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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 /, I .( _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 L 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 • ------------· --------~--------·· -·-----~----·-- J j j J ' j J j J j I I ·r'\ 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: __________________ _