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4@sE <br />oElliTitfT 0f !!IL!llG llto slfETY <br />STRUCTURAL OBSERVATION means the visual observation ol the structural system, tor general conformance to the <br />approved plans and specifications, at significant construction stages and at completion of the structural syslem. Structurat <br />obseruation does not include or waive the rcsponsibility tor the inspections required by Section 108, 1704 or other sections of <br />the code. <br />Report No oor <br />This report includes all construction work through 62 day ot L ,20 /E Page No. o,t ot o I <br />OBSERVEO STRUCTURAL ELEMENTS AI{D THEIR CONNECTIONS <br />' For concrete buildangs more than 160 in Structural Height: Concrete mix meets the modulus of elasticity <br />NOTED OEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance <br />with the approved plans or in the load path: (A final repod by the structural obseNer which states thal all obseNed <br />deficiencies have been rcsolved is required before acceptance ot the work by the building otficiats.) <br />r- -/ L .b ,.n^.- t;^ -/! 4 ---'),\, at tA--t,t 6,1 <br />/' <br />I OECLARETHATTHE FOLLOWING STATEMENTS ANE TRUE TO THE BEST OF MY KNOWLEDGE: <br />,I. I AIT THE ENGINEER OR AFCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE <br />CHABGE FOR THE STBUCTURAL OESERVATION IN ACCORDANCE WITH THE REOUIREMENTS <br />OF THE CITY OF LOS ANGELES. <br />2. I, OR AI{OTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED AEOVE A D IS UNOER <br />MY RESPONSIBLE CHAFGE, HAS PERFORMED THE REOUIRED SITE VISITS AT EACH <br />SIGNIFICANT CONSTRUCTIOT{ STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL <br />CONFORMANCE wlTH APPROVED PLATIS AND SPECIFICATIONS; <br />3. ALL NOTEO OEFICIENCIES WHICH BEMAN TO BE CORRECTEO HAVE BEEN INDICATED <br />ABOVEi <br />4. I RECOMMEND T TANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS <br />ANGEL€S BE <br />SIGNATURE OF c o <br />1s4" .&"/ .D-.-n <br />Projecl Address:Stru-ctural Observer of Record ISORIE-A./E --/ ^-- <br />Phone No of SOR <br />Building Permrt No Structural Observation oerformed bv,4J-/ ,1---l^n..', <br />Professional Lic.,Reg No. of Observer:c€+3Caf Phone No of Observer: <br />?/- - 3Z.c-- l9o <br />FOUNOATION WALL FBAME ELEMENT/ CONNECTION <br />OBSEBVATION LOCATION <br />fhoting, Stem Walls, Piers !Concrete Dsteel Moment Frame ffioncrete <br />OModulus of Elasticity' <br />Concrete Shear Walls Elsteel Braced Frame Esteel Deck <br />!Caisson, Piles, Grade <br />Beams !Masonry flconcrete Momenl Frame Sood <br />Betaining Foundation <br />Hillside Special Anchors [Wood !Modulus of Elasticity' <br />Seismic Moment Frames <br />fltners r{lotherslA .', ,l -/(a, /tztc tat <br />l-'lthersI/;^, <br />@1917) <br />L L OBSERVEO OEFICIENCIES AFE CORBECTEO <br />STAMP OF STRUCTURAL OBSERVER <br />a <br />Los Angeles Regionol Uniform <br />Code Progrom <br />STRUGTURAL OBSERVATION REPORT FORM <br />FLOOR <br />Dat Foundation <br />!Others: <br />requirements in design for selsmic force resisting systems.