Laserfiche WebLink
STRUCTURAL OBSERVATION REPORT FORM <br />SIRUCfURAL OASERVATION means the visual obseNation ot the structural system, fot genealconformance to the approved <br />plans and specifications, at signiticant conslrucrbn slagres and at completion of the structural system. Structural obseNation does <br />nol include or waive the responsibility for the inspections by Section 108, 1701 or other sections of lhe code. <br />This reporl includes all construclion work through lb'b day of Auau:r .2 <br />Report No. 2- <br />o 11 Page No. I of I <br />No of SOR <br />626) 204-1088 <br />hone No ot Observer <br />6) 204-1088 <br />OASERVED STRUCTURAL ELEMENTS AND THEIR CONNECIIONS <br />E others None <br />OBSERVED DEFICIENCIES <br />No d-f iuerrci.= "L"."^"& <br />DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE <br />3 R <br />4S II <br />xP cir:19 <br />Ll c TJ <br />FF-SS/ <br />I I <br />1 I AM THE ENGINEER OR ARCHITECT REIAINED BY THE OW!{ER TO 8E IN RESPONSIBLE <br />CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE \/VITH THE REOUIREMENTS <br />OF THE CITY OF <br />: I, OR ANOTHER ENG]NEER OR ARCHTTECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER <br />MY RESPOIiSIBLE CHARGE, HAS PERFORMED THE REOUIRED STTE VISITS AT EACH <br />SIGNIFICANT CONSTRUCTION SIAGE TO VERIFY IF IHE STRUCTURE IS IN GENERAL <br />CONFORMANCE wlTH APPROVED PLANS AND SPECIFICATIONS <br />3 ATL DEF ICIENCIES WTTICH R Ei.IAIN TO 8E CORRECTED HAVE BEEN INDICATED ABOVL <br />4 I RECOMMENO TI.iAT ACCEPTANCE OF THE SIRUCIURAI" SYSTEMS BY IHE CIIY OF <br />8E wlTHHELD UNTIL ALL OBSERVED OEFICIENCIES ARE CORRECTED <br />26{o s. Dnrstor-st. S \r'r{ \rx. CA {ZPl <br />Strudural Ob6€rver ol Record (SOR) <br />Armen Baroonian <br />Burlding Permrl No Struclural Obs€rvaton performed by <br />B & B Associates, lnc. <br />Prolessional Llc /Reg. No. of Observec <br />sE 4227 <br />FOUNDATION FRAMES FLOOR (ROOF)PORTION OBSERVED, IF NOT WHOLE <br />E Footing Stem walls 6nPs\\ tcr.r - unlgaf|X <br />df jurLDFlGl. sLr.r Cr>€' <br />sec-rrar ' 6l Prrlfts{rsq <br />d rrre <br />E Mat Foundation E Masonry E Steel Braced Frame E Steel <br />E Cajsson, Piles, Grade Beems fl Wood E Concrete Moment Frame E Wood <br />! Retainrnq Foundation, Hillside <br />SpeoalAnchor E otners <br />Embed <br />connection <br />! Ottrers: <br />Roof deck <br />conneclionE Others None <br />S ICiNATUR I DA'I'E <br />STAMP OF STRUCl URAL ENCINEER OIJ RI]CORD <br />D Concrete I fl Sleer Moment Frame | ! Concrele <br />Tl Masonrv Wail Frame <br />I <br />OF.