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Geor2e Pares Insoection
13452 Sorrell Dr.
Garden Grove CA 92843
(714)745-2254
FAX ((714) 590-4875
el�� . L
SPECIAL INSPECTION REPORT
DEPT. OF BLDG. & SAFETY
CITY Or NEWPORT BEACH
couNTY of ORANGE
Building Permit Ne X2020-1331 .lob No. Datt 1016/20
Job Identification/Address REMODEURESIDENCE®2333ARALIAST NEWPORT BEACH -
General Contractor / Address PREMIUM BUILDERS
Sub -Contractor / Address
Structural Engineer / Address HAUN NYGUYEN
TYPE OF WORK: REINFORCED CONCRETE_ MASONRY _ HI -TENSILE BOLTING
PRESTRESSED CONCRETE WELDING GYPSUM CONCRETE
WELDER I RECEIPT NUMBER WELDER I RECEIPT NUMBER
OBSERVED PLACEMENT OF 21 5/8''DIAMETER HOLDOWNS PER DETAIL 3/SD2
AND 37 5/8" BOLTS EMBEDDED A MINIMUM OF B". AS WELL AS ALL #4 SLAB DOWLI
EMBEDDED A MINIMUM OF 6e INTO EXISTING SLAB. SIMPSON BRAND
SET XPUSED. ALL HOLES BRUSHED AND CLEANED PRIOR TOINSTALLATIONS.
ABOVE WORK COMPLETED PER PLANS CODES AND SPECS
HOURS
1016120 4 I7:OOAM 19:00AM
All inspections based on a minimum of 4 hours & over 4 hours - 8 hour minimum. In addition, over 8 hours and Saturday will ne
billed at time and a half.
ATTORNEY'S FEES - If any action at law or in equity is brought to enforce or interpret the terms of this Contract, the prevailing parry
shall be entitled to reasonable attorneys fees, costs acid necessary disbursements in addition to any other relief to which such party
maybe entitled i ' a
SPECIAL INSPECTION REPORT
Inspector's Name: George Paras inspector's Signature:
I.D. No NB #106 has been filed and it states that the above work to the best of his/her knowledge complie with -the
provisions of the Uniform Building Code and meets Approved Plans and Specification.
Respectfully Submitted
Approved by: /+ BY
Reject Superintendent 6eo>be Pass Inspection
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