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City of Newport Beach Special Inspector Manual
�t.wn�Ar
w4 CITY OF NEWPORT BEACH
- n COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newi)ottbeachra.gov 1(949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 1027 Madnem Drive Newport Beach
Permit Number: 52021.0064
Inspection Type (s): Epoxy Inspection
Inspection Date (s)- 8/17'2021 ( ) Periodic (Q) Contlnuous
Basaft , Intluding Locsdotr s 1
Ardved on site as requested by client to conduct continuous inspection of Installation of (33) No, 3 rebar Into (E) concrete
with 3-12" embedment as stated on approved and signed shiclwaiplane almet 640. Work performed took place on the bond beam.
Spa and pool shallow and .-0o not apply load alter cure thine 24hre— Simpson Epoxy 25744 EXP 09/2023
Condition ofwmkwas wire:b=Nd and air blasted Per manufacturer insfna:dons.
DstTests Made: • �
w, ���_. was accomance wan me tsn Ing uwlslon approved design drawls
spedflWdOns an appl_ le workmans Ip provisions of eU.B.C. exeeot as note a eve. Hef.
spectal ture:
Data:
O`^�•^'�- I
6/17/21
PHM.FuII Name:
Newport Beach Reglstretlon No.:.
Edwin Jimenez
apeddlntpedlonMporc as/25/tms
Inspection
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City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newportbeachGa.gov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 1027 Mariners Drive Newport Beach
Permit Number: 52021-0084
Inspection Type (s): Shotcrete
Inspection Date (s): 6/23/2021 ( ) Periodic (0) Continuous
List Tests Made:
Temperature, and specimens were cast
Total inspect= rime Each Day:
Dates. 6/23/21
. ....... ___.... i.._. ...... .... ... .... ...... .. ............... ............... ............ ....
Hours 4 hours
S daI Inspector tore:
Date..
i
6/23/2021
. Print Full Name: .
Newport Beady Registration No.,
Edwin Jimenez
Inspection No. NB -0731
]pe[iannSpeRionNeport VC/O/[Vii
67