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Oa *0 � ._ Vr,� m N_ 2 N Ip w a o C F O N O O w o < °- y ry w N w m roam o O m o ° Q OO o. u m m m m z O Fm3 S p o' N 0 m S_Da C)0 myT O.<m 0 SNm cW0 J C m3 a T O w N O w O w N _, Q m .. a. m C m a Z O .0 O m 40 O O OF 0 sw w m v+n o Qys _ 3 w loF_S z O. -o 3 ° W. m am A a o mNa a- m o m m m m .- mm na^ mom 3µ°.m N < O e m c y O e C 3 Q m N° z c m m mo a -< p O C) O 0 0 w 9 o< m F O 0 N m om m n O O Q W w m 0 fmn N O O m O" m O p A 2 A o- w 3a N p f O O 0 3r6'm5 J mm N r c W� 3 m F-O m o pya .. O- Z m y ^ w y< O w m w 0. O DO 4i O m O W A 3 c y d oQ Qo -Na m Z c j O y ,wv, A N N 3 o O w s ti m m O p 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 S'O##3 Structural Observation Report ,w _ zo-otS Project Address: �, 10 i Report Date: n CNB Inspector Name: CNB Permit #: Building Owner N aLmz Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Tole hone #: C e4 662-0910 SO License I Reg. #: a PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (FloodRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete Steel ❑ Concrete /'Q "' A„ S W7S� ' h J ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck sty�,s� �L ebn d ..S ❑ Caissons, Piles, Grade Beams Wood or Manuf. Shear Panels ❑ Masonry �( Wooda.,�� ! ❑ Other: ❑ Other: ❑ Other: ❑ Other: b" P w ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. FINAL STRUCTURAL OBSERVATION REPORT: he 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 verity 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 accsep" of the structural systems by the City of Newport Beach, Building C:6 12d2i( DATE p%AOFESS/0�y y tP'NGk/q Y No. 5288 c ExP. 6/3 a ��' s�dCTyRP� 9r a�P �OFCAI If( STAMP OF STIR ALOBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomjiZtmaum[Obwc ationRe on&fnsimniom / DAY DATE .�, ' engineering� ,I" _J w , e— getal EU �ME - applications / LOCATION consultants -EPERSO SUPERINTE INK" FIELD "�FOR REPORT CONTRAcTdR(S) TO: File ENGINEER-7 EQUIPMENT ONSITE PERSONNEL ON SITE TYPE OF _7 �Usolls LJ Structural Steel Assembly INSPECTION I ZI Reinforced Concrete Ll Drainage REQUIRED El Reinforced Masonry C1 ASDhalt SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS: v" J TESTS PERFORMED: CYLINDERS: RECOMMENDATIONS: IOJECT NO. /t e,7i q�" LI Quality Control Q Epoxy D Other 141 V-1 4 v oz o SIGNATURE OF SUPERINTENDENT, TITLE (POSITION) EGA CONSULTANTS 375-C Monte Vista Avenue Costa Mesa, CA 92627 TOTAL HRS (949)642-9309 (4 HR. MIN.) FAX (949) 642-1290