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CITY OF NEWPORT BEACH 2,500 ro r�
COMMUNITY DEVELOPMENT DEPARTMENT GAr (i y I & PI
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newi)ortbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address: 2300 Port Carlisle PI
Report Date: 12/20/2020
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
Mr. Topffer
❑ Concrete
2889-2019
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
Yasser Salem
ysalem@tds-ae.com
(714) 714-0429
S4902
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footings & Slab
❑ Concrete
❑ Steel
❑ Concrete
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ Caissons, Piles,
Grade Beams
XI Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
❑ Other:
❑ Other:
m ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
THE SHEAR WALLS AND ROUGH FRAMING APEARS TO BE IN GENERAL CONFORMANCE OF THE APPROVED STRUCTRE
PLANS. SEE ATTACHED EXHIBT FOR REVISED FOR FRAMING PLAN.
N REPORT CONTINUED ON ATTACHED PAGES.
SI 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 of the structural systems by the City of Newport Beach, Building
Division.
~l ^
t 12/18/2020
SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE
QRO FE
F� FL S• �q!
3 S 4902 z
EX.12/31/20 rn
�TFOP CAL\ F OF
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
Forms\Stmcmra[ObservationRepon&lnstmcnans