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Home My WebLink About31797 Highway 79 �ay-05-97 01 :3g� Christian Qroth�rs 909-923-03a1 P.O1 ��R/WJ i•��H s� �.JJ��3'i�i�.+V�l � � II � �,��/ �-_I ry � � 4�[;Q�ilIl�W i�i�(�L • , Jf�. �4A4S4T � �/ �¢55 S.�nq.a�e. D+�eax�a ('�fl g1761 � .. � (909)923-997� �aa(9t��923-1?371 Number of pages including this sheet__e_ ,� , I?x#e��,_.�' Fax Na. �..�______._..___� To_��.i�..��_�.�_ Attrt��..- �-'.-.�___7._..,__..�_____-- �---�--�- Frcxn; ( �!.�_____..._t___.....� R�e:____,�,i_C�__.�.��:.m.._.�-�,�.�L�__.�.__.. ,�._--- _„---- ��Y C-��'�_..��.��-��.._.___.___. M�y-45-9� 01 �39P Ctiristian Broth�rs 909-923-03�1 � .� P .02 AIR TEST L �RLHM4C� aao �or aa�a . � .�.rr� .. . � � � �►r� r�s�r a�r� �aza�� a��s �� . . � _ .._....._._��....� . PAY[.ESS�D�tU� STQRE � S11VC H1�I1�Y 79 & R�DHAUUK Pi�WY - TE�VtECULA, CA -� : . ; A1F� '�EST 8� �A1.�4�C � �.�_��.... . _�^ ._.....__...._._.�...._ ._ _ n. __�.J May-05-97 01a39P Chris��RaT�sB}"&Ba�ArsecE aia�yb�a�atl�l �.��P.03 ��t �r��r � ��var�� ' ?71d1 TERFtY WAY � CQV�FJA,CA 91724 � �*�o�v�tss e�ssT-3s4o �ax teti e��s�-�sao PRL�JECT NAME PAY[.�S$D�uG sTORE - SWC NWY 78&R�DNAWK PKWY ' 'T'EM�C.1JLq.CA . PROJEC7 QESGRtP'�'ION sYaa��a.ac�ss FtR�HfT�G7 ++nu5t�PEt�xvwt7z a��zu�rH �A�GHAN{C�G E�l�tNEE�t Cos'rA�r�GI�EERS�N�. �� H�kTING�/�iR Ct'�NaIT�N[11fG s- CahfYRA�G70R c�R�sr�ar�sRa��s H��r�No�ac�ra�c. � � . '��ST C�FtT)fFE[7 BY: ��,CK BERn�t� DAT� SUBMtTT�D: St2�97 � May-05-97 01 :39P Christian Broth�rs 909-923-U371 P.04 QZR TEST C BALpNCE tlz� ynr 37qb r.oe A!R �"ES7 & B�LAi�+�� - 211t7i 1"Ef'tRY YVAY ' covrnr�a,cA��72a Pt-idN�(818)987-384� �AX{D18�9$7-3940 bIR N1OViNG�..t�tJ�P'ME�IT TE57 S�T � J4a�pM� PAI+��SS�RuG S'i'C7RE... .,. �tflc3.N{?. tr�A�, - ADDiiESS SWG FNUY'79 8 RED�iAWK F?KWY FLt��]R N�. 1 Sr _W__ - ��TY TEMECtlLA.CA FAN H4. AJC-1�&A1C-2 _ „�.. F�4N N0. AlC-1 AUC.g T..T. _ � f11�EA SEf�1fl1+1G MAlN Sf+�l.�S PAfiMGY 8 Ut'�1�CES FAN M�G. SEASC33hIS-d TRAIV� ��T M�ODEL NO. 3SHK33-0�54-�ht5 YCX�D36Fi MOA __. -----�..._. � SEF�IAE.Nd. � M/A � PlIA _ bESiGM AGTIlAL DEStC�N QCTtlAL �EStGIJ ACT'VA1. p�SIG ACTUAL ' , rorA�.�.�.+w_ �2�0 �2sva lzoo �s�o _ _ _� �.F � R�TURhi C.F lui 8300 $5+00 10DQ 930 __.___,�._.._.� . ____..w_...._,.. ...—T___.________....,_._. U-3.A.lG.F.M. �415(l 410U 200 22U SUCTIdIV S.P. NIh U.60 ._ __ �UA 0.20 � .r..__... _._��.a. __.�._.._ ., �,. _.� _.....�. ,� ' D►S�CHARG�S_P. IW;� 0.94 NIA tl��5 - 7'OTft! S.P.� 2.5 1.`a0 �.5 .d5 � FIL'fERS S.P. NJA N1A N A t�ilA IfAQTC?R SHEAVE NfA l�IIA pp : FAlV SH�A�J�C NIA lVtA DD bD BELTS N!A A DD DD ' - �� - -_��.__..._ �__ SHEAVE%{�PEN t0� i E}D DD ' MQT �'G. t�UA BALObR --hl/Al __...�� .,,...,... ..� � ,,.._.._ _.._----..�_ .__----�__ H.P. "15 i 5 113 113 . „�_ ___-_________ -,�„_._.� -.�.._...�-.� �,._.e_.._.___ . V4tTAGE 23� 234 230 23p ...._,�_.__.. __ _ PHASE 3 ____3 �'1 �_ 1 . . _.�_. --. __ _._____. ... ._.�..- MOTOR R.P.F�1. 114(? 1140 10$0 f[3$0 __ . � AMF�Ef2A4� 42.9 36 28 2 - _�_ FAN R_P.M. 1298 1��d . �� 1080 1q80 ------- - i�iQTES_ l�. , SN�'P N . 7 OF 3 ! May-05-97 O1x39P Christian Broth�rs 909-923-03�1 P.45 AIR TE�T S NflLRn4C aaa �vr o��v . .�+ �fR TEST & 8I4LA4�t�� 21141 TERRY WAY �OVINA.CA 9172Q ' . PNOh7�(b't$)98i-3344 �Ax(8i8)967-394Q � AIFt t3UTLET TES.F..S.HE�T . , !08 NAME PAYL�SS DRUG ST(]RE ElLDQ. Nd. MAIN _._.�r._.._�.,.� ADDR�58 SWC HW`r 79 d�f:.EOHAWK PtfylfY FL,OQR NQ. 1 ST _.____.__..�......,.�.. - . ...— _� . ClTY TEM�CUI.A,GA FAN NO. A!C-1 &A1C-2 �_. .�_._, - �.,.._ � AREA SERYED 4UTLE� Ol1TLET OU?I.ET MQDE1 CJU'fL�'T b _SIGN AC'f AL '�QF Na_ 7YPE S12E l�O. �MIANUFACTL3R� C.F.M. G.F M. OESlG�i . � �. s�vrr�.Y � MAi�i SA�.�S 1 SA 18X24 T'UCA T1TU5 16QQ '1 0 -19b MAIN SALES ?� s� �sx�a �roca R mus ��svv ;s � -��___ ' _ MAlN SALES 3 SA i8J(2d TDCA °f1TlI5 �60d 15 Q -d96 . MAiN SAL�S 4 SA 4 SX24 7 ' Ti7U5 1600 � tJ 196 MAiN SAIES 5 �A 18X2d _ TDCA TITEiS __T �1�OU� 15 0 -6� � MAjN<,,,'AL S �6 SA �8X24 Tl�R T1TU$ �644 i5 0 -S _ MA1N SALEB 7 Sa 18�C24 7D�A �:TlTUS '�$00 S Q -3% AAA�1 SALES 8 SA _. 9X24 TOCA PITUS . __t600� __15 0 �._ .-„"._.. - � --� ___�___'^.� __.�s�_- -196 f�AAtt��AL�5 9 SA 18X2A 'Y'OCA i'lTE1S 750 1 79i — ---..�....__.._._._. _�,.._ � 12J.50 t2 0 -3'16 AtC-1 � � ��ru�N i1IEAfi+t SAL�S Z FtA 46X'24 SOF TITtJ^s Ad00 4 -296 ; MAIN SAL�9 2 R`A 48,X2� 30F T17US d4Q0 4 -�96� . 8800 8 0 -3g6 . ac z , SUPp1.Y . O�FFlC�S 1 SA 6X6 TUCR Tl7US �100 �E'i'14 UFFICES 2 SA 8JC6 IUCA '�'iTUS 100 -1pq� ' O�FtC�S _ 3 SN 8�6 T A TITUS �SQ 14...,_ l .� o��c�s a �sa sx� 7ocA � ��rus .� iso �,� r� ___ __ _ � __,OFFYC�S .._ .�5_�___ _. �A 9X24_ TDCA .,�Ti'T11� -- ---�-�-- -°--T.�g 9r0 PHARMACY B SA 1�JC24 TDCA 71TUS 250 24 -49i F'HltR►tr1ACY 7 SA i2X24 TE)CA� T('R,JS __ �5Q .__ _._2 -696 � 1200 1� 0 -49f. AJC-2 RE7llt�N . . OFFIC�S �� 1 RA 2d?(24 �OF TITUS 500 q6 _ggb . MACY � � 2_ F�A 24X�4 '�� —'TfTU� 5U0 47 -696 — - - — -—,- --� �.�..,..., Ofl0 _�g�, NCSTES � � SHc t,lC?. �ot 3 �ay-05-97 01 �40P Christian Brothers 909-923-0371 P.Q6 � AIR TEST L HALRMLC oia �a� a�+v . .�v �� t�t�� 2110� TERRY WAY cov�r��,ca s�7z�a ' , , ar�ar��e�s3 ss�-ssao �,ax ts��y�x•�sQv: � Ex..�.�Y��v �c�R��n�T, sM�Er ' JQB NAM� PAYI,�SS p�tlJG STOR� �LDC3.1�i0. M�IN _ ADDRESS SWC HWY F9 8�R�01-k{+W1C F'liWY �LQafi MO. t S7 . ClTY TFMECULA,GA ��_M FAhI NO. �F-1 &��-2 -- --� � EJ(HAl1St�AN NQ �- E�- - . FAN LC)GATION RODF ROOF � T �� A�EA S�RViiVG .._.__ RESTR40MS_ 3�'4RAG� _�_._._-._..� . _�. FAf�MFt3. GRE�NtiECfC GR�ENHEGC StZE ��. __ _ 1 3G6 210K:88__T,_ � - _� L�SyG�+I C.F,M. �400 40f1[)� .--.-..._...f__ ncrua�c.F.�. � aocyo �_�.__� UESSICN�tiAFF�.P.M. --� N/A I�JlA-'�- --' ACTUAt SNAFT F.P.M. N!A N1A � �. SHAFT SI�� t,tlA _ t N1A D�SlGN 5.�. 0.25 Q.25 ^v AC1'UAL S.F�. 0.23 L1.25 � MOTOR M�G. BALIX7Ft HAt.DOR M070R R.P.M. 4725 1725 � -- , ___.. .. .,..m� --- __.._�-- MO�OR H.P. �..__,. ..._.,.�. i ld 3J4,�--- ---— VOLTI4GE i'15 � RATEQ AMP5 d.6 51 _.__.� __ — - ,-- A�TUAL AMPB _ 4 4.5 - _ MC�TUR SH VE � �tlA N1A _ FAN$H�AVE rera t�ra '.� � . SH�AV� 96 4PEN N1A �IlA �...�`.� � BELTS N1A N!A `y� AESI�t�FAN R.P.M. f}31 7 � - �1CT11AL FAN R.P.M. 985 y40 �� _ . NUT�S; , ^ SHE'ET�iQ, L'iF 3 i . .._.._.. .. . � _ .____-_. _ . Musil Perkowitz Ruth, inc. �p,)CED Architecture N�t� 25 �' Planning FACSIMILE TRANSMITTAL To: i!�Clj""� � .JG�`'� Date: __/�ll/,' �� /� 'r1� Firm: C/,� o �/J7�GGC�� il'i��lJf1 ,�1/1�J�G7��G� �� ¢ � � TNecopie�No.: ��'� G� 7 _.�------�°e�' Project: ��`C�-r� �/�G1�..S'7�/-Z , '�P/71ec'Gr�-r'�' Job No.: /�' ��'�� 9 Regarding: /1�2-�A/�' /�+e C!i%^G��l1' / C'�'�7�/9d14G1t p��s! S g• � ' Descxiption: ❑Site Plans ❑Working Drawings ❑ Co�respondence �Elevations l7 Shop L7rawings ❑ Lit�ratur ❑Sketches ❑ Specifications ❑ Other Remarics: ❑At Your Request O For Review&Comment ❑ For Distribution ❑ Fo�Your Approval �J For Your Use/Info � For Bidding O For Your Signature ❑ For You�Fifes ❑Other. ��,,�� /.'e� ,��r i��u��iir�-�'?ls -�'��+�/ �-e �s i�o�ic��s � 00�if . -��-G�'�G�� e�Qi� 2�,.,5_ � � 2 - �¢ �o� �riro� do-� r.�! aY C'-��i��s �o�/ir s, ��`.,� �� _ ., i VI' f L,�"oCI.UL �uilding & Safetv n p, Number of pages, i�cluding this sheet: / � Transmitting FAX No.: gY: _ cc: /�'��`icc -7,i`?!. �e� - G—'�� r��-� FORMS/FAXLINE.DOC /7 , /J/ff�/J''/G!� - ��1/ /I1G, 911 Studebaker Road �"��--� Long Beach, CA 90805 310/594-9333 Lo�g Beach, CA Newport Beach, CA Sacramento, CA Honolulu, HI Wilsonville, OR � _ City of L.�1..�ertifiied: _ , . - . . . . . Concrete, Nkispqry,Selsmk . . . . . , , , , �.n.county eertifed: RICHARD KOURY i rv s P e t i o N Concrete,Masonry,Seismic PO. Box 3z46 �ong eeach certitiee: (Z4 hours) P�ge�: (31 O) 715-4432 MANHATTAN BEACH Concrete,Masonry,Seismic OfFice: (310) 978-1 765 CJ�90Z66 Fax: (31 O) 542-3496 REGISTERED INSPECTOR'S DAILY REPORT J°b"° a.�, ,,.. <; � TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑,,.�.ost Tensioned Concrete ❑ Fire Proofing ❑ Other -- REQUIRED t3`Reinforced Masonry ❑ Asphalt Job Addre ' � City .`i a'�,....� ,.,� c^ '� '�...> u ..r•�� ,.� ''4 �..t,e,,"t"....�., �... t r� Jo Name P,;Prrgit No. / Issued By ,�j,,,�� ---'� � r -� �„yL� <.�y� � �,. { '�`.,t '�'. �s t _,;.�*,..�. . .... Typ!of Structure, Architect ` y ` «»ry "�'-r.✓t w.,a_. �� ::� ��.� Material Description(type,gratle,source) Engineer � y� , ,,.- i'V ("�. Contracror �: �: ..*�?.�I�,�,�[.i InspeCtor(s)Name _, Subr.ontract r ; - `ir :�. , ,� ,:t : °?°,�,""U,�,'. .. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES t "''7� .'��`.`^"�,'�'� � ✓ �"� _ �, y- � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. •...„��.'�. _.,��..? f� .a1 f" i �1 r� 3 x i .� "� '�i - 1±+. �:�;"a -+g�,,�„ - i ... ..�.. ��.�� `__�,`ft3.., � �.�'7�^�"`.,?1G-��'' �.t� ,,��t.�.. ��;,;#,� �I*W f� �+ �-s'-�� '�"�,) 4..r- d ,r. ` �x �� _.� �r.. �� . ; ""'g f' �K -"'� �' - �� '�'.+ '� ��`Z CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CY�INDERS WORK TO COMPLY WITH THE APPROVEO PLANS,SPECIFICATIONS,AND APPLICABLE �� SECTIONS OF TNE GOVERyING BUILDING LAWS. `' f /' "' • ��„h_,? 7�� 1 �� ___: All inspections based on a minimum of 4 hours and over 4 hours-8 hour l� �'""'""'"""""�"""""""'"^—'�—•w�.,�,,, minimum. In addition,any inspection extending past noon hour will be an 8 . 4, " �'�-{� �*_. � hour minimum. Sl NATURE_QF HEGISTERED INSPECTOR ,,,.„— . �__� �..� r"��"0' ,? .�C.� � ;j�� Approved By -°_- _._ _ _ - SPECIALTY NO. ' AGENCY Project 5uperintendent WHITE-OFFICE COPY,CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-J08 SITE COPY � ente� �ises . p a�r A C A L I F O R N I A C O R P O R A T I O N October 30, 199b City of Temecula Public Works Department 43174 Business Park Drive Temecula, CA 92590 ATTENTION: Mr. Mark Berg SUBJECT: GRADING PERMIT NO. LD 96-153GR PARCEL 10,PARCEL MAP NO. 27987-1 PAYLESS THRIFTY DRUG STORE Dear Mr. Berg: This is to certify that the building pad grades for the above project are within 0.10' as to the grades that were set in accordance with the approved plans for Grading Permit No. LD 96-153 GR. If you have any questions, or need additional information, please don't hesitate to ca11 me @ (909)245-2127. Sincerely Yours; "brf enterprises" �AN � � ��S�C 0��b� c Randall S. Bailey RA#�vALI 3 BAILEY LS 4251 Exp. 6-30-00 LS 4251 P cc: File citempw.doc y��jf OF Ch1.1`�� Chron 31811 Mission Trail, Lake Elsinore, CA 92530-4503 • Phone (909) 245-2127 • Fax (909) 245-7927 � enter� �ises . p a�r A C A L I F O R N I A C O R P O R A T I O N October 31, 1996 City of Temecula Public Works Department 43174 Business Park Drive Temecula, CA 92590 ATTENTION: Mr. Mark Berg SUBJECT: GRADING PERMIT NO. LD 96-153GR PARCEL 10 & 11, PARCEL MAP 27987-1 PAYLESS TIiRIFTY DRUG STORE AND VIA RIO TEMECULA Dear Mr. Berg: I certify that the sub-grades for the drive thru & parking areas along the North side of the Payless building and along the North side of Via Ria Temecula from Station 34+50 to Station 3 8+00 are within 0.04' as to the grades that were set in acordance with the approved plans for Grading Permit No. LD 96-1S3GR. If you have any questions, or need additional information, please don't hesitate to call me @ (909)245-2127. Sincerely Yours; "brf enterprises" �� .LANp S��, � ' .?�'�,�5 U'��. � Randall S. Bailey RA�2,�AL; � BAILEY LS 4251 Exp. 6-30-00 LS 4251 �TA'TF 0 F Ckl1`�a��\� cc; File citempw2.doc Chron 31811 Mission Trail, Lake Elsinore, CA 92530-4503 • Phone (909) 245-2127 • Fax (909) 245-7927 �._ e.� .�..�.. .�,,,_� ,� __.._.. ...�..a M:..._ _ .. _ _� .: ._ .. . -. -- r.,�_�:-��. �. ,�. �a�9., , -�::�„�:.. —' O 24 hours Pa er: 310 715-4432 17800 S. MAIN STREET I N P E T I O N ( J 9 � I SUITE 303 &TE TING SERVICE Office: (800� 475-G879 GARDENA, CA 90Z48 Fax: (310� 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. at Time t� TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Qbality Control INSPECTION � PgSt Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED O�emforced Masonry ❑ Asphalt ❑ Other Cit Job A�1�re� � �� ✓�� '�} Y M l. 1i.,��i. E y.'Mj �. w�'. Job N me P rmit No. y Issued�_ . , � - ''� � � ��,°1r�„4.,�<.e.��.� Type ot�Sructure ,,,� Architect � � � Material Description (type, grade, source) Engineer �P"�,.,^t^.1 1' Contractor �r.,.""�' '�`c� �.,,,r.�.. Inspector(s)N�me Subcontractor M ^ a�*,— �� :';._ m -,F �.. � "*a ..�t�„ TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAI REMARKS ON SAMPLES {' i j -- f _._, . 1 � r ----.._.__-_. INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMAFKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. � t� �, ..�^'^"_._ � _ , _ . � . - - �:. �, ..�.` # "St�+Yru +,��' � � ! s _ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEFEBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG. OURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS � WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE �„�„ �,� SECTIONS OF THE_�OV��t'NING BUILDING LAWS. +�-^�-��-�� ""^' r � All inspections based on a minimum f 4 hours and over 4 hours-8 hour �._... ,_. minimum.In addition,any inspection extending past noon hour will be an '�"""""`�--�-•�...._ B hour minimum. -p ;� SIGNATURE OF REGISTERED INSPECTOR "� -"�� ^�� T~ Pro f ,�' _ - � ��w �r�, �+'� i� ,._. ,;,-"�;li'� " '�.+�� `� �i�.r�__11_.� APProvedby � - ..�.� __... �', r,r;; SPECIALTY NO. ENCV .. .. ject Superintendent � WNITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ., : :: ,: : ::. ' �O Z4 hours Pa er: 310 715-4432 17800 S. MAIN STREET I N P E T I O N ( J 9 � J SUITE 303 &TE TING SERVICE Office: (800� 475-6879 GARDENA, CA 90Z48 Fax: (310� 851-869Z REGISTERED INSPECTO 'S DAILY REPORT Job No. Date Tim TYPE OF einforced concrete ❑ Structural Steel Assembly � Quality on�ol INSPECTION ❑ P Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED einforced Masonry ❑ Asphalt ❑ Other Job Addr�e�ss �Y Job e � �Rer ' /No /� Issued 8 _' i'�..�4'7—��"'�-lC:+1'— '�;' Typ of S ucture Architect �..-..,� -,.�t.��-�,. W1 !�iZ. Material De cription (type, grade, source) Engineer � L y� -___ --n_ �+r Contractor � �� Inspec or( Name Subcontractor r"i TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES t - ��•.:,,r.� _ 11 v� . - _�.____ INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OF WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. .M.w- � �.r �lt�S . � . _ �t � � /�t � "�"� T� � " _ t w ..� �"'� � !�� r t� .�t7..�Jru,r CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF _ I HEREQY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE r SECTIONS OF THE GOVERNING BUILDING LAWS. ""� ' • ' 1 f All inspections based on a mi mum of 4 hours and over 4 hours-8 hour ! minimum.In addition,any inspection extending past noon hour will be an .._...,., G ` 8 hour minimum. _- GNATURE OF REGISTERED INSPECTOR �� . �. �"' , _.. �%-.,,_.. _ ... , . � � -- ,_.:- ..,-..�.r;�:=s,.. i� '.�S'�`r ti��—§�� Approve�bY `� __ _ �;,.,,-.^ .�','.'_. SPE�7 7T `'�10� AGENCV - Project Superintendent ' �'" " �'` � ��HITE-OPFI�CE CO�Y"LANARY-AGCOUNTING GOPY, PINK- INSPECTOR'S COPY, GOLDENROD- JOB SITE COPY . . , �, . . . . . . . . . . . . . . . : : i :l , ; � „ � , . � � � ; , s ,�. _., • 1 17800 S. MAIN STREET I N P E T I O N f Z4 hoursJ Pager: (310� 715-4432 SUITE 303 & TE TING SERVICE OfFice: (800) 475-6879 GARDENA, CA 90Z48 Fax: (310' 851-8692 � REGISTERED INSPECTOR'S DAILY REPORT Job No. Date T'm -- TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Con rol � INSPECTION ❑�t Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED L��Reinforced Masonry ❑ Asphalt O Other Job Addr 1«"� lB'"� �1�/id� / -1 -'] $1l '"�'� �'�. 4i t Q� .. � �! Job Na P m Issued �'^i �""5Y 3 1�`�a► � -� � � ��v�.a Type of Str}cture -�_ Architect � 1��„q� . d.:�L.f7' 'i �r�l+'� � Material Description(type, grade, source) Engineer �N� Contractor � � �/�''.S d�- -- Inspect r )Name Subcontractor ��Go. G1 L�►#► v+.� t T1w�! ,�,�'�"Jc:.s �5 '� TESTS PERFORMED TYPE OF SAMPIE SLUMP �UANTiTY IN SET ADDITIONAI REMARKS ON SAMPLES � � � � --.__� i , P , ' INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. B�LTS TOR�UED)CHECKED; ETC. ,� w:`�r�, -�, . � '�C.:�— . , + �. pl►< „`�'ro� _ , ._. � � �� ... � � �` � i�.+�- .. � � � �t�"� � � � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHEHWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE ]� SECTIONS OF THE O�/ERNING BUILDING IAWS. ��,Jr'7 �✓ Q All inspections based on a minimum of 4 hours and over 4 hours-8 hour �,...--k,. minimum,In addition,any inspection extending past noon hour will be an z.�.....,..,� _._ _.. ` 8 hour mirnmum._�,�-�"""`""", °°"' �,, NATURE Of REGISTERED INSPECTOFt ,r^'"� _._., �.�^��"�� " � �.��....... � ry» },,, / r ✓' ,,,✓ �...�'�"4 �^�^li`� � 'S k�7 1 �U► � Approved bY "� -_�„�,w„b__ .�,»�-^"' _�i ..- / ' L SPECIAL NO AGENCY Project Superintendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-10B SITE COPY ... .., ,:.::. .,.;.rya,.,.a�waca�faH, vv.�„c....;.,._ R ... w.,. . .. •,:::� '.�..�. �..� ,. ... . >. .,.. ._.... :— . rx:;,.. ..:.�,<.� ..�,.w,. . . ,.,:i '._.�.___ __� 17800 S. MAIN STREET I N P E T I O N (z4 hours) Pager: (310J 715-4432 SUITE 303 & TE TING SERVICE Office: (800J 475-6879 GARDENA, CA 90248 Fax: (310J 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. t �� Time TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly uality Control INSPECTION O�Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED einforced Masonry ❑ Asphalt ❑ Other Job Address City �,«�+wt' '�' "�a��►� "�"�-w��°�.,,�•� Job e � P��Nw7r � Issue�� r Type oi tructure , Architect ��.y � +�Y�. Material Description(type, grede,source) Engineer p �! ,,�r aF��,,,.,. �,Y. Contracror �y `�� +,.�+" T""�Iril�►i�r Inspector(s)Na e Subcontractor 1"�^' +�'��a�.. �1�.�r TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � , . g INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. �'�''��°�,-`'+� �"'t � �ir'Mitr ��C�1a�r""�I� , 4^�� 11� � �. J� � "`�... � n �.. ��-�^�1t.,. �t.,��.,�� a� _��'"t. � . _ J� � - � � E �` 4 , g � i ` _..— � f � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PIANS,SPECIFICATIONS,AND APPLICABLE e +"� � SECTIONS OF THE GOVE�NING BUILDING LAWS. �•�j� ;1� _ j All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In addition,any inspection extending past noon hour will be an 8 hour minimum.._.-� r tGNAT E OF REGISTERED INSPECTOR :� � ��•�--`��. . ~~� ��„ "` .,�sa .*"'�.,. -�.""��"�,a,,,,,....�-w"""` �,,,.,.r'r^� � ��+�'"��.�_"„".'`' �� Approved bY_r.- pro ect Su erintendent PECIALTY NO. �� AGENCY - � 1 P WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ._ � ..v Y ..-� N _ _ _ �� .. .. . ,. :�.-�«�.��...cu.s •,.Mr�..�xr��«r.:w��.w.., ..:. _.-..,..v�.7 - ��t� '�.o+�+r 3°'��iT`;�'a=r..�Y,E.�;� ._.. _ .. �R.a�sv"'aa Mi�`: �nn np.w,_ ,Wraau•r...._�.Ps y,q�.:�.�.� .y..x.,:,: ..�.r ...,,,a�... ..... ,,.. — ' Z4 hours Pa er: 310 715-4432 17800 S. MAIN STREET I N P E T I O N ( � 9 � ) SUITE 303 & TE TING SERVICE Office: (800J 475-G879 GARDENA, CA 90Z48 Fax: (310J 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date ime Z- ��3 TYPE OF ❑ Reinforced concrete_ ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED [�ieinforced Masonry ❑ Asphalt ❑ Other Job Address �� m��„� ...�"�..�Y�,.�� 1t Job t�lame _ Per it N . Issue ,�y �s t +�"� '� � �r 1: '�+L�"1�1.�t.�e� Type of Structure Architect �� MateriaT Description (type,grade, source) Engineer �� Contractor� � �` .�� t_��,� Inspector s)Name Subcontractor . "7�� "1J� TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES r�,w�" "'�a" '� ��'.a.,�►,.,� �--- — - INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. � �� r �� — t�, �� { � t �� „��,.� .�,�..�,,, �� , k. t � "#1t� � � t-� �� .�;�w..�+ G �..cf r►✓e� �_r "TD' '� w �� 1"� '`�l��';► 6.+V "` ,.^. '�7 �.� : � 5.. '�c��+v ~�,�.� � ., � � � � +C.a��°+r-. �-�,.�...,�E,,,, --. ,� CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEFEBY CEFTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWIEDGE ALL TIME IN TIME OUT REG.HOURS O.T.FIOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLV WITH THE APPHOVED PLANS,SPECIFICATIONS,AND APPLICABLE � SECTION�OF THE GOVERNING BUILDING LAWS. V�«.�E�' ;G�O All inspections based on a minimum of 4 hours and over 4 hours-S hour minimum.In addition,any inspection extending past noon hour will be an 8 hour minimum. SIGNAT RE OF REGISTERED WSPECTOR � �,,,.�"'""� `�1 �r�� r�"� �..,,w .,.r. ._ � � i�..+ Approved by �.r _- ."+�.��,�,��r:,.. _ ,_ SPECIALTY � NO. AGENCY -� �ProjeM^ uperintendent, WHITE - OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPEROR'S COPY, GOLDENROD-J08 SITE COPV _ _ . — —�—_ _ ;�-- �., .. ,r-- .. �. ..,��.��... �,—.�_ _ - _ ��„�. . :. _ �� , �� ;�� ' .O_ 17800 S. MAIN STREET I N P E T I O N (24 hours) Pager. (31 O) 715-443Z SUITE 303 & TE TING SERVICE O�ce: (800) 475-6879 GARDENA, CA 90248 Fax: f310) 851-8G92 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date Time r "� TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑�_,P�st Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED L'9�'Reinforced Masonry ❑ Asphalt ❑ Other Job Addr i �� ( � ...,�+-�...��4 '�✓'7�y^ e •k:. Job Ala e r it o� t�� Issu �M�� -- Typ pf cture �� Architect �,� Material Description(type, grade, source) Engineer � r Contractor �� Ins t r s)Name Subcontractor ! a""�' TESTS PERFORMED TVPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES , �� "°��+., �� - � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMEQ;NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. GONNECTIONS(WELD MADE H.T. BOLTS TORfJUED�CHECKED; ETC. �'r� �,, � "�+►�'" ��, `� �, k �.-- �' °� � �r r.�+� '� � °'.,�"+�, r�. -- � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT� REG.HOURS O.T.h10URS SAMPLES OF THE A60VE REPORTED WORK UNLESS OTHERWISE NOTED.i HAVE FOUND THIS WORK TO COMPLY WITH TNE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE . � � e�� SECTIONS OF THE G UERNING BUILDING LAWS. . � � � � � All inspections based on a minimum of 4 hours and over 4 hours-8 hour � �-.,, minimum.In addition,any inspection extending past noon hour y�ill be an �.�...,,�, 8 hour minimu�,rry.-"""..'' �y,,,,•.:^°".�. ,.. � NATURE OF FEGISTERED INSPECTOii �r� . � ,6,� ,v �"�''� �-:. �""'�` '�.�"""�`�� '"'�� t3�� Ca �G.... '^'� � Approv�d�,,_ �' SPEC�AL7Y NO. AGENCV _ _ Project Superintendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- I�PECTOR'S COPY, GOLDENROD-JOB SITE COPY _ r-.. .. . . ! ! i� f i`_.,. ..,. .. . , ,c� `- .. ::.. .. ..:.... .�w r.-.-• _,�. r . . , r � o , � . ; � = � issrrt � ffiiiii � � . , • ' • triff �'.....� ._. ', - 17800 S. MAIN STREET I N P E T I O N �Z4 hoursJ Pager: (310) 715-4432 SUITE 303 &TE TING SERVICE Office: (800) 475-6879 GARDENA, CJ�90Z48 Fax: (310) 851-8G9Z REGISTERED INSPECT R'S DAILY REPORT Job No. Date �ir�e � � � TYPE OF Reinforced concrete ❑ Structural Steel Assembly � Quality Control INSPECTION ❑ P�st Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED l4�ieinforced Masonry ❑ Asphalt ❑ Other �� y a�, c�� Job A ! ss ""'N ��"'"lr�+A � t � ./ 'g� ,r P"yA. �"1�'"1V�'""�..�.I K,,,/� Job �me Per it o Issued B +� � � � � � � ��"'�� Type af Structure „� Architect � µ,q� Ir Material Description(type,grade, source) Engineer ��,,, Comractor �.,,,� � �� Inspe tor( Na�� Subcontract r o _� '��.�1�.: `�� TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �h� :<�j,�*�^ �a ��„ '"`+� '" � �ss - ,,�{.r' 4 �. � ,�,.� INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. �.�"�'t. ._ ,, . r,r.r" ' �.► . '"'!,� �"'�' t,�..t 'r'�""" � `� �^° �� /�r.-�._,.c� � � �1 r�r�. � �'► *�'°� '�► �, �i��. �~�+ ��++ �; . � � '� _ � � �...: .�- � +� _ . _ _ R � _ �.- �, .,i� '"� �,,c t� CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTEO TO THE 6EST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS _ _ WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE � � � SECTIOI�S OF THE GOVERNING BUILDING LAWS. +�+� �e '�"' � "�"` � 4 All inspections based on a minimum of 4 hours and over 4 hours-B hour ,t minimum.In addition,any inspection extending past noon hour will be an " �^^ 8 hour minimum. ATURE OF REGISTERED INSPECTOR � �ves�ji �i � � � � APPrwed by ,,,,�.�PF,�IALTY � / t"' � ...�,NO. AGENCY Project Superintendent �, �„�. �a —3 - i WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY _ _ _ ._ _ �r .:��a::, . � ' � � ,;�� T1 L�i Geotechnical � Environmental Engineers, Inc. FIELD MEMO CLIENT: .�rm-� �.✓'r/S� WO#: �"!'��,��/:o��=DATE: ��'f:•�- ?'�/ PROJECT LOCAT ON �t � �� ' '� SUBJECT �%� ��`�✓`� f � y� �� w�„ TRACT Na 't� t' ' !�'T -��"�'r�v^ '� .�,.�'` e'''�' � LOT No. t',,�"��. ,�� °�� f 7�-�� `� 7��- r • .��' � �� - � � -�-. ,,,� l:t,',�,3 � �� a ,�' �- / f ,, ��` � �.,:�, � ,�+ ! . f,�° !�.° o`y�r , .t .�`t" """ �;;+`J J :rd R' �' � � --�� 7 .''�'�r. /�'�' ,_.. - F ,��.... 'r� / "�!t`:^�r f, }_'� �"'�.{',5.... ��., �y� �r• ..�„�...: * � � � f j j � � ? �' , t`` � . �r' � x,.� i• � �t�?, � ^ ..;� �`�'�;�� t r , � �,. ' l�� '�" � .�. y � rr. 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Rec'd.: ,�.� .�. � ,�,.� �� M PRINT NAME " • ' ' SIGNED'�.`. . }, ENGINEERING PILE-WtIIT� FIELD FILE•YELLOW CLIENT•PINK INSPECTOR•GOLDENROD 27447 Enterprise Circie West • Temecula • CA 92590 • TEL(909) 676-8337 • FA2� (909) 676•4583 �i .�.W�, ��_..�,.�.�.e�.,..,x.„w...�.,..:.�m...., �.:�-N.-„�.,,,,�_..,��m ,..r._<x , ; I ' Geote�hn�cat � ,�nviranmentat Lngineers, Inc. 1� ILY P RT ��' I�►To • _.�„�_ G �TG S R�T.�.'I�'ION �A�E:�oF: _�_ _ ___._ . .��..w,,,..�,....�_...F�.,�._.._.__.._..�..�__. ____-_�..�.-_ . a. / tMr _.____. ��Q�� _��-�+�I� _ + • ' �� w�l,� - ivFwllifR PRarEG7sxaWESx/dF�7WClsr � E1�'ERiL T[�N FI FV RI�GSE O �TLL O&NATUl�R,B O�j!F T17 AE SUPPORT'FD A1A:C S A.�7DARD �_.---- � ,tircrs aru..:ta ❑ o�tttFrt�sFe er� CEItiERAL Cb A i CRAO[NG OR EAR1'FIWOklf C'ONTRACTqR ! 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MAIN STREET I N P E T I O N SUfTE 303 & TE TING SERVICE Office: (800) 475-6879 GARDENA, CA 90248 Fax: t310� 851-8692 REGISTERED INSPEC R'S DAILY REPORT Job No. Date Time TYPE OF Reinforced concrete Structural Steel Assembly Qu lity Control INSPECTION ❑ Post Tensioned Concrete Cl Fire Proofing O Epoxy REQUIRED ❑ Aeinforced Masonry ❑ Asphalt ❑ Other Job Address City � Job N^��p Permit No. Issued By � 7 L <_�-�e. ,��— �n�,�c�. Type oi SVucture r��`� � Archited � � — P�'�.., —�iUs.�t, =iQ.t�—�.— Matenal Description(rype, grade, source) Engineer ContreCtor Inspector(s)Name� `� Subcontractor � TESTS PERFORMED TYPE OF SAMPLE SIUMP OUANTITY IN SET ADOITIONAL REMARKS ON SAMPLES �r _ t � cYF�. �{�� .__ � 2 �, �— —_�'�`l �l fZ �"�►�'�r�-N�j— G. r. --- fl INSPECTION SUMMA Y—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,J08 PROBLEMS,PROGRESS,AEMARKS,ETC, INCIUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPIES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. 1 r �., s[.(!.i� �-t�Q��1�__r'��M�'��1��' �!_P.�t�' +s 4 � _, � S�� FZ �N��U� �tK-�t��' f� � _ �__.� P�s l .�S't•'_'f��c i��—,� _� �. �T� � '� _�._��c��C� —��c�rs �� —��'+�.�1-�Q s�l� � �.��.--t,� �V -�-`�� _ �.T _. � L=—�7� c2"�—,�n ��- ► �-� � � c i ��,._.1�.__ • _�.�• �. � z _-- �, ,4.�`f��r-��l.3 a __.__.. --� {/•-i f-.l1.2�(,� a�•�t Q Ac--�. � ^-3 �3 --x �T� � 3 � `' ��r�- Cdx. � _ �- s �-�, � '� ,� 3 << �, CERTIFICATION Of COMPUANCE CONTINUED ON NEXT PAGE ❑ PAGE �OF� I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY NNOWLEDGE AI.L TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPOFTED WORK UNLESS OTHERW�SE NOTED.I HAVE FOUND THIS WOAK TO COMPLV WITH THE APPFOVED PLANS,SPECIFICATIONS,AND APPLICABLE ,� SECTIONS OF TNE GOVERNING BUILDING LAWS. All inspections based a minimum of 4 hours and over 4 hours-8 hour minimum.In addition,any inspection extending past noon hour wifl be an � . 8 hour minimu SI ATURE O EGISTERED INSPECTpR ��Q� A� Pr ct Superintendent SPECIAI.TY NO. AGENCY � WHITF _(�FFICF C(�PY CANARY -ACCOUNT�NG COPY. PINK• INSPECTOR'S COPY, GOlOENROD•10B SITE COPY Southwest Inspection and Testing,I�c. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670, � (310) 941-2990 • (774) 526-8449 • Fax (310) 946-0026 DATA ON FIELD - MADE TEST SPECIMENS • ASTM C31, C 138, C 143, C 172, C 173, C231, C'i 064 • Concrete � Grout Mortar Cores Shotcrete Address p � �` �rp Job# � f� l 4.I� q,..�� iR.-^ ' y..1,,,1 �+✓� ' Job Name Permit# Issued By "`' � ,�` "' c ..�C.� Arch�'�t ct �._., Engineer Contractor Subcontractor r- „ Location In Structure a..M �� :,� � "- 4� ! �i' i Number of Samples ��o� Specified PSI @ 28 days ' Other �.� r �:��i �i ( .�.� Concrete Supplier � � Plant � Mix No, ��M � � Type of Cement A mixture Trip Ticket# ,. � P -. Slump „� Water Added �..,,� Air Temp. �, Concrete Temp, � Mixing Time Date Cast Time Cast � C �� A M � A _ Cast by � �� '::"-� �" � Date Received at Laboratory If this is ou side testi , �please provide the following information: Cfient Contact �.. `^' �` � ��?. � + ,f� �'cJ :;x�1 .. i Address � ° Phone � � ,� �" 'P`�.' ! '^�� ' � (`7 �---� `' Please inform your client, that we are performing the testing on their project and we will not release test results until all bills are paid in full, Furthermore, if the above information is not provided,the samples will not be tested and you will be charged for the pickup, cylinders and administration costs, Thank you for your cooperation, • ASTM C39, C 174, C 192, C470, C617, C42 • TIME LAB AGE TEST DIMENSIONS AREA LOAD PSI H/D CORR. CORR. TESTED NUMBER DAYS DATE FCTR. PSI ,f� � - THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APPROVAL OF SITI. � COMPUES: DOES NOT COMPLY: �'' �v„ise BREAK TYPE: A: B: C: D: E: SF'ECIAL INSPECTOR DAILY REPORT Ciry of �...1.�_��h':t.�.��t.�.��.�� for(date) ��` +� Y 9 � Project Name/Address: 3 � '7 rr r7 ��_2�_ 5 �,� ��,�s s 1'� z�� , lnspection Type(s)ICoverage: S -r ct . �-r_�,g��/ �J � ,,� i N [ �' )Continuous [ )Periodic Time Beginning Inspection: �.�_ Time Ending Inspection: � Describe lnspectic�ns Ma�ie, lncluding Locations: r– ' s r- z oJ I ,s�r ro C, Q i_gIl E Q L..•�n eY.,. ..s + /,�s�E1'T E!� 3�6_�Z�� ILL6TK _ j��c��/s'�'�L ,aOLTE� � �Afi . P,�IKAC/N(� �,ucr,actEn i � M��FtA . ��,��SEE �e.g�ECT�ONS ��E� • l�ist Tests Made: _ -�LtSs1 d_L.y--1-1►L_,.� '�G�.�rl A 1�{.('�_.s�LT�•1 d L.l S L� 1. t - 9� List Items Requiring Correction,Corrections of Previously Listed Items and Previously Listed Uncorrected ltems: �r��'j! (�_�_1�3 X �i f �C s�� i t M��e C a T F D d�n 1�S�_ — ��IdC21��._�lr.�.� IV� dGLT�L� I>(A�. l��Q,oC� h/ � �_ iI '/ii ---5� ---�!.1__�Z T /Y i1/O R- T�_ a�_ (J�.1�8-E__[.� Na4 !1_6�1Z ` List Changes to Approved Plans Authorized by Architect or Engineer: Comments: ��_ ��r �� ( `�` � .61__�Z..1.� ►1 C a A/ l i T F �____ _ C�E.f�_.,A�cr f=.wa � AT�2 is M�g��_.,_ aQ.E_ r�1E.i —�-- --8,��2-eL.Gi�_!i�___�._�' �Lt�. e F I u e � �. � q ? To the best of my knowledgc, work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. Signed: � . � _ ��`� � c� Datc: – – AWS Print Full Name: �.�..�n� � __7`�_�.� '�,� ,� � �.D. Number: A�� g �� (This report to remain at jobsite with the contractor for review by the building department's inspector upon reque �N96I0005REED ewi SPEC[AL INSPECTOR DAILY REPORT City of _ E E G �.t �,. /� for(date) ( /2 f�`7 Project Name/Address: ��►y l F S S � �L.!�1 S "3 1 '1 `i' ? I �...,�_`� S Inspection Type(s)/Coverage: � [ X ]Continuous [ )Periodic Time Beginning Inspection: 7�Zd 4'�q Time Ending Inspection: Describe Inspections Made, ]ncluding Locations: _ r e.��r'r a�u eu S L .7 L F��i �2 T'b �,�J��.D � .� }�N E�.Ev�T�o�.1� SE' ( --rHS �roz hvR-�., t)r"►c�J ��F l��S, z � ,/ N 3 ! �— Tb C o < <T. l.t mr S� R �.t D • 3 c� � N� 2•! • T. �„r , .+ ��r -rri t e-.�rt r,J,q t,L w�.b E � Ca� S t�L� �,a �2 G'7.d1 L '�t�/ c a C.IL N n�i2 �'az u.H ,.1 l3As Er S . List Tests Made: ��<_ � � �.� oc� e 2 .a .� �' � 4-�� A�,..1< p � � g�� List Items Requiring Correction,Corrections of Previously Listed Items and Previously Listed Uncorrected Items: i �c ArED '3 �c 3 'x �/+{ � 3(�� L pQ''Jlo4Sl�/ ��I�f3o�gG� U� �D �'OrL2��'� �.O q'�'�! O l�1 ANO � C IL(�V GO � �7V L . 2S I Z,�e __ l3 _I� W�l-DS � •��T eL Fl2 L . L,�f,G�-¢� L ✓IGltJ tT�l oF G � a7 b.I — —�1.� • � UWA�jIE 'Ta G1�'LD `�"'p MASou4� t,�EI.D +-G w� �rT"TeM ( (e�pLACES List Changes to Approved Plans Authorized by Architect or Engineer: h�JC. �c� USE FCt��.] �aocFsS FOQ S"'�s�n �F�n� ,�i�s, L, .,��r , L 2 2 I 1 /7 IG i!S 11��- 3 1 5 4 N� : L" � N��'►�1 T �IL�1 D A C 1 G J A!O E�2. Cb1.�M �1 BASE F� � �/EJ OF C�OD �SI A10�1 SNrL►N1L �-,aouT Comments: ��'+L� ►.�D `�A nn t2v V E W �'` 'o�p�'T�oN n 2a�„r�n►�,� �' l A� r,foP6 ��4 e �7479 i�10E'0 S -'� I�Cf�U E'�s 1(�A�. IDM � �!'t/ <i p� Q'O BL�' l�i StI�L� • To the best of my knowledge,work inspected was in accordance with the building department approved design drawings, specifications licable workmanship prov' ' f the U. zcept as noted abova. ' Signed: � �!''�1L1ate: ('2-'1l1E 9 '� Print Full Name: +� �. u r�� .► �..� � .�1 ��E t„ I.D. Number: �s R 7112 _ (This report to remain at jobsite with the contractor for review by the building department's inspector upon request.) SPECIAL iNSPECTOR WEEKLY REPORT City of / F M F C t) L l4 Project Name/Address: �a.i �F s s I� n �c��s Inspection Type(s)/Coverage S T E E �. ! �E�r � .,t ., [ )G ]Continuous [ �Pcriodic Describe Inspections M de, Including Locations: -�o� s T T6 G ,�o�R� R E� �� s'r 2 ; go�i�a DiA-y', gP�c�N�jy REF�, s±Z �: C�rt�Nu�r�l F� � T"• ,OIST Tb �o�sr C�+oaos REF �,�59'-2 �typnCtL �NoEQ Ce�.uw.►.� (3wSE [�e.: . List Tests Made: ��jS��G� ,�� Qena2 n.a��F- r.✓�'T't�l �c.1S D ! �l "` Sti� Total Inspection Time Each Day: Date �Z. p Z 31 / / I L � How�s -- --- � List Items Requiring Correction,Corrections of Previously Listed Items,and Previously Listed U.ncorrected[tems: List Changes to Approved Plans Authorized by Architect or Engineer: � .IS£ eF PCA�1 i►J LiEJ o F SMA�.cf ,,�a�2E cawtv��,� ►Eu� �Na 2.J: � • US� ol� �� I SA;10 'CC+�1��T ��J LIF�U ,C S O PSi 1�Iew1 SH��u�/ ('�ROU1� �fti/0ER r'o�[In� A! QASE' PLAT�S . ei I,J{r�� fL fpCL� p2E/C✓ t�f(.D � �t�V�t'r'/d/�1..5 .+2 <c�LT/NG� /A1 F/GLEi GJ ' rz 'L t�i O L L Etl C� C.G/C+ `,/� (3 6 Z � 6 0,� � w Comments: , To the best of my knowledge, the work inspected was in accordance with the building department approved design drawings,specifica ions and applicable workmanship provisions of the U.B.C. except as noted abov�. Si ned: �"' g Date: �� —`f' Print Full Name: j--�- � � I.D. Number: cc: Building Department Engineer/Architect (This form to be distributed weekty when required by the building department enc!/or engineedarchitect.) SPECIAL INSPECTOR DAILY REPORT _.------ CityoF � ��►��a�-A � for(date) - �- 3 - 9 7 Project Name/Address: 3 � � � 7 (-� �•�'N � Z � S Inspection Type(s)/Coverage: ��-� � N . [ )Continuous [ ]Periodic Time Beginning Inspection: 6`�� Time Ending Inspection: �� 3G Describe Inspections Made, Including Locations: `-- S i,, � � ,a J �, / . , o� �� -s E .r 2 . - �Q a s r�a��s -ra 7� , c c , or��✓ � � - 2 3 C -Z 3 � - ' c cQ2 1, - o so-N n �/�LG 1fE 3 ST- ListTestsMade: 1�a5Uli:1� '!wJ Arco2QA�1 � ,,,�i�-N � ) I " �"-l� List Items Requiring Correction,Corrections of Previously Listed Items and Previously Listed Uncorrected ltems: r ��- � �rJ�� . S7�EL �,��cTio�! >S �l,v.d�[� aP'�a � •� � __., �1/� Y� RF.d-nfS .4�0�i, �' .� � �,�✓o.�� ,�--�� (y`.s ��y,�/ � 2 8 � 3 � e 2 � NoG� ��lwl /3 _ S�T'ir'��,�i2� �_ABO✓� %�.5 ��sc.4�t,tY� A�z� D�,I�S� .ST'iff�A.lr=2.S tf� - o S � -3 3 •£3 2 A�1 Ixi�?ED FL Aoy� �uT ,�:,� vza,e 5 cr�,� y T // o .+ oc i �nJE�'77on/ tru L A N c�F- ,Qt� /�(A O�" List Changes to Approved Plans Authorized by Architect or Engineer: � �N�S A 2 6 A • -t1At I.Jk��2� ��DC� �-�2 F/JLL< }3��t�c-� t.9E=-Lb � �-LFVAr"t i 1.� S lL�S�SLT1��7 iu fac..�Ei ✓E�t� vti1�� oCC�2r� i+�J� c� �Z'vp oF- L�p�E�2 L..._ ,��.UC� t,1�l-`D 'TG7 t3 l b t-/czE S � c A C F1 ►��s t e-�2� lJ�LD i� Comments: To the best of my knowledge,work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanshi provisions o�—Fth-�e U.B.C. except as noted abvve. ' Signed: � ti oo �� / s`� � Date: 1-3—�' "� Print Full Name: �--�- �..�.r..�,t `� e��,5 � I.D. Number: �'Z1I ICBO (This report to remain at jobsite with the contractor for review by the building department's inspector upon request.) SPECIAL INSPECTOR DAILY REPORT __--------- City of 1 '� *-� � �— � �-- A for(date) � ` �• 9 ro Project Name/Address: 1 -- w. . lnspection Type(s)/Coverage: � � �—n � r.��-1 � [�►C )Continuous [ ]Periodic Time Beginning Inspection: '^/ � o d Time Ending Inspection: t � 3►� Describe Inspections ade, Including Locations: i 1��r�� r a P e�rT� w u e4e S LE n� e ` �� z List Tests Made: ►l*c..,a� List ltems Requiring Correction,Corrections of Previously Listed ltems and Previously Listed Uncorrected Items: List Changes to Approved Plans Authorized by Architect or Engineer: Comments: To the best of my knowledge,work inspected was in accordance with the building department approved design drawings, specifications and appticable workmanship provisions of the U.B.C.ezcept as noted above. � 5igned: Date: � ^ ~ " Print Full Name: � I.D. Number: ��Z S~� (This report to remain at jobsite with the contractor for rcview by the building department's inspector upon request.) ' City of L.A.Certified: - Concre[e,M�sonry,Scismic i rv s p E c r i o N L.A.Counry Certified: RICHARD KOURY Concre[e,Mason Seismic f'O. BOX 3Z46 ' Long eeach Cerrytified: (Z4 hOurs) P�ger: (310� 71 5-443Z MANHATTAN BEACH Concrete,Masonry,Seismic Office: (31 0� 978-1 765 CA 90Z66 Fax: (31 OJ 546-7539 REGISTERED INSPECTOR'S DAILY REPORT �°b"° °a'e � . ��. TYPE OF ❑ Reinforced Concrete � Structurai Steel Assembly I] Quality Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing L� Other REOUIRED ❑ Reinforced Masonry CC Asphalt Job Address ; ,mm,,,�,, City � j -_ � ., . �., . . , - � r` a; � _ ,. 4 �'; Job Name Permrt No. Issued By """�, . .�, .., r y ,. �'` � t - ... _ f , '`, . Type of 5lructufe f Archite�ct�� '' , Material Description(type, grade,source) Engin!'e�er �„ •., ,� ° '� Contractor L'ia - t`°'4£"L,�.:i '"v Y.� Inspector,(�)Name_.._,� _�; Subcg�tractor� .r rq ,,�_ TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES ---- INSPECTlON$UMMARY—LOCATtONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION A80UT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. �. . . >; . ,„ �� C. ' : ^: .e - , :., r , .-� ,. "Sg ` .^e. .. . � „-n. ,x . _. ,.,., '�,: ..� , . .,.. . . ,. .. . � - . � � -. . _ .. a . �,�� ,a - .�� , '�'� . . . .. ... ._ _ _ . _ .. , .. . , . . •. .._ . . .,. �� — � �" '� 'w* 'a ' �t � „"`r- _ e: a-'�'"�" � �' � , . j . . �r .,,.�.. � � .. � ... .. . � .. �7 . d� � � . . � #t,'° .� ....�,�: r ��w r.f � a�dt,� #�- �41.� 1i..� ;qt' 1 jLL ti,'�'„r��'" �'- ��.r'� t^`-'A.z �fi.#J A� � � k� e a �a ; :y ��'��. . �� .. .. �� . _. . � . . , --.. . ., ;i.,°: �+�.� ��: �... y....... . �;,} , lti."h p �.wd'�h .. � , ' � ' ,R„'1 d .t . � � �„ - - • ... . .. . . . . � �� d � a/t'4"�i C➢ A.1 =^9, fv1 ��`J�.�'"�.`C"' t�! i',.d'u1,. 'y 1 �+'4: �. . T- _ ,.� I y�" h, F � d :� x CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHEFWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CVLINDERS WORK TO COMPIV VJITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE GOVERNING BUIIDING LAWS. ��,.,� «, � _ �. .,,i � -r.^.."",� _m,,_,,,.y� ..w, !L.' "�' �-'" — �� ,r• � � All inspections based on a minimum of 4 hours and over 4 hours-8 hour a.__,,�y„„�,,:'w.�Q'..�C,,. ..�e.� minimum. In addition,any inspection extending past noon hour will be an 6 - hour minimum. :,• �-:-- � SIGNATURE OF REGISTERED INSPECTOR . _ .n�i i . i:'�l�f� 3 � �� -�..� `�} Approved By _ °•T+��'"«m _.,- _ s.., �,,,,..•,..��_ — SPECIALTV NO. AGEyCY; ,._ � Proj9ct Superintendenl � - ' WHITE -OFFICE COPY, CANARY-ACCOUNT�ING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB 51TE COPY � City of L.A.Certified: Concrete,Maspnry,Se�smic - - �.,4.County Certified: RICHARD KOURY i N s�P E�c � i 6 N Concre[e,Masonry,Seismic _ f'O. BOX 3Z46 �ong Beacn Certified: ` �z4 hours� Pager: (310) 71 5-4432 MANHATTAN BEACH Ccncrete,Masonry;Seismic OfFiCe: (310) 978-1 765 CA 90ZG6 Fax: �31 O) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No Date _ t;ro . -.��,. TYPE OF ❑ Reinforced Concrete Y��Structural Steei Assembly C7 Ouality Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing L� Other REQUIRED ❑ Reinforced Masonry C Asphalt Job Addres,�� _ -� ,.� -^'°"` City t ...,s � t Job Name Permit No. X�j T Issued By Type of Structure ' Architect � i'�v 2 Material Description(type, grade, source) Engineer .�..� �,, � ,X�+�+.�"'� `? � . , . _— __ __--- Contractor � ,„,� Inspector(s)"Name Subcontractor ..fi.., �. _' e;t, � v'� - - - TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. � - .�_ ., . , � ,s;_F". � ✓ �:s,. :,n ,i�,,,,. ,�s..r r i�r•„r r a� {,�a i c� ��. ' . . j -- CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE --------- SECTIONS OF THE GOVERNING BUILDING LAWS. - . .. . �;�i.4 ,f�f�'�. �f��. All inspections based on a minimum of 4 hours and over 4 hours-8 hour _ ; ;,_ F� ,_,,,,.'', minimum. In addition,any inspection extending past noon hour will be an 8 -.,,_ SIGNATURE OF FEGISTERED INSPECTOR hOUr miniRwm. �„--��,�,�,,.� . ��-"'"' . - ..-�;..:� ..s.^ .� � .;: .s -^e• --` . _ _ �,,„_,.. ..r`' ^`r : � f ��,•.,�, s ;' �..d� APProved By �,. .. _ ,... �.,,. :._.� SPECIAITY NO. AGENCV �- PrOject Superintendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK• INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ' City of L.A.Certified: - Concrete,Masonry,Se�smic - .--- ------- �.n.County Certified: RICHARD KOURY i N S P E c � i o N Concrete, Masonry.Selsmic PO BOX 3246 ! (z4 hours) Pager �310) 71 5-4432 Long Beach Certified: MANHATTAN BEACH Concrctc, M�sonry.Seismic OfFice. �310) 978-1 765 CA 90�66 Fax: �31 0� 546-75 39 REGISTERED INSPECTOR'S DAILY REPORT JOb NO Da�� TYPE OF ❑ Reinforced Concrete �Structural Steel Assembly f� Ouality Control INSPECTION O Post Tensioned Concrete Fire Proofing [7 Other REQUIRED ❑ Reinforced Masonry C Asphalt Job Address - City �, C"'} +:�� d` ,� � T "` �" s�.J 1.,• �+a _ ' . _ Job Name ^[�y.,y�pJ{b.� ) � y� F Per(}�rt No. Issued By ��. } �1 i�� i,+s i'"1 i i,' e� 'V'—$4!' #�...�.�+w' � _- ��x� `��t �_ Type ptAStructure � ArchiteGt � q+"�,x�'s 4�3 F "� 5d�i `;)a;.,'!` ��, �. � ""'>� Matenal Description(type, grade, source) Engmeer� � ,, � �, � �� $ 6" _. Contractor �� Inspectqr(s) Name Sub�qntractor� t r �. �, � �'� f�`M � M�.. TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES —_._ INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE�IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. � j,�,-�i..a= . '�, �'"y ��$.' . . ''� � � �. +w11'Cd �. 1 ��. -. � �� 13 !A� �.,.'^- '�;�tAi �.�r� ��r� :�: � � � ` � ac� �`, _a ,., :,,f � �t*�'+` '�" ,: a» s,cc:��.! f� � � ,ea,�, e ,�d'� � � � �.? a .. � �� 9�.R�r . � t'� e C ��i:Y "! �c+. �i.. .+M+rf y'�" ✓ + r3. � .*e f? �,. .. � . �'4 L s= ' s�a, 4��`•T "�. � .�p� e�� y � � i5...�� f4'� � � [ ��y �'. A . � �'p� '. � � F � x� "�.. { r�w ,y� R �s. •�": �,�,,.3 �' g .. f � � :} 4�., '�" I C'A t.. �p a L•d��'� � � .'`& � «' r f'" ;i. P'��p q.... °�a, � ' �� >,.�'�i 1..�'f�l:.,'"�,> t.,..b ( / r' . �Yeb R'� � d.•°+�4 � �°� ��;,,�,e: P:;A rJ''ti.� � :��'��"'ti.« �i,>�.(�«;. ;,,t� . ,id e4+�:'�.�5'rr�'- '.;x-✓hr�y�r..(` w'x ,r�°'�' �u:.�s;f�;s�yj e. ,ac� ,§ ,`� +Y:,� ��'..- - ` `{� . . . - . a - s1d�� ;,..�.. t�or',�:�r.>�,. biv�i+ .!' ?��w :Y�.�'✓r.t.: a`< .�C�.�� '"'}r��.r:�Y�. ""."9�'»,"l�'d'�1Nr1��:.��s ,p�"k'+��'� ','��, +� _.a c;.;��w,N�!R,F`. ."� ....-'i - ._ .... '- .N`k� " "4 : s ;" .'�» ,Y -x r.r:�w, � ,�. »� .. +kt'Pi ^'1:'i'� r t�N1a, .: T : �` �f1+ry�rC''S^u1 _ t+r �- .- J' � i' #,�.!€'C' .Mh;'�e+" If� ��. � �'s ft.i. �f s'n.3 fRitj,r r . s. da , �.J p,�"'n,INtt"'� �k� '��vx+�r�A q�r-s�� f"f i r+�rw�:.�4✓'�i'a+W'*el� +�,c�« �y�rs� .��r' r�r�"3 f,r CERTIFICATION OF COMPLIANCE ` CONTINUED ON NEXT PAGE ❑ � PAGE OF _ I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLV WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE � — � � — SECTIONS OF THE GOVERNING BUILDING LAWS. �,.,^+q,rl '°�_ � �} ,'�'� .�..�. i y,�w,. . . _-` � All inspections based on a minimum of 4 hours and over 4 hours-8 hour ` � ,�,,,,,,�,,,M �,,,�,�„„y�.... � , �� minimum. In addition,any inspectior�,extending past noon hour will be an B — hour minimum. .�"` _.-.'�' r'"° �" �.. -,_ ;_._, �r""•� ""7 ,,. . SIGNATURE OF REGISTERED INSPECTOR . ...� s'! '1 1 '"' �"'� � .��'.. ,. »o^^""y"""' "' ... . _, �,,^ ��;'� __ ;.�..T � , �'� �� 'w��." � �� APProved By ��'. „,_ � ,�.�y�""',�^"� ,�, , �` S�ECIALTV ` �_ � �NO� . AGE CV�: �` 'x � PrOj9ct,.$U'GY9rintendent -n � ��;�«c�.-� "� t f � � �, ��'J «� WHITE - OFFICE CCSPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GaLDENROD-JOB SITE COPY .., :;.��. a.,.... . .�,. ,.. ,�..�..W,.ms.. ..: � . :.:.;. ....: ... ....:. . �.._.. . .. . ..��.,�e, �R, , , r .. . :._ . ..,- _ .. . . ..-.-,- .. . . �..:. s. .,....�., ,,.« ... -_ '" 4 - :. + J •1 , , . , , . ; . , . Pj , � ° . fYf . + ff.. � . , ts , 17800 S. MAIN STREET I N P E T I O N (Z4 hours) Pager: (310) 715-4432 SUITE 303 & TE TING SERVICE Office: (800) 475-6879 - GARDENA, CA 90248 Fax' (310) 851-8692 � REGISTERED INSPECTOR'S DAILY REPORT Job No. � �at � Time TYPE OF ❑ Reinforced concrete Structural Steel Assembly Quality Control INS�ECTION ❑ Post 7ensioned Concrete ❑ Fire Proofing � Epoxy RE UIRED ❑ Reinforced Masonry O Asphalt ❑ Other Job dd�e � � City , &t Jo Name � F��t No.. Issued By �� r .ii�� '"` �'�' '�S�Y�`��_��__— Type o�Structure Arc ite �P� Material Descri ion(type, grade,source) Engin /** "* _ � Co r ror �^ � , Ins ctor(s Nam Sub n ct a TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. , "`� �.��— . , . . _ � �y s-�� ;°rr��.�� rt �''��,�� .,,�"�7..Y"�a _ �� , .r, _ _ . . _ --_ -- �'"' � �" � , _ _ _ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF _ I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE AL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND T WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPUC W S ' (;; v „�'+�f " SECTIONS OF THE GOVERNING BUILDING LAW& '"""""" nC � II inspections based on a minimum of 4 hours and over 4 haurs-8 hour KEI,TH R. BO�K imum.In addition,any inspection extending past noon hour will be an 1 our minimum :,.._ ,,,.,�. ,,,„,,,. ` S�GNATURE OF REGISTERED INSPECTOR �� " �� ,' � _,,,�"'"'"� - ✓, . : � � .M� � � ^ A �� .,.,w _�� ,... ,� �- - - - � _ C W f ' �.",,"°. Approved by pro e p SP�IALTY AGENCY j d Su erintendeM WHITE-OFFICE COPY, CANARY-ACCOUNTING COP , PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY -- .y.,..�..� :� .�. ., . , . . � . _ .._.�.. �. - ,. ..�� , �.�.�� , . .... . � � _.,., �' � ; T� � Geotechnical � Environmental Engineers, �nc. DAILY REPORT OF No.: GRADING OBSERVATION PaGE:�oF: � ,��'�'�.� �'�•�, °� WO.NO. CLIENT ' DAY DATE ! %"/�dt/��+'a� � � �t.: ,� ,i"✓ ��. �r E,��:,.c> � :A,� �~ �` ; LOCATION g_ �, ITY � W�E/ATHER ,p� PROJECf ENGINLER/GEOLOGIST i�A'7'� I �a.+.�;}��:-�>4 �! �..,X�°'�°'9 �t'., ,^ �x'"��I..u_�'f 4`,� f�,-' !" !-/'.�w�✓ ir�`�, GENERAL LOCATTON OF FILL PURPOSE OF FILL OR NATURE OF)STRU�, RE TO BE SUPPORTED � FfAx DENSM'Y STANDARD .„,..,�'�"° ��',�.v . t�.aG. xW- .r".,M r�-# ;� r ��,. If� p�'..�I"�' ,�'�,W� '` ASTM � CAL216 a OTHER(SEEFILE) . GENERAL CONTRA R CRADING OR EARTHWQ�EtK CONTRAC7'OR � /� TODAY'S APPR07Z.YARDAGE t CENERAL CONTRACTOR'S SUPT. GRADiNG CONTRAC7'OR'S SUPI'.OR FOREMAN YARDAGE MOVED TO DATE .r' 1 Jr SOURCE AND CIASSIFIC� ON OF ILL MATERIAL TECHNICIAN TTME CHARGED APPROVED BY ;` ,�: ..., . l� �:.:. , �. . . - ..., �. �� :-1 x:� � V]SITORS EQUIPMENT USED FOR HAULING,FiLiJNG,COMPACTTON,WATERING ETC. - -.i . �<:.,;, e�� ;y�^� . : / FAILING TL•STS,LIFTTHICKNESS,OTHER REMARKS _ t � �'�" r .i,�, , , � t SPECIFIC LOCATION OF WORK PERF RMED - ,� �. . , .,� � � • � r-.. C':^1S- C:.� �.r.� -=- ° � ';9�^�t �` '��4 r �� '� � ✓ ' �x .� i► � GENERAL DESCRIPC[ON OF WORK PERFORMED ; . � �. / �, t � � �� . "�,�:�". „�,!` .j �, , +�..., ,,� ,_.�' r j • l�,,' ,. M ,,,�„., }°:�,/� �. _ . �r,. �i, �� .` , � � �i �� , ° � '.` ,� �} :� - ., '�,� �.,�".`.`' �:'67 a+' '°��' , ��°"" � $ � � ' � : e �..r'' .� ��:'%'' �' �' ''�� t' �'�'!. _ . . . "�„ AREAS OF ADDITTONAL CONCERN ADDITIONAL TESTS REQUIRED? NO� YES� WHERE? � � ENGINEERING FILE•WHITE FIELD FILE•YELLOW JOB SUPERINTENDENT•PINK INSPECfOR•GOLDENROD 27447 Enterprise Circle West • Temecula • CA 92590 • TEL (909) 676•8337 • FAx (909) 676•4583 ' ---- (24 hours Pa er: 310 715-443Z 17800 S. MAIN STREET I N P E T I O N ) 9 � ) SUITE 303 & TE TING SERVICE O�ce: (800� 475-6879 GARDENA. CA 90Z48 Fax: (310) 851-869Z REGISTERED INSPECTOR'S DAILY REPORT Job No. � � Time TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED ��Reinforced Masonry ❑ Asphalt 0 Other Job Addres Cit �*�Y .� ��,..,�..��ww"If� � �.��'�r��rw �3wA1�► Job Namg,,,. P r it o. Issued By � '" �:�•�� Type of St ycture Architect ...-`„,�..�� Material Description(type, grade, source) % Engineer � r Contractor �� #�� Inspector(s) m Subcontractor a"' ,� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAI REMARKS ON SAMPLES : — , INSPECTION SUMMARY—�OCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOR�UED)CHECKED; ETC. � _ -� . � � "� �, «.�,�-. �m. �""�, ,�"" p' • �'�!�?�+"L""___._— _ � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE 'y � �� SECTIOP{S OF THE �1(ERNING BUILDING LAWS. . ',7 ,�,/;� � � � All inspections based on a minimum of 4 hours�nd over 4 hours-8 hour .,,.�»�..mm.,.,�.,. �' minimum.In addition,a�y inspectrqn'�xtending past noon hour will be an . B hour minimum:�" --°�"""""""''. --^""�,.. ..,s �6tGNAF RE OF REGISTERED INSPECTOR � + � y«�""" ..•Pro'ect Su erin. _....r..r^*',.,«.� ��,,... j �r .o, c ,,e�!� ,J"�� ti's �"�! � .�...• �,w^.r' !t "'�,..�"9• APProved by ..... SPECIALTY NO. AGENCY J p tendeM WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY _ ., ,.M �. .. ,,.�;:;-..�, �-..�. vw :�-...,.,,. ,�.,.�,,M�.. _ _ . ' O 24 hours Pa er: 310 715-4432 1 7 8 0 0 S. M A I N S T R E E T I N P E T I O N ( ) 9 I ) SUITE 303 & TE TING SERVICE Office: (800) 475-6879 GARDENA, CA 90Z48 Fax: �310J 851-869Z REGISTERED INSPECTOR'S DAILY REPORT Job No. �� , ,� rime �� TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly �—T�Quality Control INSPECTION �t Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED einforced Masonry ❑ Asphalt ❑ other Job Ad e s �y Y� �� ._.._ Job N rta� P N . � � Issued @ y-�,�`- � ��r� � b++"i�� _ Type o ��ucture ..�-..� �� 3 Ar hit t �� ...� Material Description(type, grade,source) Engineer � � �,�. '�.aw - — -- Contractor �� Inspector s) me Subcontractor '��,..'�K,. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES . �. INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUN7S OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUEDj CHECKED; ETC. "� _ _ a:.! ��,'4�" - ��"°'-�� --r*�"�--�-l-�-�"'�-�-��i^� ,� . .. ,.► t � � k i c � CE�2TIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF I HEREBY CEFTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLV WITH THE APPROVED PLANS.SPECIFICATIONS,AND APPLICABLE * .�""� SECTIONS OF�,THE GOVERNING BUILDING LAWS. (,ywW✓' _ �"�� All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In addition,any inspectipn extending past noon hour will be an _ ` 8 hour minimum. _ -- IGNATdd�RE��fJF��REGISTERED INSPECTOR ��,��.~m' .. �� Approvedby -=�µ�_, ..Proect �u r— �w.:,- „-o..-..� _ �.,._�,+.�- w�.�,,,.�,., SP CIALTV O AGENCv 1 $upenntendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY . . ..._. . .... .... .,�.�r.- .:---�,°u. a �..{u..1�,�� ' "._'-._"_' '__.__'__ 17800 S. MAIN STREET I N P E T I O N �24 hoursJ Pager: (310) 715-4432 SUITE 303 & TE TING SERVICE O�ce: (800) 475-6879 GARDENA, CA 90Z48 Fax: (310) 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. e � Time — l'YPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly � ❑ uality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job A ss � � ��,� � City � � �,.�. Job Na ° � P N . y� Issued .� r� ��+'�,'.�'"�, �,r"�",�. Type of Stru re _ ' Architect � �� Material Des ion(type, grade, source) Engineer ,�'� � — —�� Contractor �� Inspecto(s Name Subcontractor ,,,,,,_. .",�'i"�:'1l�;. �+� �► -_.-- TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES —� � ` , INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED)CHECKED; ETC. �" - �" —� ' "�°� ,,. � '�„�'�'V �'e�1��"+� ^"'" � '�rr t. �°"1� � � � � � �� +,� ,�, r .� "' "". � CEFTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTEO TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HO S SAMPLE OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE . SECTIQNS OF THE G,QYER�NING BUILDING LAWS. ' . Q ; " All inspections ased on a minimu f 4 hours and over 4 hours-8 hour .�.. minimum.In addition,any inspection extending pasT noon hour will be an 'JY- 8 hour minimum. .+• - � �� ,�,.��5w 4+' � �R '�,�r"'�� r"'�+'" ,r•+�^'" r�.« a SIG RE OF REGISTERED MSPECT�� .. . -��' �� a �' Approved 6Y � ,,,,. �,r Pro� � SPECIALTY NO. � AGENCY ,.."" 1BCCSypBfIlt�B� BRt ��a'' .. WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- �NSPECTOR'S COPY, GOLDENROD-JOB SITE COPY . ' 17800 S. MAIN STREET I N P E T I O N (Z4 hoursJ Pager: (310) 715-4432 SUITE 303 & TE TING SERVICE Office: �800J 475-6879 GARDENA, CA 90Z48 Fax: �310) 851-869Z REGISTERED INSPECTOR'S DAILY REPORT Job No. at '� � .` � Time TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly ' Quality Control INSPECTION ❑ Post Tensioned Cancrete ❑ Fire Proofing ❑ Epoxy REQUIRED [�"'�einforced Masonry ❑ Asphalt ❑ Other Job Add� }� / �� it,y��. �w/'!�"'�!k ! Job Nam '�'"� Pe t N . Issued By .�;� �" �',.�',i""�� '� �� '� �"" � �� ae ' � �:'`�'�"°�'�+�� Type oi Str ure Architect ,�,,�, �(�.., � f�;�� Material Description(type,grade, source) Engineer �- � t�°� 1,� Contractor ._ �., ��.� �#£ '� �,��, Inspector( e Subcontractor ,;�`'��.n.�� . I'F ''"�►"` '�`''�y� k�" �'"�, .'A TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES __ �' � ` ��. t� � ��w �� + � _ � , INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION A80UT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS T�RQUED) CHECKED; ETC. -�� - ..;�,,� ._ � , . ,�... �.�, � �C�'` �M� �: .. � . . _,.. _.__ � � � �� = � �� « ; �� ,,, � � ��,�~� � , � . � � :� 4 ` r � � � � , _ ..... . �,�,^' ..'` ,,.,, r ,�� "� �°�� 14��"_ �. +�::`� ,�.. "= � ,�,,. �. ��_____ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PlANS,SPECIFICATIONS,AND APPLICABLE �, -"�— SECTIONS O�THE GOVERNING BUILDING LAWS. •. �.�� . ,� ; � All inspections based on a minimum of 4 hours and over 4 hours-8 hour �a _:... minimum.In addition,any inspection extending past noon hour will be an 6:.�.^...""'"'"`"''"„'.",�..`. 8 hour minimum. _. �^��,.SIF�'NATUFlE OF REGISTERED INSPECTOii ..-_ . . "� ; �:-_�.�y,, _ /� "'��,,, ^� ..�..-�` . . � z '.�"r�"1 +�'#� ��"'1 y �E.�, �1,,,�L� Approved by '_ ' *"" i ProectSu nMendent � SPECIALTV NO- AGENCY 1 PB� a WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY � " City of L.A.Certified: - Concrctc,M�sonry,Scismic _ �.A. County Certified: RICHARD KOURY i N s' P E � 1 i o N Concretc,Masonry,Seismic PO. BOX 3Z46 � (Z4 hours) Pager (310� 71 5-443Z Long Beach Certified: ' MANHA7TAN BEACH Concrcre,Mascnry,Seismic Office: (31 0� 978-1 765 CA 90Z66 Fax (310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT ��b"� oaca �� `N��,- G��,.. TYPE OF ❑ Reinforced Concrete �Structural Steel Assembly C7 Quality Control INSPECTION O Post Tensioned Concrete � Fire Proofing l 7 Other REQUIRED CJ Reinforced Masonry C Asphalt JOb AddreSs - � City ....a ... r�� - ,,.. ,..� , ..�� `- � �Y . "' � r.:. C'. iww /`M�., _ . � f * . .. _.._.__.---".------.... Job Name Permit No. Issued 8y � f` y� �"� -=A ,. ' ?F —� e,�� !'e` � .� , � . ., ;,. � � , � .� v Type of Structure r Architect� � � - � , � . , : . � X � '� Material Description(type, grade,source)" � Engineer _ T. � �," Coniractor p ,�^�- � +�^^"�§r1L..�"" k"f _ Inspector(s)Narr� �----� -:� Subcontractor � yri.. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCIUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. . � , � ; .�. -� � ,» . , r f.%� N '- -�+- � . .. .n.. � y t` '�.._... � �. `� $_ li y;, {� nw" : '".' i r.:' 1 : . , � ._... , .;..- _. � f � _ � - �„ .�.w . . , . � .�. ., � �,, ; � � ..,a.., y y ... . „�. , « � . :�. ,. �� : . .� . ...� ,.:. . �.. ,•a.. � �t �, �,:. „ ,,,�.. .. , - „ �� .- -.�, _ - -- � _ � � �� _ : .+s � . +w j i � �3;. �•� _ � ;'; " , ;� ., � , �°. , . . . , . ., , , � , ,,; , - �"t :,: a k . , . "r, . . .. . . —_ --� - _ _ o-�¢ . � � . � a'} { :_..-:_ ..;., , A'` , '� .. a "� ."3. kP � a� �. I`� 6r� � : 'i t :.*� �- �y-�".. �: I�A �� 7 ;..b �� i tw�= -.�. _.�. , , '�r .R�pu,�... ... , ' .,"r. . _.. . , 3-..„" : _.n !-� �:. ..",."", t.;" A, _ .. . �.. � ..: .�:; i a�. . <. - � �� yq ��i r .^� 1'� - ..a ."4"— R�4 i td. M.��-' � 6. +r� t ta., #.:..�+.A �� 6 � .'i �,'wa '« s i . �_ ' �"�`'� •-:,r' ,.. • c. a�:J � i � ; c �T, �s w: '�' �;; i '� '+�b ' fi:;.� . ". ;�" �.. ^j � !r� Y ��, �.. d� �. d�. ... t F.' e .;" 1k��}si �,.i � �;�. l� !'1.i a �, '9.�.. � x ! CERTIFICATION OF COMPLIANCE CONT�NUED ON NEXT PAGE O PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPIY WITH THE APPROVED PlANS,SPECIFICATIONS,AND APPLICABLE -- --- -- SECTIONS OF THE GOVERNING BUILDING.LAWS. �� -_ . _ f.`�. � � _r` All�inspections based on a minimum oi 4 hours and over 4 hours-8 hour � SiGNnTURE OF R GiS �� minimum. In addition any inspection extending past noon hour will be an 8 � � hour minimum. `^' TERED INSPECTOR � � �•�- �,,,„.�"'"�� ._- �„ . ^" �e+ - . r • , ' , ...- � � `?";t �,'�):. ,�i ii� �.� Approved By ...-��,G'"�,.�^""'"` . ....w�i'..'m�~,.•�....fs' � . f SPECIALTYi NO. AGENCY P�oject SGpe�intendent � � WHITE -OFFICE COPY, CANARY- ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY i City of L.A.Certified: - Concrete,Masonry,Seismic --- - ----- -- - �.A.County Certified: RICHARD KOURY i rv sl,P E c r i o �v Concrete,Masonry,Seismic FO BOX 3Z46 ! �ong eeach Certified: (Z4 hours) Pager �310) 71 5 4432 MANHATTAN BEACH Concrete,Masonry.Seismic OfFiCe: �310) 978-1 765 CA 90Z66 Fax �310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No. Dete :�� ..i '.::�. .. TYPE OF ❑ Reinforced Concrete U Structural Steel Assembly [' Quality Control INSPECTION O Post Tensioned Concrete ❑ Fire Proofing t_ Other REQUIRED O Reinforced Masonry ❑ Asphalt Job Address ' �"'''` City � r"� r:. i' A�-ub•� + ',;;,. +"�1 ,.:.{ 4,» P'"� Job Name Permit No. �Issued By - �i �,, �„ �. ...�� t r .� �,� t. �, ,�► Type of Structur °� �c ArchitQct ' a, '"' ;�.�'� Material Description(type, grade,source) Engineer �. � � Contractor ' c,.M. ; y . -. Inspecior(s)�me ,;_� � SubcontraCtor _ ' ,r •+" �:,,. : - �� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIDNS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIA�PIACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. �:J .�� r % �.�. w*��"�. f+ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL - oF THE ABOVE REPORTED WORK UNlESS O7HERWISE NOTED.1 HAVE FOUND THIS TIME(N TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE - SECTIONS OF TNE GOVERNING BUILDING LAWS. -=- """" _� q 'J: i. � � � All inspections based on a minimum of 4 hours and over 4 hours-8 hour � . „,�_.�, s,,,� ��, � minimum. In addition,any inspectior�.extending past noon hour will be an 8 � hour minimum. SIGNATURE OF REGISTERED INSPECTOR - ._,,,� � - � ��,,..� - t w�I'A�� . `l;..3 Approved By 1...r'"� f" ,. �,..... __r.�` G,� �„"" SPECIALTV''' N0. AGENCY nProject Supe�intendent WHITE- OFFICE COPY, CANARY- ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ��:- �... _ .-, �� ..�:• i; — - --- .:� � F: � � � � ;� 1�i : � . �'' , .�;�.�' �r,i' ., . . / L� Geotech ��.�- -'�'�nment ngi eers, ,�n . �� iB ,�ti�� DAILY REPORT OF °' �: ; ��;.�� : r�;�; � No.: GRADING OBS ��1� '� � O PAGE:�,_OF: r �,� � � � I"�� r S , ._._.___.._.._..._ O NO. CLIEN ..!` ._..,.___�--'' � DAY DATE '�/c��`�f, �' � !`�� .-� c�`rv �v�e�� LOCATION t � CiTY WFATHBR � PROJECT ENGINEER/GEOLOGIST { ,�� /�" yf [N t F �L[C. fr"� i,..+F`1-'t�' ��^m'L��.�'l ` �6►.r- �?'�'!!�Y ° �tit GENERAL LOCATION OF FILL PURPOSE OF FILL OR NATURE OF STRU RE TO BE SUPPORTED 1GfA7C DENSITY STANDARD �, �I f H � ,� :�p �,� « ., , �,,."!:_ � ASTM � CAL216 � OTHER(SEE FILE) GENERAL CONTRA R CRADING OR EARTHW K CON'(RACTOR �' TODAY'S APPROx.YARDAGE GENERAL CONTRAC7'OR'S SUPT. GRADWC CONTRACTOR'S SUFIl OR FOREMAN YARDAGE MOVED TO DATE SOURCE AND CLASSIF ON OF ILL MATERIAL TECHNICIAN TIME CHARGED APPROVED BY %"c''�:� - ____.___ _._ �.. ,�_ t � �� «��. �' V]SITORS � E(2UIPMENT USED FOR HAULING,FILWNG,COMPAC770N,WATERING,ETC. � / `F r s rt�'c+ _ / / � FAILING TESTS,LIFT THIFKNESS,OTHER REMARKS � � � ��(��' � � "f'+�� i J t�"�, SPECIFIC LOCATION OF WORK PERF RMED #�" t�e .t.� �pC; �' !�7'1 d'e:.�' • +:.,� 1 GENERAL DESCR]PI70N OF WORK PERFOR ED ,j��, 1 y� / j �-- 7"G 7" � I ..v! ` l �?'k �.`�'.?/J /^_ +,�"G E�' '4, � ! / _ " _ + . . z �+ �,o � � f { �� +�' � �..W-.'�"'�`.'�- G�'� �sw�. �, , _ . . _ � AREAS OF ADDITIONAL CONCERN ADDITTONAL TESTS RE(ZUiRED? � NO Q YES� WHERE? ENGINEERING FILE•WHITE FIELD FILE•YELLOW JOB SUPERINTENDGNT•PINK INSPECTOR•GOLDENROD 27447 Enterprise Circie West • TemecuIa • CA 92590 • TEL(909) 676-8337 • FA2� (909) 676-4583 .r'"_ SPEC[AL 1NSPECTOR DAILY REPORT CityoF � ��r� �- ,� _ for(date) � `� - a1 �o Project NamelAddress: S -T- , 3 1 �,,�� InspectionType(s)/Coverage: �,��=- '�-� � N C� [ X j Continuous [ )Periodic Time Beginning Inspection: hrj0 D Time Ending Inspection: 1�-3C� Describe lnspections Made, Including Locations: �"F.� ST- �- (_, T ,�,� � t� cc�. s�►a w1 v o u , � _ � _ C - - ce� (�, r r,,.!�- t/E -,v--rz A ' - !^��E P S -z - � S -2, o � C= C7 i � � G� 5-r -�, � List Tests Made: List Items Requiring Correction,Corrections of Previously Listed Items and Previously Listed Uncorrected Items: �� i..e 2 � c �• sowr� r-�._ n � f�'c�u('� tr� �D� P n�'�. L�,r-, . F"��c . List Changes to Approved Plans Authorized by Architect or Engineer: , � A D D ��.,J �� !�C F o F 1/��1"7 C� iJ l..ili/E �? ,�4 A r✓'l.� A:� k/ 1 1 F £ W -iL< 'i J M � T i!�i A i �i�.v/�i Ti d itf " D d� �Z f'/tr T/Z�1 N C'� /✓dT�rf� �-3 -> ') Comments: To the best oF my knowledge,work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanshippr ' ions of LZ.B.C.except as noted above. ' Signed: �--�--�---_._�--� � o � � � Date: l-� �'i 6 Print Full Name: n� +�� n �a � � �c-17 I.D. Number: ��1�Z- ��/3� (This report to remain at jobsite with the contractor for review by the building department's inspector upon request.) . City of L.A.Certified: _ Conaete,Masonry,Seismic _ _ �.A.Counry Certified: RICHARD KOURY i N s P E T i o N �oncrete,Masonry,Seismic PO. BOX 3246 �ong eeach Certified: (Z4 hours) Pager (310) 71 5-443Z MANHATfAN BEACH Concrete,Masonry,Seismic Office: (31 0� 978-1 765 CA 90ZG6 Fax: (3 I 0� 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No 08�te� ,� y. � TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly [7 Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry C Asphalt Job Address City ��<-�a d,�� t 4 d =�� a�� . � Job Name � Permrt No. � Issued By _ -. r-,, . _ _, � T� . r. h Fa,�!. .� "� _ � . :... .- : '..,. �. t.. ... '�e • � e`-' Type of Slructure Architect� ,y ` s k" �n,1 ,.� +'�'""t Material Descrip ion(type,grade, source) Engineer - - �. - s �%�.e - �-,r 1 . . :�� ., :: - ,,. ,.T .. . .�. _ � Contractor "f � _ Inspecto�(s)Name ,�.,,,y Subcontrector + ,;� C*e, #": TESTS PERFORMED TYPE OF SAMPLE SIUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. ,:, M . � ��' '� �„�*�. .r� 3.»-�S�'��""t . .��". ' "'i'"s.- � ,, -' r . Lpy �^_. i ; .T- fin�.�� ' . . r. - . - .;.� .. „, ri , • . _ . . . . .;i e , .L,... a � "•. �,... �... '""A S +� i'� ;. .'., s,- ,, �"''.'`" ;..,...::: .k. F. "i}' #.-4 i 3� k:.,. , : : � �..�. � � ��- � � � �. : �-. - A. , .. _.m....__._. . �k M�"�-' , - _. ,�a � :« , « ,'y'_ r ww- :, ,...:.."t.. -r r,,...� � ' ;�, � �«-!� �" " �ti.� .- ( �b.�A':w .f i'�.,.. '� ;� ..ry � `'a w'�'-.,+.'r� � �.'",^.. +N4"..`e�� y.,"5.�P"...�N.;.�� ..,:,.}� � � ,�f:;, viF '�..+.w..�t�r� 4 x �i ,_e�t��.L. � '{Q,'�-. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO�7k�E BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OT�i NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T.HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS.S CATIONS,AND APPLICABLE — --- SECTIONS OF THE GOVERNING BUILDINC��;A�i�� ,�� .. �� {f �� _, .�,.. .,,r,„ .. �, :y,� —"'�; All inspections based on a minimum of 4 hours and over 4 hours-8 hour - `"' ` minimum. In addition,a ins ectign extendin ast noon hQur will be an 8 "'"�.} f,a�t:i�s��,'V. RE ID � .: ,:9_. �.�.,,,� . � y AY P 9 P " hour minimum .,.- *'" �""�� SIGNATURE OF ISTE � E � .- .,.«�='„�f:..•��"' ""'" .,_,.r'^""` __ f ;, y - � : .,, �i�t�:� ; = APProved By , ,,...W""^' �,.*�r^'""�" �'�', , SPECIALTY � NO. �'• AGENCV Project$u¢�nntendent .. - - ...6 . "R A . .. � � , } WHITE-OFFICE�COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-10B SITE COPY City of L.A.Certified: Concrete, Masonry,Seismic - - --- �.A.County Certified: RICHARD KOURY i N S P E c r i�o N Concrete,Mason Seismic PO. BOX 3246 ry �24 hours) Pager: (310) 71 5-4432 Long Beach Certified: MANHATTAN BEACH Concrcte,rv�asonry,Seismic OffiCe: (31 OJ 978-1 765 CA 90z66 Fax (310� 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No Dflte # _ ;.,p � m7 TYPE OF C Reinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete O Fire Proofing CJ Other REOUIRED ❑ Reinforced Masonry O Asphalt Job Address �� City ``'.. �.,. .:e� � f ��' �� r �+'�.��r ��. �»d'�.,.."-� Job Name ' Permrt No. � „ Issued By .ti, �. d,. . _» .,, . � :.: . .; a t,., � e ..^t ;_ {�, • .'�' Type of Struc 1� Architect ..� ,,. � � � �; 1 r k s.., Matenal Description(type, grade, source) � � Engineer ° w f +�ss? r=�. � �� Conirecror � � et ,�x.� F Inspector(s)Name ---, Subcontractor •,.-. �. TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. . � T . `. '� �, i ..r-.. . .n.3 ,ar. .. . .... .mr..« R ..q o r , ��.:. e •�?. �., in .t; . . n.. ��ir �. f�;. . �1 . ., i.r s s.. � _ �J"�+4. .A.A - � v � � ` „ T ,... , . : - � <- . k. 'm. '. -t � � ... . �. ._F' :�l J'� � fif �_. �� y e "'°.� _ .� . ... ; . . ,f.�•s. G' � ,.,� - :.... .. ��/ .� M� .,.,,., ,�x;•., z .p��.` : �.».J �:.� "..:, +� .r:h �. � R«. - - �,.� ;..t �� .... � .. �. ,. � ... . .,.... .: . _ : . r ; -_ ;._,� ,-y+` .- r� ; ,A � �� ,_ , .,. _ .� „� ,.., �. �,�{ a: r� _ �'� -,.�a �t }.�„ - -- �. �,: �^� -f . � . , , , � , : � > , . _ ;. � , .. �, y,.�,�" f,` ` . � ... n; , .: . . P - , ,. . . : ,. ... . *:,�,. },.... r.. „�.. � z., �nd .. �� ,.. _, f ��! j'' a' _ .. ar;� , .f... ' �� . CERTIFICATI�N OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WOFK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE 5ECTIONS OF THE GOVERNING BUILDING LAWS. . _ . ,..,,� - � All inspections based on a minimum of 4 hours and over 4 hours-8 hour �� ,„p, �.,,n;--._ ,�,,�. �:�,,,,,, ��.f�W,,,,„,.,,�,�,;� minimum.in addition,any_i�spection eutending past noon hour will be an B � J SIGNA7URE OF REGIS7ERED INSPECTOR � hour minimum. - `� - ,_.-� __� - ._.r--'-.. ... � ..�w�" .r-`:. . . , : t; �. . ,t =�„ . . _.-- ," _ c a e :R= e � e',i APProved 8y � .... ,, , ,m� �,. SPEC(ALTV NO. AGENCY Project Sup9rintendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY �� SPECiAL INSPECTOR DAILY REPORT City of � C-M�c u �./� for(date) - �� 7'9� Project[Vame/Address: _ 3� `�� ✓y � � S � I�AY��55 l� 2 u � .S�-c�2 c� lnspection Type(s)/Coverage: i ��n � � C7_��=�o ;!ti/ [ � )Continuous [ ]Periodic Time Beginning Inspection: � Time Ending nspection: I ti b� Describe Inspections Made, Including Locations:l s N ' ,r7 - o u� 7' z s� � At,� l-�oc.�s l��anl l!'R� S�SI� ��,oXy ♦ CaNT�NK��4 i2oa� L1.. 6��c c.lc'c..o��_ � �uTf! TO GRTN• AB O� eo� ��E�rG,aY'�pn! �yL,or+�c�.� List Tests Made: �� List Items Requiring Correction,Corrections oF Previously Listed ltems and Previously Listed Uncorrected ltems: List hanges to Approved Plans Authorized by Architect or Engineer: T• � �,v �- ' 3 S '8 a� �c.. ��UC�� rc,c..�.Li �J /„� /nJ Ll�-u d � �s�ST�NE�,z.S AcrV-'No�.<Z6J � Comments: To the best of my knowledge,work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship rovisions of the U.B.C. except as noted above. ' Signed: ��--�==-=--1 � �—.-� Date: 1- '7'9"� Print Full Name: �- u ao�� +Z.,c��,�� -e� 1.D. Number: -s n � � Z (This report to remain at jobsite with the contractor for review by the building department's inspector upon request.) � City of L.A.Certified: , Concrete.Masonry,Seismic �.A.County Certified: RICHARD KOURY PO. BOX 3Z46 � N P E c r i o rv Concrete,Masonry,Seismic (Z4 hours� Pager (310) 71 5-4432 Long 8each Certified: MANHATTAN BEACH Concrete,Masonry,Seismic OfflCe: (310) 978-1 765 CA 90Z66 Fax: (310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date � �- .�� t �� TYPE OF ❑ Reinforced Concrete �Structural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing ❑ Other REOUIRED q Reinforced Masonry ❑ Asphalt Job Ad�ess ,k C��Y �,� � � � ., � !�'V � � ,x : �,. Job Name - A;' Issued By „ � Perm�t No _ _j t . � .,yM a` �+. ` �' �' �"'; ��!,�; ' _.. „ __ �. ... t " � # r- . . . . � � Type of Structuie ' Arch�ect. � : pi;ff Matenal Descnption(type,,grade, source) Engmeer ^£ y ,�a � � � . _ : _. , ,-.. ._, � � � ` Contr�,tor ` r,, �!v P Inspec�oi(s)Name Subcontractor s .�' ��.# �. ,_ �, 1 t"g. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES _.__�_. __ INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDEN7.NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. � ,n� `'1 , f ,� �.r ' . p z " r � �'� '.>a.;� � _ i � = = '' . '"- , ; �l �s fi, �.�,1 _ , _,, d . � . .r ,. � • , , _. . , �,. ,. -_ : = - ., ,_, :.:_ ,�. .. __ .,. , r -, ,;_ �.' �,,_, � :� ',r.'� , �. 3;l l�.:�^'_ 1 ; 7 � r h� d,�f '` h,/f�'� ' - �` r �` � �,^ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF I HEFiEBY CEfiTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL � OF THE ABOVE REPORTED W�RK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLV WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPUCABLE —� --- SECTIONS OF THE GOVERNING BUILDING LAWS. - -,y;t ' � - - _.-- -— ._-- .t.,,-3 . . ,rd. _.- _ - Y---. All inspections based on a minimum of 4 hours and over 4 hours-8 hour �" -` i minimum. In addition,an in ection extendin �;�.�,��,,,,.�,.,.��,,,!' y 3p' g past noon hour will be an 8 ' � SIGNAT RE OF HEGISTERED INSPECTOR hour minirtlUm. - _ = 'f' i f- '` ":"=.�'t APProved By SPECII�LTV� NO. AGENCY PrOjeCt Superintendent � WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY _ SPECIAL INSPECTOR DAILY REPORT Cityof ��+N�r ��.-A for(date) l-S�� `7 �— Project Name/Address: n.- � S.S � EC iJ L i1 Inspection Type(s)/Coverage: _. t"J�1-� ��' � ( � J Continuous [ ]Periodic Time Beginning Inspection: _ �r7Qd Time Ending lnspection: 15 3 O Describe Inspections Made,Including Locations: ��1 E�h `IZ 2 t� ��,J C, p�n �,,.�11� N�y e- n �3�, �� - �, c,��-� o � ►� � roaovT) N W �S List Tests Made• ��` l• �� t,�/� �� .- � List Items Requiring Correction,Corrections of Previously Listed Items and Previously Listed Uncorrected Items: List Changes to Approved Plans Authvrized by Architect or Engineer: Comments: To the best of my knowledge,work inspected was in accordance with the building department approved design drawings, specificat' applicable workmafl ' rovisi s o the U.B.C.except as noted above. ' Signed: �.��.— �--,-___.,r.7 Date: L_8 _`t '7 Print Full Name: � �- `�f LD. Number: - '�f� (This report to remain at jobsite with the contractor for revi�w by the building department's inspector upon request.) �. _ N° G � � - .�, - L��, _ Li Geotechnical c� Environmental Engineers, Inc. FIELD MEMO CLIENT: �~ �t �"��r-�ti ��.._ WO#: ��`��'�/�>�'..�:�' DATE: � ��`="� PROJECT LOCATION �� r/-� ��i� ��. SUBJECT �;.��.� ��..- TRACT No. �� LOT No. /U.,��e ��;� �,,�+�r ��: "� �1.� - �� _ ♦ r�..,. �, ,.x,., „ � .. i.i f�f .�`"'1r""` ,� ''L. ,�a�''"r a��; , �i . / �, » / �f y �-'s�� .. L 'y � "',� f"R-,� ;ry C "� �,> �( f� �': L, ,, �;, ., .�� / / .., . , " ,�±`y t • , �( � �.+G^� � � :E� �� r ,�� ,�,.. �� '� � l �.. _�"��.,_ - ,j... . .r. t t''"�rD"' � � T '� ; � ��" "�`. � � "� �/l T �.t' � 4'"'�.�— ;.,r,�,.4/e'�. wi. � � ��. I�� .�.. } '-" �7-;�"��,L`.�^ � "�`�'s.d,,*, .,i�S ��'" "�i.,,�<> �-�X ' : j : .� r r . . . � d 'l � � ,y 9_.id LL ;}, ��'"t�'L^t� !-•I r"�� r`.! + ��.,+"'d.� � ;� { F F ..>,� ... ._ _. ," . . . B • -.� , �, ;� �'�-�� .��. �.� �c�,; ,� � Rec'd.: � . . �� PRINT NAME �- � SIGNED ENGINEERING FILE-WHITG FIELD FILE•YELLOW CLIENT•PINK INSPECTOR•GOLDENROp 27447 Entcrprise Circle Wcst • Temccula • CA 92590 • TEL (909) 676-8337 • FA2Z (909) 676-4583 ��,;;; ,�,��4�.:_ ,x " �3: � . -� � .,, . T � Geotechnical � Environmental Engineers, Inc. ,;� FIELD 1�IEI�O _ � � t�r�,�.� �� WO#:�' !�',��:�rf��,,�`1"�ATE �+�>.��' '�" CLIENT: f �� ' �. . , ; > , � ,. , � �,..,, PROJECT LOCA7`I'ON ��`r-�' �`��' F,�S L1B� ECT : � �� ;��; ��:- � _ TRACT No. ,�� t � t LOT No. `� � � � , . _ - _.___ , �� .. . �,�"�'""�" �� ,�!' r"�i" � `.,�" '�'`�,'� ,�� ,,, „ f f.��.. ��,�r , - --....__ {/� ,.... ,, �" +��, �/�;�} x'w� ,�+ }�l�. C' ,�' � :� # "�' �:{ !'�"'" �,'�' �1`�.e!`�.,s�. � �� : � �� d. ��---- 4 f �'"`�7"� �'A."'� i� � y , �n � � ,�A� �."� �t.,. ° '::.�",�"�!' � 1� f � '.� '�.� t _ . �_�_...__._--____.._.._.____--- ':� �e• � *«,`.. f � x �:..�- +E � < _. � .�r !z `,� ,�{ 1 �� ,'�+` .�. �:. ,. _ � �� By: �► �� ,� � � ' .�_ �° � �� Rec'd.: PRINT NAME .. � SIGNED ,/ �, ENGINEERTNG FILE-WHITF. FIELD FILE•YELLOW CLIENT•PINK INSPECTOA-GOf.T)ENROD � 27447 Enterprise Circle West • Temecula • CA 92590 • TEL (909) 676•8337 • FAx (909) 676•4583 .� �,� ,; ;.k. , w .w: .. .„, .. . , � -..y., ;�r . c ^r..g.r �''.w„�, . "�* . : .`-�"" .".`--��`; P .f.�. .. � � w:enpr.:::� t�^�'t"+�'wrrwvr...� ._ . .,... . . _ .. .. ... . . � . .\i � . . .. : , . .. :_,� ��,� �� _ . . . . . . , �. , . t3-�� ,. , . � �., rsr � . , � r � ��'+.� -�'� • �,�, ��;� A 17800 S. MAIN STREET I N P E T I O N (Z4 hoursJ Pager: (310) 715-443Z SUITE 303 &TE TING SERVICE Office: (800� 475-6879 GARDENA, CA 90Z48 Fax: (310J 851-8692 REGISTERED INSPECT R'S DAILY REPORT Job No. , Dat Time — TYPE OF `" einforced concrete ❑ Structural Steel Assembly � lity Control INSPECTION Post Tensioned Concrete ❑ Fire Proofing poxy REQUIRED �1 Reinforced Masonry ❑ Asphalt ❑ Other Job Addre '� City ,.� '"""'� • ` "`�#' �1 ''� �: �`��; �, a,J'�..�. Job Name Per 't o. '�,, �� Issued 8 �y�,,�, � � � _.� —�v–i�i= '��-�r�►4.../'�. Type of Structure �y Archi ect � �� .- `�, Material Description(type, grade, source) Engineer �. .. . ^ _..__..--- � � � Y Contractor �� Inspecror s)Name Subcontractor � 7ESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � �. � � �� a INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. �, _ . .�� "`�"'�'D � � '" �� _ � s � v1,� � ,� � �'"7 � ,� '�► � '��►�—�`� �` �.. _ � . � � �. � ..�. � �__ ��: � 4�� -"�'�� --�� ' -� ��- . _ , . _. . _ CEFTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MV KNOWIEDGE ALL �ME IN TIME OUT REG.HOURS O.T.HOURS SAM LES OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS - - WORK TO COMPIY WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE �, . � , SECTIONS OF THE GOVERNING BUILDING LAWS. . � a � � II inspections based on a minimum of 4 hours and over 4 hours-9 our „�.._m,,....:., minimum.In addition,any inspection extending past noon hour will be an 8 hour mirnmum ,,.-�-� , � ,..., � SIGNAT RE OF REGISTERED INSPECTOR -�` ��:.w.*^"""' r r�" w�' ,�'�M.�a,�� w. ..,.,,�� . ,.,- ��r APProved bx.�, ..��^"""w�':..n'r" .�°"""�. .,�. —�SPECT9FCTl' �""� N y � A ENCV - ^ PrdjedSu"p'erinte�dent'�'" � WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY .. . _ .. �,. � �" -,<�;:.:e-.,.,� '..<..+...... .,..«�rn,�.:�-;a._ .°.e,�.2�#�Fi�f%'6'9'a"r' '- .+�'..�-`�..�"�, ,.,��.::� +� �a+�ps��.*nw�»�:"9A'�w . M �- . , . � . . , � � � 17800 5. MAIN STREET I N P E T I O N (Z4 hours) Pager: (310) 715-4432 SUITE 303 & TE TING SERVICE Office: (800� 475-G879 GARDENA, CA 90Z48 Fax: (310) 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. D e ,,,,,+ Time TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly �ality Control INSPECTION � Post Tensioned Concrete ❑ Fire Proofing poxy REQUIRED einforced Masonry O Asphalt � Other Job Address City � � Job Name Permit No. Issued B Type of Siructure � Arc�iitect ", ��,_"�,]`W'�"". li." - � — --�� Material Description(type, grede, source) Engineer �i t � tV Contractor -��`�us �..i Inspector(s)Name Subcontractor � TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � ` � __ ..,,� *1,�,.,",�s ,�,�"' �"`',�O�Ci INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDEN7.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. _ 1 .t) ''�t.,l t .--�r*. � !`� L� ^"�� '� �r: # _. �,,,�f. �"'�" � �... L�,.i��`�`� ��-�r��-�r"` bsa�---�Q-� E� __ ':�� .- �..,..��- _ -- — , � _ ,r, � . - - --- . � � tir - � -- - °-n- - - - - . . .. �,, _ . . . - �t�;��,,,,,, ... a � .�.:. ��.... CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE A60VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE � SECTIONS OF TNE GOVERNING BUiLDING LAWS. �r-,"- _ """� � All inspections based on a minimum of 4 hours and over 4 hours-8 hour �� ! � �^-^--��N��,-•-��.,,...w.„.,,:�„.,,,�, minimum.In addition,any inspection extending past noon hour will be an __ __..._� - 8 heur minimum. SIGNATURE OF fiEGISTERED INSPECTOR -� �r�,_.w., �r`'1" ' .,��°'"7^�_�� Approved by �,,, J°.'w�"� =�_�}"" a�"J"„y�^` . �SPECIALTY NO. AGENCY Pro��Ct Supenntend�nt �" '""� WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ��.;. �� T� � Geotechnical � Environmental Engineers, rnc. FIELD MEMO CLIENT: ��,� .�r r�� WO#: '��c�'��'.;��,! ,;�'� DATE: �„� �� -�,�� PROJECT LO TION �i 1�:�r�r�� f�. ,,*,� �� S�BJECT ��;�,�-�' �"..°�� su�,�<� � ,��.,w --- TRACT No. ,�r �` � '�`��' r,� ° �°�° ''� �,.�+� d�;�� +t� .. LOT No. ,1�. � C-�� a � ��_�" '.r�� --� . r �:..� '4,�, ! 'G. d' � 4'a"� ��:�. �h(��.�k...,�..,. R i F '�,.. ' . • �" , �`f . I.,.c � . .:'.: ,: f.,"'� ��U-'�"' ! .� � �. .. , � � �'".�.r.,�� .-�... ,,- � � � r W� ��., a�� .:�. ��:,�,,.�-� :� ,� . , ,�.,,. �',��. �� ,,.«.,�,�� _ .. � �� w�� -� ,� �,�� ,.�w. �':��',�.� � - � � �f��...... ��„��srA �- � '��M , �� ;� �'?� �`"�:;�=�"�" _ . B'�; ' ��r..k.-'`E!E . 'd'':ai.��'� � ,��i"2', � 1`eC'�.. PRINT NAME � SIGNED ENGINEERING FILE•WNITE F[ELD FILE•YELLOW CLIENT-PINK INSPECTOR•GOLDENROD 27447 Entcrprisc Circle West • Tcmccula • CA 92590 • TEL (909) 676-8337 • FAx (909) 676-4583 � ---- �-i�i? l�;irti•rprisc= (:irclr �l"��<[ l��m�•cula.f;A!1'i9i1 1��:1 � T't•1 (�}�)�))6'{,. 'O(1(i Fa�('}(}al}G�)i -�i i i; � Trans-Paci�c February 13, 1997 c4rs � i �� rti I � Mr. Ran Parks, Principal Engineer i CITY OF TEMECULA � 4120Q�usiness P�rk Drive P.O. Box 9033 Temecula, California 92589-9033 Subject: Vail Ranch Center Building Form Certifi�ation Dear Mr. Parks: Please be advised that on the basis of a gro�nd survey conducted on Tuesday, February 11, 1997, wc hcrcby ccrtify that thc foundation forms for Buildings "A", "B" and"D" of Parcel Map z7987-1 were performed in substantial conformance with the approved grading plans LD 95-q53GR and LD 96-065GR, as revised on August ], 1996. Please feel free to contact the undersigned at 909-d76-7000, extension 265 if you have any questians or need further information. Respectfully submitted, TRANS-PACIFIC CONSULTANTS, INC. Qao��ss�o ��o��v.a�� U. � `' `' �� 2 � No.ass8o � re . guilar 2 Exp.fi-30•97 � Dire tor f En�in rin .* * GV/sm s�'q CrVI�- �P �p�C�`FC�'` cc: Mr. Chig Swanson, Land Grant (via Fax) Mr. H. 3ei Kim, TPC Mr. Dennis W. Janda, TPC Mr. Leland Marcial, TPC File: 508-OQ7 Chron CITYTEM-RPARTCSCERT Geotech.nicat � Environmenta� E�.gineers, _ February 13, 1997 Mr. Chip S�+aason Z,a�dGtant D�velop�nea�t 12625 High Bduff Drive, Suite 212 San Disgo, Californi� 92130 suxTECr: �o�rG Qss vATrox ♦qyy��Q[u.11\�i. 1�� S�S r�„' �s`+�' p� �LY1�l OL u � Southwest Cornet of II'ighway'?9 ai�d�tedhaw�Patkway Te�necula, Catifornia Wark Order No. 362602.26F R,�TCE: C�t�.�rucal & �n�crixr,cunental �ngii�acs, Fnc., dated March 6, 1995, . "Report of RQugh Crad�ng, The Matls�et �I�e at Redhawk, 30± Acres, . Southwest Carn� of Sighway 79 azuf Redh�►wk Parkway, Temecu�a, Caiifornia", VY'ork 4rder Iva. 362401.229 : Uear Mr. Sv�ra�nscus�: Per your request, we u� �te fo�cing excavations far the above Fef�reaicxd subject site at Va� Ranch Cent�on Febniary j 1, I997. . No t�ar�sition lines from bedrock to fi11 matesial were observed. The footings apgeared to be founded in dense compac.`ted fill c�eriverl fram the �avation of the Temectila Creek Channel and �nsisting pm�ominately of dark gray silty �nc's anc', slts. The ex�vations were both visuaIly inspacted ar�pi+obed. At the�of insp�cuon 1r�eze was no slough, debris, or loase fill materials e�posed wittun thz footing e�ccavations. The footi�g �ac��tio�.s appcar to he in conformanc�wi� rhe recommea�dations pu�sented in the abave sefeze�ced geotec�iicai repo�t. Tizis op�pornuLi+y to be af se�vice ta yu� is �eaziy a�prc�c.'iat�d. Tf we ma►y be of furtr.er service to You,please call. Ver�►uuly youis, �FATF:C.'kTNICAL &ENvIRONMEI�TTAL ENGI1V�a'.�RSRS, JNC. -�..1-� F � on S. Yoo, GE 000920 �►�K$ ra0 J P. Frey . Regis�ation Expires d3/31/00 �� ject Geologist wSYJJPF:ran 3-3t '00 �e � � �,��CAt� 27447�u+terptta�e Cirde R� • T'cmxt�Ia • �A 9259A • T�L(989)676-t3�i3l • rA� (ytly)ti/ti-45Fs3 Z�� ' 3�Jk1d O��L-9L9 A.3t1i�f1S 'Jdl 41�J�� i i �0 T �6 � E t H3� 02/08�97 13:�2 FAX 619 551 utl51 Levuaru a nc.0 r o--- FQp-06-Q7 09:5�A MBD ConatruCtlOn 90g 3082fi44 P _Ol � ��q � VAl l� �ArIGN ��NTE,2 • � �Y�S�D ��fA►� ItP f G�S 1 �rr Fax�m 7s�, � �ls!�'f '' t *• sw.�...�. ew eiJ�oav�.,! �� Vs P °i- ttd0- Vw��Q� .�. ^,�.� ,�,�.aes.s.c.�z � FEB � �Q9� f:. `N scr. •t� a"' ?rq.�r.s1.�lt �'R�'ws w. --- Mit1�1 � •D ��'� b�iM14lr+rat`f Mf KL . '�'�►t�C t�r•ee. . , . . . • •, � `a �� f'C`�� -' �D /GS � . �� '�sw.r a �� ....__._ ._.,_ ! 4�Z�! SNrG � ,rr�11� . . . .- - . .. • - ' • - , • , • , . . : , . . L�,C� ts C - - � ' - � ' � � r t�v�Trr _ i � �°��,v°'�v xr ' - -� �l� ��. � ,�� tcs tr�•.,� �� _ __ ��•.� tA ' ��rs_w�s a� �ZI''Y�9s. � IZ"p�l► ,c 24�vr�ps 9��iOPs ��C. � A1.6E�."T�C t1S f`�: =j.7.s�. S7 s fl! :�,.a �/4TG�$ �n: ��UG�D .rl"�VNA1��c/O Z-GAY�' t�w� sro�s w.» k,.ss.�.�c f riv�xs t/l�r ��'►N 4�ft S/�UE� +f+i`�a"a a=•►' �.s+� �s�rr�a z�, �swK �1��a. �/��• �� ' � siYc�w�w �'+� aas�•��++ �icrst«+� 4 r�t�« �rs�-t�s �rKs�e��aa. INsi'C�o oi s?r�,��N • 02/05/97 10:08 Tx/Rk NO_�135 P.001 � o2�06r97 1�:32 FA� 618 SSi 0651 Leonara 5 aaa Y �uus 82f8bl�99� 12:58 b19694Z�62 � �"�T �'� � �� @� �,� tL � � �� ,�. b� �� l� 7 --�,� �-LS'+�-�-�' �--. ��r�c..E � � � �� h�o�Zt� �c.��..x� l�� S �'�'&c:�� 't � ��c.��,.�� t�cc..�-.- �--�Y o �Z �� ' � � . L S �l�� a� -T"��`�t t�1�� Z� � :. �� .,�,�,� !3� �'o�� `� �'0s� ti�� Q� � � �� 11v,a��;�1�-_ ��-S �o � C�� ' �� ..+��i��s - 02/06/97 23:5h TX/AX N0.7153 P.00Z � ' � 24 hours Pa er: 310 715-443Z 17800 S. MAIN STREET I N P E T I O N ( I 9 ( ) SUITE 303 & TE TING SERVICE O�ce: (800) 475-6879 GARDENA, cA 90Z48 Fax: (310) 851-8G9Z REGISTERED INSPECTOR'S DAILY REPORT _ �ob No. �ate Time � s.�..�,�,,.�'# �.��a � TYPE OF ❑ Reinforced concrete [8 Structural Steel Assembly ❑ Quality Contr`ol ` INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing C17�Epoxy REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address ��tY '�. ,„„. �.� ... . .. s. _ . � .. ;. --�. Job Name „ Permit No. ' Issued By ��. y ...r� t. ""` . <_ ... � t. � P� "_t � � ,� , �' ""�'�.:��_� Type of Structu�e Architect -V $ r � ..-, ^ ' Material Description(type, grade, source) Engineer � � � � � � � Contractor �� ''� �"-��,�"-��- --__ ____ Inspecror(s)Name Subcontractori � ,ew. ,.� �..�- - � � �d FT�-4�'.�r.►Ty�+ • 1 �� TESTS PERFORMED �a TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. � ,� !��'t.� , � , �"xT 4r � " : r+' — %t 3 � � • ,<` • ,., '"" . " �� ,�—�i�� ""'�� !��_�_°�.�m. .w.� �`�&- ` �t ,. .. .:� .... _ . ! .— f Til�+�'13.��F��°}.S �i f'��'� �7f4 C� �r � � • 7G.F:.�C1.�•��iS"!3 "�'SS�f. ("'"7__=_43F4�1*1A �j ....+.�f�� a. ...k � � � — "�-�� —� , �-�� ' _ R � _ � . -`�" _ �, _ ;��' ,... �°-�'�i�,i``"�� i''�-"_l`� t� t ` "�^"` �� `� � , ,� .. , , .�,2 �:, �..5�. , . w �; ,��, � , _ � � . � - 4 { . ..: - � �e S ;.� � �•. .� .,.:. ♦ � � /"�� .,.�. .�. „ . .... ,,:�=:- . , . � . . , . . � r _ . . . � . `. ��, i !g' � �,.w I� "�',ft � yK� " � r+� t 4, �„�, �. �,�sc`� � '�,i �l+. +'"x-' v_"! 1 � ta�c''�" 9YE4 _ , � . � 0 P� � � � ' . �'. � . �. .., r� .��'y�...':, . �`r,�� ' . _ . . .. _. . , � � � • i � � "'F . , . . ,�. . . . . � �- R�i ' �, �. s, � �+, ��'. + _ . . . . ,�� ,i `"'.»„�,�� 1�U,�: -.�.^ ^},F . `. • .�, -F.�,� ..�. ' '� ,�� ,! .. r� �H �»�' .. � �N, CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE �_OF�_ I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOUHS O.T.HOURS SAMPIES OF THE ABOVE REPORTED WORK UNLESS OTHEFWISE NOTED.I HAVE FOUND THIS WORK TO�CO�u1PLY WITH THE APPROVED PLANS.SPECIFICATIONS,AND APPLICABLE .�N SECTIONS OF THE GOVERNING BUILDING LAWS. .�8:."= � ,;�;„� = All inspections ased on a minimum of 4 hours and over 4 hours-8 hour � �` -,, ` minimum.In addition,any inspection extending past noon hour will be an � , „�,,,�.«,...,. .�: �'"� �r°�"e ;:;� 8 hour mirnmum.,. _...- SiGNP�.. RE OF REGISTEFE�J SPECTOR � �- ,2:« ,,,,. � ' � �' �„ �,.�,......� �?r„W;.� : � ( "�„ .�`,,. T � .� '�1�.i�J APProvedby ...�«^ .,.....� _ .�^" �, SPECIALTY NO. - T A ENC �� Project Superintendent WHITE-OffICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLD�NROD-JOB SITE COPY _ _ _ . _ _ ' 17800 S. MAIN STREET I N P E T I O N (Z4 hours) Pager: (310J 715-4432 SUITE 303 &TE TING SERVICE Office: (800) 475-6879 GARDENA. CA 90Z48 Fax: (310J 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. Dat� �. � Tirr�e� TYPE OF ❑ Reinforced concrete Structural Steel Assembly ❑ Quality Control = INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing �poxy REQUIRED ❑ Reinforced Masonry C7 Asphalt ❑ Other Job Address City � � ,_.,-. _ Job Name � Permit No. Issued By ^ � , . " � ) Type of Shucture � Architect ' .,._,„�, ,.- .�:;:: � i.. 1�,., Material Description(type, grade, source) Engineer � Comrector Inspector(s)Name Subcontractor F . ��., � �?F� a.'•'�."�,�, �,� TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITiONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIA�PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. . �s�, y � .�..� +� . . � �" '� «..+ � .�"" � �; ° rt» � ," . - , ..- .. . -_ �..,_._,_� � .,�.y '�' lt � ";„.p. . 6 � � - �,. �,�;' fi � . . �,' ,�,,,��',.�✓. ,�^, ,_ . . e „..' .�. .-�••• -` . " . .' , '�,.C ��. �r � ---� .�� :,,. ..__. . . ��, .__. _� . , .. .. .. ,� .....-'. . " . 3� " 1 �' W. ... CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE .�.. OF �- I HEREBY CEHTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. � � �� All inspections based on a minimum of 4 hours and over 4 hours-6 hour - � � minimum.In addition,any inspection extending past noon hour will be an �.�'" ,,.,r... � � -. . , -� 8 hour mirnmum _ _ SIGNATUR F REGISTERED INSPECT .-"" "� � -- " _ :=:"' ,��+y^ '" „. � m"�•�� i.��,�� ApprovetJ by ,,. "" .fi'" �.,"�.'^"""" „^ ..�.,� .M^ SPECIALTY NO. � �� AGEh1CV— Project Superin�endent WH�TE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB 51TE COPY ' � Z4 hours Pa er: 310 715-4432 17800 S. MAIN STREET I N P E T I O N � I 9 ( J SUfTE 303 & TE TING SERVICE O�ce: (800J 475-6879 GARDENA, CA 90248 Fax: (310J 851-8G92 REGISTERED INSPECT �i'S DAILY REPORT Job No. D,� �,� ��„� Tim�� a ___�__— TYPE OF einforced concrete ❑ Structural Steel Assembly ❑ uality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED ❑ Reinforced Masonry C7 Asphalt ❑ Other Job A4d„��s � M.�}V � — +� �CA\„V'� City .;�.,�a.t k�.R..�i,..y+y -� t G tt Job NartfA' Per i�N Issuec�, y,, �'A�, �j "' �ir•1�^�+2�"�. c,..+' t..-v7 Type of Structure i j M,,, � y�� Architect � �� lj •� �.a Material Description(type,grade, source) Engineer /� f^.'" .�+ f� �,��.�,,,�„r f �,�� , Contractor l,�� w.,�ia Inspector(S y me Subcontractor IC�I� ' � t � TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL R�EMARKS ON SAMPLES �r i{ ! �..,,�s r.a c_: �-�.��1'�,� r��..��... �a� �� i 1�+k {�''�..: �,�;"'+CL� �"{ �:"'°C.� � " ,/� � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. +� _""�': �''""�'�``�! �"'7�:.r�kr;`"1ev�L..^'�l►�.r""`� e rl t,r�"" �,.i� ��. ti�.�.�'.,.-�"r�r: /�; .�. �'"� �` -''"�..t c:� _ '�1 ,[,.�;�.�' J;+A,�� "1'�_, � !""�••°"+" �� ►�%�t.►-t� �+�c,� �, � � ►'""'� �'" "�'� � � -�t�" � ,.n,r.:r ,�► /�_� �� 4:''�r �� r r�' t�.""+�, ��!"�J�, 1+�^i..�. . . � ��. �'�, '�..��►� a► �"S 1 � v u-�. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CEFTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT REG. URS O.T.HOURS SAM LES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLV WITH THE APPROVED PLANS.SPECIFICATIONS,AND APPlICABLE .r �,,^y � SECTIOJJS OF THE OGE�iNING BUILDING LAW$. �i�+"G*°' � � �� All inspections based on a minimum f 4 hours and over 4 hours-8 our �� ~�� -..-. minimum.In addition,ar�ylrYspection extending past noon hour will be an ��"�'�• 8 hour minimu,�n;" �.�'' S�NATURE OF REGISTERED INSPECTOR . ��^^��"'�`� ��,,,..-- � - �, �� ''�� _�,�^ / �n �y } /' .�.�-^'"'�.-��"�°�»wm"",«r„�.f.....w�"°`�'� �� G... �P.��"'? 1 I t� �+� Approved by _ °�^�� SPECIALTY NO. AGENCV � - Project$u -nntendent "�' WHITE- OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOIDENROD-JOB SITE COPY � __.� ..x�-- " .r a.s.. ..-._r:,+.es k:-: .,.�,.s.��...� ""��'� �� ' , . _.a__ +r .. - �w in � .o- .i `},e . :'M.'� � .� .._ ., . . ..._ . ' o 17800 S. MAIN STREET I N P E T I O N �Z4 hoursJ Pager: (310) 715-4432 SUITE 303 & TE TING SERVICE Office: (800) 475-G879 GARDENA, CA 90248 Fax: (310) 851-8G92 REGISTERED INSPEC�OR'S DAILY REPORT Job No. Date Tim TYPE OF Reinforced concrete ❑ Structural Steel Assembly ❑ Quality o rol INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Addres� ��t City �'s�-��'�--�— ��t sw�.t�*� "�'`�i '��.�,► '�`"►�t �"�..��«,. „� �. Job Name ,, Permit No. � Issued B �`..� . _ . . . "R��' �' " � �"�k�" . ��w�'R!w./Aw�. Type of Structu e Architect \ „� �" � j� j�r. Material Description(type, grade, source) Engineer �" � �"` ��"�4t�^?E Contractor— 4,,,� Inspecror(s) Name Subcontracto - s .�. t. 7�.., TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �� , , _� _��_ � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WOfiK PERFORMED,NUMBER,TVPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WE�D MADE H.T. BOLTS TORQUED) CHECKED; ETC. d'�`�"...,�_--�.�. " -,,� ...,,� .. *"` ��'"1►..:�► �t IwJ�� +�`, +� =!"�#t"� +�`. �.. "G. —� «,�► i,� '�' .�'i''� � f 4 � � �� —- �� ,�, �,� �"y.''�,.. .-,�l ,� .,'�.,,� � _ ,�,�,�,�.. ... � � � a � 6 i _ $ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CEFTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN T E OUT RE �HOURS O.T. RS SAM ES OF THE ABOVE REPOqTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLV WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE �` SECTIONS OF THE Gr,Q�YERNING BUILDING LAWS. �� '� � r�� i ` All inspections based on a minimum of 4 hours and over 4 hours-8 our a minimum.In addition,any inspection extending past noon hour willbe an �""'"'"�"""'°"'°"""'°""'°` 8 hour minimum. " SIGN./1TUFE OF REGISTERED INSPECTOR y�r'�+a' �r Y'w» m, �{Y��,""'! [ � 1+4�r i. Approved by project SuperintendeM SPECIALTV N0. AGENCV WHITE- OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ___ ..�� ,�,; � " .. J.. J �. . � y�,' G _�« � � Geotechnical � Environmental Engineers, Inc. -� FIELD MEMO ��,�p �'� WO#: �"� `�`��' ��'� 'DATE: .:,�� r'' `�'' CLIEl'�1T: �� . �:�� ' . PROJECT LOC TION i,��F X � �� •�°� ��'�� SUBJECT -� ��a ��✓�`:� �.��- � TRACT No. � ��/��'.� '� � , { LOT No. � �`�'::_� �' ,. �. � � � 1.. ,.� ,� � �. �:.�. � , ��,� �, �, TM� �. . �`� /�.i �',,,�.►' ,� :�'"�sy'ssc.�a"-;�"` �';' �`� c... �� ,• �,�� (�"� �' d-i 'f", ��E: a��', � �.,,�.t�t.: r .i gr9 {:, � ""4. ��' f h ;'/i. ,�..r`�„ ��s�+'�� F.� ��/�[._.,�,,.� ( y J p f ��Q"°`.,�' f' ,� ^/5a•., _ �._ .��ro��..,.,.- • r ._r -, sr .. . f ei — . -�.�, . � , . � .�,,..;y��{\i'^iL � . �� L k , _ �, _ - --. --�—�.. �`e� ! � •.� -� , . f,._:.:,; ,, • -;`;. ..�+a:��:�.�.�....,.,_�'� . 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MAIN STREET I N P E T I O N (Z4 hours) Pager: (310) 715-4432 SUITE 303 &TE TING SERVICE Office: (800� 475-6879 GARDENA, CA 90248 Fax: (310) 851-8692 REGISTERED INSPEC �OR'S DAILY REPORT Job No. Date Time .� � ��w° TYPE OF Reinforced concrete Structural Steel Assembly Quality Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing ❑ Epoxy REQUIRED ❑ Reinforced Masonry � Asphalt ❑ Other Job AddreSs City I.�+�:� ,d Y'd,�r�'� w�"� "��'"”` .,e�'C.,l"�"}��*-,-�--- .: �:.._ . `, - Joti N�me � � Permit No. Issued By �*, ^^�''n. $� 4" �. � ': � �'� .. � �-�.::. .y�s" � �,r�� .. ��°' ,.� Mi,f'�:.�.�'�y„�trM.�,.��_ „ ....... ._ _. . _.� .... . . . � . . , . ,,., . _ _„ . 4 � Type of Structure Architect ' � � •, � ,�"' ' �..r9'#.�s�1 � 4t'�yY� �� w@ ...- —T._-�_�''-��4 S-F�-=—�e+,��.� 4Ylw�'_,_�„�,- Material Descr�ption(type, grade, sourcej Engineer _ .a� k�.r�^ Contractor ' � � �`�,d�°��_ Inspector(s)Name Subcontractor ' -, TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �"�' �>' j . "'��'b.,..,» ., *^? '"rw� #..- °`�`,.}..l T;:1 f�� '".��- �^S".�'"� E�_,+F'.i�; .. . g -_... � - 6 --i.k.- . R � t:"°�-�'. t�. �+�E, ,F. ,a+�, � Y „� ,1:ry.: ,.B� ' , ..a,. . x : . �.'� i � ; . . j ., _.. ,:�, ._ . . .,; _x_ I.aAk��. . J� lY � . kq�Y .. 1 INSPECTION SUMMA Y—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WEID MADE H.T. BOLTS TORpUED)CHECKED; ETC. . - • r,... _... �:�,+i � �y � �. y�.•, .n.".� "`',� . . . t�. . fi� . . , �... : - , .. e �q � - —__- ., . .. �,�-�... .�«��+'� r„+' .. ^ �� .:.^-a.�.. Y,!".., � .... " ..� 'C, �- .... .:.r �-.,. ., � ;.� �� f _� „ _ �.... .. . - . . �.. ' . �.- . ` +�„„, k j'f . ,�s 1w., ' , ..�s� . ..� /" ,� �a"' �,... _5r ,�. t��'' � �6� 4+��#^�� _ ..wp,. a ..�. . .. ,. . . ;. �� _ .. 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'� w:.•.. ,." ,� rt':. . %.:', - _ _ ,.,.� �"�.aty� � -�-,�,.- 4 : wiy j' . f�. #.. . , CERTIFICATION OF COMPLIANCE �v CONTINUED ON NEXT PAGE ❑ PAGE .�,_OF�_ I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE GOVERNWG BUILDING LAWS. ^�i� "!f 'i.�,.. All inspections based oh a minimum of 4 hours and over 4 hours-8 hour -� Y :�F e�"� minimum.In addition,any inspection extending past noon hour will be an � _:. : � � .. ab,., _�`''• 8hourminimurtl, _ �� SIGIVATURE OF�fiEGISTERED INSPECTOR � � � �� -- ..s.�°' � ^ ��;�� _ �. _' .� w�.:. _..—:'"r`^""�£s' y�a°.�"`. /3�u.,t^`�.r� 4-��'� . �� d � � "p f wr_ . . " �,�tl'+s"� SPEGIALTY NQ ��{��AGENC�—r"�{��. � ApproVedby Proje 1Superintendent � � WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY r.4 x d _—�•. , G -�� : u� �� L�,-, - � Geotechnical � Environmental Engineers, Inc. FIELD MEMO pATE: CLIENT: ��'�� ,._ WO#: �=��`�,��r`,�� "� ,�. �=�'�. �� PROJECT LOCATION +�+�# < I ��x,.t. I t��,r �e', SUBJECT �r � �i�r � � "� +�► � TRACT No. LOT No. �.. � �a � I� ��. ^�' �:�� — � '�-t�.'" t r , � f� � ar ° d�;, � , ,{ ,„j fJ "^ Au. S � ��g ,,�/� � � j � � �{."' �d�•'� "k°M� � . Pi') " � dr. I,y.,E' I('.a�r�w" �8..* 'J, !+� ��"'°� eI � �,ssv�fl'�f� ... / }� ' - �'- --� ,,�' 4,.. 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TYPE OF einforced Concrete L' Structural Steel Assemtrly L' ouaiiry Control INSPECTION p Post Tensioned Concrete p Fire Proofing L Other � REQUIRED ❑ Reinforced Masonry ❑ Asphait JoD Address n ` / s Cily Job Name �-� Permit No. luusd ByT Type of Structu A�ht1e� —�� ' �-�' G Matenal Descr�ptwn(type,grade, source) ` JG w T "'1` y� Eng�neer � Contracl0r Inspectorysj Name �-. / Subcontractor � �cce�-,/�iC �. � �� `— TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIpNAL REMARKS ON SAMPLES i—•�• INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED.TEST SAMP�ES TAKEN,WORK REJECTED,JOB PROBIEMS.PROGRESS,REMARKS.ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOAQUED)CHECKED; ETC. • � '� � .. . / _ � � � _ . 7 .^ --' —� _ � — — " .� �' -� �� IA \ � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF �HEREBY CERTIFY THAT I HAVE INSPECTED TO 1ME BEST OF MY KNOWLEDGE ALL OF THE A90VE REPONTED WOfiK UNLESS OTHEFiWISE NaTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMP�Y WITH THE APPROVED PUNS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF THE GOVERNINCa BUIIDING L4WS. c - i � � < All inspeCtions DaseC on a minimum of 4 hours and over a hours • 8 hour `T`�'---� � � � .L ��-..--� mrnimum.in addition,any inspxuon eutending ast nopn hour wiil be an B , SIGNATURE OP REGISTERED INSPECTOR hOuf miniTUR1. � —�`r� y��Q 2 frl� � � App�OVBtl � - SPECULTY NO. �GENCY Pro�ect Suryenntentlent WHITE •OFfICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY,GOlOENROD•JOB SITE COPY � . _ _ _ _ . __ City of L.A.Certified: r COnCfetE,M�15Gnfy,SeiSmiC -----. �.A.County Certified: RICHARD KOURY ni sl� e C T l o N Concrete,Masonry,Seismic I?O. BOX 3246 � �ong Beach Certified: (z4 hours) P�qer: (310) 71 5-4�32 MANHATTAN BEACH Concrcte,rvtasonry,Seismic OffiCe: (310) 978-1765 CA 90266 Fax: (310) 546-7539 REGISTERED IN�PE�TOR'S DAILY REPORT JoD"° � 18 -,� �, TYPE OF O Reinforced Co�crete L Structurai Steel Assembiy f7 Quality Controi INSPECTION ❑ Post Tensioned Concrete C Fire Proofing [J Other REQUIRED f��Aeinforced Masonry ❑ Asphalt JOb AddreSS _ _ _ _. City �w�-�"�'�' �s �.al c`G 4.+t.�(�r -- -- � Job Name. ` Permit No. Issued B - ?�ti_ - .,.�..�. 'r�- _- ' I�'(.7�m _ +rr � tee' �.�.��::X.�i 1...}y_—_--- Type of Structu e Architect ;_.�-�: ' .,l+,�t.�+1 ..�'�-�/�,,. ��y,,� � , ,�. . ,.�`� 47� 1 ',� , "�:+r^^.�f. Material Description(type, grade, saurce) Engineer � __ _ _.. - __ Contrector . . : . - : - �.]. •�.�"""..�1'�—___ - Inspector(s)Name __ -- Subcontractor h p h � � . _�,,, y t,,y;,,Ri =„��: .._-.�,�1�"*1,t�""7 t'+f i' .� r-'��a��,., s,� .�- c _ -- ----- -.._.__ . _ _. TESTS P�RFORMED TYPE OF SAMPLE SLUMP QUANTITY ffl$ET ADDITIONAL REMARKS ON SAMPLES __ -- _ _._ _ : - INSPECTION SUMMARY-�OCATIONS OF wORK INSPECTED,TEST SAfutPLE5 TAKEN,WOFiK REJEC7ED,JOB PROBLEMS,PROGRE55,FiEMARKS,ETC. INCLUDES INFORMATION A6�UT-A1JI6UNTS OF MR7ERIAL PLACED OR VJbRK PERFORMED,NUMB�R,TYF��$�i3�N'�.NO'� , _. i QF TEST�AFfPLE�TAKEFI:STFiUCT. �ONNECT�ON�(WELb MA[5E H:7: B27L7S TOROUED)CHECKED; ETC: s-'-r�"�'_.:�"�'"�,! 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HOURS O.T, HOURS CYLINDER$ WQRK TO COMPLV WITH THE APPROVED PLARS.SPECIFiCA'�ION$,AND APPLICABLE GG,,..►► --� SECTI6ASOF THE GQVERNING BUYILdING LAWS __ � ,_.,,{� A � � Y „�;. � � ' , _ ' �� " ,,. _— ..-r.. i �+, �,,.s�"�� ,,,,-" All inspections based on a minimum �f 4 hours and over 4 hours•8 hou� ? � � minimum. In addition,any inspection extending past noon hour wi1l be an 8 SIGNATURE O�REGISTERED INSP bE'L�`7 R T-- � hour minimum. � _ '�. _ = n Ia��:��t,1�-�`� �� c� r�t��"'''�,`*�' Approved BY — .�S ECIALTY � O. AGENCY ' Project Superintendent WHJTE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTbR'S CO�'Y, GOLDENROb-JOB SITE CbPY . ......._ . t__ -._.� n l �.e . i _ . �s;'.; � {"� . �� __ .. . , .. �, r. �... . _ � P��:-It' �r,x �ioiG �'��R� ?' i ' -t "�v �� s��f�. . `._... t .4 Y� ��.��'� . . ,_k.. '�y'Y5 �„-�4 r i,.. � -- __-- __..._ . � _..� .;,�� , . �� c' " �:� ��,�,s;r� ' ,'�,� r ... 1 F F .�i � ..__._ r.. _ `F; � ��.�,f)��„+f�? c��I�� ! 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BOX 3Z4G (z4 hours) Pager (310� 71 5-4432 Long Beach Certified: MANHATTAN BEACH Concrete,Masonry,Seismic OffiCe: (310) 978-1 765 �qpZ�� Fax (310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date �� i:: > � �, TYPE OF ❑ Reinforced Concrete O Structural Steel Assembly C, Qualiry Control L INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing (��'Other� j.j � ,� RE�UIRED � Reinforced Masonry ❑ Asphalt Job Address - -^s r .�^� � '""+ � f ,..��4 ��Y t "� .,f #�T.,J''� / `°� ?t.��.+. ...r� �.. cn..,.w � f„ t,,,,�t. /`� Job Namg 9 :<- Permit No. Issued_B ` "` `� l ; ''c.; ty ':.. '� .r a' --" , .0 r t..i i " �m. , t �-) 't �, '" ' � i.^�t.,l . � :.s �, r L Type of Structure Architect - � ,�� :_,:. - . , . k r- Material Description(type, grade,source) Engineer, r':. p,i �.. Contrector , 4 . ��,�k -�„�°�wr�` Inspector(s) Name Subcontractor , � r � r�--�'�-. ,,�,t ".�.,,�-„� +,�,"'�=�a C,, G's;� � .:L,,.':n.,��.,��„"�,,,r.; TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � — f, INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN.WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. - ,, - r..,. , , ,.�„ .�. �, ,., :a ._� � � ..,� �_.. _:� ��:.�. � ! �.,��" �� ' _� �,,. . ,�f"� _ _. :, ._..�. .,..: t _-,�� ; .�,,. ,p�, �,' i .E'a 'c.a v~.'�'`�..4 �::. L, r,,;3 r i�,",�....� f".� _ _... ' ._ �, cm �a r-'+,_-µs ". .y,� t`'+�,`_.�..�' 'S � c,� 1 �:; t M�'"i` , �-��:_> l i; c , s.. - �, ir...�� 1 �: I i k�'Y"+-.: 1 .) �� 4,. ,y� '"�- � l.. (. .rti. �<,.d t,,..._„�,.,9 tal' �""r L.� -�t �.; ��, ,�*,..�''�.. )a �.�.�.... :- .-, �;� ._.... � ..� �. � a t`�..� . - • -. � - , y �S. I� �.#.A��`- � t�„_�i..A.�, - ,�,, "�"- ( .. _ _ - -- __.. = - F.�.. �,. .._ ,.._ ._ ,_ �r,.m A�. � 9 .. ., � r._��. �� . �°-.�` -�~*� ,�..: i-�._=�w_.:,,_�: _- - ,.-�--i�"��.,... .�. ,� .� � �_ I�;., _ �,.. � y k.. . . � - - �t �.�� , . ;-�', ! �a �-.� �.. � ' �.�--�__t.�,.,..� �„� � ,,,�,,; : � � ,�" �� , _ ; , ; � ` � ; 4 t CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ $PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLV WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE ------ --�--- � SECTIQNS OF THE GOVERNING BUILDING LAWS. ---- .;--...�.,- _ All inspections based on a minimum of 4 hours and over 4 hours-8 hour --�•*-""' minimum. In addition,any inspection extending past noon hour will be an 8 �� SIGNATURE OF REGISTERED WSPECTOR hour minimum. , _.. : r- ,-,, APProved By SPECIALTY NO. AGENCV Project Superintendent WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE GOPY � _ . " - � �.�:_< _.y;t...+_� ..... ..� . � � , . . . : : , � � � City of L.A.C�r�rfied: ,_ . F 1 Concretc, Ma4ofir�:'��isln'�t ' ° , ; • � : a f 1� �€ •` - — �.A.Counry Certified: RICHARD KOURY i rv s � e c t i o N Concretc, Masonry.Scismic PO. BOX 3246 ' �ong Beach Certified: �24 hours) P�ger_ �310� 71 5-4432 MANHATTAN BEACH Concrete, Masonry.Sei�m�c OffiCe (310) 978-1 765 CA 90Z66 Fax: (310) 546-7539 REGIS'I�RED INSPECTOR'S DAILY REPORT Job No D t � TYPE OF ❑ Reinforced Concrete C� Structural Steel Assembly LJ Quality Control INSPECTION ❑ .Post Tensioned Concrete C Fire Proofing 17 Other RE�UIRED L�Reinforced Masonry C Asphalt Job Address .., � .., r�� . City ��j f � `"j 4 w w'ti1' f t ^„u "��,^` �!� f.�a� t'.,MvJ�. �� Job Name _ , r p� Perrnit No. , „ Issued By ,"k`+c l s ....< 3;Y=�.! ;�."�"'�.:: f "�c : �; .,ti +� . � ,,,, a �.. C..-�',:+�..r t.. a"!a. Type of Structure Architect - ,t. � �'.. s i c:.. Material Description(type, grade,source) Engineer r �-,7 „�. Contractor E � _' r:.+ , a,:l Inspector(s)N�me _. = ubcontra�tor � i / ";'"I � t +; TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES _ ------_...� � ,.:,w T e� '`:a j"�' ' C.,:• INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATEFiIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. 80LTS TOR�UED}CHECKED; ETC. ..,, ;. h #•"•��iJ�.. t:..: ��"�';�, .�''i`'" „`..,_. !�-"'�..,.,C:l,,,J;! . � �...�. 'a% �,., f...,�.. ��,. ._..�� t'.: �.:,.' � S.� ,,.. . ..» r .,..., ,. , �'~ f��,r—. ��:;ta:.�— '�!�-.�:.-v""�""M hW,� �� . f" � C'� ��!",;� 1�...►✓k,,,,�''},.� �'��t..1"�" �,?t.,+v �...� _. ","y �, "t`�::� � �, ":: �. ��1. c, N �, .,. . I h'� �-=' ~ � � ' i' � ► i..t i � � "�'a: _� r f..,i F��'"' �� ', � `1 , f —_-- � . ��v�i V � � �:, � +'�E:� �::� �,.. .,� i, x � � ,�„ .z�„v rw».� �,'r` "�n � +',r . � � � ..,4 �-...,�� l`.r�,�'•�z'k,r1..- r�'1�,r�a P,r �t..,a ti. �, "t•�, - I` ` .-m .. t' �,.. _ v . r'�. . k•"'1�, �"}"iJ �'...��„y f, {..:i„ :-, , - ✓ �4. ....��e �„a.„�""4 r-�a .e CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ pAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL � OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK 70 COMPI Y WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF 7HE GOVERNING BUILDING LAWS. .��.,;��u,,,.,,,_.,_.�--�- ^- - All inspections based on a minimum of 4 hours and over a hours-8 hour : ;r minimum. In addition,any inspection extending past noon hour will be an 8 � SIGNATURE OF REGISTERED INSPECTOR hour minimum. i:.-�-� f } � APProved By SPECIALTY NO. AGENCY Proj9Ct Sup9rintendent WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY City of L.A.Certified: Concrete.Masonry,Seismic - — �./�.county certitied: RICHARD KOURY i rv s P e c t i o N Concrete,Masonry,Seismic �o. BOx 3z4� �ong seach�ertified: (Z4 hOu�s) P�ge�: (310� 715-443Z MANHATTAN BEACH Concrete,rv�asonry,seismic Office: (310) 978-1765 CA 90Z66 Fax: (31 O) 54Z-3496 REGISTERED INSPECTOR'S DAILY REPORT �°b"° a'e`` ' � t TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control� � INSPECTION O 1Post Tensioned Concrete ❑ Fire Proofing f-J� Other REQUIRED [�"�Reinforced Masonry f_� Asphalt Job Addres� r-�^City � t_ 1w.,7�"1� �� '`. G7 V'1 �"( k"�.�iN4� �4,.�l.h Job Na , P rmit No. Issued By � , . r �, ..,..:: �, -. �+�3 (ca � �'�a � � ' Type of STructure T,.� Architect pj,� � �� _. • � r^�+e+..�.. '4:�.4 \."' 4. _ {/�^ '� � . Material Description(type, grade,squrce) Engineer A � ,� f� Contractor� r� � �� Inspecjo{(�)Name - Subcontrac�� ..; �i.a r—i � �•�„,� TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �,��,rt..sa.,�:-1". �� —_— -- - — . r, — ,!:,4;M_,� �wh r� �;� . ' INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFOAMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. . �e � ; , � ,� , : - � �`�"� d"�'"6„�..,. � �..% � d�.+� ��:� � � �� _ . , � �' k �Sa f'":.�t°'_ r �t.� � � , p �,r� _.— + .. -_.,.�,. ",ti 1e,. t�+V�:�- �"` .,�� j � .. �,� ""t �-.:i � � �7 �, 1 `��(""�• f� �r �'�+. ? �' ""� ,� �' � C�' �,� _� � �:.. ��a ' F ! . +.- '"_ _ � . . . .. _ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF • I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALl � � OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS �_ WORK TO CAMPIY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE .-_ SECTIOyS OF THE GOVERNING BUILDING LAWS. i �a �} �S�'_� "'�^^.., All inspections based on a minimum of 4 hours and over 4 hours-8 hour ; y� . --�--�.�• minimum. In addition,any inspection extending past noon hour will be an 8 ; � `'RSIG TURE OF REGISTERED INSPECTOR hour minimum. ;--�� '�e"��r"-3�c'a�7 lr� � ��) Approved By SPECIALTV NO. AGENCY Project Superintendent � WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ��G��wc.�c_�:�� .�v�c�c REGISTERED-tNSPECTOR'S DAILY REPORT ��b N�' Date �- �- TYPE OF einforced Concrete O Structural Steel Assembly C� puality Control INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphait Job Address ��S�_� / City / i �� _ Job Name Permit�.. � � Issued By Type of Stru ture � Architect � ` C �-G.r v L Material Description(type,grade, source) Engineer ( �C L f� Contractor �� Inspector(s)Nam 7 �— Subcontracto�r / _ c-� _ �sc.-c'�� C�i u✓� TESTS PERFORMED TYPE OF SAMPLE SLUMP pUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. r 1. Q � ✓' - ?^ a . —` y ov� ...c T ' c�.,,�,C�_i�t. �' L �–�� 2�.� ��'� rc 1 ' �. ��- �.�.r,.r � � e �vc.- � -�� .�:-,e��ci - � - . ' .f . ,� � � , �,� � - . , CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE A�L OF TNE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WOHK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE GOVERNING BUIIDING LAW5. �`J ��/J� 7 AII inspections based on a minimum of 4 hours and over 4 hours- B hour `.---�'�. �.�,� ,�.�.---- ' minimum.In addition, , spe ' n extending past r will be an 8 SIGNATURE OF REGISTERED INSPECTOR h0uf minirtlUT. ��_ �"G SG G ��G Approved By � ----^� SPECIALTV NO. AGENCY oject SupBn nde WHITE -OFFICE COPY, CANARY-ACCOUNTING COPY, P�NK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY ! • — ;; IN PE TION & TE�STIN SERVICE � DATA SHEET FOR TEST SAMPLES � Project Name payless Project Address 31797 H 79 South,Temecula Architect MPR&Assoctates Structural Engineer ANF$Associates Generel Contractor Ed Grush Subcontractor Georgf Client Contact Address Phone No. Koury Inspection Project No. Date Samples Cast y�9�97 Date Samples Received 2�Z0/97 Permit No. 96-1836 Issued By Samples Cast By CIty of Temecula Mark Goldsmlth Number of ASTM C-39 UBC 21-16 UBC 21-18 ASTM C-42 ASTM C-42 Other Samples Concrete Mortar Grout Concrete Shotcrete Cores Core 3 �( Slump �„ Specified PSI y000 Air Temp. $�,F Concrete Temp. a�,F Air Content �28 Days Test Sample Representative Location Masonry In-Fills Per 6 �7!S-1 8 Loading Dock Wall Extenslon Material Supplier/Plant Material Mix No. 96-574 Truck Tcket No. 496618 Sunwest Mixing Time ZO mins Time Samples Cast �0:30 AM water Added 20 Gallons LABORATORY TEST RESULTS � . � •• •- � � � � � • � � 108 7 02/26/97 3.00X3.00 9.00 20000 2220 108 28 03/19/97 2.98X3.00 8.94 36480 4080 108 28 03/19/97 2.97X3.01 8.93 37830 4235 Test Complies With Project Specifications: X ly With Project Specifications: Type of Break: Columnar OQ`L� �Q� Respectfully submitted, �� \S ' 2 � � � Koury Inspection and Testing Serivice � ,�, � • 7379 � Z � m cc: ; p. 1?/31/99 7b A s �'9T C/ Vll ��r ��FCALIF�� 17800 S. Main St., Suite 303, Gardena, CA 90248 Office: (800) 475-6879 Fax: (310) 851-8692 .i - ,� .�; IN PE TION & TE TIN SERVICE � DATA SHEET FOR TEST SAMPLES � Project Name payless Projec!Address 31797 H 79 South,Temecula Architect MPR 8�Associates Structural Engineer ANF�Associates General Contractor Ed Grush Subcontractor Georgf Client Contact Address Phone No. Koury Inspection Project No. Date Samples Cast y14�97 Date Samples Received 2�18I97 Permit No. 96-1836 Issued By Samples Cast By Cfty of Temecula Mark Goldsmith Number of ASTM C-39 UBC 21-16 UBC 21-18 ASTM C-42 ASTM C-42 Other Samples Concrete Mortar Grout Concrete Shotcrete Cores Care 3 X Slump 5„ Specified PSI 2500 Air Temp. 4$,F Concrete Temp. 50,F Air Content �28 Days Test Sample Representative Location Exterior Flatwork at Front Stdewalks Material Supplier/Plant Material Mix No. 97-053 Truck Ticket No. 496453 Sunwest Mibng Time 20 mins Time Sampies Cast g;00 AM Water Added Zefo LABORATORY TEST RESULTS . . . - . - . � . . . � . , 090 7 07/21/97 6.00X12.00 28.27 51000 1800 090 28 03/14/97 6.00X12.00 28.27 91640 3240 090 28 03/14/97 6.00X12.00 28.27 93000 3290 Test Complies With Project Specifications: X With Project Specifications: Type of Break: Columnar Q IR � �� Respectfully submitted, �,�`� �l,�s w' �� Koury Inspection and Testing Serivice � l�,r� � � � No. �I,�`g�g rn Z cc: �� Ex . /31/99 �' ^ ` � �,-\*� �- `�l C� VIL ��T ��FCAtI�'�� 17800 S. Main St., Suite 303, Gardena, CA 90248 Office: (800) 475-6879 Fax: (310) 851-8692 ! �� IN PE TION ' & TE� TIN SERVICE � DATA SHEET FOR TEST SAMPLES Project Name pdyless Project Address 31797 H 79 South,Temecula Architect MPR 8 Assoclates Structural Engineer ANF 8 Assoclates General Contractor Ed Grush Subcontractor Georgi Client Contact Address Phone No. Koury Inspection Project No. Date Samples Cast 2l11�97 Date Samples Received 2��2�97 Permit No. 96-1836 issued By Samples Cast By City of Temecula Mark Goldsmith Number of ASTM C-39 UBC 21-16 UBC 21-18 ASTM C-42 ASTM C-42 Other Samples Concrete Mortar Grout Concrete Shotcrete 3 X Cores Core Slump 4„ Specified PSI y500 Air Temp. 50oF Concrete Temp. ��,F Air Content �28 Days Test Sample Representative Location Exterior Sidewalks Material Supplier/Plant Materiai Mix No. 97-053 Truck Ticket No. Sunwest Mixing Time 30 mins Time Samples Cast g;30 AM Water Added Zero LABORATORY TEST RESULTS � � • • - . • � � � � • � � 060 7 02/18/97 6.00X12.00 28.27 58400 2060 060 28 03/11/97 6.00X12.00 28.27 100000 3535 060 2� 03/11/97 6,OOX12.00 28.27 102350 3620 Test Complies With Project Specifications: X With Project Specifications: Type of B�eak: Columnar QR �� -`�� 5 ti1/• q RespectFuily submitted, �Q, ��1 \ / �`2 Koury Inspection and Testing Serivice � kI � Q � �, N 379 rn Z CC: °G . 1 Z/31/99 � m � # ��'9TFo I V 1 1. ��'# FCAII�'� 17800 S. Main St., Suite 303, Gardena, CA 90248 Office: (800) 475-6879 Fax: (310) 851-8692 i � � � I N � P E T I O N & TE;STIN SERVIC� � DATA SHEET FOR TEST SAMPLES I Project Name payless Project Address 31797 H 79 South,Temecula Architect MPR&Assoclates 5tructural Engineer qNF 8�Associates General Contractor Ed Grush Subcontractor Georgl Client Contact Address Phone No. Koury Inspection Project No. Date Samples Cast ys�97 Date Samples Received 2n/97 Permit No. 96-1836 Issued By Samples Cast By City of Temecula Mark Goldsmith Number of ASTM C-39 UBC 21-16 UBC 21-18 ASTM C-42 ASTM C-42 Other Samples Concrete Mortar Grout Concrete Shotcrete � Cores Core X Slump 4„ Specified PSI 4000 Air Temp. Concrete Temp. Air Content �28 Days Test Sample Representative Location Exterior Drive Thrus Material Supplier/Plant Material Mix No. 97-054 Truck Ticket No. 496253 Sunwest Mixing Time 20 mins Time Samples Cast �;00 PM water Added 10 Gallons LABORATORY TEST RESULTS � . . - . - . � . � . . � 037 7 OZ/13/97 6.00X12.00 28.27 94750 3350 037 28 03/06/97 6.00X12.00 28.27 128300 4540 037 28 03/06/97 6.00X12.00 28.27 131430 4650 Test Compiies With Project Specifications: X � �b(� Pro' pecifications: Type of Break: Columnar ��Q�\� w �Q 2 Respectfully submitted, h, � ��Q `i y � � Koury Inspection and Testing Serivice W Np. 79 tt1 rn cc: � . 12/31/99 � � �s� */ 9� C , v ► �- �.�'r, ��F CAl1F�¢ 17800 S. Main St., Suite 303, Gardena, CA 90248 Office: (800) 475-6879 Fax: (310) 851-8692 � SOUTHWEST INSRECTIO� AND TESTING INC. 1�82E S. Norwalk #A Santa Fe Spr,ings,, CA 9�E�7� 31�d-941--�990 ' 714-526-8441 Fax-�1�-946-��`6 F I EL�D D�TA ON TEST SF'EC I ME�IS --- _ ASTM C31, C 136, C 14�, C 17`, C 173, C`�31, C 1��4 --- CONCRETE: X GRDUT: MORTAR: SHOTCRETE: CQRES: GIJNITE: ADDRESS: 31797 HWY 79, S. TEMECULA JOB #: DHTE: 4/1/97 JOP NAME: �AYLESS DRUG STORE F�ERMIT #: P96 18�b ISSUED RY: TEMECIlLA f�RCH I TECT: IMUS I L PERKOW I T Z RUTH I NC. EIVG I NEER: ANF GONTRACTDR: E GRUSH SUB CONTRACTOR: GEORGI CEMENT -------------------------------------------------------------------------------- LOCATION IN STRUCTURE: TRUCN, RAMF� R DR. THRU COF� LINE E-D 1-� DRAWING -------------------------------------------------------------------------------- CONCRETE SUPF'L I ER: SUN WEST MAT. F�LANT: �� h1I X #: 9� �71 TYPE OF CEMENT: ADMIXTURE: TICKET #; 495919 SLUMF�: 5" WATER ADDED: � AIR TEMR: 75 CONCRETE TEMP: 6� MIXING TIh1E: �� TIME CAST: 11 :`k'� AM ------------------------------------------------------------------------------- DATE CAST: I/L4/97 R�CEIVED AT LAP: 1JL7/97 ------------------------------------------------------------------------------- SF�EC I MEl'�IS MADE P`�: SF'EC I F I En PS I : 4�� ------------------------------------------------------------------------------- FIELD IDENTIFICATION I A I H I C 1 D I E i F ------------------------------------------------------------------------------- LAB I DENT I F I CAT I OIV : OT7k.'�1�7 : OT7�1.?,7 : OT7�1�7 : . . ---------------------- I --------- I --------- I --------- i --------i -------- l-------- AGE DAYS . 7 . �8 . 56 . . . DATE TESTED : 1/.?,1 : `/`1 : ::,/21 . . , SIZE-IN. : 6XlL : 6X12 : 6X1� . . . AREA-SQ. I N . ',-~_9. c7 . �8, c7 . �8. c7 . . . CRUSH LOAD-LHS : �7Q��+� : 8�5�� : 86�� . , . COMP-STR. -F'S I. . c�16 . �:918 . 3�Z►4:= . . . i H/D . . . . . . CORR FACTOR . . . . . . CORR. STR. -PSI . . . . . . TIME TESTED . . . . . . � ------------------------------------------------------------------------------- REMA RF;S: FA I LED ------------------------------------------------------------------------------ ASTM C39, C174, C19L, C47�, C617, C4� COMPLIES: DOES NOT COMPLY: BREAK TYPE A: X B: C: D: E: ------------------------------------------------------------------------------- THIS RERORT SHALL NOT PE REPRODUCED, EXCEPT IiV FULL WITHDUT THE AF�ROVAL OF SITI ------------------------------------------ ------------------------------- ESF�ECTFULLY SUBMITTED � SOUT T I SF�ECTIdN AND TESTING SAMPLES CAST HY OTHERS: f]SCA D. ANDRES LAB. MANAGER ASTM C39 BREAKS A= cone S= cone and split C= cone D= shear� E= col�_imnar . 50UTHWE�T i IVSGECT I UN AIV� TE�T I NG_I NC. 1�8�6" S. Norw�lk #FA - Sant� Fe Springs, L� 9�ZrE�7� 310-941—L990 - 714-5L�-8441 Fax-31+Z�-94b—��E F I ELD DATA ON T�ST SF�EC I t+IEhJS ` � � --- ASTM C�1, C 138, C 143, C 17�, C 17�, L�31. C 1�c"�64 --- CONCRETE: X GROUT; MC1RTAa: SFlUiC:;RET�: C(:1RES: Gl.1NITE: ADD1��55: 3179 i i-�W`� 79'�. 7Ei�1EGULta JUP �#: DATL: :/17/9 i 3tJP iVAi'�IE: ��AYLc::i� URUG F�ERf�1 T T #; N'j� 15�;6 I'�,S��U P'r: ARCHITECT: RF�M ENC,INE�R : t�1VF LONTRACTOR: �RU:�H SULi CI�I�lTRGCTOi•:; GIUFtC�I ------------------------------------------------------------------------------�--- LCiCA"f I DN I r� STRUGTURE; C:OI.UI'�IIV BaS�S RLGhaCa L I haE �� A�lI'i T i'�1T�N T UK CUL��i�P�J t=.C1hICHE�i'E �UF'FL i�R: �UI�1WE��i� �'LHP1"(' : ` 1�11� k#: TY�=�E t�F CEi�IEJyT: I I ADi�11:x T(!I=<t : i='U.�:� �_�;_��1'd �i�t=;I�:ET #: 4'y�7�i� '�LLii'�F': ;" �iAT�;� AL>L}tL; : �Z� H I N, I �i`�I�-'; =�i CuiVC I�,ETL T�h1F� a :�,� i�1 T:�i r'Jt� i�IyII� . _�/_) �.L�yIE CH'_�T a 4��i�<i DR I E L:HST: 1%1 i:"y f N,�t.:L 1 `J�!.i H 7 L1=�L�: 11 14,�'7% �F�EC I i�1EN� MAL�E T�i`r' : i=ANL�i=iLi-- �Ei_L ;_�1='��:I;=�s=17 F�S i : 3�c�k�� r I�L L7 I L7 E h1 T T F I C H'i?�7 i�i ! t=� i r i i� , 1� , �_ i �= LA� IL�ENTI1=i��AT.i�.�i�1 , U i;�.��v:��6 . UT;Q��c'�<,� . D i 74'_t�c"+rc. „ . . ----------------------- I --------- 1 --------- l --------- I -------- 1 -------- i -------- 1'y{�L 1JF'YYS + I • L�� . LL� v v a DA7E TESTEL� . 1/f� . ;��,� . L,�� . . . SIZE—I1V. . �X1�: . �=XlL . �+X1� . . a AREA—S�. IN . :_�. �: . :=i. �7 � �`+, ?'7 , . , Gi�cU51-� LuhlD—Li�'i . �t;iQiw�� , 1 18�+�t��7 . 1 1 r��c`�k'� . . , �.C�I�iF�—ST R. —�=�;�I. . �4�c'�� 0 41`�! � �1��z . . . I H1Fi . . . . . ., CQRR �AG"C'OR . . . „ , , CORR. �TR. —F��I . . . . . a i IME. TEST�D . . . � . . -------------------------------------------------------------•---------------___._-- R�MAR}iS: -------------------------------------------------------------�----------�------- taSThl t�::3y, lr 174, C 19�, C47��, C�17, L4;= C�M��L I ES: X i�UES PdUT CCaI�lF°L`�: BREAK TYF�E A: X .�: i:: u: �: --------------------------------------------------------------------•----------- THIS RtF�t:IRT SHALL IVuT �11� ��F�ROuUC�D, �XL��=�T IN �ULL WITI-itJUT THE (�F�RO�JAL UF SIl".I ------------------------------------------------------------------------------- ' ;�1=�EG'TF� LY 5UPl�1I7 i�D SQUTHb � I�JSF�ECT I GN AiVD TEST I N� SAMF'LE5 CAST i�Y O i HErS: OS�AK D. ANDR�S LA�+. MflNAGER ASTh1 C39 PREAK� R= cone P= cone �nrJ split C= cane D= shear� �= columnar ; S�UTHWE�T INSPECTIUN AND TESTIN� TNC. 1�8�6 5. Norwalk #A 5anta Fe Springs, CA 9�67� 31�-94f-299� 714-5�6-8�41 Fax-31�-946-��6 F1ELD DA7A OPJ T�ST SF�ECIM�NS r�� --- ASTI�I C.�1, C 13t3, C 143, C 17c, C 17:5, 1:�31 , C,1 V�b 4 --- CONCRETE: X GRUUT: MCi�TaR: SHUTCRETE: CCiR�S: GUNITE: Al�DI�ES:i: 31797 HW`� 79 Sl7UTH Jl]P #: DATE: ;?/14/97 30P NAME: F�AYLESS DRU�S F�ERMIT #: By6 f6,:�b I��U�U PY: ARCH I T�LT: RF�M CNG I NC�c�: HNI= CONTRACT�R: E. �kU�H SUB CUNTkAC i Uk: �TC�R�I C:�.MEP•1T L�CA71ahl II+J STRI.�Cl"llRE:: DUCK LEVELER AiVD CC1LUhi�1 RHSES ALUP•J� A. 1 f:ONCRETE SUF°F�L IER : �7LJJ�IW�jT F°LAIVT: iti;� ;�li X #: 9c �7� TY1='E Ut= CEMEi�JT: I I t=1Di*1I XTUI'�E: cck�1�J 1=�l:lZ Z T I C!';ET # : 481�7.: SLl7P�kF': S" WATE R �DDED: u'� A I k i Ei'�G: ,:,,�-, CUNI:RLTE TI=1�1F': .:�8 i�l 1 X I hJl:7 T I ME: �4� 1 I IYIE Cl=�ST: �;��Q� ------------------------------------------------------------------------------- DATE CAST: i/ 1��/97 R�CE I VED i=aT Lr1P : 1 r`1,:�/9 i ------------------------------------------------------------------------------- SF'EC I MENS MADL BY: r"tf�h�D1�' REED �F�ri:I�T��i i=��3 : ;��k'��c'� ------------------------------------------------------------------------------- �=i c�D 1'DGiVT I F T CflT I UN I A f �t I C I �i I E 1 F ------------------------------------------------------------------------------- LAP I DEhJl'T F I CAT I t]IV : OTT�c'��5v:� : t�T7�k��c'� : t7T7k'�ti��;w'� . . , ---------------------- I --------- I --------- I --------- I -------- i -------- i -------- AGE DAYS . 7 . �� . �B . . . DATE TESTED : #l 1 r : L,'7 ; �/7 , , , �IZ�—I1V. . �X12 . 6X1� . �X1� . . . AREA—SGt. I N . L8. `7 , �8. `7 . ��t. `7 . . , CRU�H Li7AD—LHS . G��+�c"�Q� . 119u��1k3 . 117��c��r� . , � COMF�—STk. —��SI. : ;��99 : 4�k�9 : 415b . . , I H/D . . . . . . CORR FACT��t . . . . , . CDRR. STP„ —F'ST . . . , , o TIME T�S7ED . . , , , , ------------------------------------------------------------------------------- REMARKS: ------------------------------------------------------------------------------ ASTh1 C,.39, C174, C19L, C47k�, C617, 1:,4:� COMF'L I ES: X DGES NUT Ct'_tMF�L`f: Pi�EAK TYF�E t�: X P: C: D: �: ------------------------------------------------------------------------------- THIS REGORT SHALL Nt�T BE REF�i��7DUCED, EXCEF�T TIV FULL WITHt]UT THC AF�ROVAL OF STTI ------------------------------------------------------------------------------- RE�- UT Y SURMITT�D S UTHWES SF'ECT I ON APaD TEST I NG SAM��LL•S CAST BY (7THEi�S: OS . ANDF�ES LAP. MANAGCR ASTM C39 PkEAKS A= cone P= cone and split C= cone D= shear E= columnar APR d2 97 02 01 AM 43 36G6D7464 714 827 224l2� P 08 tr'�� i!7"�`�'�$11�`�r s `��.e_��,,y�"i��' ,)}t {.�." �d ��'}A�� .S"✓ '� �� ,' . �� .'�� a �;'[��'�.j� ..'�� "�zr,S..a� � ��•i _ � 7 �"d'� ` �`�'�k `N� �, �4 � -�,�f' 1 ♦ �TV�('�i �!'w� jS 'P b � 7'��'��T��'S�� "a''.�x�,��`��- k��.?� '..,�F;`'�"`�t�r1';^ r ; r -. . r,,. .N Y p �q,� �',� �:. } � j .'. .., A ' ' �C "-' s .' ' . �i .k�:i � , �� t��irl�V�.r��y�'� _ ', 5 ,i. - . . _ , - �� sru�7Nw��;T �r.�.i��t;:'t I��r� AND 1'r-�s i�JG i r�C. � � ry _ � . . 1�Zf�c:t Nrr�;�,:ilk #A � �;-;�t� F, ��,;r-i;,r. :. CA '?��; '� �1 -�41—��a�+7� -r; �, <<.:.,--_,•,�t;' Fax—:,10.. 9�►E—�0�6 ' --- � -------.., ._.._ __-.-----�-_---.. _.._ ._ .--_- - ... ._ _ _.__.. .. .---.-. ... .. — -- - -- - . .__--------•--•----- •-=-:�::.�,:::y ; �.i��.i� r�,7F-� r �. Y�_s-�- -,��Et"IMF:�J=". 'a , ; --- - ASTM f��l. C.l �•_• �-I�"t:'. i:i �'; r.I.YJ. �'CJ1. C1NE��r - -. ' CUf3 RETF: X GftCIUT : PiC�rt �Ar%; ��}-IC�I I�'fiE"I'E: �.�JRES: GI.JNZTE: � 9 ,� ADD E�:: �•i797 NIJY 79 Saurff .)f��,t �#: DnrE: 1/:;7/97 - ?Qk� NF1ME: f'AYLESW DRUG F'�RM(T tt: ISSUED RY: l"EMFCLFI.R ARC� IT�.[:T: k.NL;!?�r�:: .:f�: Cpiv fiAC70fi: �� c �_r�,Fz�c-rt�?: .. __ L�Cf 7'TUN ItJ STRUC"'r'L15�s � �ON FiETF �JF��=�LIE_��: I ..E��JT: MIX �#: -- --- TY(� OF' f;f'f+1F�N F: r��m r �-�- �F-: T T�:r FT #: S�i..J :1='; 1,1N''�•:` G T;T �'j7: AIR Tf-i+iG�: : CON RE'TE T EMF�: �';�;;'a�; t I.nE': 'T'I ME" CAST: DAT CA5T: l�/2 y�9b F�F'�"EI VE P A'i' LAB� 1�'1;.::r7�/9F �G� IMENi Ptr�D� �Y: MAR� ia01.1.)��lI"f�-1 St��Et�;rI�D ��51 : f=T�� n IPEN-fIFIf:AT(QN I c� ' : . L: � P I E I F LA�t IDENTIFIG'1T2U:'d . 61�61 � , =I - : l3 , = 1;'.f•i.e, . . . _._.. _. .. ._ __--- ---------�---E--•- --_._ __._ i . ._._ . _ ___.. ; . _ . _ � _ _------I ----- -_._.t_...... .. ._ .... AGE DAY.�s . "7 . �_£ , �'a • . . DAT TESTED . 1;=:/:::�� . i r f _ . . ' i6 _ . . SIlf--IN. . �Xi.�_ . :•a ; : . :XI�: . . . AR� —�0. IN . �:8. c.:, . ._.. . T ; -.�:1. �l . . : GRu F1 l_n�D--t F�; . �,8+�c'+<` . 7��.:'.:�'�� . ��1��+�N . . . ' Cl7t*i -�TR. -F'�I. . �:�t�� . ,�� :.� . =�7= . . . ; ! M/D . . . . . . CUNf FACTGR . . . _ . . CUFt �TR. -�•=�1 . - . . . . TIM . TESTEC . . . . IREM RKS: n0 1=�AF'�EF<��IORF: I _._.._ _ f�aTl�l C3ry. C' 7i:. �'. : _. �_4._i�1, Cr i . . Ckc CClhf•�_.IFS: DOE`.- UQT G�t�IE�L_'r : BR� Y; TY�•E f�: C,: .. _ . .. TNI I�[f=t.�k' a�..If1LL_ NU'•" L�C: RF'(',F:�t;[�.-'�::,:. : �(i=1_G� � Ii� �C;L,_ ��:: TI-iC]I.IT THE AK'FlOV�1L G� GITI RE:r��i;t:Tr'UL�_'I �_:,:_�n,I T�TE:D Sol;��:!wF�z TM�.��f .Ti�N AIuD 7ESTIr�� S�M �� :AS?" BY f]THEl�:3: OSC►;R D. RN1iRE� L��•.. r�AriA�Cn A�T C�9 BREAKS A= cvr,c �a•- _c,r�E �:-�� spl i•.. 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SOUTHWES7 INSPECTION AND TESTTNG INC. � 108�6 S, Norwalk #A Santa Fe Springs, CA 9067� 310-941-�99� � 714-�26-8441 Fax-31�-946-��6 _______________________________________________________________________________= FIELD DA7A �N TEST SR�CIMENS --- ASTm C31, C 138, C 143, C 17�, C 173, C�31, C i k��4 --- - RRISM: X ADDRESS: 31797 HIGHWAY 79, TEMECULA JUP #: DATE: �/6�97 JOP NAME: F�AYLESS TEMECULA GERMIT #: FSSUED PY: ARCHITECT: E3VGINEER: COIVTRACTOR: SUB CCINTRACTOR: -------------------------------------------------------------------------------- LOCATION IN STRUCTURE: -------------------------------------------------------------------------------- CONCRETE �UF�F�L I ER: STAhJDAt�D ��LANT: M T X #: 4�►3 TYF�E OF CEMEIVT: aDMI XTURE: T I CKET #: 63 1}J�g 1 J�L� SLUMP: WATER ADDED: AIR TEMG: 75 CONC RETE TEh{F�: M I X I NG T I ME.: T 1 ME CAST: 1 :�� ------------------------------------------------------------------------------- DATE CAST: 1�/�/97 RECEIVED AT LAP: f;:'/Si97 ------------------------------------------------------------------------------- CAST PY: MA RK G�LDSM I TH SF�EC T F 1 ED F�S I ; 1 S��c� -------------------------------------------------------------------------------- FIELD IDENTFFICATIOIVf A I H } G � � ------------------------------------------------------------------------------- �.AB IDEiVTIFICATION : cf31�9 : 61s189� : 6131ES9 , --------------------1 --------------i ------------- l -------------:--------------- AGE DflYS : 7 ; Lg ; `g . DATE TESTED : 1`/11 : i/1 : 1/1 � SI ZE—I N. ;7b`X7C��JX 1 JJ :76�X7E�JX 1 J. 5 : 7E�`X765X 1�. 5: AREA—SQ. IN : 5$. 14l : �$. 14� : .:,8. 14+Za _ CRUSH LOAD—LPS : 119�c'�� : 1�3��'�� : 14i6�+� , CDMF—STR. —GSI. : ��4� : �468 : �43� . I H/D . , , . CORR FACTOR , , , . CORR. 53R. —F�SI , , , . TIME TESTED . , , . ------------------------------------------------------------------------------- REMARKS: ---------------- A�TM C39, G174, C19�, G47�+, C617, C4L --------------- COMFLIES: X DOES NnT Ci7MPLY: BREAK TY��E A: X P: C; D; E; ------------------------------------------------------------------------------- THIS REF�ORT SNALL N�T P�: REF�R�iDUCED, EXCEF�7 IN FULL WFTHdUT TNE AFROVAL OF SITI ------------------------------------------------------------------------------- RE CTFUL SUPMITTED S THWE PEC7ION AND TESTING SAMFLES CAST RY OTHERS: OSCp D. ANDRES LAB. MANAGER ASTM C39 BREAKS A= cone R= cone and split C= cone D= shear E= col�imnar SOUTHWE;�T !IV'�I��ELT I uh! 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' 'TIM �T�ST��I . . . . . . , __._ _..._._..- -- �- __....__...._._ ... ... .__. . ...___ . .__._.- -----._._.__ ..__._..... . ..._..__ _...._ _ __...._... .. ._.._..__..... . .. _.. . _--.. I REM FiN.��: i �....... _... _.._--- _--�----- --•---._ _..._- --- - ---_.-------..__._...--� -.......... .... ._ ..._ _ .. . _... � _.. . -- •----- --.._.-------- --- A^TM C3'�, C174, C19�. C47�, CE 1�'. t::4�;' �t�r� I ES= DQEa NQ7 CO�tF°L.Y: BR�: �; TY��C A: F.: C: D: C: TFiZ �2�:�-'v�Z � ,`s"rIA;.�._ P�� L�i- �cR(�f3i.J�t_L�, LXCE1='7 IN �ULL 11ITH�;JT ;"ItC 4aF'iii)�:s=iL UI'. •�i i-T ��F'Cl�T(�ULt_Y ��UB1ti�:7 TED S�UTHw�� IN�r��T I QN APJn -fcST I�,r �AMFLE=:S CAST NY (]T�Iir.R�: O�CF�R B. ANLRES LRL�. ihANf�G�R A�a'1" C::;9 BRcAYS A�� c,ne E{a con� �r.�� split C- `er�a C%= yhe�.r E= Gc,I�.�mnar � �vUTHWEST INSGELTIVN AND T�STING INC. 1�8�� S. Norwalk #A �anta Fe Springs, CA 9�67� 31�-941—L�9� 714-52b-8441 F�x-31�-946—��6 F�1 ELD DA7A �IV TE:ST SF'EC I�1ENS --- A�TM Ca 1, C 138, L;14a, C 17�. C 173, C`31. L 1 ktit�4 --- C�NCRETE. G�tUUT: X MURTAR; SHCITC:�!E.TE , t;URES: c�ira 2 T�; ADDt�ES�: 31797 HWY 79 T�MEt�ULA JiJR #: DATl�: 1/`7/�37 30B NAME_:: ��AYLESS TEMEClJf_A F�E P,M T T #. I SS�;ED P1�: RRCH I T�CT: EIVG I lVLt�t� : CONTRAC;TUR: '�UB C:CJNTRflCTUF!: -----------------------------------------------------•--------------------------- f_OCATIUIV TIV STRUCTU6�E: C�ki�UTIN6 QI�' f'�if�S("�I�JRY W�tL� CDIVCRET�_ ��UF'F�L I L P,; E�F—k I'T'� ��LAhaT: M�} ;S # a i E��►��ti"� TYF�E OF CEMEfVT: ADih I XTUt?�: T:[CkiET #: �;;�48�c� SLL�M��: WA'I-Ek AUDED: RI R TEt+1��; 4; C�NCh�TE TEMF�: M I X i I�I� T I MF: l"f hl� CA�7: ------------------------------------------------------------------------------- DAi"E CA�T: 1�/�/9E� r2Et�EIV�D AT I._�P: 3._!�/5t� ------------------------------------------------------------------------------- �F'LL I MENS MF�DE B`r: MRt�K GI�LD :=M i i H :3F'?='L.I 1=T�D F'S I � -------------------------------------------------------------------------------- f-I4�LD ID�IJTI�ICATIUh! I r=1 I B I C I D 1 E � ;' ------------------------------------------------------------------------------- Lt�P ID�hlTIrICATIUN ; 61�187 : �131�37 : 61a1:37 . . , ---------------------- I --------- i --------- I --------- I -------- 1 -------- I -------- AG� DAY:3 . 7 . `8 . �$ . � , DATE TE�l-ED : i�fl� : i�/;�1 : i�/31 . , , :31'Z�—IlV, . 3X6 . �,X� , �,X6 . � . AREA-5U. IIV . 9 . 9 . �3 � < . Ct�U�H LOAD—L�� . �43�� . :81��c� . ;�77+c'�� . . � COMF�—S"I'�t. —�'S I. . L7��i , 31�L . 3+L�77 . , , I H/D . . . . . , C�RR FACTCIR , . , , � , CL7Rt�. �TI�. —F�SI . . . . , , TIME TESTED . . , . , , ------------------------------------------------------------------------------- REMARIiS e ------------------------------------------------------------------------------ ASTM (�39, C174, C192, C47��, C617, C4;? �.:QMF'L I ES: DflES NOT COM��LY� PRL-"AFC TY�� A: B: C: D: �: ------------------------------------------------------------------------------- THfS REF�ORT SHALL Nl]T BE REfi�s�ODUCED, EXCEF�T IN FULL WITHOIJT "fHE AP..P.�VAL ��F SITI -------------------------------------------�-----� --------------------------------- !�E' P�CTf-UL Y aUPM I T 1 ED S UTHWE ' SF�ECT I C1N AE�aD 7EST F NG �AMI��L:S CA�T L�Y OTHCt��: �SCAR D. ANDRE:S LAP. MAIVAGER ASTM C39 PkEAKS A= cone P= cone �nd split C= cone D= she�r E= co3�_�mnar aPR 02 9 7 d2 :07 A 43. 36GbDT464 _, . 714 827 2242 P 16 � "�a' ��„f i n ±�x �r� �e `"�` ..4,{ ,�. ,y � .�+f� �.t;3�w,� gR.v. p` " s^ ��'` W t� ^�� +�S � �.�! ±�'� � � ..# x �}.*�t � r'�`Sar' 4��'. ei��`` ' �:�� M� �!"` 3rt �# � r � 2 .� t , s,�� r•� E `£ ,0�Na!�AND TESTiI� INC:�"��, � �� ,`��,�d '�+� ;� u +,:.�i�5�^1, �'! .�_h ' � �.. .M -k',:�'r, w.�'�'^c�,.^"#r�`r .y o m t'�tti+. �a^�.`� �.' �%s"!" �j."5Fs k., ,.. ry ,�x � � .,,t t �'�i�`� g ��*- , �4 Q�,_ c WN�t_Wd 1 Fc`��/''#�r� �..v � �r�r��t l,�� ,..�x� x,� , - _ H�i� � � i�,��hl �pth:'.,Jt�� .��,��a��t�a��fr�:�7�f4�/.�yS• '�.T�M'., 7��1:�G• i �� '� . ., _ 31 '3�11 ` c ,. sy'�a.�S n,.�° i �''�' �'r rr.� �.��.I�C� s �v. . , �,�9 0 ,-�� .,.,; f �ik 14 ,; . � � . . __ y�_._ - - �..______--- - - . r � .: :1�441 z Fax �2' '34b Q1�=6 ., Z.....� ..�.�.��.� �_. �..��.�.1.1's:: :z'�'- ��' . q. . .. _ -— .... ��. if r« - ' ' _�'"' �� ' �.......��_ •' � . . . .. .._.._ ._,..... ,�:�:.,_. k ,.L;.�'e .........��'_".��."' .-�. . 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PEFli+1� f1LQNG l..Il�JE::;7 �l. ,? q. ,=, CJrJ RFTE �UPF�L I Ef2; �urd��T F�LAt.'T: :_ M I X #: ��:�4ti'�: � T'f�' Or C��1EP.T: F�D��I I X TJRC: r I f:K[:1' #: SI�IJh;='; .:. 1/:: " i�F1TER A�GcU: E�i1R 7FPt�': c'k'i COEJ i��TE TEMi=�: !� P;I X I C�(:; r I M�: 1'I n� �p�l : �:_��, I?AT CA�1': 11/��7/�L� {"tL-C;rI'.� �J A?" �..W}3; I��'/w/3'�� '�L' IhICIYJ kIA�L BY : h�c�f: G ��.Ct; i;�U F'�51 e -��4.�0 F'IEi I7 IBCi��"TI" IC��T'IQ�d i � I 3 C ! D 1 � { r' LAL� I ULhT I r I Cfl T I OPd : C� �-;�s"� : f:i�:�7n : 61.;(373 : . _ _..._._ _._..__...__ ____ __ _.---..�.._ � ...-----------.._ � _... --._._. __. _ � _._._...--- _....... ; _.... . . ,......, ,. � _. . . _ . � _ _ _ .____ ._ Ai.,� DAY� t l . . -"' . . . L.'J r....4 � DAT- 7ESTED : 1�:/4 : 1,:/�5 : ic/c� . . : �IL -IN. . �X :L . 'vX:� . vX:� . : : . ARE -��. IfJ . �8. �'? . �E1. �7 . �L. �? . . . GRIJ !' LOAU-�.C�s . c��s�'s�� . 1�"�0�'�� . i E'�;��"•�+r . . � G�� :;�R. .r�:. . ��`?: . :,67Ei . .'1��+8 . • : . { H/t� . . : : . . 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MAIN STREEf I N P E T I O N (Z4 hours) Pager: (310� 715-4432 SU(TE 303 & TE TING SEf�VICE O�ce: (8D0) 475-G879 GARDENA, �A 90Z48 F�x: (310J 851-8692 REGISTERED INSPECTOR'S DAlLY REPORT �ob►vo. o te Time _��_g� TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control �NSPECTION � Pgs�ansioned Concrete ❑ Fire Proofing ❑ Epoxy FEQUIRED �einforced Masonry ❑ Asphalt � Other I Job Address � g� � L .J �� V�;v� 1 Y �`�—`�� v1`.'�,�'Z Job Name j�� C S j P ►� No, �/� � I Issued B r r �� 'L' =�.1 t"GL! 1..,.A Type of Slructure � r N iZ Architect �M �'� V" � Material Descnption(type, gratle, source� i Engineer �. /�—N r � ��.�� I contractor {-�, S � l_. �% Inspector(s N Subcornractor �,t%��2-�- - e��5� t��.--� G,��(Z-4 � TESTS PEAFORMED TYPE OF SAMPI.E SLUMP �UANTI7Y IN SET ADDITIONAL REMARKS ON SAMPLES �� .� 1� L �'��t — �' •7 v i � i I ��-1-�-� - ------ �- INSPECTION SUMMARY—IOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN.WORK REJECTcD,J08 PROBLEMS,PRCGFESS.REMARKS.ETC. INCLUOES INFORMATION ABOUT-AMCUNTS OF MATERIAL P�ACED OR'vVORK?ERFORMED,NUMBER,TYPE 3 IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H T 90�TS TOFIQUED) CHECKED; ETC. � '�._s.��-�� C7 tt iA.�b.L��__[�� t--� - �LL � �S.-i �[� �-1 �.! c T�-�--�_ �.1 � 1" ��u% 1't�L—��S —�__._t 5<T��N `�'c`—�� 1,�1�'C1� . L�-��_�-�- ��.. �_ i '^�p l�. a A.� ► �c2_� j!v --'� �--�� :t=--SZ � �, � +�-..--�-- �- �z-��-�-- � ,}� - � � � �r �U;,-�„�' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE G PAGE OF i HEREBY CEATIFY THA7 I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL TIME IN TiME OUT REG.HOURS Q.T.HOURS SAMPLES OF 7NE ABOVE REPORTED WORK UNLESS OTHEFWISE NOTED.I HAVE FOUND THIS WORK TO COMPLV WITH 7HE APPfiOVE�PIANS.SPECIFICATIONS.AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. :(�� f � All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In addition,any inspection extending past noon hour will be an 8 hour minimum. StGNATURE O REGISTEAED INSPECTOR �� APPraved bY - SPECIAI.TY NO. AGENCY Project Supenntendent WHITE• OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD -J08 SITE COPY t .. f�� _ =_ � � �, - ' O I 7800 S. MAIN STREET I N P E T I O N (24 hours) Pager: (31 OJ 715-443Z f SUITE 303 & TE TING SERVICE OfFice: (800) 475-6879 ' G�°d2DENA. CA 90248 Fax: (310� 851-869Z REGISTERED INSPECTOR'S DAILY REPORT J0b N0. ._.I n�.-��_ , 3 L T Y P E O F ❑ Reinfor�ed concrete � Structural St eel A s s e m b l y ❑ Q u a l i t y C o n t r o l INSPECTION ❑�,,PCastTensioned Concrete p Fire Proofing �poXY REdUIRED urneinforced Masonry ❑ Asphalt ❑ Other Job Addres�`.�� W� 1� • b �-^yC� — —•�.� �,-�? v L�..1 � �- Job Name Per rt No � Issued 9 PA�_L_�� '��r,"—�.'� � I ��.v_t� Type af Structure Archiiect , 1�} Z- I V��Z— Matenal Descnption (type, grade. source) i Engineer �` , �, N �' , COntraCtOr C--�- .tz�,-'S �l Inspectorls) Na Subcontractor � .�_��- �1. /�.-2�L_ C:a��v`-. i'r�-�_-- � 4 \ I TESTS PERFORMED TYPE OF SAMPLE SLUMP DUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES w� 1�- - �--;-��-``tZiYL\c'�� /�C '� �tl`�... --- � I ' I I INSPECTION SUMMARY—LOCATIONS OF WCRK INSPECTED,TEST SAMPLES TAKEN,WOFK REJECTED,JOB PRCBLEMS.PROGRESS.REMARKS,ETC. WCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OF`NCFK PERFORMED,NUMBER,TYPE 8 IDENT NO'S OF TEST SAMPLES TAKEN STRUCT. CONNECTIONS(WELD MADE H'. BCITS TOR�UED) CNECKED; ETC. \ � �(L.L�i�'`�J � l .�___._ ��2� �c 3"�' �"l��t�4'/'J<---1Z-�---l� � � 'T� C�_ �`.h.-� �N L� _C .',C � i. ,,�-� � ��c.� ��j� 5 � -,- `,��< < cY..>�--__ --� � � �-�►� �� S/`�.,.1 i. �-i�_�—�__ i�L�-v r��,Z�� N - L=1.L.� — �.J t ,•� p�,.� �-�c2 __ ' i� s �� C.��.-. v �.�.-�... �� ,� � �� C� � T-- � _"�J C�Z ��f�-�7 ;.) �'t`! S�'�l��..- i�._�—Z � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE u PAGE OF I HERE6Y CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWIEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE ABOVE REPORTED WORK UNlESS OTHEfiWISE NOTED.I HAVE FOUND THIS WOFK TO COMPLY WITH THE APPROVED PLANS.SPECIFICATIONS.ANO APPLICABLE F ✓ SEC710NS OF THE GOVE ��G BUILDING LAWS. �� All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In additian,any inspection extending past noon hour will be an 8 hour minimum. . /� SIGtJATURE REGISTEREOINSPECTOF �—/ l�7 Approved by SPECinL7V NO. nGENCY Proj uperintend WHITE -OffiCE COPY, CANARY-ACCOUNTING CaPY, PtNK - INSPECfOR'S COPY, GOLDENROD- JOB SITE COPY �,o�,-6�6 - �E S� 2.- 3,,� ..6-a-� - �� 1 Q I 7800 S. MAIN STREET i N P E T I O N IZ4 hours) Pager: (310) 715-4432 SUffE 303 & TE TING SERVICE O�ice: (800J 475-6879 GARDENA, �A 90Z48 Fax: (310) 851-8692 REGISTERED INSPECT R'S DAILY REPORT i�ob No. �at 1� ,� Time TYPE OF Reinforced concrete ❑ Structural Steel Assembly � lity Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing C poxy FiEQUIRED ❑ Fieinforced Masonry � Asphalt ❑ Other � Job Addr�..S �� '{ � 1 � City ._;--��C.1J 1..�-- ��) � C Job Name �Q �� C S Per t�o � �� Issued � � � �� ..J �.. Type o(Structure Archiiect �/ -- N �Z l ti� Matenal Descnpuon (rype, grade, source) j Engineer � � l —l�1 'r— ; /� I ContraCtor -�--� /�.� �lr��c 5 'Tr .,;� L, ��-:�� l.� i Inspector s)Name I SubconvaUor � i L'�' Z 12`"�u'�'.�— '—�`_ " + TESTS PERFORMED TYPE OF SAMPtE SLUMP �UANTITY IN SET ADDITIONAL REMAAKS ON SAMPIES 1.7�... � � I �—�,— -I�_ �-- L1 �° A� /� i-�--�z-LL=, `--� �-� � INSPECTION SUMMARY—LOCATIONS OF wORK INSPEC'ED,TEST SAMPLES TAKEN.WORK REJECTED,J08 PA08lEMS,PROGRESS,REMARKS,ETC. INCLUOES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 3 IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MA�E H.T. BOLTS TCROUED) CNECKED; ETC. � l� �,V — "L/�.��'`i`�-YUT � � �.�%i�.t ��_Z—s_�---�--_ I �c��_C�,(�] � j tZ�--"�,v �-�_��.—.t_.I�-� 4—�+��_- ;'�.; -�" C r" - � '�Q_ � �Tc--�3_L�'-t r V L.�-t��r��"'� � �-c,�� A �2 -- ��--,�� —_�:�= �-P2�--T-c �'V1 � � �- a 2�c � � ti -� " ��..� ..� � S�CL iL � i�� o�-�3�L_l f--�__C�-_� �--__ � � � - �L�� =�2 �='�� tL � `7 � � L�:��.�� i7�z.,'`�, =� � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF i NEREBY CEATIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL nME IN TIME OUT REG.HOURS O.T.HOURS SAM LES OF THE ABOVE AEPORTED WOFK UNLESS OTHERWISE NOTED.I HAVE FOUND 7HI5 WORK TO COMPLV WITH THE APPROVED PLANS.SPECIFICATIONS,AND APPLICA6lE r SECTIONS OF THE GOVERNING 9UIlDING LAWS. c(�� All inspections based on a minimum of 4 hours and over 4 hours-8 our minimum.In addition,any inspection extending past noan hour wiil be an 8 hour minimum. � SIGNAT FE OF REGIS7ERED INSPECTOR �_ Approved b SPEC TY N . A ENCY ' Pr upe� ndant WH1TE -OFfICE COPY, CANARY • ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-J08 SITE COPY z T — i r � O 17800 S. MAIN STREET I N P E T I O N (Z4 hours� Pager: (310J 715-4432 SUITE 303 & TE TING SERVICE Office: (800) 475-6879 GARDENA. CA 90248 Fax: (310) 851-8692 REGISTERED INSPECT 'S DAILY REPORT �ob No. '�� } 1 g.� Tim y� TYPE OF Reinforced concrete ❑ Structural Steel Assembly P,� uality Control INSPECTION ❑ Past Tensioned Cancrete ❑ Fire Proofing I� Epoxy REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other I Job Ad �eSS t� Ciry �t � ti'1�..�Y � � S a��'� ��2 v�.r� Job Na Per o Issued `l�Q� S �`�.� - I �3 �o-- ��.�.,�-Z.v :,Y�. Type of Slructure , /^„ , ` `� ��1�chdect ��1 � 7 Y �j i f` Material Descriplion (type, grade. source) � Engineer � I � AN.�= ; ..� I Contractor I ��= 1vl.,J�� ' � N L � ! (_.��—V r� i.-1 Inspector(� me Subcontrador � �' ��tcf7�Y✓�t + Tl�'� �.5�'L`c-. � : � TESTS PERFOfiMED TYPE OF SAMPLE SLUMP �UANTITY IN SET I ADDITIONAL REMARKS ON SAMP�ES �1 �t I l.,! I I i i_L C�� =3—% �c- �,r'� � i i �t tZ- I - -- ��.�� -� � `�, `�` �-�-;2 � � I � INSPECTION SUMMARY—LOCATIONS OF WCRK INSPECTED,TEST SAMPLES TAKEN,WGRK REJECTED,JOB PROBLEMS.PFOGRESS.f7EMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR'NORK PERFORMED,NUMBER,TYPE 8 IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT CONNECTICNS (WEID MAOE H.T. BOLTS TORQUED) CHFCXED; ETC. s =� �� P�--�.,.�-,.�, �,,..r- �:�- � :�� z�--�L C �x �2� � � , �� _��__ __� -n=� �2:, ,� ,� �� -o � �� 3, 1 -z-�a `3 :--� �' -� —�__ _n 0 �,��7 �� 1(�� -�� .� i � " " `-' r �J V_1 1��'-T ;�•> �� N L ,�r � �� 05 �So� P� � :, �� ,. , CERTIFICATION OF COMPIIANC� CONTINUED ON NEXT PAGE ❑ PAGE OF i HEREBY CEFTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL nME IN TIME OUT REG. URS O.T.HOUAS SAM LES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPIY WITH THE APPROVED PL4NS.SPECIFICATIONS.AND APPLICABLE. .�7 � � SECTIO S OF THE E ING 6UILDING LAWS. '•v� S � All inspeciions based on a minimum f 4 hours and over 4 hours-8 hour minimum.In addition spec2ion extending past noon hour wiil be an 8 hour minimu -� SI NATURE OF REGISTERED INSPECTOii �� (� �� t l� U APp Project S �Mendent SPEC1nLTV NO. AGENCV WHITE - OFFICF COPY, CANARY- ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD•JOB SITE COPY ' 17800 S. MAIN STREET � I N P E T I O N (24 hours) Pager: (310J 715-4432 SUITE 303 & TE TING SERVICE O�ce: (800J 475-G879 GARDENA, CA 90Z48 Fax: (310) 851-8G92 REGISTERED INSPEC R'S DAILY REPORT Job No. Date Tim — � "7 TYPE OF Reinforced concrete ❑ Struciural Steel Assembly C1 Quality Co rol INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing Cl Epoxy REQUIRED ❑ Reinforced Masonry ❑ Asphalt CI Other Job Address Q City _l V �l� ' �NI.Z V��,- Job Name r Permit No - Issued By /�.c C.�� '01 r0•' � �b 3 . ..-��.�(..G'Z✓l�f> Type of S�ructu ! ` ' S I Archrte�c� � N Material Description (rype, grade, source) Engineer b•N c= �� `� gy� i Contractor�� /�%l!�%7 Inspector�s) Name Subcontracto r7 � VL � � • � �-�--•'-�`-� � --____— --- TESTS PERFORMED TYPE �F SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES CO�,h7(_. _ _ ' �,�C�_ �� 71�� /� ►�v A,//�1-� j. � ��L � -�• _ INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPIES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMAAKS,ETC. INCLUDES WFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT,NO'S OF TEST SAMPLES TAKEN: STFUCT. CONNECTIONS (WELD MADE H.T 801TS TOROUED)CHE�^.KED; ETC. �-��1� �`!� �l/�__�^'L��J�'. �7_- C��C. 2-.��T� ---____— �Z�V—r -- i14 Z.�� .c�-.2��c-� -��L.��v L i�_� S — A�-r-�-� �� S� -� � � A -t� /.�. 2 , ------- t �C � 5 a 7- �S �b i7D �� ;,�; ��v ��2 a q � - �-1� � �YfL �i--r�-�—� � �c�i�v wt.=—�-, �'�-�(> w . �_.__.�i-�z i.aT� �. CERTIFICATION OF COMPIIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY 7HAT 1 HAVE INSPECTE�TO THE BEST OF MY KNOWLEDGE ALL TIME IN T E OUT HE IOURS O.T. RS SAM ES OF THE ABOVE REPORTED WOPK UNLESS OTHERWISE NOTED.I HAVE FOUND THtS WOF7K TO COMPLY WITH THE APPFOVED PLANS.SPECIFICATIONS,AND APPUCABLE �`� SECTIO S OF THE NING BUILDING LAWS. (� •V D ' All inspections based on a minimum of 4 hours and over 4 hours-8 our minimum.In addition,any inspection extending past noon hour will be an 8 hour minimum. SI TUFlE OF FEGISTERED INSPECTOR \`�'L� �OC�1S� I �3� APProved by .__._...— SPECIA�TV NO. AGENCY P�oject SuperlMendent WHITE •OFPICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPEC70R'S COPY, GOLDENROD-J08 SITE COPY � City of L.A.Certified: Concrete.M:�sonry. Se�srt„_ �.A.Counry Certified: RICHARD KOURY i N 5�P E r � O N Concrete.Masonry,Seismic PO. BOX 3246 �ong eeach Certified: (�4 hours� Pager �310� 715-4432 MANHATTAN BEACH Concrete.M�sonry,Seismic OffiCe �31 0) 978-1 765 CA 90Z6G Fax: (310� 54G-7539 REGISTERED INSPECTOR'S DAILY REPORT �°°"° oa`e �-5' 9rI TYPE OF �i Reinforced Concrete G Structural Steel Assembly � Quality Comrol iNSPECTtON ❑ Post Tensioned Concrete i� Fire Proofing !� Othe� REQUTAED ❑ Reinforced Masonry '= Asphalt Job Addressn ..,_�^ City � '/ 1 r � �_� [_ � G Job Name P mrt N Issued By n � L�ss � 2� � -�o � �� 3 �� e ;�� v-F — Type of Stru ture � Archrtect Material Descriplion �type, grade, source) � Engineer�� — b S Z u :-✓✓CrS � �v i— Cor�tractor �2 u 5�-� Inspe ) Name Su contractor A ..� il A L L_ � � �E c � J :1- C7 I TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I Q O � r � TE I �� `' INSPECT►ON SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROB�EMS,PROGRESS,REMARKS,ETC INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOFiQUED) CHECKED; ETC A O ' � 5 J_ � � ,� • /� � "( J � ��(/c9 LL.4 .S L ' .�-- (�_ �� /� — �n � L If"t--' �---f—��_(� -�1-=5 ._ �/ ''�L �t✓!_.�'-�i�i � �%— � 1 1.�_ Z✓U.LJG._.�_i3N/c'.�'�-.L�-T�__�:!��-t✓A.Z/G- � —YL.�u' �1�/�S p� L�J ��J N ir ir'� �:�J'r'it_.r� N L� � 1L� / �� Dy✓� !L C—'T� WA �10'� �z.A C`�i5 - /a rS M 1,Y L-/.o5 No i /� � c1�v b'� /1J� ;.i n wj�A ' �LZ- I � � `� � D L3 TA��v�l� � " t+�-t E+�!�' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF 1 HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE A80VE REPORTED WORK UNIESS OTHERW�SE NOTED.I HAVE FOUND THIS TIME IN TIME OUT RE . MOURS O.T. HOURS CYLINDERS WOfiK TO COMPLY WITH THE APPqOVED PUNS,SPECIFICATIONS.ANO APPlICABLE � � SEC710NS OF 7HE GOVERNING BUILDING LAWS. + T [v :�� , V � 2 , � All inspections based on a minimum of 4 hours and over 4 hours- 8 hour ��7 � minimum. In addition,any inspection extending past noon hour will ba an 8 SIGNATURE OF REGIS7ERE0 INSPECTOR hour minimum� �,�—`` �C (�'�{��G 1 C l3 O Approved SPECIAITY NO. AGENCY � t Superintendent WHITE •OFFICE COPY, CANARY- ACCOUNTING COPY, PINK- IN$PECTOR'S COPY, GOLDENROD-JOB SITE COPY 1 �Q u;�-yt{' ' ' Z4 h k 17800 S. MAIN STREET I N P E T I O N ( ours) Pager: (310J 715-443Z SUITE 303 &TE TING SERVICE O F�X; j8001 855-869Z i GARDENA, G°,90248 � � REGISTERED INSPECTOR'S DAILY REPORT / Job No. Date Time t �= �� ! TYPE OF ❑ Reinforced concrete Structural Steel Assembly p puali Control � INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing G�oxy ; REDUIRED ❑ Reinforced Masonry ❑ Asphalt Cl Other � � Job Address City ! ��,,��q. S�.m-.�_ � Job Name Permit No. � Issued By ' v q — r--►–!� n F' 'T'��Gc�,A-_— � Type oi Structure Architect �y�� "� - - -�t=�=-t'`.�6��a--FL--�--6��k'�—�-�-� • � Material Description (type, grede, source) Engineer � Contractor i � � Inspector(s) Name Subcontractor r , i �.L - �.�.Q �z._�� + ;�1 � 1�_c" _ ' TESTS PERFORMED 1-- i TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES : INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WOFK PERFORMED,NIJMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. ---.__.._ � UEL 0 �— :� - le.��L�F�� .--��JF1�--��s-'�-�r�,-1__�t-s2�.�. �_�G'� ' ^� . - � ' r�c�-�,P r 5�=,2� .1--��DA=� �a 2.50--D3�� .s-t_,�,.. . ' 1 � - S - . ' ��o E a s v :��v �p��t----��'—��e- -r_,�Q��ts � �.�,,�ra��„��i.,D� C�' �`-�1'=�2�� 2! . � �' �—��2. T.�'S r'dJt.f�c'Tn�2C !n,? � �'�` r� u�-��--4?°. �QE-� ' r o L n3x % x �'�j�'- 3✓Lr.r"e�_A,� �[o T� l.�L �� : ; s � � 0 1 � , . - �1-��_� �a�-t_�-n�s��r�c �.�1��!�.�-.�.C.�ti1 F) �(,a I � ��_� g��(c�it,J�Ff�_�b- -� , '��T ; — H�� d�� s�r,�c1�1� � � ' � � '_��t.�>i-��T r.��' a e � � r �.) ; _ j U.. c �t,[Ts ��C1 rS�'' -'cct-� �a�lUE -- i ' CEATIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE PAGE _�_OF�_ � I HEREBY CERTIfY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL T1ME IN TIME QUT REG.HOURS O.T.HOURS SAMPLES I OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS � WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPLICABLE � SECTIONS OF THE GOVERNING BUIIDING LAWS. CO ��' i All inspections ased on a minimum of 4 hours and over 4 haurs-B hour minimum.In addition,any inspection extending past naon hour will be an I � . 8 hour minimum. 6i] i� SIGN RE OF FEGISTERED SPECTOF �.�e,��n1�Pf-t�r7�,J�. A�� --�'"— ''` ' SPECIALTY NO. � A N—�EC C�—� . � Project Superintendent iWHITE-OFFICE COPY, CANARY• ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY a �� r--�+lr o ' O Z4 hours P� er: 310 715-4432 17800 S. MAIN STREET i N P E T I O N ( I 9 ( I SUITE 303 & TE TING SERVICE O�ice: (800J 475-6879 GARDENA, CA 90248 Fax: (3 I 0) 851-8G9Z � ` Job No. Date Ti e � REGISTERED INSPECTOR'S DAILY REPORT �_ _ � � _ � 1'YPE OF ❑ Reinforced concrete Structural Steel Assembly [] Quality Control � INSPECTION ❑ PostTensioned Cancrete ❑ Fire Proofing Q��aXy REQUIRED ❑ Reinforced Masonry ❑ Asphalt C7 Other � Jab Address City i u � Job Name ' Permit No. � Issued 8y --�-,,,��_ I �--- '�' . C.�--�"-� �YI`i�--� J-�-�.�.-�'4'- Type of Structure Architect i � i Material Description(type, grade, source) Engineer ��F i Contractor ' Inspector(s�Name Subcontractor ' J ti �-s o r��-___ . s. �. �8 ; _ - � TESTS PERFaRMED � TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL FEMARKS ON SAMPLES � ' —._ � INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WOFK REJECTED,JOB PF08LEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BO�TS TORpUED) CHECKED; ETC. � _ C✓ '�a_��_� t _ // "� �-';,[oI S� C�r.l"� (?!a12- �c.��_�--_ _.. ; – – _�x�� —c�y M A�X �oGa.�".�L� r.�tT"r-�i�. r _a' .�'�'�'�"r��—�C�Ll�d�-�Srs� � �-�--- ' __ '7'l`,�' , ry 3�� '�'I� - -�-��t �,��r-��1� ; � �" _ � x �c-a/ � . � i i , i � � F' �-�[U f� f , C I "' � i i I � ' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE �OF ^�. iI HEREBY CERTIFY 7HAT t HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN T1ME OUT REG.HOURS O.T.HOURS SAMPLES � OF 7HE ABOVE REPORTED WOFK UNLESS OTHERWISE NOTEO.I HAVE FOUND THIS WORK TO COMPIY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPIICABLE I SECTIONS OF THE GOVERNING BUILDING LAWS. � All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.�n addition,any inspection extending past noon hour wiil be an � - ' 8 hour minimum. fSIGNATUR' F REGISTERED INSPECT �.�"" , ��`�_J�� I ��v• APProved by -•�--.�._..._.- � � SPECtALTY NO. AGE CY // Project Sup endent I WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPEC7OR'S COPY, GOLDENROD-JOB SITE COPY ( ��— i � - ,. . .. _ . � — ► 17800 S. MAIN STREET I N P E T I O N (Z4 hours) Pager: (310J 715-4432 � SUITE 303 & TE TING SERVICE O�ce: f800) 475-6879 I GARDENA, CA 90248 F�x: (310) 851-869Z i . � REGISTERED INSPEC�iOR'S DAILY REPORT ��ob"o. o(te �� Time � �* � TYPE OF �Reinforced concrete Structural Steel Assembi - ` � Y [� Qu lity Control ' INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing [� Epoxy � REQUIRED ❑ Reinforced Masonry � Asphalt l7 Other I i Job Address City / � �t--� �C'L(� -, C� - I Job N me Permit No. Issued By ��+ j Type of Structure � ��p{� ��- Architec�� w �� r�� T�� ; .....- � � �.��- n � ------ �.�.1 �_��s iMatenal Descnption(type, grade, source) Engineer � Contractor � �� 1_"=�i'j � Inspector(s) Name Subconlractor - " `'.�� ,``N 0"-�� " '��,'-�� '��t_�� ; TESTS PERFORMED � TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON aAMPLES � --- I �r . .�- � � �s-t� 5:1 F=-, � �� C�-� , . ,X. F^ /• -�=�^,f; :.t i ,�" r-;�f"��1 ,�.s � � `' '_ -�'S�� INSPECTION SUMMA Y-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PR08lEMS,PROGRESS,REMARKS,ETC. INCLUDES INFOfiMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WE�D MADE H.T. BOLTS TOROUED)CHECKED; ETC. — �'' � ��—�� -.0 '�, T:�.;��A �—� '�-__:_�=— '- � .--- ,� ��.r� ��- �� 3-,��t_;_._. ��,�-1 tia �3 � c � f. � i � e,_._.� :� I2T,:�-r'��/_ � �-- .� c>�c_ � ; �, �- � �� ' ��,,��^��.— ��-s t+-�.�'.�'T"� .��__- —-- ; � �- �� i � ^ � '` �►-�E . E �-D , 1 .� �� > � „-0, .'�-~' .__..�.:I�� -� � ' �� I' -�- �--- � , ,�+-�— � �---- ` '`��i,��'�! t�-'t��1 - -�• .¢ � ,bd�'�.<-T�. �' ,�, ,�s�--��--�. . � ._. � . ; — -� ��-�----�-� ; _�� .� ) �-----��_., _ _� � , ' --� I ,� r" �,_i_ ,..��. 2-�-3 , fl s� �3�=2. ' � �---_.___- � n sr- __�__� G D ,�3-�. % � 3 ., �,�� c r�1 C�xl� � , � � --� , �,.�-� � ,�-�( , �-s �.�f I s��.�_ s -i. � � � �� oR 3 '` G - � � iCERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE �OF� I I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE OEST OF MV KNOWLEDGE ALL TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES � OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPIICABIE SECTIONS OF THE GOVERNING BUILDING IAWS. i �,^ / All inspections based a minimum of 4 hours and over 4 hours-8 haur i � �, minimum.In addition,any inspection extending past noon hour will be an i - /'�" •' -�""-�- B hour minimura �� SIG ATURE OF EGISTERED INSPECTOR '� �� . � I -�Te�. ApPrrnedby �-" -y a— SPECIALTV NO. AGENCY -� P� d Superintendent I I WHITE-OFFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY j � � _ � ,, + City of L.A Certified: - } Concrere.Masanry,Se�sm�� .n.County Certitied: �`" RICHARD KOURY ' N s�P E T ' o " ' Concrete. Masonry.Seism�c PO. BOX 3Z46 , Long eeach Certified: (Z4 hoGrS) Pager. �3 I OJ 7 I 5-443Z MANHATTAN BEACH Concrere. M�sonry,Seismic OffiCe: (310) 978-1 765 CA 90Z66 Fax: �310) 54G-7539 �. REGISTERED INSPECTOR'S DAILY REPORT � �°°"° oa`e /- zz - TYPE OF � Reinforced Concrete ❑ Structural Steel Assembly C Quality Control � � INSPECTION :� Past Tensioned Concrete � ❑ Fire Proofing L� Other i REQUIRED � Reinforced Masonry G Asphalt ' Job Address ��, City r r-1 - �-I < A _ i Job Name Permit No, Issued By � - 1 v.� Lo C iT�/ o F' � Type oi Str cture Architect -^} � I il Q � .✓ /��.Q i Materlal Description(type, grade, source) Engin er t / E�b i S .a �/� a� .;�.✓G comractor ' E -r <J Inspec (s) Na Subcontractor � E� /1 _ TESTS PERFORMED � TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS;REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H T. BOLTS TOR�UED) CHECKED; ETC. I ` � � '� G /�,Q - /.f[�/�F L�n..vj�F,S 5 O iL /,�_aJ�T K . i I I I � I � \ � I I � � � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE AlL i OF THE A80VE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HO� S O.T. HOURS CYLINDERS ! WOFK TO COMPLY WITH THE APPFOVED PLANS.SPECIFICATIONS,AND APPLICABLE . � � i SECTIONS OF THE GOVERNING BUILDING LAWS. .O� � � I � All inspectians based on a minimum of 4 hours and over 4 hours-8 hour ��o� � � minimum. In addition,any inspection extending past oon hour will be an 8 r hour minimum. StGNATUFiE OF REGISTERED INSPECTOF / �/� �� / /y /C L3 O APP�oved By � �- v SPECIAL NO. AGENCY ProjeCt uper ntenda t I WHITE- OFFICE COPY, CANARY- ACCOUN�ING COPY, PINK- INSPECTOR' COPY, GOLDENROD•JOB SITE COPY I l ,�::.. � •K City of L.A.Certified: Concrere,Masonry,Se�sm�� : i N s P E T i o N L•A.Counry Certified: '� RICHARD KOURY Concrete.Masonry,Seismic PO. BOX 3Z46 �ong eeach Certitied: �24 hours) Pager: (3 I 0) 715-4432 MANHATTAN BEACH Concrete.Masonry.Se�sm�c Office: �310) 978-1765 CA 90Z66 ' �� Fax: �310) 546-7539 � REGISTERED INSPECTOR'S DAILY REPORT ' �°°"° oa`e , izi-y � � TYPE OF ❑ Reinforced Concrete i�l'Structural Steel Assembly �� Quality Control INSPECTION '� Post Tensioned Concrete ❑ Fire Proofing ❑ Other i REQUIRED O Reinforced Masonry I; Asphalt ; � Job Address — Ciry , / rJ 9 w� . /�' EC c/.0 � Job Na e Permit N , Issued 8y I A� ,LE .S '�/C�" /S �o CiT_'/ OF � � Type f Sir ture Architect i Q A Q LE � M 2 I Materia�es�ption(ty�, r�i s.Qurce) Engineeh �A N T � �/�F , t5 L / �— Contrac r � • �� /Z N Si - Inspect ame Subc asctor� C / K TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON �AMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PqOBLEMS,PROGRESS;REMARKS,ETC. INCIUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8�IDENT NO'S OF TEST SAMPLES TAKEN: STAUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED; ETC. ' r E '1'��. � �/C /-t O c, r �nJ i i �/f � , .si ��,C i .Z . � ----- -- r 2 ,o r� , ,./ � !:C,� 1� �'_.__ A i�_�c!�J E T 2 .o T, o r/ 5 ; __.___-- i I I � i � 1 � � � CERTIFICATION OF COMPUANCE CONTINUED ON NEXT PAGE O PAC�E OF I I HEREBY CEfiTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL �- OF THE ABOVE fiEPORTE�WORK UNLESS OTHERWISE NOTED.t HAVE FOUND THIS TIME IN TIME OUT REG. HOC�iS O.T. HOURS CYLINDERS � WORK TO COMPLV WITH THE APPqOVED PLANS.SPEClFICATIONS,AND APPLICABLE ;; i SECTIONS OF THE GOVERNING BUILDING LAWS. � L1 ; ''r 00 • TJ ;. �`�—,�� /�.� All inspections based on a minimum ot 4 hours and a urs•8 hour minimum. In addition,an ' s ection extending pas n r will be an 8 I� SiGNATURE OF REGISTERED INSPECTOA hour minimum. SS/�✓ ��Z /C� �l� Approved By ✓ SPECtA NO, AGENCV Project perintendent � WHITE-OFFICE COPY, CANARY-ACCOUN�NG COPY, PtNK- INSPECTOR'S COPY, GOIDENROD-JOB SITE COPY �i • � City of L.A.Certified: Concrere,Masonry,Seismi� �.�, i rv a e r i o N �.A.County Certifed: . RICHARD KOURY PO. B�X 3246 � : Concrere, Masonry,Seismic (24 hours Pa er 310 71 5-4432 Long Beach Certified: } g � � MANHATTAN BEACH � Concrere.tv�asonry,Seismic � Office: �310) 978-17G5 CA 9��66 " - Fax: (310) 546-7539 , REGISTERED INSPECTOR'S DAILY REPORT � �°b"° oa`e _ Z� q� � TYPE OF ❑ Reinforced Concrete �Structural Steel Assembly �� Quality Control i INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REDUIRED C Reinforced Masonry G Asphalt I � Job Address �--� Ciry ; i � 9 �7 w, 9 s . i ��c� �,v - ' Job Name Permit No. Issued By � � a.� r!. J r T p 1 ' I l G � r• a�r IType of Stru ure Architect � Material Description pype, rade, source) Engineer � � � 5�0� G o � � � _ Contractor I A �l.r� 2 J i Ins (s) Name Subcontractor P.. ti i� � � � � n I� � TESTS PERFORMED i — � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON S.AMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS.PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAI PI.ACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT NO'S ' OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED)CHE�CKED; ETC. ; �. �?M �v � ► � �� ►�� '� A - ,� I � � r�-_ � � - _-- � j ;�i atr. � 2 � cc�� _ � � � ; c1� � E �. c l , s � .� E rL � - �2 __� � : � �' o �v r�, ;� 5 �.�u_�. � i � t� r��. F _ A I L 5 � � Z- � � –� �_� N1 e T A;_ � i v �"�– �"� �._ i i t. A � '� — �. --o � �--;-� � —�__� �' J i i i i i � I � I -- I 1 � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGF_ OF � I HEREBV CERTIFV THAT I FIAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF 7HE ABOVE FEPORTE�WORK UNLESS OTHERWISE NOTED.i HAVE FOUNO THIS TIME IN TIME OU7 REG. HOU^ O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPUCABIE -- ` SECTIONS OF THE GOVERNING BUILDING LAWS. �,O� � , 7 71 S ] f/ I � � ��— All inspections based on a minimum of 4 howrs and over 4 hours•8 hour ^ minimum.In additi extendin�past n aur will be an 8 SIGNATURE OF REGISTEFiED iNSPECTOR : haur minimum. � s�S f�,J $rf�I y 1 C I�f� Approv �- -- ! SPECtALTY NO. AGENCY - Pf Uperint9ndBnt I I WHITE-OfFICE COPY, CANARY-ACCOUNTI�COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY � ' � City of L.A.Certified: Concrete.Masonry,Se�smi� ' — �.n. Counry Certified: RICHARD KOURY I N S P E r r o rv Concrere.Masonry,Seismic PO. BOX 3246 �ong eeach Certified: (z4 hours� P�ger� (310) 715-4432 MANHATTAN BEACH � Concrere,t�nasonry.Seismic O(fice: (310) 978-1 765 CA 902G6 Fax: �310J 54G-7539 I REGISTERED INSPECTOR'S DAILY REPORT � Joo No. Date � - � � - � TYPE OF ❑ Reinforced Concrete t�' Structural Steei Assembly C puality Control ! INSPECTION O Post Tensioned Concrete G Fire Proofing ❑ Other � REDUIRED C Reinforced Masonry ❑ Asphalt I� Job Address �--� City � r1 '1 I- ,.� - `i S I ti i... � c v A Job Na Permit No. Issued 8y � .a �� S 1� n .+ r.,+ �� r� i 1?� (v • 1 �d 3 G- , �, p c IType ot tructure Architect I y"� VI" Material Description(type, grade, source) Engineer v 1 �, F � Contracror C ti { � Ins r(s)Nam Subc ntractor ! �E £ �1 '� � � ' TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES '' -- — INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLESTAKEN,WORK REJECTED,JOB PROBLEMS,F'ROGRESS,REMARKS,�ETC. � INCLUDES INFOFMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WOFiK PERFORMED,NUMBER,TYPE&IDENT`NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CNECKED; ETC. ; G C� � '� �..� � � n � a v�� .�.. � c �L �d i�- �J � � �F rz_5_..�'� i , �r-- � � c. z. . r -r-o �� -�l �s � � i � ; I � � I I i CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE OF I HEREBY CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWIEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWtSE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS i�.T. HOURS CYLINDERS i WORK TO COMPLY WITH THE APPROVED PLANS,SPECIPICATIONS,AND APPLICABLE - i SECTIONS OF THE GOVERNING BUILDING LAWS. � ;v� , �� I � All inspections based on a minimum of 4 hours and over 4 hours-8 hour i � minimum. In addition,any inspection extending past noon hour will be an 9 � SIGNATURE OF FiEGISTERED iNSPECTOR hour minimum. ��...-^ � _ G 'S � � j � I I � � C. Q} O Approved By '�' � SPEC�AL NO. AGENCY " P�Oj uperiritendent WHITE• OFFICE COPY, CANARY-ACCOUNTING COPY, PINK• INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY City of L.A.Certified: � Concrete,Masonry,Se�sm�. , � N s�P E T i o N l.A.County Certified: RICHARD KOURY f'O. BOX 3Z46 I Concrete,Masonry,Seismic z4 hOul'S Pa er 3 I Long Beach Certified: � � 9 ( 0) 715-4432 MANHATTAN BEACH � Concrete,Masonry,Seism�c OffiCe: (310) 978-1765 CA 90266 Fax: (310� 54G-7539 I � REGISTERED INSPECTOR'S DAILY REPORT � �°°"° °a'e � / - �� - y ' TYPE oF � Reinforced Concrete �Structural Steel Assembly [� puality Control � INSPECTION � Post Tensioned Concrete Fire Proofing ❑ Other i REdUIRED ❑ Reinforced Masonry ❑ Asphalt I Job Address i„�� City I 1 `�' � t w� 7 - � c u l.. IJob Na Permit No, Issued By � I �.` � G I /� C T J 2.£ 1 G! L. ' I � �r C � 7� v �' j Type ot Structure Architect � Mr�' 2. � Material D scription(type, grade, sourcej ,� , � Engineer � c'!� Z U Ci .Q l� ------ �' � Contractor i L- D � (�+ { , , t � i Inspecto ame Subcontractor i ' i� �..i C o ' TESTS PERFORMED i TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I — � i I � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PFOBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STFiUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHE��KED; ETC. � � „� � t �` `�. ,.��'-i�.R � �. ��_.,T_�� i �r s--- , � — /a I , �'. �- i.-� � � r� � � � F ,� c , ., c t...� s s� � 'fl �) . i� ..J t � c I.J S 7� S� �� i3•= T"�L.. I � 1 i -- � I � � � � I I i I � CERTIFICATION aF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE A80VE REPORTED WOFK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS �O.T. HOURS CY�INDERS WOfiK TO COMPLY WITH THE APPROVED PUNS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF TNE GOVERNING 9UILDING UWS. .�v 3 � v ' � r-� All inspections based on a minimum of 4 hours and over 4 hours•8 hour � J minimum. In addition,any inspection extending pa oon hour will be an 8 I � hour minimum. � SIGNATUFE OF FEGISTERED fNSPECTOR � 'S 5/vJ �� 2. I G I�j 0 Approved By SPECIA NO. AGENCY eet Superintend0nt i WHITE•OFFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY City of L.A.Certified: Concrete,Masonry, Seisn, i N P E T i o N �•A. Counry Certified: RICHARD KOURY PO. BOX 3Z46 Concrete. Masonry,Seismic (Z4 haurs) Pager. (310) 715-4432 MANHATTAN BEACH Long 8each Certified: Concrete.Masonry,Seism�c OffiCe: (310� 97$-1765 CA 9026G Fax: (3 I 0) 546-7539 I REGISTERED INSPECTOR'S DAILY REPORT � �°b"° — oa�a I " �—`r" q TYPE OF ❑ Reinforced Concrete Structural Steel Assembly [� QualiRy Control � INSPECTION O Post Tensioned Concrete O Fire Proofing ❑ Other � REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job A dress � ,�,.... City � � '"�' I c'-M E C u t. /-3 i Job Na Perm/�it No. Issued By .,• LL =�� lLJC� STu2 I� � �' � � 7j �o � 7 � oF � � Type f Stru�ture Architect � Material Description(type, grade, source) Engineer R , ANr Cont,{actor � ('-� lLu � ! Insp r(s) Name Subcon actor � A n,(;44 � L �£ !n!C r� ; ' TESTS PERFORMED ' TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I I INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLE$TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS.ETC. INCLUDES INFORMATION ABOUT-AMOUNTS aF MATERIAL PLACED OR WORK PERFOAMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. � -- ' p �vo r �F �L A�rJ E L.. C`-� � nl f-� . 1/�,f a` �. � i .J r� C ^� o�., A L E� E ,:a� i MA� n� l? L DC � XC �i � 2rJUn.iO OC c n1iNC-,� � C �o�c ' C�a+s I � i � � � i i I i I I i I i I i CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGF. OF � I HEREBY CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL i� OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINOERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPlICABLE � SECTIONS OF THE GOVERNING BUILOING UWS. O Q C� jAll inspections based on a minimum of 4 hours and over 4 hours-8 hour � minimum. In additian,an insp extending past n ur will be an 8 � hour minimum. 1 SIGNATURE OF REGI ERED INSPECTOR `-�-- � r I � ��1i j C��v _ Approved By -�-"'�� - ; SPECI LTY NO. AGENCY i PIOj uperintendent � i WHITE -OfFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'$COPV, GOLDENROD-JOB SITE COPY City of l.A.Certified: Concrere.Masonry,Se�sm�� i rv P E r i o rv L.A.County Certified: RICHARD KOURY PO. BOX 3246 Concrete.Masonry.Seism�c Z4 hours Pa er: 310 71 long Beach Certified: � ) g ( ) 5-443Z MANHATTAN BEACH i Concrete t�tasonry,Seism�c OffiCe: �310� 978-1765 CA 90266 Fax: (310) 546-7539 � REGISTERED INSPECTOR'S DAILY REPORT " �°°"° oa�° / -/ - 9 � TYPE OF ❑ Reinforced Concrete G SUuctural Steel Assembly C Quality Control � INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other � RE�UIRED ❑ Reinforced Masonry ❑ Asphalt ' Job Address �,,,..� City � `'�� '� M s ; Job me Permit No. Issued By � � A� � 2. v 9 (�- �83Ca C � -r -/ oF � Typ of St ucture Architect i ; Material Description (type, grade, source) Engineer � n ,� F � Contractor (y i ; Ins br(s)Name Subcontractor I a ,..i � A ►�- �c c � i !' /J ' TESTS PEAFORMED i TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMP�ES i , INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PFOGRESS,REMARKS,ETC. , INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NIIMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. \ � o c f= 1� � C iG +..,f �. � � +J r—, N ' � , � t - s � A � Oa �� ' � In — v . �/ ; , i � � t � � � �,. , s A2c A i � � i i i � i � i I � , � I CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTEO.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS 0.7. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. :D ; /^� ,,�'''"� ''''''""�� "� �� / � , J � All inspections based on a minimum of 4 hours and over 4 hours-8 hour }„/ , �� minimum.In addition,any in ction extendin ,past noon hour will e an 8 SIGNATUFE OF REGISTERED INSPECTOR hour minimum. � . r1 ' �� '.�' � 8 I ��Z � C 1 (� Approved B � P in�Tv NO. AGEN v Projec perintendent jWHITE• OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITF COPY � � City of L.A Certified: Concrere.Masonry,Seism,, i N s P e r i o N L.A.County Certified: RICHARD KOURY ('O. BOX 3246 Concrete, Masonry,Seismic Z4 hCiurS P� er: 31 MANHATTAN BEACH Long Beach Certified: ( ) 9 � 0) 71 5-443Z Concrere,Masonry,Seism�c O�ce: �310) 978-1 765 CA 90266 Fax: (310) 54G-7539 i REGISTERED INSPECTOR'S DAILY REPORT ` �°°"° oa'e I - /3 -97 TYPE OF ❑ Reinforced Concrete Structural Steel Assembly C� Oualir,y Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing ❑ Other iREDUIRED f�' Reinforced Masonry ❑ Asphalt � Job Address City 3 i n q "1 t- w , '� `� 5 . ._._ �M -c � � � Job N e Permit No. Issued� � � A` LES D2UC' T'�2� qG - 1B3G � , ,. . v � j Type of Structure Archited , RP iMaterial Description(type, grade, source) Enginee(� d f 4 � A � T lL �1�r L- F �X' A�1/ � Contractor t l !fj /' i2V � � Inspect ) Na Subc ntractor , t E� 1 5 � OS�S M A S o nJ /2 ` i � TESTS PERFORMED � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I , � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. ; INCIUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S ! OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED)CHECKED; ETC. ; � - a� FS �n�� on 3/ j Z'�n �t3D FvR L � �t.ia ,.� Nr<• y , ,aL / , � vR �Y11?� r / ni � r rtw+ ,nJ.a i!o� tiz � i�ocFS Tc7',cL.. /� ! 1,. s ; - _ i i i� 2rr . �� . �r2 Q ..1 �,, isT � ✓r` �z Lc� .a � �NG vc� i� i � ' ': I � � � i I � ! � CEFTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF i i HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE A80VE REPORTED WORN UNLESS OTHERWISE NOTED.I HAYE FOUND THIS TIME IN TIME OUT REG. HOURS �O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PLANS.SPECIFICATIONS,ANO APPLICABLE i SECTIONS OF THE GOVERNING BUILDING IAWS. ��e/� ��'.A� � 6/ I All inspections based on a minimum of 4 hours and over a hours-8 hour ri.�.�,��,�„� / minimum. In addition,any ins ex e ast noon hour will be an 8 � SIC,NATURE OF REGISTEREO INSPECTOq haur minimum. /" r.--�� V � : ��''l2 G� �_ /��1 ��I�i� Approved By t - - 1 SPECIAITY NO. AGENCY �- PfOj9Ct erirffandent WHITE-OFFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOIDENROD•JOB SITE COPY City of l.A.Certified: • Concrere, Masonry,Seism�, �.A.County Certified: RICHARD KOURY i,y,5�a e r i o N Concrete.Masonry,Seismic PO. BOX 3246 Long Beach Certified: �z4 hCiu�s) P�ger (310) 71 5-443Z MANHATTAN BEACH Concrem,nnasonry,Se�sm�c Office: (310) 978-1 765 I CA 90266 Fax: (310) 54G-7539 � REGISTERED INSPECTOR'S DAILY REPORT ' Job No Date � �/-//� g ' TYPE OF � Reinforced Concrete r Structural Steel Assembly f� Qualiry Control ' INSPECTION u Post Tensioned Concrete Fire Proofing L: Other � REDUIRED C Reinforced Masonry ❑ Asphalt Job Address �.�— Ciry _ � E iM E C `I �-- .� ; Job e Permit QNo Issued By � ,C 7��_,�k_�— 2.�J r �T a � I�O � � S �—_ �T' �.E.. � � Type of Stracture Arch�cP Material Description(type, grade, source) Engineer ' ' 'I �.J 2 � rJ F Contractor � ,� �� Inspe tor(s)Name ^� Subcontractor � , p +�! /�, A L L 4S � � t�.� !Z C' I�(�_�_�— TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON S'�AMPLES ; ( ! CJ�� -� � — INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS.PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. 80LTS TORQUEDj CHECKED; ETC. ' � - - .,... - ,- � ,f� 3 � r '�o 0 o n s a �� 3 � � `/ � +ti t � o,., - � � C�� J M �.1 I�A S E S f1 i U �4 L i �.1� �• �-�7 � I— /nJiE� i C'�Gu T- a��S . �,— ?_ c�•., ZT �-i $iaN.. (��5.... TAi� � r.� ., K � r' '' S-3 'j' . S . U +"� 1 C� i � � C o L�.7 �n � Cr� M • O S- �� T � � � ` � tr s;- 3 �3EA� �., o � � � i- rz� � � - 3 .q�__..t� - � , p . `-� p .g _ � � I i CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF � I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE neOVE REPORTED WORK UNLESS OTHERWISE NOTED.t HAVE FOUND THiS TIME IN TIME OUT REG. HOURS O.T. HaUFS CYLINDERS � WORK TO COMPLV WITH THE APPROVED PLANS.SPECIFICATIONS,AND APG�ICABLE �� SECTIONS OF THE GOVERNING BUILDING LAWS. � ; /'''� /'� '7;ao � ov � ` / / Is� All inspections based on a minimum af 4 hours and over a hours•8 hour ! �� FL minimum. In addition,an inspecC n axtending pas�hour will be an 8 ; ��"L SIGNQATUi E j F�RL ISTERED INSPECTOR haur minimum. /�-,,�' � '- ` �C '�� ` _ Approved B �-� ''" �v "� SPECIALTY NO. AGENCY P�Ojett uperintendent i w WHITE-OFFICE COPY, CANARY-ACCOUNTiNG COPY, PINK�INSPEGTOR'S COPY, GOLDENROD-JOB SITE COPY .�,.�. �`tF, �' �^:. �'- _,_:,.. � ti.1' . . -_- . . J� . City of L.A.Certified: }�; Concrete,Masonry,Se�sm�� t�, '�' I N 5�P E T i o rv — L.A.Counry Certified: RICHARD KOURY PO. BOX 3Z46 � , � Concrete,rv�asonry, Seismic (z4 hours� Pager: �310) 71 5-4432 MANHATTAN BEACH ' l.ong eeach Certified: Concrere, nnasonry,Seism�c Office: (310) 978-1 765 CA 9026G �� Fax: �310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT � J°°"� °a _/p_9 TYPE OF Reinforced Concrete �Structural Steel Assembly C Quality Control INSPECTION �# Post Tensioned Concrete ❑ Fire Proofing G Othe� REQUIRED }'i�Reinforced Masonry ❑ Asphalt Job Address City — � u A Job N Permit No. Issued By l i . s � � ��- _— - 183b c �T� o F T Type o Stru ture '' Arc�,P m i � Material Description type, grade,,,source) Engineer CaN� , 3 � �- �r s� �G-s �7or9 N F Co racror �+Q Ll f �70�6 6 a ,b o�c f�5� �2�5�—_ ; Insp tor( )Name Sub ntractorS I �. 1 E�E t7 � W f nJ� (' p/L �5 � '? TESTS PERFORMED � � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON �AMPLES ' �2 ea N� 5" ; ; ._.__-----__ __. ; � -- ; ! INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMP�ES TAKEN.WORK REJECTED,JOB PROBLEMS,PROGRESS,REMAqKS,ETC. j INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOITS TOROUED) CHECKED; ETC. � . ' ��a c�M�,.+T ; d��3��- � 5�4 Tt ' f � , .s �•r„x u,t ��s� ��5'73 � � ':��-�-�-�.— ST�_� i� Co�✓M.,,J C oiv��2�T� ��;;' co L ,.�E 5 i�E�4 T�-1 S,��« p ��5 `�',�, LE-t�! �_ u!E L�r �� a A t 1 � �,.��Nc o.v fl�,i� � � ��..1 `� u 4 T A L�F n v�/E,� S � Co ��..» ,v �� `�a � W ' ff NE� N T�t�Lc`D dV�2 I• S • COLUN�+ �S 1�J ��J 1� �� ' � �E►� r��-n �,�e f— – 3 . �d.' 3 • �,z 1�F (�� 'n.✓C- l� �+- � L �ti/ . CLt' aiv ��S , Ef�� dI 3'��/ � TN�tE.4 , ' F�' u � A - 3- `� C�� ,4 - Z . �S�� CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF - I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL TIME IN TIME OUT FiEG. HOURS O.T. HOURS CYIIND RS ' OF THE ABOVE REPOiiTED WE1RK UNLESS OTHERWISE NOTED.�HAVE FOUNO THIS WORK TO COMPLV WtTH THE�� .PROVED PLANS,SPECIFICATIONS,AND APPIICABLE SECTIONS OF T ERNIN�BUILDING LAW � : � :� -- All inspections based on a minimum of 4 hou�rs and over 4 hours-8 hour R,r(,,,�_ minimum. In addition,am��spection extendirng past noon hour will be an 8 SIGNAT FE OF REGISTERED INSPEC OR hou�minimum. ,,,,,_,._. � w � rJ � , �`�ooe.f'/ S �yyG . A?r7 1 �_� 1 /� APProved 8Y _.r�-- PECfAL T�^ ,NO. qGE P�OjBCt Sup9rintend8nt WHIzE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, C�OLDENROD-JOB SITE COPY � —�=— — � a«. t...� ' �' ` _ '' � City of L.A Certified: Concrete,Masonry,Seismi� i N P E r i o N �./►.County Certified: 'RICHARD KOURY PO. BOX 3246 Concrete,Masonry,Seismic z4 hours P� er: Long 8each Certified: ( � 9 (3 I 0� 71 5-4432 MANHATTAN BEACH i Concrere. Masonry,Seismic OffiCe: (310) 978-1 765 CA 9026G `= Fax: �310) 546-7539 � � j REGISTERED INSPECTOR'S DAILY REPORT �°b"° oa�e /- -9 TYPE OF ❑ Reinforced Concrete � Structural Steel Assembly L Quality Control � INSPECTION Post Tensioned Concrete ❑ Fire Prooting L Other � REQUIRED � Rein(orced Masonry G Asphalt � Job Address „�,,,,.� Ciry I :31 �'19 � ` S • E c.MECU �__ � Job Na e Permit No. Issued ,s. ,rt� r Ta � � 89 • � S 3 6 �r� o� IType ot Struct re Arc 'te�t� Material Descnp tion (type, grade, source) [ngineer I (� �/� l� C � /z �,1� � /� Contracror � /–U/L �AS .` (I � Inspec (s) Name Subcontractor i �,n..� .o�� c J r r.� c v n1 , TESTS PEAFO MED � � TYPE OF SAMPLE SIUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES i i � i I � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. i ; �1 G T �7.a .� � fZ � D� ��l �Z �U a� �� o i TS i � To C A � ; „ ' � 3 �JtL � � s ,—A �� a�� r s . eo��,H �o -�.. r j '^ 1 .�O^I�l Q i I -! i �EW rrFft�/F12 3' F� IVST�nL� O /t� /A 'Z • / � � �� i � � � R F c�� c� �L� A 'i��8��,� !l i�G F 1.�r,.�e o,J �,.1 � , I � oc.E ' o,s' o � N n.�-ro � s7 L� r.!� +� Got bi2�vE- - -rNa y � � d o L � !' F S Tv Ta►� • � � � i � i I iCERTIFICATION OF COMPLIANCE ' CONTINUED,ON NEXT PAGE ❑ PAGE OF I I HEREBY CERTIFY THAT I HAVE INSPECTED TO 7HE BEST OF MY KNOWLEDGE ALL �'' � OF THE ABOVE REPORTE�wOpK UNLESS O7HERWISE NOTED.1 HAVE FOUND TNIS _ TIME IN TIME OUT REG. HOURS O.T. HOUfiS CYLINDERS WORK TO COMPLY WITH THE'APPROVED PL1AN5.SPECIFICA710NS,AND APPLI�ABLE SECTIONS OF THE GOVERNINf�6UItDING LAWS. � � `..� .; � •o � 3� � Z � ' � � All inspections based on a minimum of 4 hours and over 4 hours-8 hour '^ � �_ , minimum.In additian ion extendin��pas n hour will be an S I SIGNATURE OF REGISTERED INSPECTOR ` hour minimum. Ct^�1 '�+ �APSO s� /��S Approved C'"� �� SPE A NO. AGE Cv ' Pro�ect Superintendent ss � t57 i rL 1c � o WHITE-OFfICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY � } �; � • _ r - - — . _ Ciry of LA Certified: � Concrete,Masonry,Se�smi� i N P E T i o�---- L.A.Counry Certified: RICHARD KOURY PO. BOX 3Z46 Concrete.nnasonry,Seismic 24 hc�urs P long Heach Certified: I I ager (310� 715-4432 MANHATTAN BEACH Concrere.Masonry,Seismic O�ce: �310) 978-1765 CA 90266 "�� Fax: (310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT � �°°"° oete ; �� 8 'q '7 TYPE OF ❑ Reinbrced Concrete C,�Structural Steel Assembly L Qualiity Control f INSPECTION '�:p Post Tensioned Concrete f7� Fire Proofing ❑ Other j REQUIRED Reinforced Masonry . ❑ Asphalt I Job Address 7 ��Y i �„�' E � C u L ,4 � Job Name Permit No. Issued B /�� JC' To2c � - r83�o y C rT�J � '�' Type of truct e Archi ct �—` I I Material es n ption(typ grade,source) � �'� �� Engineer � i wJ l' � � Cont tor � J ; Ins c o )Name Subco tra`�ctor„ i � �- (< ; TESTS PERFORMED � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON �AMPLES ! INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WOFK REJECTED,JOB PFOBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION A80UT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S i OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. i � - NT oav� cT��.1 a��za � r�ci � �.aCt �'o�. a s...> �o s i S ' rt-o � • i � � � O c�-� ��C rL i,�1� L r nJ t t.�1 o R �L c o ,.�; � ;� u � �.I S_ i I i � � � � I ' I f i I I I � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE OF iI HEREHY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE FEPORTED WOFlK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T.HOURS CYLINDERS i WORK TO COMPLY WITH THE AApROVE�PLANS,SPECIFICATIONS.AND APPLICABLE SECTIONS OF THE GOVERNING;�.BUIIDING LAWS. Q lJ All inspections based on a minimum 4 hours and over a hours-8 haur minimum.In addition,an ' c' extending�astnoo ur will be an 8_�- SIGNAT RE OF REGISTERED INSPECTOH hour minimum. _� - w �/� �� Approved By � SPECI TY NO. AGENCY PrOjeCt S erin nden WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, P�NK-INSPECTOR'S GOPY, GOLOENROO-JOB SITE COPY � a�,� _ —___.. _ � � - - City of LA Certified: Concrere.Masonry,Seismi� i N P E T i o N L.A.County Certified: RICHARD KOURY PO. BOX 3Z46 Concrere,Masonry.Seismic 24 hoUrs P� er Long Beach Certified: ( � 9 (310) 715-443Z MANHATTAN BEACH Concrere.Masonry,5eismic O�ce: (310� 978-1765 CA 90266 � Fax: (310� 54G-7539 REGISTERED INSPECTOR'S DAILY REPORT � �°b"° oa�a ,i i - r7 - 9 "7 l TYPE OF ❑ Fieinforced Concrete � Structural Steel Assembly L Quaiitty Control I INSPECTION ::❑ Post Tensioned Concrete , O Fire Proofing ❑ Other � REOUIRED C Reinforced Masonry ❑ Asphalt � Job Address �a Cit I r"1 °1 ,,,r � �M�C✓L/> Job Name Permit No. — . - s 2 � B � - � �a 3 � �gs��By � C.' ir� oi' � � 1 L �A (C�� 4 `� � Archilect F 0 � F� � Material Description(type, rade, source) Engineer � o � A !o A �'' nJ F � � Contractor � G�'7 C fZ.�J 5 �- In ctor(s)Name Subcontractor I /S II L � � � TESTS PERFORMED � j TYPE OF SAMPLE SLUMP �UANTITY IN SET A�DITIONAL REMARKS ON SAMPLES i I � INSPECTION SUMMARY—I.00ATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,J08 PROBLEMS,PROGRESS,AEMARKS.ETC. i INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT. NO'S ' OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED) CHECKED; ETC. � i ' �." E v+a T i2 � E , X D � �_ �� t r I 2 t A D (-'L7 1L EA M l�",� �,C� 'I� , �e-� L � ' o-7 ��z� F-�o �E S I � p Koor l7Ec � � �� Ca �T� N � c 5 1� A (o 't :a d A I iCe f" . �.J.,,�1�un► � ; �..J C � � I�+ e ceT FA � oF Dcc ;�+ �,c - a �-r �o rJ r�rz .. ,�-, c � a.f�=— rn �„� �,� �-r-i i ,� . , �=A��,.+ Eo ;u v � -r ��' V sr- Z I i ` a ' �� ro �� a� o nF �/� a� , ca.�. Rt �3a2 � � Cor.JQ�Tt� Co �u A � l F � �S � T t M 3 /S� U NC A• Z I i � � � ! �'�'+ I ' CERTIFICATIpN OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I I HEREBY CERTIFY THAT I HAVE INSPECTE�TO THE BEST OF MY KNOWLEOGE AlL OF THE ABOVE REPORTED MIORK UNLESS OTHERWISE NOTE�.I HAVE FOUND THIS TIME IN TIME OUT REG. HOUfiS A.T. HOURS CYLINDERS ' WORK TO COMPLY WtTH THE��kPPROVED PLANS,SPECIFICATIONS,AND APPLICABLE , SECTIONS OF THE GOVERNINtl BUILDING LAWS. ; :vo 3; v All inspections based an a minimum of 4 hours and over 4 hours-8 hour ..—��_ � . �^�,� minimum.In additlon,an ' ec' extending past n hour will be an 8 SiGNn7URE OF qEGI57ERE0 INSPECTOR hour minimum. � 5 S ! � �� Z' � (� �;Q Approved By �/ � . SPECIALTY NO. AGENCY Pr ' Sup �ntendent WHITE•OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPEGTOR'S COPY, GOLDENROD-JOB SITE COPY _ '..�..�..e.v.. .Y�C.i�I� �t� f . , - _ ` ' . City of L.A.Certified: Concrete,Masonry,Seism�� l..A.County Certified: RKHARD KOURY i rv P E T i o N Concrete, Mazonry,Seismic PO. BOX 3246 - 24 hours Pa er: 310 71 Long Beach Certified � � g ( � 5-4432 MANHATTAN BEACH Concrete.Mazonry,Seismic OffiCe: (310) 978-1765 CA 90Z66 Fax: �310) 546-7539 ' REGISTERED INSPECTOR'S DAILY REPORT �°°"° oa`e � � TYPE OF ❑ Fieinforced Concrete Structural Steel Assembly L Qualiity Control G � INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other ! REQUIRED ❑ Reinforced Masonry G Asphalt � Job Address � � �;�y ! I� `.J� �-�-s ' Job Name Permit No. Issued By � � • �t� � tiv r • 3 C.� C �r� oF I Type of ructur � Architect I' � "f R , � —�• .S T E �1 12 P i� ; Material Descnp ion(type, grade, source) Engineer � � � �� L1hI('BL � � r- i ' — — Contractor I �(�, C • (' 2 v r h Inspe�,QJ r(s)Name Subcontractor I ?�/� N A � . 'rED �r � I TESTS PERFORMED i TYPE OF SAMPLE SIUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS.PROGRESS,REMARKS,ETC. ' INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. I , p Lr 3 vT" � LEDC� � T � riL 1 , o. ' L` a __ �� .rZ i ,.7 G�_� ,�TO 1� T r"'U rl j�H I i A L. ', G� 't � S" `f ra � T 5 T '�A t E', � � "� Y+��N Cp rJ �._._ 5'2 5T'-2 D�C.� � L r � I 'i � i C,E2?� F � Eo ,.JE� i I � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF � I HEREHY CERTIFY THAT I HAVE INSPECTEO TO THE BEST OF MY KNOWLEOGE ALL '— I OF 7HE ABOVE REPORTED wORK UN�ESS O ERWISE NO7ED.i HAVE FOUND THiS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE�APPFOVED P PECIFICATIONS,AND APPlICA6LE , SECTIONS OF THE GOVERNIIJG BUIlD1 � i A� 7:40 3 :3 D � QC All inspections based on a minimum of 4 hours and over a hours- 8 hour I ' --"1 � minimum.In addition, ecti xtending past noon Qur will he an 8 SIGNA7UR F R E hour minimum. /'""- 9 1 �� W� � � A�S Approved By SPECIA�TY � . AGEN�Y� � Project fintendBnt �T 5�� `� I WHITE'.-OFFICE C , CANARY-ACC UNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB 51TE COPY I . s sx i .,_ __.._. y�.�..� . ... 1 ir+�f • � .. . .. .. � ' ' � � f Z f f J.7�� • . . . .. ` t �. . . . 17800 S. MAIN STREET I N P E T I N (Z4 hoursJ Pager: (310) 715-4432 SUITE 303 &7F TING SER tICE O�ce: (800) 475-6879 "' GARDENA, CA 90Z48 F�x: (310) 851-8G92 REGISTERED INSPECTOR'S DAILY REPORT � �ob"o. � t t 9 Time, TYPE OF ❑ Reinforced concrete Structurai Steel Assembly C Quality Control INSPECTION ❑ Post Tensioned Concrete Fire Proofing ❑ Epoxy RE(�UIRED ❑ Reinforced Masonry ❑ Asphait ❑ Other f ` Job ddre / � City IJo Name �� F]�� No. Issued By IType o Strucwre A�niteY � � ——.__ I Mat-rial Descri tion(type, grade, source) – , / Engin �c.. .�.,,� Z11 � ,��a�_� , � co r ,or I Inspector(s Nam Sub n act � pf O i -------- -- ; TESTS PEAFORMED I TYPE OF SAMPLE SLUMP QUANTI�Y IN SET ADDITIONAL REMARKS ON SAMPLES , I . _y :, _ _ I4 ..... . . 1 { 'i I � � ' INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN.WORK REJECTED,.J08 PROBLEMS,I�ROGRESS,REMARKS,ETC. INCLUDES INFaRMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMOER,TYPE 8 IDENT, NO'S i OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED)CHECKED; ETC. � � ; ��,Q I-�/�r c�y _ ��L�-- ; �� / ..�u � n; �a l v [ �i'1 /�'1 ` '9� � / � � � ; � �C C�/�U LLo 110�..,�-c�'� --------- � _ � y �°' t�l►� ; ---�---- I i r 1 I I � ; I � ; i i ; - ; CEFiTIFiCATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF � i HEREBV CEATIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPIES OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND S " WORK TO COMP�Y WITH THE APPROVED PLANS,SPECIFICATIONS.ANO APPLI ��S SECTIONS OF THE GOVERNING BUILDING IAWS. an , V . All inspections based on a minimum of 4 hours and over 4 hours-8 hour KEITH R. BOCK inimum.In addition,any inspection extendirng past noon hour wili be an . SIGNA7UFE OF FEGlSTERED INSPECTOR �4a1 8 hour minimurtl. �,. __ 1 J� � �� !� C W I APProved v� ��+R"'.._"' �'" � SPE �ALTY AGENCV Project Superintendent WHITE- OFfICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROO-JOB SITE COPY _ .�:r..i....:e�.�..;4. ... � � . City of LiA.Certified: Concrete,Masonry,Se�sm�� I N $j P E T i o N �•Counry Certified: RICHARD KOURY PO. BOX 3246 - Concrere. Masonry,Seamic 24 hOurs P long eeach Certified: ( I �ger�.�310J 715-443� MANHATTAN BEACH Ct5"nuere,nn�sonry,Seizmic OfFiCe: (31 0� 978-1 765 CA 90266 Fax: (310) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT ' �°b"° oa�e TYPE OF C Reinforced Concrete Structural Steel Assembly �; Quality Control —3�9 INSPECTION O Post Tensioned Co�crete Fire Proofing !� Other REDUIRED ❑ Reinforced Masonry r' Asphalt Job Address � � City � u � Job Name Per t No. Issued By ,s 2�..� t'� S �-0 2 �9 f�' 1 S.� Cv C. ,r� a� '�' Typep�,Sir cture Aro tP M {l�ooF . W • rS7'" �� S7"E IMaterial Description (type, g2rade, source) Engineer � iContractore 2 J � i ' Inspe�9 r(s) Name Sub�qntracto IL� rat_.L �EE t> fL� � TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMAHKS ON SAMPLES i � ` i i j INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMP�ES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S ' OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. I _ i � R��• � � u5 S i o rJ �,.7 A l{r 1 JIJ 1� (�s/ i � �f E � �~ , 0 1�T T a �► s o'.i (� .A!. t,�.4" � i � R�•� � � !2.E ` $�' � �r � �;:, u o ¢ E2 o T . L �'° r.1 d� , � � ! �2 - - Z �� 1 ; i R� � ST-Z e c �� '1�. ' �1. E rt �. -�ro a s o�u .� �,..�A. L�, � ��— ! T � E � '� Td 2 • 3 • S T i I �C-(. E/L ,—iF rE j) C � ��. i2 Ii ! r/ IL.�YM � ��►JE A .7 Eru i Ra wlCf TEEL. �QEQT/o�/ /S qA/At.'PE T.ydLE Y�T-�i. CO�CUM s�? 1, � �3,S .a t� � 1it ►+� �(NS�� vo� c �r+7"s�� w/bX36 i3F.a�S APPFf�.Q �,►/o.4T 5�'��F,v�2S �6o�E�y� ;• • !°ocu•HNs I A�tE ff ET ANO L /1KE MiyA � . OfST o � eNl�i£CTIoNS SNowLD NOT � MApf �J lNIS 1�R�A • COAlTK�ACTU� '$NONLO VEdify 4�I+i�NS'jvAJs 4N� Sy��i7 .Qf'/ j . CERTIFICATION OF COMPUANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I I HEREBV CERTIFV THAT I HAVE tNSPECTED TO THE BEST OF MY KNOWLEDGE ALl — OF THE ABOVE REPOFTED WORK UNLES5 OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS �J.T. HOURS CYLINDERS MECT O SCOFMTHE GOVERN NG BUIOLDING�,qWS.SPECIFICATIONS,AND APPLICABLE � :ov : � S All inspectians based on a minimum of 4 hours and over a hours-8 hour � ��...�+�`�^� � . � � minimum. In addition, any inspectio extending past noon hour will be an 8 I� SIGNATUfiE OF REGISTERED INSPECTOR hour minimum. � r� — 1 ) t,J 5 � Approved By �.-_..,.,._� ��L�'� �fL/� �N� , , � .jGEf�ICV� ` Project rintendent 11' � WHITE• OFFICE C PY, CANARY-ACCOU`NTING COVY, AINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY i � 4 — ' � City of LA.Certified: Concrete,Masonry,Se�sm�, ,�yaA.County Certified: � N s a e r � o rv RICHARD KOURY PO. BOX 3Z46 '�' � , - �'oncrere,Masonry,Seismic � Z4 hOu�S P Long Beach Certified: - ( I �ger �310J 715-4432 MANHATTAN�BEACH Q�Sncrete.Masonry.Seism�c OffiCe: (310� 978-I 765 j CA 90266 Fax: (310) 546-7539 � � REGISTERED INSPECTOR'S DAILY REPORT ' �°°"° oa�e � TYPE OF ❑ Reinforced Concrete � Structural Steel Assembly �_' Quality Control - Z ' � INSPECTION L'; Post Tensioned Concrete ❑ Fire Proofing L Other REQUIRED � Reinforced Masonry ❑ Asphalt i i Job Address . Cil Y i ` I ' M � c L A i Job Name Permit No. Issued By i L �, � (� - a �r, � _�__O C� Type af Struct e Architect ' M �I Material Description(type, grade, source) Engineer � i i — � Contractor � � sL�.-r ! Inspect s) Nam Subc' tractor � � � TESTS PERFORMED � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � � i � INSPECTIOPI SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PR08LEMS,�ROGRESS,AEMARKS,ETC. ; INCIUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. I + i ' �� S i T��TE '� : � S,d�a i� C E+'�l E �.I T �g,� i �" 2�_►L_Y � n�j a� �� 1��/ L?03-� � , � , _d3� � � ' ip x � ^'� �ST' t _ �i w�} r � it��} i 2 D�!L Cn�'�� lewl 5, � - � =� I � u t D c M,A S o N+G! �K f.. �..1 l T F S� � �p � 36C' ' ^'� i at��-1 G i� Ta� l � i ' rz o � ; a�.w� w� q'p I ' �T 5 � A2TIA L � i � . � i � �-t E� Q. �Lr�rfRf}t� I� CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF 1 HEREBY CERTIFV THAT I HAVE INSPEC7ED TO 7HE BEST OF MV KNOWLEDGE ALL � OF THE A80VE REPOFTED WORK UNIESS OTHEHWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS� i WORK TO COMPLY WITH THE APPROVED PLANS,SPECiFICATIONS,AND APPLICABIE i „ SECTIONS OF THE GOVERNING BUtLDING LAWS. ,�� . ^ � v /� All ins ections based on a minimum oi 4 hours and over 4 hours•8 hour i � .�/.�f.�. minimum.In addition, any inspection extending past noon hour will be an 8 � SIGNATURE OF REGISTERED INSPECTOA hour minimum. „r., � r e i �N�( � ��Q 1 � F� �� APP�oved B ~ I SPECIALTV �'�. ( + Z �E�Cv�� ect Superintendent � 7� WHITE-OFF E COPY, CANAM'-ACCOUNTING COPY, PINK- INSPECTOR S COPY, GOLDENROD-JOB SITE COPY - City of LA Certified: Concrere,Masonry,Se�srt L.A.County Certified: , N s P E ,,,o:N�T-� ;� RICHARD KOURY f'O. BOX 324G I Concrete.Masonry.Seismic �z4 hours) Pager. (310J 715-4432 Long Beach Certified: MANHATTAN BEACH Concrere. Masonry.Se�sm�c OffiCe: (310� 978-1765 CA 90266 Fax: �310) 546-7539 � „ REGISTERED INSPECTOR'S DAILY REPORT � Joo No.� Date 2 • I - TYPE OF ❑ Reinforced Concrete C Structural Steel Assembly C Quality Control INSPECTION O Post Tensioned Concrete ❑ Fire Proofing C Other � RE�UIHED � Reinforced Masonry G Asphalt Job Address City � ` �i� M < <-/ L r1 [ Job Name Permit No. Issued By � Q� T " q - I B �r-' vF }' I Type o1 St uctur Architect M i Matenal Description (type, grade, source) Engineer , Contractro�r �� i �/ rc� � Inspector s ame Subcontracto--r � '�'`. Z i TESTS PERFORMED � TYPE OF SAMPLE SLUMP pUANTITY IN SET � ADDITIONAL REMARKS ON SAMPLES i ! I � 3.�.,_ � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. � INCLUDES INFOAMATION ABOUT-AMOUNTS OF MATERIAL P�ACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED)CHECKED; ETC. I ' � 00 !.�/t i _ �,,,,.,,,.�.... .. I i — � i _ � � l i i i � � i � I � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O 'iPAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL � � OF 7HE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT HEG. H � HS O.T. HOURS CYIINDERS WORK TO COMPLY WITH THE APPFOVED PLANS,SPECIFICATIONS,AND APPLICABLE I SECTIONS OF THE GOVERNING BUILDING LAWS. !"' I .��Q All inspections based on a minimum of 4 hours and over 4 hours-8 hour �+� � - / �� ..�_ minimum. In addition,any inspectio extending past noon hour will be an 8 � � hour minimum. S GNATURE OF REGISTERED INSPECTOR SS/� O �/I Z / C L�l� Approved 8y � SPECIAL NO. AGENCY � PrOjeCt Sup�ntendent WH�TE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK• INSPEf.TOR'S COPY, GOLDENROD-JOB 51T�GOPY - -+�'" _,..riL_� ;,:: �. ;.� - City of L.A.Cenitied: � Concrere,Masonry,Se�sm�, .;�: -- �.A.County Certified: " RICHARD KOURY i N si a e r i a�N Concrete.Mason Seismic `' f?O. BOX 3Z46 i ry' 24'hours P g ( ) i Long Beach Certified: ( � � er' 310 71 5-4432 MANHATTAN BEACH � Concrem,t�tasonry,Seismtc O�ce: (310� 978-1765 CA 90266 Fax: (310) 54G-7539 Y REGISTERED INSPECTOR'$_DAILY REPORT ' �ob No: Date �z- - ti TYPE OF ❑ Reinforced Concrete �Structural Steel Assembly L Quality Control I INSPECTION ❑ Post Tensioned Concrete Fire Proofing L7 Other � REQUIRED � Reinforced Masonry G Asphalt � Job Address � City _ 4 �� S . _ � t�, � Job Name � � Permit No. I Issued By — s� � a � � s T o !L I C � T � o r �' Type of Structure Architect f .r . �ooF fa� ST 'f /rl t! �`' S I Matenal Description(type, grade, source) -T Engineer Contractor � f Inspector(s) Subcontractor I I I j TESTS PERFaRMED f I TYPE OF SAMPLE SIUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � i I — i I � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMP�ES TAKEN,WORK REJECTED,JOB PFOBLEMS,PROGRESS,REMARKS,ETC. � INCLUDES INFOFiMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER,TYPE 8 IDENT.NO'S � OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORpUED)CNECKED; ETC. I � _ i �1 ,, _ s'r- T , i � p �c E� �ti, t o c e T C n � � v�f Z �'i� i �-r� I� e�• T - ' ...� lL 1 C� J� ��4 T-� a7 T`-T a P �'e a�F CT �u T I ` � � i � V ` ; � ' � T�.l?--1�-s_1+..—._.�._.�L�� ►�ci �..� q-',�� ..t= D "a� i s ° , �� ! �� I X �G. is ��_S � v �ti"rEn -!2 To I tta 5 � T '�^ � � ie►� . �� ► G � �.1 G I ' T� � i - oF ►,.wS Af". Za c �. ti ,` dN �-re� L � ��.�-r�a �� ., i Q-r� � � i � � ' � �.1�.+ L c M - T I CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ �PAGE OF 1 HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL � OF 7HE ABOVE fiEPORTED WORN UNLESS OTHERWISE NOTED.I HAVE FOUND 7HI5 TIME IN TIME OUT REG. HO(�RS O.T. HOURS CYLINDERS WOAK 70 COMPLY WITH THE APPqOVED PUNS,SPEC�FICATIONS,AND APPLICABIE SECTIONS Of THE GOVERNING BUIIDING LAWS. Ail inspections based on a minimum of 4 hours and over 4 hours-8 hour �, �,��C� ----� minimum. In additlon,any inspection extending past noon hour will be an 8 IGNA7URE OF REGiSTERED iNSPEC70R hour minimum. � ) i,J ��. �� APP�oved By SPECf L NO. ACaE CY PfOj9C perintendent - WHITE-OFFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY x� � i ::fi�. . .. . . ` � City of L.A Certified: Concrete.Masonry,Se�sm�� L.A.County Certified: �' .t� E , , o-r, — � RICHARD KOURY PO. BOX 3Z46 � Concrete,nnasonry, Seizmic _. (Z4 hc�urs Pcl er 310 715-443Z Long Beach Certified: - .�,�,.,� ( � MANHATTAN BEACH , Concrete,rv�asonry.Seismic "'C'�ce: (310J 978-1765 CA 902G6 � Fax: (3 I 0) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date i2- 28•9G TYPE OF ❑ Reinforced Concrete � Structural Steel Assembly C Quali�y Control INSPECTION C Post Tensioned Concrete ❑ Fire Proofing ❑ Other RE�UIRED ❑ Reinforced Masonry � Asphalt I Job Addres — /" City � ? w � � F Job Name Permit No. � F�n � � E S S issuea ey I Type of Structure Architect Material Descriptfon(type, grade, source) Enginee i v n� G i Contractor ,t:D l' ,�u� � Inspect Name Subcontractor - � �J AL ' D /2 i TESTS PERFORMED I TYPE OF SAMPLE SLUMP �UANTITY IN SE7 ADDITIONAL REMARKS ON SAMPLES i � � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBIEMS,PROGRESS,REMARKS,ETC. ` INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S ! OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOITS TORQUED)CHECKED; ETC. I ii � u i�./ U u - A !O I�I � � � �J os7 0 � � w.� 10 : ? (� A � i � � I � ' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ ��PAGE OF I HEAEBY CERT�fV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWIEDGE ALL OF THE ABOVE REPORTED WORK UNIESS OTHERWISE NOTED.I HAVE FOUNO THIS TIME IN TIME OUT REG. H�RS O.T. HOURS CYLINDERS WOHK TO COMPLY WITH 7HE APPROVED PLANS,SPECIFICATIONS,AND APPLICABIE SEC710NS OF THE GOVERNING BUILDINCa IAWS. . ,O 'U. Y S � II inspections based on a minimum of 4 hours and over 4 hours-8 hour c.r.��,,,Lt_. �� minimum. In addition,any inspection eMending past noon hour will be an 8 SIGNATURE OF REGISTERED INSPECTOR hour minimum. �. � �� I 6i /QU V�� ` �✓� Approvad By '�� SPECIALTV NO. AGENC,Y , �9Ct Superint9ndent � . WHITE-OFFICE COPY, CANARY•ACCOUN7ING COPY;:PINK- INSPECTOR'S COPY, GOLDENROD-JOB SITE COPV _.�i_ �. ---- _ _ �.:�__. r. � 5 City of L.A.Certified: Concrere,Masonry,Se�sm�c L.A.County Certified: •u� s�P e r i a rv – RICHARD KOURY P.O. BOX 3246 � Concrere,Masonry,Seismic 24 �tt�urs P MANHATTAN BEACH � : Long Beach Certitied: ( j �ger� (310� 71 5-4432 e� Concrere.Masonry.Seismic Office: �310) 978-1765 CA 90266 � Fax: (310J 546-7539 REGISTERED INSPECTOR'S DAILY REPORT Job Na p��-Z` _qL TYPE OF � Reinforced Concrete � Structural Steel Assembly C Quality Control INSPECTION G Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address City / 7 ' � / E�rEeueq Job Name Permit No. Issued 9y I 'Q � �-E Type of Structure Architect I Material Description (rype, grade, source) Engineer ; Contractq�A � � �S . ` � G !Y Inspector(s)Name Subcontractor � TESTS PERFORMED I iTYPE OF SAMPLE SLUMP DUANT�TY IN SET _ ADDITIONAL REMARKS ON SAMPLES i f ; _ I INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. i INCLUDES INFORMATION ABOU7•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,Nl1M8ER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. I I � � � � � I '� I I I � � i i . � � � . I I ; CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE OF I HERE9Y CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEOGE ALL �' OF 7HE AeOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOI�RS O.T. HOURS CYLINDERS WOFK TO COMPLY WITH THE APPROVED PLANS,SPECIFICqTIONS,AND APPLICABLE SECTIONS OF THE VERNING BUILDING IAWS. ` ,` S.� _ � Ail inspections based on a minimum of 4 hours and over 4 hours•8 hour ��p0 minimum.In addition,�nspection xtendinc�past noon hour will be an SiGNATURE OF REGISTERED INSP C70R - hOUf minlTURt. , �/ `� Q Approved By PECIAITV NO. AGENCy / Pfoject Superintend9nt ;s WHI7E-OFFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPEC70R'S COPY, GOLDENROD-JOB SITE COPY � i� , _ �. � ..,�._..0 � . 1 , 17800 S. MAIN STREEf I N P E T I O N (Z4 hoursJ Pager: (310J 715-4432 SUITE 303 &TE TING SERVICE O�ice: (800) 475-6879 GARDENA, G°+90Z48 Fax: (310J 851-869Z REGISTERED iNSPECTOR'S DAILY REPORT �ob No. e � � rme TYPE OF ❑ Reinforced concrete ❑ S[ruciural Steel Assembly p Quality Control INSPECTION ❑ Posi Tensioned Cancrete ❑ Fire Proofinq ❑ Epoxy REQUIRED ❑ Reinforesd Masonry ❑ Asphalt ❑ Other Job A ss p • City �4 7 G � O V��- V Job N � � N . _ I� � Issued ��_ L ��Z Type ot Stru re � Arch�tect ,^ `� /�l Matenat Desc ion(type, grade, source) Engmeer �, �� ' Contrac[or � �7 � �� Inspect ( Name Subcontractor 2.- � ;l�s- /,�1��/c �c,,� TESTS PERFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � —_ INSPECTION SUMMARY—LOCATIONS OF WCRK INSPECTED,TEST SAMPLES TAKEN,WORK FEJECTED,J08 PROBLEMS,PROGAESS,REMARKS,ETC. INCLUOES INFORMATfON A80UT-AMOUNTS OF MATEAIAL P�ACED OFi WORK PERFOFMED,NUMBER,TYPE&IOENT NO'S OF TEST SAMPLES TAKEN:STAUCT. CONNECTIONS(WE:.O MADE H.T. 9CLTS TORQUED) Ct-IECKED; ETC. � �. 17� l� �%— � _— -� � �, �� L� �y, FS� �—g-o �-�r�,� c�� c-- v's'— `L_�.}' =c'> � T�.M� v T S L-a — —�1 �/'�,� jv CERTIFICATION OF COMP�IANCE CONTINUED ON NEXT PAGE ❑ PAGE OF �MEREBY CERTIfY THAT I NAVE INSPECTED TO 7HE BEST OF MY KNOWLEDGE AlL nME IN T1ME OUT REG.HOURS O.T.HO S SAMPLE OF 7HE ABOVE REPOFTEO WORK UNLESS OTHEIiWtSE NOTED.I HAVE FOUNO THiS � WORK 70 CpMPLY WITH THE APPqOVEO PUNS,SPECIFlCAT1pNS.AND APPL�CABLE =�� SECTI NS OF THE NING BUIIDING I.AWS. All inspectians ased on a minimu of 4 hours d over 4 hours-8 hour minimum.In additlon,arry inspecfion extending past�will be an 8 hour minimum. "" SI URE OF REGISTEAED INSP£CTOR �� 3 SPECIALTY NO, AGENCY A��d� Projact S WHITE•OfPiCE GOPY, CANARY-ACCOUNTING COPY, PINK- CTOR'S GOPY, GOIDENR00-JOB SITE COPY � � 17800 S. MAIN STREET I N P E T I O N (Z4 hours� P�ger: (310� 715-443Z SUffE 303 & TE TING SERVICE O�ice: �800J 475-6879 GARDENA, CA 90Z48 Fax: (310) 851-8692 REGISTERED INSPECTOR'S DAILY REPORT �ob rvo. oat � G rme TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly Quality Contrcl INSPECTION ❑� �P st Tensioned Concrete ❑ Fire Proafing ❑ Epoxy REQUIRED m'Heinforced Masonry ❑ Asphalt ❑ Other Job Addr l ^ � + it � � Z.�- Job Na � T��^ F= t No. � Issued By�. L' r` ��-+-��,-- Type of Str ure Arch�tect Gfi1 !� �Z Matenal Descriphon (type, grade, source) Engmeer �-N i— Contractor �l � Inspecior� e Subcornractor ?�� ;Y�— �iZ�l�' S � TESTS PEAFORMED TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES (� .,,� � � �Z t S �-�— INSPECTION SUMMAFiY—LOCATIONS OF'NORK INSPECTED,TEST SAMP�ES TAKEN,WORK REJECTED,J08 PR08LEM.1,PRCGRESS.AEMARKS.ETC. INCLUDES INFaRMATION ABOUT•AMQUNTS OF MATERIAL PLACED OF WOFK PERFORMED,�vUMBEfi,TYPE 8 I�ENT.NO'S OF TEST SAMP�ES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TOR�UED) CNIECKED; ETC. Z� Z�LL — �� -� ��Z Z-s�-- n�-�� `` _ __ � `� —t� I (, �^ �—�_—_ __._. � O ^ � o �f — ,L. Z� � --� --t-,,�,,, � -- o b '? —��-�-r� n� �t� -�.. —<[�c,,,_ _c� CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAG�E OF i HEFEBY CEATIFY THAT I HAVE iNSPECTED TO THE BEST OF MY KNOWLEDGE AlL 'nME IN TIME OUT REG.HOURS O.T.HOUAS SAMPLES OF THE ABOVE REPORTED WORK UNLESS OTHEAWISE NOTED.I HAVE FOUNO THIS WORK TO COMPLY WITH THE APPROVED PLANS.SPECiF1CATIONS.AND APPLICABIE SE ONS Of VEANING BUILOING LAWS. � -(� All inspections based on a minimum of 4 hours and over 4 haurs-8 hour minimum.In addition,a inspection extending past noon hour will be an 9 hour minimum. �„__ NA7URE OF REOISTEREO INSPECTOR �vti. � �5� �'.,c3 c� �„ A SPECIALTY NO. AGENCY � P�I� WHITE-OFPICE COPY, CANARY•A�COUNTING COPY, PINK- INSPEGTOR'S COPY, GOLDENROD-JOB SITE COPY .. ' � 17800 S. MAIN STREEf I N P E T I O N (�4 hours� Pager: (310) 715-4_432 SUITE 303 & TE TING SERVICE Office: (800) 475-6879 GARDENA, CA 90Z48 Fax: (310) 851-Sb92 REGiSTERED INSPECTOR'S DAILY REPORT � �ab No. t � L rme TYPE OF ❑ Reinforcad concrete ❑ Structural Steei Assembly �uality Control INSPECTION ❑Eost Tensioned Concrete � Fire Proofing � Epaxy REQUIRED L9'Reinforced Masonry ❑ Asphalt ❑ Other Job Addres �;��r��_ 1 -? � m-..,:,�s- Job Nam Per rt No� — / Issued By�� , , ^ � G� �v t..�`✓�i Type of St cture Arch�iect P� Material Descnption(type, grade, source) i Engineer N r Convactor � �� Inspecior(5) am Subcontractor �L� TESTS PERFORMED TYPE OF SAMPIE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I I INSPECTION SUMMAAY—LOCATIONS OF WOFK INSPECTED,TEST SAMPLES TAKEN.WORK REJECTED,JOB PROBIEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATEFIAL PLACED OR WORK PERFORMED,"JUMBER,TYPE 8 IDENT.NO'S OF TEST SAMP�ES TAXEN: STRUCT. CONNECTIONS(WELD MAOE H.T. BOLTS TOFOUED) CHECKED; ETC. �__�, �.--,� � � � - � `�,� �n `��.., _ � CERTIFiCATION OF COMP�IANCE CONTINUED ON NEJ(T PAGE ❑ PAGE OF 1 HEAEBY CERTIFY THA7 I NAVE INSPECTED TO THE BEST OP MY XNOWIEDGE ALl 'T�ME IN TIME OUT REG.HOURS O.T.HQU S SAMPLES OF THE ABOVE REPOfiTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUNO THIS WORK TO COMPLY WITH THE APPqOVEO PLANS.SPEC1flCATONS.AND APPl1CA8LE � �� SECTIO S OF THE EANING BUIIDING LAWS. O _^� Ail inspectlons based an a minimum of 4 hows d over 4 hours-8 hour minimum.In additio�.a�y�s 'r�past noon hour wiil be an 8 hour minimur� �'� w UFE OF REGISTERED INSPECTOR ��Y.r:� !�+ ��6�-6 �— a SPEC7ALTY NO. AGENCY � ProJeR SuparintartdeM WHITE-OfFICE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD•1pB SITE COPY - � r 17800 S. MAIN STREEf I N P E T I O N (�4 hoursJ Pager: (310) 715-443Z SUffE 303 & TE TING SERVICE Office: (800� 475-6879 GARDENA, CA 90Z48 Fax: (310) 851-8692 � � Jab No. e Time REGISTERED INSPECTOR S DAILY REPORT TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly Quality Control INSPECTION ��est Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REQUIRED �'Reinforced Masonry ❑ Asphalt ❑ Other Job Ad e s j�� `� � � l C Y �-L1 t�lS Job N ` S P� N —� Is,qu�g„�,l� � �1. Type of S uc[ure �� Archde t � Matenal Oescnpfion(type, grade, source) Eng�neer � � i Contrac;cr �� S� l Inspector m�` � , T^ Subcontractor ��_� ��— 1 �-i' TESTS PERFORMED TYPE OF SAMPLE SI.UMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES i INSPECTION SUMMARY—LOCATIONS OF WaFK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,J08 PROBLEMS',PqCGFESS.REMAAKS.ETC. INCLU�ES INFOFlMATION A60UT-AMOUNTS OF MATERIAL PLACcD OA WORK PERFORMED.IVUM6EA,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CGNNECTIONS(WELD MADE H.T. BOLTS TORpUED)C1-IECKED; ETC. �. �JN'G L 3 L��i3�� > � �__�L�_-�.`�., � -� �.. /�r,.�.. �.,J � ��z _ CE IFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE G PAGE OF f HEREBY CERTIFY THAT I HAVE INSPECTED TO 7HE BEST OF MY KNOW�EDGE ALL 7�ME IN TIME QUT REG.HaURS O.T.HOURS SAMPLES OF THE A80VE FiEPOFTED WOFK UNLESS OTHERWISE NOTED.i HAVE FOUND THIS WOFlK TO COMPLY W�TH 7HE APPFOVED PLANS.SPECIFICATIONS.AND APPLICABI.E / ^ SECTIONS O THE GOVERNING BUILOtNG UWS. �J All inspeciions 6ased an a minimum of 4 hou�rs and over 4 hours-8 hour minimum.In addition,an inspe n extending past noon hour wiil be an 8 hour minimum. �� OF REGISTEAED INSPECTOR `�-� ��-Ll,� �� SPECIALTY NO. AGENCY APP(�� Pro� iitsndenl WHITE•OfFICE COPY, CANARY•ACCOUNTiNG COPY, PINK• INSPECTOR'S GOPY, GOLOENROD-JOB SITE COPY v __ — I 7800 S. MAIN STREET I N P E T I O N (Z4 hours) Pager: (310) 715-4432 SUffE 303 &TE TING SERVICE Office: (800) 475-6879 GARDENA, CA 90Z48 Fax: (310� 851-8692 REGISTERED INSPECTOR'S DAILY REPORT JobNo. t �� Tme TYPE OF ❑ Reinforced concrete p Struciural Steel Assembiy uality Control INSPECTION � P�s�-Tensioned Cancrete ❑ Fire Proofing � Epo�, REQUIfiED �teinforcad Masonry � Asphalt ❑ Other Joh AddreSs w� � C6 v__a City J + �1. Job � ?��t No. _ � � Issued_g�., cL e ` ��1.�C.e..��► Type of iructure Arch�tect IA. �i� � ,� /7�� 4 ry� � L� Mate��al Descripuon(type, grade. source) Engineer 4r N �" Contractor �� r"�-�,�s� Inspector(s) Na e Subcontractor � s i��. �sS TESTS PERFORMED TYPE OF SAMPLE SI.UMP QUANTITY IN SET ADOITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPIES TAKEN,WOfiK REJECTED.J08 PROBIEM�',PqOGRESS,REMARKS,ETC. INCLUDES INFOfaMATION ABOUT-AMOUNTS OF MATERIA�PLACED OR WORK PERFOAMED,IVUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES 7AKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BCLTS TOROUED)C�IECKED; ETC. �� /�C�.t.� c�'"'��w �o �U u`. �1 t. +dT Lc.,�E �. 1 -� 3 L.1�. � a � �—' � � � �-Z 5 CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF I HEAEBY CERTIFY 7HAT I HAVE INSPECTEO TO 7HE BEST OF MY KNOWLEOGE ALL OF 7HE ABOVE REPORTED WORN UNLESS OTHEAWISE NOTED.I HAVE FOUNO THIS T1ME IN TiME OUT REG.HOUFS O.T.HOURS SAMPLES WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AND APPlICABLE SEC710NS OF THE GOVE G BUILDING LAWS. 7�O� ��{7 All inspactions 6ased on a minimum of 4 hou�rs and over 4 hours-8 haur minimum.In addition,any inspecfian extending past noan haur will be an B hour minimum. ? � GNAT RE OF REGISTEAED INSPECTOR � DD� �L !(._�L� � SPECIALTV NO. AGENCY p� Pio Jecf SupeAnt dent WH17E-OFFICE COPY, CANARY•ACCOUNTING COPY, PIN • INSPEC70R'S COPY, GOLDEtJR00•J08 SITE COPY � � o 17800 S. MAIN STREEf 1 N P E T I O N (Z4 hours� Pager: (310) 715-443Z SUffE 303 & TE TING SERVICE Office: (800� 475-6879 GARDENA, CA 90Z48 Fax: (310J 851-8692 REGISTEf�ED INSPECT 'S DAILY REPORT Job No. Date , TYPE OF einforced concrete ❑ Structural Steel Assembly ❑ Quality Cont ol ` INSPECTION � P ensianed Concrete ❑ Fre Proofing � Epoxy REQUIRED einforced Masonry ❑ As halt ❑ Other Job Addr�,sg,�� L ��'{�� S+ �C'^'�c�l�.�_ Jo e /! _ o. _ � Issuea i �'IZT(1..c '�ZvL/� Type of S ucture Arch�tect `M I�(� r Matenal Description (rype, grade, source) Engineer A IJ t� i Contractor .�-y� �� C,t/ Inspec o( Name I Subcontractor I TESTS PERFORMED �� TYPE OF SAMPLE SLUMP �UANTITY IN SET ADD�TIONAL AEMARKS ON SAMPLES � ��`' "t, t2—i�{--�E, ��`^. . �' 2- � � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMP�ES TAKEN,WCFK REJECTED,JOB PROB�EMu,PROGRESS.FEMAFKS,ETC. INCLUDES INFOFMATICN ABOUT•AMOUNTS OF MATEAIAL PLACED OF WORK PEAFORMED,iVUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MAOE H.T. 801.TS TOFQUED) C}-IECKED; ETC. �� ' c{� P�ZYL.�t.��' O i ti�i��= Ta 2. �>L.Lti� �� .o �, !,v� �� i�-�,.a� - __ C'��---�= w� : �. `' � �'�l 1➢C�' S 2 J�`J c� � '� 3 c� �-(D S � �� r fi o �i rZ d� � � C..l -�i� _ g � 0 l/ I � 3 . L� �, �t-v D � � IN� k� �o � ?s, �t v � ��1/ �b l-+t�t.k- (',t?yv ST�c 7 y.�-L�w Ti� f �7 � a � rJr� L CERTIFiCATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAG'E OF i HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL T�ME IN T1ME OUT REG.HOU S O.T.HOURS SAMPLES OF THE A80VE REPORTED WORK UNlESS OTHERWISE NOTED.I HAVE FOUND THIS WOHK TO COMP�Y WITH THE APPROVED PWV3,SPECIFICA710NS.ANO APPLICABIE r — SECTIONS OP THE GO RNING BUILDINC3 LAW3. �,(�� All inspecUans based on a minimum af 4 hours and over 4 hours-8 hour minimum.In addition,any inspection extending past noan haur will be an � 8 hour minimum. IGNATURE Of RE6ISTEREO INSAECTOFi _,r �E A� � � �� AGENCY � ProIlCt Su rn l�� HI�•OfF C�COPY, CANARY-ACCOUN7ING COPY, PINK- INSPECTOR'S GOPY, GOLDENROD-1p8 SITE COPY _ � a _ 17800 S. MAIN STREET & TE TING SERV�ICE (24 hours) Pager: (310� 715-443Z SUfTE 303 Office: �800) 475-6879 GARDENA, CA 90Z48 Fax: (310� 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date im 2 TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembly p puality Con rol INSPECTION ❑ st Tensianed Concrete � Fre Proofing p Epa� REQUIRED Aeinforced Masonry ❑ Asphalt � Other Jab Addr 55� �, �� /� �_ Cily '�-cz.v. q Job N � P m No. lssuetl�y� �S �7 P-�► �S � -� !RAA-�Z�:..� Type of Sir cEure Architect �.�,,,- • �� I, .D i2 Matenai Descrtpuon(type, gratle, source) Engmeer �� I Contractor � I�S ' InspectQrt�)�Name Subcontrac:or ^7� V v�INL..�_ O LJ S ^-�� 1.--3 �j7��1� F�C TESTS PERFaRMED TYPE OF SAMPtE SLUMP QUANTITY IN SET ADOITIONAL REMAAKS OM SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WCFiK REJECTED,JOB PR08LEMS,PROGFESS,FEMAFKS,ETC. INClUOES INFaRMATION A00UT•AMOUNTS OP MATEFIA�PLACED OR WORK PEAFaRMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMP�ES TAKEN:STRUCT. CONNECTIONS (WELD MAOE H.T. BOLTS TORpUED)C1-IECKED; ETC. N -��--L=� L � v" ' � i `t� _ � �-� l a- � � ' � � � U S�-�-- —� ` � -,,,:— �� _. s�' ;,U t�,•Z�. �.-N Z D` W l�i. � 4—`��/L� R.--YL, �,t,?o��. ' �-�—Z . � , CERTIFiCATION OF COMPLIANCE CONTINUED ON NEXT PAGE � PAGE OF �HEAEBY CERT�FY THAT I MAVE INSPECTED TO 7HE BEST OF MY NNOW�EOGE AlL 7�ME IN T1ME OUT REG.HOURS O.T.HOURS SAMPLES OF TME ABOVE REPOfiTED WORK UNIESS OTHERWISE NpTED.I HAVE FQUNO THIS WOf7K TO COMPLY WITH THE APPROVED PLANS,SAECIFiG1T10NS.AND APP�ICABLE # SECTIONS OF THE EANING BUIIDING LAWS. �� 4 All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In addidon,any InspecUon extending past noon hour will be an 8 hour minimum. NATURE OF REGISTERED INSPECTOH —�---a�',� 6s � ( CA � SPE�ia�TY N�. AGENCY A�� Praject SUperint nf WHITE•OFFiCE COPY, CANARY•ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SI7E COPY ' 17800 S. MAIN SfREET I N P E T I O N Iz4 hours) P�ger: (31 O) 7 I 5-4432 SUfTE 303 & TE TiNG SERVICE Office: (800J 475-G879 GARDENA, CA 90Z48 Fax: (310� 851-8692 REGISTEAED INSPECTOR'S DAILY REPORT Job No. p�a�t�� i Tme r TYPE OF ❑ Reinforced concrete ❑ Structurai Steel Assembly �L ❑ Q ality Control INSPECTION ❑ Pqst Tensioned Concrete ❑ Fire Proofing � Epoxy REQUIRED (�emforced Masonry � Asphalt ❑ other Job r�� C7V� �Cit�Z�•� L.0 Job N e rmlt N� — � � � tssue �� wtcZ/.��–A Type af ucture � Archqect , n {n1�� Material Descnpuon (rype. grade, source) I Engineer h ' /�-�`-' P"^ Contractor � n n — ^ �..��v��.i- Inspector m Subcontractor� � �.�� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADOITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—�OCATIONS OF WORK INSPECTED,7EST SAMP�ES TAKEN,WORK REJECTED,JOB PROBLcM.°,.PROGAESS,REMARKS,ETC. INCLUDES INFOFMATION ABOUT-AMOUNTS OF MATERIAL PLACED Ofi WORK PERFORMED, VUMBEA,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. i�lo –� — � i �,,.,1 -- .� Z-1v q u�-i 4��--� �.rz_. ��,� �,-� CEATIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAG'E OF i HEPEHv CEATFY 7HqT�H�VE iNSPECTED TO THE BES7 pF Mr KNOwLEDGE aLL 77ME IN T1ME OUT REG. OURS O.T.HOURS SAMPIES OF THE ABOVE REPORTED WOfiK UNlESS OTHERWISE NOTED.I HAVE FOUND 7HIS WORK TO COMPLY WI HE APPROVED PLANS,SPECIFICATIONS,ANp APPUCABLE — � SECTIONS OF TH EA G BUILDING LAWS. .�---�_ � All inspec2ions based on a minimu of 4 haurs and over 4 haurs-8 haur minimum.!n addftion,any inspectfon extending past noon haur will be an 8 hour minimum. � SIG A7URE Of REGISTERED INSPECTOp t�-wt• 6�-6 --�� SPEqALTY NO. � � c GENCr Y A��d Pmlea Suparfntwrdarn� WHITE-OFFiCE COPY, CANARY• ACCOUNTING COPY, PIN SPEC70R'S COPY, GOLDENROO-JOB SITE COPY ♦ ' � . I7800 S. MAIN STREEf I N P E T I O N �24 hours� Pager: �310) 715-4432 SUffE 303 &TE TING SERVICE Office: (800) 475-6g7q GARDENA. CA 90248 Fax: (3 I O) 851-869Z REGISTERED INSPEC R'S DAILY REPORT �ot tvo. oate �;� � 4t TYPE OF Reinforcad cancrete ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑ pst'Tensioned Concrete ❑ Fire Proofing ❑ Epoxy FiEdUiRED E�Reinforced Masonry ❑ Asphalt � other Job A rqss S �_ C��Y \� � � �'! � 9 /'U�TYl ��c�-rZ v C.�ly J me — Q� Pe it�o _ ' � � � Issued 8y Type t Structure Archrtect �–�� I,� P�L. MatBnal Descriplion (type, grade, source) Engmeer �` , '"�/"' � Contractor �� Q"'� =-''4' Inspe tor( ) Name SubcontracC:p r_ - �� i . J'_�� ....G c TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS OM SAMPLES � �Z —�i —S � .z �" � — � _ � � INSPECTION SLIMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKcN.WORK REJECTED,JCB PROBlEM:S,PApGFESS.AEMAAKS,ETC. INCLUDES INFOfiMATION ABOUT-AMOUNTS OF MATEAIAL P�ACCD OA WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPI.ES TAKEN: STRUCT. CONNECTIONS (WELD IUADE H.T. BOLTS 70FiQUED) C1-1ECKED; ETC. � �G–.7 ✓ i a ✓ . `� �j � �'� � !1 N�:.. � �Ty � L.1 l�.1 c I T-a Lc r� � 1 � �-r� �,� wl� x � � 3 � 2� Y�S �'--�-- � n� e -r�z_,.r -r-� a ..� �--a l 4� � �.-a A. �N 1 -� � -'Y�1 Co C�� L o,� �-�•-��--�.�,T �t� 5 c� � -rb '� l�o � i . �f� �'1-�i'��r�n: �--n � Tr�N r 5 o�-o S 1 �� i.., ''�' Z� �-C D CEATIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I MEREBY CEATIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE AlL j�ME IN TIME QUT REG.HOURS O.T.HOURS SAMPLES OF 7HE ABOVE REPOiiTED WORK UNLESS OTHEAWISE NOTED.�HAVE FOUNO THIS WOHK TO COMP�Y WtTH THE APPROVED PLANS,SPECfFICA710NS,ANO APPLICABLE � SEC710 S OF THE GOVERNiNG BUILDING LAWS. ' Qp :O Q �" � All inspecflons based on a minimum af 4 hours and over 4 hours•8 hour minimum.In additton,any inspection extendinq past noan hour wiil be an 8 haur minimum. ATURE OF REGIS7EAE�INSPECTOq � � � � � � �� APPrcrved by r5PF�1ALTY G / � � �.,�10. AGENCY � Projact Suponnten �F C� Z7 �o � WHITE•OFFICE COPY, CANARY•ACCOUNTING COPY, PINK• INSPECTOR'S COPY, GaIDENR00-J08 SITE COPY � o 17800 S. MAIN STREET I N P E T I O N (z4 hour.�) Pager: (310) 715-4432 SUffE 303 & TE TING SERVICE Office: (800) 475-6879 GARDENA, CA 90Z48 Fax: (310) 851-8692 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date Time TYPE OF ❑ Reinforced concrete ❑ Structural Steel Assembl �� Y [7 Quality Control INSPECTION ❑ Pp stTensioned Concrete ❑ Fire Proofing ❑ EpaxY REQUIRED L�'�ieinforced Masonry ❑ Asphalt ❑ Other Job Add�`�� Y � � � 1 Ciry �� Job e r it o. Issued , — �i� 3-� �.z," �-n. Typ of cture � Archrtect � � i Material Description(type, grade, source) Engmeer � � _ Contracror �Q � Ins t r s) ame Suhcontractor � TZ TESTS PERFORMED TYPE OF SAMPLE SIUMP QUANTITY IN SET ADDiTIONAL REMARKS ON SAMPLES INSPECTION SUMMARY—LOCATIONS OF WORK 1NSPECTED,TEST SAMPLES TAKEN.WCRK FEJECTED,JOB PfiOBLEMS,I�FOGRESS.REMARKS,ETC. INCIUDES INFOFMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT. NO'S OF TEST SAMPLES TAKEN� STRUCT. CONNECTIONS(WELD MADE H.T. BOITS TOROUED) CHECKED; ETC. "�� k.�'�� K'sQ-' �l��1 ��—lv �� 13' — �' C.r —,� ._ � � �. c,�w�.�— —�— �� Z. , CEATIFICATION OF COMPUANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEAEBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL nME IN T1ME OUT REG.HOURS �'�.T.HOURS SAMPLES OF THE A80VE REPOfiTED WOiiK UNLESS OTHERWISE NOTED.I HAVE FOUNO THIS WOFK TO COMPLY WITH THE AFPROVED PIANS,SPECIFICATIONS,ANO APPLICABIE t �� SECTIO S OF THE G NINCa BUILDING LAWS. All inspeciions based an a minimum af 4 haur:;and over 4 hours-8 hour minimum.In addition,any inspectian extendin�7 pagt noon hour wiil be an 9 hour minimur / NATUpE OF REGISTERED INSPECTOR � �6-�--6 c�3 a SPECIALTV NO. AGENCY ApP P ' upenMendent WHITE •OFFICE COPY, CANARY-ACCOUNTING COPY, PINK• INSPEC�'OR'S COPY, GOLDENROD•JOB SITE COPY 17800 S. MAIN STREET &TE TING SERv�ICE (Z4 how�sj Pager: �310� 715-4432 SUITE 303 01fice: (800J 475-6879 GARDENA. CA 90248 Fax: (310) 851-8692 � � Job No. Date ime REGISTERED INSPECTOR S DAILY REPORT 2_� '� TYPE OF ❑ Fleinforced concrete ❑ Strucfural Steel Assembly ❑ Quality Controi INSPECTION ❑�st Tensioned Concrete ❑ Fire Proofing ❑ Epoxy REdU1RED L�J'Reinforced Masonry ❑ Asphalt ❑ Other Job Addr s � � �^ ��_� Ciry ..� �"3�-EZv�.a Job � � n — P i�Nq. ^ � C�� Issued„Qy �"" �o L� � L�w.tit:�V lrsa. Type of Structure Architect IAw �(Z r�� Material Description(type, grade, source) EngYneer A.N f= Contractor€.D �S� Inspector s)Name Subcontractor i.�D. --- -'� S'tL�� -Zl c.,S TESTS PERFORMED PE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL AEMARKS ON aAMPLES Qa�%� �� l2-b-�r.L � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PR08LEMS,PROGRESS,REMAqKS,ETC. INCLUDES INFaFMAT10N ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHFCKED; ETC. I�5 �'�,D � —i�YJ S�R� C."Tl 0�.----' g�� /�F'�' °'f"Q I u l,_,t A-''F � �► b � ._ t�35 c � �-�- �Pr�v 2 Z``� (_t i-r- -t�o � -� �� ,b N-� I -�r-o �- �l. l r�� . -ro p``A L� Fr- -r-� �— " A t� � �- Lr N- 'ta I 5T F.,'= �x 9,63 ,5't.0 � " � ZS o5 �: � S �o N D 'g�+..-.. ,ec�,5 ��c�- ,v N — T W [,v/1R.cZTL..� �N T, 'ri�^�� -��' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I MEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL nME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES OF THE A80VE REPOqTEO WORK UNLESS OTHERWISE NOTEO.I HAVE FOUND THIS WOPK TQ COMPLY WITH THE APPAOVED PLANS.SAECIFICATIONS,AND APPLICABLE �-0� �O L� SECTION OF THE GOVE ING BUILDING LAWS. All inspections based on a minimum of 4 hours and over 4 hours•8 hcur minimum.ln addition,any(nspection extending past noon hour will be an 9 hour minimum. �, SIGNA RE OF fiECa1STERED INSPECTOR 6 � � APPtared -�-_ .� SPECIALTY NO. AGENCY Pro uperirttendeM WH17E•OFFICE COPY, CANARY-ACCQUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SIT�COPY ' City of L.A.Certffled: _ Concrece.Masonry,Seiv �.A.co�ney cert�ned: RICHARD KOURY + i N P E r i o rv Concrete.Masonry,Seismic P.O. BOx 3246 �ong seach�ertitted: (Z4 hoU�s) Paye�: (3 I 0) 715-4432 ' MANHATTAN BEACH Concrete.titasonry,Seismic OffiCE: (310) 978-1 765 CA 90266 Fax: �3 I OJ 542-3496 REGISTERED INSPECTOR'S DAILY REPORT • �°°"°. a`�,� g � TYPE OF ❑ Reinforced Concrete U Structural Steel Assembly C �uality Control INSPECTION ❑ Ee�St Tensioned Concrete ❑ Fire Proofing ❑ Other REdU1RED �Reinforced Masonry Gi Asphalt Job Address City q�7 � ✓19 S � �-r�a T�--�-N-�—z� � ,� Jo��`�f �� P rrnit No- � �,3 / Issued�B,Y Z� ��— ,{p so Typ of Structure Architect S. ✓��. � � R— Material Description(rype, gra , source) Engineer � � � Comractor�� S� Ins t s) Name Subcontract r P P' �,� TESTS PERFORMED TYPE OF SAMPtE SLUMP �UANTITY IN SET ADDITIONAL AEMARKS �N �AMPLES �T � 3 Iz -�s -� INSPECTION SUMMARY—LOCATIONS OF WOFK INSPECTED,TEST SAMPIES TAKEN,WOAK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. INCIUDES INFOfiMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PEFFORMED,NI.IMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STFUCT. CONNECTIONS(WELD MADE H.T. BOITS TOROUED)CHFCKED; ETC. — C, I N� '-1 '� 'T� T� � �- ' 'T- g � —`�7�� L�� Fu-.� � ,,--- p n u � ^' o � .� -� �_ �� -'�-_� ti � �t 1`' � � � Tv � /�-.��,� L `'� ,� � � v� z� " � i-] y�� " a� AVS7 '�'o P o�F .__.L�l.aw � -3 v��.L�� Lcu CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAG� OF 1 HEREBY CERTIFV THAT I HAVE INSAECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORN UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG.HOURS O.T. HOURS CYLINDERS WOFlK TO COMPLY WITH THE AP OVED PiANS,SPECIFICATIONS.AN�APPLICABIE ^ SECTION OF THE GOVER 8 ILDING UWS. /� ,�,A � f�0 All inspections based o� a minimum of 4 howrs and over 4 hours-8 hour minimum. In addition,Jany in�pection extending pas�hour will be an 8 S ATURE GISTEAED INSPECTOR hour minimum. �- � �7 �_.-b�/t O� S�t7 �� Approved B ' -�'� SPECULTY NO. AGENCY P 9Ct Superintend9nt WHITE-OFFICE COPY, G4NARY-ACCOUNTING COPY, PINK-INSPECTOR'S COPY, GOLDENROD-JOB SITE COPY '�� 'i� City of LA Certlfled: ,« Concrete,Masonry,Seis�. : �.n.counry certifled: RICHARD KOURY I N P E T � o r, Concrece.Masonry,Seism�c P.O. eOX 3Z46 �ong seach Certi�tee: (Z4 hOu�sJ Pag2�: �310J 715-4432 MANHATTAN BEACH Concre�e, Mazonry,Seismic Office: �310) 978-I 765 CA 90266 Fax: �3 I 0) 542-3496 REGiSTERED INSPECTOR'S DAILY REPORT .100 No. ate TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly C Dualiry Control INSPECTION ❑�'ost Tensioned Concrete C Fire Proofing ❑ Other REQUIRED �Reinforced Masonry G Asphalt Job Addres ��i�y �1 t,.�� t � ��-� i�+n�'�v�..�, Job Na P rmit No. Issued By — S �" —" - � ' 3 !v ��L,� Type o Structure Architect � � � � Matenal Descnption(rype, grade, source) Engineer � � � Contractor �� - S�-{- Inspecq�( )Name � Subconiractor �1. ol. � � � S�l,`c �c.�SS TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON ;SAMPLES .� ,— 3 �Z- � - 9 � 'L�...� � ► Z - Li - S � ��t,,� �"- 3 12 - <<- 4-6 INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PFOGRESS,REMARKS,ETC. INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OA WORK PERFORMED,MUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHF_CKED; ETC. �� ' c�._ A�� N� Lt ,�� d�� , �..-C�u �� . S �—L i L.�� °'�Vt� C, �...1 /V� �_ `�b � � Z � D,,�'.� -rv t r „ i�- v T �o� �� . i� Ac'�,rl� N '- lb I�- t x 0 �w�-.� �i, �� c'D S CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPOaTED wORK UNLESS OTHEAWISE NOTED.1 HAVE fOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDEAS WOFK TO COMPLY WITH THE APPFlOVED PLANS.SPECIFICATIONS.ANO APPLICABIE SECTIO S OF THE GOVERNING BUILDING IAWS. �.•OT !t � ,� �� (/ All inspections b ed on a minimum of 4 hours an over 4 haurs-8 hour minimum.In addition,arry inspectian extendin��past noon hour will be an 8 TURE OF REGIS7ERED INSPECTOH hour minimum. /�" � � Y�'��S � , �L.f�C_� Approved ByC � -- SPECIALTY NO. AGENCY Proja p9fl d90! ' WHITE-OFFICE COPY, GANARY-ACCOUNTING COPY, PINK- IN ECTOR'S COPY, GOIDENROD-J08 SITE COPY City of L.A.Certitied: Concrere,Masonry,Se�s�. • i N P E T i o N — LA.Counry Certified: RICHARD KOURY ; PO. BOX 3246 � Concrete.Masonry,Seismic z4 h�urs P� er: 310 715-4432 Long Beach Certified: � � 9 ( � MANHATTAN BEACH Concrem.tvtasonry,Seismic O�Ce: (310� 978-1765 CA 90Z66 Fax: �31 O) 546-7539 REGISTERED INSPECTOR'S DAILY REPORT J°°"° °a2 3 9 � TYPE OF rJ Reinforced Concrete Q Structural Steel Assembly r,� Quality Control INSPECTION O Post Tensioned Concrete C� Fire Proofing L�Other�o x�, REdUIRED ❑ Reinforced Masonry G Asphalt Job Address � �'1 v � � S a V��{ �(�� Lv�^ / Job Nam�� > �� P mit No. ' ` Issue�d _ � �a '3 G ` �-�+.�Z� � � Type qi'6Vucture � Architect � n ( t�....� t� Matena escription (type. grade, source) Engineer D� Nf— Contractor ,�.� �'S r � -v-t- Inspector(s)Name Subcontractor Yvt �TV'� � � ��^-c�-� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON 3AMPLES / INSPE ION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKF� ,WORK REJECTED,J08 PFOBLEMS,PROGRESS,REMARKS,ETC. INCLUDES INFORMAT�ON ABOUT•AMOUNTS OF MATEPoAL PLACED OFi WORK PEFFOFMED,NUMBER,TYPE 8 IDENT.NO'S OF 7EST SAMPLES tAKEN: STRUCT. CONNECTIONS (WELD MAOE H.T. BOITS TOR�UED) CNECKED; ETC. `� iJ s�lZ�V �--� ��.l.L1 �J C- O� �-� .- � �t '�._� � �� `-�P .Fo 2 `� �c� L�'I�� c- o .-�� -�-� c7 � o � N i- s 1..� ^ = TL '�� CY�l_'T� �L-�� r-� �� a-t-' � � �-�-- � ►�--� t N � "'��T- � L�c� "�- � �'--T� �� `t�. � �a ��— � c� � Lt N � � � CERTIFICATION OF COMPUANCE CONTINUED ON NEXT PAGE � AGE OF I HEREBV CEATIFV THAT I HAVE INSPECTED TO 7HE BEST OF MY KNOWIEDGE ALL OF THE ABOVE REPOfiTED WORK UNIESS OTHERWISE NOTED.i HAVE FOUNO THIS TIME IN TIME OUT REG.HOURS O.T. HOURS CYIINDEAS WOHK TO COMPLY WITH THE APPFiOVED PL4NS,SPECIfICATIONS,AND APPlICABIE �•— SECT NS OF THE RNING BUIID�NG LAWS. All inspectio�s based on a minimum of 4 hours and over 4 hours•8 haur • minimum. In addition, apection extqpdit��-pas�hour will be an 8 ATURE OF AEGISTERED INSAECTOR hOut minfTUT. � OL.�� 2 / ��.� c7 Approved B SPECIALTY NO. AGENCY roj uparinten WHITE•OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- SPECTOR'S COPY, GOLDENROD•JOB SITE COPY City of LA Certified: Concrere,titasonry,Se�s� _ . �.A.Councy Certified: RICHARD KOURY i N a E T i o H � Concrere.Masonry,Seismic RO�BOX 3246 � i.o�g eeac►,cert�red: (Z4 hours) Pager: (310� 715-4432 MANHATTAN BEACH Concrete.Masonry.Seismic Office: (310� 978-1765 CA 90266 Fax: (310� 546-J539 REGiSTERED INSPECTOR'S DAILY REPORT � J°°"°. °aZ 3 TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly L Quality Control INSPECTION ❑yost Tensioned Cancrete ❑ Fire Proofing ❑ Othe�r HEQUIRED �Reinforced Masonry G Asphalt Job Address �� w Y �Q �o u�� -��ty��Z�`� l Job Nam P r it No. Issyeci By n�ct�5 '�� 3'roR� 6 - l � � l ��c_� Type of ucture Architect k.-.. 3�n ►r� P i2 Material Description (type, grade, source� Engineer� � � Contract� � n - s ✓� �"l.J Inspector(s)N me ^ ubcontra tor �-, / I �(�1'E �S 5 TESTS PEAFORMED �M TYPE OF SAMPLE SIUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES '' �-r �" � �2 ' �- � � INSPECTION SUMMARY—LOCATIONS OF WaFK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PR08LEMS,PROGRESS.REMAFKS,ETC. INCIUDES INFORMATION ABOUT•AMOUNTS OF MATEFIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. � l� �cl�N C.e L( /�>� L1. T17 � � , c.'7 F". � t7 �� A�r 2-- C-v��i ti N C�— �--�n �-v C� v i �v�L. ��'� � -c-� � � e-1=� �L� r.� � r�E t -rn L�x�� _a -ro � , C�� _��,-� 3,9 l k � � o a c� _.�L.�,,.,P � �� . l � `�� 5 N S cZT-c`'� ��-__ r.� c-. I,-1�--�E � A 'tv •— � a F� To �`��.4� �' �o-v_-t-v,-�—�, r--=— — CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF I HEHEBY CERTIFY THAT I HAVE INSPECTED TO 7HE BEST OF MY KNOWLEDGE ALL � OF TME ABOVE REPORTED wORK UNLESS OTHERWISE NOTE�.1 HAVE FOUND THIS TIME IN ZIAAE OUT REG. HOURS O.T. HOURS CYLINDERS WOFK TO COMPLY WITH THE APPqOVED PI.ANS,SPECIFICATIONS.ANO APPlICABLE SECTI NS OF T G VERNINO BUILDING L4WS. � O :V� All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum.In addition,any inspection entending past�n hour will be an 8 S ATURE OF REGISTERED INSPECTOR hour minimum. 1�-'�'� �� 8S6S� f��v A _� PProved SPECU�TY NO. AGENCY oj9Ct Supefintend� nt WHITE-OFFICE GOPY, CANARY-ACCOUNTING COPY, PINK• INSPEC70R'S COPY, GOLDENROD-J08 SITE COPY - � '� City of LA Certified:' L' � Concrete,Masonry,Seismic �.A.counry cercired: RICHARD KOURY i rv P E T i o N Concrete.Masonry,Seismlc PO:BOX 3246 �0�9 eea�n cert�r�ea: (Z4 hours) Pager (310J 715-4432 MANHATTAN BEACH - � Concrete,tv�asonry,Seismic . C�Ce: (31 OJ 978-1 765 CA 90266 Fax: �310� 542-3496 REGISTERED INSPECTOR'S DAILY REPORT� ' �°b"°. oa'e 02 � TYPE OF ❑ Reinforced Concrete ❑ Strucwral Steel Assembly C Quality Control INSPECTtON ❑ Post Tensioned Concrete ❑ Fire Proo(ing C Other � RE�UIRED � Reinforced Masonry ❑ Asphalt Job Address City �t'�'1L, A ��7'1�-1 � ,q Job Name Permit No. Issued By � —�c �� JG, ! r—b �1 - l "�..o C l o� '1�`-�E G•.��/� . Type ot Structure • Architect Sro Fc' N�-1 �-�-1 ^�Gi�t M J S�� 'c�v2KA�11�`Z_ �jZJ'tka —' Matarial Description(type, grade, source],�,,�� Engineer `�`� �'S'� Contractor �� -�1 ��2..�' _ � �s�..x��.�-1 Inspector(s)Nama�....� Subcontractor JG� D r-• ��p2��/E� ` "S'T'�./� —��s r�-�A�so__iJ�--�.. " TESTS PERFORMED TYPE OF SAMPLE , SWMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES i. � INSPECTION SU ARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,I'ROGRESS;,REMARKS,ETC. iNCLUDESJNFORMATION ABOUT-AMOUNTS OP MATERIAL PLACED OR WORKPERFORMED,NUMBER„TYPE&IDENT NO'S F TEST SAMPLES TAKEN:STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. ` � � � .. � : ,:., J �� --�� ,�-- �� -= -�- � ' . o � — � E �""��. - _ 1 -rt� 4 , !� � cr-1� �Ac� � �.� J . �. � , � � - l i ��- i�'r2��. -�^'e] C"�_ ?it� _ I • _ _, . �— : ' . ., _ _ Urv L� � �,�12.� Ll�� "'T'Z] 'c-�' ��-1�i ` _,_ ` _ _ 3 � v�, �t�f� e+t�-i. =+-��r��?z�. —T'�-kE� Lc�A�-��.3�, � . . � �.�,,,,r•-. � � � � U. ,��1�f rJEl� c� r`3�-1 �t T-� s.r-.�Y�L7FC T7J�C_ __ �-�z.ivwl�'�1t'--�fZ: ' . . _ . . � . r — . . ./' �,� � ( Cuu�sc �L�I'J -T�� (�� lr� -. � � ,� C�.��a.. � .� . . �,, ., �r�.1 At'f' car"� W G ". ` ,. N� � � oC 2 tn1 Mibt� I (�. .A� �S � � tar.1 f.� � �s. � c�� -r�a��T �-a.�� N �r�e � o . vJ i Z'o C3r' A+�.s "� � Q �-.-.�t� , ;�� ' t �� CERTIFICATIQN OF COMPUANCE CONTWUED ON NEXT PAGE ❑ PAGE � OF_�� ( I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE A80VE REPORTED WORK UNLESS OTHERWISE�NOTE�.I HAVE FOUNO THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS � WORK TO COMPLY WITH THE APPROVED PLANS,SPEC�FICATIONS,�AND APPL�CABLE � . SECTIONS OF THE GOVERNING BUILDING�LAWS. ' - ,�y ^Z.� 1� 'O � � ��, "'`�'''^y ��2.,JC..J 1 , �`/, � ' • Ali inspections based on a minimum bf 4 hours and over 4 hours-8 hour r.- �� minimum. In additfon,any inspection extending past noon hour will be an 8 � haur minimum. � -� �SIGNATUFE OF REGISTERED INSPECTOR � � � � �"1�"'��ny�� ' � � G�O Z,"L'3� Approved By SPECIALTY NO. AGENCV ' Project Superintendent WHITE-OFfICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY; GOLDENROD-JOB SITE COPY i ��, � • I . � .� , I I / '..._.. ...• . � •// � �. �/ , •• ......_._...._. � � � 1 ' � • . • - �' a � i ' • � 'a � -� • • ' � . _.. • � • • • • � '• • '• • � • •• • � � • � �'1 • -� • � • •. ' , . I � � ... . __ r s.� �r �,L�,, • rt-=_ —-- '� ► ! �� - � - - . �_ . . .. . ..! . - . -: - __. �.r - - -... �.+r�. ,., � I � ► �� • • • • • •' • � . ' • •' • � •: "�: --• - - •- � •' • •' • :• • • � �' •• •' � � ■ • • • • � �� :• •'• � � i � ` � � , � = '� a'�-1 il� M�� ► � � • �� t w • � � Cr G. i.r � „rr � I • � �M► r !► , • � � .:.. � �'li� Gr � ..tt► a ' .y1� � � P '� [�� .s��'� ' a��. .._� n► ��Z ��.► .... ......_.. �� . � �� ■��■��■�■■��■��■�� ■■ �■�� ■ ��■��■ ■n� �� ....................... ...... .... ............ ....�..C.. ....................... ......�................. .......... ....................... ........................ .......... . . . . . .- . .. .- .- . . -.. .: : .. � _ � City of LA Certified: Cancrete.Masonry,Seism�,. i N s�P E T i o rv L.A.County Certified: RICHARD KOURY FO. BOX 3Z46 Concrete,Masonry.Seismic z4 hour's Pcl er: 310 715-4432. I Long Beach Certified: � � g ( � MANHATTAN BEACH Concrere,Masonry,Seismic Office: (310) 978-I 765 CA 90266 Fax: (3 I O) 542-3496 REGISTERED INSPECTOR'S DAILY REPORT ' �°b"° oa'e u TYPE OF ❑ Reinforced Concrete ❑ Structural Steel Assembly C Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other RE�UIRED � Reinforced Masonry ❑ Asphalt Job Address �'�� 1` ' 1,_ / � ��,,,�} City un�f'1 Yr —I�C-�-i�C�.7 �l� Job N me ��j 'A � � Permit No. _ Z_ Issued By �_ ��-l� '�O G �N�Cs.�t�t Type of Structure ' Architect . STOQ �O►"'t�"l�C.l/fll'1. V L� �"��J t i .� ��il'� �..i�TJL Mater.ial Description(type, grade, source)�%C�� Engfneer A � /� t'eiVt'� r--1^5,, Contractor c�__�'t �2J'S�.-1 Jnspector(s)Name Subcontrador ��G�+-t�4�P-,D L��a-,Ll�.T��. -' �. ��.� A�,.� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON S�AMPLES � — ! INSPECTION SUMMARY—LOCATIONSOF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,FROGRESS.AEMARKS,�TC. , INCCUDES INFOFIMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WOFiK PERFORMED,NUMBER',.TYPE B.IOENT.NO'S OF TEST SAMPLEs,TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. 80LTS TORQUED)CHECKED; ETC. t�--M��ot�► �c�--�S""� T1 c�-1 � --____---- COi3�e-+CaJE� R f��_-,--��.t7 �-� � c A�- L.�,,.�E �, �1 _ E � t :�;�z . � �M,� � � ..,s "� - . A�.,�, � r3. c. �i. � � �e��--�.�; w� �'v4 r--� '�. s � s v: C3 .c , t�.l� ; L .1C-'Si� c� `�'�/ic� , S Z':.' vrz'_ �+°��i � C—T-�.t!�t'—t'�--2 r--ic.�tJ f�/��! f`1c�.el�si N� . I . _. , G � ' • , F � CERTIFICATION OF COMPI,IANCE CONTINUED ON NEXT PAGE ❑ PAGE OF � I HEREBV CERTIFV THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL � � OF THE ABOVE.REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDEAS WORK TO COMPLY WITH.THE AVPROVED PLANS:SPECIfICATIONS,AND APPLICABLE . � SECTIONS OF THE GOVERNI,NG BUILDING LAWS. ' yY � � ^�� _ ^> �c� ��I �I , All inspectlons based on a minimum of 4 hours and over 4 hours•B hour .�—Z �.._� minimum.In addition,any inspection extending past noon hour will be an 8 SIGNATURE OF REGISTERED INSPECTOR hour.minimum. . . � � f / 7� C � APProved By . SPECIA�TV - . NO.. - ' AGENCY Project Superintendent � WHITE-OFFICE COPY, CANARY-ACCOUN7ING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SI7E COPY � � . - , # � � City of LA.CeKified: , Concrete,Masonry,Se�sm�� i N P E T i o N — L.A.Counry Certified: - RICHARD KOURY PO. BOX 3246 � Concrete,rv�asonry,Seismic �24 hours) Pager: (310� 715-4432 � Long 8eath Certified: MANHATTAN BEACH Concrere. nnzsanry,Seism�c OffiCe: �310� 978-17G5 CA 902GG Fax �310) 546-7539 �, f . Job No. p`�! �� ' � REGISTERED INSPECTOR S DAILY REPORT � I TYPE OF ❑ Reinforced Concrete U Siructural Steel Assembly L Quality Controi INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other j REQUIRED �Reinforced Masonry G Asphalt i Job Address Cily '�1 �'1'7 t'I lc�� w A 7 c1 ��r'i-,� -�-e'"'r`'�� .4J1,_ C� • i Job Nam� L� v� �r � Permit N�� Y '�� Issued By� '� ��CA1 I � �� +�� w jType of Siructure Architect � 1 �� c��..��-►�.� �� M vs� �...' j �� _ ��-SG. Material Description(type, grade, �qurce) Engineer � � i �°�.:- 4w� � Contrac[or � "t�1 � � h-'�J.�Ti4-� S-�i} �„ �V�ai : Inspector(s) Name 1�` � � � L i`�p�l�,_ Subcontractor 1 i 12-� l=� �3T'c✓� 1�`'� r"'1/�c`X7 r-.Y'�.-.� i TESTS PEAFORMED —� i — � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON S,AMPLES � �.r�t'.�'��..i'[`� �� .: � � 0 '� �- � t i--�+�*�;� � ' � . INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS.REMARKS,ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE 8 IDENT. NO'S � TEST SAMPIES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. I 1 P�"��'`� e- ' ; �a t�'J✓ i ��, `''�Ti"14ve--T'S A'1" L'�� rC �_ �� Ac — ��r �+ � �d �' l t�0 4� ��/�'�� 1�...� . �., 2a�� as� G� j ��5 �r�c � � ['�-�—,�,��..�t��Z"�� u.� � �__-__�c , . , r �ArT�-- L G+ �r./�t� �E-r°� r�1.-lAr�� C..� �°ie.-.ta �..i, t°3,, �,,,, � `1�a r'f' T'1�1' �G�R� i'-��(.f rJ� ..{a!��'�- t 5 "' � � � t��, �! . C O N�'12�-GTi.YL C�°�..•+M�S ��C t t t_ I _ � } � , f Dr �.1 o T�L�q-[' T t�-�1��fx-��S c7�' SA�+ ! ► J� (� C" � � r3-� T�iL..Ci`�_�,t�.Ca �. - � ' "" A�� i d6 + �� Wr.X►�� II W�L �IJ 1 a. N Gn'L'^-� �- C't�,f�'7L Cx.. �r•T'+ K'� �t�1 O IJC� � ► 'S C M.,�.- �v�:G. � rv Pct--`�.o NC�r�-r'� �...- I G rv a �/L. P 1�C.. (►�s) t�1'C� 1 `�v c+� �.-�M �G.. 1-+tT� F-J� i � � 'TF-t�S o i T'O . C3.C. w� � C�'et.t. I ! ��N- -� „�.�.� �� .� 1� �-� � r � �` � � �...:�',e� 1 CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE ` F � ° I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE AlL � OF THE ABOVE REPaRTED WORK UNLESS OTHERWISE NOTED.I HAVE POUND THIS TIME IN TIME OUT R£G. HOURS O.T. HOURS CYLINDERS IWORK TO CAMPLY WITH THE APPROVED PLANS,SPECIFICATIONS.AND APPLICABLE � SEC710NS OF THE GOVERNINCa BUILDING LAWS. �'1/ �'� r � h � ' � CA�dtr� vj All inspectians based on a minimum ot 4 hours and over 4 hours-8 hour minimum. In addition,any inspection eutending past noon hour will be an 8 SiGN TURE OF RE S7ERED i SaECTOR hour minimum. i _ - �� `�'{(�?l7 �� Approved By -;'`--.�- �'_-��— SPECIALTY NO. AGENCV /Project Superintendent ; � WHITE-OfFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROOf JOB SITE COPY i j � :�� . ..- � . . • � • - :�i • . .� . .� � �. � - • � � - • - - .. _ . ■ - . -. . _ ■ - . ■ • . . . . ■ -• - . -. . ■ _ - .. . ■ • • � :,r • -. . � . r / �.� - � *' - � � ► �■ � .r� 1 •c • o i' . o . �c . • •• • .•: . • • cc r� '" � r*. r •• ... i �� • • • • • •' . � ' • •' ' � •: "�: •'• - ' •' � •' • •• • :• • • � �- •- •- � � • • • • • � •� :• •'• � � , � �� 1 ��. i�i � Y1� � r ■ a .�a� r._ ► � �' v • a � ► �` � � - � � � ►..��► _: ► �►_� �_ l�� G��11 � 'r + '`._. � � � � � 1 r�� ,� � �/ � ,w, i i""' / • 1 ► s a �s i r"'S- s i1�_ - ♦ � � • �� . / � � N rr...� • ~ � � / r,��■�■��w�■��■�� ■ ��■■■��■ ��■ �■�� ■��■��■ .■ v►��r�� ■!�.�f.��■�■�t�� ■��■ n��n�� ■�� 10��■r�'��■ �■�� ■ ��■■ ■� �� ■��■ ■�� ■ ��I��r�/I�■�n�■�� ■�� ■��■ ��■■ ■ ■\�"'�■��G�I�■��■��■ �� ■�■��■�� ■ �� ■�� ■ ■�\�rl�r�►\■�■��■�� ■ �� ■��■ ■ ■��■■�■�\�� ■�!\��■�� ■��■��■� �� ■ ��■�■�l/[�'ii�'.7[f�IIE�G.�l��,., [!��Il�■��■■� ��■��■�■�� ■��■��`:i�■�� r��l ■ �L/ �■■�� ■�� ■��n�■� ■ �■��■��■�■��w�■■��■� �� ■■ ��■�� n��■�� ■ ■��■�I_[��f.r�li�l��■�� ■�� ■��■� �� i��■� r�� ■��l��■�� ■��■�� ■�■�� ■�c��il�i�llil.�.;►�.1��1��/1�1��1��■��■�1�■�� ■■� ��■�■■ ��Ir:��l:.711�ini3OE�;:�'�'i.�1�)�iii►�+"�E::7�r,l3�■�■��■ ��■■��■��■ �\� �� G'�■��nrJ��71ir��■�� G��■��■��■�� ■��■■��■ ::::::::::::::::::::::5�::::::::::::::::::::::: ::::.::.�: . . . . . .- . .- .- .- . . -.. .: .- � ! . • r •� City of L.A Certified: Concrete.Mazonry,Seisrt. �.A.County Certified: RICHARD KOURY i N P E 7 i o N Concrete,Masonry,Seismic FO. BOX 3246 � �ong eeach Certified: (24 hciurs) Pager: (310� 715-4432 MANHATTAN BEACH Concrete.Masonry,Seismic Office: �310) 978-1765 CA 90�6G Fax:,(310) 546-7539 i REGISTERED INSPECTOR'S DAILY REPORT J°°"° _ �;` Z-.� g b � TYPE OF O Reinforced Concrete ❑ Structural Steel Assembly ❑ pualiry Control � ` INSPECTION ❑�ost Tensioned Concrete ❑ Fire Proofing ❑ Other � REQUINED �Reinforced Masonry ❑ Asphalt I j Job Addres City � � t ��,-t �..., � 9 S �-n,' -t-,.,,.� �. i Jo ame Pgrmit No. Issu `(�� I ��`1 L t�i �S�'v _ L � '�� (o �"^ =L.v v� � Type f Structure Architect i �� .� � � Wt u S � �... P F 2 � o �J 1 "fZ 2..�-c-,.� � Material Description pype, grade, source) Engineea a � jCo�tractor � � 17�v c�t� � Inspector(s) Name Subcont tor ^� �" � � L �� S Yk �'�1� STF l�F r,�o S S yv�l+�S d r� � TESTS PERFORMED � TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON ��AMPLES I f _ --.. ., i ` 'i i � INSPECTION SUMMARY—LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. i INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIA�PLACED OR WORK PERFORMED,NiUMBER,TYPE 8 IDENT.NO'S , OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TOROUED) CHECKED; ETC. � NT i r-�v c� � N s'F'LZT �o r-+ _o r ✓5 i � o A--O ,n� o �►L V P -?"Z� �t�o c� rz. �,it�! C t` � � � 1�n,`. �u .r�. P�z � � Z . i � � i�' `�. �t� �3 W i"fti 1 Y ___ I��,�Lv ti.,c�. d k._[� � s� �%f "�� S �_ �." `TK'-��-�.-F�1=./L_ k,,c p� L, --- f i „ i �j � �c _ � i I � i —_ I � � i i I � ! CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE _ OF jI HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.1 HAVE FOUND THIS TIME IN TIME OUT REG.HOURS O.T. HOURS CYLINDERS WORK TO COMPLY WITH THE APPROVED PUNS,SPECIfICATIONS.ANO APPLICABLE iSECTIO S OF 7HE GOV ING BUILDING LAWS. - i � All inspections based on inimum of 4 houirs and over 4 hours-8 hour i minimum. In additio y inspec' extendi �past noon hour will be an 9 SIGNATURE OF REGtSTERED INSPECTOR � hour minimum. �� W'� �6 S 4 � I C_3 aap•o�aa ey �.--- ��"��-� I SPECIAITY NO. AGENCY Projec upenntende�t IWHITE-OffiCE COPY, CANARY-ACGOUNTING GOPY, PINK- INSPECTOR'S COPY, GOLDENROD•JOB SITE COPY I �.�4,� �.'.4''��u-:{•'�, '...lk�,�:...�" S._ .,,. ..� .,..,.._...,..__ __ ,, City of L./1�Gertified: . . t ; � • " ' ' ' ' Concrete, Masonry,Se�sm�, ' . '� �" i rv P E r i o rv L.A.County Certified: RICHARD KOURY Concrere.Masonry,Seizmic PO. BOX 3246 �ong Beach Certified: {24 hours) Pager: (310) 71 5-4432 MANHATTAN BEACH � Concrete.Masonry.Seismic OffiCe: (310) 978-1 765 CA 90266 � Fax: (310) 54G-7539 REGI'STERED INSPEC OR'S DAILY REPORT �°°"° oa, TYPE OF Reinforced Concrete U Structural Steel Assembly C Quality Control - INSPECTION ❑ Post Tensioned Cancrete 0 Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt I Job Address City �. l 1 l 1 �..,Y '1 q S o�, �.+ �C �J L. h Job Name A _ Permit�N� _ � 6 Issu �ZVt...'� Type of tructure Architect _ .�-�..._. 3 �� M �. ��..� T-'t._ -r�1 f Material Descriplion(type, grade, source) Engineer A �F � �9►`1 C-(�"�''E �v (�.r w �-1'"� ContrrCact� �/S 11 � Inspector�s) Name Subcq�tractor a� � �A Z L O � v+-+ �T t `qt� SZ C� 1 C� tiT . � — TESTS PERFORMED i — -- - � TYPE OF SAMPLE SLUMP �UANTITY IN SET ADDITIONAL REMARKS ON SAMPLES I ; ` „ : C�� '3/ 3 �► �� g� � - � � IINSPECTION SUMMARY—IOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. { INCLUDES INFORMATION ABOUT•AMOUNTS OF MATERIAL PLACED OR WORK PERFOfiMED,NUMBER,TYPE&IDENT.NO'S � OF TEST SAMPLES TAKEN: STFUCT. CONNECTIONS(WELD MAOE H.T. BOLTS TOROUED)CNE�CKED; ETC. � �S -��J � 7 V�Z_ �-lni� r�i �� lJ C SLc'TL ! � � � A S I o 6�Ti la� Q C_�O-__^__ l_O N C. L-1 lv C. II _� __....�.�.. a�Z 4 /�. �: t , �o l • Z. Z 2• 6 Z. � 3 , 1 I � � . d.r-_n � -3 - — - --- i i � 3 b� � �S x �. S Z o l I � � �` � t�.,�..� ,,�.t--�.�..�,�-- P�� P�.,,�..� = � � . i __ . � � i ; � I i � � CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I � I HEREBV CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEOGE ALL I OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS TIME IN TIME OUT REG. HOURS O.T. MOURS CYLINDERS WOHK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS,AN�APPIICABLE SECTIONS OF THE GOV ING BUILDING LAWS. : 0 I .� D � All inspections based on a minimum of 4 hours and over 4 hours-8 hour � minimum. In addition,any inspection extending past.noon ur will.be an 8 iGNA RE OF REGtS7ERE0 iNSPECtOR hour minimum. —�—� ' � I .._._.--G��'�l . � F—'� • �C1�7 � � i�p Approved 8y G - i SPECIALTY NO. AGENCY P�ojett Superintendent WHITE•OFFICE COPY, CANARY-ACCOUNTING COPY, PINK- INSPECTOR'S COPY, GOLDENROD-JOB SI?E COPY ..,i�::fu: