HomeMy WebLinkAbout1916 PALOMAR OAKS WAY; ; CB973550; PermitCity of CarIsbad
02/24/1999 . Buiiding Permit Permit No:CB973550
Building Inspeátion Request Line (760) 438-3101
Job Address: 1916 PALOMAR OAKS WY CBAD
Permit Type: INDUST Sub Type:
Parcel No: 2120920509 Lot #: 41 Status: ISSUED
Valuation: $1,049,872.00 Construction Type: VN Applied: 09/29/1997
Occupancy Group: r Reference #: CT8I-46 Entered By: JM
Appr/Issued: 02/10/1998
Project Title: . BLDG #1-SHELL TILT UP 33119 SF Inspect Area: RB
W/MEZZANINE-INDUSTRIAL BUILDING
Applicant: . . Owner:
SMITH CONSULTING ARCHITECTS CAC ASSOCIATES, LLC
5355 MIRASORRENTO PLACE #65 92121
619 452-3188
Total Fees: $128,494.00 Total Payments To Date: $128,494.00 Balance Due: $0.00
Description .. . Fee
* ELECTRICAL TOTAL
., 1,210.00
*PLUMBING TOTAL 'I . 70.00
Building Permit . • 3,640.00
Enter #Units & Cbde-Pota. 10,200.00
Enter Park Fee(Zone 5,13 . - 13,248.00
Enter Traffic Impact Fee :'- 3,630.00
Enter Y to Autocaic P. 19,108.00
Payoff Fee for CFD 74,802.00
Plan Check . 2,366.00
Strong Motion Fee . 220.00
FINAL APPROVAL
Inspector: &Z Date: ___________ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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 capactiy
changes nor planning, zoning, grading or other similar application processing br service fees in connection with,thi"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 limitations has previously otherwise expired.
W OWN, City of Carlsbad Inspection Request
Lukr L j For: 2/24/99
Permit# C113973550 . Inspector Assignment: RB
,1
Title: BLDG #1-SHELL TILT UP 33119 SF
Description W/MEZZANiNE-INDUSTRIAL BUILDING
Type: IN DUST Sub Type: -
Phone: 6198439300
Job Address: 1916 PALOMAR OAKS WY
Suite: Lot 41 .
Location: . Inspector:
PPLlCA14T: SMITH CONSULTING ARCHITECTS
Owners I -
Remarks:.
Total Time: .. Requested By: MARVIN
Entered By: CHRISTINE
CD Description - Act Comments
19 Final Structural /9P
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Inspection History .
Date Description •Act lnsp Comments
1/21/99 34 Rough Electric .AP RB .
1/21/99 39 Final Electrical AP RB
1/18/99 33 Service Change/Upgrade AP RB
1/19/99 34 Rough Electric CA RB BY MARVIN ,
1/18/99 34 Rough Electric WC RB -
0
12/18/98 89 Final Combo CA RB APPROVED ON 12-17-98
12/17/98 89 Final Combo AP RB,
12/16/98 89 Final Combo CO RB
12/15/98 34 Rough Electric AP RB -
12/15/98 39 Final Electrical NR RB
12/14/98 89 Final Combo NR RB
12/11/98 39 Final Electrical PA RB METER FOR HOUSE PANEL ON *
12/10/98 34 Rough Electric WC RB
12/10/98 39 Final Electrical NS RB -
0 12/9/98 34 Rough Electric NR RB OPEN ALL EQUIP FOR INSP:
12/1/98 33 Service Change/Upgrade CO RB SEE NOTICE ATTACHED
12/1/98 34 Rough Electric WC RB 0
11/17/98 14 Frame/Steel/Bolting/Welding CO RB NC OPENING NOT PER PLAN
Inspection List
Permit#: CB973550 Type: INDUST BLDG #1-SHELL TILT UP33II9SF
W/MEZZANINE-INbUSTRIAL BUILDING
Date Inspection Item Inspector Act Comments
2/24/99 89 Final Combo RB AP
1/21/99 34 Rough Electric RB AP
1/21/99 39 Final Electrical. RB AP
1/19/99 34 Rough Electric RB CA BY MARVIN
1/18/99 33 Service Change/Upgrade RB AP
1/18/99. 34 Rough Electric RB WC
12/18/98 89 Final Combo : RB CA APPROVED ON 12-17-98
12/17/98 89 Final Combo RB AP
12/16/98 89 Final Combo RB CO
12/15/98 34 Rough Electric RB AP
12/15/98 39 Final Electrical RB NR
12/14/98 89 Final Combo RB NR
12/11/98 39 Final Electrical RB PA METER FOR HOUSE PANEL ON
12/10/98 34 Rough Electric RB WC
12/10/98 39 Final Electrical RB NS
12/9/98 34 Rough Electric RB NR OPEN ALL EQUIP FOR INSP
12/1/98 33 Service Change/Upgrade RB CO SEE NOTICE ATTACHED
12/1/98 34 Rough Electric RB WC
11/17/98 14 Frame/Steel/Bolting/Weldin RB CO. A/C OPENING NOT PER PLAN
11/17/98 17 Interior Lath/Drywall RB AP @EXTERIOR SOF FITS
11/16/98 14 Frame/Steel/Bolting/Weldin : RB CO ND SUPERINTENDENT ON JOB
11/13/98 14 Frame/Steel/Bolting/Weldin RB WC
11/13/98 17 Interior Lath/Drywall RB CO @ EXTERIOR SOFFITS
11/9/98 11 Ftg/Foundation/Piers RB CO NOT PER PLANS
11/4/98, 14, Frame/Steel/Bolting/Weldin RB AP @ INTERIOR STAIR WELL 3R
11/4/98 17 Interior Lath/Drywall RB AP ONE SIDE @ INTR STAIR WE
10/30/98 14 Frame/Steel/Bolting/Weldin RB CO @ INTERIOR SAIL WELL
10/30/98 24 Rough/Topout RB WC
10/30/98 34 Rough Electric RB WC
10/30/98 44 Rough/Ducts/Dampers RB WC
10/13/98 14 Frame/Steel/Bolting/Weldin RB PA . AT MEZZANINE FLOOR.
10/13/98 17 Interior Lath/Drywall RB PA . 1 SIDE MEZZANINE WALLS
10/9/98 17 Interior Lath/Drywall RB NR
10/5/98 14 Frame/Steel/Bolting/Weldin RB AP @ STAIR WELLS
10/1/98 14 Frame/Steel/BoltingfWeldin RB AP @ SOFFITS
10/1/98 19 Final Structural RB WC
10/1/98 34 Rough Electric RB AP @ SOFFITS .
9/29/98 14 Frame/Steel/Bolting/Weldin RB CA BY JOHN
9/25/98 14 Frame/Steel/Bolting/Weldin RB CA BY SUPER
9/18/98 11 Ftg/Foundation/Piers RB CO @ TRASH ENCLOSURE
9/17/98 11 Ftg/FQundation/Piers RB CA
9/9/98 11 Ftg/Foundation/Piers RB AP SLAB FOR MEZZANINE
9/1/98 63, Walls . RB AP . @ LOADING DOCK WALL
8/27/98 1.1 Ftg/Foundation/Piers RB AP @LOADING DOCK & STAIR FT
Wednesday, February 24, 1999 Page 1 of 3
8/26/98 11 Ftg/Foundation/Piers RB PA 5FTGS @ STAIR LANDING OK
8/18/98 17 Interior Lath/Drywall RB AP Q ELECTRIC ROOM
8/12/98 24 Rough/Topout RB AP ROOF DRAINS
8/7/98 14 Frame/Steel/Bolting/Weldin RB PA @ SERVICE RM OK
8/7/98 24 Rough/Topout RB WC V
8/7/98 34 Rough Electric. 'RB PA
8/7/98 34 Rough Electric RB WC
8/7/98 44 Rough/Ducts/Dampers RB WC
7/17/98 14 Frame/Steel/Bolting/Weldin RB PA ROOF FRAMING OK
7/15/98 14 Frame/Steel/Bolting/Weldin RB PA STRUCTURAL ROOF SYST OK
7/14/98 11 . Ftg/Foundation/Piers RB AP FOR POUR STRIP
7/14/98 11 FtglFoundatio'n/Piers RB AP FOR DRY PACK @COLUMNS
7/9/98 11 Ftg/Foundation/Piers RB NR
7/9/98 14 Frame/Steel/Bolting/Weldin RB WC
7/8/98 11 Ftg/Foundation/Piers RB AP DOUBLE NAILN @ GIRDER OK
7/7/98 11 Ftg/Foundation/Piers RB CO NEED ENG ON PNL CONNECTI
7/7/98 15. Roof/Reroof RB CO NEED 2 ROWS OF B.N. @ GI.
7/6/98 14 Frame/Steel/Bolting/Weldin RB CO MISSING CLIPS & GIRDER B
6/23/98 15 Roof/Reroof . RB AP V
6/22/98 11 Ftg/Foundation/Piers RB .PA OK @ STAIR LANDINGS
6/22/98 15 Roof/Reroof RB CO MISSING NAILING & STRAPS
6/18/98 11
V
Ftg/Foundation/Piers RB PA @ STAIR LANDING
6/16/98 11 Ftg/Foundation/Piers RB NR V
6/15/98 22. Sewer/Water Service V RB AP
6/12/98 15 Roof/Reroof RB . . CA
6/12/98 ,24 Rough/Topout . RB CA
6/11/98 15 Roof/Reroof V RB NR
6/9/98 22 Sewer/Water Service RB PA SEWER ONLY
6/8/98 22 Sewer/Water Service RB NR
6/8/98 61 Footing . RB NR
6/5/98 11 Ftg/Foundation/Piers RB AP. FOR PATIO WALL FTG
6/3/98 11 Ftg/Foundation/Piers RB CA V
V
5/29/98 11 Ftg/Foundation/Piers RB AP S 1 GRADE BEAM & LANDN F
5/18/98 12 Steel/Bond Beam RB . AP PANELS COMPLETED
5/15/98 12 Steel/Bond Beam RB PA COLUMNS 0KW/SPEC INSP R
5/7/98 12 Steel/Bond Beam RB . CA
5/7/98 21 Underground/Under Floor RB ' AP APPROVED ON 3-11-98
5/6/98 12 Steel/Bond Beam RB : PA PANELS 14 & Ii OK
5/5/98 12 Steel/Bond Beam RB PA PANELS S1,E2,N1 OK-Ni
5/5/98, 22 Sewer/Water Service RB . NR
4/27/98 11 Ftg/Foundation/Piers RB PA PANELS W-2-5 & E1A OK
4/27/98 34 Rough Electric RB WC ' V
4/24/98 12 Steel/Bond Beam . RB PA PNLS E1A,W2,3,4,5 0KW/I
4/22/98 11 .Ftg/Foundation/Piers RB WC
4/2219.8 12' Steel/Bond Beam RB ' PA SEE APPROVE PLANS FOR PA
4/22/98 12 Steel/Bond Beam RB 'PA' SEE JOB PERMIT 9 PNLS OK
4/17/98 12 Steel/Bond Beam . TP NR PNLS
V
4/14/98 13 Shear Panels/HD's TP NR STEEL MISSING
3/19/98 ii Ftg/Foundation/Piers RB AP SLAB OK
3/18/98 11 Ftg/Foundation/Piers ' RB CO MISSING SLAB' DOWELS
3/18/98 12 Steel/Bond Beam RB WC .
Wednesday, February 24, 1999 Page 2,of 3
3/18/98 21 Underground/Under Floor RB WC
3/18/98 31 Underground/Conduit-Wirin RB WC
3/13/98 11 Ftg/Fouhdation/Piers RB AP FTGS&COLUMNS
3/12/98 11 Ftg/Foundation/Piers RB PA SEE APPROVED JOB PLAN
3/10/98 11 Ftg/Foundation/Piers RB PA SEE APPROVED JOB PLANS
3/9/98 21 Underground/Under Floor. RB PA SEE APPROVED JOB PLANS
3/6/98 21 Underground/UnderFloor RB NR
3/5/98 11 Ftg/Foundation/Piers RB PA - SEE APPROVED JOB PLANS
3/3/98 11 Ftg/Foundation/Piers RB NR
Wednesday, February 24, 1999 Page 3 of 3
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SPEC-IA. INSPECTION REaD I,
DO Nth4ELD
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1SSIN G!DE SEAT EMED LINE
NOTE: FOR ITEMS NQL
NOTED. GEE L
FINAL BUILDING INSPECTION
DEPT: BUILDING FEERflG FIRE PLANNING CMWD ST LITE
PLAN CHECK#.: CB973550 Wi*T4Y8 PERMIT#: CB973550 INDUST
PROJECT NAME: BLDG #1-SHELL TILT UP 33119 SF
W/NEZZANINE-INDUSTRIAL BUILDING
•
DEC I 5
ADDRESS: 1916 PALOMAR OAKS WY LOT# 4]. LJ
CONTACT PERSON/ PHONE #: C/COLLINS GENERAL/ 619/843 SrI NEERING DEPARTMEJ
SEWER DIST: CA WATER DIST: CA
INSPECTED DATE • - •
BY: 'INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: - - INSPECTED: • APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED. DISAPPROVED -
COMMENTS:
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING rE PLANNING CMWD ST LITE
PLAN CHECK#: CB973550 DATE: 12/14/98
PEPNIT#: CB973550 . PERMIT TYPE: .INDUST
PROJECT NAME: BLDG #1-SHELL TILT UP 33119 SF *
W/MEZZANINE-INDUSTRIAL BUILDING -- -
ADDRESS: 1916 PALOMAR OAKS WY LOT# 41 -•
CONTACT PERSON/PHONE#: C/COLLINS GENERAL/619/843-8529 1998
SEWER DIST: CA WATER DIST: CA
---------------------- By
INSPECD . DATE
BY: INSPECTED: .APPROVED DISAPPROVED -
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED -
INSPECTED .: DATE . ..
BY: . INSPECTED: APPROVED DISAPPROVED -
COMMENTS:
PLANNING DEPARTMENT
FINAL INSPECTION
CHECKLIST
ROUTIr
BLDG L.tf
M. HARDY_____
PLANNER il 4-
L BLACK
MBLACK
M. HARDY'y1&.L4
BLDG________
Project Name: - #'-Zlan Check No. CB g' 3
Address:/fr',,_t_t i V Project Number:____________________
Project Planner:' V"r'' 7 Exteni'n
Contact Person Phone No. Drawing No._______________________________
Inspections Final Inspection Items
1st 2nd Approved All Items below Conform with Approved Site Plan
Project Planner confirms conditions are met
Building elevations
Building materials
Building colors
Rooftop equipment screens
Fence/wall height, location, and materials
Size, number and location of parking spaces
compact, _regular, _handicap
Outdoor recreation facilities
Employee eating areas
Trash enclosure and location
Pavement treatment
Landscaping installed (under separate contract)
LIST BELOW ANY ADDITIONAL ITEMS REQUIRING
SPECIAL ATTENTION BY MIKE BLACK:
4-
Project complies with all conditions, including above-listed items. Final inspection is complete.
VA~J 4L6v C"~
Date
(H:\ADMIN\COUNTER\Final Insp Check) 12/11/98
/ FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE P1 Ii CMWD ST LITE
PLAN CHECK#: CB973550 DATE: 12/14/98
PERNIT#: CB973550 PERMIT TYPE: INDUST
PROJECT NAME: BLDG #1-SHELL TILT UP 33119 SF
- W/MEZZANINE-INDUSTRIAL BUILDING
ADDRESS: 1916 PALOMAR OAKS WY LOT# 41 *
CONTACT PERSON/PHONE#: C/COLLINS GENERAL/619/843-8529
SEWER DIST: CA WATER DIST: CA
-.
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED -
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED -
INSPECTED DATE
BY: * INSPECTED: APPROVED DISAPPROVED
COMMENTS:
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING iI15 ST LITE
PLAN CHECK#: CB973550 DATE: 12/14/98
PERMIT#: CB973550 PERMIT TYPE: INDUST
PROJECT NAME: BLDG #1-SHELL TILT UP 33119 SF -.
W/MEZZANINE-INDUSTRIAL BUILDING 1
ADDRESS: 1916 PALOMAR OAKS WY LOT# 41
DEC I 41998
CONTACT PERSON/PHONE#: C/COLLINS GENERAL/619/843-8529
SEWER DIST: CA WATER DIST: CA
BY: TE ECTED: 77L1 4 APPROVED DISAPPROVED -
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED -
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED -
COMMENTS:
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING CMWD S!IIUE
PLAN CHECK#: CB973550 DATE: 12/14/98
PERMIT#: CB973550 PERMIT TYPE: INDUST
PROJECT NAME: BLDG #1-SHELL TILT UP 33119 SF
W/MEZZANINE-INDUSTRIAL BUILDING
ADDRESS: .1916 PALOMAR OAKS WY LOT# 41
CONTACT PERSON/PHONE#: IC/COLLINS GENERAL/619/843-8529
SEWER DIST: CA WATER DIST: CA
INSPECTED DATE
BY: INSPECTED: APPROVED L_- DISAPPROVED
INSPECTED DATE
BY: INSPECTED: • APPROVED DISAPPROVED
INSPECTED DATE . .
BY: • INSPECTED: APPROVED DISAPPROVED
--------------------------------------
COMMENTS: . • -
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPEMPFPRK 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS)
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
ARCURO -' FOR WEEK ENDING
ENGI REPORT NO. PG OF
COTOR(
col
PLAN FILE NO. PER _rc SUB PR E
IN
a/
SJEcTION SS DD ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANXIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE ORK DAY, OR MISSING MTRS AND RF!S, ETC.,FILI OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEKS REPORTS.
MATERI LS ED BY CONTRACTOR (INCLUDERESEARCHRJPORT NO. OR MAMALSTPORTS):
1 C7 / V
__ ANPOWER US
AREA. GRID LINES. PIECES OBSERVED:
MCTUScmLEOplL OR BLIS
REMARKS, INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT fOi1PLETIOFL
WEATHER: _..i1*4"
TEMPERATURE: 5Z.f—
SAMPLES TAKEN: / (1.3,) (1, 1-'.
TESTS REOUIREO:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: -' TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
____________ - / 51 '.
Signature Date of Report,,, ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
riPE OF WO IN C 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS) APPROVED SHOP DRAWING (Y) (N)
FOR WEEKENDING JPR7OZ.. 81i,çLo)
- ENGIN REPORT NO. PG / OF
COMTOR PLAN FILE NO.
too
PEp
,
SU
/
_____________________
RESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTIt314 MANUALIMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY: OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATER USED NT ST REPORTS)
COZTORSOHPMANPOWER 74'4/ ,y4/
5rF—
AREA. GRID LINES, PIECES OBSERVED:
R7L.ORç.RE
REMARKS. INCLUDING MEEIINGS:
L ~
,j L _
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: çi'-
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: ;7'z5T - SITE TIME FINISH:
LUNCH PERIOD: - . TRAVEL TIME: -' VERIFIED BY("/9e2eS't_91iZ6
I %ri I fl?I I fl?VC rcrloul'IMLLT UDOtMVtU ILL Lir I htVVUKKLIb I LU AUVL AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
C' - /1993' c[9-c7 Signature Date of Report ICBO Certification humber
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch OffiCe
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OFJ ,INSPECTOR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLA'N)
SPECS (V) (N)
APPROVED SHOP DRAWING (Y) (N)
ARCHPEf FOR WEEK EN4,/f
ENrJamra
Fin
REPORT NO. PG OF
co (7 PLAN FILE NO. PER
rNAE ()
INS PECTION ADDII
",
ADD7OF a (2
_'L4
.5-
PROJECT
F 'F REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MXNUALIMTG SOIL MANUAL / REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
T MATERIALS US) BO9TRACTOR..4I)CL / Ar7q RTS):
/4 ~7 y7
CRSEFNT
XPO USED
AREA, GRID LINES, PIECES OBSERVED:
/ 46ej' UtCZk
(9va
C
S DETAIL, FIRS USE /
REMARKS, INCLUDING MEETINGS:
b dJ\
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: '5L_
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: -" VERIFIED BY: C&c
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature Date of Report ICED Certification Number
Print N me City I County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE O f NIP CTIDY 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLAN1N) APPROVED SHOP DRAWING (Y) (N)
FOR WEEK ENDING %/ PROJECT NO
ENGINEa..-.--) REPORT NO. PG OF
PE/ CO7//
PLAN FILE NO.
/ SUO,RA5eR
/1 Ii Wi PROJ h/
I7 CTION ADD ADDREOF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MNUAUMTG SOIL MANUAL REVIEW PREVI S REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
7s-L i
CONTB(CTOR'EOUIPME$ I MANPOWER USE .
AREA, GRID LINES. PIECES OBSERVED:
ph
—I SS-) 7%tcçf i/
•
S7OR'
REMARKS, INCLUDING MEETINGS:
4 f 4 —
J7IJ
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
-
TEMPERATURE:
.
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: RM
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND/OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
1199k p477 Signature "- Date of port ICBO Certification umber 2??
Print Name City / County Certification Number
Rev: 7/97
Corporate Office Branch Office
2992 E. La Palma Ave., Suite A MONTANA 904 Rancheros Drive, Suite I
_ Anaheim, California 92806 _____________ Testing & Geotechnical, Inc. San Marcos, California 92069
Tel: (714) 632-2999 Tel: (760) 735-5060
Fax: (714) 632-2974 FIELD REPORT Fax: (760) 735-8979
'1Z ~11 47
EC'!9R,,,OTECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS (N)
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
ARC' T -rZ
PRWE/O
EMN
FOR WEEK ENDING '/(r fdJ(/loI
REPORT NO. PG OF ( CO ~TOR PLAN FILE NO. PERMAJNO
SUB-CON C CTE/J/
IN PECTJN,AD
,
ZESS J/4J 441
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MNUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
BY CONTRAC MA4 EEA RCH,EPQ1Tf3 OR IR MA
CONTF(&CTORS
I
MANPOWER
,
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A~ J_
AREA. GRID LINES, PIECES OBSERVED:
SMN!&,
REMARKS, INCLUDING MEETINGS.,
2' &' '" - 4f 4_ 4f -
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: ..7:c2/f-
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: _______________________ TRAVEL TIME: VERIFIED 7-i'z c:
100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 f 4ry
Signature Date of Report ICBO Certification Number
Print Name City I County Certification Number
Rev: 7/97
Corporate Office -
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
-
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7601735-8979
TYPE JBK 74SPE OR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS)
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
5 t cz3 FOR WEEK E /f
I-zw REPORT NO.
j
PG EN
PLAN FILE FILE NO.
SUUACTOR
(2 Q4/ PR JJ
INSPECTION ADDRESS A7S0FPR13JECT /
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION M'ANUALJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
CONTRA HART OR TERIAL TEST REPORTS) BY OR (INCLUDE RESEARC EPO NO
/ ,A Ik/deZ )Z5/TflAfS-ec
CONCTORS EQUIPMENT! MAN
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AIEA, GRID LINES. PIECES OBSERVED:
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REMARKS, INCLUDING MEETINGS:
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: (e.u__-
TEMPERATURE: Jj''
SAMPLES TAKEN:
TESTSREOUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: -" VERIFIED
I DO CERTIFY THATI HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 c
Date of Report
cyy Signature -___ ICBO Certification umber
/3'aV
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
- Branch Office
-
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPENeRK EGbR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLAN &(N) /
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
ARC JJSE FOR WEEK ENDING PR7C NOts 01
ENBIBB REPORT NO. PG / OF / CON7f/ PLAN FILE NO. j7
(
/VNAME (7t
INSP3OF4,pORESS :1' ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICRO FIELD INSPECTION MANUAL/MTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
M7TRBY CONACIOR (INCLUDE RESEARCH REPO I
, ,
aoRM T PORTS):
CO O EFI! UIPM I MANPOWER U
__
.
AREA, GRID LINES, PIECES OBSERVED:
)0,4---- (C ')
REMARKS. INCLUDING MEETINGS:
Vi 4ZJ
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: V_J-'-'
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature Date of Report ICBO Certification INumber
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK INSPECTOR 0 TECHNICAN
_______________________________________________________________________________
AVAILABLE:
APPROVED PLANS
SOIL REPORT()-(N) SPECS (Y) (N)
52N) APPROVED SHOP DRAWING (Y) (N)
FOR WEEK END
,a
lah P7
p i /o I
ENQ
_..
REPORT NO. PG OF /1
CO /(. PLAN FILE NO.
SUB-
.
1PROSM NAME kI/
ISPEcN ADD SS
/ ,,/
ArE 4 1r A _
REPORTING REQUIREMENTS: ICB0 FIELD INSPECTION ANUAUMTG SOIL MANUAL U' REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RIFTS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USE BY CONTRACTOR)INCL UD RE EAR HREP0
rORIS ,
CONTRCTOR6 EOUIPMENTBANPOWER
-
USED:
AREA, GRID LINES, PIECES OBSERVED:
lov
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REMARKS, INCLUDING MEETINGS:
REWORK AS P ALL WORK TODAY: PERCENT PRO JECT OtMPLETlON:
WEATHER: SAMPLES TAKEN:
TEMPERATURE TESTS REQUIRED:
-
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS.
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS 0T) H RWISE NOTED IN THEDE ICIENCY REPORT
17
Signature Date of Re ort ICBO Certificatdn Number
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office MONTANA Branch Office 2992 E. La Palma Ave., Suite A 904 Rancheros Drive, Suite I Anaheim, California 92806 Testing & Geotechnical, Inc. San Marcos, California 92069
Tel: (714) 632-2999 Tel: (760) 735-5060
Fax: (714) 632-2974 FIELD REPORT Fax: (760) 735-8979
TYPEMO ';?1M 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS3) APPROVED SHOP DRAWING (Y) (N)
ART FOR WEEK ENoIN6/(J/?, IP7~1_o L 01 /5 ENGIN€eR REPORT NO. PG / OF /
CON12,f— PLAN FILE NO. 1PERM,.
SUB'tACTQ PR f'4j INSPECTION ADDRESS jq,'t - Oh Ii (,f óDRESwPROJECTL/, 12( 1I — 1d4
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS RI3Y011S AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICl/Y REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERI S ED BY CTOR (INCLUDE
c
R EA I OR MATERIAL TEST REPORTS): ThK DRCH REP NO. )
II CON7RS EGUI EN MANPOWER USED:
- ' --= - ----- ----
AREA. GRID LINES. PIECES OBSERVED:
PER
___ / A
WEATHER: SAMPLES TAKEN:
- -
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERI
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDINGCODE, UNLESS OT ERWISE NOTED IN THE DEFICIENCY REPORT
/ r /199 545_'~ Signature Date of Report ICBO Certification Number
~I~V Z_5a~ktf — )4~ Print Name City/ County Certification Number
Rev: 7/97
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
1318 E. Mission Rd., Suite 282
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
o TECHNICIAN
TUPEC jJ
____
AVAILABLE:
APPROAEDPLAIIS
SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED SHOP ORAYENG_(1)_(N) ACH,F // FORWEEKENDING/3J4K 7_-_.i (7&0(
EN?
REPORT NO PG / OF
/
CO PHO. , J 7(
(J ! _________ INSPECTION ADUESS PROJECT
I'
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS
IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH
A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS
MATERIAB9B(TRECTOR (INCL UDE RESEARCH REPORT NO OR
:';5fr 4:z /
CONTRORS'WQIJIPMENT / MAN(ER USED:
J
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REMARKS, REMARIIS, INCLUDING MEffING
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER 94 SAMPLES TAKEN:
TEMPEP.ATUIGE TESTS NEGliGEE:
SITE TIME START: ____/ _________________ SITE TIME FINISHED:
LUNCH PERIOD: " TRAVEL TIME: vFRjr:irn 1A.
I DL, LiC I U-Y I hAt I NAVh IRSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL
INVESTIGATION RECOMMENDATIONS, AND! OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIONS OF THE BUILDING
CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
._________
S natu Dale of Report ICBO Certification Number
P,inl Name City/County Certification Number
Yk
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
1318 E. Mission Rd., Suite 282
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
)I)I7 0 TECHNICIAN AECTOR AVAILABLE: TYPE VrINS SOIL REPORT (Y) (N) SPECS (Y) (N) ) APPROVED PLAN (N) APPROVED SHOP DRAWiNG (Y) (N) ARC
(L
FOR WEEK ENDING PEDIECTRO
EN REPORT NO PG OF / / CONT
,
1 - PLAN FILE NO PE3?-
a% 7OFPROSCT
REPORTING REQUIREMENTS: ICRO FIELD INSPECTION MANUAL/MTG SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS
IF THERE IS NON-CONFORMING WORKATTHE END OF THE WORK DAY, OR MISSING MTRS AND PSIS, ETC., FILL OUT AND ATTACH
A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECrOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS
MATERIAIJ (JS BY CONTRACTOR (INCLUDE RESEARCH RCE'DRT N OR ,q-() (
OrERLAL TEST RE
/
/ TORIEgUIPMP*T / MANPOWER USED
AP& GRID kSAES. PIECES OBSERVED:
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REMARKS. IiiWJDING MEETINGi
*
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPL ETION:
WEATHER:
IV; --
SAMPLES TAKEN:
TEMPERATURE: d" TESTS REOJIRED:
SITE TIME START: I SITE TIME FINISHED: 1 (1' 9 7-iz
LUNCH PERIOD: TRAVEL TIME: VERIFI L &-AE
%J I ,r I ,ri,i I fl,WC rF .I'4frLLT IJDERVtL) ALL 01 I Mt VYOKIS LIS I hU AUOVE AND THAT THIS WORK COMPLIES WITH THE SOIL
INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIONS OF THE BUILDING
CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
-
/ 7
Snat Date of Report ICBO Certification Number e(_2
Print Name City/County Certification Number
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF ECTOR 0 TECHNICAN AVAILABLE:
APPROVED PLA1N3
SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
AR FOR WEEK ENDING " PRCS
OF0 ENGIN!
-
REPORT NO.
PLAN FILE NO.
PG
CON //
SUBtOI7?SACTOR / PR /
INSPECT 9N.QDR5SS
/ ( b •4J ,, 1
ADDRESS OF
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MNUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS ANDLISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
,o
RESEARCH O MATERI 4 S U BY CONTRACTOR (INCI Er NO. OR MAJEJIIALST REPORTS) f j(f aC
CONTRA9MS IPMENT
I LMANPOWE%'
AREA, GRID LINES, PIECES OBSERVED:
A)
SI T S. OETDR RF
I—A '4- '44— ) REMARKS.UOING MEETINGS:
TJ/1q7 (s Zlz
REWORK AS P ALL WORK TODAY: PERCENT PROJEGT OMPLEIlON:
WEATHER
TEMPERATURE: r-7_7
SAMPLES TAKEN:
-
TESTS REOUIRED:
/ ('3) £,
SITE TIME START: SITE TIME FINISH: _______________________
LUNCH PERIOD:
-
,'T" TRAVEL TIME: VERIFIED L&.4k_QC 71Z'
I UI) 1,trs I urn I riII I riAvt rtuUUrJMLLy UUItIiVtU ALL UI- IliL WUKK LIStED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 scz1
Signature Date of Rpport )CBO Certification Number
Print Name City / County Certification Number
Rev: 7197
2992 E. La Palma, Suite A 4d MONTANA
Anaheim, California 92806 Testing & Geotechnical, Inc.
Tel: (714) 632-2999
Fax: (714) 632-2974 FIELD REPORT
1318 E. Mission Rd., Suite 282
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
TYPE OF WORK 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (N) (N)
APPROVED PL4(N) APPROVED SHOP DRAWING (F) (N)
RERREEKENDINGj/ 7Y- cr/ 9L2 (
__ ENNPO
f V 1.
REPORTHO PG OF
CONT RVO9 / ,- PLAN FILE Nü
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PRO
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INSPECTION ADDRB$S qft, 74,- cZh- j PROIECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG SOIL MANUAL - REVIEW PREVIOUS REPORTS ANDLISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH
A DEFICIENCY REPORT
WHEN A DEFICIENCY YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS
(7 RESEARCH REPORT NO OR RETEST REPORTJ,.
rbORCL /
CONTRVE))BQU*ET / MANPOWER USED 6/
AREA. GRID LINES, PIECES OBSERVED:
/
STEU M7 ESEDS
REMARKS, INauoI14G MEETINGS.•
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER SAMPLES TAKEN:
TEMPERATURE: 1'• TESTS REQUIRED:
SITE TIME START: SITE TIME FINISHED:
LUNCH PERIOD: ' TRAVEL TIME: - 016 9
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL
INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIONS OF THE BUILDING
CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
19r çZ77j7f
Signal Date of Report ICBO Certification Number
Print Name City/County Certification Number
2
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979 TYPE OF K~ 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) V~IN~PECT
APPROVED PLANN) APPROVED SHOP DRAWING (Y) (N)
—
FOR WEEK ENDING/~;Pxte4rz —
7/.y PR7
r/5 DI ENGINEER REPORT NO. PG OF / 1 CONTRA5e ______ PLAN FILE NO. IPERMp (d/-(-_(_/j
SR PROIr
/ INSECTIO .g ADDRESS OF PROJECT , j .
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALJMTG SOIL MANUAL jV REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERLLS USED BY CONTRAC R INCLUDE RESEARCH7
7-7, RE NO. OR MAT RIAL TEST REPORTS): 4-Z (. z.- / J X/Z7,,i 7z'
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REMARKS, INCLUDING MEETINGS: , -
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER.' (_?i/'c: SAMPLES TAKEN:
TEMPERATURE: TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: __________________________ VERIFIED -14,
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES-WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEF
I
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I
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C
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R
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P
O
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/ / Z- iigg Signature Date of Report ICBO Certification Number
Print Name
City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974 _
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7601735-8979
TYPE OF WORK CMSPECTCR 0 TECHNICAN
.Lb LtE_tJ.fA./f!1 /&' C77aY7
AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS.)
SPECN)
APPROVED SHOP DRAWING
ARCHITECT FORWEEKENDING
I I PROJ cT• NO.
ENGINEER REPORT NO. 2.— PG ( OF
CONTRACTOR . PLAN FILE NO. PE IT NO.
Ir7-55,1 SUB-CONTRACTOR PJECT NAME Lo r ..q,
INSPECTIONADDRE
cu G7 ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FELL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
/-S7? — i. J4X1I T3 /
CONTRACTORS EQUIPMENT/ MANPOWER USED:
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I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIE/ITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AN OR THE APPROVED PLANS ECIFICATIONS APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
od /199 P - _________
Signature Date of Report ICBO Certification Number ,
p Print Name City / County Certification Number
Rev: 7/97
MIS
Corporate Office
2992 E. Là Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
o.
Á MONTANA
Testing & Geotechnicat, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7Rfl 7Rq7q
TYPE OF WORK 1'NSPECTOR CHNICAN
FJEb (i-! 'foj 'J1(
AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLAN (N)
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REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RE EARCH REPORT NO. OR MATERIAL TEST REP RTS):
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SAMPLES TAKEN: I 55.-r o r 3
TESTS REQUIRED: 5'LU1?
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD:
, . TRAVEL TIME: VERIFIED8
I 0 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
A OR THE ROVED P 5, SPECIFICAT. ND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
4 Signature Date of Report ICBO Certification Number
(O
Print Name
. City I County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
0 TECHNICAN TY]~~~~R
AVAILABLE: SOIL REPORT C?) (N) SPECS )Y) (N)
APPROVED PLAN (N) APPROVED SHOP DRAWING )Y) (N)
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ENG,€R-, - REPORT NO. PG / OF
C PLAN FILE NO.
SUB-NTRACTOR PROJ
ME/JI 73
_-' ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MA4UAIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF ThE WORK DAY, OR MISSING MTRS AND REIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
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SITE TIME START: SITE TIME FINISH:
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I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
6 (.
Signature Date of Report ICBO Certifation Number
' Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979 FIELD REPORT
AVAILABLE:
APPROVED PI.AR
SOIL REPORT (Y) (N) SPECS (Y) (N)
(N) , APPROVED SHOP DRAWING (Y) (N)
ARCHIT FOR WEEK ENDING 7z,7.,tçj2- I "2 ---
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IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFIIflJNCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
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SITE TIME START: SITE TIME FINISH:
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AND / OR THE APPROVED SPEC OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT IFICATIO
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Signature Date 91 Report ICBO Certification Number
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Print Name City / County Certification Number / &.q-•• , Rev: 7/97
I'd
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Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
. Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE 07 DTECHN AN AVAILABLE:
APPROVED PLANN)
SOIL REPORT (Y) (N)
Of
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
ARCH 7 FOR WEEK ENDING
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S7/,rfr PROJE NAME
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REPORTING REQUIREMENTS: ICBO FIELD INSPECrJON4VEANUAUMTG SOIL MANUAL REVIEW PREVIOUS EPOFS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC.. FILL OUT AND ATTACH A DEFI€14'CY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
NTRA R CLUDE RESEARCH REPOR R MAT J)AL TEST REPORTS) / co,
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AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
41 2:31,199AF/
Signature Date of Report ICBO Certification Number
Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPEqLWW I PE 0 0 TECHNICAN AVAILABLE:
APPROVED PLAN)J)
SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
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REPORTING REQUIREMENTS: ICBO FIELD INSPECTION M'ANUAUMTG SOIL MANUAL 1/ REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
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SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
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AND/ OR THE APPROVED PLANS BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 4ICIODAPPLICABjE SECTION OF THE
/199
ICBO2tioumZ Signature D g of ort R
Print Name ". City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK--- INSPECT 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
.J APPROVED PLAN (N) APPROVED SHOP DRAWING (Y) (N)
ARCHc / i4: tJ
FOR WEEK ENDING I PROJECT. HO.
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REPORTING REQUIREMENTS:ICBO FIELD INSPECTIONMAD1tUMTGSOIL MANUAL _REVIEW PREVIOUSREPORTS ANDLISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
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LUNCH PERIOD: ' TRAVEL TIME: ________________________ VERIFIED 8 97/Z6
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIESITH THE SOIL INVESTIGATION RECOMMENDATIONS.
ANDY OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
_ /_7_/199
~6~ ICBO Con Number Signature Date of Report
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF
4:t 7;;~'
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IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
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AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature Date of Re ort ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TOR 1 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) TYPE
APPROVED PI.ANN) APPROVED SHOP DRAWING (Y) (N)
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MATERIA U ED BYOIIICTOR (INC ESEARCKfiEPORT NO. OR MATERIAL TEST REPORTS):
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LUNCH PERIOD: ____________________ TRAVEL TIME: ______________________ VERI ______________________
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' / r - Signature Date 01 Report ICED Certification Number
Print e City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPEPOK JNSPECIQ 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLAN4J) (N)
SPECS (Y) (N)
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WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS.
MATERS (,IED BY CONTRACTOR INCLUDE RESEARCH REPJ)RT NO. OR MATEB4ALJESTPORTS): 4 AJc-r'
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SAMPLES TAKEN: / (3)
TESTS REQUIRED:
SITE TIME START: / "2__1
SITE TIME FINISH:
LUNCH PERIOD: _______________________ TRAVEL TIME:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT This WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
, /199 K 4S3_6 Signature Date of Report ICBO Certification Number
&~ _/A~ _77A--Q-. " Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979 7/ AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLAN
SPECS (Y) (N)
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FOR WK ENDIN//rr PR9
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REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANAL)MTG SOIL MANUAL 11 REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY. OR MISSING MTRS AND RFIS, ETC., FIYL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
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100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
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,v 1, 14 /199 Z577
Si ature Date of Report ICBO Certification Number
7 Print Name City I County Certification Number
Rev: 7/97
/A\
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
888 Rancheros Drive, Suite E
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
COVERING WORK FOR ) AVAILABLE: SOIL REPORT (Y) (N) SPECS
APPROVED PLANS'N&(N) APPROVEDHOP DRAWINGS (N)
ARCHITECT
<> / ,- , FOR WEEK ENDING ') 'j3, I - ENGINEER
REPORT NO. PG OF
CONTRACTOR L ( PLAN FILE NO. PR)/ 0 I V
C...-
SUB-CONTRACTOR , . PROJECT NAME/
INSPECTION ADORE . ' ADDRESS OF PROJECT I U
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTG SOIL MANUAL
MATERIALS USED (TEST REPORTS): 4 ( / /1 _• AI ci
i
EQUIPMENT/MANPOWER USED: /
ITEMS OBSERVED (DETAIL NOS.):
WDt(-
oe L oJ LOCATION OF WORK: Thi •
REMARKS. INCLUDING MEETINGS: Ai4'AJ-- (A)I7 7-3'2 O)& 4 — 3D- Aij
/& j
/T 77( (r) \
WEATHER:
(J o SAMPLES TAKEF)
TESTS REQUIRED
DEFICIENCIES CLEARED:
UNCORRECTED DEFICIENCIES. MISSING RFI /CO, ADDITIONAL TESTS REQUIRED:
TIME START: /1
. TIME FINISH: AUTHORIZED2~j~ 71-,'
.1 hereby certify that I have observed the work listed above and that it complies with the Soil invetJ on recommendations, `/-7-/Z6 - ----- - -- and for the approved plans, specifications and applicable sections of the building code, unless otherwise noted.
5 //199 g3 27 Signature Date of Repo Certification Number
A1,41111
1Print Name I Rev: 5/95
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
888 Rancheros Drive, Suite E
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
COVERING WORK FOR / . AVAILABLE: SOIL REPORT (Y) (N) SPECS N) (N)
APPROVED PLAN'1) (N) APPROVED HOP DRAWINGS (N)
ARCHITECT \.f' ,/)
'
FOR WEEKENDING - , -. PRO.
j
ENGINEE
/ REPORT NO. i'c ( or
CONTRACTOR /')) . ( ( PLAN FILE NO. PERMIT-NO -,
SUB-CONTRACTOR L- PROJECT NAM()
LA(i;Lc
INSPEQIONADOReSs-' . 7') .
("-i
/ 1 ADDRESS OF PROJECT . L
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL! MTG SOIL MANUAL
MATERIALS USED (TEST REPORTS):
AX
EOUIPMENT/MANPOWER USED: L (>)
ITEMS OBSERVED (DETAIL NOS.): . .
LOCATION OF WORK
o ., -i---
- '
REMARKS, INCLUDING MEETINGS: t,
6Di L
-
IL
cE
k)ç- 059
/Aj-k'r ( / SAMPLES TAKEN
WRATHER
TESTS REQUIRED ( DEFICIENCIES cLp
-
UNCORRECTED DEFICIENCIES, MISSING RFI / CO. PtITIONAL TESTS REQUIRED:
TIME START: '7'i TIME FINISH: g AUTHORIZED B
I hereby certify that ) have observed the Work listed above and that it complies with the soil invest Ion recommendations,
and / or the approved p ans specifications and applicable Sections of the building code, unless otherwise noted.
7/~' PS~ignrjatu Date of Report Certification Numbef
/rint Name Rev: 5/95
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
888 Rancheros Drive, Suite E
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
r
COVERING WORK FOR / J '-- AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS(N)
SPECS (N)
APPROVED SHOP DRAWING' (N)
ARCHITECIc, y FOR WEEK ENDING A.. 3 NO
ENGINEER
REPORT HO-. PG t OF
CONTRACTOR I / ( PLAN FILE NO. P N
SUB-CONTRACTOR PROJECT N 4' e- Ckiuq
INSPECTION ADDRE69—.....
9 V<. !-a/ Oi
ADDRESS OF PROJECT
012/1 1
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTG SOIL MANUAL
MATERIALS USED (TEST REPORTS): 7 7 e 173 A - / 70 Zj / 'J
EQUIPMENT/MANPOWER USED: / 0
ITEMS OBSERVED (DETAIL NOS.): A) & [ 3
LOCATION OF WORK: 4: (
REMARKS. INCLUDING MEETINGS
l.7L
- c-
/(y
/( (.
SAMPLES TAKEN WEATHER
7 (cit) TESTS REQUIRED
DEFICIENCIES CLEARED:
UNCORRECTED DEFICIENCIES, MISSING RFI / CO, ADDITIONAL TESTS REQUIRED:
START: 7(/
TIME FINISH: AUTHORIZED .
(hereby certify that I have observed the work listed above and that it complies with the soil mv tig on recommendations,
and / or the approved plans, specifications and applicable sections of the building code, unless otherwise noted.
-
Sig
(/_'__
nature
CL J4
'/Print Name
/ c3 i1993
Date of Report Certification Number
Rev: 5/95
WELDING CERTIFICATION
LAB o. _ 4.39_ DATE OF TEST 91JJ96
THIS IS TO CERTIFY THAT
DOUGLAS FINE. 552-54-6272
1106E SIGNATURE APPEARS ON REVRS
HAS SATISFACTORILY COMPLETED AND PASSED THE WELD-
INGTESTIREQUIREMENTSOF AWS D1.5-95
ME UNOERSIGzED TESTIFIES THAT HE W1fl4ESSED THE WELDING AND
FOUND THE CANDIDATE To BCCJPiQ4T AS DETAILED ON THE REV9SEOF AnD.
PSPtCTO
04&A Cd'RPORATI (800) 998-9588
ronm #I 0n
SIGNATURE__
- RECORD OF WELDING OPERATOR'S
I QUALIFICATION TEST
FPROCESS FCAW __--
BASE A-'' FILLER c'- I r o
- METAL . _____ METAL I 1 10
S THICK-All 'f' UP D TI') NESS..---POSITIONS -"-' JOINTS YL
- REMARKS: QUALIFIED TO WELD ON BRIDGES IN
- THE 3C POSITION UNLIMITED THICKNESS.
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax (714) 632-2974 . \
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7601735-8979
TYPE OF WORK J1NSPECTOR 0 TECHNICAN
- 75 UT 1P
AVAILABLE: SOIL REPORT ()(N) SPECS ()(N)
APPROVED PLANS ()N) APPROVED SHOP DRAWING ((N)
ARCHITECT
S\ThCOLrnr4C
FOR WEEK ENDING P OJ 1. NO.
ENGINEER . :
iWUCLALL-s REPORT NO. PG i OF
.
CONTRACTOR
COLL C'pJ-\L C c -
PLAN FILE NO. PERMIT NQ.
CSM136c
SUB-CONTRACTOR PROJECT NAME
Co WnRAP
INSPECTION ADDRESS ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
P0th \- (t'9iL 45ft kGi r4A.iocINrorcNt
CO TRACTOR EQUIPMENT/ MANPOWER USED:
Vfl3RATo 1 P/iMP i'a 4 J OpJq-oz
AREA, GRID LINES, PIECES OBSERVED:
pAL'S N-11 41 i•1,Z.
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
cOCE fltt 4L4, c-
REMARKS, INCLUDING MEETINGS: ' ...NOTe- tcp IILT-Up .I.Lç - S AR Cv'i4t4o-t 1$'4 2UC CT1
SOR i fA Wa KH EA. t-4 H AD W uvwaraP ot4 Pi tii4.N INä 5- s_cl'.
Dt"t'1or.cL % 5 W2E 0 E IiM' To t2A A4 r7 0 146t".J I 2OC. PL1Z M H RNy 2tt*1
IL XV
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:' C4.OLIDY SAMPLES TAKEN: !%7'r 3
TEMPERATURE: W¶(> 1°
-
TESTS REQUIRED: 4- ELJit1
rSITE TIME START: 1: Co N' t SITE TIME FINISH: •4...ccpNj
L
LUNCH PERIOD: ____________________ TRAVEL TIME: ______________________ VERIFIED BY: 7 c
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
5 / /1996
Sigre Date of Report ICED Certification Number
SPe.
Print Name
. City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK El INSPECTOR 0 TECHNICAN
R1I NpDtc I Nc L- TI. L1— Lit'
AVAILABLE: SOIL REPORT J(N) SPECS (N)
PPROVEO PLANS N) APPROVED SHOP DRAWING (ON)
ARCHITECT / -'l -n.1 CSuLvu T1T
FOR WEEK ENDING
—2 3
PROJECT. NO.
Ro22-4 .01
ENGINEER
MME TRLCdTURAL EtI
REPORT NO. PG OF
CONTRACTOR
(UtN PLAN FILE NO.
N/A
PERMIT NO.
(2-g-1.552- SUB-CONTRACTOR
C croc
PROJECT NAME
OCoRt 1T INSPECTION ADDRESS
i?W 2 -
ADDRESS OF PROJECT
VAT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS. - -
MATERIALS USED BY CONTRACTOR (INCLU
AT-'-10
E RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
( N&C T1L.
Ak•CI— Li6
CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA. GRID LINES. PIECES OBSERVED: R!C Rct AIA 0 9, ?ciy E42P, TtLT-w° L2 a teU-I E€
'4,
STRUCTURAL STRUCTURAL NOTES, DETAIL, OR RFIS USED:
Ft4ACJ. Roc4 '1L fr1tD5 Atc cL1 V -fl Lt- c
S S 1 03 IO1 tl 6I2. SI REMARKS. INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: 5j.b F TC) '2 or
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: 1 .00 AM SITE TIME FINISH:
11 LUNCH PERIOD: ' TRAVEL TIME: .-. II
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLkSW'ITH THE SOIL INVESTIGATION RECOMMENDATIONS
AND I OR THE-APPROVED PLANS, SPECIFICATiONSAND'PPLI'CABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT -
3&1K - Sign Date of Report ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7601735-8979
TYPE OF WORK %INSPECTOR 0 TECHNICAN
'j—çj 4
AVAILABLE: SOIL REPORT(N)
APPROVED PLANS (N)
SPECS '(N)
APPROVED SHOP DRAWING(N)
ARCHITECT
B\CUNSut tCTC-T'D
FOR WEEK ENDIN -212, PROJECT. NO.
(o2-ot4--o ENGINEER
PRW1ESr'a\CTLAL
REPORT NO. 69 PG OF 1 2
CONTRACTOR PLAN FILE NO.
N/A
PERMIT NO.
cs2- SUB-CONTRACTOR
op PROJECT NAME
J4r CPST CORA-c ::--g INSPECTIO
'
N ADDRESS
WC9 tIwvo
ADDRESS OF PROJECT
ViP1 ck 1
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT COPY WITH YOUR WEEK'S REPORTS. -
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
AS-IM A 4c1E REt udC E5rL Ai 1 A'91M
COrt%N 3l2 €zc1
CO CTORS EQUIPMENT/ MANPOWER USED:
AREA. GRID LINES, PIECES OBSERVED:
Rr- oL-T—L 4L t4- \LC CoNcya -r
QTILT- '- E- E- lE-31 -t341 -6 -1
STRUCTURAL NOTES. DETAIL, OR FIRSUSED:
PPCRELcRQNt COCRE1EO LL1-L
REMARK INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: D° TO 0F
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: -7 O1T' M SITE TIME FINISH:
LUNCH PERIOD: 4Ot'4E. TRAVEL TIME: VERIFIEp1V ?_(.) cc
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIE'W1H THE SOIL INVESTIGATION RECOMMENDATIONS,
AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
---- 4 /
nature Date of Report ICBO Certification Number
,,)4,,,
Print Name City I County Certification Number
Rev: 7/97
ji
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK >QNSPECT614 0 TECHNICAN J2 Es AL Rr,EvY ./.1T '
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS () APPROVED SHOP DRAWING (V) (N)
A? RC ~Hvv 4 ASMq AR.cJ4 % FOR WEEK ENDING
S .
PROJECT. NO.
EE . I TocTAt- Eiu. REPORT NO. PG OF /
CONTRACTOR I cOCLJM S &EN, cA€R
PLAN FILE NO. P MT
SUB-CONTRACTOR PPJECTN ME , c i-,d A i. INSPECTION ADDRESS ADDRESS OF PRO CT
zmAeO4ksIg44
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE JEARCH REPORT NO. OR MATERIAL TEST REPORTS):
A 706 ,o
CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA, GRID LINES, PIECES OBSERVp ~ sl, I l, i: q1 All E :s
7 'T/./,cJ< - 1-2 "& c, 5- /7 ' &
Co,Qd S7tL- 2ç '' r1f~
STRUCTURAL NOTES, DETAIL, OR RFIS USED:,
-
*//
(Is;dE REMARK INCLUDING MEETINGS: I . j- 12"TbIik 7 S ViIr 9 '
var-
4k4/ da Hb/4E ~Y/#2T4, fE 15Ae,
. 2Vf"cic/Ni"- ?ye7, 52,1i',c 64 ci€h 4'
a&i '.3 a -
'4' oi4c ,,g "i,, E,
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: 0VC4S7_ R4;.4./y
TEMPERATURE: e
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: ! SITE TIME FINISH: //.'
LUNCH PERIOD: _____________________ TRAVEL TIME: ______________________ VERIFIED BYY
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WIIH THE SOIL INVESTIGATION RECOMMFNDATIONS
AND/OR APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT iL-7 /199
Slgnature
,
,/' Date of Report ICBO Certification Number
Print 4ljame City! County Certification Number
Rev: 7/97
FIELD REPORT CONTINUED
MONTANA
Testing & Geotechnical, Inc.
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 632-2974
c 1r /199' Signatu Date at Report Certification Number
Print Name
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
1 TYPE OF WORK NINSPECTOR
ARCHITECT
MONTAN
S)
A
Testing & Geotechnical, Inc.
FIELD REPORT
0 TECHNICAN AVAILABLE: SOIL REPORT
APPROVED PLANS (N)
FOR WEEK ENDING
REPORT NO. PG
PLAN FILE NO.
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
SPECS (N)
APPROVED SHOP DRAWING 10 (N)
PROJ CT. NO.
-oi
OF 2...
SUB-CONTRACTOR NAME
INSPECTION ADDRESS ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY RF.PORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
t1M A... 41"-I ACin'A O'fIJ(..2 ---i A; A .1nL r2ri i.J
e -ç 331 5ZZ 3ctx) ?6\ 'S 'P
CONTRACTOR EQUIPMENT/ MANPOWER USED:
11M 1 t y 16VATOR '-''
AREA, GRID LINES, PIECES OBSERVED:
T\lip AI N-11 €-11 I-4 I-i E-Z.
STRUCTURAL NOTES. DETAIL, OR RFIS USED:
(' FtAc Ccc ç fllr-L? c?*.L4 ci
REMARKS, INCLUDING MEETINGS:
1&cc flLT-L4' c1\HL L-Lcc(. u'\ 7LC t4 '--S8 -th
oN vt/ ( 4t1O. f-
ODtflOi'4S\U91UOS WEE. 040 To A0 Q O. 140*si l'?ic. P- çi. R: UtcENc.'" C -T
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: CLOUDY
TEMPERATURE: (1iJf 10
SAMPLES TAKEN: / 7' 3 C00Ct.1
TESTS REQUIRED: 4
SITE TIME START: 1; O PM SITE TIME FINISH: 4 c()pH
LUNCH PERIOD: ________ TRAVEL TIME: ________________________ VERIFIED BY"Z'1
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
0K 0 . 5 / /198 j) Sig ire Date of Report ICBO Certification Number
Print Name City/ County Certification Number
Rev: 7/97
MONTANA- Testing & .Geotechnical,, Inc
Corporate Office Branch Office
2992.E. La Palma, Suite A 904 Rancheros. Dr., Suite L
Anaheim, CA 92806 San, Marcos, CA 92069
Tel. (714)632-2999 Tel. (760).735-50.60
Fax: (714) 632-2974 Fax: (760) 735-8979
REPORT OF CYLINDER TESTS
CITY OF CARLSBAD-BLDG INSPECTION DEFT
2075 LAS PALMAS
CAl L.SBAD CA 92009
CLIENT: COLLINS GENERAL.. CONTRACTORS
PROJECT NO. 02-01628--14
PROJECT NAME: CARI_SBAD AIRPORT LOT
41 1914 PALOMAR
PROJECT ADDR. CARI...SBAD
BP/OSA NO. CX*"973550
PLAN FILE NO:
I SET 3:1.45
LAB NUMBER
AGE'
(DAYS) DATE NOMINAL
SIZE
-ACTUAL AREA
(SO. IN.)
LOAD
(LBS)
STRENGTH
(PSI)
TYPE OF:
FRACTURE
A 7 . My 15 6X1.2 2846 .60500 2:1.26
B 28 Jun 05 6X12 - 28.46 -
-
C:: 28 Jun 05 6X.1.2 28..46
HD 2.8 Jun 05 0.100
SPECIFIED STRENGTH PSI CAST BY JH
LOCATION TILT UP PANEL #3-4 -
CONCRETE SUPPLIER soIl / SI...OAN
MIX NO;- .... TYPE OF CEMENT:
TICKET NO. MIXING TIME MIN
WATER ADDED AT SITE
AUTHORIZED BY'
SLUMP IN
REMARKS
ON 98 May 08 DATE RECEIVED 98.. May 1. i
AIR
-UNIT WEIGHT . PCF
CONCRETE TEMP
AMBIENT TEMP 0 F
ADMIXTURES
DISTRIBUTION (3)
INS c:,:l%lE:t:AI...
I::.I: : JvJJ: STRI..JCTL.JRAI... IE:N(3 :i: NEJENS
CITY OF CARLSBAD--BLDG.. INSPECTION DEPT.. Respectfully Submitted,
- :-
COMPRESSIVE STRENGTH: LI CONFORMS
DOES NOT CONFORM LI
98..I'Ia'y.. 15
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
L1 MONTANA
T'esting & Geotechnical, Inc.
I f -- -
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE D~F W~O "INSPECEOR 0 TECHNICAN TYPE OF WO
ell APPROVED
AVAILABLE: SOIL REPORT (Y) (N)
PLANS1tN) /
SPECS (Y) (N)
APPROVED SHOP DRAWING (Y) (N)
ACTf
h 'ek-r/1 9A~ C FOR WEEKENDING~~PA 4
(PROJECT NO j ?f- /$Z'
ENGINEER—-
,'p&
REPORT NO. PG OF
CORPO( PLAN FILE NO. T9?—
SOG.ONTRACT /
/ /I/, / i
PRO JECtAME
e ç/ (,
IISPrCTION ADDRESS DDRESS OFPROJECT
REPORTING REQUIREMENTS: ICB0 FIELD INSPECTIEI14 MANUAL/MTG SOIL MANUAL V REVIEW PREVIOUS REP@R.T.S,ND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPEC'rOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIA(S USED BY CONTRA. (INCLUDE.RESEARCH REPORT NO OR MATERIAL T5 TREPORTS):
CONTRACTORS EQUIPMENT I MANPOWER NPOwER ,/7/j//
AREA, GRID LINES, PIECES OBSERVED:
c!/I /L
OR RFLSNEEP - STRUCTURAL NOTES
REMARKS. INCLUDING MEETINGS:
.4 .4
% / -76
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE:
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START:. _______________________ SITE TIME FINISH:
LUNCH PERIOD: — TRAVEL TIME: - VERIFIED BY: Q712h
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 419—cf
Signature Date of Report ICBO Certification Number
Print Name - ".' City/ County Certification Number
Rev: 7197
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OPWORK f1NSPECTO1 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS) APPROVED SHOP DRAWING (V) )N)
ARC FOR WEEK ENDING
7 N c / V
ENGINEER'
-t- t, t. &LIU
REPORT NO. PG ( OF
A-fll /
..
L
COOR((
I.
PLAN FILE N O.
/
PER6 ic
SUB- R/CTO
(C' /7j
RRAME/j /
IyE?ySS p/ ADDRESS OF PROJECT,./
/ -
REPORTING REQUIREMENTS: ICRO FIELD INSPECTION MANLJ/'UMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MAIALSSEDB _çONTRACTOR (INCLUflE RESEARCH REPORT NO. OR MATERIAL 1ESTEPORTS):
/
CGNTRAGTORS EQUIP ENT /.MANPOWER US f
AREA. GRID LINES, PIECES OBSERVED:
el
J - --
SRIJCTIJRAL NOTES, 0 : 7AIL. OR2 ED
, c, o
REMARKS, INCLUDING MEETINGS:
C.2 i >
tL 16 e_ el- _h
REWORK AS PEJCENT OF ALL WORK TODAY: PERCENT PROJECLCOMPLETION:
WEATHER:
TEMPERATURE:
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
141~ //199
Signature ."."- Date of Report. ICBO Certification Number
Print Name -- City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE )WX. EI'INSPECTOR 0 TECHNICAN
ARC W
(/,4
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N)
FOR WEEKENDING
c. 4td/(r P7O
EiNEEA-.. REPORT NO PG OF /
CrtTOy/ PLAN FILE NO PE
3ç
SUNmA ;.X
-4,- PROJ E CT/)1E
INSPECN AD t/c tJ &itr/ ADDRESS OF PROJSOI'
ft -
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS.j(SED BY CONTRACLOR-(INCLUDE RESEARCH REPORT NO OR MATE 1//4 f( /A)TESTREPO r-e r
CONTRACTOR'S EOUIPMENI MANPOWER USED" I i'Caf& ..' (44'7,/ z%-, J/"ii, ,ckvi)
AREA. GRID LINES, PIECES OBSERVED:
/0001
f,2 (i-)- /
-I,
NOTE'S. DETAIL1. OR FIRS USED,
REMARKS, INCLUDING MEETINGS:
V
/ ,ww sif
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: ::: SAMPLES TAKEN:
TEMPERATURE: ,5Z_ '7' TESTS REOUI:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: " TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 c4r7y
Signature Date of Report ICBO Certification Number rpy/ 22
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E: La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
-
MONTANA
Teting & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK- INSPECTOR , j 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
/ / APPROVED PLAN1))N) APPROVED SHOP DRAWING (Y) (N)
ARCH . FOR WEEK EN.'J/ 74T2f /
ENGIN REPORT-NO. PG OF ;
CON _TOR 7J' PLAN FILE N _
INSPECTION AS ADORE 1ff 6
OF PROJECT
,-
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MNUALJMTG SOIL MANUAL L, REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RIFTS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURSOR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS. '
MATERIALS USED BY CONTRACTOR CLUDE RESEARCH RE 0 0 ZMAf1 ç /
CONT CTORSEOUP ENT/ P0 ER USED: / i4f7
AREA, GRID LINES, PIECES OBSERVED: -.
OPP4 r — <€
(
7
REMARKS, INCLUDING MEETINGS:
-,jeJK c4ir I-ellg-ei
I
LI "
REWORK AS PERCENT OF ALU'WORK TODAY: ' PERCENT PROJECT COMPLETION:
- WEATHER: I SAMPLES TAKEN:
TEMPERATURE: ,.._,#, TESTS REOUIRED:
,
SITE TIME START: SITE TIME FINISH:
1!'
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
C'
' Signature " ".' Date of Report ICBO Certification Number
Print Marne City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite L
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK.. 0 TECHNICAN JINSPECT0 R' R'
fc/i...__p..
AVAILABLE: SOIL REPORT (V) (N) SPECS (Y) (N)
APPROVED PLANS)N) , APPROVED SHOP DRAWING (Y) (N)
ARC$RE
I
?
C$Ial
FOR
:::?44
WEEK ENDING/4 PR7O? i'— c / 5L
ENGINEER—.. REPORT NO. PG OF
PLAN FILEN - - IPEg.O (
SUB1CONTRACTOR PROJEC1ME
pZ ADDRESS OF PROJECT ECT
4~4
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION M'ANUAUMTG SOIL MANUAL ., REVIEW PREV1,IJS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RAS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATER S ED, BY CONTRACJOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TES
cs-' L.
A;4zzi /(
CONTDACTORS EOUIPMEN'r, MANPOWER USfl') L/Lc(j icr ot _(4/f)
AREA, GRID LINES, PIECES OBSERVED:
fl (,;I
/JcJ t//7 5 /4 ,s/4ij2Vs ir
N fts, DETAIL, OR R
,,,
- REMARKS, INCLUDING MEETINGS:
V/
4/4 A Ackr
JL 4'
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: , SAMPLES TAKEN:
TEMPERATIJRE: .,ç' 3L........ TESTS REQUIRED:
k ,
SITE TIME START: I _V SITE TIME FINISH:
LUNCH PERIOD: ____________________ TRAVEL TIME: cc
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
' Signature " Date of eport ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
2992 E. La Palma, Suite A • MONTANA 888 Rancheros Drive, Suite E
Anaheim, California 92806 Testing & Geotechnical, Inc San Marcos, California 92069
Tel: (714) 632-2999 Tel: (619) 735-5060
Fax: (714) 632-2974 FIELD REPORT Fax: (619) 735-8979
COVERING WORK FOR
-
?VAILALE: SOIL REPORT (V) (N)
APPROVED PLANS (N)
SPECS "çN)
APPROVED HOP DRAWINGS
ARCHITECTç,. ( FOR WEEK ENDING
197 No. 06 01q
ENGINEER—,REPORT NO. PG OF I
CONTRACTOR
UV
PLAN FILE NO.
SUB-CONTRACTOR 1P PROJECT NAME(A.
INSPECTION ADDR ADDRESS OF PROJECT
VA
REPORTING REQUIREMENTS: iCBO FIELD INSPECTION MANUAL! MTG SOIL MANUAL
MATERIALS USED (TEST REPORTS)
,.-. 72 s
11 t21) 5thD 30T
USED(
4J"3 a1 (i -oi 7
/17 ITEMS OBSERVED (DETAIL NOS.):
S14- 1,/ir7
LOCATION OF WORK: ).. t.
-. / A4.i —i fiJJt9'AA 1L &Xiv6.
¶-6
REMARKS, INCLUDING MEETINGS
" Li
co - iV( k 17
7ii'.
- 7 L
17i A,
(!' 1
SAMPLES TAKEN
WEATHER:
TESTS REQUIRED
DEFICIENCIES CLEARED:
UNCORRECTED DEFICIENCIES, MISSING RFI I CO. ADDITIONAL TESTS REQUIRED:
ESTART: - TIME FINISH:
I I hereby certify that I have observed the work listed above and that it complies with the soil inve'S-ti(ation recommendations, II
and / or the aPProçPlans specifications and applicable sections of the building code, unless otherwise noted.
/ 0 9 /199'3
Signature \ , - Date of Report Certification Number-
A~;IW P. -. fPrint Name - Rev: 5/95
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
_iv ft
.•••41.
MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK rT9SPECTOR 0 TECHNICAN AVAILABLE: SOIL REPORT (V) (N) SPEC$,(y,)1(N)
fl,/ , fAL-r,ak/ APPROVED PLAN$4V)4N) APPROVED SHOP DRAWINGtE(J
ARCHITCT - 4 I FOR WEEK ENDING PROJECT. NO.
T)'nrr,q A1 9,
ENGINEER . REPORT NO. PG OF
CONTRACTOR PLAN FILE NO. PERMIT NO. :p7. 55Q _______________
SUB-CONTRACTOR
OsJ Srvc
PROJECT NAME Lo r -'4!
(Lc (-r (lp &,nv,&.
INSPECTION ADDRESS .
HU0 LJ)41A_ )A< i •QI
ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
X P j/4< 4 I RaT 4m d'9(o li).'E 102_4 k'i4 I 11I 111 L U.)i.. k) T 5 / I 7
FC1bF asom F7/7-/ E
CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA, GRID LINES, PIECES OBSERVED: fs7' i-w; J1 tor 4srrn i4 W7x 70 &iss ii
lr Lr 1 ..4 rrt 1ic lAJtHc rrJtYkJ,Lk wry., rz'nfzz.
I# -1.4 l ?oô, /VFL Z- "tu tnF 1,5 T, To*i
/.iPfP L4'-LCo I.D p4ar Qç
STRUCTURALTES, DETAIL, OR RFIS USED:
fS; 512.
REMARKS, INCLUDING MEETINGS:
Ai/f/tA 4,1,izc f,)'iF Q.,*11 )i
& S LJr ISTfrV7
i'\b* (4) 1,.s. J7 ft'r21 r Zen. ,r"s
(61ic.. ti)FtL" $#iF44 7V /ii/ft)z4WF 4,i.i L&cc 1,14 tf.0 4 //iô/ ,
JOr
AT (1t/t. Q&ô .4() Gth gtccb W Lieu OF SmAr irø AZr' irzZ f
REWORK AS PERCENT OF ALL WORK TODAY: - PERCENT PROJECT COMLETION:
WEATHER: OV' SAMPLES TAKEN:
TEMPERATURE: j TESTS REQUIRED:
SITE TIME START: '0D SITE TIME FINISH: I :p-' t) 7- 1z
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:.,
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIESWITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AN OR APPROVED PLANS S ECIFICATIONS 0 APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
LTHEai 10 / 10/199
'./ Signature - Date of Report ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
W- Tsti'flg &-Geotechnical, Inc.
FIELD-REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE 0WG AK INSpECTOR 0 TECHNICAN , AVAILABLE: SOIL REPORT (Y) (N) SPECS )Y) (N)
/ APPROVED PLANN) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT ,4i( cm FOR
WEEKENDING 4r IPROJFCT NO. I ,'caz —ai
ENGI L' REPORT NO. PG
/
OF
/
CONT,OR 'jL PLAN FILE N4, IPERMIT,NO
• . I Zco
-----,.-_ SUB 0 eçj JECTAME I /
INSPECTION ADDRESS qf( ADDRESS OF PROJECT
- /
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY: YOURS OR A PREVIOUS INSPECtOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEKS REPORTS.
MATERIALS USED BY CONTRAC1OR (INCLUDE RESEARCH REPORT-NO. OR MATERIAL TEST REPORTS): JY/e7J/1 AJZ
Th,b 'i%c4.
CONTR'CTORS EQUIPMENT/ MANPOWER USED:?
75 ZitL; /,,, (fetic)i
AREA, GRID LINES, PIECES OBSERVED:
iL
SJURN 7OR RFIE
REMARKS, INCLUDING MEETiNGS:
vA;_ ci 't 414 / J/ / /;/Üf/
- -, o;t -
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: - SAMPLES TAKEN:
TEMPERATURE: _j
....._ I' .
• TESTS REQUIRED:
I SITE TIME START: 1A SITE TIME FINISH: .
H LUNCH PERIOD: ___________________ TRAVEL TIME: _____________________ A,~_______________________________________ ___________________________ VERIFIED B _______________________
I DO CERTIFY THAT) HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199
Signature Date of Report ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK INSPECTOR / 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS 5(N) APPROVED SHOP DRAWING (Y) (N)
AL1ECT — 52 > FOR WEEK Ee
ENGINEER.. or REPORT NO. PG4
,
CONTRPTORI C',,i' r 2 J/ PLAN FILE NO.?. PE MITNO
SUB-CflNACTOR d/c J/li '/f j(. PRAJJ (VSII (?4
INSPECTION ADDRESS
/7/6 71dL, OjrI/4.. (7JA7SOFPROJECI c /
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION M'ANUALJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATE IALS USE R (INCLUDE RESEARCHJtEPORT NO OR MATERIAL TEST REPORTS) -,
J!A-J frTh,tcc.e ç, .iJ)(?71 J NIPT 1
CONTRA/CTORS EQUIPMENT / MANPOWER USED:
AREA, GRID LINES, PIECES OBSERVED:
'V
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(1,Jq Z')
STRUcTRAL iOTB6 DETAIL OR RFIS U 4
5 x
REMKS, INCLUDING MEETINGS: /
14 u4L 4J > 44' 4 idJ-z
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE:
SAMPLES TAKEN:
TESTS REOUIRED:
SITE TIME START: I I ' SITE TIME FINISH:
LUNCH PERIOD: ________________________ TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES—WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
_____________________ /199 ________
Signature Date of Report ICBO Certification Number
,r/
Print Name .'' City / County Certification Number
Rev: 7/97
—w.r' •- '.rW '- '----.. '
L
2992 E. La Palma, Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
4....
MONTANA
Testing & GeotechncaI, Inc.
FIELD REPORT
1318 E. Mission Rd., Suite 282
San Marcos, California 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
TYPE OF WORK SPECTOR U TECHNICIAN AVAILABLE: SOIL REPORT (A) (N) SPECS (A) (N)
frz-; APPROVED PLANS( APPROVED SHOP DRAWING (A) (N)
ARCHITE
( d.1
FOR WEEK ENDING 7I N r I 4
ENGINE M— REPORT NO PG OF
i
CONT TOR
1 / ' rf/
PLAN F E NO. REHEAt N
/ PROJE /
INSPECTION A D ESS AD S OF PROJECT
.iii JcLi , £k /
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS
IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH
A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS
MATERIALS ,USED BY NTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERLA EST REPORTS):
/tsz) 4,, .* iiI( I~'Ii ;
CORTRAGFOFSQUIPMEAU7ERANED
cON7 Ji&f%vi
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AREA, GRID. NES, PIECE$'OBSERVED
,v .---
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RAL NOTES W7RFIS 1 ) $ // $
REMARKS, INaUDINGM(UINGS•
4
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L
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: SAMPLES TAKEN:
TEMPERATURE: I"'' '440' TESTS REQUIRED:
SITE TIME START: SITE TIME FINISHED:
LUNCH PERIOD: - TRAVELTIME: __________________ VERIFIED BY
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL
INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIONS OF THE BUILDING
CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
,4 4 / 7
Si n.atu Date of Report ICBO Certification Number
Print Name ' City/County Certification Number
2992 E. La Palma
Corporate Office
Ave., Suite A MONTANA 904 Rancheros Drive, Suite
Anaheim, California 92806 Testing & Geotechnical, Inc. San Marcos, California 92069
Tel: (714) 632-2999 Tel: (760) 735-5060
Fax: (714) 632-2974 FIELD REPORT Fax: (760) 735-8979
TYPE OF WORK ,%INSPECTOR 0 TECHNICAN
,,-
AVAILABLE: SOIL REPORT (Y) (N) SPECS )Y) (N)
APPROVED PLANS(N) , APPROVED SHOP DRAWING (Y) (N)
(7 (f 7 FOR WEEK ENDJ,4, 9IOIc(
ENGINEE — REPORT NO. PG / OF
CONTRACtOR / ('(( c I PLAN FILE NO.PER
7T NAME/(
INSPECTION ADDRESS
_
VDRE2MT
REQUIREMENTS: ICBO FIELD INSPECTION /IANUAUMTG SOIL MANUAL ../ REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USEfl BY CONTRACTOR (INCLUDE RESEARCH REPORT NOR MATERIAL TEST ' jf
CONT CTORS EQUIPMEN R USED T/ ANPOWE L/; (? L oc
AREA, GRID LINES, PIECES OBSERVED:
L/
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TAI A71c : cD h I J
REMARKS, REMARKS, INCLUDING MEETINGS: !
k(Aá I( Id
iJ ,iL4J
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT CMPLETION:
WEATHER:
£::?'4;._4-_:1;-F'
TEMPERATURE:
SAMPLES TAKEN: / TESTS REQUIRED:
SITE TIME START: .7'KV_F' - SITE TIME FINISH: ..'!'. I''
LUNCH PERIOD: — TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
e.
__ __________
Signature . ' Date of Report ICBO Certificati(n Number
277
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WO 'INSPECTO 0 TECHNICAN
___ Aj
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLAN APPROVED SHOP DRAWING (Y) (N)
AdC
RWEEK END L/$/ JP -gc/ of
ENGI
'-
REPORT NO. PG OF
cO PLAN FILE NO. I PE
SUBC9)OR
PR?NAM,/,L/ (/ INS77S ADDRESS OF PRO
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANAL/MTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
=USEB CT EA/ MA REPORT NO RJERIAI. TEST REPORTS
I
CONTRAOS c9BJJP'MENT I PMNPOWE
— pa iez, V4I JU4 ,JL6' 4/eX4, (4i)
AREA, GRID LINES. PIECES OBSERVED:
RALN SO7.ORR 4 s- si/ J A4 4i
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REMARKS. INUDINC iGs:
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: ._''
TEMPERATURE:
SAMPLES TAKEN:
TESTS REOUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED —/26
I 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIth.WI'TH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR, THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 7J
Signature . Date of Report ICBO Certification Number
_____________ Print Name City I County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANdgj APPROVED SHOP DRAWING (V) (N)
(14'/
:A
RCH
-
FOR WEEK ENDIN /r/ P7TOz /yJ
REPORT NO. PG
0
7/
CONT TOR
( V PLAN FILE NO.
SU /L PRr ,/1 c7
INSPEcp2PESS_/
4
ADDRESS OF PROJE4
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION'AN JAI iMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RF1S, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATER 3$LSJ,(SED BY CONTRACTOR (INC,kDOE RESEABCH REPORT NO. OR MATERIAL TEST REPORTS):
9
NPOWE RUSEDh
AREA, GRID LINES, PIECES OBSERVED:
/L 4b
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STRffMffiAL
REMARKS. INCLUDING MEETINGS:
IX
REWORK AS PECENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: i5T$'—
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERI 7-/z
100 CERTIFY THAT) HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIEITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, ECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
199y
Signature Date of Report ICBO Certification Number
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
-
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WO i CHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PL.AN 'N) APPROVED SHOP DRAWING (Y) (N)
FOR WEEK ENDING r7%'/'r1r I PR7~F /
EN G2 REPORT NO. PG 1 OF
CO T OR PLAN FILE NO.
_____________ IP
(
PROJAME 1/(k ESSE
.
ADDRESS OF PROJEC
,,
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION'ANUAUMTG SOIL MANUAL . REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MA1ERtS USED YCONTh H R t JrEST REPORTS): EPOJI MATE
7rr 0
All
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AREA. GRID LINES. PIECES OBSERVED:
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REMARKS. INCLUDING MEETINGS:
'- /s 5-1l7
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEAThER:
d' Xea~
TEMPERATURE:
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: ______________________ SITE TIME FINISH:
LUNCH PERIOD: - TRAVEL TIME: '" VERIFIE BY: __97106 ____
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIE H THE SOIL INVFSTIC,ATIOPJ RFOMMNflATIflNS
AND /OR THE APPROVED , UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT SECTION OF THE BUILDING CODE/199
Signatire _~As~
.
ICBO Certificatlon Number
Print Name City / County Certification Number
Rev 7/97
I/
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
INS 1YP)[!7d"C .- 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) 1YPE.DE.WeRX
APPROVED PLAN& (N) APPROVED SHOP DRAWING (Y) (N)
ENGINEER—) —ZA
FORWEKENDI#'/)
REPORT NO. PG OF,/
C TO PLAN FILE NO.
5L
PR AME
ADDRESS OF PROJECT
e4 IN7ES97
7J
~~tk Z4 . / _______________ F I
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION NUAUMTG SOIL MANUAL (J REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MA BY CONACTOR (INCLUDE RESEARCH A
4'vp'
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CONVRAFDPR ENT/ NP
AREA. GRID LINES, PIECES OBSERVED:
AFIS uj ç/ ,75L
REMARKS. INCLUDING MEETINGS:
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OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
SAMPLES TAKEN:
TEMPERATURE: TESTS REOUIRED: /w,
TIME START: SITE TIME FINISH:
LUNCH PERIOD: ...-" TRAVEL TIME: V E R I F I E 9-7/z
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS.
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/199 74Zç-79
Sjnature Date of Report ICBO Certification Number
Print Name City I County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
NSP 0 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PI.ANrj) (N)
SPECS (V) (N)
APPROVED SHOP DRAWING (Y( (N)
ARCH FOR WEEK ENDING I 7-r-- /)1 O2
ENGE€R REPORT NO. PG OF
PLAN FILE NO.
SNT T PROJ
/J INSFfC tO AD 55 DRESS OF PROJECT
REPORTING REQUIREMENTS: ICRO FIELD INSPECTIOI( MAI'll AIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND RFIS. ETC., F L OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIA)4 USED7 CONTRACTOR (INCLUDE SEARC EPORT NO. OR MATERIAL TEST REPORTS)
74c5-J - UcJ 77r( 7
CO7 MANPoW 4l /AL(-/ .4
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AREA, GRID LINES, PIECES OBSERVED:
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SDA/FINS USE / /(
REMARKS. INCLUDING MEETINGS:
- 1e4l ç4 4U
REWORK AS MY ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE:
SAMPI,ES TAKEN: SAMPLES
TESTS REQUIRED:
SITE TIME START: '7'•' "T SITE TIME FINISH:
LUNCH PERIOD: PERIOD: ________________________ TRAVEL TIME:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIEVITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
&-4 / ZT 1199 ' i4a 7 ' Signature Date of Report ICBO Certrllcation Number
Print Name City/ County Certification Number
Rev: 7/97 "
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WO K
,
yri SPECT R 0 TECHNICAN AVAILABLE: SOIL REPORT (1(N)
APPROVED PLANJN)
SPECS (1(N)
APPROVED SHOP DRAWING (Y) (N)
AR1FG FOR WEEKENDING 97W
ENG41ER... REPORT NO. PG OF /1
CrOVCTO
Cr PLAN FILE NO. I PERMN
SUBICJqRA6R PROJEC??EAME (3/
'Ifr%4/Oc Ai1
ADDRESS OFPRW7
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALIMTG SOIL MANUAL I- REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, EEC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATER CONTRACTOR OU
_7~~ F
EARCH EPORT NO. OR MATERIAL TEST
7Aed ?A4-iJ1 7jiç/
AREA, GRID LINES. PIECES OBERVEO:
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REMARKS. INCLUDING MEETINGS:
4
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1 4L7 f V
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
/L 1tMPERATIJR or J
SAMPLES TAKEN:
TESTS REOUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES vif1i THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/1992K
Signature Date of Peport ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANN) APPROVED SHOP DRAWING (Y) (N)
ART
QZ FOR WEEK ENDING
ENGINEER-, REPORT NO. PG OF /1
CO t PLAN FILE NO. ER
SUB•9NACTOR PROJ //
,,t ON INSPECfl7 ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANJAUMTG SOIL MANUAL £./ REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
zREPO NO OR MATERI UONTh AR CH AL T REPORTS):
'57 :1, e" 7'_~ ,
AREA, GRID LINES, PIECES OBSERVED:
/ — I
OR RFIS J
REMARKS, INfiL UOING Mfr11IGS:
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE: ..L,L........_
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
I /199
Signature Date of Report ICBO Certification Nuflber
Print Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
4. MONTANA
Testing & Geotechnical, Inc
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE AK IN C OTECHNICAN - AVAILABLE: SOIL REPORT (Y) (N) SPECS (1(N)
APPROVED PLANS ) APPROVED SHOP DRAWING (Y( (N) - ARCH' FOR WEEK ENDING PROJE T. NO
9fl
ENGIN REPORT NO. PG / OF
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I (7 PLAN FILENO. PER
SUB PRW //
INSPECTION Adplvw 7' cr4 _5 ADDRESS OF PROJET
,
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REPORTING REQUIREMENTS: ICBO FIELD INSPECF1ON1ANUAUMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATFACH A DEFICIENCY REPORT
WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERI LS ED BY CONTRACTOR (I% ME RES RCH REPORT NO. OR MATERIAL TEST REPORTS):
to
CONTR WER USED:
AREA, GRID LINES. PIECES OBSERVED:
4L1L7 , A
REMARKS. INCLUDING MEETINGS.
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER:
TEMPERATURE:
-
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START:
LUNCH PERIOD:
SITE TIME FINISH: "
- TRAVEL TIME: VERIFIED
100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHE WISE NOTED IN THE DEFICIENCY REPORT
7-f/1992
—Ig nature Date ofPort fCBO Certification Number
Print Name City/ County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF W K NS?ECTOW 7 - 0 TECHNICAN AVAILABLE, SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANN) APPROVED SHOP DRAWING (Y) (N),_.
ARC RWEKENDIN7J/7/
çL—oz _______________________
ENGINf!R 3 L REPORT NO. PG OF
COAdR/ c /% PLAN FILE NO.
SUB-CO TOR -
(J ( PRMEJ/
IN ZADZ
s2P`T'O Z /
ADDRESS OF PROJEC
, F
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION M(NUAIJMTG SOIL MANUAL V REVIEW PREVIOUS REPORTS AND LISTS
WTHREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS. 7 Y:NThAI C RO
Th A
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AREA, GRID LINES. PIECES OBSERVED:
STftIJRAL NO S, DETAIK ORRFIJ (/
REMARKS. INWIDING MEEIINGS: ' Lfg
9c1 /j4
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REWORK AS, PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: SAMPLES TAKEN:
TEMPERATURE: 5 -"4' TESTS REQUIRED:
SITE TIME START: " SITE TIME FINISH: _____________________
LUNCH PERIOD: _______________________ TRAVEL TIME: VERIFIED 9&61 - 1~ Z
100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
- / i1993
Signature - Date of Report ICBO Certification Nulilbe)I
Print Name - City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE9F'SORK ØINSPECTOR 0 TECHNICAN
)7?A42"
AVAILABLE. SOIL REPORT (V) (N) SPECS (Y) (N)
APPROVED PLANS APPROVED SHOP DRAWING (Y) (N)
ARC ( ( FOR WEEK EwDING
ENIGMEM
(frg
REPORT
Z-
REPORT NO. PG
(/
OF"/
COTO/A7 PLAN FILE NO.
PR 'J (L
ADDRESS OF PR
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION I{ANUAUMTG SOIL MANUAL /' REVIEW PREVIOUS REPORTS AND LISTS
IFTHREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCYREPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
CONTRACTqR QNC7RESEARØRT 10. OR PATERIA~ REPORTS
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AREA. GRID LINES, PIECES OBSERVED:
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.
REMARKS, INCLUDING MEEIINGS:
1d7I
REWORK RCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLFTIOI'1)
WEATHER:
TEMPERATURE: 52ti 7
SAMPLES TAKEN:
TESTS REQUIRED: ._7 2-.
SITE TIME START: SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: flh/24
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES 91TH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPROVED =APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHE ISE NOTED IN THE DE ICIENCY REPORT
f?-1 /0 /199/S
nature Date of Report ICBO Certification Number p;7
Print Name •' City / County Certification Number
Rev: 7/97
TYPE OF WORK . INSPECTOR - 0 TECI-INICAN AVAILABLE: SOIL REPORT (Y( (N) SPECS)N(
.'W APPROVED PLANS (N)gg APPROVED SHOP DRAWING (Y) (N)
ARCH _ ITECT
'L .
FOR WEEK ENDING -
W-.,;.29 9 —
I PROJECT. NO. IJ6p
ENGINEER, PG OF
4-6
REPORT NO.
COF1tR.ACTOR' PLAN FILE NO. (PERMIT NO.
SUB-CONTRACTOR .
/c1v
PROJECT NAME
( &,Z 0477— (P47 i f16t24
INSPECTION ADDRESS . AbRESS fPROJET
/q/( T(ôi14- O4k'c 14)41/ ?-Itc. I
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL fV)9J (,1' REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., ILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
A7 i4'. A — - 7 fç-
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CONTRACTORS EQUIPMENT/ MANPOWER USED:
/. 1/A )(2/ 2.'7) 7Ix 7' -
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r
AREA. GRID LINES, PIECES OBSERVED: /
L''.?. #i7 --oA)l70 /16,3
/ /Ir rn/
rA? OJA OL 4Y-cZ1r ø)b Mies C, Z/1
-
UN DETAIL, OR RFIS USE
(1( / -:-- -F L"
REMARKS. INCLUDING MEETINGS:
I k4& OI A-
S L 7( iz
cvr i t- 4j
/1V '
,±j ,e-c - k1 L)e4 )c 4< 'c5 11;AAS
r7ok Jc,a Qo,~ 'c P,,cr - AIIPii I W 14 )c3 'w 1
REWORK AS PERCENT Or ALL WORK TODAY: ) PERCENT PROJECT COMPLTI9N-.
WEATHER: SAMPLES TAKEN: n/4 •
TEMPERATURE: 45 TESTS REQUIRED: /
•
Corporate Office • . Branch Office
.2992 E. La Palma Ave., Suite A MON 904 Rancheros5Drive, Suite I
Ahaheim, California 92806 AMMMMK---,, Testing ,& Geotechnical, Inc. San Marcos, California 92069
Tel: (714) 632-2999 Tel: (760) 735-5060
Fax: (714) 6322974 FIELD REPORT Fax: (760) 735-8979
SITE TIME START/Or'/0(--' SITE TIME FINISH:
LUNCH PERIOD:- / TRAVEL TIME: i__/z. VEPt (ED BY:
(DO CERTIFY THATHAE,FERSONLLY OBSERVED ALL OF TH • ISTED ABOVE AND THAT THIS WORK COMIb(E.S4(TH THE SOIL INVESTIGATION RECOMMENDATIONS,
ND7'ORT'H A OED PtNS, PEC(FICATIONS AND APP F THE BUILDING CODE: UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/ .27 /1998 9arcc29' 6 Signature // Date of Report ,4)ertitiCat(on Number -
ii. - .. D1 i -/-- • --- - 4! - - •. -
( L £/)I/1
Name
------
City/ County Certification Number
Rev: 7/97
----"-'- -*,r
2992 E.
Corporate
aOI:::;aAve., Suite A MONTANA
Anaheim, California 92806 Testing & Geotechnical, Inc
Tel: (714) 632-2999
Fax: (714) 632-2974 FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760),735-8979
TYPE OF WORK fNSPECTOR 0 TECHNICAN AVAILABLE:
APPROVED PLANS
SOIL REPORT (Y) (N) SPECS (Y) )N)
N) APPROVED SHOP DRAWING (Y) (N)
ARCHIJFCT - FOR WEEK END ENDING PROJECT. NO.
/ 0/4
ENGINEER REPORT NO PG / OF
CTOR r7tf,jc,
PLAN FILE IQ'' I PERMIT NO. Ic
SUBCQFçRACTOR
INSPECTION AoaESS
//t, oIrZ (k Ii '
ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG SOIL MANUAL (''4. j( Dl. ( REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MhSAND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S; IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
4, 1?mc iJC2// iOc
CONTRACTORS EQUIPMENT/ MANPOWER USED:
1 i.kIP-r, ! °"--
Jioec cè'i %a "e- 7Lp ,h
AREA, GRID LINES, PIECES OBSERVED:
PA ')PAi,A A\PLt /AY—OLfl-- f9IA)b 137
(
RALN
OTES, DETAIL OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
Afrd A )
nip --,-
1 -4RcA.-- ZAd\ - RAA
aoL.
REWORK AS PERCENT OF ALL WORK TODAY:( /t) I PERCENT PROJECT COMPLETIONI 4' )
WEATHER: SAMPLES TAKEN:
TEMPERATURE: 0 TESTS REQUIRED:
1zz25>
SITE TIME START:-C, '-' /'" SITE TIME FINISH:
LUNCH PERIOD: PERIOD: /t/.i TRAVEL TIME: A, VERIFIEDA
Y 44, 01F~7f2 ,
DO CERTIFY THAT I HA.RyRSONALLY OBSERVED-ALL OFT
NiFICATIONS AND APP
ED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
NQiR THE APPROVEO'P EC THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
12ii99
Date of Report ,IGBb Certification Number
i1Et i
- Print Name • City /CuniT'Certification Number
• Rev: 7/97
I
MONTANA Testing & Geotechnical, Inc.!
Corporate Office Branch Office
2992 E. La Palma, Suite A 904 Rancheros Dr., Suite L
Anaheim, CA 92806 San Marcos, CA 92069
Tel. (714)632-2999 Tel. (760) 735.5060
Fax: (714) 632-2974 Fax: (760) 735-8979
REPORT OF CYLINDER TESTS
CITY OF CARLSBAD—BLDG INSPECTION DEPT. PROJECT NO. 02-01628-14
2075 LAS PALMAS PROJECT NAME: CARLSBAD AIRPORT LOT
CARLSBAD, CA 92009 41914. PALO MAR
PROJECT ADDR. CARLSBAD
BP/OSANO. CB-973550
PLAN FILE NO
CLIENT: CAC ASSOCIATES
4-9-1.2 SET AGE
LAB NUMBER (DAYS) ATE NOMINAL
SIZE
ACTUAL AREA
(SQ. IN.)
LOAD
(LOS)
STRENGTH
(PSI)
TYPE OF
FRACTURE
A 7 Aug 07 6X12 . •. 2846 90000 3162
B 8 Aug 28 6X1 2 2846 127000 4462
C 28 Aug .28 6X12 2846 127500 4480
SPECIFIED STRENGTH 4000 PSI CAST BY TK
LOCATION CLOSING STRIP
CONCRETE SUPPLIER NELSON / SLOAN
MIX NO. 649 TYPE OF CEMENT
TICKET NO. 718446 MIXING TIME MIN
WATER ADDED AT SITE -
AUTHORIZED BY
SLUMP 3. 51N -
REMARKS
ON 98Ju131
AIR
UNIT WEIGHT
CONCRETE TEMP
AMBIENT TEMP
ADMIXTURES
DATE RECEIVED 98 Aug 03
PCF
CM
DISTRIBUTION (4)
CAC ASSOCIATES
PRIME STRUCTURAL ENGINEERS
CITY OF. CARLSBAD—BLDG. INSPECTION DEPT
COLLINS GENERAL CONTRACTORS
CONFORMS COMPRESSIVE STRENGTH:
DOEI NOT CONFORM El
'98Aug31
-
1 4, 4
".' ,
:, -
4
MONTANA
2992 E. La Palma, Suite A '-.
Testing & Geotechnical, Inc. 1318'E:Mission Rd., Suite 282'-
Anaheim, California 92806 San Maicos, California 92069
Tel: (714) 632-2999 , ,' . Tel: (619)735-5060 A
'Fax: (714)'632-2974 ' FIELDREPORT Fax: (619) 735-8979 1 N V
TYPE OF WORK - '1'NSPECTOR .. 0 TECHNICIAN AVAILABLE: SOIL REPORT (Yj? SPECS )4ftJ) -
(', /) APPROVED PLPJJR(t(N) APPROVED SHOP DN(N(
ARCHITECT . ' -.
> .7IA'C// .
FOR WEEK ENDING -
.. 11 -11 's?'
REPORT NO
PROJECT NO -. C- /(a2&0i4O',
ENGINEER •'- K;
PG - •' OF
CONTRACTOR •-. - , •.
'4
PLAN FILE NO.
:-:. _________________________________________________________
•
PERMIT NO ('5
SUB-CONTRACTOR,..0 -., T'*
c r,__E •.:
- POJECAiiEuyt,
______________________________
INSPECTION ADDRESS -' ''p' 'C, (J ADDRESS OF PROJECT "- ' -
/9/(.-'
'• • .' '4 4
.L-
REPORTING REQU1REMNTS: ICB0 FIELD INSPECTION MANUAL/MTG SOIL MANUAL - REVIEW PREVIOUS REPORTS ANt) LISTS 1 IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND REIS, ETC., FILL OUT AND ATTACH ,,
A DEFICIENCY REPORT, ,,' '' ,. It
WHEN A DEFICIENCY, YOCRS'OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND ,- "
SUBMIT A COPY WITH YOUR WEEK'S REPORTS , '
.'
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS): '-• •'V4' '- f ''- If
CONTRACTORS EQUIPMENT / MANPOWER USED:
14#'A1 2u4'CIAe, ' •.
I
AREA, GRID LINES, PIECES OBSERVED: -
4t y 't,'vc
C('T) ø'Rcrn '
- *
STRUCTURAL NOTES DETAILS, OR APIS USED:
IL
-
.9
REMARKS, INaUDING MEETINGS: .. I I
'Jo'rE ('iigc7m _t go,rki-f-OiE 1-r Ltr.o or ,
Al ,= i A (42o tr vJ1 A-r -
.i r--- L--
1 j 71 0.1.r
REWORK AS PERCENT OF ALL WORK TODAY: - PERCENT PROJECT COMPLETION: -
WEATHER: .()4lJ%I/ 5/uMPLESTAKEN:
TEMPERATURE:'• • ' TESTS IWOIMRED: I 5L. 1)$.-'t0 , T i , 1"
SITE TIME START: 3 SITE TIME FINISHED: 4m 1 T 1 -
LUNCH PERIOD: __________________ TRAVEL TIME: 'frL-.' - VERIFIED t4BYaA~~~ZtZ 1
4,.-'. ..•'1.' • - L,"
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF,THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL
INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIONS OF THE BUILDING
CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Uet.. Al
'
P (L,4LN - -. I / '/199 -
Signature - • Dale of Report ICBO Certification Number•
--
4
* • --. . -. ' ' .- -. Print Name City/County Certification Number -
,j,._ ,- • 4 - '. ' :'•1g
- 4:1
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
ARCHITECT
- it ,,s-i 4
ENGINEER
,1_1Sid
CONTRACTOR c
SUB-CONTRACTOR
INSPECTION ADDRESS
MONTANA Branch Office
904 Rancheros Drive, Suite L.
Testing & Geotechnióal, Inc.' San Marcos, California 92069
Tel: (760) 735-5060
FIELD REPORT Fax: (760) 735-8979
0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (N) APPROVED SHOP DRAWING (V) (N)
FOR WEEK ENDING %— —
PROJECT NO. iti V- o14 — a I
REPORTNO. - PG ' ' OF
- PLAN FILE NO. PERMIT NO.
tA
PROJECT NAME
ADDRESS OF PROJECT
REP'..IlNG REQUIREMENTS: ICBO FIELD INSPECTION MANUALIMTG SOIL MANUAL / REVIEW PREVIOUS REPORTS AND LISTS
if THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FELL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORREC'I'ED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
/7t;C
I
CONTRACTORS EQUIPMENT! MANPOWER USED: /
i A , - I A o. i
AREA, GRID LINES, PIECES OBSERVED:
1-1
NOTES. DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
a I - A., - - 1
WEATHER: 5a,.i,ii' ((4/1.__ SAMPLES TAKEN: / 'd
TEMPERATURE: C .-,I- TESTS REQUIRED: /
SITE TIME START: " 'SITE TIME FINISH: -
LUNCH PERIOD: - TRAVEL TIME:
I DO CERTIFY THAT I LY HAVE'PERSONAL-OBSERVED ALL OF WORK LISTED - j
AND /OBJ,HEAPYROVED PLANSSPECIFICATIONS AND AP
Signature
Jr
VERIFIED BY
VE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
HE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/1999
Date of Report
,
)CB-0 Certification Number
- 'CitftCounty Certification Numb
Rev: 7/97
MONTANA Testing & Geotechnical, Inc
Corporate Office Branch Office
2992 E. La Palma, Suite A 904 Rancheros Dr., Suite L
Anaheim, CA 92806 San. Marcos, CA 92069
Tel. (714) 632-2999 Tel. (760).735-5060
Fax: (714) 632-2974 . Fax: (760) 735-8979
REPORT OF GROUT TESTS
CITY OF CARLSBAD—BLDG. INSPECTION DEPT
2075 LAS PALMAS
CARLSBAD, CA 92:109
CLIENT: CAC ASSOCIATES
PROJECT NO. 01-01628-14
PROJECT NAME: CARLSBAD AIRPORT LOT
41 1916 PALOMAR
PROJECT ADDR. CARLSBAD
BP/OSANO. CB973550
PLAN FILE NO
SET -'' '
LAB NUMBER
AGE
(DAYS) D ATE NOMINAL
SIZE
'ACTUAL AREA
(SO. IN.)
LOAD - -
(LBS)
STRENGTH
(PSI)
TYPE OF,
FRACTURE
GA 7 Aug 25 3X3X6 900 , 16000 . 1778
GB 28 Sep 15 3X3X6 947 28000 2955
DC 28 Sep 15 3X3X6 . 1017 . 29500 2899
SPECIFIED STRENGTH 2000 PSI CAST BY 88
LOCATION CMU RET.. WALL F TO TOW
CONCRETE SUPPLIER FALOMAR TRANSIT. MIX
MIX NO. 386201 TYPE OF CEMENT
TICKET NO. 847225 MIXING TIME 60 MIN
WATER ADDED AT SITE 2: GALLONS
AUTHORIZED BY' USER
SLUMP 8 0 IN
REMARKS
ON 98..Auci..18 DATE RECEIVED 98. Aug. 19
AIR
UNIT WEIGHT PCF
CONCRETE TEMP 68 °F
AMBIENT TEMP ' 80 0 F
ADMIXTURES
DISTRIBUTION (4)
CAC ASSOCIATES
PRIME STRUCTURAL EN6INEER
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
fl 0
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK ff4NSPECTOR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANSJN) j APPROVED SHOP DRAWING (Y) (N)
ao*ws )
FOR WEEK ENDING -9-9Y1ll29 PROJECT. NO.
-0/4
REPORT NQ~a PG / OFf
COCTOR
1Li PLAN FILE PER NO. S9 ?
SUB BJCTOR
e' TiLii 12r dep. ADDRESS OF PROJECT INSPECTION ADDRES.—.,
/)h4ft
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MAMJALIMTG SOIL MANUAL (C . )(. f REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING M1SD RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S; IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPlT/ MANPOWER USED:q
1xziCL'i-r1 1 /)(D44-) Q2O c9 Pø tMh3 e -
c!e121 / AREA, GRID LINES, PIECES OBSERVED:
T7 OA) IAiC ()e *'r—ocsi-- Ljc I, C
( I
S r01 k/-AG/ag jI Y—S -1.4r cp rl4 x-
MARKS, !NcLUOINGçTINOS
c Y,
i1 c -re çr ( crb -i- tA)2X,eI
REWORK AS PERCENT OF ALL WORK TOD QQ PERCENT PROJECT CO MPLETION:
WEATHER:
TEMPERATURE ao 0
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME. 7(219
I DO CERTIFY THAT I
ME/ OR THE APPR
z'
Print Name
OBSERVED ALL OF THE
FICATIONS AND APPLIC
AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
UILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Date of Report ,,,4go Certification Number
_C7SC.
CIty ertlfIcation Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
Testing & Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (7601735-8979
TYPE OF WORK 04NSPECTOR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANSjN) )j APPROVED SHOP DRAWING (Y) (N)
AR)IECT FOR WEEK END - '1 -?9-9Y PROJECT. NO. I/2 —o141 —,&ø&11-c
REPORT NO PG OF
COCTOR
(.jLLJAC
PLAN FILE I PERMIT NO. I9315_Ct'
CT NAME NP
INSPECTION ADDREAS UDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALIMTG SOIL MANUAL ç REVIEW PREVIOUS REPO AND LJ
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MT ND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S; IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
P1 - E70 1z i3I/ F c1'J2c
T/MANPO RUSED:1 CONTRACTORSEOUIP r -
te2i d-) c::se
AREA, GRID LINES, PIECES OBSERVED:
-. ge~T?ki% OPA)MiC keu)
_JJ7
L*V-oii-- ?yti L jc
4:20 2
I
OR RFIS USED
rr°TE
DETAIL P Arote >x
EMARKS, INctUDINOgfflNGS:
UEwrL 4 Q 4 2i~ c'cr ttc
r1 AY, -t—
;-> re- &A. -cr
REWORK AS PERCENT OF ALL WORK TODAY:( ) PERCENT PROJECT COMPLETlON:
WEAThER ,S 4''t.' SAMPLES TAKEN:
TEMPERATURE: C, TESTS REOUIRED:
____ VERIFVLC?GfC97(2
AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
UILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
2 I23119g S
Date of Report X1fO Certification Number
_p7s:
City)er1ificatIon Number
Rev: 7/97
SITE TIME
LUNCH PERIOD:
I DO CERTIFY THAT I
ANDJOR THE APPR
ignature 77
Print Name
SITE TIME FINISH:
TRAVEL TIME- A
OBSERVED ALL OF THE
FICATIONS AND APPLIC EC?1ON
—'.----------
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
" Testing & Geotechnical, Inc
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK NINSPECTOR - 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N) SPECS N)
APPROVED PLANS (N) - APPROVED SHOP DRAWING (Y) (N)
ARCI4IIECT FOR WEEK ENDING PROJECT. NO.
1 9 __________
REPORT NO. PG
/
OF
COCTOR PLAN FILE NO. I PERMIT NO
Icg 9 73cco SUB F91ACTOR ME
INSPECTION ADORES
ks k)''
ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTG SOIL MANUAL Pt-i LV REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
ç7 icc cc cL
CONTRACTORS EQUIPMENT! MANPOWER USED:
7p -SA-,,f iJ - oss r 'I 1'&-u .2 6-0 cq
J &4 7744J/(oj 7-I'14ate4 t147 777 7ST) 779 S.z.. .5' AREA. GRID LINES. PIECES OBSERVED:
F-V7 Q€QPA L4? 1J s) p.-S()
.1.
DETAIL, OR RFIS USEEi
A7'o,t> ft*4
REMARKS. INCLUDING MEEflNGS:
ç
5J,1- t L nc 1w- cLests4 tiQ1 I
cQvçL€k +J+ A.)- tte
4e i isr ict4 )ç 4 K S OSG 7ek. etiq A4 -rC> ___ 4 )I QeEC REWORK AS PERCENT cJFALL WORK TODAY: PERCENT PROJECT COMPLETI
WEATHER: _ SAMPLES TAKEN:
TEMPERATURE: TESTS REQUIRED:
SITE TIME STARTJt7 OO 44-' SITE TIME FINISH: /1
LUNCH PERIOD: _______________________ TRAVEL TIME A.1/Z_. VER
110 CERTIFY ILLY OBSERVED ALL OF TJ .ISTED ABOVE AND THAT THIS WORK COMP ITH THE SOIL ION RECOMMENDATIONS,
AND THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature
g-, 27 /1995 9(/4x 71 Date of Report ,,fl,..)S..Jr.BQ-eBnrfication Number
Name City / County Certification Number
Rev: 7/97
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
fl
_____
MONTANA
66, Testing '& Geotechnical, Inc.
FIELD REPORT
Branch Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: 17601735-8979
TYPE OF WORK 1NSPECTOR 0 TECHNICAN
11~e~= k L ieL.pt
AVAILABLE: SOIL RE FIT (Y) (N)
APPROVED PLANS N) <
SPECS (Y) (N) -
APPROVED SHOP DRAWING (Y) (N)
AR ITECT . vt--'l FOR WEEK ENDING
-ri -
PROJECT. f'-
ENG1NR I I REPORT NO. PG / OF
______________
j PLAN FILE NO~ IPO 7_
SUB-CONTRACTOR P CT AME
INSPECTION ADD" - - . u ',&
ADDRESS OF PROJECT /
REPi19G REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTG SOIL MANUAL ' REVIEW PREVIOUS REPORTS AND USTS
if THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENC'; YOURS OR A PREVIOUS INSPECTOR'S; IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
4Si--i A-3C 6 7O
CONTRACTORS EOUIPMENT/ MANPOWER USED: /
/ C e C) e L
AREA. GRID LINES PIECES OBSERVED Sc_7
1
Pi7ci21 /ec ,rtz.. '
ST NOTES, DETAIL. OR RFIS USED:
Df io/19/QV'
REMARKS, INCLUDING MEETINGS:
I 4'l i2'
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: U(.*l'"
TEMPERATURE: 75
-
SAMPLES TAKEN:
TESTS :EOuIREo:
LUNCH PERIOD
SITE TIME START: ~X~&IFINISH:
TRAVEL TIME 7 VERIFIED BY i -L.-2L.' 97/z
'I DO CERTIFY THAT I HA"PERSON VED ALL OF THE W AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
PLA SPECIF IONS AND APPLICA 1O OF T CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ,
JJILDING .
/1998
Signature . . II Date of Report
,
.4C0 Certification Number
C<17L1 (r ' z Print Name
-. County Certification Number
Corporate Office Branch Office MONTANA 904 Ranchero 2992 E. La Palma Ave., Suite A s Drive, Suite I
Anaheim, California 92806 Testing & Geotechnical, Inc. San Marcos, California 92069
Tel: (714) 632-2999 Tel: (760) 735-5060
Fax: (714) 632-2974 FIELD REPORT Fax: (7601735-8979
TYPE OF WORK JNSPECTOR 0 TECHNICAN AVAILABLE: SOIL REPORT (Y) (N)
APPROVED PLANS (N) Qf]
SPECS (' (N)
APPROVED SHOP DRAWING (Y) (N)
AR.1ITECTI ._X
SM -r4 e ,4ii(4.
FOR WEEK ENDING
. -/7 -98
PROJECT. NO.
WflR"
1-v( Thi-t. Ei
REPORT NO. PG OF
CCfrCTOR
C'ILLII.-I~C
PLAN FILE NO. PERMILNO. -_
L5 9;73s_s z
SUB-CONTRACTOR PBOaCT 4 AME CA~g49 (i
INSPEC7ON7S
.
- ik A% ADDRESS OF PROJ
t9/4 os-wrl Jç 5/p
R9'TING REQUIREMENTS: ICHO FIELD INSPECTION MANUAIJMTG SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS
IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORT'S.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
AcThd 4'-
CONTRACTORS EQUIPMENT/ MANPOWER USED: / '3937 ALT Ce / 1iadO4-tJ
-
AREA, GRID LINES, PIECES OBSERVED:
o4 4S ,2
4 ie-í. /0 4 / V
STRU 'rURAL NS. DETAIL, OR RFIS USED:
ia/i C
REMARKS, INCLUDING MEETINGS:
P
REWORK AS PERCENT CIE ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: C.- L. e-'- SAMPLES TAKEN:
TEMPERATURE: ' 7-S TESTS REQUIRED: /
SITE TIME START:/1 f '9L?1r'i.-) SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED ZL
— nature
27 -Ji. L
Print Name
OBSERVED ALL
IFICATIONS AND
ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
E SECTION-OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/ O / /199 /tI2z4 -
Certification Number Date of Report 14t4ic -'
County Certification Number
Rev' 7/g7
Corporate Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
MONTANA
- Testing & Geotechnicai, Inc.
FIELD REPORT
Office
904 Rancheros Drive, Suite I
San Marcos, California 92069
Tel: (760) 735-5060
Fax: (760) 735-8979
TYPE OF WORK NSPECTOR 0 TECHNICAN
Ap_J7i/tiV,i
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT ;5LD4 10010600,/L14 FOR WEEK ENDING PROJECT.
I. /Z -012/ - 0 2- ENGINIERp, J4E TQ..Dc-T1)4-b E)( REPORT NO. PG
/
OF
CONTRACTOR - PLAN FILE NO. 'PERMIT
SUB-CONTRACTOR (- 'E1'j&i
PRWEC 6AE7 INSPECTION ADDRESS ADDRESS OF PROJECT
PA 011A 9 p4'J4q ,C4eL&'3A-n
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALJMTG SOIL tANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THREE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY YOURS OR A PREVIOUS INSPECFOR'S; IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDF RESEARCH REPORT NO. OR MATERIAL TEST REP TS):
/ 2X( LA
CONTRACTORS EOulPMENTI MANPOWER USED/ ../1e i5'bs HM.) f7o I9 4x .I//- WflEJ4
ss-1--t '1 JL7/%J/-77 447I/7fc?gE)(e 3-31_2500
AREA, GRID LINES. PIECES OBSERVED , f//. ,
1 p yfE :OO £F
(,OPJ ) PLM -3A -ck UL-J7 .I7 To 75 677E,054- C0LVI74
-ro 3 I) PPo - L1OM o r2 i I1-[i2 oV &)i77 STRUCTURAL NOTES DETAIL, OR RFIS USED:
lon i Pi/Lip /u1c/i L-
All )O( C0/9L/7-I:71
REMARKS, INCLUDING MEEflNGS:
/,c1
A 7ojE //V ,4
4Mi s -iu4 I &9g
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: . SAMPLES TAKEN:
TEMPERATURE: TESTS REQUIRED:
PAU-
SITE*TIME STA -. SITE TIME FINISH:
LUNCH PERIOD -
-
TRAVEL TIME: __________________ VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND/ 3fHE AP~PRVED PLAf43. SPECIFICATIONS ANRAPPLICABLE SECTION OF THE BUILOING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCYREPORT
7At1AAUu. 1 /199 / Signature Date of Report ICBO Certification Number
A4A.i2iJ3 AEk)//O- • a:'3Q
Print Name City I County Certification Number
P-- 7107
SEE MORE
SPECIAL INSPECTIONS
IN
CB972828