HomeMy WebLinkAbout2292 FARADAY AVE; ; 84-488-6018; Permit7 I .
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7009) of Dlvlsfon 3 of the Business
and Professions Code, and my license Is in
full force and effect
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I hereby alfirm that I am exempt trom the Contrsc· tor's License Law tor the lollowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permll to construct, alter, Improve, demolish~ or repair any structure, pnono its issuance also requires the ap-plicant for such permit to Ille a signed statement that he is
licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 ot Division 3 of the Business,and Professions Code) or that is ex-empt therefrom and the basis for the allegeo exemption. Any violation of Section 7031,5 by an applicant for a permit sub-1ects the applicant to a civil penally of not more tnan five hun-dred dollars ($5Q0).
0 I, as owner of the ·property, or my employees with wages
• as their sole compensation, will do the work, and the ~lruc-ture Is not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself-or through his own employees, provided-that such improvements are not intend-ed or offered for sale: If, nowever, the building or improve-ment is sold within one year-of completion, the owner-builder will have the burden of proving that he did not build or Im-prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed-contractors to cgnslruct the project (Sec. ?044, Business and· Professions Code: The Contractor's License Law does nof·apply to an owner of property who builds or im-proves thereon, and who contracts for eac~ projects with a
t~Wf~ctor(s) license pursuant to the Contractor's License
D As a homeowner l·am improving my home, and the follow-mg conditions exist: · 1. The work is being performed pnor to sale. 2. I have lived in my JJome for twelve months pnor to completion ot·this work 3. I have not claimed this exemption during the last three years.
D I am exempt under Sec. _______ , B & P.C. for this reason ____________ _
D I hereby affirm that I ha"e a cert1t1cate of consent
to self-insure. or a cert1f1cate of Workers'
Compensation Insurance, or a·cert1fled copy thereof
(Sec 3800, labor Code)
POtlCYNO p~
COMPANY
O Copy ,s hied with the city l \ /
0 Cert,f,ed copy -,s hereby furnished ~
CERTIFICATt 0F EXEMPTION FROM WORKERS' COMPENSATION INSURANCE.
(This section need not be completed 1f the permit
,s for One hundred dollars ($11)0) or less)
[j I certify that m the performance of the work for
which this pem::ut 1s issued, I shall not employ any
person in any manner so as to become sub1ec1 to the Workers' Compensation Laws of California
NOTICE TO APPLICI\N:r If, after makmJ·lh,s Cert, f1cate of Exempt1on,.you should become sub1ect t')
the Workers· Compensat10n, prov1s1ons ol the Labor Code, you must forthwith' comply w,th such
prov1s1ons or this perm1t shall be deemed revoked
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D I hereby affirm that there 1s a construction ffi lending agency tor !he performance al the work for
0 which this permit 1s issued (Sec 3097, C1v1l Code) ffi Lender"s Name ____________ _
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', USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLl~~ON & PERMIT I 12po Elm, Carlsbad, California 92008-1989 (619) 438-5525 Q) f. JOB ADDRESS "? AV. ST.RD, NEAREST CROSS ST. I DATE OF APPLICATION·.! f{JUSINESS LICENSE # VALUATION PERMIT. NUMBER u::: I ""'2..-£-,, ~ '"2--+ ~C> . A-..h ~ f -Jb-:8J_.,. 62t)J ~Lr'/ 3.-,o ' . ttit / >, I ~
! LOT BLOC!!: \ . l SUBDIVISION I ASSESSO PARCEL NO. , . 0 I I~ !lNTC.~0:h-ou/4/A c~,-__ e~ ZONE ~I}., IAo\~ I \ a Cl. 2rl~ iBI E I °!f:XW ;e.f;OAA,d . 1~ ... ,,,~ ,. 2qz~~R;;ONE
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! CONTRACTOR'S ADDRESS LICENSE NO. BLDG USE coo'E I-PLAN 1.0. # I ' 73?6 C1At:J1;, ____ 7<' d s,o, 2Zl'J6'-I C/ f OWNER'S MAlllNG ADDRESS V 'O
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\ )336 h,a;~ /J,(%/6 / /;_, __ CJJ)J// DE.SIGNER t/ LICENSE # STANDARD PLAN#
BUil°/?~ F,qGE C}
l01Jn1hJ~ej / M~w-h I 'DESCRIPT10N .OFU/QO,RK (/ ,
r DESIGNER'S ADDRESS / DESIGNER'S PH.ONE I c
~ . /Sir /1& wP~ '1/vl J.o. 7.Jt..,7?/6 <ti l-I .,· / -:-r-' .... I jf~#i:L~ -~
I, F/P NO 1-1 I,_, Lil b I.., I L, j ~: a. FLRELEV. ~~ EDU I l-1:,1,'.,-.ll .. Cl. !
vO NO ~LL. STO/'ES /,./ b <!:,
! I I CENSUS TRACT r GP LAND USE ! PARKING SPACE 1;;?1 GRADING PERMIT ISSUED I REDEVELOPMENT VX1 crcc LOAD Fl RE SPA X
! AREA C
! YO N 0 vO NiX v't:J/ NO Not Valid Unless Machine Certified a:
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I QTY. PLUMBING PERMIT -ISSUE 7,-S-o QTY. MECHANICAL PERMIT -ISSUE 3-tJrl SUMMARY/ACCOUNT NUMBER 0 l ~ -en
EACH FIXTURE TRAP INSTALL FURN. QUCT-S UP TO 100,000 BTU BUILDING PERMIT .......... 01-00-00-8220 /0~~-en
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EACH BUILDING SEWER '. f-,fi .• OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 en
! -en
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' EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 I ! -. EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-11) HP ---TOTAL PLUMBING 01-00-00-8222 -:;;J,J • ..:., l:) ~ I
MET~IREPIACE • },-/ f(r,f" -0
' EACH GAS SYSTEM 5 OR MORE ELECTRICAL 01-00-00-8223 Q)
l \/&1ll.J AN Sj'\l ~ U CT MECHANICAL ->-EACH INSTAl., ALTER, REPAIR WATER PIPE 01-00-00-8224
I ME~H E\.t(AUSl -FWOO/DUCTS ---EACH VACU!JM BREAKER MOBILEHOME 01-00-00-8225 I REllO(#TION OF EA FURNACE/HEATER (J) l WATER SOFTNER MOBILEHOME PARK INSP ' -en
I -, EACH ROOF DRAIN (INSIDE) /7,fl Q)
SOLAR 01-00-00-822R . ()
' . I TOH,L MECHAN.ICAL 1,,,,t/-. ~ q 0
STRONG. MOTION 80-92-33-0519 a: ! ._ TOTAL PLUM~ING-I ~ /.J-, FIRE SPRINKLERS 01-00-00-8227 <ti
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I : I .... ~f'·i· . Yi ~ .. ~. :~ PUBLIC FACILITIES FEE 32-00-00-893) /Oi,7 -0
! QTY. -• El}E01JiRICAL PERMIT -ISSUE S:oi:. QTY. ~ SOLAR -ISSUE . , g ' : ~, ... . BRIDGE FEE
t NEW CONST EA A·MP/SWTtBKR XllO ~ CO).LECTORS Q)
SCHOOL FEE -DISTRICT (.)
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1 PH ~ '+5<D </;Jn. -STORAGE TANKS Carlsbad 80-92-21-0519 <ti I C
f EXIST BLDG EA AMP/SWT/BiCTr .,
ROCK STORAGE Encinitas u::: 80-92-22-0519
l 1 PH 3 PH PUMP .....
San Dieguito 80-92-23-0519 I I RE MOOE L.'AL TE R PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 l C
I TEMP PO LE 200-AMPS Q)
E: I 01.(_&R ZOO A_MPS I LICENSE TAX 01-00~00-8162 -.. C}
I . TEMP.,uc'E°u~AN CY (30 bivSi . ·-·. MFf. 80-92-57-051~ (#. /I, ")C. 'j/f/ I) ...r'-1-.,,,, -I ' ~
I CREDIT DEPOSIT . L-Je,o-" 0
TOTAL ELECTRICAL I
.. . s-J ff.nJ..,, TOTAL SOLAR '•, , } -.
TOTAL FEES PAYABLE • 1·
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I J lJ-.°?IA~• 04 Cl. en ' l HAVE CAREFULLY EXAMJNED THE CdMPLETED "APPLICATION AND .PERMIT" AND EJO HEREBY
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I Expiration. Every permit Issued by the Building Offlc1al under the provIsIons of this * AN OSHA Pl:RMIT IS REQUIRED FOR EXCAVATtoNS OVER I CERTIFY UNDER PENALTY OF PERJURY-THAT ALL INFORMATION HEREON INCLUDING. THE Code shall expire by limitation and become null and void. If the building or work 5' O" DEEP AND DEMOLITtoN OR CONSTRUCTtoN OF I DECLARATIONS ARE'TRUE AND.CORRECT AND f FURTHER CERflFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT 2 l permit, or if the buildinff or work autho;~, by such permit Is suspended or ISSUED: TO COMPLY W.ITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any time a ter the-work is co enced for a-oeriod of 180 davs , .c I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. ( ALSO AGREE TO SAVE INDEMNIPf AND
A~URE M~RD
CCNTRACO~ "Jeo,;.J_,··. (\. ;"',( • ~-'")~ ~
l KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS_.AND
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
~PHON~.~ ~I ~·~t9-GRANTING OF THIS PERMIT.
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SEE
2280 FARADAY AVE
FOR MORE
INFO ON
84-448
/
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM'
CITY OF CARLSBAD , -+:.'· ' lz)~H-10 , .. ·~ t SE r.:rl!Ji.. · •-
ENGINEERING DEPARTMENT i
435.5541· I/ ,,._.
r.t --. ISSUED BY ---_,,.,..;.---:-~·~'..,.,· _-,,,,,:_' ..,....,...;..-_-· _____ _ FOR APPLICANT TO FILL INM '),,..,~""' ,· ·-:j' ;,;,..::_/
BUILDING 1..:------'-'.:,'-"j.,.;:-,;:,_,_.,""-"":-<::-:-;..-,,-.t;-.,.-.-, -0""".~)-~-,.-+,;.,-_;-r~-------1 DATE ISSUED-----,,---,"""',,'------------
ADDRESS ~,---..;.:... , ,,. '•,e""'t .... · ,:-.f 1-----,V--,-A--,-L-ID-A,-,T:ccl--=O--:--N:----------'------------
OWNER
MAILING
ADDRESS
CONTRACTOR "
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION ,. I
REMARKS:
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LATERAL LOCATION
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LATERAL CHARGE COMPUTATION . . ,,,.,y
STANDARD 4" (Max. H. 30', V. 10') _____ .,.....-"·'"'--,,._, __ _ ,,.-OVER 30' H. ___ @ FT. ___ ,--_____ _ _,,~'
OVER 10' V. ___ @ ___ FT._-=_,._,~ _______ _ ,,,.,,,,
STANDARD 6" (Max. H. 30', V-.'~10') _________ _
. .i"" OVER 30' H. ___ @,/ FT. _________ _
OVER 10' V. -~---'@ -FT. _________ _
TO_J;At'~ONSTRUCTI ON COST----------
SEFIWCE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DAT~..,,..----.,.-.· .,,,....,,...-ASSESSMENT DIS~T,:.•f{fQ. _____________ _
~~'til'V
FRONTj\,6'E• COST PER FT. ----TOTAL __ _ . .r' OTHER ____________________ _
. I. CONNECTION FE:1 _,1-.:-,'t , . . _ , J
8~:rg l' ~'< ' " • ; /t
NO. UNIT$, ____ coST PER UN~// TOTAL..;.I!::...'_-·· __
. 1----------------------==~~_::c·--PUMP STATION FEE_S __ __....-~--
NO. UNIT_S __ --..
__ ..,,,,,,,,.~~ ... -
-----coST PER UNIT ____ TOTAL __ _
: :~-; (~::-,1 <~-I"~~ ... ~-~-. ~ ~
TOTAL CHARGES (LATERAL ETC.) ./ . .
LATERAL NO. _______ INSTALLATION DATE----------11
WHITE: EnrJineerinq ~REEN: Fimmce YE~LQW: §anitation PINK: Building GOLDENROD: Permltter
To: ENGINEERING, FIRE, PLANNING; UTILITIES
FINAL INSPECTION NOTICE
Date 12-fo-85
Address 222t1.2282~22Y2.2320 FARADAY Plan# 84-488-6025 IIHHJiuu-buz,
a 11_ uu 11-6() lB
Type of Construction Ti 1 t-up she 11 ...;.....;....;=--=-.~.!..,.'.__------
84-488-6022
Person to Contact Robert lJa.de __....---:,-.. ---------( Engineering ...._ ·-..
Department __..)
,,.,:--,,F;i8· :~---: A ••
· Prevention ,\
......... ---~-Piannfng' ··-. ') Approved
Date Approved
Date Approved
Comments: ---------------
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS/ IT Will BE ASSUMED IT IS OKAY TO FINAL.
---..... -·-·----------------_I_ .... ----·· ---·-----.
1o: ENGINEERING, FIRE, PLANNING, UTILITIES
FINAL INSPECTION NOTICE
Oate 12-lo-o:5
i:,J..-488-6025
,s :s_ ui, u-61JlB
84-468-6J22
Type of Construction .:.T~i 1-=-L=--·-...:u~p_s--h_e __ l_l__,;,,,_ ________ _
Person to Contact __ K_o_b_e_r·_t_I·_!a_u_',a __
c··engineering___ .
, G"-pepartment _ •.• -'
. ·'Fire_·:~
· . :;re:;:_~
r Planning i Department ,.....__ -):"""
rutilities ')
\ Department ./ -----
Date
Date /,:} -_;l _J -8 r
Date
Date
:.:.9;.:-sss1) Ph. ~o. _____ _
Approved
Approved
Approved
Approved
Comments: ___________________ _
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS, IT WILL BE ASSUMED IT IS OKAY TO FINAL
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1200 ELM AVENUE
CARLSBAD, CA 92008-1989
TELEPHONE
(619) 438-5523
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~itp of <ltarlsbab
FIRE DEPARTMENT
PLAN CHECK REPORT
• f PAGE1 OF_
APPROVED ,...,,.\
DISAPPROVED
PLAN CHECK#
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PROJECT~IJ~J~,/-,_!~r_, __ ;r_,~·~~~·/~if~,'-------ADDRESS ~2.......,~~?-'-.9~c:,=~-~•-r-_:-_t~/~--/~;~·~--f?~~~,-~(1
____ _
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ARCHITECT ______________ ADDRESS _________ PHONE _____ _
OWNER ADDRESS _________ PHONE
OCCUPANCY-P~· --2~_-___ CONST. ,J7!-.f./ TOTALSQ. FT. L_:f G/9 STORIES
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,.c(sPRINKLERED D TENANT IMP. -------~-')..........,,(=t ___ :J""", __ , _, _, _""" ___ i'"""",?-""""/_._,·l-;;-;/ ____________ _
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APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets ___________________ _
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following: _______________________ _
Permits are required for the installation of all fire protection systems,.(~, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire departm~"ht-priti[to installation.
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
,.{ 6 /--. The following fire protection systems are required: ,
~'Automatic fire sprinklers (Design Criteria: ., ~· ::;',/' """ , ,,.-'.'~' .... o ,._. ~ <i' CJ ') ('' • _-;,"' "<!.... ) /
D Dry Chemical, Halon, CO2 (Location: -------=/ __________________ )
D Stand Pipes (Type: )
D Fire Alarm (Type/Location: )
__ 7. Fire Extinguisher Requirements:
D One 2A rated ABC extinguisher for each ___ sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel.
D An extinguisher with a minimum rating of to be locate~:
D Other: __________________________________ _
__ 8. Additional fire hydrant(s) shall be provided ______________________ _
EXITS
__ 9. Exit doors shall be openable from the inside without the use of a key or any ·special knowledge or effort.
__ 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and
doors '
__ 11. EXIT signs (6" x ¾" letters) shall be placed over all required exists and directional signs located as necessary to
clearly indicate the location of exit doors.
__ 12.
143 --'-*:·•· ;,!, Iv' ,/
__ 14.
GENERAL
Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81. ,
Additional Requirements. -----------------------------
__ 15. Comply with regulations on attach~d sheet(s),.,....,... «:::._7::. ,.__ ,;j ~~;.:-'7~,~· " I
f~ / '"/,I'' ;i' • ·0-··1~·--.>' / ., // :::_· _/ { , •. / Plan Examiner .,.-,--• • ,/f / ,._.,_, ,.,,.. ··_· ' Date / '·· F -; _,.,.... \/ J/
Report mailed to architect Met with ______________ ~ Attach to Plans
REGISTERED INSPECTOR'S WEEKLY REPORT
Construction Laboratories
'891 MERCURY STREET
SAN 0EIGO CA 92111
( 714) 292 ·9565
COVERING WORK PERFORMED 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY
JOB NO.~ 77 Z
WHICH REQUIRED APPRCNAL BY 0 PRE-STRESSED CONCRETE 0 REINFORCED GYPSUM OGUJE-LAM.FABRICATION
Tl-£ SPECIAL INSPECTOR OF 0 ·REINFORCED MASONRY 0 PILE DRIVING D OTHER
Joa ADDRESS F~!4d)Ar'-/ 'FOR WEEK 19 NR ENDING
OWNE!t OR tp'~t.~ /j/+.:l) RE~f.E.A-R..eH GEiv1£i:. ~LDG. P.ER}? ff-Vi' l! rAN FILE NO
CONSTR. MAT" L I TYPE, GRADE, ECT.) ;Butt..JJt/>..C ~o I;? ARCHI~. tf!OMM tE.!vHC£K.. i A-ssor.
DESIGN STRENGTH rOURCE OR MFGR ENGINEEWC,t.A,/Af< ~ A-:f~e,c.
DESC~I MAT'L. {MIX DESIGN, RE·~ GRADE~l'GR 'E.ttvA!)/~/JL ! cL : Ml7v! Mt.S-GENERALKNTRACToR . OC...L ~
~~JE_ /\/1 ()C . .r c.? ~ o o o.K , .f o oo p.s 1 coNrPlt.l;yu.RrEoP'~t:ss/5R.. .
I LAB &;IVIN~TING CONSTR M~P8~ R-1 /v~ e:1701<--t?c
CONTRACT NO.
INSP'N. LOCATIONS OF. ~RK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
lf'Cludes information about-amounts of material f!laced or work performed; number, type, and identity numbers of test samples DATE ta~n; .structural connections (welds made, h.t. bolts torqued) checked-; etc.
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.!rEEt. µte_ JJ~Et..!!.
( . s, s, ti n /3, 19 ~ /~J-( .
1£ /vu e.g u...tei' pk,.... ~-lf.
f/ £ tf2. I ? I £.b_ p!UJpct!c ~IZ/:: 61cMt:, t.14.--A )Q-0 'Z I j7 'O A.J
A-1-.D _Quj\-1\,nfy I (;),I: ,R.£ I A, i=b /?fl. I A-6 t:P,-£$(_ ~
e~a Fi)/< I~ JOl?-WE~ -d'/"itE~ R~ otv.
/Vc9nFrEb ~tq)5'J:!. ,,.., '"lic...t-J Mtvt-0/:' /V1 l~S I /v G zttt.t
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13/ttU AJR-fJA:1.;FC$ 't; I /3 I IC/.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COM PL YWITH "FHEAPPROVED PLANS SPECIFICA·
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
SIGNATURE 7 -cf ~
DATE OF REPORT REGISTER NUM&ER
REGISTERED INSPECTOR'S WEEKLY REPORT
4891 MERCURY STREET
SAN DEIGO CA 92111
Construction Laboratories I 714) 292 ·9565
JOB NQ 4-1Z.
COVERING WORK .PERFORMED
WHICH REQUIRED APPROVAL BY
Tt£ SPECIAL I
REINFORCED CONCRETE Q STRUCT. STEEL ASSEMBLY
PRE-STRESSED CONCRETE O REINFORCED GYPSUM OGLUE·LAM.FABRICATION
EINFORCED MASONRY O PILE DRIVING O OTHER
•
19
ENGINEER
SAMPLES
INSP'N.
DATE
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
lpcludes information about-amounts of material placed or work performed; number, type, and identity numbers of test sampies
ta~n; structural connections ( welds made, h.t." bolts torqued) checked-; etc.
5-Z
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICA-
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
REGISTER NUMBER
REGISTERED INSPECTOR'S WEEKLY REPORT
Construction Laboratories
4891 MERCURY STREET
SAN DEIGO CA 92111
( 71') 292 ·9565
COVERING WORK .PERFORMED 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY
JOB NQ y 7 7 2:...
WHICH REQUIRED APPRC7t/AL BY 0 PRE-STRESSED CONCRETE 0 REINFORCED GYPSUM OGWE-LAM.FABRICATION
n£ SPECIAL INSPECTOR OF 0 REINFORCED MASONRY 0 PILE DRIVING D OTHER
JO& ADDRESS 2 z. t:f 2 F,+R..~Mf N-9. IFOR WEEK
ENDING 7 -Z7-· 19c'f.J"
OWNER o~e~~~J5A-£l /<£.f~ Ce:Jv,E.J?., BLDG#'9~ 't/'"if8 rAN FILE NO
CONSTR. MAT' L l TYPE. GRADE. ECT.) ~ I '-D I "-C 6t) I~ ARCHITECYG g ,M R..OMMEA.tH0£./c. sve,
DESIGN STRENGTH 15ouRCE OR MFGR. ENG.INEi3LJ.,/e~ ~ l,,V01'.,t>-
oesc~tlr",2·A'5 ~~11t' BAR j~GR .! M ~ Af IS GEN ERAL,,eNTRACTOR D ,._ L
<!-0 ""'~~ /v1' ''>C' . so~ ooog. · to oop.s, co7< /f._1f YE Pu.rip~ f. £{~ .
LAB ~I~! t,W_Nb,C~Jl.R, Mt-)djo~{c.( £)
CONTRACT NO.
INSP'N. LOCATIONS OF ~RK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
DATE lf'ICludes information about-.amounts of material ~laced or work performed; number, type, and identity numbers of test samples
token; structural connections (welds made, h.t. bolts torqued) checked-; etc.
7-2{, W1i1'..E.Y.tt£D ~EM-f:1---1 ~ e..:o/.-S D L( .b.-+--h 0~ tJF
, I ?~O ~-y/:)f otc ?feE-M t"K:£1:;) ·.kf)f.)Je.-0Ktf"1~~
6.6,-~ PfJ/€. pkNBL~ s-G, 7, ?, 9, 10 ~b Fe.¼/
f,/0 Iv -.! ~ p.,+,-.-£ l-~ .
('CE-I ,.._~µA A-6 n~~J..-i--/M I~£~ kt---.D ~,,.,.-.:i-1 /l '7
/ju.Mf.-( ptc..eVt{)-ug /1--~pE£i, OJ.-. I
~t-teo~~ ..J'/' J --s '' ' • YI~ 'l..-E:-FR..OM '/I-LE. F~l:£l. er
,r--11 -j t_ f..J.. /v'f p • Y r I ~, rM A--
Wrr-,vfSS.SE..b t-"",t\,,,!r,,.._,t; /11-,,..1./)£-R. -10-U-f1--{ u.rk«,_
OF {durc..bn, .. t t"o2Z A-/-t:,
s~ la,( M-{ J' eF /SUIL./::>11--6
' '
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COM PL YWITH THE APPROVED PLANS SPECIFICA·
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
NO/'l.n-{ IIV~f .A+-..D
ot:JIE .'
INSPECTOR c;;,-,..-c~o
DA TE OF RE PORT REGISTER NUMaER
,· ~-D
REGISTERED INSPECTOR'S WEEKLY REPORT
Construction Laboratories
4891 MERCURY STREET
SAN DEIGO,CA 92111
( 714) 292 ·9565
COVERING WORK PERFORMED 0 REINFORCED CONCRETE [ii STRUCT. STEEL ASSEMBLY.
JOB NO 4772
WHICH REQUIRED APPROVAL BY 0 PRE ·STRESSED CONCRETE 0 REINFORCED GYPSUM 0 GLUE-LAM.FABRICATION
THE SPECIAL INSPECTOR OF 0 REINFORCED MASONRY 0 PILE DRIVING 0 OTHER
JOB ADDRESS NO. 1 Of 1 IFOR WEEK 7-19 1185 2292 Faradav ENDING
OWNER OR PROJECT NAME BLDG. PERMIT NO rLAN FILE NO
Koll Co. CRC 6000 #618 84-488
CONSTR. MAT'L (TYPE.GRADE, ECT.) ARCHITECT
Kromm Enhoek/McKeown
DESIGN STRENGTH rOURCE OR· MFGR. ENGINEER
Nowak Meulmester & Assoc.
DESCRIBE MAT'L. (MIX DESIGN. RE BAR GRADE & MFGR. GENERAL CONTRACTOR
Koll Co.
CONTR DOING REPURTED WORK
Presser
LAB RECEIVING & TESTING CONSTR MAT'L SAMPLES
CONTRACT NO.
INSP'N. LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
DATE Includes ,information about-amounts of material placed or work performed; number, type, and identity numbers of test samples
token; structural connections (welds made, h.t. bolts torqued) checked; etc.
7-15 Conducted field welding inspection of welded assembly. Verified
welder qualification, electrode and machine setting. Checked completed
welds for size, type, and appearance. Item and location of inspected
work; observed connections welded on East & North walls for the following
details 2/S-l, l/S-11, 8/S-2, 11/S-2.
7-17 Continued inspection as mentined above. Determined that intermittent
inspection was required for the single pass fil~et welds
connections and verified bolt tensioning procedure.
CERTIFICATION OF COMPLIANCE.
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECI FICA·
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS. 2-:Z.o•fC:
DATE OF REPORT
at oar Joist
----
REGISTER NUMBER
-
Construction Laboratories
F£GiSTER£0 INSPECTOR'S WEEKLY REPORT
'891 MEICURY STREET
SAN 0€1GO CA 92111
111 ,1 292 -9~(15
JOB NQ 4772
COVERING 'NORK PERFORMED 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASScJ.'BLY
WHICH REWIRED APPRCNAl. BY 0 ·PRE-STRES:X:O ~CRETE 0 REINFORCED GYPSUM OGLUE·LAM.FABRICATI0N
Tt-£ SPECIAL. INSPE~ OF 0 RENF0RCE0 MASONRY 0 PILE DRIVING gg OTHER Field Welding·
JOI .-;oo«tSS lfOII WHJC 7 /13/85 19 2292 Faraday Ave., Carlsbad. CA N9 ENDING
OWNU 01 rtOHCT NAME 6lUu 'EA Ml I m., l'lAN fllf NO
Carlsbad Research Center 84-4886018
CONSII MAI l I lnE.-GIA0E. !Cl.I AlCHllf<.I
Krommenhoek/McKeown
0fSIGN STRENGTH 15ou1ce 01 MF.Gil ENG111EH, :
. OUCllaf "'"''t !MIX DESIGN. If a.u GRA0t 'M(Gll GfNERAl CONIU<.11.Jl
Koll Construction
CONIR 001NG RtpORIE0 WORK
Electrodes E7018 (Manual) Hawkins Weldinq
lAI RfCfllllNG & lESltNG CONSTR MAI l SAMPlH Innershield NR211
CONTRACT NO.
INSP'M. LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
DAff: lflCludU information about-amounts ot material ~ace,d or work performed; !limber, type, ancl identity numbers of test soms:'es
tole.en; structurol connections (welds made, h.t. bolts tcrqu1d) checked-; etc.
Cert. Welders
Ed Hawkins #277 Advanced Test Inc.
7 /13/85 Proviae Field welding inspection on connection points, Tilt up panel canst.,
North & West walls between connections as per detail
connection points. Completed and approved. Missing
Northwe·st corner of building on west wall.
::_-:,;:-,;:;;:~";
-
-
CERTIFICATION OF COMPt:IANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK. UNLESS OTHERWISE NOTED ·1 HAVE FOUND
THIS WORK TO COMPLY WITH THE APPROVED PLANS SPEC! FICA·
TlONS. & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.-
DAit Of lf,OU
8 S-2. Total 6
Imbed plates
~~-":-t..-..----=r;=-:~~--~-=
OfO ,INSPfCIOI fl" . ?k-1~
ltGll'lU NUMlf.
REGISTERED INSPECTOR'S WEEKLY REPORT
4891 MERCURY STREET
SAN DEIGO CA 92111
Construction laboratories
COVERING WORK .PERFORMED
WHICH REQUIRED APPROVAL BY.
Tl-£ SPECIAL INSPECTOR OF
I 71') 292 ·9565 '
JOB NQ f 7 71.
0 STRUCT. STEEL ASSEMBLY 0 REINFORCED GYPSUM OGLUE·LAM.FABRICATION
0 PILE DRIVING O OTHER
CONTRACT NO.
INSP'N.
DATE
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
Includes information about-amounts of material ~laced or work performed; number, type, and identity numbers of test samples
ta~n; structural connections (welds made, h.t. bolts torqued) checked-; etc.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT. I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICA·
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
REGISTERED INSPECTOR'S WEEKLY REPORT
Construction laboratories
4891 MERCURY STREET
SAN DEIGO CA 92111
I 714I 292 ·9565
COVER! NG WORK PERFORME,O 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY
JOS NO. it '17 Z
WHICH REQUIRED APPROVAL BY . 0 PRE-STRESSED CONCRETE 0 REINFORCED GYPSUM OGLUE-LAM.FABRICATION
Tt£ SPECIAL INSPECTOR OF 0 RBNFORCED MASONRY 0 PILE DRIVING D OTHER
JO& . ADDRESS F~l'f#)AJ-/ IFOR WEEK 19 NR ENDING
OWNER: OR ~t~ /3A::b REs:~ ~JE..k. ~LOG. PERJ? Cf-l/? K rlAN FILE NO
CONSTR. MAT"L (TYPE.GRADE. ECT.) ,B u (( ... /J I ,.._ C Go Id' ARCHI~ _ t€OMMtEtvHrJEK.. i A-s.soc>.
DESIGN STRENGTH rOURCE OR MFGR. ENGINEEWovV'~ ~-/2:f~c,c.
DESC~/ MAT'L !MIX DESIGN, RE·~ GRAJEft.g '£. I Iv A!J!Ut JL L : MTM ~ rS-GEN ERALKNTRACTOR 0 (..(_ c.,
C,r,~,-s:. !Vf ()C : re? -o o og , .s o oops 1 coNri?lt.°c yo.Rreop~~s s/5R.,
I LAB ~IVIN~ESTING CONSTR, MA/ L~MP8~ R!.-1 _ ,..,.,~ umol'---··-t::(
CONTRACT NO.
INSP'N. LOCATIONS OF \,\'pRK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
Includes information about-amounts of material ~laced or work performed; number, type, and identity numbers of test samples DATE to~n; structural connections (welds made, h.t. bolts torqued) checked-; etc.
-, -:> 1~sp~ ~.D IJL..anJ~-~ ,, -II I,_ -J-'L~ R £/ "-!=O lc.(f 1 "-~
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( ,vFrf)-f e)-f'..b A:-A.-J) .. ,.,.,,.-~ , -,·~, ,,..., -~l,+e.£° /2-IE( "'F0teel ,._ t/-
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f/ £ tf=. I /: I £./::;_ pMp£~ .S:IZ/:: 61cME; LJ'\-A )&rO 'Z IJ7 DA...
A-1-.D Q u A-N n fy 'Q-,C ;e.£I A,/=b!c@_ t~6 i:f'J£~t.... M
e~~ R)R. 1!-L ,P/<.0../ E~ -I f?rE~ A~ o t,..,,,.
;V&nFrEt::J .f' t.(/~ te..1 ~ 'tic..fv Mfvt-01=' /V'{ l~Sl/vo z tt f./
eAeµ_ FA-€£ M~~ 7fJ/J & /:-f);+tv'E L G A-,.,-.[.) .1) I~ µk(_
· /3/J('(U FJ/e.. fa~FC 'S IG
I /3 I .IC/,
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED AL:.L OF THE ABOVE
REPORTED WORK,· UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COM PL YWITH THE APPROVED PLANS SPECIFICA-
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
SIGNATURE
7 -cf -
DATE OF REPORT REGISTER NUM&EI
.,
..-CONSTRUCTION LABORATORIES
MATERIAL:$ TE~TIHG
CONSTRUCTION INSPECTION
ALL R.::?'J:=::I'S A.=.::. S'..:3:-'.:! IT.:D A.<:, Tr-E a:t,'FIOC:,..'TIAL PRDP::R:!Y OF C1.IEt-.TS. AIJIIDRIZA.TICN FOR F'JBLI.C..\TIQt; OF CUR R::PORTS,
0.1i,::!..l.'Sl(:t.-;S, ffi ::,::,:.;_;~ FID.~ OR R::GARDL\JC 'IHE.'1 1S RSSERV-r..D PS.:~IN::; CL"R 1-.'RIIT.::~ t-:PPPDIAL AS A Y..!I'JAL PR::Jr::cna~
ID c:...E:--.TI, TIE P'JoUC Ai\"'D Ct'RSEL~S. . .
REPORT OF CONCREI'E TESTS
PROJECT:
ADDiESS:
ro:ITRAC'I'):l:
A.llr.HITECT-:
CRC BUILDING~) 6022, 6027
Priestly Ave~rlsbad, CA
Koll Company
Krommenhoek-McKeown
E.\lel~ER: Nowak & Muelmaster & Assoc.
PANEL 9
PROJECT NJ: 4 77 2
m:IB: 8/2/85
BUILDING PERMIT:
PLAN FILE:
CD.'!CRET:: SUPPLIER: Pre Mixed
50-0008
Pl.A\7 ID: TICKET ID: 174858
MIX NJ: TIPE OF C::ENr: II All'fIXIURE: Pozz 322
SU~l? -L'-:.: 5 CDNCR::1:: 'ID1P: AIR ID!P: 70
MIXING TL~E -Ml.'~S: WAlER AD!r..1): 10
S~CI~S ~.ADE BY: Z. Tsirnberg Il,UE ~= 7/26/85 11-\IE REC:::l~..1) /u IAB: 7 /30/85
FLE_t.:) IDS'frIFICATIC!'i:
........ .,_:,:,.,o:"· I -.. _ _.. .,... .. _________ Tl,..,...--·l !AB l!E.'8FIC.:..IIC'N: 14149 14150 14151 w-:-::.--· I -~ ~,: < --i
Kl:. -DAYS: 7 28 H
-! I
nUE TES1W: 8/2/85 8/23/85
SIZE -nt.: 6xl2 6xl2
A.ri£A -SQ. IN • .. 28.27 28.27
CR!JSH.UC WAD .-LBS. : 70900
Ol1PRESSIVC: STRfJ~-f -. psi: 2508
HID:
Q)R.~CTICN FACTOR: 1f/ CDR.~CTED STR::Nv1H -psi:
3000
Respectfully Submitted:
CONSTRUCT OH LABORATORIES
6455 NA~CY R!~G~ DRIVE. -SUITE 200 -SAN DIEGO, CALIFORNIA 92121 -(619) 587-0250
., -CONSTRUCTION LABORATORIES
MATERIALts TE~TIHG
CONSTRUCTION INSPECTION
Af.J, R::PJ:m ;._r::;_ s;_3.:,;: IT::D A.C. TrE m.'FID:::--'I'IAL PRDP:::=Tr OF CT...IE:-.TS. AlJil-K)FJZA..TICN FDR P'JBLl.C:JICX; OF CUR R:::PJRIS,
m,CU.'SICX--S, ffi EXT':\.-;c-rs FRO-! <B R::GARDL~ 'IBE.'1 1S IcSER'v'ED P::,:.;:)]}r; am \..'RITT:::; A?PP.0\/AL PS A K.rr'JAL PR:T.:::CTia,
ID CLI.£;,_T::i, TrE P'JoLlC Ai\"D O...'RSSLVES.
REPORT OF CONCRETE 1ESI'S
PROJECT:
ADDRSSS:
(nrr.'...AC'I'JR:
CRC BUILDING~)6022, 6027
Priestly Ave~lsbad, CA
PROJECT. NJ: 4 77 2
D.\IE: 7/18/85
A.itc:HITECT:
Koll Company
Krornmenhoek-McKeown
BUILDING PERMIT:
PLAN FILE:
~~I~TI:R: Nowak & Muelmaster &.Assoc.
COLUMN ON LINE 4 AND LINE E
O)~lC:RET:: SUPPLIER: Pre Mixed
MIX NJ: 500014
SLU~-fi> -rn. : 2
MIXING TL"E -ML~S: 8 2
SP::Cl~S !-'.AOC BY: Jack Bandy
fIEI..:) ID~\'I'IFICAIIW:
1.AB ID::'8FIC:JIC'N: 13666 --· .. .. Kl;. -DAYS: 7
ll!JE n:sr:-J): 7/17/85
SIZE -IN.: 6xl2
APF.A -SQ. IN • .. 28.27
CR!.JSH.UG WAD -LBS. : 80400
m1PRESSIVc: STRE?cr.-I -psi: 2844
H/D:
O)R.!IBCTIOO FACTJR: tJ§y . CDRRECIED STREiL'Trl -psi:
S-P:--CIFIED STRE:'lGTI-! -psi:
PIA'\'f ID: CB
• 1YPE OF a:E:--'f: II
TICKET NJ: 88291
ACT-fil"'IURE: POZZ 322
AIR 'ID1P: CU'iCR::'E ID!?:
WATER AD!FJ):
OATS MA:E: 7 /10/85 . U..\IE REC:::llJ!;'J) Kf LAB: 7 /11/85
.-.c:;:a....-·,---"--13667 13668
28 HOLD
8/7/85
6xl2
28.27
3000
R £ C £ I V £ O l<espec,fully Suhru.tted,
AUG 5 79agN s TAU C TtON L"A BO RA TO RIES
CITY OF CARLS
Building Departmen
6455 NANCY RI~GE DRIVE -SUITE 200 -SAN DIEGO, CALIFORNIA 92121 -(619) 587-0250
·-·
" . -. CONSTRUCTION LABORATORIES
MATERIALS TE~TINO
CONSTRUCTION INSPECTION
ALL R::?J;:TS ;._-::::, S'..3·~ IT:.:D A<:, Tri:: CV.-.'FIOCXTIAL PRDPE:RIT OF C'...IE!-.'TS. AUIIDRIZA..TJ.CN FOR ?J5LlC.-;Jia; OF CUR K::P:RI'S,
O)i,G!..L'SICNS, OR EXB..;CTS FRO-~ OR R::G/.\ .. IIDL~ 11iE."1 IS FESERVED F'SwOC OJR \.,'RI.TI:::{ RPP.fNAL PS A !-"..!T".JAL PR:JT"::CTict;
1D CI...U::;:"S, Tr-E PJo!..lC AKD a. 'RSELVES.
REPORT OF CONCRETE 1ESI'S
PROJECT:
ADDIESS:
ro:-ITRACI\)?..:
CRC BUILDING~ 6022, 6027
Priestly Avenue, Carlsbad, CA
PROJECT ID: 4772
Or\'IE: 7 / 10/85
Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
PLAN FILE: A.~tUTECT;
EN::;Ir--ER: Nowak & Muelmaster .&. Assoc.
I.JXATICX-: L'\ srn:.;cruRE: PAN EL 16
ro~lGRET:: SUPPL.T"ER: Pre Mixed
MIX NJ: 50-0008
Sill!? -rn.: 5
MIXING ·m-t:: -MI:,s: 7 O
Zin Tsimberg
FI.::r;) ID'S..\'TlFICATIOO:
UB ID::.\TITIOJ'ICN: 13533
JG!. -DAYS: 7
~ 1ESIED; 7 /10/85
SIZE -I!'l.: 6xl2
Mfi.P. -SQ. IN.: 28.27
CR!JS!U:N:, WAD -LBS.: 81900
Cll1PRESSIVc: STRE?~TH -psi: 2897
HID:
Q)R.~CTIOO FAl."'TJR: 1§? -a)R.~CI::D STR::,i,,'Trl -psi:
PLA\"l" ~: Carlsbad TICKET ID: 157832
POZZ 322
75
1YPE OF m-E~'T: I I ALNI.XnJRE:
CD.'iCR::E TEMP: AIR !EXP:
WATER ADIF..D: 10
DAE 'M:\:E: 7 /3/85 D..\JE RECEIVED tu l.AB: 7/8/85
.13534 13535
28 HOLD
7/31/85
6xl2
. 28.27
3000
Respectfully Submitted:
CONSTRUCTION LABORATORIES
..
~:.«8110
6455 NA~CY RIDGE DRIVE -SUITE 200 -SAN DIEGO, CALIFORNIA 92121 -(619) 587-0250
... -CONSTRUCTION LABORATORIES
MATERIALts TEaTIHG
CONSTRUCT 10 H INSPECT 10 H
ALL R.::?Jm ;.::::;_ S'.."3' '.:: ;T:.:D p._,;:, Tr£ aJ.,,'FI.OC'.'."IL.\L PRJP::FJY OF CLIE:,'TS. Al.!lB)FJZA..TIC>.'l FDR P'JBL!CATICT~ OF a.JR R::PJ:ITS,
m,:::!.l.'SICJ.\5, ffi £)~;:;rs FID.: OR !EGA.!WL~ 'lliE.'1 lS RSSERVED P2DOC O.Ti{ t,..iUIT::::~ APPP.[NAL AS A K.'TJAL PR:Jr:SCTia,
1D c~~:-s' T.£ P'Jo!..lC A:\"D O.'R.SELVES. .
REPORT OF CONCRETE '!ESTS
PRO.ECT:
ADDiESS:
CRC BUILDINGS~gl 6022, 6027
Priestly Aven~rlsbad, CA
PROJECT NJ: 4 77 2
Dr\lE: 7 / 10/85
W.ITR..\CI'JR:
ARDUTECT:
Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
PLAN FILE:
S~l~ER: Nowak & Muelmaster &.Assoc.
I..COJ"Iet: L °' s:ra:.:criJRE: PANEL 16
CD:lCRS1:: SUPPLER:. Pre Mixed
MrX t-0: 50-0008
Sll~'.? -L'I:. : 5
MIXING TL'-£ -ML'\S: 70
S~Cl~S :-<AOC BY: Zin Tsimberg
FI::L.') ID:'..\TinWI~:
I.A5 !IE';-ti FI C..\TICN: 13533
KJ;;. -DAYS: 7
D!E n:sr::.0: 7/10/85
SIZE -IN.: 6xl2
APZA-S,Q. IN • 28.27
CR!JSH.l.1'C WAD -I.BS. : 81900
cx:MPRESSIVE. STRE?mH -psi: 2897
H/D:
aJR.qf:CTlai FAL.l'JR: ·1~ aJR.qECI::D STFENv'Trl -psi:
SP::CITIED ST"R:::'CT.~ -psi:
PIA\'T ID: Carl sl;)ad
TYPE OF a:E:\'T: I I·
a::>.~CRE'I:: 1E:1P:
..._
DAIE~: 7/3/85.
:.._ .. ~:,.-._ ... _ ~...,..--~-::. ..
· 13534 13535
28 HOLD
7/31/85
6xl2
28.27
102000
3608
.r 1jl~ ... ,,
3000
TICKET NJ:
AD.-ITXIURE:
AIR 1E1P:
157832
POZZ 322
75
WATI:R ADO::-..D: 10
DAIE REC:::lVED tu I.AB: 7/8/85
------
:-::.--.....
Respectfully Submitted:
~-~--J
-
CONSTRUCTION LABORATORIES 4/~-'
MI~AEL J .~8110
6455 N.:\~CY RI!:lGE DRIVE -SUITE 200 -SAN DIEGO, CALIFORNIA· 92121 -'(619) 587-0::!50
(l
" CONSTRUCTION LABORATORIES
MATERIALS TESTING . CONSTRUCTION INSPECTION
AL!. R::?J:IT'S ;._-::::, S'.."5'·~ IT::D AS Tr£ m-.'FIOC.\TIAL PRDPER'.!Y OF (;TJ:Er,1'S. AmIDRIZA."T'!CN FOR P'JBLlCATia; OF cm R::PORTS I
m~C!.l'SIOOS, OR E.):-3..!.:::rs FRO-! OR RSGARDL~ '!HE.'i 15 R!::SERVED !?£:~Dr; CUR WRITIE:-{ A.?PROJAL AS A ?-"...TJAL PR:J!:SCTia;
TO c:..JE;,_'TS, Tr.E P'Jri;J.C A:\"'D CL 'RSELVES. ·
REPJRT OF CONCRETE 'IESI'S
proJEcr: CRC BUILDINGS 6018 PROJECT NJ: 4 7 72
ADDH::SS: Priestly Avenue, Carlsbad, CA nm:: 6/25/85
ID.ffit-\Cl'JR:
A.1-l-'":HITECT:
Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
PLAN FILE:
E,~Ii\'ER: Nowak & Muelmaster &. Assoc.
OO~lCPSI:: SUPPL.TER:
MlX NJ:
SUM? -rn.:
MLXING TL"E -ML~S:
SPE:Cl'.'E};S ~.ADE BY:
Pre Mixed
50-0016
5.5
45
Zin Tsimberg
FEW ID::.\'TIFICAT100:
PI.A".'T ID: CB
. TYPE OF CE-Em': II
CDNCR::1:: TEMP:
DAIEM.\rE: 6/18/85
TICKET NJ: 150833
All-ID-"IURE: Pozz 322
AIR IDfP: 60
WATER ADIF.J): 15
U..\IE REC::IVED Kr I.AB: 6/19/85
---+-------+------+-------1~--,._~ .. ~-..;,=.••
I.AB tDS\TIFIC'ATIOO: 12977 12978 12979 ---,,--~--,-------+-·----+-------+------1---~---t--~-----------
Kl:. -DAYS: 7 28 H
rnlE n:sr=-..n: 6/25/85 7/15/85
SIZE -IN.: 6xl2 6xl2
A.r:?EA -SQ. IN.: 28.27 28.27
CRLTS!:i.IN; WAD -LBS.: 72800 95700
C01PRESSIVE STRE!.;I'H -psi: 2575 3385
H/D:
OJRRECTIOO FAl.."TOR: ;J ~~ 1§7 OORRECIED SfRE1'k..Lri -psi: '/
SPECIFI.ED ~ -psi: 2000
Resoecdully Suhnitted:
CONSTRUCTION LABORATORIES
~~28110 ,
6455 N.ll..!~CY RIDGE DRIVE·:..-·suITE -200 -SAN 01:EGO, CALIFORNIA 92121 -(619) 587-0250
" --CONSTRUCTION LABORATORIES
MATERIALa TEaTIHO ,
CONSTRUCTION INSPECTION
ALL R;:POm ;._-:::::_ S'.."3:·~ ri::D A.-::. TrE a:t.ffID£.\'TlAL PROPER!Y OF CUEr.TS. AIJIHORIZA....TI.CN FOR P'JSLlCATICT; OF a.JR R'.'::PJRTS,
m.;c!.l.'SIONS, OR EXT:\.;::rs FRCM OR R::GARDL"'{; 'IBE.'1 1S R::SERVED p;;:":mr; CVR l-.RITIE~ Af'PRO/Al., AS A !{!I'JA.L ~CTla,
1D CL.I.E:u::i, T:£ P'Jo;,,.lC A:\-:) Cl.'RSELVES. ·
REFORT OF CONCRETE 'JESTS
PROJECT:
ADDR::SS:
CRC BUILDINGS Q 6022, 6027
Priestly AvenOarlsbad, CA
PROJECT 00: 4 772
Ilc\IE: 6/25/85
W.wl..\Cl'J:\: Koll Company
Kromrnenhoek-McKeown
BUILDING PERMIT:
A.~'":H.ITECT:
~~I~ER: Nowak & Muelmaster & Assoc.
l.OCA.Tfel\ L"\ STit.!CTi.lR£: SLAB ON GRADE
O)~lCRET:: SUPPLIER:
MIX 00:
51.lJ.,P -Ul. :
MIXING TL'-£ -MI.:·O:S:
SPSCI'ENS !".AOC BY:
Pre Mixed
50-0016
5.5
45
Zin Tsimberg
FL::LD ID::.\'TIFICAIIOO:
PIA\'T ID:
T'iPE OF CE!1E:-IT:
CDNCRE'!=: TEMP:
CB
II
DATE ~: 6/18/85
PLAN FILE:
TICKET NJ: 150833
AI:MIXIURE: Pozz 322
AIR 'IE1P: 60
WATER ADlr:D: 1 5
D..\1E RECSIVED /u I.AB: 6/19/85
-----------1--------+------+-------+-------t------1-------I.AB I!E;'ITFIC..\TIOO:
ta:. -DAYS:
Dr;:rE Tc::sr:".J):
SIZE -IN.:
A..'PU -SQ. IN.:
CR!JSH.I,N:; WAD -LBS.:
CD.1PRESSI\'c°: STRm,:;r:-1 -psi:
HID:
a)RRECTIOO FACIDR:
CDR.~CIED STREN-."111 -psi:
12977
7
6/25/85
6xl2
28.27
72800
2575
2000
12978
28
7/15/85
6xl2
28.27
12979
H
Resoecdufly Suhnitted:
CONSTRUCTION LABORATORIES
~£28110 ,
6455 NA!xCY RIDGE DRIVE·--· SU.ITE 200 -SAN DIEGO, CALIFORNIA 92121 -(619) 587-0250
" :::: CONSTR·UCTION LABORATORIES
MATERIAL8 TElSTING
CONSTRUCTION INSPECTION
ALL R=:?J::::!.'S t-_:::::_ S:..3-~ IT::D AS Tr£ o::1.-,'FI.DE:\"TIAL PROPE:t!Y OF CLIE!'i"TS. AIJOORIZA..TICN FOR P'JELICA:IICY.; OF a.JR ~PY.ITS,
Q.)i~C!.1.'SICNS, OR EXT:\ . .!,.CTS FID: OR REG.A..~L~ 1HE.'1 IS RSSERVED FE~m:; a.JR W"'run£N A.PPRO/AL PS A t-"....TJAL ~ma;
10 CI..E:--.TI, TIE F'Ji3UC Ai\"I) Cl'RSELVES. ·
REPJKr OF CONCRETE TESTS
CRC BUILDING~, 6022, 6027
Priestly Ave~arlsbad, CA
PROJECT 00: 4 772
Dc\IE: 6/21/85
PROJECT:
.ADDRSSS:
00-:-ITRACTOR: Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
Al-l:-:lUTECT:
EN~H,ER: Nowak & Muelmaste~ &.Assoc.
SLAB ON GRADE
ro~:CRET":: SUPPLIER:
MIX NJ:
Sllr.-1? -IN.:
MIXING TI.'£ -MI.:-~S:
Pre Mixed
50-0016
SI'c:CI~S :-'ADE BY: Jeff Ell
NZ'-DAYS:
.QUE 1'Esr='...D:
SIZE_ -rn.:
NJEA -SQ. IN.:
CRUSHllC WAD _-LBS.:
CiliPRESSIVc: STP.ENGT."1 -psi:
HID:
O)R.~CTIOO·FACTOR:
aJR.IIBCIED STREN-.'"'IB -psi:
SPECIFIED STR...~ -psi:
12968
7
6/21/85
6xl2
28.27
47900
-1694
2000
PIAl\"T ID:
TYPE OF O::E.'IT: II.
O)NCR::'!:: IDfP:
DAlE Mr\IE: 6/14/85
12969
28
7/11/85·
12970
H
RECEIVED
JUL 51985
CITY OF CARLSBAD
Building Department
PLAN FILE:
TICKET 'NJ:
AIMIXIURE: Po zz 3 2 2
AIR 'IE-lP:
WATER AD~...D:
DAIE RECEIVED Kr IAB:
Respect fu 11 y Suhni t ced:
CONSTRUCTION LABORATORIE-S
L J. lULLER, RCE 28110
6455 N.~SCY R.T:)GE DRIVE -SUITE 200-.: -SAN DIEGO, CALIFORNIA 92121 -{619) 587-0250
,, --CONSTRUCTION LABORATORIES
M A T E R I A L t5 T E ts TH( G
CONSTRUCTION INSPECTION
ALL R.::PJm ;._-::E_ S'.."3:·: IT::D AS Tr£ <n.'FI.OCXTIAL PRDPE:=TI OF C1.J;:!'t1:'S. AIJIIDRIZA.Tim FDR P'JBLlCATia; OF CUR R::PO:uS,
m,::U.'SIO\S, OR EX-8.:..CTS FID.1 OR R::G.A.RDL% 1BE.'1 IS R::SERVED !?£:-DING OOR I.RIITE~{ APPp.[JJAL PS A Y..JI'JAI. ~mm
10 CLE~"I'::i, T:-:S P'Jc!..lC Ai\-:) O."RSELVES.
REPOKr OF CONCRETE 1ESTS
CRC BUILDING~ 6022, 6027
Priestly Avenue, Carlsbad, CA
PROJECT ID: 4 772
.D.UE: 6/21/85
PROJECT:
.ADDR::SS:
ro:-.'TMCl'JR: Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
A.~CHITECT:
~%l~"EER: Nowak & Muelmaster &.Assoc.
O)~lCRl:.7.:: SUPPLIER:
MIX ID:
SU..~!? -W.:
MIXING Tt~E -ML'\S:
SLAB ON GRADE
Pre Mixed
50-0016
S!£Cl~S ~.AOC BY: Jeff Ell
FI.::LD ID:'..\'TIFI o.:rrrn:
I.AB !IE':r!FIC.!JIOO: 12968
JD;:. -DAYS: 7
n;TE n:sr.'.:.D: 6/21/85
SIZE -n1.: 6xl2
~ -SQ. IN.: 28.27
CR!JSH.I.N:; LDAD -LBS. : 47900
a::M?RESSI\1E STRE1~I'H -psi: -1694
H/D:
O)RRECTIOO FAL7'0R: ;tL,
(X)RRECTED STR.c:N-...'Ttl -psi: 'J,1/
SPECIFIED STR....~ -psi: 2000
PLAl\'T t-D:
1YPE OF c:2-E.'IT: II
CX)NCRE:"!:: 'IDIP:
DATE M.\D::: 6/14/85
12969 12970
28 H
7/11/85
6xl2
28.27
88050
3115
11/
PLAN FILE:
TICKET NJ:
ALNI.XnJRE: Pozz 322
AIR 'IE'!P:
WATER ADIF...D:
DATE Rc:C:::IVED Kf lAB:
-~-,,:.
Respectfully Suhn:i.tted:
-
CONSTRUCTION L-ABORATORIES
6455 N."-!-;CY RIDGE DRIVE -SUITE 200 -SAN DIEGO, -CALIFOR.i."lIA 92121 -(619) 587-0250
·-
.., --
( (
CONSTRUCTION LABORATORIES
MATERIALtS TEaTIHQ
CONSTRUCTION INSPECTION
ALL R.::FD:n'S ;.p::_ S'..3·~ IT::D AS TtE W.,..'F'IOC!\'TIAL PRDPERIY OF CU!::t,TS. AllrnJRIZATIW FOR P'JSUC;TIQ!; OF CUR R::Paa'S,
m,::U.'SICX\S, 00 EXB .. ;c-rs FID! OR R=:GA.t:IDL"C 'IBE.'1 15 R:;SERVED !?S~IX OOR 1-.'R.!TI=:N P.PPF.fNAf.. PS A !-"...TJAL ~ma;
TO C:..I.E;-.7$, T.£ PJ:OLl.C Ai\-:) a.'RSELVES.
REFORI OF CONCRETE 'IESI'S
PROJECT: CRC BUILDINGS 6018
Priestly Avenue, Carlsbad, CA
PROJECT .00: 4 77 2
D.\l'E: 6/21/85 ADDR::SS:
a>:ITRACl'J:\: Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
AtlniITECT:
~~l~"EER: Nowak & Muelmaster &.Assoc.
ro~lCREI:: SUPPLIER:
MIX .00:
SU.r.-!P -rn.:
Ml.XING TL"E -ML'\S:
S~CI~S !-'iADE BY:
SLAB ON GRADE
Pre Mixed
50-0016
Jeff Ell
PLA\'T ID:
• TYPE OF C::Em": II
CDNCRE'I':: ID!?:
DATE Mc\i:E: 6/14/85
PLAN FILE:
TICKET .00:
A!J.'-ID.."IURE: Pozz 322
AIR 181P:
WATER AD!r...D:
___ ru:_::-_LD_ID_::._~_:r_r_FI_WI __ ~_.'_: -f-......_ ______ -+---,~--·-·"·-""'· '--,-----1-------+----------=
12968 12969 12970 -----------+-----k!.~--....... =--...:..;..-,µ_..c.----i-----~-----------------
JG:. -DAYS:
n\1E n:sr:...D:
SIZE -L'l.:
N!ZA -SQ. IN.:
CRlJS!-ill'C WAD -LBS.:
a::MPRESSIVr: SI'REN~f.--i -psi:
H/D:
Q)RRECTICTi FACTOR:
ffiRHECIED STREN-..'11-l -psi:
SPECIFIED SI'RS'~ -psi:
7
6/21/85
6xl2
28.27
47900
1694
2000
28
7/11/85
6xl2
28.27
88050
3115
H
Respectfully Sul:mi.tted:
CONSTRUCTION LABORATORIES
64.55 'N.:l..~~C':' F:I'.)GE DRIVE -SUITE 200 -SAN DIEGO, CALIFORNIA 92121 -(619) 587-0.250
-·~
f -... . .
" --CONSTRUCTION LABORATORIES
MATERIALtl TE~TING
CONSTRUCTION INSPECTION
ALL R.::?J~ ;.E, S:..3-::I IT=:D A..S Tr-E CXNFIOC:-.'T~ PRDPER'.IY OF CLIENT'S. AlJm:)FJZA..TICN FOR P'JSLIC.-\TIQ!; OF CUR FEFO:ITS,
m~:U.'Sl(X,;5, 00 EXTIACTS ffi!J.'! OR REGA.IIDL~ 'llil:..'i IS RSSERVED PS~m:; OOR h'RITIE~ Af'PPD/AL AS A !-"...TJAL PR:JI::::CTICN
TO c:...r..::~~. TrE PJoLlC Ai\1) O.'RSELVES.
REPJRT OF CONCRETE TESI'S
PROJECT: CRC BUILDINGS 6018
ADDR::SS:
rorr~Cl"JR:
Priestly Avenue, Carlsbad, CA
PRD.JECT ID: 4 77 2
MIB: 6/14/85
A.~OUTECT:
Koll Company
Krommenhoek-McKeown
BUILDING PERMIT:
l?LAN FILE:
~'t;I~'ER: Nowak & Muelmaster &.Assoc.
ro~:CR::T:: SUPPLIER:
MIX ID:
SU~!? -rn. :
MIXING TL'E -ML~S:
FOOTINGS LOT #3
Pre Mix
51-210.1
4.5
20
' -~-{ ~ f ... ; .....
PLA\'T ro: Carlsbad TICKET ID: 146629
T'iPE OF CE?-Em': II All-fI.XIlJRE:
OJNCR::1:: 1E1?: AIR TE.'1P: 98
WATER ADDED:
SPECI~S :-'Xlt: BY: -8 Construction labs DAT:: MA:E: 6/7/ 5 D.-UE RECEIVED /u LAB:
FlE:t...'.) IDE..\'fIFiCATIOO:
1.AB IJE.\TIFIC.illCN: 12737 12738 12739 -
K1:. -DAYS: 7 28 H
Jl!.IE n:sr:...D: 6/14/85 7 /.4/.85
SIZE -IN.: 6xl2 6xl2
A.Q£/\ -SQ. IN.: 28.27 28.27
C?.!JSH.11-C LOAD -LES.: 53200 79100
<D1PRESSIVE STRE!~I'H -psi: 1882 2798
H/D:
illRRECTICN FAGI'JR: 1~ 1!:,-ffiRRECTED STRE:Nv"1ti -psi:
I
r...crFI£D STRE::-x;rn -psi: 2000
\
6/10185
..::.---
\
\
Res pee t fu 11 y Sul:xn:i, t ted:
. ···~.":"'~ ....... _,
CONSTRUCTION LABORATORIES
--·
REGISTERED INSPECTOR'S WEEKLY REPORT
Construction Laboratories
4891 MERCURY STREET
SAN DEIGO, CA 92111
( 714) 292 ·9565
COVERING WORK PERFORMED 0 REINFORCED C0NCR.ETE IX) STRUCT. STEEL ASSEMBLY.
JOB NQ 4772
Wl:IICH REQUIRED APPROVAL BY 0 PRE-STRESSED CONCRETE 0 REINFORCED GYPSUM OGWE-LAM.FABRICATION
THE SPEC~~~-· ___ l"ls:' 0 RBNF0RCED MASONRY 0 PILE DRIVING 0 OTHER -JOB ADDRr 2292 :Faraday y NO 1 Of 1 rOR WEEK 8-9 1185 ENDING
OWNER OR ~ ,er NAMF -C.KL; bUUO Building #6018 BLDG. PERMIT NO 84-488 rAN FILE NO
CONSTR. MAT'L (TYPE.GRADE, ECT.) ARCHITECT Enhoek/McKeown Kromm
DESIGN STRENGTH 15ouRCE OR MFGR. ENGINEER Nowak Meulmester & Assoc.
DESCRIBE MAT'L. (MIX DESIGN. RE BAR GRADE & Mr GR. GENERAL CONTRACTOR Koll Co.
#85-1703 CONTR DOING REPORTED WORK Welder: Rodney L. Gifford Presser
LAB RECEIVING & TESTING CONSTR MAT'L SAMPLES Welder: Ed Hawkins
CONTRACT NO.
INSP'N. LOCATIONS OF WORK INSPECTED, TEsr SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, Rl;MARKS, ETC.
DATE Includes ,information about-amounts of material placed or work performed i number, type, and identity numbers of test samples
token; structural connections (welds mode, h.t. bolts torqued) checked; etc.
8-9 Conducted field welding inspection of welded assembly. Verified
welder qualification, electrode and machine setting.
for size, type, and appearance. Item and location of
inspected completion of E Line and Line 6 for welding
and embed plates. ;·-i~~v
CERTIFICATION OF COMPLIANCE.
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COMPLY WITH THEAPPROVEb PLANS SPECIFICA·
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
DATE OF REPORT
Checked completed welds
inspected work;
of cord connection
REGISTER NUMBER
' .
,, ..-. -CONSTRUCTION LABORATORIES
MATERIALlS TElSTIHG
CONSTRUCTION INSPECTION
ALL R::PO:rr'.5 ;._-;:~ s;..3:.:3: IT::D A.~ Tr£ cn,1Froc:-.'TIAL PRDP::RIY OF C'...I.ENTS. A!Jffi)RIZA.TIW FDR P'JSUCATia; OF CUR R=:P'J?XS,
m~C!..l..'SICX\S' OR EXT~ .. ;crs mo-: OR FEGA.rwL'-t; 'IHE.'1 lS R'::SERVED ~om; CUR 1-.'R.ITI:::~ APPROVAL ft5 A !-"JI'JAL PR::J:::CTia,
TO CLI.E~TI, TIE PUoLlC Ai\1) Cl"RSELVES.
REFDRJ OF CONCRETE 'IESTS
PROJECT: C BUILDINGS '6018
ADDRSSS: .229~ Fqra~ay Ave., Carlsbad,
PROJECT 00: 4 77 2
D.UE: 7 /18/85
CDNrRACI"JR:
Al?..r.HITECT:
Koll Company
Krommenhoek-McKeown BUILDING PERMIT:. 84-488
PLAN FILE:
~~I~ER: Nowak Meulroester & Associates
COLUMN ON LINE 4 AND LINE E
OO~lCR..t"'f:: SUPPLIER: Pre Mixed
MIX ID: 500014
Slll:-1? -W. : 2
MIXING TL"E -ML~S: 82
SPE:Cl'£\S !".AOC BY: Jack Bandy
FIELD IDS.\'TtFIWICY.'i:
I.AB IDS\TIFI C..\TICN: 13666
IGl. -DAYS: 7 nm: n:sr:-....n: 7/17/85
SIZE -IN.: 6xl2
Alfi.A -SQ. IN.: 28.27
CR!JSH.l,N; WAD -LBS. : 80400
ro1PRESSIVE STRE!-w'H -psi: 2844
H/D:
CDRRECTIOO FAG1'JR: tJ~ ' O)RHECIED STRENv"Tn -psi:
SP:-...CIFIED STIL~ -psi:
PLA\'T t-0: CB
1YPE OF C::!1E~'T: II
CO.'lCR£'!:: 1E1P:
DA1E ~: 7/10/85
13667 13668
28 HOLD
8/7/85
6xl2 . ' 28. 27 ,~ 113300
4008
#
3000
TICKET ID: 88291
AL'MIX"IURE: POZZ 322
AIR 121P:
w;..IER ADir.J):
DAIE REC::IVED Kr lAB: 7 /ll/85
~(
Respect fu 11 y Sulxni t ted:
CONSTRUCTION LABORATORIES
6455 NA~CY RIDGE DRIVE -SUITE 200 -SAN DIEGO, CALIFORNIA-92121 -(619) 587-0250
..•
REGISTERED INSPECTOR'S WEEKLY REPORT
4891 MERCURY STREET
SAN DEIGO CA 92111
Construction Laboratories ( 714) 292 ·9565
COVERING WORK :PERFORMED
WHICH REQUIRED APPROVAL BY.
Tt£ SPECIAL INSPECTOR OF
JO& ADDRESS . 2
NAME~ RC
CONSTR. MAT'L (TYPE, GRADE, ECT.)
DESIGN STRENGTH
&REINFORCED CONCRETE
0 PRE-STRESSED CONCRETE
0 REINFORCED MASONRY
SOURCE OR MFGR
DESCRl&E MAT'l. MIX DESIGN, RE· BAR GRADE & MFGR
JOB NQ .q 11 '2.
0 STRUCT. STEEL ASSEMBLY
0 REINFORCED GYPSUM OGUJE-LAM.FABRICATION
0 PILE DRIVING O OTHER
FOR WEEK B ENDING -.2, / 19 S
PLAN FILE NO
CONTRACT NO.
INSP'N.
DATE
LOCATIONS OF ~RK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
lricludes information about-amounts of material ~laced or work performed; number, type, and identity numbers of test samples
ta~n; structural connections (welds mode, h.t. bolts torqued) checked·i etc.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND
THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICA-
TIONS, & APPLICABLE SECTIONS OF THE AGENCY REQUIREMENTS.
J.
SIGNATURE
DAfE OF REPORT REGISTER NUMaER
" ..... -CONSTRUCTION LABORATORIES
MATERIAL~ TE~TING
CONSTRUCTION INSPECTION
ALL R.::?J:ITS ;._r::::_ S'..:.·::! ~D AS TrE <XNFI.OC:\'TIAL PROP:'.R!Y OF CLIENTS. AIJlIDRIZA..TI.CN FOR P'J3Ll.C..\TIO:; OF CUR !t::PO?XS,
()Ji~~!.l.'Sia.S, OR. EXTIA::TS mo.-: OR R::GARDL~ 'IBE.'1 15 RESERV'"'c.D PS-DIX CVR W"'cJTTI:N Af'PF.fNAL PS A !-"..!fJAL PR:J"r::crra;
ID CI...1£:,.TS, TrE P'JoLlC Ai\"D Cl.'RSELVES.
PROJECT: CRC BUILDING
ADDR=:55:
ro:rrRACl'JR: Koll Company
A.~CHITECT: Krommenhoek-McKeown
REPORT OF CONCRETE n:srs
PP.DJECT ID: 4772
L\\TE: 9/4/85
BUILDING PERMIT: 84-488
PLAN FILE:
E,'-l-'.;H,ER: Nowak & Meumester & Assoc.
O)~lCR!:.7::: SUPPLIER:
MIX NJ:
sur.-!? -rn.:
Pre Mixed
50-0014
6.5
MIXING TL~E -ML~S.:
SPE:CI~S !-'A!L BY: A. Hollander
FIEI.J ID'S.\TIFICAIICY.-1:
IA5 IDS\TIFIC..\TIW: 14881
IG:.. -DAYS: 7
DAI:: 'l;c::sr:'J): 9/2/85
SIZE -IN.: 6xl2
A.r/EA -SQ. IN . 28.27
CRLIS!UN:; WAD -LBS.: 99300
o::MPRESS I','c: SfREN,:;rn -psi: 3513
H/D:
Q)RRECTIOO FAGrJR:
<XlRRECIED STRENv'Ttl -psi:
SPECIFIED~ -psi:
PLA\'T ID: CB
1YPE OF CBEm':
ro.~~'IDiP:
DAJE M.\:'.E: 8/26/85 ·.
14882 14883 ·
28 H
9/23/85
6xl2
28.27
3000
R·ECEIVED
TICKET NJ: 88735
All-ID."Ii.JRE: Pozz 322
AIR 1E.'1P:
Wft.1ER AD!FJ):
D..fil: RECEIVED /J I.AB: 8/27 /85
Respectfully Submitted:
SEP lC 1985 CONSTRUCT N LABORATO IES
CITY OF CARLSBAD
Building Department
28110
6455 NANCY RIDGE DRIVE -SUITE 200 -SAN DI~GO, CALIFORNIA 9~121 -(619) 587-0250
&
t·/· n. D Paelfle Roof S1r11uhtru
I JI (P
( (,... __
, __ .... I_) 500 w. GROVE AVE. -ORANGE, CALIF. 92665 -(714) 637-5200 -(213) 623-6508
To: The Ko I I Company
6330 Engineer Road
San Diego, CA 92111
August 5, 1985
JOB NAME: _c_a_r_l_s_b_a_d_R_e_s_e_a_r_c_h_C_e_n_t_e_r _______ _
Carlsbad
Ca Ii forn i a
PACIFIC ROOF STRUCTURES ORDER NO.~
AITC Certificate No. _02_8_2_5_E _____ ~--~ ;l.. J>:J... a= 0..., ts
.=t g~C) Gentlemen:
:t 'l. q 2.
Enclosed please find copies of AITC Certificate~ of Conformance for the above subject
project. Please forward these certificates to the appropriate building department so that
the final inspection can be ·issued on our scope of work. Should additional attachments be
required, please contact us immediately.
REMARKS:
COPIES TO:
Yours very truly,
Dierk D. Peters
PACIFIC ROOF STRUCTURES
Contractors License No. 176982
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CER IFICATE OF CONFORMANCE
HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES
~ the prooocts identified below and on attached sheets Nos. _ __,____, _______ ore marked
With the w!ractivs mark of the American Institute of Timw Col"ll':tructioo (AITC) and are
mll:n!Ufactured in accordance with 1:he manufacturing and fabc-icating provisiaas of tw\fn.R ZS
CW 1U£ UIUFDi:PI MUUIK COOE f:Ol GLUED 1.NUHA.TED Tilmst M @l®flFIQ lff saic l£Sf.Ual lfl1iOIT m. 3"6 ________________ _
e,1d tiwtsuch manufacture has been at our plant in COT[ACE tftOV'E. J)IE;t,19 , which
plant has a quality control system approved by the lmr,ection Bureau of"the American Institute
of Timber Construction .and inspected periodically by such Bureau.
JgjlllAME. _____ _..:CMLSUD===....:Rt~SEMC"""-"=H,_C...,arra.-==--=---
\. ,~ ..... ---... -~\-----.... ~-. ·-:" ~ ......,._,..,.,.,~~ --'-~---------__ COMPAlllY
. -__ AD!JRESS COTTAGE ~VE. OUGOei llAT'E_;,;__;•.:;...i-_·_·'_· ____ _
AITC HEREBY CFRTIFIES that the said company at its said plant is licen$8d by
the AMERICAN INSTITIJTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in
~ of prl)duci$ which comply ·with applicable provisions of said code and rwart(s}, that the
adequacy of the quality control system in effect at said plant is periodically inspected and verified by
the lns-pectioo Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in
the ~~ of AlTC, said ~pany is ~le of complying with applicable manufacturing and
testing pro¥isiQnS of saia code and report{s} in respect of products manufactured at said plant Con-
formance with tl>f! s:a~ code a~ ,:epon{sl in re-.;pect of any specific or pa~ic_ular product is the sole
responsibility of the manufactu,w; AITC'.s certificate hereuncter being that the said company is
quaUf"Bl':d to prock.t<:e a product meeting the said code and repon{s} and that its plant is periodically
~ and verified by the AITC Inspection Bureau.
l . r ' I ' ! l
AITC Certil(cate No. 02825E
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
Cl J.983 AMERICAN INSTITUTE QF TIM8£R CONST"RueTION
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