HomeMy WebLinkAbout1960 LA COSTA AVE; 120; CB080648; PermitCity of Carlsbad
10-28-2009
1635 Faraday Av Carlsbad, CA 92008
Commercial/l"ndustrial Permit Permit No: CB080648
Building Inspection Request Line (760) 602-2725
Job Address: 1960 LA COSTA AV CBAD St: 120
Permit Type: COMMIND Sub Type: INDUST
Parcel No: 2161242200 Lot#: 0 Status:
Valuation: $0.00 Construction Type: VN Applied:
Reference#: CB071965 Occupancy Group:
Project Title: LEUCADIA WASTEWATER: 1650SF fCO~ Plan Approved:
SMALL EQUIP. CARPORT
Applicant:
LEUCADIA WATER DISTRICT
PUBLIC AGENCY 00000
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I 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 Sti:inds (SB1473) Fee
Issued:
Inspect Area:
Plan Check#:
Owner:
LEUCADIA WATER DISTRICT
'_PUBL.,IC AGENCY 00.000
$0.00 Meter Size
$0.00 Add'I Reel. Water Con. Fee
$0.00 Meter Fee
$0.00 SDCWA Fee
$0.00 CFO Payoff Fee
$0.00 PFF (3105540)
$0.00 ,.P.fF (4305540)
$0.00 License Tax (3104193)
$0.00 License Tax {4304193)
$0:00 Traffic Impact Fee (3105541) ;~o:bo Traffic Impact Fee(4305541) ,iq;oo PLUMBINGT9TAL
$0.00 ELECTRICAC TOTAL
~Oi00 .. .:-MECHANIGAL,. TOTAL
$'0,do · . Master Drain_age Fee
_,. Sewer Fee ··"
·$0.00 R~dev Parking Fee
· $0.00'-c '> 7AdditionarFees
?? HMPFee ..
TOTAL PERMIT FEES
Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due:
FINAL APPROVAL
Inspector: fA ~ Date: IL 0 ~ Clearance:
ISSUED
04/11/2008
Entered By:
05/22/2008
05/22/2008
MC
PC080008
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, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x · on f hi h o h v r vi I iv n N Tl E imil r hi r whi h th atute oflimi aliens has revi usl otherwise ex ired.
City of Carlsbad Bldg Inspection Request
For: 11/19/2009
Permit# CB080648 Inspector Assignment: MC
Title: LEUCADIA WASTEWATER: 1650SF
Description: SMALL EQUIP. CARPORT
Type: COMM IND Sub Type: INDUST
Job Addres.s: 1960 LA COSTA AV
Suite: 120 Lot 0
Location:
OWNER LEUCADIA WATER DISTRICT
Owner: LEUCADIA WAT~R DISTRICT
Remarks:
Total Time:
Phone: 6199640113
Inspector: _..,.M __ t.., __
Requested By: ANDREW
Entered By: JANEAN
CD Description Act Comments
19 Final Structural _a ________ _
29 Final Plumbing
39 Final Electrical
49 Final Mechanical t--
Comments/Notices/Holds
Associated PCRs/CVs Original PC# PC080008
PCR08060 ISSUED LEUCADIA WATER DJSTRlCT; .DEFERRED ELEVATOR FOR BUILDING I
Inspection History
Date Description Act lnsp Comments
10/27/2009 39 Final Electrical AP MC ELECTRICAL PER LINE DIAGRAM & PANEL SCHEDULE
08/12/2009 19 Final Structural PA MC ONGOING SITE WORK
04/02/2009 17 Interior Lath/Drywall AP MC
03/11/2009 16 Insulation AP MC NORTH & EA$T WALLS ONLY
02/27/2009 34 Rough Electric PA MC CONDUIT ONLY AT WALLS AND CEILING
Q2/23/2Q09 13 Shear Panels/HD's WC MC
02/23/2009 18 Exterior Lath/Drywall AP MC DENS GLASS AT N & E EXT. WALLS
02/19/2009 22 Sewer/Water Service WC MC
02/19/2009 24 Rough/Topout AP MC WASTE VENT & WATER
02/17/2009 13 Shear Panels/HD's AP MC PER S3-101 & SO 004/12
02/04/2009 17 Interior Lath/Drywall AP MC MONOCOTE @ COLUMNS (6)
12/11/2008 63 Walls AP MC WALL DRAIN & WALL WATER PROOFING
07/23/2008 63 Walls AP MC COMPLETION OF CMU ADJACENT TO INTERCEPTOR
Jns.pection List
Permit#: CB080648 Type: COMMIND INDUST LEUCADIA WASTEWATER: 1650SF
SMALL EQUIP. CARPORT
Date Inspection Item . l!!Sf>eCt~_r Act __ C_o_m_m_e_n_ts_
11/19/2009 89 Final Combo
11/19/2009 89 Final Combo
10/27/2009 39 Final Electrical
08/12/2009 19 Fim1I Structural
04/02/2009 17 Interior Lath/Drywall
03/11/2009 16 Insulation
02/27/2009 34 Rough Electric
02/23/2009 13 Shear Panels/HD's
02/23/2009 18 Exterior Lath/Drywall
Q2/19/2009 22 Sewer/Water Service
02/19/2009 24 Rough/T opout
02/17/2009 13 Shear Panels/HD's
02/04/2009 17 Interior Lath/Drywall
12/11/2008 63 Walls
07/23/2008 63 Walls
07/07/2008 62 · Steel/Bond Beam
07/02/2008 65 Retaining Walls
06/26/2008 1.2 Steel/Bond Beam
06/09/2008 17
06/09/2008 21
Interior LathJDrywall
Underground/Under Floor
06/09/2008 34 Rough Electric
Friday, November 20, 2009
MC Fl
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
PD
MC
MC
MC
RI
AP
PA
AP
AP
PA
WC
AP
WC
AP
AP
AP
AP
AP
AP
PA
AP
WC
AP
WC
ELECTRICAL PER LINE DIAGRAM &
PANEL SCHEDULE
ONGOING SITE WORK
NORTH & EAST WALLS ONLY
CONDUIT ONLY AT WALLS AND CEILING
DENS GLASS AT N & E EXT. WALLS
WASTE VENT & WATER
PER S3-101 & SO 004/12
MONOCOTE @ COLUMNS (6)
WALL DRAIN & WALL WATER
PROOFING
COMPLETION OF CMU· ADJACENT TO
INTERCEPTOR
SECOND LIFT @ LINE 1 & 4-E
1ST LIFT@ LINE 1 & A-E & COMPLETE
LIFT AT LINE 1 & 2 AND A & E
S.O.G., ·EMBEDS, VERTS FOR MASONRY
WASTE ONLY, RE-VERIFY TRAP
PRIMER AT S.O.G.
Page 1 of 1
CIIJ II Carlsbad
· Final Building Inspection
De;r,p~t...:;: .,,,,,B~u"ildlng Engineering Planning CMWD St Li!Q
Plan Check #: PC080008 Date: 11/19/2009
Permit#: CB080648 PermitType: COMMIND
Project Name: LEUCADIA WASTEWATER: 1650SF Sub Type: IN DUST
SMALL EQUIP. CARPORT
Address: 1960 LA COST A AV #120 Lot: 0
Contact Person: ANDREW Phone: 6199640113
Sewer Dist: LC Water Dist: CA .......................................................................................................................................................
Inspected.
By: _ _.J,,.,!4-,P,£...U--1-,,__ __ _
Date /
Inspected: {O { ($"/)9 Approved: Disapproved: __
Inspected Date
By: ________ _ Inspected: Approved: Disapproved: __
Inspected Date
By: ________ _ Inspected: Approved: Disapproved: __ ........................................................................................................................................................... ,
Comments: ______________________________ _
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
DC/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 (do Mr. Mike Collins)
Public Works -Engineering
5950 El Camino Real
Carlsbad, CA 92008
MTGLProjectNo: 2510-A04
MTGL Log No: 09-1137
SUBJECT: SATISFACTORY COMPLETION OF WORK REQUIRING SPECIAL INSPECTION AND
MATERIAL TESTING.
PERMIT NO: @B-0806"¢8-=-Buikling-w--3.Q.O
PROJECT NAME/ADDRESS: Leucadia Wastewater District -Site Improvement Project
1960 La Costa Avenue
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 Steel 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.
August 11, 2009
Mr. Joe Mansfield, Architect
ROESLING NAKAMURA TERADA ARCHITECTS
363 Fifth Avenue, Ste. 202
$an Diego, CA 92101
Re: Leucadia Water District
Dear Mr. Mansfield:
04052.00-36
As required under 2007 California Building Code Section 1709 this letter is written to confirm
that the structural observations designated by the Structural Engineer accordance with Section
1709 of the 2007 California Building Code have been made and that to the best of my
knowlectge any reported deficiencies in the construction of the structural system as shown on
the approved plans have been corrected.
Sincerely,
SDSE
Tpmara Allen, SE 3795
Principal Structural Engineer
TA:rb
H:\04\052\36 Ltr of Approval 8.11.09.doc
3838 Camino Del Rio North, Suite no• San.Diego, CA92108 • (619) 297-2223 • Fax (619) 297-49B www.sdse.com
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714!1332. 297 4
www.mtglinc.com Dispatch: 800.491.2990
San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537 .3990
Dispatct1: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 925·ta
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project #:-Z..Si.d 1-:"'~ •.. ,_ ..
Permit# <::r{f~ ~ / 2!0 DAILY INSPECTION
REPORT
DSN0ITY File·.¥: ______ ... ·-
DSA/0Sl-!PD APPL#:,~-----
Report/I __ , ~G ..... ~--l-DF ___ _ DSA/ LEA#: ____ ,.·----
Special lnspectton Repomi rr ust be distributed to the parties listed below within ·14 d11ys of the inspection. Reports of non-uompllant conditions musl be distributed immediately.
Separate reports shall be pre 1ared tor each type ot special inspection, on a dally basi$. Each report ~hall l>e completed and signed by the special if(~peotor conducting the inspec~!~!J.
PROJECT NAM~ • OA'l'E ,
·-·" L.E'lk;AC1A wAsrAW412f.~ .. /-('r"'O, ··-=---== ARCHITECT . ' Tll'IIEARRIVEO , ..-,--,e;. 1'1ME!)E~''"
14.o-A <tJ ;,l ,~·;:. At-~ZJE #'4 .P4 ·-,~~c5-::;,...""" ______ ..,,.,,.fa/~1f:":::··( ;:::;c---------Ellll:llNE~1~ . , T!IAVEL TIMI: (,UNCH TIME
-----~ ~ r, .. ,n.~'isN ° OK.sou CONTRACTOfl· ~ -sun CONTRACT=o,=--1 --------------~-~-·-
lt-,,.,.,,,,.=_.__SA~~.3 c,e,, .. e -· ----··---------11
INSPECTIOM.@PR6SS APDR;S8 OF f'AP_.J~~·CT.' o&-· . ,:2---0~ ~...--~-,;;r--•-•-~T-r -.;r . • I . u:~.()__ .. mOSZ:-, -A~!= =-=t
TYPE OF INSPECTION i 1-1 BATCH PLANT I" i MASONRY -0 FIREPROOFING LJ CEILING WIRE
Cl f;NGll\ll:ERED FILL ' 0 PT CONCRETE r1 HIGH S1'RENGTH BOLTING LJ ANGM0R/00WEL l.'1 ...... ______ 11 0 FOUNDATION l.'I SH0TORETE J.lJI WELDING 1-1 NOE FIELD [I ___ .. ---
1" . .I BACK till l"'l f;ONCRETE I I SHOP WELD O ND~ SHOP: _________ l:::.··1-=========..-:·--
n-D-SA/_O_S-HPD/PR000:7i---:-AV~A"""tL.,.,AB:-L--1:: ______ S.,..0-IL_.tl--EP:-O--RT----Y 1-·1_N_I-. I -----,SP:--~--CS-: ~y LJ N CJ ·-·-
APPROVED DOCUMENTS;! APPROVED PLANS YCI Nf"I APPROVED SHOP DRAWING YU N(l
MATERIAI-S IJS•jjY CONTRAC'f~ i (UIIOLUDE AESEAF!OH REPORT NO. OR,IVIATERIAL TEST REPOR'fl:l):
--' ?-12.... 1 e I <na. &<4J:l!l:i. 06< .tM • es 1-:M..__.,qu..:6 .... :":-=s-.... ~=--a· a:-~=o'""'d. __ M_s__3._ ___ ,.~----11
I
i::!'Lk ~ ---.-1•4S €02. 2.. ll-c==o~Nl'~RA~Olif'OA~S;;~Q:..:JUIP~M~ENT;:;/~M~A~Po=-w:!':ER,;,ll$""DO:,-! ~~!!=.,:!:::._ ________ ·---------------··-------·------II
lt-------··-·-111-------------~--------------·----------i
AllcA. GRID lJNES, PIEOESIN:~11-c:TE __ O_: ----------··-----,~--------·· ··-----··11·------11
.,, -~ j__~---1!./1 MA 1'~6-i/A./izt s A_-£ :2 , ... ,,-ii-2_ __________ ~----~-~-
' :I
.. ,,.,.,, __ ..._ __ -J,1---'"..-..,.r•-..• .-.,--------~-------···--------~---------If
:1
1------.~---111------------·~------------~----,------... -.. ---11
11----------111.----------.. -----···-----------·------------~
-----------------------~-·-----------REWORK.AS PERCE'~T OF ALL WORK TODAY: PERCENT PROJECT COMPLEl'E:
THE WORK WAS"ifi. WA! NOT Cl
ln~pactild in accordance wi ll the requirements of the DSA/OSHPO/PROJECT
ap1)roved documents.
MATl:RIAL SAMPLING w· \S IJ WAS rJDT I, I NIA 1)(
Performed in accordanct1 . th 0SN0SHPD/PROJEC't' apprnvad documents.
cc Project Archnect I Contractor
Structural Engineer i Sullding De~a11ment
OSA Ragioflal Office ! Owner
School District ·
E:0 39'ii'd E0Ll S , O>tNI>I X3CT3.:!
Certificati~ ,-2 .
verified by~t()-~; (NJ;..,..rr
l99E-E69--6t9 zg:01 · 600l/ll/t0
. . /
.. POOR
· QUALITY· . ··
' . tr: i~ : . r,
i i.
·. O·RIGINAL S
. .
. . ...,~ .
Corporate:
2992 I:. La Palma Ave. Ste. A
Anat1eim, CA 92806
Tel: 71'4.6~2.2999
Fax: 714.632.2974
www.mtglinc.com i Dispatch: 800.491.2990
San Diego/Imperial County
7313 Carroll Ad. Ste. G
San Diego, CA 92121
Tel: 858.53i".3999
Fax: 858.537,3990
Dispatch: 888.844.5060
Inland Empire:
14467 Meridian Pkwy., Bldg. 2-A
Riverside, CA 82518
Tel: 961.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
MTGL Project#! ~'c:, ,..-4=,4'
~·_.,,,,_J'..J7~--I Pennit#Z-:4'A;c:z•l c,..4'2.C> •. --DAILY INSPECTION
REPORT
OSNCITY File#: _______ _
DSA/OSHPO APPL II; ______ _
Report# __ PG __ ,_ OF.· ___ _ DSA/ LEA#: --·-·· •.
TYPE OF INSPECTION· D BATCH P~NT rJ MASONRY U FIREPROOFING J:J CEILING WIRE
LJ l:NGINEEREO FILL l:J PT CONCF!e'fE D HIGH STRENG'f'li BOLTING .Iii ANCHOR/DOWEL 17 _____ _
U FOUNDATION t:1 SHOTORl:1'E U WELDING . D NOE FIELD i-1 _____ _
lt-,U~BA-:'!''c~K-FI_I.L __ --il·---r1..,.....co_N_C_RE"_rE_-_____ L_I s_'H_O_P_W_EL_D ____ _:_r~:::...I :.::ND::E:..::S::.:_MO:::,:P _____ -=o:..======-...
DSA/OSHPD/PROJEC1: AVAILABLE: SOIL REPORT Y l-:J N LI SPECS: Y Ll NC.I
APPROVED DOCUMENT~: Ar/PROVED PLANS Y l'1 N r 1 APPROVED S!-IOP DRAWING Y IJ N IJ
_______________ ,,. _________ _
()IA. /ju ...... r_.'li"-'~U ........ -=A....,,0-----
kl/ ~4 ;(!µ(Zt.s#
lr--~---~·-·-,,1-------·---,---------------------~·------
11--------,1-----------------....;-------~
THE WORK WAS~ WA~ NOTr.1
Inspected In ac:cordanoe Wi : 1 the requirements of the DSNOSHPD/PROJECT
approved doouments.
MATERIAL SAIVIPllNG WAS O WAS NOT L J NIA 1:,(
Performed in accordance wil 11 OSA/OSHPO/PRDJECT approved documents,
cc Project Architect -0ontrautor
StructuralEnc,lneer ,Building Depnrtment
DSA Regional Office ! Jwner
Scllool District
Z0 39l;;ld E0LZ s.o~NI~ X3CT3~
Certificati~---~
Verified bw~.z·A,v;J~ J,)_w/,cJ~,
Z99E-E69--6t9
www.mtglinc.com
( ---
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.297 4 ·
Dispatch: 800.491.2.990
( ..
(
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#: 2J/t:J "rlel ~/
Permit# (C).?..t?4ff-26-'t-i--:~~ J
Report#__ PG --2..__ IJF _.c.,2..,,.__~-
DAILY INSPECTION
REPORT
DSA/CITY File#:. ________ _
DSA/0SHPD APPL#: ______ _
DSA/ LEA#: _________ _
Special Inspection Reports must be distributed to the parties listed bel9w 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 inspectiQn, on a daily basis. Each r!:)port shall be completed and. signed by the special inspector conducting the inspection.
TIME DEPARTED
TRAVEL TIME LUNCH TIME
D MASONRY 0 CEILING WIRE TYPE OF INSPECTION
D ENGINEERED FILL
D FOUND.ATION
D BATCH PLANT
D PT CONCRETE
-0 SHOTCRETE
D CONCRETE
D HIGH STRENGTH BOLTING
D FIREPROOFING
D ANCHOR/DOWEL
D NOE FIELD
0 _______ 11
j>IWELDING .
D SH0PWELD D NDESHOP
0 -------11 0 _______ 11 D BACK FILL
DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~ ND
APPROVED DOCUMENTS: APPROVED PLANS Y ~· NO
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL T~ST REPORTS):
• A.,,~--'
REWORK AS PERCENT OF ALL WORK TODAY:
THE WORK WAS~ WAS NOTO
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS D WAS NOTO N/A'f!i
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 YO ND
PERCENT PROJECT COMPLETE:
THE WORK INSPECTED MET~ DID NOT MEETD
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken: ..... .c/2.~e.e::.ci""·,.,~c::.._ _____________ _
Weather: CL..~ Temp:.__,/41.e.ou'/,Ce"""".,,___ _____ _
-;z:::.._,_~pecial Inspector
www.mtglinc.com
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.297 4
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#: '2.r"lc?·-A-oi/
Permit# t;&C:-ij&G7j?j.:._-:_-.-.,,:::·~J DAILY INSPECTION
REPORT
DSA/CITY File#:. ________ _
DSA/OSHPD APPL#:. _______ _
Report#__ _ PG~ l,lf--=2.=----DSA/ LEA#: _________ _
Special Inspection Reports must be di$tributed 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.
0 MASONRY
TRAVEL TIME
SUB CONTRACTOR .,,,..,,,.£1) '·C....
TIME DEPARTED
LUNCHTIME
0 CEILING WIRE TYPE OF INSPECTION
0 ENGINEERED FILL
0 FOUNDATION
0 BATCH PLANT
0 PT CONCRETE
0 SHOTCRETE
D CONCRETE
0 HIGH STRENGTH BOLTING
)81' WELDING
0 FIREPROOFING
0 ANCHOR/DOWEL
0 NDE FIELD
0 NOE SHOP
0 _______ 11
O _______ ,,
0 BACK FILL 0 SH0PWELD O _______ ,,
DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO N 0 SPECS: YO NO
APPROVED DOCUMENTS: APPROVED PLANS YO N 0
CONTRACTORS EQUIPMENT/ MANPOWER USED: /c -
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY:
THE WORK WASt!t WAS NOT 0
Inspected in accordance with the requirements of the DSA/OSHPD/PR0JECT
approved documents.
MATERIALSAMPLING WASO WASNOTO N/Al)C
Performed in accordance with QSA/OSHPD/PROJECT approved documents.
cc Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
APPROVED SHOP DRAWING YO N 0
PERCENT PROJECT COMPLETE:
THE WORK INSPECTED MET 6 DID NOT MEET D
THE requirements of the DSA/OSRPD/PROJECT approved documents.
Samples taken: ,tll;'Y.vs,,.i=
Weather/4d9' t:!i.t?l.43/' Temp:.__.M=IJ'--'C""'-""c_-_____ _
;z"7 ~ Signafiire of Special Inspector
/~IJ~o
www.mtglinc.com
(
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: 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#: 2S")t?.,,.A-t9c/
Permit# rz:;:;Ji.c-4,06:y"?{;~---__j
Report# __ PG__2___ 4Jf-_:2 __ -,--
DAILY INSPECTION
REPORT
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, on a daily basis. Each,report shaH be completed and signed by the special inspector conducting the inspection.
TIME DEPARTED
LUNCH TIME
D MASONRY D CEILING WIRE TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
0 BACK FILL
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
D CONCRETE
D HIGH STRENGTH BOLTING
~WELDING d SHOPWELD
D FIREPROOFING
0 ANCHOR/DOWEL
D NOE FIELD tJ NDESHOP
o _______ ,,
0 _______ 11
D
DSA/OSHPD/PROJECT: AVAILABLE: . SOIL REPORT YD ND SPECS: Y ~ N 0
-APPROVED DOCUMENTS: APPROVED PLANS Y~ N 0
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH·REPDRT NO. OR MATERIAL TEST REPORTS):
~ ,G;.
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY:
THE WORK WAS¢ WAS NOTO -
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS O WAS NOT D N/A er·
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 YO N 0
-PERCENT PROJECT COMPLETE:
THE WORK INSPECTED MET,W DID NOT MEET 0
THE requirements of the DSA/llSHPD/PROJECT approved documents.
Samples taken: &~6
Weather: ~-~ ymp: #V/('£ ~~
I ~ecial Inspector
.J~ &qd,.T;Md::2
Print Name
:::;~!,Z1d7.
Corporate:
Branch:
Branch:
2992 E. La Palma Avenue, Sujte 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-MORTAR ASTM C270
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635 FARADAY AVENUE
CARLSBAD, CA 92008
Client:· DUDEK & ASSOCIATES
I\
Set No.: 8-02323
Age Date Nominal
File No.:
Permit No.:
Project No.:
Project Name:
Actual Area Load Strength Type of
(Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture
7 7/8/2008 2X4 3.14 6,880
28 7/2912008 2X4 3.,4 9,760
28H 7/29/2008 2X4 3.14
Specified Strength: 1,500 PSI Sampled By: DAN CASCINO ASTM C1'72
Location: BUILDING 300 GRID #1 CENTER OF CMU 4' ABOVE FINISHED FLOOR
Concrete Supplier:
Mix No.: TYPES
Ticket No.:
Water added at Site:
Cement Type:
Remarks:
gal. By
Distribution: DUDEK & ASSOCIATES
MixTime: 10
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
min.
3110 PSI
2,190 NIA
3,110 NIA
Date Sampled: 7/1/2008 Date Received: 7/7/2008
Concrete Temp:
Ambient Temp:
°ེF ASTM C1064
°ེF ASTM C1064
Slump: 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\
Cmporate:
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-MORTAR ASTM C270
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635FARADAY AVENUE
File No.:
fermitNo.:
Project No.:
need
NEED
2510A04
CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE
Client: DUDEK & ASSOCIATES
I\
~~~~ /-; CARLSBAD, CA
l. t.t3 e, So b4 B
Set No.: 8-02297
Age Date Nominal Actual Area Load Strength Type of
(Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture
28 7125/2008 2X4 3.14 12,740 4,060 NIA
28 7125/2008 2X4 3.14 12,340 3,930 NIA
28 712~/2008 2X4 3.14 12,150 3,870 NIA
Specified Strength: 1,500 PSI Sampled By: DAN CASCINO . ASTM C172 Date Sampled: 612712008 Date Received: 6/3012008
Location: GRID LINE 2" CENTER OF WALL 16" ABOVE FINISHED FLOOR
Concrete Supplier:
Mix No.: TYPES
Ticket No.:
Water added at Site:
Cement Type:
Remarks:
gal. By
Distribution: DUDEK & ASSOCIATES
Mh:Time: 10
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
min.
3950PSI
Concrete Temp: 72
Ambient Temp:
"F ASTM C1064
"F ASTM C1064
Slump: 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\
Cotporate:
Bra.rich:
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: COMPRESSNE STRENGTH-CONCRETE ASTM C39
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635 FARADAY AVENUE
File No;:
Permit No.:
Project No.:
need
NEED 2510A04.....__..,,,.._ ___ __. __
CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE
0.960$z:.c@~µ
Client: DUDEK & ASSOCIATES
/I
Set No.: 8-02304
Age Date Nominal Actual Area
(Days) Tested Size (Sq. Inch)
7 7/4/2008 6X 12 28.27
7 7/4/2008 6X 12 28.27
28 7/25/2008 6X 12 28.27
28 7/25/2008 6X 12 28.27
28H 7/25/2008 6X 12 28.27
Specified Strength: 4,500 PSi Sampled By: JOSH COOPER
Location: U3I1ICPJ'NG°7 3"oor'f5'.5Yt.is
Concrete Supplier: SUPERIOR READY MIX
Mix No.: 8375P
Ticket No.: 119955
Water added at Site: 10.00 gal. By PUMPER
Cement Type: 11/V Mix Time: 60
Remarks:
Distribution: DUDEK & ASSOCIATES
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
min.
5940PSI
CARLSBAD, CA
Load Strength Type of
(lbs.) (psi) Fracture
135,500 4,790 Shear
137,220 4,850 Shear
166,039 5,870 Shear
169,770 6,000 Cone & Shear
ASTM C172 Date Sampled: 6/27/2008 Date Received: 6/30/2008
Concrete Temp: 80
Ambient Temp: 65
°ჷF ASTM C1064
°ჷF ASTM C1064
Slump: 5.00 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:
... l \ t
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-CONCRETE ASTM C39
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635FARADAY AVENUE
File No.:
Permit No.:
need
NEED
Project No.: 2510A04'-""-----~----
CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE
c;12§~H~~qm~E~
Client: DUDEK & ASSOCIATES
A
Set No.: 8-02305
Age Date Nominal Actual Area
(Days) Tested Size (Sq. Inch)
7 7/4/2008 6X 12 28.27
7 7/4/2008 6X12 28.27
28 7/25/2008 6X12 28.27
28 7/25/2008 6X 12 28.27
28H 7/25/2008 6X 12 78,27
Specified Strength: 4,500 PSI Sampled By: JOSH COOPER _,.,.,..,,..----·:-.,,-.,
Location: IBDILDINfr300-A:'5/l.25
Concrete Supplier: SUPERIOR READY MIX
Mix No.: 8375P
Ticket No.: 119991
Water added at Site: 10.00 gal. By PUMPER
Cement Ty~: II/V Mix Time: 50
Remarks:
Distribution: DUDEK & ASSOCIATES
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
min.
5440PSI
CARLSBAD, CA
Load Strength Type of
(lbs.) (psi) Fracture
140,980 4,990 Cone & Shear
144,260 5,100 Cone & Shear
152,220 5,380 Cone & Shear
155,090 5,490 Cone & Shear
ASTM C172 ])ate Sampled: 6/27/2008 Date Received: 7/1/2008
Concrete Temp: 80
Ambient Temp: 70
°ཌF ASTM C1064
°ཌF ASTM Cl064
Slump: 5.00 in. ASTM C143
Tested at: San Diego
Respectfully Submitted,
MTGL,lnc.
Eduardo Dizon, R.C.E.
28-day compression test complies with the specified strength.
A
www.mtglinc.com
C
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806 ·
Tel: 714.632.2999
Fax: 714.632.297 4
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#: Z )-I O A O L./
Permit# ~-Bt:.?8¢-&9-8-·re.o DAILY INSPECTION
REPORT
DSA/CITY File#: ________ _
DSA/OSHPD APPL#:. _______ _
Report# ____ PG __ DF ___ _ 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 l;Je distributed immediately.
Separate reports shaljbe 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 t..!fUc:AO,
ARCHITECT
M
TRAVEL TIME
SUB CONTRACTOR
ADDRESS OF PROJECT
D MASONRY D CEILING WIRE TYPE OF INSPECTION
D ENGINEERED FILL
D FOUNDATION
D BATCH PLANT
D PT CONCRETE
D SHOTCRETE
D CONCRETE
D HIGH STRENGTH BOLTING
D WELDING ..
D FIREPROOFING
D ANCHOR/DOWEL
D NDE FIELD
D ______ _
D _______ 11
D BACK FILL D SHOPWELD D NDESHOP D
DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT. YD ND SPECS: YD ND
APPROVED DOCUMENTS: APPROVED PLANS YD N D
CONTRACTORS EQUIPMENT/ MANPOWER USED:
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REWORK AS PERCENT OF ALL WORK TODAY:
THE WORK WAS D WAS NOT D
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS D WAS NOT D N/A D
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
cc .Project Architect
Structural Engineer
DSA Regional Office
School District
Contractor
Building Department
Owner
I o.,,c:;.
APPROVED SHOP DRAWING YD ND
78/l.,,
e
PERCENT PROJECT COMPLETE:
THEWORK INSPECTED METD DID NOT MEETD
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken: _________________ _
Weather: Ge,,,t;.,
ecial Inspector
Wdt.>/A.M. If.-4CX::X::.,if,v-'
Print Name