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Home My WebLink About2520 GATEWAY RD; BLDG D; CB070432; Permit10-29-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB070432 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2520 GATEWAY RD CBAD COMMIND Sub Type 2132610800 Lot# $651,11000 Construction Type Reference # OCEAN COLLECTION- BLD D INDUST 17 VN 10 304 SF OFFICE SHELL (TO INLCUDE 2524 GATEWAY) Status Applied Entered By Plan Approved Applicant DEBBIE DRAGOO STE 175 6363 GREENWICH DR SAN DIEGO CA 92122 858 638 7277 Issued Inspect Area Plan Check# Owner BRESSI OCEAN COLLECTION L L C 1280 BISON AVE#B9-609 NEWPORT BEACH CA 92660 ISSUED 01/12/2007 LSM 10/29/2007 10/29/2007 TP PC070003 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $2,17528 Meter Size $0 00 Add'l Reel Water Con Fee $1,41393 Meter Fee $0 00 SDCWA Fee SO 00 CFD Payoff Fee $13673 PFF (3105540) $4,12160 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $000 Traffic Impact Fee (3105541) SO 00 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL SO 00 MECHANICAL TOTAL $6,778 00 Master Drainage Fee D5/8 Sewer Fee S68 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $320 00 $8,984 00 $000 $11,85020 $000 $000 $000 $1,56000 $000 $7000 $41000 $000 $000 $4,078 80 $000 $000 $000 $41,96654 Total Fees $41,96654 Total Payments To Date $41,96654 Balance Due $000 Inspector FINAL APPROVAL Date .Clearance 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 r.or planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fggs/Gxac;ions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Lite Plan Check # Permit # Project Name Address Contact Person Sewer Dist Inspected . - By M Inspected Bv Inspected Bv Comments PC070003 CB070432 OCEAN COLLECTION- BLD D 10,304 SF OFFICE SHELL (TO INLCUDE 2520 GATEWAY RD Phone CA Water Dist CA ' s>+ Date i rftfd£A//^*i/*) Inspected "7/2-1 ' Date Inspected Date Inspected Date Permit Type Sub Type 2524 GATEWA Lot 17 1 G^ Approved """"'^ Approved Approved 08/06/2008 COMMIND INDUST ,^- Disapproved Disapproved Disapproved City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Lite Fire Plan Check # PC070003 Date 08/06/2008 Permit # CB070432 Permit Type COMMIND Project Name OCEAN COLLECTION-BLD D Sub Type INDUST 10,304 SF OFFICE SHELL (TO INLCUDE 2524 GATEWA Address 2520 Contact Person Sewer Dist CA Inspected 1 i By — •*?W -^ / Inspected Bv Inspected Bv Comments GATEWAY RD Lot 17 Phone Water Dist CA \ ( Date <2 /oroti/x Inspected O'n'O^ Approved \f Disapproved Date Inspected Approved Disapproved Date Inspected Approved Disapproved City of Carlsbad Bldg Inspection Request For 09/17/2008 Permit* CB070432 Title OCEAN COLLECTION- BLD D Description 10,304 SF OFFICE SHELL (TO INLCUDE 2524 GATEWAY) Inspector Assignment TP 2520 GATEWAY RD Lot 17 Type COMMIND Sub Type INDUST Job Address Suite Location APPLICANT DEBBIE DRAGOO Owner Remarks Phone 9497952817 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By NA Entered By CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# PC070003 PCR07191 ISSUED OCEAN COLLECTION- DEFERRED, FLOOR & ROOF TRUSS PCR07199 ISSUED OCEAN COLLECTION-DEFERRED, STOREFRONT SHOPS AND CALCULATIONS FOR Inspection History Date 07/17/2008 07/09/2008 07/09/2008 07/09/2008 07/09/2008 07/01/2008 06/12/2008 05/22/2008 05/15/2008 05/13/2008 05/07/2008 04/29/2008 Description 34 Rough Electric 14 Frame/Steel/Bolting/Weldmg 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers 34 Rough Electric 14 Frame/Steel/Bolting/Weldmg 14 Frame/Steel/Bolting/Weldmg 24 Rough/Topout 14 Frame/Steel/Bolting/Weldmg 14 Frame/Steel/Bolting/Weldmg 14 Frame/Steel/Bolting/Welding Act PA AP we we we AP CO CO AP AP CO AP Insp TP TP TP TP TP TP TP TP TP TP TP TP Comments MSB, SUB PNLS ROOF DRAINS ELECT RM ENCL SUB FLR SHTNG City of Carlsbad Bldg Inspection Request Permit* CB070432 04/29/2008 14 Frame/Steel/Bolting/Weldmg 04/28/2008 15 Roof/Reroof 04/09/2008 11 Ftg/Foundation/Piers 04/08/2008 11 Ftg/Foundation/Piers 04/02/2008 66 Grout 03/24/2008 15 Roof/Reroof 03/24/2008 66 Grout 03/18/2008 66 Grout 03/06/2008 66 Grout 03/05/2008 66 Grout 02/19/2008 12 Steel/Bond Beam 02/19/2008 66 Grout 02/15/2008 66 Grout 02/14/2008 66 Grout 12/27/2007 11 Ftg/Foundation/Piers 12/27/2007 12 Steel/Bond Beam 12/13/2007 11 Ftg/Foundation/Piers 12/13/2007 12 Steel/Bond Beam 12/03/2007 31 Underground/Conduit-Wiring 11/30/2007 31 Underground/Conduit-Winng 11/29/2007 31 Underground/Conduit-Wiring 11/19/2007 11 Ftg/Foundation/Piers 11/16/2007 11 Ftg/Foundation/Piers 11/02/2007 21 Underground/Under Floor 11 /02/2007 22 Sewer/Water Service 10/31/2007 21 Underground/Under Floor For 09/17/2008 Inspector Assignment TP AP AP AP AP AP CO CO AP AP CO AP AP NR NR AP AP CO CO CO CA CA AP NR AP AP NR TP TP TP TP TP TP TP TP TP TP TP TP MC TP TP TP TP TP JM TP PY JM TP TP TP TP P G @ CLMN BASES P G @ COLUMN BASES TOP OUT LIFT FINAL 4 COURSES OF THIRD LIFT (17FT4 TO 28FT HT) WALLS TO 17FT4, LEDGER HDs CANOPY EMBEDS A LN OK BLDG CMU WALL 1ST LIFT TO 12FT OK FOR GROUT PLACEMENT PER CONTRACTOR AFTER STOP SOG UFER OK MAIN TO BLDG CONF 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com 10359 INSPECTION REPORT D INSP JOB NUMBER DATE /K W NAME BUILDING / OSHPD PERMIT # / DSA APP#DSA-FILE* "L0 GENERAL CONTRACTORZ_L JURISDICTION^ ARCHITECT ENGINEE~H SUBCONTRACTOR (If Any) REQUIREMENTS: Limit of one job number? one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X LOotrl^ ^ 2X ,r^ rtpr+a! TIME IN o*K>357 TIME OUT MEAL PERIOD I I Mileage.I I Expenses. Reinforcement. Fireproof ing . | | Concrete Placement. . | [ Quality Control Masonry. Administration . | | Prestress Post Ten. .[Bother .QEJatch Plant. Slcta D * DESCRIPTION OF WORK INSPECTED I ex >v» r* f> ^ forrHoqs. \ f yv^i^r Ar<>n -A<^ t*< p^r F^f?j-i c J ^ o.l*> r^'i^fr;^?'^,-*1 A- •£»• ~~LJ ^J"A \ j/1^ T Ti 1 *-V<L.'^^ ifYN *^iO T 1 CL^C^ f */Cj ^ f^ffr~t^i/~* - ^ i *4~. / > / ^ines M,2./Ar-r-|C^l r\rtuJ^Js rAlu.-v.^ P£^' V / 1 MIX USED DESIGN SLUMP Certification of Comphanc declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed in ry>*e> ^^^^f^/y^-J app™ (approving authority e g DSA O and all applicable codes, ex Exception(s) noted in report (Initial at Yes / No as applicable SHPD City of LA etc ) cept as noted below Yes . (• j/(_^^ ^ - ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications tXJ&l/^ ft DESIGN PSI CUBIC YARDS SPECIMENS | | Additional Page (Page #) CM All inspections based on minimum of 4 hours and over 4 hours - 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied Approved/Authorized by Sent By SOUTHERN CALIFORNIA GEOTECHNICAL,714 685 1118, I I DAILY FIELD REPORT Nov-19-07 2 27PM,Page 2/2 | SOUTHED CALIFORNIA GEOTJiCpICA (714)685-1113 PHQJtCT NAMt a LUOftl IUN FILL OR NATURE OF STTUCTURE TO BE SUPKJFTEDtWL LOCATION OF FILL GHAOING DR EARTHWORK COWmAC CONWACTOR'S SUPT OR FOREMAN SOURCE i DfcSCRIPTIONOF WKCMATCFllALMAXIMUM CjfeNSITY & M/C TEST DRY DENSITY L68 <CU FT CONTINUED ON NEXT PAGE WHITE OFFICE YELLOW FIEU5 FILE Sent By SOUTHERN CALIFORNIA GEOTECHNICAL,714 685 1118, i Nov-19-07 2 27PM,Page 1/2 SOUTHER^ CALIFORNIA r._._^10J.|CMlCA| (714)6SMllJ^_ . I DAILY FIELD REPORT ! SOURCE t OESCHtPTION OF FILL KlKTEWAl. MAXIMUM FINAL REPORT OF INSPECTION AND TESTING City of Carlsbad Department of Building and Safety 1200 Carlsbad Village Drive Carlsbad, CA 92008 Project August 8,2008 Project No 070499 Permit No Bldg A CB070435, Bldg B CB070434 Bldg C CB070433, Bldg D CB070432 Bldg E CB070430 Oceans Collection at Bressi Ranch Gateway Road Carlsbad, California This letter may be considered the final report and is to affirm the matenal testing and inspections by registered special inspectors, through Quality Assurance Inspections, Inc, on the Reinforcing Steel: Inspect placing at job, inspection of epoxy rebar dowels, Structural Steel. Inspection of welds - field, Brick and Block: Inspection of placing, Concrete: Inspect placing, field sampling, compression tests, pick-up samples at job, Masonry Grout: Inspect placing, field sampling, compression tests, pick-up samples at job, Mortar: Inspect placing, field sampling, compression tests, pick-up samples at job, Other Tests and Inspections: Periodic inspection of built-up roofing, inspection of anchor bolt installation, Laboratory testing performed by Twining Laboratones of Southern California To the best of our knowledge, the work items noted above are in compliance with approved plans, revisions, specifications, and all applicable codes Submitted Quality Assurance Unas Vitkus R C E 63163 Civil Engineer Distnbution (1) Addressee (1) VPI Bressi Storage, LLC (1) Carlsbad Self Storage Investors, LLC (1) San Diego Contracting, Inc (1) Raskin Engmeenng, Inc (1) Valli Architectural Group 17942 Sky Park Circle, Suite J, Irvine, CA 92614 Phone (949) 553-0370 Fax (949) 553-0371 RfllllilJLElfi£t£lL >y ~ 2782 LOKER AVENUE, WEST, CARLSBAD, CA 92010 TEL - 760.692 0700 FAX - 760 692 0707 811 08 To SNYDER LANGSTON-OPTYM 17962 Cowan Irvine, CA 9261 4 Attention TIM BELL From. Paul Rowan RE OCEAN COLLECTION, BRESSI RANCH Torque Certification for building permit numbers 070435 (Building A) 070434 (Building B) 070433 (Building C) 070432 (Building D) 070430 (Building E) Dear Mr Bell This letter certifies that we have installed and interconnected the meter sections per the manufacturer's recommendations Further, all bus links have been fastened and tightened with a torque wrench calibrated to per Siemens' specifications Respectfully stromitted Paul Rowan Rowan Electric PROJECT DESIGN CONSULTANTS 7<n B STKEET, Sum; 800 SAN DIHI;O, CA 92.101 619 2TS 647! TEL h'K) 234 0349 PAX WWW PROJECTDESICN C OM File 3370 05 December 17, 2007 CITY OF CARLSBAD Building Department 1635 Faraday Avenue Carlsbad, CA 92008-7314 SUBJECT ,Bressi Ranch Lots 17-18 - Form Certification for Buildings A,C,D To Whom It May Concern Project Design Consultants has field-verified the form positions shown on Sheet 3 of 7 of the grading plans, Drawing # 448-6A, for Buildings A, C, and D of the above- referenced project Upon our review of the survey data collected on December 13, 2007, the building footprints conform horizontally and vertically within ±0 1-foot to the approved design Sincerely, Lawrence D Naiman, LS Associate LS 5163, Exp 6/30/09 SAN Ulft.O 1'IIOIZNIX TCMECULA R/WP/LETTER/3300/337005BLDGCERT BLDGS1 C D DOC liAKEKSI-IIiLD 17942 Sky Park Circle, Ste J Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com 04663 INSPECTION REPORT INSPECTOR CODE JOB NUMBER 0-70-4 9«i JOB NAME fhs, oceAf]_ c<oi|£c'Hcr> AT- ftfe.^i^ l^Anciio ADDRESS •2,'5?jO (""} A.~H?tv>«-<-j T^-cl • C. XW- 1 £ t? fl-c/ ARCHITECT" 1 CJ/^fe »Vi/<»lctfnAb ENGINEER M t v/«LmflTb DATE M T W BUILDING / OSHPD PERMIT » 1 DSA APR* GENERAL CONTRACTOR S> ir\ yj <te-{- }^ ATI a <f"t~r?> o SUBCONTRACTOR (If Any) l T X F £S DSA FILE* JURISDICTION REQUIREMENTS Limit of one job number, 6ne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 8,0 1 5X 2X TIME IN 7560 fl./v, TIME OUT "2 '. o t> p, ^ MEAL PERIOD | Mileage \~\ Expenses | Reinforcement Q Concrete Placement (2) Masonry [ | Prestress Post Ten [ | Batch Plant 1 Fireproofmq 1 1 Quality Control 1 1 Administration 1 1 Other feiAi^D''-'.^-''.'"''---'''.--/'' 'S;V:*-<S$ii^^ '- ^ /TL // * / ti f^ ^~ > ' / / / V )ff/ i >"\ ' 0 f I 1 "— 7 ) J '' *^ O r -T* i J *^- \ /\ ^« _< r"r (& I^O \ >• ' " ~x.o T- 1 H r ^ /VS p^^ (rr\ ^V^cJrv ru 1f\ "hwpi<r,fvis S 1 .^/?> j ^J , D , rr'^f T , L ' n1^* 1 rtirvVw rc^^K"'/j-'f ' S \ I ' j<-~l' i -k, » i £) IJ ^>f" |ry ^ t>^~f\ ^ (jL^KS-f^. 6> C frKV *A_ rlTAA S (-^O J^l ^ 1 rv <O O <? l/T^v K^x ^^ c, . -n;** o^-f'hi'r^ oH-es 5»(/o an-L A J >-cv -i$ Ul o-r)<^ o.or»e. nrQ roifYv^ (•* -4-i OA f t^j i"Vk £>c< * ' 1— 5 / Y v — eps-, cv^ *>F t MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the f*ijrr~(fi~1nfd approved plans specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below -/ Exception(s) noted in report Yes No rfkf (Initial at Yes / No as applicable) Inspector's Name "^«v/\£>u AH ioV-sr- -7 T Inspector's Signature /xz—r*-^c-- —^ ^ Inspector's ID / Lie # 3 1G> ~t&<!£ ~ K^i T.C.t DESIGN PSI CUBIC | | Additional Page (Page #) CM e^ps 5"9 - ££>0F YARD^ SPECIMENS All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a protect and no work is performed, a 2 hour minimum charge will be applied jj s ^^ ^> Approved/Authorized by fl^4f^Bf' Submitted by (Project SupennTendent) Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannc com 04660 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT # / DSA APRS JL DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION >NTR,ARCHITECT CLc?/V>fo ENGINEER SUBCONTRACTOR (If Any)mm: REQUIREMENTS Limit of one job number, ode permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X LOoMC Ur< 2X re^or-VeJ C TIME IN n* 04-^5$ TIMEOUT MEAL PERIOD I | Mileage _I | Expenses. | | Reinforcement. | | Fireproofmg | Concrete Placement. | Quality Control .["] Masonry -EH Administration. - l~l Prestress Post Ten. .Q Other | [ Batch Plant, U'.ft W Ht) A^S per 4-Sl.C^jK^J A--T- L/ntrK li i n. p rocj MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the f- Q_{^ | *»lo A-d approved plans, specifications (approving authority e g DSA OSHPD C'.ty o! LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name "R-frn^ Inspector's Signature Inspector's ID / Lie # ... | | Additional Page (Page #) CM . No All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no worjn^ performed a 2 hour minimum charge will be applied Approved/Authorized by. Submitted by Quality Assurance Inspections (Project Superintendent) 04658 17942 Sky Park Circle, Ste J, Irvine California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com INSPECTION REPORT INSPECTOR CODEA-J /ci p.JOB NUMBER JOB NAME BUILDING / OSHPD PERMIT # / DSA APPft DSA FILE* ADDRESS 2.SZO GENERAL CONTRACTOR JURISDICTION SUBCONTRACTOR (If Any) MT3L ARCHITECT ENGINEER ^ er, oneREQUIREMENTS Limit of one job number, one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X V>JOr<^j fc> £C? TIME OUT MEAL PERIOD D Mileage | | Expenses | | Reinforcement. Q Fireproof ing . | | Concrete Placement |>sj Masonry [~] Prestress Post Ten | | Batch Plant. | Quality Control [ [ Administration | | Other.| | Quality Control [ [ Administration |_J Other l"7 c| '- d% -f r l-fTVy A-£ p£r~ Yv-iA-^onrx) no-j-£S SI ,o f H-M ^> i< A-| s S I, ^> /Sl.o / /1-t- O |\-e-rv t Q a^M^- ill In O rftf( MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the -A approved plans specifications | | Additional Page (Page #) CM. No (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name IM<VI-AE> ^ ,A(|<JrJS Inspector's Signature Inspector's ID / Lie # _ "ft & All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Approved/Authorized by. (Project Superintendent) Submitted by. Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 www qannc com 04653 INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB NAME J~f\? G<^€A~f~> f ft I ( £Lc1~t O n A"f~ Or^ii't" fce_n / ADDRESS ,11 .2.6,20 <£? &--f~<e-uJ n- t-/ Kd. CA-rl& b f*-<3 ARCHITECT hJ^CS /^A (c. & n^ b ENGINEER DATE BUILDING / OSHPD PERMIT # / DSA APP*Cft670<i32. GENERAL CONTRACTOR .£>n u o.-e.f L.A-r>G.<d~o SUBCONTRACTOR (If Any) ' MTZ- M T W *J T F | S ^^ 1 S DSAFILEit JURISDICTION REQUIREMENTS* Limit of one job numbepfone permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 9,0 1 5X 2X TIME IN 7 ' O 0 A - ft TIMEOUT MEAL PERIOD 3 ' O o f)i r^a 1 | Mileage | | Expenses | Reinforcement | | Concrete Placement [71 Masonry | | Prestress Post Ten | | Balch Plant 1 Fireproofmq 1 1 Quality Control 1 I Administration 1 1 Other v^»-(<Aa'^-D . / '••,.• :.••;-; '•• :• ^ •/".' ;'JDESCftjiF^(0^ : .• o.v • • '>,c •:•' • -;x '; Ob^lrOe /hn.on'j tr, r ^ rou4,'n<> rfPcW/s nfA-C<emeA+ A^J re s*nj>S) //W*f - /^/U ^^^5 'y"Ledee.r Li^. Second %iooC M- /2 'O "- J 7 ' H " UT.* ! 1 ftfr^zncftyiir. / l\ ^ • jf\ ~ • , ^,3 j ' J -i^l /v 0 i£.S o / , U . S Li h m , "TT'f (f fY) <" y fj •€.£ 1 & >1/ / / ^<^ro^4- c^\>? ^ 4.(iqn',r ' / " u i / ' A 1 ueA A^T fc-> .blocK./ in-e A/H> MIX USED DESIGN SLUMP frS^&OCzH^ S Certification of Comphanc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed in C-A-C / f5> io &d approv Te^os ^3 -6? 5 °£ ADMIXTURE tVKQA- 61 /-Vg-/»>'x ^r^DL e e statements are true, ng the period covered compliance with the ed plans, specifications {approving aulMor;ty e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception^) noted in report Yes No f/KJ*" (Initial at Yes / No as applicable) Inspector's Name /V/"f /J O y A-' )*~ Inspector's Signature ^C_- — *--e: Inspector's ID / Lie # T2_£ "J h G i " r ((J £ _ jrv. z,<^£ DESIGN PSI CUBIC^ARDS SPECIMENS 3-000 a7 (3y3'*3"x4" + /^^. | | Additional Page (Paqe #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied S\ /rf *~ XX^^x^x^^^ Approved/ Authorized by AP^'^'X^*-*1*5''*'"^ (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qaimc com 04651 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE W T, JOB NAME BUILDING / OSHPD PERMIT it / DSA APR*| DSA FILES ADDRESS GENERAL CONTRACTOR JURISDICTION r INTR 4-ARCHITECT -U ENGINEER £U*± SUBCONTRACTOR (If Any) *\i yj REQUIREMENTS. Limit of one job number, one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X u)<or^K 2X Kr<. rcforft: TIME IN d en+'oHl,1. TIMEOUT >0 MEAL PERIOD | Mileage.II Expenses. I | Reinforcement [ | Fireproofing | | Concrete Placement. | | Quality Control _ Masonry. .[ | Administration. Prestress Post Ten. Other Balch Plant. DES£Ri§^ AS ,P 5<f£ond . pg_ri 4-*>,V-zr 7 PS , o ivs r' ' ^ O ; ^? MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the f^J±^~\ <, L-j ft_Ai approved plans, specifications ~iaVpf™ng authoniy eg DSA OSHPD City of LA etc! and all applicable codes except asjoted be\ovj^3f' Exception(s) noted in report Yes _________ f^"^ N0 (Initial at Yes / No as applicable) | | Additional Page (Page #) CM Inspector's Name Inspector's Signature s Inspector's ID'/ Lie # \> £~K Y All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a. project and no work is performed a ? hour minimum charge will be applied Approved/Authorized by. Submitted by Quality Assurance Inspections (Project Superintendent) 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com 04643 INSPECTION REPORT INSPECTOR CODE JOB NAME ADDRESS .ZS'lo Gj^yttfuj^-^ ^jA, ARCHITECT ' u; A-v-€- 1^ ,<»• i <*; -^ h JOB NUMBER t- ^revs.uL j2,ft-Acif-> cfi-r\^fl^\ ENGINEER ^ / V/rt-/v>«U'T-O DATE M T W BUILDING / OSHPD PERMIT # / DSA APP* GENERAL CONTRACTOR SUBCONTRACTOR (If Any) ' 4MT3- T x ! s S DSA FILE* JURISDICTION REQUIREMENTS Limit of one job number, one* permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X Uuc rK fr 2X vr3 repoM~e^ TIME IN on OMfe'-/^ TIME OUT MEAL PERIOD Mileage.I | Expenses. Reinforcement. Fireproof ing Concrete Placement. Quality Control _ |?P1 Masonry Q Prestress Post Ten. . Q Administration [| Other Balch Plant. ^^, i, 0 r » CVI^UL in'. >ny VV",.P,T ±-f--p i4,A~r f)for: -f ^^ MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans specifications | | Additional Page (Page #) CM . (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes .. (Initial at Yes / No as applicable) No. All inspections based on minimum ot 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a f hour minimum charge will be applied Approved/Authorized by. Inspector's Name _ Inspector's Signature, Inspector's ID / Lie # ... (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 wwwqaimccom 11719 INSPECTION REPORT INSPECTOR CO(DE JOB NUMBER 0-704 W JOB NAME "pv\6. £jce&f\ Co ii£c1"iort tvf" 'ferss^K I"N*Vf\c.U ADDRESS ARCHITECT 'ENGINEER r\(\i ii^f/v^'TC DATE M T W ci ~ /c? ~ O§ ^c BUILDING / OSHPD PERMIT # / DSA APPfl GENERAL CONTRACTOR T F j S S DSA FILES JURISDICTION SUBCONTRACTOR (If Any) MTi REQUIREMENTS* Limit of one job number/one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 8 o 1 5X 2X TIME IN 1 ;oo A -m TIME OUT V oo p. no MEAL PERIOD | Mileage.Expenses. QJ Reinforcement. || Fireproofmg . \_\ Concrete Placement, . [| Quality Control | Masonry. Administration. Prestress Post Ten Other Batch Plant. IMcW^D --:', •:'.'•." ".•• ^••\P£S§RJ|^ \ .... ' obse.roe /monitor ini-<-*AL iJ2/Pr HT M I cj h Li Ft G roLv4-fr»« nPc-eiK. p I ft-€<?:.v'1O-e/vl-' &t~\(\ \ Pil^O rVXA-SCO r<-f JO ' i ' ' ' '"CCO.-iSrt 1 i C^A-VlOiO A-"V ^ ' PT <q rt^J-"^ Pc,is-r^ ' A-S pP.rr- i w| , V.IA- j^i-jv,^^ j j.. ' jf (~? r6>'-jt"t b c^x: 5> AYV> p I £**> A-€LO VA. v c £j& A-"t~ (^o<ir~*-j ^6vjA^ toi"hiAl *4 I't o ro^.1^" pc-^r Uo-e O/2.^> LArxdJr mfr.dau ^ih /^i qrov-usci \_Pi3<?\ Ulne O/M,S"/ / MIX USED DESIGN ^S2OOOM2_ S" — Certification of 1 declare under penalty of perjury that a and that of my own personal knowledge by this report has been performed an Te/nps 55- 7^~F SLUMP ADMIXTURE / L\/f^- DA &?H tP ff. ~ y~) ' >* 1 &ro*+ AAAi+\j Compliance II of the above statements are true, the work during the period covered d installed in compliance with the approved plans, specifications [approving authority e g OSA OSHPD City o'< LA etc ) and all applicable codes except as noted below . Exception(s) noted in report Yes . No */ (Initial at Yes / No as applicable) Inspector's Name {<W>e»M An j^-x s^Sr i Inspector's Signature s^-—-?r •J ^ Inspector's ID / Lie # . J?2fe 76 .^s^^ fC'-Af. ^ C.C DESIGN PSI CUBIC YARDS SPECIMENS J-COO A-pp, HZ (ft) 9 \ | Additional Page (Paae #} CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied S~\ .# Approved/Authorized by / ^ " ~~ — - (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com 11717 INSPECTION REPORT INSECTOR CODE JOBNUMBER JOBNAME The.Collecf-io* BUILDING / OSHPD PERMIT * / DSA APP«DSA FILES ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) REQUIREMENTS Limit of one job number'one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X toccK- ^o 2X "35- r-epor-Vec* c-.-^ TIME IN \ni*5 TIMEOUT MEAL PERIOD | Mileage |~"] Expenses [ | Reinforcement. | | Fireproofmg . [~~| Concrete Placement. . \^\ Quality Control Masonry. .[ | Administration, . [~~| Prestress Post Ten, . Other Batch Plant. tevfc D^:; ;; I R^-'i^pec- rW* -Vr> r«^ •: • "••'"•'•'• '••:-'.~"i "JV'.lr /- cP"WIG^J CYT <-> < OJA^ 0? <^\<. ES^iRi5||||ipw|Rp '^ '•• ;. :v---- I^v^ VA. O2. • i A 5>~HQ \ | lf£\(Ctfj A-4 Ui^-r i o v^*> "H- Cb <!nv-^-ri< €i. ' -\ A- ' <^*x 1^ - ' ' 1 ' 'I "l>Y-^.^\ Cfilu^rv (Xn-iv^/vcli bo \ V ^^ 'iV-V- i Jr><2.' -S . A^oue m* A/5 A^ P-^ Sf-^/^tA.R^^fe Gm^ r^Lj^^^r ' , ' 1 1 ' ' ' i.A'~\-t Orv££\ \AJopti- OO vvxpVf "f^aeX 12^jxAuj r-c/~ "V* ^^'^ c f f a <*_> 2-2-7-0& h,' h t-lPr a ra^+ Pour. ' ' '7 MIX USED DESIGN SLUMP Certification of Complianc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed ir <"/VH.S>krW approy (approving authority e g DSA O and all applicable codes ex Exception(s) noted in report (Initial at Yes / No as applicable! Inspector's Name Inspector's Signature Inspector's ID /Lie # ADMIXTURE e e statements are true, ng the period covered compliance with the ted plans, specifications SHPD City of LA etc ) s cept as noted below / Yes . No * ^A^>t>*j jA-f/CiV-* •'^-^Z'^Z- S3J07b<f£~> ^ .. ^— - CV' X-66 DESIGN PSI CUBIC YARDS SPECIMENS 1^ [ Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied . Approved/Authorized by ftZ^^fcpffi^^tg!^ — - (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qaimc com 11711 INSPECTION REPORT INSPECTOR CODE Ai K/ (5, JOB NUMBER 6*70 4f 9S JOB NAME TKe <2ce4r> ^ilect-jcn A-T Bres&ie. fcri^th ADDRESS ARCHITECT 1 ENGINEER iNVi u«.Mo4-o DATE M ^ w BUILDING / OSHPD PERMIT # / DSA APP# GENERAL CONTRACTOR ^r)\j&ejf- Uf>r><3 Vr-enr* SUBCONVRACTOR (If Any) ' MTX T F s s DSA FILE* JURISDICTION C Ar) '* to ri-4 REQUIREMENTS' Limit of one job number, orie permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 SX voorfc. K1 2X S rePtfrht'dl <9o TIME IN *i!70S TIME OUT MEAL PERIOD | Mileage.Expenses. I | Reinforcement. | | Fireproofing | Concrete Placement [^Masonry | | Prestress Post Ten Q Batch Plant. I Quality Control [~~] Administration | | Other 12. Pt o^cK fr» "t--f- A-s j^rcj I *•$re i m-e /)+-L/ n^-f.) % /)-t-o L('ri4e-l Au^jnc; r^.O/k Lme A ^ bo 3F-^g/r ME ilQsl HP r MIX USED DESIN SLUMP ADMIXTURE DESIGN PSI CUBIC YARD SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications No Additional Page (Page #) CM . (approving authority e g DSA OSHPD City ot LA etc ) and all applicable codes, except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) ^ . Inspector's Name )< Inspector's Signature. Inspector's ID /Lie # . All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Approved/Authorized by Submitted by Quality Assurance Inspections (Project Superintendent) 35/05/1999 85 83 7607920659 TIME FINDERS OF SND PAGE 02 R DAILY OBSERVATION REPORT Roofing Q Waterproofing Q Roof Deck Nailing G Other. Corporate Office 179.42 Sky Park Circle, Suite J Irvine, California 92614 Ph (949) £63-0370 Fax (949) 553-0371 www aa unc com PagaJ_of_/_ PATE M T W T f S S WEATHER OBSERVER REGULAR 0 TIME (1 5X1 O TIME (2X) TIME IN TIME OUT hard QAI PROJECT NO O 70 iqq. z BUtlDING IOSHPD PERMIT #1 DSA-APP * C MEAL TIME * DSA-FILE* NJ/A PROJECT i\\ 8 fe ADDRESS CLIENT CONTACT PHONE G CONTRACTOR SUPERINTENDENT PHONE -7*15- SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME FINISH TIME ASPHALT MANUFACTURER M0T>y~(jp-p-TYPE OF ASPHALT Z 5 C -t ASPHALT TEMPERATURES (T) TIME INSIDE KETTLE INSIDE-TANKER ON ROOF DURING APPLICATION IZ.,/0 ROOFING I WATERPROOFING MATERIALS MANUFACTURER iJ-tLx£> _ SPECIFICATION #Clc5 \O CONCISE DESCRIPTION OF WORK OBSERVED (Including description of non-compliant Items & the/r corrections) JTO =f -to IS . (t Q EXPENSES MILEAGE THIS REPORT CONTAINS NON-COMPLIANT ITEMS DOES NOT CONTA)N NON-COMPLIANT ITEMS Observer's Signature Observer's Name ft,£JKf.'/& Venfied / Accepted by 7^7 ^Supenntenden) / Client's Representetiva * If time for meal was not taken today, explain the reason why Reason Authorized / Verified by N B Observation tins is based on a minimum of A hours Observation time over 4 houra or extending past noon Is reckoned S hours When an wbs««v*r shows up on site and no work is performed on thet day, 2-hour efwg« is applied Additional Paga A 39/06/1933 QG 33 76Q732QB59 TIME FINDERS OF SND PAGE E2 DAILY OBSERVATION REPORT Roofing Q Waterproofing Q Roof Deck Nailing Q Of/ier. Corporate Office 17BA2 Sky Park Circia, Suite J Irvlna, California 32814 Ph (849) 553-0370 Fax (949) 553-0371 www qaunc com Page ^ of / DATE M T W T f= S S WEATHER OBSERVE?REGULAR O TIME (1 5X) O TIME (ZX) TIME IN QAI PROJEC r NO BUILDING / OSHPD PERMIT # I DSA-APP #c T1MEJ3UT MEAL TIME * DSA-FILE* M/A PROJECT - jJo»t-Pl»JwJ ADDRESS CLIENT fa £ 57"-CONTACT PHONE G CONTRACTOR SUPERINTENDENT PHONE qHi-l^S-2fell SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME FINISH TIME / T, ASPHALT MANUFACTURER TYPE OF ASPHALT EVT ASPHALT TEMPERATURES ('F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION /3 03 An ROOFING / WATERPROOFING MATERIALS MANUFACTURER Jc?+MS iV> ft tJt S>iJ\SPECIFICATION *Cl6 JO CONCISE DESCRIPTION OF WORK OBSERVED (Including description of non-compliant /terns & f/ie/r corrections) To IT r>v/s of A- S Bg>j\Vo TMP1 D&y DO)F<r -\Q Q EXPENSES MILEAGE THIS REPORT CONTAINS NON-COMPLIANT ITEMS DOES NQT CONTA1N NON-COMPLIANT ITEMS Observer's Signature'Verified / Accepted by Observer's Name fl>£ht,f;/ & rz>p.e.Z> Z.C.C&Supenntendanl / ClienCo RepresentBtive * If time for meal was not taken today, explain the reason why N B Observation time is based on a minimum of 4 hours Observation time over 4 hours or extending past noon Is reckoned a hours When an obs«tv*r shows up on site and no work is performed on that day, 2-hour charg* is applied Additional Page A 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com 06793 INSPECTION REPORT _ , >^ REQUIREMENTS Limit of one job number, oneliermit number per sheet Identify all work bytypeand SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR ft 1 5X 2X TIME IN noO TIME OUT £;C>O MEAL PERIOD I | Mileage.I | Expenses. [ | Reinforcement. | | Fireproofing | Concrete Placement. Quality Control | Masonry. Administration, | | Prestress Post Ten. Other Batch Plant. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by thjs report has^een^perforj^ied and installed in compliance with the I'ViiPfcyty^approved plans specifications (approving Sutno'nty e g DSA OSHFt) City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes No 5 (Initial at fes / No as applicable) | | Additional Page (Page #) CM Inspector's Name Inspector's Signature 'inspector's ID / Uc rra. All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no workjs performed, a 2 hour minimum charge will be applied Approved/Authorized by. Submitted by. (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle Suite D Irvine. CA92614 Phone (949) 553-0370 Fax (949)553-0371 STRUCTURAL STEEL Testing & Inspection Report 9582 EQUIREMENTS Limit of one job number, one^permit number per sheet Identify ail work by type and SPECIFIC location Each joint must be specifically identified for SSW/HS bolt inspection Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR V 1 5X ~~ J 2X TIME IN ^/ 'S&jfSH - TIMEOUT //:*€> I | Mileage.I | Expenses QShop.Field.Welding.Bolting | Sampling. Fireproofmg [^ NOT (HRS) .,» r'l.."-'1-.'1''' •'-.•'i7!'"j,11*" ^-•" ''••*»"tiv;?''^viWs''>^!? *»«£ •wo«.^"-!x*i-"v^'.:.;-ideijv-jJi * - .^L, r -rfi^.v-/--- ;'.'C'V *•'.*•:•-5*-:'. -J' ./•"••'".i;^-»-*-' >s> •" ">fr" \ - ••«' "•"'."• " ' "••. '•-,'-.-. ~ /--E?^ A (-.**- ¥ e A 6±*&&*Jl a*^-^-X WELDER CERTIFICATION / EXPIRATION DATE WELDER CERTIFICATION / EXPIRATION DATE Electrode Used Certification of Compliance I declare under penalty of perjury that all of the above statements are true and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the _ (^-^tH^ &-&•£> (2,L^"X _ approved plans, specifications (app'OVing autlion:y eg DSA OSHPD ^ty of LA etc) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) No Inspector's Name Q \ // V Inspector's Signature __ Inspector's ID / Lie # _____ | Additional Page (Page #) CM. All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum If inspector is called to a project and no work is performed a i' hour Tiinimum charge will be applied Approved/Authorized by Submitted by (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqaimc com 04712 INSPECTION REPORT INSPECTOR CODE A i K • R JOB NUMBER 0704^ JOB NAME ADDRESS •i-S 2.0 (bA"V€>*^(-j K#< C/q-r-ls> (r*=Kl ARCHITECT UJA-r^- sTAA-loai>\V^ ENGINEER DATE M T, W H^2.>0g H BUILDING / OSHPD PERMIT # / DSA APP# CBo~70H ^ 2_ GENERAL CONTRACTOR T F j S S DSA FILE* JURISDICTION CA-rl s*foiA-o SUBCONTRACTOR (If Any) 'KTT REQUIREMENTS: Limit of one job number/ one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant wort- must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X UJork. V 2X i r>£ TXlJ> or- Vce\ TIME IN On ^0^7 || TIME OUT ME.AL PFRIOD I I Mileage.Expenses. | | Reinforcement. | | Fireproofmg Concrete Placement. | Quality Control Masonry. .[ | Administration. | Prestress Post Ten | | Batch Plant. I Other DESCRIPTION OF W(3RK;IhJSPEeTED ujt\£re- 7.HP fo bo i-V- ^^ U<?AA<v\€/vt MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS £>PECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications | Additional Page (Page #) CM . No (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes ___ ............... (Initial at Yes / No as applicable) Inspector's Name 1<W-) O"^/ A i" k; i rs 5. Inspector's Signature ID / Lie # utfaa All inspections based on minimum of 4 hours and over 4 hours & hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied Approved/Authorized by. (Project Superintendent) Submitted by. Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fav (949)553-0371 wwwqannc com 04705 INSPECTION REPORT INSPECTOR CODE A; i<; R JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT # / DSA APR*DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ioffENGINEERSUBCONTRACTOR (If Any) <>i>f< REQUIREMENTS- Limit of one job number, one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR i 1 5X 8,0 2X TIME IN "1 ',00 A.«A TIME OUT 3 fcrO p.^v MEIAL PERIOD D Mileage | | Expenses | | Reinforcement. | | Fireproofmg . | | Concrete Placement, . []] Quality Control | Masonry. Administration. . | | Prestress Post Ten. .fT Other Batch Plant. H-i^>v ta-Q.CJ trs vr\ A* r>y*.H . T/A.M Q)' i -U-uV.r\CS.4i U m -fc°*££_-3/A-O ~Vo vR 11Hok •i •fico-4-ie,r>LL SeA- MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI lC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications No Additional Page (Page #) CM . (aporo'jing authority e g DSA OSHPD City cf LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name.A- \ 1C ( Inspector's Signature Inspector's ID / Lie # ., All inspections based on minimum of 4 hours and over 4 hours & hours minimum In addition any inspection extending past noon will be an S hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Approved/Authorized b Submitted by Quality Assurance Inspections (Project Superintendent) 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannc com 04703 INSPECTION REPORT INSPECTOR CODEAik.'fe JOB NUMBER JOB NAME ADDRESS , £J ARCHITECT l (A^jX-TP fY"VA|CQiY^ CArhW ENGINEER YVYvx/iA-AAcrVo DATE M **/ * /S "0 ?•? BUILDING / OSHPD PERMIT * / DSA APP# GENERAL CONTRACTOR S f\ vJ <y-Q-T- L^&na ST^On* SUBCONTRACTOR (If Any) T W T F S S DSA FILES JURISDICTION CAr lsbAc\ REQUIREMENTS: Limit of one job number, 6ne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials REGULAR £>-o | Mileage 1 5X - HOURS 2X TIME IN TIME OUT 7 t j± /~t A *-> < ,OO A tW\ 6 .00 p. \ I Expenses MEAL PERIOD ^ | I Reinforcement, Q Fireproofmg | Concrete Placement, I Quality Control Masonry. .| | Administration. \ Prestress Post Ten, Other Batch Plant, DESCRIPTION OF W0RK INSPECTED <>l (I Q\ S f f . I A$> g r report: c '. CA( rv\ d.A"X . Sill p/H MIX USED DESIGN SLUMP ADMIXTURE CUBPC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the a^ ( <, \£> A<N approved plans, specifications | | Additional Page (Page #) CM . (approving aulhonly e g DSA OSHPD Cily of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) No Inspector's Name Inspector's Signature Inspector's ID / Lie # All inspections based on minimum of 4 hours and over 4 hours 3 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Approved/Authorized by. Submitted by (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannccom 04693 INSPECTION REPORT TOR, CODE JOB NUMB DSA FILE* ARCHITECT GENER SUBCONTRACTOR (If Any)AfrL JURISDICTION, REQUIREMENTS Limit of one job number/ one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials Q Reinforcement, [ | Fireproof ing HOURS REGULAR 3,^~ 1 5X 2X TIME IN VOQ TIME OUT a'0o MEAL PERIOD D Mileage I | Expenses . |~] Concrete Placement. . [""^duality Control [Masonry. .| | Administration. . | [ Prestress Post Ten. ~| Other . [[]E5atch Plant. DESCRIPTION u n-Pf~ - o A r 6 RJ^ ^ £/ MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS 1! Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this reaort has been performed and installed in compliance with the (" ^4p / ^ KA~\} approved plans, specifications (approving autnonty 6 g DSA OSHPD City of LA etc ) and all applicable codes, exceplas noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name Inspectors Signature Inspector's ID / Lie # bz^> ,T^. I I Additional Page (Page #) CM . All inspections based on minimum of 4 hours and over 4 hours - 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed j 2 hour minimum charge will be applied Approved/Authorized by. (Project Supenntendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannc com 04671 INSPECTION REPORT INSPECTOR CODE JOB NUMBER I DATE BUILDING/ OSHPD PERMIT # / DSA APPK DSA FILE* GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) REQUIREMJENTS: Limit of one job number, one permit number per sheet Identify all work by type and SPECIFIC location Non-compliait work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 10 1 5X 2X TIME IN ~~J \&& TIME OUT l\oo MEAL PERIOD I | Mileage.I | Expenses. | | Reinforcement. | | Fireproofing . [ | Concrete Placement uality Control . [^Masasonry | Administration \ | Prestress Post Ten. | | Other __ _ Batch Plant. . Bti/iOhJ&- D- • ; '-PESCRiPt(pNrbF;\ OBSERVED £ROuT7/i)6, (OF C££6S PZ-/ ££x ) ' ^"' / i TV? MIX USED DESIGN SLUMP ADMIXTURE O ^ x* / Certification of Compliance I declare under penalty of perjury that all of the above statements are true. and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the / fiDlfpA/i approved plans, specifications (approving ai;'.hor.w e 3 DBA OSH.PD City ol LA etc ) and all applicable codes excep.t..as.noted .below Exception(s) noted in report Yes No (Initial at Yes /No as applicable) Inspector's Name K()/y/rlsT rLlA/T" Inspector's Signature InsnRrtnr's ID / I in # ^2 0 S"?u ?"XL/ WMftnj^^ :.--:"-. '//i &JT /}*JL) Ri~££Aj^d£i8Air/^ ~i) /W/'t- £>t~$!6/J RSJIoo<£V^ £>RQuT~ PouR RuttDtfa-D &RJDS A/ 3 W5 CV PARTty ^io^eo DESIGN PSI CUBIC YARDS SPECIMENS £ 600 3 7 3 PRl&tS | | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Xj .J >^O sf . ... .. . , //C^fS'^S^V'Ki*'**-^^ •Approved/Authorized by / yfc**- ' (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com 04701 INSPECTION REPORT PECTOR CODE JOB NUMBER DATE M-il-Og M i T a] JOB NAME BUILDING / OSHPD PERMIT # / DSA APPS r DSA FILE# 'REQUIREMENTS. Limit of one job number, Jne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 15X Luork ta 2X rs *r-t£-&~+-<d c TIME IN o OH7oO TIMEOUT MEAL PERIOD | Mileage.I I Expenses. [ | Reinforcement, | [ Fireproof ing . | | Concrete Placement. . Q] Quality Control . K] Masonry | | Prestress Post Ten. . [~~l Administration | [ Other Batch Plant. DESCRIPTION^ WORK INSPECTED fVvnHrv\-r -S r>r>c f' * u C* hfc^vi (^A- / P2 5 o^ - Sfrkh ^ i 7 N A ,x I /"^ r>q UP r \4-iVA-l-idn grilled A-f MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans specifications No. | | Additional Page (Page #) CM . {approving authority e g DSA OSHPD City of LA Qtc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable' Inspector's Name . Inspector's Signature # Inspector's ID / Lie # ^-An All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied Approved/Authorized by (Project Superintendent) K Submitted by_ Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 04686 INSPECTION REPORT INSPECTOR CODE A-lKfR JOB NUMBER JOB NAME , ADDRESS ARCHITECT 7 U_)iQ-ri£_ fn A 1 r ov I'vxta ENGINEER M"i u Anno '"ho DATE M T j? BUILDING / OSHPD PERMIT # / DSA APP# GENERAL CONTRACTOR 5^nwcier 1- -A n q ^"1-o r\ SUBCONTRACTOR (If Any) ' KT -3L T F S S DSA FILES JURISDICTION REQUIREMENTS. Limit of one job number, 6ne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 8,0 1 5X 2X TIME IN 7:00*.^ TIME OUT 3 t o o -p, /*-» MEAL PERIOD | Mileage.I I Expenses. | | Reinforcement. | | Fireproof ing . [| Concrete Placement. . Q Quality Control . \jQ Masonry || Prestress Post Ten. . | | Administration | | Other EJatch Plant. Blviq** 6) PK^ 1 c'h^k LtAq n Cj o iVrt" A-<s1 / f7v^r { o i <r 4- •^_ 0 u ^ -Sl'4,/£ ./ e-*- in<,^1(A^ OAr- fi /A-rv 7? 4^ cu /a 1 1 Ce n ,-^ifc +upf \ H«0 n-f ro-o-T L^,o^\ S'^" L/Pr At ^2/0 - .^^'^" . 1 ( J * ( ^ ^^ ^"^J ' / '';(_- 1 ^^ f i •* \ \T~C^"J^ V ^ ^ i <^ ** \J L*^- C" ' i KJ r"C3 t JL J A- \ * i fi ("S /^ ^ ^ T""' 0 ^^_ R^J-T, ..j., r^ , MIX USED '. ^ ^ n> DESIGN SLUMP Certification of Comphanc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed in C A_f 1 Z. io^^ approv "T~C*np^ S^^&J^ f7 ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans specifications (approving authority e g DSA OSHPD City of LA otc ) and all aoolicable codes exceot as noted below Exception(s) noted in report (Initial at Yes / No as applicable; Inspector's Name ^\ Inspector's Signature Inspector's ID / Lie # Yes No >,^ A, ^ > /^i , > Z~— ^^^ i,Ji •— —_- Ki -F.t.c DESIGN PSI CUBIC YARDS SPECIMENS \~\ Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed A 2 hour minimum charge will be applied s*. Approved/Authorized by /C^^^^^1^^1^ — . (Project Supefintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com 04675 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE 3-2<-Q8 F S JOB NAME BUILDING / OSHPD PERMIT * / DSA APPft DSA FILE# ADDRESS GENERAL CONTRACTOR JURISDICTION CL_ ARCHITECT \ ENGINEER 4- 3 SUBCONTRACTOR (It Any) iMTT {REQUIREMENTS Limit of one job number, dne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 0,0 1 5X 2X TIME IN ~1 '. 00 Tfl-.nn TIME OUT 3>', oo-f"^ MEAL PERIOD | 1 Mileage | | Expenses I I Reinforcement. | | Fireproofmg . (~~| Concrete Placement [jPl Masonry Q] Prestress Post Ten | | EJatcn Plant. . | | Quality Control [ | Administration || Other Bl rlq ** P DESCRiPtlQN G>|\ f / • &,'''/'' i~ / / it 5 <4 ' /V-f- SL&'O ~ "?>3 4 Ivi^Vvt- -fr> 4 IOA-^ ^ 5^C?, 4up,V^/s ^tA/s?*J,p, r\>n \ f*i*£:Ort<Lnes\'t -P&r f^o-T Lo s f , $• M Top ^^^,r^^ ref'rtft,rc^J, A-i p^r ^i/- ' ' *A4^t tY^^^^J^^^M i^dV-l*" f*«r.^ -f,^ COP. L<?Ac*Lr 1^4-ft((r^^v4-, 'ftoLL^-viiop S3>-0 MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the Py^f /£ k Q_<"A approved plans, specifications (approving autnorty e g DSA OSHPD C\\y of LA etc ) and all applicable codes except as noted below ,^ Exception^) noted in report Yes . No f£,A (Initial at Yes / No as applicable) Inspfintnr's Name J^A-ivj fs,., /V-\ 1<JNJN Inqpfirtnr's Signature ^^ — ~~l-^ Inspector's ID / 1 ic # f)3 (n"7 (n <?£- YM ¥, £'£ VOTK^N^PECTED' >.:^.v;-Uvv;:v-: :.\: :'... .;:-.-;;:.-- ;...••; •• ITJU //i s^/lA-"f"/'o/J roo-f Ledger Li Prt _,w^ •Oti OV ^j3A(li, A-<* P&s~ f^i i4-^a>yn /^ u 1 .1 < f /T '*r<12c:'1' "5 yJ f=-lr J- •*-" • jsro^rS p/ A-c^ fnfsi't' A-c pi?^ ^S/'/^/jA I T } ' ^1 S K/ttW A U^-' rx u/»4i^ ^k-r-^o^/ vC, |? I-P 1-1 o n , u/ -no r.,K, c«^> -H 6 n o. Te«ap^ 5-7-^6<9f=" DESIGN PSI CLJBIC YARDS SPECIMENS | | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied x^ Approved/Authorized by f^^^^^K^satf^^^^-" — ^__ (Project Superintendent) Submitted by Quality Assurance Inspections 04674 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 www qaiinc com INSPECTION REPORT INSPECTOR CODE JOB NAME JOB NUMBER -to rx A+ T'toss i e, Rch, ADDRESS ARCHITECT | tJA^T mA-lcArWn ENGINEER DATE M T W T ., F S S BUILDING / OSHPD PERMIT # / DSA APP# DSA FILE* GENERAL CONTRACTOR JURISDICTION *~>A CJ fO •£^r- Lrt-Tlrt C"^t>r> /"j^-PJJita/9^ SUBCONTRACTOR (If Any) ' REQUIREMENTS: Limit of one job number, 'one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials REGULAR 1 [ Mileage 1 5X UiorK HOURS 2X Iv5 r-cfio rt-ee TIME IN TIMEOUT MEAL PERIOD .on o H (o~l *. I I Expenses | I Reinforcement. | | Fireproofmg . | | Concrete Placement. . | | Quality Control [Masonry. Administration . | | Prestress Post Ten. . Q Other EJatch Plant. ?H'Aq *i> bESCRIPTrbNOPA /^h<JL~L>e/raorii~{T*r ft " * (a" m*^A r to j-eJirt*^ LiPt 5/H/'AH- atf'o-33' (r\£rVlK^ rv^«^Ar,y ,->o-U-^ ^/ ,0 1 T I r UA A ry» ;^P3r-^^^-<- -^ r ro«^ ^[.G.fA, ^/,5/R. J x GcjL^C'xjQ^T * c) "T^ o ^ i v^ MIX USED DESIGN SLUMP ADMIXTURE • Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true and that of my own personal knowledge the work during the period covered by this report Has been performed and installed in compliance with the sy e\r^ 1 <_ V}<cx£,V approved plans, specifications (apofov:ng authority e g DSA OSHPD Ci;y oi LA etc } and all applicable codes except as noted below ./ Exception(s) noted in report Yes No I/L> (Initial at Yes / No as applicable) Inspfintor's Name ~T$^VrY£><^ A«\k_'iu5L Inspprtnr's Signature .^f ,^-z^ Insoector's ID / Lie # . jT-2 6 7 £ 7-T-JC V Z-tt /VQFIK INSPECTED : t-. rmc^'ins-rA-dA-HoA roo9 L/" h^foKt -to ~ks>P oPwj^lK ASM " . 1 / f /( / " LoAjz^jn, 7^1<w-&^we^4- A^ ^^1 i 1 ^ m& np ^-=, , \ DESIGN PSI CUBIC YARDS SPECIMENS | | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 3 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied S] Approved/Authorized by /t^^^^^i^-^^^. — . (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqaunc com 04667 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE Y JOB NAME BUILDING / OSHPD PERMIT # / DSA APP#DSA f ILE# ADDRESS .2620 GENERAL CONTRACTOR JURISDICTION ^> n w f SUBCONTRACTOR (If Any) MT1L ARCHITECT ENGINEER or/eREQUIREMENTS. Limit of one job number, or/e permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 8>0 1 5X 2X TIME IN 7 ',00 fl,/r\ TIME OUT ^ ' O O -p , VY> MEAL PERIOD I I Mileage.|~l Expenses. ] Reinforcement. | Fireproofing . | | Concrete Placement. . | [ Quality Control | Masonry. .[ | Administration. .| | Prestress Post Ten. . Other Batch Plant. P> i to ' H1 psDido U Pre -VlJqh <\ c?~\ v)~ / N-> i A*> jL^r P^T C K? /• (< r (s DESCRIPTION OF WORK INSPECTED 1 i£f~ gram-J- eff iV A- 1 ne i ^/ S» NJO^~ 1 *££", ^n«uL~K -O^v ckee/<-r> lO'g'Yl 7 V'-iR'f*' ^<~^ check bA-r As~p-Pr /To^^^nriy n -f^c >s'/,(0 -fu^'V^/^ ? TA-mh (aA-TS ~rT A-fN S i"S~\"» rtrO-V-O (JO £> CZfaA-i~ ^ (O-P \QClC. ^e,i^A^ ^ pkV^ < v\G[ * ' 1 / MIX USED DESIGN SLUMP Certification of Comphanc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed in C1 kf t £> »O A-d appro\ (approving authority e g DSA O and all applicable codes, ex. Exception(s) noted in report (Initial at Yes / No as applicable; Inspector's Name_r Inspector's Signature Inspector's ID / Lie # ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans specifications SHPD City of LA etc 1 sept as noted below / Yes No ^^ > Ar ' (<- ' S^——^*-'^' £&/?&<?$--), A;S X if /rt iC DESIGN PSI CUBIC YARDS SPECIMENS | | Additional Paae (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied // // S? ^ Approved/Authorized by rC^^^ (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax. (949) 553-0371 wwwqaimccom 04663 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE W X JOB NAME BUILDING / OSHPD PERMIT # / OSA-APP*DSA-FILE* AT- ADDRESS 2*^0 GENERAL CONTRACTOR -i JURISDICTION .^nyckejr SUBCONTRACTORARCHITECTENGINEER " - i 1*4 (ff Any) REQUIREMENTS: Limit of one job number, 6ne permit number per sheet. Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authonty officials HOURS REGULAR ©.0 15X 2X TIME IN 7<oo 4,^ TIME OUT ^ '• O fc> jP> »*i MEAL PERIOD D Mileage | | Expenses |~1 Reinforcement. PI Fireproof ing . PI Concrete Placement. . |~| Quality Control | Masonry.. j~1 Prestress Post Ten |~| Batch Plant. . [~j Administration | | Other. DESCRIPTION OF WORK INSPECTED /Vi P^£*-K+-»f*"*"»7 ^ i\rvej\-r-Lori€Lc5 f -o 4-i MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications [~1 Additional Page (Page #) CM. (approving authority e g DSA OSHPD City of LA, etc.) and all applicable codes, except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name ^Lf*s\ou 4-*h Inspector's Signature. Inspector's ID /Lie #. No i/fa All inspections based on minimum of 4 hours and over 4 hours - 8 hours minimum In addition, any inspection extending past noon will be an 3 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied Approved/Authorized by. (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 wwwqannc com 04667 i^SPECTIOHI REPORT INSPECTOR CODE JOB NUMBER DATE Y JOB NAME BUILDING / OSHPD PERMIT # / DSA APP*DSP FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION C'A-rKh/M ARCHITECT ENGINEER SU Drre RACTOR (If Any) REQUIREMENTS: Limit of one job number, or/e permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 6.0 1 5X 2X TIME IN 7 ',00 fl,/r\ TIME OUT ^ Oc?p,»v\ MEAL PERIOD \ Mileage | | Expenses | | Reinforcement, | | Fireproofing . | [ Concrete Placement. . | | Quality Control Masonry. .| | Administration. | Prestress Post Ten. Other Batch Plant. E>i<lq '•'** D DESCRIPTION OF WORK INSPECTED Pre - H i q M J ft" <s r<3 u-h c k ecK r* 1 0 ' &! ' ( \ 7 '*/ *- jzft' fr J-rr V check1. — i ^ \ w «- >> i < / ^fFvp-,^ i)€ rT-i <T/V 1 Pi? to-kr AS O-P/" /Vi >4^<9 r> PL/ n>o-l-XC -S/>O. -r (_//>; ^ /a /^ A^ p»j2_r" ^1 • ^/ ^> / (~ y\& f\£*. c \^^^r\ to Lv"1 -* ' I/ r , - - - . f . 1 1 KJO i .TA-mh ta/vrc -rrA-p* SiVfi rvJ-W> (Uo H nftiA-r -!• k <£>>/- AoWic. r^ k^r £ KAS \ *\o'" ' / r J M\X USED DESIGN Certification of 1 declare under penalty of perjury that a and that of my own personal knowledge by this report has been performed an SLUMP ADMIXTURE Compliance II of the above statements are true the work during the period covered d installed in compliance with the approved plans, specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below Exception(s) noted in report Yes . No (Initial at Yes / No as applicable) Inspector's Name R^NJ ft u Inspector's Signature ,^^ — Inspector's ID /Lie # J^/,7 Arl V^t AJS _— „ — =? ~ 6>9S~-)(Lli 3E.£*e DESIGN PSI CUBIC YARDS SPECIMENS | | Additional Page (Paae #1 CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no wojt is performed, a 2 hour minimum charge will be applied /J ^ ^tf *p Approved/ Authorized by /6^^^^ (Project Superintendent) Submitted by Quality Assurance Inspections (2 \±*-\ Cfl» CM 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannccom 04651 INSPECTBON REPORT INSPECTOR CODE JOB NUMBERcno*m DATE XJOB NAME BUILDING / OSHPD PERMIT # / OSA APP#DSA FILE*TV ADDRESS GENERAL CONTRACTOR JURISDICTION T jwri 4-ARCHITECT ENGINEER i yA-?*\<vto SUBCONTRACTOR (If Any) uJ<vrg. A^A-Uocvjk i iv\i yA-?*\«vro I yv\' .-L REQUIREMENTS: Limit of one job number, dne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X u)®M<. 2X h rs. r tjf* o H-c TIME IN j «h^0Sfr! TIME OUT >6 MEAL PERIOD I Mileage [~~| Expenses Reinforcement. I Fireproof ing . | | Concrete Placement. . | | Quality Control . [R] Masonry | | Prestress Post Ten. . | | Administration | | Other E3atch Plant. Edi DESCRIPTION OF WORK INSPECTED -f-er.S2.-0 I r /pe_r i'p If/ 5 * ^G , OT M MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications No! Additional Page (Page #) CM . (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below, Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name. Inspector's Signature^, Inspector's ID /Lie # _ H All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied Approved/Authorized by. ~* Y (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqaimc com 04643 IMS^ECTION REPOHY INSPECTOR CODE JOB NUMBER JOB NAME ADDRESS ARCHITECT 'ENGINEER l^ 1 v/ A-*v>i/TO DATE J- -X°i -ott M T w BUILDING / OSHPD PERMIT * / DSA APP* GENERAL CONTRACTOR S A ^ &4.r L 'O-rx; i^T-tif SUBCONTRACTOR (If Any) ' .MTJ- J T F £. S DSA FILE* JURISDICTION REQUIREMENTS: Limit of one job number, one' permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X U,'* ~'K fr 2X vrs rep^"-t-e^ TIME IN C/* OMt. 42- TIME OUT MEAL PERIOD I I Mileage.I I Expenses. | | Reinforcement. | | Fireproofmg . | | Concrete Placement, . | | Quality Control | Masonry. Administration. | Prestress Post Ten. I Other .l~l Batch Plant. DESCRIPTION OF WORK INSPECTED . Pf A't "»VN v-^." -o r ^ r. -r f ,s St.o vtu.U Af f ^>A. tW7 p,2 *t r >r-^n l^- •/•S> e cc>;i r.fir 1^- <;<,<r/A j ua./l± Ajirjzrfr-ir a^^i'n^'j /?-/ f**'* "S'-^/Y MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications Additional Page (Page #) CM. (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) No / */ Inspector's Name. Inspector's Signature Inspector's ID / Lie # All inspections based on minimum of 4 hours and over 4 hours - 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied Approved/Authorized by. y (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 www qannc com 11691 INSPECTION REPORT INSP JOB NUMBER DATE '.-ft -Og JOB NAME <ioile.ctigr> BUILDING / OSHPD PERMIT # / DSA APP#DSA TILE* £?ArecJgi| Rd, GENERAL CONTRACTOR JURISDICTION iwiARCHITECTENGINEER fvVivjA^crVo nber, orfe permit numbi SUBCONTRACTOR (If Any) REQUIREMENTS1 Limit of one job number, orfe permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X U3cr 2X < hrS f <Lfor*i TIME IN ^ ov^llfcSO TIMEOUT MEAL PERIOD | Mileage.I I Expenses. I | Reinforcement. | | Fireproofing . | | Concrete Placement. . [~] Quality Control | Masonry. Administration. . | | Prestress Post Ten. . Fl Other Batch Plant. -)FSwW*b." cDESdRiFrro*pi^ :- ; ? ; nhqeru-cVri ^efrtnA' L A<, p^r plo1 r n em "for 8 ' r* r-^n. SKA n. /i , » r ; " i . . ) - '- ( K n+"- Vj6r-K S+"' ll «o pro^ resss. " ' ' II i ^ ^ MIX USED DESIGN SLUMP Certification of Complianc declare under penalty of perjury that all ot the abov and that of my own personal knowledge the work dur by this report has been performed and installed ir c-^H^iryve, appfo (approving authority e g*"DSA O and all applicable codes ex Exception(s) noted in report (Initial at Yes / No as applicable' Inspector's Name Inspector's Signature Inspectors ID / Lie # ADMIXTURE e e statements are true ng the period covered compliance with the /ed plans specifications SHPD City of LA etc ) sept as noted below / Yes . No * ^friOPvJ A-' l^v; 1 S^~---?^A~ <5^&?bci5' NiS - x;v DESIGN PSI CUBIC YARDS SPECIMENS ( | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspect on extending past noon will be an fi hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied .s) .^ — Approved/Authorized by /^*^^^R^-^^= (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 www qaiinc com 11689 INSPECTED*! REPORT INSPECTOR CODE fo ' S. JOB NUMBER DATE M ! T X JOB NAME BUILDING / OSHPD PERMIT # / DSA APP.-I i DSA F ILEs ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT XlAfe I LIN la UN $& ONSUBCONTRACTOR (if Any) ^f-V ' " y I ' I i J * *~ —-^ t " '^ * 1 f T i I |j ^fyr f f 'ty *c 1—f 1—^ i i-< . REQUIREMENTS" Limit of one job number, (one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X IjUtfC 2X {<L v\rs fcpor TIME IN fed an^Hk? TIME OUT ^8 MEAL PERIOD Mileage._I I Expenses. || Reinforcement. | 1 Fireproofmg . | | Concrete Placement, . || Quality Control f Masonry. Administration. . Q Prestress Post Ten || Batch Plant. . G Other ^ &}?•£> DESCRIPTION QF\ ob^&rud /moo iTo^" 8 *•' ^ Jor\e<A u->r« c" ri L.( £-t" A .5 p<Lr" jO^t^A, t>£A S i >O . H"^| P f CA ll MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the S* C\ /* 1 <» lr» A-^ approved plans specifications (appVo'vmg autnonty ITg DSA OSHPD City of LA etc) and all applicable codes except as noted below Exception^ noted in report Yes . No V (Initial at Yes / No as applicable) Inspentor's Name "R.A-N O M A / k i U<: Inspprtnr's Signature S<Ls-^ — *• — • ^ Inspprtnr's ID / Lie # *>2 i 7<O ^^^ 7 vpFiKiN|pEbTEa ; : ".•• ; '•--./ VIIA. \ iTlSi'A ( 1 r*V~H 6O O1^ ( Hi t/ P ( E' ^ $|,^/KJ. S, p T -T^ C^-rvxp U+JO^ ' DESIGN PSI CUBIC YARDS SPECIMENS Q Additional Paae (Page #) CM All inspections based on minimum of 4 hours and over 4 hours 6 hours minimum In addition any inspection extending past noon will be an S hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied .a Jf J- -H- fT^^*1^^ ,"£mi- ~'**f^^Approved/ Authorized Dy /^ •fyc*'^ — — (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine California 92614 Phone (949)553-0370 Fax (949) 553-0371 www qaunc com 11687 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOB NAME ty\<? BUILDING / OSHPD PERMIT tt / DSA APPf DSA FILES GENERAL CONTRACTOR JURISDICTION Ud DNTRARCHITECTENGINEER tf SUBCONRACTOR (If Any) REQUIREMENTS. Limit of one job number, dne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X Loo, 2X M< Krs ^c,^: TIME IN ^*_ \ ^ «*± D TIME OUT tB(o MEAL PERIOD | Mileage | [ Expenses | | Reinforcement. | | Fireproofing | Concrete Placement. I Quality Control Masonry | | Prestress Post Ten _ (~| Batch Plant. . | [ Administration _ [ | Other Kl3&f:C^ r^bsaru^/ivion'i HXJ«- ft" < (a" fw>d, uo4, crnu i c\<Sr(\ \\tti~\c\r\ rr£~ mj-f/'iQ{ !5'H" L'lTf- tiJri^lc St-i 1 A<, 'p.^r pj \ i rv fr noo nr A-r-» (Sp.0 .SI .O , H"\./p;c A is. JSL ?>/rOj ?., O ."^v > ' v p ^ ^/ J ' r 'B'<:^.1 I ' ~ MCfbVr S /V rVN f IrlA ACC, XA ' iVe^v AT^- ^p^nrV r^e^rse A)O^Q Lilno 5V. 3> ' 1 MIX USED •hp*- ^ DESIGN SLUMP IXfgQ Certification of Comphanc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed ir C fV-1 S Icyve) appro\ ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes exceot as noted below Exception(s) noted in report (Initial at Yes / No as applicable -T Inspector's Name VC Inspector's Signature Inspector's ID / Lie # Yes No / LA^> x>w A-i K< H*> ; xx^ s^2-~ C . ^^76^-~M DESIGN PSI CUBIC YARDS SPECIMENS i^oo (VUx/cyA [ | Additional Paae (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 hour minimum charge will be applied -r\ .rf ^eS*^ Approved/Authorized by /(^^^r (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannc com 08913 INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB NAME "Tfr\* OCPCk-r* C<M\<» e-HoA A*r 'P.rvs.c.iC ^A-nc&\ ADDRESS ARCHITECT (\J (X<N? prj £) r-e-LJiCKj Rd - CArlsbA-d c r, /v\ b ENGINEER l**\ i *-4 iPr W"J C TO DATE M T W BUILDING / OSHPD PERMIT # / DSA APP# GENERAL CONTRACTOR S>r\ LJ cLex"" L-ft-r\« \4r3f\ SUBCONTRACTOR (If Any) ' T j F S i DSA FILE* s JURISDICTION Ci^r \<5to,o A_ REQUIREMENTS Limit of one job number, oAe permit number per sheet Identify all work by type and SPECIFIC location Non-complianl work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X lOorte 2X ia^S hCpoM-etS TIME IN . on *o8<HiZ TIMEOUT MEAL PERIOD i ! | | Mileage \~\ Expenses [~1 Reinforcement | ] Fireproofmg I | Concrete Placement | | Quality Control Masonry Administration. | Prestress Post Ten || Batch Plant. [ Other f^Oayu S\ci<? D^ DESCRIPTION 1 Of=\ nbsotrue^ cpoxej t iAST-MlA-tSo^ Afel diovxx'Vs Q>r Xcxsr1 ' A^lo<» A=t- c&v^u. {^ ^ Ho(-e c^^p-f^> /cie^cuAio^ Oeri £i' cA-f-«D\ • • Che^Aie^l A/ACWir S^imp^or* Se,t JJ-3- X-t-.C- 5S-6SR ^A"7^ L.AOK; R.R.JLSil^, oVs'SCru^ /<VNO-r>'» tcr Kp^ .nnTrt.^ oP-i^iT-Jv MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the (f^r (^.K 'v.A approved plans, specifications (approving authority e g DSA OSHPD City of LA etc } and all applicable codes, except as noted below t Exception^ noted in report Yes . No (Initial at Yes / No as applicable) Inspector's Name Rft-U & ^ A 'i k. i <J5 Inspector's Riqnature •^-^~y*-ti ^^ Inspector's ID / Lin # J32-4'?6 >T^X V .. \ i /VaRk>IN^Ebl?ED vr: '.-•.[•'•'/ •" '; -':':.''4: ' i' S Cbr C>O ^ft ^> \.)<?r4-i cft\ Ct'b1^'^ »QlK Ltrie D/^,fc.; .3«H _^ -, -, -a ~ . c, " u • M 4- r 'S^-fc^**' i53*iOfo LL Exp, JL./O«f \ i - { cl 'ij " i "" r Q " ' / " i ' i \ ' ^ ' o /KJ *•?> P i ( iif~1. 2.M )/ * * T ) \ DESIGN PSI CUBIC YARDS SPECIMENS 1^ [ Additional Page (Page #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied JL/ dZ,*^^' s^djj***' Approved/Authorized by f£^**ft?S?Sa*~esfi*^- (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle Suite J In/me, CA 92614 Phone (949)553-0370 Fax (949)553-0371 Inspection Report INSPECTOR CODE JOB NUMBER #070499 JOB NAME THE OCEAN COLLECTION @ BRESSI RANCH ADDRESS CITY 2520 GATEWAY ST CARLSBAD ARCHITECT WARE MALCOMB ENGINEER MIYAMOTO DATE January 23, 2008 BUILDING PERMIT NUMBER/OSA/OSHPD APR FILE # CB070432 DAY OF THE WEEK WED JURISDICTION CARLSBAD GENERAL CONTRACTOR SNYDER & LANGSTON SUBCONTRACTOR (IF ANY) REQUIREMENTS Limit of one job number, one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communicaiions with project designers building and permit granting authority officials HOURS REGULAR 1 5X 2X TIME IN 7.00 A M TIME OUT 1200P.M I [Re-Inspection | [Show-Up Only | [Expenses | I Reinforcement Concrete | [Concrete Placement | X [Masonry | [Reinforcement Masonry [ [Fireproofing | [Quality Control | [Administration | |Prestress / Post Tension f I 'X |tt)ther I j^ f ~T OBSERVED THE INSTALLATION OF EPOXYED # 5 REINFORCEMENT INTO FOUNDATION @ BLDG D ALL HOLES CLEANED PER MANUFACTER'S RECOMONDATIONS ALL HOLES DRILLED A MINIMUM 8" INTO FTGS A TOTAL OF 2 # 5 REINFORCMENT EPOXYED MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Additional Page (Page #) CM 2 OF 3 REPORT | | Contains Non-Compliant Items X Does Not Contain Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications and all applicable codes All inspections based on minimum of 4 hours nad over 4 hours - 8 hours mimimum If inspector is called to a project and no work is performed, a 2-hour minimum charge will be applied Inspector's Name Inspector's Signature Inspector's ID/ Lie # DONALD R WELCH S D #933 5073827- Approved/ Authorized by Submitted by Quality Assurance Inspections /(Project Superintendent) 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 www qaunc com 11711 INSPECTION REPORT INSPECTOR CODE Al Ki E> JOB NUMBER JOB NAME THe t?ct.o-n <i£ ile.cn en ;V't i~jrci&isL f^A-hCio ADDRESS jLSiO <bwVe co A-wi I^A.- CAPl-i'0,'^4 ARCHITECT 1 ENGINEER DATE JL - \ 6 '10^ 3'j2— GENERAL CONTRACTOR SUBCOlTrRACTOR (If Any) ' M % W T F S3 S DS/> FILE* JURISDICTION REQUIREMENTS: Limit of one job number, dne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X UOO-VC.K, 2X S reported o-i TIME IN *h70S TIME OUT MEAL PERIOD | Mileage | | Expenses | | Reinforcement | | Concrete Placement (j^Masonry | | Fireproof ing | | Quality Control | | Administration. . PI Prestress Post Ten | | Batch Plant. . n Other DESCRIPTION OF WORK INSPECTED Pil^O - 12.' Pr AT. T £L r .S 7 A-c I nc e^W. -.-, \Jef 4- i CA tT^ t~f 51,0.> OOA-^-..^^cj fyjCHre.-J ^/l/^ > re,' A-ft?r<^ * . ^ iv;er + > CA U oner oo-<?r»' ^ ; Kfcre as AIOAC r5C.Q/A L;ne A ^^-t LW 4nJ <vrou."f'^<3^ay4^e. DESIGN SLUMP ADMIXTURE 6vn b e. MIX USED DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the i ^» k) /Vet approved plans, specifications | | Additional Page (Page #) CM. (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name JB Inspector's Signature. Inspector's ID / Lie # . ., No. All inspections based on minimum of 4 hours and over 4 hours - 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a ? hour minimum charge will be applied Approved/Authorized by _ Submitted by. (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannc com 10379 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE f I XI JOB NAME _LL BUILDING / OSHPD PERMIT # / DSA APRS DSA FILEK ADDRESS Rc\, GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) REQUIREMENTS. Limit of one job numberone permit number per sheet Identify all work by type and SPECIFIC location Non-comphan; work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 8-0 1 5X 2X TIME IN 6:50 A, ^ TIMEOUT 2.'30 p,m MEAL PERIOD I I Mileage.|Expenses. l^l Reinforcement, | | Fireproofmg . [/>] Concrete Placement. . [~~| Quality Control . | | Masonry .| | Administration. Prestress Post Ten_ Other _J Batch Plant. _8_ -SliAh cvr> cj r^e. m'te-r'ior, SiQmplejs ficc|Uiirgdl C C . C in 1010 Aii 11 CngU ¥Pma, LA =H-, -Mole /Cl^^/QC^ xj JEk AiL AmWrvV g MM - MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS H"^500 Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the £_J^-J .*•(- CA-(~)A ta/=^ approved plans, specifications | | Additional Page (Page #) CM. (approval authority e g DSA OSHPD City of LA elc ) and all applicable codes, except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name Inspector's Signature Inspector's ID / Lie # No *&- All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied (Project Supermlendent) Approved/Authorized by. Submitted by Quality Assurance Inspections 10376 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 INSPECTION! REPORT wwwaannccom ' INSPECTOR CODE JOB NUMBER Ar'.Kii*. O'7c-Wct JOB NAME - ADDRESS . ARCHITECT ' ENGINEER __ IA/A-^ v^iQ. i cc^ ta !r\iyfn /^efts 3^'^ J^rC' DATE M T W \l-1~l~Q~l BUILDING / OSHPD PERMIT # / DSA APP# GENERAL CONTRACTOR ^ A W<^CT" Li^fM? S'tOAJ SUBCONTRACTOR (If Any) \ T, F S S /» DSA FILES JURISDICTION Cf*-f isti-T^l, REQUIREMENTS. Limit of one job number/ one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X 2X 8-0 TIME IN TIMEOUT 7 ; oo A'(^ s : oo p ro D Mileage | | Expenses f5<l Reinforcement I I Concrete Placement I I Masonry I I Prestress Post Ten f | Fireproofmg |~~| Quality Control Q Administration [ | Other MEAL PERIOD ~] Batch Plant •Sl&<v:,.D".V DESCRIPTION ORWQRK .INSPECTED ota<r&.c<j e_cV r€ i ovorc'&ififN-e/^rT" r> ( A-^ -^/r\£A"Y A-olS fer c(0 ~rorslKi- OrA-t^e /VS p-Ct— JS2- oO/ fjc-rt 2_ . .SI *O / <$T**e ( noies (p .i ) ' ' ' $ * *,,-%. AppctiJ-vl ^S p^r ^Or ;.•»*«./• on /1-J-7-OT-. io co i A ' / MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this reporljias been performed and installed in compliance with the (~ i^-^j i QV-- CLA-(^ \fs.Vs<W\ approved plans specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below / Exceptionfs) noted in report Yes No pjb (Initial at Yes / No as applicable) • j ft ? Inspector's Name ^-AriNSsM Ai \<~i^ Inspector's Signatured '-^ ~2^-<— \ nspectnr's 1 D / Lie # c?2 fo 7 &> C - V f\ T C,C DESIGN PSI CUBIC YARDS \~\ Additional Page (Page #) CM SPECIMENS i All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied /-\ rf Approved/Authorized by /C^^^y^^^^-~~ (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 wwwqannc com 10361 INSPECTION REPORT JOB NUMBER DATE X. JOB NAME TKe. BUILDING / OSHPD PERMIT # / DSA APP#DSA rILE* COIADDRESS t GENERAL ACTOR JURISDICTION ARCHITECT ENGINEER ^-Lot J SUBCONTACTOR)!! Any) t?on<REQUIREMENTS- Limit of one job numbei* one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X u*>H 2X fcl 1~>P5» O-e^orT TIME IN ^©n*i03< TIME OUT MEAL PERIOD I [ Mileage.I I Expenses. | | Reinforcement. | | Fireproof ing Concrete Placement. Quality Control . | I Masonry.. (~l Prestress Post Ten | [ Batch Plant. . | | Administration | | Other. ^Nl™I!iN ;:/••.: • -P /U . / n -f-en e r -feo-f tf.c ^ A-S,-P JLO. 'Rlci -.--I Lf MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report ha^ been performed and installed in compliance with the £/jUf. Q 7 (*l&fi 5 \/~)S\d< approved plans specifications lapprcwinjauthonly e g DSA OSHPD City of LA elc) I and all applicable codes, except as noted below / Exception(s) noted in report Yes M~ (Initial at Yes / No as applicable) Inspector's Name Inspector's Signature Inspector's ID / Lie | | Additional Page (Page #) CM _ and over 4 hours 8 hours minimum ill be an &hour minimum rformed, a 2 hour minimum will All inspections based on minimum of In addition, any inspection exti If inspector is called to a pro] charge will be applied Approved/Authorized by '^^J (Project Superintendent) Submitted by. Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannc com 10359 INSPECTION REPORT REQUIREMENTS1 Limit of one job numbed one permit number per sheet Identify all work by Fype and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X UJorfc ** 2X >r<* rtfHa! TIME IN o^f0357 TIMEOUT MEAL PERIOD | Mileage.I I Expenses. Reinforcement. Fireproofing . | | Concrete Placement. . n Quality Control . | | Masonry | | Prestress Post Ten. .|~| Administration Q Other Batch Plant. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Certification of Compliance declare under penalty of perjury that all of the above statements are true, and that of my own personal knowledge the work during the period covered by this report has been performed and installed in compliance with the approved plans, specifications . No | [ Additional Page (Page #) CM. apprtftmg authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below Exception(s) noted in report Yes _ (Initial at Yes / No as applicable) Inspector's Name r~*» Inspector's Signature Inspector's ID / Lie # All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed, a 2 nour minimum charge will be applied /J jy Approved/Authorized by. (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqaimc com 10356 INSPECTION REPORT INSPECTOR CODEkf JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT # / DSA APP#DSA FILES ADDRESS GENERAL CONTRACTOR JURISDICTION ENGINEER iW u A Xn V, Xf\ c UBCONTRACTOR (If Any) REQUIREMENTS Limit of one job number.'one permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X OJor\< 2X lfNovx~i &f r-<Ljp TIME IN <>rT [C355 TIME OUT MEAL PERIOD [~] Mileage [( Expenses | Reinforcement | | Concrete Placement | | Masonry | | Prestress Post Ten. | Fireproofing [~~| Quality Control | | Administration | | Other Batch Plant. 1 ' ' « ^^ f~^ <£>r><f&f~\j<Lc\ -M(3\S C-nf CoO Cf \ r\rr\rc& \rr\e r\*T r-»l CL££>tf\e [\-Jf- . vDo4~iOC ^ «3nA ££i^ULrr»r> p>A-^<> '(^^ , I ijt ' - - • ^-I>e^- 53/ O -R^ULrir^<a4-ic5n . Sl'2-/ C /rtt^Tjor -f-»o"4-tOQ^ . prXnK^Oof "VOOTI r»G5 -51- 2./A € P> . 52. /T)/f-"3, f~2— VT^^I -icy pf^-^A *5cn^j0i /i / / • i r- ^ C^{~r~^"-;'t~L^'^5 "^o Tso^ovO.f- l_PvP '^'D^ 0<^r i V^j f^^ ^r" V1 W> m^«L (^n uar4-ifci\ r\6cJeA*; Auu^-fo l-tx.(^ vf fcp A,ir^ne -t^-p ^ <,l/v<o. C<slunoo ooe\S ^O A/V- f^^<?A i r\S"t'A')|AH'^o^ - n'i U c-er-V-c1 MIX USED DESIGN Certification of 1 declare under penalty of perjury that £ and that of my own personal knowledge by this report has been performed an (approvi^j authority e g DSA OSHPD City of LA and all acphcable codes exceot as nojatl Exception(s) noted in report Yes r*r (Initial at Yes / No as applicable) Inspector's Name f\v!Vfv)i>u Inspector's Signature ^^- — - Inspector's ID / Lie # -5^2. SLUMP ADMIXTURE Compliance ill of the above statements are true, the work during the period covered d installed in compliance with the J approved plans specifications etc) below . No /V.fciM* ^ £_ £7«£«7e- V9 DESIGN PSI CUBIC YARDS SPECIMENS | | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied - J <f\ - Approved/Authorized by f*"*^^? *&**» (Project Superintendent) Submitted by Quality Assurance Inspections TWINING LABORATORIES of SOUTHERN CAUJ-OKNIA 3310 Airport Way, Long Beach, CA 90806 Ph 562 426 3355 Fax 562 426 6424 www twininglabs com Compression Test On Masonry Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEAN COLLECTION AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO Client's Customer QUALITY ASSURANCE INSPECTION Contractor SNYDER LANGSTON Subcontractor Print Date 04/17/2008 Lab Number 1-11-080093582 Project No 070499 2 Permit No OSHPD DSA AP # DSA File # Sampled From 10'8" HIGH LIFT AT 17'4' Specified Slump (in) 8" Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 4/16/2008 Specimen # 1-1 Gust Spec # 1 Age (Days) 28 Day Dims (in) 298X314X581 Area (sq in) 9 36 UD or hp/tp 1 95 Total Load (Ibf) 21790 CompStr(psi) 2329 Corr Factor 0 99 CorrStr(psi) 2310 Measured 9" 64 68 4/16/2008 2-2 2 28 Day 301X3 13X5 942 1 81 20640 2191 095 2080 '-28' HEIGHT 3RD 4' GROUT POUR BLDG D @ A/3 Date Cast 3/19/2008 Specimen By R FLINT-QAI Received On 3/21/2008 Delivered By TLSC MIX RS200G42 Spec Str (Psi) 2000 @ 28 Days SpecStr (Psi) 0 @ 0 Days 4/16/2008 3-3 3 28 Day 46 311X313X568 973 1 83 23460 2410 095 2290 Average 28 Day Strength 2227 Testing ASTMC1314 Specimen Shape Prisms Compliance Most Recent Test Results 0 Comply Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Shafiq Popalzai Staff Engineer Date An Reports Remain The Property Oi TwiNiUG LABORrt'iGRiES of SOUTHERN CALiFGRuiA, iNC Autnonzaliori for mfc pjijiicatior, O. GUI reports,, Conclusions Or Extracts From Or Regarding Them Is Reserved Pending Our Written Approval As A Mutual Protection To Clients, The Public And Ourselves TWINING LABORATORIES OF SOUTHERN CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 562 426 3355 Fax 562 426 6424 www twmmglabs com Compression Test On Mortar Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEAN COLLECTION AT BRESSI RANCH CORNER OF INOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO Client's Customer Contractor SNYDER LANGSTON Subcontractor MTI Print Date 03/06/2008 Lab Number 2-11-080089791 Project No 0704992 Permit No CB070432 OSHPD DSAAP# DSA File # Sampled From BLDG D, , Specified Slump (in) N/A Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 2/13/2008 Specimen # 1-1 Gust Spec # 1 Age (Days) 7 Day Dims(m) 200X400 Area (sq in) 314 UDorhp/tp 200 Total Load (Ibf) 12554 Comp Str (psi) 3996 Corr Factor 1 00 CorrStr(psi) 4000 5£cfMD <T.uO Measured N/A 3/5/2008 2-2 2 28 Day 2 00X4 00 314 200 14211 4524 1 00 4520 fif>e<£> LTtsiE 5 Date Cast 2/6/2008 Specimen By RANDY AIKINS-QAI Received On 2/7/2008 Delivered By TLSC Mlx TYPE S Spec Str (Psi) 1800 @ 28 Days Spec Str (Psi) 0 @ 0 Days 3/5/2008 3-3 3 28 Day 2 00X4 00 314 200 15668 4987 1 00 4990 Average 28 Day Strength 4755 Testing UBC 21-16 Specimen Shape Cylinders Compliance Most Recent Test Results Comply Q Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Shafiq Popalzai Staff Engineer Date All Reports Remain The Property Of TWINING LABORATORIES of SOUTHERN CALIFORNIA INC Authorization For The Publication Of Our Reports, Conclusions Or Extracts From Or Regarding Them Is Reserved Pending Our Written Approval As A Mutual Protection To Clients, The Public And Ourselves TWINING LABORATORIES oi: SOUTH CRN CALII-ORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 562 426 3355 Fax 562 426 6424 www twminglabs com Compression Test On Concrete Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEAN COLLECTION AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO INT INC Ghent's Customer QUALITY ASSURANCE INSPECTION Contractor SNYDER LANGSTON Subcontractor DEMCON Print Date 02/28/2008 Lab Number 2-11-070087789 Project No 0704992 Permit No OSHPD DSA AP # DSA File # Sampled From BLDG "D" Specified Slump (in) 4 +/- 1 Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 1/4/2008 Specimens 1-1 Oust Spec # 1 Age (Days) 7 Day Dims (in) 601X1200 Area (sq in) 28 37 L/D or hp/tp 2 00 Total Load (Ibf) 88718 CompStr(psi) 3127 Corr Factor 1 00 CorrStr(psi) 3130 SLAB ON GRADE @ LINE 2/B Measured 5 44 55 Date Cast 12/28/2007 Specimen By RANDY AIKINS -QAI Received On 12/31/2007 Delivered By WT-TLSC Miv 4533500IVIIA SpecStr (Psi) 4500 @ 28 Days Spec Str (Psi) 0 @ 0 Days 1/25/2008 1/25/2008 2-2 2 28 Day 601X12 2837 200 131740 4644 1 00 4640 3-3 4-4 3 4 28 Day Hold 00 601X1200 2837 200 132864 4683 1 00 4680 Average 28 Day Strength 4660 Procedures ASTM C31 (Specimen Prep), ASTM C39 (Compressive Strength), ASTM C143 (Slump) Specimen Shape Cylinders Compliance Most Recent Test Results 0 Comply Q Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION 1 BENITO CABAN - FILE COPY 1 Comments 3/5 Shafiq Popalzai Staff Engineer Date All Reports Remain The Property Of TWINING LABORATORIES of SOUTHERN CALIFORNIA INC Authorization For The Publication Of Our Reports, Conclusions, Or Extracts From Or Regarding Them Is Reserved Pending Our Written Approval As A Mutual Protection To Clients, The Public And Ourselves SEP-06-2007 THU 03:14 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 17 COMMUNITY FACILITIES DISTRICT No. 1 NON-RESIDENTIAL CERTIFICATE1 NON-RESIDENTIAL LAND OWNER. PLEASE READ THIS OPTION CAREFULLY AND BE SURE YOU THOROUGHLY UNDERSTAND BEFORE SIGNING THE OPTION YOU CHOSE WILL AFFECT YOUR PAYMENT OF THE DEVELOPED SPECIAL TAX ASSESSIID ON YOUR PROPERTY THIS OPTION IS AVAILABLE ONLY AT THE TIME Of THE FIRST BUILDING PERMIT ISSUANCE PROPERTY OWNER SIGNATURE is REQUIRED BEFORE SIGNING YOUR SIGNATURE is CONFIRMING THE ACCURACY OF ALL INFORMATION SHOWN. BRESSI OCEAN COLLECTION LUC NAME OF OWNER 128O BISON B9-6O9 ^ADDRESS NEWPORT BEACH CA 9266O CITY. STATE ZIP 2132610800 LOT 17 714638-7277 TELEPHONE 2520 GATEWAY RD BLD D (& 2524 GATEWAY RD) PROJECT ADDRESS CARLSBAD, CA 92O09 CITY. STATE ZIP ASSESSOR PARCEL NUMBER(S) OR APN(s) AND LOT NUMBERS(S) IF NOT YET SUBDIVIDED BY COUNTY ASSESSOR CBO7O432 ____^__ BUILDING PERMIT NUMBER(S) AS CITED BY ORDINANCE No NS-155 ANO ADOPTED BY THE CITY OF CARLSBAD. CALIFORNIA. THE CITY is AUTHORIZED TO LEVY A SPECIAL TAX IN COMMUNITY FACILITIES DISTRICT No 1 ALL NON-RESIDENTIAL PROPERTY. UPON THE ISSUANCE OF A BUILDING PERMIT. SHALL HAVE THE OPTION TO (1) PAY THE SPECIAL DEVELOPMENT TAX ONE TIME OR (2) ASSUME THE ANNUAL SPECIAL TAX - DEVELOPED PROPERTY FOR A PERIOD NOT TO EXCEED TWENTY- FIVE (25) YEARS PLEASE INDICATE YOUR CHOICE BY INITIALIZING THE APPROPRIATE LINE BELOW OPTION (1) 1 ELECT TO PAY THE SPECIAL TAX - ONE TIME NOW. AS A ONE-TIME PAYMENT AMOUNT OF ONE-TIME SPECIAL TAX: $ 8,886.17 OWNER'S INITIALS OPTION (2) I ELECT TO PAY THE SPECIAL DEVELOPMENT TAX ANNUALLY FOR A PERIOD NOT TO EXCEED TWENTY-FIVE (25) YEARS MAXIMUM ANNUAL SPECIAL TAX. $ 1,227.18 OWNER'S INITIALS^ I DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE UNDERSIGNED IS THE PROPERTY OWNER OF THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL COMPLY WjJJHJtHE PROVISION AS STATED ABOVE ^ SIGNATURE OF PROPERTY OWNER TITLE \V\A PRINT NAME DATE \\\tn THE CITY OF CARLSBAD MAS NOT INDEPENDENTLY VERIFIED THE INFORMATION SHOWN ABOVE THEREFORE, WE ACCEPT NO RESPONSIBILITY AS TO THE ACCURA< Y OR COMPLETENESS OF THIS INFORMATION LAND USE, FY. FACTORlNDUS 3/O3 .8624 X SQUARE FT 10,3O4= 8,886.17 .SEP-06-2007 THU 03:10 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 09 City of Carlsbad Building Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City pnor to issuing a building permit The City will not issue any building permit without a completed school fee form Project Name Building Permit Plan Check Number Project Address APN Project Applicant (Owner Name) Project Description Building Type Residential Second Dwelling Unit Residential Additions Commercial/Industrial City Certification of Applicant Information OCEAN COLLECTION @ BRESSI CB070432 2520 GATEWAY RD 213 261 08 00 BRESSI OCEAN COLLECTION LLC 1 OFFICE SHELL BLD D (2 units to include 2524 Gateway Rd) V-N New Dwelling Units Square Feet of Living Area in New Dwelling Square Feet of Living Area in SOU Net Square Feet New Area 10,304 Square Feet Floor Area Date 3/13/2007 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Cainino Real Carlsbad CA 92009 (331-5000) Vista Unified School District 1234 Arcadia Drive Vista CA 92083 (726-2170) San Marcos Unified School Disti ict 215MataWay San Marcos, CA 92069 (290-2649) Contact Nancy Dolce (By Appt. Only) Encimtas Union School District 101 South Rancho Santa Fe Rd Encmitas, CA 92024 (944-4300 cxt 166) San Dieguito Union High School District 710 EncmitasBlvd Encimtas CA 92024 (753-6491) Certification of Applicant/Owners The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the beat of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/developer of thg above descnbed project(s), or that the person executing this declaration is authorized to sign on behalfofthe-OwrfeT Signature Revised 3/30/2006 Date .SEP-06-2007 THU 03:11 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 10 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school distnct(s)) *** THIS FORM INDICATES THAT THE-: SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED SCHOOL DISTRICT The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District The City may issue building permits for this project SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL WAMER FREEMAN TITLE ASSISTANT SUPERINTENDENT CARLSBAD UNMED SCHOOL DISTRICT NAME OF SCHOOL D.STRICT SS^S? DATE , x , . ' -\ PHONE NUMBER Revised 3/30/2006