11 & 12 - Attachment A - Exhibit C-J - Housing Element Update (2008-2014) - Addendums 1-8 — Newport Beach City Council, April 9, 2024 (part 23 of 33)

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APPROVALS

DATE BY

COMMENTS
FIRE PfiJTECI ION

THRUST BLOCKS EXCAVATION

UNDERGROUND HYDRO TEST
--

UNDERGROUND PIPING FLI SH

UNDERGROUND ROUGH PIPE

SPRINKLER HYDRO TEST

SPRINKLER FLOW TEST

SPRINKLER ROUGH PIPE
- -

STANDPIPE HYDRO TEST

STANDPIPE FLOW TEST

STANDPIPE ROUGH PIPE

CHEM SYSTEM FUNCTION TEST

CHEM SYSTEM APPROVAL

FIRE ALARM SYSTEM

ROUGH WIRING

SYSTEM FUNCTION TEST

CENTRAL STATION MONITOR
TANK REMOVA_ -

TANK INSTALLATION / TEST
- -

PIPINGPRESSURETEST -
MISC. INSPECTIONS:
- - -
FINAL

CERTIFICATE OF OCCUPANCY
TENANT NAME:
$ _ DEPOSIT RELEASED
FOR REFUND ON _
TO:

TYPE OF BUSINESS USE:

P
PNa�l�orts(acr,oAs2a
ELECTRICAL PERMIT 19 02471
8-8e16
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Phase H0. 049) 644-328SMSS
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IR$PeclaR Requests PM1oee No. a47 644-32F
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ADDRESS:
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11 �. I� MEA: Q OF WORK: N I IC I ( J1Ij
4 BLDG FLOOR St/1TE: ILI rl 3101113II PLl
OWNER L'WPQIP BRICK I11110YY
_.. ADDfrONIk INSPECTION RECORDS.
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_. _ _...

ADORESS:
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COmsucTOR lumb11TII116P1011L
ADDRESS 2125 PICK? JuLll

APPROVALS
DATE

INSPECTOR
OMIT JACK CA 92660 PHONE; 949/720-1018

GROUNDING ELECTRODE
sure - - - -
D No 4274I1 cuss: C331 NEWPOR 9IQ3723O

UNDERGROUND
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PROCESSED BY: OCCUPANCY: I

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4 dltelrlcal Pe[/It Peels IiC Il. Fee

ROUGH CONDUR WALLS
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TOTAL 0. OP LimilQ fiff IS 2 1.I0 Ittedit eltelded: 0."

ROUGH SERVICE
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—_—_�,��.._��_ �__ _ i Total Credits: 2170

TEMP POWER
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UTILITY CO. NOTIFIED
PLO COCK PII ryfired? (P) 2.70 Y' Ialuee 29.

FINAL
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ISSUES PII ? i9 19.00 I ddl7ftlelts Q.01�
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= FWAESY MFIIY.fUNIFii:PENpiY aF pEAAMY 11NT tN1lM'£HCcn Ilwv:. aavmmue Ralaace doe 29.86
TOTAL ILICt1ICIL PRIMP PITS _ �32. SO
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SUITO4IL at plseliag fees WOOlalaace 70.80

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TOTIL PLUNKING FRUIT FEES 13.75
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a -`- City of Newport Reach Building Department FiREALRM Permit o:

PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949W4-3288/3289 Inspection RequestsTelephone (949)644-3255 Job Address:

InLpactor Area ,lft('
Owner.

MARRIOTT HOTEL INC
Address:
900 NEWPOR T CENTER OR

NEWPORT BEACH CA
Phone:
9491640-4000
Applicant:
m-IMPLEX TIME RECORDER :O
Address:
193r E DEERE AVE, STE 121

SANTA ANA CA
Phone:
9491724-5000
Bldg: 1 Floor Suite:

Legal Deco
Contractor:

SIMPLEX TIMER
Address:
1936 E DEERE AVE, STE 120

SANTA ANA CA
Phone:
9491724-5000
Con., State Lic.:
652487
Lic Expire:

C813111998
Bus. Lic.:
98028173
Lic Exp Date:

Edit Code: 0
Workers' Compensation Insurance - -
Type of Construction:

Carrier:

TRAVELERS INDEMNITY
Occupancy Group:

Policy No:

UC2JUBS82G3810
Added 1New sq.ft. Bldg:

Expire:
01/0111999
Added 1New sq. It. Garage:

No of Stories.

No of Units
FEES
Construction Valuation: $8,600.00
Fire Plan Check Fee:
$98.60
Fire Permit/ inspection Fee:
$128.20
micmfilm :
$0.52
Investigation Fee:
$o.00
Other Fee:
$0.00
TOTAL FEE - 226.72
PROCESSED BY:

G APPROVAL:

El —RE APPROVAL:

CRAG AFPROVAL :

Architect:

Address:

Phone:

Engineer:

Address:

Phone:
i]esigner.

Address:

Phone:

Special Conditions:

TOTAL PAYMENT: 0.®D TOTAL DUE 226.72
THEIR DEPARTMENT:

PLAN QHEf.K FLY:

APPR kL TO ISSUE
,B1114ehR +S&Li_S88°p,�� _
e
tea'
Stake Lic:

Btate Lic
WORK MUST BE SYARTED W1THIN A PERIOD OF'a 80 DAYS Fig 99-rdf-„-AZEOF i/4C(DATQA OR THIS PERMIT SECO,4AES KRILL APJD VOID..

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DATE
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City of Newport Beach
Euilding Department
PO Box 1768 Newport Beach. California 92658-8915 Permit Counter Telephone (949)644-3288 Job Address: 900 NEWPORT CENTER DR Bldg:t Floor: Suite:

Inspector Area: 7
Owner:

CCMH NEWPORT BEACH LLC
Address:
6903 ROCKLEDGE DR #1500
BETHESDA MD 20817
Phone:
301529-6036
Applicant:

PRADHAN RAJAH
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
714567-2781
Code Edit: 2001
Type of Construction:

I-FRSPR
Occupancy Group:

A/B1R-1
Added /New sq.ft. Bldg:
4000
Added /New sq. ft. Garage:

No of Stories:
9 No of Units ;
Bldg Sprinklers:

Y
Flood Zone:

X
Issued Date: 06/02/2005
Construction -Valuation
Building Permit Fee: $16,272.00
Plan Check Fee: $11,715.84
Supplemental: $0.00
Investigation Fee: $0.00
Energy Compliance: $311.00
Fair Share: $0.00
PROCESSED BY:
i
ZONING AI!P940fA,�:

GRADING APPROVAL:

Legal Description: P BK 75 PG 33 PAR 1
CIP Permit No: B2005-0016
Inspection Requestsrrelephone (949)644-3255 _--
Description of Work: TI/ ADD 4000 SF/PH2/ "MARRIOTT HOTEL PUBLIC SPACE" 0013-2005
Contractor: CLARK CONSTRUCTION GROUP CALIFORNIA LP
Architect: TABB JAMES
Address: 3100 BRISTOL STREET SUITE 100
Address:
999 TOWN & COUNTRY RD
COSTA MESA CA 92626
ORANGE CA 92868
Phone: 9491759-0100
Phone:

State Lic.0O20426
Con State Lic: 839892
Engineer:

YOUNG ROGER PAUL
Lic Expire: 06/3012006
Address:
18400 VON KARMAN AVE 8100
Bus Lic: BT30005434
IRVINE CA 92612
Lic Exp Date: 07131/2005
Phone:
949/252,1022 State Lic:S-003623
Worker's Compensation Insurance
Designer.

Carder: ZURICH AMERICAN
Address:

Policy No: WC489553601
Expire: 04/0112006
Phone:

Building Setbacks Rear: I
Special Conditions: A",
Front: /
Left: /
Right: /
Use Zone: APF
Parking Spaces:

FEES
Record Mgmt $268.50
Hazardous Mat:
$23.00
Fire Department
Excise Tax: $840.00
Add Fire Dep HMQ:
$0.00
Fire Inspection Fee:
$11.390.40
Park Dedication: $0.00
Other Fee:
$0.00
Fire Plan Review
$4.686.34
SJH Trans: $0.00
Planning Department
San Dist: $3,853.50
Counter Rev:
$0.00
CA Seismic Safety: $1,050.00
Zoning Plan Ck:
$220.00
Disabled Access: $545.00
OT Plan Ck Fee:
$0.00
TOTAL FEE :/551,175.58
TOTAL PAYMENT : $16,713.18
TOTAL DUE :
n
$34,462.40 ! / 9
—I154-O
PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMIITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION

DATE
NMI
TENANT NAME:

TYPE OF BUSINESS USE:
1111181

OWNER -BUILDER DECLARATION

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTC IS LICENSE LAW FOR THE FOLLOWING REASON (SEC 70315, BUSINESS AND PROFESSIONS CODE. PNY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER. IMPROVE. DEMOLISH. OR REPAIR MY STRUCTURE. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH

PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 91COMMENCINO WITH SEC. 7000) OF DIY. J OF THE

BUSINESS AND PROFESSIONS CODE)) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION ANY VICLA"ON OF SEC, 70315 BY PNY APPLICANT FOR A PERMIT SUBJECTS ME APPLICANT TO A CNM1 PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (SEW) L it
❑ LAS R MY WITH OUE

WILL OF THE
EDO

INTENDEDOFF EDF
COMPENSATION, WILL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED LA DES N FOR SALE ION THEWRK. A. THE

THE PROVES CONTRACTORS LICENSE NES SUCH W APPLY
ODEON
044 OWNER rvE55AND PERTY AND BUILESSIONS DS
TO

HI SEOWNER R PRO PERTYSUILOSOR IMOWN EMTHEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH TENDED HIS CA HER OWN EMPLOYEES, PROVIDED THAT E.RSUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SILL IF.HOwEVE0.. THE 0UILOING OR ycl15IMPROVEMENIIESOLOWITHINONE
YEMOFCOMPLETION. THEOWNER BUILDERWILL HAVE THE
OF SALE).

IFIREENOFOROVINGTIFAT HE OR ERE DID NOT BUILD OR IMPROVE FOR THE PURPOSE

LICENSED

ACTING PROITHFESSIONS
PROPERTY. ROJEC (SECLUSIV£L BUSINESS
❑ J. ORS OWNER CONSTRUCT PROJECT (SEC NO 4. ME

CONTRACTORS TOOENSE

LAW D ES OWNER OF THE PROPERTYWHOB BUILDS

CONTRACTORSTHLICENSEIAWOCESNOTAPPLYTOANOWOJGFTHE PROPERTYWHOBUILOBEN

PROVES THEREON, WHO CONTRACTS FOR SUCH PROJECTS W ITN A CONTRACTOR(S)LICENSED

T TO THE CONTRACTORS LICENSE LAW I
NTR
NAME

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION KKK) OF OIVISION 0 OF THE BUSINESS ANO PROFESSIONS

CODE, AND MY LICENSE M IN FULL FORCE AND EFFECT
LICENSE CU55___ _ LIC NO

COMPENSATION DECLARATION

OI HEREBY AP FIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS

I HAVE ME WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELIHNSURE FOR WORKERS C� COMPENSATION. AS PROVIDED FOR BY SECTION 37W OF THE LABOR CODE. FOR THE

PERFORMANCE OF THE WIDEN FOR WHICH THIS PERMIT S ISSUED I HAVE AND WILL MAINTAIN WORKERS COMPENSATION ASURMCE, AS REQUIRED 01 -SECTION 310 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE,. MY WORKERSCOMPENSATION INSURANCE CARRIER ME POLICY

NUMBERARE

CARRIER

POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 13101 ON LESS)

I CERTIFY THAT IN THE PERFORMANCEOF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE

WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 37W OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, .0 SHALL

SUBJECT AN EMPLOYER TO CRIMINAL PERKCIVILES AND CIVIL F' IFS UP TO ONE HUNDRED TNIXISANO DOLLARS (SIp0,CO0), A ADDITION TO 71E CO+T OF CON,,R,A iAT10... DMI AS PROVIDED FOR IN Y CONSTRUL)TIGN LEI:DINH AGENCY

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING w� AGENCY FOR THE PERFORMANCE OP THE WORK FOR WHICH THIN PERMR IS ISSUED (SEC309N.

CIVCI
T,FI LENDEN'$ N2AIE _ _ _ ii
/ LEN DEADDRESS
HGV LNAi 7 L RE(O TI15 APPI ICfTTION A ID EIAIL N.A( THE�ICOVE INf JNMATIOH I$ B c FE_ O E'ANFLY V:TH ALL CITY AND COIJKTY ONOINANQ5 I AD, STATE LAWS RELATING TO BUILDING C�PS�RUCTION. AND

HEREBY AUTHORIIE REPRESENTATIVLS OF THIS CITY

TO ENTER UCON THE ABOVEMENNONEO PROPERTY FOR INSPECTION PURPOSES Shared\Permits Dep\BIdgPermit(Back)8/04

o� = City of Newport Beach Building
Department CIP Permit No: B2004-4144
v ' � C PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestslTelephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Bldg:1 Floor: Suite:

Description of Work: NO TWR TRUCK ACCESS & STAIRS "MARRIOTT" 3327-2004 / ^—
Inspector Area: 7
Legal Description: P BK 75 PG 33 PAR 1
/4Sti��
U
Owner: HOST MARRIOTT CORP
Contractor: CLARK CONSTRUCTION GROUP CALIFORNIA LP Architect: T Address: 6903 ROCKLEDGEDR
Address: 3100 BRISTOL STREET SUITE 100 Address:

BETHESDA, MD 20817

COSTA MESA CA
92626
Phone: 7141241-0606
Phone: 949f729-0963
Phone: State Lie:

Applicant: KIRK MATT
Con State Lie: 839892
Engineer: KIRK MATT
Address: 3621 S HARBOR BLVD STE 100
Lie Expire: 06/30/2006
Address: 3621 S HARBOR BLVD, STE 100
SANTA ANA CA 92704
Bus Lie: BT30005434
SANTA ANA CA 92704
Phone:

Lie Exp Date: 07/31/2005
Phone: 7141241-0606 State Lic:C-051619
Code Edit: 2001
Worker's Compensation Insurance
Designer:

Type of Construction: I-SPR
Carrier: HARTFORD FIRE
Address:

Occupancy Group: A3/R1/B
Policy No: 43WNQUOI10
Added /New sq.ft. Bldg:

Expire: 04/01/2005
Phone:

Added /New sq. ft. Garage:

No of Stories: 14
Building Setbacks Rear: /
Special Conditions:

No of Units :

Front: I
Bldg Sprinklers: Y
Left: I
Flood Zone:

Right: I
Issued Date: 01/11/2005
Use Zone:

Parking Spaces:

FEES
-Gonstruotien Valuation;-$1501100.00 --
-
-----------__._------ - -- ---------------------- --
Building Permit Fee : $1,172.00
Record Mgmt: $75.50
Hazardous Mat: $0.00 Fire Department
Plan Check Fee: $843.84
Excise Tax: $0.00
Add Fire Delp HMO: $0.00 Fire Inspection Fee: $0.00
Supplemental: $0.00
Park Dedication: $0.00
Other Fee: $0.00 Fire Plan Review $337.54
Investigation Fee: $0.00
SJH Trans: $0.00
Planning Department
Energy Compliance: $0.00
San Dist: $0.00
Counter Rev: $0.00
Fair Share: $0.00
CA Seismic Safety: $0.00
Zoning Plan Ck: $110.00
Cisabled Access: $150.00
OT Plan Ck Fee: $0.00
FEE: 441.88 TOTAL PAYMENT:
$1,181.38 TOTAL DUE $1,560.50 23
.' FATAL
:

PROCESSED BY:

PLAN CHECK BY:
_ _
ZONING APPROVAL �x'L ��.,`�;G�
APPROVAL TO ISSUE:

GRADING APPROVAL:

PERMIITS EXPIRE 180 DAYS AFTER

ISSUANCE OR LAST VALID INSPECTION

OWNER -BUILDER DECLARATION
APPROVALS j

DATE I BY

COMMENTS

HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS FOUNDATION:

LICENSE LAW FOR THE FOLLOWING REASON (SEC 7031 5, BUSINESS AND PROFESSIONS CODE ANY REWIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH. OR

JALITY BMP'S

IT CY OR COUNTY WHICH
REPAIR ANY STRUCTURE. PRIOR TO ITS ISSDANCE. ALSO REQUIRES THE APPLICANT FOR SUCH

PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS RADE
OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC RAXL OF DIV 3 OF THE

BUSINESS AND PROFESSIONS CODED OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS

ADE CERT/SETBACK
FOR THE ALLEGED EXEMPTION ANY VIOLATION OF SEC 7031 5 BY ANY APPLICANT FOR A PERMUT

SUBJECTS FRE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS SIJOU NGS
ON
,C4]
LA
OF
TENANT NAME.

NAME:

TYPE OF BUSINESS USE:

DRIVERS LIC.
❑ I, AS OWNER W THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE

COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC TOM, BUSINESS AND PROFESSIONS COOK THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK

HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH

IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLO WITHIN ONE YE OF COMPLETION. THE OWNER WILDER WILL HAVE THE

BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE I ❑ I, AS OWNER OF THE PROPERTY .AMEXCLUSIVELY CONTRACTING WITH LICENSED CONTBACTORS TO CONSTRUCT THE PROJECT (SEC. 10M, BUSINESS AND PROFESSIONS CODE THE

CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FCA SUCH PROJECTS WITH A CONTRACTOROU LICENSED

PURSUANT TO THE CONTRACTORS LICENSE LAW)

LICENSED CONTRACTORS DECLARATION

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000, OF DIVISIO*.Dlll,,LAAATII..B

PROFESSION
CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT

LICEN CLASS LID
! - CONTRA

W RKERS' COMPENSATIO

I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFT

I HAVE AND WILL AINNTA,N A CERTIFICATE OF CONSENT TO SELE INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED

I HAVE AND WILL MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REQUIRED BY -SECTION 37. OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR W LCH

THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY

NUMBER ARE

CARRIER

POLIO, NUMBUR
(1 Hn ILL I IUN NLm AU I PE LUX,L,, Eu V I HE v,EMH IS YUH OHL HUNurveU UQLLAH� ,f I00) OR LESS)

I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I _SHALL NOT EMPLOY ANY PERSON IN (WY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF 1 SHOULD BECOME SUBJECT TO THE WORKERB' COMPENSATION PROVISIONS OF SECTION 3100 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS
WARNING FAILURE TO SECURE Y OR' ZES' -ON 'ENSA ION COVERAGE IS 'UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMllNl rENALJES AND LJIL FW£S UP TO ONE HUNDRED THOUSAND DOLLARS 3RIJJ300) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN

HEREBY A ' IJI JNOER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC J09] CH'C)
LENDEE.NAME"-
I CERTIFY THAT HAVE READ THIS APPLICATION ANO STATE THAT THE AHu E ,n vrtrw �n is

CORRECT I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENINIES OF THIS CITY

TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES Mon, ka\Forms\Bldg Perm it(Back)3/04

9 City of Newport Beach Building Department BLDG Permit No: B2005-3439 PO Box 1766 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 Inspector Area: 7
Owner:

HMH PROPERTIES INC
Address:
6903 ROCKLEDGE DR#1500
BETHESDA MD 20817
Phone:
949/257.8643
Applicant:

JEFF MAZMANIAN/HMH
Address:

Phone: 949/257-8643
Code Edit 2001
Type of Construction:

Occupancy Group: U2
Added /New sq.ft. Bldg:

Added /New sq ft Garage:

No of Stories: 0
No of Units:

Bldg Height: /
Bldg Sprinklers:

Flood Zone
Issued:1212712005
Legal Description: P BK 75 PG 33 PAR 1
Contractor:

MILLER J CANVAS INC
Address:
2429 S BIRCH STREET
SANTA ANA CA 92707
Phone:
714-641-0052
Con State Lic:
693222
Lic Expire:
11/30/2006
Bus Lic:

BT00008990
Lic Exp Date:

Worker's Compensation Insurance
Carrier:

STATE FUND
Policy No:
1381712
Expire:
0410112006
Building Setbacks
Rear: I
Front: /
Left: I
Right: /
Use Zone:

APF
Parking Spaces:

FEES
Description of Work. ADA SHADE STRUCTURE
2611-2005
Architect
Address:

Il
Phone
State Lic:

Vs�%E�T�.o
(,� j
Engineer:

EHRLICH DAVID
Address:
2429 S BIRCH ST
SANTA ANA CA 92627
Phone:

State Lic:

Designer:

Address:

Phone:

Special Conditions:

Building Permit Fee :
$596.50
Microfilm:
$12.50
Haz Mat Disclosure:
$0.00
Planning Dep - -
Plan Check Fee:
$429.48
Excise Tax- Res:
$0.00
CA Seismic Safety:
$0.00
Plan Check:
$165.00
Investigation Fee
$0.00
Excise Tax- COm:
$0.00
Other:

Counter Rev.:
$0.00
Clean Up Deposit:
$0.00
Supplemental P/C:
$0.00
$0.00
OT Plan Check:
$0.00
Disabled Acess :
$0.00
Fair Share:
$0.00
Fire Dep - -
Demo Adm Fee
$0.00
Gereral SeR, D^4'J
$0.00
Public Works Plan Ck:
$53.00
Plan Review:
$171.79
Fee Increased
$23.9$
kefund I rMO Dap
So.00
Inspection:
$417.55
PROCESSED BY:

PLANNING APPROVAL:

GRADING APPROVAL:

TOTAL FEE : $'r,8da.80 TOTAL PAYMENT: $601.27 TOTAL DUE: $1,268.53 OTHER DEPARTMENT:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DAYS
2 N N,
OR LAST VALID INSPECTION.

BMP'S
PADS
HT
DOWNS
IcI
TENANT NAME:

TYPE OF BUSINESS USE:

OWNER -BUILDER DECLARATION

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 7031 S. BUSINESS AND PROFESSIONS CODE ANY CITY OR COUNTY WHICH REWIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH, OR

REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH

PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC 7 MI OF Ory 0 OF THE

BUSINESS AND PROFESSIONS CODE() OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPNON. ANY VIOLATION OF SEC 70315 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 ME WORK. AND THE STRUCTURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC TOW. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK

HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH

IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION. THE OWHE&BUILDER 411L NAVE THE

BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE I ❑ I, AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC 70M, BUSINESS AND PROFESSIONS CODE THE

CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILOS OR

IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORS) LICENSED

PURSUANT TO THE CONTRACTORS LICENSE LAW)

I HERESY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION ]MIN) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS

CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT
LICENSE .LASS_ Llc NO
OATFQV � 7 5 CONTRACTOR

WORKERS' COMPENSATION DEC RATI

I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF LLOWING DECLARATIONS I HAVE AND WILL MAINTAIN A CERTffICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE

PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED

I HAVE AND WILL MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REQUIRED BY SECTION 90U OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH

THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY

NUMBERARE

CARRIER

POLICY N
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS

SIM) OR LESS)
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUf O, I

SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 5100 OF THE LABOR

CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS
WARNINGI`'AILULP TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL RUB)ECT A. ESMFLOY' R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND "OLL WS If 100.000). II' ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT TIIERE 1E A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ISEC 509] .-It I) I [ CCC 1. G
LENOFFSDAMt

CORRECT I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS

RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORCE REPRESENTATIVES OF THIS CITY

TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES Z-27-Cf
SharedlPermits Dep\BldgPermit(BacI<)arua

(9)
City of Newport Beach Building Department BLDG Permit No: B2005-4119 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 Inspector Area: 7
Owner:

HMH PROPERTIES INC
Address:
1 MARRIOTT DR #938.0
WASHINGTON DC 20058
Phone:

Applicant:

PRADHAN RAJAN
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
714-567-2781
Code Edit:
2001
Type of Construction:
1-FR-SPR
Occupancy Group:

AIBIR-1
Added /New sq.ft. Bldg:
0 Added /New sq. ft. Garage:
0 No of Stories:
9 No of Units:
0 Bldg Height:
0 Bldg Sprinklers:

N
Flood Zone:

Issued:
01130/2006
Construction Afaluatien-:-8,66' ^. —00 -
Building Permit Fee :
$56,356.60
Plan Check Fee:
$40,576.75
Investigation Fee:
$0.00
Plan Check Ext Fee:
$0.00
Disabled Access :
$0.00
Demo Adm Fee:

Sn.00
Fee Increased
$0.60
PROCESSED BY:

PLANNING AHPHOVAL:

GRADING APPROVAL:

Legal Description: P BK 75 PG 33 PAR 1
Contractor: CLARK CONSTR GRP CALIF LP
Address: 3100 BRISTOL ST #100
COSTA MESA CA 92626
Phone: 9491759.1100
Con State Lic:
839892
Lic Expire:
0613012006
Bus Lic:

BT30005434
Lic Exp Date:
0713112006
Worker's Compensation Insurance
Carder:

ZURICH AMERICAN
Policy No:

W0489553601
Expire:
0410112006
Building Setbacks
Rear: /
Front: 7
Left: /
Right: I
Use Zone:

Parking Spaces: 0
Microfilm:
$0.50
Excise Tax- Res:
$0.00
Excise Tax- Com:
$0.00
Supplemental PIC:
$0.00
Fair Share:
$0.00
General Ser , DMO
$0.00
Refund DM p
$0.00
TOTAL FEE - $ 2,614.17
FEES
Description of Work PH 2 "MARRIOTT" /INCREASE IN VALUATION 82005-0017
Architect:

TABBJAMES
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:

State Lio:CO20426
Engineer:

YOUNG ROGER PAUL
Address:
18400 VON KARMAN AVE #100
IRVINE CA 92612
Phone:
9491252.1022 State Lic:S-003623
Designer:

Address:

Phone:

Special Conditions: SA2004-009

FEES PREVIOUSLY PAID
Haz Mat Disclosure:

CA Seismic Safety:

Other:

Public Works - -
Plan Check
Traffic Plan Check
TOTAL PAYMENT: $152,614.17
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL DUE: $0.00
Planning Dep - -
Plan Check: $0.00
Counter Rev.: $0.00
OT Plan Check; $0.00
Fire Dep - -
Plan Review: $16,230.70
Inspection: $39,449.62
P/W APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.

APPROVALS
DATE
BY

COMMENTS

OWNER -BUILDER DECLARATION

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS I ICE NSF LAW FOR MIR FOLLOWING REASON (SEC ]0]1 5 NOSINESS AND PROFESSIONS CF-IF ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER. IMPRC!/E DEMOLISH ON REPAIR My STRUCTURE PRIOR TO ITS ISSUANCE ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNEO STATEMENT THAT HE OR 511E IS LICENSED PURSUANT TO THE'PRCIIISIONS FOUNDATION:

WATER QUALITY BMP'S

ROUGH GRADE
OF TIIE CONTRACTORS I ICPNSP ww OTTAPTER 91COMMENCING WITH SEC 700L1 OF DIV ] OF THE rTHES AND PROFESSIONS HE SHETHEREFRO-4 THE T
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LINE &GRADE CERT/SETBACK
BYPT

FOR ALLEGED EXEMPTION VIOLATION OFT SEC ANY APPLICANT FOR A PERMI BUFFET T$ THE APPI ICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS S%01

ERECTION PADS

FOOTINGSAS
THEIR 5DIF
❑ IAS ON WNl, 0THEWPROPERTY HE STRUCTURE�IAPLOIEFS IS NOTTHWAGES OROFEREDFSO F COMIP FNSnRESI IPSI AN LH OFESSIORK AND NSCOO STRUCTURE ONT IS NOT TFNRED LAW DES NOT R PLY

THE CONTRACTORS LICENSE LOINS
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tFAnH Ol CRMOFFI FOR TFI OUS H ISCoRPOWN FS FMPT OYFFN.ANDIDED Doss SOCH woRl< ER OF
I IIM9FI.TGR IE R SFI FOR OP TIEROWNEMPIOVFF LIPROVIOf PROVIDED THAT GIICH

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PAPRONFAIFNI.S ,'. NOT INTENDED ORFOFFERED FOR SALE IF IIOWF.VER IHEnllIILINGOR

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CONTRACT EITOCONS,RUOT TUFPROJECT(5EGM O BUSINESSANDPROFEs WHO BUILDS CON TRACTORS l ICENSF LAW OCFS NOT APPLY FOAM OWNER OF THE PROPERTY WHO RS)D$ EOR N
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OWNPRSNAMF _ _ ____ _DATE

FIREPLACE THROAT

LICENSED CONTRACTORS DECLARATION

I RIFLERY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMNIFNCING WITH SECTION STOO)OF DIVISION l OF THE BUSINESS AND PROFESSIONS CODE ANU MYIICFNSE IS INFALL FORCEANDEFFEOr

INTERIOR & EXTERIOR

INSULATION
uCENSF IT Ass _ LIC NO _
wIF �3'0'O(p OEM -ImOOR

WORKERS' COMPENSATIO ECLARATION

DRYWALL

SUSPENDED CEILING

SHOWER LATH
I TIF RFRT APE CH UNDER PENAL T V OF FERJarry ONE OF THE POI LOWING DECLAPnnous

EXTERIOR LATH

AVE ANJ WILL MAINTAIN A CERTIFICATE OF CONSFNT TO BEL F-INSURE FOR WORRIERS ,I COENTPIAOm As PRDICIP FOP BY SECTION TILT OF RILE IARCO CODE FOP THE PE RFOR LANCE OF 'I IF, WORK FOR WHICH IITS PEPI.II! IS ISSUED

HAVE ADD WILL MAINTAIN WORKERSCOMPENSATION INSURANCE AS BERFO PV SCRATCH (PLASTER) (2 DAY
PR

MASONRY E-GROUT
-FLINCH 310001 THE LABOR LODE FOR THE PFRFORAANCE TIIE WORK 1O FOR WHICH MIi'skWI PFRAIIT IS ISSUED. MY WORKERS COMPFNSATICN INSURANCE CARRIER AND POLICY NIIMRFR ARf
MISC. INSPECTIONS
cnRRIFa

IOI ICY IGIMRFR
TTIns SPCHOH NEED NV I DE COMPLFTFO IF THE PFROI IS FOR ONE FJNDRFD OO)Lnns ,E SO, OIT FSBI
I CFRTIFT THATIN aE PERFOWAANCE OF MIT WORK FOR VIIRICH DIISPEPMR 11ISSUEDI . IT r OPI oY ANY PERSON IT AIY MANNFP SO IF To sPC!PEE OIBJEQ IImF I<N RS' COMPENSATION ,AWE OF LALIFORNIA AND AGREE THAT IF I SROJLO BECOME

PERMIT EXTENSION
SUBJECT to uIF WORKERS COMPENSATION PROVISIonS OF SFCTION RICO OF THE LABOR COPE ISIn'L PORIHWI H I CGMPI Y WITH THOSE PROVISIONS
1ST EXP LETTER
WARNING FAILMEI TO SECURE V"O4"ERC' COMPENSATION COVERAGE IS VNLAWFMl PND SHALL sVBJFCT IN lIVD OVER TO OLI'FINAL 0FAN LIPS AND CIVIL PINES aP TO ONE HONDRPO THDJSAND DOUARS ISRIL 0M1 rN noo1H¢ TO r IB AST c° COMroEmSATION VWROES As PROVIDED FOR IN "IN TO60F RILE LABOR COD IL ERLa' AE JA,TORN'v5 FEES
2ND EXP LETTER
CONSTRIJ':TfON I ENDING AGENCY

BUILDING FINAL
IIFRFBY AFFIRM UNDER PENALLY OF PERJURY HAT THERE IS A CONS IRI-111CN LENDING ITIVI
r.FN1T rnR 'III P'R HIIIIIF GF TRF DOLT FAR YOPFFP -Ps PevnnR Is ISFufo ISfr rvI LFrBSRSR 'IF - -

CERTIFICATE OF OCCUPANCY
%�

OWNER / BUILDER AGENT INFORMATION
TENANTNAME=RUFRsnHI
ASTIR 5 ILA'
IF rnn- �iIF nnoPE lro nu I IS
Icn ,'
NAME_
ALL C.T, .1ND LJIIN TV (X'J"IF
LA
CORRECT I AGREE o COMPLY ALPI n r b AND STATE LAWS

ADDRESS,

RFLAMNO TO BUILDING CONSTRHCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY

TO ENTER UP IF ABOVEMENTIONED PROPPE)ERTYFOB INSPECTION PURPOSES I\G.t Tom=
TYPE OF BUSINESS USE:
/ _
-I
{1F I F ANT I
1 -
/ 0 " 066
DRIVERS LIC NO.

IL z
Shared\Permits Dep\Bldg Permit(Back)8/04

F City of Newport Beach Building Department GRADING Permit No: G2005-0002 J @ PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 °'tt�rvrxK``
Job Address:
900 NEWPORT CENTER DR
BIdgA Floor: Suite
Description of Work: PRECISE MASS GRADING/PH 21'MARRIOTT HOTEL" 62005-09" Gmt
-I
1 Inspector Area: 7 Code Edit: 2001
Legal Description: P BK 75 PG 33 PAR 1
Owner: CCMH NEWPORT BEACH LLC
Contractor: CLARK CONSTRUCTION GROUP CALIFORNIA LP
Architect: 'NS
A

TABBJAMES
�CT
Address:
6903 ROCKLEDGE DR #1500
Address: 3100 BRISTOL STREET SUITE 100 Address:
999 TOWN & COUNTRY RD
BETHESDA MD 20817
COSTA MESA CA 92626
ORANGE CA 92868 0,,p
Phone:
301-529-6036
Phone: 949/759-1100
Phone:

State Lie: CO20426 r
Applicant:

PRADHAN RAJAN
Con State Lie: 839892
Engineer:

YOUNG ROGER PAUL
Address:
999 TOWN & COUNTRY RD
Lie Expire: 06/3012006
Address:
18400 VON KARMAN AVE #100
ORANGE CA 92868
Bus Lie: BT30005434
IRVINE CA 92612
Phone:
714-567-2781
Lie Exp Date: 0713112005
Phone:
9491252.1022 State Lie: S-003623
Worker's Compensation Insurance
Designer:

Geo Tech. Engineer: KOURY ENG & TESTING
Carrier.

ZURICH AMERICAN Address:

Address:
17800 MAIN ST #303
Policy No: WC489553601
GARDENA CA 90248
Expire: 04/0112006
Phone:

Phone:

Valuation: $0.00
Yardage FILL: 0
Yardage CUT: n
Plan Check:
$267.50
Permit Fee:
$535.00
WQ Inspection Fee:
$0.00
Investigation Fee:
$0.00
Fee Increase:
$0.00
WO Plan Review Fee:
, $Plop
PROCESSED BY:

PLAM,IING:

TRAFFIC:

SUBDIVISION
Issued Date: 06/02/2005
FEES
SJH Trans Conidor::

Park Dedication:

Records Management:

Fair Share:

TOTAL Frj!E J $803.00 TOTAL PAYMENT: $267.50
Special Conditions:
$0.00
$0.00
$0.50
$0.00
$0.00
$0.00
TOTAL DUE: $535.60
Other DEPARTMENT:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Planning Department
Counter Rev:

Zoning Plan Ck:
2 �US+9�
$0.00
$0.00

DATE I BY
MEETI
AND
TE
REVISED 1116/03

OWNER -BUILDER DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTOI LICENSE LAW FOR THE FOLLOWING REASON (SEC 70315. BUSINESS MO PROFESSIONS CGOE' ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER. IMPROVE, DEMOLISH, OR REPAIR MY STRUCTURE, PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APMIGNT FOR SUCH

PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC TOW) OF DN. S OF THE

BUSINESS AND PROFESSIONS CODE)) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION ANY VIOLADON OF SEC. M31 5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED WLLARS (5500) ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC TOM. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW WES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AMD WHO WES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH

IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE O'WHER6NLCER WILL HAVE THE

BURGOF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) I. AS OWNER OF THE PROPERTY, AM EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC TOM. BUSINESS AND PROFESSIONS CODE, THE

CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN OWNER OF ME PROPERTY WHO BUILDS OR

IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED

PURSUANT TO THE CONTRACTORS LICENSE LAW)
❑ I AM EXEMPT UNDER SEC . B S P C FOR THIS REASON

LICENSED CONTRACTORS DECLARATION

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION ]DOD) OF DI 3 OF ME BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT,

LICENSE CLASS LIC NO

A / 'WORKERS' COMPENSATION DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE EOJLOWING DECLARATIONS

I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 9W OF THE LABOR CODE. FOR THE

PERFORMANCE OF THE WORK FOR WHICH MIS PERMIT IS ISSUED

I HAVE AND WILL MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REWIRED BY SECTION 37W OF THE LABOR CAGE. FOR THE PERFORMANCE OF THE WORK FOR WHICH

THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER ANO POLICY

NUMBER ARE

CARRIER

POLICY NUMBER --

11.""''IVN."I, NUI V, (.UmYlt ItU I, IHE vGRMII lA 11N UNl R... NEU U111I1 S100) 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 MANNER SO AS TO BECOME SUBJECT TO THE

CALIFORNIAWORKERS COARIENSATION LAWS OF
S IBJJFCTT TO U4E WORKERS' ,1 EENSATION PROVIY AND
RTHAT
SFfFI TIONI]f TDF ME "OR

CORE, I SHALL FORTH WITH COMPLY WITH THOSE PROVISIONS

DATE APPLICANT

WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES V'O CML FgES lP'O ONE HUNDRED THOUSAND DOLLARS ERAO W0). IN ADDITION TO THE CQ"T OF JOM'ENW NO1 'DAM AES AS PROVIDED FOR I-

I HEREBY AFFIRM UNDER PENALTY OF PE'R,JNY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC]PTT.

CIVC)
LENDER'S NAME +--'�-�---
CORRENT 1 AGREE TO COMELY CWITHTIO ALL CITY E GOUNTYO INANCES

RELATING TO BUILDING HEABOUO NON, AND HEREBY ALMYFOR INSPECTION

REPRESENTATIVES

COUNTY TO ENTER UPON THE PROVE-MEHTIOIEO PROPERTY FOR INSPECTKIN PURPOSES

t�yr City of Newport Beach - Building Division *E2017-0655* �r 100 Civic Center Drive, Newport Beach, CA 92660
F_ Permit Counter Phone(949)644-3288
sma
Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: Suite:

Description of Work: COMM REMOVE & REPLACE FIRE PUMP CONTROLLER "MARRIOTT" (F2016-0446) Inspector Area: 7
Legal Description: P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

CINTAS CORPORATION NO 2
Address: PO BOX 579
Address:
4320 E MIRALOMA AVE
LOUISVILLE, TN 37777
ANAHEIM, CA 92807
Phone:

Phone:
513-459-1200
Con State Lic:
914328
Issued Date:12/19/2017
Lic Expire:
04/30/2018
Bus Lic:

BT30056354
Processed By:

Lic Exp Date:
08/31/2018
New Construction
Residential
Multi -Family:
0 $0.00
1-2 Family:
0 $0.00
Service
0-600V up to 200A
1 $41.00
0-600V over20OA:
0 $0.00
Over600V or1000A:
0 $0.00
O/H to U/G
0 $0.00
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0 $0.00
Sep Circuits:
0 $0.00
Low Voltage
0 $0.00
Signs
' Branch Circuit:
0 $0.00
Each Add Circuit:
0 $0.00
Time Clocks:
0 $0.00
Additional Fee :
$177.00
Electrical Permit: E2017-0655
Project No : 2823-2017
Inspection Requests Phone (949)644-3255
Code Edit.2016 , aI A V:
rA
Worker's Compensation Insurance
Carrier: TRAVELERS PROP CASUALTY
Policy No: HC2JUB472M4706
Expire: 07/01/2018
FEES
Motors/Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0 $0.00
1 to 10 HP/KW/KVA:
0 $0.00
10 to 50 HP/KW/KVA:
0 $0.00
50 to 100 HP/KW/KVA:
0 $0.00
Over 100 HP/KW/KVA:
0 $0.00
Piggy Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
e e
ooc000
°
e° e
e °°e
° e
° e °
°
Temp Underground: o ° °0 $0111 °
Sub Panel: 0 $0°QQ°
° 0 $%QQ °
00 Record Mgmt Fee: $DeQQ °
Plan Check Fee:

Investigation Fee: $0.00
Issuance Fee: $33.00
Supplemental Fee: $0.00
Fee Due at Permit Issuance:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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.

IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reagon(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, prior to its issuance, also requires the applicant for 1e 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 'rofessions 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 of 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, lusiness 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 nprovements 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 nproved for the purpose of sale).
1, 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 legally 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://w .leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. r�
icense Class License No : ) % Contract�anatur

IORKERS' COMPENSATION DECLARATION
ARNING: FAILURE.TO SEOURE 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 COMPENSAfl01P, pAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hr reb yaffirm underpgnalty of perjury one of the following declarations:
9 I haEe and will 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 IN ,r[orltlgnce of the work for which this permit is issued. Policy No. tiave and wilt m alll�ain 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' range carrier aMa policy number are:

Policy Number
Date
:ne ol.Agent • • • • rnone s
•u
pl; JV that, in 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 agref tt if I should
�IjctpgV:subject to t ke ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rrleturoofiylprjcznt iate ff 17
QLdOATION21tMAIRDING C014S N LENDING AGENCY
weby affirm Mer 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.

I agree to comply with all applicable city and county ordinances and state 15us relating to building construction.

I authorize epresentativ a fthis city or county to ante h 1 d property for inspection purposes. ^,�L,q 1� nature of Pro art Own r Authorized Age - Print Property Owner's or Author d Ag„1/ ent's Name 7a bCw tlJ N� n11to
ACTION
DATE
BY

DECLARATION OF COMPLIANCE MTH CODEOF

FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TIRE40AND
AQMDRULE1403.

PERMITEXPIRED
❑ I SUBMfTTEDASBESTOS NOTIFICATIONTO:
❑ EPA
❑ AQMD

PERMITCANCELLED
P€RMITEXT€NDED
ASBESTOS U077RCA
OPOSED DEMOUT ON. AONiS NOT APPLICABLE TO

PROPOSED

PERMIT FINAL
C€RTIFICATEOF

OCCUPANCYISSUED
SIGNATURE:

x2o1�-1 ln��% 0�3l 7_o6_3 Dzl3�oJl� ll"�Q i
Worksheet for Fire Permit Application WQ_RCity of Newport Beach - Building Division Associated Building Permit ld Fire Sprinkler I- Fire Alarm F] Fire Misc

1. Project Address (Not mailing address) Floor Suite No .. v,
TaC;tz•C. L- vic
Tenant Name ,IY�A,RR.e p71"' .._. .. � Units

2. Description of Work
err R
P
P� �'iC.� �p�,c,u>cl��, �vrt�i �•,t��m�T VJA 5P2 ....

Valuation$�jO
g Sq Ft W New/Added Sq Ft Total Sq Ft F ✓
- - ___
Ext New`"'_ Add l""" Alter �"""- Demo -- -- �l� tF Stories r"..

Check Appropriate Box for Applicant/Notification
1-, 3 Owner's Name Last I� fleu) & &-04 FIrOEE 111
Owner's Address D" Owner's E-mail Address
City _.. -._._. ...,. State � ...

Zip G 17 Telephoned..
r 4. ArchitecV13esigner's Name Last P+R Vsp
First I V Lic. No. 377(a z
Architect/Designees Address
ArclutecilDesigner's E-mail: Address
1- t'rANY..r-07d.�rC®�cs
ram_ - �__
City �.'N-�C�/-.._... .._IState �,,,,
�..

Zip ITC72 Telephone'7'!`V 9r�%_../6aOO
is" 5. Engineer's Name Last -
First Lic. No.

Engineer's Address
Engineer's E-mail Address
City F . _ State
Zip1777 TelephoneF
('"`,6.Contractor'sName LastCe0 OZ19 Z YRes�l 4rk"1' ' Lic No. W'76W Class._e.+I Contractor's Address
Contractor's E-mail Address
o.Ys'_koAA_
_eds_c_0
City - _---- ---_.' State _i
Zip QZ.`G) Telephone?)>l /�.rac2,r7s
P

OFFICE USE ONLY
PERMIT NO. E 7-0

TYPE OF CONSTRUCTION
PLAN CHECKN0.

OCCUPANCY - GROUP
PLAN CHECK FEE $ --
!0 qz,
ns
33c
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Pity of Newport Beach - Building Division �IIIIII�III�'I��IIII��II�I�I��I�II II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 3 0 5 9 5 ., Permit Counter Phone (949)644-3288
Job Address: 900 NEWPORT CENTER DR NB
InspectorArea: FIRE
Owner: HHR NEWPORT BEACH LLC
Address: 6903 ROCKLEDGE DR #1500
BETHESDA MD 20817
Phone:

Applicant: FRANK/COSCO FIRE
Address: 1075 W LAMBERT RD
BREA CA 92821
Phone: 714-989-1755
"
Code Edit : 2010
Type of Construction:

V-A- SPR
Occupancy Group:

R1
Added /New sq.ft. Bldg:
0 Added /New sq. ft. Garage:
0 No of Stories:
3 No of Units :
0 Flood Zone:

X
Bldg Sprinklers:

Y
FIRE Permit: F2013-0595
Project No : 2690-2013
Inspection Requests Phone (949)644-3255
Description: COMM - ADA FIRE SPRINKLERS,HARBOR LANDING (X2013-1667) Legal Description: P BK 75 PG 33 PAR 1
Contractor: COSCO FIRE PROTECTION INC Architect:

Address: 1075 LAMBERT RD, BLDG D Address:

BREA CA 92821
Phone: 714-974-8770 Phone: State Lic:

Con State Lic: 577621
Lic Expire: 09/30/2015
Bus Lic:

BT00022773
Lic Exp Date:
07/31/2014
Worker's Compensation
Insurance"
Carrier:

OLD REPUBLIC INS CO
Policy No:

Al DW92321406
Expire:
01/01/2015
Issued Date: 11/1412013
Setback- Front:

Rear:

Left:

Right:

Engineer:

Address:

Phone:

State Lic:

Designer:

MARRUJO PAUL
Address:
1075 W LAMBERT RD
BREA CA 92821
Phone:
714-989-1800
Special Conditions: REVISED 01/0712014-JMS
"MARRIOTT"
FEES
Construction Valuation:
$2,595.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$5.00 -
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
Fire Commercial PC Fee:
$29.01
Public Works PC Fee :
$0.00
$0.00
Fire Commercial Permit Fee :
$80.58
Public Works Traffic Plan Check Fee;
$0.00
Fire Residential Permit Fee :
$0.00
"Fire Residential Alarm Fee :
$0.00
- TOTAL FEE :
$114.59
Plan Check Fee:
$114.59 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: �0 _ OTHER DEPARTMENT:

ZONING APPROVAL:( "" c PLAN CHECKED BY::

FIRE APPROVAL: - t - L/ - APPROVAL TO ISSUE:

FERMTrFXPIF2E:; 180 DAYS AFTER ISSUANCE OR LAST VAL0 INSPECTION

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 applicableltem(S)r (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).
❑ 1, 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:

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 Section 7000) f Division 3 of the Business and Pro sions Cod q d y license is in full force and effect.

License Class / b License No 5M?— / Date C Contractor Signatur INORKERS' COMPENSATION DECLARATION - t -✓/
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D 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:
1 have and will 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 thi rf nce of the work for which this permit is issued. Policy No. _ havj and wi ai tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permd i issued. My workers' compensatioi ,TanA caper
nd licrnu% er)are: n *� j ry pew.
r Y r d jtoly;y N mb A11J�0 J C-` J 6! Expiration Date / / / me of Agent Phone #
certify that, in the performance of e work for w�Fthi4sr!it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and t, if I should become subject to the orkers' comovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of Applicant - Da

CLARATION REGAR ING CON UCTI DING XGENCY
�reby affirm under penalty of perjury that the 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.

I agree to comply with all applicable city and county dinances an stat aws relating to building Construction.

I authorize representatives of this city or count toe the abov id Il Ed property for inspection purposes. !1� nature of Property Owner or Authorized Agent Print roperty Owner's or Authorized Agents Nam - %L //P/®dam AC770N
IIATE
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DECLARATION OF COMPLIANCEWf€N CODE OF
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FEDERAL REGULATIONS PARFV IOF TBLE40AND
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2-?3 y 2 P&
Worksheet for Fire Permit Application r2"*," obig a �W'�"' r; Pnn� F r � pm
' `` City of Newport Beach - Building Division �U 1/te61,w` 6�J es o Please print 3 copies _ �^ �,��.oar"
Associated Building Permit # I [ Fire Sprinkler fX Fire Alarm r Fire Miss

1. Project Address (Not mailing address) Floor Suite No 900 Newport. Center Drive 1 & 3 F
Tenant Name Marriott Hotel + Spa i # Units

2. Description of Work
Use Residential
Installation of power supply, door holders, control, and monitor modules — Valuation $ 8,000.00
Extg Sq Fill 09,346 New/Added Sq Ft 19,360 Total Sq Ft 109,346 # Stories 16..
l New Jl Add )K, Alter h Demo
Check Appropriate Box for Applicant/Notification LQ
r 3. Owner's Name
Last
Fir�t U .v
Owner's Address
'"!,� Lt�
/
�" Owner's E-mail Address
City
State
Zip I j Telephone
19"nu,�c,�
r 4. Arch itect/Designer's
Name Last F
First `!. Lic.

No.

Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip Telephoned

5. Engineer's Name
Last First Lic.

No.

Engineer's Address
Engineer's E-mail Address
City
State
Zip F Telephone
i
J•X` 6. Contractor's Name
Last Pyro Comm Sys Inc.

First'' Lic. No. 612153
Class Flo
Contractor's Address
Contractor's E-mail Address
15531 Container Lane
[email protected]
City Huntington Beach
State CA
Zip 92649 Telephone (714) 902 8000
.

OFFICE USE ONLY
PERMIT NO.

PtiitAS
,

TYPE OF CONSTRUCTION
PLAN CHECK NO.

OCCUPANCY - GROUP
PLAN CHECK FEE $

City of Newport Beach - Building Division COMB Permit: X2021-0228 '.' 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0246-2021 F Permit Counter Phone (949)644-3288
" " m Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM Issued Date :

Inspection Arearea :2021
7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/28/2024 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 NB
Description: COMM TI "MARRIOTT" 52593 SF 8 ADD 2289 SF (HARBOR POINTE BLDG) 153 GUESTROOMS Legal Desc.: P BK 75 PG 33 PAR 1
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR STE 230
NEWPORT BEACH, CA 92660
Phone:

Applicant: WICKETT BJ
Address: 2630 SEPULVEDA BLVD
TORRENCE, CA 90505
Phone: 310-750-8223
Code Edit : 2019
Type of Construction: I-A-SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 2289
Added /New sq. ft. Garage: 0
No of Stories: 9
No of Units : 0
Bldg Height: 0
Bldq Sprinklers: Y
Valuation: $3 825,000.00
Contractor:

DIGNEY YORK ASSOCIATES
Architect:

TYNER RUSSEL EDWARD
Address:
1919 GALLOWS ROAD #950
Address:
2630 SEPULVEDA BLVD
VIENNA, VA 22182
TORRANCE CA 90505
Phone:
703-790-5281
Phone:
310-326-3050 State Lic:C014979
Con State Lic:
892945
Engineer:

STEWART JOSEPH E
Lic Expire:
03/31/2023
Address:
2401 COLORADO AVE, #315
Bus Lic:

BT30073988
SANTA MONICA CA 90404
Lic Exp Date:
01/31/2022
Phone:
3101828-1536 State Lic:S-003065
Workers Compensation Insurance
Designer:

Carrier:

TRANSPORTATION INS
Address:

Policy No:
7011432027
Expire:
10101/2021
Phone:

Building Setbacks
Rear: /
Special Conditions:

Front: /
Left: /
Right: /
Building Permit Fee:
$17,243.75
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee:$15,002.06
Additional Fee :
$0.00
Plan check Fee :
$655.00
Fire Inspection:
$1,685.00
Overtime Plan Ck:
$11,251.55
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$1,260.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$232.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$26.00
Energy Compliance:
$550.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$219.00
CA Seismic Safety:
$1,071.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$664.00
Disabled Access :
$944.00
PNJ Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$4,514.42
San Dist: $4,765.70
Building Green Fee :
$153.00
Mechanical %:
$3,547.03
NMUSD Fee: $686.70
$0.00
Plumbing %:
$2,902.13
$0.00
TOTAL FEE : $67,172.34
Plan Check Fee
: $21,596.76 Fee Due at Permit Issuance :
$45,575.58
PROCESSED BY:

ZONING APPROVAL:

PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL: _ APPROVAL TO ISSUE:

�.wt= City of Newport Beach - Building Division
.'`.,•' . 100 Civic Center Drive, Newport Beach, CA 92660 4 +- Permit Counter Phone (949)644-3288
h
,�.... "� Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
IIIIIIIIillllllillllllllllllllllillllllllllllllllllllllllll COMB Permit: X2021-0635 Project No : 0580-2021
Issued Date : 0612812021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512812024 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 NB
Description: COMM - TI ADD 777 SF/REMODEL 26988 SF "MARRIOTT" (PACIFIC LANDING BUILDING) 48 GUESTROOMS Legal Desc.: P BK 75 PG 33 PAR 1
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR #230
NEWPORT BEACH CA 92660
Phone
Applicant: WICKETT BJ
Address: 2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone: 3101750-8223
Code Edit : 2019
Type of Construction: I-A-SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 777
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Contractor:

DIGNEY YORK ASSOCIATES
Architect:

TYNER RUSSEL EDWARD
Address:
1919 GALLOWS ROAD #950
Address:
2630 SEPULVEDA BLVD
VIENNA, VA 22182
TORRANCE CA 90505
Phone:
703.790-5281
Phone:
310-326-3050 State LIo:C014979 •__
Con State Lic:
892946
Engineer:

STEWART JOSEPHE
Lic Expire:
03/31/2023
Address:
2401 COLORADO AVE, #316
Bus Lic:

BT30073988
SANTA MONICA CA 90404
Lic Exp Date:
01/31/2022
Phone:
310/828-1536 State Lic:S-003065
Worker's Compensation Insurance
Designer:

Carrier:

TRANSPORTATION INS
Address:

Policy No:
7011432027
•,.
_ """m
Expire:
10/01/2021
Phone:

Building Setbacks
Rear: /
Special Conditions:
;; •'" „
Front: I
Left: I
Right: I
loop /one:
use cone:
rarKing opace5.
u ruu nd<diu [.un
Construction Valuation: $2.416,000.00
Building Permit Fee:
$11,960.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:$10,405.20
Additional Fee :
$0.00
Plan check Fee : $1,295.00
Overtime Plan Ck:
$7,803.90
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Record Management:
$332.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Energy Compliance:
$550.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$676.48
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Disabled Access :
$944.00
PAN Plan Check: $86.00
Hazardous Mat
$0.00
Electrical %:
$3,131.13
San Dist: $1,617.71
Building Green Fee:
$97.00
Mechanical %:
$2,460.17
NMUSD Fee: $233.10
Plumbing %:
$2,012.87
TOTAL FEE: $45,678.66
PROCESSED BY:

ZONING APPROVAL:

Fire Department
Fire Inspection:
$740.00
Fire Plan Rev
$525.00
Demolition Fee
Building Dept Adm
$26.00
General Service
$219.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $16,058.24 Fee Due at Permit Issuance : $29,620.32 PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL: APPROVAL TO ISSUE:

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00 �KCU City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0853 Project No : 0790-2021
Issued Date : 0610412021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610412024 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 NB
Description: COMM -ADD FITNESS AND GREAT ROOM, REBUILD PORTE COCHERE "RENOVATE LOBBY AREA, INCLUDING BAR, RESTAURANT, STARBUCKS, "HARBOR POINTE MARRIOTT" Legal Desc.: P BK 75 PG 33 PAR 1
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR #230
NEWPORT BEACH CA 92660
9TM
Applicant: WICKETT BJ
Address: 2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone: 3101750-8223
Code Edit, 2019
Type of Construction: I -A
Occupancy Group: A2/R1l B
Added /New sq.ft. Bldg: 8961
Added /New sq. ft. Garage: 0
No of Stories: 9
No of Units : 0
Bldg Height: 300
Bldg Sprinklers: Y
Construction
Building Permit Fee: $29,344.00
Plan Check Fee:$25,529.28
Overtime Plan Ck: $19,146.96
Investigation Fee: $0.00
Record Management: $500.00
Energy Compliance: $550.00
CA Seismic Safety: $4,200.00
Disabled Access : $944.00
Hazardous Mat $0.00
Building Green Fee : $600.00
TOTAL FEE: $123,740.26
PROCESSED BY:

ZONING APPROVAL:

Contractor:

R D OLSON CONSTRUCTION
Architect:

TYNER RUSSEL EDWARD
Address:
400 SPECTRUM
CENTER DR #1200 Address:
2630 SEPULVEDA BLVD
IRVINE CA 92618
TORRANCE CA 90505
--"-'
Phone:
949-474-2001
Phone:
310-326-3050 State Lic:C014979-
ConStateLic:
953845
Engineer:

STEWART JOSEPHE
Lic Expire:
1013112022
Address:
2401 COLORADO AVE, #315
Bus Lic:

BT30009757
SANTA MONICA CA 90404
Lic Exp Date: 05/31/2022
Phone:
3101828-1536 State LiaS-003065
Worker's Compensation
Insurance
Designer:
-
Carrier.

STARR INS
Address:
-
Policy No:
100001219
Expire:
07/01/2021
Phone:

Building Setbacks
Rear: 5' ADJ. TO RES.

Special Conditions: GREAT 212 OCC; CLUB 78;
Front: 0'
FLEX 983 OCC; LANAI 120;
-.

Left: 0'
FITNESS CENT 94;
Right: 0'
Use Zone: CV
Parking Spaces:
697
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$740.00 Fire Inspection:
$426.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$606.00
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
$26.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$219.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
PM Plan Check
: $344.00
Grading Bond:
$0.00
Electrical W
$7,682.26
San Dist:
$18,656.80
Mechanical %:
$6,036.06
NMUSD Fee:
$2,688.30
$0.00
Plumbing %:
$4,938.60
$0.00
Plan Check Fee
: $54,850.20
Fee
Due at Permit Issuance : $68,890.06
PUBLIC WORKS APPROVAL:

UW-11i[N.IxN:4-Yil
GRADING APPROVAL: APPROVAL TO ISSUE:

(0 d •-2,V ( -?_
(�nnt Form
Worksheet for Building Combo Permit AOication
City of Newport Beach -Building Department
£'le�5i }.rirtt 3 cot,iee gBuilding Grading �Drainaga jsElec l
j—Mech f— Plum

1. Project Address (Not mailing address) Floor Suite No Tenant Name(if Applicable) /y/¢�Pjl/p�^-J ® /%•�-�' # Units (if Residential)

2. Description of Work
Use
E9at-.� liji
Demo House SF (
Add/Reconstruct House SF i
Valuation $ I'

64.9twO 7
2�/��
Exist Gar SF F
Demo Garage SF �—
Add/Reconstruct Garage SF I -
# Stories

TOTAL HOUSE SF
Cu Yd Cut
(" New 7-Add
r' Alter r Demo
II

TOTAL GARAGE SF
Cu Yd Fill I
Check Aoorooriate Box for Aoolicant
Owner's Name
�
r 3.

La t�I Fi��
*t e;Y �48 SHt;t�/3
Owner's Address
Owner's E-mail Address
b 90 3 eore-4
57E. /
city
Sate (Zipi Telephonef2 p) 7 �G j/2-
`
r 4. Arch itect/Desig ne is
Name Last SjyJ/T.0 (First ,-eW� L(c. No. y /p
Architect/Designer's Address
,,. (' Arc iti esigners E-mail Address
City State 67-I4' Zip 92b27 Telephone 6 7?/ ) �(_S Z2p/O �S.Engineer's Name '
Last' iVGGyof/ First u//�/�}�J Lic. No. �/7
A/G6, i.✓c. Gaf/S�'a7i.t.[� ST„¢uGTr//Z�G 'LNG/.rr��r Engineer's Address
Engineers E-mail Address
r fir k'�S Gff aQ./5v/TT Z�' bi//@ /�ces7`�-dc iza/• C-_:CV7 S, City F /, tllw. 6
State.�GA Zips qz6le iTelephone Q.,M)752-20?O
fi b. Contractor's Name
Lic. No. � q5� grCla>s!
Last 0lr50V,l v tF1(An
i
Contractor's Address
Contractor's E-mail Address
z9 ,s 5 A , 4A
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City ( V U ¢
State Zip 9 2,6) � Telephone Z) 7 �_ 2,0

OFFICE USE ONLY ENERGY

GRADING
Rev 1/18/07 ELEC/MECH/PLUM
P/C FEES` r(!. (� • : PFF��$$JJNN��T y
C�rKK NO. 011
P/C FEE S PL�r347(t q E`�
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Print Form
Please prine 3 Copies
Worksheet for Building Combo Permit Application gsp
City of Newport Beach - Building Department
ouuuing I urauing I L)rainage

1. Project Address (Not mailing address)
Tenant Name(if A pplicable)l

2. Description of Work
Ix uec I rviecn I Ylum
Floor Suite No
# Units (if Residential) 7
E-Yiel+IeeseEF
��,�1
Demo House SF '
Add/Reconstruct House SF
G9'zEBO
Exist Gar SF
�—
Demo Garage SF
Add/Reconstruct Garage SF

TOTAL HOUSE SF
7' New
j-' Add
f- Alter r Demo

TOTAL GARAGE SF
Check Aoorooriate Box for Aoolicant
Use
Valuation $ I.A400v!,—
# Stories
Cu Yd Cut
Cu Yd Fill F
�Gs y
�-- 3. Owner's Name La t First
��,�• dos s�,e�
Owner's Address Owner's E-mail Address
6 90 3 �2oc,�t�91,� J�,�/�� 5>E. ✓5� � siro,^,b @ /�cy'7`fia�e/s . ca.� City ��l jQf- State Zip 2�/7 TelePhoner2 f/j� 7�f S-j/2- r 4. Architect/Designer's Name Last 5/!//Tf/ First Gd+9>a`! ` Lic. No. 7-07 Architect/Designees Address Architect/Designees E-mail Address Gs/JJi��
City State GA Zip r9y/,27 Telephone F�9>7k1"f OO/O
f- 6. Engineer's Name Last First Lic. No.

N66/ 1,ve: < ozP T/ZIC7 jT�¢uGTd2i}G I✓G/tom S
Engineer's Address Engineer's E-mail Address
89i5' R��-G� y,Q./Sdr�IE Zc� 6i//@ ric�sr'�U��iii�a/. carry City State I G14 Zip q;We Telephone </�,q 7�2 20'0
�- 6. Contractors Name Last Flrsl � Lic No. �� l.laSS
Contractors Address Contractor's E-mail Address
I
city State I Zip Telephone�/� I4`�I2J
OFFICE USE ONLY ENERGY P/C FEE $ ' LA O,,,. 0+!r PERK f 09 �It f'22y GRADING P/C FEE $ PLAr��N((CHVf I*%
Rev 1/18107 ELEC/MECH/PLUM P/C �7 •.�PLA4'J`VCK FEE$, p(' O, • ` 8

C=--� Worksheet for Building Combo Permit Application
Pnnt Form City of Newport Beach - Building Department 6 Mier :f: C/Y9'nt 3nb)'JI(35. nG ,
Grading F-Drainage NElec _ r Mech ( Plum

1. Project Address (Not mailing address) Floor Suite No ev I -I& /A2T /v6 F_
# Units Of Residential)
-
TenantName(ifApplipble).�%J,¢,2f1/OT`T F-

2. Description of work
Lji��J` Demo House SF ( Add/Reconstruct House SF
fua I�
Exist Gar SF F Demo Garage SF Add/Reconstruct Garage SF j-- New j— Add r— Alter (—Demo
F 3. Owner's Name

TOTAL HOUSE SF

TOTAL GARAGE SF
�d8 Sfi✓,er3
Owners Address
6 9D 3 .eoc,�� .�,e�✓� SYE. /�
city State xw
r" 4. Architect/Designees Name Last I
Architect/Designers Address
City State
Use
Valuation $ �—
# Stories
Cu Yd Cut
Cu Yd Fill
First , (
.Owner's E-mail Address
Zip iW7 Telephone(2tf,7)'� 53/2—
First I c:7A,5Y4 Lic. No. I Qp/5¢
Architect/Designees E-mail Address
i fh �zr�/� sbcty/oil/ r��1
..Zip F c%2h2% Telephone(?)76�-'�n�o

5. Engineer's Name Lash N�GS�N First Lic. No.y7
A/66,..1n14. GotiS'aaTi.e.C�ST.¢�GTd/ZiiG LNG/�,,p,�e
Engineers Address Engineer's E-mail Address
City State 1 G1 Zip 9;4616 Telephone q311 152 � 2D l0
j — 6. Contractor's Name Last r'irst Lic. Na. I Class)
Contractors Address Contractors E-mail Address
City State Zip �— Telephone
OFFICE USE ONLY ENERGY P/C FEE $
GRADING P/C FEE $ NO, l a l 0
Rev 1118107 ELEC/MECH/PLUM P/C 7,•N� %�LAN CHE B %$ �0 ' T 0 Pl

City of Newport Beach Building Division COMB Permit No: X2012-2095 PROJECT NUMBER: 1537-2012
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Combination Type - BLDG/ / / /
Job Address: 900 NEWPORT CENTER DR NB
Issued Date : 0211312013
Description:CHANGE OUT (6) (E) ANTENNAS (ROOFTOP)
...

Inspector Area: 7
Legal Desc.: P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

AMATEL INC
Architect:

Address: PO BOX 579
Address:
5055 WILSHIRE BLVD #740
Address:

LOUISVILLE, TN 37777
LOS ANGELES CA 90036
Phone:

Phone:
323-801-0199
Phone:

State Lic:

Applicant: MORAN URSULA
Con State Lic:
854664
Engineer:

SARAD ILIA B
Address: 16150 SCIENTIFIC WAY
Lic Expire:
0212812013
Address:
2755 BRISTOL ST #100
IRVINE CA 92618
Bus Lic:
- BT30042347
COSTA MESA CA 92626
Phone: 949-336-1550
Lic Exp Date:
02128/2014
Phone:
714-556-1916 X12 State Lic:S-003855
Code Edit : 2010
Worker's Compensation Insurance
Designer:

Type of Construction: 1-A-SPR
Carrier:

STATE FUND
Address:

Occupancy Group: B
Policy No:
9019599122
Added /New sq.ft. Bldg: 0
Expire:
09/2112013
Phone:

Added /New sq. ft. Garage: 0
No of Stories: 9
Building Setbacks
Rear: /
Special Conditions:

No of Units : 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: /
use cone:

Building Permit Fee: $216.36 Solar System PC : $0.00
Plan Check Fee: $155.78 Excise Tax: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat :
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $441.65
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

CL
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
u
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:

Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$31.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Plan Check Fee: $187.03 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.30
$31.15
A0.00
$6:Q0-
$0.61
$0.00
$o.oa
$254.52

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, prior to 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-Builderwill 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:

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 ion 7000) of Division 3 of the Business and Pro sions Code nd y li se is in full force and effect. / `f
License Class License No .� , Contract r nature
WORKERS' COMPENSATION DECLARATION j
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND 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.

I hereby affirm under penalty of perjury one of the following declarations:

I have an III 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 ogmp5ge he work for which this permit is issued. Policy No. a d 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' carrier and policy number are:
..... Policy Number Expiration Date
of Agent
i4 :should
9Lre of AI
of the wo fo/,which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor)cers' compensation laws of California, and agree h r rs' 0mp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I / e
)ECLARATIO"Ei,A74SING C UCTION 17ENDING AGENCY
;hersto affirm under penalty of erju that ther AS a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).

P, ,�p•
s Name: • Lender's Address
i 34gisRjnature Below,I certify to each of the following:
• �,I a"the property owner or authorized to act on the property owner's behalf. • N hate read AS aRP'ication and the information I have provided is rr �.I a Srge to comply with all applicable city and county ordinances andCos to laws relating to building construction. • I aut+iorize rgprps9latives of this city county t ter -i enti ted property for inspection purposes. R signature of ProQarty owner or Authoriz ,gent Print Property Owner's or Authorized Agdgme% to ' / ACTION
DATE
y

DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONE?
FEDERAL REGULATiONSPART 61 OF 7ITLE40AND
AQKDRULE 1403
PERMITaPPRED
❑ I SUBMITFEDASBESTDS M017FICATION TO_
❑ EPA
❑ AQMD
PERM!T CANCELLED
PERl4ITFXTENDED
%
0 ASBESTOS N077RCARONIS NOT APPLICABLE TO

PROPOSEDIIE TIOAL

PERNIFFFINAL
;7 fj
C'4TtFICATFOF
SIGNATURE:
€7CCUPANCY7SSUFD

City of Newport Beach Building Division
COMB Permit No: X2012-2122
w
PROJECT NUMBER:
1560-2012
'-" PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone
(949)644-3255
P
Combination Type - BLDG/ ELEC/
Job Address: 900 NEWPORT CENTER DR NB
Issued Date : 10/1212012
Description:R/R (E) GAZEBO @ REAR OF PROPERTY/RAMP AND RETAINING WALL MAX HT 4'3"MARRIOTT" Inspector Area: 7
Legal Desc.: P BK 75 PG 33 PAR 1
0 0
Owner: HHR NEWPORT BEACH LLC
Contractor: R D OLSON CONSTRUCTION
Architect:

SMITH CRAIG MONROE
Address: PO BOX 579
Address: 2955 MAIN ST, 3RD FL
Address:
1041 W 18TH ST, STE A-208
LOUISVILLE, TN 37777
IRVINE CA 92614
COSTA MESA, CA 92627
Phone:

Phone: 949-474-2001
Phone:
949/764-0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State Lie: 953845
Engineer:

NELSON WILLIAM MC KEE
00 0
Address: 1041 W 18TH ST, STE A-208
Lie Expire: 10/3112014
Address:
8951 RESEARCH DRIVE
COSTA MESA, CA 92627
Bus Lic: BT30009757
IRVINE CA 92618
Phone: 949/764-0010
Lie Exp Date: 05/31/2013
Phone:
949-752-2070 State Lic:S-003417 - -
Code Edit: 2010
Worker's Compensation Insurance
Designer:

Type of Construction: V-B
Carrier: ZURICH INS
Address:_
Occupancy Group: U
Policy No: WC368668705
,
Added /New sq.ft Bldg: 0
Expire: 0710112013
Phone:

Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks Rear: /
Special Conditions:

No of Units : 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:

Right: /
Flood Zone:

Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $25,000.00
Building Permit Fee: $440.16
Solar System PC : $0.00 Planning Department -
Fire Department
Plan Check Fee: $316.92
Excise Tax: $0.00 Plan check Fee :
$31.25 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
- Fair Share
$0.00 Fire Plan Rev
$63.38
Investigation Fee: $0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $102.00
Grading Permit Fee: $0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee: $0.00 Public Works Department -
General Service
$0.00
CA Seismic Safety : $0.50
WQ Insp. Fee: $0.00 Park Dedication :
$0..00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check:
$35.75
Fee Increase: Fee: $0.00
Electrical %: $52.99 San Dist:
$0.00
Additional Fee : $0.00
Mechanical W $0.00 NMUSD Fee:
$0.00
$0.00
Hazardous Mat : $0.00
Plumbing %: $0.00
-
$0.00
Building Green Fee : $1.00
TOTAL FEE : $1,00/4pp3..95
Plan Check Fee: $1,043.95
Fee Due at Permit Issuance:
$0.00
l_.x PROCESSED BY: -,'
PUBLIC WORKS APPROVAL:

ZONING APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL:

APPROVAL TO
ISSUE:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 1560.2012

✓NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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) orthat 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).

I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, sIness 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 am exempt from ttcensure under the Contractors' State License Law for the following reason:
m)eaignature.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 legally a s$uc,4Ore WJ 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 Ifegsj ode•is available upon request when this application is submitted or at the following Web site: http://www.leginfOrca,gov/calaw,html . naklre of Property Owner or Authorized Agent Date
TENSED CdNFRACTOR'S DECLARATION
Srpf y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof salons Code, and my license is in full force I glect. 1 /
anse•Class • • • License No )%e Contracto Slgnature
jj4RS' COMPENSATION DECLARATION
INING* FAILURE:: §FC:JRE 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 IT OF COMPENSATION, RAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r9il affirm under sanalty of perjury one of the following declarations:
.0 . .

I have and VIIIP ma;tain 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 thf fJo//rmance of the work for which this permit is issued. Policy No.

Ik ve 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' compensatior irance carrier and policy number are:

Policy Number
Date
ne of Agent Phone #
certify that, in 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 t, if I should bec subject t Ahe wogs' qom ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �. / (/ P P
nature of Applica� Date!
CLARATION REGARDING CONSTRUCTION LEli AGENCY
ereby affirm under penalty of perjury that there is 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 folio ing:

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 my to nter the bove-identified property for inspection purposes. �/ f/ nature of Property Owner or Authorized A2 nt !L'^-� Print Property Owner's or Authorized Agent's Name etc U7�zy/%y5l \D.�ite1 Z(/ ' ACT70N
DATE
BY

DECLARATION OF COMPLIANCE 'WITH CODE OF

OFRCEUSEONLY
FEDERAL REGULATIONSPART 61 OFTITLE40AND
AD..,RULE 1401
PERA9PT EXPV REtt
® ISUBMtTT€DASIBESTOSNORPICATIONTO::

E3 EPA
❑ AQMD
0 ASBESTOS KGRFlICATIO IS NOT APPLICABLETO'.

PROPOSED DEMOLITION.

PERAVTCANCELLED
PERMT:EXTENDED

PERMIT FINAL
-'7' 1
CERT1FICAT€OF
SIGNATURE:

OCCUPANCYISSUED
-

SMITH CRAIG MONROE
Address: PO BOX 579
Address: 2955 MAIN ST, 3RD FL
Address:
1041 W 18TH ST, STE A-208
LOUISVILLE, TN 37777
IRVINE CA 92614
COSTA MESA, CA 92627
Phone:

Phone: 949-474-2001
Phone:
949/764-0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State Lie: 953845
Engineer:

Type of Construction: V-B
Carrier: ZURICH INS
Address:_
Occupancy Group: U
Policy No: WC368668705
,
Added /New sq.ft Bldg: 0
Expire: 0710112013
Phone:

Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks Rear: /
Special Conditions:

No of Units : 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:

Right: /
Flood Zone:

ZONING APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL:

APPROVAL TO
ISSUE:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 1560.2012

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

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.

DECLARATION OF COMPLIANCE 'WITH CODE OF

OFRCEUSEONLY
FEDERAL REGULATIONSPART 61 OFTITLE40AND
AD..,RULE 1401
PERA9PT EXPV REtt
® ISUBMtTT€DASIBESTOSNORPICATIONTO::

E3 EPA
❑ AQMD
0 ASBESTOS KGRFlICATIO IS NOT APPLICABLETO'.

PROPOSED DEMOLITION.

PERAVTCANCELLED
PERMT:EXTENDED

PERMIT FINAL
-'7' 1
CERT1FICAT€OF
SIGNATURE:

OCCUPANCYISSUED
-

City of Newport Beach Building Division COMB Permit Nc
PROJECT NUMBER:

PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephon¢ Combination Type - BLDG/ ELEC/ / /
Job Address: 900 NEWPORT CENTER DR NB
Description:NEW TRELLIS (#1) @ ROSE GARDEN AREA "MARRIOTT" Inspector Area: 7
Legal Desc.: P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

R D OLSON CONSTRUCTION
Address: PO BOX 579
Address:
2955 MAIN ST, 3RD FL
LOUISVILLE, TN 37777
IRVINE CA 92614
Phone:

Phone:
949-474-2001
Applicant: SMITH CRAIG MONROE
Con State Lic:
953845
Address: 1041 W 18TH ST, STE A-208
Lie Expire:
10131/2014
COSTA MESA, CA 92627
Bus Lie:

BT30009757
Phone: 949/764-0010
Lie Exp Date:
05/31/2013
Code Edit : 2010
Worker's Compensation Insurance
Type of Construction:

Carrier:

ZURICH INS
Occupancy Group: U
Policy No:

WC368668705
Added /New sq.ft. Bldg: 0
Expire:
07101/2013
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear
No of Units : 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:

Right /
Flood Zone:

Use Zone:

Issued Date: 10/12/2012
Parkinq Spaces:
0 Building Permit Fee: $171.60
Plan Check Fee: $123.55
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$1.00 -
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $405.02
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

Solar System PC : $0.00
Excise Tax: $0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee :
$0.00
Electrical %:
$20.66
Mechanical %:
$0.00
Plumbing %:
$0.00
Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:
ij
1ECTOR

SMITH CRAIG MONROE - -
1041 W 18TH ST, STE A-208
COSTA MESA, CA 92627 _
9491764-0010 State Llc:CO20154 - -

NELSON WILLIAM MC KEE-
8951 RESEARCH DRIVE
IRVINE CA 92618
949-752-2070 State Lic:S-003417
Phone:

Special Conditions:

Fire Hazard Zone : N
Planning.Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$62.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Plan Check Fee: $219.41 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
77 $0.00T ;
$24.71, !
ii
$0.00'
$0.0 i `s
$185.61
bpiVK----"'� PLAN CHECK BY: Off_
APPROVAL TO ISSUE: -
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.- ;r

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 ftem(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, prior to its issuance, also requires the applicant for thepermit to fiI� 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 (_) all of or L) 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 die purpose of sale).

I, as owner Iof.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 owisr of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), U -I am exempt from licensure under the Contractors' State License Law for the following reason:

Signature of Propelty0v ner or Authorized Agent Date
L•iCEV,9ED CONTRACTOR'S DECLARATION
I Mere yaffirm,-i#Ae*r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Qode, and my license is in full force and effvCt I
L=ce%I; Class • License No to I r,7 `'x- Contreotar Slgnatur�' >"Y 1 ur WQRKERS,C.rJUeEFISATION DECLARATION
AIOF CO ILdRE TO SECIARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AND EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H ND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPEN¢AiION,AAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. (hereby uffirrn 40ar penalty of perjury one of the following declarations:
•LJ3vF and _will'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, rf rmance of ihn wok for which this permit is issued. Policy No., evsr and'tiri11 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 Id�1 air¢ carriei9nripr:icy number are:

Carrier__; " ' Policy Number Expiration Date
Name of Agelit Phone #
❑I certify tha}t,'n 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 agree that, if I should)Iecome bject tot, or rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 - Signature of licant (N -� ate_l 6 '9 �'1)L�
DECLARAT 6 ,REGA RANG ¢ON TRUCTION LENDING AGENCY
- - I hereby affirrh 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). ` Lender's Namie Lender's Address
By my signature below, I certify to each of the following:

I am the oroperty 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 ordinance and state laws relating to building construction.

I authorize; representatives of this city or, count - ent��{{,gh a o'e-iden .1i d property for inspection purposes. ff�� r�I Signature of Property Owner or Authorize Agent J-, �� Print Property Owner's or Authorized Agent's Nam e n 0 L Q, id J7� / �- fieT7Qre
i7ATE
BY
DECLARAT[ONDFCOMPIJAAfCEMTHCODEOF
fMORWEUSE ONLY .

FEDERAL REGULATMSPART61 OF T17LE40AIVD
AC1Ul(D'Rt1'LE 1403.

PERMfTE^P#RErJ.,
`
[3 ISUBMITTEDASBESTOS NDTIFICA:TiOIV TO::.
0 EPA
AOMO
_
PERAOITCA CELtED

PERMITETENDED
ASBESTOS NOTIFICATiONIS:NOT APPLICABLE TO

PROPOSED DEMOLITIGAL
.

PER7UIfT F7'iV{9L
CERTIFICAiRy OF
OCCUR 4,14drISSUED

SIGNATURE,

City of Newport Beach Building Division COMB Permit No: X2012,2124 PROJECT NUMBER: 1560-2012
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)1 Combination Type - BLDG/ ELEC/
Job Address: 900 NEWPORT CENTER DR i
Description:NEW TRELLIS (#2) @ ROSE GARDEN AREA "MARRIOTT" Inspector Area: 7
Legal Desc.: P BK 76 PG 33 PAR 1
Vapr:CTOP.

Owner: HIFIR NEWPORT BEACH Li
Contractor:

R D OLSON CONSTRUCTION
Architect:

SMITH CRAIG MONROE
Address: PO BOX 679
Address:
2955 MAIN ST, 3RD FL
Address:
1041 IN 1 8TH ST, STE A-208
LOUISVILLE, TN 37777
IRVINE CA 92614
COSTA MESA, CA 92627
Phone:

Phone:
949-474-2001
Phone:
9491764-0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State
Lic: 953845
Engineer:

NELSON WILLIAM MC KEE
Address: 1041 W 18TH ST, STE A-208
Lic Expire:
10/31/2014
Address:
8951 RESEARCH DRIVE
COSTA MESA, CA 92627
Bus Lic:

BT30009757
IRVINE CA 92618
Phone: 9491764-0010
Lic Exp Date:
05131/2013
Phone:
949-752-2070 State Lic:S-003417
Code Edit 2010
Worker's Compensation Insurance
Designer:

Type of Construction:

Carrier:

ZURICH INS
Address:

Occupancy Group: U
Policy No:

WC368668705
Added /New sq.ft. Bldg: 0
Expire:
07/1
Phone
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:

No of Units 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:

Right: I
Flood Zone:

Use Zone:

Issued Date: 10/1212012
Parking Spaces: 0
Fire Hazard Zone N
Construction Valuation: $7,000.00
Building Permit Fee: $171.60
Solar System PC:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $12156
Excise Tax:
$0.00 Plan check Fee
$62,50 Fire Inspection: $0.00
Overtime Plan Ck: $0.00
Fair Share
$0.00 Fire Plan Rev $24.71
Investigation Fee: $0.00
SJH Trans
$0.00 Demolition Fee
Record Management: $1.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee
$0.00 Building Dept Adm $0.00
-1
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department -
General Service $0.00:

CA Seismic Safety; $0.00
WQ Irap. Fee:
$0.00 Park Dedication
$0.00
Refund Deposit $0.00
Disabled Access $0.00
PAN Plan Check
$0.00
Fee Increase: Fee: $0.00
Electrical %:
$20.66 San Dist
$0.00
Additional Fee $0.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.0W
Hazardous Mat $0.00
Plumbing W
$0.00
$0 .004�
Building Green Fee $1.00
TOTAL FEE : $405.02
Plan Check Fee $182.61
Fee Due at Permit Issuance $222.41
PROCESSED BY:

ZONING APPROVAL:

PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL: APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.

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 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, prior to 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 (he 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).

I.am exempt from licensure under the Contractors' State License Law for the following reason:
ny 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 legalli a structure }flat I Iyave 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 'essions CGIQE, ISPIvailable upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.govfcalaw.html .

Iattre of Prop arm�yy Owner or Authorized Agent Date
LASED t,�OR1TRACTOR'S DECLARATION
relb affirns index penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division of the Busines a Professions de, and m license is in full force Y P Y P 1 ry P P ( 9 ) Y
rise Class` y License No 91a i a�-- 7�- ontra orSignatu v� WERS' COMPENSATION DECLARATION -/ d
?18G: FAILUfj,E-TO.SEC'URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE S,COMPSR AJION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.

My affirm under penalty of perjury one of the following declarations:
. hzVe ando ill"Jintain 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, wmance ()?..the wornk for which this permit is issued. Policy No. !J4,)b and., nl rGaiiritain 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' compensator rance cardePdnd policy number are: _
ler Policy Number Expiration Date
Of
ertify that, in 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 if I should become -subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j IECLARP.'PION REGA DI CONSTRUCTION LENDING AGENCY 7
hereby affirm under pe al y 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). ender's Name; Lender's Address
;y my signature below, I certify to each of the following:

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

I have reedthis 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; epresentatives of this city or Count t oboe/etirl�itifie property for inspection purposes. !� signature of lO party Owner or Authoriz gent B Print Property Owner's or Authorized Agen Namur 1'w t Cx t't—' ate h�€`TfON
DATE
By

DECLARATION DF GDASPLIANUL MIHCODE OF
FOR OFFICE USE01i
FEDERAL REGULA77ONSPART61 OF TITLE40AND
AQMD RULE 1403.

PEWiTEbPIREO
..t
❑ I SUBMITTEDASBES"7OS AIODFICATION TO:
❑ EPA
❑ Awo
ASBESTOS N077RCAHOM IS NOTAPPLICABLE TO

PROPOSED
PERMITC4NCELLEO
FERA4ITEk7..WDEO

PERWITTINBAL

CERTIFICA'FE OF
OCCUPAii

SIGNATURE

0 �, City of Newport Beach Building Division
yI � " 4 �,
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ ELEC/ / /
Job Address: 900 NEWPORT CENTER DR NB
Description:NEW TRELLIS i @ ROSE GARDEN AREA "MARRIOTT" Inspector Area: 7 Legal Desc.: P BK 75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Address:

PO BOX 679
LOUISVILLE, TN 37777
Phone:

Applicant:

SMITH CRAIG MONROE
Address:
1041 W 18TH ST, STE A-208
COSTA MESA, CA 92627
Phone:
949/764-0010
Code Edit:
2010
Type of Construction:

Occupancy Group:

U
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:

Flood Zone:

Issued Date: 10/12/2012
Construction Valuation:
$7,000.00
Building Permit Fee:
$171.60
Plan Check Fee:
$123.55
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$1.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase; Fee:
$0.00
Additional Fee :
$0.00
. Hazardous Mat:
$0.00
Building Green Fee
: $1.00
TOTAL FEE: $405.02
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

Contractor: R D OLSON CONSTRUCTION
Address: 2955 MAIN ST, 3RD FL
IRVINE CA 92614
Phone: 949-474-2001
Can State Lic: 953845
Lic Expire: 10131/2014
Bus Lic: BT30009767
Lic Exp Date: 05/31/2013
Worker's Compensation Insurance
Carrier: ZURICH INS
Policy No: WC368668705
Expire: 07/0112013
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone:
0 Architect:

Address:

Phone:

Englneer.

Address:

Phone:

Designer:

Address:

Phone:

COMB Permit No: X20122125
PROJECT NUMBER: 1560-2012
Inspection Requests/Telephone (949)1
i

SMITH CRAIG MONROE
1041 W 18TH ST, STE A-208
COSTA MESA, CA 92627
9491764-0010 State Lic:CO20154

NELSON WILLIAM MC KEE
8951 RESEARCH DRIVE
IRVINE CA 92618
949-752-2070 State Lic:S-003417
Special Conditions:

Fire Hazard Zone : N
Solar System PC :
$0.00
Planning Department -
Excise Tax:
$0.00
Plan check Fee
-
Fair Share:

SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical 0/.:
$20.66
San Dist:
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Fire Department
$62.50-
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Plan Check Fee: $182.61 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. a

I
0 JILDER DECLARATION
(Se,
the'
Prot
n�)
E
I,. as owne
31ness and'
irovement5
)roved for l!I
I, as owne
)ly to an oV,
I am exert
my signatl
a structurE
fessions C
nature of 6'
:ENSED.f
weby affirm
I effect. f
-rise Class
rm 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) 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 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 theBusiness and e) 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 e hundred dollars ($500),
f 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, )fessions 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 e 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 purpose of sale).
f 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 r of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). from licensure under the Contractors' State License Law for the following reason:
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 Iegall lat 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 is available upon request when this application is submitted or at the following Web site:http:/Avww. Ieginfo,ca.gov/calaw.html. )erty Owner or Authorized Agent Date

NTRACTOR'S DECLARATION
)der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3, of th -Business a & rofessi^onns,e�J,D, de, and m license. is in full force • License No te' "t 'Za- Contr t-rSignature e1
)M IiNSATION DECLARATION
r6SEQURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' ONE H NDREO THOUSAND pOLLARS 1$100,0001, IN ADDITION TO THE \V- _ AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rjer penalty of perjury one of the following declarations:
:ill 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 ie worh for which this permit is issued. Policy No.

I rg9lrtain 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 and policy number are:

Policy Number Expiration Date
JI.aertify that,'lJn theperformance 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 VP kf l thoula Decofn(•subje�ct tot ,pw�orKe compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f ignature o pp I • nt` \�17�� i4i D qy�
DECLARATION REGAgDI CONSTRUCTION LENDING AGENCY
hereby afrirn?lunder pena y 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). ender's Namje° �- Lender's Address
y my signature below, I certify to each of the following I am the Or4perty owner or authorized to act on the property owner's behalf. )have resd.(this application and the information I have provided is correct.

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

I authorize representative f t is city or count t ent r h-8fab�v ''-identifie roperty for inspection purposes. _ r� ,�,/ a[ure of Property Owne ohorized Agent / �1./ Print Property Owner's or Authorized Agent's Nrrrie�� \ ti t) 1 7fON
DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF v

FOR OFFICE USEONLY
l 1
FEDERAL REGULA.T03NS PART 61 OF TITLE40AND
AWDRU£E 1 .

PERdifltTEd'P><RED..
.1
© f SUBOTTE€iASBESTOS NO71FiCATION TO.'
13 EPA
0 AQMD
PERAWTCf,If7CELtED
P£RA ITE47-WDED
0 ASSESTOS'NOITH ARONISNOTAFPUC4B ETO
PROPOSED DE ION...

PERWIT:FINAL
CERTIFIC4-� OF
OCCUPAfVAC4`..155tIED
SIGNATURE:.

0 City of Newport Beach
Building Division
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ / / /
Job Address: 900 NEWPORT CENTER DR NB
Description:RMV INFIL WALL @ NORTH TOWER, V-2" IN LENGTH "MARRIOTT" Inspector Area: 7 Legal Desc.: P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC
Address: PO BOX 579
LOUISVILLE, TN 37777
Phone:

Applicant:

SMITH CRAIG MONROE
Address:
1041 W 18TH ST, STE A-208
COSTA MESA, CA 92627
Phone:
949/764-0010
Code Edit: 2010.

Type of Construction:

Occupancy Group: U
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:

Flood Zone:

Issued Date: 10/1212012
Construction Valuation:
$5,000.00
Building Permit Fee:
$141.76
Plan Check Fee:
$102.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$1.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee:
$0.00
Hazardous Mat
$0.00
Building Green Fee
: $1.00
TOTAL FEE: $308.33
PROCESSED BY:

ZONING. APPROVAL:

GRADING APPROVAL:

Contractor:

R D OLSON CONSTRUCTION
Address:
2955 MAIN ST, 3RD,FL
IRVINE CA 92614
Phone:
949-474-2001
Con State Lic: 953845
Lic Expire:
10/3112014
Bus Lic:

BT30009757
Lic Exp Date:
05/31/2013
Worker's Compensation Insurance
Carrier:

ZURICH INS
Policy No:

WC368668705
Expire:
07/01/2013
Building Setbacks Rear: /
Front /
Left. /
Right: /
Use Zone:
0 Solar System PC : $0.00
Excise Tax: $0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:

Phone:

COMB Permit No: X20124126
PROJECT NUMBER: 1560-2012
Inspection Requests/Telephone (949)644-3235
i
tNSFF,CTOR

SMITH CRAIG MONROE
1041 W 18TH ST, STE A-208
COSTA MESA, CA 92627 -
949/764-0010 State Lic:CO20154
Fe

NELSON WILLIAM MC KEE
8951 RESEARCH DRIVE
IRVINE CA 92618
949-752-2070 State Lic:S-003417
Special Conditions:

Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/1N Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0,00
Plan Check Fee : $119.36

PERMITS EXPIRE
Fire Department
$62,50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
e
$0.00��f
$0.00110
$0.W
$0.003
$0.00.
$0.00'''
$0.0j I
$188.97
ii
!' f
F '' l

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) :tion 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 fife 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 'essions drone) 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).

I,as ownsrof 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 rovement5 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 thatit 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). _ U I am exempt from licensure under the Contractors' State License Law for the following reason:

By 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 self 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 4o0e, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.htmi .

Signature of Property Owner or Authorized Agent Date

LICENSED CONTRACTOR'S DECLARATION
I hereby affirrji Under penalty of perjury that I am licensed under provisions of Chapter 9 (comme Ing with Section 7000) of Division 3 off Busines and Professidns Code, and my license is in full force and effect. ¢ -
License Class ; • • License No Date 1011 �+ T Contrac nSignatur _y VORK;iRS`COMPeNSATION DECLARATION
IVRr&W. FAILUR' TO 89bej1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,000i, IN ADDITION TO THE LOST OFtOMP64T". AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,fferel!j4affirm. Under penalty of perjury one of the following declarations:
1 have and -OIL gV;rtain 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 mance ,D.
the work for which this permit is issued. Policy No.
f• •e and)V.411m.911blain 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' compensatio Iu rarcie cartiertund policy number are:
i�r�ircr•� i.; • Policy Number Expiration Date
Janie ofAgeht'„ "_, . Phone #
3lcertify thaVin 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 Sat, J�should heco"al 'ect to the 0" r co ens at'
provisions of Section 3"0 of the Labor Code, I shall forthwith comply with those provisions. 1 • ' / 77
ignature of j3licant
IECLARATIbt REGARD �G C NSTR CTION LEN`UING AGENCY s
hereby affirm , nder penalty 3Pperjury that there is a construction lending agency for the pertormanca of the work for which this permit is issued (Section 3097, Civil God e). -
ender's Namje- Lender's Address
y my Sig
nature below, I certify to each of the following:

I am the {jr$perty 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;compiy with all applicable city and county ordinances and state laws relating to building construction.

I authorize iepresentatives of this city or c o n��e``th bo identified property for inspection purposes. r ignature of Property Owner or Authoriz Age J Print Property Owner's or Authorized Ag4it�Name ,e v. i.✓ ^ �n"Y"Y e- i 6 ) l Zd a7CTiCiN
DATF
BY

DECLARATION OF COMPLIANCEWTM CODE OF
FOR. OFFICIEUSE ONLY
FEDERAL REGULATMSPART 6`t OFTITL.E40 AND
AQ MD RULE 1401
PERMITEX RLE"D
[3I5UBMITTEDASBERTOSMO1FlCATtONTO:.
0 EPA
AQMD
-
. PERMtTC1ANCE'LLED
PERM1TOfTF.NEED
ASBEST05NOURCAI30NtS NOTAPPLICABLETO

PROPOSED DEMOLITION,
PERMff FIAW
7-1 •11
CEfiATF ATF OF
OCCVPArN4. 155UED
:SIGNATURE:
.

City of Newport Beach
Building Division
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ / / ELEC/
COMB Permit No: X20U-';127
PROJECT NUMBER: 1560-2012 i j
Inspection Requests/Telephone (949)644-32.55
'i
Job Address: 900 NEWPORT CENTER DR NB
Description:13 LIGHT STANDARDS "MARRIOTT'°
g v 5 i0.

Inspector Area: 7 Legal
Desc.: P BK 75 PG 33
PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

R D OLSON CONSTRUCTION
Architect:

SMITH CRAIG MONROE
Address: PO BOX 579
Address:
2955 MAIN ST, 3RD FL
Address:
1041 W 18TH ST, STE A-208
-
-
LOUISVILLE, TN 37777
IRVINE CA 92614
COSTA MESA, CA 92627
Phone:

Phone:
949-474-2001
Phone:
949/764-0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State. Lic:
953845
Engineer:

NELSON WILLIAM MC KEE
Address: 1041 W 18TH ST, STE A-208
Lic Expire:
10/31/2014
Address:
8951 RESEARCH DRIVE
a
COSTA MESA, CA 92627
Bus Lic:

BT30009757
IRVINE CA 92618
Phone: 949/764-0010
Lic Exp Date:
05/31/2013
Phone:
949.762-2070 State Lic:S-003417
Cade Edit: 2010
Worker's Compensation Insurance
Designer:
"^
0 Type of Construction;
Carrier:

ZURICH INS
Address:.

Occupancy Group: U
Policy No:

WC368668705
Added /New sq.ft. Bldg: 0
Expire:
07/01/2013
Phone:

Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:

No of Units: 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:

Right: /'
Flood Zone:

Use Zone:
-i t
Issued Date: 10/12/2012
Parking Spaces:
0 Fire Hazard Zone : N
Building Permit Fee: $365.56
Plan Check Fee: $263.20
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee:
$0.00
Hazardous Mat: _
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $740.77
PROCESSED BY:

ZONING APPROVAL:

Solar System PC: $0.00
Excise Tax: $0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %;
$44.01
Mechanical %:
$0.00
Plumbing %:
$0.00
Planning Department -
Plan check Fee
Fair Share:

SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$35.75
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$31.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service,
Refund Deposit
Plan Check Fee: $330.20 Fee Due at Permit Issuance :

PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL: APPROVAL TO ISS
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID
$0.00
$0.00'. r
$0.00`
$0:00% 1
$0.00'
$410.57 i

?: OWNER -BUILDER DECLARATION
I -hereby pf(irm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 703T.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 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, of my employees with wages as their sole compensation, will do (_) all of or (J portions of the work, and the structure is not intended or offered for sale (Section 7044, Business andProfessions 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 {he purpose of sale).
❑ I, as ownerof 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). ❑ I -am exempt from licensure under the Contractors' State License Law for the following reason:
: By my signatijfe 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 legally 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 Cote',is Alailable upon request when this application is submitted or at the following Web site: htlDVAN aw. leg info.ca.gov/ca law, him 1.

V094I of Propejty,Owner or Authorized Agent Date
LICENSED C6,ftT,ACTOR'S DECLARATION
Lltereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th Business d Professions ode, and my license is in full force . pncirsfect. �/ ,
License' Class ;; License No ,t5e¢e G}I l� )�ld Contrac or ignatu e N / `. 41/dRdRS' COMPENSATION DECLARATION
WAPNaNG: FAILURG TO PEGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON IRS ($100,000), IN ADDITION TO THE CJ %TR . tOMP4NSRStON, BAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.

I hereby affirm under penalty of perjury one of the following declarations:

Q1 have ani:1AILinsintam 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 g,Urplince of the wort for which this permit is issued. Policy No. ! e and'vfill 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' compensation insurance carrier and policy number are:
barrier_ Policy Number Expiration Date
Name of AgentPhone #
I certify tha#, in 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 worke s' compensation laws of California, and agre that, if I should 0 o ubject to the ' c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

Signature of kppl' an qtoL 10 )z,l a'-2—
DECLARATION REG RI2DI CO STRUCTION LENDING AGENCY
I hereby affirm under per�ait 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).

Lender's Nafrie' Lender's Address
By 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 rekthis 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 authorizeepresentatives of this city or count. to an the ve-identif d roperty for inspection purposes. (_7(/ ( // .. Signature of F roperty Owner or Authored Agent � Print Property Owner's or Authorized Agent's f*}'arrle 11Ik � , Date AlifON
ATE
BY I
i DECLARATION OFCOMPLIANCE MTHCODEOF

FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART61 OFTITLE40AND
AQMD RULE 1403.

PERMIT E,4 MEO
❑ i' SU&WTTEDASOESTOS NOTfFtCATiON TO:
❑ EPA
❑ AQMD
PERmrTcAmcELLFD
PERMITOaENDEG
❑ ASBESTOS NOZiFfCATIONISNOT APPLICABLE TO
FAih'7dT ,+ttiL
_ S _F
PhOPQSEDIDEMOLITION,
'
tER77FIC41FE OF
. OCCURAACYf3SUED
SIGNATURE:

Inspector Area: 7 Legal
Desc.: P BK 75 PG 33
PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

R D OLSON CONSTRUCTION
Architect:

SMITH CRAIG MONROE
Address: PO BOX 579
Address:
2955 MAIN ST, 3RD FL
Address:
1041 W 18TH ST, STE A-208
-
-
LOUISVILLE, TN 37777
IRVINE CA 92614
COSTA MESA, CA 92627
Phone:

Phone:
949-474-2001
Phone:
949/764-0010 State Lic:CO20154
Applicant: SMITH CRAIG MONROE
Con State. Lic:
953845
Engineer:

NELSON WILLIAM MC KEE
Address: 1041 W 18TH ST, STE A-208
Lic Expire:
10/31/2014
Address:
8951 RESEARCH DRIVE
a
COSTA MESA, CA 92627
Bus Lic:

ZURICH INS
Address:.

Occupancy Group: U
Policy No:

WC368668705
Added /New sq.ft. Bldg: 0
Expire:
07/01/2013
Phone:

Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:

No of Units: 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:

Right: /'
Flood Zone:

ZONING APPROVAL:

PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

GRADING APPROVAL: APPROVAL TO ISS
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID
$0.00
$0.00'. r
$0.00`
$0:00% 1
$0.00'
$410.57 i

I hereby affirm under penalty of perjury one of the following declarations:

Lender's Nafrie' Lender's Address
By 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 rekthis 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.

FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART61 OFTITLE40AND
AQMD RULE 1403.

'6gWl�q$
' City of Newport Beach Building Division COMB Permit No: X2012-2887 PROJECT NUMBER: 2104-2012
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 n
iiTlli9YT'`
Combination Type - BLDG/ PLUM/ MECH/ ELEC/
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM DEMO TENNIS CLUB, COURTS & PARKING LOT "MARRIOTT" Inspector Area: 7
Owner:

HHR NEWPORT BEACH LLC
Address:

PO BOX 579
LOUISVILLE, TN 37777
Phone:

Applicant:

KLASSEN BILL
Address:
16795 VON KARMAN AVE #100
IRVINE CA 92606
Phone:
949-474-1960
Code Edit
Type of Construction:

Occupancy Group:

Added /New sq.ft. Bldg:

Added /New sq. ft. Garage:

No of Stories:

No of Units :

Bldg Height:

Bldg Sprinklers:

Flood Zone:
2010
V-B
0 0
Legal Desc.:

Contractor:

T N H C REALTY & CONSTR INC
Address:
95 ENTERPRISE #325
ALSO VIEJO CA 92656
Phone:
949-382-2755
Con State Lic:
938080
Lic Expire:

Bus Lic:

BT30042499
Lic Exp Date:
03/31/2014
Worker's Compensation insurance
Carrier:

EVEREST NATIONAL
Policy No:
7600009753121
Expire:
09/15/2013
1 Building Setbacks Rear: /
0 Front: I
0 Left: I
Right: /
Building Permit Fee: $1,227.50
Plan Check Fee: $883.80
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$7.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee:
$0.00
Hazardous Mat:
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $5,226.81
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

Solar System PC: $0.00
Excise Tax: $0.00
Grading Permit Fee: $34.80
Grading PC Fee:
$0.00
WQ Insp. Fee:
$23.20
Electrical %:
$147.80
Mechanical %:
$105.57
Plumbing %:
$211.13
0 Issued Date : 03106/2013
Architect:

Address:

Phone: State Lic:

Engineer: SLASOR ORIANA
Address: 16795 VON KARMAN AVE #100 -
IRVINE CA 92606
Phone: 949-474-1960 State Lic:C-063451
Designer:

Address:

Phone:

Special Conditions:

Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:

Public Works Department -
Park Dedication : $0.00
PfW Plan Check : $178.75
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee : $1,523.00
Fire Department
$312.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
$0.00
$176.76
$16.00
$184.00
$1,713.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,703.81
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INS.. 0 ER -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 item(s) 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 theapplicant to a civil penalty of 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, mass 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).
1, as owneaaf tba property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not iy4R an owner ofp4operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 4 am exempt from 4icensure under the Contractors' State License Law for the following reason:
my;ignatul",JbTdq 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 legally 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 fusions Code; is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlc law.html.

V;&e of Pa)p@"Qwner or Authorized Agent Date
[WISED COMTRACTOR'S DECLARATION
reby affirm ju410Er-Wn2lty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe ions G de, n y license is in full force effect. ....
.ns.Class . License No Date• �" +3 Contractor Signature (RICERS' G0MRENSATION DECLARATION
:IilBlb FAILUFE T.O 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 T OPCOMPENVIIVI:, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. reb/y affirm � ggjr�ptnalty of perjury one of the following declarations:
iI )have and will 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 the mance of the work for which this permit is issued. Policy No. 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' Carrier and policy number are:

Policy Number
m of Agent
Date
Certify that, in the performan96 of the we for ich 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 agm t, if I should become subject o the work ' co pens ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.>> nature ofApplicant - Date JL �•"' 3
CLARATION REG DING C TRU I ENDING AGENCY ✓
:reby 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 providJabove- 1 agree to comply with all applicable city and County ordinana ws r ti Ig to building construction. ?� 6 I authorize representatives of this city or county to epter the ed art for inspection purposes. �A CVAC L � U(Z-p I- 7. nature of Property Owner or Authorized Agent -� Print Property Owner's or Authorized Agent's Nam Dat AC770t17
DATE
BY

DECLARAPONOFCOMPLIANCEWTHEODEOF
7 QFHCEU5EGIRY
FEDERAL RFGULATIONSPART 61 OF TTTLE40AND
AOMDRULE1403.

P€RMfTFF`RREQ
0 TS ASBESTOS TTRCATfONTO:
0 EPA
0 AiOMD
PE'RMtTG'A.NCFff Ffi

PERMITE(TENDED
0 ASBESTOS NO77€7CARON7S NOTAPPL7CABLE TO

PROPOSED TM
PERMIFFINfiL
) 0 •1 S' 13
CERT7RCA 7F OF
S/GNATOW:
0CCtiPANCr1SSUFD

we - CiL'j of Newport Beach - Building Division
❑4. 100 Givic Center Drive, Newport Beach, CA 92660
F r'q Permit Counter Phone (949)644-3288
`'rc0`a Combination Type - BLDG ELEC
IINIII�IIIJIIIVIII�IIINIIINIII�IIINI4
Job Address: 900 NEWPORT CENTER DR NB
Description COMM - CELL SITE ON ROOFTOP "MARRIOTT'
Inspector Area: 7 Legal Desc.:

P BK 75 PG 33 PAR 1
Owner: HHR NEWPORT BEACH LLC
Contractor:

C I K BUILDERS
Address: 900 NEWPORT CENTER DR
Address:
240 W GROVE
NEWPORT BEACH CA 92660
ORANGE CA 92867
Phone: 949-729-3594
Phone:
714-938-0297
Applicant: FULSANG ERIC
Con State Lie:
969729
Address: 3400 VIA OPORTO 3204
Lic Expire:
02/28/2014
NEWPORT BEACH CA 92663
. Bus Lic:

BT30044926
Phone: 949-8384139
Lic Exp Date:
10/3112014
Code Edit : 2010
Worker's Compensation
Insurance
Type of Construction: I-A-SPR
Carrier:

WAUSAU UNDERWRITERS
Occupancy Group: R-1
Policy No:

WCJZ91456521012
Added /New sq.ft. Bldg: 0
Expire:
10/1212013
Added /New sq. ft. Garage: 0
No of Stories: 9
Building Setbacks
Rear: I
No of Units : 0
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: /
Flood Zone: X
Use Zone: Parking Spaces: 0
Building Permit Fee: $1,042.46
Plan Check Fee: $803.56
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$270.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Fee Increase: Fee:
$0.00 ---
Additional Fee :
$0.00�
Hazardous Mat:
,yv.00
-Building Green Fee
:// $4.00
TOTAL FEE : $2,526.77
PROCESSED BY:

ZONING APPROVAL:

Solar System PC:
$0.00
Excise Tax:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$126.51
Mechanical %:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:

Phone:

COMB Permit: X2013-0474
Project No : 0372-2013
Inspection Requests Phone (949)644-3255
Issued Date : 1010412013
O p A

FULSANG ERI
3400 VIA OPORTO #204
NEWPORT BEACH CA 92663
949-838-4139 State Lic:C030715 '

POOLE RICH ARD
3400 VIA OPORTO #204 _
NEWPORT BEACH CA 92663
949-633-5809 State Lic:C-071869
Special Conditions: TP2011-012 (PA2011-205)
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:

Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$803.10
PUBLIC
PLAN C
GRADING APPROVAL: /- Arms
' PERMITS EXPIRE 130 DAYS AFTER ISSUANCE OR
TO IS:

VALID
Fire Department
$281.25
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
$0.00
Fee Due at Permit Issuance : $1,723.67

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 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, prior to 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 L) 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). ❑ I 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 Iegall� 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, 19'9*ilable upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html . $igi;VWr* of Property Owner or Authorized Agent Date
I•ICENSED CONTRACTOR'S DECLARATION
.%eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S�ctio�7000) of Division 3 the iness and Professions C , a Icense is in full force and cffzct. License Class License Noty� /d—`f�'Z�iS on actor Signature �,A8O,RKERS' GOMP�CNSATION DECLARATION W—
RARNRJG: 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 ;QSga COMPENSfin1pN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,tyerQVaffirm uncle. penalty of perjury one of the following declarations:
:20*we and wilt 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( rmance oft ,%Vpa for which this permit is issued. Policy No. ,R' A t 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' compensatior ps ce carrier and'policy number are:

Policy Number Expiration Date
of Agent
A certify that, in 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 Iat, if I should become subject to th��y�✓orkersco-m-p^e'n�s�atiJo Lprouisioas-o-f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ),nature of Applicant
ECLARATION REGARDING,0kWSfRUCTION LENDING AGENCY
hereby affirm under penalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect n 3097, Civil Code). anders Name Lenders Address
y 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.

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 county to enter t bove-identifie roperty for ins ection purposes. �///
mature of Property Owner or Authorized Agent '�riot Property Owners or Authorized Agent's Name �-�N J&.. ate .Ec7m to TF
7JY
OErnL4RATr0IVOF COM PILMCE MT:YOWE OF

I -OR T
FEDERAL f A TDAFS Pa7RT81 OF TFfLE40 AND
AQUORVILE M3.

FN fer: rP r
0 P.*i[�fiP� O'TtAS€Y'STtli f'X5F££#"�1 N i79_
EPA
❑ AL1a�AC7
PER&PTCAAr=
;3Er7fiF, r�r�'F�..3n'tt€�
®aos SIJOT�H�iA7iON T.A} L TO
Pl1[7VW1T T1W
0LCUPArdr1'',3SVED.
fG'NAPEi3 .

Report of Special Inspection
Project No--(, & Addressl/ �F�- �
Permit NumDcr�Z--2A—'i--�
4nspectlo- -ypc(s)
Inspection Date(s)
Describe Inspection Made, including
r ] Periodic [ X j Continuous
List Tests Made: �to C&
Totat Inspection 'rime Each Day:

List Items Requiring Correction, include uncorrected items previously listed to
Cormnents:'* LID 411 fnli&�V-1�3evTl
To the best of my knowledge, the work inspected was in accordance with the Building Department a;: roved design drawings, specifications and applicable workmanship provisions of the U,B-C- except as nktN above.

Sfgned: Date
Print Full Name; Registration No.

FORM, SI-02190

Report of Special Inspection
Project Name & Address
Format Number '2,0 1 Vsr —
Inspection `type($)
Inspection Date(s)
Describe inspection Made, including Locations:

Total Inspection Time Each Day:
r j Periodic C I Continuous
List items acquiring Correction, include uncorrected items previously listed To the best of my knowledge, the work inspected was in accordance with the Building Department approved + ign drawings, specifications and applicable workmanship provisions or the U.6,C. except s tee above.
signedt"' Dal stra �
Print Name: g ioial�o,

�a City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
sA
Combination Type - CIP ELEC MECH PLUM
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM - TI "MARRIOTT "PACIFIC LANDING BLDG" 63 ROOMS Ili iiiiiiiiiiii II
COMB Permit: X2013-1666
Project No : 1436-2013
Inspection Requests Phone (949)644-3255
Issued Date: 1
Inspector Area: 7 Legal Desc.:

P BK75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Contractor:

CONTINENTAL CONTRACTORS,
INC Architect:

TYNER RUSSEL EDWARD
Address:
6903 ROCKLEDGE DR #1500
Address:
410 SEVERN AV STE 410
Address:
2630 SEPULVEDA BLVD
BETHESDA MD 20817
ANNAPOLIS MD 21403
TORRANCE CA 90505
Phone:

Phone:
410-263-6514
Phone:
310-326-3050 State Lic:C014979
Applicant:

CRESPO JOHANNA
Con State Lic:
886008
Engineer:

Address:
2630 SEPULVEDA BLVD
Lic Expire:
1013112014
Address:

TORRANCE CA 90505
Bus Lic:

BT30041102
Phone:
310-326-3050
Lic Exp Date:
10/31/2014
Phone:

State Lic:

Code Edit : 2010
Type of Construction: V-A- SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $894.25
Plan Check Fee: $643.86
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$179.00
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:
$3.00
TOTAL FEE: $2,565.09
PROCESSED BY:

ZONING APPROVAL:

G; G APPROVAL:

Worker's Compensation Insurance Designer:

Carrier: HARTFORD INS CO OF THE MIDWEST Address:

Policy No: 5095623456
Expire: 0912612014 Phone:

Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: CV Parkina Sr
Solar System PC:
$0.00
Excise Tax:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$215.34
Mechanical %:
$184.57
Plumbing %:
$153.82
Plan Check Fee
Special Conditions: 532 HOTEL ROOMS MAXIMUM
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
N
Fire Department
$156.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
$00'G
$0;00
$0.00
-$0 00'
$0.00
$0.00
$930.65 Fee Due at Permit Issuance : $1,634.44
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

L APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION

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 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 Iicensure 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale).
❑ 1, 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 Iicensure under the Contractors' State License Law for the following reason:

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 Sectigq 7�00) of Division ; of the Business and P�rgfe�sions od , artd my Iicen l f ce and effect. License Class License No �'�t.JI�'/ Contractor Signat r e

WORKERS' 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 ATTORNEYS FEES.

I`hereby affirm under penalty of perjury one of the following declarations:
rL�J, I have and 411 majntain 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 the oerformance of-dTC?✓31r for which this permit is issued. Policy No. 01•1«sje and wig 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' compensatior I
nsurance carrier a8d'p3licy number are:
• Policy Number Expiration Date
Agent •••• Phone#
y that, irTt•ntperrormance 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 agree hould b 8 c o Osubject to the
_^w,ofrk�ers'/compens on pro/vions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p t 2 of Applicant Y `�i J `r u✓ W,9 t D
ATION REGlAR NG C NSTRUCTI LENDING AGENCY
affirm y04141i na of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).

Name • Lender's Address
my sgnatur@ belo'w1 1 certify to each of the following:
�I am the ptapl rty caner 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 county to enter+ the ,a�b ve-identi ied p arty for inspection purposes. nature of Property Owner or Authorized Agent 1 i —T -"r�� Print Property Owner's. or Authorized Agent's Name i 6TEADEL) S 6F 0n V rk- Date v
.tiCT",,f DAYF
By
DECLAP.ATfONCFCOl6dd#Fd LLLANC€KgTHCODEOF
WA ofaa ME UMY
FEMZ4L REGIAATIONS P4RT6f GAFF TITL€40AND
A0140RULF7403.
rFRA#TT,XP1RFD
❑ a slrrraaTTrfr A��f�sTns rx;Tfr�'�T�r�f TfA:

Ll EPA
El s9CMD
{�TdIrF!F4ffGS'L�D
ErctuilT cifTEdx�Gc`i
13 ASBESTL"}': AORRCAR Nf IS VOT.IPPLICABLETa
PROPOSE-0 diTGOfrt_
PERMIT rINAL I ^ 1 O. 1 Ai
CERT'iVCATEOF
OtLr'OP fd�'k3 Sf#FD
SFUNA IW4z.

a
��°Q CITY OF NEWPORT BEACH
° �\� Community Development Department I Building Division es m 100 Civic Center Drive I P.O. Sox 17681 Newport Beach, CA 02668.8915 u�f wmnewoodbewhoa.aov1(040)644-3200
'��IFe1R77f

CAL GREEN DOCUMENTATION COMPLIANCE CERTIFICATION
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT CA PERMIT NO,t X20 4666

THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL 13E SUBMITTED TO THE BUILDING INSPECTOR AT

FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL 6118FN 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) M VOC Contents Limitation
6( Formaldehyde Emissions Limitation
Operations and Maintenance Manual
IJ 7-24 Energy LTG Installation Certificates
T-24 Energy MECH Installation Certificates (i.e. HVAC, Ducts, Fans, Hot Water, HERS)

MOISTURE CONTENT OF BUILDING MATERIAL (NEW RESIDENTIAL CONSTRUCTION ONLY) O 1 certify that the moisture content of the wall and floor framing Is loss than 19 percent as determined in accordance with Section 4.605.3 of CAL Green prior to being enclosed.

DECLARATION STATEMENT
a 1 certify under penalty of perjury, under the laws of the State of California, the information provided Is true and correct.
a 1 certify that the Installed measures, materials, components, or manufactured devices Identified on this certificate conform to all applicable codes and regulations, and the Installation is consistentwith the plans and specifications approved by the enforcing agency.

AVJ
Fm�reICOIGcouoamM(�IaVpgOJNgWn<pCctOd<a5an B4&

e�"rOirr=;.

CITY OF NEWPORT BEACH
J/;°�f Community Development Department Building Division il`�l a 0i 100 Civic Center Drive I RO. Box 1768 1 Newport Beach, CA 92658-8915 \1
www.newoortbeachca.gov 1(949) 644-3200

VOC CONTENT VERIFICATION CHECKLISTS
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA PERMIT NO.: X2013-1666 OC content verification of paints, coatings, carpets, cushions, resilient flooring, adhesives, sealants, and caulks shall be identified on this checklist. VOC 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, Product Category
Item fF
VOC content
Location Product
Product (in parts par
VOC Content Limit
(e.g. alnt,oe el,
p m
adhesive)
(o.p, bedroom, Manufacturer Se.g.mcallori Standard (e.g. kitchen) (e,e• model tf)
Se(hpXlaorTables
See Allaah Tablas
Green Label Plus
1• Paint
Guestroom Sherwin Williams ProMar <,50 g/I
100

2. Latex Caulk
Guestroom
DAP
Alex Plus

44.4 g1l
100

3. Silicone Caulk
Guestroom
GE
Supreme Silicone
20 till
100
4•
Mud
Guestroom
Joint Compound
Diamond Veneer
<2 g4
100

5. Wallcovering Adhesive
Guestroom
Roman
Pro-880
<20 g/I
50 6,
Primer Sealer
Guestroom
Sherwin Pro
Multi -Purpose
50 g/I
100

7. Thinset Mortar
Guestroom
Laticrete
252 Sliver

0.00 g/I
100
pec ra oc ro
8 Epoxy Grout
Guestroom
Laticrete
Premium Grout
0,031 g/I
65 Waterproofing
9,
Membrane
Guestroom
Laticrete
Hydro Ban

0.00 g/I
250

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

11. Latex Adhesive
Guestroom
Chapco
Multipurpose
0 g/I
100
12,
Cove Base Adhesive
Guestroom
Chapco
Safe -Set 400
5 g/I
50 13, Carpet
Guestroom Signature 121818 Green Label Plus

14. Carpet
es oa al Ping Green Label Plus

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

( E;� CITY OF NEWPORT BEACH
Community Development Department
Building Division
400 Civic Center Drive
P.O. Box 1768
r Newport Beach, CA 92658.9915
tr Lrv www.newnarlboaclurrii v
(040) 044.3200

VOC & FORMALDEHYDE LIMITS
2010 CALIFORNIA GREEN BUILOING STANDARDS GODS fOCI
(Tables 4.504.3, 5.604.4.3; 4.604.1. 5.604.4.1; 4.604,2, 5,604.4.2;

4.604.6, 6.604.4,6)

VOC CONTENT LIMITS FOR ARCHITECTURAL COATINGS
(Grams of VOC per Liter of Coating,
Lase Water and Less Exompt Compounds)

COATING CATEGORY

VOC WAIT
FTatcoaUn s
6D
Nnnllat waiin
100
Nongathlgh gloss watinps _
1n0
5 eciall Cnptin a
Ammia ngmercoatin s
400
Basement specialty coatings
400
Bituminous roof w.itens
SO
Bituminous roof Drhners
950
Bond breaker
350 mm�'
_
Concrete cud com ound_s
350
Commatelmasonry sealer
tOD
Driveway sealors50
Dry fog costin s
150
Faux finishing coolluits,
350
Ilre resistive coalurns
350
Ftoar coat/ s W
100
Form•release cormcounds
260
Graphic ads watln e (sion alms
500
H in lem emture coa nas
42 Indus aimalntenancocomings
250
ow soil wain
12u
Msunasite "Mont wa0n s •
q5
Mastictexturecc
Ina
100
Mete 10
manted coa0s n
600
Muftiwfor coal) o
�Pretreatmentw
260
h ere
42 Primers,
seafem see underwaters
100
Reactive
—retram, sealers
go
Re sled coatings
250
Reorcomin s
60 Rust Preventative wmP
250
Shellacs
Clear
Opaque
730
55 S scialtY Primate,sealers one ungaroogrors
f0
Stains
250
[One consolldanta
45D
Rare 001 wain s
340
Tr2mutdrUlcoatings
100
Tub and Ole re5nish was s
420
Waterproolintimarmurmas
250
Wootl wagn s
276
Wood reservailves
350
Z1 4 primers
340

1. GremsorvouperliterercoaVng, nclu InO waterendinciuding exempt compounds.

2. The specified limits remain in effect unless revised limits are listed In subsaquomt lumps In the table.

3. Values In this table are derived from those specified by (he California Air Resources Board, Architectural Coatings Suggested Control Measure, February 1, 2006. Mare information Is available from the Air Resources Board
ADHESIVE VOC LIMIT 1'1
(Less Water and Less Exempt Compounds in Grams per Liter)

ARCHITECTURAL APPLICATIONS

VOCT MT
Indoorcarpet adhesives
50 Ca tad ad esives
60 Outdoor car tedheslyes
Wood ttoodn adhostw
ISO
100
Rubber floor adhesives
60 ubftWradhesives
60 Ceramic life adhesives
65 VCTendas II0le adhesives
60 Ltrywall and panel adhesives
50 ,, ,_,_
Cove base adhesives
50 Multilliurpose construction adhesives
70 Structural nhazing adhesives
�•�100
Single-plymat membrane adhesives
260
Other adhesives not s ecificall listed
_
60 SPECI TYAPPLICATIONS
PVC weldin
610
CPVC wmdIng
490
A S welding
325
Plasitacementwelding
260
Adhesive pflmwfor plastic
550
Correct atlhesiva
80 S eclat purpose contact adhesive
200
Structural woad member adhesive
140
0 antl madhesive
T00
280
EUSETRATE BPECiFIC APPLICATIONS
Metal to metal
30 Plastra lmams
50 Porous material axes twood)
60 Wood
30 8D
L Ran adhesive to used to bond dissimilar substrates together. the adhesive Wth the highest VOC content shall be allowed.

2. For additional information regarding mothods to measure the VOC wntont specified in this table, see South Coast Air Ouatity Management District Rub 1108

SEALANT VOC LIMIT
(Less Water and Lose Exempt Compounds In Grams per Liter)

SEALANTS
I VOC
Architectural
1 260
Madnedeck
750
Nonmombram mof
Sao
Roadway
260
Single -ply mot membrane
460
Other
420
SEALANT PRiMERs
ArchBocluml
Nonporous
Porous
260
776
Moil ed plhlminous
600
atlna deck
76D
Littler
7 D
u FORMALDEHYDE LIMITS`
(Maximum formaldehyde Emissions in Parts put MiOfon)

PROD UCT
LIMIT
lardwaod pgood "new come

0.05 azdwood plywood composite Core

0.06 Particleboard

0.09 Medium dend!y fiberboard

0.11 Thin madlum density flberboard

0.13 1. Values In this lablaare dorived from those specified by the California Air Resc umes Board, Air Toxlcs Control Measure for Composite Wood as tested in accordance with ASTM E 1339- 96(2002). For additional information, see OalHornis Code of Regutellons, Title 17, Seellone 03120 though 93120,12

2. Thin medium density fiberboard has a maximum throknoss of millimeters

TRADE

SUBCONTRACTOR NAME

COMPLETE M ULING ADDRESS PHONE NEWPORT BEACH
mxLArea Code BUSINESS LKI4

END DATE ON
JOB
Acous ical Eng neer
ST
Architect
Awnings
BT
Cabinets
I BT
Cnn7 Engineer
BT
Concrete
BT
Concrete -Carting
( ST
Concrete Decorative
( BT
Counter I ops
j B T
Curtain Wall
BT
Demolmon
BT
Doors
I
BT
Drilling
I
BT
Drywall
RAWSON - i RFRlS S, INC.
30233 Jemran Street, Yumioa, CA 92399 1909-91, 4238 1
BT 30045707
030114
Electrical I
A. 3ENJAMIN ELECTRIC
1541 N. HanvoYO AVenue, Lcs Angeles, CA 90040 1323459-0 25 I BT30045710
103,131114
Elevator
I
ST
Fencing
I
ST
Finish Carpentry
1 BT
Fire Alarm
[
BT
Fire Sprinklers
i
BT
Fire lace
BT
I
Flooring-Carpe`JWood
p„q CH ' Oi A FL00
9370 7isS Sf:eet Unit E. R echo Cucamonga CA 9i:30f 909-945-9431 BT,^, navml
1030114
Flooring -Other
j I
ST
Framing

RAWSON ENTERPRISES, WIC,
10233 Jefferson Street Yucaim CA 9B99 r309-917-4233
BT 300457C7
03131114
Fumiture
iI
BT
Garage Door
( I
BT
GlasslGiazing
I i
BT
Generator
I !
BT
I
Grading/E:.cavauon
I
IT
I
l lvAc
I
. I
uiation
I
BT
wicr Design
j
BT
ation
I
BT
dscap .

IT
BT
Lathing
Lock and Security
I
BT
Lovr Voltage
BT
Masonry
j
ST
Ornamental Metal
BT I I
Paint&Texture
RAAAISONENTERPRISES.INC.
110233JeBarsonStreet. Yucaba.CA 92399
21i14

TRADE

SUBCONTRACTOR NAME
COFV PLEfE 61idi AM C- ADDRESS
PHONE
tne..ve�code

NEWPORT BEACH
BC�SINESSUC.4

END DATE ON
JOB
Paving
I
BT
j
PierslDocks
BT
Plastering
I
BT
Plumbing
BT
Post Tension
BT
Precast
I
ST
Reinforcing Steel
BT
Roonng
BT
SzrrMaier Blesting
B I
St�ioldfi9I
BT
Securi y AiarrnI
BT
SewerMaste
I
BT
Sheet Metal I
I
ST I
shoring
I
BT
Siding/t]ecking j
,
BT
Signage
I
BT
Spacial inspections
j
I
BT
Sorts Engimeer
i
BT
Stabs
BT
Steel -Structural
BT
Solarlphoiovottaic
I ST
Structural EnMneer
I
BT
SMmmlng Pool
I BT
Tanks
BT
T-Bar
j BT
Tile
RANC40 OMAFLOOP.S
9370iihSfree#.UNAE,Rancho Cucammma,CA91730
9B9-S48-Ml
1BT3OD41561
03/3i/14
Water Cond?dorfmq
I BT
Vvater Proofi,
BT
'Welding
I ST
dUnd ows
BT
ec3 F.kofies l;istalla;im
P4VJSON ENTERPRISES. INC.
1OM Jeffamn Stree 4 Yucaipa, CF, 92399
909-79"0e2
1 BT30045707
033114
Acoustical Engineer
I BT
Architect
BT
Awnings
BT
I
1 Cabinets
BT
' ,
Cons Engineer
BT
Cgnareie
BT
Concrete-Culvng
I
BT
11st any other trades used on this job site, on a separate sheet of paper, which have not been noted above_

a City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
ry
zz
Combination Type - CIP ELEC MECH PLUM
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM - TI "MARRIOTT" "HARBOR LANDING BLDG" 120 ROOMS "IX�� 0 ul3ll�I��I1I�I6�II6I�IIAII
COMB Permit: X2013-1667
Project No : 1436-2013
Inspection Requests Phone (949)644-3255
Dal A11p1/ TOR
Inspector Area: 7 Legal Desc.:

P BK 75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Contractor:

CONTINENTAL CONTRACTORS,
INC Architect:

TYNER RUSSEL EDWARD
Address:
6903 ROCKLEDGE DR #1500
Address:
410 SEVERN AV STE 410
Address:
2630 SEPULVEDA BLVD
BETHESDA MD 20817
ANNAPOLIS MD 21403
TORRANCE CA 90505
Phone:

Phone:
410-263-6514
Phone:
310326-3050 State Lic:C014979
Applicant:

CRESPO JOHANNA
Con State Lic:
886008
Engineer:

Address:
2630 SEPULVEDA BLVD
Lic Expire:
10131112014
Address:

TORRANCE CA 90505
Bus Lic:

BT30041102
Phone:
310-326-3050
Lic Exp Date:
10131112014
Phone:

State Lic:

Code Edit :
2010
Type of Construction:

V-A- SPR
Occupancy Group:

R1
Added /New sq.ft. Bldg:
0 Added /New sq. ft. Garage: 0
No of Stories:
3 No of Units :
0 Bldg Height:
0 Bldg Sprinklers:

Y
Flood Zone:

X
Building Permit Fee: $1,325.08
Plan Check Fee: $964.06
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$1.00
Energy Compliance:
$85.10
CA Seismic Safety:
$0.00
Disabled Access :
$141.84
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat :
$0.00
Building Green Fee:
$6.00
TOTAL FEE: $3,333.58
PROCESSED BY:

ZONING APPROVAL:

G I��NGt�AP,PROVAL:
4'_, IT/
Worker's Compensation Insurance Designer
Carrier:

HARTFORD INS CO OF THE MIDWEST Address:

Policy No:
5095623456
Expire:
0912612014 Phone:

Building Setbacks
Rear: / Special Conditions: 532 HOTEL ROOMS MAXIMUM ------ Front: /
Left: /
Right: /
713
Fire Hazard Zone : N
Solar System PC:
$0.00
Planning Department -
Fire Department
Excise Tax:
$0.00
Plan check Fee :
$0.00
Fire Inspection:
,
- $0.00
Fair Share :
$0.00
Fire Plan Rev
$0<00
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
4_ 1V.6W
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
- $O;OP
PM Plan Check :
$0.00
-'
Electrical W
$319.08
San Dist:
$0.00
Mechanical %:
$273.50
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$227.92
$0.00
Plan Check Fee
$1,382.63 Fee Due at Permit Issuance : $1,950.95
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DAYS AFTER iSSUANCE OR LAST VALID INSPECTION.

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 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 L) all of or L) 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:

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 Section 7000 of Division 3 of the Business and P ofe slons Code] and my I�censefis in full force and effect. License Class License No Dat i Contractor Signat r ' �i/tA�RAF ,/ram v�

NORKERS' COMPENSATION DECLARATION
ARNING: 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 ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and w ill 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 Derformance of the work for which this permit is issued. Policy No. i31't?at and v{iC r"r:ain 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' compensatioi nprapnce carrier and policy number are:
�ailhppl; • ' Policy Number Expiration Date
V@me,pf Agent "" Phone#
s❑I ce-tify that, in 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 ,heSl f l should5ccar4subject to the worker compensate n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

SJgneiure of Appliga ( "'' ` 1l �. 13
�Z;r'ARATION ARE DING CONSTRUCTION LENDING AGENCY
�hereb}•affirm a DIN
y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). .%Rdiai s Name ' Lender's Address
%glyftnatur4 b&?v.l certify to each of the following:

I am the prodeVowner 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 county a the b e-identi pr erty for inspection purposes. nature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent's Ns ACTUMI nA7F NY DECLARATfOf#GFCOMPL&WCEWTHCODEOF.

FEDER4L RE&AATIONS PART&f OF TJTLE&AND
PFRh4TTFXPiRR_7 AlfthsaROLEadri3.
❑ i:a[NTBfYt i:FA}.&�fd(GiT3'iS M1i7F(dC_dFf(k�V F!.f:

EPA
❑ ASHESTOSMORFICARMig6Vd3T.+!PPdJGi4�'?Ed"Dt
FL51"TFAVA.L PROPOSEDDEWEITION
CFATFTCA7F C.,F
0CCUDAFJC a'7S5VJED I S(t:`Nli f UftEe
Date 0-1 _1
rUH i/3F(.SY&i

x:zr.
%��1P!�x� CITY OF NEWPORT BEACH
P % '. °m Community Development Department I Building Division M t x1 100 Civic Center Drive i P.O. Box 1768 1 Newport Beach, CA 92668.8915 U � �, www.newy6rtbeachca.nov 1(949) 644-3200
�� c
L L•LMry\t�''ev:

CAL GREEN DOCUMENTATION COMPLIANCE CERTIFICATION
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT CA PERMIT 140,:x2013-1667

THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT

FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE.

The following section shall be completed by a person with overall responsibility for the planning and design portion of the project.

REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNERS) 6X VOC Contents Limitation
W Formaldehyde Emissions Limitation
❑ Operations and Maintenance Manual
❑ T-24 Energy LTG Installation Certificates
❑ T-24 Energy MECH Installation Certificates (i.e. HVAC, Ducts, Fans, Hot Water, HERS)

MOISTURE CONTENT OF BUILDING MATERIAL (NEW RESIDENTIAL CONSTRUCTION ONLY) 0 1 certify that the moisture content of the wall and floor framing Is less than 19 percent as determined in accordance with Section 4.6D6.3 of CAL Green prior to being enclosed.

DECLARATION STATEMENT
1 certify under penalty of perjury, under the laws of the State of California, the Information provided is true and correct.

I certify that the Installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulations, and the installation Is consistent with the plans and specifications approved by the enforcing agency.

Person's Name:

DANIEL M. SCIORTINO
Z AAAZp1`A
Notes:

Fa,mv�C6lGreenoacumenleVonCWnPlioncoCCtAficatlon B•f2

PROJECT MANAGER

4�`'` nk, CITY OF NEWP©RT (BEACH
_' Community Development Department I Building Division $ 100 Civic Center Drive I P.O. Box 17081 Newport Beach, CA 92658.8915 �; e www.newoodboachea,cov l (949) 644-3200
r+•renx�"� -

FORMALDEHYDE EMISSIONS VERIFICATION CHECKLISTS
ADDRESS: 900NEWPORTCENTER DRIVE, NEWPORTBEACH, CA PERMIT NO: x2013-1667 Formaldehyde emissions verification of non-structural engineered wood, hardwood plywood, particleboard, (" and modlum 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 spociflcation sheets and other supporting documents. Use additional sheets, If necessary. ltern#
.

Praducy Category,
(eg;patnf carpet,
adheaYo) -
r L.aaptiOa -
(ag bedroom
kitchen)
' . product .
:Menufaoturer� -
Q.roduot
6pecincagen
(a9 mod®r tF)
'
Cormafdeltyd@
"',Gantenl - -
in-
( padsperngnlr e);.
- -Formaldehyde ,
- -�tryrl 44
-(rn Partd parlplgion);;
_ :SeaAttxchYxnre9

1. MDF
Bathroom
Temple-Inland
UltraStock
premium MDF
<,01
.11

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

3. Plywood
Bathroom
Atnco
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
<,9
.11

8. Carpet
Guestrooms
Tai Ping
CustomlMbax
0 11

9. Carpet Pad
Guestrooms
Leggett & Platt
p,05
05 NOTES: "Door Products are CAR81I Compliant.

CITY OF NEWPORT BEACH
Community Development Department I Building Division
n 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 02668-8915 k
\rt www.newgorlbeachca.cov 1 (949) 644-3200
.�t-0r.u:ini0"{

VOC CONTENT VERIFICATION CHECKLISTS
ADDRESS: 000 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA PERMIT NO.: "013-1667 'kjOC content verification of paints, coatings, carpets, cushions, resilient flooring, adhesives, sealants, and caulks shall be identified on this checldist. VOC 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.

Item 1F
Product Category
Location
Product
Product
VOC Content
(In parts par million) or
VOC Content Limit
(a.p.pales,ve)
adhesive)
(a.g.peUrooro,
Idlchon)
Manufacturer
(e.g.Spemodel
{e.e•moddl rF)
Standard (e.g.
(meads phTabton)
See Attach Tablas
Green Legal Plus)

1. Paint
Guestroom
Sherwin Williams
ProMar
<,50 gh
100

2. Latex Caulk
Guestroom
DAP
Alex Plus

44.4 g/I
100

3. Silicone Caulk
Guestroom
GE
Supreme Silicone
20 gll
100

4. Mud
Guestroom
Joint Compound
Diamond Veneer
<2 g/I
100

5. Walicovering Adhesive
Guestroom
Roman
Pro-880
<20 g/I
50 6.

Primer Sealer
Guestroom
Sherwin Pro
Multi -Purpose
50 g/I
100

7. Thinset Mortar
Guestroom
Laticrete
262 Silver

0.00 gll
100
pec ra oc ro
8 Epoxy Grout
Guestroom
Laticrete
Premium Grout

0.031 g/1
65 Waterproofing
8 Membrane
Guestroom
Laticrete
Hydro Ban

0.00 gll
250
10,
Carpet Pad Adhesive
Guestroom
Parabond
M-260
California Compliant
Top Gun Premki

11. Latex Adhesive
Guestroom
Chapco
Multipurpose
0g/1
100
12,
Cove Base Adhesive
Guestroom
Chapco
Safe -Set 400
5 till
50 13.

Carpet
Guestroom
Signature
121818
Green Label Plus
14,
Carpel
MustrQuIll
Green Label Plus

15. Carpet
Corridors / CL
Innvoaitive
Custom/Mbax
Green Label Plus
NOTES:

-,Community
hr37•160
F�PA.
q!111

CITY OF NEWPORT BEACH
OovalbpmentDepertmeMO�Building Division
Civic Center Orlva
^
' -
Box 1768
Newport Reach, CA 92069.11045
www naworit�Leoohoa.uav
(040) 644.3200

VOC & FORMALDEHYDE LIMITS
2010 CAUPO jN1A GREEN BUILDING S'(/KDARUS 2ODE IGC)
(Tables 4.504.3, 5.604R.3; 4.604.1, G.504,4,1; 4M4,2, 6.504.4.2;

4.604.6, 6.504.4,6)
VOG CONTENT LIMITS FOR ARCHITECTURAL COATINGS °•0
(Grams of VOC par Liter of Cutting,
Less Water and Less Exempt Compounds)

COATING CATEGORY

VOC LIMIT
Flat coati s
NoMtatecatings
100
Nonflal-hl h scoatings
150
S acmit coatings
Alumtnnel roof coatings
boo
Basements ecialt coaun s
400
Bituminous root coat)
s
50 Bituminqus roof primers
35p
Bond breakers
350
Concrete curie compountls
350
Concmlo/mason sealers
10D
Driveway seaters
50 O fa costIr s
160
Faux finishing coatfnrms
50 Fire resistive Coatin a
350
Floor coatings
-Form-mteaso
100
coo nd
260
Grs Ic ads eaalln a el n aims
500
High tem orators coal[
420
Industrial maintenance nance coalman
250
Low 801 ocalm ri
in
Me ❑eaila camenl Coatin s
450
Mors ictexture coatings
100
Metallic mentedcoalin
s
500
Multicolor coatings
260
ran at wash primers
420
Primers, Boaterff and undarcoalam
100
Reactive Penetrating sealers
50 Res tied castle s
260
Roof Coatin s
6o
Rust Preventative coalin s
250
Shellacs
Clear
O e us
`
730
GG0
S e laliv primers sealers and undercoatem
1G0
,items
260
Stone consoOdar"
450
&lvimml ool coati s
340
Traffic Inaung coatings
ion
Tnb and 01a refinish coatings
42 Wa atirmooft membranes
250
Wood coalm s
276
and Neservativda
350
Zinc-licifirlmore
340
1, Grams ofVOO per liter of coating, Including water and including exempt compounds.

2. The specified limits remain in effect unlsss revised limits ale listed in subsequent columns in the [able.

3. Values in this table am dedvetl from those specified by the C8111 is Air Resources DI Architectures! CoaMgs Suggested Control Measure, February 1, 20OB- More Inforinatlon Is available from the AtrResources Beard
ADHESIVE VOC LIMIT'•'
(Less Water and Less Exempt Compounds In Grams par Liter)

ARCHITECTURAL AP ICATIONS

OC LIMIT
Indoorca ladhaslvas
50 camel pad adhesives
5o
Outdborcur etadhesives
160
Wood flooring adhesive
100
Rubber floor adhesives
60 SubOoar adhesives
50 Cemmlc Lilo adhesives
05 VCTendae halllileadhes a
so
Drywall and panel adhesives
60 Cove base adhesives
60 MWII rose construction adhesives
75 Structural gleArm adhesives
100
Sm o- roofmommene adhesives
Otheradheslvea Hots eci00"' Its d
50 SPECIA APPLICATIONS
PVC Welding
610
CPVC wakilim
490
ABSweldm
325
Plastloceomnlwoidir
250
Adhealve [mentor IasOc `
650
Contacladhealve
GO
§peclal purpose contact adhesive
250
Structural woad memberadhealve
140
Top and Idea adhesive
250

RUBSTRATE SPECIFIC APPLICATIONS
stet to me a
30 Plasflafoams
so
Porous material xce [wood
50 Wood
30 Fiber lass

1. If an adhesive is used to bond d(ssimilarsubstrates together, the adhesive, with Ore highest VOC content shot) be, allowed.

2. For additional ulmination regarding methods to measure the VOC content specified In Ods fable, see South Coast Air Quall y Managament District Rule 1160

SEALANT VOC LIMIT
(Less Water and Less Exempt Compounds In Grams per Liter)

SEALANTS

VOC LIMIT
Arehllecurai
250
Marine deck
760
Nonmembmne roof
300
Roadwa
260
SI te- I root membrane
4 Other
420

SEALANT PRIMERS
Ambilecturai
Nonporous
P s
250
775
od10e061lumInous
600
ne ec
760
Thar
760

FORMALDEHYDE LIMITS'
(Maximum formaldehyde Emissions in Pads per Million)
PRODUCT `�
LIMIT
Hardwood I prop velreer core

0.05 Hardwood "Wood coAII core"—_

0.05 Padi aboard
O109
Me fora den8" 0 erboard
0,14
Thin me, lum densit fiberboar
1, Values in this table are derived from those startled by the California Air Resources Board, AlrToxlcs Contra[ Measure for Composite Wood as tested In soaordance with ASTM E 1333- 98(2002). For additional information, see California We of RegufaGons, Title 17, Sections 93120 through 03120A2

2. Thin ruse fure density fiberboard has a maximum thickness of 0 millimeters

TRADE

SUBCONTRACTOR NAME

COMPLETE MAILING ADDRESS
PHONE
Ind. Area Code

NEWPORT BEACH
BUSINESS LIC.#

END DATE ON
JOB
Acoustical Engineer
BT
Architect
BT
Awnings
BT
Cabinets
BT j
Civil Engineer
BT
Concrete
ST
Concrete -Gutting
BT
Concrete-Decoret
BT
Counter Tops
BT
Curtain Wall 1
BT
Demol'non
BT
Doors
BT
Drilling
BT
Drywall
RAWSON ENTERPRISES, IN .
10233 Jefferson Street, Yucaipa, CA 92399
909-917-4238
B 1 3DMo707
03/31/14
Electrical
A. BENJAMIN ELECTRIC
1541 N. Havworh Avenue, Los Angeles, CA 90046
323-459-0425
BT30045710 103131114
Elevator
BT
Fencing
BT
Finish Carpentry
BT
Fire Alarm
PYRO-COMM SYSTEMS INC.
15531 Container Lane. Huntington Beach. CA 92649
714-902-8000
BT C10-612153
103131114
Fire Sprinklers
COSCO FIRE PROTECTION, INC.
1075 W. Lambed Rd., Bldg. D, Brea, CA 92821
714-3 9A800
BT 00022773
03/31,14
Fireplace
I BT
Flooring-Carpet(Wood

RANC MA FLOORS
9370 7tn Street Unit E. Rancho Cucam naa. CA 9 730
909-948-Ml
1 BT
03/31/14
Flooring -Other
I
I
f BT
Framing
RAWSON ENT ERPRISES, INC.
110233 Jefferson Street, Yucaipa, CA 92399
}909-917-4238
I BT 30045707
f 03/31/14
Furniture
BT
Garage Door
BT
Glass/Glazing
BT
Generator
BT
Grading/Excavation
i
BT
HVAC
CLIMATE FRESH, INC.
16412 Hawthorne Blvd., Lawndals, CA 90260
310-370.4000
BT 140093315
03/31/14
Insulation
BT
Interior Design
BT
Irrigation
BT
Landscaping
BT
Lathing
BT
Lock and Security
BT
Low Voltage
BT
Masonry
BT
Ornamental Metal
BT
Paint & Texblre
RAWSON ENTERPRISES INC.
j 10233 Jefferson StreeL Yucaipa, CA 9239i
909-917-4238
BT30045707
03/31/14

TRADE

SUBCONTRACTOR NAME
COMPLETE MAiUNG ADDRESS
PHONE
Ind.Am code
NEWPORT13EACH
BUSINESS LIC.#

END DATE ON
JOB
Paving
BT
j
Piers/Docks j
BT
Plastering
j
BT
Plumbing
;
Post Tension
IT
BT
Precast
BF
Reinforcing Steel
IST
Roofing
1BT
SandiWater Blasting
I
BT
Scaffolding
1BT
Security Alarm
JET
SewerfWaste
BT
Sheet Metal
IBT
Shoring T
I
113T
SidingiDecking
iBT
Signage I
I
I
IST
Special Inspections
IBT
Soils Engineer
IBT
Stairs
1BT
Steel -Structural
IST
Solar/Photovotiaic
JBT
Structural Engineer
1BT
Svfimming Pool
BT
Tanks
IBT
T-Bar
BT
Tile

J RANCHO LOMA FLOORS
9370 7th Street, Unit E. Rancho Cucamonga, CA 91730
909.94M481
BT 30041561
103131114
Water Conditioning
I
1BT
Water Proofing
I
I
BT
Welding
ST
Wlndows
BT
Other -Accessories Installation
RAWSON ENTERPRISES INC.
10233 Jefferson Street, Yucaipa, CA 92399
909-790-8062
BT 3004570
03/31/14
Acoustical Engineer
BT
Architect
BT
Awnings
BT
Cabinets
BT
Civil Engineer
BT
Concrete
BT
j
Concrete -Cutting
BT
List any other trades used on this job site, on a separate sheet of paper, which have not been noted above.

CITY OF NEWPORT BEACH

BUILDING DEPARTMENT
PO Box 1768 Newport Beach, CA 92658-8915
Inspection Request - (949) 644-3255
Permit Number :X2013-1667
Address: 900 NEWPORT CENTER DR NB Date : 03-26-2014
Type : COMB
Inspector: PSOBEK PS
Inspection Item: 2380 PLUMBING
Disposition : PA inspector Signature:

MAKE ALL CORRECTIONS PRIOR TO REINSPECTION

ALL WORK SHALL BE SUBJECT TO INSPECTION AND SHALL REMAIN ACCESSIBLE AND EXPOSED UNTIL INSPECTED AND APPROVED.

CALL FOR REINSPECTION : (949) 644-3255
Inspector's A.M. office hours are: 07:00 A.M. To 08:00 A.M.

Inspector's P.M. office hours are: 03:30 P.M. To 04:30 P.M.

Correction Required -

1. This building is a CMU building any door relocations into the CMU must be detailed and stamped by your project engineer.

2. Prior to final walks, ALL items to be
complete to include ALL thresholds to balconies & patios.

IN
project
Consulting Engineers location
6080 Center Drive, Suite 300
Los Angeles, CA 90045 client
(310) 665-1536 Fax (310) 665-9070
aw.
�FPoXY DowEL.
__
PRE -27 t�i
5c-h� -i
FTOOTI'pw or-
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date �/I<4
job no,
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NO' 3065
S"XP. 6"30.14

®� 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:

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.

City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92560
Permit Counter Phone (949)644-3288
or .� Combination Type - CIP ELEC MECH PLUM
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM - TI "MARRIOTT "PACIFIC POINTE BLDG" 197 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-ASPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 16
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $1,847.42
Plan Check Fee: $1,330.14
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$1.00
Energy Compliance:
$139.71
CA Seismic Safety:
$0.00
Disabled Access:
$232.85
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$10.00
TOTAL FEE : $4,705.04
PROCESSED BY:

ZONING APPROVAL:

GRADI OVAL:

Phone:

Con State Lic:

Lic Expire:

Bus Lic:
�I X II� 0 1�0� III 6 � 6I I 9�I I!
CONTINENTAL CONTRACTORS, INC Architect
410 SEVERN AV STE 410
Address:

ANNAPOLIS MD 21403
410-263-6514
Phone:
886008
Engineer.
10/3112014
Address:

BT30041102
COMB Permit: X2013-1669
Project No : 1436-2013
Inspection Requests -Phone (949)644-3255
Issued Date :I�vMECi®FR

TYNER RUSSEL EDWARD
2630 SEPULVEDA BLVD
TORRANCE CA 90505
310-326-3050 State Lic:C014979
Lic Exp Date:
10/31/2014
Phone: State Lic:

Worker's Compensation
Insurance
Designer:

Carrier:

HARTFORD INS CO OF THE MIDWEST Address:

Policy No:
5095623456
Expire:
09/2612014
Phone:

Building Setbacks
Rear: /
Special Conditions: 532 HOTEL ROOMS MAXIMUM
Front: /
Left: /
Right: /
Use Zone: CV Parkina Spaces: 532
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
PM Plan Check :
$0.00
Electrical %:
$444.86
San Dist :
$0.00
Mechanical %:
$381.31
NMUSD Fee:
$0.00
Plumbing %:
$317.75

PERMITS
$0:00
o
$0.00
$0.00- - -
$0.00
$0.00
Plan Check Fee : $1,948.70 Fee Due at Permit Issuance : $2,756.34 PUBLIC WORKS APPROVAL:

PLAN CHECK BY: } r 4 �
_ APPROVAL TO ISSUE:
980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.

D 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 pply 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).

I am exempt from licensure under the Contractors' State License Law for the 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 improvements covered by this permit, I cannot legally 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.c .gov/calaw.html. signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Prof si� C de, nd my license is n full force nd effect. License Class License No Contractor Signat �d-� VORKERS' COMPENSATION DECLARATION ��
DARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations:
7 I have and a�sd4 ntain 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 thl errormance of the work for which this permit is issued. Policy No. ea•• e a
I hav2 and 4 M tRalMain 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' compensatior Isurance carrier and policy number are:

Ag e%f Agent-.
11 certify that, io the
faf,ingshouldbMCO"
000
LD@Le of Applicant
Name6
Policy Number
Date
lance 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 ct to the work rs' compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

Dake�
3 ONSTRUCTION LENDING AGENCY l�
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).

Lender's Address
ITjsignature b elovvs, 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.

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

I authorize representatives of this city or cou o ent 7 t e ove-Ide lfdiedgproparty for inspection purposes. / 72 Iatu re of Property Owner or Authorized Agent / v Print Property Owner's or Authorized Agent's Na r/4 A P � V S �AAZWit% Date C) 1 L AE_ J DATF "ii
,Ry
DECLARATTONGfCOMPLINCE HCOVE
Kfli L*Hck Pi5k cwT
FEDPER4L RE TfM3 PART" raF HTLiE.ZOAN k
fat�i�i�'I's '��±.
�Ftidu$fir'XFI$frfi
❑ tSRARPd�7F€i.&:iF�STfi'f TRFdt`diTd�T4"TCi:
❑ EPA
© AQUIID
PfR?AJTC4 f#C[
PE>7,FoftTfXTEA1£tEi*
© ASB€STOS rtt3TiRCAiiW D T APPLJCAFL F
PR 0PGSL-DLl.lEML1i i3_
p0dwrl » ;3 _lt}
E�:sa3tfC#1TF£+F
0CCUDAi4 fi55UED
SRtiJYA.f 1117ilz.

ti " %rr . CITY' OF NEWPORT BEACH
,n` Community Development Department I Building Division '� ' nF 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92668.8915 o �; m www Liewportbeaoboa gov 1(949) 644-3200
��'4,�NnaN,�p✓.

CAL GREEN DOCUMENTATION COMPLIANCE CERTIFICATION
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT, CA PERMIT NO.; X2013-1669 THIS FORM SHALL BE COMPLETED AND SIGNED PRiOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT

FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE.

The following section shall be completed by a person with overall responsibility for the planning and design portion of the project.

REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S) 6X VOC Contents Limitation
NX Formaldehyde Emissions Limitation
❑ Operations and Maintenance Manual
❑ T-24 Energy LTG Installation Certificates
❑ T-24 Energy MECH Installation Certificates (i.e. 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 less than 19 percent as determined in accordance with Section 4.505.3 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 identifled on this certificate conform to all applicable codes and regulations, and the installation is consistent will) the plans and specifications approved by the enforcing agency.

DANIEL M. SCIORTINO
Signed:
7- MiA

PROJECT MANAGER

zJ kj,

CITY OF NEWPORT BEACH
Community Development Department I Building Division
°4N-Ir
100 Civic Genter Drivo P.O. Box 17661 Newport Beach, GA 02656.0915 I
w wwnewoortbeachca cov 1(949)644-3200
�r.ianiiN��%..

VOC CONTENT VERIFICATION CHECKLISTS
ADDRESS: 900 NEWPORTCENTER DRIVE, NEWPORT BEACH, CA PERMIT NO.: X2013-1669 VOC content verification of paints, coatings, carpets, cushions, resilient flooring, adhesives, sealants, and V caulks shall be identified
on this checklist. VOC 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.

Product Catep,
Item 0(e.g.

VOc content
e Location product Product (in pans per million) or
VOC Content Limit
pains, carpet,
adhesive)
(e.g. bedroom, Manufacturer Specification Standard (e.9.

IAtchon) (e.g. model it)
(in pads per million)
See AaaO Tables
Green Label Plus
1 .

Paint
Guestroom
Sherwin Williams
ProMar
<,50 g/I
100

2. Latex Caulk
Guestroom
DAP
Alex Plus
44A gll
100

3. Silicone Caulk
Guestroom
GE
Supreme Silicone
20 g/I
100

4. Mud
Guestroom
Joint Compound
Diamond Veneer
<2 g/l
100

5. Walkovering Adhesive
Guestroom
Roman
Pro-880
<20gli
50 6.

Primer Sealer
Guestroom
Sherwin Pro
Multi -Purpose
50 g/I
100

7. Thinset Mortar
Guestroom
Laticrete
252 Silver

0.00 g/l
100
Epoxy Grout
7paFFMT577iro
8 Guestroom
Laticrete
Premium Grout

0.031 g/I
65 Waterproofing

9. Membrane
Guestroom
Laticrete
Hydro Ban
0,00 fill
250

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

11. Latex Adhesive
Guestroom
Chapco
Multipurpose
0 g/I
100

12. Cove Base Adhesive
Guestroom
Chalice
Safe-Set400
5g/i
50 13.

Carpet
Guestroom
Signature
121818
Green Label Plus

14. Carpet
ues
a ing
1JU IT-1
Green Label Plus

15. Carpet
Corridors /CL
Innvoaitive
Custom/Mbax
Green Label Plus
NOTES:

w•(Vyp.

CITY OF NEWPORT BEACH
Community Development Department
Building Division
(,
4,11
too Chris Center Drive
P.C. Box 1788
1y�9'oft �
Newport Beach, CA 02650-0915
firwy(inewporill$aaboanaV
(949)644-3200

VOC & FORMALDEHYDE LIMITS
2010 CALIFORNIA GREEN BUILDING STANDARL38 CODE (OCr
(Tables 4.604.3, 5.604.4.3; 4.504.1, 5404A.1; 4.604.2, 5.604.4.2;

4.604.6, 6.604.4.6)
V00 CONTENT was FOR ARCHITECTURAL COA41NGs e''
(Grams of VOC par Litor of Coating,
Loss Water and Less Exempt Compounds)

COATING CATEGORY

VOC LIMIT
Fla costa o
S0
Nonfiatcoattrxrs
too
t�onflat-h fi alose candinas
160
Specially Coatings
Aluminum roofL.Inni s
400
Easement specialty coa0n s
400
Bituminous mot coathruis
60 Bituminous roof ofters
350
Bond breakers
350
Concrete coming compounds
360
_
Concmiefmasan sealers
too
Drive wa seebm
60 fog cpatings
ISO
Faux finishing coatings
360
Flm msl4 ve co to s
36g
Floor Wolin s
"-t50
Farm-refease cempounda
2 0
Grs hto arts coatfn s Al n slats _
500
HI htem aralurecosungs
q2
lutuoula maintenance
coatings
250
Low solids coMin
a
1 0
M nesite cement coat n s
460
Mastic texture
coatings
too
Metal Ic plamented
coati a
500
Mullicoorcoatki
s
260
Pretreafmant era h dm6m
420
Parnars,osolgro,andondarcoaters,
too
Raaeuva penetraung sealers
50 Re and coatInns
260
Raof coals a
50 Rust reventallve watt s
260
Shellacs
Clear
0 a ue
'—
730
560
S ecia ( prime($Boaters and underceatera
1 0
Stoma
260
Stone consolldenls
450
SwinuffingposIcoatin
s
340
1 raflo ma
mina coalftlels
00 Tab and life refinish Gasoline
420
Wato mofln membranes
250
Woodcoatin s
276
Woad preservatives
;LSD
zincplimens
340
I. Grama ofVOC per liter of coaling. Including water indinduding exempt compounds.

2. The specified limits remain In effect unless revised limits are listed in subsequent columns in ilia table.

3. Values in this table are dedved from those specified by the California Air Resources Board, Architectural Coatings Suggested Control Measure, Febm ey 1, 200fl. More information is available from the Air Resources Doord
ADHESIVE VOC LIMIT r'e
(Less Water and Less Exempt Compounds in Grams per Liter)

ARCHITECTURAL APPLICATIONS
V6UL7fJff
Indoorca-p etadhesives
60 _
Ca a' adodhosives
6o
Ou oarca etadhestves
150
Wood floodingadh6elve
1 0
Rubber floor adhesivas
6o
Sub0ooradhesivea
60 Cosmic tife adhesives
66 VCTandas ait0leadlimlvas
lamarieladhesives
60 Drywall and
60 Cove base adhesives
60 Mulgrulmose construction
70 Structural
00 Si e- I mafmsmbrane
260
Other adhesives not$ ecill Ilelad
60 SPECIALTY APPLICATIONS
PVC we no
S10
CPVC%volding
490
ADS welding
326
Plaatfocamentwe in
260
Adhesive rimerforp astlo
650
Conlactadhesivs
8o
S 6019E paose contact adhesive
20 9lrurdural wood memSaradhesive
140
Top and trim adhesive
260
SUBSTRATE 3pECIF 1GAT O S
Metal to metal
30 plasucfoom9
60 Porous malaria exce Imod)
60 Wood —.._._._...-_...._._..__..
30 Fibs lass
80 1. If en adhesive is used to bond dissimilar substrates together, the adhesive with the highest VOC mutant shall be allowed.

2. Foradditional information regarding methodsta measurethe VOC content specified in rats table, see South Coast Air Quality Management District Rule 1168

SEALANT VOC LIMIT
(Less Water and Less Exempt Compounds in Grams per Liter)

SEALANTS

VOC LIMIT
Architectural
260
Mafirm dec—
780
Nonmomarane roof
000
Roadv+ay
260
Sin la root membrane
46 Other
420

SEALANT PRIMERS
Archltecturoi
Nonporous
Porous
250
7T6
Moc Rod bituminous
600
Madnedeck
760
Other
76 FORMALDEHYDE LIMITS'
(Maximum formaldehyde Emissions in Parts per Million)

PRODUCT
LIMIT
ardwood plywoodvenoerwre

0.05 Hardwoed Awood composite aor6

0.05 Padideboard

0.09 Me um
dansll fiber card

0.71 Thin medium
density uberboard

0.13 1. Values In this table are derived from prose specified by the California Air Resources Board, Air Toxic$ Control Measure for Compasde Wood as tested in accordance with ASTM E 1333. 90(2002). For additional Information, see California Code o1 Regulations, Title 17, Seellons 93120 through 93120.12

2. Thin ruedlum density fiberboard has a maximum Ihlckneas of 8 millimeters

QMAVVPte . CITY OF NEWPORT BEACH
Community Development Department I Building Division
e 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658.8916 y> ww UjWggLt a hca.eov 1(949) 644-3200
crrrraxi+r"�'

FORMALDEHYDE EMISSIONS VERIFICATION CHECKLISTS
ADDRESS: 900 NEWPORT CENTER DRIVE, NEWPORT BEACH, CA PI:RMITNO.: X2013-1667 Formaldehyde emissions verification of non-structural engineered wood, hardwood plywood, particleboard, and 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.

Produtt Batesory.:
f-oaption
_-.
'Product
�'prodi�ct'
Forntatdehyda .:
` Formaldehyde .
i:ltjtlt
Item#
(e.g. paint ; et, - �
- adhesNs
(eg bedr6'm
kitchen
Manufacturer,
'fie gGmodgl# )
- CantOnt-
(in
-_ .
- (lnpdns barYp�IMn);r,
pads perpriltipe)
'See Attach Tebleo
UltraStock

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

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

3. Plywood
Bathroom
Aruco
Sierra Pine
<01
.05

4. Doors
Guestrooms
Milennium
Inanity
.13
.11

5. Doors
Guestrooms
Millennium
Infinity
.13
.15

6. Doors
Guestrooms
Millennium
Ovation
11 11

7. Carpet
Guestrooms
Signature
121818
49 .11

8. Carpet
Guestrooms
Tai ping
Custom/Mbax
<.9
.11

9. Carpet Pad
Guestrooms
Leggett & Platt

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

City of Newport Beach - Building Division
Aq. 100 Civic Center Drive. Newport Beach, CA 92660
µ. '. Permit Counter Phone (949)644-3288
x.
awtru��`' Combination Type - CIP
Job Address: 900 NEWPORT CENTER DR NB
Description:COMM - ACCESSIBLE UPGRADE FOR EXTERIOR PATH OF TRAVEL "MARRIOTT" Inspector Area: 7 Legal Desc.:

Owner: HOST HOTELS & RESORTS
Address: 6903 ROCKLEDGE DR $1500
BETHESDA MD 20817
Phone: 619-977-2640
Applicant:

CRESPO JOHANNA
Address:
2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone:
310-3263050
Code Edit: 2010
Type of Construction:

Occupancy Group: U
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 Valuation: $100,000.00
Building Permit Fee:
$1,079.50 -
Plan Check Fee:
$777.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$23.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$100.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$4.00
TOTAL FEE : $2,473.44
PROCESSED BY:

ZONING APPROVAL:

II iiiiio iiiii iiiii ii�ii iiiii iiiei iiq II
Contractor: R D OLSON CONSTRUCTION
Address: 2955 MAIN ST, 3RD FL
IRVINE CA 92614
Phone: 949-474-2001
Con State Lic:
953845
Lic Expire:
10131/2014
Bus Lic:

BT30009757
Lic Exp Date:
0513112014
Worker's Compensation Insurance
Carrier: STAR INS
Policy No: 100000121900
Expire: 07/01/2014
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: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0 Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:

Phone:

COMB Permit: X2013-3041
Project No : 2564-2013
Inspection Requests Phone (949)644-3255
Issued Date : 12/04/2013
;.
2630 S PU VEDA BLVDD OR
TORRANCE CA 90505
310-3263050 State Lic:C014979 -
Special Conditions:

Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:

Public Works Department -
Park Dedication : $0.00
PfW Plan Check, $143.00
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee: $777.24

PUBLIC WORKS
PLAN CHECK BY:

State Lic:
_ o0
�
Fire Department
$31.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
$160.00
$156.45
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,696.20
GRADING APPROVAL: APPROVAL TO ISSUE:

PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INS,

I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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).
1, 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).

I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legally I a structurtVall Dave 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 Ifewions Code, i�gavailable upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.htmi .

MP,lre of Property -Owner or Authorized Agent Date

NSED CUONTRACTOR'S DECLARATION
=rely affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00) of Div sion 3 f tba-Business and Professio de, and y license is in full force f effect. LicAIS$'Qlass License No to Li ?i ontractor Signature AKERS' C'C7IPIPENSATION DECLARATION
2NING`. FAILUR?YC.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10Q,0001, IN ADDITION TO THE i1`8rjCOMPENSA-1611,11DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES M65y affirm under penalty of perjury one of the following declarations:
_�e
and"W iraantain 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 the. lbrmaVce of the woPK for which this permit is issued. Policy No. :thy€ and 411 Inamtain 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' compensatior uran,pe carieT!A policy number are:

Policy Number
of Agent
Date
certify that, in 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 lure
I should become subject to the workers' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lure of ADDlicant to ) 2—/ u A 3
:reby affirm under penelffo—f 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.

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

Iuthonze representatives of this city or county to entertheeaab�identified property for inspe urposes. r� na re of Property Owner or Authorized Agent -11�&t Propffity Owners or Authorized Agent's NameC 4RiS_jZPii F l rLf ate Z_, / ArTTfY', ! DA7F
BY
DECLAPA OFCOMFLiANCEWTHCOPEOF
ITJR u- a 't MY
F—EMML P.ART&f OF Td E411AND
t�T]Md,7lkx"$,(LC'i
FfAd.,PrTFXPtfir'ff's -
© 1-4;fpnL4TTFI)A: .T MNTTTIrAtTKNVTif.

EPA -
AQMD
PENAMEWIC=
P
[3 ASBESTOS INGTPO N JS NOT YWRLiCABLE7"O
?[I YiA'fT'TfN,PSi ]:tee (' (
GE�i tFP 7£r'�
Ocl"`I.3QAfdt'S+'.i`55UE.7
STGIYAII RA:.

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�

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.
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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

Wv City of Newport Beach - Building Division
a'4 100 Civic Center Drive, Newport Beach, CA 92660
t~. Permit Counter Phone (949)644-3288
ti Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC PLUM
II �Nfll201 4 1 7 4 I��III
Job Address:
900 NEWPORT CENTER DR NB
Description:

COMM TI "MARRIOTT" LOBBY IMPROVEMENTS
(1ST FLOOR)
25000 SF
Legal Desc.:

P BK 75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Contractor:

COMREN INC
Address:

PO BOX 579
Address:
3031 N SAN FERNANDO BLVD
LOUISVILLE, TN 3777

BURBANK CA
Phone:
619-997-2643
Phone:
818-558-3100
Applicant:

MCCORMICK MIKE
Con State Lic:
662400
Address:
2630 SEPULVEDA BLVD
Lic Expire:
0113112015
TORRANCE CA 90505
Bus Lic:

BT30048947
Phone:
310-326-3050
Lic Exp Date:
10/3112015
Code Edit : 2013
Type of Construction: I-A-SPR
Occupancy Group: A2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 14
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Workers Compensation Insurance
Carrier: EVEREST NATIONAL INS CO
Policy No: ca20011732
Expire: 01/01/2015
Building Setbacks Rear: /
Front: /
Left: /
Right: /
0 Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:

Phone:

COMB Permit: X2014-1746
Project No: 1476-2014
Issued Date : 10/30/2014
Inspection Area : 7
-T10N.

TYNER RUSSEL EDWARD
2630 SEPULVEDA BLVD
TORRANCE CA 90505
310-326-3050 State Lic:C014979
Special Conditions:

Fire Hazard Zone : N
Building Permit Fee:
$2,411.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$1,735.92
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$38.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$215.62
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$359.37
PNV Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$580.67
San Dist:
$0.00
Building Green Fee :
$15.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$414.69
TOTAL FEE: $5,802.17
PROCESSED BY:

ZONING APPROVAL: 1 • l
Plan Check Fee : $2,194.67
State Lic:

Fire Department
$32.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:

PLAN CHECK BY: V
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.90

40.00. $0.00 -
$O.DO
�O:Od
$0.00
�ccc
$3,607.60

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, usiness 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 -provements 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 -proved for the purpose of sale).
1 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 Dply 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason:
y 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 legally DII 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. html. ignature of Property Owner or Authorized Agent Date

ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of D isio 3 of the Business and of S;Si� Is C and my license is in full force nd effect. License Class License No Da J i Contractor Signa C ,

IORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. affirm under penalty of perjury one of the following declarations:
and will 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 Ice of the work for which this permit is. issued. Policy No. 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' compensa carrier and policy number are:

Policy Number
Date
ie of Agen; • Phone a
cestrify that, in the performance he wo or 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, ,• IF•y should,beco u ject h wo ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ldtuyre of Applicant Da <19
3l+ARATIO•N RECg.4 IAG CONSTRUCTION LENDING AGENCY ,f
reby affinnuna'erpnalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Ci -Code). der5 Name . + Lender's Address
is yssignaturp%lb% I certify to each of the following:
es::m the prod 4TVowner or authorized to act on the property owner's behalf.

I have read th15 application and the information I have provided is correct. eeeee
+I agree to (�poly+kith all applicable city and ¢� ryu y ordi s an fate laws relating to building construction.

I authorize representatives of this city or count e t e�abo 'd - ntified property for inspection purposes. seeee
Ignatule of Pr®IfF.iRi Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name rFRUfT r-XPIFF7)
AEIWIRTIFFNIA:L
GEFs_TPCA EcF
OCt URWiCYISSUED
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PROPOSEDDEdMOLID(Ald_
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City of Newport Beach - Building Division llG11111111111111Il��llu�ll �l��lu�III[II� Jill 100 Civic Center Drive. . Newport Beach, CA W660 jj
Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
raavrxr` Combination Type - CIP
EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.

Job Address:
900 (CS) NEWPORT CENTER DR NB
Description:

COMM -REPLACE (3) PANEL ANTENNAS
& ADD (3) RRMS @ WIRELESS FACILITY
LegalDesc.:

P BK 75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Contractor:

METRO RF SERVICES INC
Address:

PO BOX 579
Address:
2320 S ARCHIBALD AVE
LOUISVILLE, TN 37777
ONTARIO CA 91761
Phone:

Phone:
909-2304920
Applicant:

SPENCER MONICA
Con State Lic:
895236
Address:
16150 SCIENTIFIC WAY
Lic Expire:
04/30/2017
IRVINE CA 92618
Bus Lic:

BT30046561
Phone:
949-336-1550
Lic Exp Date:
0313112016
Code Edit : 2013
Type of Construction:

Occupancy Group: U
Worker's Compensation Insurance
Carrier: CALIFORNIA INS
Policy No: 738753330101
Architect:

Address:

Phone:

Engineer:

Address:

Phone:

Designer:

Address:

COMB Permit: X2015-0056
Project No : 0031-2015
Issued Date : 04/30/2015
Inspection Area : 7
u:
�v
'
ram,
o yj o
ja
o
StateLic:
a .,e

CONNELL DANIEL
26455 RANCHO PKWY SOUTH
LAKE FOREST CA 92630
'e
949-753-8807 State Lic:C-062543 d a
0 0
eddd ouddvo
a" �d
-ava
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:

Flood Zone: X
Expire:

Building Setbacks
Use Zone:
05/15/2015
Rear: /
Front: /
Left: /
Right: /
Parking Spaces:

Phone:

Special Conditions:
0 Fire Hazard Zone : N
Construction Valuation: $50,000.00
Building Permit Fee: $723.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $520.56
Additional Fee :
$0.00
Plan check Fee : $32.00
Fire Inspection:
$0.00
Overtime Plan Ck: $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: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $81.00
PM Plan Check : $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,372.56
Plan Check Fee:
$552.56 Fee Due at Permit Issuance :
$820.00
PROCESSED BY:

PUBLIC WORKS APPROVAL:

ZONING APPROVAL:
s� �, /
1®a�
PLAN CHECK BY:

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 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 L) all of or L) 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 aR3 not untended 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 Improv+edfor theepwpose of sale).
s++•
+ I, as�wner ofthe pr� perry, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a,aplx to an owneV propery who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). e+s•
I am exempt from licensure under the Contractors' State License Law for the following reason:
...+•
By my signature LeJcwrel 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) s19l! 3 SRucture tRVJ+hale 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 P1,ofe99ons Code is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.

Signature of Proggeny Owner or Authorized Agent Date
LJCENSED CdNTRACTOR'S DECLARATION
I %&by affirm unde*r penalty of pe, ry th t 1 am licensed under provisions of C^he ter 9 (commencing with Section 70 ) of Division 3 of the Business and Profe`s"3,� s Cod d m rise is in full force ayld effec4. License+L'YdSs,TT�+� f C License No C6r'1Sy� Date -�Si •� Contractor Signature URiM& CMPENSATION DECLARATION
WARNING: FAILUREe0%tCL,SRE 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 COMPENSAWOIA IAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.

I hereby affirm under penalty of perjury one of the following declarations:

I have and will 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 rf ance of the work for which this permit is issued. Policy No. ha a 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' compensatio ins nce carrier and policy number are:

Carrier Policy Number Expiration Date
Name of Agent Phone #
certify that, in 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 that, if I should become
s/II 1 ct to the wort, €Ps eompen tion provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.

Signature of Applicant, Date,�0`7T
DECLARATION REGARRDIRB�RUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a Construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).

Lender's Name Lender's Address
By 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.

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

I authorize representatives of this city or county e r the ab ntified pr rty for inspection purposes. /��, Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name � "I GC�Date rS%7m #7.4tF dSS"'£aEC.LISRI!€!ON#}FCCMPFJ7NG-GRRTiiGCYDE OF FUH m HFi TdS}iJNt7
FEDERAL REG TulvsraazT6tO=40Auea
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City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 11 m 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 0 3 0 8 "y Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC
PERMITS EXPIRE 180 BAYS AFTER ISSUANCE OR LAST VALID
Job Address:
900 NEWPORT CENTER DR NB
Description:

COMM REMOVE METRO PCS CABINETS COAX, AND ANTENNA "MARRIOTT" Legal Desc.:

P BK 75 PG 33 PAR 1
Owner:

HHR NEWPORT BEACH LLC
Contractor: CIVIL SOLUTIONS INCORPORATED Architect:

Address:
900 NEWPORT CENTER DE
Address: 2290 FOOTHILL DR Address:

NEWPORT BEACH CA 92660
VISTA CA 92084
Phone:

Phone: 760-842-7976 Phone:

Applicant: BAETZ CAREY
Address: 2290 FOOTHILL DR
VISTA CA 928
Phone:

Code Edit: 2013
Type of Construction:

Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:

Flood Zone:

Con State Lie:
822691
Lie Expire:
08/3112015
Bus Lic:

BT30045234
Lie Exp Date:
10/3112016
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN INS
Policy No: WC427811703
Expire: 02/01/2016
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use
0 Engineer
Address:

COMB Permit: X2015-0308
Project No: 0234-2015
Issued Date : 0210212015
Inspection Area: 7
State Lic:

Phone: State Lie:

Designer: BAETZ CAREY
Address: 2290 FOOTHILL DR
VISTA CA 92084 a ..

Phone:

Special Conditions:

Fire Hazard Zone : N `--
Building Permit Fee:
$114.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$82.08
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Fair Share :

Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :

Record Management:
$10.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:

Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety :
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PM Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$15.96
San Dist :
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $255.04
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

Plan Check Fee: $0.00
Fire Department
$32.00
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
Fee Due at Permit Issuance : $255.04
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:
oaaao�
eaooao
�oea�-

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 7031.5, 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 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). ❑ I am exempt from licensure under the ContractorsState License Law for the following reason:

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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature

ORKERS' COMPENSATION DECLARATION
ARNING: 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 ATTORNEYS FEES. hereby affirm Lw!er peylalty of perjury one of the following declarations:
....
' 14aN:e and w�l mgintain 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 the performance of iiie vsora for which this permit is issued. Policy No. hav% and will g aintain 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' compensatior iRsurgrTce carriers ljd Policy number are:

Garner'. • Policy Number Expiration Date
ng of Agent -none v
.qp�ffy that, io,*e 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 if I should bemme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of ApplQvI ` Date_

JTION REGARDING CONSTRUCTION LENDING AGENCY
ffirm-anderpenalty 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). lame. 0 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.

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 county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name A("IP1'NI DA.iF
RV
RFAh4TTFkrrP?P 7
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t =Fr?',Ai4CY,'SS;JED
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EI EPA
AQMD
0 ASBE5TOSD011fWATItNiISNOT+t uC4BLETr$

PROPOSEDDEMOLITML

51.GVA I N&.,
Date
(AMY

�° City of Newport Beach - Building Division I111l111111111p111111111111111111p111111111111111� II COMB Permit: X2016-0649 +: 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 6 4 9 Project No: 0437-2016 1, `} �. Permit Counter Phone (949)644-3288 ]
x"a Inspection Requests Phone (949)644-3255
cam. err Combination Type - CIP ELEC Issued Date : 07/20/2016 0 Inspection Area : 7
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Job Address:

Description:

Legal Desc.:Owner:
900 tCS] NEWPORT CENTER DR NB
REPLACE 10 ANTENNAS. INSTL 6 RRU'S. INSTL 2 RAYCAPS NEAR ANTENNAS. INSTL 2 RAYCAPS IN EQUIPMENT ENCLOSURE. EXT FRP SCREEN

VELAGIC ALEN
Contractor: WAVCOMM
Architect: ROME JEFFAddress:

OD
900 NEWPORT CTR DR
NEWPORT BEACH CA 92660
Address: 1429 S. CUCAMONGA AVE
ONTARIO, CA 91761
Address: 131 INNOVATION DR #100
IRVINE CA 92617
1 -all
Phone:
949-729-3594
Phone: 909-923-0852
Phone: 949-760-3929 State Lic:CO20876
Applicant:

FIGUEROAMANNY
Address:
131 INNOVATION DR
IRVINE CA 92617
Phone:
949-760-3929
Code Edit : 2013
Type of Construction: V-B
Occupancy Group: U
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:

Con State Lic:
724434
Lic Expire:
06/30/2018
Bus Lic:

BT30055925
Lic Exp Date:
07/31/2017
Worker's Compensation Insurance
Carrier: IN CO OF STAE OF PA
Policy No: 012851670
Expire: 05/15/2017
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Engineer:

Address:

Phone:

Designer:

Address:

Phone:

KIRBY JEFFREY --
2081 BUSINESS DR STE 219
IRVINE CA 92612 ' o
949-502-8555 State Lic:C044343 ,
Special Conditions:
ood Zone:

X
Use Zone:

Parking Spaces:
0 Fire H
Construction Valuation:
$43,000.00
Building Permit Fee:
$613.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$533.31
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$26.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
P/W Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$160.48
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %: n
$0.00
TOTAL FEE: $1,484.79
PROCESSED BY:

ZONING APPROVAL:

GRADING APPROVAL:

Plan Check Fee
Fire Department
$150.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$607.97 Fee Due at Permit Issuance : $876.82
PUBLIC WORKS APPROVAL:

PLAN CHECK BY:

APPROVAL TO ISSUE:
.000�o

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 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, prior to 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).
111, 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 itwas not built or improved for the purpose of sale).
❑ 1, 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason:

Signature of Property Owner or Authorized Agent Date
MC16NSED CONW4ACTOR'S DECLARATION
Thereby affirm Ijrnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00) of Division 3 of the Business and P sins o a m icense is in full force a.M.ef%t. License Class License No D �,, �`r `� / Contractor Signat Y� � - /lili�,'� WORKERS' CGM�P€''.eeNSATION DECLARATION r
uy�g VIN8�FA1LUR�--LCyRE 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 OOST ®FCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •..•
I1 �kl¢ra7y affirm ceder penalty of perjury one of the following declarations:
-rI Rave and will 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 th6 cc of thg worlSfor which this permit is issued. Policy No.

Pha, and w1i Imain1in workers' compensation insurance, as required by Section 3700 of the Labor Code, carrier 3r"W icy number are:

Policy Number
of Agent
for the performance of the work for which this permit is issued. My workers' Date
:1I certify that, in 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 hat, if I should become �.Ibje to e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

Signature of Applica /(l 1 �iE9it9f
)ECLARATION RE DING CONSTRUCTION LENDING AGENCY
hereby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). -ender'$ Name Lender's Address
3y my signature below, I certify to each of the following:

I am the property owner or authorized to act on the property owners 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 coun y nntt the b -identilfiLecd�"property for inspection purposes. `&7� J' y 9 Signature of Property Owner or Authorized Agen h* _,gu is! rB.rgn/—, Print Property Owners or Authorized Agent's Na a L' J

ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE

PERMIT EXPIRED

LJ I SUBMITTED ASBESTOS NOTIFICATION TO

PERMIT CANCELLED
❑EPA

PERMIT EXTENDED
OM D

PERMITFINAL

CERTIFICATEOF

OCCUPANCY ISSUED
�wQ.v(�'!
!��
Ll ASBESTOS NOTIFICATION IS NOT APPLICABLE TO

PROPOSED DEMOLITION
SIGNATURE:

�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:

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:

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
__,..
:TANK INSTALLA I IONJEST
E
:TANK PIPING PRESSURE TEST

MEDICAL GAS PIPING TEST

CROSS CONNECTION TEST
MISC. INSPECTIONS. -
AW..
_...
.. W.._. _., _ __ . - _ _- - ._.,r .......

I
I
_ £
i
E
_
1 4
FINAL
I
}
(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/�

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:

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 :

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�

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.

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'

POSEDOEMOLITKIM
A iGW1iT}TA�4,C '� - 18-, L1,
C."ERT7FTtA7FQ,F
0LYUDw4Ch'i55VED
LniYAf ttRE:

FORM SI-02i 90
n

Address: 6903 ROCKLEDGE DR #1500 Address:

ZONING APPROVAL:

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:

PLAN CHECK BY: d
! 1
APPROVAL TO ISSUE:

Signature of Property Owner or Authorized Agent Date

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.

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.

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.

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

2. Latex Caulk
Guestroom
DAP
Alex Plus

44.4 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

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

ARCHITECTURAL APPLICATIONS

SEALANTS

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

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.#

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

INSPECTOR
Owner: HHR NEWPORT BEACH LLC
Contractor:

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:

Right: I
. • °
Flood Zone:

Use Zone:

PUBLIC WORKS APPR L:

ZONING APPROVAL:

PLAN CHECK BY: Cho
GRADING APPROVAL:

APPROVAL TO ISSUE:

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.

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:

RESIDENCES AT 1400 BRISTOL STREET
ADDENDUM NO. 7 (ER2022-001) TO THE

CITY OF NEWPORT BEACH

GENERAL PLAN UPDATE

ENVIRONMENTAL IMPACT REPORT
(SCH NO. 2006011 119)
Prepared for City of Newport Beach
Community Development Department
100 Civic Center Drive
Newport Beach, California 92660
Prepared by Kimley-Horn and Associates, Inc.
1 100 W. Town & Country Road, Suite 700
Orange, California 92868
Date November 2023

This page intentionally left blank.

Table of Contents

TABLE OF CONTENTS
1 Introduction............................................................................................................................................ 1

1.1 Project Location............................................................................................................................ 1

1.2 California Environmental Quality Act........................................................................................... 1

1.3 Background...................................................................................................................................3

1.4 Conclusion.................................................................................................................................... 6 2 Description of Proposed Project............................................................................................................ 7

2.1 Project Location............................................................................................................................ 7

2.2 Existing Land Uses........................................................................................................................ 7

2.3 City of Newport Beach Land Use Categories................................................................................ 8

2.4 Project Characteristics................................................................................................................ 15

2.5 Utilities and Infrastructure.........................................................................................................57

2.6 Construction Phasing..................................................................................................................58

2.7 Intended Uses of the Addendum............................................................................................... 58 3 Evaluation
of Environmental impacts.................................................................................................. 60 3.1
Aesthetics................................................................................................................................... 61

3.2 Air Quality................................................................................................................................... 67

3.3 Biological Resources...................................................................................................................78

3.4 Cultural and Tribal Cultural Resources.......................................................................................84

3.5 Energy.........................................................................................................................................89

3.6 Geology and Soils....................................................................................................................... 97

3.7 Greenhouse Gas Emissions.......................................................................................................106

3.8 Hazards and Hazardous Materials............................................................................................112

3.9 Hydrology and Water Quality...................................................................................................118

3.10 Land Use and Planning............................................................................................................. 127

3.11 Mineral Resources....................................................................................................................152

3.12 Noise.....................................................................................................................................154

3.13 Population and Housing........................................................................................................... 168

3.14 Public Services..........................................................................................................................171

3.15 Recreation................................................................................................................................ 150

3.16 Transportation..........................................................................................................................155

3.17 Utilities and Service Systems....................................................................................................171

3.18 Wildfire.....................................................................................................................................181 4 Determination of Appropriate CEQA Documentation.......................................................................183 5 Preparers............................................................................................................................................ 186
6 References
..........................................................................................................................................187

LIST OF FIGURES
Figure 1: Regional Location Map.................................................................................................................. 9 Figure2: Local Vicinity................................................................................................................................11 Figure 3: Airport Area Planning Designations............................................................................................. 13 Figure4: Existing Zoning.............................................................................................................................17 Figure 5A: Site Plan — Basement Floor Plan Level 2....................................................................................19 i Residences at 1400 Bristol Street
Addendum to the General Plan Program EIR

Table of Contents
Figure 513: Site Plan — Basement Floor Plan Level 1.................................................................................... 21 Figure 5C: Site Plan — Ground Floor Plan.................................................................................................... 23 Figure 5D: Site Plan — Level 2 Podium Floor Plan........................................................................................ 25 Figure 5E: Site Plan — Level 3 Floor Plan..................................................................................................... 27 Figure 5F: Site Plan — Level 4 Floor Plan...................................................................................................... 29 Figure 5G: Site Plan — Level 5 Floor Plan..................................................................................................... 31 Figure 5H: Site Plan — Level 6 Floor Plan..................................................................................................... 33 Figure51. Site Plan — Roof Plan................................................................................................................... 35 Figure 6: Common Open Space and Recreational Amenities.....................................................................39 Figure 7: Preliminary Landscape Plan.........................................................................................................41 Figure SA: Architecture and Design —North Elevation................................................................................45 Figure SB: Architecture and Design —South Elevation................................................................................47 Figure SC: Architecture and Design —East Elevation...................................................................................49 Figure SD: Architecture and Design —West Elevation.................................................................................51 Figure 9: Vehicular Circulation.................................................................................................................... 53 Figure 10: Conceptual Pedestrian Bridge Rendering..................................................................................55

LIST OF TABLES
Table 2-1: Residential Dwelling Unit Breakdown........................................................................................ 16 Table 2-2: Residential Development Summary .......................................................................................... 37 Table 3.2-1: Construction -Related Emissions.............................................................................................70 Table 3.2-2: Operational Emissions............................................................................................................ 71 Table 3.2-3: Equipment -Specific Grading Rates.......................................................................................... 73 Table 3.2-4: Localized Significance of Construction Emissions................................................................... 73 Table 3.2-5: Localized Significance of Operational Emissions.................................................................... 74 Table 3.7-1: Construction -Related Greenhouse Gas Emissions................................................................ 107
Table 3.7-2: Project Greenhouse Gas Emissions....................................................................................... 107
Table 3.9-1: Runoff Volume Summary (2-year, 24-hour storm event) .....................................................122 Table 3.10-1: General Plan Consistency Analysis......................................................................................129 Table 3.12-1: Incremental Noise Impact Criteria for Noise -Sensitive Uses (dBA CNEL)...........................155 Table 3.12-2: Existing and Project Traffic Noise.......................................................................................155 Table 3.12-3: Opening Year and Project Traffic Noise.............................................................................. 156
Table 3.12-4: General Plan Buildout and Project Traffic Noise................................................................ 157
Table 3.12-5: Project Construction Noise Levels......................................................................................159 Table 3.12-6: Typical Construction Equipment Vibration Levels..............................................................162 Table 3.14-1: Student Generation............................................................................................................175 Table 3.16-1: Traffic Study Area Intersections.......................................................................................... 156
Table 3.16-2: Level of Service Descriptions.............................................................................................. 157
Table 3.16-3: Intersection Operations: Existing Conditions..................................................................... 158
Table 3.16-4: Project Trip Generation......................................................................................................159 Table 3.16-5: Traffic Analysis Cumulative Projects................................................................................... 160
Table 3.16-6: Intersection Operations: Year 2027....................................................................................163 Table 3.16-7: Post-2030 General Plan Buildout Intersection Operations ................................................. 164
Table 3.17-1: Projected Potable Water Supply and Demand (2005 UWMP) ...........................................171 ii Residences at 1400 Bristol Street
Addendum to the General Plan Program EIR

Table of Contents
Table 3.17-2: Newport Beach Projected Water Supplies (AF)........................

Table 3.17-3: Potable Water Demand............................................................

Table 3.17-4: Newport Beach Current and Projected Water Demand (AFY) .

Table 3.17-5: Wastewater Generation...........................................................

Table 3.17-6: Drought Risk Assessment (AF)..................................................

Table 3.17-7: Estimated Solid Waste Generation ...........................................

LIST OF APPENDICES
Appendix A
Air Quality, Greenhouse Gas, and Energy Modeling Data
Appendix B
Geotechnical Report
Appendix C
Phase I Environmental Assessment
Appendix D
Preliminary Water Quality Management Plan
Appendix E
Noise Data
Appendix F
Traffic Impact Analysis
Appendix G
Sewer Study
.........................................172
.........................................172
.........................................173
......................................... 174
........................I....1........... 176
......................................... 177
iii Residences at 1400 Bristol Street
Addendum to the General Plan Program EIR

Table of Contents
This page intentionally left blank.

Residences at 1400 Bristol Street
Addendum to the General Plan Program EIR

Section 1
Introduction
The Picerne Group, Inc. (Project Applicant) is requesting the City of Newport Beach's consideration of the approval of a multi -unit residential development at 1400 and 1420 Bristol Street North in the City of Newport Beach. The proposed Project is a 6-story, 229-unit apartment development on an existing office building site. Of the 229 units, 206 units would be market rate and 23 units would be designated as affordable housing. The six -story podium building will have three levels of structured parking: one level on grade and two levels below ground.

1.1 Project Location
The proposed Residences at 1400 Bristol Street Project (Project or proposed Project) would be developed at 1400 and 1420 Bristol Street North in the City of Newport Beach, Orange County, California. The approximately 2.38-acre, rectangular -shaped property is relatively flat at an approximate elevation of 43 to 47 feet above mean sea level (msl). The project site is generally bordered by Spruce Avenue to the southeast and Bristol Street North to the southwest. The project site abuts northbound Bristol Street which runs northwest to southeast near the site.

1.2 California Environmental Quality Act
This Addendum has been prepared in accordance with the provisions of the California Environmental Quality Act (CEQA) (California Public Resources Code [PRC] §§21000 et seq.); the State CEQA Guidelines (Title 14, California Code of Regulations [CCR] §§15000 et seq.); and the rules, regulations, and procedures for implementing CEQA as set forth by the City of Newport Beach (City). Pursuant to the provisions of CEQA and the State CEQA Guidelines, Newport Beach is the Lead Agency charged with the responsibility of deciding whether to approve the proposed Project.

Section 15164(a) of the State CEQA Guidelines states that "the lead agency or a responsible agency shall prepare an addendum to a previously certified EIR if some changes or additions are necessary but none of the conditions described in PRC Section 21166 and CEQA Guidelines Section 15162 calling for preparation of a subsequent EIR have occurred." Pursuant to Section 15162(a) of the State CEQA Guidelines, a subsequent Environmental Impact Report (EIR) or Negative Declaration is only required when:
(1) Substantial changes are proposed in the project which will require major revisions of the previous EIR or negative declaration due to the involvement of new significant environmental effects or a substantial increase in the severity of previously identified significant effects; (2) Substantial changes occur with respect to the circumstances under which the project is undertaken which will require major revisions of the previous EIR or Negative Declaration due to the involvement of new significant environmental effects or a substantial increase in the severity of previously identified significant effects; or
(3) New information of substantial importance, which was not known and could not have been known with the exercise of reasonable diligence at the time the previous EIR was certified as complete or the negative declaration was adopted, shows any of the following:
(A) The project will have one or more significant effects not discussed in the previous EIR or negative declaration;
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(B) Significant effects previously examined will be substantially more severe than shown in the previous EIR;
(C) Mitigation measures or alternatives previously found not to be feasible would in fact be feasible and would substantially reduce one or more significant effects of the project, but the project proponents decline to adopt the mitigation measure or alternative; or (D) Mitigation measures or alternatives which are considerably different from those analyzed in the previous EIR would substantially reduce one or more significant effects on the environment, but the project proponents decline to adopt the mitigation measure or alternative.

As part of its decision -making process, the City is required to review and consider whether the proposed Project would create new significant impacts or significant impacts that would be substantially more severe than those disclosed in the City of Newport Beach General Plan 2006 Update Program Environmental Impact Report, as amended, inclusive of subsequent amendments (herein referred to collectively as the General Plan Program EIR). Subsequent amendments to the General Plan include the approved 2014-2021 Housing Element Update. An Initial Study/Negative Declaration was prepared for the 2008-2014 Housing Element Update and incorporates by reference the environmental analysis from the General Plan Program EIR. On October 25, 2022, the General Plan Circulation Element was approved by the City Council to comply with State law mandates including "Complete Streets" and Vehicle Miles Traveled (VMT) legislation. The updated Circulation Element includes new and revised goals and policies to provide for a balanced transportation network that will support and encourage walking, bicycling, and transit ridership. A CEQA Guidelines Section 15061(b)(3) finding was made. On November 28, 2023 (ordinance effective date of December 28, 2023), the City Council adopted changes to the General Plan and the Newport Beach NBMC (NBMC) to reflect the noise contours identified by the 2014 John Wayne Airport Settlement Agreement Amendment EIR No. 617 as well as updated General Plan Land Use and Noise Element policies and additional noise attenuation measures for future housing units proximate to John Wayne Airport. A CEQA Guidelines Section 15183 finding was made that the amendments are within the scope of the 2014 John Wayne Airport Settlement Agreement Amendment EIR No. 617.

Additional CEQA review beyond this Addendum would only be triggered if the proposed Project creates new significant impacts or impacts that are more severe than those disclosed in the General Plan Program EIR used to approve the City of Newport Beach General Plan Update (General Plan) in 2006 and the subsequent updates to the General Plan such that major revisions to the General Plan Program EIR would be required.

The following describes the requirements of an addendum, as defined by State CEQA Guidelines Section 15164:
(a) The lead agency or responsible agency shall prepare an Addendum to a previously certified EIR if some changes or additions are necessary but none of the conditions described in Section 15162 calling for preparation of a Subsequent EIR have occurred. (b) An Addendum to an adopted negative declaration may be prepared if only minor technical changes or additions are necessary or none of the conditions described in Section 15162 calling for the preparation of a subsequent EIR or negative declaration have occurred. 2 Residences at 1400 Bristol Street
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(c) An Addendum need not be circulated for public review but can be included in or attached to the Final EIR.
(d) The decision -making body shall consider the Addendum with the Final EIR prior to making a decision on the project.
(e) A brief explanation of the decision not to prepare a Subsequent EIR pursuant to Section 15162 should be included in an Addendum to an EIR, the lead agency's findings on the project, or elsewhere in the record. The explanation must be supported by substantial evidence.

If none of these circumstances are present, and only minor technical changes or additions are necessary to update the previously certified EIR, an addendum may be prepared, consistent with State CEQA Guidelines Section 15164.

1.3 Background
On July 25, 2006, the Newport Beach City Council adopted the General Plan and certified the Final Program EIR. At the General Municipal Election held on November 7, 2006, the City electorate approved increased density and intensity of development and associated increased peak hour traffic trips provided in the Land Use Element of the General Plan, pursuant to City Charter Section 423. The City's General Plan contains the following elements: Land Use; Harbor and Bay; Housing; Historical Resources; Circulation; Recreation; Arts and Cultural; Natural Resources; Safety; and Noise. The comprehensive General Plan Program EIR analyzed the potential impacts of a citywide comprehensive update to the land use plan, and goals and policies for General Plan elements.

On September 24, 2013, the City Council adopted the City of Newport Beach 2014-2021 Housing Element', which was an update and revision to the 2008-2014 Housing Element. The land use opportunity areas identified in the General Plan remained the same.

On September 13, 2022, the City Council adopted the 61h Cycle Housing Element for the 2021-2029 planning cycle in response to the Regional Housing Needs Assessment (RHNA) allocation of 4,845 new housing units. The RHNA allocation included 1,456 units for very -low income, 930 units for low income, 1,050 units for moderate income, and 1,409 for above -moderate income households. On October 5, 2022, the California Department of Housing and Community Development certified the City's 2021-2029 Housing Element as being in full compliance with State Housing Element Law.

On November 28, 2023, the City Council adopted changes to the General Plan and Municipal Code to reflect the noise contours identified by the 2014 John Wayne Airport Settlement Agreement Amendment EIR No. 617 as well as updated General Plan Land Use and Noise Element policies and additional noise attenuation measures for future housing units proximate to John Wayne Airport. The adopted noise contours supersede the noise contours identified in the Airport Land Use Commission's Airport Environs Land Use Plan (AELUP) for John Wayne Airport. Both the AELUP noise contours and the 2014 noise contours address standards for both residential and non-residential land uses near John Wayne Airport.

The following summarizes the findings of the General Plan Program EIR associated with the adoption and long-term implementation of the General Plan. The General Plan Program EIR does not identify mitigation The City Council approved the 2014-2021 Housing Element Update and noted that all environmental concerns were addressed in the previously adopted Negative Declaration for the 2008-2014 Housing Element Update. The Negative Declaration uses and incorporates by reference the environmental analysis from the General Plan Program EIR. 3 Residences at 1400 Bristol Street
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measures. Rather, it relies on General Plan policies adopted in the General Plan to mitigate potential environmental impacts. Existing enforcement and monitoring mechanisms are in place to ensure that all compliance measures will be implemented, including conditions of approval and mitigation monitoring.

Less Than Significant: Compliance with General Plan Policies and Applicable Regulations and Conditions
■ Aesthetics: Obstruction of scenic vistas;
■ Aesthetics: Changes to visual character;
■ Air Quality: Exposure of sensitive receptors to carbon monoxide concentrations; ■ Air Quality: Objectionable odors affecting a substantial number of people; ■ Biological Resources: Direct or indirect effects to candidate, sensitive, or special status plant and wildlife species through habitat modification;
■ Biological Resources: Adverse effects on riparian habitat or other sensitive natural communities; ■ Biological Resources: Wildlife movement and wildlife corridors; ■ Cultural Resources: Damage to or destruction of archaeological and/or Native American cultural resources;
■ Cultural Resources: Damage to or destruction of unique paleontological resources; ■ Cultural Resources: Damage to or destruction of human burial grounds; ■ Geology and Soils: Exposure of people and structures to adverse effects from strong seismic ground shaking;
■ Geology and Soils: Exposure of people and structures to adverse effects from seismic -related ground failure or landslides;
■ Geology and Soils: Substantial soil erosion and loss of topsoil; ■ Geology and Soils: Hazards associated with lateral spreading, subsidence, collapse, differential settlement, or heaving;
■ Geology and Soils: Substantial risk to people and structures caused by construction on expansive soils;
■ Hazards and Hazardous Materials: Routine transport, use, storage, or disposal of hazardous materials;
■ Hazards and Hazardous Materials: Release of hazardous materials, including lead and asbestos, during construction activities and operational activities; ■ Hazards and Hazardous Materials: Existing oil wells (Newport Oil Field and West Newport Oil Field) and the five methane gas mitigation districts;
■ Hazards and Hazardous Materials: Hazardous emission at schools within one -quarter mile of a project site;
■ Hazards and Hazardous Materials: Listed hazardous materials sites; ■ Hazards and Hazardous Materials: Interference with the City of Newport Beach Emergency Management Plan;
■ Hazards and Hazardous Materials: Fire risk associated with development near wildlands; 4 Residences at 1400 Bristol Street
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■ Hydrology and Water Quality: Violation of water quality standards and discharge requirements during construction activities and operations;
■ Hydrology and Water Quality: Interference with groundwater recharge or depletion of groundwater supplies;
■ Hydrology and Water Quality: Alteration of drainage patterns resulting in substantial erosion or siltation;
■ Hydrology and Water Quality: Alteration of drainage patterns resulting in flooding; ■ Hydrology and Water Quality: Exceedance of stormwater drainage infrastructure or require new infrastructure, or cause substantial polluted runoff,
■ Hydrology and Water Quality: Degradation of groundwater quality; ■ Hydrology and Water Quality: Development in 100-year flood zones and exposure to flood risks; ■ Land Use and Planning: Physically divide an established community; ■ Land Use and Planning: Consistency with applicable land use plans, policies, and regulations, including habitat conservation plans;
■ Noise: Construction activities;
■ Public Services: Fire, Police, Schools, Libraries;
■ Recreation and Open Space: Deterioration of park and recreational facilities, and park deficiencies;
■ Transportation/Traffic: Intersection operation's levels of service; ■ Transportation/Traffic: Impacts to Congestion Management Plan (CMP) arterials; ■ Transportation/Traffic: Air traffic patterns;
■ Transportation/Traffic: Roadway design features causing safety hazards; ■ Transportation/Traffic: Emergency access;
■ Transportation/Traffic: Inadequate parking accommodation; ■ Transportation/Traffic: Applicable policies; and
■ Utilities and Service Systems: Water Treatment, Water Supply, Wastewater Treatment and Facilities, Solid Waste Disposal, Energy Use.

Significant Unavoidable Impacts: Compliance with General Plan Policies and Applicable Regulations and Conditions
■ Aesthetics — New sources of light and glare. Note: this finding only applies to new development in the Banning Ranch subarea and is therefore not applicable to the proposed Project; ■ Air Quality; Land Use and Planning: Conflict or obstruct implementation of the South Coast Air Quality Management Plan (AQMP); population levels exceeding 2003 AQMP (no feasible mitigation measures are available to reduce impacts to a less than significant level); ■ Air Quality: Construction emissions (no feasible mitigation measures are available to reduce impacts to a less than significant level);
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■ Air Quality: Cumulatively considerable net increase in criteria pollutants within the nonattainment area (no feasible mitigation measures are available to reduce impacts to a less than significant level);
■ Cultural Resources: Demolition of historic structures (no feasible mitigation measures are identified to reduce impacts to a less than significant level). Note: the project site is has two office buildings with surface parking and does not contain any historic structures. Therefore, this finding is not applicable to the proposed Project;
■ Hazards and Hazardous Materials; Land Use and Planning: Residential development constructed in the Airport Area within the 65 dBA CNEL noise contour specified by the Airport Land Use Commission's Airport Environs Land Use Plan (AELUP) for John Wayne Airport. Note: the Noise Element, Land Use Element, and NBMC were amended in 2023; revised noise contours were adopted by the City of Newport Beach in November 2023.
■ Noise: Potential exposure of persons to roadway noise exceeding standards established in the General Plan and NBMC;
■ Noise: Vibration associated with specific construction activities. The General Plan Program EIR notes that these significant impacts are not citywide and instead take into consideration land uses, activities, and sensitive receptors;
■ Population and Housing: Exceedance of the Southern California Association of Governments (SCAG) population projections; and
■ Transportation/Traffic: Deficient freeway mainline segments and ramps.

The General Plan Program EIR found that implementation of the General Plan would have no impact to the remaining topical areas evaluated in accordance with CEQA Statutes and the State CEQA Guidelines.

1.4 Conclusion
The Residences at 1400 Bristol Street Addendum finds that potential impacts associated with this proposed Project would either be the same or not substantially greater than those described in the General Plan Program EIR. As discussed in this Addendum, these conclusions are supported by substantial evidence, including project -specific analyses of potential impacts. In addition, there are no substantial changes to the circumstances under which the proposed Project would be undertaken that would result in more severe environmental impacts than previously addressed in the General Plan Program EIR. No new information of substantial importance shows that measures or alternatives that were previously found not to be feasible or that are considerably different from those analyzed for the General Plan Program EIR would substantially reduce one or more significant effects on the environment. Therefore, the Project has not met any of the conditions described in Section 15162 of the State CEQA Guidelines that would warrant preparation of a Subsequent EIR. For these reasons, an Addendum is the appropriate document that will comply with CEQA requirements for the proposed Project.

In taking action on any of the approvals for the proposed Project, the decision -making body must consider the whole of the data presented in the General Plan Program EIR, the Findings of Fact and Statement of Overriding Considerations for the adoption of the General Plan; and the previously adopted Mitigation Monitoring and Reporting Program (MMRP), as applicable to the proposed Project. 6 Residences at 1400 Bristol Street
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2 DESCRIPTION OF PROPOSED PROJECT

2.1 Project Location
The Residences at 1400 Bristol Street Project (Project) would be developed at 1400 and 1420 Bristol Street North (Assessor Parcel Number [APN] 427-332-02) in the City of Newport Beach, Orange County, California. The approximately 2.38-acre, rectangular -shaped property is relatively flat at an approximate elevation of 43 to 47 feet above msl.

The project site is generally bordered by Spruce Avenue to the southeast and Bristol Street North to the southwest. The project site abuts northbound Bristol Street which runs northwest to southeast near the site. Regional access to the project site is from State Route 73 (SR-73), which runs parallel to Bristol Street near the project site with exits at Birch Street and Jamboree Road north and south of the site, and Interstate 405 (1-405) via MacArthur Boulevard and Jamboree Road to the northeast. Bristol Street is divided by SR-73, with one-way travel in each direction.

Vehicular access to the site is from Bristol Street North and Spruce Avenue. There is one existing driveway into the site on each street. The driveways are currently unsignalized. The driveway on Bristol Street North permits right -in, right -out turning movements, while the driveway on Spruce Avenue is unrestricted.

Figure 1, Regional Location Map and Figure 2, Local Vicinity Map depict the project site in a regional and local context, respectively.

The site is approximately 0.5 mile southeast of John Wayne Airport, 0.5 mile northwest of the San Joaquin Freshwater Marsh Reserve, and 1.3 miles northwest of the University of California, Irvine (UCI).

2.2 Existing Land Uses
The project site is currently developed with two, two-story office buildings at 1400 North Bristol and 1420 North Bristol, totaling approximately 38,764 net rentable square feet (sf) with associated surface parking and ornamental landscaping. There are existing sidewalks, curbs and gutter, and light standards along Bristol Street North and Spruce Avenue.

Existing land uses adjacent to and near the project site include the following:

Northwest Two-story office building with surface parking at 1501 Quail Street; two-story office building at 1451 Quail Street with surface parking. Access to both office buildings is from Quail Street.

Northeast One-story office building at 1401 Quail Street with surface parking; vehicular access is from Quail Street and Spruce Avenue. The property owner at 1401 Quail has requested approval of entitlements from the City to allow the construction of approximately 78 condominium (for -sale) units.

East Spruce Avenue, future Residences at 1300 Bristol multi -unit development, and secured surface parking lot for the automotive dealership storage. Access to the automotive storage is from Spruce Avenue.

South SR-73; multiple building office complex (1 story to 10 stories) with surface parking and parking structures south of SR-73 and southbound Bristol Street. 7 Residences at 1400 Bristol Street
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Northwest to Bristol Street North.

Southeast

2.3 City of Newport Beach Land Use Categories

2.3.1 General Plan Designation
The project site is in the Airport Areal planning subarea. As depicted on Figure 3, Airport Area Planning Designations, the Airport Area is generally bordered by Jamboree Road to the southeast, Campus Drive to the northeast and west, and Bristol Street North to the southwest. The project site has a General Plan land designation of "General Commercial Office (CO-G)" (see Figure 3). As stated in the General Plan Land Use Element, the CO-G land use category is "intended to provide for administrative, professional, and medical offices with limited accessory retail and service uses. Hotels, motels, and convalescent hospitals are not permitted.113 The existing General Plan land use designation does not allow residential uses.

Therefore, Project implementation requires a General Plan Amendment to change the existing General Plan land use designation from "General Commercial -Office" to "Mixed Use Horizontal 2 (MU-H2)", which "provides for a horizontal intermixing of uses that may include regional commercial office, multi -family residential, vertical mixed -use buildings, industrial, hotel rooms, and ancillary neighborhood commercial uses."
Although the adopted General Plan approved a maximum of 2,200 residential units in the Airport Area at a maximum density of 50 dwelling units per net acre (du/net acre), the General Plan Program EIR evaluated 4,300 residential units in the Airport Area. As set forth in the General Plan Land Use Element, of the 2,200 residential units allocated to the Airport Area, 1,650 of the units must replace existing office, retail, and/or industrial uses so that there is no net gain in vehicular trips. Conversion rates have been adopted by the City to calculate no net gain vehicular trips resulting from non-residential to residential or mixed -use developments. The conversion of General Office uses (measured in 1,000 sf) to residential units results in approximately 2.29 dwelling units per 1,000 sf.

The remaining 550 units of the 2,200 units allocated to the Airport Area (2,200 minus 1,650) are "additive" units that "may be developed as infill on existing surface parking lots or areas not used as occupiable buildings on properties within the Conceptual Development Plan Area as depicted on Figure LU22 provided that parking is replaced on-site.114
General Plan Land Use Element policies for Mixed -Use Districts are included in the General Plan as Policy LU 6.15.4 through Policy 6.15-23. Policy LU 6.15.7 requires residential units to be developed at an average minimum density of 30 du/net acre and a maximum of 50 du/net acre (prior to any affordable housing density bonus). The Project proposes 153 "base" units at a density of 64 du/ac on the 2.38-net-acre site.

With the inclusion of the density bonus units, the Project proposes 229 units at a density of 96 du/net acre. A waiver from Policy 6.15.7 regarding maximum density has been requested by the Project Applicant as a part of the Project.
z "Airport area" means an area of the City that encompasses the properties adjacent to John Wayne Airport and that is inclose proximity to the Irvine Business Complex and University of California, Irvine as depicted on General Plan Figure LU22 (Airport Area)." Source: City of NBMC Chapter 20.70, Definitions. Accessed September 21, 2020. s City of Newport Beach, General Plan Land Use Element Table LU 1, available at: Microsoft Word - Newport Beach Final GP _2006-09-21_.doc (newportbeachca.gov), accessed February 7, 2023.
° Figure LU22 from the General Plan Land Use Element is depicted as Figure 4 in this Addendum. 8 Residences at 1400 Bristol Street
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Figure 1: Regional Location Map
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2.3.2 Zoning Districts
The City of Newport Beach Municipal Code (NBMC) Chapter 20.56 allows a "Planned Community District" to address land use designation and regulations in the form of Planned Communities. A Planned Community (PC) District, as stated in NBMC Section 20.56.010, is intended to:

A. Provide for the classification and development of parcels of land as coordinated, comprehensive projects in order to take advantage of the superior environment which can result from large-scale community planning.

B. Allow diversification of land uses as they relate to each other in a physical and environmental arrangement while ensuring substantial compliance with the spirit, intent, and provisions of this Zoning Code.

C. Include various types of land uses, consistent with the General Plan through the adoption of a development plan and text materials that identify land use relationships and associated development standards.

As depicted in Figure 4, Existing Zoning, the project site is located in "Newport Place Planned Community (PC-11)", which is triangular in shape, totals 134.6 acres, and includes all parcels bordered by Birch Street to the northwest, MacArthur Boulevard to the east, and Bristol Street North to the south. PC-11 permits professional and business offices, hotels and motels, retail, restaurants, and light industrial. Specifically, the project site is zoned Industrial Site 3A, which allows light industrial uses and business offices. As amended in 2023, PC-11, Part III. Residential Overlay Zone, Section V.D.1 (Airport Noise Compatibility), identifies that residential development can be located up to the John Wayne Airport 65 dBA CNEL updated noise contour as shown in Figure N5 of the Noise Element of the General Plan, and subject to compliance with Section 20.30.080.F (Residential Use Proximate to John Wayne Airport) of the Newport Beach NBMC.

Residential development is limited to parcels wholly or partially outside the 65 dBA CNEL noise contour, unless and until the City determines, based on substantial evidence, that the sites wholly within such contour area are needed for the City to satisfy its 61h Cycle RHNA mandate. Non-residential uses are encouraged on parcels located wholly within the 65 dBA CNEL contour area.

Portions of PC-11 are included within a PC-11 Residential Overlay, where multi -unit residential development is permitted as a stand-alone use provided minimum affordable housing requirements are met.s However, the project site is currently not within the Residential Overlay and residential uses are not permitted. Therefore, the Project requires an amendment to PC-11 to include the project site within the PC-11 Residential Overlay area.

2.4 Project Characteristics
The site plan for the proposed Project is depicted on Figure 5A, Site Plan — Basement Floor Plan Level 2 through Figure 51, Site Plan — Roof Plan. As proposed, the Project would allow for the development of a six -story podium building with five levels of residential apartments over one level of an on -grade parking garage and two levels of subterranean parking. Project implementation would require the demolition of the existing two-story office buildings and associated surface parking and landscaping within the limits of disturbance. The proposed Project also includes a steel truss pedestrian bridge across Spruce Avenue 5 City of Newport Beach, Planned Community Development Standards — Newport Place. Available at: PC 11 Newport Place.pdf (newportbeachca.gov), Accessed February 7, 2023.
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(public right-of-way) that would connect the proposed 1400 Bristol building to the approved but not yet constructed Residences at 1300 Bristol Street building. The proposed Project requires off -site sewer improvements. On Dove Street between Newport Place Manhole MHM28-003 and Manhole MHM28- 041, which is located approximately 435 feet south of Newport Place, the existing 10-inch vitrified clay pipe (VCP) pipe would be removed and replaced with a 12-inch sewer main. This off -site improvement would result in approximately 435 linear feet of sewer line replacement. No other off -site improvements other than typical utility connections are proposed.

2.4.1 Residential Development
The Project would have 229 multi -unit residences, inclusive of 206 market rate units and 23 affordable units. All 23 units would be designated for very -low income households. The 229 units are derived from the conversion of non-residential to residential uses in the Airport Area per the General Plan, a general plan amendment request for additional base units, and application of Density Bonus. As discussed above under the heading General Plan Designation, the conversion of General Office uses is 2.29 dwelling units per 1,000 sf feet of General Office. As it applies to the proposed Project, the conversion of the existing office buildings (38,764 sf) is equivalent to 89 dwelling units. The Project Applicant has requested 64 additional dwelling units as part of the requested General Plan Amendment, beyond what the office to residential conversion permits, for a total of 153 base units. The Project also includes a 50 percent density bonus to provide affordable housing as a part of the Project pursuant to Government Code Section 65915 (Density Bonus Law, as amended by Assembly Bill [AB] 2345) and NBMC Chapter 20.32 (Density Bonus).

The requested 50 percent density bonus would allow for 77 additional units in exchange for the provision of 23 units of affordable housing restricted to very -low income households. In total, the Project would have a density of 96 du/net acre. The dwelling unit breakdown is provided in Table 2-1, Residential Dwelling Unit Breakdown.

Table 2-1: Residential Dwelling Unit Breakdown
Units from Conversion of Office to
Residential
89 du
Additional Units per General Plan
Amendment
64 du
Total Base Units
153 du
50 Percent Density Bonus
77 du
Total Permitted
230 du
Total Provided
229 du
du = dwelling unit
Source: AHIP, Springbrook Realty Advisors, 2023.

The residential building would be a six -story podium building with three levels of structured parking: one level on grade and two levels below ground. The building is proposed to be 85 feet high, measured from the established grade to the top of the rooftop parapet. A development standard waiver is required to secure relief from the PC-11 height standard, which identifies a maximum height of 55 feet. All residential units would be located on the second through sixth floors. A business center with a mailroom are proposed on the ground level of the building. The PC-11 development standards require street setbacks of 30 feet from the property line. The Applicant has requested a development standards waiver from the 30-foot setback requirement.
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Figure 5H: Site Plan — Level 6 Floor Plan
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Table 2-2, Residential Development Summary identifies the type of residential units that would be provided. As currently proposed, the Project would include 40 studios (10 affordable), 126 one -bedroom units (11 affordable), and 63 two -bedroom units (2 affordable), for a total of 229 units. The studios would be 515 sf; one -bedroom units would range from 613 to 896 sf, and two -bedroom units would range from 1,049 to 1,469 sf. All units except studios would have balconies or decks ranging from 46 to 261 sf.6 Table 2-2: Residential Development Summary
Unit Type
Total No.

Units
% of Unit
Mix
Net SF
Balcony/
Deck (sf)
Total Balcony
(sf)
Total Net
Rentable SF
Studio
5101
40 17.5
515
0 0
20,600
Subtotal
40 17.5%
515
1 Bedroom
A105
15 613
62 930
9,195
A110
29 663
55 1,595
16,375
A406
15 823
68 1,020
12,270
A505
20 715
46 920
7,150
A602
29 896
65 1,885
25,984
A710
18 861
134
2,412
23,744
Subtotal
126

55.0%
766
--
--
96,549
2 Bedroom
B103
20 1,049
63 1,260
20,980
B601
4 1,270
61 244
5,080
B709
15 1,341
92 1,380
20,115
B921 A
10 1,309
85 850
13,090
B935
5 1,413
58 290
7,065
B936
9 1,469
261
2,349
13,221
Subtotal
63 27.5%
1,263
79,551
Total
229
100%
859 sf
--
15,135 sf
196,700 sf
sf = square feet
Source: TCA Architects, 2023.

2.4.2 Amenities, Open Space, and Recreation
The Project proposes 14,755 sf of on -site amenities and 13,800 sf of common open space. The proposed on -site amenities would include a business center, dog spa, pool, recreation room, clubroom, media The Applicant requests the following concession/incentive under State Density Bonus Law and NBMC Section 20.32.050: to allow for a range of affordable unit sizes that does not proportionally reflect the range of unit sizes provided in the Project as a whole, as required by NBMC Section 20.32.070.A. The range of affordable unit sizes is reflected in the Project's Affordable Housing Implementation Plan (AHIP). Consistent with NBMC Section 20.32.050, this concession/incentive: (1) is necessary in order to make the housing units economically feasible; (2) would not have a specific adverse impact (as defined in Government Code Section 65589.5(d)(2)) upon public health and safety or the physical environment, or on any real property listed in the California Register of Historical Resources; and (3) would not be contrary to State or federal law. Specifically, by reducing construction costs associated with larger affordable unit sizes and the project's development fees, the requested concession/incentive would result in an actual and identifiable cost reductions for the provision of affordable housing at the project site. 37 Residences at 1400 Bristol Street
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center, California room, and pool deck. Project amenities are shown on Figure 6, Common Open Space and Recreational Amenities.

The business center and mail room would be located on the ground floor at the southern corner of the building. A dog spa is proposed along the eastern side of the building and would be restricted to resident use only. The second floor of the building (first residential level) would include a clubroom, media center, and a California room (indoor/outdoor living space) facing onto the central courtyard area. The courtyard area would include a swimming pool, spa, deck, cabanas, outdoor barbeques, dining tables, lounge chairs, and a fire pit.

Private open space balconies would be provided for all residential units except studio apartments. For the studio units and nine of the two -bedroom units, the Project Applicant is requesting a waiver from NBMC Section 20.18.030, which requires a minimum of five percent of the gross floor area of each unit to be set aside as private open space with a minimum dimension of six feet.

The City's common open space requirements are codified under NBMC Section 20.18.030 under Table 2-3.

The code requires a minimum of 75 sf of common open space per unit. The Project would be required to provide 17,175 sf of common open space. The Project Applicant is requesting a waiver to reduce the common open space requirement from 75 to 60 sf per unit, for a total of 13,800 sf of common open space required.

With respect to recreational facilities, General Plan Policy LU 16-15.13 identifies that a public park equal to 8 percent of the gross land area of the total development, or a minimum 0.5-acre, whichever is greater, be provided. Therefore, the Project would be required to provide a 0.5-acre park on the approximate 2.38- acre site. The General Plan allows a waiver of its park dedication requirement where it can be demonstrated that the development parcels are too small to feasibly accommodate the park or inappropriately located to serve the needs of local residents. The Project Applicant is requesting a waiver of the General Plan Policy LU 16-15.13 public park dedication requirement. The Project Applicant will pay a portion of the in -lieu fee to offset the dedication requirement and has requested a waiver on the remaining in -lieu fee as a concession under density bonus law. Please also refer to Section 3.10, Land Use and Planning, and Section 3.15, Recreation, for additional information regarding park dedication requirements.

2.4.3 Landscaping and Architecture
The landscape plan is conceptually depicted in Figure 7, Preliminary Landscape Plan. The project site frontage along Spruce Avenue and Bristol Street North would be landscaped with evergreen canopy trees and palms with varied trunk heights. Smaller understory flowering trees, shrubs, groundcover, and decorative cobble would be layered beneath the trees and palms. Landscaping along the northeast and northwest perimeter would be a combination of evergreen canopy and screen trees and palm tree groupings with varied trunk heights. Shrubs and ground cover would be planted as understory in these areas. Landscaping adjacent the residential building would include evergreen canopy trees, palms, shrubs, and ground cover. The pool courtyard would have multiple planting areas with evergreen trees, multi trunk palms and multi trunk flowering trees. Shrubs, vines and groundcovers would be planted under below the trees.
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Figure 6: Common Open Space and Recreational Amenities
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Figure 7: Preliminary Landscape Plan
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Project architecture is depicted in Figure 8A, Architecture and Design —North Elevation through Figure 8D, West Elevation. The building's architecture would be a modern contemporary style with articulated facades composed of a mix of stucco, fiber cement board siding, tile veneer, and metal panel fagade accents. The color scheme would be white, dark grey, blue and beige. Metal awnings and metal railings on the private decks would further provide fagade articulation.

2.4.4 Vehicular and Non -Vehicular Circulation
Vehicular Access
Vehicular access to the project site is currently and would continue to be provided from one driveway on Bristol Street North and one driveway on Spruce Avenue. Vehicular circulation is shown on Figure 9, Vehicular Circulation. Because Bristol Street adjacent to the project site is a one-way roadway, the driveway will continue to be restricted to right turn in/out only access. The driveway at Spruce Avenue will provide full access. The driveway entrance on Bristol Street North would be relocated approximately 65 feet to the northwest and provide controlled access to the resident garage entry. The driveway entrance on Spruce Avenue would lead to another gated entry for residents and guests. The gated entry on Spruce Avenue would remain open during business hours for guests. After business hours, guests would use a free-standing call box for entry. A designated turn out area is proposed within the Bristol Street North entry for loading, deliveries, and trash. Separately, a turnout area on Spruce Avenue is proposed for ride share pick up and drop offs. The proposed pedestrian bridge would have a height clearance of approximately 17 feet and would not impact emergency vehicle access on Spruce Avenue.

The conceptual bridge rendering is shown in Figure 10, Conceptual Pedestrian Bridge Rendering.

Parking
All residential and guest parking for the Project would be within the parking structure, which includes a ground floor level and two subterranean levels. As previously addressed, the proposed building would provide two entrances to the parking structure: on the southwest side of the building accessed from Bristol Street North and from the southeast side of the building accessed from Spruce Avenue. Guest parking would be provided on the ground level from the Spruce Avenue entrance. All guest parking would be separated from resident parking by roll up gates. The Bristol Street North entrance leads to a resident only access. Subterranean parking would be restricted to residents with key -card access.

NBMC 20.40.040, Off -Street Parking Requirements, identifies that multi -unit developments with more than 4 dwelling units are required to provide 2 covered parking spaces per unit and 0.5 space per unit for guest parking. Based on the NBMC, the proposed Project would need to provide 460 resident parking spaces and 115 guest parking spaces for a total of 575 parking spaces.

As provided for in Government Code Section 65915(p) and NBMC Section 20.32.060, the Project is entitled to a reduction in the number of required parking spaces. NBMC Section 20.32.060, Parking Requirements in Density Bonus Projects, reflects the language of Government Code Section 65915(p), which identifies the provision of 1 parking space for studio and one -bedroom units and 1.5 parking spaces for units with two to three bedrooms.
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Table 2-3, Parking Summary, identifies the parking assumptions for the proposed Project based on application of regulatory standards for density bonus projects. Under these regulatory standards, the proposed Project is required to provide 261 parking spaces. The Project proposes to provide 422 parking spaces. The parking ratio would be 1.84 parking spaces per dwelling unit inclusive of guest parking, which would exceed Government Code Section 65915(p) and NBMC Section 20.32.060 requirements.

Table 2-3: Parking Summary
Level
Resident
Guest
Total
Resident
ADA
EV
Guest
ADA
EV
Ground Level
57 3
3 42
3 1
109
Subterranean Level 1
131
5 17
0 0
0 153
Subterranean Level 2
160
0 0
0 0
0 160
Total
348
8 20
42 3
1 Total Resident: 376
Total Guest: 46
422
ADA=Americans With Disabilities Act; EV=Electric Vehicle Source: TCA Architects, 2023.

Pedestrian
There are existing 6-foot-wide sidewalks along both sides of Spruce Avenue and a 6-foot-wide sidewalk along northbound Bristol Street North. As a part of the Project, the sidewalk on Spruce Avenue would be retained and the sidewalk along the Bristol Street North frontage would be widened to eight feet. As discussed above, the proposed Project would include a steel truss pedestrian bridge over the public right- of-way (Spruce Avenue) that would connect to the future approved but not yet constructed residential structure at 1300 Bristol Street to the project site. The pedestrian bridge would be located on the second story, at the southern corner of the building. The bridge would include a 9-foot-wide pathway and span approximately 108 feet. The pedestrian bridge would provide access to residents between both residential buildings.

Bicycle
The Project includes bike storage lockers for residents on the two levels of the subterranean parking structure. On -street bicycle facilities are provided in the project area along Bristol Street North. Bristol Street North adjacent to the project site has Class II Bike Lane (On -Road Striped) and also is classified as a Class I (Off -Road Paved) Bikeway (sidewalk riding is permitted). Roadways that provide on -street bicycle facilities nearthe project site include Bristol Street South, Birch Street, and intermittent areas of Jamboree Road and Campus Road.

Transit
The Orange County Transportation Authority (OCTA) provides public transit service throughout Orange County, inclusive of the City of Newport Beach. There is an existing transit stop on Bristol Street North at the project site, which is part of the OCTA Route 57 line. Project implementation does not require changes to existing OCTA transit facilities.
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Figure 8A: Architecture and Design —North Elevation
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Figure 813: Architecture and Design —South Elevation
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Figure 8C: Architecture and Design —East Elevation
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Figure 8D: Architecture and Design —West Elevation
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Figure 9: Vehicular Circulation
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Figure 10: Conceptual Pedestrian Bridge Rendering
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2.5 Utilities and Infrastructure
Project implementation would require the construction of new and/or upgrades to on -site utility infrastructure to serve the residences and related uses. These utilities would connect to existing utility infrastructure in adjacent roadways, with the final sizing and design of on -site facilities to occur during final building design and plan check.

Water Service
The City of Newport Beach provides water service to the project site. According to the City's 2020 Urban Water Management Plan, the City operates a wellfield with a total capacity of 10,900 gallons per minute, 15 recycled water connections, and 6 inter -agency emergency interconnections and manages an approximate 300-mile water main system with 26,765 service connections.

There is an existing 6-inch fire water line connected to a 16-inch water main in Spruce Avenue and there is also a 6-inch water line stub as well as a domestic water service lateral connected to a 16-inch water main in Bristol Street North. The proposed Project would use the existing 6-inch water lateral on Spruce Avenue for the new domestic water service and would extend the existing 6-inch water stub from the 16- inch water main in Bristol Street North for on -site fire and building sprinkler service. Similarly, proposed irrigation lines would also connect to the existing 16-inch water main in Spruce Avenue.

Wastewater Collection and Disposal
The City would provide sanitary sewer service to the project site. There is an existing 8-inch public sewer main in Spruce Avenue that provides services to the site via an existing 8-inch sewer lateral. The proposed Project would connect to the existing sewer lateral through on -site sanitary sewer lines or laterals. A proposed sewer manhole and 8-inch connection would connect the Project to existing infrastructure in Spruce Avenue. Discharge from the sewer system would be directed to the Orange County Sanitation District's treatment plants.

Based on the site generation rates, Project implementation would result in limited portions of the existing sewer line to exceed the City's minimum design requirements for the required depth to diameter ratio.

As a result, the proposed Project is anticipated to require off -site sewer improvements to include removal of the existing 10-inch VCP pipe and replace with a larger 12-inch sewer main on Dove Street between Newport Place Manhole MHM28_003 and Manhole MHM28-041, which is located approximately435 feet south of Newport Place. The off -site improvements would result in approximately 435 linear feet of sewer line replacement.

Drainage and Water Quality Treatment
The project site currently drains in two directions: approximately 10 percent of flows are directed toward Spruce Avenue and 90 percent are directed toward Bristol Street North. The site is considered relatively flat with one to two percent grade to provide sheet flow within the existing surface parking lot area. The proposed Project would maintain the existing drainage pattern.

Approximately 0.62 acre of the 2.38-acre project site would be landscaped and have pervious surfaces.

The Project proposes three drainage management areas to treat runoff, primarily through bio-filtration planters or modular wetlands bio-filtration units. Each treatment area would treat flows and discharge the post -water quality treatment flows from the site to the public storm drain system, either via curb and gutter or direct connections into the storm drain system. 57 Residences at 1400 Bristol Street
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Dry Utilities and Services
Public infrastructure and utility buildings, structures, and facilities including, but not limited to, electrical, gas, telephone, and cable television would be extended to the proposed land use. All new public utilities would be placed underground within the development area. Utilities would be principally located in road rights -of -way.

2.6 Construction Phasing
Implementation of the proposed Project occur over an approximately 24-month period. For the purpose of this environmental analysis, demolition and construction activities are assumed to commence in Summer 2024 and conclude in Spring 2026.'
The proposed Project would result in approximately 40,000 sf of building material and 50,000 sf of pavement material associated with the demolition of existing on -site buildings and infrastructure. All demolition waste would be transported to the Olinda Alpha Landfill in the City of Brea. Approximately 60,000 cubic yards of earthwork would be exported from the project site.

2.7 Intended Uses of the Addendum
The City of Newport Beach is the Lead Agency as set forth in CEQA Section 21067 and is responsible for the review and consideration of approval; of the Residences at 1400 Bristol Addendum to the 2006 General Plan Program EIR. The City will consider the following discretionary approvals for the Project:
■ General Plan Amendment. A General Plan Amendment is required to change the existing land use designation of "General Commercial Office" to "Mixed Use Horizontal 2 (MU-H2)", which "provides for a horizontal intermixing of uses that may include regional commercial office, multi- family residential, vertical mixed -use buildings, industrial, hotel rooms, and ancillary neighborhood commercial uses." A General Plan Amendment is also requested for the 64 additional dwelling units to supplement the base density. • Planned Community 11 Text Amendment. Project implementation would require an amendment to PC-11 to include the project site within the PC-11 Residential Overlay area. ■ Affordable Housing Implementation Plan. To address implementation of a density bonus request pursuant to Chapter 20.32 (Density Bonus) of the Newport Beach Municipal Code and Government Code Section 65915 (California Density Bonus Law). ■ Traffic Phasing Ordinance Study: A traffic study pursuant to NBMC Chapter 15.40 (Traffic Phasing Ordinance).

The technical reports supporting this Addendum assumed a construction schedule for the Project from Winter 2023 to Winter 2025. Due to different intervals for the processing and anticipated approval timeframe for the Project, the Project is now assumed to commence construction in Summer 2024, with expected completion in Summer 2026. This change in construction schedule does not impact the conclusions of the technical reports and evaluations supporting this Addendum (including the air quality technical report), as the change in construction schedule is not expected to result in any new or worse environmental impacts for purposes of CEQA. The overall scope, equipment use and duration of Project construction would remain the same (i.e., 24 months), and the delayed construction date could reasonably result in fewer air quality emissions as State and AQMD regulations become more stringent. Therefore, the technical reports supporting this Addendum remain valid and depict an even more conservative analysis of Project impacts in light of the delayed construction schedule. 58 Residences at 1400 Bristol Street
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■ Site Development Review: Site development must be in accordance with applicable Planned Community, as amended, and NBMC development standards and regulations pursuant to NBMC Section 20.52.80 (Site Development Reviews) for the construction of the Project.

In addition to the approvals identified above, the proposed Project would be subject to other approvals and ministerial actions by the City as part of Project implementation. Additional approvals include but are not limited to grading permits, sign permits, a lease agreement for the bridge, and building permits. 59 Residences at 1400 Bristol Street
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3 EVALUATION OF ENVIRONMENTAL IMPACTS
The scope of the City's review of the proposed Residences at 1400 Bristol Street Project is limited by provisions set forth in CEQA and the State CEQA Guidelines (Title 14, CCR §§15000 et seq.). This review is limited to evaluating the environmental effects associated with the proposed Project to the environmental effects of the City of Newport Beach General Plan Update as set forth in the General Plan Update EIR. This Addendum also reviews new information, if any, of substantial importance that was not known and could not have been known with the exercise of reasonable due diligence at the time the General Plan Program EIR was certified. This evaluation includes a determination as to whether the changes proposed for the Project would result in any new significant impacts or a substantial increase in a previously identified significant impact.

Although State CEQA Guidelines Section 15164 does not stipulate the format or content of an Addendum, the topical areas addressed in the General Plan Program EIR were used as guidance for this Addendum.

This comparative analysis provides the City with the factual basis for determining whether any changes in the Project, any changes in circumstances, or any new information since the General Plan Program EIR was certified would require additional environmental review or preparation of a Subsequent EIR or Supplemental EIR.

As previously discussed, pursuant to PRC Section 21166 and State CEQA Guidelines Section 15162, when an EIR has been previously certified for a project, no subsequent or supplemental EIR shall be prepared for a project unless the lead agency determines that one or more of the following three conditions are met: changes in a proposed project result in new or substantially more severe impacts than were disclosed in the previous EIR; changes in the circumstances surrounding the project result in new or substantially more severe impacts than were disclosed in the previous EIR; or new information has come to light showing that new or substantially more severe impacts than were disclosed in the previous EIR.

With respect to cumulative impacts, the General Plan Program EIR states "In many cases, development under the General Plan Update serves as the context for cumulative analysis, as it includes all development within the Planning Area over the next 25 years. For some environmental resource areas, however, the cumulative context extends beyond the borders of the Planning Area and may be the boundaries of a particular service provider or the entire County." This methodology is appropriate for the Addendum analysis. Where a specific cumulative study area is assumed, it is addressed in the respective sections of this Addendum.

The General Plan Program EIR does not identify mitigation measures. Rather it relies on General Plan policies adopted in the General Plan to mitigate potential environmental impacts. As applicable, in addition to General Plan policies, this Addendum documents required regulatory requirements and City conditions of approval that reduce potential environmental impacts. Existing enforcement and monitoring mechanisms are in place to ensure that all measures will be implemented, including but not limited to permit conditions, plan check, and site inspections.
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3.1 Aesthetics
Threshold (a) Would the project have a substantial adverse effect on a scenic vista? General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR noted that there are no officially designated scenic vistas in the City but that natural features such as the Pacific Ocean and the Back Bay provide coastal views. The General Plan Program EIR also noted that coastal views are provided from identified roadway segments. It also notes that parks and viewing areas throughout the City can provide significant views.

The General Plan Program EIR identifies that development projects would undergo a subsequent environmental review on a project -specific basis to "ensure that scenic vistas and resources are not adversely affected." With respect to scenic vistas, the General Plan Program EIR found that potential impacts would be less than significant with compliance with applicable General Plan policies, the NBMC, and the Local Coastal Plan.

Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

The project site is generally flat and is bordered by office buildings, an approved but not yet constructed multi -unit residential development (Residences at 1300 Bristol), surface parking lots, and roadways. The City of Newport Beach General Plan does not identify any scenic vistas or view points in the Airport Area, including or proximate to the site. The nearest public view point to the project site identified in the General Plan is approximately 0.6 mile southwest of the project site, located at the terminus of Mesa Drive at Bay View Avenue (at Bayview Park). The nearest coastal view designated portion of Jamboree Road to the project site is south of SR-73; it is approximately 0.6 mile south of the site. Due to the distance, intervening development, and highly urbanized nature of the project area, Bayview Park is not visible from the project site and therefore scenic coastal views would not be impacted by the proposed Project.

Although the Project would propose a new six -story residential building, adjacent uses currently do not experience views of scenic vistas.

Accordingly, no new impacts relative to adverse effects on a scenic vista or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior finding of less than significant impact.

Threshold (b) Would the project substantially damage scenic resources, including, but not limited to, trees, rock outcroppings, and historic buildings within a State scenic highway? General Plan Significance Determination: No Impact. The General Plan Program EIR noted that there are no officially designated State Scenic Highways in the City. SR-1, also known as Coast Highway, is identified as eligible for State Scenic Highway designation, but the City would need to adopt a scenic corridor protection program and apply for scenic approval from the California Department of Transportation (Caltrans) to officially designate the highway. Because there are no designated State Scenic Highways in the City, the General Plan Program EIR found that implementation of the General Plan would have no impact.
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Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

There are no State scenic highways in Newport Beach. The project site is not proximate to a State scenic highway nor is it visible from any officially designated or eligible scenic highway. Additionally, there are no rock outcroppings, historic buildings, or any other scenic resources on the project site. There are ornamental trees located in landscaped areas, but the trees are not considered scenic resources.

Accordingly, no new impacts relative to adverse effects on State scenic highways or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. Additionally, no new information of substantial importance that was not known and could not have been known atthe time the General Plan Program EIR was certified is available that would impact the prior finding of no impact.

Threshold (c) Would the project conflict with applicable zoning and other regulations governing scenic quality?
General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR noted that development of new residential and mixed -use developments in the Newport Center/Fashion Island area, the Airport Area, and West Newport Mesa would alter the visual characteristics of the City.

Citywide and area -specific policies would reinforce design standards, protect visual character and views, and enhance the City's existing aesthetic qualities while simultaneously accommodating projected growth. The City's planning process includes the review of developments for conformance with General Plan standards, the NBMC, and as applicable, the Local Coastal Plan. General Plan Policy NR 22.1 regulates the visual and physical mass of structures consistent with the unique character and visual scale of Newport Beach. Therefore, the visual character and scenic quality would change as development intensity increased but the impact would not be considered significantly adverse. Conflicts with regulations governing scenic quality would be less than significant.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

Project implementation would require a General Plan Amendment to change the existing General Plan land use designation from "General Commercial -Office" to "Mixed Use Horizontal 2 (MU-112)" to allow for residential uses. Further, a text amendment to the PC-11 would be required to include the project site within the Residential Overlay. Applicable to the topic of Aesthetics, the Applicant has requested a waiver of the building height development standard under Government Code Section 65915. The Newport Place Planned Community (PC-11 Newport Place) development standards limit building heights to 55 feet. The Applicant is requesting a waiver for this building height limitation in order to create a 229-unit for -rent development inclusive of affordable housing. The building would be approximately 85 feet high, measured from established grade to the top of the rooftop parapet. Project implementation would change the visual character of the site from a two-story office building with surface parking lot to a multi -unit residential development; however, this change is not considered a significant adverse impact. The approved but not yet constructed Residences at 1300 Bristol residential development would be constructed immediately east of the proposed Project and would be approximately 78 feet high, measured from existing grade to the top of the rooftop parapet. Other office buildings in the project site vicinity are two to four stories (33 to 62 feet). There are taller office buildings east of the project site on Quail Street and along 62 Residences at 1400 Bristol Street
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southbound Bristol Street, across SR-73. The overall character of the surrounding environment is urbanized with office buildings, limited commercial retail plazas north and south of the project site, and planned and proposed multi -use residences.

Consistent with PC-11 Newport Place Residential Overlay zone, the proposed Project would be required to comply with the City of Newport Beach NBMC Section 20.52.080, Site Development Review, which requires specific development projects to be reviewed to ensure consistency with the General Plan policies related to the preservation of established community character and expectations of high -quality development, and to ensure that the Project respects the physical and environmental characteristics of the site. The proposed Project would comply with General Plan Policy LU 5.6.2, which requires that new buildings be designed to "avoid the use of styles, colors, and materials that unusually impact the design character and quality of their location such as abrupt changes in scale, building form, architectural style, and the use of surface materials that raise local temperatures, result in glare and excessive illumination of adjoining properties and open space, or adversely modify wind patterns." The residential building is proposed to have a contemporary architectural style complementary to both surrounding office developments and the Residences at 1300 Bristol development. The articulated facades would include a mix of stucco with stone or tile veneer facade accents. The color pallet is proposed to be white, blue, dark grey, and beige.

Accordingly, no new impacts relative to applicable zoning and other regulations governing scenic quality or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior finding of less than significant.

Threshold (d) Would the project create a new source of substantial light or glare, which would adversely affect day or nighttime views in the area?
General Plan Significance Determination: Less Than Significant Impact. As identified in the General Plan Program EIR, impacts related to light and glare, which would adversely affect day or nighttime views in the area, were considered less than significant. New development would introduce new sources of light and glare from these commercial, business park, and residential uses. General Plan Policy LU 5.6.2 would require that new and renovated buildings be designed to avoid the use of styles, colors, and materials that unusually impact the design character and quality of their location such as the use of reflective surfaces that increase heat gain of adjoining buildings and ambient glare. LU Policy 5.6.3 requires that outdoor lighting be located and designed to prevent spillover onto adjoining properties or significantly increase the overall ambient illumination of their location. General Update Policies LU 5.6.2 and 5.6.3 would ensure that lighting impacts associated with the buildout of the General Plan land uses would be less than significant.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

The project site is an existing two-story office building complex and surface parking lot with light standards in an urbanized area with land uses that have sources of lighting. Project implementation would result in additional lighting at the project site for the residential building, recreational uses, and walkways. The 63 Residences at 1400 Bristol Street
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landscaped areas throughout the site would have lighting to allow for nighttime use; lighting for security; and landscape accent lighting.

The Project would comply with General Plan Policy LU 5.6.2 by incorporating non -reflective textured surfaces on building exteriors, as well as avoidance of the use of reflective glass. Additionally, the Project would comply with NBMC Chapter 20.30.070 "Outdoor Lighting" that requires that light be shielded and confined within site boundaries to prevent spillage. Since the project site and surrounding area are developed, the lighting associated with the proposed Project would not substantially increase light and cause glare within the site or surroundings. Compliance with General Plan policies and NBMC 20.30.070 would reduce impacts to a less than significant level. Therefore, the proposed Project would not adversely affect day or nighttime views, and there are no changes or new significant information that would require preparation of an EIR.

Accordingly, no new impacts relative to adverse effects related to lighting or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior finding of less than significant.

Cumulative Impacts
While impacts are minimized with implementation of General Plan policies, impacts related to aesthetics were considered less than significant and no mitigation was required under the General Plan Program EIR.

As identified in the General Plan Program EIR, the General Plan would change the visual aspect of and views from, to, and across the City, add new development to viewsheds, bring urban development to previously undeveloped areas resulting in a less than significant on scenic vistas, scenic resources within a State scenic highway, and visual character. However, the project site is developed with office buildings.

As discussed above, the proposed Project would not cause a new significant aesthetic impact to occur.

Therefore, the proposed Project would not cause either a new cumulative impact to occur, nor an increase in the severity of a cumulative impact previously disclosed. Project implementation would not alter the conclusions of the General Plan Program EIR analysis and would not result in a new or substantially more severe project -specific or cumulative aesthetic impact than those already analyzed.

Mitigation Program
General Plan Policies
The General Plan Program EIR identifies General Plan policies that would "directly or indirectly minimize the visual quality effects of prospective growth within the City." The following policies are applicable to the proposed Project and would be made conditions of approval. ■ LU 5.6.2 Form and Environment: Require that new and renovated buildings be designed to avoid the use of styles, colors, and materials that unusually impact the design character and quality of their location such as abrupt changes in scale, building form, architectural style, and the use of surface materials that raise local temperatures, result in glare and excessive illumination of adjoining properties and open spaces, or adversely modify wind patterns. ■ LU 5.6.3 Ambient Lighting: Require that outdoor lighting be located and designed to prevent spillover onto adjoining properties or significantly increase the overall ambient illumination of their location. 64 Residences at 1400 Bristol Street
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■ LU 6.15.1- Land Use Districts and Neighborhoods: Provide for the development of distinct business park, commercial, and airport serving districts and residential neighborhoods that are integrated to ensure a quality environment and compatible land uses.
■ LU 6.15.3 - Airport Compatibility: Require that all development be constructed in conformance with the height restrictions set forth by the Federal Aviation Administration (FAA), Federal Aviation Regulations (FAR) Part 77, and Caltrans Division of Aeronautics, and that residential development shall be allowed only on parcels with noise levels of less than the John Wayne Airport 65 dBA CNEL noise contour area as shown in Figure N5 of the Noise Element of the General Plan, unless and until the City determines, based on substantial evidence, that the sites wholly within the 65 dBA CNEL noise contour shown in Figure N5 are needed for the City to satisfy its Sixth Cycle RHNA mandate.

Nonresidential uses are, however, encouraged on parcels located wholly within the 65 dBA CNEL contour area.
■ LU 6.15.22 - Building Massing: Require that high-rise structures be surrounded with low- and mid - rise structures fronting public streets and pedestrian ways or other means to promote a more pedestrian scale.
■ NR 22.1 - Regulation of Structure Mass: Continue to regulate the visual and physical mass of structures consistent with the unique character and visual scale of Newport Beach.

Standard Conditions and Requirements
SC AESTH-1 The following City -adopted standard operating conditions of approval would be made conditions of the Site Development Review and would apply to the Project as follows:
a. Lighting shall be in compliance with applicable standards of the Zoning Code. Exterior on -site lighting shall be shielded and confined within site boundaries. No direct rays or glare are permitted to shine onto public streets or adjacent sites or create a public nuisance. "Walpak" type fixtures are not permitted. Parking area lighting shall have zero -cut-off fixtures and light standards shall be the minimum height required to effectively illuminate the parking area and eliminate spillover of light and glare to the adjacent property.
b. The site shall not be excessively illuminated based on the luminance recommendations of the Illuminating Engineering Society of North America, or, if in the opinion of the Community Development Director, the illumination creates an unacceptable negative impact on surrounding land uses or environmental resources.

The Community Development Director may order the dimming of light sources or other remediation upon finding that the site is excessively illuminated. c. Public areas shall be illuminated with a minimum maintained 0.5-foot candle on the driving or walking surface during hours of operation and one hour thereafter. d. Prior to the issuance of a building permit, the Applicant shall prepare a photometric study in conjunction with a final lighting plan for approval by the Community Development Department.
e. Prior to issuance of the certificate of occupancy or of final building permits, the Applicant shall schedule an evening inspection by the Code and Water Quality 65 Residences at 1400 Bristol Street
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Enforcement Division to confirm control of light and glare specified in conditions of approval.

Conclusion
Accordingly, no new impacts relative to adverse aesthetic impacts or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. With regard to PRC Section 21166 and State CEQA Guidelines Section 15162(a), the Project would not result in any new impacts, or increase the severity of the previously identified impacts, with respect to aesthetics.

Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior finding of less than significant. Therefore, preparation of a subsequent environmental analysis is not warranted.
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3.2 Air Quality
Threshold (a) Would the project conflict with or obstruct implementation of the applicable air quality plan?
General Plan Significance Determination: Significant and Unavoidable Impact. The General Plan Program EIR concluded that implementation of the General Plan would result in new emissions that may exceed South Coast Air Quality Management District (SCAQMD) thresholds. The 2003 Air Quality Management Plan (AQMP) was prepared to accommodate growth, to reduce the high levels of pollutants within the areas under the jurisdiction of SCAQMD, to return clean air to the region, and to minimize the impact on the economy. Projects considered to be consistent with the AQMP would not interfere with attainment because growth projection were accounted for in the formulation of the AQMP. Therefore, projects, uses, and activities that are consistent with the applicable assumptions used in the development of the AQMP would not jeopardize attainment of the air quality levels identified in the AQMP, even if they exceed the SCAQMD's recommended daily emissions thresholds. The General Plan estimated a net increase of 14,215 residential units and a population increase of approximately 31,131 residents, resulting a total population of 103,753 persons at General Plan buildout. The SCAG-projected population for Newport Beach was 94,167 by 2030. This represents a 43 percent increase in population over prior SCAG assumptions for the City. Therefore, General Plan implementation would result in approximately ten percent higher growth projections than what was accounted for in SCAG's projections or the AQMP. Therefore, implementation of the General Plan would not be consistent with AQMP attainment forecasts and attainment of the standards could be delayed. The General Plan Program EIR identified this inconsistency as a significant and unavoidable impact.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; reduced impact from previous analysis.

AQMPs use regional growth projections that are based on the land use designations in the local General Plans. Therefore, the land uses assumed, and the growth anticipated in the General Plan Program EIR are incorporated into the current 2022 AQMP, which supersedes the prior AQMP.

Criteria for determining consistency with the AQMP are defined by the following indicators:

1. Whether a project will result in an increase in the frequency or severity of existing air quality violations or cause or contribute to new violations or delay timely attainment of air quality standards or the interim emission reductions specified in the AQMP.

2. Whether a project will exceed the assumptions in the AQMP based on the year of project buildout and phase.

With respect to the first criterion, based on the air quality modeling analysis conducted for the proposed Project summarized later in this Addendum section, the Project would not exceed any SCAQMD thresholds for construction. Operation of the Project would not result in significant impacts based on the SCAQMD thresholds of significance. Therefore, the Project would not increase the frequency or severity of existing air quality violations. The proposed Project would be consistent with the first criterion and would not result in an increase in the frequency or severity of existing air quality violations or delay timely attainment of air quality standards.
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Concerning the second criterion, the 2022 AQMP contains air pollutant reduction strategies based on SCAG's latest growth forecasts, and SCAG's growth forecasts are defined in consultation with local governments and with reference to local general plans. Projections for achieving air quality goals are based on assumptions regarding population, housing, and growth trends. Therefore, the SCAQMD's second criterion for determining project consistency focuses on whether the proposed Project exceeds the assumptions used in preparing the forecasts presented in the 2022 AQMP.

With respect to SCAQMD's 2022 AQMP, several sources of data form the basis for the projections of air pollutant emissions including the General Plan, SCAG's Growth Management Chapter of the Regional Comprehensive Plan (RCP), and SCAG's Regional Transportation Plan/Sustainable Communities Strategy (RTP/SCS). SCAG's RTP/SCS also provides socioeconomic forecast projections of regional population growth.

As previously discussed in the Section 2, Project Description, the project site is in the Airport Area8 planning subarea. The project site has a General Plan land designation of "General Commercial Office (CO-G)".

Project implementation requires a General Plan Amendment to change the existing General Plan land use designation from "General Commercial -Office" to "Mixed Use Horizontal 2 (MU-H2)", which "provides for a horizontal intermixing of uses that may include regional commercial office, multi -family residential, vertical mixed -use buildings, industrial, hotel rooms, and ancillary neighborhood commercial uses." The adopted General Plan approved a maximum of 2,200 residential units in the Airport Area, of which 1,650 units would come from the replacement of existing office, retail, and/or industrial uses to residential uses, in order to result in no net gain in vehicular trips. The remaining 550 units of the 2,200 units currently allocated to the Airport Area (2,200 minus 1,650) are "additive" units that "may be developed as infill on existing surface parking lots or areas not used as occupiable buildings on properties within the Conceptual Development Plan Area as depicted on Figure LU22 provided that parking is replaced on -site."' The Project would construct an infill residential development with 229 multi -unit rental apartments inclusive of 206 market rate units and 23 affordable units. The proposed building would have an on -grade parking garage and two levels of subterranean parking.

Although the Project introduces 229 multi -unit rental units at the project site, the units would be within the overall 2,200 residential units for the Airport Area identified in the General Plan. Therefore, although the Project is inconsistent with the CO-G land use designation, the Project is consistent with the City's General Plan goals and policies for the Airport Area and the additional dwelling units and population growth from the Project were accounted for in the General Plan EIR. Therefore, the proposed Project would be within the development capacity analyzed in the General Plan Program EIR.

Thus, the Project is generally consistent with the types, intensity, and patterns of land use envisioned for the area in the RCP. The population, housing, and employment forecasts, which are adopted by SCAG's Regional Council, are based on the local plans and policies applicable to the cities; these are used by SCAG in all phases of implementation and review. Additionally, as SCAQMD incorporated these same projections into the 2022 AQMP, it can be concluded that the Project would be consistent with the x "Airport area" means an area of the City that encompasses the properties adjacent to John Wayne Airport and that is in close proximity to the Irvine Business Complex and University of California, Irvine as depicted on General Plan Figure LU22 (Airport Area)." Source: City of NBMC Chapter 20.70, Definitions. Accessed August 18, 2023. e Figure LU22 from the General Plan Land Use Element is depicted as Figure 4 in this Addendum. 68 Residences at 1400 Bristol Street
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projections. As a result, the Project would not exceed growth assumptions in the City's General Plan.

Therefore, the Project would be consistent with the 2022 AQMP and would not conflict with the second criterion.

The proposed residential development would be within the development capacity assumed in the General Plan Program, and therefore implementation would not result in increasing growth and would be within the growth assumptions of the 2022 AQMP. Project implementation is not anticipated to result in new or increase the severity of impacts as it pertains to consistency with the AQMP when compared to the General Plan Program EIR.

Threshold (b) Would the project result in a cumulatively considerable net increase of any criteria pollutant for which the project region is non -attainment under an applicable federal or state ambient air quality standard?
General Plan Significance Determination: Significant and Unavoidable Impact. The General Plan Program EIR noted that some projects that would be implemented under the General Plan could individually exceed the SCAQMD thresholds and that the total amount of construction assumed in the General Plan could also exceed the SCAQMD's recommended thresholds of significance. Impacts were considered significant. General Plan Policy NR 8.1 was identified to reduce air pollutant emissions from construction activities. The policy calls for the maintenance of construction equipment, the use of non-polluting and non -toxic building equipment, and minimizing fugitive dust. However, the impact was found to be significant and unavoidable.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; reduced impact from previous analysis.

Construction associated with the proposed Project would generate criteria air pollutant emissions.

Construction -generated emissions are relatively short term and of temporary duration, lasting only as long as construction activities occur. They are considered a significant air quality impact if the volume of pollutants generated exceeds the SCAQMD's thresholds of significance.

Construction results in the temporary generation of emissions resulting from demolition, site grading and excavation, road paving, motor vehicle exhaust associated with construction equipment and worker trips, and the movement of construction equipment, especially on unpaved surfaces. Emissions of airborne particulate matter are largely dependent on the amount of ground disturbance associated with site preparation activities as well as weather conditions and the appropriate application of water.

The duration of construction activities for the Project is estimated to be approximately 24 months. The proposed Project would include the demolition of two, two-story office buildings totaling 38,764 sf, associated surface parking, and ornamental landscaping and the construction of a 229-unit podium residential building with five levels of residential apartments over one level of an on -grade parking garage and two levels of subterranean parking. The project site would be graded, and the earthwork volume would be 60,000 cubic yards (cy) of export.

Construction -generated emissions were calculated using CaIEEMod, which is designed to model emissions for land use development projects based on typical construction requirements. Predicted maximum daily construction -generated emissions for the proposed Project are identified in Table 3.2-1: Construction- 69 Residences at 1400 Bristol Street
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Related Emissions. As shown, all criteria pollutant emissions would remain below their respective thresholds for all construction years.

While PMlo and PM2.5 emissions would not exceed thresholds, the proposed Project would be subject to SCAQMD Rules 402, 403, and 1113, as set forth in Standard Condition (SC) AQ-1 and SC AQ-2 to further reduce specific construction -related emissions.

Table 3.2-1: Construction -Related Emissions
Emissions (pounds per day) a,I
ROG `
NOx
CO
S02
PMlo
PM2.5
Construction Year
2023

3.20 31.80

30.06 0.05

2.39 1.46
2024

3.01 47.00

29.13 0.18

10.16 4.09
2025

18.73 14.67

30.83 0.04

4.88 1.47
SCAQMD Threshold d
75 100
550
150
150
55 Exceed SCAQMD Threshold?
No
No
No
No
No
No
ROG: reactive organic gases; NOx: nitrogen oxides; CO = carbon monoxide; S02 = sulfur dioxide; PM10 = particulate matter 10 microns in diameter or less; PM2.5 = particulate matter 2.5 microns in diameter or less a. Emissions were calculated using the California Emissions Estimator Model version 2022 (CalEEMod), as recommended by the SCAQMD.

Worst -case seasonal maximum daily emissions are reported. b. SCAQMD Rule 403 Fugitive Dust applied for construction emissions. The Rule 403 reduction/credits include the following: properly maintain mobile and other construction equipment; replace ground cover in disturbed areas quickly; water exposed surfaces three times daily; replace ground cover of area disturbed; water all haul roads twice daily; and limit speeds on unpaved roads to 15 miles per hour. Reductions percentages from the SCAQMD CEQA Handbook (Tables XI -A through XI-E) were applied. No mitigation was applied to construction equipment. Refer to Appendix A for model outputs.
c. ROGs and volatile organic compounds (VOCs) are subsets of organic gases that are emitted from the incomplete combustion of hydrocarbons or other carbon -based fuels. Although they represent slightly different subsets of organic gases, they are used interchangeably for the purposes of this analysis.
d. The SCAQMD also includes thresholds for lead. However, due to the phase out of leaded fuels and paints, typical construction and land use development operations do not generate lead.

Source: CalEEMod version 2022.1.1.18. Refer to Appendix A for model outputs.

Regional Operational Emissions
Project -generated emissions would be associated with mobile source emissions from motor vehicle use, energy emissions from energy consumption, and area sources generated by the use of natural gas -fired appliances, landscape maintenance equipment, consumer products, and architectural coatings.

Operational emissions attributable to the Project are summarized in Table 3.2-2, Operational Emissions.

Area Source Emissions. Area source emissions would be generated due to on -site equipment, architectural coating, and landscaping that were previously not present on the site.

Energy Source Emissions. Energy source emissions would be generated due to electricity and natural gas usage associated with the Project. Primary uses of electricity and natural gas by the Project would be for space heating and cooling, water heating, ventilation, lighting, appliances, and electronics. 70 Residences at 1400 Bristol Street
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Table 3.2-2: Operational Emissions
Emissions (pounds per day)a
Fine
Coarse
Reactive
Carbon
Sulfur
Particulate
Particulate
Organic
Nitrogen
Monoxide
Dioxide
Matter
Matter
Source
Gases (ROG)
Oxide (NOJ
(CO)
(SO2)
(PMlo)
(PM2.5)
Area Source Emissions

7.70 0.20

21.90 0.00

0.02 0.02
Energy Emissions

0.04 0.64

0.27 0.00

0.05 0.05
Mobile Emissions

3.63 3.35

35.31 0.09

8.67 2.24
Total Emissions

10.74 4.19

57.48 0.09

8.74 2.31
SCAQMD Threshold
55 55
550
150
150
55 Exceeds Threshold?
No
No
No
No
No
No
ROG: reactive organic gases; NOx: nitrogen oxides; CO = carbon monoxide; S02 = sulfur dioxide; PM,o = particulate matter 10 microns in diameter or less; PM2.5 = particulate matter 2.5 microns in diameter or less a. Emissions were calculated using the California Emissions Estimator Model version 2022 (CalEEMod), as recommended by the SCAQMD.

Worst -case seasonal maximum daily emissions are reported.

Source: CaIEEMod version 2022.1.1.18 Refer to Appendix A for model outputs.

Mobile Source Emissions. Mobile sources are emissions from motor vehicles, including tailpipe and evaporative emissions. Depending upon the pollutant, the potential air quality impact may be of regional or local concern. For example, ROG, NOx, SOX, PM1o, and PM2.5 are all pollutants of regional concern (NOx and ROG react with sunlight to form 03 [photochemical smog], and wind currents readily transport PM1o, and PM2.5). However, CO tends to be a localized pollutant, dispersing rapidly at the source.

Project -generated vehicle emissions are based on the trip generation within the Project Traffic Impact Analysis and incorporated into CaIEEMod as recommended by the SCAQMD. The Project would generate 1,044 daily trips, a net increase of 624 daily trips.

The Project's net emissions would not exceed SCAQMD thresholds for any criteria air pollutants.

Therefore, regional operations emissions would result in a less than significant long-term regional air quality impact.

As discussed above, the proposed Project's construction and operational activities would not exceed the SCAQMD regional significance thresholds. Construction activities associated with buildout of the proposed Project would result in a less significant impact compared to the regional air quality impacts as identified in the General Plan Program EIR. Therefore, there are no changes or new significant information that would require preparation of subsequent CEQA documentation.

Threshold (c) Would the project expose sensitive receptors to substantial pollutant concentrations? General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR found that implementation of the General Plan would not expose existing or future sensitive uses within the City to substantial CO concentrations. Impacts were considered less than significant.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.
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The proposed Project could expose sensitive receptors to elevated pollutant concentrations during construction activities if it would cause or contribute significantly to elevated levels. Unlike the construction emissions shown in the regional emissions analysis, localized concentrations refer to an amount of pollutant in a volume of air (ppm or µg/m3) and can be correlated to potential health effects.

Exposure to pollutant concentrations in exceedance of the NAAQS or CAAQS are generally considered substantial.

Carbon Monoxide Hotspots. A CO hot spot is an area of localized carbon monoxide pollution that is caused by severe vehicle congestion on major roadways, typically near intersections. The purpose of the analysis is to verify that a project would not cause or contribute to a violation of the CO standard at intersections for which a significant impact would occur. It should be noted that the air basin is designated as an attainment area for State and federal CO standards; and that there has been a decline in CO emissions even though vehicle miles traveled on urban and rural roads have increased. The SCAQMD studied the four most congested intersections within the Air Basin in 2003 in order to support their CO "attainment" demonstration to the U.S. Environmental Protection Agency (U.S. EPA). The modeled intersections experienced more than 100,000 average daily trips, and SCAQMD found that even these highly -congested intersections would not cause a CO hot spot to result. Therefore, it can be reasonably inferred that CO hot spots would not be experienced at any vicinity intersections as a result of 1,044 additional vehicle trips attributable to the Project. Therefore, impacts would be less than significant.

Localized Construction Emissions. The SCAQMD developed Localized Significance Thresholds (LSTs) for emissions of NO2, CO, PM1o, and PM2.5 generated at new development sites (off -site mobile source emissions are not included in the LST analysis). LSTs represent the maximum emissions that can be generated at a project site without expecting to cause or substantially contribute to an exceedance of the most stringent national or State ambient air quality standards. LSTs are based on the ambient concentrations of that pollutant within the Project source receptor area (SRA), as demarcated by the SCAQMD, and the distance to the nearest sensitive receptor. An LST analysis is applicable for all projects that disturb 5.0 acres or less on a single day. The City of Newport Beach is within SCAQMD SRA 18 (North Coastal Orange County).

The nearest existing sensitive receptor to the project site is a single-family residence located along Zenith Avenue, approximately 785 feet (240 meters) southwest of the project site and multiple single-family residences further from the project site and Zenith Avenue. However, the approved but not yet constructed Residences at 1300 Bristol project that would be located approximately 30 meters to the east of Spruce Avenue. This approved project has the potential to be occupied at some point during the construction of the proposed Project. The SCAQMD LST methodology states that "off -site mobile emissions from the project should not be included in the emissions compared to LSTs." Therefore, for purposes of the construction LST analysis, only emissions included in the CalEEMod "on -site" emissions outputs were considered. LST thresholds are provided for distances to sensitive receptors of 25, 50, 100, 200, and 500 meters. Therefore, LSTs for receptors located at 30 meters were interpolated and used in this analysis. The construction acreage is determined based on daily acreage disturbed and the LSTs increase as acreages increase. Table 3.2-3, Equipment -Specific Grading Rates, shows that the grading rates used for the LST analysis is two acres graded per day. 72 Residences at 1400 Bristol Street
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Table 3.2-3: Equipment -Specific Grading Rates
Construction
Phase
Equipment Type
Equipment
Quantity
Acres Graded
per 8-Hour Day
Operating
Hours per
Day
Acres Graded
per Day
Tractors/Loaders/Backhoes
2 0.5
8 1
Grading
Graders
1 0.5
8 0.5
Rubber Tired Dozers
1 0.5
8 0.5
Total Acres Graded per Day
2 Source: CaIEEMod version 2022. Refer to Appendix A for model outputs.

Table 3.2-4, Localized Significance of Construction Emissions, presents the results of localized emissions during construction activities. The LSTs reflect a maximum disturbance of two acres daily assumed for the proposed Project. The table shows that the emissions of these pollutants on the peak day of construction would not exceed any thresholds. Therefore, localized impacts would not be significant.

Table 3.2-4: Localized Significance of Construction Emissions Emissions (pounds per day) a, b
NOx
CO
PM10
PM2.5
Construction Activity
Demolition (2023)

17.01 16.89

0.76 0.70
Site Preparation (2023)

13.72 11.64

0.60 0.55
Demolition (2024)

15.58 16.03

0.67 0.62
Site Prep (2024)

12.66 11.45

0.55 0.51
Grading (2024)

15.88 15.42

0.74 0.68
Building Construction (2024)

11.24 11.94

0.46 0.42
Paving (2024)

6.44 8.26

0.31 0.29
Building Construction (2025)

10.60 11.85

0.40 0.37
Architectural Coating (2025)

0.88 1.14

0.03 0.03
Maximum Daily Emissions
104.01
104.62

4.52 4.17
SCAQMD LST Screening Threshold
(adjusted for 2 acres at 30 meters)
130
987
10 5
Maximum Daily Emissions Exceed
SCAQMD Threshold?
No
No
No
No
ROG: reactive organic gases; NOx: nitrogen oxides; CO = carbon monoxide; S02 = sulfur dioxide; PM10 = particulate matter 10 microns in diameter or less; PM2.5 = particulate matter 2.5 microns in diameter or less a. Emissions were calculated using the California Emissions Estimator Model version 2022 (CalEEMod), as recommended by the SCAQMD.

Source: CaIEEMod version 2022. Refer to Appendix A for model outputs.

Localized Operational Emissions. As noted above, the Project is located in SRA 18 (North Coastal Orange County) and the thresholds for 30 meters was interpolated and used. The operational LST acreage is based on the total area of the project site. The project site is slightly larger than two acres, thus, the thresholds 73 Residences at 1400 Bristol Street
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for 2 acres were conservatively used to evaluate the Project's localized operational emissions. Table 3.2-5, Localized Significance of Operational Emissions, presents the results of localized emissions during Project operations. The table shows that the emissions of these pollutants during Project operations would not exceed any thresholds. Therefore, localized impacts would not be significant.

Table 3.2-5: Localized Significance of Operational Emissions Emissions (pounds per day)'
Source
NOx
CO
PM10
PM2.5
On -Site Emissions (Area and Energy Sources)

0.84 22.17

0.07 0.07
SCAQMD LST Analysis Screening Threshold
(2 acres at 30 meters)
130
987
3 2
Exceed SCAQMD Threshold?
No
No
No
No
a. Emissions were calculated using the California Emissions Estimator Model version 2022 (CalEEMod), as recommended by the SCAQMD.

Worst -case seasonal maximum daily emissions are reported.

Source: CalEEMod version 2022. Refer to Appendix A for model outputs.

Diesel Particulate Matter. Construction would result in the generation of diesel particulate matter (DPM) emissions from the use of off -road diesel equipment required for grading and excavation, paving, and other construction activities. The amount to which the receptors are exposed (a function of concentration and duration of exposure) is the primary factor used to determine health risk (i.e., potential exposure to toxic air contaminant emission levels that exceed applicable standards). Health -related risks associated with diesel -exhaust emissions are primarily linked to long-term exposure and the associated risk of contracting cancer.

The use of diesel -powered construction equipment would be temporary and episodic. The duration of exposure would be short and exhaust from construction equipment dissipates rapidly. Current models and methodologies for conducting health risk assessments are associated with chronic exposure periods of 9, 30, and 70 years, which do not correlate with the temporary and highly variable nature of construction activities. Construction would be subject to and would comply with California regulations (e.g., CCR Title 13, Division 3, Article 1, Chapter 10, Sections 2485 and 2449), which reduce DPM and criteria pollutant emissions from in -use off -road diesel -fueled vehicles and limit the idling of heavy-duty construction equipment to no more than five minutes. These regulations further reduce nearby sensitive receptors' exposure to temporary and variable diesel particulate matter emissions.

Given the temporary and intermittent nature of construction activities likely to occur within specific locations in the project site (i.e., construction is not likely to occur in any one location for an extended time), the amount of DPM any one receptor is exposed to would be limited. Therefore, considering the relatively short duration of DPM-emitting construction activity at any one location and the highly dispersive properties of DPM, sensitive receptors would not be exposed to substantial concentrations of construction -related TAC emissions. Therefore, the Project would not cause nor expose persons to significant levels of toxic air contaminants. Impacts are less than significant. This would not be a new significant impact or an increase in the severity of an impact that was identified in the General Plan Program EIR and would therefore be consistent with the effects of implementation of the General Plan. 74 Residences at 1400 Bristol Street
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Threshold (d) Would the project result in other emissions (such as those leading to odors) adversely affecting a substantial number of people?
General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR concluded that constructions odors are limited to the number of people living and working nearby the source and due to the temporary nature of such odors, impacts were considered less than significant.

Trash receptacles would be stored in areas and in containers as required by City and Health Department regulations, and be emptied on a regular basis, before potentially substantial odors have a chance to develop. General Plan implementation would not create objectionable odors affecting a substantial number of people within the City and potential impacts would be less than significant.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

The proposed Project is a residential development, which is not a land use typically associated with the generation of highly objectionable odors. In addition, the Project would be subject to SCAQMD Rule 402, which would contribute to minimizing odor -related nuisances, as set forth in SC AQ-1. In addition to operation -related generation of odors, emissions from construction equipment, such as diesel exhaust, and from volatile organic compounds from architectural coatings and paving activities, may generate odors. However, these odors would be temporary and intermittent, and are not expected to affect a substantial number of people. Therefore, consistent with the findings of the General Plan Program EIR, implementation of the proposed Project would result in a less than significant odor impact. It is not anticipated that the proposed Project would introduce or require any new construction processes that would generate substantial odors compared with what was previously considered in the General EIR.

Overall, there are no changes or new significant information that would require further analysis.

Cumulative Impacts
The Project would not result in significant operational air quality impacts including nonattainment criteria pollutants. The Project would not exceed SCAQMD construction thresholds. Although the Project introduces 229 multi -unit rental units at the project site, the units would be within the overall 2,200 residential assumptions forthe Airport Area identified in the General Plan. Therefore, although the Project is inconsistent with the CO-G land use designation, the Project is consistent with the City's General Plan goals and policies for the Airport Area and the additional dwelling units and population growth from the Project were accounted for in the General Plan Program EIR. Therefore, the Project would comply with the 2022 AQMP, which is intended to bring the air basin into attainment for all criteria pollutants. The Project's contribution to regional pollutant concentrations would not be cumulatively considerable. As discussed above, the proposed Project would not cause a new air quality impact to occur. Therefore, the proposed Project would not cause either a new cumulative impact to occur, or an increase in the severity of a cumulative impact previously disclosed. Implementation of the proposed Project would not alter the conclusions of the General Plan Program EIR analysis and would not result in a new or substantially more severe project -specific or cumulative air quality impact than those already analyzed.

Therefore, the proposed Project would be within the development capacity analyzed in the General Plan Program EIR.
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Mitigation Program
General Plan Policies
The General Plan Program EIR identifies General Plan policies that would "address issues related to existing and future air quality within the City of Newport Beach." The following policies are applicable to the proposed Project and would be made conditions of approval. ■ NR 6.1— Walkable Neighborhoods. Provide for walkable neighborhoods to reduce vehicle trips by siting amenities such as services, parks, and schools in close proximity to residential areas. ■ NR 6.2 — Mixed -Use Development. Support mixed -use development consisting of commercial or office with residential uses in accordance with the Land Use Element that increases the opportunity for residents to live in proximity to jobs, services, and entertainment. ■ NR 7.1 — Fuel Efficient Equipment: Support the use of fuel efficient heating equipment and other appliances.
■ NR 7.2 — Source Emission Reduction Best Management Practices: Require the use of Best Management Practices (BMP) to minimize pollution and to reduce source emissions. ■ NR 8.1— Management of Construction Activities to Reduce Air Pollution: Require developers to use and operate construction equipment, use building materials and paints, and control dust created by construction activities to minimize air pollutants.
■ NR 24.2 — Energy -Efficient Design Features: Promote energy -efficient design features. ■ NR 24.3 — Incentives for Green Building Program Implementation: Promote or provide incentives for "Green Building" programs that go beyond the requirements of Title 24 of the California Administrative Code and encourage energy -efficient design elements as appropriate to achieve "green building" status.

Standard Conditions and Requirements
SC AQ-1 Dust Control. During construction, the Applicant shall require all construction contractors to comply with South Coast Air Quality Management District's (SCAQMD's) Rules 402 and 403 in order to minimize construction emissions of dust and particulates. SCAQMD Rule 402 requires that air pollutant emissions not be a nuisance off -site. Rule 402 prohibits the discharge from any source whatsoever such quantities of air contaminants or other material which cause injury, detriment, nuisance, or annoyance to any considerable number of persons or to the public, or which endanger the comfort, repose, health, or safety of any such persons or the public, or which cause, or have a natural tendency to cause, injury or damage to business or property.

SCAQMD Rule 403 requires that fugitive dust be controlled with Best Available Control Measures so that the presence of such dust does not remain visible beyond the property line of the emission source. This rule is intended to reduce PM10 emissions from any transportation, handling, construction, or storage activity that has the potential to generate fugitive dust. This requirement shall be included as notes on the contractor specifications. Table 1 of Rule 403 lists the Best Available Control Measures that are 76 Residences at 1400 Bristol Street
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applicable to all construction projects. The measures include, but are not limited to, the following:
a) Portions of a construction site to remain inactive longer than a period of three months shall be seeded and watered until grass cover is grown or otherwise stabilized. b) All on -site roads shall be paved as soon as feasible or watered periodically or chemically stabilized.
c) All material transported off -site shall be either sufficiently watered or securely covered to prevent excessive amounts of dust.
d) The area disturbed by clearing, grading, earthmoving, or excavation operations shall be minimized at all times.
e) Where vehicles leave a construction site and enter adjacent public streets, the streets shall be swept daily or washed down at the end of the workday to remove soil tracked onto the paved surface.

SC AQ-2 Architectural Coatings. South Coast Air Quality Management District (SCQMQD) Rule 1113 requires manufacturers, distributors, and end -users of architectural and industrial maintenance coatings to reduce reactive organic gas (ROG) emissions from the use of these coatings, primarily by placing limits on the ROG content of various coating categories. Architectural coatings shall be selected so that the volatile organic compound (VOC) content of the coatings is compliant with SCAQMD Rule 1113. This requirement shall be included as notes on contractor specifications.

Conclusion
Accordingly, no new impacts relative to adverse air quality impacts or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. With regard to PRC Section 21166 and State CEQA Guidelines Section 15162(a), the Project would not result in any new impacts, or increase the severity of the previously identified impacts, with respect to air quality.

Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior findings. Therefore, preparation of a subsequent environmental analysis is not warranted. 77 Residences at 1400 Bristol Street
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3.3 Biological Resources
Threshold (a) Would the project have a substantial adverse effect, either directly or through habitat modifications, on any species identified as a candidate, sensitive, or special -status species in local or regional plans, policies, or regulations, or by the California Department of Fish and Wildlife or U.S. Fish and Wildlife Service? General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR identified citywide biological resources, including habitat types; sensitive biological resources, including special status species; marine resources; and sensitive marine sources. Development could also result in the removal of mature trees that may serve as perching or nesting sites for migratory birds and raptors in both developed and undeveloped areas. Federal and State regulations, including the Migratory Bird Treaty Act, Federal Endangered Species Act, and California Endangered Species Act, restrict activities that may result in the "take" (kill, harm, harass, etc.) of certain species, including active nests. Actions, such as pre - construction surveys, may be necessary to ensure General Plan implementation does not result in the "take" of such species as a result of vegetation removal. General Plan Goal NR 10 and Policies NR 10.1 through NR 10.13 identify the actions that may be necessary during project -specific analysis and development. The General Plan Program EIR determined that compliance with these policies and federal and State laws would mitigate potential impacts to a less than significant level.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

The project site contains an existing two-story office building complex with surface parking and ornamental landscape areas; there are no native habitat areas on the site nor is the site adjacent to native habitat areas. The site is bordered by developed urban uses on all sides. Project implementation would require the demolition of the office buildings and surface parking areas including the existing ornamental landscaping adjacent to the buildings and in the parking areas. The proposed Project includes site landscaping including groundcover, shrubs, succulents, grasses, and trees. The existing landscaping does not provide habitat for any known special -status species or listed plants. Given the site's and surrounding area developed nature, no new impacts to special species are expected.

General Plan policies would further restrict development within wetland areas and environmentally sensitive areas (ESA). The project site is not within a wetland area or ESA, and therefore these policies are not applicable to the Project. While there is no suitable habitat for any special -status wildlife species on the project site, some of the existing ornamental trees could provide nesting habitat for birds. Nesting birds are protected under the federal Migratory Bird Treaty Act (16 USC §703 et seq.) and the California Fish and Game Code (§3503 et. seq.). Federal regulations prohibit any person to "pursue, hunt, take, capture, kill, attempt to take, capture, or kill, possess, offer for sale, sell, offer to barter, barter, offer to purchase, [or] purchase" any migratory bird, including parts of birds, as well as eggs and nests. The California Fish and Game Code Sections 3503, 3503.5 and 3512 also prohibit the take of birds and active nests. The Project would comply with federal and State regulations as set forth in SC B10-1. No new impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project.
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Threshold (b) Would the project have a substantial adverse effect on any riparian habitat or other sensitive natural community identified in local or regional plans, policies, regulations or by the California Department of Fish and Wildlife or U.S. Fish and Wildlife Service? General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR noted several General Plan goals which would protect wetlands and riparian vegetation. Policies NR 10.9 and NR 10.10 would specifically protect the existing or potential riparian habitats and encourage restoration of the ESAs. Policies NR 13.1 and NR 13.2 would serve to protect wetlands and their riparian habitat and require a survey and analysis of future development within a delineated wetland area under the General Plan. The California Department of Fish and Wildlife, under Section 1600 of the Fish and Game Code of California, regulate impacts to lakes, streams, and associated riparian (streamside or lakeside) vegetation through the issuance of a Lake or Streambed Alteration Agreement. The General Plan policies would serve to regulate indirect impacts future development could have on riparian habitats. Therefore, the impacts associated with riparian habitats were found to be less than significant.

Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

There are no native habitat areas on the site nor is the site adjacent to native habitat areas. The project site is not within a wetland area or ESA. The only potential riparian habitat near the project site is San Diego Creek, which becomes the Upper Newport Bay, approximately 0.5 mile to the south. Because there is no riparian habitat on the project site, the proposed Project would not have an adverse effect on any riparian habitats or other sensitive natural communities. This finding is consistent with the impact conclusions of the General Plan Program EIR. No project -specific impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project.

Threshold (c) Would the project have a substantial adverse effect on state or federally protected wetlands (including, but not limited to, marsh, vernal pool, coastal, etc.) through direct removal, filling, hydrological interruption, or other means? General Plan Significance Determination: No Impact. The General Plan Program EIR identified several wetland habitats include Upper Newport Bay, the developed channels, beaches, and hardscape of Lower Newport Bay (Newport Harbor), and the intertidal and subtidal landforms (sandy beaches, rocky intertidal, sandy subtidal, and subtidal reefs) along the coast of Newport Beach between the Santa Ana River and the boundary between the City and unincorporated Orange County.

The General Plan Program EIR notes that development would be confined to previously developed areas and would not be located near wetland areas. However, should development be proposed within or adjacent to wetland areas, a project would be required to comply with State and federal laws and regulations to protect wetland resources. General Plan Policies NR 13.1 and NR 13.2 were proposed to protect, maintain, and enhance the City's wetlands. Policies NR 14.1 through NR 14.4 would maintain and enhance deep water channels and ensure they remain navigable by boats through the management of dredging and maintaining the capacity of wetlands and estuaries. Policies NR 15.1 through NR 15.3 would ensure the proper disposal of dredge spoils to avoid disruption to natural habitats through monitoring and management of sediment. Adherence to the identified State and federal laws and regulations would mitigate impacts on jurisdictional waters and wetlands. 79 Residences at 1400 Bristol Street
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Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

The project site does not include any jurisdictional wetlands. No federal waters under the jurisdiction of the U.S. Army Corps of Engineers are on or proximate to the project site. The proposed Project would redevelop an existing urbanized property in the City. Therefore, the proposed Project would not affect jurisdictional wetlands. This is consistent with the impact conclusions of the General Plan Program EIR. No new impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project.

Threshold (d) Would the project interfere substantially with the movement of any native resident or migratory fish or wildlife species or with established native resident or migratory wildlife corridors, or impede the use of native wildlife nursery sites? General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR found that impacts to wildlife nursery sites and corridors would be less than significant. General Plan Policies NR 10.3 and NR 10.4 would protect and prohibit development in nature preserves, conservation areas, and designated open space areas, and would require a site -specific study be prepared where development would occur within or contiguous to such areas. General Plan Policies NR 10.5, NR 10.7, and NR 10.8 would prevent disruption, and ensure protection of sensitive habitat though siting and design requirements, along with sufficient buffer sizes and shielding from direct exterior lighting. Policies NR 12.1 through NR 12.3 would serve to protect coastal dune habitats, which serve as movement corridor for coastal wildlife species. Policies NR 13.1 and NR 13.2 would protect, maintain, and enhance the City's wetlands, another movement corridor for a variety of aquatic, terrestrial, and avian species. With implementation of the policies, new urban uses within the developed areas of the City would not have a substantial effect on the movement of native resident of migratory wildlife species or corridors.

Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

The project site is developed with a two-story office building complex, a surface parking lot, and ornamental landscaping that does not support State or federally -listed flora or fauna. The site is bordered by existing urban development and does not function as a wildlife movement corridor. Additionally, the SR-73 corridor is west and south of the project site. No natural corridors exist in the vicinity of the project site. Therefore, the proposed Project would have no impact on the movement of any native resident or migratory fish or wildlife species. This determination is consistent with the impact conclusions of the General Plan Program EIR. No new impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project. No new impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project.

Threshold (e) Would the project conflict with any local policies or ordinances protecting biological resources, such as a tree preservation policy or ordinance? General Plan Significance Determination: No Impact. The General Plan Program EIR concluded that implementation of the General Plan would not impact local policies or ordinances protecting biological resources. City Council Policy G-1 establishes and maintains appropriate diversity in City tree species and age classes to provide a stable and sustainable urban forest with an inventory that the City can reasonably 80 Residences at 1400 Bristol Street
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maintain in a healthy and non -hazardous condition. NBMC Chapter 7.26 and strives to maintain the value of natural habitat for migratory waterfowl and other birds such as ducks, gulls, terns, and pelicans. In addition, General Plan Policy NR 10.1 states that future development shall cooperate with State and federal agencies, and private organizations in the protection of the City's biological resources, and Policy NR 10.3 is intended to protect, and prohibit development in, nature preserves, conservation areas, and designated open space areas in order to minimize urban impacts upon resources in identified ESAs. The General Plan policies and City Council Policy G-1 would ensure that future development within the City would not conflict with any local policies or ordinances protecting biological resources, and therefore no impact would occur.

Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

The City does not have a tree preservation ordinance applicable to trees on private property. NBMC Chapter 13.09 (Parkway Trees) requires new developments to plant trees in the parkway abutting the building site. The trees are to be at least 36-inch-box trees of the type, variety, and/or species determined by the City in accordance with the City Street Tree Designation List. No new impacts relative to adverse effects on local policies protecting biological resources or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur.

Threshold (f) Would the project conflict with the provisions of an adopted Habitat Conservation Plan, Natural Community Conservation Plan, or other approved local, regional, or state habitat conservation plan?
General Plan Significance Determination: No Impact. The City is a signatory agency of the Orange County Central and Coastal Natural Community Conservation Plan (NCCP) Habitat Conservation Plan. The NCCP is included as part of the General Plan policies. Policy NR 10.2 states that future development must comply with the policies of the Orange County NCCP. In addition, Policy NR 10.1 states that future development shall cooperate with State and federal agencies, and private organizations, in the protection of the City's biological resources. This includes local, regional, or State habitat conservation plans. The General Plan Program EIR concluded no impacts to an adopted Habitat Conservation Plan or Natural Community Conservation Plan.

Project -Specific Analysis and Significance Determination: No Impact; no substantial change from previous analysis.

The project site is an existing two-story office complex with surface parking. Because the project site does not contain sensitive biological resources, Policies NR 10.1 and 10.2 are not applicable to the Project.

Further, the project site is not designated as an area for preservation in the Orange County Central -Coastal NCCP/HCP. The proposed Project would not change or contradict any policies within the Orange County Central -Coastal NCCP/HCP. Therefore, no impacts would occur, and there are no changes or new significant information that would require subsequent analysis.

Cumulative Impacts
Projects are required to implement measures, as set forth in their respective CEQA documents, consistent with federal, State, and local regulations to avoid adverse effects to existing biological resources or to mitigate for significant impacts to these resources. The types of measures required for projects impacting 81 Residences at 1400 Bristol Street
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protected habitat, species, and regulated resources can include avoidance, project design features, regulatory approvals, best management practices (BMPs), and mitigation measures. The project site does not contain riparian habitat or any other water resources. Additionally, the site does not contain waters, including wetland waters, that are subject to federal jurisdiction under Section 404 of the Clean Water Act. The project site is not located within a designated ESA, which may support species and habitats that are sensitive and rare within the region or may function as a migration corridor for wildlife. The Project would not contribute to a cumulative effect on biological resources including sensitive species, protected habitat, or wetland resources. The proposed Project would not cause a new biological impact to occur, nor an increase in the severity of a biological impact previously disclosed in the General Plan Program EIR.

Implementation of the proposed Project would not alter the conclusions of the General Plan Program EIR analysis and would not result in a new or substantially more severe project -specific or cumulative biological resources impact than those already analyzed.

Mitigation Program
General Plan Policies
General Plan policies related to biological resources identified in the General Plan Program EIR to mitigate potential impacts to biological resources are not applicable to the Project.

Standard Conditions and Requirements
SC 1131O-1 Prior to the commencement of any proposed actions (e.g., site clearing, demolition, grading) during the breeding/nesting season (September 1 through February 15), a qualified biologist contracted by the Applicant shall conduct a preconstruction survey(s) to identify any active nests in and adjacent to the project site no more than three days prior to initiation of the action. If the biologist does not find any active nests that would be potentially impacted, the proposed action may proceed. However, if the biologist finds an active nest within or directly adjacent to the action area (within 100 feet) and determines that the nest may be impacted, the biologist shall delineate an appropriate buffer zone around the nest using temporary plastic fencing or other suitable materials, such as barricade tape and traffic cones. The buffer zone shall be determined by the biologist in consultation with applicable resource agencies and in consideration of species sensitivity and existing nest site conditions, and in coordination with the construction contractor. The qualified biologist shall serve as a construction monitor during those periods when construction activities occur near active nest areas to ensure that no inadvertent impacts on these nests occur. Only specified construction activities (if any) approved by the qualified biologist shall take place within the buffer zone until the nest is vacated. At the discretion of the qualified biologist, activities that may be prohibited within the buffer zone include but not be limited to grading and tree clearing. Once the nest is no longer active and upon final determination by the biologist, the proposed action may proceed within the buffer zone.

The qualified biologist shall prepare a survey report/memorandum summarizing his/her findings and recommendations of the preconstruction survey. Any active nests observed during the survey shall be mapped on a current aerial photograph, including documentation of GPS coordinates, and included in the survey report/memorandum. The 82 Residences at 1400 Bristol Street
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completed survey report/memorandum shall be submitted to the City of Newport Beach Community Development Department prior to construction -related activities that have the potential to disturb any active nests during the nesting season.

Conclusion
Accordingly, no new impacts relative to biological resources or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. With regard to PRC Section 21166 and State CEQA Guidelines Section 15162(a), the Project would not result in any new impacts, or increase the severity of the previously identified impacts. Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior findings. Therefore, preparation of a subsequent environmental analysis is not warranted. 83 Residences at 1400 Bristol Street
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3.4 Cultural and Tribal Cultural Resources
Threshold (a) Would the project cause a substantial adverse change in the significance of a historical resource as defined in §15064.5?
General Plan Significance Determination: Significant and Unavoidable Impact. The General Plan Program EIR noted that the City has 11 properties listed or designated eligible for listing on the National Register of Historic Places (NRHP), the California Register of Historical Resources (CRHR), or otherwise listed as historic or potentially historic in the California Historic Resources Inventory System (CHRIS) maintained by the Office of Historic Preservation. The City Historical Register also recognizes five structures or properties of local historical or architectural significance, most of which are not listed in the NRHP and CRHR. In addition to the formally recognized resources, the City's Historic Resource Inventory includes 61 properties, while not officially adopted, which serves as a guide to potentially historic properties that may have historic or cultural significance to the City. General Plan buildout could result in the demolition of historic or potentially historic structures. General Plan Policies HR 1.1 through HR 1.5 protect historically significant landmarks, sites, and structures through requiring that the Historical Resources Inventory be maintained and updated, encouraging the preservation and adaptive reuse of historic structures, promoting the placement of historical landmarks throughout the City, encouraging adaptive reuse, and mandating the incorporation of historical elements in new redevelopment projects in the City. The Airport Area, Newport Center, West Newport Mesa and Mariners' Mile do not have identified historic resources.

Since General Plan policies offer only limited protection to historic structures and would not ultimately prevent the demolition of a historic structure, and that demolition of a historic structure constitutes a physical effect on the environment, the General Plan Program EIR found that impacts to historical resources were significant and unavoidable.

Project -Specific Analysis and Significance Determination: No Impact; reduced impact from previous analysis.

There are no historical resources on or near the project site that have been listed or are eligible for listing on the NRHP, the CRHR, California landmarks, or local registers. The existing office buildings were constructed in 1978 (source: Partner Engineering and Science, Inc., Phase I Environmental Site Assessment, 2020). The existing office buildings do not meet the criteria of historical resources under CEQA (e.g., it is associated with events that have made a significant contribution to the broad patterns of our history; it is associated with the lives of persons who are significant in our past; it embodies the distinctive characteristics of a type, period, or method of construction; represents the work of a master; possesses high artistic values; or represents a significant and distinguishable entity whose components may lack individual distinction; and/or it has yielded, or may be likely to yield, information important in prehistory or history). Therefore, no impacts would occur. The proposed Project would not result in any new adverse impacts or increase the severity of any previously identified impacts on historical resources.

No new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified that would impact the prior finding under this threshold.

Threshold (b) Would the project cause a substantial adverse change in the significance of an archaeological resource pursuant to §15064.5?
General Plan Significance Determination: Less Than Significant Impact. The General Plan Program EIR concluded that impacts to archaeological resources would be less than significant. General Plan Goal HR 2 84 Residences at 1400 Bristol Street
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and NR 18 would protect archaeological resources by requiring that any new development protect and preserve archaeological resources from destruction, and that potential impacts to such resources be avoided and minimized through planning policies and permit conditions. The Newport Beach City Council also established Paleontological and Archaeological Resource Protection Guidelines (K-5, as amended in 2017) requiring the City to prepare and maintain sources of information regarding archaeological sites.

Therefore, impacts to archaeological resources would be less than significant.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

Although the project site has been graded and disturbed, the area is potentially sensitive for archaeological and tribal cultural resources. The Project would be required to comply with the City Council Policy K-5 which requires preservation of significant archeological and tribal cultural resources, as set forth in SC CULT-1. Compliance with General Plan Policy HR 2.1 and Policy NR 18.1 would require that any new development protect and preserve archaeological and tribal resources from destruction, and that potential impacts to such resources be avoided and minimized through planning policies and permit conditions. The City also conducted SB 18 consultations with Native American Tribal representatives. The Native American Tribal representatives accepted the City's standard conditions from the General Plan Program EIR. Therefore, compliance with these regulations would ensure impacts to archaeological resources remain less than significant. The proposed Project would not result in any new adverse impacts or increase the severity of any previously identified impacts on archaeological resources. No new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified that would impact the prior finding under this threshold.

Threshold (c) Would the project disturb any human remains, including those interred outside of formal cemeteries?
General Plan Significance Determination: Less Than Significant Impact. Human burials, in addition to being potential archaeological resources, have specific provisions for treatment in Section 5097 of the California Public Resources Code. Disturbing human remains would destroy the resources and could potentially violate the health code. The California Health and Safety Code (§§7050.5, 7051, and 7054) contain specific provisions for the protection of human burial remains. PRC Section 5097.98 addresses the disposition of Native American burials, protects such remains, and established the Native American Heritage Commission to resolve any related disputes.

General Plan Policies HR 2.1 and NR 18.1 require that any new development under the General Plan protect and preserve archaeological resources from destruction, and that potential impacts to such resources be avoided and minimized through planning policies and permit conditions. Other policies under Goal HR2 and Goal NR 18 ensure that information resources are maintained regarding these resources, such that all grading and excavation activities where there is a potential to affect cultural or archaeological resources be monitored by a qualified archaeologist; that cultural organizations, including Native American organizations, are notified of all developments that have the potential to adversely impact these resources; and that any new development donates scientifically valuable archaeological resources to a responsible public or private institution. The General Plan Program EIR concluded that impacts to human remains would be less than significant. 85 Residences at 1400 Bristol Street
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Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

The project site has been previously disturbed and currently is developed with two office buildings with surface parking and landscape areas. There is no indication that there are burials present at the project site and it is unlikely that human remains would be discovered during project development. In the event that human remains are discovered during grading and excavation activities, the Project would adhere to all State and local regulations and policies, such as California Health and Safety Code Section 7050.5, CEQA Section 15064.5, and PRC Section 5097.98, to address procedures to follow the discovery of suspected human remains (SC CULT-2). Compliance with existing laws would ensure that impacts to human resources would not occur. This is consistent with the impact conclusions of the General Plan Program EIR. No new impact would result, nor would the impact previously identified be any more severe as a result of the proposed Project. Therefore, the proposed Project would be consistent with the effects of implementation of the General Plan.

Cumulative Impacts
As discussed above, the proposed Project would not cause a new cultural resources impact to occur, nor an increase in the severity of a cultural resources impact previously disclosed in the General Plan Program EIR, with adherence to State and local regulations and General Plan policies discussed in this Addendum section. Implementation of the proposed Project would not alter the conclusions of the General Plan Program EIR analysis and would not result in a new or substantially more severe project -specific or cumulative cultural resources impact than those already analyzed.

Mitigation Program
General Plan Policies
The General Plan Program EIR identifies General Plan policies that would address potential impacts to cultural resources. The following policies are applicable to the proposed Project and would be made conditions of approval.
■ HR 2.1 - New Development Activities: Require that, in accordance with CEQA, new development protect and preserve paleontological and archaeological resources from destruction and avoid and mitigate impacts to such resources. Through planning policies and permit conditions, ensure the preservation of significant archeological and paleontological resources and require that the impact caused by any development be mitigated in accordance with CEQA. ■ HR 2.2 - Grading and Excavation Activities: Maintain sources of information regarding paleontological and archeological sites and the names and addresses of responsible organizations and qualified individuals, who can analyze, classify, record, and preserve paleontological or archeological findings. Require a qualified paleontologist/ archeologist to monitor all grading and/or excavation where there is a potential to affect cultural, archeological or paleontological resources.

If these resources are found, the Applicant shall implement the recommendations of the paleontologist/archaeologist, subject to the approval of the City Planning Department. ■ HR 2.3 - Cultural Organizations: Notify cultural organizations, including Native American organizations, of proposed developments that have the potential to adversely impact cultural 86 Residences at 1400 Bristol Street
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resources. Allow representatives of such groups to monitor grading and/or excavation of development sites.
■ HR 2.4 - Paleontological or Archaeological Materials: Require new development to donate scientifically valuable paleontological or archaeological materials to a responsible public or private institution with a suitable repository, located within Newport Beach, or Orange County, whenever possible.
■ NR 18.1- New Development: Require new development to protect and preserve paleontological and archaeological resources from destruction and avoid and minimize impacts to such resources in accordance with the requirements of CEQA. Through planning policies and permit conditions, ensure the preservation of significant archeological and paleontological resources and require that the impact caused by any development be mitigated in accordance with CEQA. ■ NR 18.3 - Potential for New Development to Impact Resources: Notify cultural organizations, including Native American organizations, of proposed developments that have the potential to adversely impact cultural resources. Allow qualified representatives of such groups to monitor grading and/or excavation of development sites.
■ NR 18.4 - Donation of Materials: Require new development, where on -site preservation and avoidance are not feasible, to donate scientifically valuable paleontological or archaeological materials to a responsible public or private institution with a suitable repository, located within Newport Beach or Orange County, whenever possible.

Standard Conditions and Requirements
SC CULT-1 In compliance with City Council Policy K-5 Paleontological and Archaeological Resource Protection Guidelines, prior to the issuance of a grading permit by the City of Newport Beach, the Applicant shall retain a qualified archaeologist to periodically monitor ground - disturbing activities onsite and provide documentation of such retention to the City of Newport Beach Community Development Director. The archaeologist shall train project construction workers on the types of archaeological resources that could be found in site soils. The archaeologist shall periodically monitor project ground -disturbing activities.

During construction activities, if Native American resources (i.e., Tribal Cultural Resources) are encountered, a Cultural Resource Monitoring and Discovery Plan (CRMDP) shall be created and implemented to lay out the proposed personnel, methods, and avoidance/recovery framework for tribal cultural resources monitoring and evaluation activities within the project area. A consulting Native American tribe shall be retained and compensated as a consultant/monitor for the project site from the time of discovery to the completion of ground disturbing activities to monitor grading and excavation activities. If archaeological resources are encountered, all construction work within 50 feet of the find shall cease, and the archaeologist shall assess the find for importance and whether preservation in place without impacts is feasible. Construction activities may continue in other areas. If, in consultation with the City and affected Native American tribe (as deemed necessary), the discovery is determined to not be important, work will be permitted to continue in the area. Any resource that is not Native American in origin and that cannot be preserved in place shall be curated at a public, nonprofit institution 87 Residences at 1400 Bristol Street
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with a research interest in the materials, such as the South Central Coastal Information Center at California State University, Fullerton.

SC CULT-2 California Health and Safety Code Section 7050.5, CEQA Guidelines Section 15064.5, and Public Resources Code Section 5097.98 mandate the process to be followed in the event of an accidental discovery of any human remains in a location other than a dedicated cemetery. California Health and Safety Code Section 7050.5 requires that in the event that human remains are discovered within the project site, disturbance of the site shall be halted until the coroner has conducted an investigation into the circumstances, manner and cause of death, and the recommendations concerning the treatment and disposition of the human remains have been made to the person responsible for the excavation, or to his or her authorized representative, in the manner provided in Section 5097.98 of the Public Resources Code. If the coroner determines that the remains are not subject to his or her authority and if the coroner recognizes or has reason to believe the human remains to be those of a Native American, he or she shall contact, by telephone within 24 hours, the Native American Heritage Commission.

Conclusion
Accordingly, no new impacts relative to cultural resources or a substantial increase in the severity of a previously identified significant impact evaluated in the General Plan Program EIR would occur. With regard to PRC Section 21166 and State CEQA Guidelines Section 15162(a), the Project would not result in any new impacts, or increase the severity of the previously identified impacts. Additionally, no new information of substantial importance that was not known and could not have been known at the time the General Plan Program EIR was certified is available that would impact the prior findings. Therefore, preparation of a subsequent environmental analysis is not warranted. 88 Residences at 1400 Bristol Street
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3.5 Energy
Impacts related to energy were not analyzed in the General Plan Program EIR because they were not on the State CEQA Guidelines' Appendix G Checklist until January 1, 2019, which was subsequent to the certification of the General Plan Program EIR in 2006. The analysis of energy is new in this Addendum.

Energy modeling calculations are provided in Appendix A. Although energy resources were not addressed as a standalone section of the General Plan Program EIR in 2006, the General Plan Program EIR did include an analysis of the impacts on other public services and utilities, which included electricity and natural gas.

Specifically, the analysis was in Section 4.14, Utilities and Service Systems, of the General Plan Program EIR. As concluded in the General Plan Program EIR, impacts to electricity and natural gas services were found to be less than significant. The electricity and natural gas analysis in the General Plan Program EIR did not address the specific questions now included in Appendix G of the State CEQA Guidelines. However, the analysis, as applicable, is carried through to this new energy section for context, discussion, and comparison purposes.

Discussion of energy resources does not constitute "new information" requiring additional environmental review nor does it affect the assessment of project environmental impacts or mitigation measures compared to those analyzed in the General Plan Program EIR. The potential environmental impacts regarding energy resources associated with the General Plan was known at the time that General Plan Program EIR was certified.

Building Energy Conservation Standards
The California Energy Resources Conservation and Development Commission (now the California Energy Commission [CEC]) was adopted in June 1977 and are updated every three years (Title 24, Part 6, of the CCR) to help reduce wasteful and unnecessary energy consumption in newly constructed and existing buildings10. Title 24, Part 6 requires the design of building shells and building components to conserve energy. The standards are updated periodically to allow for consideration and possible incorporation of new energy efficiency technologies and methods. On May 9, 2018, the CEC adopted the 2019 Building Energy Efficiency Standards, which took effect on January 1, 2020. The 2022 Standards went into effect January 1, 2023. The updated Standards encourage efficient electric heat pumps, establishes electric - ready requirements for new homes, expands solar photovoltaic and battery storage standards, and strengthens ventilation standards.

The 2019 Title 24 standards aim to increase energy efficiency, save consumer money, and improve air quality both indoors and outdoors. Title 24 also includes a requirement for home builders to install solar photovoltaic systems on all new homes, making California the first state in the nation to have a solar mandate. For nonresidential buildings, Title 24, Part 6 revises ventilation and lighting requirements, among them updating prescriptive indoor and outdoor lighting power allowance values to assume the use of LED lighting, plus revisions to HVAC and acceptance test requirements which would ultimately lead to a higher energy efficiency. New efficiency standards outline stricter requirements for insulation in attics, walls, and windows to save additional energy. Finally, the standards encourage measures such as battery storage and heat pump water heaters to shift energy usage to off-peak hours. io California Energy Commission. (2021). Building Energy Efficiency Standards —Title 24. Accessed August 18, 2023 and available at:
https://www.e nergy. ca.gov/p rogra ms-a nd-topics/programs/bu i Id i ng-energy-efficiency-standards. 89 Residences at 1400 Bristol Street
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Senate Bill 350
SB 350, also known as the Clean Energy and Pollution Reduction Act, established clean energy, clean air, and greenhouse gas (GHG) reduction goals, including reducing GHG to 40 percent below 1990 levels by 2030 and to 80 percent below 1990 levels by 2050.

Senate Bill 100
On September 10, 2018, Governor Brown signed SB 100. Under SB 100 or California Renewables Portfolio Standard Program requires the PUC to establish a renewables portfolio standard requiring all retail sellers, as defined, to procure a minimum quantity of electricity products from eligible renewable energy resources, as defined, so that the total kilowatt-hours of those products sold to their retail end -use customers achieve 25 percent of retail sales by December 31, 2016, 33 percent by December 31, 2020, 40 percent by December 31, 2024, 45 percent by December 31, 2027, and 50 percent by December 31, 2030. The program additionally requires each local publicly owned electric utility, as defined, to procure a minimum quantity of electricity products from eligible renewable energy resources to achieve the procurement requirements established by the program.11 State CEQA Guidelines Appendix F
Pursuant to Section 15126.2(b), Section 15126.4 (a)(1)(C), and Appendix F of the State CEQA Guidelines, the environmental setting may include "existing energy supplies and energy use patterns in the region and locality." Energy usage is analyzed in this document due to the potential direct and indirect environmental impacts associated with the Project. Refer to Section 3.2, Air Quality, and Section 3.7, Greenhouse Gas Emissions, of this Addendum for additional regulatory background and environmental setting regarding the Project's energy use.

Threshold (a) Would the project result in potentially significant environmental impact due to wasteful, inefficient, or unnecessary consumption of energy resources, during project construction or operation?
General Plan Significance Determination: No Impact. Although an Energy section was not included in the General Plan Program EIR, as previously noted, it did analyze impacts related to public services and utilities. The General Plan Program EIR concluded that impacts related to the relocation or construction of new electrical power or natural gas facilities would have no impact. Additional energy demands resulting from General Plan implementation would be adequately met by current and planned infrastructure during most of the year as well as compliance with the energy conservation measures contained in Title 24, which would reduce the amount of energy needed for the operation of any buildings.

The projected electrical demand for buildout under the General Plan was expected to be within Southern California Edison's (SCE) then -current ten-year load forecasts. Southern California Gas Company (SoCalGas) indicated that an adequate supply of natural gas was available to serve additional development, and that the natural gas service provided to the City would not be impaired by buildout under the General Plan. Any expansion of service necessitated by the General Plan implementation would be in accordance with SoCalGas policies and extension rules on file with the California Public Utilities Commission at the time contractual agreements are made. Natural gas demand projected for the General i State of California. (2018). Sb-100 California Renewables Portfolio Standard Program: Emissions of Greenhouse Gases. Accessed August 18, 2023. Available at: https://Ieginfo.legislature.ca.gov/faces/bilINavClient.xhtml?bill id=201720180SB100. 90 Residences at 1400 Bristol Street
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Plan would not exceed available or planned supply and no new infrastructure would be required.

Therefore, no impact would result.

Project -Specific Analysis and Significance Determination: Less Than Significant Impact; no substantial change from previous analysis.

Fuel
During construction, transportation energy use depends on the type and number of trips, vehicle miles traveled (VMT), fuel efficiency of vehicles, and travel mode. Transportation energy use during construction would come from the transport and use of construction equipment, delivery vehicles and haul trucks, and construction employee vehicles that would use diesel fuel and/or gasoline. The use of energy resources by these vehicles would fluctuate according to the phase of construction and would be temporary. Most construction equipment during demolition and grading would be gas -powered or diesel - powered, and the later construction phases would require electricity -powered equipment. Idling of in -use off -road heavy-duty diesel vehicles in California are limited to five minutes per Title 13, CCR Section 2449(d)(3). Project construction equipment would also be required to comply with the latest U.S. EPA and CARB engine emissions standards. These engines use highly efficient combustion engines to minimize unnecessary fuel use.

The Project would have construction activities that use energy, primarily in the form of diesel fuel (e.g., mobile construction equipment) and electricity (e.g., power tools). Contractors would be required to monitor air quality emissions of construction activities using applicable regulatory guidance such from SCAQMD CEQA Guidelines. This requirement indirectly relates to construction energy conservation because when air pollutant emissions are reduced from the monitoring and the efficient use of equipment and materials, energy use is reduced. There are no aspects of the Project that would foreseeably result in the inefficient, wasteful, or unnecessary use of energy during construction activities.

Due to increasing transportation costs and fuel prices, contractors and owners have a strong financial incentive to avoid wasteful, inefficient, and unnecessary use of energy during construction. There is growing recognition among developers and retailers that sustainable construction is not prohibitively expensive and that there is a significant cost -savings potential in green building practices. The use of battery -powered tools and equipment that do not rely on gas to operate are also becoming more common.12 Impacts related to transportation energy use during construction would be temporary and would not require expanded energy supplies or the construction of new infrastructure; impacts would not be significant.

Newport Beach City CouncilApril 9, 2024

Newport Beach City Council
April 9, 2024