HomeMy WebLinkAboutX2018-1143 - MiscX ol-111•!3
1033 Goldenrod A'w
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.newr)ortbeachca.gov 1 (949) 644-3200
Structural Observation Resort
Project Address:
Report Date:
CNB Inspector Name:
CNB Permit #:
to v;:
JAN. 07,?01!9
C 815 S I
X2018- 1143
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone M
CNB Plan Check #:
'TO MORRIS
A4°I) °122-OVO
❑ Masonry
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License I Reg. M
5891)! ZA1-ID
o Q L.
6100 zz3 -zoo
❑ Masonry
PLEASE INDICATE STRUCTURAL ELEMENTS AND rnN1NFrrTInNG nRSFRVED !check anolicable boxes)
I declare that the following statements are true to the best of my knowledge:
f. 1 am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. 1, 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.
o 1MIVIr yr .71 MUU I UKAL UHtltHVtR
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REOUIREMEN15 rvN nua.ulRu mora.nV" or mu muautu tR1rLUYtt5 Ur TME CITY OF NEWPORT BEACH,
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FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
10
Conventional
Footin s & Stab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑
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:
fAAFAR.W ALI MIXIM05, 5T#LJ6r/!01 ,Eg%dNs Tddtpls?.i 4R9$ M1 R} �+'S, SN�AIZ TKANJOk
OFVAA.3 r, 5—MAFS I A14"OR UPT!7 SIZZ • $ 51PA01965 AND HoLp DOWNS .
50ME DEfINfrJelf 5 140TEA WHICH WEiZ*. 6R4U4H7 tv THP_ M"TION of rye FIt4HE/4 4NA
pDR-t Wegi f MV109D, A PUDW OP 14's errmA) p'vUNO ❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
Tho srrurture neneraliv comolies 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:
f. 1 am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2. 1, 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.
o 1MIVIr yr .71 MUU I UKAL UHtltHVtR
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REOUIREMEN15 rvN nua.ulRu mora.nV" or mu muautu tR1rLUYtt5 Ur TME CITY OF NEWPORT BEACH,
FornnLSrrvqurulnM1auvetwnRc�n&Inewcliunn
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