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X2021-2382
(O q oq W wast ftq
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newoorlbeachca.aov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 6904 W COAST HWY NB
Permit Number: X2021-2382
Inspection Type is): Concrete/Epoxy
Inspection Date Is): 03-10-2022 ( ) Periodic (✓) Continuous
++� a
Inspected foxy. installation o f(i 9) #5. ASTM A615.,Grac�g.SQfej,�tforcement dowels.,
at,._.._.
_action East Wall 3%S 3 and Per details 2/S 4, 4%S 4.and. 5/S-4.
Verified use of Simpson Set XP (Exp. 10/29/22).
V
erified proper embed depfh,"lioies cleave ,' and installation per ma nufacturer'insiruct'ions
IFW6rR pe fr ormea per 5J pCcVed-sei oipfans-.oId screpancies no%-d.— -"- �`-`-
.:rn`,.i�t`"i2r,Sta"."iTi""' �`I "F'�r".,+�..''eti w�
IMF
_3-10:2D22.._...._..._..._.._.._
__. .._..__._.._.._...._..._..._.._..._...__..._._.._ _...._. _. �._. _.
To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings,
specifications and applicable workmanship provisions of the U.B.C. except as noted above.
03-10-2022
P iitPiilf amen , ",faw
ait BeaekRe ritrad'No .,
Raymundo Machado
NB-0788
SpeclellnspectlonReport 8.24-15