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Home My WebLink About1923 CALLE BARCELONA; ; CB030142; Permit013 &g4 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 02-1 3-2003 Retaining Wall Permit Permit No: CB030142 Job Address: Permit Type: RETAIN Status: ISSUED Parcel No: Lot #: 0 Applied: 0111 612003 Valuation: $47,250.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 02/13/2003 1923 CALLE BARCELONA CBAD Project Title: PAVILLION/FORUM-3000 SF 2 RETAIN WALLS-PER C-3 DETAILS Applicant: CAROLYN SHOEMAKER 949 599-0870 Owner: Building Permit Add'l Building Permit Fee Plan Check Addl Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $343.07 $0.00 $223.00 $0.00 $4.73 $0.00 $0.00 $0.00 $0.00 $570.80 Total Fees: $570.80 Total Payments To Date: $223.00 Balance Due: $347.80 referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit issuance, also requires the applicant for such permit to file a signed statement that ha is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalt of not more than fjve hundred dollars 165001). \"is CRU-6 FhCk1mq C~acsAab b 9200% 760- 477-0s7D H YGe ',&ss . SQEmRur, Ps blT€ UKLFoesrr <A 92~30 q49-599-~87D Address City State/Ziyz, 1 T8QY \(E State License t License Class City Business License t Designer Name City State/Zip Telephone Address bbof Nam; ,w9 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ACnRn Expiration Date 01 /*I /03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secum workers' compenoatkn coverage b unlawful. and shall subject en employar to crimlnal penalties and civil fines up to one hundred thousand dollars 16100,000~. In addition to the cost of compensation. dsmagas as provided for in Section 3706 of the Labor code, Interest and ettomey'a fees. . Policy NO. \htl k 9 I 8 I723 owing reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number /type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE SBEWHOK~WHWt~WE~'6rn Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO 0 YES LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit). of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permd is not commenced within 180 days from the date of such permit or if the building or work a at any tim after the work is APPLICA T'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: C6030142 Type: RETAIN Date Inspection Item 04/13/2004 69 Final Masonry 08/04/2003 65 Retaining Walls 08/04/2003 66 Grout 07/21/2003 61 Footing 06/17/2003 65 Retaining Walls 04/04/2003 65 Retaining Walls 04/04/2003 66 Grout 04/02/2003 62 SteelJBond Beam 04/02/2003 65 Retaining Walls 03/14/2003 61 Footing 03/13/2003 11 Ftg/Foundation/Piers 03/12/2003 1 1 Ftg/Foundation/Piers Inspector PS PS PS PS PS PY PY PS PS PS PS PY Act AP wc AP AP PA wc PA PA PA AP co CA PAVILLION/FORUM-3000 SF 2 RETAIN WALLS-PER C-3 DETAILS Comments FINAL WEST WALL WEST WALL FROM END TO 12” SECTION C 121N BLOCK SECTION ONLY EAST WALL NO SETBACK LWER Tuesday, April 13, 2004 Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 04/02/2003 Permit# CB030142 Inspector Assignment: PS Title: PAVILLION/FORUM-3000 SF Description: 2 RETAIN WALLS-PER C-3 DETAILS Type: RETAIN Sub Type: Job Address: 1923 CALLE BARCELONA Suite: Lot 0 Location: APPLICANT CAROLYN SHOEMAKER Owner: Remarks: Total Time: Phone: Inspector: B Requested By: BONNIE Entered By: CHRISTINE 61rc s&!?ldb &&tu CD Description 62 SteeUBond Beam 65 Retaining Walls InsDection History Date Description Act lnsp Comments 03/14/2003 61 Footing AP PS EASTWALL 03/13/2003 11 Ftg/Foundation/Piers CO PS NO SETBACK LElTER 03/12/2003 1 1 Ftg/Foundation/Piers CA PY Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOILS SHOPS ARCHITECT ENGINNER PLAN FILE NO. CONTRACTOR PERMIT NO. SUB-CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REINFORCED CONCRETE APPROVED ( y ) ( N (Y) (Y) (Y) (Y) FOR WEEK ENDING 311 5/03 PROJECT NO. 3 1 15-A02 NADEL City of San Diego Regional vcc CB030 132 Cruz Masonry The FORUM at LA COSTA 1925 CALLE BARCELONA CARLSBAD 1 RETAINING WALL FIELD Branch: 73 13 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT THERE rs NON-CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., 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 REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): A-615 60 grade reinforcing steel, CONTRACTOR EQUIPTMENT /MAN POWER USED: AREA, GRID LINES, PIECES OBSERVED: Reinforcing steel inspection for vertical & horizontal reinforcement for east retaining masonry walls for 8'(max), 5'4" (max), and 3'8 (max), and verified clean outs to be clean and reinforcement to be secured in place per San Diego Regional Standards C-3, C-7 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Verified reinforcing steel for type, size, grade, location, spacing, & clearance for east property line retaining wall footings per City of San Diego Regional Standard drawing type 3, verified reinforcing steel to be secured and in place, also clean outs clean and ready for grout placement - WEATHER: Cloudy SAMPLES TAKEN: None TEMPERATURE: 60's TEST REQUIRED: SITE TIME START: 9:oo AM SITE TIME FINISH: 9:30 AM LUNCH PREIOD: 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 SOILS INVESTIGATION RECOMMENDATIWS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: WED: 4 I 02 I2003 ICBO Certification Number: 1037223-84,88 J PRINT NAME: DONALD SMITH Date of Report Citv I county Certification number: San Diego # 699 - City of Carlsbad approved. -The approval is based on plans, information and/or specifications provided in your submittal; therefore, any changes to these items after this date, BUILDING PLANCHECK CHECKLIST RETAINING WALL marked wiwnecessaj corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans BUILDING PLANCHECK NUMBER: CB- 03 BUILDING ADDRESS: PROJECT DESCRIPTION: Retaining Wall ASSESSOR’S PARCEL NUMBER: ZJs; 6/1-44 ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been I Please of deficiencies ATTACHMENTS Right-of-way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN M. FARMER City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad, CA 92008 PHONE: (760) 602-2741 H:\WWKLSlWm Wall 8uIdk-q Fiamhe&Ckbl Form KF.doc Rev. BRBls8 1635 Faraday Avenue Carlsbad, CA 92008-7314 - (760) 602-2720 FAX (760) 602-8562 @ BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Easements B. Existing & Proposed Structures Retaining Wall - C. Property Lines tl cl 0 2. Show on site plan: (dimensioned from street) 6) (location and height) &&lI.&Adu& w A. Drainage Patterns B. Existing 81 Proposed Slopes C. Existing Topography tl D D 3. Include on title sheet: A. Site Address B. Assessor’s Parcel Number C. Legal Description D. Grading Quantities Cut Fill ImportlExport (Grading Permit and Haul Route Permit may be required) a CI 0 4. Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: Date: MISCELLANEOUS PERMITS CI CI 0 5. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-way and/or private work adjacent to the public Right-of-way. A separate Right-of-way issued by the Engineering Department is required for the following: Please obtain an application for Right-of-way permit from the Engineering Department. Page 1 PLANNINC/ENGINEERING APPROVALS PERMIT NUMBER CB 03 0142 DATE o\ f 161 8-5 RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (< $~0,000~00) CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER DATE I-Z7-63 ENGINEER DATE Facsimile Transmission Architects Inc Date: August 8,2003 RssjaftHng: nte Forum at Cadsbad Nadel Project Nunaber: 01 488 TO: cyi of carlsbad AMON. Pat Kelly, Chkf Buitcflng Irmpctor NUMBER OF PAGES: 3 - WE ARE SENDING YOU: Letters demonstrating the charac€ds%cs of the gtu-iam beams at the trash sndoswe. THESE ARE: -- 08flO8/5003 FRI 15:50 FAX 858 552 8499 NADEL ARCHITECTS 08/08/2003 10:04 FAX 618 444 4314 P.A. WEITACRE e&a~128R3 G'& 21 7147?2946B LpHFDREsr- j. L. 83/14/2063 14: 65 3343654857 GENTRY STEEL 4 I PAGE 15 OETEK, INC: 6805 COOLRIDGE DR.*TEMPLE HILLS, MARYLAND 20748 NONOESTRUCTIVE TESTING EQUIPMENT ' TEL. (301) 449-7300 FAX: (SO?) 449-701 1 ' CERTIFICATE OF CALIBRATION CALIBRATION FOR P.O.# 01 3-0499 CERTIFICATE # R-916287 DATE 1 ot 1 0102 MANUFACTURER ' Krautkramet MODEL USNSOL SERIAL # 00F7N7 a# The instrument identified above Wirs calibrated In compliance wjtil NCSUANSI 2540- 1, MIL-ST045662A, and contractual requirements. Specifications were validated in accordance with the procedure indicated below. Unless othemlse stated, the measurement uncertainty was no greater than twenty-five percent (25%) of the measured parameter's tolerance. Thetest equipmentand bbomt&y refe~nces used to calibrate this instrument are traceable to the National Institute of Standards and Technology (NIST). The information shown on this rnrtificate applies only to the instrument identified above and may not be reproduced, except in full, without prior written consent from DETEK, Inc. ,. CALIBRATION PROCEDURE: QCPl.165 REV. G .. CONDIT~ON UPON RECEIPT; In Tolerance TEMPERATURE 79 deg F ' HlJMlOlTY 59% DATE CERTIFIED 1011 0102 RECERTIFICATION DUE 1 Oil 0103 DENNIS W. FlGG SERVICE MANAGER QUALllY PRODUCTS FOR QUALITY ASSURANCE PAGE 16 83/14/2883 14: 85 3343654857 GENTRY STEEL CALIBBATXON COVER FORM All test equipment and laboratory references used for calibralion have beea celttibed Class 1 to the N.L.S.T.: or if not Clso 1, have been verified against test equipment or laboratory references clwifid as Class 1 immediately prior to calibration of unit under test. All Claw 1 test equipment and laboratory references have been calibrated to a minimum uf maaufacturers' standards. The followbg b a Ibt of test equipment and laboratory references that may bave been ubed to calibrate the Mit under test. . . .. Date of .. .. I' .. -. . .( .).;.. . . : I' , . ,. ... , .. .. I' .!. w Serial Number Dew5ntion Wbratiog *ms3052 . BO12802 "2236 Bo10283 *3325A/OO1/002 1748A14784 166 N6630258 WHOA . 4275035 3300 . I 93-02911 , *837 ' ' 028919 ' , 85RF , N/A . e. .I, I. ', WP-707 ,. 3-3 i .. "t ' 'si;35(@ I!' 1 *1 T&Bl- 14stbp ' ' '* * 18 !%' 20 step 437-3509 TestBloek IIWType2 .90-5262- Refkrtnce Block 1" Test Block 9-20 o83.050.538 0036st 083-0585874 5847667s 113-!544400 0077MW 113-527-660 J01156 113-144301 OOolB[B 113-144.301 OoOuS 113-244-000 805215 * SO0 MHz Digital Phosphor '0Scrllosco;pe 100 MEz osciltoarcope, Counter Tuner and Multimeter Synthesizerniunction Generator Wmetek SOMBzPabe/ Function Generator Flub Digital Multimeter B&ICP&e Generator VIZ DU~I Piwer supp~y RF Probe . hy Step Aknuator 01-ll-02 os-13-02 * 0142-02 ** ' 03-14-02 ** ** ': ,'I . , &'lw ', ** W20-96 06-24-96 Ia1.H ' ". ll-l%9!l 06-24-96 07-12-95 07-12-95 'w-24-96 * The above test equipment aed loboratery references me certified C%!43 1, N,LS.T. traceable .. d their calibration due date in one year trOm Date of calibration. .. ** The above test equipment or laboratory references are verified against Class 1 test equipment or laboratory referentxs immediately prior to calibration of unit upder tegt. . , CERTfFICATlON DATE: Mh?/O~ EXPIRATlON DATE: - W7/04.. L0 39Ud 7331s hUN39 43 1 ATTACHMENT 9.7 CAROLINA STEEL FABRICATION, INC. SOP '1.1 ' FORM D6S CF:RTlFICATION This is to cerrifv that J. J. Bowdep employed by Carolina Steel Fabrication, Inc, since- has met the requirements for certification as an -- in the mmsom l&fmmm TEST, GENERAL 80 SPECIFIC -84 PMCTICAL 90 COMPOSITE GRADE: 85 4 EXAM COMPLETION DATE: 1/20/97 Years of Engineering or Science study completed: High School attended; C Location:- Degree: Last Grade CompletedL 12 Graduation:-= GED: Date:JUNF 198? A total of -120- hours training, 8s required in SOP 1 .I have been completed by this employee. This training consisted of 90- hours of cl~ssroom, and -30- hours of lab. ~ ~~ - he employee has -1 6 months of work time experience, as required in SOP 1.1, The experience was gained p-Om u to OCT~19 97 at; CSF ,- M- I W I I I AF'PENDlx G 43 80 39Vd 03/14/2003 14: 05 3343654857 GENTRY STEEL PAGE 69 AlTAC"T 9.9 SOP 1.1 FORMD84 CAROLINA STEEL CORPORATION VISUAL ACUITY - COLOR VISION -ATION RECORD NAME: DJ.BorraCn DATE: Wl EXAMNATION DATE: EXAMINATIONS PERFORMED BY A MEDSCAL DOCTOR - -- 1. NEAR VISION: ABRI'rY TO READ JAEGER NUMBER 2 (1-2) OR EQUIVALENT Sm TYPE AT A DISTANCE OF NOT LESS THAN TWELVE (12) INCHES, WlH AT LEAST E-k 2. COLOR PERCJPTION: NORMAL RED/GREEN AND BLUWEUOW DEFERENTATION. tCERlWYTHATTHEABOVENAA5D~~UAL WASAD~STEREDANEXAMUUAllONTOvERIFYTHE CAPABILITlES TO hdET # 1 AND32 REQUIREMENTS ABOVE AND, THAT THE INDIVIDUAL MEETS "FE FOLLOWING REQVIREMENS WITH OR WITHOUT EYE CORRECTION. 1. 2. 1&2. MEDrcALExAhAMER DATE OF EUMDJATION APPmmx I 45 I , .. GENTRY STEEL A.7.3 QUALIFICATZON TEST RECORD =wv---- c.c\ .-----. ,.-, -- s~l)nw-- L !3 -"---e-- -6Jr.n ~ - 3- -863 QUALIFIED TO WPS NO. : AWS D1.1 VRE-QUAL PROCESS (IS) : FCAW mNuAxJ ( 1 S~-AU~IC (X) mST BASE MiTERfAL SPECIFICATION: 9-36 TO A-36 M&iTERULL NUMBER: 1 GROW 1 TO 1 GROUP 1 FUEL GAa (OFW): NA AOQS FILLER =TAL CLASSIFICATION: J71T-1 045 F NO.: 10 I3AcKING : YES (X) NO ( ) DOUBLE ( } OR SSNGLE SIDE (IC) CURRENT: AC ( ) DC (X) SHORT-CIRCUITING ARC -?V YES( ) NO(X) CoNSUbfABLE INSERT: YES ( ) NO (XI ROOT SHIELDXNQ: YES ( ) NO (X) TEslp WE- T ?OSXTXQS TESTED WELMZNT TfiSewJE SS tT1 GROOVE : (Am 82.1) FEBRUARY 2003 DATE TESTED SIGNED BY QUA;TIFIER GENTRY STEEL FORM A-7.3 PERE'O-CE QUALIFICATZON TEST RECORD -. W&LyJsR [XI -- -- 1)Y %?%- FF%?-m =*-*ill -.--- e.-- -c.y lyl .Ly NU. SBAN 417-19-4595 PRoCESS(E6) : FCAW -0 m=AmTIC (X) TEST EASE MATERIAL SPECIFICATION: A-36 10 A- 3 6 MATERIAL NtlMBER: 1 GROUP 1 110 1 GROUP 1 FUEL GAS (OFW): NA - APM FILLER =TAL CLAS9ITI~ION: ,E31T-l .045 F NO.: - 10 QWIFIED TO OQPS NO. : AWS D1.l PRE -QUAL BACKING : YES (X) NO ( ) DOUBLE ( ) OR SSNGSE SIDE (X) CURRENT : AC ( ) DC (X) SflORT-CIRCUITING ARC QGiW YES ( No(x) CONS-LE INSERT: l?ES ( ) NO (X) ROOT SBIELDING: YES ( ) NO [X) WSITIQN TES'lTa GENTRY STEEL FORM A.7.3 *-a*- e!%mbcI-=- ------ 75 +m- cz PROCESS (ES) : FCAW MANUAL0 SEMI -AUTOMAICfC (XI TEST BASE MATERIAL SPECIFIC?iTION: A-3 6 TO 1 TO 1 GROW? 1 MATERIAL NUMIBER: 1 GROUP FUEL GAS (om : - ~--NA AWS FILLER METAL CLASSIFICATZON: E713t21 .045 F NO.: 10 PERFORMANCE QUALIFICATION TEST RECORD ..-l-LI %-b, &"am USU-XlO?l. M! I!YX€ :w. -- ssAK- QQALIFZED TO WPS NO.: AWS P1.1 pR6. -QU?iL BACKING : YES (X) NO ( ) MWBLE ( ) OR SINGLE SIDE (X) CURRENT : AC ( ) DC (X) SHORT-CIRCUITING ARC mW YES( ) NO(x) CONSUMABLE INSERT: YES ( ) NO (X) ROOT SHIELDSNG: YES ( ) NO (x) msl! WEmm GROOVE: FEBRUARY 2003 DATE 'SESTED 7 *. GENTRY STEEL FORM A.7.3 PERFORMMm QUALIFICATION TEST RECORD i_ -- ---- I---- ?.CS??ML: a!rlm3 T.*?--Tv &W A.Y. ; 5 wr;LDa;x (X) SSAW 421-19-8464 QWIFIED TO WPS NO. : Aws D1.l IeRE -QUI!& PROCESS(E8) : FCAW -0 SEMZ-AUTOMATIC (%) TEST BASE MATERUU IPECIFICAIPION: A-3.6 TO At36 MATERIAL NUBYBER: 1 GROUP 1 TO 1 GROUP 1 FUEL GAS (om: NA AWS FILLER M?.PAL CLaSSIFICATION: E71T-1 ,045 F HO.: -.I 0 BACKING : YES (X) NO ( ) DOUBLE ( ) OR SINGLE SIDE (X) CURREXT : AC ( ) DC (X) SXORT-CIRCUITING ARC -W YES( ) NO(X) CONSWLE INSERT: YlES ( ) NO (X) ROOT SHIELDING: YES ( ) NO (XI TEST WELD- WSXZIION !CESTED WELDMBMT TWLCIWESS L T) moovE: mBRUARY 2003 DATE TESTED GENTRY STEEL FORM A. 7.3 e%* .-TxML" "F" SSAN 423-84-6160 QUALIFIED TO WPS NO. : _AFts D1.1 PRE-QWG FROCESS (ES) : FCAW -0 A 35 TO TEST BASE MATERIAL SPECIFICATZON: - bQmERuIzNumER: 1 GROUP 1 TO ~ 1 GROUP 1 FUEL GAS (OFW): HA AWS FILIZR mTAL CLASSIFICATION: E71T-1 I045 F NO.: 10 BACKING : ?lES (X) NO ( 1 DOUBLE ( ) OR SINGLE SIDE (XI CURRENT : AC ( ) DC (%) SHORT-CIRCUITING ARC MW YES( NO(%) CONSUMABLE INSERT: YES ( ) NO (XI ROOT SBIELDINQ: YES ( NO (XI PERmRMANCE QUALIFICATION mST RECORD __ 5- cos' 'I _1 &U AWW- ltA WiLvarC (AI - - _---- _-- SEMI-AUTOBW2IC (X) - POSITION TESTED PROCESSES GROOVE: THI-88 *- BOWDEN WELDING AND TESTING Disconthuitv Distance .L1 e 9 n I I I -~ I I E: IWitness (if required): IDate: 3Y5-h~ + *- BOWDEN WELDINGAND TESTING .. .. . .. . . . . , I . . , . , . ._ . . .. bSONIC E%AlUINATIO# REPORT otinufty Dfrtance - P Piece Mark + I C 0 I rEST DATE: IWitness (if required): c -- BOWDEN WELDING AND TESTING Discontinuitv Dietance X X ! I R Piece Mark PQ C C I I - 8 C EST DATE: (Witness (if required): (Date: 3&3 - I- BOWDEN WELDINGAND TESTING I Decibels I mtinoitg X R Piece Mark D h 'ESnDATE: AD IWitness (if required): IDate: 3/r,& 3 I - - BO WDEN WELDING AND TESTING ULTRASONIC EXAMINATION REPORT ... , rtinuity X Piece Mark C duaui- B c I [Witness [if required): IDate: a) rEST DATE: % ,evel: I 8- -- BOWDEN WELDING ANZ) TESTING ~~ ,TI \SONIC EXAM qATfON REPORT X Piece Mark D Diacontiauitv # -ATE: 1 Witness (if required): - [Date: 3- 4 - 63 - -- BOWDEN WELDING AND TESTING Dbcontinuitv X Y L? I Hece Mark U C D I . BOWDEN WELDING AND TESTING Plece Mark D RSY A . Disc - mtiauity ill- X rEST DATE: (Witness (if required): ? b b 3 4 3 1 .. .$ . 1 .. 3 3 'E . ..