HomeMy WebLinkAboutRS130181_DEPUTY REPORTR.M. Volpe & Associates, Inc.
Structural Engineering
STRUCTURAL. OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved
plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does
not include or waive the responsibility for the inspections required by Section 106, 1701 or other sections of the code.
Report No.
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Project Address: vv
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Structu I Observer of Record (SOR):
Volpe & Assoc.
Phone No. of SOR:
949 305-4700
Building Permit No.:
Structu I Observation performed by:
Professional Lic./Reg. No. of Observer:
Phone No. f O se
9490-/0
Robert Volpe
CE 25116
OBSERVED STRUCTt1RAl_ ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAMES
FLOOR
PORTION OBSERVED, IF NOT WHOLE
❑ Footing, Stem Walls,
❑ Concrete
❑ Steel Moment Frame
❑ Concrete
Q Mat Foundation
❑ Masonry
❑ Steel Braced Frame
❑ Steel
❑ Caisson, Piles, Grade Beams
❑ Wood
❑ Concrete Moment Frame
❑ Wood
❑. Retaining Foundation
Hillside Special Anchors .
PKotl er.
❑ Masonry Wall Frame
❑ Others:
❑ Others:j�3'S'
❑ Others:
OBSERVED DEFICIENCIES: jAzll
I DECLARE THAT THE FOLLOWING STATEMENTS ARETRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OF THE CITY OF LOS ANGELES.
2. 1, OR ANOTHER ENGINEER OR ARCHITECT WHO i HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE, REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS;
3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE;
4. 1 RECOMMEND T ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS
ANGELES B HHELD UNTIL L OBSERVED DEFICIENCIES ARE CORRECTED.
SIGNATURE ATE
Of S/ONq
T VO4 F0
cE 25116 A
K
* EXP. 12/31115 ,*
C I V %
OF CA
STAMP OF STRUCTURAL OBSERVER OF RECORD
LADES-Req.Form.5 (Part 1) (rev.1/2000)
www.ladbs.org