.3200

VOC & FORMALDEHYDE LIMITS
2010 CALIFORNIA GREEN BUILDING 6TANDARDI COVE 1001
(Tables 4,604.3, 6.504.4.3; 4,504.1, 6,604A.1; 4,604.$ 5.504.4.2;

4.604.6, 6.604.4,6)

VOC CONTENT LIMITS FOR ARCHITECTURAL COATINGS&'
(Grams of VOC per Litor of Coating,
Less Water and Loss Exempt Compounds)

COATING CATEGORY

VOC LIMIT
Flat coatings
60 Nonliatcoatin s
100
Nan,et•hl h tree coatis s
160
_
S aciatt Coal n a
Aluminum roofcoe6 s
400
Basementspecialtycoatings
400
Bituminous foot coatings
60 Bituminous roof rimers
360
Bond hoteliers
360
Concrete cu n eom sounds
360
Conorithalmationry raiders
10D
Driveway sealers
50 pryfo Wallace
150
Faux0nishn coalinW_
350
Fire resislive coatings
350
Floor coatis s
100
Farm -release coin ands
260
Ora hlc ads soak s sl n aims
600
High tamemture warfare
420
Industrial malatenance coatis s
261)
„
Low solids coatis
120
Ma nesile cement coatings
460
Mastic texturecoatings
100
Metallic mentvd coatings
500
MuLlhcoforccalln s
260
,
Prehaahaanlwasp rimers
26 Primers s, ,"aalor¢ra
undsreaaftrs
too
Rdactva anetratin
seaters
60 Recycled coalln4s
250
Roof ctaliri s
5D
_Rest ofeVontmlve ma s
250
Shellacs
Clear
_.,Opagno
730
650
SO It primers, sectors and undermatam
160
Slabls
60 Slone commidants
450
n q.2L_
sue,_, __, ____
340
Tmrn
Tra to markln coa0n
s
100
Tuba d Via refinish cotifings
420
Wate moon membraw
250
Woo coaiin s
276
wood mservatvea
350
n5ch puthriers
340
t. Gmme of VOC perliterofcoating, Including water end Including exemptcumpounds.

2. The specified griefs remain in effect unless revised OmNs are listed In subsequent columns In the table.

3. Values In this table are derived from those specified by the California Air Resources Board, Architectural Coatings Suggested Control Measure, February 1, 2000. More Information is available from the Air Resources board
ADHESIVE VOC LIMIT ti'
(Less Water and Less Exempt Compounds in Grams per Liter)

ARCHITECTURAL APPLICATIONS

OC LI IT
indoor carpet adhesives
60 Ccrost pad adh@Slues
60 Ouldeor oa etttdhosives
150
Wood 0oorin adhesive
100
bboriloor dheslves
60 SubOaar etllhegNea
50 Ceramic Isla adhesives
05 VOT and ae haN life adhesives
60 Drywall and panel adhesives
60 Cove base adhesives
50 Multiit ose construction
adhesives
70 Structural all' adhesives
100
Sin le^ 1 ro0finembraneadheslvea
260
Other adhesives not listed
60 Eattificidly

SPECIALTY APPLICATIONS
PVC welding
610
CPVC weldin
490
AB6 Weitll
326
plastic cementwelding
260
Adhestve rimer for fastc
650
Contact adhosive
60 Special purpose c:onlactadhestve
240
Structural wood memheradhesv�lve�•-
140
Top and him adhesive
260

SUBSTRATE SPECIFIC APPLICATIONS
Metal to metal
30 Pia dofeems
s0
Porous malarial (except wood
60 Wood
30 F% ass I
00 I. Ilan adhesive is used to bond dissimilar substrates togatlun Ise adhesive with the Niftiest VOC content shell be allowed.

2. For additional information regarding methods to messure, the VOC content specified in this table, see South Coast Air Quality Management District Rule 1100
SEALANT VOC LIMIT �...
(Loss Weiler and Loss Exempt Compounds in Grams per Liter)

SEALANTS

VOC LIMIT
Architectural �.�
260
Marine doc W
_
760
Nonmembrane roof
300
Roadvra
250
Sln
la 1 roof membrane
460
Other
20 SEALANT PRIME S
Architectural
Nonporous
Porous
250
776
Modf" bimmInoue
600
11, oak
760
.

Oiler
760

FORMALDEHYDE LIMITS'
(Maximum formaldehyde Emissions in Parts per Million)

PRODUCT
LIMIT
Hardwood pivwood Veneer cafe

0.05 Hardwood plywood composite core
0,05
Foructaboard

0.09 Me loin densil fiberboard

0.11 Thin mature density fiberboard

0.13 1. Values In this table are derived from those specified by the California Air Resources Board, Air Toxlcs Con€ml Measure far Composite Wood as tested in accordance with ASTM E 1333• 96(2002). For additional Information, see California Code of Regulations, Title 17, Sections 93120 through 93120.12

2. Thin madlum density floorboard has a maximum trdckness oft millimeters

TRADE

SUBCONTRACTOR NAME

COMPLETE MAILING ADDRESS
PHONE
Incl. Ar Code

NEWPORT BEACH
BUSINESS LIC.#

END DATE ON
JOB
Acoustical Engineer
BT
Architect
BT
Awnings
BT
Cabinets
BT
Civil Engineer
BT
Concrete
BT
Concrete -Cutting
BT
Concrete -Decorative
BT
Counter Tops
BT
Curtain Wall
BT
Demolition
BT
Doors
BT
Drilling
BT
Drywall
P.AWSON ENT E P ES, INC.
10233 Jefferson Street, Yucaipa, CA 92399
949-917 4238
BT 30045707
43 31l14
Electrical
A. BENJAMIN ELECTRIC
1541 N. Hayworth Avenue, Los Angeles, CA 90045
323-459-0425
BT30045710
03/31/14
Elevator
BT
Fencing
BT
Finish Carpentry
ST
Fire Alarm
PYRO-COMM SYS T EMS, INC.
15531 Container Lane, Huntington Beach, CA 92549
714-902.8000
BT C10.612153
03/31/14
Fire Sprinklers
COSCO FIRE PROTECTION, INC.
1075 W. Lambert Rd., Bldg. D, Brea, CA 92821
714-989-1800
1 BT 00022773
03131/14
Fireplace
I
I BT
Flooring-Carpet/Wood

RANCH OMA FLOC)RS
9370 7th Street. Una E. Rancho Cucarnoncia. CA 91730
909-948-9481
1 BT, e
03/31N
Flooring -Other
I
I BT
Framing
RAWSON ENTERPRISES, INC.
10233 Jefferson Street, Yucaipa, CA 92399
909-917-4238
BT 30045707
03/31/14
Furniture
BT
1 Garage Door
BT
Glass/Glazing
BT
Generator
BT
Grading/Excavation
BT
HVAC
CLIMATE FRESH, INC.
16412 Hawthorne Blvd., Lawndale, CA 90260
3107370 0000
BT i40093315
03131/14
Insulation
BT
Interior Design
BT
Irrigation
BT
Landscaping
BT
Lathing
BT
Lock and Security
j
BT
Low Voltage
j
BT
Masonry
ST
Ornamental Metal
$T
Paint & Texture
IRAWSON ENTERPRISES. INC.
110233 Jefferson Street. Yucaipa, CA 92399
7-4238
i BT 3OM707
03/31,14

TRADE

SUBCONTRACTOR NAME

COMPLETE MAILING ADDRESS
PHONE
Ind.Arw Code

NEWPORT BEACH
BUSINESS LIC.#

END DATE ON
JOB
Paving
ST
Piers/Docks
BT
Plastering I
{
BT
Plumbing 4SIERRA

PLUMBING
11 B71 Starling Avenue, Suite D, Riverside, CA 92503
951358-1320
BT 1
03131114
Post Tension I
BT
Precast {
BT
Reinforcing Steel j
BT
Roofing
j
BT
Sand/Water Blasting
ST
Scaffolding
BT
Security Alarm I
PYRO-COMM SYSTEMS, INC. 115531
Container Lane, Huntington Beach, CA 92649
BT C10-612153
0313V14
SewerMlaste
BT
Sheet Metal
BT
Shoring
gT
Siding] Decking
BT
Signage
gT
Special inspections
BT
Soft Engineer
{
BT
Stairs
BT
Steel -Structural
BT
SolarlPhotovo[taic
1 BT
Structural Engineer
BT
Swimming Pool
BT
Tanks
1 BT
T-Bar
1 BT
Tile

RANCHO LOMA FLOORS
93M 7th Street, Unit E, Rancho Cucamonga, CA 91730
909-948-9481
{ BT 30D41561
03/31/14
Water Conditioning
BT
Water Proofing
BT
Welding
BT
Windows
BT
Other -Accessories installation
RAiNSON ENTERPRISES. INC.
10233 Jefferson Street, Yucaipa, CA 92399
909-790-8062
BT 30045707
03/31/14
Acoustical Engineer
I
BT
Architect
BT
Awnings
ST
Cabinets
BT
i
Civil Engineer
ST
Concrete
BT
Concrete -Cutting
BT
j
List any other trades used on this job site, on a separate sheet of paper, which have not been noted above.

�who� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0079 t 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 0 7 9 Project No: 0073-2020 �, Permit Counter Phone (949)644-3288
v '$ Inspection Requests Phone (949)644-3255
'+xrg,�a'� Combination Type - CIP ELEC MECH PLUM Issued Date : 03110/2020 0 Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m.
to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 900 NEWPORT CENTER DR NIB
Description: COMM TI - MARRRIOTT HOTEL ATRIUM RESTROOM REMODEL 479 SF Legal Desc.: P BK 75 PG 33 PAR 1

INSPECTOR
Owner: HHR NEWPORT BEACH LLC
Contractor:

CONTINENTAL
CONTRACTORS, INC Architect: SMITH CRAIG MONROE
Address: PO BOX 579
Address:
410 SEVERN AV STE 410 Address: 1041 W 18TH ST #A-208
LOUISVILLE, TN 37777
ANNAPOLIS MD 21403 COSTA MESA CA 92627
Phone:

Phone:
410-263.6514
Phone: 949-764.0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State Lic: B86008
Engineer:

Address: 1041 W 18TH ST #A-208
Lic Expire:
10131/2020
Address:

COSTA MESA CA 92627
Bus Lic:

BT30066948
....
....'
Phone: 949-764-0010
Lic Exp Date:
04/3012020
Phone: State Lic:
. o
o a O°•ooc
Code Edit: 2019
Worker's Compensation Insurance
Designer:

Type of Construction: I-B-SPR
Carrier:

CONTINENTAL CASUALTY Address:

Occupancy Group: B
Policy No:
5095623456
Added /New sq.ft. Bldg: 0
Expire:
10/02I2020
Phone:
r °
Added /New sq. ft. Garage: 0
.. ° ° ®• °
No of Stories: 9
Building Setbacks
Rear: /
Special Conditions:
° °.. �. ° •
Bldg Sprinklers:

Right: I
. • °
Flood Zone:

Use Zone:

Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $80,000.00
Building Permit Fee: $973.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $846.51
Additional Fee :
$0.00
Plan check Fee : $40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $24.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $56.00
Grading PC Fee:
$0.00
Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check : $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$254.73
San Dist: $0.00
Building Green Fee : $4.00
Mechanical %:
$200.15
NMUSD Fee: $0.00
$0.00
PI bing %:
$163.76
$0.00
TOTAL FEE : 2,562.15
Plan Check Fee
: $1,230.33 Fee Due at Permit Issuance :
$1,331.82
PROCESSED BY:

PUBLIC WORKS APPR L:

ZONING APPROVAL:

PLAN CHECK BY: Cho
GRADING APPROVAL:

APPROVAL TO ISSUE:

OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 5rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose of sale).

I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.htmi . 3ignature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirmundelr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 f 'visi n 3 of the Business and Profiens Code, a�- n Is In full force Ind effect. license Class License No D e Contractor Signature .V.QI$KERS: COMPENSATION DECLARATION ��
VARNMG: FAILURE W1 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPEN%ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. ligreby affirm ylnder penalty of perjuryone of the following declarations:

YYY•
• ave andwill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rIr;C(e
nce of t4awork for which this permit is issued. Policy No. and*wiN Maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isacarrierend policy number are:
• • Policy Number
Date
4e,141fy that,.in �Fieperformance of the w W_c6
mi s Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I I should b&6dme subject to the, q vsions, of.Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant /`� Dat�CLARATIC REGA DING SDCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).

Ider's Name Lender's Address
my signature below, I certify to each of the following:

I am the property owner or authorized to act on the property owner's behalf.

I have read this application and the information I have provided is correct,;: - 1 agree to comply with all applicable city and county ordinances , aYe - ting to building construction. 4k�_/I authorize representatives of this city or county ^to ente�r th e operty for inspection purposes. " nature of ProOertv Owner or Authorized Agent's Y - '-Print Property Owner's or Authorized Agents Name ACTION
DATE
BY (

DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL

FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403

PERMIT EXPIRED

U I SUBMITTED ASBESTOS NOTIFICATION TO

PERMITCANCELLED
UEPA

PERMIT EXTENDED
QMD

PERMITFINAL

ION IS NOT APPLICABLE TO

CERTIFICATE OF

PROPOSED DEMOLITION

OCCUPANCYISSUED
SIGNATURE:

UNDERGROUND STORAGE TANK
MONITORING SYSTEM CERTIFICATION FORM (Page 1 of 6)
This form must be used to document testing and servicing of underground storage tank (UST) monitoring equipment. A copy of this form must be provided to the UST owner or operator. The owner or operator must submit a copy of this form to the local agency regulating the USTs within 30 days of the date of the monitoring system certification.

I. FACILITY INFORMATION

CERS ID
10515319
Date of Monitoring System Certification
9/16/2020
Business Name (Same as Facility Name or DBA — Doing Business As.)

MARRIOTT NEWPORT BEACH
Building #
Business Site Address
900 NEWPORT CENTER DRIVE
City

NEWPORT BEACH
ZIP Code
92660
II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of Company Performing the Certification

TANK TEK ENVIRONMENTAL CORPORATION
Phone #
(951) 779 - 4999 Ext.

Mailing Address
P.O. BOX 5850, RIVERSIDE, CA 92517-5850
Name of UST Service Technician Performing the Certification (Print as shown on the ICC Certification.)

ENRIQUE AGUIRRE
Contractor/Tank Tester License #
803705
ICC Certification #
5282018
ICC Certification Expiration Date
1 /15/2022
Monitoring System Training and Certifications List all applicable certifications.

Expiration Date
VEEDER-ROOT TLS B34827
9/21
III. RESULTS OF TESTING/SERVICING
Indicate and attach the following reports if the monitoring equipment is capable of generating either. [A Monitoring System Set-up [A Alarm History Report
Y
N
NA
Was any monitoring equipment replaced?
(If "Yes, " identify the specific devices replaced and list the manufacturer and model for all replacement parts in section IV below.) ®
❑
Was damage, debris, or liquid found inside any secondary containment systems? (If "Yes, " describe what was found in section IV below.) Is all monitoring equipment operational per manufacturer's specifications? (If "No," describe why in section IV below.)
IV. COMMENTS
If directed to use this section, describe how and when the issues were or will be corrected.

V. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS TESTING I hereby certify that the equipment identified in this document was inspected/serviced in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2638 and all information contained herein is true and accurate. Attached to this certification is information (e.g., manufacturers' checklists, monitoring system set-up, alarm history report, etc.) necessary to verify that this information and the site plan showing the layout of UST system is complete and accurate.

UST Service Technician Signature
'///
CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, Y = Yes, N = No, NA = Not applicable

UNDERGROUND STORAGE TANK
MONITORING SYSTEM CERTIFICATION FORM (Page 2 of 6)
VI. INVENTORY OF EQUIPMENT CERTIFIED
A separate Monitoring System Certification Form must be prepared for each monitoring system control panel.

Make of Monitoring System Control Panel
INCON
Model of Monitoring System Control Panel
TS-1000
Software Version Installed

0.9910
Check the appropriate boxes to indicate specific equipment inspected/serviced.

Monitoring Device Used Device Model #
Monitoring Device Used Device Model #
Tank ID: T1 DISEL
(By tank number, stored product, etc.)
Tank ID:
(By tank number, stored product, etc.
❑ In -tank Gauging (SW Tank)
❑ In -tank Gauging (SW Tank)
® Annular Space or Vault Sensor

FMP-EIS
❑ Annular Space or Vault Sensor
❑ VPH Sensor
❑ VPH Sensor
Product Piping
Product Piping
❑ Mechanical LLD
❑ Mechanical LLD
❑ Electronic LLD
❑ Electronic LLD
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
® Sump Sensor

FMP-ULS
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Fill Piping
Fill Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
® Sump Sensor

FMP-ULS
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Vent Piping
Vent Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Vapor Recovery Piping
Vapor Recovery Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Monitoring Device Used
Device Model #
Monitoring Device Used
Device Model #
TanklD:
(By tank number, stored product, etc.)
TanklD:
(By tank number, stored product, etc.
❑ In -tank Gauging (SW Tank)
❑ In -tank Gauging (SW Tank)
❑ Annular Space or Vault Sensor
❑ Annular Space or Vault Sensor
❑ VPH Sensor
❑ VPH Sensor
Product Piping
Product Piping
❑ Mechanical LLD
❑ Mechanical LLD
❑ Electronic LLD
❑ Electronic LLD
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Fill Piping
Fill Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Vent Piping
Vent Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
Vapor Recovery Piping
Vapor Recovery Piping
❑ VPH Sensor (Piping)
❑ VPH Sensor (Piping)
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor (Sump)
❑ VPH Sensor (Sump)
ID = Identification, SW = Single -walled, VPH = VacuumlPressurelHydrostatic, LLD = Line leak detector

UNDERGROUND STORAGE TANK
MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6)
Monitoring Device Used
Device Model #
Monitoring Device Used Device Model #
Vent/Transition Sump ID:

Vent/Transition Sump ID:
❑ Sump Sensor
❑ Sump Sensor
❑ VPH Sensor
❑ VPH Sensor
UDC ID:

UDC ID:
❑ Electronic Sensor
❑ Electronic Sensor
❑ Mechanical Device
❑ Mechanical Device
❑ VPH Sensor
❑ VPH Sensor
UDC ID:

UDC ID:
❑ Electronic Sensor
❑ Electronic Sensor
❑ Mechanical Device
❑ Mechanical Device
❑ VPH Sensor
❑ VPH Sensor
UDC ID:

UDC ID:
❑ Electronic Sensor
❑ Electronic Sensor
❑ Mechanical Device
❑ Mechanical Device
❑ VPH Sensor
❑ VPH Sensor
UDC ID:

UDC ID:
❑ Electronic Sensor
❑ Electronic Sensor
❑ Mechanical Device
❑ Mechanical Device
❑ VPH Sensor
❑ VPH Sensor
Other Monitored Component ID:

Other Monitored Component ID:
❑ Other (Specify in section Vll.)
I
1 ❑ Other (Specify in section Vll.)
Other Monitored Component ID:

Other Monitored Component ID:
❑ Other (Specify in section VII.)
I
I ❑ Other (Specify in section VII.)
Other Monitored Component ID:

Other Monitored Component ID:
❑ Other (Specify in section Vll.)
❑ Other (Specify in section VII.)
Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system control panel monitors more components than this form accommodates, additional copies of these pages may be attached.

VII. COMMENTS
Use this section to provide any additional comments about the inventory of the equipment certified.

ID = Identification, VPH = Vacuum/Pressure/Hydrostatic, UDC = Under -dispenser containment

UNDERGROUND STORAGE TANK
MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6)
VIII. MONITORING SYSTEM AND PROGRAMMING
This section must be completed if a monitoring panel is used to perform leak detection monitoring.

Y
N
NA
Are the visual and audible alarms operational?
®
❑
❑
Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, functionally tested, and confirmed operational?
®
❑
❑
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation?
®
❑
❑
Was monitoring system set-up reviewed to ensure proper settings? ®
❑
❑
Was the monitoring panel's backup battery visually inspected, functionally tested, and confirmed operational? ❑
❑
Does the flow of fuel stop at the dispenser if a leak is detected in the under -dispenser containment? ❑
❑
Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically disconnected?
❑
❑
Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? Which sensors initiate positive shut down? (Check all that apply.) ❑ Sump ❑ Under -dispenser containment ❑
❑
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? ❑
❑
For any answer of "N" above, describe in section IX how and when these deficiencies were or will be corrected.

IX. COMMENTS
X. IN -TANK GAUGING TESTING
® Check this box if tank gauging is used only for inventory control. (Do not complete this section.) ❑ Check this box if NO tank gauging equipment is installed. (Do not complete this section.) This section must be completed if in -tank gauging is used to perform leak detection monitoring.

Y
N
NA
Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination, including testing for ground faults?
❑
❑
❑
Were all in -tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally tested, and confirmed operational?
❑
❑
❑
Was accuracy of system's product level readings tested? ❑
❑
❑
Was accuracy of system's water level readings tested?
❑
❑
❑
Were all probes reinstalled properly?
❑
❑
❑
Were all items on the equipment manufacturer's maintenance checklist completed? ❑
❑
❑
For any answer of "N" above, describe in section XI how and when these deficiencies were or will be corrected.

XI. COMMENTS
Y = Yes, N = No, NA = Not Applicable

UNDERGROUND STORAGE TANK
MONITORING SYSTEM CERTIFICATION FORM (Page 5 of 6)
XII. LINE LEAK DETECTOR TESTING
® Check this box if line leak detectors (LLD) are NOT installed. (Do not complete this section.) This section must be completed if LLDs are installed.

Y
N
NA
Was a leak simulated to verify LLD performance?
Check all that apply.) Simulated leak rate verified: ❑ 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH ❑
❑
❑
Was the testing apparatus properly calibrated?
❑
❑
❑
For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? ❑
❑
❑
For mechanical LLDs, does the LLD restrict the flow through the pipe when a leak is detected? ❑
❑
❑
For electronic LLDs, does the turbine automatically shut off when a leak is detected? ❑
❑
❑
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑
❑
❑
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑
❑
❑
For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? ❑
❑
❑
Were all items on the equipment manufacturer's maintenance checklist completed? ❑
❑
❑
Were all LLDs confirmed operational within regulatory requirements? ❑
❑
❑
For any answer of "N" above, describe in section Xlll how and when these issues were or will be corrected.

XIII. COMMENTS
XIV. VACUUM / PRESSURE/ HYDROSTATIC MONITORING EQUIPMENT TESTING ® Check this box if VPH monitoring is NOT used. (Do not complete this section.) This section must be completed if VPH monitoring is used to perform leak detection monitoring.

System Type (Mark all that apply.) ❑ Vacuum ❑ Pressure ❑ Hydrostatic Sensor ID
Component(s) Monitored by this Sensor
Sensor Functionality
Test
Interstitial Communication
Test
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass Cl Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
❑ Pass ❑ Fail
❑ Pass
❑ Fail
How was interstitial communication verified? ❑ Simulated leak at far ends of the interstitial space. ❑ Visual Inspection ❑ Other (Describe the method in section XV below.) ❑ Gauge Was the vacuum or pressure restored to operating levels in all interstitial spaces? ❑ Yes ❑ No (Describe the reason in section XV below.)
For any answer of "FAIL" above, describe in section XV how and when these issues were or will be corrected.

XV. COMMENTS
GPH = Gallons per hour, Y = Yes, N = No, NA = Not applicable, VPH = Vacuum/Pressure/Hydrostatic, ID = Identification

UNDERGROUND STORAGE TANK
SPILL CONTAINER TESTING REPORT FORM (Page 1 of 1)
Type of Action ❑ Installation Test ❑ Repair Test ® 12 Month Test I. FACILITY INFORMATION

CERS ID
10515319
Date of Spill Container Test
9/16/2020
Business Name (Same as Facility Name or DBA-Doing Business As.)

MARRIOTT NEWPORT BEACH
Business Site Address
900 NEWPORT CENTER DRIVE
City

NEWPORT BEACH
ZIP Code
92660
II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of UST Service Technician Performing the Test (Print as shown on the ICC Certification.)

ENRIQUE AGUIRRE
Phone #
(951) 779 - 4999 Ext.

Contractor/Tank Tester License #
803705
ICC Certification #
5282018
ICC Certification Expiration Date
1 /15/2022
Spill Container Testing Training and Certifications (List applicable certifications.) OPW VR-102 CERT #100954 EXP: 5/1/2022
III. SPILL CONTAINER TESTING INFORMATION
Test Method Used:
® Manufacturer Guidelines: (Specify) OPW VR-102
❑ Industry Code or Engineering Standard: (Specify)
❑ Engineered Method: (Specify)
Attach the testing procedures and all documentation required to determine the results. # of Attached Pages
Tank ID: (By tank number, stored product, etc.)
T1 DSL FILL
Spill Container Manufacturer:

OPW
Method of Cathodic Protection
® Non -Metallic
❑ Isolation
❑ Other
(Specify in section V.)
❑ Non -Metallic
❑ Isolation
❑ Other
(Specify in section V.)
❑ Non -Metallic
❑ Isolation
❑ Other
(Specify in section V.)
❑ Non -Metallic
❑ Isolation
❑ Other
(Specify in section V.)
Inside Diameter of Spill Container: (Inches)
12"
Depth of Spill Container: (Inches)
1211
Does the spill container have a 5 gallon capacity?
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Method to Keep Spill Container Empty
® Drain Valve
❑ Onsite Pump
❑ Other
(Specify in section V.)
❑ Drain Valve
❑ Onsite Pump
❑ Other
(Specify in section V.)
❑ Drain Valve
❑ Onsite Pump
❑ Other
(Specify in section V.)
❑ Drain Valve
❑ Onsite Pump
❑ Other
(Specify in section V.)
IV. SUMMARY OF TESTING

RESULTS
Spill Container Test Results ® Pass ❑ Fail
❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail
V. COMMENTS
All items marked "Fail' above must be explained in this section. Any additional comments may also be provided here.

VI. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS TESTING I hereby certify that the spill containers were tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.1 and all the information contained herein is accurate.

UST Service Technician Signature
If the facility has more components than this form accommodates, additional copies of this page may be attached.

CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council

MARRIOTT NEWPORT BEACH
900 NEWPORT CENTER DRIVE
NEWPORT BEACH, 92660
Prepared by: Tank-Tek Environmental Corp. 3672 Chicago Ave STE B Riverside, CA 92507
951.779.4999
.K
i
:1-U LS

FMP-ULS
'-EIS

VAPOR VO ANNULAR

OA MONITOR
❑M PIPING
OP

FILL OF TURBINE

OT VENT
0 ATG

ALARM

TIMEOUT
0 NIGH LIM
OFF

LOW LIM
OFF
MODE CHAN 1
NATIVE

HIGH HIGH
OFF
BAUD CHFiN 1
1200

LOW LOW
OFF
DATA BITS 1
S

WATER LIM
OFF
STOP BITS 1
1 LEAK LIM
OFF
PARITY 1
NONE

SYSFAIL
OFF

NEWPORT MARRIOTT
SECURITY 1
THEFT
OFF
900 NEWPORTCENTER'. DR.

ACCESS 1
NEWPORT BEACH, CA. 92660
PHONE i
RELAY
SITE 4 714 640-4000
RFDIAI_ 1

DISABLED

TIMEOUT
15 ACCESS 2

HIGH LIM
OFF
9/16/2020 12:12 PM
PHONE 2

LOW LIM
OFF
SYST17M SETUP REPORT
REDIAL 2

DISABLED

HIGH HIGH
OFF
ACCESS 3
LfJlxl LOW
OFF
SOFTWARE VERSION 0.9910
PHONE 3

WATER LIM
OFF
R:EDIAL 3

DISABLED

LEAK LIM
OFF
LOCATION 1 NEWPORT MARR..

ACCESS 4

SYSFAIL
OFF
LOCATION 2 TOTT
PHONE 4
THEFT
OFF
STREET 1 900 NEWPORT
REDIAL 4

DISABLED
STREET 2 CENTER DR.

DIAL DELIU

STD ALARM
CITY 1 NEWPORT BEAT=

DIAL ALARM
ALARM '1
ON
CITY 2 H

DIAL LEAK
ALARM 2
AN
STATE CA.

ALARM 3
Qf'1
ZIP CODE 92660
SCHD INVlR4'
NONE
ALARM 4
OFF
'SITE # 714 640-4000

TIMEI INUTR
12:00 AM
ALARM 5
OFF
1IME2 INUTR
12:00 AM
ALARM 6
OFF

VOL UNITS GALLONS
TIME: INUTR
12:00 AM
ALARM 7
OFF

LEVEL UNITS INCHES

SCHD INURC
NONE

ALARM B
OFF

TEMP UNITS FAHRENHEIT
TIME.1 INURC
12:00 AM
TIME STYLE 12 HOUR
TIME2 INURC
12:00 AM

STD RELAY
DATE STYLE Mt9rDD/YY
TIME3 INURC
12:00 AI'9
ALARM
OFF

DAYLIGHT SAV ENABLED

SCHD DLHST
NONE
ALARM 2
OFF
SET MIME 12:12 PM
FTME1 DLHST
12:00 AM
ALARM 3
OFF
SET DATE 09/16/2020
TIME2 DLHST
12:00 AM
ALARM 4
OFF
TIME3 DLHST
12:00 AM
ALARM 5
OFF
NO. TANKS 1.

SCHD ALHST
NONE
ALARM E.

OFF
LE -"AK LIMIT 2,00
TIhiEi ALHST

12.00 AM
ALARM 7
OFF
THEFT LIMIT 10.00
TIME2 ALHST
12:00 AM

ALARM B
OFF
DELIU LIMIT 500.00
TIME3 ALHST
12:00 AM

SNTNL MODE OFF

SCHD ACT AL
NONE
STD
START SNTNL. 12:00 AM
TIME1 ACTAL
12:00 AM
ALARM 1
STD i ANNUL.A
END SNTNL 12:00 AM
TIME2 ACTAL
12:00 AM
ALARM 2
STD 2 FILL
DELIU DELAY 1.5
TIME3 ACTAL
12:00 AM
ALARM 3
STD 3 PIPES

REPORT DELIU ENABLED

SCHD ALST
NONE
ALARM 4
STD 4

REPORT ALRRS ENABLED
TIMEi ALST
12:00 AM
ALARM 5
STD 5

REPORT TESTS ENABLED
TIME2 ALST
12:00 AM
ALARM 6
STD 6
NO. OF ALARMS 50
TIME3 ALST
12:00 AM
RLARM 7
STD 7
PRINT INTERVAL 1.00

ALARM B
STD 8

CONFIDENCE

99.0%

LEAK TEST

0.10 SENSOR TYPE

SCHD TEST
SENSOR 1
STD
TANK 1
NONE
SENSOR 2
STD

TIME TEST

SENSOR '
STD
TANK 1
12:00 AM
SENSOR 4
STD
SENSOR 5
STD
SENSOR 6
STD
SENSOR 7
S1'D

SENSOR 'B
STD

42.000
4296.6

43.000
4437.1

44.000
4579.4

45.000
4721.9

STRAPPING
DATA

46.000
4864.4
INCHES

GALLONS

47.000
5006.9
NEWS
900 Flf.
'

0.000

0.0 48.000
5148.7
HEWP00 BLICH,
CA. 92660

1.000

16.3 49.000
5290.4
SITE # 714
40-4000

2.000

47.8 '50.000
5431.9

3.000

89.1 51.000
5571..7
9/16/2020
O3c33 PM

4.000
136.0

52.000
5711.2
TANK: SETUP
REPORT

5.000
189.4

53.000
5850.2

6.000
248.6
734.00O
5988.3
TANK NO. 1 9728

GAL GAL

7.000
313.0

55.000
6126.9
DIESEL

8.000
382.0

56.000
6262.6

9.000
454.E

57.000
6397.6

TANK TYPE
DIESEL

10.000
531..2

58.000
6532.0

TANK DIMS

92.0 369

11.000
611.5
59,000
6664.5

TANK SIZE
9729 GAL

12.000
695.1

60.000
r,796.2

TANK SHAPE

STANDARD

1.3.000
782.0

61.000
6927.0

STANDARD
15 la.000
074.0

62.000
7055.5

PRODUCT
DIESEL

1.5.000
963.7

63.000
7182.9
O1-FSET P

0.22 16.000
1066.1

64.00O
�1307.9

OFFSET W

01.00 17.000
1166.1,

65.000
7431.6

MANIFOLD
NONE

18.000 >
1269.0

66.000
7554.0
PROBE
SID 101

19.000
1374.1

67.000
7674.9
FLOA'f5
2 20.000

1.432.2

68.000
7793.2
FLOAT TYPE'.

OIL

21.000

1.592.:3

69.000
7910.0

GRADIENT

3.9027

22.000

1.704.3

70.00O
8023.7

SENSOR LENGTH
101
2:3,000.
1818.O

71.000
8135.7

HIGH LIMIT

82.5O

24.000
1934.8

72.000
8245.8

LOW LIMIT
1000.00

25.000
2053.1

73.000
8353.9

HIGH HIGH

37.00 26.000
2174.0

74.000
8-458.9

LOW LOW
600.00

27.000
2296.4

75.00O
8561.6

WATER LIMIT

4.00 28.0OO
2420.1

76.000
8662.0

TEMP COMP
API 68;546

29.000
2545.1

77.000
8759.3
API GRAOIT'd

32.80 60.000
2672.7

78.0040
8855.0
ALPHA

45.00 31.000.,
28O1.4

79.000
6945.2
NO. RTDS
5 32.000
2931.1

80.000
9O3:2.4
RTD LOC 1

11.49 33.000
3063.1

81.000
9116.4
RTD LOC 2

30.93 34.000
3196.0

32.000
9196.9
RTD LOC: 3

45.81 35.000
3,330.4

83.000
9273.8
RTD LOC 4
60„47

36.000
3465.4

84.000
9346.7
RTD LOC 5

77.19 37.000
3601.1

85.000
9415.2
I 38.000
3733.8

86.000
9479.2

39.000
3377.0

87.000
9537.9

40.000
4016.5

88.000
9591.7

41.000
4156.4

89.000
9638.9

90.000
9680.2

91.000
9711.7

92.000
9728.0

1/6/2020
12:18
AM
9/6/2019
10:26
AM

POWER DOWN

SYSTEM FAIL

FLOAT MISSING
1/6/2020
12:16
AM
TANK NO. I

POWER UP
9/6r2019
10:29
AM
1/6/2020
03:33
AI'9

LOW LIMIT
POWER. DOWN
TANK NO, 1
�J
1/6/2020
03:33
AM
9/6/201,9
10:29
AM

POWER UP

LOW LOIN
TANK NO. 1
6/24/2020
09:49
AM

POWER DOWN
9/6/2019
10:29
AM
NEWPORT MAR.RIOTT

SYSTEM FAIL
NE!.Jf':iRTOEl1TEF.
bR.

FLOAT MISSING
6f24/'2020
0:+:49
AN

NEWPORT BEACH,
CA. 92660
TANK: I10. 1

POWER UP
SITE # 714 640-4000
7r1/2020
12:16
AM
10/3/20
0:46
All

POWER (DOWN
9/9/16/2020
03:09
PM
N

POWER DOWN

ALARM HISTORY
REPORT
7/1/2020
12':1.6
AM
10/3/2019
10a46
AIM

POWER UP
9/6/2019
10:09
AM

POWER UP
STD 2: PILL
7/1.r2020
06:26
RM
10/3/201

11.:00
AM

POWER DOWN
9/6/201.9
10 13
AIt

POWER DOWN
STD i ANNULA
?/1/2020
06:26
AM
10/3/2019N
11a00
AIM

POWER UP
9/6/2019
10:20
AM

POWER UP

SYSTEM FAIL

FLOAT MISSING
10/24/2019
09:58
Rt9
12:51
AM
POWER2iDOW

POWER DOWN
TANK NO. 1

POWER DOWN
9/6/2019
10:21
AM
10/24/2019
09:'ti9
AM
7/2,8/2020
12:51
AM

LOW LIMIT

POWER UP

POWER LIP
TANK NO. 1
?/28/2020
04:22
RI'9
10/24/2:019
10:08
All
POWER. DOWN
9/6/2019
10:21
All

POWER DOWN

LOW LOW
TANK NO. 1
10/24/2019
10:08
AM
7/28/2020
04:22
AM

POWER UP

POWER UP
9:'6/201.9
10:22
AM
9/16/2020
01:23
PM

SYSTEM FAIL
12/1.0/2019
12:33
PM
STD 3 PIPES

FLOAT MISSING

POWER DOWN
TANK NO, 1
9/16/2020
01:26
PI'9
12/10r2019
12:33
PM
STD 2 FILL
9/6/2019
10_ 22
AM

POKIER UP

SYSTEM FAIL
9/16/L020
01:30
PM

FLOAT MISSING
12/10/2019
01:14
PM
STD 1 ANNULA
TANK NO. 1

POWER DOWN

1.0:26
AM
01:15
PM
9:'16/2020
i9/6/20'19 STD 1 ANNULA
ail':32
PM12/10/201J

HIGH LIMIT

POWER UP
TANK NO. 1
9/16/2020
G12:22
PM
12/21/291.9
06:06
AM
STD 1 ANNULA

POWER DOWN
1 9/16/2020
02:37
PM
12/21/2019
07:21
AM
STD 1 ANNULA

POWER UP
9/16/2020
02:39
PM
12/21/2019
01:53 PM
STD 1 ANNULA

POWER DOWN
02:�45
PM
12r21/2019
PM9/16/2020
01:53 P
STD 1 ANNULA

POWER UP

UNDERGROUND STORAGE TANK
OVERFILL PREVENTION EQUIPMENT INSPECTION REPORT FORM (Page 1 of 1) Type of Action ❑ Installation Inspection ❑ Repair Inspection ❑ 36 Month Inspection I. FACILITY INFORMATION

CERS ID
Date of Overfill Prevention Equipment Inspection
Business Name (Same as Facility Name or DBA-Doing Business As) Business Site Address
City
ZIP Code
II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of UST Service Technician Performing the Inspection (Print as shown on the ICC Certification.) Phone #
Contractor / Tank Tester License #
ICC Certification #
ICC Certification Expiration Date
Overfill Prevention Equipment Inspection Training and Certifications (List applicable certifications.) III. OVERFILL PREVENTION EQUIPMENT INSPECTION INFORMATION Inspection Method
Used:
❑ Manufacturer Guidelines (Specify):
❑ Industry Code or Engineering Standard (Specify):
❑ Engineered Method (Specify):

Attach the inspection procedures and all documentation required to determine the results. # of Attached Pages
TANK ID: (By tank number, stored product, etc.)
What is the tank inside diameter? (Inches)
Is the fill piping secondarily contained?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Is the vent piping secondarily contained?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Overfill Prevention Equipment Manufacturer(s)
What is the overfill prevention equipment response
when activated?
(Check all that apply.)
❑ Shuts Off Flow
❑ Restricts Flow
❑ A/V Alarm
❑ Shuts Off Flow
❑ Restricts Flow
❑ AN Alarm
❑ Shuts Off Flow
❑ Restricts Flow
❑ AN Alarm
❑ Shuts Off Flow
❑ Restricts Flow
❑ A/V Alarm
Are flow restrictors installed on vent piping?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
At what level in the tank is the overfill prevention set to activate? (Inches from bottom of tank.)
What is the percent capacity of the tank at which the
overfill prevention equipment activates?
Is the overfill prevention in proper operating condition to respond when the substance reaches the
appropriate level?
❑ Yes
❑ No (Specify in V.)
❑ Yes
❑ No (Specify in V.)
❑ Yes
❑ No (Specify in V.)
❑ Yes
❑ No (Specify in V.)
IV. SUMMARY OF INSPECTION

RESULTS
Overfill Prevention Inspection Results ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail V. COMMENTS
Any items marked "Fail' must be explained in this section. Any additional comments may also be provided here.

VI. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS INSPECTION ccordance with California Code of Regulations, Title 23, I hereby certify that the overfill prevention equi-,m);nt was inspected i113 Division 3, Chapter 16, Section 2637.2 an .all the information c �ntai�herein is accurate.

UST Service Technician Signature
z—
If the facility has more components tKan this form a;commodates, additional copiels of this page may be attached.

CERS = California Environmental Reporfing System, ID = Identification, UST = Underground Storage Tank, ICC = Intemational Code Council, AN = Audible and Visual

8'-10000 DWT6 Double -Wall Tank
9696 Gals

DIPSTICK
I GALLONS 11

DIPSTICK
I GALLONS 11

DIPSTICK

GALLONS

DIPSTICK
GALLONS 11

DIPSTICK

GALLONS
1 /8
1 /4
5 6 1 /8
278
12 1 /8
743
18 1 /8
18 1 /4
1330
1343
24 1 /8
2008
7 6 1 /4
286
12 1 /4
754
24 1 /4
2023
3/8
10 6 3/8
294
12 3/8
765
18 3/8
1357
24 3/8
2037
1 /2
12 6 1 /2
303
12 1 /2
776
18 1 /2
1370
24 1 /2
2052
5/8
15 6 5/8
311
12 5/8
787
18 5/8
1383
24 5/8
2067
3/4
7/8
19 22
6 3/4
6 7/8
319
328
12 3/4
12 7/8
799
810
18 3/4
18 7/8
1397
1410
24 3/4
24 7/8
2082
2097
1 1 1 /8
26 7
7 1 /8
336
13 821
833
19 1424
1437
25 2112
29 345
13 1 /8
19 1 /8
25 1 /8
2128
1 1 /4
33 7 1 /4
354
13 1 /4
844
19 1 /4
1451
25 1 /4
2143
1 3/8
37 7 3/8
362
13 3/8
856
19 3/8
1465
25 3/8
2158
1 1 /2
42 7 1 /2
371
13 1 /2
868
19 1 /2
1478
25 1 /2
2173
1 5/8
46 7 5/8
380
13 5/8
879
19 5/8
1492
25 5/8
2188
1 3/4
50 7 3/4
389
13 3/4
891
19 3/4
1506
25 3/4
2203
1 7/8
1 55 1
7 7/8
1 398 1
13 7/8
903 1
19 7/8
1519 1
25 7/8
2219
2 60
8 407
14 915
20 1533
26 2234
2 1 /8
65 8 1 /8
416
14 1 /8
927
20 1 /8
1547
26 1 /8
2249
2 1 /4
70 8 1 /4
426
14 1 /4
938
20 1 /4
1561
26 1 /4
2265
2 3/8
75 8 3/8
435
14 3/8
950
20 3/8
1575
26 3/8
2280
2 1 /2
80 8 1 /2
444
14 1 /2
962
20 1 /2
1589
26 1 /2
2295
2 5/8
86 8 5/8
454
14 5/8
974
20 5/8
1603
26 5/8
2311
2 3/4
91 8 3/4
463
14 3/4
987
20 3/4
1617
26 3/4
2326
2 7/8
1 97 1
8 7/8
1 473 1
14 7/8
1 999 1
20 7/8
1 1631 1
26 7/8
1 2342
3 103
9 483
15 1011
21 1645
27 2357
3 1 /8
109
9 1 /8
492
15 1 /8
1,023
21 1 /8
1659
27 1 /8
2373
3 1 /4
115
9 1 /4
502
15 1 /4
1,035
21 1 /4
1673
27 1 /4
2388
3 3/8
121
9 3/8
512
15 3/8
1,048
21 3/8
1687
27 3/8
2404
3 1 /2
127
9 1 /2
522
15 1 /2
1,060
21 1 /2
1702
27 1 /2
2419
3 5/8
133
9 5/8
532
15 5/8
1,073
21 5/8
1716
27 5/8
2435
3 3/4
140
9 3/4
542
15 3/4
1,085
21 3/4
1730
27 3/4
2450
3 7/8
1 146
9 7/8
1 552 1
15 7/8
1 1,098 1
21 7/8
1 1745
27 7/8
1 2466
4 153
10 562
16 1,110
22 1759
28 2482
4 1 /8
159
10 1 /8
572
16 1 /8
1,123
22 1 /8
1773
28 1 /8
2497
4 1 /4
166
10 1 /4
582
16 1 /4
1,135
22 1 /4
1788
28 1 /4
2513
4 3/8
173
10 3/8
593
16 3/8
1,148
22 3/8
1802
28 3/8
2529
4 1 /2
180
10 1 /2
603
16 1 /2
1,161
22 1 /2
1817
28 1 /2
2545
4 5/8
187
10 5/8
613
16 5/8
1,174
22 5/8
1831
28 5/8
2560
4 3/4
4 7/8
194
201 1
10 3/4
10 7/8
624
1 634
16 3/4
16 7/8
1,186
1 1199 1
22 3/4
22 7/8
1846
1 1860 1
28 3/4
2576
28 7/8
1 2592
5 5 1 /8
209
11 11 1 /8
645
17 1212
23 1875
1889
29 2608
216
655
17 1 /8
1225
23 1 /8
29 1 /8
2624
5 1 /4
223
11 1 /4
666
17 1 /4
1238
23 1 /4
1904
29 1 /4
2640
5 3/8
231
11 3/8
677
17 3/8
1251
23 3/8
1919
29 3/8
2655
5 1 /2
239
11 1 /2
688
17 1 /2
1264
23 1 /2
1934
29 1 /2
2671
5 5/8
246
11 5/8
699
17 5/8
1277
23 5/8
1948
29 5/8
2687
5 3/4
254
11 3/4
709
17 3/4
1290
23 3/4
1963
29 3/4
2703
5 7/8
262
11 7/8
720
17 7/8
1303
23 7/8
1978
29 7/8
2719
6 270
1 12
1 731
18 1317
24 1993
30 2735
Containment Solutions, Inc.

8'-10000 DWT6 Double -Wall Tank
9696 Gals

DIPSTICK
I GALLONS 11

DIPSTICK
I GALLONS 11

DIPSTICK
GALLONS 11

DIPSTICK

GALLONS

DIPSTICK

I GALLONS
30 1/8
30 1 /4
2751
36 1/8
3541
42 1/8
4357
48 1/8
5184
5201
54 1/8
6004
2767
36 1 /4
3557
42 1 /4
4375
48 1 /4
54 1 /4
6021
30 3/8
2783
36 3/8
3574
42 3/8
4392
48 3/8
5218
54 3/8
6038
30 1 /2
2800
36 1 /2
3591
42 1 /2
4409
48 1 /2
5236
54 1 /2
6055
30 5/8
2816
36 5/8
3608
42 5/8
4426
48 5/8
5253
54 5/8
6071
30 3/4
30 7/8
2832
1 2848
36 3/4
36 7/8
3625
1 3642
42 3/4
42 7/8
4443
4460
48 3/4
48 7/8
5270
5287
54 3/4
54 7/8
6088
1 6105
31 31 1/8
2864
37 37 1/8
3658
43 4478
49 5304
5322
55 6122
2880
3675
43 1/8
4495
49 1/8
55 1/8
6139
31 1 /4
2896
37 1 /4
3692
43 1 /4
4512
49 1 /4
5339
55 1 /4
6156
31 3/8
2913
37 3/8
3709
43 3/8
4529
49 3/8
5356
55 3/8
6172
31 1 /2
2929
37 1 /2
3726
43 1 /2
4547
49 1 /2
5373
55 1 /2
6189
31 5/8
2945
37 5/8
3743
43 5/8
4564
49 5/8
5390
55 5/8
6206
31 3/4
2961
37 3/4
3760
43 3/4
4581
49 3/4
5408
55 3/4
6223
31 7/8
1 2978 1
37 7/8
1 3777 1
43 7/8
4598
49 7/8
5425
55 7/8
1 6239
32 2994
38 3794
44 4615
50 5442
56 6256
32 1/8
3010
38 1/8
3811
44 1/8
4633
50 1/8
5459
56 1/8
6273
32 1 /4
3027
38 1 /4
3828
44 1 /4
4650
50 1 /4
5476
56 1 /4
6289
32 3/8
3043
38 3/8
3845
44 3/8
4667
50 3/8
5493
56 3/8
6306
32 1 /2
3059
38 1 /2
3862
44 1 /2
4684
50 1 /2
5510
56 1 /2
6323
32 5/8
3076
38 5/8
3879
44 5/8
4702
50 5/8
5527
56 5/8
6339
32 3/4
3092
38 3/4
3896
44 3/4
4719
50 3/4
5545
56 3/4
6356
32 7/8
1 3109
38 7/8
3913 1
44 7/8
1 4736
50 7/8
1 5562 1
56 7/8
1 6373
33 3125
39 3930
45 4753
51 5579
57 6389
33 1/8
3141
39 1/8
3947
45 1/8
4771
51 1/8
5596
57 1/8
6406
33 1 /4
3158
39 1 /4
3964
45 1 /4
4788
51 1 /4
5613
57 1 /4
6423
33 3/8
3174
39 3/8
3981
45 3/8
4805
51 3/8
5630
57 3/8
6439
33 1 /2
3191
39 1 /2
3998
45 1 /2
4822
51 1 /2
5647
57 1 /2
6456
33 5/8
3207
39 5/8
4015
45 5/8
4839
51 5/8
5664
57 5/8
6472
33 3/4
3224
39 3/4
4032
45 3/4
4857
51 3/4
5681
57 3/4
6489
33 7/8
1 3240 1
39 7/8
1 4049 1
45 7/8
1 4874 151
7/8
1 5698
57 7/8
1 6505
34 3257
40 4066
46 4891
52 5715
58 6522
34 1/8
3274
40 1/8
4083
46 1/8
4908
52 1/8
5732
58 1/8
6538
34 1 /4
3290
40 1 /4
4100
46 1 /4
4926
52 1 /4
5749
58 1 /4
6555
34 3/8
3307
40 3/8
4117
46 3/8
4943
52 3/8
5767
58 3/8
6571
34 1 /2
3323
40 1 /2
4134
46 1 /2
4960
52 1 /2
5784
58 1 /2
6588
34 5/8
3340
40 5/8
4152
46 5/8
4977
52 5/8
5801
58 5/8
6604
34 3/4
34 7/8
3357
1 3373 1
40 3/4
40 7/8
4169
1 4186 1
46 3/4
46 7/8
4995
1 5012 1
52 3/4
52 7/8
5818
1 5835 1
58 3/4
58 7/8
6620
1 6637
35 35 1/8
3390
41 41 1/8
4203
47 5029
53 5852
5868
59 6653
3407
4220
47 1/8
5046
53 1/8
59 1/8
6670
35 1 /4
3423
41 1 /4
4237
47 1 /4
5064
53 1 /4
5885
59 1 /4
6686
35 3/8
3440
41 3/8
4254
47 3/8
5081
53 3/8
5902
59 3/8
6702
35 1 /2
3457
41 1 /2
4271
47 1 /2
5098
53 1 /2
5919
59 1 /2
6718
35 5/8
3474
41 5/8
4289
47 5/8
5115
53 5/8
5936
59 5/8
6735
35 3/4
3490
41 3/4
4306
47 3/4
5132
53 3/4
5953
59 3/4
6751
35 7/8
3507
41 7/8
4323
47 7/8
5150
53 7/8
5970
59 7/8
6767
36 3524
1 42
4340
48 5167
54 5987
1 60
6784
Containment Solutions, Inc.

8'-10000 DWT6 Double -Wall Tank
9696 Gals

DIPSTICK

I GALLONS

DIPSTICK
I GALLONS 11

DIPSTICK

GALLONS

DIPSTICK

I GALLONS

DIPSTICK

GALLONS
60 1/8
6800
66 1/8
7553
72 1/8
8245
78 1/8
8852
8863
84 1/8
9,342
60 1 /4
6816
66 1 /4
7569
72 1 /4
8259
78 1 /4
84 1 /4
9,351
60 3/8
6832
66 3/8
7584
72 3/8
8272
78 3/8
8875
84 3/8
9,360
60 1 /2
6848
66 1 /2
7599
72 1 /2
8286
78 1 /2
8886
84 1 /2
9,368
60 5/8
6864
66 5/8
7614
72 5/8
8299
78 5/8
8898
5/8
84a84�/
9,377
60 3/4
- _-
60 7/8
6881
- -
6897
66 3/4
- --
66 7/8
7629
-
7644
72 3/4
--- -
72 7/8
8313
8326
78 3/4
78 7/8
8909
------------
8920
9,385
9,394
61 61 1/8
6913
67 67 1/8
7659
73 8340
79 8931
8943
85 9,402
6929
7674
73 1/8
8353
79 1/8
85 1/8
9,410
61 1 /4
6945
67 1 /4
7689
73 1 /4
8366
79 1 /4
8954
85 1 /4
9,418
61 3/8
6961
67 3/8
7703
73 3/8
8379
79 3/8
8965
85 3/8
9,426
61 1 /2
6977
67 1 /2
7718
73 1 /2
8393
79 1 /2
8976
85 1 /2
9,434
61 5/8
6993
67 5/8
7733
73 5/8
8406
79 5/8
8987
85 5/8
9,442
61 3/4
7009
67 3/4
7748
73 3/4
8419
79 3/4
8998
85 3/4
9,450
61 7/8
7025
67 7/8
1 7763 1
73 7/8
8432
79 7/8
1 9008
85 7/8
9,458
62 7041
68 7777
74 8445
80 9019
86 9,465
62 1/8
7057
68 1/8
7792
74 1/8
8458
80 1/8
9030
86 1/8
9,473
62 1 /4
7072
68 1 /4
7807
74 1 /4
8471
80 1 /4
9041
86 1 /4
9,480
62 3/8
7088
68 3/8
7821
74 3/8
8484
80 3/8
9051
86 3/8
9,488
62 1 /2
7104
68 1 /2
7836
74 1 /2
8497
80 1 /2
9062
86 1 /2
9,495
62 5/8
7120
68 5/8
7850
74 5/8
8510
80 5/8
9072
86 5/8
9,502
62 3/4
7136
68 3/4
7865
74 3/4
8523
80 3/4
9083
86 3/4
9,509
62 7/8
7152
68 7/8
7880 1
74 7/8
1 8535 1
80 7/8
1 9093
86 7/8
9,516
63 7167
69 7894
75 8548
81 9104
87 9,523
63 1/8
7183
69 1/8
7908
75 1/8
8561
81 1/8
9114
87 1/8
9,530
63 1 /4
7199
69 1 /4
7923
75 1 /4
8573
81 1 /4
9124
87 1 /4
9,537
63 3/8
7214
69 3/8
7937
75 3/8
8586
81 3/8
9134
87 3/8
9,544
63 1 /2
7230
69 1 /2
7952
75 1 /2
8599
81 1 /2
9144
87 1 /2
9,550
63 5/8
7246
69 5/8
7966
75 5/8
8611
81 5/8
9155
87 5/8
9,557
63 3/4
7261
69 3/4
7980
75 3/4
8624
81 3/4
9165
87 3/4
9,563
63 7/8
7277 1
69 7/8
7994 1
75 7/8
1 8636 181
7/8
1 9174
87 7/8
9,569
64 7293
70 8009
76 8648
82 9184
88 9,575
64 1/8
7308
70 1/8
8023
76 1/8
8661
82 1/8
9194
88 1/8
9,582
64 1 /4
7324
70 1 /4
8037
76 1 /4
8673
82 1 /4
9204
88 1 /4
9,588
64 3/8
7339
70 3/8
8051
76 3/8
8685
82 3/8
9214
88 3/8
9,593
64 1 /2
7355
70 1 /2
8065
76 1 /2
8697
82 1 /2
9223
88 1 /2
9,599
64 5/8
7370
70 5/8
8079
76 5/8
8710
82 5/8
9233
88 5/8
9,605
64 3/4
64 7/8
7385
7401 1
70 3/4
70 7/8
8093
8107
76 3/4
76 7/8
8722
1 8734 1
82 3/4
82 7/8
9242
1 9252 1
88 3/4
88 7/8
9,610
1 9,616
65 65 1/8
7416
71 71 1/8
8121
77 8746
83 9261
9270
89 9,621
7432
8135
77 1/8
8758
83 1/8
89 1/8
9,626
65 1 /4
7447
71 1 /4
8149
77 1 /4
8770
83 1 /4
9280
89 1 /4
9,631
65 3/8
7462
71 3/8
8163
77 3/8
8781
83 3/8
9289
89 3/8
9,636
65 1 /2
7477
71 1 /2
8177
77 1 /2
8793
83 1 /2
9298
89 1 /2
9,641
65 5/8
7493
71 5/8
8190
77 5/8
8805
83 5/8
9307
89 5/8
9,646
65 3/4
7508
71 3/4
8204
77 3/4
8817
83 3/4
9316
89 3/4
9,650
65 7/8
7523
71 7/8
8218
77 7/8
8828
83 7/8
9325
89 7/8
9,655
66 7538
1 72
1 8232
78 8840
84 9334
90 9,659
Containment Solutions, Inc.

8'-10000 DWT6 Double -Wall Tank
9696 Gals

DIPSTICK

GALLONS
90 1/8
9,663
90 1/4
9,667
90 3/8
9,671
90 1 /2
9,674
90 5/8
9,677

CONTAINMENT
90 3/4
9,681
S O L U T I O N So
90 7/8
9,684
91 9,686
91 1/8
9,689
91 1/4
9,691____
91 3/8
9,693
91 1/2
9,695
HOW TO PROPERLY GAUGE YOUR TANK:
91 5/8
9,696
Underground storage tanks require periodic measurement to determine current inventory level. Using the proper methods when gauging your tank's contents will insure the most accurate reading and insure that you do not damage your tank. The following procedure should be followed whenever you use a gauge stick to determine the amount of product that is in your tank:
1) Use a wood dipstick with a rubber or nylon tip. Metallic dipsticks are not recommended. This will insure that frequent tank gaugings or an accidental dropping of the gauge stick into the tank will not damage the tank bottom.
2) Slowly lower your gauge stick into the fill port until it touches the tank bottom. Never free drop the gauge stick. This can result in inaccurate measurements due to product splashing. Free dropping can also result in gauge stick damage and tank damage.
3) Remove your dipstick slowly and read the product level directly from the gauge stick.

Water Paste Detection:

To detect water in the tank bottom, water detection paste is available from petroleum equipment distributors.

See vendor below or suitable equal.

Gasoila Water Finding Paste
Federal Process Corp.
800-846-7325
www.gasoila.com
Caution
Pressurized deliveries are not recommended. If the delivery vehicle uses pumps to fill the tank, install overfill shutoff equipment in the tank and truck to prevent the tank from being overfilled. Overfilling the tank under pressure will damage the tank even if the tank vent is unrestricted.

Containment Solutions, Inc.
333 North Rivershire Dr., Suite 190
Conroe, TX 77304
Tel: 936-756-7731
Fax: 936-756-7766
Note: Calibration chart is based on the fluid level above a 5/16" deflector plate.

Containment Solutions, Inc.

42.000
4296.6

43.000
4437.1

44.000
4579.4

45.000
4721.9

STRAPPING
DATA

46.000
4864.4
INCHES

GALLONS

47.000
5006.9
NEWS
900 Flf.
'

0.000

0.0 48.000
5148.7
HEWP00 BLICH,
CA. 92660

1.000

16.3 49.000
5290.4
SITE # 714
40-4000

2.000

47.8 '50.000
5431.9

3.000

89.1 51.000
5571..7
9/16/2020
O3c33 PM

4.000
136.0

52.000
5711.2
TANK: SETUP
REPORT

5.000
189.4

53.000
5850.2

6.000
248.6
734.00O
5988.3
TANK NO. 1 9728

GAL GAL

7.000
313.0

55.000
6126.9
DIESEL

8.000
382.0

56.000
6262.6

9.000
454.E

57.000
6397.6

TANK TYPE
DIESEL

10.000
531..2

58.000
6532.0

TANK DIMS

92.0 369

11.000
611.5
59,000
6664.5

TANK SIZE
9729 GAL

12.000
695.1

60.000
r,796.2

TANK SHAPE

STANDARD

1.3.000
782.0

61.000
6927.0

STANDARD
15 la.000
074.0

62.000
7055.5

PRODUCT
DIESEL

1.5.000
963.7

63.000
7182.9
O1-FSET P

0.22 16.000
1066.1

64.00O
�1307.9

OFFSET W

01.00 17.000
1166.1,

65.000
7431.6

MANIFOLD
NONE

18.000 >
1269.0

66.000
7554.0
PROBE
SID 101

19.000
1374.1

67.000
7674.9
FLOA'f5
2 20.000

1.432.2

68.000
7793.2
FLOAT TYPE'.

OIL

21.000

1.592.:3

69.000
7910.0

GRADIENT

3.9027

22.000

1.704.3

70.00O
8023.7

SENSOR LENGTH
101
2:3,000.
1818.O

71.000
8135.7

HIGH LIMIT

82.5O

24.000
1934.8

72.000
8245.8

LOW LIMIT
1000.00

25.000
2053.1

73.000
8353.9

HIGH HIGH

37.00 26.000
2174.0

74.000
8-458.9

LOW LOW
600.00

27.000
2296.4

75.00O
8561.6

WATER LIMIT

4.00 28.0OO
2420.1

76.000
8662.0

TEMP COMP
API 68;546

29.000
2545.1

77.000
8759.3
API GRAOIT'd

32.80 60.000
2672.7

78.0040
8855.0
ALPHA

45.00 31.000.,
28O1.4

79.000
6945.2
NO. RTDS
5 32.000
2931.1

80.000
9O3:2.4
RTD LOC 1

11.49 33.000
3063.1

81.000
9116.4
RTD LOC 2

30.93 34.000
3196.0

32.000
9196.9
RTD LOC: 3

45.81 35.000
3,330.4

83.000
9273.8
RTD LOC 4
60„47

36.000
3465.4

84.000
9346.7
RTD LOC 5

77.19 37.000
3601.1

85.000
9415.2
I 38.000
3733.8

86.000
9479.2

39.000
3377.0

87.000
9537.9

40.000
4016.5

88.000
9591.7

41.000
4156.4

89.000
9638.9

90.000
9680.2

91.000
9711.7

92.000
9728.0

UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM (Page 1 of 6) Type of Action ❑ Installation Test ❑ Repair Test ❑ Six Month Test ❑x 36 Month Test I. FACILITY INFORMATION

CERS ID
10515319
Date of Secondary Containment Test
9/16/2020
Business Name (Same as Facility Name or DBA-Doing Business As)

MARRIOTT NEWPORT BEACH
Business Site Address
900 NEWPORT CENTER DR.

City
NEWPORT BEACH ::92603
ZIP Code
II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of UST Service Technician Performing the Test (Print as shown on the ICC Certification)

DOUGLAS THANE
Phone #
(951) 779-4999
Contractor / Tank Tester License #
TANK-TEK 803705
ICC Certification #
5252181
ICC Certification Expiration Date
7/15/2022
III. SUMMARY OF SECONDARY CONTAINMENT TESTING RESULTS
TANK ID: (By tank number, stored product, etc.)
A T-1 DSL
B
C
D
Tank Containment
Tightness Test Result
E Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Product Piping Containment
Tightness Test Result
E Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Communication Test Result
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Remote Fill Piping Containment
Tightness Test Result
❑ Pass ❑ Fail Z NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Communication Test Result
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Vent Piping Containment
Tightness Test Result
❑ Pass ❑ Fail Z NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Communication Test Result
Vapor Recovery Piping Containment
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Tightness Test Result
❑ Pass ❑ Fail Z NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Communication Test Result
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Turbine / Product Piping Sump
Tightness Test Result
E Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
Fill Riser Sump
Tightness Test Result
VENT / TRANSITION SUMP ID:

E Pass ❑ Fail ❑ NA
a
❑ Pass ❑ Fail ❑ NA
b
❑ Pass ❑ Fail ❑ NA
C
❑ Pass ❑ Fail ❑ NA
d
Tightness Test Result
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
UDC ID:
1 2
3 4
Tightness Test Result
❑ Pass ❑ Fail E NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
UDC ID:
5 6
7 8
Tightness Test Result
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
UDC ID:

J
10 11
12 Tightness Test Result
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
❑ Pass ❑ Fail ❑ NA
All items marked "Fail" or "NA" must be explained in their respective "COMMENTS" section.

IV. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS TESTING I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, Title 23, Division 3, Chapter 16, Section 2637 and all the information contained herein is accurate.

UST Service Technician Signature
CERS = California Environmental Reporting System, ID = Identification, UST = Underground Storage Tank, ICC = International Code Council, NA = Not Applicable, UDC = Under - Dispenser Containment

UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) V. TANK SECONDARY CONTAINMENT INFORMATION
Manufacturer
Identify Tank ID from Section III for each Manufacturer CSI
AD
B❑
I C❑
I D❑
A❑
B❑
1 C❑
1 D❑
Test Method Used:
❑ Manufacturer Guidelines (Specify):
0 Industry Code or Engineering Standard (Specify):-10vvHG AT 1 HOUR PEI 1200 ❑ Engineered Method (Specify):

Attach the testing procedures and all documentation required to determine the results. # of Attached Pages
Tank Containment Testing Training and Certifications (List applicable certifications.) Expiration Date
FFS INCON TS-STS LEVEL 4
9/11/2022
VI. COMMENTS
Provide any additional comments here.

VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION
Manufacturer
Identify Tank ID from Section III for each Manufacturer

WESTERN FIBERGLASS
A 0
B❑
C❑
D❑
A❑
I B❑
C❑
I D❑
Test Method Used:
❑ Manufacturer Guidelines (Specify):
p Industry Code or Engineering Standard (Specify): +5 PSI AT 1 HOUR PEI 1200 ❑ Engineered Method (Specify):

Attach the testing procedures and all documentation required to determine the results. # of Attached Pages
Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date

NOV RED THREAD IIA
12/7/2020
Interstitial Communication Verification Method Used:

VIII. COMMENTS
Provide any additional comments here.

ID = Identification

UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM (Page 3 of 6) IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION
Manufacturer
Identify Tank ID from Section III for each Manufacturer A❑
I B❑
I C❑
I D❑
A❑
I B❑
I C❑
I D❑
Test Method Used:
❑ Manufacturer Guidelines (Specify):
❑ Industry Code or Engineering Standard (Specify):
❑ Engineered Method (Specify):

Attach the testing procedures and all documentation required to determine the results. # of Attached Pages
Remote Fill Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date
Interstitial Communication Verification Method Used:

X. COMMENTS
Provide any additional comments here.

XI. VENT PIPING CONTAINMENT TESTING INFORMATION
Manufacturer
Identify Tank ID from Section III for each Manufacturer A❑
I B❑
I C❑
D❑
A❑
I B❑
1 C❑
1 D❑
Test Method Used:
❑ Manufacturer Guidelines (Specify):
❑ Industry Code or Engineering Standard (Specify):
❑ Engineered Method (Specify):