HomeMy WebLinkAboutX2019-3763 - MiscCITY 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:
� (0t � �� 148 .E
Report Date:
o
CNB Inspector Name:
Permit #:
Building Owner Name:
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Owner's Mailing Address (l different from site):
121Zt
Owners Telephone #;
�C/�N1B
X2�t01-31b3
CNB Plan Check #
Full Name of Struchnal Observer (SO).
SO E-mail Address;
31--yi -G4
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bvofeao,�t,,,�K �rritn tnce�,.
SO Telephone #;
�{Z�oP'4�]64
SO License /Reg. #:
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- - -
FOUNDATIONS
El Conventional
Footings &SlabC-
❑ Mat Foundation,
Prestressed Concrete
El Caissons, Piles,
Grade Beams
❑ Other.
- - - • •--� • �•�
SHEAR WALLS
❑ Cortrxete
❑Masonry
>IC Wood or Manuf.
Shear Panels
❑ Other.
«�mcN r a AANIJ
FRAMES
❑Steel
❑Concrete
❑Masonry
❑ Other.
cof•INECTIONS OBSERVED
DIAPHRAGMS
❑ Concreteco�
El Steel Deck
]( Wood
❑ Other.
(check applicable
INDICATE LOCATION(S)(Floo
5 OBSERVED
N�- A 1'
LoV �-- ti IGlla"'
Ut/nP M' AT3I9
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I .�"lN
boxes)
DATE
OBSERVED
10
ref
Ld�SECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
1 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.
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SIGNATURE TRUCTURAL OBSERVER OF RECORD DATE
8 MUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIgD EMPLOYEES OF THE CRY OF NEWPORT BEAClL
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