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Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.clov 1 (949) 644-3200 Structural Observation Report Project Address: 1633 BAYADERE TERRACE NEWPORT BEACH.CA ReportDate: 08-03-17 CNB Inspector Name: CNB Permit #: Building Owner Name: MR. MIKE CLOSE Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO):. SO E-mail Address: SO Telephone #: SO License / Reg. #: FADY HAKIM FADYHAKIM@FMHENGINEERIN.COM 949-245-8000 C-75736 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete MAT SLAB AND FOUNDATIONS 08-03-17 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck/ R'—,. / REINFORCEMENT �"^ ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood /- ❑ Other: ❑ Other: ❑ Other: ❑ Other: " ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: NO DEFICIENCIES ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance the structural systems by the City of Newport Beach, Building Division. 7� 1 08-03-17 5 I AMY OF 51 HUG I URAL OBSERVER OBSERVATION DOES NOT WAIVE ANY REOWREMENTS FOR BUILDING INSPECTION BY AUTHORVFO FMPI.OYFFS nF THF CITY nF NFWPnRT RFACH