HomeMy WebLinkAboutX2018-1374 - PermitsO
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3 Sea Tcrrcice
OC HOME RESTORATION INC
1133 Baker Street
Costa Mesa, CA 92626
ochomerestoration@gmail.com
Monday, May 21, 2018
To Whom It May Concern:
This letter is written to confirm that Mick Apos is authorized as our agent to pull permits on behalf of the
company.
Sincerely,
Katelyn Nelson
CEO / President
xao�g-�3-�y
3 Sect Terruu
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.newoortbeachca.nov 1(949)644-3200
Structural Observation Report
Project Address: `gyp
S .SSG t
Report Date:
6
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
❑ Steel
❑ Concrete
Full Name of Structural Observer (SO):
SO Email Address:
SO Telephone #:
SO License / Reg. #:
45
P Moral
.Gad -f
,s'rtr¢
9¢9— 3. 9 o f
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aool_ • i able hoxesl
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
FloodRo
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:
hear Panels
❑ Masonry
❑ Wood
❑ Other:
❑ Other:
X Other:❑
)O N
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. 1 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
constr ' sta a to verify that the structure is in general conformance with the
appAsn
uction ments;
3. I u t all deficie ies which I have documented must be corrected, prior to
fin of the stru tura) systems by the City of Newport Beach, Building
Di i
S5847 z
EXP.
OF
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH.
PomsVStrvmirel06eervatiavR¢port&Inshuctio¢x
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive ( P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.gov 1(949)644-3200
Structural Observation Report
Project Address:
3 -Tj&A-
Report Date:
CNB Inspector Name:
CNB Permit #:
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
, r_mI LAtzSeN
❑ Concrete
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
/
❑ Caissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
- I - - - 9¢-9_3x7_4_?_
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applica a 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:
❑ 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
fina�eptance of the structural systems by the City of Newport Beach, Building
S1847 z ;
EXP.
OF
STAMP OF STRUCTURAL OBSERVER
STRIICTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
PormaV9tiu wrelObserveriooRepok&Inanuniom