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HomeMy WebLinkAboutMINTHORN 1400_07-00001922 QUALITY AssU RANCE 17942 Sky Park Circle A Suite D Irvine,CA 92614 Q *1 Phone:(949)553-0370 w Fax:(949)553-0371 INSPECTINS Inspection Report 012 INSPECTOR CODE P JOB NUMBER 080079 �� 4/9 /08 M T W T I F I S I S X JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER I DSA/OSHPD APP. FILE JURISDICTION 0700001922 XL ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(If Any) OEM CON REQU1REMEKTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 8:00 AM 2:30 PM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Ouality Control ❑Administration ❑Prestress/Post Tension ® Other CHECKED THE FOLLOWING PANELS: 3,4,5,19,20,29,34,35,36,3738,39&TRASH ENCLOSURE, FORMS NEED TO BE CLEANED OUT. TO THE BEST OF MY KNOWLEDGE, REBAR IS CORRECT AND PLACED RIGHT. INBEDS THAT ARE PLACED SEEM TO BE CORRECT TEMPERATURE LOW 70s MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Additional Page(Page#)CM REPORT ❑Contains Non-Compliant Items 10 Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, N inspector is called to a project and no work is performed,a 2 hour minimum charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Project u rintendent) .� Inspector's Signature, - .A�� Submitted by Inspector's ID/Lic.# 0853564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle Suite J Irvine, CA 92614 ® Phone_ (949) 553-0370 Fax- (949) 553-0371 Inspection Report INSPECTOR CODE JOB NUMBER DATE DAY OF THE WEEK 80079 February 20, 2008 Wednesday JOB NAME BUILDNiG PERMIT NUMBERMAJOSHPD APP.FILE# JURISDICTION Coun of Riverside DPSS ADDRESS CITY GENERAL CONTRACTOR 1400 Min horn St, Lake Elsinor TFW 1 Tim King 858-335-1243 ARCHITECT. ENGINEER SUBCONTRACTOR(IF ANY} REQUIREMENTS:Limit of one lob number,one permit number per sheet. Ide all work by type and SPECIFIC location.Non-compliant work must be specifically identified. Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 25 ---``_ J -_____- : A `�3a 0Re-Inspection Show-Up Only aExlenses Reinforcement Concrete Concrete Placement Masonry El Reinforcement Masonry E]Freproofing Quality Control Administration Prestress!Post Tension Other Ef]ESCRIPTiON,O =:WORK INSPECTED MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS $n41 -S3Lf--Ir 0 0 0 Contains Additional Page(Page#)CM REPORT_ZZrNon-Compliant Items oes Not Contain Certification of Compliance All inspections based on minimum of 4 hours nad over 4 hours-8 flours mimimum. I declare under penalty of perjury that all of the above statements are tare, If inspector is called to a project and no work is performed,a 2-hour minimum and that of my own personal knowledge the work during the period covered charge wHI be applied_ by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes- Approved/Authorized by Inspector's Name Gantri Denn"s (Project Superintendent) Inspector's Signature Submitted by Quality Assurance Inspections Inspector's ID/ Lic. # 1027688 17942 Sky Park Circle Suite D Irvine; CA 92614 x. Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 002 INSPECTOR CODE JOB NUMBER DATE 2111 fop FAT W F r S S 0853564-49 080079 f 8 X JOB NAME BUILD PERMIT NUMBER!DSA!oSHPD APP. FILE 1: JURISDICTioN DEPT SOCIAL SERVICE 0700001922 L ELSINORE ADDRESS 1400 MINTHORN ctrr L. ELSINORE `'EN`RALCONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(RAny) DEM CON REQUIREMENTS*Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFL Sketch,etc.)voiding previous non-compliant items must be liste6 record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR #.5X 2X TIME IN TIME OUT 4 7:OOAM 1 O:OOPM ❑Re-Inspection ❑Show-Up Only ❑Expenses []Reinforcement Concrete ®Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing [-]Quality Control ❑Administration ❑Prestress i Post Tension ❑ Other POURED INNER COLLUMN PADS PREVIOUSLY INSPECTED FOR READINESS. MADE SAMPLES OF CONCRETE WEATHER CLEAR MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUSICYARDS SPECIMENS 1124 4 _ 4000 4 Contains [J Additional Page(Page#)CM REPORT Non-Compliant Items } Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. if inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved ptans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Project erintendent) Inspector's Signature Submitted by �'l— Inspector's ID/Lic-# 0853564-49� Quality Assurance Inspections ACCOUNTING g y " 17942 Sky Park Circle z - Suite i3 Irvine,CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 inspection Report 005 INSPECTOR CODE 0853564 49 JOB NUMBER 080079 °AiE 3/17/0$ ` IV, T YJ r s S ON JOB NAME BUILD PERMIT NUMBER;OSAI OSHPO APP FILES JUF,ISDIEELSI 0�00001922 L eLSIuoR DEPT SOCIAL SERVICE ADOREss 1400 MINTHORN L ELSINORE �`-NeRALcoN RAc cR I EW ARCHITECT RMI cNGNEER WISEMAN ROHY SIJB CONTRACTOR(I'A7y) DEM CON REQUIREMENTS-Limit of one job number,one permit number per sheet.Identify all work by type-and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc_)voiding previous non-compliant items,nus'be listed,record conversations and communications with project designers.building and permit granting authority officials - HOURS REGULAR 1.5X 2X TIME IN TIME OUT g j 5:30 AM 9 :00 PM f Re-inspection ®Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement Q Masonry ED Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration, (�Prestress/Post Tension ❑ Other s _ - W am INSPECTED GRADE BEAM&PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,27;34.35,06. PANELS ARE NOT COMPLETE AS TO IMBEDS & REBAR. REBAR IS 95% COMPLETE. GRADE BEAM IS MOSTLY COMPLETE AS TO HORIZONTAL REBAR. NEEDS REBAR ALLIGNMENT AND DITCHES CLEANED OUT.THERE ARE ALSO NO PANEL HOLD DOWNS INSTALLED YET. WEATHER CLEAR AND GUSTY. MIX.USED DESIGN SLUMP � ADMIXTURE DESIGN PSI GUSic YARDS � SPECIMENS t Q Contains E] Additional Page(Page#)CM REPORT Non-Compliant Items K] Does Not Contain Certification of Compliance All i,-,spections eased on mi^imam of a hours and overt,hours-o hours minimum. declare under penalty of perjury that all of the above statements are true, It Inspector Is called to a project,and no work is performed,a 2 hoar minimum ctiarggg,,, will be applied. and that of my own personal knowledge the work during the period covered �7 6, by this report has been performed and installed in compliance with the approved (G(, CC r l plans,specifications and ail applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Prcje uperintencient) Inspector's Signature Submitted bya Inspector's ID/Lic.# 08535644T Quality Assurance Inspections ACCOUNTING . 170.42 Sky Park Circle Suite D ^^ Irvine,CA 92614 Prone:(94%553-0370 Fax:(949)553-0371 inspection Report 006 •� T I F s f'! s OATE M T I I i INSPECTOR CODE JD5 NJP 13=� �f`��106 n 0853564-49 C8G3!Q i _ I JURiSDICT ON ; 103 NAME 5JttD PERMIT Ni;NfSs R r pSA/05'!?1�APP.rltE* rtSFN4Z €CEP T SOCIAL SERVICE 070000ti922 CITY L I✓LSII��I�E GENERA CONTRACTOR ApCREss 1400 MINTHOR !�1 T EW �.,� , ARCHITECT �p =NGtYEER tArI��A/Igr� p!*�Y SUB CONRACTOR{f1Anv) DEM COIF i RIYiI YY 1Y'AN RO L,� tElitf3fEPRf=fAi#5:Limit of one job number,one permit number per sheet.identify all work by type and SPECIFIC location.Non compliant work must be specifically identified.Communication(Rrl,Sketch.etc.)voiding previous non-compliant items must bg fisted,record conversations and communicarons with project designers,building and permit granting authority officials. HOURS REGUI AR 2X TIME iN i ll� ^�G El Re inspection Snow-up Only Ej Expenses Reinforcement Concrete Generate Placement Masonry LJ rRei"Iforcement MasOrry El`fireproofing QUatity Control ❑Administration E]Prestress/Post 7ensior El INSPECTED GRADE BEAM &PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWiNG.#3,5,19,2f3,25,27,3 ,35;&38. PANELS ARE NO i-COMPLETE AS TO INBEDS &REBAR. REBAR IS 95%COMPLETE. PANELS NEED CLEANING OUT RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE TAKEN CARE OF TODAY � PANEL HOLD DOWNS HAVE BEEN APPROX.50% INSTALLED IN GRADE BEAM VVITi i HOOKED, REBAR ATTACHMENT COMPLYING WITH ENGINEERS ORDERS. GRADE BEAM STILL NEEDS FINAL TOUCHES AS TO READINESS. s VVEATI-iER UNARM ANQ CALM. i MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI I CUBIC YARf]S ? SPECIMENS l ! I � I I I [J— Additional Page(Page#)CM REPORT I�wins Non-Compliant dtems Does W Contaii Certification of Certlaliar lce j AM impections based on minimum of 4 hours and over 4 fps-b hours minimum. If inspector is called to a project and no work is performed,a 2 hour minims+ !declare under penalty of peri'ury that aii of the above statements are true, charge will beapplied. and that of my own personal knowledge the work during the period covered by this report has been perfoned and instalM in comptfance with the approved ptans;specifications and ail applicable codes Aproved[Authorized by Inspector's Name H FAULKNER (Protect SoI ri. ndent) � inspector's Signature _ Submit`ee by 5 - 9 Quality Assura,�rce Inspections Insj✓eCor's;D/Lic,# ACCOUNTING 7942 Sky Park Circle ` Suite D Irvine, CH 92614 a M. Phone:(949)553-0370 Fax (949)553-037 i Inspection Report 008 INSPECTOR CODE 0853564-49 Jo NUMccR 080079 DATE 3/20/08 j M. } T "' X ! � s j s JOB NAME BUILD PEPMET NUMBER l DSA/OSHPD APP, FILE# I JURfSDtCTION { DEPT SOCIAL SERVICE 0700001922 x�cLswoR ADDRESS 1400 MINTHORN cn L ELSINORE GE"-RALcoNTHAcroR TEW ARCHITECT RMI ENGINEER iNISEMAN ROHY suBcoNTRAcTOR("A-,) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant worK must be specifically identified.Communication(RFI,Sketch.etc.)voiding previous non-compliant items must be listed.record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 11.5X 2X TWE IN TliUIE OUT 8 6:30AM s:OOPM Re-Inspection ❑Show-Up Only 1:1 Expenses ®Reinforcement Concrete ®Concrete Placement ❑Masonry ❑Reinforcement Masonry (� roofing ®Quality Control ❑Administration ❑Prestress I Post Tension Other t afffiwlSIN w� y INSPECTED GRADE BEAM & PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,29734.35,36. PANES,EXCEPT FOR SOME MINOR ISSUES ,ARE FOR THE'MOST PART, FORMED READY TO POUR. PANELS SHOULD BE READY TOMORROW. RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE T AKEN CARE OF YESTERh POURED GRADE BEAM LINE A, LINE 6 RETURN LINE F TO GL 4.5. LINE 1 TO GL A WEA T HER CLEAR IN 60s. TOOK CONCRETE SAMPLES Mix USED DESIGN SLUMP ADMIX T URE DESIGN PSI CUBIC YArz.DS SPECIMENS 4000 4 NA 4000 146 13 Additional Page(Page#)CM REPORT [_1 Contains Non-Compliant Items �] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours•o hours minimum. It inspector ss called to a project and no work is performed.a 2 hour minimum I declare under penalty of perjury that all of the above statements are'true, charge will be appiied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in comptiance with the approved plans,specifications and all applicable codes Approved/Authorized by _ Inspector's Name H FAULKNER (Pr � ct Superi ndent) i Inspector's Signature Submitted by Inspector's ID/•Lic.# 0853564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle Suite D x Irvine, CA 92614 Phone:(949)553-0370 a Fax:(949)553-0371 _- - Inspection Report 007 NSPECTORCODE 085+3564-49 J06NUM8ER 080079 DATE 3119/08 I M T X T F $ S JOB NAME SOCIAL SERVICE BUILD PERMIT NUMBER IDSA/OSHPDAPP. FILE# JURISDICTION DEFT SOC V R 0700001922 L ELSNOR' AODREsS 1400 MINTHORN G'Ty L ELSINORE GENERALCONTRACTOR TEW AF1CHlTFCT RMI I ENGINEER WISEMAN ROHY SUSCONTRACTOR(NAny) DEM CON REQUIREMENTS,Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,retard conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT g 6:30AM 3:OOPM ❑Re-Inspection ❑Show-Up Only ❑Expenses Reinforcement concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality control ❑Administration ❑Prestress/Post Tension ❑ Other INSPECTED GRADE BEAM &PANELS. ALL PANELS IN .LOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,27,34,35,06. PANELS ARE NOT COMPLETE AS TO INBEDS & REBAR. REBAR IS 95%COMPLETE. P ANELS NEED CLEANING OUT RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE TAKEN CARE OF YESTERB GRADE BEAM 75% COMPLEBBTED . LINE F TO BE COMPLETED LATER. BULKHEADS ON INTERSECTING WALLS NOT INSTALLED.AS BEFORE POUR. GRADE BEAM STILL NEEDS FINAL TOUCHES AS TO READINESS. WEATHER WARM AND CALM. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Contains I] Additional Page(Page><)CM REPORT Non-Compliant Items KI Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. ! if inspector is called to a project and no work is performed,a 2 hour minimum declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAllLllNEs project Superintendent) Inspector's Signature '� /�', ,�� Submitted by It-rspectar's ID I Lic.# 0 53554-49 6uality Assurance nspections ACCOUNTING .QUALITY �. 17942 Sky Park Circle A Suite D Irvine, CA 92614 Q +1 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 003 INSPECTOR CODE JO8 NUMBER 0853564-49 000079 DATE 2/19/08 M T W T F S s X JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER/DSAIOSHPDAPP. FILER JURISDICTION 0700001922 L ELSINORE ADDRESS 1400 MINTHORN any L ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RM1 ENGINEER WISEMAN ROHY SUB CONTRACTOR fnarnl DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 8:30 10:30 ❑Re-inspection ❑Show-Up Only ❑ Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ❑Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other CHECKED REBAR FOR SLAB SLAB READY TO POUR WORK BEING DONE IN A PROPER WORKMANSHIP MANNER PROFESIONALISM BEING EXIBITED FREELY' WEATHER PERMITING WE WILL POUR TOMORROW MORNING NO SPECIAL MIXES NOTED WEATHER OVERCAST TEMPERATURE MODERATE. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS ❑ Additional Page((Page l)CM ._ REPORT ❑ Contains Non-Compliant Items K] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Project Su in ndent) 42 T Inspector's Signature, -� Submitted by � %`"�'`��`�f Inspector's ID/Lic.9 08535644-9 Qua Ity"Assurance Inspections ACCOUNTING 5V" 41C EXCELENGINEERING LEVlN6 DENTWOINC.D.B.A.EXCEL ENGINEERING �ORPORA TE: 440 State Place •Escondido, CA 92029 (760)745-8118 .Fax 745-1890 October 16, 2007 City of Lake Elsinore 130 South Main Street Lake Elsinore, CA 92530 Attn: Engineering Department Regarding: Pad Certification for the 2 Story Office Building of the Grading and Erosion Control Plans for Department of Social Services Facility; WDID# 8 33C344594 To Whom It May Concern: On October 15, 2007 field survey representatives of this firm conducted a pad certification survey for the above referenced project. Nine shots were taken at random locations across the building pad area. The finish pad grade is as follows: Building Average Elevation Design Elevation • 2 Story Office Building 1277.46 1277.42 If you have questions or need any additional information please do not hesitate to call our corporate office. Sincerely, ichael D. Levin, PLS ;3^�• PLO,lip $ `gip QT. �� �'7 , • 10116107 3:57 PM QA0710707MD0Mpadcerl.doc Leighton Consulting, Inc. A LEIGHTON GROUP COMPANY October 10, 2007 Project No. 601574-002 To: CALIFORNIA BUSINESS CONDOS 1351 Distribution Way, Suite I Vista, CA 920811 Attention: Mr. Toby J. Daggy, Manager of Development Subject: As-graded Soils Report—Building Pad Area Proposed"Minthorn Industrial", APN's 377-160-008 & 009 (Permit 97-1922), City of Lake Elsinore, California Reference: Preliminary Geotechnical Investigation, Proposed "Minthorn Industrial", APN's 377-160-008 & 009, City of Lake Elsinore, California, dated October 17, 2006. In accordance with your request, we are pleased to present herewith the results of our geotechnical observation and testing services during subgrade preparation for the subject building. Based on the results of our observation and testing, it is our opinion that the remedial grading was completed in substantial conformance with the referenced soils report and thus the prepared building pad area is considered suitable for the intended use. Leighton should observe the bottom of excavations for the proposed footings so that the actual subgrade conditions are verified prior to placing rebar and/or concrete. SUMMARY OF FIELD OBSERVATIONS AND TESTING Building pad preparation and over-excavation requirements were performed by R.J. Willert under the geotechnicai observation and testing services of Leighton. Our field technician(s) and/or geologist were onsite on a full-time and as-needed basis, respectively, during grading operations. Below is a summary of our field observations and testing: 41715 Enterprise Circle N.,Suite 103■Temecula,CA 92590-5661 951.296.0530 m Fax 951.296.0534■www.leightonconsulting.com California Business Condos • October 10, 2007 As-graded Soils Report—Building Pad Area Project No. 601574-002 ➢ Prior to remedial grading, existing vegetation/roots, or any deleterious materials were removed within the graded pad area. In accordance with the recommendations of the soils report, the alluvium and/or relatively compressible surficial materials were removed and recompacted within the limits of building footprint, and extended laterally so that compacted fill is placed within a 1:1 zone of influence of all proposed footings. The vertical depth of removal generally extended to a depth of 7 to 9 feet below existing ground surface. ➢ The excavated soil materials were'consistent with those described in the above-referenced soils report. The materials are generally comprised of silty to clayey sand and sandy silt. ➢ Fill materials that consisted of onsite soils were placed in thin lifts approximately eight inches thick, brought to near optimum moisture content, and compacted to a minimum relative compaction of 90% of the laboratory standard. ➢ Field density tests were taken at periodic intervals and random locations to check the compaction efforts by the contractor. Based on our observations, the test results presented herein should be considered representative of the level of compaction achieved during overall subgrade preparation. The results of the field density testing are included in Table 1 attached. The location of the field density tests is shown on Figure 1. ➢ Visual classification of the soil in the field, compared to soil descriptions from laboratory testing was the basis for determining the maximum dry density value and optimum moisture content applied to each density test. LABORATORY TESTING Laboratory maximum dry density, expansion index, and soluble sulfate content of representative onsite soils were performed during the course of rough-grading. The laboratory test results are included in Appendix A. The results of the testing indicate that the subgrade soils possess very low potential for expansion (E1<21) and negligible sulfate content as per the 2001 CBC. CONCLUSIONS AND RECOMMENDATIONS Based on the above, it is our opinion that remedial grading has been completed in substantial compliance with the referenced soils report and hence the recommendations included therein remain applicable. Leighton should observe the bottom of excavations for the proposed footings so that the actual subgrade conditions are verified prior to placing rebar and/or concrete. iq - z - Leighton California Business Condos • October 10, 2007 As-graded Soils Report—Building Pad Area Project No. 601574-002 LIMITATIONS The presence of our field representative at the site was intended to provide the owner with professional advice, opinions, and recommendations based on observations of the contractor's work. Our observations did reveal obvious deviations from the project specifications. We do not guarantee the contractor's work, nor do our services relieve the contractor or his subcontractor's work, nor do our services relieve the contractor or his subcontractors of their responsibility if defects are subsequently discovered in their work. Our responsibilities did not include any supervision or direction of the actual work procedures of the contractor, his personnel, or subcontractors. The conclusions in this report are based on test results and observations of the grading and earthwork procedures used, and represent our engineering opinion as to the compliance of the results with the project specifications. This report was prepared for our Client, based on their needs, directions, and requirements at the time of the work. This report is not authorized for use by, and is not to be relied upon by, any party except our Client, with whom Leighton contracted for the work. Use of or reliance on this report by any other party is at that party's risk. Unauthorized use of, or reliance on, this report constitutes an agreement to defend and indemnify Leighton from and against any liability which may arise as a result of such use or reliance, regardless of any fault, negligence, or strict liability of Leighton. The opportunity to be of continued service on this project is greatly appreciated. If you should have any questions, please do not hesitate to call the undersigned. Respectfully submitted, S��Ow1l GFo LEIGHTON CONSULTING, INC. S 9p o y a No.2416 9 - CERTIFIED W' ENGINEERING GEOLOGIS Simon,YSatid � ,� Mitchel S. Bornyasz, GE 2641(Ex . 9/30/09) CEG 2416 Principle Engineer -' ,.�. Project Geologist Attachments: Figure 1-Density Test Location Map Summary of Field Density Tests Appendix A-Results of Laboratory Testing Distribution: (4) Addressee;one via email 3 " Leighton AOL y r r r i r \ 6'T S�all r rr y 5/-4 0 — — r � lY C V �' W W /q//�• + \ y V �Y r V •/r V r_Y W� anr i� Y Y_+. who V L' Y r W W V Y r V V 4 V r V r r V�,y���/� 1 r i r r Y y v` 4- Y r r 11267 n y Y V �\ n�• (',l � ' i i r r Y + �D " r + Q V y Y Y y y I i r N W.j Y W r r 13 9 + • � Y r r r r • • y " 5/-6 W 12� 14 y ri r f � ` �4jW • • W S/-1 iii YY 24 r V y r� V • � r r y 28 ( 29 [7C' J • • \ r r r r v l �IJ 6' \ i W 1Y VV 10 + + r y ^ r r 4 OFFICE BLDG W �-yYyy • °` W r r r r • 2 STORY 1� YY yl. y y Y LEGEND: r y Y r �ag r y r y APN 377-160-008 �' W " " r 30 • APPROXIMATE FIELD DENSITY r r ti FF= 1278. 1 - 1 r r r + ��� 23 PAD= 1277`�42 +� • " Y " " i TEST LOCATION 2O + • (CHECK BLDG STRUCTUf�RL PLANS r r r i y r y Y Y FOR FINAL BLDG SECTIONS AND " Y " i i 1267 ELEVATION OF BOTTOM IN i r DETERMINED FINAL PAD ELEVATION) r W W FEET i ( r r + rYW WYr 21 yy SJ Y APPROXIMATE LIMITS OF " 4-V REMOVALS V V y r V / � " Y W W i • • i 2fi/ • r�V�� r r r + r 27 16 • + �0 • �`L 31 ri jr r i 1 11 + • w � r r r + • r 4.00 N 18.0 22 1 W W r Y r 2 r Y y • • V i � ■ � r r i � r r � V •O ", y • W r V W SCALE FEET 65 12 S/-9 1265 Y Figure 1 FIELD DENSITY TEST LOCATION MAP CBC MINTHORN PROJECT C _ _ CITY OF LAKE ELSINORE, CALIFORNIA �]c / �� Q> >T�,1 Q �� YW y Y i Y r Y Proj: 601574-002 Scale: 1"-20' Date: 10/07 �p Y r r Y Y Eng/Geol: SIS/MSB Drafted By, NAM CP By: -- 7 /] T/� '� `� •Y y r + i ry1 r 7- /C. r J + T Leighton .v.ewsrinaeoui.�ovrwF w.�o-iawure�.owc��aioa+�:w:�aw�vxi•a er.nti..aa California Business Condos • October 10, 2007 As-graded Soils Report—Building Pad Area Project No. 601574-002 Explanation of Summary of Field Density Tests f Test No. Test of Test No. Test of Test of Prefix Abbreviations Prefix Test of Abbreviations (none) GRADING Natural Ground NG (SG) SUBGRADE Original Ground OG (AB) AGGREGATE BASE Existing Fill I (CB) CRUSHED BASE Compacted Fill Cl.. (PB) PROCESSED BASE Slope Face SF (AC) ASPHALT CONCRETE Finish Grade FG (S) SEWER Curb C (SD) STORM DRAIN Gutter G (AD) AREA DRAM Curb and Gutter CG (W) DOMESTIC WATER Cross Gutter XG (RC) RECLAIMED WATER Street ST (SB) SUBDRAIN Sidewalk SW (G) GAS Driveway D (E) ELECTRICAL Driveway Approach DA (T) TELEPHONE Parking Lot PL (J) JOINT UTILITY Electric Box Pad EB (1) IRRIGATION Bedding Material B Shading Sand S Main Backfill M Lateral Backfill L Crossing X Manhole MH Hydrant Lateral HL Catch Basin CB Riser R Invert I Check Valve CV Meter Box MB Junction Box JB (RW) RETAINING WALL (P) PRESATURATION (CW) CRIB WALL (LW) LOFFELL WALL Moisture Content M (SF)• STRUCT FOOTING Footing Bottom F (IT) INTERIOR TRENCH Backfil I B Wall Cell C Plumbing P Electrical E N represents nuclear gauge tests that were performed in general accordance with most recent version of ASTM Test Methods D2922 and D3017 S represents sand cone tests that Nvere performed in general accordance with most recent version of ASTM Test Method D1556 15A represents first retest of Test No. 15 15B represents second retest of Test No. 15 "0" in Test Elevation Column represents test was taken at the ground surface(e.g.finish grade or subgrade) "-1" in Test Elevation Column represents taken 1-foot below the adjacent compacted fill subgrade,other depths noted as appropriate Leighton SUMMARY OF FIELD DENSITY TESTS Test Test Test `Location Test Soil Dry Density(pct) Moisture(%) Relative(%) No. Date Of Lot# Elev(ft) Twe Field Max Field Opt. Compaction Remarks 1 10/1/07 CF OFFICE BLDG PAD 1266 MD1 120.5 130.5 10.1 9.0 92 2 10/1/07 CF OFFICE BLDG PAD 1268 MDl 121.2 130.5 10.4 9.0 93 3 10/2/07 CF OFFICE BLDG PAD 1269 MD1 119.9 130.5 10.5 9.0 92 4 10/2/07 CF OFFICE BLDG PAD 1269 MD 1 122.0 130.5 9.4 9.0 93 5 10/2/07 CF OFFICE BLDG PAD 1269 MD1 120.5 130.5 9.9 9.0 92 6 10/2/07 CF OFFICE BLDG PAD 1270 MD 1 121.4 130.5 9.7 9.0 93 7 10/3/07 CF OFFICE BLDG PAD 1271 MD1 121.9 130.5 6.4 9.0 93 RT ON 7A 7A 10/3/07 CF OFFICE BLDG PAD -1271 MD1 122.0 130.5 9.4 9.0 93 RT OF 7 8 10/3/07 CF OFFICE BLDG PAD 1271 MD1 120.4 130.5 9.6 9.0 92 9 10/3/07 CF OFFICE BLDG PAD 1269 MD1 118.9 130.5 9.0 9.0 91 10 10/3/07 CF OFFICE BLDG PAD 1271 MD1 119.9 130.5 9.9 9.0 92 11 10/3/07 CF OFFICE BLDG PAD 1272 MD1 121.7 130.5 10.1 9.0 93 12 10/3/07 CF OFFICE BLDG PAD 1269 MD1 119.4 130.5 9.7 9.0 91 13 10/4/07 CF OFFICE BLDG PAD 1271 MD1 122.9 130.5 9.2 9.0 94 14 10/4/07 CF OFFICE BLDG PAD 1271 MD1 123.2 130.5 9.1 9.0 94 15 10/4/07 CF OFFICE BLDG PAD 1272 MD1 122.1 130.5 10.2 9.0 94 16 10/4/07 CF OFFICE BLDG PAD 1272 MD 1 121.4 130.5 9.7 9.0 93 17 10/4/07 CF OFFICE BLDG PAD 1271 MD1 123.7 130.5 9.0 9.0 95 18 10/4/07 CF OFFICE BLDG PAD 1272 MD1 121.9 130.5 9.5 9.0 93 19 10/5/07 CF OFFICE BLDG PAD 1273 MD1 122.9 130.5 10.2 9.0 94 20 10/5/07 CF OFFICE BLDG PAD 1272 MD1 123.4 130.5 9.5 9.0 95 21 10/5/07 CF OFFICE BLDG PAD 1272 MD1 121.8 130.5 9.7 9.0 93 22 10/8/07 CF OFFICE BLDG PAD 1276 MD 1 123.4 130.5 9.6 9.0 95 23 10/8/07 CF OFFICE BLDG PAD 1276 MD1 122.9 130.5 9.2 9.0 94 24 10/8/07 CF OFFICE BLDG PAD 1276 MD1 123.9 130.5 10.0 9.0 95 27 10/11/07 FG W SIDE OF PAD 0 MD1 121.0 130.5 6.2 9.0 93 28 10/11/07 FG NW SIDE OF PAD 0 MD1 128.4 130.5 5.9 9.0 98 29 10/11/07 FG NE SIDE OF PAD 0 MD1 122.0 130.5 6.0 9.0 93 30 10/11/07 FG SE SIDE OF PAD 0 MDi 127.3 130.5 7.5 9.0 98 31 10/11/07 FG CENTER OF PAD 0 MDi 123.6 130.5 6.1 9.0 95 Project Number: 601574-002 Project Name: CBC MINTHORN INDUST Project Location: LAKE ELSINORE Client: CA BUSINESS CO Pase 1 of 1 Leighton and Associates,Inc 101191 11:36:42AN California Business Condos • • October 10, 2007 As-gradedSoils Re ort—Budding Pad Area Project No. 601574-002 APPENDIX A Leighton ® MODIFIED PROCTOR COMPACTION TEST Leighton ASTM D 1557 Project Name: CALIFORNIA BUSINESS CONDOS Tested By : JCM Date: 10/1/07 Project No,: 601574-002 Input By : JMB Date: 1011107 Location: STOCKPILE Depth (ft.) ** Sample No. : MD-1 Soil Identification: (SM)g, BROWN SILTY SAND WITH LITTLE GRAVEL. Preparation Method: N Moist Mechanical Ram Dry RX Manual Ram Mold Volume (ft3) 0,03340 Ram Weight= 10 A; Drop = 18 in. Moisture Added(ml) 0 50 100 150 TEST NO. 1 2 3 4 5 6 Wt. Compacted Soil + Mold (g) 6252 6321 6405 6388 Weight of Mold (g) 4263 4263 4263 4263 Net Weight of Soil (g) 1989 2058 2142 2125 Wet Weight of Soil + Cont. 226.0 161.5 175.7 205.1 Dry Weight of Soil + Cont. 217.2 153.3 163.8 187.6 Weight of Container (g) 23.5 23.5 23.5 23.5 Moisture Content % 4.5 6.3 8.5 10.7 Wet Density 131.3 135.8 141.4 140.3 Dry Density 125.6 127.8 130.3 126.7 Maximum Dry Density(pcf) 130.5 Optimum Moisture Content(% 9.0 PROCEDURE USED 140.0 Procedure A Soil Passing No.4(4.75 mm) Sieve SP-GR.=2.65 Mold : 4 in.(101.6 mm) diameter SP.GR.=2.70 135.0 SP.GR.=2.75 Layers: 5 (Five) Blows per layer: 25 (twenty-five) May be used if+#4 is 20%or less ® Procedure B 130.0 Soil Passing 318 in.(9.5 mm) Sieve Mold : 4 in.(101.6 mm) diameter a Layers: 5 (Five) Blows per layer: 25 (twenty-five) Use if+#4 is>20%and+3/8 in.is 125.0- 20%or less d CI Procedure C p Soil Passing 3/4 in.(19.0 mm) Sieve 120.0 Mold: 6 in.(152.4 mm) diameter Layers: 5 (Five) Blows per layer: 56 (fifty-six) Use if+3/8 in.Is>20%and+3/a in. is<30% 115.0 Particle-Size Distribution: Atterbe Limits: 110.0 o.o 5.0 10.0 15.0 20.0 Moisture Content(%) Compadion A&S,MD-1 EXPANSION INDEX of SOILS Leighton ASTM D4829 Project Name: MINTHORN INDUSTRIES Tested By: JG Date: 9/28/07 Project No. : 601574-002 Checked By: JMB Date: 10/1/07 Boring No: " Depth(ft.) " Sample No. : 1-1 Location: IMPORT Sample Description: (SM)g OLIVE BROWN SILTY SAND WITH SOME GRAVEL.'"COBBLE PRESENT IN SAMPLE. Dry Wt.of Soil+Cont. (gm.) 1533.3 Wt, of Container No. (gm.) 0.0 Dry Wt.of Soil (gm.) 1533.3 Weight Soil Retained on#4 Sieve 689.7 Percent Passing#4 55.0 MOLDED SPECIMEN Before Test After Test Specimen Diameter in. 4.01 4.01 Specimen Height (in.) 1.0000 0.9972 Wt.Comp.Soil+ Mold m. 620.6 638.2 Wt.of Mold (gm.) 188.5 188.5 Specific Gravity Assumed 2.70 2.70 Container No. E-16 E-16 Wet Wt.of Soil+Cont. m. 322.6 638.2 Dry Wt.of Soil+Cont, gm.) 299.1 398.2 Wt. of Container m. 22.6 188.5 Moisture Content(%) 8.5 12.9 Wet Density 130.3 135.5 Dry Density(pcf) 120.1 120.0 Void Ratio 0.403 0.399 Total Porosity 0.287 0.285 Pore Volume cc 59.5 58.9 ,Degree of Saturation % S meas 56.9 87.3 SPECIMEN INUNDATION in distilled water for the period of 24 h or expansion rate<0.0002 in./h. Date Time Pressure Elapsed Time Dial Readings (psi) (min.) (in.) 9/28107 15:23 1.0 0 0.5000 9/28107 15:33 1.0 10 0.4999 Add Distilled Water to the Specimen 9/29107 5:37 =E� 1.0 844 0.4972 9/29/07 1 6:37 1 1.0 904 0.4972 Expansion Index(El meas) _ ((Final Rdg- Initial Rdg)/Initial Thick.)x 1000 -2.7 Expansion Index(El )5 = El meas -(50-S meas)x((65+EI meas)/(220-S meas)) 0 Rev,08-04 EXPANSION INDEX of SOILS asLeighton ASTRA D4829 Project Name: MINTHORN INDUSTRIAL COMPLEX Tested By: VRO/JG Date: 10/15/07 Project No. : 601574-002 Checked By: JMB Date: 10/16/07 Boring No: Depth (ft.) ** Sample No. : EI-1 Location: PAD Sample Description: SM, MEDIUM BROWN SILTY SAND WITH TRACE GRAVEL. Dry Wt.of Soil +Cont. (gm.) 2136.2 Wt.of Container No. (gm.) 0.0 Dry Wt. of Soil (gm.) 2136.2 Weight Soil Retained on#4 Sieve 82.6 Percent Passing#4 9&1 MOLDED SPECIMEN Before Test After Test Specimen Diameter in. 4.01 4.01 Specimen Height (in.) 1,0000 1.0104 Wt.Comp. Soil + Mold m. 596.1 627.1 Wt.of Mold (gm.) 178.1 178.1 Specific Gravi Assumed 2.70 2.70 Container No. EI-13 EI-13 Wet Wt.of Soil+Cont. m. 300.0 627.1 Dry Wt.of Soil+Cont. (gm.) 280.9 391.4 Wt.of Container m. 0.0 178.1 Moisture Content %) 6.8 14.7 Wet Density 126.1 135.3 Dry Densi (p 118.1 117.9 Void Ratio 0.428 0.443 Total Porosity 0,300 0.307 Pore Volume cc 62.0 64.2 ,Degree of Saturation % S measl 1 42.9 89.8 SPECIMEN INUNDATION in distilled water for the period of 24 h or expansion rate<0.0002 in./h. Date Time Pressure Elapsed Time Dial Readings (psi) (min.) (in.) 10/15/07 12:10 1.0 0 0.5000 i 0115/07 12:20 1.0 10 0.4984 Add Distilled Water to the Specimen 10/16/07 7:40 1.0 1160 0.5104 10/16l07 8:40 1.0 1220 0.5104 Expansion Index(El meas) _ ((Final Rdg-Initial Rdg)/Initial Thick.)x 1000 12.0 Expansion Index f El)5 - El meas -(50-S meas)x((65+EI meas)I(220-S meas)) 9 Rev.0"4 • i ,m► Soluble Sulfates Leighton (Hach Sulfate Test Kit) Project Name: MINTHORN INDUSTRIAL ----------------------------------------------------- Project Number: 601574-002 Date: 9/28/07 -------------- Technician: JG Sample Identification Dilution Reading(PPM) %Sulfates Water Fraction Tube Reading Source: IMPORT 3 :1 3 <50 <0.0150 Sample No: I-1 ------------- <150 Depth (ft.): -------------- -------------- Rev.08-04 RMI ARCHffECTS ARCHITECTURE*PLANNING•INTERIOR DESIGN CITY OF LAKE ELSINORE 7-17-ob 150 5. MAIN 5TREET LAKE ELSINORE, GA. g2550 Ar7N: EW I LD I N5 INSPECTION DEPARTMENT RE_ DP55 E3UILDfN6 AT 1400 MINTHORN 57., LAKE ELSINORE TO NHOM IT MAY CONCERN: NOOD 5TRIKOER5 AMP LED6ER5 INSTALLED IN STAIRY4ELL5 ARE NOT REQUIRED TO SE PRE55URE TREATED OR FOUNDATION REDWOOD. AR y 4 8330 UNIVERSITY AVENUE., LA MESA, CA. 91941 (619)465-2011 FAX: (619)465-2833 R 4. 17942 Sky Park Circle Ste J Irvine California 92614"" :- �` Phone:(s4s)553-0370 STRUCTURAL-STEEL . - 4 ' lax'(949)'553=0371' Nesting"& Insectiori-Report. + a www.gaiinc.com :INSPECTOR CODE. " " - JOB NUMBER;.`:' :' Y DATE' j M- T W T' E ' S.. S JOB NAME �} BUILDING_!OSHPD PERMIT M/DSA-APPIt.-' : `DSA_FILEM:" �C/sf ( / 7 ADDRESS, GENERAL CONTRACTOR - ." -" JURISDICTION. J:ARCHITECT':- . ENGINEER SUBCONTRACTOR(ItAny). _. REQU1REMENTS,,Umit of one job.humber;•one permit number'per.sheet.Identify'all•work by type and-SPECIFIGIbcatib6 Each joint'mustbe specifically . identified for WWMS'bolt inspection:Non-compliant work must be.specificaliyIdentified.Communication(RFI;Sketch;etc.)voiding previous_non-compliant, . '- •. items rnust.be fisted,.record conversations and oommunications,with project,deslgners;buiiding.and pennitgranting�3utho-t*- icials: HOURS"- = REGULAR:` 1.5X 2X-' TIME IN TIME .OUT :MEAL PERIOD.' : . �.. JV Q Mileage Expenses Q:Shop Q.Field r 1Neltling. ;Q Bolting Sampling Q'f=ireproofing Q'NDT(HRS) n_ o-Ye 77_ee' R� - _ 1jF x'� .rt7•• S �4K. • z: Ts T J ..WELDER : . CERTIFICATION,/EXPIRATION-DATE'" "'•'_`:. -,.WELDER CEiiT1F1CATiON L EXPIRATION DATE J. .. ,... ::Electrode:Used: .Certification of Com Hance'` - P L -• Additiona[r.a e P #:CM•'• .4:declare?under en i 9 ape ). — , " •.�• p a ty of pery`ury that all of the,ab'ove'statements are true =� and that of my own personal knowiedge:tlie work during the:period covered _ -::by-.this report has been•performed and installed--in compl!ance..w[th the„ :.,.Aiinspecto'ndl:4 on inimmumot4hours and over.4:haurs Shoursrruiiimum:.:' ~<< Cam{/ .: k `approved plans specifications In addFtion an ins action ezteniim _ Y p„ g past noon will:be am 8.hour,minimum:..° yr• Iapp rev ihq authority,.co DsA;oS .F!P i ,ottA;etc.). i if inspector rs`called to a-project and ' 'Ork is performed a 2 hour minimum•,:. aftall applicable codes;!}X�ent as noted below charge w[il 6e applied :; 'e'. •! .. Ex ception(s).noted in ieport: Yes {InitiaiatYes1 No as appiicable)' _ Approved/Authorized by> Inspector's;Narnt=_ ,.r•�'�, / ~lf�f /1' . (Pcojec#Superintended -Inspei to s;Signeitute Submitted kiy InspOodr's ID'/:Lic:.# id QualityAssurance,inspections ; , �E ���� �� ��/�z�!? ;�l �, . %D 3 I`� `//9 5�/� � �f//�� vi' , si>� 19285 re ffil 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE 42 1 JOB NUMBER� DATE M T W T I F I S S JOB NAME !' BUILDING IOSHPD PERMIT#/USA-APP# DSA-FILFP ADDRESS f. I GENERAL CONTRACTOR _ JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑ Expenses ❑Shop ❑Field ETWelding ❑ Bolting ❑ Sampling ❑ Fireproofing ❑NDT(HRS) r&+e .�ccre.,� vri DESCs. RIPTft}N OF WORK, INSPEWTFWN � x ; u >- ��%..���'�� �Z i i 1 7 A0 xg WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#}CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the Alt inspections based on minimum of 4 hours and aver 4 hours-8 hoursminimum. Y inspection extending approved plans,specifications In addition, an ins past noon will be an 8 hour minimum. 9 (aPPOVing authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a our minimum and all applicable codes,except as noted below: c �be ppR 'Exception(s)noted in report: Yes No y KV� (Initial at Yes/No as applicafble) Inspector's Name (Project erintendent) ryas Inspector's Signature - Submitted by Inspector's ID/ Lic. # Quality Assurance inspections r 19284 . 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report SINIEN e www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE Q f� M 1 w T F I S I S JOB NAME BUILDING J OSHPD PERMIT#r DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION z 4 �T - ARCHITECT ENGINEER SUBCONTRACTOR(It Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ( epvv �`✓ ❑Mileage/✓ ❑ Expenses ❑Shop ❑Field E Welding [:] Bolting ❑ Sampling ❑Fireproofing ❑NDT(HRS) y YTi '`�_ _- � FSe+YY-n5ee[p.:�•4i'�.Yvtaam."ti iz. -'a'.R'+Rv�a. at s' ` DESGRIPTIO.NOFWORKINSPECT�ED /��% _ �s?/;ram' " - �/= ,�C � � � ,��•�e,�-r,.=•c,/ WELDER CERTIFICATION!EXPIHAi'ION DATE WELDER CERTIFICATION/EXPInATION DATE Electrode Used: ��✓a�� � Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-S hours minimum. !! +�' "approved plans,specifications In addition, an inspection extending / ;.,Y�T - y p g past noon will be an a hour minimum. (ap�proving au hority,e.g.DSA,0SHPD,fifty of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: charge will be applied' Exception(s)noted in report: Yes : No �' { 1'S.cl*t� (Initial at Yes/No as applicable) y Inspector's Name 11611, ��1 ,�Y•,a f �� act Superintendent) Inspector's Signature •2 Submitted by Inspector's ID/Lic. # Quality Assurance Inspections 01 19283 17942 Sky Park Circle,Ste J, Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL rem] Fax:(949)553-0371 Testing & Inspection Report a Te...,,, www.galinc.com B NUMBER DATE T F S SINSPECTOR CODE JOB NAME BUILDING/OSHPD PERMIT#!DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR / JURISDICTION 15100 ARCHITECT ENGINEER SUBCONTRACTOR(1 Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSWIHS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mi''.eage ❑ Expenses p� ❑Shop [:]Field ❑ Welding "Bolting ❑Sampling ❑Fireproofing ❑NDT(HRS) ..{` {"^+ riq ...::. :,e:i =—..... K.ie aaai^ fk'�'+r .u >x ;a:rr +F c ir' c �,xnr. ; " � DESCRiP.Tt�N OF INORIC INSPECT iED � 4' � ',i T, a, a..��wm - •.,w r, a, J , v'�. � ? WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE n Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the A))inspections based on minimum of 4 hours and over 4 hours-8 hoursminimum. approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving adihor iy.e.g.DSA,OSHPD,City of L ,,e� If inspector is called to a project and no wor perform a 2 hour minimum and all applicable codes,except as noted below: harge iy II be applied. Exception(s)noted in report: Yes No K �'l14vI*->0"W � (Initial at Yes/No as applicable) OC r p 6 Inspector's Name ( ro" ct Superintendent) Inspector's Signature—~ ~yam Submitted by Quality Assurance Inspections Inspector's ID/ Lic.# Jr�_�f, �Tt4rf 19282 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE ::I JOB NUMBER DATE M T W T F 5 5 cg 00 -, 1 JOB NAME //may y BUILDING/OSHPD PERMIT#1 DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION � ` ARCHITECT ENGINEER SUBCONT CTOR(If Any) for REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD --- ❑ Mileage ❑ Expenses ❑Shop ❑Field ® Welding ❑ Bolting ❑ Sampling ❑Fireproofing ❑NDT(HRS) ' DI IPTION OF WORK INSPECTED ` y `r r 'f ✓`' 7 Tim 62 WELDER CERTIFICATION!EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION©ATE Electrode Used: ,� 7.2 44P-23 Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours•8 hours minimum. -1/1!/ approved plans,specifications In addition, any inspection extending past noon will be an B hour minimum. (apPKOVing authority.e.g.DSA.OSHPD.City of LA,etc( If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: / charge w I be appliedw. J � 6 r^'] Exceptions)noted in report: Yes No �` ,� V-1 t-� y �/ l (Initial at Yes/No as applicable) � �0 A Inspector's Nameo}ect Superintendent) Inspector's Signature Submitted by Inspector's ID/Lic.# `` Quality Assurance Inspections ` r 19281 P ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report o www.gaiinc.com INSPECTOR CODE JOB NUM6ER DATE M T 'N T F 5 5 �— JOB NAME BUILDING I OSHPD PERMIT#1 DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION /� ,,°t'7/-✓' /7o%tad'' C• ff5 � J�/✓"�/ / "-�+%: .d' ARCHITECT ENGINEER SUECONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous nort-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR, 1.5X 2X TIME IN TIME OUT MEAL PERIOD �6V /3U ❑ Mileage ❑Expenses Shop Field `Welding ❑ Bolting Sampling Fireproofing NDT(HRS) ex _ ,-,,� -`-•� o..�my.' x. .. :a;- ,s^s =n�,w-.--- r.��,ac�e.x r x.. r�`' �" k,,'.*.ix,. •r '�.I. r k �� �,k��- 1 ����� �` 4ESCRiP�TI.ON 0�'�WOR • 111�,SP�CT�D � . � �����.. .. .: art PLC ? �fT '�y� �!.`.r/Q/vim/- �"�f�.✓,//�rl_����i'i`U�C' WELDER CERTIFICATION!EXPIRAI-ION DATE i WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over4 hours-a hours minimum. ray • A�tr jr �s- �o�y�j/1 -' approved plans,specifications In addition, any inspection extending past noon will be an B hour minimum. (approvPng authority,e.g.DSA,OSHPO,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted beEew: tcharge will be applied. (� /ten Exception(s)noted in report: Yes No \ � `{l�LlMq({*t' c(,J `-) (Initial at Yes I No as applicable) p b .>� Inspector's Name /7i�r.-is4��✓t/ f/q/ ,: r c uperintendent) Inspector's Signature Jr Submitted by_ Inspector's ID/ Lic. # 'C9 Quality Assurance Inspections r y 19278 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report 0 www.qai)nc.com INSPECTOH COCL JOB NUMBER DATE M T W T sF S S - x JOB NAME BUILDING/OSHPDPE MIT#/DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTTOO , JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If An) �/�l1 ✓ yl /y' �• REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSWJHS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑ Expenses _. ❑Shop ❑Field ❑Welding _ ❑ Bolting ❑Sampling ❑Fireproofing ❑NDT(HRS) yDESCRIP�TION � WORKINSPECTED '` � � X� Y ": Jax:.e „� .,:� a.-.. ..- .ti-jE f a,»1...«!.«,4 ,�..r�.:x��a xi..w.. ...a_.'as.. �-- "n. .�5:.:� WELDER CERI IFICATION i FXPIRATiON DATE WELDER CERTIFICATION/EXPfHATION DATE i Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. approved plans,specifications In addition, an inspection extending past noon will be an 8 hour minimum. �(� Y P 9 w oving authority,e.g.DSA.OSHPD.City of LA,etc.) If inspector is called to a project and no work is performed, 2 hour minimum and all applicable codes.gxcept as noted_ 145�: harge will be applied. Exception(s)noted in report: Yes No /`�/ =F( u (Initial at Yes/No as applicable) Inspector's Name ect Superintendent) Inspector's Signature �;" � � Submitted by Inspector's I D/ Lic. 4 ,5%D Quality Assurance Inspections ` 19277 A 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report _ www.gaiinacom INSPECTOR CCDE JOB NUMBER DATE h1 T W T F S S JOB NAME BUILDING/OSHPD PERMIT#/OSA•APP# DSA,FILE# ADDRESS / �j GENERAL CONTRACTOR s JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically,identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD .7::`6 , :,2 - ❑ Mileage ❑ Expenses ❑Shop Field_ Welding ❑Bolting ❑ Sampling ❑Fireproofing ❑NDT (HRS) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION!EXPIRATION DATE Electrode Used: Certification of Compliance ❑ Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 tours and over4 hours-8 hours minimum. �/r!r�r- �� �� �•`�����i�/f� approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (app(oving authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,gxcept as noted below: char!Till will be applied. Exception(s)noted In report: Yes NorZLtc��v�� (Initial at Yes/No as applicable) Inspectors Name ,ilsl d/y�-,c4a // ject Superintendent) �-�'��:�.._ �` Inspector's Signature Y Submitted by Inspector's ID /Lie.# '—ill el -rv- x Quality Assurance Inspections 19276 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & inspection Report 0 - www.gaiinacom INSPECTOR CODE JOB NUMBER�/y DATE ? M 7 W T F S S i goo 'Z JOB NAME BUILDING/OSHPD PERMIT M/DSA-APPM DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 7 2 Mileage Expenses Shop Field 'Welding Bolting Sampling Fireproofing NDT(HRS) RDCE- S..C*-sR,..cxIaPsTI.w�NQj,..+F +�TK� CJroi R @- � t , �a -� '? i�✓C�.�,���:�5 � ��/ice _ 7 ..' G�/F��� .�� �/ �' ✓�J /� ���OI� ���/✓ /�/`/� � i�L riG.✓lam --- WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: t Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.DSA,OSHPD•City of LA,etc.) If inspector is called to a project and no work is performed, a 2 hour minimum and all applicable codes,except as noted below: / claarae wiJ be applied. �/ Exception(s)noted in report: Yes No X - L''tec G�tj-" Vvz,,i � L r� (Initial at Yes I No as applicable) 9 L Inspector's Name �'` / !/r9l %� Project Superintendent) Inspector's Signature Submitted by Inspector's ID/Lic.# `/ �` Quality Assurance Inspections 19872 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report - P www.gaiinc,com NSPEGTOR CODC JOB NUMBER DATE M T W T F S S JOB NAME BUILDING/OSHPD PERMIT#/DSA-APP# DSA-FILE# R r ADDRESS GENERAL CONTRACTOR JURISDICTION 1� vI ri r a..�� ems' Llm6T2,t e ke e? ARCHITECT ENGINEER SUBCONTRACTOR(It Any) ��✓t - hF /9 �A�r� ter_ REQUiREIIIIIII S:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers, building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑ Expenses ❑Shop ❑Field ® Welding ❑ Bolting ❑ Sampling ❑Fireproofing ❑NDT(NRS) i a "Sf aE4 'k;Tr .aa�ynyas ;.t�,ara+axn'xig.'ax4s .aget, �.,w`n>Y+a�"3ncY.....-. ,.+� s«�s `r`t t �7: �{4'�T,yp�' s` .. „� �DESCR[pr tfON'=OFW®RKINSf�ECT . :_' -,." :` ': s� 1rtL_: .:?.&te.4. ... ?u:A, a, s�...:.,, a a' '�f /�" �G�.;� a �'is f/ - ..��✓ + x/ CL =/� LIZ WELDER CERTIFICATION!EXPIRATION DATE WELDER J CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance Additional Page(Page#}CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. n'rr ,-r -,4Ark' L�/�,ya approved plans,specifications In addition,any inspection extending past noon will be an a hour minimum. (approvin amrhorority.e.g.DSA,OSHPD,City or LA,etc.) if inspector Is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: Arge will be applied. Exception(s)noted in report: Yes No (Initial at Yes/No as applicable) / Approved/Authorized b • Inspector's Name ���' ��L/�/� (P e Superintendent) Inspector's Signature ` Submitted by__- Inspector's ID/LIc.4 t�D�✓!D'���'_ Quality Assurance Inspections 19871 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection gcport www,gaiinc.com INSPECTOR CODE JOB NUMBER DATE M T W T 1 F I S S C .2 JOB NAME �7 BUILDING I OSHPD PERMIT#I DSA-APP# OSA-FILE# - ADDRESS GENERAL CONTRACTOR /} JURISDICTION ARCHITECT f�ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑Mileage ❑ Expenses ❑Shop ❑Field rn Welding._- ❑Bolting [:] sampling ❑Fireproofing ❑NDT(HRS) 'RaR:te+vivY'.�vCar:cwaROs( :.,fir 7�;- G r V,71 : �rcJg DESCRIP1tI0N OFrWORKINSP, EDr < ' r �' : S}� '= ! 2,ZZ2 !✓ r9 v s/P SAD WELDER CERTIFICATION i EXPIRATION DATE WELDEH CEHTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compiiance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. -:—approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. opprov�y.e.g.DSA.OSHPD,City of LA,etc.) If inspector is called to a project nd/o work is performed,a 2 hour minimum and all appllcable codes,gxceot as noted below: t arge will be a lied. f rM0MC4 L�� Exception(s)noted in report: Yes No `1' ��"'�W(5 t �_e (Initial at Yes/No as applicable) ,!��W Inspector's Name 9�i���rV '�L'f= r ' ct perintendent) Inspector's Signature Submitted by Inspector's ID/ Lic-# Sl' 9r'T W Quality Assurance Inspections 19870 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE O M T W T F S JOB NAME BUILDING/OSHPD PERMIT#/DSA-APP# DSA-FILER zfAl,C-11. ljlfl� ADDRESS - GENERAL CONTRACTOR JURISDICTION o1'i ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑Mileage ❑ Expenses [:]Shop ❑Field Welding ❑Bolting ❑ Sampling ❑Fireproofing ❑NDT(HRS) tK,�. a c'(= [ D.ESCRIPT�1,' WORK P ,' il«Pi S�. . vhro':!¢h tF�If 4*412 WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. 31e11t_ approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.USA.OSHPD,City of LA.etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes.except as noted below: j 5harge will be applied 7?wsup� Exception{s)noted in report: Yes No(Inibeii at Yes/No as applicable)inspector's Name ' -✓%� �_/� rintendent) Inspector's Signature Submitted by Inspector's ID/ Lic. # - Quality Assurance Inspections • �, 19885 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE M I T I W T I F I S I S - JOB NAME BUILDING/OSHPD PERMIT it/DSA-AP Pu DSA-FILE# / I-Z ADDRESS GENERAL CONTRACTOR JURISDICTION A/Z �t9/ire rit0/?�u'� L 7-10.v6.l fG`1 4,/ /1./'f ARCHITECT ENGINEER SUBCONTRACTOR(It Any) .•�? �yl ridentifUiTEld REMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant ust be fisted,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑ Expenses ❑Shop ❑Field Welding Q Bolting 7, Sampling ❑Fireproofing ❑NDT(HRS) 4a'£5 -'-^,6 4'.. d r •=`5 '> y".A+W'RgaYlnl dv{. Y N4�4'.+4!xe— i,�8trt'e" Ai. 'van:s-hvsr a RS ®_ 'DESCRtiPTfONOF, W�URKIN.SPEC7F� �` tea. R .. ' A Y Z2 4'i -h' WELDER CERTIFICATION/EXPIRATION DATE WELDER CER-I)HGAI)ON)EXPIHATION DATE �C - Electrode Used: / 7 �j a in X Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over hours-8 hours minimum. elr-t/ 0r ZI 4j_v- approved plans,specifications In addition,any inspection extending past noon will be an 8 hour minimum. (appro ng authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed, a 2 hour minimum and all applicable codes,except as noted below: t pygee Will be applied. G Exception(s)noted in report: Yes No �` 1 ��( � ` '�T�l L� L JFLL C7 (Initial at Yes/No as applicable) C"-Cr- Inspector's Name �� �i? � t Superintendent) Inspector's Signature �� - Submitted by Inspector's ID/Lie.# �i��%i" U-/ tr Quality Assurance Inspections r , 19884 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report URI me! www.gaiinc.com INSPECTOR CODE / _T OB NUMBER DATE �—.2 V M T W T F S S JOB NAM F BUILDING/OSHPD PERMIT#/DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(It Any( REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSWIHS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous noncompliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage_ ❑ Expenses ❑Shop ❑Field ©Welding 0 Bolting Sampling ❑Fireproofing ❑NDT(HRS) M. F. a DESC:RIP�TIO:N4FWORNC INSPECTED w1 �' }t t x.. tk f r. .aa.�a,d a�at , �.,. .. Ru,z ti7` /yl %mac lr4 lZ zCd -74 I WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hoursminimum. r/�Tic l� In addition, any inspection extending past noon will be an 8 hour minimum, y/� approved plans,specifications (appr ing auttarlty,e.g.DSA,OSHPD,City of LA.etc.) If inspector is called togroject a d no work is performed,a 2 hour minimum and all applicable codes,except as noted below: / c�f g`will be applied. ecCrExceptions)noted in report: Yes NoJ�/�y�.�� (Initial al Yes/No as applicable) A r v Inspector's Name 1 L =� .� (Pi!tl uperintendent) Inspector's Signature e Submitted by Inspector's ID / I_ic.# ��p�{ �� Quality Assurance Inspections � 19883 ® 17942 Sky Park Circle,Ste J, Irvine,California 92614 Phone: (949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report www,gaiinc.corn INSPECTOR CODE JCB NUMBER DATE M T I W T I F I S I S kz Z!F - O JOB NAME BUILDING/OSHPD PERMIT#/OSA-APP# DSA-FILE# r/! / 2 ADDRESS GENERAL CONTRACTOR JURISDICTION /k?r�✓ i 1dl / ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 9 7 cjz) 2 0� Mileage Expenses s'rtop Field Welding ®bolting! — � Sampling Fireproofing, NDT(HRS) Rua .; ? a- .; N � 1`1�1/0 ,Ofg %4i X % l�'fstlF� ff�/ lc O✓%F �� 1-2 Zt7�:Alg WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. appr virg authority,e.g.DSA,OSHPD,City or LA,etc) If inspector is called to a project and no work is performed, a 2 hour minimum and all applicable codes,except as noted glow: harge will be applied. f _ _ Exceptions)noted in report: Yes No <L--:L ,=t\(L—(� } `��rA t�<<c —v (Initial at Yes/No as applicable) Inspector's Name ��y'�/®✓ -� �! ��'�/✓ t Superintendent) Inspector's Signature Submitted by_ . Inspector's ID / Lic. # _�`i{)�/� 4 '�` _ Quality Assurance Inspections 19882 NMI 17942 Sky Park Circle,Ste J, Irvine,California 92614 Phone:(949)553-0370 STRUCTURALSTEEL Fax:(949)553-0371 Testing & inspection Report y - www.gaiinc.com INSPEGIGR C IDDE JOB NUMBER Q 7 DATE M T W T10 F S 5 QQ JOB NAME tr' BUILDING/OSHPD PERMIT 0/DSA-APPN DSA-FILED i% ADDRESS GENERAL CONTRACTOR ' JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RR,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT I MEAL PERIOD ❑ Mileage _— ❑ Expenses ❑Shop ❑Field Welding LTBolting T�`f/ ❑Sampling ❑Fireproofing ❑NDT(HRS) e r, -« .r,--'.. •;z.cs.x;car as ++rxP>;T";a'"ewsz-i' ..t'+:�!� s.::` t r,=^1"s 'µf.ram fit" �x E r. 'x"x _ �4aE �' . {:: ., `` pS =RIP ON OF4W,ORKKINSPECTE� f s WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: 2 Certification of Compliance ❑Additional Page(Page#)CIM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during tho period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum- 1�i p` l"l fdcl/JRC` approved plans,specifications In addition, any inspection extending past noon will be an a hour minimum. (approving authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,eK&gpt as noted bel rge will be applied.} { r Exceptions)noted in report- Yes No (Initial at Yes!No as applicable) Inspector's Name . -✓ rf` '� t Pt Superintendent}, _ Submitted by lnsoector's Siqnature- 19881 17942 Sky Park Circle,Ste,f,Irvine,Califomia 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE M - W I F S JOB NAME BUILDING!OSHPD PERMIT It DSA-APP# OSA-FILE# � F/t mar •�C � � .Y D 7 / � ADDRESS GENERAL CONTRACTOR JURISDICTION �1��/7fiu �. [4�—fzSrtvyAr ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL I FRIOD ❑Mileage ❑ Expenses ❑Shop ❑Ficad Pq Welding Bolting Sampling ❑Fireproofing ❑NDT(HRS) , � DESC•RIPTIO ;FrW�RK`�NS�ECTED� _ :� � ,.,+h�>rM` �#��s , �� �� �'„` WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION!EXPIRATION DATE O•aJ F"/L f' Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and instatted in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. «f 6p"--Z"4- � approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (appro ng authority.e.g.DSA,OSHPD.City of LA.etc.) If inspector is called to a project and no work is performed,a 2 four minimum and all applicable codes,except as noted beloy c ge will be applied. e. ! Exception(s)noted in report: Yes No �v LIrA _ rat w %ZW (Initial at Yes/No as applicable) y Inspector's-Name 5! �J'� ' l�� �iT� ;„ _ (Project Superintendent) Inspector's Signature _ Submitted by 19880 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL 9, Fax:(949)553-0371 Testing x Inspection Report J www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE M T IN T F S s a 7 �s-/y-o JOB NAME BUILDING!OSHPD PERMIT#/DSA-APP# DSA•FILE# /�l dfRSi�DF 0C1AL R GENERAL CONTRACTOR JURISDICTION MV ADDRESS /V1/1/ r'i' A,61 L'D . L4br EL802119K ARCHITECT ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC locatio .Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD o a� ❑ Mileage ❑Expenses ❑Shop ❑Field ®Welding Bolting f�S /'�S [:]Sampling ❑Fireproofing ❑NDT(HRS) r .. _ s+rrt.-,�. ,,,� .., '�' _.., 4 '"�-a�'y.'r:- z+ew�'r� --mom,. r�'3:�s:�zw. ,+��7�` *• -:r ,+3�� �, . �°;A 1 n 40 •moo I C2 G -3- c�Fv �+�ro i✓ c e-_� ScS / `/ Ca�iGc l /mac �t 2 _ a v ��✓� . u�ELai�t/G -@ WELDER CERTIFICATION I EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: /C, 'A/ 67,2, ,V4.232 7D>e- Certification of Compliance ❑Additional Page(Page#)CM ( declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. iA1�' approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approvin authority,e.g.DS=A,,IOSHPD.City of LA,etc.( If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below. c rge will be apptied. (� Exception(s)noted in report: Yes No IL Q t ` "t-A (Initial at Yes/No as applicable) jl� q S •Inspector's.Name• cc uperintendent)t, Inseector's Sianature Submitted by 19879 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing MnSpedhon Report e W W W.Ga IIr[C.Com INSPECTOR CODE JDB NUMBER DATE M W T F S S -79 13 JOB NAME BUILDING IOSHPD PERMI u I DSA-APP# DSA FlLEt7 7tJo R wa 7 �;D F2 2 ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(it Any) Mj Z ,r H,% - eoltrg :s - REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MLAL PERIOD ❑Mileage ❑ Expenses ❑Shop ❑Field Welding— W Bolting T.S-/ys ❑Sampling ❑Fireproofing ❑IVDT(HRS) 'x"i"wx�:er4'^:'°otsf: + �,' "^a` a '".'3„ �* �`� Will DESCR PT1,QNOF4�WaRK,[NSPECTED� � � � 2- 3 Al T _F � �� f 7D� ar- [�✓ ��,C�' v1� f OTT t� �-Z _�C•��5 4 — 7_ �S s , T WELDER CERTIFICATION I EXPIRATION DATE WELDER CERTIFICATION 1 EXPIRATION DATE Electrode Used: L'gGc/ . p72 A/!2 ;70y Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. I sapproved plans,specifications In addition,any inspection extending past noon will be an 8 hour minimum. (aFAfp ng auittority,e.g.DSA,OSHPD,City of LA,Btc. —�'—' f��` ) it inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted-below: / charge will be applied �`' Exception(s)noted in report: Yes No Y `i1_9 (Initial at Yes I No as applicable) i I'sName: �.4�! ►�i�2/!� f ( )ect Superintendent} Insnartnr'c Sinnature ! Submitted by 19878 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & inspection Report . ' www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE X T 4V F S S O 7 8 JOB NAME BUILDING 1 OSHPO PERMIT 4 f DSA-APP# DSA-FILE# E/1 F 0712 ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(It Any) /yI.L� �3LSTs Apt/ /6 // H rd REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 7Q0 2 o O ❑ Mileage ❑ Expenses— - ❑Shop ❑Field Welding fillBolting .T_h}$ __— ❑Sampling ❑Fireproofing ❑NDT(HRS) u ��, :- ,,aas:, -rfih:a. a.;�tt ++mip:r.-error- ..- >-.a_.. aa � " fit- �,a '�', r, -i"�rr+ !1 DESCRIPTIONS.OF WORK[NSPEC3EU� s ��'� w q. '4'� .� r -el Q A Hwv 174 k1 — `77Z /R FSZW 7 xr rzd—,-&l C'o ti L�T� X WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION 1 EXPIRATION DATE V /C Electrode Used: L 5W Certification of Compliance ❑Additional Page(Page#)CAA I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum- approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (a roving authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,excep i as noted befow: harge wiB be applie�dr r Exception(s)noted in report: Yes No Y �.��`v`� Y�"` L 'L✓ (Initial at Yes/No as applicable) V Inspector's Name 0-11 d/l?t� -. -, — (Pr uperintendent) p Incnartnr'-, SinnAturp. zz Submitted by , I 19869 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Yestiny & Inspection Report - e www.gaftnc.com INSPECTOR GOOE JOB NUMBER WM DATE M T W T F S 5 7 JOB NAME BUILDING/OSHPD PERMIT#!DSA-APP# DSA+ILE# - ADDRESS GENERAL CONTRACTOR JURISDICTION &A,(sT/1 Ti L.94-e- !�d ARCHITECT ENGINkER SUBCONTRACTOR(If Any) REQUIREMENTS;Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Eac6 joint must be specifically identified for SSW/RS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME.IN TIME OUT MEAL PERIOD e"_a ,-?- 3 Q Mileage _ ❑Expenses Shop Field Welding Bolting TS —/`fS Sampling Fireproofing NDT(HRS) PELTED i `WOMEN�� � INS C .7471 15-x 33. f T Z 3 rye A,ue-11101-ts UE/i C7 El -2 AlCC.�7 s�7,�sFi Fj_2 & OL Z* Lads' ArA- ovr SS 2 4 - 7 410 ew eg kTj �i C --� WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE r—Y r Electrode Used: �°• Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of The above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. approved plans,specifications 1n addition, an inspection extendingpast noon will be an 8 hour minimum. (app ving authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed, a 2 hour minimum and all applicable codes,except as noted below: chame wille applied. C Exception(s)noted in report: Yes ; No (Initial at Yes/No as applicable) Y Inspector's Name (Pro ti�erintendent) Inspector's Signature, �� Submitted by - 19876 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Deport www.gaiinc.com 41 INSPECTOR CODE JOB NUMBER DATE - M T W T F S S 0 900 -79 JOB NAME BUILDING/OSHPD PERMIT /DSA-APP# DSA-FILED R/ / - ADDRESS GENERAL CONTRACTOR JURISDICTION O /Yr��✓ / olt� 1 ARCHITECT ENGINEER 11 SUBCONTRACTOR(it Any) i T &/ F_ - CQa r'a REQUIREMENTS,Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 3 740 2 3� ❑ Mileage ❑ Expenses ❑Shop ❑Field Welding Q Bolting�S hs ❑Sampling ❑Fireproofing ❑NDT(HRS) t . 'a � DESGRIPTIO,NO WORKINSPECT,EDan 2 — 7vC7/t � � 2 7;0 V Z24lr�z�Z1r� 0 7 7'0,-n c/ ,64 I_C 7 �_ WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DACE �fL � Electrode Used: S/y!,¢� 70 1/y FC--f -672 /I �2 Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been erformed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. i7l� Q l � F����approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.DSA,OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,excep as noted below: ch e will be applied. b Exceptionls)noted in report: Yes No E {1�L�Y> r (initial at Yes/No as applicable) Superintendenf) r-. _Inspector's Name �*. "- :- ,:• . ... r 4 .. ..r-.- .-:. ... .. �, Incnortnr'S SinnnfijrP /%Z-�� Slthmitted by I P = 19875 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 .Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Tactingt & Inspection Report www-gaiine.com INSPECTOR CODE J JOB NUMBER DATE M W T F S _7_ JOB NAME BUILDING f OSHPD PERMIT#I DSA-APP# DSA.FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT 13 ENGINEER SUBCONTRACTOR(If Any) f /V1 1 ' 17AC467 REQUIREMENTS.Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑Mi€Cage _ ❑ Expenses_- ❑Shop_ ❑Field Welding ❑ Bolting ❑Sampling. ❑Fireproofing ❑NDT(HRS) _ ot�T!oN �rwoR cro� rE �' �� 1A� �v�•✓ / / f �/?����✓G � WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE A-1 Electrode Used: `1, � '/v 70v:" '.�fGr,� 7Z Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over hours-8 hours minimum. � lT �� j j��,7� �-approved plans,specifications In addition,any inspection extending past noon will be an 8 hour minimum. (approvi g aulhorily,e.g.DSA,OSHPD,City of LA,etc.) It inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: arge will be applied. Exception(s)noted in report: Yes NoL� 4� (Initial at Yes/No as applicable) � roj erintendent) . ,.Inspector's Name- /�' rtvy� '/ ,.4f_ // �. _ --�.r.,-� .. ,�,. <_,-.. ._.r� w 5fi • ' Submitted bv Inspector's Sianature / 19873 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR Cog;o JOB NUMBER 0 DATE M T W T F S S JOB NAME BUILDING 1 OSHPD PERMIT1q 1 DSA-APP* DSA-fILEM 0 % 7— ADDRESS GENERAL CONTRACTOR JURISDICTION JY_.�Cf /ice /�/f/ram'/ / —/r=� ��•'J`:? Gl.'`i�/G..: f'F.�i/ i ARCHITECT �j ENGINEER SUBCONTRACTOR If Any) E_In o:t- REQUIREMENTS:Limit of one jab number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSWIHS bolt inspection.Non-compliant work must be specifically identified.Communication(FIR,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN /TIME 01JT MLAL PERIOD ❑ Mileage{ Expenses ❑Shop Field Welding Bolting }' ❑ Sampling F]Fireproofing NDT(HRS) _'�it3�Y .� ar :_s:, i . rryyii� ;i `t DESCRIPTIQNyQF WORK INP.EC�TED ` ti1�Ff #T'iwt. ) .,i xs(er.3,'.tea;4ca,�eA.'C.:'s.''2v.,. .w. +ve.we'Y' wra.ax�vr:�a6luSn:r-F: i t.:l:+l:k A►h"_ t..�- �+ x0 R 6AI�- Ctd MCA 7�" WI- 1{ �r/ 's &Z'42�-C �b t4!� =,C / WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. y Or �F`c- ,y��i�T approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.DSA,OSHPD,City of LA,ern.) It inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: c arge will be applied _r� Exception(s)noted in report: Yes No � `-� (initial at Yes l No as applicable) f `,lot • � �r,� /r�ii?/ s ( Superintendent) Inspector's Name ,, 4.. :.. ..:•,. Inspector's Signature r�� `' Submitted by 19867 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE V i W T F S S 71;7 to JOR NAME BUILOING!OSHPD PERMIT#/DSA-APP# DSA-FILE# GENERAL CONTRACTOR JURISDICTION ADDRESS �v ,/� / _ ARCHITEC r ENGINEER SUBCONTRACTOR(If Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT I MEAL PERIOD _7 "i ❑Mileage ❑ Expenses ❑Shop__ ❑Field VI Welding Bolting El Sampling ❑Fireproofing ❑NDT (HRS) 00 & { ' D.ESCRIPTI�N�01=gWORKNSPTEU �; � ", R . y .. :.i�a s,sa•.ram+] xsc,,t1S 5EC..,.:.,:..d.,s ._.,.N S _�- _ WELDER CEdTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE 4 Electrode Used: ;;2/4 % W :2 6)>4 " Certitication of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report hes been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hoursminimum- Cl/ J.-4 b 06 &�1!/approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (appr ing authority,e.g.DSA.OSHPD.City of LA,etc.) If inspector is calied to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below. chaw Will+b `ted. e ��� Exception(s)noted in report: Yes Now (Initial at Yes!No as applicable) Inspector's Name /��9iN sr'./�� 1/mac v� �_ t.,, _. ode Superintendent) inanector's Signature .- Submitted by 19866 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com IN;FACTOR CODE JOB NUMBER DATE _ _ _ M I W T I- S CC_ 71f S JOB NAME BUILDING/OSHPD PERMIT 0/DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) W)AS A? 71— r QUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically tified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non compliant s must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X IHVE IN TIME OUT MEAL PERIOD 3c) ❑ Mileage ❑ Expenses._ ❑Shop ❑Field _ Welding ❑Bolting_ ❑Sampling ❑Fireproofing ❑NDT(HRS) w O`DESGRI,PT�IQN}. 40WRKNS EP CT D � z �;_ �s k.�, ram. 1/r/r1142 WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE 641 Fll c Electrode Used: /t1r� d VIV Certification of Compliance Additional Page(Page tf)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been-performed and installed in compliance with the Atl inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. Ar L �. �L� ,�r�7 approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (apl5raving authority,e.g.DSA,oSHPo,city of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,(Mceot as noted below: charge will be applied. y Exception(s)noted in report: Yes No �L�-(���� � r C-41 (Initial at Yes/No as applicable) A otz;K _Inspector's Name G�"��/ = _ perintendent) �� (Pr u InGnPrtor's Signature Submitted by ' I 19565 17942 Sky Park Circie,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report ' www.gaiine.com INSPECTOR CODE -_ JOB NUMBER DATE ` !•) n� W T 2900 JOB NAME .JF BUiLDING/OSHHPD PERMIT#I DSA--iAPPR OSA-FILE# ADDRESS I GENERAL CONTRACTOR JURISDICTION 7ZZ_ 6 /0 t7"Z ,4 ARCH i TEG 1 ENGINEER SUBCGNTRAC rdR(It Any) REQUIREMENTS:Limit of one job number,one permit number per s1rieet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. FOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 730 Mileage ❑Expenses Shop Field Welding Bolting Sampling Fireproofing NDT(HRS) wiz- -'a rm�isr..x,m� ',.e',rae.. w-gs�.sa�as-ac++ t,�, AR DESCFi1PTION OF`WQRK iNSPECTsE� ro s�� x,r ov � r/ WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: ��?7 r;t.! Yrk Certification of Compliance Additional Page(Page#)CM i declare under penalty of perjury that all of the above statements are true, and that of my own persona( knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. lE QF /�� 'tSA /(1I1L approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approvAq authonty,e.g.03A,OSHPD.G)ly Ol LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,ez§Wt as noted below: charge will be appti Exception(s)noted in report: Yes No 2��e.���e��>r, r�� � L+`� (Initial at Yes I No as applicable) Inspector's Name .4°/+'��`�'_� (Pro' perintendent) Inspector's Signature s-�,- - Submitted by 19863 A ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www,gaiinc.com INSPECTOR CODE JO$NUMBER DATE M T W T F S S LAI (r _ 9 JOB NAME BUILDING/OSHPD PERMIT#!DSA-APP# DSA-FILE# AUURESS GENERAL CONTRACTOR JURI S D ICTION ARCHITECT ENGINEER / SUBCONTRACTOR(II Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(FIR,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD �C ,J .30 ❑ Mileage ❑ Expenses ❑Shop_ ❑Field Welding ❑ E3olting ❑Sampling. ❑Fireproofing ❑NDT(HRS) 3r - a ',xrx+.rr +�.svta• i r- x ^�5.` ' 'il�tt .Ea' ., ,' . n DESGRIPTIO.N OF Of Qv R . /441 F✓'L_ -_.two �. � ' L� �'r�����/��-,11 � ice✓ ,�t,���=��� . ,� =� ,�'/ <r✓? Fri WELDER CERTIFICATION I EXPIRATION DATE WELDER CERTIFICATION/EXPIRAnON DATE 4 iUF_ Electrode Used: 'A_7 f,41V1 ,cam yf Certification of Compliance ❑Additional Page(Page ti)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4hours and over 4 hours-e hoursminimum. I)r' f/as :/ /�/!f" approved plans,specifications In addition, any inspection extending past noon will be an B hour minimum. lappfroving authority,e.g.DSA,OSHPD,City of LA,etc) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: charge will be applied. Exception(s)noted in report: Yes NoL(�=(�L�b t"L rr (tnitiai at Yes/No as applicable) d by Inspector's Name. f ( ro uperintesldent) „ i InsnPctor's Sianature Submitted.by 1986 W�f © 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & inspection Report r www.gaiinc.com INSPECTOR CODF JOB NUM E DATE M T w T F S I S 007q JOB NAME BUILDING/OSHPD PERMIT#!DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION Me Ti '-LJ ARCHITECT ENGINEFJt SUBCONTRACTOR(4 Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGL)LAn 1.5X 2X TIME IN TIME OUT MEAL PERIOD 2 > `Q 231 ❑ Mileage — ❑Expenses -- ❑Shop ❑Field. ❑ Welding Bolting ❑Sampling ❑Fireproofing ❑NDT(HRS) ..s,zxr.,s>:k+s.�+e«sseµv€ -r,..+..�..s�sWs'ti�x+�.. DESCRIPTI�NOFFWC)RK}IN P ---f C-F A-A/AL Z -7 F �/l•4M 4- 77ot,5T` 0 442 ��7 70 f � WELDER CERTIFICATION/EXPIRATION DATE WELDER Cl-RTiFICATION!EXPIRATION DATE Electrode Used: S/din c� G� cs� ;�'z AS-i2,z ,- Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. j �C-/ �jL' approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approviiiq autho6ty,a-g-DSA,OSHPD,City of LA,etc.) it inspector 1s called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: / rencharge will be applied.. { - Exception(s)noted in report' Yes No ICLCl..�VL l"�+��L-�'�t t r (initial at Yes!No as applicable) y ~ _ ... .Inspector.'s.Name. /� .�r.�i� �� LG' J='_ .. Perjntendent),,.__,.. ,. - Insnector's Sianature Submitted by 19922 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax.(949)553-0371 Testing & tnspection Report _ www.gaiinc.00m INSPECTUH CODE JOB NUMBPR DATE M M I W 5 0 G '� JOB NAME BUILDING 1 OSHPD PERMIT tf!DSA-APP# DSA-FILER ADDRESS GENERAL CONTRACTORJURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(ll Aryr) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD Mileage. ..— ❑Expenses - Shop Field Welding Bolting Sampling- Fireproofing NDT(FIRS) , .,,.. -�apESCR PT�N OF�INORKINSPE./�131TED�. . F zssM-V k_ ' R t .iva3vcs�.{aW�.+J+�',a... Y�.sm SH -.r 2—3 / —2/ LUG L'D 4AC����_�?iZ %G' f .SUS S W45) 211_� ((�"'3 J WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE 75 /N k Q .5 SIr 6 - Electrode Used: �/1�,.' Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the AD inspections based on minimum of 4 hours and over 4 hours-a hours minimum. approved plans,specifications In addition, any inspection extending past noon will be an a hour minimum. japprovi g authority,e.g.DSA,OSHPD,City or LA,etc.) It inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: ch a will be applied. r �,7 Exception(s)noted in report: Yes No (Initial at Yes/No as applicable) Appo@YeWAUfl iot 1 d 6Y Inspector's Namect St,perintendent) _ incnwrtnr'S Sionature Submitted by 19921 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection, Report www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE T IV7 F S S ,,� JOB NAME BUILDING f OSHPD PERMIT u 1 DSA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTOR JURISOlCTiON /df ARCHITECT ENGINEER SUBCONTRACTOR(If Any) ! REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must b6 specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL P[RIOIJ 1 ,7 ❑Mileage ❑Expenses 4 ❑Shop Field Welding ❑ Bolting ❑ Sampling ❑Fireproofing NDT(HRS) DESCRiTIONFWQKINSpECTED -2 .S - 72e f s WELDER CERTIFI 7�� ATION!EXPIRATION DATE WELDER CERTIFICATION 1 EXPIHATION DATE - A�' (r�9Rr.(3�f!Di AGE .3�•S'� � _� Electrode Used: -92 - AA-223Z Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has beerr performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-a hours mini mum. �q , � approved plans,specifications In addition, any inspection extending past noon wilt be an 8 hour minimum, tapper vroving authority,e.g.DSA.OSHPD,City of LA,etc-) It inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: ge will be applied. Exception(s)noted in report: Yes No (Inftial at Yes 1 No as applicable) { l r Superintendent) Anspector's Name Inspector's Si,nature t Submitted by 19919 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.ga((nc.com INSPECTOR CODE JOB NUMB DATE rd 1 W i F S 7 IV-/ JOB NAME BUILDING!OSHPD PERMIT#!DSA-APP# DSA-FILE# r'f ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If Any) ,47- 'ram iQ / REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑Mileage ❑ Expenses Shop ❑Field_ ff Welding ❑Bolting ❑Sampling ❑Fireproofing ❑NDT (HRS) IDESCRI, TsION t�FW4RK�i NSPEGT rED 12 '�=may/��/G- ��✓..;�-�/rt-�:� �F1 - L- WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION I EXPIRAI ION DAI L Electrode Used: ,,�tG�� •O 72ti!1» 2 Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over hours-a hours minimum. approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (eppr ving authority.e.g.DSA.OSHPD,City of LA,etc.) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted below: S' ch rge will be applied. Exception(s)noted in report: Yes Now (initial at Yes/No as applicable) Ap d Inspector's Name a,Q � �/-� �°C rf.�- �� e, roj uperintendent) Inspector's Signature Submitted by Corporate Office: 17942 Sky Park Circle, e Suite J 1; Irvine,CA 92614 (949)553-0370 STRUCTURAL STEEL: Testing&Inspection Report JOB NO. DATE N O � U Y 080079 April 18,2008 j------1� 7BULDING/OSHPb FERMrr#IDS"W# �FlLEt JOB NAME DDSS 70001922 .. __ -- .JURISDICTION GENERAL CONTRACTOR 1400 W.Minthorn St.Lake Elsinore,Ca.92530 L TFW Construction j- Lake Elsinore -----�Ip�T� - - —!S�ONTRACTOR(M any) ARCMRECH �y1 ! Wiseman&Rohy- --e-- REQUIREMENT3:Limft of one job number,one permit number per sheet Identify all work by type and SPECIFIC Location.Each joint must be specifically identified for SSW/HS Bolt inspection.Non-Compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 7:00 AM 10:00 AM l� _ Expenses N/A Mileage N/A ing Shop Field _ E]Welding �Bor Sampling 7Fireproofing F;;WIINDT(HRS) 4 DESCRIPTION OF WORK INSPECTED Performed Ultrasonic Testing(UT)on 1/2" plate to base plate hold downs connection.(CJP Welds) See attached UT report. a �' GNI ( Hold-Downs 1/2"plate to base plate(CJP)) ER WEL WELDER(S) CERTIFICATION/EXPIRATION DATE WELDER(S) CERTIFICATION I EXPIRATION DATE -----DER( -- ----- — REPORT Contains Non-Compliant Items i�Additional Page(Page#)SM Does Not Contain All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum. rnadd Certification of Compliance addition,any inspection extending past noon will be an a hour minimum it inspector is I declare under penalty of perjury that all of the above Statements are true,and that of my own catled to a project and no work is performed,a 2 hour minimum will be applied. personal knowledge the wont during the period covered by this report has been performed and - installed in Wri,pliahce with the _ FEMA 35 .AWS D1.1-2TI,CBC __approved plans, (za_,='(t(L`� specifications and all applicable codes. -- ct Superintendent) Inspector Name Orrick U Inspector Signature Submitted by Inspector IDS ;T/M:T�L�evvill/�SNT TC-lA CP-189 REPORT OF ULTRASONIC TESTING OF WELDS Project Name DDSS _ Project No. 080079 2 of 2 Duality requirements-Section No. FEMA 353;2002 AWS DI 1-2004,Section 6,Table 6.1 and 6 2 cn_6.3 Page 2—_ ULTRASONIC EQUIPMENTS —------------- �ea seam °. I i �Instrumeni E ocbl,T 6115108 T►ansducers Panametrics C4�2 2.25m1v Panamevics �—P a s�e�ea-�rra. S� �CY5151s6rat�r°• a7TYPe 511`1—SaTaITb—EJ�� -f Reference Blocks _ I1W Type I j 1018 i 01-6321 70 OOPV63 1 V-S"x9•�5" 677039 ---Batch °. Mora rewF en�i 1 6aTnelei�s J1 ICoup1~ant Sonotech l LLI-Y 011621/3— 01 2.25nihz--L I,- _i OONVWV f UL TRASONICTESTING OF MATERIALS Wed�n9 Gain homes-ce i Volumemcl_eam mLeg 1--Reference Level —J�mm�A Level- 1 112" T,Butt 3oint FCAW A L Ist&2nd j Table 6.2 i_Table 6.2/b.3 - Clean _---- WELD LOCATION AND IDENTIFICATION SKETCH Items Examined/Tested: Performed Ultrasonic Testing on plate to base plate type one hold-downs.(01?Welds) r--- Weld ID, pc mark Interpretation Description #weld(s) Accepted Rejected Repaired I Remarks kt�o�___EqdFlne�, location p 6 ` 6 0 0 UTOK Line F Hold-downs plate to base p6) _ Line I Bold-downs plate to base plate late((8) 8 8 0 0 UTOK Line A Hold-dos plate to base plate(9) 9 9 0 0 UTOK dons Line 6 Hold-downs plate to base plate(3) 3 3 0 0 UTOK Acc�an_—R.�sae rz -��Fi�7iccevie-m e `°r� Total Welds 26 26 0 0 — 26 — 0,�1 Comments: — -- --- ---- -� INDICATION(S)FOUND ON REJECTED WELDS —� DECIBALS(d8) DISCONTINUITY(in-) _ I I I 8 T 3 .L a m LL _ m in x m a rn L U) DISTANCE °u a REMARKS E _— E �- 0 J ¢LL —_�_ C U m' - a— Discontinu Evaluaton c k `` _ ` o m - a I b c d _ z o 4 From X From Y o U ( �Y ) r¢ u- ..a I i I,the undersigned,certify that the statements in this record are correct and that the test welds were prepared and tested in conformance with the requiremen"FEMA 353,AWS D1.1/D1.1M-2004, Structural welding code. Level UT Level 11/SNT-'rc-I A&CP-189 Date April 18.2008 Inspector Orrick Uy _ _�• — S 79d2 airy?ark Circle.Ste J,irrlrte,Celfomb 92111 Im Glisten.gD40)OVI-0370 STrmu O t U RAL 7 fi TE M lb Fax:t,s1s;553-0371 Tostil,g frispactinn Ri3port ;yµyr,GBiinc•xrr Itr3�crc:a ca•5r , _.�..�.�J9e rvt7�e=R { I .�• 1 �vmE � �6u11.Dxv3�asrtr0 rl;,lW.1.d-DSO-nr•r,r � UJ1•rtl_Cs C,e dcietAt COWAAC,1DP JVP.IgpICTIdN 4t z_,, t-I-- AAA- ARCrtrrEC? ____ MGiNE�1 wli8t%nNwYA(;'OfiitlAnY: . - R[fttARg[iAii lt�E+�md.�1 dn4 jGo i umber,cnn pormd number per sheet.ldollt;ry e4 wN k h}+ync and.CPFC 3rr;C k etc,) F�ch JOlnt fnu5t"t0 5L'QCificaliy iOQreii!iCd��iVvi?iS boat inSp6r:ian.i+iantiompllant Work tnuKE be speclt;�!1y;r;lartti6�.:ran'Imunication(l�I11,Sketch 13tC.1 vtalClr.�pr�;tArs rtor)-Co!r=pl!eift it8tns mucl lard I;:s;c.ij,recO�o�or�v*arsations and e_`Of+11rU.r'+iC>}GOf�9 with P!p�aa1 d86ign6rg.building and�rmit gra=4iry 2trtMoriky 9fflCi3tS. —�_��•~• •�^~�_' -l•!ME Ito i T9tAE OUT ML��F`'!(� Ali�leayu. ------ ----- ��ig11� �tlfsfrSlnp�,� �'•'.�% �@ci6tig...........,.-__---..�8urr1i511rr� ..�—. fir ltC:fi tg NDT(I-tR 5l _ --_— PtFlf III F- I- ,111, 1,,, t of � ,: 1 WELDS Ci:A;>14(`+R71ON �7!Ot�L'A1 F 1V ll�FH CEii IMITION I CXPORAT*N 0A7r k G- CaViration a1 oorvipiiarce Adr:ilionat Fade(P i )CIA L 1I �....,r..-..,...r.. .. I co,:.hf2 under yfiucplly of parkO lt'bW ail rh, Nu Iint �,bi ep the neo)rirulart ieired df>0 mat Ji my CN'1 Ne'&Un i r�tTUtr!-hiyc i CG?A4 498Bd on P5r!nrTILT 01 4 t1hYl'S Sr`S OV9r A hGt11'9'S r10.1M Riln=mwn. Gy ;his rap"ft has II per:crrnetl sni in5taily in c npliR5?G Wnn the t ill oud �prvv90 p1unE:spmCi`it�'Yitons I it egdA4n,ar7 Sd9p�cl.On extat;tlCA9 9�a1t:1 b a,�cx�t,8 2hh0i!Iour nrnuimlrtr R..1✓ : / 1�. I it inePa�'r'ca16�d to s o?"Ol and M e>cb�r.�z.rhs+-r a.v.nAa.nsrrr 7.Cr,r a S3•.ek:. Kh• P wil t>s apyi�d. r �F�'7 } �xa 9i'�IWi p7SeC Irt rtp9r4: 'fE3.._ --•.----- erinwr,�iwnt} ,•ITl}�pl ai viral hL••as a{•1f Glphbll .._ Ot Jljp iT15jrA!"tfjr'S Name 3uolTitt 'by 4_�"_------ 4n� laueltby/1.39urrlrlrn lntspect,>yn:• F """=.�'""_-ram•--'• ,, ..�-..- :. ^.r�G.A UW1 u r. 19918 ® 17942 Sky Park Circle,Ste J, Irvine, California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiinc.com INSPECTOR COUF JOB NUMBER DATE M i w TT� F S S F 1. JOB NAME BUILDING I OSHPD PERMIT#!DSA-APP# DSA•FiLE# /122 ADDRESS GENERAL CONTRACTOR JURISDICTTON /vr 7/7-vc-r10 4Z Cf&= ARCHITECT ENGINEER SUBCONTRACTOR(If Any) it slJ' 0—F-A 72 l+tr1 6IvG� REQUIREMENTS,Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD 9 70J Mileage Expenses Shop Field F-�'f Welding %� Bolting _ Sampling Fireproofing NDT (FIRS) 'yi. •'b'�Y yv�yt,R �F lMJ iw1/s'Y- ff ,FR> p DESCRIPTION-O�WO P RKKINSECTED � R ` a ins. �..w. ..�� +3_ Lre�.aar entV ,aa �, xz -,3.e: 1� .ixi2. 4 _ 742,21 �' f=S-C•_% AkEP 12 1_0&_z'5 WELDER CERTIFICATION/EXPIRATION DATE - WELDER CERTIFICATION/EXPIRATION DATE C - Electrode Used: ��Gf,! V7,) R 23 Z Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. i7y_ ole C � fit.sm/all/5 approved plans,specifications In addition, any inspection extending past moon will be an 8 hour minimum. (approving authorisy,e.g.DSA,OSHPD,city of LA,am.) tf inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted-below: charge will be apptied. Exception(s)noted in report: Yes No X (initlal at Yes!No as applicable) Approved/Authorized by Inspector's Name •• / � (Project SuAAAerintendent) Inspector's Signature Submitted by of 19917 P - ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing & Inspection Report www.gaiine.com INSPECTOR CODE JOB NUMBER 7 -17 DATE M T W T F S ., C/} BUILDING/OSHPD PERMIT IT#I DSA-APPN \!`/ DGA-FILEa JOB NAME i_ — iA %/?064 7 /f 2 2 ADDRESS GENERAL CONTRACTOR JURISDtCTICN iy ��tl /�oir,r! /7cT .f ARCHITECT ENGINEER SUBCONTRACTOR(It Any) /7/yJ "I S.< C 4/ / ll L REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑ Expenses ❑Shop _ ❑Field �Welding _--. ❑ Bolting ❑ Sampling-- ❑Fireproofing ❑NDT(HFIS) " }�DESC PTIONOFWOR INSPECT t ...t� ax,- L ..:.:ax i:4.r� �.w..�.�eb .+:tieaw..wcw. - aE�..T.-..:'. ;x� �»�ra.� 3 C' ZE 7F/2 �f/� �DC,•9 rp.�j� �41T� S % 2, WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: /—_�4A,! . © 72 4'12,3 2 Certification of Compliance ❑Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over hours a hours minimum. T• L�Japproved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. �(dpl'll rove authority,e.g. SA,OSIf inspector is called to a project and no work is performed,a 2 hour minimum applicabie codes,exce noted below: / charge will be tap�lied _ ir �f � .C�CLjfi�c�i"llC-��((�(C �] j Exceptions)noted in report. Yes No 6711(Ct (/4' (Initial at Yes I No as applicable) Ap"ur d/Authim IYed by �� M. �� �� L. ( t Superintendent) Inspector's Name . r - lncrnortnr'a Cinnafrtra 1� - [ Submitted by q` 19912 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone-(949)553-0370 STRUCTURAL STEEL Fax: (949)553-0371 Testing & Inspection Report - o www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE M T w T F o w JOB NAME BUILDING!OSHPD PERMIT p/DSA-APPn DSA-FILE# ADDRESS GENERAL CONTRACTOR JU RI SDICTICN C'6l:41_57 <W A ARCHITECT ENGINEER CC CC SUBCONTRACTOR(il Any) REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REC LAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ Mileage ❑Expenses ❑Shop ❑Field _ K Welding ❑Bolting ❑ Sampling ❑Fireproofing ❑NDT(HRS) _ � ,� � M q D SCRIPTII t N}�QIGJ1111, 1KIN PEC�TEDs: x ,° .« .t1 _.,u •.,G a�, ...r ti day_-�,c / - 2 7- ..2 2 - -23._2,S -mil -&i� WELDER CERTIFICATION/EXPIRATION DATE WELDER CERI IFICAIION/EXPIRATION DATE Electrode used: Certification of Compliance ❑Additional Page(Page#}CM I declare under penalty of perjury that ali of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. tr approved plans,specifications to addition, any inspection extending past noon will be an 8 hour minimum- '(approving authority,e.g.OSA.OSHPD.City of LA,etc.) It inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as note below: / char a will be applied. Exception(s)noted in report: Yes ,�-�- (Initial at Yes/No as applicable) b l K (�`+ .Inspector's Name o ' f (P ec Superintendent) Inspector's Signature 1 Submitted by Inspector's ID/ Lic.# Quality Assurance Inspections - 19909 ® 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)553-0371 Testing a Inspection Report www.gaiino.com I NSPCCTOR CODE JOB NUMBER DATE M 7 W T F S S SOB NAME BUILDING!OSHPD PERMIT If l DSA-APPJt DSA-FILEk 0 7&900119� ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR(If An REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS RE LAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD /2�� Mileage __._ ❑ Expenses ❑Shop ❑Field Welding /7'YJ �� ❑Bolting ❑ Sampling ❑Fireproofing ❑NDT(HRS) a tagbratses-eto.w�u s a` t �ue�w ON, :. Ymi e , � DESCRIPTIO{��OFkWORK�lNSPECTED�� i dd s .'t....F.t.�m._`l.. .<. ::x5s�a�.xa4sr is:.• AK.1, ':.�n. --- - L/ Sze /�v r4 WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRAI ION DATE FLY MAti�_/ i,r iL - r'v is H .F � ,� fz..,u.✓ -a, Electrode Used: Certification of Compliance ❑Additional Page(Page#}CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. t?l�>y e CSC FCSO,10C,Z approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.DSA,OSHPD.City of LA,etc-) If inspector is called to a project and no work is performed,a 2 hour minimum and all applicable codes,except as noted-below: charge will be applied. Exception(s)noted in report: Yes No (Initiat at Yes/No as applicable) -f4pp uveWAtlthorize by Inspector's Name /1�0 x.,to 'we// ''?U��` r tSuperintendent} Inspector's Signature ' ✓�-•� Submitted by Inspector's ID? Lic. # 60C/.�w-g_r Quality Assurance Inspections P 17942 Sky Park Circle Suite D Irvine, CA92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 21572 INSPECTOR CODE JOB NUMBER DATE M T w T F S I S 79 JOB NAME BUILD PERMIT NUMBER!DSAi OSHPD APP. FILE k JURISDICTION Rr C ; D&Y7 OF YQ c .SCII ; S C;T or CZ ADDRESS CITY GENERAL CONTRACTOR f'VQa I/,V7- Zz4.r AtC Z' lf,. ,C — i-I eons W cif✓ ARCHITECT ENGINEER SUB CONTRACTOR(It Any) n/Vl 1 1 wi,�SIE /✓ -� Rox Y S4y P-6 o 410 -z` Log REQUIREMENTS:Limit of one job number,one permit number per sheet. Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIML IN TIME OUT ❑ Re-Inspection ❑Show-Up Only ❑ Expenses ❑Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑ Reinforcement Masonry ❑Fireproofing ❑Quality Control ❑Administration ❑ Prestress/Post Tension Other - C3 . 1/2 A14 ;n"s zar �/ )OVeOV .- #/id/J � =i/�%/Orr l % -'d -c 7 x- / " �r !/e L h 1-t' Zr h��14[ 70 4V444 S3. / A&Z 1 L} i 1116 ZG 64 7/ tF s �� J :f S"3. i MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑ Contains Additional Page(Page#)CM REPORT Non-Compliant Items Does Not Contain Certification of Compliance All inspections based an minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered fgo will be applied. by this report has been performed and installed in compliance with the approved <<<+Lle(�=�j r Lrk plans,specifications and all applicable codes Approved/Authorized by MCI Inspector's Name flA V/00,f/V 114"C r ject Superintendent) Inspector's Signature Submitted by _ Inspector's ID/Lic.# 1iQ��_�fG'-�r`~ Quality Assurance Inspections e 17942 Sky Park Circle . Suite D Irvine, CA 92614 Phone: (949)553-0370 Fax:(949)553-0371 Inspection Report 22915 INSPECTOR CODE JOB NUMBS, � DATE M T W F S S SL JoBNAME BUILD PERMIT NUMBER/OSA I OSHPD APP. FILE JURISDICTION ADDRESS f -7 j� CITY GEN AL COSTRAC R ARCHITE T ENGI ER f , SUB CONTRAC O ny�� REQ I E TS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specificaky identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT ' ❑Re-Inspection ❑Show-Up Only ❑Expenses {reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ❑Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other e�•��f ,Y , 'R 4�DSaN' C . N- QR' ' �� qK,;.-•,.' N .w: ET � �a� s`,Y fawM7nk V 4/7 MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS 46 Additional Page(Page 1)CM REPORT Contains Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes l �l I " � � �('Proj uperintendent) Inspector's Name Inspector's Signature _ �' Submitted by� �%% /f'� . Inspector's ID/Lic.# _ �� 1� C� '; Quality Assurance Inspections c� �_ -� � - ,� � - Z i�� - c (� - �, �i-l3, �-�9 - 17942 Sky Park Circle Suite 0 Irvine, CA92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 22914 INSPECTOR CODES JDB NUMB DATE T7T W T I, I S S � � G �n JOB NAME, BUILD PERMIT NUMBER f Al OSHPD APP. LE# JURISDICTION % E r SOG y e 44 ADDRESS, CITY GENERALrCOON�TRACTOR / r f ARCHITECT ENGINEER SUB CO TRACT (If A _, / ,� 3- ) C) REQUIREM&IrM Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT ❑Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑ Fireproofing ❑\Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other s+ t .x r-•-•_.yz,.Q::::RcQ,.rS�r,i'k ` �v3s"krb kf'tr ua v a �rENO c QRS PJMIONOFK INSPECCLTE ED� + ;rr /c MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑❑ Contains Additional Page(Page#)CM REPORT Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I It inspector is called to a project and no work is performed,a 2 hour minimum declare under penalty of perjury that all of the above statements are true, charge wti}l"be applied. and that own personal knowledge the work during the period covered 1 t l�lC�1'(�}1-F V `� C)�(-'ce by this report rt t has been performed and installed in compliance with the approved �PC �(� � �� plans.specifications and all applicable codes A Inspector's Name (Project S intendent) Inspector's Signature 44 Submitted by y �� Inspector's ID/Lic. # _ /� ��bZ��,� Quality Assurance Inspecti ns 04986 M I 17942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 INSPECTION REPORT Fax:(949)553-0371 www.gaiinc.com INSPECTOR CODE ` / JOB NUMBER L- DATE -09 M 7 W T F S S JOB NAME lo L 5A, 7oGi �v s BUILDING IOSHPD700005��� DSA•FILEk ADDRESS �J f C �A / GENERAL CONTRACTOR JURISDICTION 1 C l fW/ ARCHITECT r ENGINEEP ri' SUaCON TO (it Anilly) oiu REQUIREMENTS:Limit of one job number,one permit number er sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 4.5X 2X TIME IN TIME OUT MEAL PERIOD t : 3G /Z LM Mileage �� _ ❑Expenses Reinforcement ZConcrete Placement Masonry ❑ Prestress Post Ten ❑ Batch Plant Fireproofing �/Quality Control Administration Other r t i.W- 1 •♦ Tr,m ns.q+: -.rvw:ks:sc-'vs�Pwusxz:;p::.vpW '>..carcnw "Yn. vx' "-•*v a a $. f � � _ tt "� DESCRIPTION F�WO�RKINSPECTED 1m f . �wt t e vcvr, ,n C l ^ u Z tL G lnd�5 0 � �c Fc�r A V,0r) Con ;v 61° �2 7 - - MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. approved plans,specifications In addition, any inspection extending past noon will be an 8 hour minimum. (approving authority,e.g.OSA,OSHPD,City of LA,etc.) It Inspector is called to a project and no work is perlormed, a 2 hour minimum and all applicable codes,except as noted below: 'cchaarrge will be applied. Exception(s)noted in report: Yes No l ;� (Initial at Yes/No as applicable) JJ ( b Inspector's Name t t` r ' Superintendent) Inspector's Signat6re Submitted by Inspector's ID/ Lic.# D Og Quality Assurance Inspections a 17942 Sky Park Circle ® Suite D Irvine,CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 22 INSPECTOR CODE 0853564-49 Joe"UMBER 080079 DATE 6/9/08 M r IV r s s X JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMMRIDSAlOSHPDAPP. FILE JURISDICTION 0700001922 ELSINORE ADDRESS 1400 MINTHORN crry L ELSINORE GENERALCONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(IfA"" DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous noncompliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 6:30AM 9:30AM ❑ Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ®concrete Placement X ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension [� Other TRASH ENCLOSURE INSPECTED WIRE REINFORCING AND POURED TRASH ENCLOSURE TOOK 3 SAMPLES OF CONCRETE REINFORCING 6 X6#4 WIRE WEATHER CLEAR MID 70s MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS ® 4 NA 3000 20+" 3 Additional Page(Page f)CM REPORT ❑Contains Non-Compliant Items 91 Does Not Contain Certification of Compliance All Inspections based on minimum of 4 hours and over 4 hours•8 hours minimum. I declare under penally of perjury that 0 of the above statements are true, It'mspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered �charge II be applied. r r by this report has been performed and Installed In compliance with the approved ! " � ` �, (IC(,C(t to I `� V�� plans,specifications and all applicable codes H FAULKNER Approved/Authorized b n` inspector's Name / ( ect" S Superintendent} Inspector's Signature * ` Submitted by Inspector's ID/Lic.# 8 3564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone-(949)553-0370 Fax:(949)553-0371 Inspection Report 21 INSPECTOR CODE 0853564-49 JOB NuM$ER 080079 DATE 6/4/08 M T X T F S s JOB NAME DEpT SOCIAL SERVICE BUILD PERMIT NUMBER I DSA I OSHPD APP. FILE I• JURISDICTION 0700001922 ELSINORE ADDRESS 1400 MINTHORN cl L ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTORiA"') DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non compliant work must be specifically identified.Communication(li Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:OOAM 1:00PM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ®Concrete Placement X ❑Masonry [:)Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension Other POURED SECOND STORY FLOOR. TOOK 8 SAMPLES BY ACI TECH. POURED LIGHT STANDARDS TOOK 3 SAMPLES WEATHER CLOUDY HIGH 60S MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1151 4 NA 3000 300+- 11 ❑ Additional Page(Page )CM REPORT ❑ Contains Non-Compliant Items $] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that al of the above statements are true, 1t inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered urge/will be applied, by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Inspector's Name H FAULKNER { ro a rintendent). Inspector's Signature a�� o — -� ---1� Submitted by ��`R ` 1 Inspector's ID/Lic.# 085 4-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle Suite 0 d Irvine,CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 020 JOB NUMBER DATE p M X w T F S S, 6/3lO INSPECTOR CODE 0853564-49 080079 ! v BUILD PERMIT NUMBER I OSAJ OSHPD APR FILE N JURISDICTION J09 NAME DEPT SOCIAL SERVICE 0700001922 XL ELSINOR' ADDRESS GENERAL CONTRACTOR 1400 MINTHORN O� L ELSINORE TEW ARCHITECT RM1 ENGINEER WISEMAN ROHY SURCONTRACTOR(if Anyf DEM CON REQUIRgNEti1TS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials_ HOURS REGULAR 1.5X 2X TIME IN TIME OUT AM 12:OOPM 4 10:30 ❑Re-Inspection E ❑Show-Up Only ❑Expenses ❑Reinforcement Concrete ❑Concrete Placement ❑ Masonry ❑Reinforcement Masonry ❑Fireproofing ❑Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other EPDXY 7WWIT7NESSEDEMENT OF REBAR BY EPDXY' 4 PLUMBING CHASES COMPLETED WITH REBAR BY SIMPSON 22 EPDXY. THESE CHASES ARE READY TO POUR OVER. 2 CHASES ARE AT SOUTH WEST OF BLDG. 2 CHASES ARE AT NORTH EAST OF BLDG. WEATHER CLEAR, MID 70S. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑ContainsAdditional Page(Page 1)CM REPORT Non-Compliant Items FLf Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-B hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered } �`!!S/" " by this report has been performed and installed In compliance with the approved �c2�L—F'L`( plans,specifications and all applicable codes A Inspector's Name H FAULKNER jest Superintendent) Inspector's Signature � � �"'� Submitted by . wvcliv�—��---� Inspector's ID/Lic.# 0853564-49 Dualjry Assurance inspections ACCOUNTING NE 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 010 INSPECTOR CODE 0853564-49 JOB NUMBER 080079 DATE 6/2 r08 M T W T F S S if I J 1 V X JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER IDSAfOSHPDAPR FILEM JURWICTIO 0700001922 XL ELSINCR' ADDRESS 1400 MINTHORN CRY L ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RMI I ENGINEER WISEMAN ROHY SUR CONTRACTOR(Of Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheer.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 7:OOAM 1 :30PM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension [� Other CHECKED SECOND FLOOR FOR REINFORCEMENT PRIOR TO POURING WIRE REINFORCING AND INCREMENTS IN PLACE FLOOR IS READY TO POUR' CHECKED LIGHT STANDARDS, SONITUBE REINFORCING IS IN PLACE. AWAITING ELECTRICIANS ROUGH IN. WEATHER CLEAR, MID 70S. GUUESTIONED LACK OF NELSON STUDS ON DECK WITH WELDING INSPECTER. HE STATES THAT -ENGINEER STATED THAT NELSON STUDS WOULD NOT BE NECESSARY. CONCRETE POUR SET FOR WEDNESDAY MORNING. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑Additional Page(Page N)CM REPORT Contains Non-CompliantItems ID Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum, I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved �L=�t (k:w QKL Y plans,specifications and ail appiicabte codes H FAULKNER by Inspector's Name (I'roj t perintendent) Inspector's Signature r Submitted by Inspector's ID/Lic.# 0853564-49 Quality Assurance Inspections ACCOUNTING w - 17942 Sky Park Circle Suite D Irvine,CA 92614 Phone:(949)553.0370 Fax:(949)553-0371 Inspection Report 018 INSPECTOR CODE 0$53564-49 '` NwuaFR Og01U�.7 DATE �11���$ M T W T F S s JOB NAME BUILD PERMIT NUMBER 0fA1000S192rL XL EL PAPP. FILE JURlSN DEPT SOCIAL SERVICE 700 XL ELSINOR" ADDRESS 1400 MINTHORN CITY L ELSINORE GENERAL CONTRACTOR - " TEW ARCHrrEGT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(it Anyl DEM CON REQUIREVAENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 7:OOAM 12:OOPM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement X ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension Other POURED POP OUT SLABS AT FRONT DOOR PURED DIAMONDS ON COLUMNS FORMED STEM WALL ON ELEVATOR SHAFT#1. POURED#1 ELEVATOR SHAFT STEM WALL. TOOK SAMPLES AND CHECKED FORMS etc. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS 1180 4 NA 4500 30 3 [:I Contains [] Additional Page(Page It)CM REPORT Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered /� by this report has been performed and instafled in compliance with the approved f/.�r uq�� _• n plans,specifications and all applicable codes 1�.�r oc y Inspector's Name H FAULKNER ( r ' c Superintendent) Inspector's Signature �� Submitted by Inspector's ID/Lic.,#.0853564-49 _ Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle A Suite D Irvine, CA 92614 ® Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 017 JOBNOMBER DATE �/14/0p M T X T F S S }NSPECTORCODE 0853564-49 080079 0 BUILD PERMIT NUMBER 1 DSA!OSHPD APP, FILE k JURISDICTION J06NAME DEPT SOCIAL SERVICE 0700001922 XLELSINOR' GENERAL CONTRACTOR ADDRESS 1400 MINTHORN cm L ELSINORE TEW ENGINEER WISEMAN ROHY SUBCONTRACTOR(NAny) DEM CON ARCHITECT RMI Identify all work by type and SPECIFIC location.Non-compliant work must be REQUIREMENTS:Limit of one job number,one permit number per sheet. specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 7:OOAM 10:OOAM Re-Inspection R ❑Shaw Up Onty ❑Expenses Reinforcement Masonry ❑Fireproofing X ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑ ®Duality Control__ ❑Admjnisiration ❑Prestress!Post Tension [� Other 7POIJEFk ELEVATOR 1 WALLS POURED ELEVATOR 2 CENTRAL PIT MADE 3 SAMPLES MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS 5rt�t�,rNs 1180 4 NA 4500 19 3 Contains REPORT Non-Compliant Items Additional Page(Page!)CM KI Does Not Contain Aminspections based on minimum of 4 hours and over 4 hours-8 hours minimum. Certification of Compliance it inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved � plans,specifications and all applicable codes H FAULKNER (Pr iec Superintendent) Inspector's Name ; Submitted by Inspector's Signature i /. �' Quality Assurance Inspections Inspector's ID/Lic.#,0853564-49 _._:.:.... .. ......... __..-_ ...-- ACCOUNTING QUALFTY ASSURANCE 17942 Sky Park Circle,Ste J,Irvine,CaEifomia 92614 INSPECTION REPORT Phone:(949)553-0370 Fax:(949)553-0371 www.gaiinc.com • INSPECTOR CODE JOB NUMBER DATE M__ T W T F S S 080079 Q '� 05/13/08 X NAM BUILDING/OSHPD PERMIT#1 DSA APP# DSA-FILE# 40Bps5 ��S' �' ��� 07-00001922 ADDRESS GENERAL CONTRACTOR JURISDICTION 1400 Minthorne TFW_Construction Lake Elsinore ERMIArchitech ENGINEER SUBCONTRACTOR(if Any) Wiseman + Rohy ENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-complaint work must be entified.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed,record conversations and communications desi ners,buildin and ermit rantin authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 ❑ Mileage ❑ Expenses ® Reinforcement ❑Concrete Placement _ ❑ Masonry ❑Prestress Post Ten _ ❑Batch Plant ❑Fireproofing ❑Quality Control ❑Administration ❑Other DES-PJl?T,ION OF�WORK INSPECTED;. , F� Preformed rebar check in tilt up building for Elevator it walls and slab. Walls consisted of#5's @ 18" and #4's @ 16. with 24"X24" "L" bars from slab to elevator walls that were epoxied in. holes were 9" in depth. Simpson "Set" epoxy was used. Slab reinforcing consisted of#5's at 12" O.C, E.W. All work was done In accordance with the approved set of plans. Walls and slab are ready for concrete placement. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, All inspection based on a minimum of 4 hours and over 4 hours and that of my own personal knowledge the work during the period covered -8 hours minimum. If inspector is called to a project and no work by this report has been performed and installed in compliance with the performed, a 2 hour minimum charge will be applied. approved plan,specifications and all applicable codes. ,. Inspector Name ls ��� t'`�n,}`" by Inspector's Signature ,f•- ,�-� (P oiect Supe to nt) Inspector ID/Lic. Ck Submitted By Quality Assurance International w - 17942 Sky Park Circle Suite D ® Irvine, CA 92614 Phone:(.949)553-0370 Fax:(949)553-0371 Inspection Report 018 INSPECTOR CODE JOB NUMBER 000079 DATE G�-jlOp M T W T F S S JOB NAME DEPT SOCIAL SERVICE O J $UILO PERMIT NUMBER o1700000�1922APP. FILE 7t JURISDICTION XL ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE j GENERAL CONTRACTOR TEW ARCHITECT RMI I ENGINEER WISEMAN ROHY SUB CONTRACTOR lit Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,[wilding and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 '6:30AM 11:30AM ❑Re-inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement x ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension Other GROUTED COLUMN BASE PLATES; USED HUB NON SHRINK GROUT MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Contains Additional Page(Page#)CM REPORT Does Not Contain Non-Compliant Items Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. It inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, arge will be applied. { ^i � and that of my own personal knowledge the work during the period covered ` ICJ \ Al2' ('r"`e/ by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes — C{(✓ Y Inspector's Name Ii FAULKNER (Pr eel erintendent) Inspector's Signature Submitted by Inspector's ID/Ljc:.# 6853564-49_ Quality Assurance Inspections ACCOUNTING w 17942 Sky Park Circle Suite 1) ® Irvine,CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 017 JOB NUMBER DATE 5/6108 M T W T F s S INSPECTOR coDE 0853564-49 080079 X JOB NAME BUILD PERMIT NUMBER/OSA/OSHPD APP, FILE N JURISDICTION DEPT SOCIAL SERVICE 0700001922 XL ELSINOW GENERAL CON TRACTOR ADDRESS 1400 MINTHORN Crry L ELSINORE TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR III Any) DEM CON REQUIREIlREN7S:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 '6:30AM 11 :30AM ❑Re-inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement X El masonry ❑Reinforcement Masonry Fireproofing ®Quality Control ❑Administration ❑Prestress!Post Tension Other ME N= Rim POURED POUR STRIPS APPROX. 90 MADE 4 SAMPLES CHECKED ELEVATOR PIT STEM WALL REBAR. — MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1124 4 NA 4000psj 60 4 ❑Contains [] Additional Page(Page fl CM REPORT Non-Compliant Items Does Not Contain All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. Certification of Compliance If inspector is calked to a project and no wo is performed.a 2 hour minimum I declare under penally of perjury that all of the above statements are true, c e vnll be applied. r, r and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved `�{-• plans,specifications and all applicable codes A � H FAULKNER P oject Superintendent) inspector's Name � � inspector's Signature Submitted by�� 853564-49 ,. Quality Assurance inspections Inspector's ID/Lic.# - ACCOUNTING 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone:(949)553-0370 • Fax:(949)553-0371 Inspection Report 016 INSPECTOR CODE �/tloo JOB NUMBER 080079 DATE M T W T F S S 0$53564-49 O 5 O X JOB NAME BUILD PERMIT NUMBER lDSAIOSHPDAPP. FILE,K JURISDICTION DEPT SOCIAL SERVICE _ 0700001922 XL ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE GENERAL CONTHACIOR TEW ARCHITECT RMI I ENGINEER WISEMAN ROHY SUB CONTRACTOR(it Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 7:OOAM 10:OOAM ❑I3e-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement X ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress!Post Tension [ Other POURED ELEVATOR PIT FLOOR MADE 3 SAMPLES MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1124 4 NA 4000psi 10 3 ❑Contains ❑ Additional Page(Page CM REPORT Does Not Contain Non-Compliant Items Certification of Compliance All inspections based on minimum or 4 hours and over 4 hours-8 hours minimum. l If inspector is called to a project and no work is performed,a 2 hour minimum declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved 0_� C rC`h r plans,specifications and at[applicable codes u onze y `t Inspector's Name H FAULKNER Projec uperintendent) Inspector's Signature r/ r�j�— %— Submitted by Inspector's ID/Lic.# 0853564.-49 Quality Assurance Inspections ACCOUNTING n 942 Sky Park Circle o Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 _ -- inspection Inspection Report 015 800 T W 1/i�8 M T F S S INSPECTOR CODE 0853564-49 JOB NUMBER 079 DATE J 5/ X JOB NAME v 4 BUILD PERMIT NUMBER/DSA!OSHPDAPP. FSLE M JURISDICTION DEPT SOCIAL SERVICE 0700001922 XL ELSINOR' ADDRESS 1400 MINTHORN c" L ELSINORE GENERAL CONTRACTOR TEW ARCHtiECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(it Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc-)voiding previous non-compliant items must be listed.record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 2:OOPM 3:30PM ❑Re-inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress!Post Tension Other 7CH6CKED7REBAIRPLACEMENTOF FOLLOWING ELEVATOR PIT, BASE READY. POUR STRIP READY TRASH FOOTING READY AREAS NEED CLEANING UP PRIOR TO POURINGP MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS - J ❑Contains ❑ Additional Page(Page CM REPORT Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes bjIZ Y Inspector's Name H FAULKNER (Pr ect uperintendent) Inspector's Signature- r-- � �� Submitted by � '��� �''� -Inspector's ID I Lie-# 085356449 Y Qu all ty Assurance In ACCOUNTING w 17942 Sky Park Circle Suite D ® Irvine,CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 014 INSPECTOR CODE 0853564-49 JOB NUMBER 080079 DATE 411 1/0p fd T W T F S S OV O X JOBNAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER/DSAIOSHPDAPP. FILE# JURISDICTION 0700001922 XL ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(If Any) DEM CON REQUIREMENTS.,Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials- HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:00AM 12:OOPM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement X ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension [� Other CHECKED THE FOLLOWING PANELS: 3,4,5,19,20,29,34,35,36,3738,39&TRASH ENCLOSURE, POURED THESE PANELS TODAY SAMPLED AND MADE SPECIMENS OF CONCRETE JOB WAS COMPLETED BY PROFESSIONA CONCRETE PLACEMENT SERVICE. WEATHER CALM AND CLEAR. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1124 4 NA 4000 130 4 E] Additional Page(Page A)CM REPORT ❑Contains Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-B hours minimum. I declare under penalty of perjury that all of the above statements are true. If inspector is called to a project and no work is performed,a 2 houi minimum and that of my own personal knowledge the work during the period covered charge will be applied- f r by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes ,✓� �/rf- r Inspector's Name H FA LKNER y (Pro' ! ntende ) Inspector's Signature Submitted by �� mil. Inspector's ID/Lie.# 0853564-49 ` Quality Assurance Inspections ACCOUNTING NEI 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 013 INSPECTOR CODE JOB NUMBER DATE 4/10/08 M T W T F S s 0853564-49 080079 X BUILD PERMIT NUMBER 1 DSA/OSHPD APP. FILE k JURISDICTION JOB NAME R DEPT SOCIAL SERVICE 070000192z ADDRESS CITY L ELSINORE GENERAL CONTRACTOR TEW 1400 MINTHORN ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONT RACTOR(it Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:OOAM 12:OOPM ❑Re-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing Quality Control ❑Administration ❑Prestress/Post Tension [� Other CHECKED THE FOLLOWING PANELS: 3,4,5,19,20,29,34,35,36,3738,39&TRASH ENCLOSURE, FORMS ARE CLEANED OUT AND READY TO POUR TO THE BEST OF MY KNOWLEDGE REBAR AND INBEDS ARE CORRCTLY PLACED AND POSITIONED. FINAL PREP WAS MADE TODAY WEATHER CALM AND CLEAR. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Contains [] Additionaf Page(Page 9)CM REPORT Non-Compliant Items Ej [Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 tours-E hours minimum. It inspector is called to a project and no work is performed,a 2 hour minimum I declare under penally o1 penury that all of the above Statements are true, arge will be applied. and that of my own personal knowledge the work during the period covered ,�6\tt�Y� by this report has been performed and installed in compliance with the approved LQ�-' �VS �`' plans,specifications and all applicable codes �.C,we ti Inspector's Nam e H FAULKNER (Project er:endent) Inspector's Signature� �l �'-"� Submitted by Inspector's ID/Ljc.# 0853564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle ® Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 012 INSPECTOR CODE P JOB NUMBEF 080079 HATE 4/0 /08 M T X T F S S JOBNAME DEPT SOCIAL SERVICE [JV BUILD PERMIT NUM9ERIDSAfOSHPOAPP. FILER JURISDICTION 0700001922 ADDRESS 1400 MINTHORN CITY L ELSINORE GENEMI-CONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(If Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 8:00 AM 2:30 PM ❑Fie-Inspection R ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension ® Other CHECKED THE FOLLOWING PANELS: 3,4,5,19,20,29,34,35,36,3738,39&TRASH ENCLOSURE, FORMS NEED TO BE CLEANED OUT. TO THE BEST OF MY KNOWLEDGE, REBAR IS CORRECT AND PLACED RIGHT. INBEDS THAT ARE PLACED SEEM TO BE CORRECT TEMPERATURE LOW 70s MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS Additional Page(Page#)CM REPORT ❑Contains Non-Compliant Items g] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period Covered charge will be applied bythis report has been performed and installed in compliance with the approved ��tJ.."`(q L � t�V-T ( plans,specifications and all applicable codes Inspector's Name H FAULKNER r j Ct Supen endent) Inspector's Signature. �4 Submittedby Inspector's ID/Lic.#~0853 4-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle ® Suite D Irvine, CA 92614 Phone:(949)553-0370 0 Fax:(949)553-0371 Inspection Report 011 INSPECTOR CODE 0853564-49 JOB NUMBER 080079 DATE 4/3/08 M T W T F S S O r x J08 NAME ER DEPT SOCIAL SERVICE BUILD PERMIT NUMBER/DSAI OSHPD APP. FILE# JURISDICTION 0700001922 XL ELSINOR' ADDRESS 1400 MINTHORN COY L ELSINORE GENERALCONTFRACTOn TEW ARCHITECT RM! ENGINEER WISEMAN ROHY SUB CONTRACTOR(it Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 r- 10:OOAM 12:30PM ❑Re-Inspection ❑Show-Up Only ❑Expenses ❑Reinforcement concrete ❑concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension ® Other GROUT GROUTED UNDER 10 MAIN PANELS GROUTED BETWEEN LEVELING STRIPS GROUTED 10 MAIN PANELS ONLY GROUTED BY HAND OUT OF CHUTE . PACKED AND VIBRATED. TOOK 3 SAMPLES TEMPERATURE LOW 70s MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1107 4 NA 4000 10 3 F, Additional Page(Page# CM ❑ Contains ❑ 9 ( g 1 REPORT Non-Compliant Items Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Pro' ndent) Inspector's Signature Submitted by Inspector's ID/Lic.# 0853564-49 uafity Assurance inspections ACCOUNTING A �.! 17942 Sky Park Circle p Suite J ®ME= Irvine, CA 92614 Phone: (949) 553-0370 Fax: (949) 553-0371 Inspection Report INSPECTOR CODE JOB NUMBER DATE DAY OF THE WEEK 80079 March 24, 2008 Monday JOB NAME BUILDING PERMIT NUMB£RIDSAIOSHPD APP.FILE# JURISDICTION DPSS -LAKE ELSINOREQ ADDRESS CITY GENERAL CONTRACTOR 1400 MINHORN, LAKE ELSINORE TFW ARCHITECT ENGINEER SUBCONTRACTOR(IF ANY) REQUIREMENTS:Limit of one job number,one permit number per sheet. Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified. Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:30am 11:30am �Re-inspection Show-Up Only DExpenses Reinforcement Concrete Concrete Placement Masonry ElReinforcement Masonry Fireproofing X]Quality Control Administration Prestress!Post Tension Other '9' za DESGRi�TIQNOF WORKgINSPECTED„a� . CHECKED TEPERATURE,TESTED SLUMP, MADE SAMPLES 12 SECTIONS: 1)TILT-UP PANEL#13, 16, 8r 21 MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1124 4 4,000 390 12 FAContains Additional Page(Page#)CM REPORT Non-Compliant Items KI Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours nad over 4 hours-8 hours mimimum. I declare under penalty of penury that all of the above statements are true, If inspector is cailed to a project and no work Is performed,a 2-hour minimum and that of my own personal knowledge the work during the period covered char a will be applied. f / by this report haS been performed and installed in compliance with the approved plans,specifications and all applicable codes. Approved/Authorized by , Inspector's Name GqMli Dennis Superintendent) inspector's Signature Submitted by Quality Assurance Inspections Inspector's 1D/ Lic. # 1027688 -aci G. Dennis 323-246.6177 17942 Sky Park Circle ®' ~` Suite D P. Irvine,CA 92614 Phone:(949)553-0370 - o Fax:(949)553-0371 Inspection Report 010 INSPECTOR CODE JQB NU-SEP. 080079 DATE 3/24/Q8 1 +I T w `' F S j s C853564-49 X I JOS NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER/DSAl OSHPO APP FILE.*" JURISDICTION 0700001922 XL ELSINOR' PAG^ESS y ca GENERALCOh'TRACTOR � 14C(3 fI�II�THORN CLC-�ERL-SiNORE TEW ARCH�ECT t' MI IENGINEER WISEMAN ROHY SUBCON1�fiAGTOFi(11Anr) DEM CON REQUIREMENTS:Lira;*,Of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch.etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR ;.SX 2X TIME IN TIME OUT 8 6:30AM I-OOPM ❑Re-Inspection _ - ❑SI Only ❑Expenses Reinforcement Concrete M concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other POURED PANELS THAT WERE READY ALL PANELS 1N JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,29,34,35,36- POURED THE REST OF THE GRADE BEAM THAT MADE THE FRONT OF THE BLDG- `NORK DONE W A GOOD AND PROPER MANNER REQUESTED A 3 DAY EARLY BREAK WAS ASSISTED BY LAB 1ECH, WEATHER WARM I MIX U1 FP DESIGN SLUMP ADMIXTURE DESIGN PSI I CUBIC YARDS SPECIMFNS 1124 4 NA 4000 400+- 12 ❑ Additional Page(Page a)CM REPORT ❑Contains Non-Compliant items Does Not Contain Certification of Compliance At1 inspections based on minimum:of 4 hours and over 4 hours-8 hours minimum. 3 declare under penalty of perjury that an of the above statem+en;s are;roe, to inspector Is called to a project and ro work is performed,a 2 hour minimum and that of my over chas e w IS Fa applied_ personal knowledge the work during the period covered by this repot has been performed led and installed in comptiance with the approved f`{`�j �tj� plans,specifications and art applicable codes t� Approved/Authorized by r l rc-(qr Inspector's Name H FAUI_K4dER (Pr Su rintendent) Inspector's Signature J���% . — - Submitted by 247,.Zz Inspector's ID/Lic-# 0853564-49 Quality Assurance Inspections r. ACCOUNTING w 17942 Sky Park Circle AIM ® Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 009 INSPECTOR CODE 0853564-49 JOBNUMBEH 080070 DATE 3�2"1�08 M T w T I- S S O0 ! 08 X JOB NAME BUILD PERMITNUMBERlDSAlOSHPDAPP. FILE JURISDICTION DEPT SOCIAL SERVICE Q700001922 XL ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE GENEIRALCONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR III A* DEM CON REQUIREIMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:30AM 1.00 PM, ❑Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other INSPECTED GRADE BEAM&PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,29,34,35,36. PANELS READY TO POUR. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS I][j Additional Page(Page x)CM REPORT Contains Non-Compliant Items (] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-e hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true.and that own personal knowledge the work during the period covered by this repo has charge will be applied. n has been performed and installed in compliance with the approved � I/ plans,specifications and all applicable codes � r Approved/Authorized by role H FAULKNER l Inspector's Name � 1es P ,erintendent) Inspector's Signature �' Submitted by Inspector's ID/Lic.# 0853564 Quality Assurance Inspections ACCOUNTING P 17942 Sky Park Circle ® Suite D Irvine, CA 92614 Phone:(949)553-0370 • Fax:(949)553-0371 Inspection Report 008 INSPECTOR CODE 0853564-49 JOBNUMBER 080079 DATE 3/20/08 M T W T I F S S X JOB NAME DEFT SOCIAL SERVICE BUILD PERMIT NUMBERIDSA/OSHPDAPP. RLEx JURISDICTION 0700001922 XL Ei SINOR' ADDRESS 1400 MINTHORN cmr L ELSINORE GENERALCONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY Sl111 CONTRACTOR(if Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:30AM 3:OOPM ❑ Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ®Concrote Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other INSPECT7INJOB BEAM&PANELS. ALL PANEXCLUDING THE FOLLOWING.#3,5,19,20,26,29,34,35,36. PANES,EXCEPT FOR SOME MINOR ISSUES ,ARE FOR THE MOST PART, FORMED READY TO POUR. PANELS SHOULD BE READY TOMORROW. RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE TAKEN CARE OF YESTER® POURED GRADE BEAM LINE A, LINE 6 RETURN LINE F TO GL 4.5. LINE 1 TO GL A WEATHER CLEAR IN 60s. TOOK CONCRETE SAMPLES MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 4000 4 NA 4000 146 3 Additional Page(Page F)CM REPORT Contains Non-Compliant Items E] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, It inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved � ��� �� plans,specilications and all applicable codes H FAULKNER Approved/Authorized by Inspector's Name ( ro j _S�Iperintendent) Inspector's Signature ,� �—�-_� Submitted by Inspector's ID/Lic.# 0853564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle ® Suite D Irvine, CA 92614 _ ® Phone:(949)553-0370 e Fax:(949)553-0371 Inspection Report 007 INSPECTOR CODE 0853564-49 JOB NUMBER 080079 DATE 3/19/08 M T w T IFs s X JOB NAME BUILD PERMIT NUMBER lDSAlOSHPDAPP. RLE# JURISDICTION DEPT SOCIAL SERVICE 0700001922 L ELSINOR' ADDRESS 1400 MINTHORN CITY L ELSINORE GENERAL co'TRAcToR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR"Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per street.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1,5X 2X TIME IN TIME OUT 8 6:30AM 3:OOPM ❑Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete- ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other INSPECTED GRADE BEAM& PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#35,19,20,26,27,34,35,06. PANELS ARE NOT COMPLETE AS TO INBEDS&REBAR. REBAR IS 95%COMPLETE. PANELS NEED CLEANING OUT RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE TAKEN CARE OF YESTERJj GRADE BEAM 75% COMPLEBBTED . LINE F TO BE COMPLETED LATER. BULKHEADS ON INTERSECTJNG WALLS NOT INSTALLED.AS BEFORE POUR. . GRADE SEAM STILL NEEDS FINAL TOUCHES AS TO READINESS. WEATHER WARM AND CALM. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑ Additional Page(Page r)CM REPORT ❑Contains Non-Compliant Items 21 Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-S hours minimum. I declare under penalty of perjury that all of the above statements are true. If inspector is called to a project and no work is performed,a 2 hour minimum and that of m own ch1[2arge will be applied. y personal knowledge the work during the period covered t LTV by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Pr ct Su a intendent Inspector's Signature -44ZEa Submitted by Inspector's ID/Lie.# 851 649 / Qu ssurance Inspections ACCOUNTING 17942 Sky Park Circle Suite D ® Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 006 INSPECTOR CODE 0853564-49 JOB NUMBER 080079 DAZE 3/18/06 X M T w 7 I F I S I s JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBERIDSAIOSHPDAPP- FILE# JURISDICTION 0700001922 L ELStNOR' ADDHESS 1400 MINTHORN clTv L ELSINORE GENERAL CONTRACTOR TEW ARCHrrECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR`11 Any) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(FIR,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 8 6:30AM 3:OOPM ❑Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing Quality Control ❑A+iminjstraiian ❑Prestress!Post Tension ❑ Other INSP ECTED GRADE BEAM& PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,27,34,35,&36. PANELS ARE NOT COMPLETE AS TO INBEDS&REBAR. REBAR IS 95% COMPLETE. PANELS NEED CLEANING OUT RECEIVED A LIST OF ISSUES FROM THE ENGINEER. MOST OF THESE ISSUES WERE TAKEN CARE OF TODAY' PANEL HOLD DOWNS HAVE BEEN APPROX, 50% INSTALLED IN GRADE BEAM WITH HOOKED REBAR ATTACHMENT COMPLYING WITH ENGINEERS ORDERS. GRADE BEAM STILL NEEDS FINAL TOUCHES AS TO READINESS. WEATHER WARM AND CALM. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBICYARDS SPECIMENS Additional Page Pa a CM ❑ Contains ❑ 9 i 9 ) REPORT Non-Compliant Items El Does Not Contain Certification of Compliance Alt inspections based on minimum of 4 hours and over 4 hours-B hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum ! declare under penalty of perjury that all of the above statements are true, char a will be applied. and that of my own personal knowledge the work during the period covered (� f_- 'p by this report has been performed and instalted in compliance with the approved � _{rJ l �` t� plans,specifications and all applicable codes Approved/Authorized by_ Inspector's Name H FAULKNER V (Proj rintendent) Inspector's Signature Submitted by Inspector's ID/Lic-# 0853564-49 Quality Assurance Inspections ACCOUNTING w 17942 Sky Park Circle �® Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 Inspection Report 005 INSPECTOR CODE 0853564-49 JDB NUMBER 080079 DAT>= 3/17/08 M T W T F s S X JOBNAME BUILD PERMIT NUMBERIDSA/OSHPDAPP. FILE# JURISDICTION DEPT SOCIAL SERVICE 0700001922 L ELSINOR' AUDRESS 1400 MINTHORN CITY L ELSINORE GENERALCONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(IIAny) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RR,Skelch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS. REGULAR 1.5X 2X TIME IN TIME OUT 8 5:30 AM 1:00 PM ❑Re-inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ®Ouality Control ❑Administration ❑Prestress/Post Tension ❑ Other INSPECTED GRADE BEAM& PANELS. ALL PANELS IN JOB EXCLUDING THE FOLLOWING.#3,5,19,20,26,27,34,35,&36. PANELS ARE NOT COMPLETE AS TO INBEDS & REBAR. REBAR IS 95%COMPLETE. GRADE BEAM IS MOSTLY COMPLETE AS TO HORIZONTAL REBAR. NEEDS REBAR ALLIGNMENT AND DITCHES CLEANED OUT_THERE ARE ALSO NO PANEL HOLD DOWNS INSTALLED YET. WEATHER CLEAR AND GUSTY. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑❑ Additional Page(Page 1}CM REPORT Contains Non-Compliant Items �] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, It inspector is called to a project and no work is performed,a 2 hour minimum and that of my own personal knowledge the work during the period covered ch ge will be applied. by this report has been performed and inslaPed in compliance with the approved ��C plans,specifications and all applicable codes Approved/Authorized bye( Inspector's Name H FAULKNER { ject S ri ten/dent) Inspector's Signature, �� Submitted by fnspector's ID f Lic.# 0853564-49 Quality Assurance Inspections ACCOUNTING 17942 Sky Park Circle Suite D fi M1 Irvine,CA 92514 .., Phone:(949)553-0370 0 Fax:(949)553-0371 Inspection Report 004 INSPECTOR CODE 0853564-49 JOB NUMBER 0$007� iJA'E 2!f L0/08 M T W T F S S t [ O L X JOB NAME DEPT SOCIAL SERVICE BUILD PERMIT NUMBER rDSA/OSHPDAPP. FILE# JURISDICTION NOrZ 0700001922 ADDRESS 1400 MINTHORN CITY L. ELSINORE GENERAL CONTRACTOR TEW ARCHfTEC.T RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR(H Any) DEM CON . REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(FIR,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT S 5:30 AM 11:30 PM ❑Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ®Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ❑Ouality Control ❑Administration ❑Prestress/Post Tension ❑ Other POURED SLAB WEATHER WET&MISTY SLAB LAID DOWN IN A PROFESSIONAL MANNER LEVELING WAS DONE BY LASSER SCREED PLASTASIZER ADDED TO MIX(NC 534) TEMPERATURE MODERATE(MID 60S) MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1180 4 NC534 4500 370 16 I ._ ❑Additional Page(Page )CM REPORT Contains Non-Compliant Items JR] Does Not Contain Certification of Compliance Ao inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. If inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans.specifications and all appiicabie codes Approved/Authorized by inspector's Name H FAULKNER (Project S pe niendent) Inspector's Signature? _�� Submitted by Inspector's ID/Lic.# 085356449 Quality Assurance Inspections ACCOUNTING _ 17942 Sky Park Circle G11nat�� " � Suite J - Irvine, CA 92614 Phone_ (949) 553-0370 r g Fax-- (949)553-0371 A;: Inspection Report INSPECTOR CODE JOB NUVIBER DATE DAY OF THE WEEK 80079 February 20,2008 Wednesday JOB NAME BUILDING PERMIT NUMBERlDSAlOSHPD APP.FILE; JURISDICTION County of Riverside DPSS ADDRESS - CITY GENERAL CONTRACTOR 1400 Min horn St, Lake Elsinor TFW I Tim Kin 85"35-1243 ARCHITECT ENGINEER SUBCONTRACTOR(IF ANY) REQUIREMENTS:Limit of one job number,one permit number per sheet- Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified. Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be fisted,record conversations and communications with project designers,building and pen-nit granting authority officials- HOURS REGULAR 1.5X 2X TIME IN TIME OUT (C5 J 6 ., Re-Inspection Show-Up Only aExpenses Reinforcement Concrete ElConc rete Placement El MasonryReinforcement Masonry Fireproofing �iiQuality Control ❑Administration ❑Prestress!Post Tension 00ther # ;DESCRIPTION OF WORWINSPECTEO OF MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Bd rr -s3LI/ 40 Contains Additional Page(Page#)CM REPORT Non-Compliant Items oes Not Contain Ceaffcation of Compliance All inspections based on minimum of 4 hours nad over 4 hours-8 hours minimum. I declare under penatty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2-;hour minimum and that of my own personal knowiedge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes- Approved/Authorized by inspectors Name Gantri Donn (Project Superintendent) Inspector's Signature Submitted by Quality Assurance Inspections Inspectors ID/Lic.# 1027688 w 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 inspection Report 002 INSPECTOR CODE�j0�5�564 ,y n JOB NUMBER 080079 DATE 2/1 1/08 M T W T S S JO&NAME DEf TvSOJC`JIA^'Lt7SERVICE V L BUILD PERMIT NUMBER 0700AC14700192�P. FILES JUFiISDiCTION SI L ELSINORE ADDRESS 1400 MINTHORN CITY L. ELSINORE GENERALCONTRACTCR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUB CONTRACTOR{IrAny) DEM CON REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous noncompliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 7:OOAM 1 O:OOPM ❑Re-inspection ❑Show-Up Only ❑Expenses ❑Reinforcement Concrete ®Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing ❑Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other POURED INNER COLLUMN PADS PREVIOUSLY INSPECTED FOR READINESS. MADE SAMPLES OF CONCRETE WEATHER CLEAR MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1124 4 - 4000 4 ❑ Additional Page(Page )CM REPORT Contains Non-Compliant Items $] Does Not Contain Certification of Compliance A€€inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. 1 declare under penalty of perjury that all of the above statements are true. If inspector is called to a project and no work is performed,a 2 hour minimum charge wilt be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Project perintendent) Inspector's Signature Submitted by J Inspector's ID/Lic.# 0853564-49 Quattty b5rance Inspections ACCOUNTING " 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone:(949)553-0370 Fax:(949)553-0371 o Inspection Report 001 INSPECTOR CODE 0853564-49 30B NUMBER 0$�079 GATE 2r<�8><�$ M T w T r S S V 7 X JOB NAME BUILD PERMIT NUMBER!DSA!OSHPD APP. FILE# JURISDICTION DEPT SOCIAL SERVICE 0700001922 L ELSINORE ADDRESS 1400 MINTHORN CITY L. ELSINORE GENERAL CONTRACTOR TEW ARCHITECT RMI ENGINEER WISEMAN ROHY SUBCONTRACTOR(IfAny) DEM CON REQUIREMEN".Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified.Communication(RFI,Sketch,efc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TiME IN TIME OUT 4 7:OOAM 1 O:OOPM Re-Inspection ❑Show-Up Only ❑Expenses ®Reinforcement Concrete ❑Concrete Placement ❑Masonry ❑Reinforcement Masonry ❑Fireproofing []Quality Control ❑Administration ❑Prestress/Post Tension ❑ Other ARRIVED ON ,JOB TO INSPECT REBAR PLACEMENT AND COND. FOR POURING OF PADS PADS ARE INNER PADS CL 2,3,4,5 GRID BCDE. PADS ARE READY TO POUR. WEATHER CLEAR MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS ❑❑ Additional Page(Page#)CM REPORT Contains Non-Compliant Items ] Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 flours minimum. if inspector is called to a project and no work is performed,a 2 hour minimum I declare under penalty of perjury that all of the above statements are true, charge will be applied. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes Approved/Authorized by Inspector's Name H FAULKNER (Project Su e ' tendent) Inspector's Signature�_ �1 Submitted by a Inspector's ID/Lic.# 0853�6 - 9 QUadfty Assurance Inspections ACCOUNTING ASSURANCEQUALITY A 17942 Sky Park Circle,Ste J,Irvine,California 92614 INSPECTION REPORT Q- -1 Phone:(949)553-0370 Fax:(949)553-0371 www.gaiinc.com INSPECTOR CODE JOB NUMBER DATE M T W T F S S 080079 05/13/08 X JOB NAME BUILDING/OSHPD PERMIT#/DSA-APP# DSA-FILE# 07-00001922 ADDRESS GENERAL CONTRACTOR JURISDICTION 1400 Minthorne TFW Construction Lake Elsinore ARCHITECT ENGINEER SUBCONTRACTOR(if Any) RMI Architech Wiseman + Roh REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Non-complaint work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed,record conversations and communications with project designers,building and permit granting authooy officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 ❑ Mileage ❑ Expenses ® Reinforcement ❑Concrete Placement ❑ Masonry ❑Prestress Post Ten ❑Batch Plant ❑Fireproofing ❑Quality Control ❑Administration ❑Other DESCRIPTION OF WORK INSPECTED Preformed rebar check in tilt up building for Elevator pit walls and slab. Walls consisted of#5's @ 18" and #4's @ 16. with 24"X24" "L" bars from slab to elevator walls that were epoxied in. holes were 9° in depth. Simpson "SeVepoxy was used. Slab reinforcing consisted of#5's at 12" O.C, E.W. All work was done In accordance with the approved set of.plans. Walls and slab are ready for concrete lacement. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, All inspection based on a minimum of 4 hours and over 4 hours and that of my own personal knowledge the work during the period covered -8 hours minimum. If inspector is called to a project and no work by this report has been performed and installed in compliance with the performed, a 2 hour minimum charge will be applied. approved plan,specifications and all applicable codes. Inspector Name f�Lm, c� Approved/Authorized by Inspector's Signature (Project Superintendent) Inspector ID/ Lic.# g- of i51 b" Submitted By Quality Assurance International QUALITY ASSURANCE 14791 QA117942 Sky Park Circle,Ste J,Irvine,California 92614 Phone:(949)553-0370 STRUCTURAL STEEL Fax:(949)555-0371 Testing & Inspection Report www.qaiinc.com SPEPTUO INSPECTOR CODE JOB NUMBER DATE M T W T ' F S S JOB NAME BU1LDi G!OSHPD PERMIT#J SA-APP# DSA-FILE# ADDRESS GENERAL CONTRACTO y JURISDICTION ARCHITECT E GINEER SUBCONTRACTOR(if Arry) I REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous noncompliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.SX 2X TIME IN TIME OUT MEAL PERIOD El Mileage Expenses Shop �Field—_ Welding Bolting 0 Sampling Fireproofing NDT(HRS) DESCRIPTION OF WORK INSPECTED 7` * r y I7 442f ' - � ' WELDER �t CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION!EXPIRATION DATE Electrode Used: Z Certification of Compliance Additional Page(Page#)CM I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this reporthas been performed and Installed in compliance with the All inspections based on minimum of4 hours and over 4 hours-8 hours minimum. Z: rim proved plans,specifications In addition, any inspection extending past noon will be an 8 hour mi- um. (approvi autfl ,e.g.bSl, SHPD, iry of LA,etc.) If inspector is called to a project and fQSNorfc is performed,a 2 hour min um and all applicable codes,except as noted j�elow: charge will be applied. F Exception(s)noted in report: Yes No (i• (�),, (Initial at Yes J No as applicable) Approved/Authorized by Inspector's Namef '.� S,C� (Project Superilitend t) Inspector's Signature ' _G �Oc-. Submitted by Inspector's ID/Lic.#� // ' % -S 4� --,� Quality Assurance Inspections lty� WDELYR.°rGL e ' f';�TtC YYXL if+ M MOWW* "CERTMED U7 cr :xpF�i�n o;F $�tescriF�etl�iaui-z ree�u�t�'tate�`�s". Eiyatii7x�=c�a't�.Jclihej';ll,;2�308"` tcc eert4cation attestskta:eorsrp ent YcA led a�f'codes.:arrdstar rl rd: Now, P E f T IS tS O CiFnyTIFY THAT IS ED INSP CTOR IN THE CI F RIV IRE OFFICIAL -v, AN, Zti � 'HT 1N 185 _1 'pC& -S6 4 = $TR -PARR LENS e Y a 'k� ion ,s;;,`,w.i`.•Y�s*axz�' � ���'� "�`'+��� gg113/200;+ 235 RB FFil09:' ���- f� ..�...L" POWER GROUND FAULT SYSTEM = T and TEST REPORT lrAIERGINERGlZATlOtV CLIENT �-T-�ESTING SPECIFICATIONS PTE JOB NUMBER Gouid Electric 0ACcepcanCE ❑t•tvn cnar<c 1153,14 LOCATION ENGINEER(S) DATE Lake Elsinore.CA BT 19-Se lernber•2008 SWITCHGEAR DESIGNATION SECTION DEVICE ID SERIAL AS , CB-832 CAL DATES:; mi11n 2 rYrain I ------95s-- .------•-•-----------•- -----A-U------g----1------•---------- -o FIELD DATA, r SWITCHBOARD klANU FACTURE JO8lSHOPJDWG NUMBER UL NUMBER SUPPLY)wps SECYl0tt ArJVS NEUtn AL AMPS CUlle+-Hrimmat SSN802,13 F-408WB 1200 1200 1200 Q CwQj,-Bmau, ❑Fugm S:atcb CUtlor-Hammer HND 65K MODEL!CATALOG NUMBER FRAME RATING TRIP RATING VOLTAGE RATING SYSTEM VOLTAGE HND312735W 12W 1200 GDOVAC ABOY1277 MANUFACTU=R MOW' NUMEIER Cl neutral Ground Strap ❑Zerp S"vente []Resiclual Cutler-Hatroner Digilrip Fims 310 12NES1200T PICKUP RANGE TIMING RANGE SENSORICT MFR CATALOG NUMBER TAPPED RATING 200.1200 Inst.150m3,3OOms.500m N1A 2608025GO4 1200:0.1 PICKUP PICKUP AS FOUND CURRENT TIME AS LEFT CURRENT TIME SETTINGS PROVIDED BY SETTINGS 200.00 Iasi SETTINGS 800.00 150m5 Gould Electtic ..•-: •• . ., r• r INSPECTION?..:.- `t•a. SERVICE ENTRANCE CONDUCTORSil MAIN BONDING JUMPER GROUNDING ELECTRODE CONDUCTOR+ ❑Al. []CU ❑AL El cu ❑At. []CU NEUTRAL-GROUNDING LOCATIONS CONTROL POWER TRANSFORMERN/A ❑1 Coma '❑Incorrect ❑Corre-tedbyConbactor Manufaoturar I VA h/•, �, r, r _ ELECTRICAL,TESTS. T P, „.t •;} GROUND FAULT SENSOR POLARITY SYSTEM NEUTRAL INSULATION RESISTANCE TO GROUND Cormet ❑Incorrect ❑Couected ❑N/A El MEGOHms [D GIGOHI.15 CONTROL POWER TRANSFORMER N!A - REDUCED VOLTAGE TEST(55°:RATED VOLTAGE) •-•--------------------—_-_-_____-•r------------------------_....---. -......._---- --- « Primary Vollaga I SGCorWary Volraga [�]Tnp(Correa} ❑No Trip(Incorrect) ❑IVA DEVICE REACTION TIME I TEST PICKUP SETTING PICKUP VALUE PICKUP CURRENT MINUS 25%c Goo 0.05 Q Seconds ❑Cycfes 1 4.00 800 ❑Tiip(Incorrect) Q F40 Trip(Correct) PICKUP Ap = PICKUP Bo 1 PICKUP CO 1 PICKUP NEUTRAL MONITOR TEST PANEL OPERATION 602 1 816 815 N/A ❑Corrcct ❑rtxarreet ❑CrirrectBd 0 N1A PICKUP PRIMARY CURRENT PERCENT PICKUP TIME TOTAL TIME REACTION RELAY TIME SETTING AMPERE-TURNS SETTING TIME TIME-CURRENT 4.00 120D 150?t 150ms 0.13 0.05 0.03 CALIBRATION 1.00 400 2004,; 150m, 0.15 0.05 0.10 TESTS GOd 30016 150ms 0.14 0.05 0.09 NO7ESiGROUND FAULT SYSTEM STATUS a PASS 0 FAJL