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Home My WebLink AboutCENTRAL AVE 29225_04-00003150_FIREIA14-11 -2006 WED k5 :29 Ph RIV CO FIRE P &E FAX N0, 951 955 4886 P. 01 RrvEKNrDE1,o Tom Tisdale Fire chief Proudly serving the unincorpornted area of River ide County and the Cities of Banning w Beaumont a Calim Canyon Lake rf Coachella Desert Iiot Springs Indian Wells tit Indio 4- Lake Elsinore Jf La Quinm J Moreno Valky t Palm Desert .. t Perris y Runcho Mirage San Jacinto Tcmacula 11pard ofSuparvim Bob Ruaer. Muia 1 Jahn Ts%#gjimc Disuia Jim Vcmabla 1)iaria 3 Rav WjNtn. Piuin i tuft .mullro. pilru S 1103 FIRE DEP_A.R In cooperation -with the California Department of Forestry and Fire Protection Fire Protection Planning and Engineering Services 4= lemon Street. a Floor • Siverside, Califamia 92501 • (9X) 955 -4777 Fax (909) 9555 -445 DATE: SURVEYOR'S OFFICE 1J / 5 /yG j_ BUILDING AND SAFETY TRACT/PARCEL MAP NTUIMBER: PEF04T NUMBERILOT #: Z JOB SITE ADDRESS : FINAL FOR RECORDATION RELEASE FOR BUILDING PERMITS SHELL FINAL ONLY (NO TENANT) A-FOR °OCCUFi4, sir= FINAL OCCUP. TEMP. EXPIRATION DATE BUILD PLAN CHECK FEES PAID MITIGATION -FEES PAID MITIGATION FEES NOT PAID FEES NOT REQUIRED IF YOU SHOULD HAVE ANY QUESTIONS, PLEASE CALL THE RIVERSIDE COUNTY FIRE DEPARTMENT, PLANNING SECTION AT THE ABOVE NUMBER_ FRANK KAWASA " , L N C141E RELEASED BY: 11 -14 -O tlemm orporate: 2992 E La Palma Avenue, Suite A, A CA 92806 Tel: (714) 632 -2 ax. (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Strect, Suite C101. Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 653.4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of COi4PRESSIVE STRENGTH -GROUT ASTM C1019 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE. CA Client: THE BERGbWAI COMPANIES A Set No.: 5-6115 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 9/16/2005 29225 CENTRAL AVE. 11.12 LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 9/16/2005 3 X 3 X 6 11.12 22,100 1,990 N/A 28 10!7!2005 3 X 3 X 6 11.39 45.000 3,950 N/A 28 10172005 3 X 3 X 6 11.29 1 42 200 1 3,740 1 N/A 28H 10172(105 I 3X3X6 1 9.00 Specified Strength: 2,000 PSI Sampled By: N41KE GUTZWtLLER Location: DECORATIVE VANEERS FACING PILASTERS. Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P -8 Ticket No.: 5043 Water added at Site: 0.00 gat. By Cement Type: . Mix Time: min. Remarks: Distribution: THE BERGMAN COMPANIES RICK ENGliERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 9/9/2005 Date Received: 9/14/2005 Concrete Temp: °F Ambient Temp: °F Slump: 6.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 3840 PSI 28-day compression test complies with the specified strength. t rust ural _ SCE Job No: - E- 122005 -6 Concepts; sgineering Memo Company: City Of Lake Elsinore Attn: Inspector Dave Bergusson Tel: 562.863.1981 Fax: 562.864.8784 Re: Staples #1387 cc: Inspector Bergusson, From: Bobby Sharifi Date: December 21, 2005 Fax: 714.456.0066 Phone: 714.456.0056 Pages (incl cover): 1 It hos been brought to rrry attention iffiat. the sheMng units at the Staples Lake Elsinore store were installed slightly d'r'-'`ererst ro:n our specifications. The shelving units have been installed using a ledger and attaching the units not only at the bases withs ar chors but also to the walls. Also in lieu of V4' anchors, 3/8" diameter anchors were utilized. Note gist the systerns in questions were all designed to be self sustaining units not needing additional bracing from itse walls. You will note that anchors were specified as the hold down devices only and being that they have incr eosed the anchor size and also attached to the wall for additional bracing the system is now even more rlg,d then Previously designed. Reose take this leiter as our approval for the adequacy of the shelving units, they ore rrsar e than odequote in sustaining the imposed loads. Please feel r; ee to coil with any questions you may hove regarding the above matter. r -- r $SIQ p 4 4 Bob Sharifi r $LH SGE Inc - 9 68381 7D Of CAL F DEC 2 ? 2005 1729 S. Douglass Rd, Ste B Anaheim, GA 92806 Tel: 714.456.0056 Fax 714.456.0066 e -mail: sceng @engineer.com 011p"'le: 2992 E- La Palma Avenue, Suite A, An CA 92806 Td: (714) 632 -2999 rax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 fid: (909) 653 -4999 Fax (909) 6534666 Branch: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: C0iN4PRESSIVE STRENGTH - GROUT ASTM C 1019 ss CITY OF LAKE El SWORE -BLDG & SAFETY DEPT 130 S MAN STREET LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES A Set No.: 5-6459 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 10 /1012005 29225 CENTRAL AVE. 10.82 LAKE ELSINORE, CA Xge Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 10 /1012005 3 X 3 X 6 10.82 28,600 2,640 N/A 28 101312005 3 X 3 X 6 9.00 28 10/312005 3 X 3 X 6 9.00 28H 1 10/312005 3X3X6 9.00 Specified Strength: 2,000 PSI Sampled By: MIKE GUTZWILLER Location: A Date Sampled: 10/32005 Date Received: 10/5/2005 Concrete Supplier: SUPERIOR READY MIX Concrete Temp: 73 OF Mix No.: 65K 3/8 C66P52 Ambient Temp: OF Ticket No.: 6782 Water added at Site: 20.00 gat. By FOREMAN Slump: 8.00 in. Cement Type: Mix Time: min. Tested at: Anaheim Remarks: Distribution: THE BERGI\SANI CONIPANIIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSD%rORE -BLDG & SAFETY DEPT LAB COPY ** Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer PG orporate: 2992 E La Palma Avenue, Suite A, An CA 92806 Tcl: (714) 632 -2999 :(714)632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax (858) 537 -3990 Branch: 14320 Els orth Street, Suite CIO[, Moreno Valley, CA 92553 Tel: (909) 65311999 Fax (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COiMPRESStVE STRENGTH -GROUT ASTM C1019 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Ctient; THE BERGMAN COMPANgES A Set No.: 5-6459 File No.: Date Tested- Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 10/10/2005 29225 CENTRAL AVE. 10.82 LAKE ELSINORE, CA A Age Days) Date Tested- Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 10/10/2005 3 X 3 X 6 10.82 28,600 2,640 N/A 28 10/31/2005 3 X 3 X 6 10.52 37,700 3,580 N/A 28 1013112005 3 X 3 X 6 10.76 38,000 3,530 N/A 28 H 10131/2005 3 X 3 X 6 9.00 Specified Strength: 2.000 PSI Sampled By: MIKE GUIZWILLER Location: Date Sampled: 10/3/2005 Date Received: 10/5/2005 Concrete Supplier: SUPERIOR READY MIX Concrete Temp: 73 °F Mix No.: 65K 3/8 C66P52 - Ambient Temp: °F Ticket No.: 6782 Water added at Site: 20.00 gal. By FOREMAN Slump: 8.00 in. Cement Type: Alit Time: min. Tested at: Anaheim Remarks: Distribution: THE BERGMA N COI+TPPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY** Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 3560 PSI 28-day compression test complies with the specified strength. Report of: CO.\4PRESSRrE STRENGTH -GROUT ASTA4 C 1019 s CITY OF LAKE ELSf\'ORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: TILE BERGMAN CO.IPANUES _ A Set No.: 5 -6372 - f File No.: Date Tested op"Me: 29921 =1a Palma Avenue, Suite A A 92806 Project No.: Tel: (714) 632 -2999 max. (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 10/42005 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Brunch: 14320 ELsm wlb Street, Suite C101, Moreno Valley, CA 92553 1,770 Tel: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, S)Imar, CA 91342 3 X 3 X 6 Tel: (818) 833 -8100 Fax. (818) 833 -0085 Report of: CO.\4PRESSRrE STRENGTH -GROUT ASTA4 C 1019 s CITY OF LAKE ELSf\'ORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: TILE BERGMAN CO.IPANUES _ A Set No.: 5 -6372 - f File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 10/42005 29225 CENTRAL AVE. 9.58 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 10/42005 3 X 3 X 6 9.58 17.000 1,770 N/A 28 10(252005 3 X 3 X 6 9.30 22.000 2,360 N/A 28 10252005 3 X 3 X 6 9.55 22.100 2,310 N/A Specified Strength: 2,000 PSI Sampled By: DANI NEILL Location: POP OUT@ WEST SIDE OF BLDG- CE \TER OF BLDG Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P-8 Ticket No.: 6256 Water added at Site: 0.00 gal. By Cement Type: 11 Mix Time: 85 min. Remarks: Distribution: THE BERGMAN CO14PANtES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** A Date Sampled: 9/272005 Date Received: 9/29/2005 Concrete Temp: 74 °F Ambient Temp: 70 °F Slump: 9.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 2340 PSI 28-day compression test complies with the specified strength_ Ogporate: 29921= La Palma Avenue, Suite A, CA 92806 Tel: (714) 632- 299 iax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%vrth Street, Suite C101, Moreno Valley, CA 92553 Tel- (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C 1019 ss CITY OF LAKE ELSIN ORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client, THE BERG,MAN COMPANIES A Set No.: 5 -6372 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 10/4/2005 29225 CENTRAL AVE. 9.58 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 10/4/2005 3 X 3 X 6 9.58 17,000 1,770 N/A 28 10/25/'2005 3 X 3 X 6 9.00 28 1 lop-moos I 3 X 3 X 6 1 9.00 Specified Strength: 2,000 PSI Sampled By: DAATNEILL Location: POP OUT Q WEST SIDE OF BLDG- CENTER OF BLDG Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P -8 Ticket No.: 6256 Water added at Site: 0.00 gal. By Cement Type: li - Mix Time: 85 min. Remarks: Distribution: THE BERGMAN COit9PAA`IES RICK ENGINEERING COMPANTY (ORANGE) CITY OF LAKE ELSMYORE -BLDG & SAFETY DEPT LAB COPY" Date Sampled: 9/27/2005 Date Received: 9/29/2005 Concrete Temp: 74 °F Ambient Temp: 70 °F Slump: 9.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer n r TG_ Corporate: 2992 E. La Palma AV -. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diegolimperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.39% Fax: 858.537.3990 r Inland Emp 14320 Elsl treet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd , Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF %%WX tITSPECTiki OTEMICIA" SQy AVAnABLE SOIL REPORT M (N) SPECS (N) APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDVIG PROJECT NO EYi REPORT NO. PG OF C&ITPACTOR PLAN FILE NO. PERMIT NO SUB -ODI PRWFLT NAM£ _ IISPECTIDN ADORESS ADDRESS OF PROJECT 7-s 22,57 ,e < REPORTING REQUIRE %1V,,` TS_ ICBO FIELD INSPECTION MA,NUAUAITGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NO.N'- CON'FDR,{i WORK ATTHE END OF THE WORK DAY, OR ,\IISSh\G SfIRS, ANFD RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGIINAL DEFICIENCY REPORT AND SUBMIT A COPY WrrH YOUR WEEK'S REPORTS. MATERKS USED BY CONTRACTOR (ICE.11M RESEARCH REPORT R'O. OR MATUM TEST REPORTS): 02 ccc-, E9SAPIdFNi / teASSPCjrBt u AREA GRID LINES. PIECES OBSERVE Ca2AZZ- . (a11) 45 STRUCTURAL MOTES. MAIL, OR RFIS usm F0411 i m. INaUJIY£ AffFnxr& S-:5 /e LAG / 5%Yt % f / /% l/ /i« e3 1 v I ,.7 Cs a ' mod a s , s.e 1; - 1. % L c.'. y REWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION: t4iAiHEs r<' w A % T£JJPETTATUR£ 2v 0 SA WtES T rel! ! Ste,— C1 -rte .3 TESTS REOUIRED. SITE TTQ E START: 7 : C7 SITE TIME FINISH: ! LURCH PERIOO: TRAVEL TIME: VERIFIED BY. 1 DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOWESTIGATION RECOMMENDATIONS, AND / OR ROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r SlpnaDlle Date of Report ICBO Certification Number Prim Nam City / County Certification Number Rev. 7/97 w Corporate: 2992 E. La Palma Ate. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San OiegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elst Street, Ste. C101 Moreno Val CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF %%1W 0I.vS wm OTECtW W9[ AVAStASILL SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS m (N) APPROVED SHOP DRAWING (Y) (N) ARCMTECT / f/J r % C l. FOR WEEK E.YDING 1_ dJ PROJECT NO / Z V0_. ENWEER REPORT N0. PG OF CQiiRACTOR f j JL PLAN FILE NO. PERMIT NO a SUB- CQTTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTWG REQIHRE: %IENN'TS: ICRO FIELD e[N°SPECTION' A1ANN*UAUSrrGLSOIL 41A. \UAL— REVIEW PREVIOUS REPORT'S AND LISTS IF THERE IS NQ \- CON'FDR,eihNIG WORT: AT THE END OFTHE WORK DAY, OR AITSSIN'G N4TRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY YOURS OR A PREVIOUS hYSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMTT A COPY WFTH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTDR (MUDS RMARCH REPORT NO, OR MATERIIAL TEST REPORTS): C001 RACTORS; EOIjIPMM i MAwOwER USEID- ARIA. GRID LUES, r IECE;i OBSERVED. STUCTURAL IMTESL OETAR De SM LS'ie nn As z REMARKS. tA'apAUfE Ii TTxas: 1 C r 17 21 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: wajmt TF TERA 9 SAMPLES TAgk6rl _ TESTS REOOIREDitq- SITE TIME START: SITE TIME FINISH: = S LURCH PERIOD: TRAVEL TLNE: VERIFIED BY. 1 DO CERTIFY THAT I HAVE PERSOMA.LLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. Aldo / OR THE APPROVED PLANS. - SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT o J47yt -4 zeC, U S+p>tia Date of Report ICBO Certification Number C (Sr . S Prio name City / County Certification Number Rev 7/97 V TGI_ Corporate: 2992 E. La Palma At<oe. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: ,714.632.2374 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax. 858.537.3990 1 Inland Emp, 14320 Elstreet, Ste. C101 Moreno VaI CA 92553 Tel: 951.653.4999 Fax: 951 653.4666 FIELD REPORT TYPE Of WORK O INSPECTOR OTECINIM11 AVAILABLE SOIL REPORT (1) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT. NOIltl.Z t-6 S EItGHNFER - REPORT .M. PG OF CONTRACTOR SL PLAN FILE NO. PERMIT NO C)/-/- () 0 0 SUB -CIN'R RACTOR PROJECT NAME 11 SPECTIOIN ADDIRZS. S - 27 ADDRESS OF PROJECT 1,4ke, GlJ 7 v/- v REPOR72'G R6QTiIRE.YIINIDTS: ICRO FEELDINSPECTTON MAN "IbU , ITGi.SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON - CONFORMING WORK AT THE END OFTHE WORK DAY, OR MISSING .&4 RS. AND RFTS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS IINSPECrOR'S. IS CORRECTED. SO N07E ON THE ORIGINAL DEFICIENCY REPORT AND SUBNUT A COPY %NWH YOUR WEEK'S REPORT'S. MATERIALS USED BY COITRACTOR INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST Rif ORTSK C(K'ffMTORS EQUIPMENT / MA:!PO%ER USED: AREA. GRID FLUES. PIECES OBSERVED 40 -,,,4- c. c, v s f we / 7 Y v V / ' 3 n ,f ! ' `s L!f //mac . s :L 1 G -/1 STRUCTURAL NOTES. DEYAA, OR RTLS USEEr 4, R91.ARTCS. Trti+QUDiIt£l 4 r s s kx r ((©eln— Grv1 G/+T r'J (i'.2(Z REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: k7Ai A — T Jt3{iLA JTU,y- SAMPLES TAH_ qx Tf5T5 REDO V SITE TVAE START: i< G'?2 SITE ME FLVISH: r d LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITR THE SOIL PV STIGATION RECOMMENDATIONS. AND!, THE APPROVED PLANS. SPECIFICATIONS APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN-THE DEFICIENCY REPORT Sign Date of Report ICBO Certification Number Prim !tame City / County CerMication Number Rev 7/97 Corporate: 2992 E. La Palma A *e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl 14320 Elsk, treet, Ste. C101 Moreno Val A 92553 Tel: 951.653 4999 Fax: 951.653.4666 FIELD REPORT TYPE OF W MORK 0 UISPECMq Q TEMRCIAN AVAILABLE SOIL REPORT (Y) (N) APPROVED PLAYS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK FNINIG V -0 PROJECT NO. Z 2 y ENGINEER l J REPORT No. PG OF TA TRACTOR r j J \L P) AN FILE IIO. PERMIT NO o o,)11 'o SUB- CMITRACTOR PROJECT UW E U$PEC71011 ADDRESS ADDRESS OF PROJECT REPORTING REQLIRENI&N't'S: ICBO FIELD INSPECTIO` MANIJAU`ML SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NOV- CONPDRNIING %YORK ATTHE EeD OF THE \YORK DAY, OR MISSING ATiRS, AND RFIS, ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PRE.V9OUkS INSPECTOR'S. IS CORRECTED. SO NOTE QN THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY %VITIi YOUR AVEEIVS REPORTS . MATERIALS USED BY CQ.M iM (U Td UDE RESEARCH REPORT ?a OR W1TERlAL TEST REPORTSr CONTRACTORS EOUIPJdENi / MAPPO'A.'Bi USED: AREA, GRID UN3. PIECES OBSERVED: C C C*yn ,1e-cX - v cYC / A C.'+'00 STRUCTURAL NOTES, DEEMIL OR RT61KS[ REMAR4LS, t7iCltRJtdlC JIEF7Flt6fi l oZIT J r J?'i C 1i1. l Pl REWORK t[r C '1 G% r J11 Z' AS PERCENT T)F ALL WORK TODAY7 PERCENT PROJECT COMPLETION* SSiATIfER IENPEiiATURf SIMPUS T1KE*_4;7 TESTS REaUERQRj5L_ SITE TIM START- aJ SITE TIME FINISH: co " LUNCH PERIOD: TRAVEL TWE: VERIFIED BY 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH AND R THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE I 2 / /aS qt S' re Date of Report u /r V 6 l otV-1 t2 &4 lu 2 Prfru t IWESTiGATION RECOMMENDATIONS, THE DEFICIENCY REPORT 4 3(7 ilj /I `5- ICBO Certification Number f 4 / City / County Certification Number Rev 7/97 F TG I f Corporate: 2992 E. La Palma Avo. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 1 Inland Empi 14320 Elstreet, Ste. C101 Moreno Val A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 0 %SPECTOR 01ECHJI:CIA.V AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLAYS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR LVEfiC ENDING ECT NO. v EJIGIh'E31 F /-/w 0/) REPORT PG OF CONTRACTOR ` ` Jo-r Pt AN ft4 NO. PERMIT SUB- COVTRACTOR iJ L PROJECT NA6.E / j V-wJ* i0I1 AODRM a2? ce- f ! 1 r ! ( f (, L ADDRESS OF PROJECT C REPO QUIR&%1IEN ICBO REED INSPECITON MANUAL61TGL SOIL Ri.A \`UAL- REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON- CONMRNILNG WORK AT THE END OF THE WORK DAY, OR MISSING NITRS, AND RRS. EM, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DIEFIC(E-NCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO MOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUB N1IT A COPY WITH YOUR K'EFICSREPORTS. ' _ - -- --- -` — -- MATERIALS USED BY COT•'TRACTOR (IMCLUDE RESEMCH REPORT RM OR MATERIAL TEST REPORTSy - CONTRACTORS WIRPh"JIT / MAJifPO%E L USA 4m &,n n I "e- IF AREA. GRID UI:ES, P("tCES OBSERVED: J %'1 Q / • J 9 % ' Cites !/{i ° :J•'i ° STRUCRdRAL N107J S. O£FJIIL OR RFIS WHr L 7 EJ, /s REMAM. 1IPQ07tk'4? »srfSs e., ToZ ov 4,1 z S ,r'' C Uc !: v7 g va; r nlr o in _. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER:- -- T8 P90i1iTLGtE SAUKES TAKER_ TESTS REWIRED: f-- SITE TIM START: SITE TIT•fE FINISH: ©l :70 LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 1 DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL VESTIGATION RECOMMENDATIONS OR THE APPROVED PLANS. SPECIFICATIONS dD APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT I / / US S' re v f Date of Report ICBO C dlcation Number / Prim N Ity, / County Certification Number Rev- 7/97 t-9-M., 2992 E to Palma Avenue, Suite A CA 92806 Tel: (714) 632- 29 rax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsanrth Street, Suite CI01, Moreno Valley, CA 92553 i Tel: (909) 6534999 Fax: (909) 6534666 Branch 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: CO`v1PRESSIVE STRENG'T'H -GROUP ASTN4 C1019 ss CITY OF LAKE ELSINORE BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMA,N COMPANIES Set -No::_ 5-5970 File No.: - Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE - STAPLES 9/9/2005 29225 CENTRAL AVE. 10.49 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load tbs.) Strength psi) Type of Fracture 7 9/9/2005 3 X 3 X 6 10.49 26,400 2,520 N/A 28 9/30/2005 3 X 3 X 6 10.69 38,400 3,590 N/A 28 913012005 3 X 3 X 6 1 10.65 38,100 3,580 N/A Specified Strength: 2,000 PSI Sampled By: wMBERLY VAN ALSTINE Location: 2ND LIFT SOUfH EAST CORNER Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P-8 Ticket No.: 4517 Water added at Site: 0.00 gaL By Cement Type: Mix Time: 55 min. Remarks: Distribution: THE BERG,t4AN COMPANIES RICK ENGLNEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY" - Date Sampled: 9/2/2005 Date Received: 9/6/2005 Concrete Temp: 88 °F Ambient Temp: 92 °F Slump: 7.75 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 3580 PSI 28-day compression test complies with the specified strength. Corporate: San Diego/imperial County: 2992 E. La Palma Av . A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: _714.632.2974 Fax: 858.537.3990 FIELD RERC Inland Ern 14320 Els"Otreet, Ste C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 IRT TYPE OF HDRK O [1t52aSiO4i L3 TEM I7AR AVAILABLE_ SOIL REPORT (Y) (N) APPROVED PEAS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT v `7 c FOR V.'E£x ENDING 7 r bS PROD CT NO. 1 /V-`/-Z(,-.05 ENGI)JEER REPORT NO. PG OF CONTRACTOR /J { J PLAN FILE N0. PERMIT Oil N0._ 00 O .Y?, vSv SOB-OD.*nRACTOR PROJECT NAME I:SPECMN ADDRESS [ AODFMSS OF PPRWECT REPORTING REQTIIRE}TEEN'TS: ICBO FIELD RTSPECTION MANUALINML SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS XO\- CDNTFOI12V G WORK AT THE END OF THE WORK D4Y. OR A4SSIHG .WTRS, AND RFIS. ETIC., FILL OUT AND ATTACH A DEFICIENCY REPORT RTHEN A DEFICIEWCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY \VR'N YOUR \L'EEK'S REPORTS. MATERIALS USED BY =TRACTOR (INCLUDE RESE.AM REPORT N0.OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMJSIT I MANPOK'SH U AREA GRID LINES. PIECES OBSERVED: 4t' Cl e3 STRUCTIOM NOTES. T tAEi.OR RAS USW.. REkARICS, urCUDf2IG MI6ffTHHIIiS elf AD REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WZATII 1z.jq- ll SAMF`LES TESTS REQOIREQJ v SITE TIME START- ' SITE TIME FINISH: 30 LUNCH PERIOD: TRAVEL TIME: VERIFIED BY. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOI INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Q\1 p- 0_ 5 1A i OT SS0347 -If -g'c- q Date at Report ICB OO Certification Number 2r tune City / County Certification Number Rev 7/97 IL Corporate: 2992 E. La Palma Ax0e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Em 14320 Else *Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK Q INSPECTOR 0 TEtktN:wl AVAILABLE. SOIL REPORT (Y) (N) SPECS (1') (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT p FOR WEEK ENDI. PRQIECT NO EIYNIN'FFR REPORT N'0. PG OF MWRACTOR j'CS C PLAN FILE NO. PERMIT NO Ol /- 0e" 3/ O SUB-ODIITRACTOR ^ PROJECT NAME VISPECT011 ADORE /S_S ADDRESS OF PROJECJ GC— REPORTING RRQUIREN%M%"TS: ICRO FIELD LNOSPECTION J1AXUA1j\rrGL SOIL MAXUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CON'PORMING %YORK ATTHE ETD OF THE WORK DAY, OR NIISSING IN TRS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT VI'HEN A DEFICMXCY, YOURS OR A PREVIOUS WSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBAITTA COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CQ'vMkCTOR [O.C' iUDE RESfARCrt RAT NQ OR MATERIAL TEST ROTS); t7DTTTRACTORS EOUkP.lO3TT F MAAPO'h'$L DYIt AREA GRID UN'S. PIECES OBSERVER A, .i STRUCTURAL Iwz'S, , osm. OR FLTT$ Lwr RT7IARILS, urQTmws i@lilTM AC q rL Ina-36 c;.7 c a/- e S z;y -,-- G z""k 4 h - REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: IKFATI{EA —— TEMPERATURE: SI%U%ES TAKEN: TESTS REWRED SITE TIME START: 6' SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT-THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 7/ O — 554j Sip re Ogle of Report ICBO CCert'rf'icabon Number e eel, PO glum - _ A City / County Celtdtcatlon Number Rev 7/97 Corporate: I San Oiego/imperiat County: Inland Emp 2992 E. La Palma A-0 A 7313 Carroll Road, Suite G 14320 Els treet, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Vall , CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 r Fax 714.632.2974 Fax: 858.537.3990 Fax: 951.653 4666 FIELD REPORT TYPE OF /%1= wtNSPEGroa 8 TECHIttCUIN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) Al A S,0 vt a APPROVED PLANS k (N) APPROVED SHOP DDRAWING (Y) (N) ARLIOTECi iT]R WEER ENOISG L O PROJECT / 412 - 114A ENSI EER REPORT NO. PG OF CONTRACTOR S _ PLAN FILE N0. PERMIT NO lt iii L yl,} O r / y ,, / SUS•C81:iRACTQRV' V e-- C ACgL e -ee l+ `plgVu Jk 4.Q k4-- II i 1 r1(tir.1 _ AN%HL f LQ e Y—SeAr Le.5 REPORTING REQUIR .%tF—\'IS: ICHO FIELD INSPECTION S14NUAU.\ITGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS W THERE IS NON- CONFORMING WORK A! THE E.ND OF TIE WORK DAY, OR MISSING NUIM. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT AWEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUB N41T A COPY \VrT H YOUR WEEWS REPORTS. MATERIALS USE"Y CONTRACTOR (I'.GiUDE RESURCH REPORT NO. OR MATERIAL TEST REPORTS): lZrS'' c':ti t :Jfr_+[ .L f'r)J11rI r':, 'Do]r ,,tl),Y 't t.,T' /tn F'ol D Q.Stel& 6S K yk !LIZMz was AeA e- 30 COO E Lle _ t LAA12 LA'7RCORS v AREA GRto U? U. PIECES OBSERVE0. 6 b S a (1 e( r4e- er, G 11fod-r aT t g- C.QL.QAh Vthg-a--s- ok T4.e S A&o-s to v't9tvyA Av\A R1[—k&IY\tAIfI 6iui%tQ - STRUCTUPA NOTES, DEUIL. OR RTIS USA: R9dA is. imaunwo Ai7rx6S ' to k,j 66t iT o" C5b5efV:4 tioiA y' diIrDU i GPtE1f TOfir t b VAP-17 !>-P CA C007 ?ACewke, be 4Ai,& 07 07,,U e4t4d -' o15; fie oi0 r,10 v4skrd6C t v 'G" CGS . SM&PLES TA.KUt MITERATURE TESTS REWIRED: SfM TU,Ik START SITE TUBE FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED rc:Clf#&ATIO VS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT -&, 1111fjo". Signature Date of Report ICBO Certification Number Print Name City / County Certftcation Number Rev 7/97 MTG Corporate: 2992 E. La Palma A e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diegopmperiai County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 1'` 1\ Inland -Em 14320 EISaieStreet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF P.'DRIr tR "SPECYDR 0TEQLrxwj m O N AVAILABLE SOIL REPORT (Y) IN) SPECS (Y) IN) APPROVED PLANS IN) APPROVED SHOP DRAWING(Y)IN) ARCHii'cCY FOR WEEK Ef:DL'!G l PROJECT NO tt ,, J "'To t UF Assorr . REPORT W. PG OF - STAACTOR L CoNST. PLAN FILE NO. PERMIT NO1o -00003]So DS tX1lFTRACiOR - G - PROJECT N.AI E IISPEM111 ADDRESS Zg2Z5 CE TEAL Ava= LAS LSFNo2E ADDRESS OF PROJECT SAritE REPORTING : LOBO FIE1.D INS PEC IO`` AiA)I`UAIRWGLSOfl- NI.A- N'UAL- RE-'If-\N' PREVIOUS REPORTS AND LISTS IF THERE IS \ON- CONFORIMING I,FORK AT THE END OF THE %YORK DAY. OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT AMEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND = SUBNnTA COPY WITH YOUR WEEIK'S REPORTS_ MATERLALS USED BY (4tTRACTOitUnUDERESURCHREPORTNIXORMATERMLTESTRURMy Meou-r ZoC)o Psi1 121& 11 4)JPdZZ.. PitX J TRACTORS / MAINIPOWER USED. 1 P j. fi w (f rrroR — 4 w+ 0J 6A *.D UNES. PIECES OBSERVED: C cc F E T of f}PPZo ./AS of G2a T 3RD 4t'' I tAT5 l l -s--,O- %j6 y o TLima f T,u 1 _ % t o 1 L 1 Cp &T-4.oi / p !1 L cu L l Tc..I J E% wQ LYLTZ z C a L U N s POR- Uu 7-5 STRUCTURAL LMTTES.Ofus. OR RIM USw_ REN.ARKS. watraw AttEETUtFAi• - REWORK AS PERCENT OF ALL WORK TODAY. PERCENT PROJECT COMPLETION: SAIAPLES MEW TEJJ fAATLLtE TESTS REQUIRED. - - 7 s°f SITE TIME START..- E`` SITE TIME FINISH: .3o _ LWICH PERIOD: TRAVEL RAE: VERIFIED BY, 9 I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PtAN SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 9 c J Q c o,S- o 9so74-8 Signature Date of Report ICBO Certification Number G&,-n" 2A LCo Print Nam City / County Certification Number Rev- 7/97 MTG I Corporate: 2992 E_ La Palma 0te. A Anaheim, CA 92806 Tel: = 714.632.2999 Fax •714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland E] 14320 E Street, Ste C101 Moreno Va y, CA 92553 Tel: 951.653 4999 Fax:, 951.653.4666 FIELD REPORT TYPE OF W;DRK 0INSPECTOR OTECFCI: ki k I ABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT G FOR W'EEIt KDDIG PROJECT NO P / Z 6 '0 1 ENGI?JEER REPORT NO. PG OF L4IITRACTOR /T ,- PLAN f0.E K0. PERMIT NO / V ` SUB-COlTfRACTOR PROJECT NAME IISPECM.V ADDRESS 9 Z 7- C2 A fir'; ( ADDRESSg"t P T, AWL REPORTING REQU!RENf ,-'IN: 1CB0 FIELD INSPEMON MANIJAMITUL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS \ON- CONMRIMING W`O.R AT THE END OF THE %VORK DAY. OR MISSING INI RS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT VHFN A DFFICFFXCY, Y0URS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE 014 THE ORIGINAL DEFICIENCY REPORT AND _ - - SUBNUTA COPY WffH YOUR WEEK'S REPORTS. MATERULS USED BY f04VTRACTOR (INCLUDE RESEARCH REPORT h'0. OR MATMLAI TEST REPORTS); COMACTORS EGUIPMRIT I MANPr OINE i USM 40JPI-1P W hers AREA GRID LU; , PIECES OBSERVED; G LI'ne5 Z , Z ;L &J,,-?, l,1cs sr;amnaa 14 —,ES, FE d1A. oR um wz.W.. RDdJvZl6.urauow»ErTxcs j o /` 1 Uy d Ci4 c!- 43 r vc/ t. v (i S REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHEai /' TEMPERATURE. / / SAMPLES TAKEN: TESTS RMIIItRE!!! SITE TuOE START: 6' 'J SITE T961E FL41SH: ' J LUNCH PERIOD: TRAVEL TIME: - VERIFIED BY I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE IL INVESTIGATION RECOMMENDATIONS. A.`IO / OR TI{E APPROI/ED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT I( / 6 5' &V3ti B /',cc iglu 1 Date of Report ICBO Certification Number err / e r e.-,L". S 54/ Pmt N&M City / County Certification Number Rev 7/91 MTG_ r Corporate: ` 2992 E. La Palma -A&e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Em ` 14320 Elsi Street, Ste. C101 Moreno Van CA 92553 Tel: - 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WDRX O WISPECTOR O TECR:I:CIA'T AVAILABLE SOIL REPORT (Y) (N) APPROVED PLANS (`n (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WTEK EMMUG, G - / C) ' US PROJEN/z (r 0C, ESGIAgER _ _ REPORT NO. PG of CONTRACTOR PLAY FILE NO. PERMIT No vc _aav 3iJ SUB - CONTRACTOR C,4- PROJECT "E 42le el I SPECTID?, ADMESS ` l a 2 --1 t` e frti / ADDRESS OF PROJECT 14L G4;'17 111-?, REPORTING REQUIRENIF\T5- ICBO FIELD LNSPECTTOV i•1AjWAIIMTGL SOR- MAeN'LIAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- CONFOR -MING WORK AT-THE E411) OF THE \WORK DAY, OR MISSING hfIRS. AND_RFIS, ECC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEW A DEFICILNCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGIN %AL DEFICIENCY REPORT AND SUBIMITA COPY IWr1H YOUR WEEIVS REPORTS. - - -- — - MATERIALS USED BY CONTRACMR (INCLUDE Rc'SEAM REPORT NO. OR MATERIAL TEST REPOLTS)c CONTRACTORS EOUIPMENT / MaNPMER USE& AREA GRID UNES. PIECES OMVED: + O ygs'I Q C— F r 5 e l e /mot i.T STRUCTURAL NOTES. DETAIL, OR RFLS IFSHr ARM. wawa'G MEETIM 3 e lob f c/ , ru e lrt f REWORK AS PERCENT OF ALL WORK TODAY_ PERCENJ PROJECT COMPLETION: V7 ATHEiZ Tw4PERATURE• r- Sk%WtES I XEN TESTSREOUIRBM; 6T SITE T1W START. 6' LURCH PERIOD: SITE TIME FWISH: TRAVEL TIME 70 VERIFIED BY 1 DO CERTIFY THAT i HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLAITS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT le C nature nn `` Date of Report ICBO CertdlcaboncNNumber Crr A G 0nLVf—I dfC./ Priqf Name City / County Certification Number Rev 7/97 MTGL s Corporate: 2992 E. La Palma te. A Anaheim, CA 92806 Tel: 714.632.2999 fax: `714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 1 Inland Em 14320 El Street, Ste. C101 Moreno W. CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE O WORK O G5PIC7OR O TECH.M:CIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT l'1 is % FOR WEEK ENDIUG ` 4-f PROJECT. NO Iry 5 0SL4EER REPORT NO- PG OF CO:iTRALTOR Z S L PLAN FILE N0. PERMIT NO SUB- ON1TiRACiOR j C. - PROJECT NAME ' r i /( 1 ISPEMN ADDRESS ADDRESS OF PROJECT REPORTLNG REQU ENIEINTS. ICBO FIELD I,NSPECITON MAN'UAUNfrCL SOIL MANUAL- REVIE\V PREVIOUS REPORTS AND LISTS IF THERE IS AOIN- CONFORJfIING \WORK AT THE END OF THE WORK DAY. OR N11MING KI R.S. AND RFIS, EM. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBAff1'A COPY WTiH YOUR WEEK'S REPORTS= -- - - - - - -- — - -- — UATERIALS USED BY CO.S`TRACTOi (OxLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USM j AREA GRID LIKES. PIECES OBSERVED: C Ste e- 1 ' l GI on 0" STRUCTURAL 119TES. DETAA. OR RFIS USErr D? REMARKS. LVa JMKG AUTUSk loo t1 7- TYll+°'7 e REWORK AS PERCENT OF ALL WORK TODAY_ PERCENT PROJECT COMPLETION: WEATHM T'r1JPFTtATTIRE SAMPLES TkKEW TESTS REOARF S c on SITE TUM START: Did " SITE TIME FINISH: L 30 LUIICH PERIOD. TRAVEL TIME: VERIFIED BY• 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH T E SOIL INVESTIGATION RECOMMENDATIONS. AND l OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT US S , 4?'Y7 - £r /(-c ignature / fate of Report ICBO Certification Number e - ' ' c+ e r / 1 `J f; R-1 Print ame City / County Certification Number Rev 7/97 VMTG__ Corporate: 2992 E. La Palma Ax6e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 1' San Diego/Imperial County:- Inland Empi -:_ 7313 Carroll Road, Suite G 14320 E1sI Street, Ste. C101 San Diego, CA 92121 Moreno Va I CA 92553 Tel: 858.537.3999 _Tel: 951.653.4999 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK tNSPww_ 0TECHI XAM JMG[so-n AVAILABLE;. SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (k) APPROVED SHOP DRAWING (Y) (N) ARCHITECT , ^ Y (l_ FOR WEEK END` P ZTT. NO ENGMER REPDAT NO. PG i OF PERMITMITAACTOR ` R- • PLAN FILE NO. NO 4- SU8•CBYiRACiDR PROJECT NAME ' Fin (svos 04SPECTtD:7 ADDRESS f ADDRESS OF PROTECT REPORTING REQUIREM&N —M: ICBO FIELD INSPECTION %M\fUALA\fTGLSOIL NIANLLAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NaV- CON'FORIMIXGN:ORKATTHE END OF THE \FORE: DAY. OR NUSSING ?-n RS. AidD RFIS, EM, FILL OUT AND ATTACH A DEFICIENCY REPORT H EN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOME ON THE ORIGLNAL DEFICIENCY REPORT AND SUBNITT A COPY WTTH YOUR W'EEK'S REPORTS. t LALS FtSED BY CONTRACTOR 011XWDE RESEARCH FMPORT fill OR MATERIAL TESTIS]: Q . Wag n• Q l ITiiAt ECUIPMWT /.R:AY.POWERUSED. AREA. GRID UUES, OBSERVED- 1d n n to 0 h se 0 d` 1't. P1k r rmyvhn +hp ct of but, ;" a STRUCTURAL NOTES. O TAA.OR REFS USEEi: REIr IAtQUDFX6 a ° -h - REWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION: WEATHER' UlVU_ TWJ RATUR% q SAIAKES TAKEN'. TESTS RMERED: SITE TIME START:. SITE TIME FL41SH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR TH OVED PLANS, ECIFICATt.)NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Oa / OD /o S S' Date of Report ICBO Certification Number AT Prbli `tame /\ City / County Certification Number U Rev 7/97 MTG Corporate: 2992 E. La -Palma A &e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G - San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empi,... 14320 Els Street, Ste. C101 Moreno W3 , ,, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF 1VDIw -ISi ECTOR O TEf.ILY M9 G 1,iG2 i AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS ( N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT Ssoc FOR WW ENDING i0 los PROJECT NO oct ENWt$ER _ RITCRT NO. PG ` OF j TFRACFDR _ i PtA4 FILE NO. PERMIT NO OQ - O0003iSo NAMEST PCES 111SPECTIOM ADDRESS Z ZzS C t—FV l-PAL A vF— L 4 F-Q. ix c eE ADDRESS OF PROJECT S9A I `i C REPOWMG REQUIREi I O °7'S: ]CEO FIELD INSPECTION MAXUAUNfrGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS XON-COV°PORAIL\G F.'ORK AT THE END OF THE WORK DAY, OR IWSSING NITRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICUD CY, YOURS OR A PREVIOUS RNSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WrM YOUR WEEK -S REPORTS. TERM USED BY CO .'TRACTOR (IIICLUDE RESEARQ H REPORT t IrATERIAL TEST REPORTS): O?J Gam% y 4sov PS1Y co n o Z Z, X C 37S P 7TA crosEOUIPI.!ENT/. WERUSEQ 1-V TCoLS Rik GRID LDIES. PIECES 09Smu' PLAC4r EmI of AP 20YC- ZI r-, u V&S of _ Go1,1C -.ZiZZ71C vMlu Pk--STLGL /.S5Pt--c'iro i3 S Fait R toftwx G RA-P C-oR&s o1 Il STr2 MRAL NOTES, DE IL OR RFIS USBr. RDwXS.wauz eAITLYSS REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: wEATIRA: C L01142 TETJJIFMTUW- (' ftv SAMPLES TAKEN: TESTS REWT!UiD: SITE TIME START: 5' `f A SITE TTME FL41SH: D ' S A LUNCH PERIOD: TRAVEL TINIE: VERIFIED BY. ' 1 I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITINE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLAN , PECIFICATiONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 2 i / 7 / Sgfnature Date of Report ICBO Certification Number 9RO- I 4 LW Prim Dame L City I County Certification Number Rev 7/97 MTG Corporate: 2992 E. La Palma Av. A Anaheim, CA 92805 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elslv*treet, Ste C101 Moreno Valley, CA 92553 Tel: 951.653.4999 fax: 951.653.4666 FIELD REPORT TYPE OF %WX 0 Dr-?ECM -R Q r@CH..Vxq AVAftA9LE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLAN (Y) (N) APPROVED SHO DRAWING(Y)(N) ARCHITECT MR WTEI( E'W4 PROJECT NO ENGUOER REPORT w PG OF CONTRACTOR !- ` - _ J(- PLAN FILE NO. PERMIT NO oo0 3 /J-0 SUB- CONTRACTOR PROJECT NAME INSPECT A ADDRESS Cj 2 Z Z ? {' ADDRESS OF PROJECT A de.- REPORTING RWUIR.E2%ITW]rS: IMO FIELD e[NSPECITON MANWAUNITGiSOILAIANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF RE IS XO.N- CO.W- O%NH3NG NVORK AT THE LND OF THE WORK DAY, OR NUSSUNG IMM, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS ]INSPECTOR'S, IS CORRECTED. SO NOTE ONt THE ORIG134AL DEFICIENCY REPORT AND SUB \ITT A COPY N%TM YOUR NVEEK'S REPORTS. MATFRULLS USED BY CONTRACTOR (IN[RUO£ RESEARCH REPORT NO. OR MATERIAL TEST REPQQTSJ; CONTRACTORS EOWPUENT/ LtA.NPam USED: 14,-'?o2 i /Ve AREA GRID LINES. PIECES OBMVED G.,.'. /' *a r /'rive U/.P i:C`.- STRUCTURAL :TOTES. 0110.9- OR RAS UMr —YIJ REMARKS. fNQlIDY.Y$illgl Gk a [i REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: V TEl.J'fRATURE; --" SA.VPLESTA%EFt—(5r-- TESiSR£ON(RED._ SITE TIDE START. SITE TUNE FINISH: LUNCH PERIOD: — - TRAVEL TIME: VERIFIED BY- I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, iDd OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT V j "' Data of Report ICSO Certification Number re 6'.e- &' /, S3GJ Prow I. City / County Certification Number Rev- 7/97 MTG Corporate: San Diego/Imperial County: - Inland Ems 2992 E. La Palma ASe. A 7313 Carroll Road, Suite G 14320 ElsVStreet, Ste. C101 Anaheim, CA 92805 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax. - 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 6 L45PECTOR O TECIDItUM4 AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (.V) APPROVED SHO RAWING (Y) (N) ARCM ECT 11 C 6- FOR WEEK END !' $ PRQIECT NO z E?XIIJEER y J REPORT W. PG OF CONTRACTOR PLAN FILE NO. PERMIT NO SUB - CONTRACTOR PROJECT NAME INSPECT I ADDRESS 7rj227 {fnfik / ADDRESS Of PROJ ECCT,, T LA%. L S /ira!C REPORTING REQUIIRENTIRNIS- ICOO FIELD hNSPECTIO T M*Q%IJALJ TfGL SOIL ,4iANU IAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFOR, \TWIG WORK AT THE END OF -THE WORK DAY. OR NUSSUNG MTRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS LNSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY \LTrH YOUR WI EI.'S REPORTS. MATERIALS USED BY CWITRACTOR (DnUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): C&MACTORS EOUIPURIF I .hW?PUAU USED: AREA. GRID LIES. PIECES OBSUIVED: 47 7 — Iii-,, J- STRUCTURAL NOTES. DETAIL, OR RFR (ISEEr /jt TR . • /`f 'S f j REN.ARTLS.1Xl Lf=G AffMGk 4'S to h REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEAnOL- SAMPLES TAI(E -4- -60- iFl!P9UTURF MSTS REOUIR SITE TIME START: 6 -d 4 SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME.. VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r 7, / 3Q / _is- ic'c, re Date oI Report ICBOO CCendication Number 4 rcAA Ott -Ac/ 5s-c—/ Print t" me City I County Certification Number Rev 7197 MTG_ Corporate, 2992 E. La Palma Axe. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: ` 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 l Inland -Empl : 14320 Els Street, Ste. C101 Moreno Va A 92553 Tel: 951.653.4999 Fax: -951.653.4666 FIELD REPORT TYPE OF WORK 0INSPECTOR- QTECIL=Al1 AVAAA8LE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (YJ(N) APPROVED SHO WING(Y)(N) ARCHITECT U FOR WEEK ENDING _ I- j PROJECT. NOII / EhT.I? 'ER ' REPORT M. PG OF GDNTRACm PLAN FILE NO. PERMIT NO SUB- CANTRACTOR PROJECT NAME ISPECTIDIN ADDRESS 2- -7 ADDRESS OF PROJECT C, 1e- REPORTI\G REQUIR& %fEX15: IC$O FIELD INSPECTION N A,NUALAfrG . SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- MINTORNITI G \WORK ATTHE END OFTHE WORK RAY, OR ,\i1SSLNG K RS, AND RIFTS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOME ON THE ORIGINAL DEFICIENCY REPORT AND SUB \ITT A COPY WITH YOUR WEEK -S REPORTS. MATERIALS USED RY C04NMU CTOT (INCLUDE RESEARCH REPORT NO.OR MATERIAL TEST RUMMY cDlrrRacTORs EOUIPAtt71i / MAhPQ.VfR tJSiO= tom i9-2t+ 2 I ,(4 r1 AREA GRID LIKES. PIECES OBSERVED. STRUCTURAL UORIES. DETAIL, OR RFTS USErr. RETJ.ARRS. WaIVO YL AJI77LV= D.l l 4S ,1!' <uc% 4.r 4 -yve C)r,r.% J• REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: UTHiR:.e TT NJ StATU j SAMPLES TA:{EY —49 TESTS REOUIRE 5 SITE TIME START.• ` SITE TIME AMISH: 7a LUIICH PERIOD: TRAVEL T11ME: VERIFIED BY: I Alt I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND /OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT OS S03y 1' 911 -br nature Date of Report ICBO Certification Number J1 "e- / P - Name City / County Certification Number Rev 7/97 CO,'nTRACTORS EQUIPMENT J MANP0%'M USELY II ARK GRID LINES. PIECES OBSERVi} STRUCTURAL DOTES, oETAI1.OR R36113eTr. REFrARxs.lFTau s rrxss / / A/" / r% J/' -s.r' C G f!iP ! lill// G N C [ InistJ rig rJ 1ii,s?t i n TFJSP93tA7URT' SWRES TAKEN: TESTS REou!ume- SITE TIME START: SITE TIME Fif115H: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT f / / / 0 i .t u 3 ( 7f/r —j- pnature - Date of Report ICBO Certification Number ale, of w ' 'i Z/ • ss Name City / County Certification Number Rev 7/97 Corporate: San Oiego/Imperial County: Inland Empl 2992 E. La Palma Aoe. A 7313 Carroll Road, Suite G 14320 Els Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Va CA 92553 Tel: 714.632,2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax. 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF YTORK 0INSPEe CT(R O TECFL'Iiul AVAILAUL- SOIL REPORT (17 (N) SPECS (Y) (N) APPRIN® PILANS (T') (N) APPROVED SOP—DRAWING (Y) (N) ARCHITECT hC FOR W TEK ENDING PR ECT N yr EI:GI!nEER REPORT No. PG OF C0!1TRACTOR PLAI4 RLE NO. PERMIT NO p -ova iS o SUB- CWPIRACM Sa - CA PROJECT NAME J a /e.1 INSPECT@.H ADZAM 2 ADDRESS OF PROJECT REPORMG REQUIRENIIE "TS: ICBO FIELD INSPECTION NIAMAUNI Gf. SOIL MANUAL. — REVIENV PREVIOUS REPORTS AND LISTS IF THERE IS NON•CONIORfIG WORK ATTHE END OF THE WORE: DAY. OR MISSING AfTRS, AND RFIS. M. FILL OUT AND ATTACH A DEFICIENCY REPORT MIENZ A DERaE %4cx YOURS OR A PREVIOUS WSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY RTTH YOUR NVEEK'S REPORTS. LIATERUIS USED BY C .TRACTOR (INMUDE RESEARCR REPORT NO. 08 MATERIAL TEST R=EPORTS) Gt/S Srji e701 f %i`tic I1/,E - Z 3z CO,'nTRACTORS EQUIPMENT J MANP0%'M USELY II ARK GRID LINES. PIECES OBSERVi} STRUCTURAL DOTES, oETAI1.OR R36113eTr. REFrARxs.lFTau s rrxss / / A/" / r% J/' -s.r' C G f!iP ! lill// G N C [ InistJ rig rJ 1ii,s?t i n TFJSP93tA7URT' SWRES TAKEN: TESTS REou!ume- SITE TIME START: SITE TIME Fif115H: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT f / / / 0 i .t u 3 ( 7f/r —j- pnature - Date of Report ICBO Certification Number ale, of w ' 'i Z/ • ss Name City / County Certification Number Rev 7/97 MTG Corporate: 2992 E. La Palma Aie. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 - Fax: 858.537.3990 Inland Empl 14320 ElsL Street, Ste. C101 Moreno Va A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE Of WDRX O WSPECTOR Q T CHIV.CIAN AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP RAWING (Y) (N) ARCHITECT C (r- FOR WEEK ETDIIQ 3 -o PROJECT NO z ENGINEER 10/- vim REPORT NO. PG OF ' C0.'TTRACTOR S L- - PLAN FILE NO. PERMIT NO p it -vvov fr0 SU3 MTiiACR _ CAL PROTECT NAME - T / d // / C J OSPEM ADDRESS 0L Ci 2- ADDRESS OF PROJECT 6151'17d.le- REPORTING REQIARE1t N S: ICBO FIELD 4VSPECTION MA,\IUAUSITGL SOIL MAA`UAL.- REVIEW PREVIOUS REPORTS AND LISTS IFINERE IS NON'-0ONFORMIN.G WORK AT THE END OFTHE NVORK DAY. OR WSSING INITRS. AND RFIS, ETC., TILL OUT AND ATTACH A DEFICIENCY REPORT R'HENI A DEFICIENCY; YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMTT A COPY WITH YOUR WTEEICS REPORTS. MATERIALS USED BY COVTRACTOR (rX JDF RESEARCH REPORT NO.OR l4TERLAL TEST REPORTS): COVTRACTORSEOUIPMETTAMA -%?U ERUSM ARIA. GRID UNES. PIECES 0r"'ED: C4., C -3 rwv C. iia t^00 o,Qn i n C_S STRUCTURAL MITES. Dn%, OR am lsur t REMA.RRS. "CI DW611117TDr&r r or- Cod C v, r9 11,e, 1 lac REW RK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WFATIUER C/ SL`APLES TARtN TTLSPERATtJRf TESTS RECUiRML(a, SITE TIME START: 6, yU SITE TIME FINISH: 't • 3d i LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOk INVESTIGATION RECOMMENDATIONS. AND / R THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Z S1 35 ZY? —F-) S' re Date of Report ICBO Certification Number r= r , ci_ t In ) '' SSGr/ Pmt Name City / County Certification Number Rev 7/97 wrate: 2992 E. La Palma Avenue, Suite A, An A 92806 Tel: (714) 632 - 2999(714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax. (858) 537 -3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653 4999 Fax- (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET= LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES A Set No.: 5 -5597 File No.: Date Tested Permit No.: 3150 l Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 8/23/2005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 8/23/2005 6X 12 28.37 99,000 3,490 Cone 28 9/13/2005 6X 12 28.37 139,000 4,900 Shear 28 9/13/2005 6X 12 28.37 133,500 4,710 Cone & Split 28 H 9/13/2005 6X 12 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE IBA,NEZ Date Sampled: 8/16/2005 Date Received: 8/17/2005 Location: BASE OF LOADING DOCK WALL Concrete Supplier: SUPERIOR READY MIX - - Concrete Temp: 71 °F Min No.: C3625P Ambient Temp: 69 °F Ticket No.: 2853 Water added at Site: 0.00 gal. By Slump: 5.00 in. Cement Type: I Min Time: 30 min. Tested at: Anaheim Remarks: Respectfully Submitted, Distribution: THE BERGMAN' COMPANIES MTGL, Inc. RICK ENGLtiEERb\rG COMPANY (ORANI GE) j CITY OF LAKE ELSINORE_ -BLDG & SAFETY DEPT LAB COPY** M.B. (Ben) Lo Chief Engineer 4800 PSI 28-day compression test complies with the specified strength. MTGL Corporate: 2992 E. La Palma Ai Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax. 858.537.3990 Inland Em (^ 14320 Els Street, Ste. C101 Moreno Val ey, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818 833.8100 Fax: 818.833.0085 TYPE OF WURX OTECEi'MMI y AVAILABLE- SOIL REPORT M (N) APPROVED PLANS (Y) (N) SPECS (`) (N) APPROVED SHOP DRAWING (Y) (N) ARDUTECT FOR REEK ENDING Zd _o - PROJECT NO ET:GINEM REPORT tiff. PG, OF MIMACTOR PLAY FILE NO. PERMIT NO SUS - CONTRACTOR PROJECT NAM--; IIISPECTION ADDRESS ADDRESS OF PROJECT REPORTI,IIG REQUIRENfU'TS: ICBO FIELD INSPECTION MANUALCISML SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE LS NONLCONTORNU G -PrORK AT THE &ND OF THE WORK DAY. OR MISSING WM, AND RFIS. ETC -, FILL OUT AND ATTACH A DEFICIENCY REPORT IVHEN A DEFICiO'CY. YOURS ORA PREMOUS INSPECTOR'S. IS CORREC77ED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND — — — SUBMIT A OOPY %7TH YOUR wFF1. S REPORTS.' ISATERIALS USED BY CONTRACTOR (GiCWDE RM ARCH REPM M OR MATERIAL TEST RMMY Suverl`© C 2eGC.(-? /%%,fir 3 S —P o O R i. CUJERACHMSEO(llPIMITI-' USEO: T v AREA GRID tMES. PIECES OBSERVED. STRITCTURAL RMES, DEL4R. OR RFIS ISErr. REYARlSS rmttdJrsAEr7awsr r/i°t JO' e!- iC164 A:— 5 oG c REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER- TBIPEIRATUM SAAORES MEN: TESTS REWIRED. SITE Tom START- y SITE TIME FINISH: LUNCH PERIM: TRAVEL TIME: VERIFIED BY. I DO CERTIFY THAT i HA PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND l OR THE S, SPECIFICATIOtiS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Sgnature Date of Report ICBO Certification Number City / County Certification Number Rev. 7/97 I 7MTC, Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: - 714.632.2999 Fax- 714.632.2974 Branch: • 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT TYPE OF WDRB O TECHNIC&N kv' A iOgr r AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR AF9S ENO6 O _ O PR41E( 2 ' / 5-070 EWIIEER Nr - REPORT NO. PG OF COYTAACTOR 2• ss- ANj . ^ s L PLAN FU NO. PERMIT NO g0 s SUB-CONTRACTOR G PROJECT NAME - 5441 Ie- l AhQ (aOK2 1lSPECT.H ADDRESS ADDRESS Of PROJECT cze, r4 l 14 REPORMG REQUTRE.VI3N'T'S: ICRO FiET.D IINSPECTTO'T -%iAA°tIA11JTTGL SOIL MANUAL. REVIEW PREVIOUS REPORTS AND LISTS TF THERE IS \Oti- CONIZORNING WORK ATTHE END OF THE WORKDAY, OR NOSSING INI RS. ANID RIFTS, ETC.,-FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DERCLENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO MOTE ON THE ORIGP, IAL DEFICIENCY REPORT AND SUBAffTA COPY WITH YOUR WEEi: S REPORTS. MATERMLS USCO BY gp%MCM (NSU=DE _RESEARCH REPORT N+D_ OR MATERIAL TEST REPORTSY , 0 _'AJi "L sI i71 t -- iP 1 -6-1( Prt E;t PIN )a CQ'=TRACTORS EOUIPM91T / MA.*POWER USED: AREA GR:D DYES, PIECES OBSERVE)' s 4 /757 a /s5 6 . r s z..': SIFROMM IMIM OFTA4 09 Ri$ IuSW. RWA,RMS'. =4A.Ii UG1EiTDrBA - REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: uTwt (- renr TutPERATUM Q SAMPLES TAKEN; TESTS RMUMED -- _40- SITE Ttw sTART: - y SITE Tum FINISH: 2 ` LUNCH PERIOD: TRAVEL TIME: VERIFIED BY. I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH tHE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT qq L p j CJl- 4'037.)-2-;-CT l ff bsignitur§ rp Date of Report ICBO Certification Number Prkd Fame City / County Certdication Number qlrate: 2992 E. La Palma A4aiue, Suite A CA 92806 Tel: (714) 632 -2ax. (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 ELmrnth Stns, Suite Cl 01, Moreno Valley, CA 92553 Td: (909) 6531999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax (818) 833 -0085 Report of: C0i*4PRESSR'E STRENGTH -GROUT ASTM C 1019 File No.: CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT Permit No.: 3150 130 S MAIN STREET Project No.: 1412G09 LAKE ELSINORE, CA Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 29225 CENTRAL AVE. LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 9/9/2005 3 X 3 X 6 10.49 26.400 2,520 N/A 28 91302005 3 X 3 X 6 9.00 28 9/302005 3 X 3 X 6 9.00 Specified Strength: 2,000 PSI Sampled By: KIMBERLY VAN ALSTIN`rE Location: 2ND LIFT SOU [I EAST CORNER Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P-8 Ticket No.: 4517 Water added at Site: 0.00 gal By Cement Type: Mix Time: 55 min. Remarks: Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELShN'ORE -BLDG & SAFETY DEPT ssLAB COPY** Date Sampled: 9/22005 Date Received: 9/6/2005 Concrete Temp: 88 °F Ambient Temp: 92 °F Slump: 7.75 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer Report of- COMPRESSIVE STRENGTH - CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA- , Client: THE BERGMANr COMPA \9ES Set No.:' r559'7— File No.: Date Tested rporate: 2992 E. La Palma Avenue, Suite A, An CA 92806 Project No.: Tel: (714) 632 -2999 :(714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 823%2005 Tel: (858) 537 -3999 Fax. (858) 537 -3990 Branch: 14320 Els%vrth Street, Suite C101, Moreno Valley, CA 92553 3,490 Tel: (909) 6534999 Fax: (909) 653-4666 Branch-. 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 6X 12 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of- COMPRESSIVE STRENGTH - CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA- , Client: THE BERGMANr COMPA \9ES Set No.:' r559'7— File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 823%2005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 823%2005 6X 12 28.37 99,000 3,490 Cone 28 91132005 6X 12 28.27 28 9/132005 6X 12 1 2817 28 H 9/132005 6X 12 1 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE IBANEZ Location: BASE OF LOADING DOCK NVALL Concrete Supplier. SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 2853 Water added at Site: 0.00 gaL By Cement Type: Mix Time: 30 min. Remarks: Distribution: THE BERGMAN COMPANIES RICK ENGINEERMCYCOMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** - I Date Sampled: 8/162005 Date Received: 8/17/2005 Concrete Temp: 71 °F Ambient Temp: 69 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer Corporate: 2992 E. La Palma Ave.. Suite A Anaheim, CA 92806 A& Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT 0 Inland Empire: 14320 Elsworth Street, Suite C 101 Moreno Valley, CA 92553 Tel: 909.653.4999 Fax: 909.653.4666 TYI-E Of W" trasonic Testing AVAHAELE: I SOIL REPORT I APPROVED PLANS SPECIFICATIONS APPROVED SHOP D G CG Architects PR 6- Aug -2005 ANF Engineers PG of 1 2 L M PERNUNO So Cal. Steel vAME Staples #/1387 9225 Central Ave. Lake Elsinore, CA PORT REQUIREMENTS: tmo mw wsPEenoN MANU umm son. KvwAt.REvIEw PREVIOUS REPORTS AND USTS IF THERE IS NON - CONFORMING WORK AT THE END F THE WORK DAY, OR MISSING MTRS AND RFLS, EfCS, FELL Otrr AND ATTACH A DEFICIENCY REPORT VRIE N A DEFICIENCY, YOU MAYEAM.5, WW BY MN-1 t r U MAPS-S. L% See Attached UT reports RJEWORK AS PERCENT OF ALL WORK TODAY N/A PERCENT PROJECT COMPLETION: N/A WEATHER. Clear nrm 70 Degrees SAMPLES TAKEN: NA TESTS REvjmm: UT TIE TCvM START 6:00am SITE TM E FR41SH U1.CH PERIOD NA TRAVEL TIME 6:45am NA VERMED BY _,. I do cutify that I have personally observed all the work listed above and that this Work complies with soil investigation recommendations, and / or the approved plans, speci5cations and on of the Building Codes, unless otherwise noted on 5- Aug -2005 UT Level H Sipahae h KENNET r, Date of Report AWS / ICBO Certification Number ry I Tunes Q GREENE Na * p. 92175 9 GI, PE SNT -TC- l A City / County Certification Number, MTGt Corporate: 2992 La Palma Suite A Anaheim, CA 92805 Tel: (714) 632 -2999 F 44 532 2974 San Diegoftmperial County:. 7313 Carron Road, Suite G San Diego, CA 92121 Tel. (858) 537-SM Fax• (858) 5373990 Inland Empire: 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: (909) 653.4999 Fax• (909) 6533666ax: (i ) fn: 6:00am n4 REPORT OF ULTRASONIC TESTING OF WELDS Page: 2 of 2 Project Name: 1es 51387 fn: 6:00am HOURS: Ors. MCG PrWect Address: 29225 Central Ave. Lake Elsinore r-4 ineer. ANF ho Field X Permit ffi: rw- RSL pecEReations: AKG D1.1 ubtorttractor. So Cal. Steel Scope: Krautfaamer USK7 ransducer.. 75'x_ 75- @ 2 25 Mhz Test Block: DSC Method Used: Shear@ 70° Procedure: CT012 Couptant: Sonotech Sensitivity level' 50db Work - New _X Repair Scan level: 64db Descrtption of items tested: Perfosmed ufbasvnic lasting of complete penebation "I& at tube steel column splice. No rejects were found on this ate of 8-5-05 a = indication level Welding Process: b = Reiarence Level MAW QFCAW c = Attenuation Factor SP -1) x 21 rounded GMAW []SAW ESW EGW d = a-b-c for instruments in Gain b-a-c for instruments in Attenuation We, the undersigned certify that the mitts in this record are correct and that the welds were prepared in accordance with ft requirements of Section 6 Part F - ANS!lAWS D1.1 WekroV Spoom v Test Date: a5 ACIVI, ffn: 6:00am HOURS: Ors. Inspected Nunes 1W KE N rrn a out 4.45am H Level: UT Level 11, SNT -TC-1A Q GREENE JJob No.: NO. 92175 Sig nature: rrw- XTUPMATION OF THE TEST RESULTS OBTAVIED FRW THE TEST IS NOT To BE COMMUED AS A GUARANTEE OR WARRANTY OF THE mATERALS TESTED CANYON TESTING SHALL NOT BE T D L&JXE FOR LOM DAMAGE. WURY OR DEATH RESL&11NG FROM USE OF THE TESTED PART U. RESPONSIBILITY IN WERPRETATION OF TEST RESULTS RESTS WTH THE CUSTOMER. We, the undersigned certify that the mitts in this record are correct and that the welds were prepared in accordance with ft requirements of Section 6 Part F - ANS!lAWS D1.1 WekroV Spoom v Test Date: a5 ACIVI, f fn: 6:00am HOURS: Ors. Inspected Nunes 1W KE N rrn a out 4.45am H Level: UT Level 11, SNT -TC-1A Q GREENE J Job No.: NO. 92175 Sig nature: rrw- GI, PE .w T CER11 Corporate: 2992 E. La Palma Ave. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632 -2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Els treet, Ste. C101 Moreno Valle , CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF MRK D INSPECTOR OTEM CLL') AVARAs'LEE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (1T (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT Fri WEEK ENDLI J- PROJECT. NO ENGINEER r7 /ice? v REPORT NO. PG OF COITAACTOR PL'N fELE h0. PER NO SIIB- CO,: iR0.CTOQi• a,_ i j PRDKTNARE OSCTD - - l" ADDRESS Of JECT/` - REPORMG REQTL'IRE2%MNi °IS: ICBO FIELD INSPECTION NIANUALI\,fTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WOPK AT HE END OFTHE WORK DAY. OR MISSING NSTRS, AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT 1iEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WrT H YOUR \VEEK'S REPORTS. MATERMLS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NIL OR MATERIAL TEST RATS): S". -r -moo COITTRACTORS EQUIPWENT I MA1%?O% ER USED_ AREA. CRID W.-zS. PUiES OSSE VM STAUCTURAL WTES. DETAIL, OR RM U_SErt /T AB/AAI6 TN6LUfaili4' AmnNs&, // / G S l U•%!' z% a v 6t 2 S. y'iv ra s REWORK AS PERCENT OF ALL WORK TODAL PERCENT PROJECT COMPLETION7 V.unoi C% TEMPERATURE ' SAMPLES 7AKEri_ -- IESTSREOUIRED: SITE TIME START: U c 3 SITE TIM FINISH: LUNCH PERIOD: TRAVEL TINE: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND /OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT T / s v35la 0-191-:1 0, Sig re _ - Date of Report ICBO CCertificabon Number P' d Naft JV City / County Certdicatton Number Rev 7/97 1 MTG - Corporate: 2992 E -La Palma AV*. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 1 Inland EmpAP., 14320 Elstreet, Ste. C101 Moreno V 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 0INS'ECTTiles OTECH 111201 AVAILABLE: - SOIL REPORT (Y) (II) SPECS (Y) (N) APPROVED PL464S4S (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCKITECi FOR Y.'EEf DR WG Ui PROJECT NO ZGft'0 DGINTER TRAVEL TIME: REPORT No- PG OF CO:ItRACTOR /` 5G PLAY fRf IID. PERMIT CIIIUr> SUB COlITRACTOR f PROJECT NAR:E USPEC 11 ADDRESS 24qa`2— j L e /f A-1i. / ADDRESS OF PROJECT ZAA-1 e— REPORTING REQUIRES IN: ICBO FIELD INSPECTION MANUAL/NrrGL SOIL MANUAL— REvtEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON-CON*FORNth, G tVORK ATTHE END OFTHE WORK DAY, OR MISSING AfIRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY• YOURS OR A PRE%40US INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL L DEFICIENCY REPORT AND SUBMIT A COPY AVTTTi YOUR WEEK'S REPORTS. dATERIALS USED BY CWTTRACiOR (INCLUDE R'SARCH RT3ORT NO. 08 MATERIAL TEST REPORTS): CO61aR4CTORs Ea(IIF&0ITI4:AlaVAER U ii 1 G Ct AREA, GRID UK—ES. RECCES OBSERVED: 17i l fit / vr, /' L G /c " is / J — v o6l SMICTURa NOTS. DE RIL OR RT1S tISUr RWARKS. WaOO1W A{I R" e; s e r- C ocle- 2 Q( cL 42,4e--22 LLc jlellr S . _ -- r7 ,-%7 REWORK AS PERCENT PERCENT PROJECT COMPLETION: WEATHER:- -a— - TD. PERATUAFi sawtEs TA.YE.4: TESTS REOIJW404 =- SITE TfI.tE START: 6 SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS. SPECIFICATIONS_ AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT S' 2 s - Date of Report ICED Certification Number Prirolame City / County Certification Number Rev 7/97 Corporate: 2992 E. La Palma A* A Anaheim, CA 92806 Tel' - 714.632.2999 Fax. - 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl . 14320 Els Street, Ste. C101 Moreno Va A 92553 Tel: 951.653.4999 Fax: 951.653 4666 FIELD REPORT TYPE Of WORK O tNSPEICTOR O TECM':IYA.0 AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT C am _ FOR WEiIC BIDING 1r-i3-0j PROJECT NO I A/ ENGINEER REPORT NO. PG OF CONTRACTOR j je S PLAN i0. FILE Y PERMIT NO aka 31570 SUB-CONTRACTOR O – PROJEGT!iA...0 F INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIRFMNIECC S. IC80 HELD INSPECTION \L4NUAL&ffGs s0n,,NW UAL— REV IENV PREVIOUS REPORTS AND LISTS IFTHERE IS NON - CONFORMING WORK AT THE END OF THE NVORK DAY, OR NUSSING :FIRS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT VH04 A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUB \LIT A COPY \XTIH YOUR WEEK'S REPORTS. IATERULLS USED BY 0(knRACTOR P?XLUDE RESEARCH REPORT N0. OR MATERIAL TEST REPORTS): ILtje 2 3 CONTRACTORS EQUIPMENT / 1AANPOWER USED. AREA GR :D UUM PIECES OSSLWELT f C' '1 J / V %ADM li - / STRUCTURAL IRS. O£TAn- OR n IS USE Q C! G i 4f ZJS A A, y5le REA'ARKT. rXQlUlxilCl t7FJr5i L 3 i7 1t1 r Off REWORK AS PERCEPtTT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: V.'EATITFiI v // TEL!PETLATURL - SANWI.ES TAKEN: \ — TESTS R- VwIRE1;6- -- SITE TIME START: % 7-0 SITE T[AIE FlNfSH: LUNCH PERIOD: - TRAVEL TIME: VERIFIED BY. DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT g / /0/0-s- sVV3C1T547 -,07_r- Date oI Report ICBO Certification Number Z,/,/ -/C6 City / County Certification Number Rev 7/97 MTGL Corporate: 2992 E. La Palma Av*. A Anaheim, CA 92806 Tel: 714.632.2999 Fax, . 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl 14320 Elsvtreet, Ste C101 Moreno Val CA 92553 Tel : - 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK O WMPECTOR CLTECH:RCIRN AVAILABLE SOIL REPORT M (N) SPECS (1') (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR %%W ENDING PR( JEC NO Go - ENGINTER REPORT NO. PG OF CU`FTRACTOR P1AN FILE N0. PERMIT NO SU3-CO TRACTOR O ^ CA L PROJECT NAME 5 /A 0 je J U.SPECM AD )R£55 _ / 2 2- r / e,-7 a ADDRESS DF PR(tECTL REPORTL\G REQU1RE1MN M- 1CBO FIELD INSPEEC770N° NIAN UALfMTCsL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NOnX- CONFOR IMING WORK AT THE EENM OF THE WORK DAY. OR N4ISSG\'G N4 RS. AND RFIS, ErC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS WSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR W'EEK'S REPORTS. MATERIALS USED BY CONTRA= (DCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): L3 Ste: L %e?! CONTRACTORS EMPMENT I W) POWER USED: AREA. GRID U::r"S- . PIECES 09SR1ItC ST 0/--" /o f l/* S e l z- STAUCTWUL NOTES. DETAIL_ OR RIM USw.. REVARM NaUDW 111 F s 410 If 6&c% 1* t,7 'i- 7 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER. TEM.PERLATURE: -6- SAMPLES TAKEN: JESTS REOUIRED.4. len SITE TIL E START: - S SITE TIME FINISH: 6-0 LUNCH PERIOD: TRAVEL TIME: VERIFIED BY- 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL K VESTIGATION RECOMMENDATIONS. AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT S-6 7,id,4-r jd- ipnzture V Date of Report ICBO Certification Number P&U 112yk City / County Certification Number Rev 7/97 w G= Corporate: 2992 E. La Palma AOe. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax- 858.537.3990 Inland Empl 14320 Els Street, Ste. C101 Moreno Va A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE WORK O t:SPECTOR 3TECIIIMVWA AVAItABLE. SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT -- FOR WEEK PROJECT y0z O ENGINEER REPORT ND_ PG OF CONTRACTOR /} PLAN f[Lf PERMIT NO Cozy 3 ,150 SUS-0QITI3ACTOR e H C' PROJECT NAME kv NSPECY AODR35 G PROJECT REPORTMG REQUIREhSMN rS: ICBO FIF1,D LVSPECrtON t1ANU.kLIMCL SOIL AiA.NUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NOI,'- CO \'FORNLL \G Vi`ORK ATTHE END OF-niE R'ORK DAY, OR MISSING NnRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBrIrrA COPY WrM YOUR WEEK'S REPORTS_ MATERUILS USED BY CONTRACTOR (=UDE RMEARCH REPORT NO. OR MATERULL TEST REPORTS): z CONTRACTORS EOU1PLI917 J MANPOWtER U-SM. AREA GRID LW ES, PrECES aPrERlE STRUC71tRAl NOTES. DETAtL. OR RfTS usro: ZgZ[ rn REIVAR M NfaUMS l9ffTigGi - 9 D C i 5 RE l1(ORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: de*— 7ETSPETTTAN. SAIAKES TAKENt _ger— TESTS REQ IIREO: V SITE TIME SiAAT: SITE TIME FINISH: LURCH PERIOD: TRAVEL TIME: VERIFIED BY, V= 100 CERTIFY THAT I HAVE PERSONALLY 08SERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, 4ND / OR THE APPROVED PLANS, SPECIFICATIO S AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT A Q S' 1 Date of Report ICBO Certification Number City I County Certification Number Rev. 7/97 MTG Corporate: 2992 E. La Palma AVO_ A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego/imperial County* 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl. 14320 Elstreet, Ste. C101 Moreno Val A 92553 Tel: 951'653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK O WSPET:M O TEt:HJI:CIA11 AVARABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVE0 PLAYS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT/ We G FOR WEEK ? - abs PROJECT I t/ / C37 ENGWEER p /ho 4f 01 REPORT NO. PG OF CONTRACTOR _ PLAN FRE 1I0_ _ PERMIT NO T v/) vvl/U u SUB-COtiTRACTOR ` , 5 PRaw NAME i / toleT I SPECTIOIT ADDRESS 7(!7L 2S— ce i 4r4 ADDRESS PRO1E jT5 E /s:.l e REPOR'r'G \G REQUQ IVNI[ IN'TS: ICBO FIELD IL}SPECRON p:.', \'UALJ.MMi. SOIL A #A,N`UAL— REVIEW PREVIOUS-REPORTS AND LISTS IF THERE IS NON- COXT0104MG WORT: AT THE END OFTHE WORK DAY. OR MISSWG :ITRS. A,ti`D RFIS, EPC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICI04" YOURS OR A PREVIOUS LNSPECTOR'S. IS CORRECTED. SO NOTE ON' THE ORTGTNAL DEFICIENCY REPORT AND SUBNITTA COPY WITH YOUR WEEK'S REPORTS. A'ATERIALS USED BY CONTRACTOR (iW UDE RESEARCH REPORT NO, OR MATERIAL TEST REPORTS): 5 ? L -7 of CONTRACTORS EQUIPMENT / NIANPOWER MD: AREA GRID LO:ESnnPIECES OBSERVED r 4ee! / fe 21 T STRUCTURAL NOTES. DETAIL. OR RFIS USMI Ua% L A& —j— <-e-a—m F"Afucs. mau9m amm ix r REW RK AS PERCENT OF ALL WORK TODAY* PERCENT PROJECT COMPLETIONP WEATHOL' TE6SPHiATURE SAMPLES TAKEN: TESTS REQINRFOI:;6_ ' f rLUNCTH ME ST ART: SITE TIME FINISH: PERIOD: TRAVEL TIME: VERIFIED BY, I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND /OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Sp i1 Date of Report ICBO Certification Number r del rX, v Ie C— City / County Certification Number Rev 7/97 rMiT--L-- Corporate: 2992 E. La Palma Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: -114.6322974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fa)c 858.537.3990 Inland E ^ Ney, : 14320 E th Street, Ste. C101 Moreno V CA 92553 Tel: 951.653 4999 Fax: 951.653.4666 FIELD REPORT TYPE Of WORK -- 4wSPEGTOA QTECH IMPI AVAILABLE- SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS M (N) APPROVED SHOP DRAWING (Y) (N) ARCWTECT / e- FOR WEEK ENDUIG c7J PROJECT. NO 1 Z G 0 0XII.TER z!2 .417 REPORT W. PG OF IliCONTRACM fC.SL- PLAN FILE 1.0. PERMIT NO O otx>0 /J y SUB-CONTRACTOR PROJECT IIAA',E UtSPECTlMV ADDRESS _ p ,(f j 1.=' ADDRESS of PROJECT z 1 J ;17 REPORTING REQUTRINFENTS: ICBO FIELD hNSPECTION MAeNUAU TTGL SOIL MANUAL- REVIEW' PREVIOUS REPORTS AND LISTS IFTHERE IS \ON- C0NFORMI VG WDRK AT THE ENTD OF THE \YORK DAY. OR MISSING MTRS. M'D RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT HEN A DEFICIENCY, YOURS OR A PREVIOUS IINSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBNO T A COPY SVITH YOUR %VEEK'S REPORTS. MATERIALS USEO BY CINUMIACTOR (RXLUDE RESEARCH REPORT M OR MATERIAL TEST REPORTS): A. CONTRACTORS EOTDPMENT / &LA29ON8i USED - AREA, AREA GRID LINES. PIECES OW -gVEO: - h STRUCTURk NOTES. O'ETAA. OR RFIS USW RT]JJIRKS, nnarr rvc /FIIiiaS: / / _ REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: vnInct, lrl"% TE,PMTURE G` SAMPLES TWIP '&- TESTSREOUIRED: SITE T09 START: ESC SITE TMIE PUNISH: 3' as LUNCH PERIOD: TRAVEL TI..W: VERIFIED BY. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH E SOIL INVESTIGATION RECOMMENDATIONS. D / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT CZS— J 5- iprRaiure = Date of Report ICBO Certification Number e "„ _ /CC Print 1-'=4 City / County Cerbflcation Number Rev 7/97 mrc r Corporate: 2992 E. La Palma te. A Anaheim, CA 9280 Tel: 714.632.29% Fax_ 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Em `t c: 14320 E* Street, Ste. C101 Moreno a y, CA 92553 Tel: 951 .653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 01 OTECiNVAN AVAIRAUL SOIL REPORT (Y) (N) APPROVED PLANS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHTrE:7 e ! FOR WEEK ENDL:G g- ,- -j"— PROJECT NO I ex1'::26-6 MVNFER REPORT NO. PG OF CONTRACTOR s L PLA24 FILE NO. PERMIT No vy 3,ry sv "-M TR Q rx- jL. PROJECT NAME S / e+ IISPECTIINN ACEIR $ q VL ADDRESS OF PROJECT REPORTT\G REQTITREMENM: ICBO FIELD WSPECTION NIAN'UALAWMI. SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- CONTFORUIW,G WORK AT THE END OF THE WORK DAY. OR MISSING MRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WFFEA* A DEFICIL TCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY UTTH YOUR WEEK'S REPORTS. MATERMS USED SY COJ.IMTO R (D11CLliDE RESEAARM REPORT NIX OR WATUM TEST REPORTS}: . CONTRACTORS EUUIPUP -IT / YA.'IPOOM I:SED: k AREA GRID Ul:c'S, PliiiS OBSERVED: STR1<CiliRA1 riDTES, DzEACL OR RFS lAEtr. RBdnR36. TXiiUflLYS IUT7lfSS' l 1,44 r 0 Ci- REWORK AS PERCENT OF ALL WORK TODAY- PROJECT COMPLETION: WEATHut !i(' TEG P SiA7RTRE SAmPIES TAQw TESTS REOOIRED SITE TIME START: b © SITE TIME FINISH: 3 ! Z2 LUNCH PERIOD: TRAVEL TB.iE: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS AND /OR THE APPROVED PLANS, SPECIFICATIONS-AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT C u T i Z i pS_ 503579 -7•r re Date of Report ICBO Certitimfion Number P'w lam City / County Certification Number Rev 7/97 MTGL Corporate: 2992 E. La Palma Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: -714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland E o: 14320 Eh Street, Ste C101 Moreno V I y, CA 92553 TeL 951.653.4999 fax: 951.653.4666 t FIELD REPORT TYPE OF WORK 0L`:SPECTOR _ 0TECHN :M" AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) AP ROVf_D FILA.NS M (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR 1YEc1C ENP / PROJECT NO ENGINEER lm. vim! REPORT NO. PG OF CQ!:TR0.Ci0R j r PiAN FRE :0. PERMIT NO V SUB-MInPACTOR so -t'L PROJECT NAME s ( eJ IITSPECTID`I ADDRESS % ADDRESS OF PRqJECT REPORTL\G REQUIRENTEN'ES: ICED FIElD INSPECTION \IAN'UALIMM SOIL,%IA. \UAL — REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON- CO\'POR.lINd NVORK AT TIM END OF THE WORK DAY, OR AllSSL\G NITRS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFIQINCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY COIMIACIOR ONCLUDE 11,2 MARCH REPORT W OR MATERIAL TEST REPORTS)_ CONTRACTORS EQUIP L£.4 f AMAItPOrM USM. Almg ale I Tip - AREA GRID LINES, PIECES OBSERVED STRUCTURAL NITTES, OFTAIL. OR ID6 USED- RFY.ARKS. MaUMV M71INSS' vo 4,07C_ J ii,r<Ca! !lS lT L CrLilrb cJ vim( REWORK AS PERCENT OF ALL WORK TODAY• PERCENT PROJECT COMPLETION: S&TI#'ia - - Ti1 PEAATURE SAMA IS TAKEN TESTS RMIRMZ SITE TIME START: (0:30 SITE TEME FINISH: _ LUNCH PERIOD: TRAVEL nME: VERIFIED BY. I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ri 10S J' ,> 35TOIS- s ipnaft- Date of Report ICBO Certification Number le, c —s .sue City / County Certtfication Number Rev 7/97 MTG Corporate: San DiegoAmperial County, Inland Em l : 2992 E. La Palma Ote. A 7313 Carroll Road, Suite G - 14320 E Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno y, CA 92553 Tel: 714.632.29% Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax- 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 0INSPECTOR O TEC*VI:C I AVAILABLE SOIL REPORT (Y) (J) SPECS (Y) (N) APPROVED PLANS (R) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT r - FOR WEEK ENDING F- 6 -0-r PROJECT NO a G O ) ENISINIER REPORT FA. PG OF CONTAACTM c, JQ ` PLAN FILE NO. PERMIT NO vy- jSLIB- CA'TTRACTOR S C PROJECT NAME _ j Xej INSPECTION ADDRESS //( 2 9.22- S Ce , ,. s ADDRESS OF PROJECT 4, REPORTLXG REQU1RJ32%i11'7M: 1CBO FIELD 1@XSPECROi\ NIANUAU.%fr L SOIL MANUAL– REVTEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- OONFOR.NViG SVORKATTHE `D OFTi E NVORK DAY, OR \i1SSLNG M RS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHE.H A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGIN_ AL DEFICIENCY REPORT AND SUBJ.nTA COPY WTITT YOUR WEEK S REPORTS. MATERIALS USED BY CONTRACTOR (=LUOi RES:ARCN R.POFIT NO.OR MATERIAL TEST REPORTS): 701r - S'r CONTRACTORS EOUIPI,IW I I,L+ WOWFER USED: AREA GRID UKES, PIECES OBSERVED SMCT1JRAL 16-oES, DETAD, OR RFMtJIhTEi: z or RE14AM. LIKEL rA)i; lOTth'S 1/ / i D d X1-7 jr 0 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WiATHUL TW— ERATUtM -6r WVLES TAKER; -Z7" TESTS RMERE6;;4— SITE TIME START: 6 SITE TIME FINISH: -• Al LUNCH PERIOD: TRAVEL TIME: VERIFIED BY. 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND /OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT jL — all / y l f- S}- 0r47 .7yr .- Signature Date of Report ICBO Certification Number t v /lG -SI P lame - City / County Certification Number Rev, 7/97 Corporate: ° - 2992 E. La Palma Ste. A Anaheim, CA 9280 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland E I : 14320 h Street, Ste. C101 Moreno ey, CA 92553 Tel: 951 - 653.4999 Fax: 951.653 4666 FIELD REPORT TYPE OF WDRK 0INSPECTOR OTECH:CUP4 AVARA13LE: SOIL REPORT (Y) (N) SPECS (1) (N) APPROVEO PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT /" v e 6- FOR t\'EfKEJTDL` _ E -66, PROJECT Np,// Q.Gf1EiA ^^. nM REPORT NO. PG OF fA!ITRACTOR PLAN FILE NO. PERMIT NO 0 31LY -0 SU30O'TiRACFOR / C PROJECT NAME 19 /eS 61SPECMN ADDRESS - / Of PROJECT kL L 1,7a e — REPORTL\G REQU1REA,1L\ -TS: I BO FIELD L\SPECr10\ NM \11AEA\1TGL SOIL AlANU-AL- REVIER' PREVIOUS REPORTS AND LISTS IF THERE IS rNO.V- CO,\T-OR,NlhNG VkOPKAT THE END OF THE WORK DAY. OR MISSUNG MRS. AND RFIS, ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUSZ`'SFECT'OR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBSTrr A COPY \VrrH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (I:r-LUBE RMWX -d REPORT ML OR MATERIAL TEST RAFTS): S 94T/ OONFRACTO iS T3MW&MITI+&UNP i.0Eii USED: Z// s AREA MO L0:3• PIECES OSSERM: 06 Aj . T STRUCTURAL 110FFS• O'EEAIL. OR RFIS U.iiTr RF1dArt'CS.AYi1JJtMYT:,1 TiX6£ 6-s r REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: TATTER: SAMPLES TAKEN: $ JE TT STS REQUIRM9 SITE TIME START: 6 : ?o SITE TDAE FINISH: Jr- LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: ' I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLAYS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT QA-,- 7"/ S-1 dS 'L01 7w-'Fs- Print Date of Report ICBO Certification Number Ire -sf City / County Certification Number Rev 7/97 F1 Tom, Corporate: 2992--E. La Palma te. A Anaheim, CA 9280 Tel: -714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 r t , Inland Em ' C: 14320 Eh Street, Ste. C101 Moreno CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK 0 L'.'SFEC OR O TEM=01 AVAILABLE SOIL REPORT (Y) (M SPECS M (N) APPROVES PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT NO E7NGIhM REPORT NO. PG OF C0;I1RACTOR SG PLAN FILE NO. PERMIT NO. N5U8TRACTOH 6A'4 PROJECT NAM I SPECT01 ADDRESS ADDRESS OF PROJECT REPORTING REQUIREN9EN M:ICBO FIELD INSPECTION AiANUALINI iSOILMANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONTORIMWI'G- 'FORK AT THE END OF THE WORK DAY. OR KISSING NiTRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEI'Z A DEFICIFy'CY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NUM ON THE ORIGINAL DEFICIENCY REPORT AND SUBNHTA COPY %Vn H YOUR VTEK'S REPORTS. MATERIALS USED BY MVFRACTO1 (L'.'CLM RESEARCH REPM NO. OR MATERL1 TEST REP Ml T cwNTRACTaas EaDIPIJSrT I 1AA:aarAE11 USED: AREA GRID LINES. PIECES OBSUtVE0: 119 Ac./ Z- e A" e— 4-1 -'7 TU Sitidl'LT aM NOTES. OMIL OR RM usm, = 51 L RL]SARKS, FTraunws eaFm:mr C S . REWORK AS PERCENT OF ALL WORK TODAY. PER GENT PROJECT COMPLETION: WEATH TELCPEitIUURE SAWIES TAq;,,O' TESTS RHE)F SITE TIME START: A736 LUNCH PERIOD: SITE TIME FINISH: ! o TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH tHE SOIL INVES TfjaATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE D ICIENCY REPORT s ?' / J / J!. 'S`o3 s 7kr - '7j— Signmie Date of Report ICBO Certification Number S5 P' TaNI 00, City / County CerfiflcatiDaNumber Rev 7/97 Orporate: 2992 E. La Palma Ague, Suite A, An .,. 4 CA 92806 Permit No.: Td: (714) 632 -2999 Fax. (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%wth Street, Suite C101, Moreno Valley, CA 92553 28.37 Td: (909) 653 4999 Fax. (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 is CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client.• THE BERGMAN COMPANIES A Set No.: 54744 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 7/192005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq. inch) Load Ibs.) Strength psi) Type of Fracture 5 7/192005 6X 12 28.37 87,500 3,080 Cone 28 8/112005 6X 12 28.37 120,000 4,230 Cone 28 8/112005 6X 12 1 28.37 117,000 1 4,120 1 Cone 28 H 8/11/2005 6X 12 1 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE CHAVEZ Location: PRE -CAST WALL PANEL 9 23 Concrete Supplier: SUPERIOR READY NUX Mix No.: C3625P Ticket No.: 1019110 Water added at Site: 0.00 -gaL By Cement Type: 11 51ix Time: 50 min. Remarks: Distribution: THE BERGMAN COMPANIES RICK ENGWEER1hlG COMPANY (ORANGE) CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT LAB COPY** A Date Sampled: 7/142005 Date Received: 7/15/2005 Concrete Temp: 85 °F Ambient Temp: 78 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, 11TTGL, Inc. M.B. (Ben) Lo Chief Engineer 4180 PSI 28-day compression test complies with the specified strength. Branch: Branch: r Branch: 2992 E. La Palma Ague, Suite A, Anah• CA 92806 Tel: (714) 632 -2999 Fax: (714) 632 -2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax (858) 537 -3990 14320 Els%mrth Stmt, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 653 4666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE S7REINGTH- CONCRETE ASTM C39 ss - CITY OF LAKE ELSINORE- -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Ctient: THE BERGMAN COMPANIES A _ Set No.: 5-4743 File No.: Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 29225 CENTRAL AVE. LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load ibs.) Strength psi) Type of Fracture 5 7/19/2005 6X 12 28.37 97,500 3,440 Cone 28 8/112005 6X 12 28.37 134,500 4,740 Cone 28 8/1 i2005 6X 12 28.37 133,000 4,690 Cone 28 H 8/1 12005 6X 12 1 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE CHAVEZ Location: WALL PANEL 918 Concrete Supplier: SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1019096 Water added at Site: 0.00 gal By Cement Type: 11 Mix Time: 51 min. Remarks: Distribution: THE BERGMAN COMPANgES RICK ENGINEERING CON4PANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY**- - A Date Sampled: 7/142005 Date Received: 7/15/2005 Concrete Temp: 89 °F Ambient Temp: 72 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 4720 PSI 28-day compression test complies with the specified strength. porate: Branch: Branch: r Branch: 2992 E, to Palma Avenue, Suite A, Anahh, CA 92806 TeL- (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax (818) 833 -0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE. CA Client: THE BERGMA,N' COt4PANrlES A Set No.: 5-4742 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE - STAPLES 7/192005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 5 7/192005 6 X 12 28.37 91.500 3,230 Cone 28 8111/2005 6X 12 28.37 130,000 4,580 Cone 28 8/112oo5 6X 12 1 28 -37 1 132,000 4,650 Shear 28 H 8/112005 6X 12 1 28.27 A Specified Strength: 4,000 PSI Sampled By: GEORGE CHAVEZ Date Sampled: 7/14/2005 Date Received: 7/15/2005 Location: WALL PANEL € 3 Concrete Supplier. SUPERIOR READY MIX Concrete Temp: 86 °F Mix No.: C3625P Ambient Temp: 73 °F Ticket No.: 1019084 _ Water added at Site: 10.00 gal. By PUMPER Slump: 5.00 in. Cement Type: Il Mix Time: 45 min. Tested at: Anaheim Remarks: Respectfully Submitted, Distribution: THE BERGMAN' COXIPANW -S MTGL, Inc RICK ENGINEERING COMPANY (ORANGE) j CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT FLAB COPY" a64ZZ M.B. (Ben) Lo Chief Engineer 4620 PSI 28-day compression test complies with the specified strength. MTG_ Corporate: 2992 E. La Palma Ave., te. A Anaheim, CA 92806 Tel: 714.632.2999 Fax 71 4.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland -Em 14320 ElsMiStreet, Ste C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF \YORK 0 DISPECTOR 0 TECHIrC1AN AVAILABLE: SOIL REPORT (Y) (IO SPECS M (N) APF90YEO PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDL'G 7- ©W PROJECT NO ILI IZ6b EIGIA'EM REPORT NO. PG OF CO.YTRACTOR s— PLAN FILE NO_ PERMIT NO Uy.6yo SUB-CO.`OTRACTOR r r 'S G i PROJECT S`i LI SPECTWtI ADOREsS ADDRESS OF PROJECT REPORT LAG REQUTR&\ \fFN7S: ICBO FIELD INSPEC710N NiArNUA11MTGL SOIL MANPUAL— RENEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- CONTORI' rM G WORK AT THE Ett'D OF THE WORK DAY, OR ,MISSING N4 RS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY VITM YOUR W'EEK'S REPORTS. MATERIALS USED BY C06YMACTM (&:LLUDE RESiAnRRM REPw N0. rdATT3UAL TEST REPDRTSr COITTRACTORS EOUiPMUIT I MUNVAU USEDr % ARIA GR:D LINES. PIECES OBSERVHE - STRUCTURAL 170'M. DETAIL. OR RFIS USED z f L— REMARKS, aeaUX"AWTXfS / Ct l .r' OEb ;S v"od •? G, Gr ` l,91'c'- S r REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WiATI t 20 TEUPERATURE C// SAUT+.fSTA. M. TESTS REQUIREO: III SITE TIME START- LUNCH PERIOD- SITE TMIE FINISH: 'p %sco TRAVEL TLYIE: VERIFIED BY I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WIjH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ipnatuTe Date of Report ICBO Certification Number X 4-4 e 2 '-- 1 z e Pr' Ntme City / County Certification Number Rev 7/97 MTG S T/9PL & & Corporate: • 2992 E. La Palma -Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diegollmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elswo Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951 653 4666 FIELD REPORT TYPE OF %,on g LiSPf t'eQR CI`ECFL TOXA', t GAic c AVAILABLE; SOIL REPORT Al (N) SPECS A (N) APPROVED PLANS go (m) APPROVED SHOP DRAWING.M (N) ARCHITECT el FOR WEEK ENDM s PROJECT NO o EnGuxER gE tp. PG OF CONTRACTOIR KAN FILE N0. PERMIT NO o0003ISO SUB- MITRACTOL PROJECT MIE WSPECTION ADDRESS ADDRESS OF PROJECT OR REPORTING REQLIR&%f&N`TS: ICED FIELD LNSPEC170N MANUAL1MM SOIL MA UAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NOAf- CO'-FORMING WORK ATTHE END OF THE WORK DAY, OR NI SSDgG MTRS. AND RFIS, ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL. DEFICIENCY REPORT AND SUBMIT A COPY \16TM YOUR R'EEK'S REPORTS. MATERIALS USED TRY CONTRACTOR (GXLM RESEARCH REPORT NO OR AMTERNL TEST REPORTS): 119-625' SuPERloR RE,nd!z M/x l'n. M RACTORS EQUIME NT I:4tA:5'ME R USES Boom P inli - VrbRA a RS - PDGr'/2 SC RE /N /nEN AREA. GRID UNES. PIECES OBSERVED: 7 i9 Fd P,M -CAST u1 AG L AAN _ S '- ZA- ea P- AN i°fAFL. R- If'L R /9L,. e-,?o l , to STRUCTURAL NDIM LrTA.4 OR RTS USgi_ R13am. ijra XAY, Aim DLS J OiMG, QF :5,Qnn PST SA/npL.X,!;= SF-T ff ;97- AT R-/8' WO bLIE 7 -% REWORK Aa LL WORK TOD& r u TT>RPERATURE WinLES47jF— TS 6C 4! 061VC, SP'4-c TESTS REQUIRED z. SITE TIME START: 2' i SITE TIME FINISH: •' LUNCH PERIOD: '— TRAVEL TIME: VERIFIED BY. I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND I OR TH ROVED PLANS. SPEC ONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT gnature Date of Report ICED Certification Number p-5-o3 LA,1°D, Print Name City / County Cerhflcahon Number Rev 7/97 s IN The Bergman Companies 1 3745 Seminole Drive Chino, CA 91710 909) 627 -3651 Attention: Muneer Uddin Subject: Grade Check for PM 32369 Rough Grading Plans Parcel 20 (Staples) Pad Lake Elsinore Marketplace Rick Engineering Company Job #14502) Dear Mr. U&in_ June 23, 2005 As requested, Rick Engineering Company field survey crews have performed a grade check for the Parcel 20 Staples) pad as shown on the approved PM 32369 Rough Grading Plans for the Lake Elsinore Marketplace, and have found the grading to be in substantial conformance with the approved rough grading plans. Based on the field survey performed on 4-13 -05, the pad elevation is within +!- 0.1 -ft of the pad elevation shown on the plans and the tops or toes of slopes adjacent to the pad are within +/- 1.0-ft of the horizontal locations shown on the plans. This grade check is for the lot pad only and does not include slopes related to driveways or parking lots, nor does it inchide a check of any drainage facilities. For your reference the table shown below indicates pad elevations corresponding to survey shots taken on 4-13 -05. Point Pad Elev Actual Pad Elev (Design) 1 1310.11 1310.17 2 1310.09 1310.17 3 1310.11 1310.17 4 1310.09 1310.17 5 1310.08 1310.17 6 1310.11 1310.17 Point Pad Elev Actual Pad Elev (Design) 7 1310.10 1310.17 8 1310.15 1310.17 9 1310.10 1310.17 10 1310.12 1310.17 11 1310.12 1310.17 12 1310.08 1310.17 If you have any questions or need any additional information please give me a call. Sincereh, QVpFESS /0N RICK ENGINEERING COMPANY J- N°' C Barry Cowsk RIC. E. 46568 4L Associate,_ i--. .. _ i%_ -" '_" II?"n" -t I:I:fam. ' "_Si. 1-:1 -1. -V- I I W •1-'. `i. =iI II.;I . 0..n•.r.;,um;...u. 0"p1rate: 2992 E. lit Palma Avenue, Suite A, An.1!! CA 92806 Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Etsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653 4999 Fax. (909) 65311666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAN STREET LAKE ELSINORE, CA Client; THE BERG,4iAN COMPANIES A Set No.: 54308 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 629/2005 29225 CENTRAL AVE. 2837 LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 629/2005 6X 12 2837 94,000 3,310 Cone 28 7202005 6X 12 28.37 126,000 4,440 Shear 28 7202005 6X 12 28.37 128,000 4,510 Cone Specified Strength: 4,000 PSI Sampled By: MIKE LAMOUREAX Location: S.O.G_ 9 5 ® 9 C Concrete Supplier. SUPERIOR READY Nr4lX Mix No.: C3625P Ticket No.: 1016794 Water added at Site: 5.00 gal. By FOREMAN' Cement Type: 1W Mix Time: 50 min. Remarks: ADi%"- POZZ322N Distribution: THE BERGMAN COMPANIES RICK ENGINEERIi \tG COMPANY (ORANGE) CITY OF LAKE ELShNORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 6/22/2005 Date Received: 6/23/2005 Concrete Temp: 87 °F Ambient Temp: 88 °F Slump: 4.25 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B.(Ben) Lo Chief Engineer 4480 PSI 28-day compression test complies with the specified strength. rporate: 2992 E La Palma Avenue, Suite A, Anah -, CA 92806 Permit No.: Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Tel: (858) 537 -3999 Fax_ (858) 537 -3990 Branch: 14320 Elswnrth Street, Suite CIO], Moreno Valley, CA 92553 28.37 Tel: (909) 6534999 Fax: (909) 6534666 Brand: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 28 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTR- CONCRETE ASTM C39 i i CITY OF LAKE ELSfNORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMAN COMPAiNIES A Set No.: 54307 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE - STAPLES 6/29/2005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 6/29/2005 6X 12 28.37 95.000 3,350 Cone 28 7/20P_005 6X 12 28.37 127.000 4,480 Cone & -Split 28 7/20!2005 6X 12 1 28.37 1 133,000 1 4,690 1 Conc & Split Specified Strength: 4,000 PST Sampled By: MIKE LAMOUREAX Location: S.O.G. 8 4.5 Q 9 B Concrete Supplier. SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1016775 Water added at Site: 10.00 gal- By FOREMAN Cement Type: 1W Mix Time: 43 min. Remarks: ADMIX - POZZ 3MN Distribution: TILE BERGMA,N COMPA,N`IES RICK ENGIyN°EER NG COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY" Date Sampled: 6/22/2005 Date Received: 6/23/2005 Concrete Temp: 86 °F Ambient Temp: 74 °F Slump: 4.50 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. ZZr M.B.(Ben) Lo Chief Engineer 4580 PSI 28-day compression test complies with the specified strength. qwwc 2992 E. La Palma Mcnuc, Suite A, Anahci CA 92806 Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax. (858) 537 -3990 Branch: 14320 Elswiorth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653 4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMA,N COMPANYIES A Set No.: 54306 File No.: Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 29225 CENTRAL AVE. LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 6/292005 6X 12 28.37 108,500 3,820 Cone 28 7/20P1005 6X 12 28.37 140,000 4,940 Shear 28 7/2012005 6X 12 1 28.37 1 -144.000 1 5,080 1 Columnar Specified Strength: 4,000 PSI Sampled By: MIKE L.AIMOUREAX Location: S.O.G. ig B.5 Qa 3.2 - Concrete Supplier: SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1016741 Water added at Site: 0.00 gal. By Cement Type: 11/V Mix Time: 45 min. Remarks: ADMIX- POZZ 322\11 Distribution: THE BERGMAN C0IMPArMES RICK ENGINEERING COt4PANY (ORANGE) CITY OF LAKE ELSINORE BLDG R SAFETY DEPT LAB COPY" Date Sampled: 6/222005 Date Received: 6/23/2005 Concrete Temp: 83 °F Ambient Temp: 65 °F Slump: 4.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. ZZ M.B. (Ben) Lo Chief Engineer 5010 PSI 28-day compression test complies with the specified strength. 0 y ' 33 ƒ w. \ / }\ Report of. COMPRESSIVE STRENGTH -CO (CRETE ASTM C39 f f CITY OF LAKE ELSfA'ORE -BLDG 6c SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE. CA Client: THE BERGMAN COMPA -MES A Set No.: 5 -4744 File No.: Date Tested Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Project No.: Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 7/19/2005 Tel: (858) 537 -3999 Fax (858) 537 -3990 Branch: 14320 Elsuwth Street, Suite CIO 1, Moreno Valley, CA 92553 3,080 Tel: (909) 6534999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 6X 12 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH -CO (CRETE ASTM C39 f f CITY OF LAKE ELSfA'ORE -BLDG 6c SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE. CA Client: THE BERGMAN COMPA -MES A Set No.: 5 -4744 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 7/19/2005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Ptominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 5 7/19/2005 6X 12 28.37 87,500 3,080 Cone 28 8/11!-005 6X 12 28.27 28 8/1 1/2005 6X 12 28.27 28 H 8/11/2005 6X 12 1 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE CHAVEZ Location: PRE -CAST WALL PANT TEL 9 23 Concrete Supplier. SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1019110 Water added at Site: 0.00 gal- By Cement Type: 11 Mix Time: 50 min. Remarks: Distribution: THE BERGMAN COMPANFIES RICK ENGINEERING COMPAWY (ORAA *GE) CITY OF LAKE ELS NORE -BLDG & SAFETY DEPT LAB COPY** Date Sampled: 7/14/2005 Date Received: 7/15/2005 Concrete Temp: 85 °F Ambient Temp: 78 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc- M.B. (Ben) Lo Chief Engineer A Corporate: 2992 E La Palma A«,ue, Suite A, Anaheim, CA 92806 Td: (714) 632 -2999 Fax (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax (858) 537 -3990 Branch: 14320 Elsavrth Street, Suite C101, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH- CONCRETE AST14 C39 ss CITY OF LAKE ELSfNORE -BLDG &F. SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES A Set No.: 5-4743 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 7/19/2005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 5 7/19/2005 6X 12 28.37 97.500 3,440 Cone 28 8/11/2005 6 X 12 28.27 28 8/112005 6X 12 28.27 28 H 81112005 6X 12 28.27 Specified Strength: 4,000 PSI Sampled By: GEORGE CHAVEZ Location: WALL PANEL #18 Concrete Supplier: SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1019096 Water added at Site: 0.00 gal. By Cement Type: 11 Mix Time: 51 min. Remarks: Distribution: THE BERGMAN'COMPANLES RICK ENGh\FEERING COIMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY** Date Sampled: 7/14/2005 Date Received: 7/15/2005 Concrete Temp: 89 °F Ambient Temp: 72 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. l M.B. (Ben) Lo Chief Engineer n Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA- Client: THE BERGMAN COMPANIES A Set No.: 5-4742 File No.: Date Tested Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Project No.: TeL- (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 7/19!2005 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elswrnth Street, Suite C 101, Moreno Valley, CA 92553 3,230 Tel: (909) 653 4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 6X 12 Tel: (818) 833 -8100 Fax. (818) 833 -0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA- Client: THE BERGMAN COMPANIES A Set No.: 5-4742 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project-Name: LAKE ELSINORE MARKETPLACE- STAPLES 7/19!2005 29225 CENTRAL AVE. 28.37 LAKE ELSWORE, CA Age Days) Date Tested Nominnl size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 5 7/19!2005 6X 12 28.37 91,500 3,230 Cone 28 8/112005 6X 12 28.27 28 8/112005 6X 12 28.27 28 H 8/11/2005 6X 12 28.27 Specified Strength: 4,000 Location: NVALL PANEL 9 3 Concrete Supptier: SUPER Mix No.: C3625P Ticket No.: 1019084 Water added at Site: 10.00 Cement Type: 11 Remarks: PSI Sampled By: GEORGE CHAVEZ OR READY MTX gat. By PUMPER Mix Time: 45 min. Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY" Date Sampled: 7/14/2005 Date Received: 7/15/2005 Concrete Temp: 86 °F Ambient Temp: 73 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer t V l V' Q O I A N n a = N 7 L O G NO O i t c rO O n 1 1) z G Z !? m 0 I n miN r N q Q O I A N n a = N 7 L O G NO O i t c rO O n 1 1) z G Z !? m 0 I n mi N I, V - JeVCJ o V to 0 1 pi m i a Nn 0 r , O , „ n , „ 0 o m m Z m mt O L s i o d o m a w N h. Corporate: San Diego/Imperial County: Inland Emp Los AngelesNentura County: oStreet, A 2992 E. La Palma Ave., te. A 7313 Carroll Road, Suite G 14320 Elsad Ste. C101 13010 San Fernando Rd., Unit 1 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Sylmar, CA 91342 714.632.2999 Tel: 858.537.3999 Tel: 951.653 4999 Tel: 818.833.8100 Ad= Tel: fax 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Fax: 818 833.0085 FIELD REPORT TYPE OF "M Q TECN3 XWI AVAILABLE_ SOIL REPORT (Y) (N) SPECS ( ) APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N) ARCHI / y RNL WEElt ENDING _ PROJECT NO 0-5 i OtGt . REPORT NO. PG OF GO Cc S i PLAY FILE NO. JPERMIT NO / r /,, log, VLSI.0 SUB-0WITRACTOP— . . PROJECT _ INSPECTON ADDRSS ADDRESS Of PfUECT Vol RPPOKMG REQUMENIEN T'S: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF TMERE IS NON- CONTOIVNIIIINGAVORK AT THE Et FD OF7i E WORK DAY, OR MISS NG MTRS. AND RFIS, ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEIN A DEFICIFy`CY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE Oh THE ORIGINAL DEFICIENCY REPORT AND SUBMIT' A COPY UTM YOUR WEER'S REPORTS. a MATyERVJ.S USED BY CQ+MCM (GXLIiR RMAM RUT NO. OR MATERIAL TEST RB. DRTU COITTRACTORS EOUIPURIT / MARMWER USED_ AREA. GRID LWES. PIECES OBSERVE_• rr STRUCTURAL 10=. OETAM, OR RIG USMC Ra"Rm "QUItfwASS _ i 2 .__Mvc u I ro Q "tA1 KrATIOt C 64:- SAMPLES TAiM TEMPERATURE, TESTS REOUHUD: 9S SITE TUAE START: / i aG SITE TGIF FINISH: 1 d LUNCH PERIOD: TRAVEL TIME: VERIFIED BY- 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH tHE SOIL &VESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT i Siq Date of Report ICBO Certification Number Print Onle City / County Cert'tftcation Number Rev. 7/97 TGL Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: ` 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elswo , treet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los Angeles/Ventura County: 13010 San Fernando Rd , Unit 1 Sylmar, CA 91342 Tel: 818 833.8100 Fax: 818.833 0085 TYPE OF %1M ZINSPECTOR 0 TECT MM" AVAIIARLEE SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLAYS MN) APPROVED SHOP DRAMNG (Y) (N) ARCHITECT FOR %,M ENOms PROJECT E',TiiIEER RFPOAi NQ PG OF CAYTRACTOR P A.4 FILE N0. PERMIT NO sus CO FiRA¢QFI PrLci NAMEE'5%l ar9— M A'k f (`1 c-Q— INSPECTUN ADDRESS Z9703 l4vt ADDRESS OF PROJECT REPORTL\`G REQULRENtEy \"!'S: ICRO FIELD INSPECTTON %iou\,uAu,\frGLso[L.NAi,\UAL- REVIEW PREWOUS REPORTS AND LISTS IF 7W-RE IS ,CFO \- CON'FOR. \tING.WORK ATME END OF THE WORK DAY, OR MISSING AiTRS. AA'D RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT V6WOE A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGLN'AL DEFICIENCY REPORT AND SUEINGT A COPY %XMM YOUR %`VEEF'S REPORTS. MATERULS USED BY CONTRACTOR If %U RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 3 'Psi c0-.e'-eA< CWRACTORS E00lPAMITI AREA GRID UI,'3 P6i;:ES OBSERVED: +- I / C*- %cryevea ie YYlltil C+"A I'Yt"cw-LGL.1 ( Ocxw;01.' G "' es+ 1 / 'Swo r-&A rM ' O RTES. DEDJt. OR RFTS uSW. REV,ARm wavow AJgims& REWORK AS PERCENT OF ALL WORK TODAY_ PERCENT PROJECT COMPLETIIOM WFAnm O %qx' Cr-l T fi'T - ` 0 a sawtEs umtt (' + 2,> gyp' ,-- Z l 1 p TESTS RT:OStIRED:. ` 3 SITE mm START.. Gtr+/ SITE MIME FRIISH (' V n LUNCH PERIOD: TRAVEL TWE' VERIFIED B j' 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK USTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT AA-, 6 A / dS 5228384 --yct sipnai>m Date of Report ICBO Certification Number PrvR ::trtn City / County Certification Number Rev 7/97 66 - f » a 2 Z? a -f= FMITG Corporate: 2992 E. La Palma Ave., e. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 inland Empl T14320Elswo treet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd, Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax- 818.833.0085 TIDE OF WDR% O,SPECw OT£CiOMWI J A:A ABLE_ SOIL REPORT (Y) (N) SPECS (1) (N) IAPPROVED PLANS M (N) APPROVED SHOP DRAWING (Y) (N) ARCMTEEC FOR WEEK ENDING PROJECT NO. ' - Z- EnGtNTER y w f REPORT NO- PG OF Cp ` 11 PLAN HU NIL PERMIT (y0 V totq Sl3 ' ML i. OJFCT NAISt i , yl C. IUSPECT p I AD EN ADDRESS OF PROJECT 2 '(.f ti ve REPOKMG REQUIR&N{EN S: TCRO FIELD INSPECTION MANUA,UNML SOIL NiANUAL- REVIE\V PREVIOUS REPORTS AND LISTS IF THERE LS NON- COA°PORMLNG %N'ORK AT THE END OF THE \YORK DAY, OR NIUSSIN- G MTRS. AND RFIS, ETC. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICFID`CY. YOURS OR A PRMOUS PLSPECPOR'S. IS CORRECTED. SO \OTE O` THE OR1G1_NAL DEFICIENCY REPORT AND_ SUB,%MTA COPY W" YOUR \VEEWS REPORTS. MATERIALS DSED BY 'iTRACTOR (I:,iLW RESEARCH REPORT NIL OR ALATERIAL TEST REPORTS): 5 G3MGTIci COt1iRAC70R5 EOUIP'vEtT / 116AA4dA USED. AREA GRID LLIn PIECES OBSERVED: atev.eweCJL lSrce.,nL'r."J' 4v /yttc3+nr.:c,( iso du -1,o>1 -- t cpPra>ti \M + r50 ('miL L.c.+,r1S oT 3oW Pe,1 CnT1IeTrE 4cer. is SJG A4 %uI1j,ye. W. ate L' kcV'c(c5 f ooelCo TeI.PERAIUAy- GO SA AES TAX. t } 6' I !•` S I'M SITE TIM START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TLIAE: VERIFIED BY. 'v~' I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT YA 1 0140e___ 6 / 73 /o 522 5385 -q I Signature Date of Report ICBO Certification Number 10— c6ge PriITt Name City / County Certification Number Rev 7/97 F, -6. 6 dALc STRt1CiiDRAi "CrIES OEDA OR RTTS USSc REMARlJS. OIPQ(JDIMS JJe TTXGt ate L' kcV'c(c5 f ooelCo TeI.PERAIUAy- GO SA AES TAX. t } 6' I !•` S I'M SITE TIM START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TLIAE: VERIFIED BY. 'v~' I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT YA 1 0140e___ 6 / 73 /o 522 5385 -q I Signature Date of Report ICBO Certification Number 10— c6ge PriITt Name City / County Certification Number Rev 7/97 K 6Lt 5X Obse Mt Job Address /) Q L ! i p vG _ - Permit Number L/ a rytGV / l Job Name D R A G Architect W V Material Description OL Gu 2vi`v V . IOo wG Engineer L sac Deputy's Name Qr 0. O Contractor r Samples: X Quantity 7_ Subcontractor T 6 Approved Mix Design 6 Type ofInspection Gt / Description of Work Observed: 9-e-A C/7CG%L - rn'1G'Gf / /=Ud DATE(p v oVf- i'M Gu 2vi`v V . IOo wG X 36 UC .2 Y 2 6 s 4yn t 7`,x/3 ow Ix o ' 2 Q/ - 65 T 6 u.; 4- 6f. W' Q G G a 5 cl. ;-0- TIME IN I TIME OUT I REG. HOURS I O.T. HOURS Ss 3aA4 9do t mde fd fe cbsena6m sass pravrded W C.C.C. OCs -v;3C— 6 skied b fse tm,z and as Dedofierevem e, sirsdffsObsw iz6onReoariByfesgffireinfesMmvafm Rt I agree to be bound by of 1ptms and r Or m ft revere side d ft Obmv;36m Repart Approved by: We hereby certify that, at the time of this inspection, we have observed all of the above reported work, unless otherwise reported. To the best of our knowledge and belief, we have found this work to comply with the approved plans, appitcations, and applicable section(s) of the Uniform Building Code, as appt=bte to the locality where this property is located. This report cannot be certified to be a recommendation of work of any nature to be performed. The perfomrance of our observation services is subject to the terms and conditions as described on the reverse side of ation Report. The Owner or a successor in interest shalt hold ha less from a and all Legal proceedings of any nqWe whatsoever that is rqked t ervation services provided Signatu f Registered Deputy 522,3-2 CDTpOta1 @: ' 2992 E. La Patma Anaheim, CA 928% Tel: 714.632.2999 Fax: 714.632.2974 if 'fvr Ban 111110 tm;"al County: Inland A ' 7313 Carroll Road, Suite G 14320 E re San Diego, CA 52121 Moreno Valley', CA 2 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 858.537.3990 Fax: 961.653.4666 FIELD REPORT Us Mp@lesNenWre Cou*. Ste. C101 13010 San Fernando Rd., Unit 1 i3 Sylmar, CA 91342 - Tel: 818.833.8100 Fax: 818.833.0085 rrPE OF WORK DTE"X" AVAILABLE SOIL REPORT (Y) I' M" SPE ) AI'MMED F Ali6 IN) APPROVED SHOP DRAWI m (N) MIMS ENam PROlfCT. Noy It M ER B 0i r 5 dC . REPORT NO. PG OF co rsi. PEAN FtiE NO. PERAER NO I V sw P},,,' CCal - lS WSPECTIONADDRM A A VIE. RBPORMOG. REQTIIRIMiE ITH: ICBO FDUD LNSPHCTTON MANUAl/MrGL SOP. MANUAL - REVIEW PRMOUS REPORTS AND LISTS IF TVME IS \ON- 0¢)KFOR!WKG VIORK AT THE END OF THE WORK DAY, OR MLSSLNG MTRS, AND RFLS, ETC.. FILL OUT AND ATI'AC #4 DEb4CIBNCY REPORT WHEN A DMaENCY. YOLR.S OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORTWEINUTACOPYWMfYOURWEEK'S REPORT'S. ;rt WITERIALS USED BY CONTRACTOR ONCLUK RS'EAWI f.EPM N0.OR MAT13iiAl TEST REPORTS): CONTRACTORS EOUIP MI1A PeOWMIAUSM ARIA GRID LIMES. PIECES 72INU 3 1 . STRUCTURAL NOTES, DETAIL OR RTa USIEr Rauwa..UcnwavM a 1 ,c — c% o Q TA ' REWORK &JURCENT OF ALL WORK TODAY- PERCENT P80JECT COMPLET1 Np WWKM G G A t Ti31PfRATItitE 1S ` SWIM Impt TESTS RfcauO: SITE nuE START: l,2 -' © SITE TW FWMH: r / ', / ,.T LUNCH PERIOD: TRAVEL TIME: VERIFIED Or '• -- 1—Z r 100 CERTIFY THAT I HAVE PERSONALLY OSSUIVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND 105jT9E APPROVED PLAYS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r Est Otte of Report 00 Cewim on Number pfw Illfim City J County Ce"hation Number Rev: 7/07 fi i,otporaie: Date Tested Permit No.: 29921? La Palma Avenue, Suite A, Anah.0CA 92806 Project No.: Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road. Suite G, San Diego, CA 92121 6/292005 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%wth Street, Suite C101, Moreno Valley, CA 92553 3,310 Td: (909) 65311999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 6X 12 Td: (818) 833 -8100 Fax. (818) 833 -0085 Report of. COMPRESSIVE STRENGTH- C0NCRE'iE ASTM C39 ss CITY OF LADE ELSLN`ORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE. CA e Client: THE BERGMAN COMPA,TIES Set No.: 54308 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 6/292005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 6/292005 6X 12 28.37 94,000 3,310 Cone 28 7202005 6X 12 28.27 28 7202005 6X 12 1 28.27 Specified Strength: 4,000 PSI- Sampled By: MIKE LAMOUREAX Location: S.O.G.11 5 @ @ C Concrete Supplier- SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1016794 Water added at Site: 5.00 gal. By FOREMAN Cement Type: II/V Mix Time: 50 min. Remarks: ADMIX- POZZ322,1I Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPA,NrY (ORAONGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY** Date Sampled: 6/222005 Date Received: 6/23/2005 Concrete Temp: 87 °F Ambient Temp: 88 °F Slump: 4.25 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. Z j M.B. (Ben) Lo Chief Engineer rporaie: Branch: Branch: Branch: 2992 F_ La Palma A--atue, Suite A, MAP., CA 92806 Tel: (714) 632 -2999 Fax: (714) 632 -2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 14320 Els%orth Street, Suite C101,- Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax. (818) 833 -0085 Report of: COi•4PRESStVE STRENGTH - CONCRETE ASTM C39 s CITY OF LAKE ELSIA'ORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGIMANN COMPAATIES A Set No.: 54307 File No:: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 61292005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load__ Qbs.) Strength psi) Type of Fracture 7 61292005 6X 12 28.37 95.000 3,350 Cone 28 72012005 6X 12 28.27 28 7202005 I 6X 12 1 28.27 Specified Strength: 4,000 PSI Sampled By: MIKE LAMOUREAX Location: S.O.G. 9 4.5 Q 9 B Concrete Supplier. SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1016775 Water added at Site: 10.00 gal. By FOREMAN' Cement Type: 1W Mix Time: 43 min. Remarks: ADI,4[t- POZZ 322N Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANI GE) CITY OF LAKE EISINrORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 6/222005 Date Received: 6/23/2005 Concrete Temp: 86 °F Ambient Temp: 74 °F Slump: 4.50 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer A MTGL Orp-rate: 2992 E La Palma Avenue, Suite A, AnACA 92806 Permit No.: Td: (714) 632 -2999 Fax: (714) 632 -2974 Branch. 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsanrth SuccL Suite CIO], Moreno Valley, CA 92553 28.37 Td: (909) 6534999 Fax: (909) 653 4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES A Set No.: 54306 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 6292005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.lnch) Load Ibs.) Strength psi) Type of Fracture 7 6292005 6X 12 28.37 108,500 3,820 Cone 28 7/2012005 6X 12 28.27 28 7/20/_005 6 X 12 28 -27 Specified Strength: 4,000 PSI Sampled By: MIKE LAMOUREAX Location: S.O.G. 9 B.5 aQ 32 Concrete Supplier: SUPERIOR_READY MIX Mix No.: C3625P Ticket No.: 1016741 Water added at Site: 0.00 gal. By Cement Type: I)N Mix Time: 45 min. Remarks: ADMIX- PO7Z 322N Distribution: THE BERGMAN COI4PANIES RICK ENGh EERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY** Date Sampled: 6222005 Date Received: 6/23/2005 Concrete Temp: 83 °F Ambient Temp: 65 °F Slump: 4.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer A Orporate. 2992 E La Palma Avenue, Suite A, AnahOCA 92806 Permit No.: Td: (714) 632 -2999 Fax (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%mrth Street, Suite C101, Moreno Valley, CA 92553 28.37 Tel: (909) 653 -0999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 s* CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSIAIORE. CA Client: THE BERGMAN COMPANIES Set No.: 5 -3887 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 6/92005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq. inch) Load Ibs.) Strength psi) Type of Fracture 7 6/92005 6X 12 28.37 89,000 3,140 Cone 28 6/302005 6X 12 28.37 137,500 4,850 Cone & Split 28 660/2005 1 6X 12 28 -37 133,000 4,690 Cone Specified Strength: 3,000 PSI Sampled By: DAN NEILL Location: FOOTING Q LINES 2 & B-5 Concrete Supplier: SUPERIOR READY N41X Mix No.: C3625P Ticket No.: 1015017 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 85 min. Remarks: Distribution: THE BERGMAN CON4PAINIES RICK ENGINEERING COA4PANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 6/2/2005 Date Received: 6/3/2005 Concrete Temp: 78 °F Ambient Temp: 70 °F Slump: 3.50 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. j M.B. (Ben) Lo Chief Engineer 4770 PSI 28-day compression test complies with the specified strength. MTGL Corporate: 2992 E. La Palma Ave., Ie. A Anaheim, CA 92805 Tel: 714.632.2999 Fax. 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elsw 0, treet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax, . 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel. 818.833.8100 Fax: 818.833.0085 TYPE OF WORK 25wwwm Ci TET,TiI.,MAN C A:ARA81E_ SOIL REPORT (Y) (M SPECS (Y) (N) APPROVED PLANS M (11) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR %%W ENIDING ('' In PR4 T N It ENGINEER REPORT NO. PG OF CONTRACTOR PLANT FILE NO. PERMIT NO SU&COINTRACTOR PROJECT NAME t7 INSPEM41 ADDRESS ADDRESS OF PROJECT REPORTING REQUIRF- MEN 'S: ICBO FIELD INSPECTION NIANUAIJKML SOIL NIANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- CONAO%Xfl G WORK AT THE END OF THE NVORK DAY. OR NIISSM MRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIEN_ CY_REPORT WHEN A DEFICIENCY; Y OURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTEON THE ORIGINAL DEFICIENCY REPORT AND SUBA1IT A COPY WITH YOUR W'EEK'S REPORTS. MATERULLS USED BY DIDIUM Ir R (DICLUDE RELA.RCH REPORT NO.OR MATERNAL TEST REPORTS): CMNTRACTORS EMUIPMEN T J MANWAIIER USM. AREA GRTO UNES. PIECES OBSERVED: / t 2 i lc- t Ci C.Qc re— F - STRUCTURAL ROM0FUJL OR RFE USED: REMARILS. FA*AFImG Ii7TA= REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHEII; TELITERATURE SAMPLES TAKEN' TESTS REM MED: SITE TIME START. ` Q SITE TIME FIYISH: . eld - LUNCH PERIOD: TRAVEL T1.11F. - a VER E Y. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / 0 E RO P P FICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Cfl /16J SiQ Date o) Report ICBO Certification Number rim time City / County Certification Number Rev. 7/97 Corporate: 2992 -E. La Palma Ave ., ee. A Anaheim, CA 92806 Tel: 714.632.2999 AIIIIIIIIIIIII Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 BSwo Street, Ste C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK G.5?ECTOR QTEMICIAN AVAItA$LE_ SOIL REPORT 94 (N) SPECS (N) APPROVED PLAYS (N) APPROVED SHOP DRAWING (N) ARCHITECT ja n _ FOR WEEX ENOM 0 P114 NO Z 6''IGINUM / J ;F REPORT MD. PG OF rANTRACiOR t '_ _ PiA.Yf[LfNO. P QN_ O SUE-CONTRACTOR PROJECT NAME y _ ` /OJ fCI 113PECTID.Y ADDRESS ADDRESS OF PROJECT REPOWTING REQU9M%W TS: ICRO FIELD hNSPECTION MANUALAML SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS YON- CONFTORMLNG WORT: AT INE END OF THE WORT: DAY. OR MISSING IMTRS, AND RFIS. ETC., FILL OUT AND ATTACH A D_EF ICLENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS L-NSPECTOR'S, IS CORRECTECI, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WrTH YOUR WMUS REPORTS. AIATEtMLS USED BY COI.' TRACTOR (DStUDE RESAMCH REPORT NO. OR MATERIAL TEST HEPORTS): Sc.1tt to' r+iZ1cra G3tp25 4'00 p iZ' . AtlRM?l c' CONTRACTORS EOUIPMUIT J BSMPMEIR USR 114 AtW I l se rz to AREA. GRID LINES. PIECES OMERVED: Q Tff s 4 b . AU_ w c o , STRuCruRAL Imm. DETAIL. OR RFIS Leze F"ARIM. IMUDW A IATrt.i2 T l 2 -_t b 64t" STS . i ccxr S>31 STS Z 5CUMF qyZ_ o ° Loe-, 5 S RT 3 SUs &E q;640 C a4. 8700 !8 8' 0 Le is , REWORK AS PERCENT OF ALL WORK TODAt PERCENT PROJECT CQIVIPLET[Qb WEATHER / . TEilPfi mum 8 s SAMPlES TAK£Ik 3 50-',5 -3 r 7z r & %Lt TESTS REOUIRED: 5u,,,q,, SITE TIME START: S r'"' SITE TUM FLYISW _ J API— LUNCH PERIOD: TRAVEL TIME: VERIFIED BY• 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WA THE SOIL INVESTIGATION RECOMMENDATIONS AND / Qf9 TH A 11 PLANS ECI CATIONS AND APPLICABLE SECTION OF THE 86ILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ZZ-4 0 —4$ Sip Date of Report ICBO Certification Number PFw Name City / County Certification Number Rev 7/97 Corporate: fi San Diego/Imperial County: Inland Empa Los AngelesNentura County: 2992 E. La Palma Ave., e. A 7313 Carroll Road, Suite G 14320 Elswo treet, Ste. C101 13010 San Fernando Rd , Unit 1 Anaheim, CA 92808 San Diego, CA 92121 Moreno Valley, CA 92553 Sylmar, CA 91342 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Tel: 818.833 8100 Fax: 714.632.2974 Fax 858.537.3990 Fax: 951.653.4666 Fax: 818.833.0085 FIELD REPORT TYPE Of %wx I.SPECTOR 0 TECtLIZa N AVAILABLE SOIL REPORT (Y) (N) SPECS (Y) (N) L J APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (`() (N) ARCt{IiiLi _ FOR LSiDC ENDI% PROJECT NO DiC,Uai N n f REPORT N0. ! PG ` OF COTTAACTai p PLAN FILE Ito- PERMIT NO SUB-CONTAALTOR PROJECT NAME 1S S V IIISPECM4 ADDRESS ADDRESS Or PROJECT Z'1 ZZ5- 0_ eti r44 -f- ;htC- • 'T- REPOMNG REQUIRI NIEUNI'S: ICBO FIELD hNSPEC 11ON K4.N`UAIINfTGti SOIL AL•WUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS SON - CONFORMING \N'ORK AT TI-E END OF THE WORK DAY, OR INUSSING M RS. AND RFIS, ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO DOTE ON THE ORIGINAL DEIICIENCY REPORT AND - SUBJffPA COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CNNITAACTOR (AIDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 6 /s C A 6` 46 0 1a'`" CONTRACTORS EOMMUIT / MANPMU USED: ARi/l GA:O UI:ES. PIPES OBSERVED: 6- LSi L. /Y l 3(. //,/Q { .• II WEATHER:- TEASPEAATum- -7 J G SITE TIME START:Z SITE TUM FINISH: LUNCH PERIOD: TRAVEL TIME: SAMPLES TAKE.'t " 1 TESTS REQUIRED' VERIFIED BY I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE VED NS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Sig Date of Report ICBO Certification Number Print !lame City / County Certification Number Rev. 7/97 STRUCTURAL .AOTiS. DETAIL. OR Rib USEit. 3 L-5 1 I REMARKS. TravuIrs>Iffmsr WEATHER:- TEASPEAATum- -7 J G SITE TIME START:Z SITE TUM FINISH: LUNCH PERIOD: TRAVEL TIME: SAMPLES TAKE.'t " 1 TESTS REQUIRED' VERIFIED BY I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE VED NS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Sig Date of Report ICBO Certification Number Print !lame City / County Certification Number Rev. 7/97 FM TG Corporate: 2992 E. La Palma Avete. A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fa)c 858.537.3990 Inland Emp 14320 ElswfflWtreet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF YAW X O TFCFiVttY.A!t AYARAELF_ SOIL REPDRT (Y) (N) AMOVED PLANS (N) SPECS (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR X DffiING c3S PROJE T NO r !- D2G11. r REPORT NO. PG OF C0' S L . PLAY FILE NO. PERMIT NO1d sv PROJECT NAE:E iNSPECMq ADDRESS ADDRESS Of PROJECT REFomNG REQ iE,% -m: TIRO Fi-EiS wspECTEO ,"AA'UAL11lriMU:NI;\NLiAL-- REVMW PREVIOUS REPORTS AND LISTS - IFTHERE IS NON-CONPORX"G WORK AT THE END OF THE WORKDAY. OR N1ISStXG ;`MTRS. AND RFIS, ETC-, FILL OUT AND ATTACH A DEFICIENCY REPORT WIZEN A DEFICIENNCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL. DEFICIENCY REPORT AND SUBNITT A COPY WIrM YOUR N \'EF.VS REPORTS. MATERIALS USED BY CO4MUZIOR (ILUMM R -EWACK FIVORT f. OR MATERIAL TEST RkpORTSk 3000 i e-_4IAf , ryi x C3C 2s CO' EMPUBIT I MARM USED. a I je AREA GRID LIKES. PIECES OBSE"V'ED: L c r 0/o c STRIXTIMAI rlOTES,. DETAIL. OR I= USErr REU.ARSS. UralrDW AEETVMk C -5 ,ccp SA-rn D is c; j L •: ,..r c o /moo REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: uritER: ovE_ 12eASr TEtr.PEFUTURe - wwtES TAKEN: / \3 TESTS REOITIRED: i SITE TIME START:-0," Q SITE TVAE FINISH: 5 en>.e-- LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE/ l gg SipnaDr — Date of Report Print Name SOIL INVESTIGATION RECOMMENDATIONS, D IN THE DEFICIENCY REPORT ICBO Certification Number City/ County Certification Number Rey 7/97 Jorporate: 2992 E La Palma A-venue, Suite A, Anahc CA 92806 Permit ho.: Tel: (714) 632 -2999 Fax: (714) 632 -2974 Branch. 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%mrth Street, Suite C101, Moreno Valley, CA 92553 28.37 Tel: (909) 653-4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit -1, Sylmar, CA 91342 28 Tel: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH- CONCRETE ASTM C39 s: CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: THE BERGMArN COMPANIES Set No.: 5 -3887 File No.: Date Tested Permit ho.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 6/90005 29225 CENTRAL AVE. 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load f ( Ibs.) Strength psi) Type of Fracture 7 6/90005 6X 12 28.37 89,000 3,140 Cone 28 6/300005 6X 12 2827 28 6600005 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By: DAN NEILL Location: FOOTING Q LINES 2 &. BS Concrete Supplier: SUPERIOR READY MIX Mix No.: C3625P Ticket No.: 1015017 Water added at Site: 0.00 gaL By Cement Type: Mix Time: 85 min. Remarks: Distribution: THE BERGMANN COIMPANI S RICK ENGt\:EER1 \G CONVAA'Y (SD) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY *; Date Sampled: 6/2/2005 Date Received: 6/3/2005 Concrete Temp: 78 °F Ambient Temp: 70 °F Slump: 3.50 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. XA6 l M.B. (Ben) Lo Chief Engineer Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 s* CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA - Client: THE BERGMAN COMPANIES SetilTo:: `S 6522 File No.: - Date Tested 01=_ 2992 E. La Palma Avenue, Suite & An*A 92806 Project No.: Tel: (714) 632 -2999 fax: (714) 632 -2974 Branch: 7313 Carroll Road. Suite G, San Diego, CA 92121 10/15/2005 Tel: (858) 537 -3999 Pax-(858)537-3990 Branch: 14320 Els%vnh Street. Suite C101, Moreno Valley, CA 92553 3,910 Tel: (909) 653 -4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 3 X 3 X 6 Tel: (818) 833 -8100 Fax: (818) 833 -008S Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 s* CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA - Client: THE BERGMAN COMPANIES SetilTo:: `S 6522 File No.: - Date Tested Permit -No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE-STAPLES 10/15/2005 29225 CENTRAL AVE. 9.98 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 10/15/2005 3 X 3 X 6 9.98 39,000 3,910 N/A 28 11/52005 3 X 3 X 6 9.00 28 1 Ih2005 3 X 3 X 6 9.00 Specified Strength: 2,000 PSI Sampled By: GEORGE CHAVEZ Location: VENEER COLUIMN- GRIDS 6 & D 21'-4' HIGH Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P -8 Ticket No.: 4194 Water added at Site: 0.00 gal By Cement Type: 11/V `i fir Time: 94 min. Remarks: ADMIX- WRDA -64 Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 10/82005 Date Received: 10/10/2005 Concrete Temp: 76 °F Ambient Temp: 80 °F Slump: 9.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. J M.B. (Ben) Lo Chief Engineer Corporate: 2992 E. La Palma A *e. A Anaheim, CA 92806 Tel: 714.632.2999ta - Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 ElsW.treet, Ste C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK D INSPECTOR - Q TEUMICIAN AVAILABLE - SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT GG, FOR WEEK ENO VIG PROJECT NO i yiz 6-0 E:fitttfiR r / m oo ! i REPORT N0. - PG OF MaRACTOR PLAN FILE NO. PERMIT 0 Ur/ r:zrU?.0 su &CQ:ITRACTOR i PROJECTNA6tE INSPECTION ADDRESS VV - 7 rQ A-4 ` ADDRESS of PRDJEtr REPORTING REQUIR&%tF. \-M: ICBO FIR Dt L\`SPECI ON 11ANIJAIRNM SOIL, UAL- REVIE%. PREEVIOUSS REPORTS AND LISTS IFTHFRE IS NON- CO`FORIALNG WORK AT THE WD OF 1W WORK DAY, OR MISSING NMS. AND RFIS. ETC_, FILL OUT AND ATTACH A DEFICIENCY REPORT VHEN A DEFICIENCY YOURS OR A PRE4ROUS L\SPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMrrA COPY \VTTH YOUR WEEK'S REPORTS. A:ATFRIALS USED BY CONTRACTOR (C-0 UOE RM ARCH PERM NXIL OR MATERIAL TEST REPORTS) COIRRACTORS ECUIPURIT I MuLWaAF'$L US;H7: AREA. GRID LINES. PIECES OBSERVED, STRUCTURAL NOTES. DrLAjL OR RFMS USW l000l REMARKS. XIMUDW AWFUNSk / i le `.n ' vlis L L 4 Cat" f/ L i y— v [' M ` J rarer / e- l REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEAnC — TEMAPERATURyo, SIWIESTA.SEY.CCZ TESTS REQUIRU< FE TITRE START: 6', 3 SITE TIME FINISH: NCH PERIOD: TRAVEL TIME: VERIFIED BY kA.04-- I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTEO ABOVE AND THAT THIS WORK COMPLIES WITH ME S ANO R THE APPROVED PLANS. PECIF(CATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED ir-410s-- q ! l Date of Report L Prvmt ATIGATION RECOMMENDATIONS, DEFICIENCY REPORT 503'4 I'l/f ,FJ c. ICED Certification Number City / County Certification Number Rev 7/97 1 i p-J- G 26 - 7'! -5' -O MTGL r _- STiq'Pl S Corporate: San Olegonmperial County: 2992 E. La Palma Avs. A 7313 Carroll Road, Suite IS Anaheim, CA 92805 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 Inland Emp 14320 ElmWtreet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los Angeles/Ventura County: 13010 San Fernando Rd , Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax. 818.833.0085 TYPE OF WORK AUSPECm - TEM11CM AVAILABLE SOIL REPORT (A (N) SPECS M (N) APPROVED PL4L4S % IN) APPROVED SHOP DRAWING EM) (N) ARCHITECT FOR WEEK ENDING PROJECT NO lQ 2 ENGINEER REPORT NO PG OF CQaTRACTOR PLAIT FILE NQ PMMIT NO SUB-MVIRACTOR PROJECT NAME EISPECM4 ADDRESS AODRM Of PROJECT d REPORTING REQUIRERL&ITS: ICBO FIELD L1-1SPECnO. i h1ANUAUJITGL SOIL IMA,NUAL - RENTIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON- CONTORNTING WORK. AT THE END OF THE WORT DAY, OR MISSING NTIKS. AND RFIS. ETC. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIV:CY, YOURS OR A PREVIOUS INSPECTOR -S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBNITT A COPY TVTIH YOUR NVEE.0 S REPORTS. AV.LERUALS USED BY CONMAMM It VAME ADAM POW NQ OR MATERIAL TEST REPORTSx c y 9,e,9644 R—o -s^e— 'P Sgnc r A /1127 //V vt) 9 COMPACTORS EQUIPMENTIt3AWaO ESUSEOt t-' " - fY_Tf aImn IR AREA, GRID LINES. PIECES OBS t' rr f7 g ( .(/ r'.=lijE1)?f9s0NAU 11—rVrFR eaZe 7,MS (4) 6!Y Cj int 6, To 2J-, V9 !//Yf1 2 - CoaNE sz,olumr= C. RrcY TT 1 2 G'6_ NT'iP Ca/1 nms ?o D -a ffil.'/ ANCL _ eL/. n..S u Okid Ai Ar -6LUA TD 2k- - -CQ 6t6a -rrJ- %rT /ai/ -, AAtd Gkid 1, D % STR1JCTuW NOTES. I)RMI.OR RM US's - ZMC-Z /ARL M67,F.S- S e,6 S" FAUNr114 7 ;OM P-Zh-Al REMARKS. Imaums nimms& 4 4%.SEQV PL ACS- l'I')6'NT 6 F APE -l3ftQf L L' Pl e<N G' a F 1 ©0 1pS i V AFSG f-SR6CIM SkTHv - - SA! T. Y. 2 S iWTERATuIAE: TESTSPEOU11RED. S 1 2 SITE TIME START. A=D SITE TTIAE RIIISFC Z'30 LUNCH PERIOD: - TRAVEL TIME: '— VERIFIED BY: I DO CERTIFY THAT HAVE PERSONALLY OBSERVED All OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR OVED PLANMSPE FE TEONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r tOre Date of Report ICBO Certification Number Print iiam City I County Certification Number Rev 7/97 rate: Branch: Branch: 1 Branch: 29921- La Palma Avenue, Suite A, An CA 92806 Tel: (714) 632 -2999 ax: (714) 632 -2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 14320 Els%-mh Strut, Suite CI01, Moreno Valley, CA 92553 Tel: (909) 653 4999 Fax. (909) 6534666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax. (818) 833 -0085 Report of COMPRESSIVE STRENGTH - CONCRETE ASTM C39 File No.: CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT Permit No.: 3150 130 S MAIN STREET Project No.: 1412G09 LAKE ELSINORE, CA Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 29225 CENTRAL AVE. LAKE ELSINORE, CA Client: THE BERGMAN COMPANIES Set No.:- -533 Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 28 10/6/2005 6X 12 28.37 136,500 4,810 Shear 28 10/6/2005 6X 12 28.37 142,000 5,010 Cone & Split 28 H 10/62005 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: GEORGE IBANEZ Location: RAMP @ LOADING DOCK AREA Concrete Supplier. SUPERIOR READY MDC Mix No.: C375P Ticket No.: 4718 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 30 min. Remarks: ADMIX- POZZ Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 9/8/2005 Date Received: 9/9/2005 Concrete Temp: °F Ambient Temp: 75 °F Slump: 5.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. ZZ M.B. (Ben) Lo Chief Engineer 4910 PSI 28-day compression test complies with the specified strength. orporttte 2992 E. La Palma Avenue, Suite A, A CA 92806 Tel: (714) 632- 29 ,aax: (714) 632 -2974 Branch: 7313 Carroll Road Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elswvrth Street, Suite CI01, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833 -8100 Fax. (818) 833 -0085 Report of. COMPRESSIVE STRENGTH -GROUP ASTM C1019 CITY OF LAKE ELS ,IN`ORE -BLDG & SAFETY DEPT 130 S MAN STREET LAKE ELSI \ORE, CA Client: THE BERGMAN COMPANIES Set No.: 5 -6115 File No.: Date Tested Permit No.: 3150 Project No.: 1412G09 Project Name: LAKE ELSINORE MARKETPLACE- STAPLES 9/1612005 29225 CENTRAL AVE. 11.12 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 9/1612005 3 X 3 X 6 11.12 22,100 1,990 N/A 28 I On/2005 3 X 3 X 6 9.00 28 ion/2005 3 X 3 X 6 1 9.00 28 H ion/2005 3 X 3 X 6 1 9.00 Specified Strength: 2,000 PSI Sampled By- MIKE GUfZNVILLER Location: Concrete Supplier: SUPERIOR READY MIX Mix No.: C66 P-8 Ticket No.: 5043 Water added at Site: 0.00 gal. By Cement Type: - _ - Mix Time: min. Remarks: Distribution: THE BERGMAN COMPANIES RICK ENGINEERING COMPANY (ORANGE) CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT LAB COPY ** Date Sampled: 9/9/2005 Date Received: 9/14/2005 Concrete Temp: °F Ambient Temp: °F Slump: 6.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. Z M.B. (Ben) Lo Chief Engineer