HomeMy WebLinkAboutRS110386_Structural ReportORANGE COUNTY
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STRUCTURAL OBSERVATION REPORT FORM
Report No.
Structural Observation means the visual observation of the structural system, for general conformance to the approved plans and
specifications, at significant construction stages and at completion of the system Structural observation does not include or waive the
responsibility for the inspections required by Section 108, 1701 or other sections of the code.
This report includes all construction work through14 day of L91 20L%�
Project Address-� - D
Structural Observer of Record
(SOR)
Phone No. of SOR
Kamran Naraghi Arani
(818) 865-2026
Building Permit
No. V"V3"
Structural Observation performed
by:
Professional Lic/Reg. No. of
Observer:
Phone No. of Observer
Kamran Nara hi Arani
g
C040985
(818)865-2026
OBSF.RVIM STRTTCTTTR AT. 171.17UPWTV Aivn
FOUNDATION
WALL
FRAMES
FLOOR
PORTION OBSERVED,
IF NOT WHOLE
❑ Footing, Stem Walls
dconcrete
❑ Steel Moment Frame
❑ Concrete
C%�rrG.
Mat Foundation
❑ Masonry
❑Steel Braced Frame
ED Steel
P
� � �inu�
❑ Caisson, Piles, Grade
❑ Wood
❑ Concrete Moment Frame
❑ Wood
(� VW fr
Beams
❑ Retaining Foundation
❑ Other
❑ Masonry Wall Frame
❑ Others:
Hillside Special Anchors
❑ Others:
❑ Others:
Observed Deficiencies:
� Q
I declare that the following state nts are true to the bestif my bdge. I am the engineer or architect retained by the
owner to be in responsible c ge for the structural observation in accordance with the requirements of the County of
Orange. SCeVlq- kt='A) \1�l �� ` FF/NF'
1. I, or another engineer or architect who I have designated above and is under my responsible charge, has performed the
required site visits at each significant construction stage to verify if the structure is in general conformance with
approved plans and specifications.
2. All deficiencies
3. I recommend
deficiencies e
Signature:
Form No.
to be corrected have been indicated above.
of the structural systems by the County of Orange be withheld until all observed
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if
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