HomeMy WebLinkAboutX2019-1959 - Misc (2)�`< , (•7 CITY OF NEWPORT BEACH
= COMMUNITV DEVELOPMENT DEPARTMENT
c: r BUILDING DIVISION
"N 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www riewportbeachca aov 1 (949) 644-3200
Structural Observation Report
Project Address:
(orl(� ����
Report Date:
Co•l.r•Zv2o
CNI3 Inspector Name:
CNB Permit N:
]�
Building O or N me:
'ec
Owner's Melling Address (if different from site);
Owners Telephone k:
CNB Plan Check 4
�r
Floor/Roo
OBSERVED
OBSERVED
Full Name of Structural Observer (SO):
$O EE -mail Address:
SO Telephone M
6z
SO License / Reg. N:
a✓c oW1 ✓
ale I rvi e•C0
Lf9
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check appilcable boxes
1 ❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ FINAL STRUCTURAL OBSERVATION REPORT:
and all
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 t e structural systems by the City of Newport Beach, Building
Division. i--
❑ REPORT CONTINUED ON ATTACHED PAGES.
STAMP OF STRUCTURAL OBSERVER
V
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
IbmnitiuuJurv101aervaunnk rankiwrvnunu
DIAPHRAGMS
INDICATE LOCATIONS)
DATE
FOUNDATIONS
SHEAR WALLS
FRAMES
Floor/Roo
OBSERVED
OBSERVED
Conventional
❑ Concrete
❑ Steel
CI Concrete
GOVtG(C.rG tG'
•Zp
Footings & Slab
❑ Mat Foundation,
❑ Masonry
❑ Concrete
❑ Steel Deck
l.Glrr� r
Prestressed Concrete
❑ Caissons, Piles,
❑ Wood or Manuf.
❑ Masonry
❑ Wood
L �e
Grade Beams
Shear Panels
7
❑ Other:
❑ Other:
❑ Other:
❑ Other:
I ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
1 ❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ FINAL STRUCTURAL OBSERVATION REPORT:
and all
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 t e structural systems by the City of Newport Beach, Building
Division. i--
❑ REPORT CONTINUED ON ATTACHED PAGES.
STAMP OF STRUCTURAL OBSERVER
V
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
IbmnitiuuJurv101aervaunnk rankiwrvnunu
y
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.iiewportbeachca.gov (949) 644-3200
Structural Observation Report
proJeuy ptlrlOss;
Report Date: '15-28.
28 zo20
CNB Inspector Name:
CNB Permit M:
GVY
DATE
OBSERVED
AConventional
Footings & Slab
❑ Concrete
Building Owner ame:
Owners Mailing Address (it different from site);
Owners Telephone #:
CNB Plan Check If.
ec
❑ Masonry
O Concrete
❑ Steel Deck
FuII Nva ,e of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License r Reg. #:
loft c Fitt/
tfc bVA
LS
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED check applicable boxes
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
FloorlRoon
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
AConventional
Footings & Slab
❑ Concrete
❑ Steel
❑ ConcreteVV
r Q✓�
�/t�
% c 'LOQ
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
O Concrete
❑ Steel Deck
Gi'a m
❑ 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 enerall tom lies with thea roved 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 verity that the structure is in general conformance with the
approved constr ction documents;
3. 1 unders id th all deficiencies which I have documented must be corrected, prior to
final acceptan a structural systems by the City of Newport Beach, Building
Division.
STAMP OF STRUCTURAL OBSERVER
STRUCTURALOBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
mm:a SmnmuMnamm^Mkrnnxl,wm:,iam