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HomeMy WebLinkAboutM2017-0041 - MiscM2017-0041 9771 Ray Shore Dc 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: 2772 royaYICHORE '(DE. Report Date: (!)',1/ 1412016 CNB Inspector Name: CNB Permit #: Building Owner Name: Kravi v H094" -`c( Owner's Melling Address (if different from site); 2782 BAYsf-for-E 7j?. Owner's Telephone #: 94.9 -Sod -03te) CNB Plan Check M Full Name of Structural Observer (SO): HASOLlf7-J0E-A+z-a1 S.> v. SO E-mail Address: H, JP9-:j. NA�SAe C -C- 4& SO Telephone #: 949-2e6-99.29 SO License / Reg. #: S 3(512. WxT -t®n PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlirahie hnxen) 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 ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT: fp-. i/V%Uf?- ✓1/U G: 7AA� G'%fc6T IW66 - 6FA WALL 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. No. 8 3812 STAMP OF STRUCTURAL OBSERVER RTPIICTIIPAI r1RSPPVATInVnnFR NOT WAIVP ANV RPOI IIPPMPNTR FAP RI III nlNr INRPGCTION PV At ITNOPDPn PMPI OVGPS OP TNG PITV nP MZIAIMPT PGACN Proms\Stmctum[OL emtionReponRinnmctions 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: -- 2772 8AY5H492e Building Owner Name: KEVI/V P-IOiEIAP-T j( Full Name of Structural Observer (SO): S d),LJ4 / IP—ZAH05$9INK 0O/8 I CNB Inspector Name: I CNB Permit#: Owne Mal- AtlpM (ilf different from site); Owner's Telephone #: CNB Plan Check* 27Z SVYSHDeG i>2. 249--3oa—o3/e SO o SO License,/ Reg. PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check able boxes) r 1UN5 SHEAR WALLS FRAMES urArf4tAGMS (Floor/Roof) ❑ Conventional ❑Concrete ❑Steel Concrete Footin s & Slab INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Mat Foundation, ❑ Masonry ❑ Concrete ❑ Steel Deck Prestressed Concrete ❑ Caissons, Piles, ❑ Wood or Manuf. ❑ Masonry ❑ Wood Grade Beams Shear Panels Other. P&qj)rly)I i❑ Other: ❑Other: ❑Other: 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. 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. aiAMM Ur 51 HUO I URAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FasmslSvuclualObseNaM1onitepatiiW4uclions 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.aov 1 (949) 644-3200 Structural Observation Report Project Address: 2772 aAYSNo '>P., Report Date: C21,2-01 20/16 CNB Inspector Name: CNB Permit #: Building Owner Name: ilor—OF—Ty Owne Mai' g Ad ress if !different from site); 270 P a DA. Owner's Telephone #: CNB Plan Check #: /<E l/v - J 249-300-03/ ❑ Concrete Full Name of Structural Observer (SO): DOHA l`r127�Hv55�IN1�$HA SO E-mail Address: S.KHSHANiGwsr�SF-. e- r2-19.49_,?o(, SO Telephone #: 92y SO License / Reg. #: 08289 , I -t - eaxT. *4 i 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 Other: Other: ❑ Other: ❑ Other: %rkiDJ"i{FfV 5 RaJ) ®Z/?,9116 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. 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. © 21201241le STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fo m \Stmctu elObservetion eport&Instructions 2172-13ay Shore Dv 17 engineering geotechnical I.PROJECTNAME$,' i. applications LOCATION consultants FIELD REPORT TO: TYPE OF QSolls INSPECTION I d Reinforced Concrete REQUIRED U Reinforced Masonry U Structural Steel Assembly 13 Drainage 111=1-0041 PROJECT NO. C3 Quality Control U Epoxy Q Other SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS:11 4 A, A L TESTS PERFORMED: /CYLINDERS: RECOMMENDATIONS: SIGNATURE, TIT I (POSITION)- ARRIVAL DEPARTURE/ TIMEON TRAVEL SUBTOTAL Z Ak- PERSONNEL ON SITE SITE TIME L GY�TURE OF SUPERINTENDENT, TITLE (POSITION) q EGA CONSULTANTS 375-C Monte VistaAvcnue Costa Mesa, CA 92627 TOTAL HRS (949)642-9309 (4 PHFLMIN.) FAX(949)642-1290 engineeriA DATES® g'eotech;,21cT NAME PROJECT NO.applicatioCITY consultants j�.r,'„)Si lar ' -"4 -%NDENT/FOREPERSON FIELD REPORT R(S) TI-S�1( I TO: File EQUIPMENT ON SITE PERSONNEL ON SITE TYPE OF Soils U Structural Steel Assembly U Quality Control INSPECTION U Reinforced Concrete U Drainage U Epoxy REQUIRED ❑Reinforced Masonry U Asphalt U Other SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS: "'o IT ./IAfl,CTlt.1r. 77,' �`%.`)-'G.1✓ii,�L' .ai P' - IGG ,.r ,f� h 1,h y;� rl'i�\ it r -.,JT -Yrs >> Ain)<' rd -la!` .cC I /Yr 10 r vG't) TESTS PERFORMED: / CYLINDERS: RECOMMENDATIONS: PERSONNEL ON SITE ARRIVAL JDEPARTUFIE TIME ON TRAVEL SITE TIME SIGNATUil OFFSUPER NTE_NDENT, TITLE (POSITION) EGA'CON�ULTANTS r.".JC0`sta`Mesa, \` 375-C Monte Vista Avenue CA 92627 TOTAL HRS � (949)642-9309 (4 HR. MIN.) FAX(949)642-1290 J , engineering DA�; - r. r.4RSON i Mal �'geotechnical PROJECT NAME PROJECT NO. icationsCATIONconsultants Z ? ���`�`, ��!_111'_D�rri� L SUPERINTENDENT/FOREPEFIELD REPORT ONTR � , . .t �.<,CONTRl�CTOR(S) #,�^"u _1 c:,�' ENGINEER TO: File[ cf� ( �IVlio �3EQUIPMENT ON SITE ERSONNEL 9N SITETYPE OF 'Q Soils Q Structural S ❑ Quality Control INSPECTION Q Reinforced Concrete. Q DrainageQ Epoxy REQUIRED. Q Reinforced Masonr Q As haltQ Other SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS:,,r <l1`- tiac4 3n (1'V6f vjr /e s11Irc IL t � 0t i Vlf .,il 6R r}�id� 1 4%�� 1 =. i5. 1,o- ^, fs6.'', 1, �°r ';.?r yhi/ A l,l t--thA TESTS PERFORMED: CYLINDERS: RECOMMENDATIONS: SITE ARRIVAL DEPARTURE TIME ON TRAVFI aiamTni I :t / EGA CONSULTANTS / __j J 375- C Monte Vista Avenue Costa Mesa, CA 92627 TOTAL HRS (949)642-9309 (4 HR. MIN.) FAX (949) 642-1290 DEPUTY 1 INSPECTION 1-800-DEPUTY1 �EWPOk Gen Contr 4 CITY OF NEWPORT BEACH Sub Contr ._ ii tl, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION `giPF�µNas 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658 www.newoortbeachca.dov 1 (949) 644-3200 SPECIAL INSPECTION REPORT q ProjectAddresS:J+tnd}:.c r Permit Number Inspection Type (s): Inspection Date (s):%P�� 1 �? ( ) Periodic ( ) Continuous Describe Inspection, Including. Location(s): 01 :� f��l�t t:=7 r-f! ) iC-' j,t art l ... ... .. .. Total. inspection Time Each Day: 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. '.Special Inspector, Signature: -. Date: - PrintfullName: NewportBeachRegistrationNo.: e SpeciallnspedionReport 8-24-15