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DEPUTY I INSPECTION
1-800-DEPUTYI
Gen Contr. kd mmktr
Sub-Contr.
R. CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
roxT ' 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
ww, , _ - I (949) 644-3200
SPECIAL INSPECTION REPORT
Project
Permitl
Inspection Type (s):
Inspection Date (s): % ( ) Periodic ( ) Continuous
List Tests Made:
Total Inspection Time Each Day:
Datet/O%�__
Hours:
List All Items Requiring Correction (Include Previously Listed Uncorrected Items):
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.
Spe 1 Inspector Signature:
I Date:
Print Fu Name:
Newport Beach Registration No.:
N met
N o�10�
SpeciallnspectionReport 8-24-15