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Home My WebLink About165 Acacia Ave; ; CB161772; PermitPrint Date: 01/28/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 165 Acacia Av BLDG-Residential 2042310600 $383,019.00 1 4.00 ACACIA ESTATES Residential Permit Work Class: Condo Lot#: 4 Reference #: DEV05040 Construction Type: VB Bathrooms: 4.00 Orig. Plan Check#: PC160027 Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Final (city of Carlsbad Permit No: CB161772 Closed -Finaled 04/13/2016 03/02/2018 PBurn Inspection: 1/28/2020 12:20:lOPII. Description: ACACIA AV ESTATES-UNIT #4 2063 SF, 2104 SF PORTION OF THE SUBTERRANEAN GARAGE/STORAGE, 245 SF PATIO/BALCONY, 251 SF ROOF DECK Applicant: ROB BALENTINE CONSULTING ROB BALENTINE Po Box 910557 SAN DIEGO, CA 92191 858-531-5106 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL PUBLIC FACILITIES FEES -outside CFD SB1473 GREEN BUILDING STATE STANDARDS FEE SDCWA SYSTEM CAPACITY CHARGE 5/8" Displacement SEWER CONNECTION FEE (General Capacity all areas) STRONG MOTION-RESIDENTIAL TRAFFIC IMPACT Residential Condo Outside CFD WATER METER FEE 5/8" Displacement WATER SERVICE CONNECTION FEE 5/8" DISPLACEMENT (P) WATER TREATMENT CAPACITY CHARGE 5/8" Displacement Total Fees: $29,548.59 Total Payments To Date: $29,548.59 Balance Due: $0.00 $1,634.20 $643.94 $66.00 $166.00 $92.00 $182.00 $13,405.66 $16.00 $5,099.00 $934.00 $49.79 $2,632.00 $318.00 $4,169.00 $141.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/02/2018 Subdivision: PALISADES HEIGHTS REFILED Status: Closed -Finaled Expiration Date: 02/25/2020 Address: 165 Acacia Av IVR Number: 714321 Carlsbad, CA Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Reinspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/08/2019 05/08/2019 BLDG-Electric 091157-2019 Passed Paul Burnette Complete Meter Release Checklist Item COMMENTS Passed BLDG-Building Deficiency No 08/29/2019 08/2912019 BLDG-Final 102375-2019 Partial Pass Michael Collins Reinspection Incomplete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Prelim, see card for minor pick up. Yes BLDG-Electrical Final AFCI, GFCI, CO & smoke detectors ok Yes 01/24/2020 01/2412020 BLDG-Final 117328-2020 Cancelled Paul York Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Prelim, see card for minor pick up. Yes BLDG-Electrical Final AFCI, GFCI, CO & smoke detectors ok Yes 01/28/2020 01/2812020 BLDG-Final 117608-2020 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency 1128120 Yes BLDG-Building Deficiency Prelim, see card for minor pick up. Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final AFCI, GFCI, CO & smoke detectors ok Yes BLDG-Electrical Final Yes BLDG-Fire Final 095710-2019 Scheduled Dominic Fieri Incomplete Checklist Item COMMENTS Passed FIRE-Building Final No January 28, 2020 Page 6 of 6 PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/02/2018 Subdivision: PALISADES HEIGHTS REFILED Status: Closed -Finaled Expiration Date: 02/25/2020 Address: 165 Acacia Av IVR Number: 714321 Carlsbad, CA Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Date Start Date Complete 01/11/2019 01/11/2019 BLDG-27 Shower 081119-2019 Passed Paul Burnette Complete Pan/Tubs Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-84 Rough 081121-2019 Failed Paul Burnette Reinspection Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 0112412019 0112412019 BLDG-84 Rough 082085-2019 Passed Paul Burnette Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 01/29/2019 01/29/2019 BLDG-16 Insulation 082447-2019 Passed Paul Burnette Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No 02101/2019 02/01/2019 BLDG-23 082920-2019 Passed Michael Collins Complete Gas/TestlRepairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02/07/2019 02/07/2019 BLDG-17 Interior 083281-2019 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Shower & bath lath OK Yes 0412612019 04126/2019 BLDG-Gas Meter 090127-2019 Cancelled Paul Burnette Reinspection Complete Release January 28, 2020 Page 5 of6 . PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/02/2018 Subdivision: PALISADES HEIGHTS REFILED Status: Closed -Finaled Expiration Date: 02/25/2020 Address: 165 Acacia Av IVR Number: 714321 Carlsbad, CA Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Reinspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Type #1 shear only Yes BLDG-23 076468-2018 Cancelled Michael Collins Reinspection Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/21/2018 11/21/2018 BLDG-21 076720-2018 Passed Michael Collins Complete Underground/Unde rfloor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Building drain to sewer POC Yes 11/26/2018 11/26/2018 BLDG-13 Shear 076875-2018 Passed Michael Collins Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Exterior shear per deputy inspection Yes report. See card for pick up. BLDG-Building Deficiency Type #1 shear only Yes 12/05/2018 12/05/2018 BLDG-13 Shear 077931-2018 Passed Michael Collins Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Received revised deputy inspection report Yes BLDG-18 Exterior 077929-2018 Failed Michael Collins Reinspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-22 078089-2018 Passed Michael Collins Complete Sewer/Water Service Checklist Item COMMENTS Passed BLDG-Building Deficiency Meter through garage floor Yes 12/17/2018 12/17/2018 BLOG-18 Exterior 078900-2018 Partial Pass Paul Burnette Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No January 28, 2020 Page 4 of 6 PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/02/2018 Subdivision: Status: Closed -Finaled Expiration Date: 02/25/2020 Address: IVR Number: 714321 Scheduled Date Actual Start Date Inspection Type Inspection No. BLDG-21 Underground/Unde rfloor Plumbing 068990-2018 Checklist Item BLDG-Building Deficiency 09/11/2018 09/11/2018 BLDG-11 Foundatlon/Ftg/Pier s (Rebar) 069532-2018 Checklist Item BLDG-Building Deficiency 09/20/2018 09/20/2018 BLDG-11 Foundation/Ftg/Pier s (Rebar) 070495-2018 Checklist Item BLDG-Building Deficiency 09/26/2018 09/26/2018 BLDG-14 Frame/Steel/Bollin g/Welding (Decks) 071129-2018 Checklist Item BLDG-Building Deficiency 09/27/2018 09/27/2018 BLDG-15 071130-2018 Roof/ReRoof (Patio) Checklist Item BLDG-Building Deficiency 10/09/2018 10/09/2018 BLDG-11 072182-2018 Foundation/Ftg/Pier s (Rebar) Checklist Item BLDG-Building Deficiency 10/19/2018 1011912018 BLDG-11 073684-2018 Foundatlon/Ftg/Pier s (Rebar) Checklist Item BLDG-Building Deficiency 11/1912018 11/19/2018 BLDG-13 Shear 076467-2018 Panels/HD (ok to wrap) January 28, 2020 Inspection Status Primary Inspector Partial Pass Paul Burnette COMMENTS Passed Paul Burnette COMMENTS Rebar in parking slab below south of stairways Cancelled Paul Burnette COMMENTS Cancelled Paul Burnette COMMENTS Floor sheathing 1st floor 2nd Floor sheathing 8/22/18 Passed Paul Burnette COMMENTS Passed Andy Krogh COMMENTS Site wall footing Passed Paul Burnette COMMENTS Partial Pass Michael Collins PALISADES HEIGHTS REFILED 165 Acacia Av Carlsbad, CA Reinspection Complete Reinspection Incomplete Passed No Complete Passed Yes Reinspection Complete Passed No Reinspection Complete Passed Yes Complete Passed No Complete Passed Yes Complete Passed No Reinspection Incomplete Page 3 of 6 PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/0212018 Subdivision: Status: Closed -Finaled Expiration Date: 02/25/2020 Address: IVR Number: 714321 Scheduled Date Actual Start Date Inspection Type Inspection No. 06/19/2018 06/1912018 BLDG-11 061400-2018 Foundatlon/Ftg/Pier s (Rebar) Checklist Item BLDG-Building Deficiency 0712312018 0712312018 BLDG-14 064720-2018 Frame/Steel/Boltin g/Welding (Decks) Checklist Item BLDG-Building Deficiency 0712512018 0712512018 BLDG-11 064728-2018 Foundation/Ftg/Pier s (Rebar) Checklist Item BLDG-Building Deficiency BLOG-17 Interior 064727-2018 Lath/Drywall Checklist Item BLDG-Building Deficiency 07/2712018 0712712018 BLDG-11 065106-2018 Foundation/Ftg/Pier s (Rebar) Checklist Item BLDG-Building Deficiency 08/2212018 0812212018 BLDG-14 Frame/Steel/Boltin g/Welding (Decks) 067937-2018 Checklist Item BLDG-Building Deficiency 08/30/2018 08/30/2018 BLDG-21 Underground/Unde rfloor Plumbing 068672-2018 Checklist Item BLDG-Building Deficiency 0910412018 09104/2018 January 28, 2020 Inspection Status Primary Inspector Partial Pass Paul Burnette COMMENTS Partial Pass Paul Burnette COMMENTS Floor sheathing 1st floor Partial Pass Tim Frazee COMMENTS Failed Tim Frazee COMMENTS Partial Pass Tim Frazee COMMENTS Rebar in parking slab below south of stairways Partial Pass Tim Frazee COMMENTS Floor sheathing 1st floor 2nd Floor sheathing 8/22/18 Cancelled Paul Burnette COMMENTS PALISADES HEIGHTS REFILED 165 Acacia Av Carlsbad, CA Reinspection Complete Reinspection Incomplete Passed No Reinspection Incomplete Passed Yes Reinspect ion Incomplete Passed Yes Re inspection Complete Passed No Re inspection Incomplete Passed Yes Reinspection Incomplete Passed Yes Reinspection Complete Passed No Page 2 of 6 PERMIT INSPECTION HISTORY REPORT (CB161772) Permit Type: BLDG-Residential Application Date: 04/13/2016 Owner: Work Class: Condo Issue Date: 03/02/2018 Subdivision: Status: Closed -Finaled Expiration Date: 02/25/2020 Address: IVR Number: 714321 Scheduled Date Actual Start Date Inspection Type 03/28/2018 BLDG-11 Foundation/Ftg/Pier s (Rebar) Inspection No. 053372-2018 Checklist Item BLDG-Building Deficiency 04/04/2018 04/04/2018 BLDG-11 Foundation/Ftg/Pier s (Rebar) 053743-2018 Checklist Item BLDG-Building Deficiency 04/18/2018 04/18/2018 BLDG-66 Grout 055292-2018 Checklist Item BLDG-Building Deficiency 04/19/2018 04/19/2018 BLDG-66 Grout 055470-2018 Checklist Item BLDG-Building Deficiency 05/08/2018 05/08/2018 BLDG-11 Foundation/Ftg/Pier s (Rebar) 057316-2018 Checklist Item BLDG-Building Deficiency 05/15/2018 05/15/2018 BLDG-11 Foundation/Ftg/Pier s (Rebar) 058013-2018 Checklist Item BLDG-Building Deficiency BLDG-66 Grout 058014-2018 Checklist Item BLDG-Building Deficiency 05/21/2018 05/21/2018 BLDG-66 Grout 058694-2018 Checklist Item BLDG-Building Deficiency 06/01/2018 06/01/2018 BLDG-66 Grout 059706-2018 Checklist Item BLOG-Building Deficiency January 28, 2020 Inspection Status Primary Inspector Partial Pass Paul Burnette COMMENTS Partial Pass Paul Burnette COMMENTS Failed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS Cancelled Paul Burnette COMMENTS Cancelled Paul Burnette COMMENTS Partial Pass Paul Burnette COMMENTS Passed Paul Burnette COMMENTS PALISADES HEIGHTS REFILED 165 Acacia Av Carlsbad, CA Re inspection Complete Reinspection Incomplete Passed No Reinspection Incomplete Passed No Reinspection Complete Passed No Complete Passed Yes Complete Passed Yes Reinspection Complete Passed No Re inspection Complete Passed No Reinspection Incomplete Passed No Complete Passed Yes Page 1 of 6 bhA,lnc. land planning, civil engineering, surveying September 28, 2018 w.o. 1048-1018-600 Mr. Paul Burnette Building Inspector CITY OF CARLSBAD Community and Economic Development Building Division 1635 Faraday Avenue Carlsbad, CA 92008 ROD BRADLEY, Urban Planner RONALD L. HOLLOWAY, Civil Engineer RE: ROOF HEIGHT VERIFICATION OF UNITS 1 THRU 4, 163 ACACIA AVENUE, ACACIA ESTATES, MS 05-09 Dear Mr. Burnette: This letter is to attest that BHA, Inc. has surveyed the roof height of the center ridge line of the building for the above-mentioned project. The top of roof elevation for the center ridge line is shown on the building plans as 83'-5" = 83.42'. We have surveyed the elevation of the existing roof sheathing at the center ridge line as 82.57'. If you have any questions regarding this matter, please contact our office. Sincerely, bl-tA, Inc. ~~ Ronald L. Holloway Senior Vice President RCE29271 RH:rh cc: David Colvard -The Edward Group K:\Land Projects 3\593-1018-400\survey\roof height-verification.wpd 5115 Avenida Encinas, Suite L o Carlsbad, California 92008-4387 o (760) 931-8700 ° FAX (760) 931-7780 Structural Inspections LLC *SPECIAL INSPECT/ON SERVICES* P.O. Box 2415 El Cajon, CA 92021 Cell: (619) 770-9559 • Fax (619) 588-5955 Inspection Report · Project Name: Ac A C I A .4v. l:=SiA1~ Page: _ _._I__ of f Report #: _____ _ ProjectAddress: /{,. ~ I b,.) Architect: l S,-. i e ... ➔ I ~ O Engineer: Pl'& 4::k:: U-, cl"' I~?, 11,.9 Ac,1 ,,.., Aw Cv V\ '5 , I -\ , "':J I.:: .,, r "t•r I ":1 (1 c f.f, .. _,( Permit #:, __..<..~ft....,_....,_J=t.'-'l---"-"7_,_)-'/:........,.., ---=(=[=,___,_/_.,.b::....,L...' '!.,__7.L..L....-7 File #: ___.(--L.,fl,.__,1L..C' t...,_,_1 ..,_J_.""7'---"'~~---=t_,(3"'----'/c...:.,<~/'---"';?----<-✓-'lf,.._ DSA #: _______________ _ Contractor:, _ _::/.!=-!)~ly~A=lt..Jl\!..1--_ _,_/-"l(.""-"O'-'v~,?'--------------r Other.: ________________ _ INSPECTION MATERIAL SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST --Structural Steel --H.S. Bolts --H.S. Bolts __ Plans/Specs __ Masonry --Prisms --Cone. PSI Clearances -- Concrete Mortar/Grout ------Grout PSI Positions -- __ Fireproofing --Cone. Cylinders --Mortar PSI --Sizes __ Epoxy --Fireproof --Steel __ laps _::i__ Other: S\..t~( --Other: --Elect./Wire --Consolidation --Ocher: --Other: --Fireproof __ Torque Ft. Lbs: --Ocher: --Ocher: --Other: --Other: --Other: --Other: --Ocher: --Other: I •'l.'j {7t'C..JE1:> ~j_J?/}tf,_ T(Z.,4,/US R!/( e S3, 'Z. l 1YJP 'J_, JJ~ 1-l!:f,O ~ JL( /__ ,n,.. L 1,.1 ~ L,.,, .... k t;.I ~ L '.,"' C J=I f Jo,t., -11 e+ 9. l .::, X lf ~ e. s3; 5 L,~~ 12 .J:.' ~ L,.1.-..., ..,, 3 L,~~ 1' e-:1 ~l .? 4Jt J cr()(f A), f , Jr~ kl<: t I . ,, CERTIFICATION OF COMPLIANCE: All reported work, unless otherwise noted, complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspected and does not constitute opinion or project control. I hereby certify that I have observed to the best of my knowledge all of the above reported work unless otherwise noted. I have found this work to comply with the approved plans, specificaticms, and applicable sections of the governing building laws. Inspector: MARIO BATTAGLIA Cert: 350 -=-L-1'--"~'-------'~'------J:,__;}c.....,~'---=-z_g_/2___:z:_u_(:..a...f? t 't)_ m D,ev"'°1"' 'i 78SZZ1-Signature .)ltvc Dace ••-•······················· ··•··································· i 1.~~P.:_l?.ac~: : Day 2: : l?,ay_~_:.. j Day 5: ' Time Start: ! Time Stop: 7// .·-2 Approved By:-----=Z..!......,,t .,.c.,~~~;.....__A"'--'q?'-.=-'-,---'~'--=~'------="--''-=---=~-~ Project Superintendent -: l) f' ,l \ C I ) '-<• Structural Inspections LLC *SPECIAL INSPECTION SERVICES* P.O. Box 2415 El Cajon, CA 92021 Cell: (619) 770-9559 • Fax (619) 588-5955 Inspection Report Project Name: Ac.o C ;c,.. °'"-t. t:. s 1 G\ ks ProjectAddress: f {,) Ac c,..C. ,u. o,11€., Architect:~C\\ e,n+• I\~ File #: ________________ _ Engineer:. ________________________ _ DSA #: _______________ _ Contractor:_1,_,,-""-'--'--'-'---------------------Other:. ________________ _ INSPECTION MATERIAL SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST --Structural Steel --H.S. Bolts --H.S. Bolts _L_ Plans/Specs _L_ Masonry Prisms Cone. PSI / Clearances ----~ Positions --Concrete --Mortar/Grout -----Grout PSI · __ Fireproofing --Cone. Cylinders Mortar PSI .,,.,,.--· Sizes Epoxy Fireproof ---;7 Steel ~i:-,t 5" /Laps ------ Other: Other: Elec"t./Wire --Consolidation -- -- -- -- -- Other: --Other: Other: --Other: Other: --Other: V.<,J,('....cc I r\ 1 ~. '"~~,, Co\ Ve.< ~<c,\ /). I I \£,( ':, -- --Fireproof Other: -- Other: -- 0 ~ow~\\ '"' '(lt'.,\<,.41 <; -b ~ lo,c- __ Torque Ft. Lbs: -- -- ') + I Other: Other: ?e.J; IYl:f -k.J 1 C ~G,\,C o,-, re<. ;. (o I <)I A~\ ( kt.IN <..o s .r f (.) ('(\ b l,)t I( C (,h, c1 ..I-/c, 1-vf ~ ct ./-e.. CERTIFICATION OF COMPLIANCE: All reported work, unless otherwise noted, complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspected and does not constitute opinion or project control. I hereby certify that I have observed to the best of my knowledge all 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 building laws. ~ Inspector: GIANNI BATTAGLIA ····················"' !. lnsp._Date: ... [ Time Start: )Time Stop: .................... ...! .. Day .. 1.: ................... :: ....... ::i~ .. ~6 Cert: ICC 8219469 i Day 2: Approved By: __________________ _ Project Superintendent Signature ...................... Day.5: ' Structural Inspections LLC *SPECIAL INSPECTION SERVICES* P.O. Box 2415 El Cajon, CA 92021 Cell: (619) 770-9559 • Fax (619) 588-5955 Inspection Report Project Name: Act,,..£. i tA Cv("\ ~ 0 S Project Address: l l, 3 A C o. C. l ~ CA \J-e • .• Architect: _______________________ _ File #: ________________ _ Engineer: 'P ~ ·H•c..(~Ot\ DSA #: _______________ _ Contractor:'\, 'f,;.. · (;> , Other: /tt> Se.-rtt>S Cv,.._ t. · INSPECTION MATERIAL SAMPLING QTY MATERIAL DESCRIPTION INSPECTIO N CHECKLIST --Structural Steel --H.S. Bolts H.S. Bolts '352 rj_,,ooo __L_ Plans/Specs __ Masonry --Prisms _L Cone.PSI ~ Clearances .......... Concrete --Mortar/Grout --Grout PSI -rPositions __ Fireproofing ./ Cone. Cylinders ~ Mortar PSI Sizes __ Epoxy Fireproof / Steel !t\g, Gt ~aps ----I _0onsolidation --Other: --Other: --Elect./Wire --Other: --Other: --Fireproof __ Torque Ft. Lbs: --Other: --Other: -----Other: --Other: --Other: --Other: --Other: --Other: ?e--( • ~~ ~ c\, ~D 117/41 U{'lv. wo-' 1 ~L .0 ?@ rf1 1Ja' b 1 0~ 2.i ') ,o (1...\:)IL-lj e,vf' \.' '-, L~ ,. \,._ I)" L\ .\-~ f\v1(A 6S-\--" N c ~\ 1 v-' D Sri ?t-e '--., CERTIFICATION OF COMPLIANCE: All reported work, unless otherwise noted, complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspectecl and does not constitute opinion or project control. I hereby certify that I have observed to the best of my knowledge all of the above reported work unless otherwise no/ d. I have found this work to comply with the approved plans, specificatiq_ns, and applicable sections of the governing building laws. l -:i.../ Inspector: MARIO BATTAGLIA Cert: 350 f I 'lfi !. lnsp .. Date: .... ! Time Start: lTime Stop: ............. , ......... , ................ . ................. 0 1:>.~r...1.= .. ?: 0 U .................... :r:::d~:: Approved By: __________________ _ Project Superintendent Date .......... , ......... . •Dar.3.: