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City of Naeaport Beach Special Inspector Manual
Project
mis-2935
1400 Dove S�
CITY OF NEWPORT LEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUMDING DWISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newportbeachca.gov (949) 644-3200
/) q/ cSPECIAL INSPECTION REPORT
AAA— L �I � ✓I' SJJ
Permit Number:
Inspection Type
Inspection Date
(k) Periodic
Describe Inspection, Including Lo'on(s):_
e k% L
3 l r tvt
P 1 G
List Tests Mader
To the best of rny knowledge, the work inspected was in accordance with the Building Division approved design drawings,
cnedficafinnc and annlicahle wnrkmanchin nrnvic'ions of the U.B.C. except as noted above.
Special Inspector Signature:
'
"Date:
Print Fu 1 Name:
Newport Beach Registration No.:
/V b -
5p -1.11— .bnR.port 08125/2015
67
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