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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.newoortbeachca.clov 1 (949) 644-3200
Structural Observation Report
Project Address: 1633 BAYADERE TERRACE
NEWPORT BEACH.CA
ReportDate: 08-03-17
CNB Inspector Name:
CNB Permit #:
Building Owner Name: MR. MIKE CLOSE
Owners Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Full Name of Structural Observer (SO):.
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
FADY HAKIM
FADYHAKIM@FMHENGINEERIN.COM
949-245-8000
C-75736
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlicable boxes)
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
MAT SLAB AND
FOUNDATIONS
08-03-17
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck/
R'—,.
/ REINFORCEMENT �"^
❑ 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: NO DEFICIENCIES
❑ REPORT CONTINUED ON ATTACHED PAGES.
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure 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. 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 the structural systems by the City of Newport Beach, Building
Division. 7� 1
08-03-17
5 I AMY OF 51 HUG I URAL OBSERVER
OBSERVATION DOES NOT WAIVE ANY REOWREMENTS FOR BUILDING INSPECTION BY AUTHORVFO FMPI.OYFFS nF THF CITY nF NFWPnRT RFACH