HomeMy WebLinkAboutM2022-0043 - MiscPETRA
FIELD •
JOB NO. PHASE TECHNICIAN DAY & DATE
22-147 200 - Rough Grading Sue Morrow THUIRSDAY, 12/01/22
CLIENT PROJECT
THOMAS JAMES HOMES 4014 CHANNEL PLACE
LOCATION PROJECT ENGINEER/GEOLOGIST
Newport Beach Don Obert
CONTRACTOR
Ekedal
FOREMAN
Derek
OWNERS REPRESENTATIVE
Preston
EQUIPMENT
OBSERVATION / WORK PERFORMED
The excavation for the dead man exposes competent native soils and is geotechnically suitable for steel/concrete
placement.
RECOMMENDATIONS DENSITY TESTS TAKEN
OFFICE LOCATION
ORANGE COUNTY
ADDRESS
3186 Airway Avenue, Suite K
ACTIVITY CODE*
HOURS
155-Obs/Tst- Foc
2.0
CITY/STATE/ZIP
Costa Mesa, Ca 92626
PHONE
(714) 549-8921
TOTAL
2.00
* Includes Portal to Portal Travel
TECHNICIAN (signature)
REVIEWED BY (signature) DATE
CLIENT REPRESENTATIVE (signature)
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newportbeachca.gov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address
Permit Number:
Inspection Type (s):
Inspection Date (s):
DEPUTY 1 INSPECTION
1-800-DEPUTY1
-79
Gen Contr.m/
Sub-Contr: ,L
Describe Inspection, Including Location(s):
�s :_.......... - - . _ ..... . . ... n _._Ca �� ...1-� .._ 0 4.....�. _ .__......__............_.._.
List Tests Made:
'�;e :e. Iq. �. ........
Total Inspection Time Each Day:
Date:
-
Comments:
T
n UO.
To the best of my kno edge, the wo Ciinspected wasp accordance with the Building Division approved design drawings,
specifications an is orkm ship provisions o the U.B.C. except as noted above.
Special l a for ignature: Date:
Print Full Name:
Newporl Beach Registrati No.:
SpeciallnspectionReport 8,24-15
M 0022- OOL(3
4101H Ct.,c,^KeI V-_)
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.gov 1 (949) 644-3200
Structural Observation Report
Project Address:
4014 CHANNEL PLACE
Report Date:
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
pp///C�/ZZ
Omer ALISOnyIEJOrPARI�AY #1t from
r m site);
Owner's Telephone #:
CNB Plan Check #:
THOMAS JAMES HOMES
ALISO VIEJO CA 92656
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
PLAMEN PETROV, P.E.
CONSULTING@PMA-BG.COM
(714) 717-7542
C 66947
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
❑ Wood or Manuf.
Shear Panels
❑
Masonry
❑ Wood
Othe :
[Y Other: C�4W
❑
Other:
❑ Other:
J1; �vt
// �� 2�
ITEMS CHECKED ABOVE ARE APPROVED AND
WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ 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. 1, 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. _
//1
ESS/pt,
�pRISSOLA
No.0 66947'
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sT9T C I V \� ��\P
FOF CA1\F�
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
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