2314 S Warbler Street - Plan - Laserfiche WebLink

Home Browse Search

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 110, 1704 or other sections of the Code. This report includes all construction work through PROJECT ADDRESS: Building Permit No.: Structural Observation performed by: days of STRUCTURAL OBSERVER OF RECORD (SOR): Observer Professional Lic./Reg. No.: , 20 Page No. Report No. ____________ of SOR PHONE NO.: Observer Phone No.: OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS PORTION FOUNDATION Footing, Stem Walls Mat Foundation Caisson, Piles, Grade Beams Retaining Foundation Hillside Special Anchors Others: Remarks: Other: WALL Concrete Masonry Wood Concrete Moment Frame Frame Masonry Wall Others: Others: FRAMES Steel Moment Frame Steel Braced Frame Steel Deck Wood FLOOR Concrete OBSERVED, IF NOT WHOLE I DECLARE THAT THE FOLLOWING ARE TRUE 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 County of Orange. 2. I, 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; STAMP OF STRUCTURAL OBSERVER OF RECORD SIGNATURE 300 N. Flower Street, Santa Ana, CA 92703 P.O. Box 4048, Santa Ana, CA 92702-4048 Revised 02/2017 DATE www.ocpublicworks.com P: 714.667.8888 I F: 714.667.7575 ocpCustomerCare@ocpw.ocgov.com Special Inspection Program and Designation of Special Inspectors SPECIAL INSPECTIONS (Only checked items are required) INSPECTION ITEMS □ Concrete (Design Mix, Form Work, Placement, etc., per table 1705.3) □ Erection of Pre-Cast Concrete Members □ Bolts Installed in Concrete □ Reinforcing Steel and Pre-Stressing Steel Tendons □ Structural Welding/Rebar Welding □ High-Strength Bolting/Material Verification □ Steel Frame Joint Details □ All Masonry Construction □ Sprayed Fire-Resistive Materials □ Shotcrete (Curing Temperature, Design Mix, Placement, Strength etc. per table 1705.3) □ Soils (Excavation, Fill, etc. per table 1705.6) □ Smoke-Control System □ Driven Piles per Table 1705.7 □ Cast in Place Piles per Table 1705.8 □ Mastic and Intumescent Fire-Resistant Coatings □ Exterior Insulation and Finish Systems (EIFS) □ Wood for High-Load Diaphragms □ Others □ Others □ Others □ Others DECLARATION BY OWNER OR ARCHITECT/ENGINEER OF RECORD: I, the □ Owner □ Engineer or □ Architect of record, declare that the above listed Special Inspector(s) is/are hired by me. SPECIAL INSPECTORS(S) NAME, PHONE NUMBER, REGISTRATION # _____________________________ Print Name _______________________________ Signature 300 N. Flower Street, Santa Ana, CA 92703 P.O. Box 4048, Santa Ana, CA 92702-4048 Revised 10/2015 _____________________ Date www.ocplanning.net P:714.667.8888 I F: 714.667.8885 ocpCustomerCare@ocpw.ocgov.com 02-S0.1 GENERAL NOTES SIMPLE engineering 323-606-3147 GERRY@SIMPLEENGDESIGN.COM Project Title 2314 S. WARBLER ST., SANTA ANA, CA 92704 Drawing Title Revision Date Drawing Number Drawn by Date Scales GH 4/13/2024 N.T.S. NEW ADDITION 1ST SUBMITTAL 04/23/2024 PLAN CHECK #1 09/24/2024 REGISTERED PROF E SS IONAL ENGINEER STATE OF CA L IFORNIA G ERARDO H ERNANDE Z NO. 78115 C I V I L 9/ 30 / 2025 2314 S Warbler St ADDITION12/12/2024