HomeMy WebLinkAboutX2018-2762 - Misc)(2019-2762
502 Larkspur Ave
Structural Observation Rieport
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full Name Of SNucHu,2A Osswva: ISD! $9E-meii Addrau•. SLS Toleldrona #: SO IJeSaIsa FRdg.r
FOUNDATIONSJ'SHEAR WALLS FRAMES i urnmed fro mutcnit ERVEetUNlsl DA
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Calssa [s, roles. Ci Sboar Panels . ❑Masonry u�Maaotl lFY7 $G'�'W.7
GrRde Reams Shaer Panels
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MS CHECKEDASOVEIARE APPROVED AND WITHOUT DEFICIENCIES. �y
0 OBSERVED D£FIClENCIES AND COMMENTS:
I dudara mst one klkWing ItOtenlanas We uua W the boat of Any k'axv1adg9
1. F ant the Mansel daslgn Prosiselonal ritw4led by Lee owner to be in. r9spansitNa
charge, of the structural nb5arvaden;
2.. I• Or acether 40anS9d assign Wicastaaal ~ I haw. day ad ahova anis is neater
my MSPO WO charge,„ have IMrF4mtad fait roqulred site Visits at each significant
aa+e;Aiclion stage M verify [flat the slnaclurn Isin genaral =vformonge Min 1h4
approved canstr,;ceXm doctmia ars;
.A. I understand teal aU deficiaeclaa wraith I turvo dxumaetad must be corrected, pinx to
iknst arxRPfaare aI the sinlclursl systems by the City of Newport Beach, Eub4mg
D'irAo'.
C1 REPORT CCNTINVED ON ATTACNEp PAGES,
t� �STMIP OF STRUCTURu OSSER4ER.
#NATfrRE b R ChiflAL iiBSERMEFi df17LCLiRF U+1TE _ _ _
STROC OOSFRMAT'ONa%$say WAIY$ Any REOUREMENTSFOR SUILNMS INSPECTION by AWHIJIMI)OWMES OF THE CIIyGF KMRF Sum
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1(949)644-3200
Structural Observation Report
Project Address:
S) I. AJE
Report Date:
/S /o /
CNB Inspector Name:
CNB Permit #:
. It -
Name:O2
Building Owner
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check M
❑ Steel
El Concrete
D 0 ]'I N65
O i L OMF
205 NA
Full pVerne of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
❑ Caisso , Piles,
Gra Beams
❑ Woo6 or Manuf.
ear Panels
J ✓J "
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional
Foctin s& Slab
❑ Concrete
❑ Steel
El Concrete
D 0 ]'I N65
O i L OMF
C 5
❑ Mat Foundatio
Prestressed C rete
El Masonry
❑ Concret
❑ Steel De
❑ Caisso , Piles,
Gra Beams
❑ Woo6 or Manuf.
ear Panels
❑ M onry
❑ Wo
❑ er:
Other:
Other:
Other:
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with thea proved 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 of the structural systems by the City of Newport Beach, Building
Division. I
No. C 67712
Exp. 6/30/1q
� 1
STAMP OF STRUCTURAL OBSERVER
STRUCIWL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Fo=m Sv =90bsmationftort&instructions
,kx18 X762
502 L_orkspt/r 'tee
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address: L \ tk-s Pkre
Permit Number: -X ®1$ — Z7 6 Z --
Property Owner:
Licensed Contractor: )L EV JAufrlock Lic #: Ll ul0
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that
existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors.
CRC Section R314.3, CRC R315.3 defines required locations.
Both boxes below must be checked.
❑ff"� Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
sleeping area in the immediate vicinity of bedrooms or in each hallway outside of
the rooms, and each level of the dwelling. Detectors are also required in
bed oms with gas fired appliances
❑ Smoke Alarms: Installed in each room used for sleeping purposes, outside
each sleeping area, and on each level of the dwelling unit.
Retrofitted detectors may be battery operated for buildings where no alterations are
performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms)
shall comply with all applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturer's specifications.
I, the undersigned, hereby certify that I am the permittee or homeowner of the
project. I further certify that smoke alarms and carbon monoxide alarms are
present and tested to be functional in all the following locations:
Signature:
Date: 3 li
NOTE: This self -certification is only used for projects to the exterior of the structure where access to the
interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of
construction.
Forms\SmokeDetectorandCarbonMonoxideSetfCert 02/25/16
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