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1.LA ,,r-! A'r3';' ac;'o{.l <br />Los Angeles Regionol Uniform ,'LARUCPT <br />Code Progrom "'n"".."*-,*.1' <br />STRUCTURAL OBSERVATION REPORT FORM <br />STRUCrURAL OBSERVATION msans lhe visua/ obsaNalion ol the structural syslam, fot gonoral contormance to tho aryroved <br />plans and specificotions, at signilicant construction stagos and at complotiotl ol the structunl systafi. Slructural obso".?alion does <br />not includo or waivo tho rcsponsibility lor lhe inspactions rcquired by Section 108, 1701 or other seclions ol tha coda. <br />Report No. 1 <br />h 30th of JUNEThisrl rncludes all construction work throu 20 1 P No. lofl <br />EOS ELEM€N'3 <br />[: M6l Foundataon <br />{lr57*tt nzt o*t <br />of EPcx'Y <br />bowPt ( <br />lNTo €"xttft^/6 <br />F0o7t /v(" <br />@ zu're6'o11 <br />Stas * poor,i" <br />[J Carsson, Piles, Grad€ <br />86ams <br />ALL WORK WAS PERFORMED ACCORDING TO PLANS <br />Design Concepts - Shiv Talwar <br />a <br />909-510-051 2 <br />Phone NoProiecl Addre8s: <br />2620 HOTEL TERRACE DRIVE, SANTA ANA. CA 92705 <br />Building Peml No Slruclural Obsarvallon perlomed by' <br />Shiv Talwar - Principal Architect <br />Proiessional Lic /Reg No otobsorver <br />c-23417 <br />FOUNOA'ION FRAMES FLOOR <br />I Fooling. Stem Walls Lll Concrete i: Steel Mom€nl Frame D Concrete <br />fJ i/asonry fl Steel Braced Frame fl Steel Deck <br />L-lwood I wood <br />[ 1 aetainrng Foundatrcn <br />Hillside Special Anchors <br />D Masonry Wall Frame <br />[Z others: <br />FPo>U ANt-t+&, <br />NO DEF]CIENCIES FOUND, <br />I DECLARE THAT THE FOLLOWNG STATEiIENTS ARE TiUE TO THE BeST Of MY KNOWLEOGEi <br />1. I A" THE E},IGINEER OR ARCHITECT R€TAINED BY T'IE OWI{ER TO BE IN RESPONSTBLE <br />CHARC€ FORTHESTRUCTURAT OBSERVATION IN ACCORDANCE WITH THE REOUIREMENTS <br />OF IHE CIIY OF LOS A}IGELES. <br />2. I. OR AIIOTHER ENGI}IEER OR ARCBITECT WHO I HAVE DESIGNAIED ABOVE ANO IS UI,IDER <br />L€ CHARGE, HAS PERFORIIiED THE REQUIRED SITE VISITS AT EACH <br />UCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GEI{ERAL <br />PROVED PLAIIS ANO SPECIFICATIONSi <br />S WHICH R€MAIN TO BE CORRECTED HAVE BEEI'I II{DICATED <br />PTAI{CE OF THE STRUCTURAL SYSTEMS AY TXE CITY OF LOS <br />NTIL ALL RVEO DEFICIENCIES ARE CORRECTEO <br />io <br />SIGNAI S'i MP OF STRUCTUNAL OBSER\€R ] <br />ALL NOTEO DEFICI <br />AtsOVEt <br />1, IR€COIIIIMEND THAT <br />ANG€LES AE \IVITHHE <br />tC-f3 11 <br />ty,t0 <br />NOTED DEFICIENCIES with the proposed corresponding correclive actlons with respect lo gonoral conformance <br />with the approvod plans or in the load path; ( A fina! report by the structural obseNor which slates that all obseNed <br />deficiencies have been rcsolved ;s rcgured befaro accoplance ol tho work by the building officials.) <br />OBSERVED PREPARATION AND INSTAL.LMENT OF EPOXY DOWELS INTO EXISTING FOOTING. <br />Phon€ No. o! Observer <br />909-5'10-051 2 <br />ELEtiIENTS/ cONNEcTlox <br />OBSERVATIOI.I LOCATiON <br />flcgncrete Mgment <br />Frame <br />I otners i otners: <br />il othersr <br />a