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Home My WebLink About2540 GATEWAY RD; BLDG A; CB070435; Permit10-29-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB070435 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title Applicant DEBBIE DRAGOO STE 175 6363 GREENWICH DR SAN DIEGO CA 92122 858 638 7277 2540 GATEWAY RD CBAD COMMIND Sub Type INDUST 2132610800 Lot# 17 Status ISSUED $89900400 Construction Type VN Applied 01/12/2007 Reference # Entered By LSM OCEAN COLLECTION-BID A Plan Approved 10/29/2007 14,227 SF OFFICE SHELL W/2542,2544,2546 GATEWAY RD Issued 10/29/2007 Inspect Area TP Plan Check# PC070003 Owner BRESSI OCEAN COLLECTION L L C 1280 BISON AVE #69-609 NEWPORT BEACH CA 92660 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 $2,822 56 Meter Size SO 00 Add'l Reel Water Con Fee $1,83466 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $18879 PFF (3105540) $5,690 80 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $000 Traffic Impact Fee (3105541) $000 Traffic Impact Fee (4305541) $000 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $13,556 00 Master Drainage Fee D5/8 Sewer Fee $136 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $640 00 $17,96800 $000 $16,361 87 SO 00 $000 $000 $2,13000 $000 $98 00 $11000 $000 $000 $5,643 00 SOGO $000 $000 $67,17968 Total Fees $67,179 68 Total Payments To Date $67,17968 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 referreo 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 musi 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 sot aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning, zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any (ees/oxactions 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 Fire Plan Check # PC070003 Date 08/06/2008 Permit # Project Name Address Contact Person Sewer Dist Inspected-) Bv V C j^LjJ i Bv Inspected Bv Comments CB070435 OCEAN COLLECTION- BLD A 14,227 SF OFFICE SHELL W/2542,2544,2546 2540 GATEWAY RD Phone CA Water Dist CA /-) / Date \Ay\^ Inspected ^-/l'^ J Date Inspected Date Inspected Permit Type Sub Type GATEWAY Lot 17 i/) Approved K Approved Approved COMMIND INDUST ' ^ Disapproved Disapproved Disapproved pcT§|City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Plan Check # PC070003 Permit # Pioject Name CB070435 OCEAN COLLECTION- BLD A Lite^-Fire — Date Permit Type Sub Type 08/06/2008 COMMIND INDUST 14,227 SF OFFICE SHELL W/2542,2544,2546 GATEWAY Address Contact Person Sewer Dist Inspected # Bv M\. Inspected By Inspected Bv 2540 GATEWAY RD Phone CA Water Dist CA / (^ A i Date / / / ' \ J 1 —ih?t lQ*y• )<^fx*'/J«^<*i Inspected fieri /'-'} ' Date Inspected Date Inspected Lot 17 Approved l^ Approved Approved Disapproved Disapproved Disapproved Comments City of Carlsbad Bldg Inspection Request For 09/17/2008 Permit* CB070435 Title OCEAN COLLECTION- BLD A Description 14,227 SF OFFICE SHELL W/2542,2544,2546 GATEWAY RD Inspector Assignment TP 2540 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 OCRAN COLLECTION- DEFERRED, FLOOR & ROOF TRUSS PCR07199 ISSUED OCEAN COLLECTION-DEFERRED STOREFRONT SHOPS AND CALCULATIONS FOR PCR07190 ISSUED OCEAN COLL STRUCT STEEL, STAIRS CALCULATIONS BLDG A, 13 & D Inspection History CommentsDate 08/14/2008 07/22/2008 07/17/2008 07/09/2008 07/09/2008 06/27/2008 06/16/2008 06/12/2008 06/09/2008 06/05/2008 06/05/2008 Description 34 Rough Electric 34 Rough Electric 34 Rough Electric 14 Frame/Steel/Bolting/Weldmg 34 Rough Electric 14 Frame/Steel/Bolting/Weldmg 24 Rough/Topout 14 Frame/Steel/Bolting/Weldmg 14 Frame/Steel/Boltmg/Welding 11 Ftg/Foundation/Piers 12 Steel/Bond Beam Act NR PA PA AP AP AP AP CO AP AP AP Insp TP TP TP TP TP TP TP TP TP TP TP MSB, SUB PNLS MEZ DECK LEDGER ROOF DRAIN TEST LEDGER BOLTING MEZ DECK NAILING LITE POLE BASE FTGS City of Carlsbad Bldg Inspection Request For 09/17/2008 Permit* CB070435 06/05/2008 15 Roof/Reroof 06/05/2008 24 Rough/Topout 06/05/2008 31 Underground/Conduit-Wiring 06/04/2008 14 Frame/Steel/Bolting/Weldmg 06/04/2008 31 Underground/Conduit-Wiring 06/04/2008 34 Rough Electric 06/03/2008 11 Ftg/Foundation/Piers 06/03/2008 14 Frame/Steel/Bolting/Welding 06/03/2008 15 Roof/Reroof 06/03/2008 17 Interior Lath/Drywall 06/03/2008 34 Rough Electric 05/30/2008 14 Frame/Steel/Bolting/Welding 05/28/2008 15 Roof/Reroof 04/18/2008 14 Frame/Steel/Bolting/Welding 04/18/2008 66 Grout 04/09/2008 66 Grout 03/31/2008 66 Grout 03/13/2008 66 Grout 12/18/2007 11 Ftg/Foundation/Piers 12/18/2007 12 Steel/Bond Beam 12/03/2007 11 Ftg/Foundation/Piers 11/27/2007 11 Ftg/Foundation/Piers 11/06/2007 21 Underground/Under Floor 11 /06/2007 22 Sewer/Water Service 11/05/2007 21 Underground/Under Floor 11/02/2007 21 Underground/Under Floor 11/02/2007 22 Sewer/Water Service 10/31/2007 21 Underground/Under Floor Inspector Assignment TP AP we AP NR NR NR we we AP PA we CO AP we AP AP AP AP AP AP CO AP AP AP CA AP AP NR TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP JM PY TP TP TP TP TP TP LITE POLE BASE STR ENCL DIVIDER WALL TOPOUT LIFT TO 33FT CMU 3RD LIFT 5 FT MEZ LEDGER LIFT @ 12 FT TO 17FT 4 1 ST LIFT TO 1 2 FT EMBEDS SOG TRENCH FULL OF WATER MAIN TO BLDG MAIN TO BLDG CONF City of Carlsbad Bldg Inspection Request For 07/09/2008 Permit* CB070435 Title OCEAN COLLECTION- BLD A Description 14,227 SF OFFICE SHELL W/2542,2544,2546 GATEWAY RD Inspector Assignment TP 2540 GATEWAY RD Lot 17 Type COMMIND Job Address Suite Location APPLICANT DEBBIE DRAGOO Owner Remarks Sub Type INDUST Phone 9497952B17 Inspector Total Time Requested By NA Entered By CHRISTINE CD Description 34 Rough Electric 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 PCR07190 ISSUED OCEAN COLL STRUCT STEEL, STAIRS CALCULATIONS BLDG A, B & D Inspection History Comments MEZ DECK LEDGER ROOF DRAIN TEST LEDGER BOLTING MEZ DECK NAILING LITE POLE BASE FTGS LITE POLE BASE Date 06/27/2008 06/16/2008 06/12/2008 06/09/2008 06/05/2008 06/05/2008 06/05/2008 06/05/2008 06/05/2008 06/04/2008 06/04/2008 06/04/2008 06/03/2008 06/03/2008 06/03/2008 06/03/2008 06/03/2008 Description 14 24 14 14 11 12 15 24 31 14 31 34 11 14 15 17 34 Frame/Steel/Bolting/Welding Rough/Topout Frame/Steel/Bolting/Weldmg Frame/Steel/Bolting/Welding Ftg/Foundation/Piers Steel/Bond Beam Roof/Reroof Rough/Topout Underground/Conduit-Wiring Frame/Steel/Bolting/Welding Underground/Conduit-Wiring Rough Electric Ftg/Foundation/Piers Frame/Steel/Bolting/Welding Roof/Reroof Interior Lath/Drywall Rough Electric Act AP AP CO AP AP AP AP we AP NR NR NR we we AP PA we Insp TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP STR ENCL DIVIDER WALL \jv-e.i -\it I u I OAM 2 7 ZOQ7November 27, 2007; s Urban West Strategies | 936 East Santa Ana'Boulevard Santa Ana, California 92701 I. Attention Ms Klmberly hjutchmgs Project No 07M122-3 \ Subject1 Foundation (jjertification Letter Bresjsi Ranch Ocean Collection Buildings A, C, & C Permit Numbejs C8070435, CB070433, CB07043 Carlibad, California Reference Geotechnical Investigation, Proposed Business page 1/1 Planning Areal3, NWC of Gateway Road and Innovation Wav. Carlsbad, California. prepiared by Sfauthern California Geotechnical, Inc Project No. 06fe 174-1. Dear Ms Hutchingsi [ As requested by t(ie site superintendent for Snyder Langston document our evaluation of|the foundation bearing soils within proposed Buildings A, C, & D* Our personnel performed evaluate upon completion <pf the fdbtmg excavation activities The observations and probing of qie exposed foundation bearing soils locations Our observations indicated that the footings are compacted fill soils The newjjy placed fill soils were compacted djjring least 90% of the ASTM D-1J57 maximum dry density The fot observed to be in general compliance with the referenced getechnical structural plans EJased on tor evaluation, the soils observed Buildings A, C, & P are corbidered suitable for support of th< foundation systems! designed!' for a maximum allowable soil bet recommended in the approve^ geotechnical report We appreciate the opportunity to be of continued service on this concerning this matter, please; contact our office at your convenience Respectfully Submitted, SOUTHERN CALIFORNIA, GflJTECHNICAL, INC,{.• Robert G Trazo, M £c , Gtt Senior Engineer ' Distribution (1) Addressee (1) ^nyder Larjjgston (Jobsite) i I i f SOUTHERN CALIFORNIA GEOTECHNICAL Ctrpomtwn Park. Bressi Ranch Lots 17-22. (SCG), dated May 18, 2006, SCG we are providing this letter to the footing excavations for the ns of the foundation bearing soils evaluations consisted of visual at numerous random and periodic founded within recently placed rough grading activities to at ndation embedment depths were report and the project n the foundation excavations for planned structures which utilize ring pressure of 2,500 Ibs/ft2, as Droject If there are any questions 228815 East Sayi Ranch Parkway^- Suite E-* Yorba vqice (714} 685-1115 T fax, (714)685-1118 Linda, CA 92887-4624 www.socalgeo corn 17942 ^>y,\i Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 www qannc com INSPECTION REPORT INSPECTOR CODE E*V A! c A*\ JOB NUMBER JOB NAME ^ ADDRESS _ . ARCHITECT ' ViJAf'i I,VM /r OVA* l-> ENGINEER AA i IT" \ JL » t(Mi u) As*n+ o i? A.-/"!""* M DATE M T W BUILDING / OSHPD PERMIT # / DSA APP# "PC ,s-,«r>D:i GENERAL CONTRACTOR N^l,. As \ 4- U. vo „ ir <.HTJ i«t T F E S DSA FILE# JURISDICTION C"A 1 1 & U *» of 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 V 1 5X 2X TIME IN "I'TO TIME OUT v-?o MIEAL PERIOD I I Mileage.I | Expenses. | Reinforcement. I Fireproofmg | Concrete Placement. | Quality Control | Masonry. Administration. . | | Prestress Post Ten. . Other Batch Plant. DESCRIPTION OF WORK INSPECTED <C /W<A^AA - , f . £>!/-!<-<, ri A -L l! Uf W, c <-v i . ** \l^ O^^r-f -, £lo r <i A •« r «- A- {.-a ft 1} 1 r4 L S 1 a C iA-J. A /^'A^ r \£>& < ,s rtfx^.nj" X^ OUc^< 9-7oo ?ro^ //. 17-07 / P^a ,„ , ^v / 1 *«. D 0 j_ OSS A\ /\</ < A ( ) i » ^ C^iA^fi- . f^ivJ Lt^/ r u-l r i .1 A. <k • ?> *) / O IvA'. r » ' f IA i .' .=>vJ ^ ^ \ i.\ F- 1 - / (-, "C J wa ^ ? <- J i\h ^ 1 / V d "~» f /\ljr, r<, ii^C^ /OrrjfNanU/l A<v/ / v A. r>-N H/l/"^/ "'fS n \ v . . r ' o . Jwf Q iA*^ «t-o (^ v l^fcJC ^^ XT) A.) ^\ ( / i- A_J l,*^ f ^ *<-J C i Ss \ ^. j ' — * i*^ ( *j J ^ A ^.c^ j ,\ 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 in f~^<Ar k U.« *-*•! appro\ (approvmg"authonty"e g"*DSA""O and all applicable codes, ex Exception(s) noted in report (Initial at Yes / No as applicable Inspector's Name__T Inspector's Signature Inspector's ID / Lie # ADMIXTURE e e statements are true, ng the period covered compliance with the red plans specifications SHPD City of LA etc) :ept as noted below Yes .No A/iC vO Vi k^' i \ : yf^^^v. O7I/> X./ '[^-^^ s^rx-^i i-«-;<y 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 ,' hour minimum charge will be applied ^y / rf Approved/Authorized by / '--^ '' ' ^ ~^ (Project Superintendent) Submitted by Quality Assurance Inspections JOB SITE 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 Grout1 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 LmasVitkusRCE 63163 Civil Engineer U+\\ Exp Distribution ,„ Add^ee (1) VPI Bressi Storage, LLC (1) Carlsbad Self Storage Investors, LLC (1) San Diego Contracting, Inc (1) Raskin Engmeenng, Inc (1) Valh Architectural Group 17942 Sky Park Circle, Suite J, Irvine, CA 92614 Phone (949) 553-0370 Fax (949) 553-0371 PROJECT DESIGN CONSULTANTS 701 B STREET, SUITE Soo SAN DIEGO, CA 92101 619 235 6471 TFL (1-19 234 0349 FAX WWW PROJFCI'DESIGN COM File 3370 05 December 17, 2007 CITY OF CARLSBAD Building Department 1635 Faraday Avenue Carlsbad, CA 92008-7314 SUBJECT ^Bressi-Banch.LojsJ^-J.S^EoTm 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 1 3, 2007, the building footprints conform horizontally and vertically within ±0 1-foot to the approved design Sincerely, (..L-^' Lawrence D Naiman, LS Associate LS 5163, Exp 6/30/09 SAN UIF.GO PHOENIX • TEMECUI.A R/WP/LETTER/3300/337005BLDGCERT BLDGS1 C D DOC tt AK1 KSFIELD lectric 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 92614 Attention TIM BELL From: Paul Rowan RE OCEAN COLLECTION, BRESSI RANCH Torque Certification for building permit numbers <j £088 0NYDER-LANGSTQN 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 submittedstrom Paul Rowan Rowan Electric Pa»e 1 of 3 Julian Melissa *)-<£ O2> 2B-&B From: Alexandra Sommerfeld [ASommerfeld@waremalcomb com] Sent Friday, March 28, 2008 10 39 AM To Julian Melissa, TMend@twinmglabs com, bcaban@qannc com Cc Andrew Dzulynsky, Bell Tim Subject FW QAI-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet Melissa, see answer below According to our consultant, the roof was never considered to be a 'cool roof Regards, Alexandra Sommerfeld Senior Project Coordinator p 858 638 7277 f 858 638 7506 e aspmmerfeld@waremalcomb com WARE MALCOMB Leading Design for CommerciaJ Real Estate waremalcomb com From: Valerie Brown [mailto VBrown@fdgce com] Sent: Friday, March 28, 2008 8 43 AM To. Alexandra Sommerfeld, Jeff Reed Cc: Cole Jarvis Subject: RE QAI-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet All, The T24 report does not have any specific requirements for the built-up roofing It considers a generic built-up roof with R-19 batt insulation below The only time Title 24 is concerned with the cap sheet material is if it is taking credit for a certified "cool roof On Bressi Ranch we did not mcoporate a "cool roof into the T24 report Sincerely, Valerie Brown FDG Consulting Engineers 17701 Cowan, Suite 230 Irvine CA 92614 T (949)253-9630 //102 F (949)253-9628 Email vbrown@fdnce com From Alexandra Sommerfeld [mailto ASommerfeld@waremalcomb com] 3/28/2008 Pace 2 of 3 /^ £1012 Sent Thursday, March 27, 2008 9 06 AM To Jeff Reed, Valerie Brown tzJjL C'O Subject FW QAl-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet From- Julian Melissa [mailto mjulian@snyderlangston com] Sent- Thursday, March 27, 2008 8 22 AM To Alexandra Sommerfeld, Cole Jarvis Subject FW QAI-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet From Benito Caban [mailto bcaban@qannc com] Sent Wednesday, March 26, 2008 2 30 PM To: Julian Melissa Cc: JohnCasabianca (QAI) Subject- FW QAI-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet Melisa Tesfa notified me of his concern regarding the difference of GAFGLAS EnergyCAP and GlasKap (please see the message from Tesfa) I will suggest to Snyder Langston to contact the architect to clarify this concern Please call me if you have questions Respectfully, Benito Caban Project Engineer Quality Assurance Inspections, (QAI) 16885 West Bernardo Drive, Suite #119 Rancho Bernardo, CA 92127 Phone (858)385-1711 Fax (858)385-1733 Cell (858)964-8002 Email bcaban(5)qaimc com From Tesfamanam Mend [mailto TMerid@twmmglabs com] Sent Wednesday, March 26, 2008 12 10 PM To Benito Caban Cc JohnCasabianca (QAI) Subject QAI-The Ocean Collection at Bressi Ranch, Roof Surfacing Cap Sheet Benito, During the pre-mstallation meeting yesterday, Melissa Julian, the project engineer for Snyder Langston Construction Co handed me a new roofing submittal by Hess Roofing, Inc which had been approved by Ware Malcomb This came as a surprise to me since I had reviewed the original submittal by Mesa Roofing Corporation, and I had made a recommendation to the architect to approve GAFGLAS EnergyCAP as mineral surfaced cap sheet Please see Twining Laboratories' letter dated October 8, 2007 According to the new submittal by Hess Roofing, Inc the product for the roof surfacing is Johns Manville GlasKap 3/28/2008 Page 3 of (White) However, GlasKap does not meet the requirements of Section 07510-2, 2 2, B 1 of the specification and California Title 24 On the contrary Hess Roofing, Inc 's submittal contains "Specification #4GNC - CR" which requires the installation of cap sheet that meets the requirements of cool roof Since no one from Ware Malcomb was present during the meeting to clarify the approval of the new product, I am not sure that the architect was aware of the difference of GAFGLAS EnergyCAP and GlasKap Please contact Ware Malcomb immediately, and bring this discrepancy to the attention of the architect who approved the new submittal Tesfamanam Mend, RRO Roofing & Waterproofing Division Manager Twining Laboratories of Southern California, Inc 2883 East Spring Street, Suite 300 Long Beach, CA 90806 Phone 562-426-3355, fax 5632-426-6424 3/28/2008 TWINING LAB ORATORIES OF SOufllERN CALIFORNIA 331l)Wav, \.vi\£fteK.\\ CA y080i> : r^2 -1.16 3?5r> /'/lorn- ' :>b2 -I.1.!. M24/HA / wwu tuir inpKiiis com April 22, 2008 Job No 0704992 CLIENT QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 PROJECT QAI - OCEAN COLLECTION @ BRESSI RANCH CORNER OF INOVATION AND GATEWAY CARLSBAD, CA TESTING AND INSPECTION REPORTS To Whom It May Concern Included are inspection reports for the subject project covering the dates listed below March 25 and 28, 2008 These inspections were performed in accordance with the project requirements However, the reports should not be relied upon by others as acceptance or guarantee of work The attached reports have been reviewed by the undersigned representative of Twining Laboratories of Southern California, Inc This review does not relieve the contractor of being solely responsible for the work inspected to conform to the approved plans and specifications, and the requirements of the governing jurisdiction and Building Code Should you have any questions regarding the included reports, please do not hesitate to contact the undersigned Respectfully submitted, TWINING LABORATORIES OF SOUTHERN CALIFORNIA. INC IT) Hung Nguyen Civil Engineer Distribution List QUALITY ASSURANCE INSPECTION - ATTN ACCOUNTS PAYABLE BENITO CABAN - FILE COPY 1 All reports remain the property ot TWINING LABORATORIES o! SOUTHERN CALIFORNIA INC Authorization ior publication ot our reports, conclusions, or extracts from or regarding them is reserved pending oui written approval as a mutual protection to clients, the public and ourselves TWINING LABORATORIES 't i.. _L J_ Ol: SOUTHtRN CALIFORNIA Roofing DAILY OBSERVATION REPORT U Roof Deck Nailing Q Of/ier Corporate Office 2883 E Spring Street, Suite 300 Long Beach CA 90806 Ph (562) 426-3355 Fax (562) 426-6424 wwwtwininglabs com Page_..l_of -H> Waterproofing DATE I M OBSERVER W T j F I S ; S I WEATHER Y REGULAR O TIME (1 5X) O TIME (2X) j TIME IN ! TIME OUT TLSC PROJECT NO BUILDING / OSHPD PERMIT n I DSA-APP # >&. C MEALTIME* DSA-FILE# PROJECT A AX-ADDRESS CLIENT &UAL-1 TY G CONTRACTOR CONTACT /3gV/7o SUBCONTRACTOR PHONE SUPERINTENDENT £/c34S<gfl £ PHONE FOREMAN PHONE CREW SIZE START TIME ASPHALT MANUFACTURER /. FINISH TIME TYPE OF ASPHALT EVT — ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ROOFING /MATERIALS MANUFACTURER ON ROOF DURING APPLICATION SPECIFICATION # CONCISE DESCRIPTION OF WORK OBSERVED (Including description of non-compliant items & their corrections) ct.r_ ZZ-'T) U-4 U>A fc ^^$Sj???Tr'<'^f- 7>tc^An^ tLsL. sws^-4i"^( -t&e- -fa>f/i>£<>f6tff ^Z^g" (sfe-re-<&S?Gezwssa>\ S^^r^-fVfr v\ _a£_~t^: foa»^uA ^^Ze^c : g^g^ sLo^ -4- 2.^Cu^e^ -4&-(Jb +Ye&*lx.Y* w* I vi^-r^-l ^r^L^J c.&fe ^t^e^' ^CA^ G EXPENSES ^±k_(em£^:L. o/ /4^^^ /Zt*e-H^ 3/&7g:^ M^-7 l^Ct&Y" tXtrtcsd ^^t^rsL^L C^-b -~>l/\^fJU , &J^$kCisJp WA^ jgc£&rtStf&& <A*~-<s>{qppwvc3 LJ MILEAGE Observer i. Signature ODserver s Name * II time lor meal was not taken today explain the reason why DOES NOT CONTAIN NON-COMPLIANT ITEMS THIS -' CONTAINS NON-COMPLIANT ITEMS u' REPORT .<^L <^aa, ""'Vt«4^\/ei ified / Accepted by . i''*'/^4^J..\ ,-. V/;.-..Wv;>-_"'" SiinenntonflGnl //Ghent c; Ronresenlativc Authorized / Verified by A" N B Observation time is based on a minimum of 4 hours Observation time over 4 hours or extending past noon is reckoned 8 hours When an observer shows up on site and no work is performed on that day 2 hour charge is applied Additional °iae A «^Ste- TWINING LABORATORIES OH SOUTHERN CALIFORNIA a/ftc DAILY OBSERVATION REPORT ADDITIONAL PAGE Corporate Office 2883 E Spring St eet, Suite 300 Long Beach CA 90806 Ph (562) 426-3355 Fax (562) 426-6424 www tv/imnglabs com 2- 0( -3 Roofing Q Waterproofing G floof DecA- Nailing U Of/ier . DATE W ! T WEATHER OBSERVER I TLSC PROJECT NO REGULAR 4o O TIME (1 5X)0 TIME (2X)TIME IN BUILDING / OSHPD PERMIT fi I DSA-APP # TIME OUT MEALTIME* DSA-RL=# PROJECT &AL- CLIENT G CONTRACTOR ADDRESS CA CONTACT PHONE SUPERINTENDENT PHONE ^ 7<?5 -2^/7 SUBCONTRACTOR FOREMAN PHONE 6fl - REPORT CONTINUED FROM R THIS REPORT" LS CONTAINSTNJON-COMPLIANT ITEMS §3 DOES NOT CONTAIN NON-COMPLIANT ITLMS f s:S? /I Observer's Signature Observer's Name erified / Accepted by Superintendent / Clierii s Representalive *lf time for meal was not taken today, explain the reason why Reason Authorized / Verified by KTWININGLABORATORIES DAILY OBSERVATION REPORT or CALIFORNIA Corporate Office 2883 E Spring Street, Suite 300 Long Beach, CA 90806 Ph (562) 426-3355 Fax (562)426-6424 www Iwimnglabs com Page i. of «fl- Roofing L2 Waterproofing Q Roof Deck Nailing Li Other _______ DATE M I T i W OBSERVER TLSC PROJECT NO PROJECT CLIENT - Z REGULAR WEATHER 0 TIME (1 5X) j O TIME (2X) | TIME IN ] TIME OUT I MEALTIME* BUILDING / OSHPD PERMIT # / DSA-APP #DSA-FILE/,' T &Z&S64 c . G CONTRACTOR ^^'^b^K. SUBCONTRACTO R &&55 CREW SIZE 5 ASPHALT MANUFACTURER ADDRESS >/o< CONTACT SUPERINTENDENT FOREMAN / PHONE ,gfg...3fifS-/7// 4. PHONE cfrjto. -ftfe--^/? PHONE ^/f-$-?r-^^j START TIME TYPE OF ASPHALT 2> FINISH TIME Zl&ofM EVT 4,2£'ir' ASPHALT TEMPERATURES (°F) TIME (AM / PM) // / 0 A. M INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ££ ,M( 4 SO ROOFING / WSEEBESOOSU5SMATERIALS MANUFACTURER SPECIFICATION # CONCISE DESCRIPTION OF WORK OBSERVED (Including description of non-compliant items & their corrections) /• _ i • i / / /• xy /• ' •* .d7^?^r-.. f~l-'(^ (^ria'^/^/^Vc<__^^<'lxJrjC(^ C>T>WT7'r>^/W T%<A1 1&p.±_ r&ftZ&L)" C#>£> Lt J. 7~^l - 7*f- t\ "' "( 1 Pt.7 /A ""7T7~" C7 / "V^ Z7~ / , "// Zk&cT 1 &(&&)£k'i>J WtJ&J eisZ^&f&btsL. ^L^o^ " C^>-^/ r^° it^-1^ ^TAA. r^/?g^T. ^LJC^ (^6^<^/>-^^6 €:- }/n&,'( i^-^S^ / J EXPENSES '_! MILEAGE ^ Observers Signature Observers Name *lf time for meal was not taken today explain the reason why C. <*~<*&. £__i i_&_ L j' THIS U CONTAINS NON-COMPLIANT ITEMS ~l REPORT ._[.._DOES NOT CONTAIN NON-COMPLIANT ITEMS Verified / Accopied by Suponrile.'ident / Client's n^prcsenlaln/f-- j Reason — - — I Authorized / Verified by B Observation time i& basocl on a minimum of 4 hours Observation iirrif over 4 hours or extending pasl noon iy leckoned 8 hours When an observer shows Lip on site and no work is performed on that cltiy 2 houi charge is applied Addmonal Parir- A TWINING LABORATORIES OF sou'r i-iE-.RN CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 5624263355 Fax 5624266424 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 (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO Client's Customer Contractor SNYDER LANGSTON Subcontractor MTI Print Date 03/06/2008 Lab Number 2-11-080089668 Project No 0704992 Permit No CB070435 OSHPD DSA AP # DSA File # Sampled From 1ST 5' 4" Specified Slump (in) N/l Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 2/7/2008 Specimen # 1-1 Cust Spec # •) Age (Days) 7 Day Dims (in) 2 00X4 00 Area (sq in) 314 UDorhp/tp 200 Total Load (Ibf) 7574 CompStr(psi) 2411 Corr Factor 1 00 CorrStr(psi) 2410 LIFTATBLDGA, 3/B, LABELED 1 A, 1B& 1C Measured Date Cast 1/31/2008 Specimen By RANDY AIKINS-QAI N/l Received On 2/5/2008 Delivered By TLSC M|X TYPE S 60 SpecStr(Psi) 1800 @ 28 Days Spec Str (Psi) 0 @ 0 Days 2/28/2008 2/28/2008 2-2 3-3 2 3 28 Day 28 Day 2 00X4 00 2 00X4 00 314 314 2 00 2 00 11310 15220 * 3600 4845 1 00 1 00 3600 4850 Average 28 Day Strength' 4225 Testing UBC 21-16 Specimen Shape Cylinders Compliance Most Recent Test Results Comply Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BE/V/rO 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 01 SOUTHERN CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 5624263355 Fa* 5624266424 www twmmglabs 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 Client's Customer Contractor SNYDER LANGSTON Subcontractor DEMCON Print Date 01/25/2008 Lab Number 2-11-070085663 Project No 070499 2 Permit No CB070435 OSHPD- DSA AP # DSA File # Sampled From CENTER PERIMETER FOOTING ALONG SOUTH Specified Slump (in) 4 KArX. Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 12/5/2007 Specimens 1-1 Cust Spec # 1 Age (Days) 7 Day Dims (in) 601X1200 Area (sq in) 28 37 UDorhp/tp 200 Total Load (Ibf) 108378 Comp Str (psi) 3820 Corr Factor 1 00 CorrStr(psi) 3820 Measured 4 75 Afr ] 54 66 Date Cast 11/28/2007 Received On 11/29/2007 MIX 4533500 Spec Str (Psi) 4500 Spec Str (Psi) 0 END (BLDG A) LABELED SET 1 Specimen By RANDY AIKNS-QAI Delivered By TLSC @ 28 Days @ 0 Days 12/26/2007 12/26/2007 2-2 2 28 Day 601X12 2837 200 132387 4667 1 00 4670 3-3 3 28 Day 00 601X1200 2837 200 135641 4781 1 00 4780 Average 28 Day Strength 4-4 4 Hold 4725 Procedures ASTM C31 (Specimen Prep), ASTM C39 (Compressive Strength), ASTMC143 (Slump) Specimen Shape Cylinders Compliance Most Recent Test Results Comply Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY «*vwr>. Hung Nguyen Date ll Reports Remain The Property Of TWINING LABORATORIES of SOUTHERN CALIFORNIA, INC Authorization For The Publication Of Ou. Reports, onclusions, 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 twimnglabs com Compression Test On Concrete Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEANS COLLECTIONS AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect Engineer Client's Customer Contractor Subcontractor Print Date 12/20/2007 Lab Number 2-11-070084018 Project No 0704992 Permit No OSHPD DSA AP # DSAFile# Sampled From RETAINING WALL AT N/W, EAST END OF FOOTING Specified Slump (in) N/A Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 11/15/2007 Specimen* 1-1 Cust Spec # 1 Age (Days) 7 Day Dims (in) 601X1200 Area(sq in) 2837 UD or hp/tp 2 00 Total Load (Ibf) 103288 Comp Str (psi) 3641 Corr Factor 1 00 Corr Str (psi) 3640 Measured 5 12/6/2007 2-2 2 28 Day 601X1200 2837 200 141932 5003 1 00 5000 Date Cast 11/8/2007 Received On 11/9/2007 Mlx 4533500 Spec Str (Psi) 4500 Spec Str (Psi) 0 12/6/2007 3-3 3 28 Day 601X1200 2837 200 142432 5021 1 00 5020 Specimen By M COLEMAN-QAI Delivered By TLSC @ 28 Days @ 0 Days Average 28 Day Strength 5010 Procedures ASTM C31 (Specimen Prep), ASTM C39 (Compressive Strength), ASTM C143 (Slump) Specimen Shape Cylinders Compliance Most Recent Test Results [^Comply Q Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Hung Nguyen 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 OF SOUTHERN CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 562 426 3355 Fax 562 426 6424 www twimnglabs com Compression Test On Mortar Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEANS COLLECTIONS AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO INT INC Client's Customer Contractor SNYDER LANGSTON Subcontractor MTI Print Date 12/21/2007 Lab Number 2-11-070085024 Project No 0704992 Permit No CB072580 OSHPD DSA AP # DSA File # Sampled From SAMPLE ACQUIRED AT EAST RETAINING WALL AT PROPERTY LINE Specified Slump (in) N/A Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 11/19/2007 Specimen # 1-1 Gust Spec # 1 Age (Days) 7 oay Dims (in) 2 00X4 00 Area (sq in) 314 UD or hp/tp 2 00 Total Load (Ibf) 7194 Comp Str (psi) 2290 Corr Factor 1 00 Corr Str (psi) 2290 Measured N/A Date Cast 11/12/2007 Specimen By Randy Aikms -QAI Received On 11/19/2007 Delivered By Richw-TLSC M|X TYPE "S" Spec Str (Psi) 1800 @ 28 Days Spec Str (Psi) 0 @ 0 Days 12/10/2007 12/10/2007 2-2 2 28 Day 2 00X4 00 314 200 9874 3143 1 00 3140 3-3 3 28 Day 2 00X4 00 314 200 9998 3182 1 00 3180 Average 28 Day Strength 3160 Testing UBC 21-16 Specimen Shape Cylinders Compliance Most Recent Test Results \JQ CoComply Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Hung Nguyen Date All Reports. Remain Tne Property Of TWINING LABORATORIES of SOUTHERN CALIFORNIA INC Authorization For Th= Puolicanon Of Our Reports Conclusions Or E> lasts From 61 Regarding Then-' Is Reserved Pending Our Written Approval As A Mutual Protection To Clients Ths Dubh; And Ourselves TWINING LABORATORIES or SOUTHERN CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 5624263355 Fax 5624266424 www twinmglabs com Compression Test On Concrete Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project QAI - OCEANS COLLECTIONS AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO INT INC Client's Customer Contractor SNYDER LANGSTON Subcontractor DEMCON Print Date 12/20/2007 Lab Number 2-11-070085025 Project No 070499 2 Permit No CB072382 OSHPD DSA AP # DSA File # Sampled From FOOTING AT TRANSFORMER ALONG NORTH PROPERTY LINE Specified Slump (in) 4 Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 11/21/2007 Specimen # 1-1 Cust Spec # 1 Age (Days) 7 Day Dims (in) 601X1200 Area (sq in) 28 37 L/Dorhp/tp 200 Total Load (Ibf) 79246 CompStr(psi) 2793 Corr Factor 1 00 Corr Str (psi) 2790 Measured 375 80 82 Date Cast 11/14/2007 Received On 11/19/2007 MlX 4533500 Spec Str (Psi) 4500 Spec Str (Psi) 0 Specimen By RANDY AIKINS-QAI Delivered By TLSC @ 28 Days @ 0 Days 12/12/2007 12/12/2007 2-2 2 28 Day 601X12 2837 200 130665 4606 1 00 4610 3-3 3 28 Day 00 601X1200 2837 200 128787 4540 1 00 4540 Average 28 Day Strength 4-4 4 Hold 4575 Procedures ASTM C31 (Specimen Prep), ASTM C39 (Compressive Strength), ASTM 0143 (Slump) Specimen Shape Cylinders Compliance Most Recent Test Results Comply fj Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Hung Nguyen 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 01 soun-itais! CALIFORNIA 3310 Airport Way, Long Beach, CA 90806 Ph 562 426 3355 Fax 562 426 6424 www twimnglabs com Compression Test On Concrete Customer QUALITY ASSURANCE INSPECTIONS 17942 SKY PARK CIRCLE SUITE J IRVINE, CA 92614 Project- QAI - OCEANS COLLECTIONS AT BRESSI RANCH CORNER OF (NOVATION AND GATEWAY CARLSBAD, CA Architect WARE MALCOMB Engineer MIYAMOTO I NT INC Client's Customer QUALITY ASSURANCE INSPECTION Contractor SNYDER LANGSTON Subcontractor DEMCON Print Date 12/21/2007 Lab Number 2-11-070085243 Project No 0704992 Permit No OSHPD DSA AP # DSA File # Sampled From BLDG "D" INTERIOR Specified Slump (in) 4 Air Content (%) Density (pcf) Ambient Temp (F) Concrete Temp (F) Test Date 11/27/2007 Specimen* 1-1 CustSpec# 1 Age (Days) 7 Day Dims (in) 601X1200 Area (sq in) 28 37 UD or hp/tp 2 00 Total Load (Ibf) 104636 Comp Str (psi) 3688 Corr Factor 1 00 Corr Str (psi) 3690 Measured 5 62 72 FOOTING @ "T" INTERSECTION -- SET 1 Date Cast 11/20/2007 Received On 11/21/2007 MlX 4533500 Spec Str (Psi) 4500 Spec Str (Psi) 0 Specimen By RANDY AIKINS -- QAI Delivered By RICH W - TLSC @ 28 Days @ 0 Days 12/18/2007 12/18/2007 2-2 2 28 Day 601X12 2837 200 152772 5385 1 00 5390 3-3 3 28 Day 00 601X1200 2837 200 147620 5204 1 00 5200 Average 28 Day Strength 4-4 4 Hold 5295 Procedures ASTM C31 (Specimen Prep), ASTM C39 (Compressive Strength), ASTM C143 (Slump) Specimen Shape Cylinders Compliance Most Recent Test Results Comply Did Not Comply With Specified Strength QUALITY ASSURANCE INSPECTION Comments BENITO CABAN - FILE COPY Hung Nguyen ate 4II 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 *--«* 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com 04665 INSPECTION REPORT INSPECTOR CODE JOB NUMBER 070 DATE3-13-08 JOB NAME l(e.d~io."> rvi BUILDING / OSHPD PERMIT # / DSA APRS DSA FIL'E* ADDRESS GENERAL CONTRACTOR JURISDICTION s>tor) 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 UJorVi- ^<~^ 2X CqpoH-^ ®n TIME IN *OS<oG3> TIME OUT MEAL PERIOD D Mileage I | Expenses | [Reinforcement.. | I Concrete Placement.Masonry.[ [ Prestress Post Ten. Other Batch Plant. :!^&<T- -A ;^:X '• :r .:-'/:V^:b|SJ^^^ •'.:.-.''. "•.;.-/ .'-^ Pr<i - H 1 o V\ U ft qrnu 4- r,h £ck O '- 1 Z,' PT MT . C 1 £/V j -. -v ^ " r P ^- '^ ~ r ' 'Tjr ^L. LirvWU ^Fjl^^ r^^^r-^^^f ^>^e>r o^e fV,<wwe^ |A-W> ( ,\^^\^ /Jl <r*r 3\ ?>/*<? Ayo-K^, ^o o o."K -fW<~ ' <v\ ew^" A-S TijC t r> "TDPr -e.ff^e.fS n ^ «*J . o£(ar/ s»,1 C~ IVV , A^ rt-/^ -A M k^A^> ' MIX USED DESIGN SLUMP ADMIXTURE 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 f- ft f ( ^ k Af) approved plans specifications (approving authority e g DSA OSHPD City ol LA etc ) and all applicable codes excepj_as ng.ted_bejow j/ Exr.eption(s) noted in report Yes No fJ (Initial at Yes / No as applicable) Inspector's Name R^VtJ PM A i «i /O * Inspector's Signature •* "J^^"* "~ Inventor's ID / Lie # ^2_^ 7 / ^ ^- 5^v/ T.^. £ DESIGN PSI | [ Additional Page (Pa CUBIC YARDS ge #) CM 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 project and no work is performed a 2 hour minimum charge will be applied .. . .. /) S^&£^£ Approved/ Authon; Submitted by ?ed by / Atsv*?. J r (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 04662 INSPECTION REPORT INSPECTOR CODEA: |<f a JOB NUMBER DATE _ 3-IZ-Og JOB NAME lh«.rQlt^cfinn BUILDING / OSHPD PERMIT # / DSA APPtf - DSA FILE* ADDRESS 25 HO roA.-tea>i»vf GENERAL CONTRACTOR JURISD CTION S^W- 3UBCONTRARCHITECTINEERSUBCONTRACTOR (if Any) 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 1 Mileage 1 5X UjOr tC 2X hrs report TIME IN LC\ On^OHfc TIMEOUT t,f MEAL PERIOD | I Expenses | | Reinforcement. | | Fireproofmg | Concrete Placement. I Quality Control. | Masonry. .[ I Administration. | Prestress Post Ten. I Other Batch Plant. %icU ^ < • '';:-.- ;.;; ••'-' i^illRWWlS rfP - M < q h ) i (~t q ro u.-t- r K^rk C)'~ I X1 i c* 0 1 1 r~s ••£ s C^(Y~V u_ i n sVyv ( \ ft-H-i S) n A-3 p ^ ^/.V^-^J P T^FT 2,^^ C.h<c'f?J<c c!Ar^i p - / /o t j(° ^-f-i cA -f i^-vOAf. "S 1 , ^> / S / ce { n-roi-<: i n*} b/VrS <^_ ^5 ( r./W^oyou -c.^^p^rf pl/vf-es A-S p^r- . (jiOftrlCSi-i l\ ir^ nrLreVi.\ \ 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 ^~jbv<~ { <^ lof-te^ approved plans specifications (approving euthorily o g DSA OSHPD City of LA etc ) and all applicable codes except as noted below / Exception(s) noted in report Yes . No *^f**f* (Initial at Yes / No as applicable) Inspector's Name K>¥VKjQ^/ /Vt id AJS 1 Inspector's Signature ^"^-pt-^*- Inspector's ID / Lie # -^X<£ /6 /> "A V ^/< ^, £ Jlii^SII^^^::y?s'c:'-. ••; A>/;^4'T ;^-: ,.''-;. "'-.; Cf HT, ' f h£clc re,^.ai0;n& H-6 pI 1 /- l>n'^-^<''ArV rvOf~<LS -S/<d), -/-U p ,• c/a. / v 1 ' 71 I'xwwlo hA-r e-.^-4eA\/oo^ XW's n^r •?-C ' f tjv*\ (A i \ f\ *"i" p I C /\ c* K^ ^ ^^^ J^^ d^~ 1 ^ L^ S£,0/A A-lrtodi /'/n-e. B,/ 1 DESIGN PSI CUBIC YARDS SPECIMENS \ | 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 h^ur minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied /\ rf ar/^^^^^—Approved/Authorized by r*^*^/&t6*>*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 www qannc com 04654 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE I s JOB NAME on "Rth . BUILDING / OSHPD PERMIT # / DSA APP»DSA FILE* ADDRESS 2-51 0 ^f GENERAL CONTRACTOR 4 JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) REQUIREMENTS Limit of one job number, c*ne 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 usosk 2X far$ r^orfi TIME IN i^ o-rt O^C? TIME OUT ^ MEA. PERIOD I I Mileage.| ] Expenses. I | Reinforcement. Q Fireproof ing . [~~| Concrete Placement. . |~| Quality Control Masonry. Administration. . | | Prestress Post Ten. . Other Batch Plant. K/C/Q - -&; / / _,- • - \ "( , '.' •'.-.'-' L ^dc/<L &"* ^^^^^^^^j^^^^^^fl^-'^^ -^^- ;:-'.\;;> ;-v v.: •;•: &>" m<Lel, U>i*. Cfnm SnS+#//#+idfiJ af <,e f ^ci~ ' £ fft" L /-Pr /i-f 5 ^ "- 12? 0 " I~(T , A-S O^r- r> /An St / ,0 wtHZenrv ' Lf +*l rc.i no~hs<i Zt',*>/S.AJ D.-r^R&J.w', 11 * ) — / f • t ' ^ / r\-farc<Z.sr\<Ln-i' A-'f GDe^n ,'na nu^r^-e.^-^Js. A-*> n^,/- R£T. 2. (,,20,i ( MIX USED DESIGN SLUMP Certification of Complianc 1 declare under penalty ol 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 Cs&f~/J b *- J apprc" (approving au'.hority 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 /ed plans specifications SHPD Ci:y of LA etc ) cepl as noted below Yes No £7 /I ' i ^f4~P-f£) V rf t /< ^- — ^— — » i-— •*" 32.(/7t>&{-' ,'*s V V F. c, c DESIGN PSI CUBICYARDS SPECIMENS D Additional Paae (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours rninimum 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 /&e^'f/&^^-- (Project Superintendent) Submitted by Quality Assurance Inspections 04652 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com INSPECTION REPORT INSBECTOR CODE JOB NUMBER DATE 1 JOB NAME BUILDING / OSHPD PERMIT # / DSA APPii DSA FILE* ADDRESS GENERAL CONTRACTOR Sr>_ JURISDICTION ^"QH SUBCONTIARCHITECTENGINEERRACTOR (If Any) '\ » S.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 to orl 2X < KrS l^poMt TIME IN Ld 0^*6^ TIME OUT O MEAL PERIOD I I Mileage.[^] Expenses. | Reinforcement. | Fireproof ing | | Concrete Placement. | | Quality Control .0, Masonry. Administration, . [| Prestress Post Ten. . n Other Batch Plant. i^-C: 1 V* .-.'••^^'V/V; • • •" " . '"••'..=•' ••'..• :'. '••"'" • "= • v^!'l^tciOtl|DTljftM:JCTF'fc:FO V/\VV '• '• r\'' ' ' '•""* ' ••"' '•' " •'^•'v''-':-- :-' ' '•'* •••'•=' .''MCOvflTiir^'MwIx^v/.I^1;.' / a, i' ' f '' 1 \~\\-JT jf^S p^-c" C>lAiO Sl/O (viA-'SairvrLj A. 2-.H . 1— 'i O~T"^ 1 r^7 v /^{-of (P .'v-senT A->-y (nC^n 2-(o,ZO, u)ork. -2>4/ 1 in Proqre-i/ 1 ^ 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 /" i^j— / C K i\a\ approved plans, specifications •;ai>rr0v:ng authority eg DSA OSHPD C:iy of LA etc) and all applicable codes except as noted below ./ Exceotion(s) noted in report Yes No */^/W (Initial at Yes / No as applicable) Inspector's Name 'l^.pnvi PS M /\-^ IcTrOS /Inspector's Signature /^ — T1^-*^ — Insofirtor's ID / Lie # ^> £.<£> 7 £? 9^ ~X V ^,C'(L $i$$KM$j^^ ". r~ ' ' f "VMA i r>s~f-ft-( \ fvS-l oO O"r 5^Cc>nc\ (r> o JCrV^S 4-^.pi^^al^ ^\. ~Z. 1 ^j Mj p, "5"%fT ni i DESIGN PSI CUBIC YARDS SPECIMENS 1^ | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied S\ * Approved/Authorized by ^^^^ — „___ (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 11713 INSPECTION REPORT INSPECTOR CODENSPEI Jti JOB NUMBER DATE X JOB NAME Ar BUILDING / OSHPD PERMIT # / DSA APP# J'J-i DSA FILE# ADDRESS .2.5 MO GENERAL CONTRACTOR JURISDICTION U-v^ Mf Anv/\ IARCHITECTENGINEERSUBCONTRACTOR (If Any) MTT REQUIREMENTS: Limit of one job number, <5ne permit number per sheet Identify all work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 £ «p nO <• u | Milpagp >X 2X TIME IN TIMEOUT MEA,_ PERIOD 7'0OA'A> 3f OC. p. ^ [J Expenses ~~j Reinforcement Q Concrete Placement Q^Masonry Q Prestress Post Ten | \ Batch Plant } 1 | Fireprnnfmg | [ Qualitv Control 1 1 Administration 1 1 Other ^((fe ?A , J ' :' rv :- •' • "M6£<3&i$ii©K^ r-j:-; >' ; Ol3St^ru£, /rr\c>rtt 'H>'~ 6> * & roCjS' ' iO"V- • C^u_ < r> S't-A-l 1 A^H Oo Op s»^.cooo (i> 'R L-i Ft" A-^. O-A-< CsltArKf \ LOo.H<. "^-f-'i 1 1 ip PTCCJ- * • - <A (\ 4_ ( ^ ^f tJ * ^ / 1 f / P. - ' - MIX USED DESIGN Certification of declare under penalty of perjury that < and that of my own personal knowledge by this report has been performed an (approving authority e g DSA OSHPD City of LA and all applicable codes, except as noted Exnfiptmn(s) noted in report Yes (Initial at Yes / No as applicable Inspector's Name K.*VA"~bu ' /O 'Inspector's Signature /*' — -— T>J>^ Hcr-^S&F SLUMP ADMIXTURE Compliance ill of the above statements are true, the work during the period covered d installed in compliance with the approved plans, specifications etc) below * Hoi/ "7^^* Insnprtnr's ID / 1 m # S'^7^ 9 5" 5At _2i ,C S 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 AW'T^**^— " (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 11712 INSPECTION REPORT INSPECTOR CODE JOB NUMBER 07049S DATE M X JOB NAME BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ;ONTI Anwl *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 £.0 1 5X 2X TIME IN 7 ; oo A,^> TIME OUT 3'. *»o p. *+. MEAL PERIOD D Mileage | | Expenses | | Reinforcement. | [ Fireproofing I Concrete Placement. I Quality Control Masonry.. [| Prestress Post Ten [ | Batch Plant, . || Administration [~| Other, ^>Wcj: * A •'•" . • '.'••'• -•;, :- •" vV',W$^Ri^ ;>/.'" "c>r ';-"'. ' ''••• • otoseroe //v/ l_i P-t" A~S De JL^ -fo C-o*>\ per,^ -sec S | , o -w p 1 *T-e!r»yhal\/l C^r\ V~tLV> P u , o tt '\ on iT~or o • (~ V**\ rt-S O< T rxJ r ^ onri Uj'pf- A \ i. M ± JS3 , f ^i'(.in c rf c ^ \ 7 cDO ' 0 / /j r>o^€3. 5' <O : 4-w p? c AU SI iS/ (O. 5. p . T AiePTL v 1 r ' ' / ' ' r ' , x ' Of' Jjr .. i , / ** ' i ' 1 S *Y ) T 1 I y^ X % r^io-nrt- J * 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 ( AY"1 1 ^V)»^— C^. approN (approving authority e g DSA O and all applicable codes e^ Exception(s) noted in report (Initial at Yes / No as applicable) Inspector's Name "E Inspector's Signature Inspector's ID /Lie # Te^\,r»^ S*'1" -(o"2~ r~ ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications SHPD City ol LA etc ) cept as noted below ^^ Yes . No *^ 1 "^ -•• ^i^** • •* ^2£7fe?3~~ A/S> xy x^ ,e. DESIGN PSI CUBIC YARDS SPEHCIMENS l^ [ 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 . fr^.^t^fyj^^f.f^^---Approved/Authorized by /i**"^/'^ <*~-*^- (Project Superintendent) Submitted by Quality Assurance Inspections INTERNATIONAL, INC. CORPORATE OFFICE- 2102 Business Center Drive Suite 208 J Irvine, CA92612 Ph 349 253 5805 Fax 349 253 5806 Inspection Report Inspector f,ade.Dale Build Hermit Number/DSA/nSHPD App File # General C iiub Contractor (ii Any) ' REQUIREMENTS Limit of one job numbGr one permit number per sheet Identify all work by type and SPECIFIC location Nan-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 3 I5X 2X TIME IN ^^ TIMI OUT ^ ' Re-inspection_CD Expenses CD Reinforcement D Quality Control, CD CDncrete Placement CD Administration CH Masonry _Prestress Post Ten EH Fireproofmg Descnptmn of Work Inspected tvf r- Tu <. M»Used Desian Slump Admixture DesianPSI CUDIC Yds Specimens D Additional Page (Page #) CM Report C°ntamS Non-Campliant Items s Nat Contain Certification of Compliance I declare under penalty of perjury that ail of the above statements are true, and that of my own personal knowledge that the work during the period covered by this report has been performed and installed in every material respect in compliance with the approved plans, specifications and all applicable codes InspectorSignature inspector IDs __ _ /C€,/ 9 2^ All Inspection based on a minimum of 4 hours and over 4 hours -8 hours minimum If inspector is called to a project and no work performed, a 2 hour minimum charge will be applied Approved/ Authorized Submitted Hy_ (Project Superintendent) Quality Assurance International 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqannc com _/ / 20485 INSPECTION REPORT REQUIREMENTS: Limit of one job number, one 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 */ 1 5X 2X TIME IN 11- TIME OUT „ ^t/ MEAL PERIOD | Mileage | I Expenses | I Reinforcement. Q Fireproofmg . [""I Concrete Placement | I Masonry \~\ Prestress Post Ten. . | | Quality Control | | Administration Batch Plant. -^ i-^+ Certification of Compliance I declare under penalty of perjury that all of the above statements are true and that ot my own personal knowledge the work during the period covered by this^repojj has been perfoj^iod/a/nd installed in compliance with the approved plans, specifications (approving auWonty e g DSA OSHPO City ot LA etc ) and all applicable codes except as noted below txception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name Inspector's Signature Inspector's ID / Lie # | | Additional Page (Page #) CM AN 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 Submitted by ._ (Hroject Superintendent) Quality Assurance Inspec-ions INSPEDTfcGW REPOK' Q Rocfsng U Waterproonrg Q rtoof Dock Kailtng Q Gfner DATE. OBSERVER TLSC PROJECT NO PROJECT ^ULAR 1 O TIME (1 ,SX)1 O "TIME (2X)TIME iN TIME OUT WEAL TIME * BUILDING / OSHPD / DSA-APP ? CLIENT JE1 tO t.t.e.cTfC' i^r G CONTRACTOR <_/ SUBCONTRACTOR S2&OI-- CREW SIZE ASPHALT MANUFACTURER JJQT STiJ PF DSA-FILB? com-ACT PHONE SUPERINTTENDENT PHONE FOREMAM PHONE START TJME -7 .*FIWISH TIME -f TYPE OF ASPHALT EVT ASPHALT TEMPERATURES (DF). TIME (AM / PM)INSIDE KETTLE fWSiDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER-SPECIFICATIONS Q CONCISE DESCRIPTION OF WORK OBSERVED (Inducting description of non-compKant items & their corrections) >£ ' uJ TTT~ ro > /?r gvt-r ^^» c. ggo p i NJCL ^ \( z. re VM ____ rp <a P Of c t--/ j Ji_Ts -.£4.£^^ O FXPENSES Q MILEAGE f Observerf; Signature Obssrver s Warns •-1 if iims ior meal vras no\ ta^en io:>, y T-HIS Q CONTAINS WON-COMPLIANT ITEMS HtPORl ^QQES NOT CONTAIN NOW COMPLIANT ITEMS —.) Vonfiod / Accepted by ~1 denl / Clien, s yenf'etj b> ona (549) 553-0370 553-03? wwv. qannc-Corr, Q Roofing Q Waterproofing G Roof Deck Nailing G Offter.... OBSERVER TLSC PROJECT NO PROJECT W S i S i WEATHER. REGULAR O TIME (1.5X) |_ O TIME (2X)TIME iN BUILDING / OSHPD PERMIT # / DSA-APP # TIME OUT MEAL T!MF. - J J DSA-RIB? <-t- CLIENT-PoQT ADDRESS COMTACT PHONE G CONTRACTOR.SUPERINTENDENT PHONE SUBCONTRACTOR FOREMAN PHONE CREW SIZE STARTTIME -7 -.FINISH TIME ASPHALT MANUFACTURER:TYPE OF ASPHALT EVT _ 5o£> - ASPHALT TEMPERATURES fF). TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOHNG / WATERPROORNG MATERIALS MANUFACTURER- ITO//S SPECIRCATION # COMCISE DESCRIPTION OF WORK OBSERVED (Including descnpbon of non-compBant items & their corrections) AS. L_T Q EXPENSES THIS REPORTG MILEAGE DOES NOT CONTAIN NON-COMPLIANT ITEMS Veniieci / Accepted byObserver's Signature i Observer s Namei * If time tor meal was not taken / Vanned by -i2 (9-49) 553-0370 qannc.com INSPECTION REPORT Q Waterproofing G Roof Deck Nailing U Offter DATE. C/9/"\"/a C^ OBSERVER ' ' M T e.\>M TLSC PROJECT MO W \(^r F REGULAR S O S WEATHER. TIME (1-5X)j O TIME (2X) 1 TIME IN BUILDING / OSHPD PERMIT S / DSA-APP if TIME OUT ) { DSr M PROJECT T CLIENT U3£S»T- yOkto. PoGT ADDRESS CONTACT PHONE G CONTRACTOR SUPERJNfTENDENfT PHONE UBCONTRACTOR FOREMAN PHONE. CREW SIZE START TIME.FINISH TIME ASPHALT MANUFACTURER: ffoT STOFF TYPE OF ASPHALT ASPHALT TEMPERATURES (°F). TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER- ITO//S SPECIRCATiON g Q CONCISE DESCRIPTION OF WORK OBSERVED (Inducing description of non-compBant items & tttetr corrections) POTT ioci P/a>oroPftfecr»cvj.nT t'b 1b (P EXPENSES I Q MILEAGE THtS REPORT CONTAINS NON-COMPLIANT ITEMS ES NOT CONTAIN NON-COMPLIANT ITEMS Observer's Signature Observer's Name ^T&Z-^ ( CflQCA*-^' •' t! iirne Tar meal was no! raken lorjsv L>—i Verified / Accepted by /d.^-^^^^^~ nt / Client fi F ..... ..... .— ..... j Reason / Verified by :-'p.e'-,.7 (949) S53--QLVM? c,3ttnc earn REPQFT: Rocfing L) Waterproofirg G Roof Deck Nailing Q Lftr L?_££* LMJ_L_ OBSERVER W \l~\\ F S I S WEATHER v! Cv4-s»<Me.\>u j^ \ i i TLSC PROJECT NO REGULAR ~To~nME (1 5X}[ 0 TIME (2X) j TIME tN~]~TIME OUT j^ WEAl TIMtj* _ J _1_ 1 PROJECT 3U!LDI\'G / OSHPD PERMIT # / DSA-APP # > TO ^/ ADDRESS DSA-rll.t=? CLIENT- G CONTRACTOR SUBCONTRACTOR on 0 CONTACT PHONE SUPERiMTENDENT PHONE FOREMAN PHONE CREW SIZE START TIME FINISH T1WE 7 ASPHALT MANUFACTURER /fc>r f>TU P P TYPE OF ASPHALT E-VT 50 O --' ASPHALT TEMPERATURES (°F). TIME (AM / PM)INSIDE KETTlJE INSiDE TANKER ON ROOF DURING APPLICATION 7 do ROQRNG / WATERPROOFING MATERIALS MANUFACTURER IpOf/S.SPECIFICATION # C> ?S/D CONCISE DESCRIPTION OF WORK OBSERVED (Inducting description of non-cnmtpfenf rfems 5 their correcbons) ON)- if /?S >2£ GQ £?=&&> &tsf 5^A3l^<f^- /^M-y^roJ. . O EXPENSES Q MILEAGE Tt«S REPO'-i I CONTAINS NON-COMPLIANT ITEMS NOT CONTAIN NON-COMPLIANT [TEWS I Observer's Signature ] Observer s Nsrnc ij~g.ee.> ( L ------------------------------ ..... j * tf time for rnsal was not iakc;n fort, iv -- s Verified / Accepted by Heason izeci / 'i/sn'icn r>> Phons (949) 55a-Q Fax (>)49) 553-037 www ciaiinc.com INSPECTION REPORT HI Waterproofir g Li Roof Deck Nailing Q Qffter DATE. OBSERVER TLSC PROJECT NO W [ iji F S WEATHER. REGULAR O TIME (1.5X)O TIME (2X) v BUILDING / OSHPD PERN4IT # / DBA-APR # TIME OUT WEAL. TIME * DSA-FIl E# PROJECT j T- ADDRESS CLIENT UOgS PoQT B>£*:>f CONTACT CA.JJA+I. PHONE 6 CONTRACTOR SUPERINTENDENT PHONE SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME FINISH TIME ASPHALT MANUFACTURER ^tor STt J P F TYPE OF ASPHALT T \f(>£. Iff- E.VT ASPHALT TB/PERATURES (°F) TIME (AM / PM)(NSIDE KETTLE INStDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER SPECIFICATION » p COMCISE DESCRIPTION OF WORK OK>ERVED (Including cfeseripton o/ non-compfenf rfems & /tor corrections) e AJQT oft 1 Lo(*ft>?> I ^605 ^ EXPENSES Q MILEAGE Observer's Signature Observer s Warns REPORT a CONTAINS NON-COMPLIANT ITEMS O DOES NOT CONTAIN NON-COMPLIANT ITEMS i*—i Verified / Accepted by * If lime for meal was not taken toci.'y, explain the reason why j Reason A'jlhonzedl / Verified oy Phona (949)553-0370 Fax (949) 553-0371 www qannc.com INSPECTION REPOR1 Roofing Q Waterproofing Q ffoctf Dec/r Nailing Q Otf>er . ^ boo?W T F S S WEATHER OBSERVER REGULAR O TIME(1.5X)O TIME (2X)TIME IN TIME OUT MEALTIME* •ft-FILETLSC PROJECT NO BUILDING / OSHPD PERMIT # / DSA-APP #DSA-F!LE# PROJECT ADDRESS CLIENT Poor CONTACT PHONE G COIvfrRACTOR SUPERJNTENDENT PHONE SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME. 7 ' l*)6_ fl t»1 FINISH TIME ASPHALT MANUFACTURER /Vtor 3TO P p TYPE OF ASPHALT f\fP€-3?f~ E.VT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER-SPECIFICATION # CONCISE DESCRIPTION OF WORK OBSERVED (Inducting description of non-compliant items & their corrections) T.UA. P£^»g/|/-iTP> S TO , LT /s g/f&c '7 a.c AiPD TflAg.J7.gQ Q EXPENSES- Q MILEAGE THIS REPORT Observer's Signature Observer's Name CONTAINS NON-COMPLIANT ITEMS i NOT CONTAIN NON-COMPLiANTJTEMS Venfied / Accepted by Superintendent / Client s Reprssentairve * If time for meal was not taken today, explain the reason why Reason Authorized / Venfied by )i 553-03-3 Fax ('*49) 553-037- « C!3ime.corn REPORT G Roofing Q Waterproof/r g Q Hoof Dac/r Nailing Q Ofcer. DATE. OBSERVER M TISC PROJECT NO w TF WEATHER P^^rUt C L^>a^L REGULAR |OT!ME(1-5X) O TIME (2X)1WE iN TIM BUILDING / OSHPD PERMIT £ I DSA-APP # iieq. AEOUT MEALTIME* DSA-FILB? PROJECT ft'ADDRESS CLIENT Po(2T PHONE G CONTRACTOR SUBCONTRACTOR ^£55 CREW SIZE PHONE FOREMAN ST/iRTTlME OQ PHONE FINISH TIME ASPHALT MANUFACTURER STt J P <=TYPE OF ASPHALT STo to J g? ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSiDE TAMKER ON ROOF. DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER-SPECIFICATION # O 7S/D CONCISE DESCRIPTION OF WORK OBSERVED (including afescnpton of non-compRant items & their corrections) Q EXPENSES TMts ^ CONTAINS NON-COMPLIANT ITEMS DPPOPTntrurt i Q DOES NQT CONTA!N! NON-COMPLtANT ITEMS Observer's Signature Observer's Name Vennea / Accepted by * if tune for rneal was not taken tod y, explatn the reason why Reason i Authorized / Verified by Phcns (349) 5S3-C37Q Fax (!H9) 553-0371 ww ciairnc-corn INSPECTION REPORT Qg Roofing Q Waterproofirg Q Roof Deck Nailing Q Other. DATE-W T F S I S WEATHER u3O_ OBSERVER REGULAR OT1ME(1-5X) O TIME (2X) | TIME iN TLSC PROJECT NO BUILDING / OSHPD PERMiT # / DSA-APP # TIME OUT tu'EAL TIME * DSA-FI1 E# PROJECT CLIENT ^T ADDRESS G CONTRACTOR CONTACT gfeyo PHONE SUPERINTENDENT PHONE SUBCONTRja.CTOR tfZ'SS FOREMAN PHONE CREW SIZE &START TIME FINISH TIME ASPHALT MANUFACTURER ffoT STt J Pp TYPE OF ASPHALT J\IP£-'38~- BVT ASPHALT TEMPERATURES fF) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORN6 MATERIALS MANUFACTURER-SPECIFICATION # O CONCISE DESCRIPTION OF WORK OBSERVED (Inducting descnpbon of nan-compSant items & thsir corrections) c.£./?O rf.yuv Q ?A lu\/S.' ro Q EXPENSES _J U MILEAGE Observer's Signature Observer's Name Q CONTAINS NON-COMPLIANT ITEMS Q DOES NOT CONTAIN NON-QpfviPLIANT ITEMSj REPORT i . .. Vanned / Accepted by Supertntetidsnt / Clien! s Represenlaiwe * tf time for meal was not taken today, explain the reason why L?Reason ized / Verified bv Phona (343) 553-037 Fax (949) 553-0371 w qajmc-co-n INSPECTION REPQFT Roofing Q Waterproofing Q Roof Dec/c Nailing Q Offrer DATE.if j M T OBSERVER TLSC PROJECT NO PROJECT T F REGULAR O TIME (1 5X) O TIME (2X) TIME IN TIMEOUT MEALTIME 3 WEATHER BUILDING / OSHPD PERMIT # / OSA-APP #DSA-rlLE? ADDRESS CLIENT CONTACT PHONE G CONTRACTOR lU^l-f PHONE SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME 7'QtP fl FINISH TIME ~% ASPHALT MANUFACTURER /fc>r TYPE OF ASPHALT E-VT g<go ASPHALT TB^PERATURES (°F) TIME {AM / PM)JNSiDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS fMNUFACTURER- ITO//S SPECIFICATION # CONCrSE DESCRIPTION OF WORK OBSERVED (Inducting cfescnp&on of non~compBant items & fftetr corrections) LA\jtO J K/f. o any /-/OrT^ IT" tc.foUQQ t »VIZ»*fi»g^'==> LAI/MgT/»L e . f LA<f£iz.e<L- or JT.U< To TH*&4"ytt</" Q EXPENSES Q MILEAGE THIS Q CONTAINS NON-COMPLIANT ITEMS REPORT Q DOES NQT CONTA!N ^ON-COMPLIANT ITEMS Observers Signature ;>t£*«-^ Observer's Name Verified / Accsptea bv Supeinterictenl I Client s Reprassnlalive 1 If time lor meal was not laken toaay, explain trie reason why Reason Auihonzed / Venfied by m. Phona <949| 553-0370 rax (949) 553-0371 www qaiino.com REPORT Roofing Q Waterproofing Q Roof Deck Nailing Q Other DATEL M T W) T F S S WEATHER. OBSERVER REGULAR O TIME (1.5X)O TIME (2X)TIME IN TLSC PROJECT NO BUILDING / OSHPD PERMIT # / DSA-APP # TIME OUT MEJ^L TIME * 3- DSA-FIL&? PROJECT A ADDRESS CLIENT CONTACT PHONE G CONTRACTOR.SUPERINTENDENT PHONE SUBCONTRACTOR tf£-SS FOREMAN PHONE CREW SIZE STAHTTIME.FINISH TIME ASPHALT MANUFACTURER STU P P TYPE OF ASPHALT E.VT ^i. S ASPHALT TEMPERATURES TIME (AM / PM)INSIDE KETTLE,INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOHNG MATERIALS MANUFACTURER: 3~OfS$.SPECIFICATIONS Q CONCISE DESCRIPTION OF WORK OBSERVED (IndutSng dascripbon of non-compliant items & their corrections) rr IS' SHfrfeTS l*tf. 7-0 >T TQ op n:oo Q EXPENSES Q MILEAGE THIS Q CONTAINS NON-COMPLIANT ITEMS REPOFTT Q CONTA(N NON-COMPUANT ITEMS Observer's Signature Observer's Name ;>»je>L*^ji Verified / Accepted by Supennlendenl / Client s Hepraseniaiive * if time for meal was not taken today, explain the reason why Reason Authorized / Verified by S (949)553-0^0 ax ('»49) 553-0371 INSPECTION REPQR" Roofing Q Waterproofirg Q Roof Dec/c Nailing Q Other . DATE. OBSERVER TLSC PROJECT NO PROJECT WJ T I F S I S WEATHER REGULAR j O TIME (1.5X)O TIME (2X)TIME SN BUILDING / OSHPD PERMIT # / DSA-APP # TIME OUT MEAL TIME * I DSA-FILE# KiA ADDRESS CLIENT tj G CONTRACTOR SUBCONTRACTOR CONTACT ge+J /r&PHONE SUPERIMTENDEKT PHONE PHONE CREW SIZE «-f START TIME RNfSH TIME ASPHALT MANUFACTURER TYPE OF ASPHALT J\IP£.'38- EVT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSfDE KETTLE iNSJDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER *#//?-A/ 1//C6 £.SPECfHCATiON f O CONCISE DESCRIPTION OF WORK OBSERVED (Inducting descnpton of noo-compfenf /ferns & their corrections) 'Stf CQAS <1OUA T fc 0 AT /^r roA r~*> S o-' T TU Q EXPENSES Q MILEAGE REPORT Q CONTAINS NON-COMPLIANT ITEMS Q DOES NOT CONTAIN NON-COMPLIANT ITEMS Observer's Signature Observer's Name Venfied / Accspiea by Supanntcndant / Client s *(f tims for meal vras not taken today, explain the reason why Reason Authorized / Verified by Phona ( Fss (<»49) 553-037- www ciaitnc.com IMSPESTIO'H REPQFT. Q Roofing Q Waterproofir-g Q Roof Deck Q O DATE. OBSERVER' M Tl.SC PROJECT NO 'ij F S ( 3 WEATHER REGULAR |O T?ME(1.5X) ZZZLI O TIME (2X)TIME IN BUILDING / OSHPD PERMIT # / DSA-APP # TIME OUT MEAL TIME * DSA-FILE# -?B- fl ADDRESS CLIENT Pe>aT &£*:?*CONTACT G CONTRACTOR SUPER1NTEMDEMT PHONE SUBCONTRACTOR ffeSS ge»ot-fJfA/^FOREMAN PHONE CREW SIZE STARTTllVtE FINISH TIME «f ASPHALT MANUFACTURER 3TU P F TYPE OF ASPHALT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTIJE INSiDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER SPECIFICATION # CONCISE DESCRIPTION OF WORK OBSERVED (Including Osscnpton of non-compBant items & their corrections) "07 J.ttf. c '.Tk, .y' QC-_ uJ cr^f oot 0 I /qT~ V 3 "CO -Xl/H.OOgJT- PS Au/ f^ pee Q EXPENSES Q f\/i!LEAGE Observer's Signature Observer's Name I TH!S Q CONTAINS NON-COMPLIANT ITEMS j REPORT ,,-,/^,-r, NQT CONTA(N NON-COMPLIANT ITEMS Venfied / Accepted by Supsvintondenl / Clian! *t{ time for meal was not taken today, explain the reason why Reason Authorized / Verified by Phona (949)553-0370 Fax (949) 553-0371 www qairnc.com INSPECTION REPORT Roofing Q Waterproofing Q Roof Deck Nailing Q Other. M W F S S WEATHER. OBSERVER REGULAR OTIME(1.5X) O TIME (2X) TIME IN TIMEOUT MEAL TIMEJ TLSC PROJECT NO BUILDING / OSHPD PERMIT f / DSA-APP #DSA-FILE* SUBCONTRACTOR /V^SS ASPHALT MANUFACTURER ffoT 5.TU P P ASPHALT TEMPERATURES fF) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER-SPECIFICATIONS Q ?S/O CONCISE DESCRIPTION OF WORK OBSERVED (Including dsscnption of norKxmpKant items & their corrections) tA<bT P0 LOOK, J?OP AT r/fofe /g /f 3 fir Q EXPENSES 00 Q MILEAGE Observer's Signature Observer's Name THfS Q CONTAINS NON-COMPLIANT ITEMS REPORT j-Jr^rr. NQT CONTAIN NON-COMPLIANT ITEMS Verified / Accepted by Superinlendenl / Client s Reorssenlaiws * ff time for meal was not taken today, explain the reason why Reason- Authorized / Venfied by Phona (949_| 553-0370 Fa* (949) 553-0371 www qattnc-com INSPECTION REPOR= &Roofing Q Waterproofing Q Roof Deck Nailing Q Other. DATE-M W WEATHER. OBSERVER REGULAR I O TIME (1-5X)j O TIME (2X)TIME IN ] TIME OUT WEAL TIMEJ TLSC PROJECT NO BUILDING / OSHPD PERMIT # / DSA-APP #DSA-FILE# PROJECT T ADDRESS CLIENT CONTACT PHONE G CONTRACTOR SUPERINTENDENT PHONE SUBCONTRACTOR- fj£-SS FOREMAN PHONE CREW SIZE START TIME FINISH TIME ASPHALT MANUFACTURER: ffoT TYPE OF ASPHALT E.VT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER-SPECIRCAT10N i? CONCISE DESCRIPTION OF WORK OBSERVED (Inducting dascnpbon of non-compSant items & their corrections} XPENSES Q MILEAGE THIS Q CONTAINS NON-COMPLIANT ITEMS REPOFT rt NQT CONTA|N NOhf-COMPLIANT ITEMS Observer's Signature Observer's Name ;>fee*~o Verified / Accepted by Superintendent / Client s Representative * tf time for meal was not taken today, explain the reason why Reason Authorized / Verified by Phons <943) 5S3-03'?C cax («49) 553-037 •! ll<i&PEeTt€*l-J REPORT Roofing Q Waierproofirg LJ Roof Deck Naifmg Q Other. DATE-M r OBSERVER TLSC PROJECT NO PROJECT w F SIS WEATHER REGUIJ\R ] O TIME (1.5X)I O TIME (2X) _l TIME !N BUILDING / OSHPD PERMIT # / DSA-APP # 4. €.C TIME OUT TIME * DSA-FILE2 CLIENT £-tOgST- /Jfcto ADDRESS CONTACT PHONE SUPER1NTENDE^4T SLJBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME FINISH TIME 7 ASPHALT MANUFACTURER /Vtor 3T( J P)°TYPE OF ASPHALT J\tP>£-Jfl- E.VT oZ»^» ASPHALT TEMPERATURES TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURlNiS APPLICATION do ROOFING / WATERPROOHNG MATERIALS MANUFACTURER J3~£>//S SPECIFICATION* CONCISE DESCRIPTION OF WORK OBSERVED (Including description of non-compBanl rtems & their corrections) tL-Qv^<\ fO'ft tT yO L lg^> .1 5 Q EXPENSES Q MILEAGE Observer's Signature Observer's Name THIS ^ CONTAINS NON-COMPLIANT ITEMS ! REPOR i v-y DOES NQT CONTAJN NON-COMPLIArxfT ITEMS Vanned / Accepted by J^e^t Supennlendcnl / Clion* s Ra * !f lime lor rneal vras not taken tod-'y, explain the reason why L Reason / Verified by Phaos (949) 553-03^0 Pax ([)49) 553-037'. www c|3iinc.com REPOR" Roofing Q Waterproofing LS Roof Deck Nailing Q Other. DATE. OBSERVER M r TLSC PROJECT NO W i T I/T\ S S i WEATHER REGULAR OTiME(1-5X)O TIME (2X)TIME IN BUILDING / OSHPD PERMIT £ IDSA-APP # TIME OLfT futEAL TIME * DSA-FILE* KlA PROJECT ™ . BAl A^ OOgST- /fcU^ PoCLT ADDRESS CLIENT CONTACT PHONE G CONTRACTOR PHONE SUBCONTRACTOR <^£-SS FOREMAN PHONE CREW SIZE START TIME 7 :FINISH TIME ASPHALT MANUFACTURER ffoT 5.TU P p TYPE OF ASPHALT TV<°g-E.VT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER :TO//S SPECIFICATIONS CONCISE DESCRIPTION OF WORK OBJ»ERVED (Including cfascnpbon of non-compRant rfems & their corrections) U 3 •Ja- 7 t/J Z— r- 0/^CO 1 T V* 3 —; j» '- V^fr'/rr TO Q EXPENSES Q MILEAGE. THIS REPOR t Observer's Signature Observer's Name ;>V£*~^ c^ j_ Q CONTAINS NON-COMPLiANT ITEMS Q DQES NOT CONTA(N NON-COMPLIANT ITEMS Verified / Accepted by Superintendent / Client s f-eprasenta'ilve --If {(me for meal was not taken tocfciy, j explain [he reason why Reason Phone (949) 553-03?0 cax (<?49) 553-0371 REPORT Sf Roofing Q Waterproof ir g Roof Deck Nailing Other _ DATE.M T W T WEATHER OBSERVER REGULAR O TIME (1.5X) O TIME (2X) TIME !N TIMEOUT WEAL TIME * TISC PROJECT NO BUILDING / OSHPD PERMIT # / DSA-APP # ^" v-i. C> 10£.•• riwJ *~^ * W-* DSA-FILE# MA PROJECT CLIENT V LOgST- /Jfcto DoGT ADDRESS CONTACT PHONE G CONTRACTOR SUPEHj^frENDENT PHONE SUBCONTRACTOR f/£-SS FOREMAN PHONE CREW SIZE * 5 START TIME '"7; OO FINISH TIME ASPHALT MANUFACTURER /Vtor 5T( -> P ^TYPE OF ASPHALT E.VT ASPHALT TEMPERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION LO&D ROOFING / WATERPROOFING MATERIALS WIANUFACTURER :J~SPECIFICATION* O ~}<>fC> CONCISE DESCRIPTION OF WORK OBSERVED (Inducting description of non-compKant rtems & their corrections) Q EXPENSES Q MILEAGE ^ | THIS REPORT Q CONTAINS WOW-COMPLIANT ITEMS Q DOES NOT CONTAIN NON-COMPLIANT ITEMS Observer's Signature Observer's Name Verified / Accepted by Supetm'.endenl / Cijen! s Peprasenia'iv-s if time For meal was not taken tod y, explain the reason why Reason / Verified ov Phona <343) 553-03?0 Fax (<M9; 553-037- v.1 CBHnc corn INSPECTION REPOET Roofing Q Waterproofir g Q Roof Dec/c Nailing Q Ofner. DATE. OBSERVER I M I r j w I .- - S I S 11 WEATHER REGULAR OT!ME(1.5X} O TIME (2X) TIME 5N TIMEOUT TLSC PROJECT NO PROJECT BUfLDiNG / OSHPD PERMIT f I DSA-APP # £- £5> & 1O <M CLIENT WEAL TIME* DSA-F)LE# KlA ADDRESS o(2T G CONTRACTOR SUBCONTRACTOR //g-SS &&cf:>t+JGf COMTACT ,ttt» ._PHONE SUPERJNTENDEWT PHONE FOREMAN PHONE CREW SIZE STARTTME < QO FINISH TtME' ASPHALT MANUFACTURER S,TUP£TYPE OF ASPHALT E.V T ASPHALT TEMPERATURES ("F) TIME (AM / PM)_g INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROOFING MATERIALS MANUFACTURER- ITO//S SPECIFICATION* O CONCISE DESCRIPTION OF WORK OBSERVED (Including tfescnpton D/ non-compBanl items & their corrections) a:w c?/o tS dor tore? -prig. Q EXPENSES THIS ui CONTAINS NON-COMPLiANT ITEMS REPORT Q DOES NQT CONTAlfsl \iQN-COyPLIANT ITEMS Vsrrfied / Accepted byObserver's Signature Observers Mamo Peasor- Authon2£>d / Verified by * if time *or rnsal was not taken tori: y. j explain the reason why Phons <343) 553-03-0 Fax (<HS) 553-037". wwv. qaitnc COTI INSPECTION REPORT Roofing Q Waterproofir g Ll Roof Deck Nailing Q Other. DATE.M T W OBSERVER TLSC PROJECT NO PROJECT T T L>, , S I S WEATHER REGULAR |O TtME(1.5X) | O TIME (2X)TIME iN BUILDING / OSHPD PERMIT # / DSA-APP # TIME OUT EAL TIME * (I 30 ADDRESS CLIENT V Po&T G CONTRACTOR SUBCONTRACTOR E&o>C>tAj<^ CREW SIZE CONTACT PHONE SUPERINTENDENT PHONE FOREMAN START TIME 7 PHONE FIMtSHTtME ? ASPHALT MANUFACTURER ffOT 5.TU P F TYPE OF ASPHALT E.VT ASPHALT TBJIPERATURES fF) TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION Ci ROOFING / WATERPROOFING MATERIALS MANUFACTURER SPECIFICATION # O CONCISE DESCRIPTION OF WORK OBSERVED (Inducting cfesenpfon of non-compfiant items & their corrections) THt J.T pg/HO /"S ttof T/i ra-».JTT l^g 9 ^ MJg< JL. Q EXPENSES ?l a MILEAGE ^^ti/j.JDgK^_i.4/jg.'^g^.jj;gr/?<uA>r*/^g«^ i*y<xu<.#frn.Q. t-i+wj &&&w THIS O CONTAINS NON-COMPUANT ITEMS i REPORT Q NQT CONTA|N NON-COMPLIANT ITEMS- Observer's Signature Observer's Name Vanned / Accepted by nl / Client s Ftsprs ^if time for rneal v^s not taken toa,;y, explain tfie reason why Reason j Authorized / Verified by ^ricv-iG (349) 553-C"0 =sx («43) 553-0371 INSPECTION REPORT Q Waterproofirg (J Roof Dac/c Nailing Q Ofner. DATE.Ofc>r M \ T- OBSERVER TLSC PROJECT NO PROJECT CLIENT t-j W ' F Sis! WEATHER.S S i REGULAR j O TIME (1-5K) I O TIME (2X)TIME IN TIME OUT MEAL TIME * BUiLDING / OSHPD PERMIT f I DSA-APP #DSA-FILE£ ADDRESS G CONTRACTOR. SUBCONTRACTOR CONTACT c PHONE PHONE FOREMAN PHONE CREW SIZE START TTWE. 7 *FINISH TTME ASPHALT MANUFACTURER TYPE OF ASPHALT E.VT ASPH/\LT TEMPERATURES TIME (AM / PM)INSIDE KETTLE INSIDE TANKER ON ROOF DURING APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER SPECIFICATION.? CONCfSE DESCRIPTION OF WORK OBSERVED (Including dsscnpfion of non-compfenf items & ihesr corrections) dor (IAS Q EXPENSES- Q MILEAGE THIS Q CONTAINS NON-COMPLIANT ITEMS REPORT ^ r^^c, NQT COWTA!W NON-COMPLIANT ITEf^S Observer's Signature Observer s Wame Verified / Accepted by Superintendent / Clicn* s R2prsssnl£i'iua * if lima for meal was not taken toat'y, explain the reason why Reason Authonzed / Verified by REPORT « ci3iinc.com £a Roofing Q Waierproofir g U Roof Deck Nailing 3ZIE Ofner OBSERVER TLSC PROJECT WO S WEATHER VJ rO M PROJECT <-£CT(0^ Q O TIME (1 .5X1 1 O TIME (2X)TIME JN ILDING / OSHPD PERMIT f / DSA-APP # <£T B O TO ^3_g. TIME OUT VEAL TIME* 1 DSA-FILE# CLIENT V ADDRESS B£«:?f CONTACT PHONE Q CONTRACTOR SUPERINTENDENT PHONE SUBCONTRACTOR FOREMAN PHONE CREW SIZE START TIME ^L vC5X>FINISH TIME ASPHALT MANUFACTURER STOP/2 TYPE OF ASPHALT 7 «//?£.E.VT ASPHALT THI^PERATURES (°F) TIME (AM / PM)INSIDE KETTLE INSiDE TANKER ON ROOF DURlf^G APPLICATION ROOFING / WATERPROORNG MATERIALS MANUFACTURER SPECIRCA-nON # o 7<./D CONCISE DESCRIPTION OF WORK OBSERVED (Including description of noo-compfenf /ferns & their corrections) THIS Q CONTAINS NON-COMPLlAlvfT STEMS Q DOES NOT CONTAIN NON-COMPLIANT ITEMS Verified / Accepted by Supsrailervctsnt / Client : Reprsaanlaiwa * If time ior mEal was not Taken tonnv, sxplan the reason why Authoized / Verified b> 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannccom 04717 INSPECTION REPORT INSPECTOR CODE A.; id EL JOB NUMBER OTOWQQ JOB NAME ADDRESS ARCHITECT 'ENGINEER M/ ^AfV\a1t5 DATE q - ^ - op M T X W BUILDING / OSHPD PERMIT # / DSA APP# GENERAL CONTRACTOR SUBCONTRACTOR (If Any) "* iMTX. T F S s DSA FILE* JURISDICTION C AI-/C K<vA 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 9,0 1 5X 2X TIME IN "7 '. a* 4 t-w TIME OUT 3:oo P,,o MEAL PERIOD |Expenses. | I Reinforcement. Q Fireproofmg Concrete Placement, Quality Control | Masonry. Administration. I Prestress Post Ten. I Other Batch Plant. -H* > rt r- +- A-/" I r»P f*g ( A.4- L 'A /» -A -3 Or Afp. Ser J2.2 ^ 44-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 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. (Project Superintendent) Quality Assurance Inspections 04715"" 17942 Sky Park Circle, Ste J Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannc com INSPECTION REPORT INSPECTOR CODE A i i<( fc JOB NUMBER JOB NAME BUILDING / OSHPD PERMIT # / DSA APP# CS070HS5 DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER er, o SUBCONTRACTOR (If Any) (WTOl REQUIREMENTS: Limit of one job number, ne 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 | Mileage 1 5X 2X [ TIME IN 1 : oo A<r*% ^J Expenses TIME OUT 3 -CO p< irv-v MEAL PERIOD [ I Reinforcement. | | Fireproofmg . | | Concrete Placement. - [~1 Quality Control _ . i^Cl Masonry | | Prestress Post Ten. ,| | Administration | | Other Batch Plant. :pQy^ ir\L^al<|bo Ik r^ f -j |i "H 2.2.V/Q? ^fiIGNMIX 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 r^. \ C, V^iO-^X approved plans specifications Additional Page (Page #) CM (approving authority e g EJSA 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 £ hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no worlys performed, a 2 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 qaunc com 04709 INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB'NAME e*<oo BUILDING / OSHPD PERMIT * / DSA APP3 DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT *f ENGINEER erTer nUworO UJ-O. CONTISUBCdNTRACTOR (If Any) REQUIREMENTS. Limit of one job number, &ne 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 ', O O A , jA/\ TIME OUT ^ ', 0£) CV(/U\ MEAL PERIOD D Mileage | | Expenses | | Reinforcement.. | | Concrete Placement.Masonry. Administration. . [| Prestress Post Ten. Other Batch Plant. 3f~ fTbserirf /monitor o m uL-t-foe, flf Cf <.o I i A A-V-i rt^N of c=> H " rooV I e<4",< T^ I 1 / ^yWvipleS, A-CCJ 0,1 rr <5l A~-f U'^e5 A/I ft/T R/2- ' MIX USED DESIGN SLUMP ADMIXTURE "RS2.0O 6^42- 8 X ' \JUKO^ b V Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true, by this report has been performed and installed in compliance with the £* faf* | .^(QJ'^CX approved plans, specifications (apoiovir.g authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below ExceDtion(s) noted in report Yes No "fU> Inspector's Name KA-n^V A'ki'ws InspBLiloi s SiyiiaLuie tS^~' j^*" ""~ — •— •" Inspector's ID / Lie # J5"2.4 76f A "/KV JT.C d ivirS'o'wrViKici'Dici^Tii^i^i' ' •* ''' ^ ; : - •* ' - . - • '•••'' '••'/ ~- '' *' ' "•- KU Cell?, -p (Ac-fl^r>(?A"h" <l/)c\ f^coo~' ^*- **^ '— * T1 — ' — ' ^ ^^* < '* ' • i « — ' ••• >— » — ~>^ • ' /h/y: rl^s'/Q'O "*R ££006^2,.1 (c^rduitcuWes") qrou^^ pr s^A- / r T"C.'vvb>5 S3"(C-)o ' DESIGN PSI CUBIC YARDS SPECIMENS ,2^)0^ H$ (j:)3*'x6A'x3cuk .'_V ^'/ g fr ./•/ / | | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours g 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 .- Appioveu/AulliOM^eu by ^c»ne>'v tyt»7t-££*4te*&^- (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fa* (9^9) 553-0371 wwwqaiinc com 04708 INSPECTION REPORT INSPECTOR CODE JOB NAME r£\e. ode/9f> ^ ii* JOB NUMBER .+ Ptf -es !P ADDRESS 25 VO dbA't'-ttJi^ ^di- C»4-Hlfc>o-dl ARCHITECT >ENGINEER DATE M T BUILDING / OSHPD PERMIT # / DSA APRS GENERAL CONTRACTOR jri^c^J" LiXnq^.Ton SUBcbNTRACTOR (If Anyf W T F, S S DSA FILES JURISDICTION REQUIREMENTS: Limit of one job number, fcne 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 8^0 D Mileaqe 1 5X HOURS 2X TIME IN TIME OUT 7'OOF>^ 3'oop,/> 1 1 Expenses MEAL PERIOD s | I Reinforcement. | | Fireproofmg . | | Concrete Placement. . [ [ Quality Control | Masonry. Administration, . | | Prestress Post Ten. . Other Batch Plant. DESCRIPTIN OppRKMNSPECTEQ: Anon^'f-or poo f Le.<A3s-.5 '» ff ' f,5/R> ^ KoH- or^-FJ-^ffl, A 3,1 ^Xp ^H-^ : 53>, MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI ceic 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>tf- \ <. {raO-^l approved plans, specifications (approving authority e g DSA OSHPD C'!y ot LA etc ) and all applicable codes except as noted below No 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 /") j/ Exception(s) noted in report Yes _ (Initial at Yes / No as applicable) Inspector's Name WVnJk Inspector's Signature Inspector's ID / Lie # (Project Superintendent) Approved/Authorized by _j Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 wwwqaimc com 04707 INSPECTION REPORT INSFCTOR CODE JOB NUMBER NAME Ihe r.Ql^cfto^ fd+- BUILDING / OSHPD PERMIT # / DSA APPf DSA FILES ii. ADDRESS 354Q_<bAr"H^Wgta^_ GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) X.v\iy>A^ 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 ccmmunications with project designers, building and permit granting authority officials HOURS REGULAR | 1 5X 8.0 2X TIME IN 7'00 A,m TIME OUT 3'oo p,f^ MEAL PERIOD I Mileage [ | Expenses [ | Reinforcement. || Fireproofing I Concrete Placement, Quality Control Masonry. .| | Administration. . || Prestress Post Ten. . tT] Other Batch Plant. DESCRIPTION OF WiORK •Y'MCr Lcjirt pf^ MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSl CUBIC YA j/wpA , : 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 ves / No as applicable) No V$> Inspector's Name Inspector's Signature Inspector's ID / Lie # All inspections based on minimum of 4 hours and over 4 hours 8 hours minimum In addition, any inspection extending past noon will be an 8 hour minimum If inspector is called to a project and no worjjjis performed a 2 hour minimum charge will be applied Approved/Authorized by. Submitted by. (Project Superintendent) Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannc com 04706 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE,M T W I I X JOB NAME Jb* BUILDING / OSHPD PERMIT » I DSA APPS DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER fan eREQUIREMENTS. Limit of one job number, </ne permit number per sheet Identify alf work by type and SPECIFIC location Non-compliant work must be specifically identified Communication (RFI, Sketch, etc ) voiding previous non-compliant items must be listed, record conversations and communications with project designers, building and permit granting authority officials HOURS REGULAR 1 5X UJOr K- (rvf 2X "5 rCj^o^^Qc^. *0< TIME IN > OyjQfo TIME OUT MEEAL PERIOD 1 Mileage [ [ Expenses | I Reinforcement. | | Fireproofing I Concrete Placement. I Quality Control . | | Masonry ,[~] Administration. I Prestress Post Ten_ Other Batch Plant. 'Pilrt^A •' ' - ;:":/; ;- ••>^;^plN™P!8$^ • 'v- C:-- • • : Cfar^ r-A/vf A^ »^r p /> 13f£F&l . ^/Ubn-ue &)ts) L-eAqAs- /o<, 4^0 -5/.6/A.,— 1 i -Atoned t*Jcfr-k. i^(\M^ion M- s'y "L!£+ A-r P-ff'a- 3>"^Voc/ hfLLdrtr • / / ^^ ^/'^/B . ibft If- <Lm \>gj& School S/-3/JL orj: f 1 ..--i-r -»-^ / .._, S •/•/// fn oroerciS./ * 'T^jA M m S3 , o MIX USED Cert 1 declare under penalty of and that of my own persor by this report has been (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 i Inspector's Signature Insoector's ID / Lie # DESIGN SLUMP fication of Complianc perjury that all of the abov al knowledge the work dur performed and installed ir appro\ SHPD "city ofT/Tote T SSP.! as noted below Yes h ^fWvoy A-' k-1 ^ / ^* i j*^^— -~"^-^^*^*'"^ ^-^ ?& <fo ADMIXTURE e e statements are true ng the period covered compliance with the /ed plans, specifications JO L^I fj£ --AV _r.<,c DESIGN PSI CUBIC YARDS SPECIMENS D 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 £ 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 /C^^^^t^^^ (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 qannccom 04704 INSPECTION REPORT INSPECTOR CODE JOB NAME Thfe, OC*-oo c_6 I \£ cA~\ art Q JOB NUMBER 070499 •t- R»n?is'n' 'fc^drv ADDRESS CiS>^\O <£jf;a:V'£LCijA-*-'j ^O>,> CA-<~I$»\3PC\ ARCHITECT ' l^)&-r<> w>rt-ld<3rvilft ENGINEER DV'XiwitaMo-fo DATE M . \. BUILDING / OSHPD PERMIT # / DSA APPI* GENERAL CONTRACTOR S f) <J f^<2-T L Ar\Cr S~f^)r» SUBCONTRACTOR (If Any) ' \AAT1L W T F j S S I 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 ccmmunicattons with project designers, building and permit granting authority officials REGULAR 1 5 D Mileage HOURS X 2X UJQ<-J< Vxrs re/\p<i^t TIME IN TIME OUT ^ *Of7S3> [ I Expenses MEAL PERIOD | I Reinforcement. | | Fireproofing | Concrete Placement, Quality Control | Masonry. .| | Administration. I Prestress Post Ten. Other Batch Plant. Elcfc^A; ;:•:;;• V;v'-"\DESC.RIF^JQM§ •, ob^=>eru<s./fr>o^i"tor 8 ** <o'me^. oj4- rmu 1n.srHUferfaor> op S H r^^Pi f\«r^4-<?^ S(,O , +up /-> ' ' f M3dU^ fr»^rv4-t^rvp4 U3 h fv^HcJ^'ire ^ iVs-Sia 1 (/^i D'Q'O" -*>"**'(•" h^qW £&<t>eroVFvo mA^onru >ic,oK 5>!,^/SK) p T*^JFT iM ^^P^t -fo«-r6cfp f-e-dqer^ Si ^/f?> ^ l.fe/A f I i / * ^ o^^L^^O^ "fo Crt rap jp'f-i&TT) |^J|"HN %-}&£ ? ai~i c\ f\ c*A~ )^<?i\e^.r ~ia<~\ ~^n p rtV cJid.. II r' h<3^"^ b*V~S A-rv.ai S>ill hA-fS ./ I " fe^. */np . 55 -A MIX USED DESIGN Certification of 1 declare under penalty of perjury that i 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 author!'/ eg DSA OSHPD City of LA etc) and all applicable codes except as noted below / Exception(s) noted in report Yes No -^fjfr (Initial at Yes / No as applicable) Inspector's Name R~rV»E>Vi- 7 Inspector's Signature ^^- • Inspector's ID / Lie # J5l2.(o A;*C<,JS\ ^&<?<r-xv, £,t£ DESIGNPSI CUBICYARDS SPECIMENS | [ Additional Page (Page #) 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 ft hour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied /^) jf Approved/ Authorized by /L^~- /Ss&f**"*^'^ (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 04702 INSPECTION REPORT INSPECTOR CODE JOB NUMBER O7gHqq DATE t JOB NAME BUDDING / O'SHPD PERMIT # / DSA APR*DSA 1 ILE# GENERAL CONTRACTOR ARCHITECT JURISDICTION ENGINEER SUBCONTRACTOR (If Any) HTT REQUIREMENTS Limit of one job number, one permit number per sheet Identify ail 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 7J60ft.^ TIME OUT *;oof»,*o MEAL PERIOD Mileage.I | Expenses. Reinforcement. Fireproof ing . | | Concrete Placement. . n Quality Control Masonry. . | | Administration. | Prestress Post Ten, Other Batch Plant. ESCRiPJlON QlWlDPK INSPECTED uJy-<_LQ1 5 'l-ec^ A±_JL r MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI ~J^L!£. 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 (aoproving au:nonty e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Exception(s) noted in report Yes _ (Initial at >es / No as applicable) Inspector's Name Inspector's Signature. Ipspprt^r'^ !D ' !.ir # / ^r1^ jZ)U All inspections based on minimum of 4 hours and over 4 hours 13 hours 'minimum In addition, any inspection extending past noon will be an ii 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 04700 INSPECTION REPORT INSP JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT # 1 DSA APP#DSA FILE** ADDRESS GENERAL CONTRACTOR ^ t t JUR'SDICTION ARCHITECT ENGINEER SUBCONT RACTOR (If Any) REQUIREMENTS: Limit of one job number, <ne 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 tf,0 1 5X 2X TIME IN *7 : fro A • A*» TIMEOUT 3;oo p, /o MEAL PERIOD | Mileage LI Expenses | [Reinforcement.. | | Concrete Placement [V] Masonry | | Prestress Post Ten. I Other. Batch Plant. SlA<f^A IDESCRIPTiCJN^FV O b SerU e Ao oo", +«r #"t &" fri ^rtL *^-/- y—-, ' * / /I ^/ rd5C>T ixe-Acze-f- li-f~f A-""^ .2.£? o -~ 3^ ^ Po-K-S SI.C3 .~fupitA-fs .S L3>/^,#O, \3/ f i / ' r c -p.{Vi""a/ (C-* O rO(T?'^y>^? /N'T TX^p (~^OT~ t-X2 AJ^^e lf>^\^ .-L <l i <o f -^ri LJcirK 5>4-fl) s r\ fcr-t. ^£-- (n-fs ' ^5 /A MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance I declare under penalty of perjury that all of the above statements are true, by this report has been performed and installed in compliance with the g2./A ,f\ 2lo A-^\ approved plans, specifications (approving authority c g DSA OSHPD City of LA e(c ) and all applicable codes except as noted below ; Exception(s) noted in report Yes No/£> (Initial at Yes / No as applicable) • "T5" A ' i v fInspector's Name \\V«f»\ Ay fJ~t \<il ^-> Inspector's Signature i>xx?__^— -j^^--52 - Inspector's ID / 1 ic # 5? C, T^T? T" " X"^ -T^ .< i — i • IV^KlNSPEGJEd'^ '-. O»?u f mf&ffA^Hon r£ T-/n*4/ 3 ^ If* (.'!•' ^ n-£ ( Q IOTI A-S p€^f~ \^ '^VP (V) rt-^rtA r «-^ 'T^R-f-r 2M ^/s .-51 4/A.t S/,^ /S T / ~ ' :KJ res 5. "T^r^p ^ .6V^ 73 "F DESIGN PSI CUBIC V'ARDS 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 e 2 hour minimum charge will be applied /J ^ -^"^ ^^^ /£/ j^t^z^^^ Approved/Authorized by /C^^fr (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 04698 INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB NAME BUILDING / OSHPD PERMIT # / DSA APP#I DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION xtaARCHITECTENGINEERSUBCONTRACTOR (It Any) XL^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 $•0 ^<0 2X TIME IN 1 ,'oo a,p~» TIME OUT *% ', OO P> O MEAL PERIOD | Mileage I I Expenses. I | Reinforcement. | | Fireproof ing . [ | Concrete Placement. . Q Quality Control, | Masonry. Administration. Prestress Post Ten. Other Batch Plant. TITAll ^ j> K/3 -F MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YAFDS SPEC'MENS £1 t 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 f^-\ <^ k f^ji approved plans, specifications | | Additional Page (Page #) CM {approving auttio'ity e g DSA OSHPD Ci'.y o! LA etc ) and all applicable codes except as noted below Exceptions) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name E No ^^ fi 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 S hour minimum If inspector is called to a project and no work is performed a 2 hcjjr minimum charge will be applied Approved/Authorized by._ (Project Superintendent) Inspector's Signature_,x^?=^: Inspector's ID / Lie # ^5JL4,3_6> y.£-jil Submitted by. Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 04697 INSPECTION REPORT INSPECTOR CODE Uo_ JOB NUMBER JOB NAME BUILDING / OSHPD PERMIT # / DSA APP<*DS/s FILE? ADDRESS 2.^0 •RrJ. GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any) ATTI. ^REQUIREMENTS: Limit of one job number, 6ne permit number per sheet Identify all work by type and SPECIFIC location Non-complie nt 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 fc.o 1 5X 2X TIME IN "7 ' OO o,/n TIMEOUT 3,', tf 0 f.^VN MEAL PERIOD 1 Mileage | | Expenses I""] Reinforcement. Q Fireproofmg . | | Concrete Placement. . | | Quality Control | Masonry.. | | Prestress Post Ten.ESatch Plant. _| | Administration | | Other. 4 heic|A p<?-r C-e ^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 | | Additional Page (Page #) CM . (approving authority e g DSA OSHPD City of LA Gtc ) and all applicable codes except as noted below Exception(s) noted in report Yes (Initial at Yes / No as applicable) No 4- 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 Inspector's Name. Inspector's Signature Inspector's ID / Lie # (Project Superintendent) Approved/Authorized by _ Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 04691 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE F ! S JOB NAME BUILDING / OSHPD PERMIT * / DSA APP#DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION t yJri n ARCHITECT ENGIN EER SUBCONRACTOR (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 @.o 1 5X 2X TIME IN ~l ; oo I'Vt^t TIME OUT 3 f c-O p' ft MEAL PERIOD | Mileage.I I Expenses, | Reinforcement. I Fireproofing . [ | Concrete Placement. . | | Quality Control | Masonry. Administration. . | | Prestress Post Ten. . PI Other Batch Plant. ~&\_<\ fi^A pESORIPTlbWQF WORKlN^ejED ! • 0 v - .| r.Ke^ trvxu U-Pt M- 1 S i. - O ~V-t^J p> ' 'I /Vboo£ meofi ^/tr -f-iCja-l f^- ^ , Y / i «A ' o " i ' ^ (| y ~ ^^ P1 V^C^1 ^n 7 H "" -L?> O k\€U O Ird" A-«L l>€x- Ci l/Vc, 00 t*V^Or> PLP A A'f'^S/ I _ r r T ic^\^ Sl.1^ I S. lO.O.Tnf.Pr ^»-l,/ ' T; OrN^^l Wfirk r\t^C. 4tS r^^ (P^-io^ U)/44, e^C^p-^c^ to dlr-op, /tj 1 (*r<- . C \ 0 /Vr, ICKXH ^/ ^ ' J MIX USED Cert 1 declare under penalty of and that of my own persor by this report has been c f^f IsUfv^ (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 # Te^aos 51-^?>*r DESIGN SLUMP ADMIXTURE fication of Compliance perjury that all of the above statements are true, al knowledge the work durng the period covered performed and installed in compliance with the approved plans, specifications SHPD City ot LA etc ) cept as noted below , Yes No *fj^ >o^v J^VVHC . ,^^_ -• <5l£76<?S"--Xv/ ^- <--£ DESIGN PSI CUBIC YARDS 'SPECIMENS [ | Additional Page (Page #) CM All inspections based on minimum of 4 hours and over 4 hours fi 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 /'I ^^ ^t>^~) ^^ Approved/Authorized by /L-^^y'/S tZ***^- (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 04687 INSPECTION REPORT INSPECTOR CODE _JO)ofc JOB NUMBER r> 7o y 3 9 DATE H-3-06 w JOB NAME BUILDING / OSHPD PERMIT # / DSA APPd DSA FILE# ADDRESS j»<>-tf GENERAL CONTRACTOR £-L'ilW IBCOIV" JURISDICTION liJft^A.ARCHITECT ENGINEER SU TRACTOR (If Any) REQUIREMENTS. Limit of one job number, ^ne'permit number per sheet Identify all work by type and SPECIFIC location Non-compliant won< 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 2?/o 1 5X 2X TIME IN Y'fcs A '•n TIME OUT 3', OO(P /lA MEAL PERIOD D Mileage | | Expenses | | Reinforcement. [ | Fireproof ing . | | Concrete Placement. . | | Quality Control Masonry. .[ | Administration. Prestress Post Ten Other Batch Plant. ^sl Art7 ' ^ DESCRIPTION OF WORK INSPECTED .1 _J Vr-VJl V-l : f ^ '• ' ' •••••• .'.•••• ...,.-... •..-.,.„ -. .-. .-•'.. ....-,. : . : . ... ... .- . . . • 1 / ' £?"<•£," A -4- ' 4-ja M ^- ' £ JO' ft" U'ir ^ 1 \'Pf |^4 n^ir.s .SI,Q, -4ijf»i' r 1 — f t ( f ^-^ f ^ / y. */ | 1 * \^ l 'i - JL& O W^i<3 \J\T £-*> pp-f~ (/^<A5<Dr»rx./ 1^ SJ^/CrtJD "^ ^K.^H ~> ^i '- / , i 1 ^^boof, mtof»or?e£i kJor^s-fJil in pr66r«ss MIX USED DESIGN SLUMP Certification of Complianc 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 m C^Lri^^c^l app™ {jf ADMIXTURE e e statements are true, ng the period covered compliance with the red plans, specifications !approvnng~1ruthop!y~e g DSA OSHPD City of LA etc) and all applicable codes except as noted below , Exception(s) noted in report Yes No Vf& (Initial at Yes/ No as applicable) Inspector's Name \5_j/V*J E>-J /V-i )C_i Inspector's Signature /"? - -~^^ . * Inspector's ID / Lie # /^>2£ 7£ ^ «— &f~i^-]Si-f T^if.f. 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 /^t / , .. Approved/Authorized by /&^1^*^ (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 04685 INSPECTION REPORT :NSAT?cTil JOB NUMBER JOB NAME . _ "f"h 6L O C.£A-O ted^^H-Jon A~t orcS'SK- i^-A-oC^ ADDRESS . ARCHITECT YOAT-e tfV^A/cO<-^io ENGINEER Mi v/AiMo"fr> DATE H-l -08 BUILDING / OSHPD PERMIT #/ DSA APP* CRO-70M3S GENERAL CONTRACTOR ^n o eLc. r~ 1_ ftt-nQ ^Vth SUBCONTRACTOR (If Any) ' M ") T W T F J5 S DSA FILE* JURISDICTION REQUIREMENTS. Limit of one job number, bVie permit number per sheet Identify all work by type and SPECIFIC location Non-complie.nt 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 T 1 . OcP A.m TIME OUT 5 v fco p-'^n MEAL PERIOD I I Mileage.I | Expenses. [ (Reinforcement. | | Fireproofmg . | | Concrete Placement. . [ | Quality Control I Masonry. .[ | Administration, . | | Prestress Post Ten. . Other .[~1 Batch Plant. lSlclq*A obseroe/r*© /W SV 110 *>\&**s**'A- t iLnnJ+rjr Ari ' ; DE$CRiPTION UOF WORKJNSPECTED Vt4z>r qroco^ "-17'if "K«-tq **A retoo&o) u^4^^-k o0 Q)^ Cvnu. c^lli for-<,^c«oA f lor-r L^iq^ L,' pT M- A4> jve^ ^A^J^^Y ncr^s. 51 ,O ^ . K "^"R 3 2.OO <3^/ X Ua^ooT^ H$ vtiJ. 1 vAqe^-'^tL^^,- h,n f^- <,A^fNl<^ A^rtiJir^ 4,-t- Un«..S A/I R.// ' MIX USED RS2.006H2, DESIGN SLUMP 8" 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 ^'.A-rl^'o^ apprc" (approving auihonty e g DSA O and all applicable codes ex Exceplion(s) noted in report (Initial at Yes / No as applicable; i— Inspector's Name j Inspector's Signature Inspector's ID / Lie # TO'vvpi ^7 - S2 *P ADMIXTURE U7/ZA4 ^ e e statements are true, ng the period covered compliance with the /ed plans specifications SHPD CilyolLA etc) ~epl as noted below Yes , NoVl^ ^>Ui o w A-i' Id' ' ^^ S"2/, 7^ -^i^j .U 4 cy, jr,^, <L DESIGN PSI CUBICYARDS SPECIMENS jiooo ^5 (fr) S";v3 x^f< ' Cf^^t- Cuutefe l^ | 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 ? hour minimum charge will be applied S*\ * Approved/Authorized by /&^-^!llyte&*^L (Project Superintendent) Submitted by Quality Assurance Inspections 04684 17942 Sky Park Circle, Ste J, Irvine California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB NAME DATE BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION >JJra •S^-QO ARCHITECT ENGINEER ir, oH SUBCONTRACTOR (If Any) REQUIREMENTS: Limit of one job number, oie 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 1 5X 2X TIME IN "7 ,' e»o A-fiA TIME OUT "2 ' Cro ^/ *V\ MEAL PERIOD D Mileage | | Expenses [ I Reinforcement. | | Fireproofmg . | | Concrete Placement. . | [ Quality Control . 53 Masonry .| | Administration. . |~l Prestress Post Ten. . Other Batch Plant. Pil^o ^A PESCRIPTIO^O^ £ h * tk. L-Mq 0^- i n M~^( 1 A,-f i CJ n fl-P <s £^L-rrvA £ («/•> r 5 '«-( " £ | Pr /\^ 12 'b"- il'H he^hr A^ r^r- r>//q-r» B^l^Prvnh^A <,rU*A, Sl.^/U ^FX ° 8 ( £ ' >6,.O/*D H"K/H" SI,S/A R ^"xiz" su^/^M H"*^''t i i t ^0 ff 5i II bi/vr* c> 1 cvC'6-fn £r\"^" A-"t" Ooi-f-Oivn of OOP>niAGS A-3> "p^-r S/»^s/5 Mofe A , \ (j • i j • K(L&-/ i n-Vo ^ MIX USED Cert 1 declare under penalty of and that of my own persor by this report has been (approving authority e g DSA 0 and all applicable codes, ex Exception(s) noted in report (Initial at Yes / No as applicable) Inspector's Name "F 5 2 , A reiYMD ^ SS - bO6 F DESIGN SLUMP ADMIXTURE fication of Compliance perjury that all of the above statements are true, al knowledge the work during the period covered serformed and installed in compliance with the approved plans, specifications SHPD City of LA etc ) , :epl as noted below / Yes . No * \T ?-UJ Dw J^-^; ^ (inspector's Signature s^Z--^?- — '— Inspector's ID / Lie # .5 ' 2/L ? (. llT-X V X. t, C DESIGN PSI CUBIct'ARDS SPECIMENS 1^ | Additional Paae fPaae #) 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 nour minimum If inspector is called to a project and no work is/pTprformed a 2 hour minimum charge will be applied / J / Approved/Authorized by / ^Z*^*?^^,**^^ (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 04673 INSPECTION REPORT INSPECTOR CODE JOB NUMBER JOB NAME ADDRESS ARCHITECT / \_i}&cp §c\fy\ CG/VW [ , C Ar 1 s toA-A ENGINEER DATE _ i M•2,-zo-og 1 T W BUILDING / OSHPD PERMIT # 1 DSA APP# GENERAL CONTRACTOR J^ F :; s DS,a FILE* JURISDICTION TAP kVjA^\ SUBCONTRACTOR (If Any) ' fVTTT REQUIREMENTS Limit of one job number, tne 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. 'GO A..IVN TIME OUT 3 * o o ip i A\ MSAL PERIOD | Mileage | | Expenses | | Reinforcement. | | Fireproofing | Concrete Placement. I Quality Control [ Masonry. _| | Administration. | Prestress Post Ten. I Other Batch Plant. , ^\<T\<T* X\ "•'••'. • '••;•• •'• :V" ; ;/- ^L^ D^ V; :. '•;•••' '••^'•/''^•••. '"••: ^ /:•-:.- • •"—". -. nb«^?iWrvv)m-tr,r X" « (0" r^'A- ^ ^^" ;n^-ha((rtiV«yn ^H" ' I eJaes- L.'Pf A.4- iT-'o - J ~7 ^" W-€toU-h, A^ fv.Y- //v-iid^Gor-rj no-V*-^ S ( <>\,?>l <, ro.p T*T^./ ' ' r / x C Ko<vD (o f&- re i ^ r <i'3/v^ ^(-Wo i- ;£-<*-'-</ n TOfY CfT»€-r> T A- v? Sl,^/A, fe. / ' / ^ i ^ j ^j. ^(fy^r , O "^-u y3i tfl\ /^Jl /S RrX ,£<=>, 1 - 1 i I ' ' O- /Vfe<H/'6 rnto'H^ned c\one <fo Cor^/ii^-f-/Ar» .u)t^-K e.xc^f> V>tVr^u),<VCV, +-/on Q? Led ac« z^VoAA > -^H?ee MIX 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 TJ 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 (^(J^ (Initial at Yes / No as applicable) Inspector's Name M^YW^CW A-i'lCJ<\J£. 7 _Inspector's Signature ^^ — . . — -<-— Inspector's ID / Lie # $2-&^!^ if-^V X,f,C DESIGN PSI | | Additional Page (Pa ^ - 6^ "^' ^UBIC YARDS ge #) CM 7 T 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 project and no work is performed a ? hour minimum charge will be applied .. / Approved/ Authon; Submitted by ?ed by /&*>*,<,ST^&t****"-^ (Project Superintendent) Quality Assurance Inspec tions 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 04672 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE W JOB NAME A±_ BUILDING / OSHPD PERMIT # / DSA APPfs DSA FILE* ADDRESS GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCONTRACTOR (If Any)MTT 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 S'O 1 5X 2X TIME IN 7 ' Oo A- >fy\. TIME OUT 3', oo p/w> MEAL PERIOD | Mileage.I | Expenses. | Reinforcement | | Concrete Placement 10 Masonry | Fireproofmg. |[ Quality Control [~] Administration. . [_J Prestress Post Ten. . Q Other | | Elatch Plant. "Blia '•*•&• DESCRIPTION p)^ ^St>5»€^O-)£./ rVTQO i'tT?<" rS ^ (e> \Y\? (\ < lvO"V' CiV1 j '^i "S '// '' / * ' / 1 rhA/^\0/w <Vi<^rv^,r^4 p)A^m^ + "^ £/,s A • ^"A-tod)0€L me^-K^ne^ work^iil !A procire* MIX USED DESIGN SLUMP ADMIXTURE i Certification of Compliance 1 declare under penalty of perjury that all of the above statements are true, by this report has been performed and installed in compliance with the f « _. [ «. (r> o^C approved plans, specifications (approving authority e g DSA OSHPD Cily of LA etc ) and all applicable codes except as noted below ^^ Exception(s) noted in report Yes . No fi*\ (Initial at Yes / No as applicable Inspector's Name fl^~A+> t>y A*/Ci w£ Inspector's Signature ^^S-^—f^^L Inspector's ID / Lie # -52-6, 7 fa J£~ -Y^l £,<-<C vQRK^spEdtE^i^^-:;-'^;;/,. •;• Wv.:^/,.;;.fr .. ; .•••••". vu I n^-nq-dA^io^ Vy" LeAarr LiC-r *~9 /->rt/ A/ A i~c* >liO, •f-ufiiCis^f^. . ^/ .5/S.AJ, p 7 *i 'f ' ' •t-clS t^fi 3.(n \s } ) I ^J^Vv Y^S —^i^C^i i DESIGN PSI CUBIC YARDS SPECIMENS i^ | Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 nours 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 y*j j .* Approved/Authorized by ' ^x***-^ (Project Superintendent) Submitted by Quality Assurance Inspections 04670 17942 Sky Park Circle, Ste J, Irvine California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qaunc com INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT # / DSA APRS DSA FILE* ADDRESS 2^0 GENEERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER AA y u SUBCONTRACTOR (If Any) REQUIREMENTS1 Limit of one job numbenxine 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 UOcU 2X ^rS TepoH^uA . TIME IN 00 OHGGS TIME OUT MEAL PERIOD Mileage.|Expenses. | Reinforcement. I Fireproofmg | Concrete Placement. | Quality Control | Masonry.[~"1 Prestress Post Ten. Administration I I Other Plant. feite?A-^;: --B /"V^ - •SfeiPlsdRiP^ £?bser-ue /rrvsru-for n ' ^ 6 PWel/ i.D"V \ r>v4-ia. 1 \ &*r\ rt/v for ^esn^A p-(«^r- s1 ' , i '» i 'i5 H Lediae <, NJ p V* £4vo^A Ve-i S I ' 5 /A ^- U£f- &z WT 2.H . ^ n£t>rfej*S^+ p^r f^A^csrvrw rftVes SI-O S-u p ; c,A 1 s " Sl.?>J Lilitttrr^^^i Jl ^"c-mulin^l^ ^FX^fc, <£> (firC&MeLrrt- »V<, T>P^ 5^,0/D SI 3 A/ SI ^ /ST r / ; / v , . ^ i *VVbfco<?- n\c*v4^pJ[ UoH<i s-H \\ t r^ pr^c- o* *-j1 v^SJc— l(\r"O 5*2. / A 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 (C-A-r L^ b-A 3 appro\ ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications {approving autnonty o g DSA OSHPD City of LA etc ) and all applicable codes, exceot as noted below Exceptions) noted in report (Initial at Yes / No as applicable^ Inspector's Name J§ Inspector's Signature Inspector's ID / Lie # Yes , No A-(OT>W X'(\<-l»JS 1 } ^X^^-^^x^^ST -^^ ^^^?6fjT-/Vv _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 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 04668 INSPECTION REPORT INSPECTOR CODE & ' _Z..^...I...I iBNAME JOB NUMBER DATE V JO BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* DRESS _ .fed GENERAL CONTRACTOR -t-n , JURISDICTION C" A-H «, ARCHITECT ENGINEER SUBCONTRACTOR (If Any) REQUIREMENTS. Limit of one job number, oYie 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 UJocU Urs f TIME IN •cpe-r*-^ cwx TIME OUT * OMfefel MEAL PERIOD [ 1 Mileage \ \ Expenses | | Reinforcement. || Fireproofmg . | | Concrete Placement. . n Quality Control . (Vl Masonry. Administration. . | | Prestress Post Ten. . Other Batch Plant. DESCRIIP ' ro u.-\-i r\ <!t An A f<? C C)/"iScJ /i cl r n i O'-/2/-Pr "HT MUKnP*" AS p^- nAtA-^orxrv * A . _^f —^ I «f 1 c n R > 2.0O 6 L/ 2. , ! n »' 4-i A I rov-t-V po\j*r L/ne t /A, 2. %, ;?Vr- I2.frr ^ «ou,r-Line ^ *._S Oro-u.T MIX USED DESIGN SLUMP ~^~ ADMIXTURE DESIGN PSI lC YARDS SPECIMENS 5 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 /"P JLf I <l b fydl approved plans, specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below Q Additional Page (Page #) CM _ Exception(s) noted in report Yes _ (Initial at Yes / No as applicable) Inspector's Name Inspector's Signature_, Inspector's ID / Lie # _J?2£/ No i4^__ 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 worlds 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 04665 INSPECTION REPORT INSPECTOR CODE At'Kifc JOB NUMBER OTGH^ JOB NAME ADDRESS -25*^0 frA-tecJAu foJ' CAT/sb.A-d ARCHITECT \jj A^C€. (Y) ft ) C£),-Wh ENGINEER DATE 3-13-08 M T W BUILDING / OSHPD PERMIT # / DSA APP* GENERAL CONTRACTOR S>f\ V-, d e,r L A-TI c 5sto .-) SUBCONTRACTOR (It Any) ' ^- F £S DSA FILE* JUFIISDICTION <f A-H.S b/vcl 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 ^00^ ^ 2X f qwt«tN en TIME IN ^H<^3 TIME OUT MEAL PERIOD I I Mileage.j Expenses. | I Reinforcement. | I Fireproofing . [~~1 Concrete Placement. . n Quality Control _IX| Masonry. Administration. | Prestress Post Ten. I Other Plant. "R>\^G ^A DESCRIPTION OF WORK INSPECTED Pre- H'loVs U£r Qrni-i+ r r«>»a^ <,p^< fv c 'V< s» -S I Of ^mc^ L' n4-£"L? Pr^-vxe-^ i A-W \ -1 <->C U^ t -Vi C\ / TiFH^C**" > / ' j. ^( Ar«-,/>-,^ ^^^<-Xo lAe^^c^r A^S ^^r^^-^^H //*' • r "p? ->c -V~€ ,o «, 10 /^ ^ S 1 . 3 i ^ . <"<* i IT* -r^Pr ^iArx«> rt-^f id "h £5 TL ^ ^ P n i ' •rv^r -S'1.3/ C A/0-He 9, 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 m c^r(<>t>A^ approv (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 Inspector's Name ' Inspector's Signature Inspector's ID /Lie # Yes h ^VK)J2>w ni^t/05 j ^f^- i ,— , — STJ^flyr -* ADMIXTURE e e statements are true, ng the period covered compliance with the ed plans, specifications lot&A •^ v jf-c-e DESIGN PSI CUB1CYARDS SPECIMENS | | Additional Page (Page #) CM All inspections based on minimum of 4 hours and over 4 hours - (j hours minimum In addition, any inspect on 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 f £s4e^?£»v^^—— (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 11682 INSPECTION REPORT INSPECTOR CODE | JOB NUMBER JOB NAME Tri?" OcC^r\ C J5 1 l^G t~TO;') ff\~ ijf^-S^i^, fx.wOC*''* ADDRESS . ^^C <bAt€cJ!<HJj R.cl- C/^rKhfiT* ARCHITECT ' ENGINEER LO&-HJ W\A IconrN^ ijf\Ai \Jrt(^kC"H> DATE 2^1-08 M T BUILDING / OSHPD PERMIT # / DSA APPI* GENERAL CONTRACTC)R Lft.n<i"Vkhn> W T F | S S DSA FILE* 1 JURISDICTION SUBCONTRACTOR (If Any) 1 REQUIREMENTS 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 8-0 1 5X.2X TIME IN ~l ', oo a-rto TIME OUT 3' 00 f-ro MEAL PERIOD r~] Mileage | | Expenses | | Reinforcement. | | Fireproofmg . | | Concrete Placement. . [ | Quality Control | Masonry.. | | Prestress Post Ten | | Batch Plant. . | | Administration | | Other. •©•S'ia-.-A^' DESCRIPTIpNWVl/pRK INSPECTED H ; : otoserueVinnoniHtjr R' * ^'H " Li£t*/ Ptr5> per- p 1 f 1 V tj ( ^ -^ ^r\ G^>^ Si ,O l -^-u p'i C»^S S1.3 ~("6 Co on pU5 4-1 O^ . *UAoous ft- V\€» q rftfCi re^s pr^vyf 4-, c»I,<vn€c ou<^^ A^e to U/VA^A\;S-,V^ ^oi\\ n-e-eA Jm' ( / ^ If iu.p,c-,al rU-h '^ MIX USED *.K *M S,? DESIGN SLUMP Certification of Complianc 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 s'' A./^l < ^"V^-^\ appro\ (approving au'honly c 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 # T RpT^H TCmo^ Ml-Sfo^F ADMIXTURE e e statements are true, ng the period covered compliance with the red plans specifications SHPD C'ty of LA etc ) :ept as noted below .. Yes . No ^ i^A-N)^^ Al \C( /^^- — f^-^i^^L— — /< ' ^V *</ DESIGN PSI CUBIC YAffiDS SPECIMENS D Additional Paae (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 s\ /I Approved/Authorized by /&^'10%^J->&tS~-~ (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 11681 INSPECTION REPORT INSPECTOR CODE ft i Ki .X JOB NUMBER DATE JOB NAME -OD._a±. BUILDING / OSHPD PERMIT # / DSA APPC DSA FILE* ADDRES GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER ±EL SUBCONTRACTOR (If Any) iMTX 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 8.0 1 5X 2X TIME IN *7:00 fl'^ TIMEOUT 3'.OO p- (* MEAL PERIOD I Mileage.I I Expenses. [ | Reinforcement. | | Fireproofmg__ . | | Concrete Placement [vj Masonry [ | Prestress Post Ten. [ | Quality Control | | Administration [ | Other Batch Plant. _an_ Ail CL ± ^ Tvll> XI ii. \DI \ IXUSED DESIGN SLUMP AMIXTURE DESIGN PSI CUBIC YARDS /Boo 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 autnonty 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 s V 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 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 wwwqannc com 11684 INSPECTION REPORT INSPECTOR CODE JOB NAME TK^ OC<2./vrv t O \ \ e>.t1r\or ADDRESS -X^HO (J7 &tC U)ifroj T ARCHITECT ' Ixi ftf^J JY\ A- 1 COtTvV^ JOB NUMBER * A-t- tW<S^ R<*X*N ^<4, r M- ENGINEER -|?JOAA v\(rfTO DATE M T W T F S S BUILDING / OSHPD PERMIT # / DSA APP# DSA FILES GENERAL CONTRACTOR JURISDICTION ^~>r>u«^l&r j—AAo^TOl^ i<LAf"l"j(nA4 SUBCONTRACTOR (If Any) 'ivvrx. REQUIREMENTS. Limit of one job number, fcne 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 ccmmunications with project designers, building and permit granting authority officials REGULAR 9,o 1 5X HOURS 2X TIME IN TIMEOUT MEAL PERIOD "I .'oo A,* 3:00 p,m Mileage I I Expenses. I I Reinforcement. | | Fireproofmg . | | Concrete Placement. . | | Quality Control | Masonry. .|~~| Administration. | Prestress Post Ten. Other Batch Plant. DESCFIPTlNDFWORKINiSPECTE; ££)' tt>r itf nr> £LS--?-rN. SI-O . ~h U Di< A K r^l/n s C . LAr^Temfi<; 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 C~ ^^> ^ ^ tOPV<X approved plans specifications (approving aufficirity e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below | | Additional Page (Page #) CM . 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 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 11679 INSPECTOON REPORT INSPECTOR CODE ft'. K* c\ JOB NUMBER DATE w JOB NAME •Ttva.£-oi^cf|'cr» BUILDING / OSHPD PERMIT H i DSA APPS DSA FILE* ADDRESS L)A^ GENERAL CONTRACTOR JURISDICTION ARCHITECT (v\A\ ENGINEER SUBCONTRACTOR (II Any) REQUIREMENTS Limit of one job number, o'ne 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 [ Mileage 1 5X 2X [ TIME IN 7:OO A-nr-» "1 Expenses TIMEOUT 3 ', <y O ^. //^ MEAL PERIOD | [ Reinforcement. | | Fireproofmg . | | Concrete Placement. . | | Quality Control . [^Masonry | | Prestress Post Ten_ . | | Administration [~~| Other Batch Plant OF ^ monitor ft"*on 51/0^^ ^j. . • _ IlV>.tt€gN Cell Sp^d jincor-p^ ^ i . Lft fi-ppro j JM .M.KfX TO Cmu to tK^. blcla , siAbs. A to be LePt LO'J pof co re. 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. [jioprovirg autnonty c 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 (Project Superintendent) Quality Assurance Inspections 11678 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 www qannc com INSPECTION REPORT INSPECTOR CODE f\'(^ ^ JOB NAME TY\P_ (Sf-jgAA collect-ten ^ ADDRESS ARCHITECT ' iOiQ/p ir>A-(corvs.b JOB NUMBER t- |?>TCSSv^ T^/VV^ CAT U>toc*<j\ ENGINEER DATE BUILDING / OSHPD PERMIT # / DSA APPit GENERAL CONTRACTOR ^rvu (A-ejf- L Ar\ <4 vf £rT| SUBCONTRACTOR (If Any) ' 1AATJL M T W T F 1 S j S DSA FILES JURISDICTION REQUIREMENTS Limit of one job number, 'one permit number per sheet Ide'ntify 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 1.0 1 5X 2X TIME IN 7 ',0-0 /X..vx TIME OUT *7 : (jo &.tv\ MEAL PERIOD | Mileage j | Expenses | | Reinforcement. | | Fireproofmg . | | Concrete Placement. . Q Quality Control | Masonry. .| | Administration, . | | Prestress Post Ten. . Other Batch Plant. Wftq A* -•'• <*bbf3<Lf ()%. I AICA DESCRIPTION OF W^RK INSPECTED J v i 'her 8'VmiA /V^> O&<~ t> Crvrv foe/Y, SI .0 j ^tiirtrk. «,4ta Cip t? .A CACA.-^. "t-rr /HeJ uyf. u-sstnil^S-Tojo nn s-hartf^ CAt^rse' / ^ - *^ TLJ- • f — | V o rA-/k> pfaue'ST rts^pooie i-or a^ Fin\S^ec\ rou-oK^^^ A n i~:e *i s, . S ri^ 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 TA<1«^ \pA-cA aPP™ (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 Jx Inspector's Signature Inspector's ID / Lie # Crr>tA-fo doncr^-W' A^kp^,^.^ conc^W <, LA-bs; > v^ Q i^ ( O i t fV jj_ Gv" S A l o Qo L>J (? »-S TemhZ 5>O~ ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications SHPD City ot LA etc ) :ept. as noted below Yes No "Jh/r ^Ar-ii>'^ ^-i (<^i iJ'S s^~~'7^-*' <5<247<^< —• — • ?r-AY DESIGN PSI CUBICYARDS SPECIMENS | I Additional Page fPaae #) 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 tour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied S\ /4 //« * Approved/ Authorized ty fL>*^i?'S®tt"ab^' (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 11677 INSPECTION REPORT INSPECTOR CODE A'( k t 3. JOB NUMBER 070^99 DATE jB NAME ^Andn BUILDING / OSHPD PERMIT # / DSA APP#DSA FILES ADDRESS GENERAL CONTRACTOR JURISDICTION *&*;O>JTIARCHITECTENGINEER IMi »r' nn( SUBCONTRACTOR (If Any) REQUIREMENTS: Limit of one job number/ one permit number per sheet Identify alfwork 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,'oofl TIME OUT 5 ,00 f> MEAL PERIOD | Mileage | | Expenses |~] Reinforcement. Q Fireproofmg . |~1 Concrete Placement. . Q Quality Control Masonry. .| | Administration, -1~~1 Prestress Post Ten. . Other Batch Plant. RWrt h^ A > DESCRjRTlbN DRV observe/™ ftr» tor &'OY^U meX uTT i Ac, o^r- p'(/^o frm. Sl.O -KipW^I c\e \ \ ' } fiPo'i^t, ~i A-^^ O^jri'TU r€.bivr- -rvVt )\ <"^-r-"t"w ' 1 MIX USED DESIGN SLUMP ADMIXTURE Certification of Compliance declare under penalty of perjury that all of the above statements are true, by this report has been performed and installed in compliance with the f ft-f~ 1 e^bAt^ approved plans, specifications {approving authority e ^ DSA OSHPD Crty 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 ~fv/vne>y AiU-I.-J^ Inspector's Signature ^£—-^^^. __ Insnfiotor's ID / Lie # ^?3b 76 7^"'"Xif iycmK;m^p^CTEp: : ,u • ; >••;•;. '^ :Y-^I. 0 •, ;;-. ' r>S-^v!\A^inr. rtrx S^Ar-fer c<omr*e<k ^iq-iK ^1,^ U^6r(c ^4-1 \ 'm I^-AC^^Si ° ^ A4, (^ 6»r 6O Temps £>S " C^O v DESIGN PSI CUBIC ^ARDS 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 ? hour minimum charge will be applied /J ^ ^?s? ^r A -I/A ^L. -,1- /l/S£~^%SFc£e<?"£3^Approved/ Authorized by /C^ ^ (Project Superintendent) Submitted by Quality Assurance Inspee tions 17942 Sky Park Circle Suite J Irvine, 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 2540 GATEWAY ST CARLSBAD ARCHITECT WARE MALCOMB ENGINEER MIYAMOTO DATE January 23, 2008 BUILDING PERMIT NUMBER/DSA/OSHPD APP FILE # CB070435 DAY OF THE WEEK WED JURISDICTION CARLSBAD GENERAL CONTRACTOR SNYDER & LANGSTON SUBCONTRACTOR (IF ANY) REQUIREMENTS Limit of one job number, brie 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 1 5X 2X TIME IN 7 00 A M. TIME OUT 12 00 P.M [Re-Inspection | | Show-Up Only | [Expenses | [Reinforcement Concrete | [concrete Placement | [Quality Control | [Administration | X [Masonry |_lReinforcement Masonry Qprestress/Post Tension (\(X |'ojher \J I |J iFireproofing OBSERVED THE INSTALLATION OF EPOXYED # 5 REINFORCEMENT INTO FOUNDATION @ BLDG A ALL HOLES CLEANED PER MANUFACTER'S RECOMONDATIONS ALL HOLES DRILLED A MINIMUM 8" INTO FTGS A TOTAL OF 6 # 5 REINFORCMENT EPOXYED MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS Additional Page (Page #) CM 1 OF 3 REPORT | J 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 DONALD R WELCH Inspector's Signature _L^ (Project Superintendent) Inspector's ID / Lie # S D #933 5073827- Approved/ Authorized b Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 wwwqannc com 10370 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE F ! JOB NAME BUILDING / OSHPD PERMIT # / DSA APP#DSA F ILE# ADDRESS 2-5MO HA. GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER % SUBCONTRACTOR (If Any) £1M——•—L^—y——y »—i—r^n^sr v—^ 1 • » —i • i T—r-.Ty.j r—> i—i—.—jr. •—-.. j- i *^- T *•>_:—• —»— 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 tucx-K U.-S rc 2X 3t Jo«->fecl «n lOt TIME IN •72. TIME OUT MEAL PERIOD I I Mileage.I I Expenses. | [ Reinforcement. | | Fireproof ing Concrete Placement. | [ Quality Control | Masonry ,| | Administration Prestress PostTen_ | Other _ Batch Plant. !b\<i<H| A > <O t>3CX~\) €-€A < <°£>fi SC i t A A "f~t lor> cr^jh^L im t O.-N -fer <^ JA \E$wmJ^^ .' \.i;-!.- -"•: X^ H *S335^O A-POy l&v V*A^> T> 1 A-ce^v^ewf- An cV^ \\, r T ^vif,i. /> £>A <a r Ati^ i nTiPr * O r «i ' — '/V^P \€^> ifWjfl u. v. r <*. A /c> i~r/"}^ o/^3 /4^ fc&s~ /r^~JTv\ ^•/7»rvcito-/-t'ts c'/<5Cy C5t C/H^/ C ' » ^— / ^ I UV.JV1 1^ ^ J^v co r> c /~o*<_ "t~GiA»- A 6 H F" ' MIX USED iJ^^Q^n^ DESIGN SLUMP =/" Certification of Comphanc 1 declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed in C(-/^/ or CAr'/ifo'VJ appro\ ADMIXTURE e e statements are true ng the period covered compliance with the /ed plans, specifications (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, exceot as noted below S Exception(s) noted in report (Initial at Yes / No as applicable; Inspector's Name$L Inspector's Signature Inspector's ID/ Lie # .S Yes . No fr« 4*)n-/hVcn, /isJL-^e^^ ^^2.6 76< i • IS if-Wi'tfr DESIGN PSI CUBIC YARDS SPECIMENS y<&0 /&& Ccf\ 6*xJ*"c*L s 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 nojurtrrtrrvpeffemied, a 2 hour minimum charge will be applied f \\ J Approved/Authorized by s^~~ T\ f" *•——•"' C (Pf6j^ct Superintendent) Submittfid by Quality Assurance Inspections 17942 Sky Park Circle, Ste J Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 10200 INSPECTION REPORT INSPECTOR CODE JOB NUMBER 499 DATE JOB NAME at BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* Cj&O TOH ADDRESS GENERAL CONTRACTOR JURISDICTION cJfr-f cf ARCHITECT ENGINEER Wl y A matb £nlv -£nc: , 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 U,«^ Wr> 2X r-efoH-^ on TIME IN IO-S6S- TIMEOUT MEAL PERIOD I I Mileage.Expenses. [XI Reinforcement. | | Fireproofing . | | Concrete Placement. . Q] Quality Control . | | Masonry .[ | Administration. . | | Prestress Post Ten. . Other Batch Plant. ¥>\&a A * DESCRIPTION OPWCmK^NSREGlED ^ r kpM< p^"-»'^T\rr-o tv^rvt &k f • -N O 1 n ^ 1 "^3-5s for C1O ros- _^lK!Vk> &n c^r^A-f A^s oer- S2 -f\ /Dt-ff V ' ' / &' ' ' ' ' A f&'^^A-H^.aS - •$ '•& /"ST-^-L. Ajo-H°S £, ' / ^ r^oforce^^y- 4^t$ GrHO Ub^ '« «s Lie<^ crT &r. fcO rejtv^r * •> • ±*-i > «TunneU$ c& ' 1 UA. MIX USED DESIGN SLUMP Certification of Complianc I 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 Cr/y c £ t A*~i $ iz^l aPP™ (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 _S 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 ) cept as noted below Yes . No t^Ji, ?fVUD^ A>l<.»«P/. ^ ^^ $2.(<;1M$f-Vf Z.t.t 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 'lour minimum If inspector is called to a project and no work is performed a 2 hour minimum charge will be applied /-> S /) / '^^''^ S^- Approved/Authorized by /L^--^*^^^*31^^----^ (Project Superintendent) Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949) 553-0371 09700 INSPECTION REPORT •Mhannn INSPECTOR CODE JOB NAME *J '"fk^ QOii/3*J CeU AD5Efy0 G^«-Ti>^ ARCHITECT www qan JOB NUMBER©7.9 t£jJ-10»vr ic com V £ 9 f ^JH (& WiA-Q/ ' ENGINEER DATE M T W T F S S BUILDING /OSHPD PERMIT),'/ DSA APP# DSA FLE* ^07000-3 GENERAL CONTRACTOR JURISDICTION «A>v*olt/~ *— IvrtiQ^e tSW* **\ VjfS/'lS'o A~Cf SUBCONTRACTOR (lf,Any) "J J-^I^W*^ ) REQUIREMENTS1 Limit of one job number, one permit number per sheet Identify all wor\ 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 corrmunications with project designers, building and permit granting authority officials REGULAR V | | Mileage 1 5X HOURS 2X TIME IN TIME OUT MEAL PERIOD t O \<£> O / f]Q O | | Expenses [Reinforcement. | Fireproof ing . | | Concrete Placement. . | | Quality Control . | | Masonry .|"~| Administration. . | | Prestress Post Ten_ . n Other Batch Plant. DESCRIPTION OF^RK INSPECTED• - ' ''••••••>' •• ' • •• • ': '-•• • ••• • -•• ; '••••• ••••• 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 thisj-eport 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 # M 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 II (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 09702 INSPECTION REPORT INSPECTOR CODEf£c JOB NUMBER DATE /I-Q1-0-? T V JOB NAME BUILDING / OSHPD PERMIT * / DSA APP# Q-IOQD3 DSA FILE),' GENERAL CONTRACTOR JURISDICTION REQUIREMENTS. Limit of one job numbenbne 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 V 1 5X 2X TIME IN ^.00 TIME OUT 2,3<a MEAL PERIOD I I Mileage.[~l Expenses, fjC| Reinforcement. | | Fireproofmg . [~| Concrete Placement. . Q Quality Control . || Masonry Q Prestress Post Ten. . | | Administration Q Other. Batch Plant. j^»r "7 7<tj^sor 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 I yftj-'l^ BA-oJ approved plans, specifications (approving authority e g DSA OSHPD City ol LA etc ) and all applicable codes except as noted below Additional Page (Page #) CM . 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 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 10201 INSPECTION REPORT INSPECTOR CODE JOB NAME ADDRESS ARCHITECT ' (jOA-re. mA i cjo nr, ir> SH#b9g| wwwqan ic com JOB NUMBER AO A*-Br>iv,*> '"ftivocU OfVc* ) *~> lo/Va ENGINEER rf\t\i* (TYvnVr, JjrK XX C, DATE M T W T F S S i i — H ?9 — t"^ 7 yjl«Ac5v~'/ /C BUILDING / OSHPD PERMIT # / DSA APP# DSA 1 ILE* GENERAL CONTRACTOR JURISDICTION ^n*-if\-°-f~ 1 ^-'^'"('b"^lltN (M'-r-u Ci*- SUBCONTRACTOR (If Any) ' C f!> <* li fa A-A Or*mcjnn REQUIREMENTS Limit of one job number, bne permit number per sheet Identify all' work by type and SPECIFIC location Non-compliart 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 8.0 D Mileage 1 5X HOURS 2X TIME IN TIMEOUT MEAL PERIOD <o'30A,YVN 2 I3O jjx/v-x | | Expenses (~| Reinforcement. Q Fireproof ing l Concrete Placement. Quality Control . [ | Masonry. Administration. .| | Prestress Post Ten. . Other Batch Plant. 'Stci'-Q A * 'c "i lo ^iCZ-Tvj-ej^ < &Q(~\ . S 1. ^ O . SA^^^-S a AsHvl S^A^J 'oA<<rpt-^ no ^ _P,,r- o«»r > I 1 d/Wr\s f \0fe >E^eRipTi^oFVtf^RK:;iNs;pE^ ^''T vr/'vx:1 ^^^'^^^OO/app. 13.7 NJcJiik pUcvmP -f f^-oA '.^^•^-^^ AH^^ JZ>r^r 4y\4-51r S. aJ'b^r- OJA^i ^n^r A>0^',rf\-p4^/' Aisno ^v^-ik p«r\ Ac oe«~v ^" \ / r ' /* / MIX USED ^533<;60 DESIGN SLUMP *y //^tA/c 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 r%(^ fVp-CLArtSl'la./^ appro\ (approving Authority eg 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 /ed plans, specifications SHPD City of LA etc ) cept as noted below / Yes No V&& ^A.»oji^y A-'' K /Z__^^< — L-~ \r*Z ' f^~- <-/ °irO ( / DESIGN PSI CUBIC YARDS SPECIMENS ^-/^oo / ^"7 n '*-i\ (-.r/*o''IfJ '~'V_^ 1 .J 1 m \J '} "C ^ Cy /, |~] Additional Paae (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 /&+^- ^"^^^-.^ (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 10348 INSPECTHON REPORT INSPECTOR CODE JOB NUMBER JOB NAME TirVL co c^Vp, f£> 1 l^etflo n Arfr 'fef^S^ j-e, T-^Anr^ ADDRESS 3.M5O ftATfeumu C<<*rKtop*\ ARCHITECT 1 UJAT?. im A- \ccrviW ENGINEER KYt u <vmcfh> Hrvh .Inc. DATE M T W 1 l-IH-01 V BUILDING / OSHPD PERMIT * / DSA APPft GENERAL CONTRACTOR *~> f\ u A^-xr L^vnq ^.-von T C <5 S DSA FILES JURISDICTION SUBCONTRACTOR (If Any) * £_ £\,rKlo**cX REQUIREMENTS Limit of one job number, bne 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 $,O 1 5X 2X TIME IN 6:3>ofl.m TIMEOUT j;3o P'1^ MEAL PERIOD i | | Mileage | | Expenses | I Reinforcement. | 1 Fireproof ing . | | Concrete Placement, . | 1 Quality Control - [XI Masonry | | Prestress Post Ten. . j~j Administration |~~| Other Batch Plant. Q ]D!bie>r\Jfc,/V>><orM4ti>r- ft V-ifYMi 'i rvvV-Cvlltfhor> -\-f\f~ 'VnTA-'SV^ ^J^d \O<su,r6,^ A""T~/ n< "Cxs-TT p> W 7'*f!" V4f^U> or+u L !ne £ U£fS ' C©r^| 3 ~^iPr<^r & ra pa,-"4-u t-'i^-e (® POrsf^Hn Ano ^Ok.rt'^ €ne\S. >". 5/*3/*M citfTif^/\- (^,K<aeJs C. l-^vrvorocT-S *ri^r" ?\f4-c«^ , MIX USED DESIGN SLUMP Certification of Complianc declare under penalty of perjury that all of the abov and that of my own personal knowledge the work dur by this report has been performed and installed ir appro\ l <^rmfi>5> ^> ^- -^ o ^' F ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications (approving authority e g DSA OSHPD City ol LA etc ) and all applicable codes exceot as noted below s Exception(s) noted in report (Initial at Yes / No as applicable' -r? Inspector's Name JS Inspector's Signature Inspector's ID/ Lie # Yes l> aMp A'^U i /*<L^~.-~y^ — *^ •5^^7695^- toOL* >$> V^-XV DESIGN PSI CUBIC YARDS SPECIMENS [ [ Additional Page (Paae #) CM All inspections based on minimum of 4 hours and over 4 hours 8 hsurs 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 /? /.X7^ Approved/Authorized by //f>«^!^<^x*J (Project Superintendent) Submitted by Quality Assurance Inspect ons 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 wwwqannccom 1G345 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT II 1 DSA-APP*DSA FILES* ADDRESS GENERAL CONTRACTOR JURISDICTION CL ( 4-H rt-P 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 8-0 1 5X 2X TIME IN 1 'OO A<^v TIME OUT 3 '. 00 p, nn MEAL PERIOD [ I Mileage.I | Expenses. Reinforcement. Fireproof ing . | I Concrete Placement. . [~"1 Quality Control I I Prestress Post Ten. . || Administration || Other Batch Plant. -s for ft-f u. in flTtfVLt <. ' 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 (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes, except as noted below _^*^ 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 anpijio work is performed a 2 hour minimum charge will be applied Exception(s) noted in report Yes (Initial at Yes / No as applicable) ., No. Inspector's Inspector's Signature Inspector's ID / Lie # ^f a/. Approved/Authorized by roject 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 10342 INSPECTION REPORT INSPECTOR CODE J<1 JOB NUMBER DATEii - q -o~r k JOB NAME BUILDING / OSHPD PERMIT # / DSA APP# ADDRESS p 6 4O Or- 1 GENERAL CONTRACTOR . I L JURISDICTION ARCHITECT ENGINEER Xnc, SUBCONTRACTOR (If A^y) MTX. REQUIREMENTS: Limit of one |ob 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 8/0 1 5X 2X TIME IN 1: oo A,*A TIME OUT 3Vo« j,^ MEAL PERIOD D Mileage | | Expenses | Reinforcement | | Concrete Placement [XI Masonry | ] Prestress Post Ten | [ Baitch Plant. | Fireproofing | | Quality Control [ | Administration | | Other r OU.T A-S -H . t Id/' Cr.nus o on r>A. li' x> *\\ lUBI' 58 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 # 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 anal 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 10347 INSPECTION REPORT INSPECTOR CODEMkif JOB NUMBER DATE -13-Q7 XJOB NAME co Ue rhoo A-t BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* ADDRESS :-UJAU GENERAL CONTRACTOR JURISDICTION vfiARCHITECTENGINEERSUBCOTRACTOR (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 iftfb; on oo< 2X >rk-hn> on r< TIME IN .^orH* |o^s£ TIME OUT MEAL PERIOD I Mileage [ | Expenses | | Reinforcement. Q Fireproofmg . | I Concrete Placement \7\ Masonry \ | Prestress Post Ten Q Batch Plant. . [~~| Quality Control [~l Administration [ | Other O i>3£f~o £ A"1^ fvjc>HrK prvp A«, p^V1^'1 P/~tor- Q O*"1 e^-V^ Line. \ ^ /\.ft/^!-lS LV i o^»*f<:*'l 1 P^l Or» "ro^" ~pr¥v=sW ^oc'^^^vf^CS A"^~ 1 A-*>'T pf(OiO*r"-VM \ 1A?. (£ (^ftr^irt A<\cV "Sr^vx"^-?^ Ovc>S S 1 ^V*isA^ ^ e4t4'i 1 , WoA k s4i ( \ i n prac- ^ ssr i . 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 ir appro (approving authority e g DSA 0 and all applicable codes, ex Exception(s) noted in report (Initial at Yes / No as applicable'_^—» Inspector's Name k Inspector's Signature Inspector's ID / Lie # ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications SHPD Clt/ol LA elc ) J cept as noted below / Yes No "^ •[$ ^IO-Q ^. P^ fc.\ i s^L^/^~~} •<- ^t> 2*({,*~1 \o /-j JO-i. -*^1 i,c,c DESIGN PSI CUBICYARDS 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\ tf /\ Approved/ Authorized by/A^z^^^t<4*icJ^^ (Project Superintendent) Submitted by Quality Assurance Inspections Inspection Report 17942 Sky Park Circle Suite D Irvine, CA 92614 Phone (949) 553-0370 Fax (949) '553-0371 19501 JOB NUMBER070-DATE BUILLTPERMIT NUMBER / DSA / OSHPD APP FILE *JOBCMME JURISDICTION A. ADDRESS 70 GENERAL CONTRACTOR dff ARCHITECT ENGINEER SUBCONTRACTOR (II Any) £«*^C * f\pr^cM _ . REQUIREMENTS Limit of one job number, one permit number p6r sheet Identity 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 fe 1 5X 2X TIME IN 1'^>cP A. TIME OUT 1 2_', oc^ I | Re-Inspection.Show-Up Only.I | Expenses Reinforcement Concrete _ J^JGoncrete Placement Masonry Reinforcement Masonry Fireproofing . I | Quality Control I I Administration _____ I I Prestress / Post Tension I I Other. MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS fj Additional Page (Page*) CM.REPORT Contains Does Not Contain Non-Compliant Items Certification of Compliance I declare under penally ol perjury thai all ol the above statements are true and thai ol my own personal knowledge ihe work during the period covered by this report has been performed and installed in compliance with the approved plans specidcalions and all applicable codes • MInspector s Name Inspector's Signature AM inspections basfed on minimum of 4 hours and over 4 hours 8 hours minimum If inspector is called lo 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 wwwqaimc com 10354 INSPECTION REPORT INSPECTOR CODE A'.kiR. JOB NUMBER DATE IV - W JOB NAME ocgArv CD\ \gct-ion BUILDING / OSHPD PERMIT # / DSA APPtf DSA FILE* ADDRESS GENERAL CONTRACTOR iNTI JURISDICTION O-*-y rtP ARCHITECT ENGINEER fY\n Xnc SUBCONVRACTOR (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 U)or\<i- hrS> ( 2X >n \02>55 r-e TIME IN port TIMEOUT MEAL PERIOD Mileage.Expenses. [~~| Reinforcement. [~| Fireproofing I Concrete Placement. Quality Control Masonry . | [ Administration Q Prestress Post Ten _ [~| Batch Plant. | | Other __ -v-e*.- •:: • j^.;^1-.' j:Kyi» •; -. ?<• -.. •• r .—o1" - *• - " ' ""•' -• <.^'J\.'~ . * ••>•; ..-.-•'"•" f,t-' ;- ,.-• ~ ,-.. ,»»»-j^^K.^&^:^ *W.:i1T-l%^?/.,»«^^'JW^a7A'H^3fc.i^^,y-J'i\V\(V *'*V5*!^,.A S-* ^.'.•.•I'-.i'Vi'^-., . *.*v»-. r\G £. ' P^-irl<,4r%((i:V<ilr\Alon>nCi ( 'fvr>p*r-K/ I ,VN<? , iofl u"A--r jv±_onlif 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 | | 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 # 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) 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949) 553-0370 Fax (949)553-0371 www qannc com 10350 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOB NAME BUILDING / OSHPD PERMIT »I DSA APP# C&QTX562- DSA FILES ADDRESS GENERAL CONTRACTOR 5n H A-zs- LArufr yior\ JURISDICTION CjKj of ARCHITECT ENGINEER SUBCONTRACTOR (II Any) Da-mcorN 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 TIME IN TIMEOUT MEAL PERIOD £t£ck±<d.On : 30 A-. I I Mileage.|Expenses. l Reinforcement. Fireproofmg Concrete Placement Q Masonry | | Prestress Post Ten | | Batch Plant. | | Quality Control [~~1 Administration | | Other •*- -<'i-"•.'•-.> •.-,«•,' - Ji'vy-* ,'r :. ;*,« • :"VVi.»»i'«--,v.-1'-••aSEi.r*riE_'t-* «*-.?':.:,•-&.*-..%>•!*.'«(*j?J **«£," -\s::aA*;*^a--vess:'v .••%,"* -"-% ."stev * >^^- ••- vs-'-i- ."•-' •.*.'••: ; ,; ' >«•*-, •' * v ^^.'-v ": o r>u^Alon pTTpr>-er4-M LVn <_ A s, y f ) n u c. A per SI/ M \xrtU\ -V^^vej MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS il" 7 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 (approving authority e g DSA OSHPD City of LA elo ) and all applicable codes, except as noted below Additional Page (Page #) CM. Exception(s) noted in report Yes (Initial at Yes / No as applicable) Inspector's Name ^pv 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 inspector 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 www qaimc com 10346 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE M-1.V07 T. *JOB NAME BUILDING / OSHPD PERMIT # / DSA APRS DSA FILES ADDRESS GENERAL CONTRACTOR ENGINEER lAiviA 4&IBCONTRACTOR (If Any) L^C JURISDICTION rn-tf ciF 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 g.o 1 5X 2X TIME IN 6*30 A.</* TIMEOUT }' ^)O O, fr\r~ ' *S Tf MEAL PERIOD | Mileage.I | Expenses. Reinforcement. Q Fireproof ing . | | Concrete Placement. . | | Quality Control Masonry .[""] Administration. . [~~| Prestress PostTen_ . Other Batch Plant. ^^^ •"N > 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 (approving authority e g DSA OSHPD City of LA etc ) and all applicable codes except as noted below Additional Page (Page #) CM . 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 /*\ jf - (Project Superintendent) Approved/Authorized by _ Submitted by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949)553-0371 wwwqannc com 10351 INSPECTION REPORT INSPECTOR CODE /V", kt JOB NUMBER O DATE JOB NAME BUILDING / OSHPD PERMIT # / DSA APP»DSA FILE* ADDRESS tx>»^ GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER SUBCOTRACTOR (If Any) REQUIREMENTS1 Limit of one job numberone 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 1 5X 2X TIME IN •7:0**. ^ TIME OUT S V OO j>> r* MEAL PERIOD ^] Mileage | | Expenses | Reinforcement [ | Concrete Placement |7) Masonry [ [ Prestress Post Ten | | Batch Plant. | Fireproofmg | | Quality Control | | Administration | | Other r "VrAr^-fiir Urw a^> <per ,5l/*(t fcr>. SK~OCM;> tp»Qi A- ft r> nt) a A-1 "7 -FT "T *ci * F MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI uBIC 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. Cji^i <* (approvingfeuthon(approvingfeulhorily eg 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 "T^t>. 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 wori<^ is performed, a 2 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 wwwqannc com 10355 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE JOBNAME BUILDING / OSHPD PERMIT # / DSA APP#DSA FILES ADDRESS )0^| GENERAL CONTRACTOR JURISDICTION ARCHITECT ENGINEER 'Int. SUBCONTRACTOR (If Any) H*REQUIREMENTS- Limit of one job number, Vine 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 fe',30A,«s TIME OUT 2 ,' SO £>. m MEAL PERIOD | Mileage.[ Expenses. | | Reinforcement. Q Fireproofing . | | Concrete Placement. . | | Quality Control Masonry. .| | Administration. . |~[ Prestress Post Ten. . Other Batch Plant. :'-•'••' ''.;•'.'. '••'••'""";'. ;"'..;-;--' : ^iSE&GftiP^^ ^-^ £fo<&r^e?\ Q rocv-hrjci e£~re i\S (Ti \<=W-«2^r>efYV ar\A rvtan <;olicUrl-i«r> A'f (rvJnr-H^ i / -> r-tr\ r\& T-4-C4 U( i MIX USED R5Z006H2 DESIGN SLUMP R'-il " 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 in appro\ (approving authority e g DSA 0 and all applicable codes ex Exception(s) noted in report (Initial at Yes / No as applicable] Inspector's Name _J Inspector's Signature Inspector's ID / Lie # SHPD City of LA etc) ;e.0l as noted below Yes . l« ^<VA£>VJ jrXNyOr\s tS^-r^** -5-2<£7£?>T-/ ADMIXTURE e e statements are true, ng the period covered compliance with the /ed plans, specifications Jo £».&• ••••^•K <Y DESIGN PSI CUBIC YARDS SPECIMENS 2.000 ^O ycJs ft) Orow-f Cub^s | | 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-x J Approved/ Authorized by / C7t*^^/yT^-f**^'^^~*~-~~ (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 10360 INSPECTION REPORT INSPECTOR CODE JOB NUMBER 070 W*(L W JOB BUILDING / OSHPD PERMIT # ADSA APP#DSA F ILE# ADDRESS ARCHITECT CJSfcel ENGINEER lYS'iV. GENERAL CONTRACTOR SUBCONTACTOR (If Any) JURISDICTION—. 0^ ^M 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 Wo- 2X *k*\r< repov TIME IN -nscJi OA *f 0; TIME OUT '67 MEAL PERIOD | | Mileage.Expenses. Reinforcement f~] Fireproof ing . | | Concrete Placement, . | | Quality Control ,| | Masonry. .[ | Administration. . | | Prestress Post Ten, . n Other Batch Plant. Skfc A- v :--.' :-;;; ':- pEgcRipiJipN^Rv^iRK^NSpEc^E^^;;r:;/^ {••••'•:• \:x:.\ Obv^o-^l A//5lS £r<£)6 reirrfer^ev^^xT cJ.A€rOiv\<?K-h 4^ Der -%>LA/-» <^i \A-~H & ^t^S\4~'\ CNG-A•V) -j A ~ c~> 1, A .TrYV^-r la - &5\-) r^c ^ s i -^ / C- ^' x47* ri c/- e"1 i*- 1 \ ^ ' " « /' / y i MIX USED Cert 1 declare under penalty of and that of my own persor by this report has been /" /^d/"**"^ <**r ^-&i~1^*^(appri^ing authority e g DSA d and all applicable codes ex Exception(s) noted in report (Initial at Yes / No as applicable)"i^ Inspector's Name jfc Inspector's Signature Inspector's ID / Lie # DESIGN SLUMP ADMIXTURE fication of Compliance perjury that all of the above statements are true, al knowledge the work during the period covered jerformed and installed in compliance with the '$ Ijr&f/ approved plans, specifications SHPD CilyofLA etc) ,, sept as noted below y Yes . No \#Jf > (4i{<;/^ > j^^. — ^^^*=- — • — . ^^ / v^/" &^'^ L/tf^> *£.&••, r fo Y5 — 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 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 j^i^i'^fct'f'f^ (Project Superintendent) Submittpd by Quality Assurance Inspections 17942 Sky Park Circle, Ste J, Irvine, California 92614 Phone (949)553-0370 Fax (949) 553-0371 wwwqannc com 10200 INSPECTION REPORT INSPECTOR CODE JOB NUMBER DATE 1 W JOB'NAME collection at BUILDING / OSHPD PERMIT # / DSA APP#DSA FILE* ADDRESS f GENERAL CONTRACTOR c»NtRi« JURISDICTION fs o r ARCHITECT ENGINEER UBCdNTRACTOR (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 15X U?t-r-K VarJ 2X ftfw'-H'cV <io TIME IN 16S6S- TIME OUT MEIAL PERIOD I I Mileage.| Expenses. | Reinforcement. Fireproof ing . | | Concrete Placement. . | | Quality Control Masonry.. [~| Prestress Post Ten |~| Batch Plant. . | | Administration f~] Other. £>u<v ft • i ^ . r t r A T^C^AACiAT-ic;' DESCRIPTION OF WORK INSPECTED vp-^v^t &k ^ ^, 0 /—^ IS <b~4G fx5 AlAio c-> c r^A-e &s per-Sa ^ /tU&-^ ^^VK-S^, } t / *- yf -f1 Ci -o to t~C «L <v^ -c/\ -V M^ti ^>f MO u^€_c* < «\ L»*^-^A. erf" C^?i". tO riXi.^j" £rt<i',nee^ A-IOO^J J^J A* D*.~ /->, i i/^^<i 4.^/1 ^ o -/^ 5: ^^^ r, .T^o^^t t^Kk,^^l1 r <"t> nO«-L-'^- $ <?" / £-pp 2 ,'CO A.t >^*- MIX USED DESIGN SLUMP Certification of Complianc 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 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 y ADMIXTURE e e statements are true, ng the period covered compliance with the red plans, specifications SHPD City of LA etc) cept as noted below Yes . No l^fJ^ >fv n Aii<-»j-' Inspector's Signature -"^L-g^* — ^_^. Inspector's ID / Lie # £2&Jk$± •-**-•. r- VT t c^ 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 (Project Superintendent) Submitted by Quality Assurance Inspections SEP-06-2007 THU 03:15 PH CITY OF CARSLBAD FAX NO. 760 602 8558 P. 19 COMMUNITY FACILITIES DISTRICT No. 1 NON-RESIDENTIAL CERTIFICATE 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 ASSESSED 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 LLC NAME OF OWNER 128O BISON B9-609 ADDRESS " ~ ~~ ~ NEWPORT BEACH CA 9266O 714638-7277 TELEPHONE 2540 GATEWAY RD BLD D (& 2542,2544,2446 GATEWAY) PROJECT ADDRESS CARLSBAD, CA 92009 CITY. STATE 213261 O8OO ZIP LOT 17 CITY, STATE ZIP ASSESSOR PARCEL NUMBER(S) OR APN(S) AND LOT NUMBERS(S) IF NOT YET SUBDIVIDED BY COUNTY ASSESSOR CBO7O435 BUILDING PERMIT NUMBER(S) As CITED BY ORDINANCE No NS-155 AND 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) I ELECT TO PAY THE SPECIAL TAX - ONE TIME NOW, AS A ONE-TIME PAYMENT AMOUNT OF ONE-TIME SPECIAL TAX: $ 12,269.36 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. $ 1,694.40 OWNER'S INITIAL I DO HEREBY CERTIFY UNDER PENAL! Y OF PERJURY THAT THE UNDERSIGNED IS THE PROPERTY OWNER OF THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL COMPLY WITH THE PROVISION AS STATED ABOVE TITLE PRINT NAME DATE THE CITY OF CARLSBAD MAS NOT INDEPENDENTLY VERIFIED THE INFORMATION SHOWN ABOVE THEREFORE. WE ACCEPT NO RESPONSIBILITY AS TO THE ACCURACY OR COMPLETENESS OF THIS INFORMATION LAND USE, FY. FAcroRlNDUS 3/O3 .8624 X SQUARE FT 14.227= 12,269.36 SEP-06-2007 THU 03:12 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 13 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 Ihe City prior 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/lndustnal City Certification of Applicant Information OCEAN COLLECTION @ BRESSI CB070435 2540 GATEWAY RD 2132610800 BRESSI OCEAN COLLECTION LLC 1 OFFICE SHELL BLD A (to include 2542,2544,2546 Gateway Rd) V-N New Dwelling Units Square Feet of Living Area in New Dwelling Square Feet of Living Area in SDU Net Square Feet New Area 14,227 Square Feet Floor Area Date 03/13/2007 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Cam i no Real Carlsbad C'A 92009 (331-5000) Vista Unified School District 1234 Arcadia Drive Vista CA 92083 (726-2170) San Marcos Unified School Disti let 2l5MataWay San Marcos, CA 92069 (290-2649) Contact Nancy Dolce (By Appt Only) Encmitas Union School District IOL South Rancho SantaFe Rd , CA 92024 (944-4300 ext 166) San Dleguito Union High School District TIOEncmitasBlvd Encjmias CA 92024 (753-6491) Certification of Applicant/Owners The person executing Ihis declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the be:.t 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 the above described project(s), or that the person executing this declaration is authorized to sign on bejTaJfjjilheOwD£L___ Signature / ~^\ Revised 3/30/2006 Date ml oi SEP-06-2007 THU 03:13 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 14 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 TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER WALI ASSISTANT SUPERINTENDENT CARLSBAD UNIFIED SCHOOL DISTRICT 6225 EL CAMNO REAL CARLSBAD. CA 92009 CV 0 Revised 3/30/2006