HomeMy WebLinkAboutXR2023-0880 - MiscCITY 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.goov,1 (949) 644-3200
Structural Observation Report
Project Address:
6? R_ v , V I I- Liz,, R S
Report Date:
131
12b
CNB Inspector Name:
CNB Permit #:
�,_R bz-098
Building Owner Name:
Owner's Mailing Address (if different from site);
Owner's Telephone #:
CNB Plan Check #:
G
h u `VILLISON(p(p.
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License / Reg. #:
G-a 91_.X144
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C-1841
PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check annlienhip hnxesl
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
Conventional
otin s & Slab
❑ Concrete
❑ Steel
❑ Concrete
SL(A) TO e
❑ Mat Foundation,
Prestressed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
ry� rp, i�
UN UER
❑
Caissons, Piles,
Grade Beams
Wood or Manuf.
hear Panels
❑ Masonry
❑ Wood
❑
Other:
❑ Other:
❑ Other:
❑ Other:
ile clot.,
ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. - f
❑
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 deficie ties ich I have documented must be corrected, prior to
final acceptance 5T'Nye r tural systems by the City of Newport Beach, Building
Division. � I I a 9
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P o. C-1,W991 x
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STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATIO DOES NOT WAIVtkANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH,
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