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Report of Special Inspection
Project Name & Address Ted Tyler, 1440 Key View
Permit Number X2018-1082
Inspection Type(s) RSC
Inspection Date(s) 6-13-18 Periodic WIContinuous
Describe Inspection Made, including locations:
Epoxy
Observed the installation of epoxy dowels per schedule and details on the
approved plan. Using Simpson xp epoxy, expiration 2019. Verified the hole
depths and proper cleaning prior to epoxy. Schedule on sheet S-1.
Locations:
1) Elevator - Detail SD1 17 = Note#3 with #4's @ 24" o.c with min. 6" embed.
2) Sunkin Floor Note = #3's @ 36" o.c with min. 8" embed.
A) Note: West wall and North wall are only 4" stem walls with only 3" embed.
3) New Footing Exterior South Wall = (2) #4's top and Bot. with min. 8" embed.
(2 Places)
Work is complete for the areas listed.
List Tests
Total Inspection Time Each Day:
Date
Hours
List Items Requiring Correction, Include Uncorrected Items Previously Listed:
To the best of my knowledge, the work inspected was in accordance with the Building Department
approved design drawings, specifications and applicable workmanship provisions of the IBC except as
noted above.
'I" _ 6-13-18
Print Fullr Jon Newsom Registration No. NB -0303
FORM S142, 2014
X2085-1082
100 dceu')View
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.cov 1 (949) 644-3200
Structural Observation Report
Project Address:
FOUNDATIONS
CNB Inspector Name:
CNB Permit #:
_
1440 Key View
78Building
DATE
OBSERVED
Owner Name:
LReportDate:
s Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check A
Full Name of Structural Observer (SO):
ail Address:
SO Telephone#:
SO License/Reg. #:FarhsdManshetll
- -
oasifine com
714-835-2800
CE36840
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes)
I declare that the following statements are true to the best of my knowledge
1. 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 1 have designated above and is
under my responsible charge, have performed the required site visits at each
significant construction stage to verity 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.
8-09-18
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHGRAGMS
(FloodRoof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional Footings
8 Slab
r Concrete
j— Steel
r Concrete
r'
Mat Foundation,
Prestressed Concrete
�-' Masonry
[; Concrete
1- Steel Deck
r
Caissons, Piles, Grade
Beams
Wood or Manur. Shear
Panels
r Masonry
Wood
-
_
F
Other:
I. !! Other:
Other: - -
r; Other
- II Framing and hardware
connections
.8 g 18 -
-
r'
ITMENS CHECKED ABOVE ARE APPROVED AND WITHOUGH DEFICIENCIES.
i-
OBSERVED DEFICIENCIES AND COMMENTS: -
r REPORT CONTINUED ON ATTACHED PAGES
FINAL STRUCTURAL OBSERVATION REPORT:
�Ihestructural generally complies 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
1. 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 1 have designated above and is
under my responsible charge, have performed the required site visits at each
significant construction stage to verity 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.
8-09-18