HomeMy WebLinkAbout1960 LA COSTA AVE; 110; CB080647; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-20-2009 Commercial/Industrial Permit Permit No: CB080647
Building Inspection Request Line (760) 602-2725
Job Address: 1960 LA COSTA AV CBAD St: 110
Permit Type: CQMMIND Sub Type: IN OUST
Parcel No: 2161242200 Lot#: 0 Status:
Valuation: $0.00 Construction Type: VN Applied:
Occupancy Group:
Project Title:
Reference#: CB071965
LEUCADIA wAsTEWATER: 3294SF pe,oioooi
WORKSHOP & STORAGE
Plan Approved:
Issued:
Applicant:
LEUCADIA WATER DISTRICT
PUBLIC AGENCY 00000
Building Permit
Add'I Building Permit Fee
Plan Check
Add'! Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Inspect Area:
Plan Check#:
Owner: · ·
LEUCADIA WATER DISTRICT
PUBLIC AGENCY 00000
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
,$0.00
$0.bO
; · $0.00
. _: · ,$6:.oo
•;, '$0:00 ..
$·0:00·-·
$0.00 .. .,,,.
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee.
PFF (3105540)
Pff (4305540)
1.,icen·se Tax (3-104193)
Lic~nse Tax-( 4304193)
Traffic lf'11pact Fee (3105541)
Traffic Impact Fee (4305541)
PLLJM$1NGTOTAL
ELECTRICAL TOTAL
. MECHANl¢AL TOTAL
Master Drainage Fee
Sewer Fee
. $0.0Q, •. ,· :-~~.d~y P~r~ipg Fee
$0.00 -· · · :Mqitlonal Fees
?? HMP'Fee
TOTAL PERMIT FEES
ISSUED
04/11/2008
Entered By:
05/22/2008
05/22/2008
MC
PC080008
Total Fees: $0.00 Total Payments To Date: .$0.00 Balance Due:
Inspector: ~ ~
FINAL APPROVAL
Date: LI, f,,oj 0 ~ Clearance: _____ _
JMA
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, 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 (l6020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030, Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or se1Vice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to Which the statute of limitations has oreviouslv otherwise exoired.
·""'1_~. " ....
Cltv ol Carlsbad ...
; Flnal Bulldlnu Inspection
Dept: Building Engineering Planning CMWD St Lite "~
Plan Check #:
Permit#:
Project Name:
Address:
PC080008
CB080647
LEUCADIA WASTEWATER: 3294SF
WORKSHOP & STORAGE
1960 LA COSTA AV #110
_Contact Person: CHUCK Phone: 6195717006
Water Dist: CA· Sewer Dist: LC
Date: 04/09/2009
Permit Type: COMMIND
Sub Type: INDUST
Lot: 0
.............. -............................................................................................................................................ .
Inspected t-/4 Date ///2 k1-Inspected: Approved·: ~ DisapJ:)roved: __ By._ ~ I I Inspected Date·.
By: Inspected: Approved: Disapproved: __
Inspected Date
Bf Inspected: Approved: Disapproved: __ ............................................................................................................................................................
Comments: _____________ ------------------
Inspection List
Permit#: CB080~4t Type: COMMIND INDUST L.EUCADIA WASTEWATER: 3294SF
WORKSHOP & STORAGE
J?~te __ -·-Inspection Item ______ . lnsyector _ Act __ C_o_m_m_e_nt_s__ __ __ _ _ ___ _
11/19/2009 89 Final Combo
11/19/2009 89 Final Combo
MC Fl
11/05/2009 92 Compliance Investigation MC
04/09/2009 89 Final Combo Mc
04/01/2009 39 Final Electrical MC
03/30/2009 39 Final Electrical MC
01/30/2009 17 Interior Lath/Drywall MC
01/28/2009 17 Interior Lath/Drywall MC
01/22/2009 16 Insulation RB
01/20/2009 14 Frame/Steel/Bolting/Weldin MC
01/20/2009 34 Rough Electric MC
01/20/2009 44 Rough/Ducts/Dampers MC
01/16/2009 18 Exterior Lath/Drywall MC
01/13/2009 23 Gas/Test/Repairs MC
12/11/2008 18 Exterior Lath/Drywall MC
12/11/2008 63 Walls MC
12/08/2008 21 Underground/Under Floor MC
12/08/2008 22 Sewer/Water Service MC
12/08/2008 24 Rough/Topout MC
12/0;2/2008 13 Shear Panels/HD's M~
10/23/2008 13 Shear Panels/HD's MC
09/22/2008 14 Frame/Steel/Bolting/Weldin MC
09/t1/2008 61
07/07/2008 61
Footing
Footing
07/07/2008 62 Steel/Bond Beam
06/30/2008 61:? Retaining Walls
06/27/2008 65 Retaining Walls
06/19/2008 11 Ftg/Foundation/Piers
MC
MC
MC
MC
JM
MC
06/19/2008 12 Steel/Bond Beam MC
06/19/2008 21 Underground/Under Floor MC
05/29/2008 21 Underground/Under Floor MC
05/27/2008 21 Underground/Under Floor MC
05/27/2008 31 Underground/Conduit-Wirin MC
Friday, November 20, 2009
RI
PA
PA
co
co
AP
PA
AP
AP
AP
PA
AP
AP
NR
AP
WC
WC
AP
AP
PA
PA
AP
WC
AP
PA
NR
AP
AP
AP
AP
NR
NR
ONGOING SITE WORK
OK TO OCCUPY, MINOR PICK UP
COMPLETE TRIM OUT, PANEL
LABELING, DISCONNECTS
COMPLETE ELECT.
EXCEPT HARD LID AT RM 2-04 RE-CK
FIRE CAULK
fire caulking at wall/roof at line C.5 and 1-2
only
EXCEPT HARD LID AT RESTROOM
EXCEPT HARD LID AT RESTROOM
DUCTS ONLY
DENS GLAS AT REAR OF BLDG. ONLY
COMPLETE ALL WORK
WATER PROOFING & WALL DRAIN
WASTE & VENT
RE-CK MISSING ABS AT FRAME
clear story/roof deck shear only
FIRE PROOFING OF 6 COLUMNS AT
REAR OF STRUCTURE
masonry wall fig. And steel per 45-401/14
2ND LIFT@ LINE 1 & 4-D
1ST LIFT@ LINE 1 & A-D & FINAL LIFT
@ LINE 2 & A-0
ROLL TO MONDAY
TRAP PRIMER OK
WASTE ONLY@ RM 2-04 & HI-LO
FOUNTAIN @2-05 ADDENDUM FOR
FLOOR DRAIN & TRA-PRIMEK
COMP!-ETE ALL UNDERGROUND
COMPLETE ALL UNDERGROUND
Page 1 of 1
City of Carlsbad B-ldg Inspection Re.quest
For: 11/1-9/2009
Permit# CB08C>647 Inspector Assignment: MC ---
Title: LEUCADIA WASTE;WATER: 3294$F
De$cription: WORKSHOP & STORAGE
Type: COMM IND Sub type: IN DUST
Job Address: 1960 LA COSTA AV
Suite: 110 Lot 0 .
Location:
APPLICANT LEUCADIA WATERDISTRICT
Owner: LEUCADIAWATER DISTRICT
Remarks:
Phone: 6199640113
Inspector: ____ tJl_G __
Total Time:. _____ Requ$sted By: ANDREW
l;ntered By: JANEAN
CD Description Act Comments
19 Final Structural R--~--------
29 Final Plumbing
39 Final. Electric~I
49 Final Mechanical
;1::_·_ ~-
Comments/Notices/Holds
Associated PCRs/CVs Odginal PC# PC080008
PCR0806Q ISSUED LEUCADIA WATER DISTRICT; DEFERRED ELEVATOR FORBl)ILDING I
lns12ection Histor;y
Date Description Act lnsp Comments
11105/2009 92 ·Compliance Investigation PA MC ONGOING S!TE WORK
041091?009 89 Final Combo PA MC OK TO OCCUPY, MINOR PICK UP
04/01/2009 39 Final Electrical co MC COMPLETE T.RIM OUT, PANEL LABELING, DISCONNECTS
03/30/2009 39 Final Electrical co MC COMPLETE ELECT.
01130/20Q9 · 17 Interior Lath/Drywall AP MC EXCEPT HARD LID AT RM 2-04 RE-CK FIRE CAULK
01/28/2009 17 Interior Lath/Drywall PA MC fire caulking at wall/roof. at line C.5 and 1-2 only '
01/22/2009 16 Insulation AP RB
01120/2009 14 Frame/Steel/Bolting/Welding AP MC EXCEPT HARD LID AT RESTROOM
01/20/2009 34 Rough Electric AP MC
01/20/2009 44 Rough/Ducts/Dampers PA MC DUCTS ONLY
01/16/2009 18 Exterior Lath/Drywall AP MC DENS GLAS.AT REAR OF BLDG. ONLY
01/13/2009 23 Gas/Test/Repairs AP MC
12/11/2008 18 Exterior Lath/Drywall NR MC COMPLETI; ALL WORK
I
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.( _I·--·-------·--·----------. ·---···--·--·--· -· -·--...... -·· ..
.3/4"CW .¾ .3/4111--lW DROF
2110 PN~4 I l/2"V RISE
/PRESS • .f TEMP, RELIEF DRAIN
~~~-,A.,..,,.~~~,....,...,,........,~....,.....~~..,,.........,, ............. ~.---..... w,""'S~Z, ~~~,__,,_~..:,...:\',..:,,_\\;,._"--"'-~~~
I
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2"6 PN..t
I 1/2 •v RISE.
,__1-·--Jf2 11o,...i PROF
~--;.--.--e:;.---.
TITLE' PLBG. WORKSHOP PLAN SCALE: 1/4"=1'-0"
ADD FL_OOR ORAIN & TRAP PRIMER PROJECT NO. 04334
'"'~;;,~,;,; •.• ,.,,.,.. REFERENCE SI-EET NO.: 3/P1-300 _DATE: DEC 5, 2007
'-"::P.~Jil'IC: 1-----'--c--=:-:---:-:-;~-,-----~,-,--------,------:-=------1'-c-~-----,
;~r,11_ .. ,._.,..s1\"1t,:;-
s,J'l1,:1,,m,-c.:v1101
F6!t' ;~ 1£1;.l
r.t-l• 111 mu
LEUCADIA WASTEWATER DISTRICT SHEET NO. /
SITE IMPROVEMENT PROJECT p 1 3 !
1960 tA cost A AVENUE, CARLSBAD, CA 92009 • ------------· --------~--------·· -·-----~----·--
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Jaynes Request for Information #244
Leucadia Wastewater DistrictSite Improvement
CY'_60La~Costa.Ave. ----~ • .J
Carlsbad, CA 92009
Project# SG0S-017
Tel: (760) 635-8664
Jaynes Corporation of California
Fax: (760)635-5964
RFI #: 244 Importance: Normal Date Created: 10/16/2008
DUDEK Engineering & Environmental Eric Honour-Construction
1645 S. Rancho Santa Fe Road
Suite 201
San Marcos, CA 92078
Manag
Fax: (760) 744-4570
Jaynes Corporation
111 Elm Street, Fourth Floor
San Diego, CA 92101
Chuck Neumann
Fax: 619-668-4090
~c~ -~c'tifu.ethi:N,am• .'·.: · ' __ -:. ~....::_.,_·:]~1>ntact:.tf~:"" ~r~£bpiei~··:· ·. · .~.::::..,;:c:-~::-2\·:'T:f.::.: .i~;;y;_>:': ~-~-" :":;i
Fax:
'.:Que,ti9n · / .• ·. _ :: -,~-i ·" . · ~ :. :~" · ·.: -~ ~ · . · . · ·· "': · ' ... ·:::~.::.,_::¼ ::.c:::.:;c,.;,:'_~":'Iifil~.'!!9P.!r!fil:291..~Ii<>~l
Please confirm that we are deleting air conditioner at building 200 office
Yes, the air conditioner will be deleted from the Office in Building 200. An ASI will be issued
shortly to address revisions associated with issue.
Prolog Manager Printed on: 10/16/2008 Jaynes_Corporation
10-17-08
Joe Mansfield
RNT Architects
Page 1
Corporate:
Branch:
Branch:
2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806
Tel: (714) 632-2999 Fax: (714) 632-2974
7313 Carroll Road, Suite G, San Diego, CA 92121
Tel: (858) 537-3999 · Fax: (858) 537-3990
14467 Meridian Parkway Bldg 2A, Riverside, CA 92518
Tel: (951) 653-4999 Fax: (951) 653-4666
Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635FARADAY AVENUE
File No.:
PennitNo.:
Project No.:
SEEREMARKS
2510A04
CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE _...-......-j
e22Q:l7"A-::cos~A:-kVE
Client: ,PUDEK & ASSOCIATES
I\
Set No.: 8-02920
Age Date Nominal Actual Area
(Days) Tested Size (Sq. Inch)
7 9129/2008 3X3X6 10.86
28 10/20/2008 3X3X6 10.69
28 10/20/2008 3X3X6 10.72
28 1012012008 3X3X6 9.00
Specified Strength: 2,000 PSI Sampled By: MA TT MCVAY
Location: BUILDING 200 -RETAINING WALL
Concrete Supplier: HANSON AGGREGATES
Mix No.: 2011501
TicketNo.: 278828
Water added at Site: gal. J;ly
C~i,t_e!}t Type: Mix Time:
Remarks:
Distribution: DUDEK & ASSOCIATES
.~P-
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
2440PSI
CARLSBAD CA ~
Load Strength Type of
(lbs.) (psi) Fracture
19,070 1,760 NIA
25,300 2,370 NIA
27,040 2,520 NIA
ASTM C172 Date Sampled: 9122/2008 Date Received: 9/2312008
Concrete Temp: 84
Ambient Temp: 72
"F ASTM C1064
"F ASTM C1064
Slump: 8.00 in. ASTM C143
Tested at: San Diego
Respectfully Submitted,
MTGL,Inc.
Eduardo Dizon, R.C.E.
28-day compression test complies with the specified strength.
I\
Corporate:
Branch:
Branch:
2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806
Tel: (714) 632-2999 Fax: (714) 632-2974
7313 Carroll Road, Suite G, San Diego, CA 92121
Tel: (858) 537-3999 Fax: (858) 537-3990
14467 Meridian Parkway Bldg 2A, Riverside, CA 92518
Tel: (951) 653-4999 Fax: (951) 653-4666
Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635 FARADAY AVENUE
File No.:
Permit No.:
Project No.:
SEE REMARKS
2510A04
CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE
Client: DUDEK & ASSOCIATES
A
Set No.: 8-02920
Age Date Nominal Actual Area
(Days) Tested Size (Sq. Inch)
7 9/29/2008 3X3X6 10.86
28 10/20/2008 3X3X6 9.00
28 10/20/2008 3X3X6 9.00
28 10/20/2008 3X3X6 9.00
Specified Strength: 2,000 PSI Sampled By: MATIMCVAY
Location: BUILDING 200 -RETAINING WALL
Concrete Supplier: HANSON AGGREGATES
Mix No.: 2011501
Ticket No.: 278828
Water added at Site: gal. By
Cement. Type: Mix Time:
Remarks:
Distribution: DUDEK & ASSOCIATES
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
min,
tr!t<,0-LA·G@S'.fA.AYg ~ 1 l 0
...,,-,,.~._,~,,..,..._,, CA
?·~ _of3-o b47 _
Load Strength Type of
(lbs.) (psi) Fracture
19,070 1,760 NIA
ASTM C172 Date Sampled: 9/22/2008 Date Received: 9/23/2008
Concrete Temp: 84
Ambient Temp: 72
"F ASTM C1064
°მF ASTM C1064
Slump: 8.00 in.
Tested at: San Diego
ASTMC143
Respectfully Submitted,
MTGL,Inc.
Eduardo Dizon, R.C.E.
A
Office Locations
Orange County
Corporate Branch:
2992 E. La Palma Avenue
Suite A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
San Diego
Imperial County
6295 Ferris Square
Suite C
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Inland Empire
14467 Meridian Parkway
Building 2A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Indio
44917 Golf Center Parkway
Suite 1
Indio, CA 92201
Tel: 760.342.4677
Fax: 760.342.4525
QC/LA/Inland Empire
Dispatch
800.491.2990
San Diego Dispatch
888.844.5060
www.mtglinc.com
Geotechnical Engineering
Construction Inspection
Materials Testing
Environmental
FINAL REPORT FOR
SPECIAL INSPECTION AND MATERIAL TESTING
Date: August 12, 2009
To: City of Carlsbad (c/o Mr. Mike Collins)
Public Works -Engineering
5950 El Camino Real
Carlsbad, CA 92008
MTGL Project No: 2510-A04
MTGL Log No: 09-1137
SUBJECT: SATISFACTORY COMPLETION OF WORK REQUIRING SPECIAL INSPECTION AND
MATERIAL TESTING.
PERMIT NO: @B•08064-J-Building"200
PROJECT NAME/ADDRESS: Leucadia Wastewater District -Site Improvement Project
1960 La Costa A venue
Carlsbad, California
I declare under penalty of perjury that, to the best of my knowledge, the work requiring special inspection, material sampling
and testing, for the structure/s constructed under the subject permit is in conformance with the approved plans, the inspection
and observation program and other construction documents, and the applicable workmanship provisions of the Uniform
Building Code.
Executed on: August 12, 2009
The work which we provided Special Inspection/Testing consisted of: Reinforcing Steel, Bolt/Embed in
Concrete/Masonry, Concrete, Structural Masonry, Structural Steel Shop Fabrication, Structural Sted Field
Welding, High Strength Bolt/Torque Testing, Epoxy of Bolt/Rebar/Dowel and Spray Applied Fireproofing.
A. If the inspection services were provided by an approved material testing laboratory or special inspection agency:
TESTING AGENCY: MTGL,Inc.
6295 Ferris Square, Suite C
San Diego, CA 92121
RESPONSIBLE MANAGING ENGINEER OF THE TESTING LABORATORY OR SPECIAL INSPECTION
AGENCY:
NAME (PRINT OR TYPE): Eduardo C. Dizon / MTGL, Inc.
State of California Registration Number: C 57217 Expiration Date: 12/31/09
B) If the inspection services were provided by an independent certified special inspector:
SPECIAL INSPCETOR' S NAME (PRINT OR TYPE): NA
Registration Number:
SIGNATURE:
cc: Mr. Shannon Goodrich/ Dudek & Associates, Inc.
• Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.297 4
www.mtglinc.com Dispatch: 800.491.2990
•• San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
MTGL Project#: Ol 5 IO AO i .
Permit# si (CD -CB 0~/C.t t 5 DAILY INSPECTION
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
DSA/CITY File#: ________ _
DSA/OSHPD APPL#: _______ _ REPORT
Report#___ed_ ~c).G'o -& ~ 08o{(, L/T DSA/LEA#: _______ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
. PROJECT NAME /...~. DATE
ARCHITECT TIMEAc°f TIME DEPARTED 3-0
ENGINEER TRAVEL TIME LUNCHTIME
CONTRACT02~ I
-..,J7'r'rN Es
SUB CONTRACTOR
INSPE~ON ADDRESS/ : t:-· ' \ \ 1 1£0 I'( c,
ADDRESS OF PROJECT
r=::::-
.,
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
D BACKFILL
DSNOSHPD/PROJECT:
APPROVED DOCUMENTS:
D BATCH PLANT
CJ PTCONCRETE
D SHOTCRETE
D CONCRETE
AVAILABLE:
APPRQVED PLANS ~ N D
)8._MASONRY
-D HIGH STRENGTH BOLTING
D WELDING
D SHOPWELD
SOIL REPORT YD ND
MATERIAL,~_.~S~D : CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL/ES~fEPO~TS): C . -· c:J f? /'11 . s;-5t a a_, -2 -~-itu,,,
I 1/
AREA, GRID LINES, PIECES INSPECTED: ' j·
THE WORK WASR_WAS NOTO -,-,
Inspected in accorffance with the requirements of the DSA/OSHPD/PROJECT
· apR[Qyed documents.
'.:.'
MATERIAL SAMPLING WAS~ WAS NOT D N/A D
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
cc Project Architect Contractor
Structural Engineer Building Department /
DSA Regional Office Owner
D FIREPROOFING
D ANCHOR/DOWEL
D NOE FIELD
D NDESHOP
SPECS: YD ND
APPROVED SHOP DRAWING YD
D CEILING WIRE D _____ _
0 _______ 11
D _____ _
ND
Signature of Speci I Inspector
/J-1. Ji/¼ 'I
School District
_;,,--Print Name
c,rnfication ,, ~ 1/ :)__ ,
Verifiedby:~=z:; .Z /2rVle-~ 6-o/~.A.-:
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.297 4
www.mtglinc.com Dispatch: 800.491.2990
,_ -, .• ,",_
San Diego/Imperial Coun.ty ·
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project#: Y-S / C, A--cz-/
Permit# /1/2 tf'i(<f?p L/7 i3/lf..1 JY.(}?)
7
DAILY INSPECTION
REPORT
DSA/CITY File#: ________ _
DSA/OSHPD APPL#: _______ _
Report# __ PG __ OF ___ _ DSA/LEA#: _________ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
PROJECTNAML~ ~ DATE 9·1 cJo'
ARCHITECT
ENGINEER
SUB CONTRACTOR CONTRACT~
'a,,,
INSPECTION'ADDRESSa
/q .' /
{1 ,;1--ADDRESS OF PROJECT
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
D BACKFILL
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
AREA, GRID LINES, ,PIECES INSPECTED: ".
R~MI\RKS, INCLUDING MEETINGS:
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
D CONCRETE
AVAILABLE:
APPROVED PLANS Y,KUJ D
D MASONRY
D HIGH STRENGTH BOLTING
D WELDING
D SHOPWELD
SOIL REPORT YD ND
THE WORK WASJ.(._WAS NOTO _
Inspected in accoraance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS~ WAS NOT D NIA D
Performed in. accordance ~ifuDSA/OSHPD/PROJECT approved documents._
~FIREPROOFING
-DANCHOR/DOWEL
D NOE FIELD
D NDESHOP
SPECS: Y~~D
APPROVED SHOP DRAWING YD
D CEILING WIRE D ______ _
D _______ ,,
0 _______ 11
ND
cc Project Architect Contractor
.. ,--.. --~-.......,. 1 Signature of"s-pecial lnspe tor
-.u ;1 ff Al/. 11lr ill 1c r Structural Engineer Building Department
DSA Regional Office Owner Print Name
School District Certificatio~-~/ > -/j__ J.-·L :;. 3/ I.?/ M
Verified bv:~:;? -l,)?u <'C,j t,,J ~ /,-,,,,_ -:,
~-• .
Corporate:
-2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
j -~•}-
San Diego/Imperial Counfy-./
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
'Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project#: rJ. 5 /GA-& L/
Permit# cl:> (J 8 0 ft; L{ TB 11 dffl) DAILY INSPECTION
REPORT
DSA/CITY File#: ________ _
DSA/OSl:IPD APPL#:. _______ _
Report# __ PG __ OF ___ _ DSA/ LEA#: _________ _
Special Inspection Reports must be distributed to·the parties listed below within 14 days of the-inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
ARCHITECT TIME ARRIVED TIME DEPARTED
t71l "?XJ"
ENGINEER TRAVEL TIME LUNCHTIME
SUB CONTRACTOR
ADDRESS OF PROJECT
TYPE OF INSPECTION D BATCH PLANT D MASONRY D CEILING WIRE
D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING
~I REPROOFING
NCHOR/DOWEL D
0 FOUNDATION D SHOTCRETE D WELDING D NOE FIELD D
D BACKFILL D CONCRETE D SHOPWELD D NOE SHOP D
DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD NO SPECS: ~-0
APPROVED-DOCUMENTS: . APPROVED PLANS Y!lZL_N D
l,vc.
AREA, GRID LINES,;PIECES INSPECTED: _
STRUCTURAL NOTES, O7.JL, OR RFIS USED: ,J .. , G . r I c .e.r. · u
REMARKS, INCLUDING MEETINGS:
THE WORK WAS\!a WAS NOT tJ . -:!l'.
Inspected in accordancewith the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS D WAS NOTO N/A.~
Performed in accoraance with DSA/OSHPD/PROJECT approved documents.
cc Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
APPROVED SHOP DRAWING YD ND
.,
.I v 7 I
THE WORK INSPECTED ME1Na DID )IOT MEET D
THE requirements of the DSA/0~Ll:ROJECT approved documents.
Samples taken: / _
Weather:_-----,,""-'-,'L.!1'-'¥-lf----Te 'p:.-="'c..._,~,,,__ _____ _
Signature of Special nspector
AA fl /W. dd'/A t:
!'
.".'~
·'
-. ·, _,
,:
Corporate
2992 E La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
MTGL PROJECT#: 2510A04
Permit# ______ _
~-Report:#_ Page 1 of 1
San Dlegonmperial County
7313 carrollRd., ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
DAILY INSPECTION
REPORT
C
Inland Empire
14467 Meridian Pkwy., Bldg 2A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
DSNCITY File# ____ _
DSNOSHPD Appl.# __ _
DSNLEA # _____ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the l115peclion. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection on a daily basis. Each report shall be completed and signed by the special inspector conducting the
insoection.
PROJECT NAME: Lucadla Waste Water Site Improvement Date: 6-20-08
ARCHITECT TIME ARRIVED 6:30 TIME DEPARTED 10:30
ENGINEER TRAVEL TIME .5 LUNCHTIMEO
CONTRACTOR Jaynes SUB CONTRACTOR Concrete Building Systems
INSPECTION ADDRESS same .... ~:i~e~~.,9Ai~0:t9i\ d ·W lo .. . .. _ a, os a, ve,,., .ar s a
TYPE OF INSPECTION 0 BATCH PLANT OMASONRY 0 FIREPROOFING 0 CEILING WIRE
. 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL o_
0 FOUNDATION 0 SHOTCRETE 0WELDING 0 NDE FIELD B-0 BACKFILL 181 CONCRETE 0SHOPWELD 0 NDESHOP
. DSNOSHPD PROJECT I AVAILABLE APPROVED I SOIL REPORT Y 181 N O I SPECS: Y 181 N D
APPROVED DOCUMENTS PLANS Y 181 N 0 APPROVED SHOP DRAWING Y 181 N 0
. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
Suoerior 4500 PSI mix #8375D
A615 and A706 grade 60 rebar
CONTRACTORS EQUIPMENT/MANPOWER USED: / .... ~
L.lb t, 'AD 64--1 J
AREA, GRID LINES, PIECES INSPECTED: ~ ~ l -....
1§.uiJj:ljog.2,PQ'M~t ~;Q:G. '7 , .. ,,
..
STRUCTURAL NOTES, DETAIL OR RFIS USED: approved plans and details and RFI # 101
REMARKS, INCLUDING MEETINGS: Inspected the reinforcing steel at the above mentioned location prior to todays pour.
Checked bar size, placement, lap, cover, and clearence per the aproved plans. Observed the placement and consolidation
of 130 yards· of the above concrete mix supplied by Superior. I cast two_ sets of four cylinders for compression testing from
load three and load twelve. Performed slump and temp test.
REWORK AS PERCENT OF ALL WORK TODAY, I PERCENT PROJECT COMPLETE:
THE WORK WAS 181 WAS NOT L..J THE WORK INSPECTED MET 181 DID NOT MEET D
Inspected in accordance with the requirements of the DSA/OSPHD
Project approved documents.
MATERIAL SAMPLING WAS 181 WAS NOTO NIA 0
Performed in accordance with DSA/OSPHD Project approved documents.
cc Project Architec;t
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
The requirements of the DSA/OSPHD Project approved documents.
Samples taken:
WeaJher: ----------------Temp:
ame
1012
( ,,. ( (
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, GA 92806
San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGLProject#: . Z5tO fto'f
Permit#-------'-----
Report # __ PG~ OF __ ,_/ __ _
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
DAILY INSPECTION
REPORT
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, GA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
DSA/CITY File#: ________ _
DSA/OSHPD APPL#: _______ _
DSA/LEA#: _________ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared-for each type of special inspection, o a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
ENGINEER
CONTRACTOR
INSPE
TYPE OF INSPECTION
0 ENGINEERED FILL
D FOUNDATION
D BACKFILL
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
D CONCRETE
AVAILABLE:
APPROVED PLANS YD ND
T OF ALL WORK TODAY:
THE WORK WAS WAS NOT D
D MASONRY
D HIGH STRENGTH BOLTING
D WELDING
D SHOPWELD
SOIL REPORT YD ND
PERCENT PROJECT COMPLETE:
THE WORK INSPECTED MET D DID NOT MEET D
ND
Inspected in accordance with the require ents of the DSA/OSHPD/PROJECT
approved documents.
THE requirements of the DSJV~SHPD/ OJEq a proved documents.
Samples taken: I i...... C>
MATERIAL SAMPLING WAS WAS NOT D NIA D Weath
Performed in accordance with DSA/OSHPD/PR0JECT approved documents.
cc Project Architect Contractor
Structural Engineer Building Department
Print Name · DSA Regional Office Owner
School District
Certmeatlon# ,fl,~~-~
1
/
1
Verified by:__,/, ___ 1..:...~----l,l'--~~r.e:-;-~,#-,;-=-----------1 I
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
San Diego/Imperial County
7313 Carroll Rd. Ste. G
Sari Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92"518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGLProje~t#: i95/Q.,1eJ 4'. DAILY INSPECTION DSA/CITYFile#: ______ _
Permit# c& 01--,q ~;3~ ~;_ ' -.--; .. ' -:,:J;~EPORT DSA/OSHPD APPL#: _____ _
Report# __ PG __ OF .._Cf#-I&E:~JJ~..BTo DSA/LEA #: _______ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
PROJECT NAME DATE /4 /....; t··l(,-
ARCHITECT
ENGINEER.
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
D BACKFILL
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
ONCRETE
AVAILABLE:
APPROVED PLANS Y~N D
CONTRACTORS EQUIPMENT/ MANPOWER USED:
REWORK AS PERCENT OF ALL WORK TODAY:
THEWORK WAS0CWASNOTO
SUB CONTRACTOR
ADDRESS OF PROJECT
0 MASONRY
0 HIGH STRENGTH BOLTING
D WELDING
0 SHOPWELD
SOIL REPORT YD ND
0 FIREPROOFING
0 ANCHOR/DOWEL
D -NOE FIELD
0 NOE SHOP
SPECS: YD ND
APPROVED SHOP DRAWING YD
PERCENT PROJECT COMPLETE:
THE WORK INSPECTED MET~ DID NOT MEET D
D CEILING WIRE o ______ _
0 _______ 11
0 _______ 11
ND
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
THE requirements of the DSA/0SHPD T approved documents.
MATERIAL SAMPLING WAS D WAS NOT D N~
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
cc Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
Samples taken:_-__ __,_'-----A------'1-----~-=--------
Weather: ___ ~----
Verified by: __________________ _
\
I I •
DANIEL w FILBERT I
STRUCTURAL MASONRY SPECIAL INSPECTOR
The individual na~ed he;eon is CERTIFIED ;n ·the category show1
~a.vi~~ :be.en ~o certified pur~u~nt to successfu~ c~mpletion of'the
prescribed wntte m1nat1ons." . . • .. . , ,
Expiration.dat . April 4, 2011 ·· · , -, :
No. 5098481 84 . , -~ -. . :
. Not valid unless signed by certificate holder. I
ICC certification attests to competent knowledge of codes and standards
www.m,tglinc.com
~.Y/
Corporate: • 2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632:2974
Dispatch: 800.491.2990
-San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 85.8.537.3990
l:lispatdh: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project #:_,U"'--'--"'-"-'-'"---'--+'=''---,'----,...--
Permit # C or/CJ(v5 i3 DAILY INSPECTION DSA/CITY File#: ________ _
Repoft./1-c 8 ef(dO ~ 5f _r_~-~_,_,
PROJECT NAMJ: / _ /, / , --4-;:
. ,,,<. i / ~ /,/{_,/~ /_/ rrl
ARCHITECT --
ENGINEER
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
D BACK FILL
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
AREA, GRID LINES, PIECES'INSPECTED:
.Bl
STRU)i!!!_f!AL NQ,TES, DETAIL, OR RFIS USED:
. ~ -Y-{O
REMARKS, INCLUDING MEETINGS:
THE WORK WAS,.[;,! WAS NOT D
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
D CONCRETE
AVAILABLE:
APPROVED PLANS vAsl,N D
REPORT
TIME ARRIVED .
(~
TRAVEL TIM
SUB CONTRACTOR
ADDRESS OF PROJECT
)'KlMASONRY
D HIGH STRENGTH BOLTING
D WELDING
D SHOPWELD
SOIL REPORT YD ND
Inspected in acccirclance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS D WAS NOT D N/~
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
DSA/OSHPD APPL#: _______ _
DSA/LEA#: _________ _
D FIREPROOFING
D ANCHOR/DOWEL
D NOE FIELD
D NOE SHOP
7.UNCH TIME
SPECS: YD ND
APPROVED.SHOP DRAWING YD
/
D CEILING WIRE D ______ _ o ______ _
D ______ _
ND
cc Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor \. Signature rf Special Inspector
/VIA ii,~/ ,., I'"/~ 'r ' Building Department
Owner
0 Corporate:
2992 E. La Palma Ave. Ste. A.
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.297 4
www.mtglinc.com Dispatch: 800.491.2990
('")
'-,,.,./
San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project#: D[ 5 / a J\ 0 c...J DAILY INSPECTION
Permit# Bllc IC[; -Ch C7·/'1 t S REPORT DSA/OSHPDAPPL#: _____ _
DSA/CITY File#: ________ _
Report# l·~-,i£~Jc,:z -BF f-'..::-()~'(. (c: L/i . DSA/LEA#: ________ _
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
PROJECT ~AME
f-.t·.U.f v(v fC.:t
ARCHITECT
ENGINEER
, I, -~Vi.,<~·'<.,,,..
CONTRACT,....... I
-..J/\ y Al [:'-.s,.
INSPECJJON ADDRESS/
\1..-1 l.r. 0 1{ _,
4-,lj// 'i)r__'J . DATE
TIME ARRIVEEL_
(~7 O!
TRAVEL TIME
SUB CONTRACTOR
ADDRESS OF PROJECT
TIME DEPARTED
-:::?_ 3-.,0
L NCHTIME
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION.
D BATCH PLANT
D Pr'CONCRETE
D SHOTCRETE
D CONCRETE
)&..MASONRY
. D HIGH STRENGTH BOLTING .
D FIREPROOFING
D ANCHOR/DOWEL
D NDE FIELD
o'cEILING WIRE D _______ "
D WELDING 0 _______ 11
D BACK i=ILL D SHOPWELD D NDE SHOP D ______ _
DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD No· SPECS: YD ND
APPROVED' DOCUMENTS: APPROVED PLANS Y~ ND
M~,:ERIA/L:~ u_sr,v CON~::c.~~:-(INCLUD; RES~~CH--~EPORT NO. OR M~TERIAL,T~S:,J~PO?S):
1 Ns1-v· ,l/'; .,/ (.1 ... , · ,_,. aft <" fut,.,
AREA, GRID LINES, PIECES INSPECTED:
STRUCTU~,
THE.WORK WAS}>l_ WAS NOTO -
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
app.royed documents.
MATERIAL SAMPLING WAS& WAS NOTO N/AD
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
cc Project Architect
Structural Engineer
DSA Regional Office·
School District
Contractor
Building Department
Owner
APPROVED SHOP DRAWING YD N D
.. _
THE WORK INSPECTED MET123-...Q!D NOT MEETD
THE requirements of the DSA!pSHPD/PROJECT approved documents.
Samples taken: /..,. cyd Le \I... .----,
' /Temp;·.L,.-,,,-",..=:-~-------
Signature of Speci I Inspector
i/1 ;!,I/ .. i~;;; 'r
;-· Print Name
Certlllcatioa ci:1: l/ 1-. ,
Verified by: ~--kj ,el /) (1;/ e-~ 6 0 //--,JL
Corporate: San Diego/Imperial County
2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G
Anaheim, CA 92806 San Diego, CA 92121
Tel: 714.632.2999 Tel: 858.537.3999
Fax: 714.632.2974 Fax: 858.537.3990
Dispatch: 800.491.2990 Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGLProje~t#: ~5/0AeJ lf. DAILY INSPECTION DSA/CITYFile#:, ______ _
Permit# Gf!::> <7}--/q{{2,5 8~ REPORT DSA/OSHPDAPPL#: _____ _
Report# __ PG ___ OF C/:J, ocgo0LJ·=r-P,~~-DSA/LEA#: ____ --,-__ _
Special Inspection-Reports must be distributed to the parties listed ,below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report.shall be completed and signed by the special inspector conducting the inspection.
PROJECT NA1 DATE 9 .. II ..
ARCHITECT
ENGINEER
TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
, D BACK FILL
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
ONCRETE
AVAILABLE:
APPROVED PLANS Y~N D
CONTRACTORS EQUIPMENT/ MANPOWER USED:
REWORK AS PERCENT OF ALL WORK TODAY: . .
THE WORK WAS/)( WAS NOTO
..
SUB CONTRACTOR
ADDRESS OF PROJECT
D MASONRY
D HIGH STRENGTH BOLTING
D WELDING
D SHOPWELD
SOIL REPORT Yo ND
D FIREPROOFING
D ANCHOR/DOWEL
D NOE FIELD
D NOE SHOP
SPECS: YD ND
APPROVED SHOP DRAWING YD
PER'CENT PROJECT COMPLETE:
THE WORK INSPECTED MET~ DID NOT MEETD
D CEILING WIRE 0 _______ 11
D ______ _
D ______ _
ND
.-_
Inspected in accordance with the requirements of the DSA/0SHPD/PR0JEGT
approved documents.
THE requirements of the DSA/0S HPDL T apprqved documents.
MATERIAL SAMPLING WAS D WAS NOT D N~
Performed in accordance withDSA/OSHPD/PROJECT approved documents.
cc Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
Samples taken:,_-__ __,,."-----A---½-~.,,e::;..-------'---
Weather:, __ ........,.'---,,_______,r-,,--
Verified by: __________________ _