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HomeMy WebLinkAbout2656 Gateway Rd; ; CBCA2017-0014; PermitPermit Print Date: 06/07/2019 Job Address: 2656 Gateway Rd Permit Type: BLDG•Associated Permit Commerci Work Class: Parcel No: 2132622100 Lot#: Valuation: $295,850.00 Reference#: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check #: Plan Check#: Project Title: UPTOWN BRESSI RANCH Description: UPTOWN BRESSI: BUILDING D -5,000 SF RETAIL SHELL Applicant: SMITH CONSULTING ARCHITECTS NORMAN BARRETT 13280 Evening Creek Dr S San Diego, CA 92128-4101 858-793-4777 BUILDING PERMIT FEE ($200o+) BUILDING PLAN CHECK FEE (BLDG) BUILDING PLAN CHECK FEE (BLDG) Owner: BRESSI RETAIL LLC 130 Yantis Dr, 200 Aliso Viejo, CA 92656-2691 BSB-526-6655 COMMUNITY FACILITIES DISTRICT (CFD) FEE-NON-RES ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION LOCAL FACILITIES MANAGEMENTZONE (LFMZ) -ZONE 17 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PUBLIC FACILITIES FEES-inside CFD REFUND SB1473 GREEN BUILDING STATE STANDARDS FEE SDCWA SYSTEM CAPACITY CHARGE 1-1/2" Displacement SEWER BENEFIT AREA FEES -H SEWER CONNECTION FEE (General Capacity all areas) SWPPP INSPECTION FEE TIER 1-Medium BLDG SW PPP PLAN REVIEW FEE Tl ER 1-MEDIUM TRAFFIC IMPACT Commercial-Industrial w/in CFD WATER METER FEE 1-1/2" Displacement WATER SERVICE CONNECTION FEE 1-1/2" DISPLACEMENT-P WATER TREATMENT CAPACITY CHRG 1-1/2" Displacement Total Fees: $88,783.75 Total Payments To Date: New 4 DEV12023 VB PC2017•0015 $88,783.75 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: {city of Carlsbad Permit No: CBCA2017-0014 Closed -Finaled 11/06/2017 04/i9/2018 AKrog 6/7/2019 12:0S:40PM so.oo $1,321.80 $925.26 $125.26 $0.00 $89.00 $170.00 $2,000.00 $55.00 $5,384.47 $0.00 $12.00 $15,297.00 $2,913.44 $2,596.52 $238.00 $56.00 $38,850.00 $606.00 $17,721.00 $423.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov PERMIT INSPECTION HISTORY REPORT (CBCA2017-0014) Permit Type: Work Class: Status: Scheduled Date BLDG-Associated Permit Commercial Application Date: 11/06/2017 Owner: New Issue Date: 04/19/2018 Subdivision: Closed -Finaled Expiration Date: 06/17/2019 Address: IVR Number: 7492 Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 12/18/2018 12/18/2018 BLDG-34 Rough Electrical 079148-2018 Partial Pass Andy Krogh 06/07/2019 06/07/2019 June 07, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 094096-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-Fire Final 080886-2019 Checklist Item FIRE-Building Final COMMENTS As noted on plans Final pending t-24 and recheck of exterior gfcis Passed Andy Krogh COMMENTS Scheduled Cindy Wong COMMENTS BRESSI RETAIL LLC 2656 Gateway Rd Carlsbad, CA 92009 Re inspection Reinspection Passed Yes No Passed Yes Yes Yes Yes Yes Passed No Complete Incomplete Complete Incomplete Page 2 of 2 PERMIT INSPECTION HISTORY REPORT (CBCA2017-0014) Permit Type: BLDG-Associated Permit Commercial Application Date: 11/06/2017 Owner: BRESSI RETAIL LLC Work Class: New Issue Date: 04/19/2018 Subdivision: Status: Closed -Finaled Expiration Date: 06/17/2019 Address: 2656 Gateway Rd Cartsbad, CA 92009 IVR Number: 7492 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection Complete Date Start Date 04/23/2018 04(2312018 BLDG-12 Steel/Bond 056706-2018 Failed Andy Krogh Reinspection Complete Beam Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No 04/2412018 04/24/2018 BLDG-11 066889-2018 Paased Andy Krogh Complete Foundatlon/Ftg/Pier s (Rebar) 06/17/2018 05117/2018 BLDG-16 068329-2018 Partial Pass Andy Krogh Reinspectlon Incomplete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLOG-Building Deficiency Perimeter nailing ok to set parapet walls Yes 06/24/2018 06/24/2018 BLDG-34 Rough 058971-2018 Partial Pass Andy Krogh Reinspectlon Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency As noted on plans Yes 06/13/2018 06/13/2018 BLDG-16 061064-2018 Passed Andy Krogh Complete Roof/ReRoof (Patio) 07/02/2018 07/02/2018 BLDG-17 Interior 052836-2018 Partlal Pass Andy Krogh Reinapectlon Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Single sided at electrical and fire riser Yes rooms BLDG-24 062837-2018 Passed Andy Krogh Complete Rough!Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Roof drains Yes 09/06/2018 09/05/2018 BLDG-18 Exterior 069225-2018 Passed Andy Krogh Complete Lath/Drywall 10/18/2018 10/18/2018 BLDG-Electric Meter 073667-2018 Passed Andy Krogh Complete Release 12/10/2018 12/10/2018 BLDG-43 Air 078312-2018 Partial Pass Andy Krogh Reinspection Incomplete Cond./Fumace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency No 12/13/2018 12/13/2018 BLDG-23 078723-2018 Failed Andy Krogh Reinspectlon Complete Gas/Test/Repairs Checklist ltem COMMENTS Passed BLDG-Building Deficiency No June 07, 2019 Page 1 of2 ( 8 \<~ ~ Ctry o, CARLSBAD Boild;ng D~bion INSPECTION RECORD ~ IIIISp£cn Pt.A ON l?Ecorm CAilo WfTH APPl?OVEo Ills MUST BE KEPT ON THE JOB .. ""•• ... ORE --•o• NEXT Won• DAY IN<P<cnoN El Fon BUJLOrNG INSPECTION CALL: 760-602-2725 .~R GO TO: ~-Carlsbadca.gov/Sulldlng AND CLICK ON Request Inspection~ CBCA2017-0014 2656 GA TEWA y RD UPTOWN BRESSI: BUILDING D-5.000 SF RETAIL SHELL DE,t3 2132622100 DATE: L\-19 -1i PC2017-0015 111612017 CBCA2017-0014 If ··Yes .. "' ''"''" .. ,_ "" ., •• ,,,., ,,.,,,,, "' .. ,,,,,, '"" ,. '"'"'""'. ""' .,,., •• '"'""''"· If ,., , ..... , """'"' Ploas, ••II "• '""°'"• Oi•l•o,s al "• "••• .,mbo~ '"'"" b.Oow. Afto, all ••o,o,oo '""'"' "• slgooo •II-'" •• 76D-6D2-8560. •ma// to Mtt1,,.~010,_.,J>ea"s>1ao,.,,.,, "'"•• lo• CO'Y •< 1'/s ,.,, •• 1635 •••a0,, '"·· Ca,/, STORM WATER PRECON MEETING REOUIRED 760-602-272S Allow 24 hours IF MARKED -YES", APPROVAL REQUIRED PRIOR TO REQUESTING BUILDING Fire Prevention Planning/Landscape 0 GROUT O WALL DRAINS TILT PANELS COLUMN FOOTINGS SUBFRAME O FLOOR O CEILING ROOF SHEATHING EXT. SHEAR PANELS INSULATION EXTERIOR LATH ,._ 760-602-4660 Allow 48 hours 760-944-8463 Allow 48 hours 760-438-389! UNDERGROUND (11,12.21,31) DR\'WAU,EXrLATH, GAS TES (17,18,23) #83 ROOFSHEATING, EXrSHEAR(13,15) Date Date copy Of CARD REOVIRED Ins #25 WATER HEATER #28 SOLAR WATER BLDG-FINAL A/S UNDERGROUND HYDRO A/S UNDERGROUND FLUSH A/S OVERHEAD VISUAL coo•" POOLS #51 #52 #53 #54 #55 POOL EXCAV / STEEL PLUMBING ELEC /CONDUIT/WIRING EQUIP01ENTIAL BOND PREPlASTER/ FEIICE/ AWMS #57 GUNfTt BLDG-FINAL REV9/!7 Date Ins , A/S OVERHEAD HYDROSTATIC A/SFINAL F/AROUGH·IN F/AFINAL FIXED EXTINGUISHING SYSTEM ROUGH-IN FIXED EXTING SYSTEM HYDROSTATIC TEST FIXED EXTINGUISHING SYSTEM FINAL MEDICAL GAS PRESSURE TEST MEDICAL GAS FINAL SEE BACK FOR SPECIAi. NOTES SEE BACK FOR SPECIAi. NOTl:S i,idMOORE TWINING Date: 04/24/2018 FIELD DAILY INSPECTION REPORT Client Name: Shea Properties Project Name: Bressi Ranch Retail Project Address: 2656 Gateway Road, Carlsbad, Permit No: CBCA2017-0014 Plan Date: 05/19/2017 MTA Project No.: 056624.01 Store No.: Building D CA 92009 Building Code: 2016 CBC Specification Date: 05/19/2017 Page 1 of 3 General Contractor: CSI Construction Subcontractor: Dicarlo Concrete Inc. Inspector: Osama Daoud Certification Number: ICC # 5098536 Exp. Date: 04/14/2020 D Building Pad D Utilities D Pavement Sub-grade □ Pavement Base D Pavement AC □ PCC Pavements □ Off-Site Improvements D Sidewalks D Curb & Gutter I Foundations I Slab-On-Grade □ Columns □ Beams □ Walls □ Trusses □ Deck □ Suspended Floors □ Roof □ Rack and Shelving □ Light Gauge Interior Walls/Framing □ Pre-Cast Concrete □ Other D Sampling D Earthwork Observation & In-Place Density Testing I Reinforcing Steel Inspection □ Concrete Sampling □ Concrete Placement Inspection (including saw-cut depth, CO monitoring, curing, etc.)□ Batch Plant Inspection □ Moisture Vapor Emission Testing □ Floor Slab Relative Humidity Testing □ Slip-Resistance Testing D Floor Flatness Testing □ Gloss Measurements D Joint Sealer Inspection D Anchor Bolt/ Epoxy Inspection D Field Welding Inspection □ Shop Welding Inspection □ NDT D HS BoltTesting D Spray Fire Proofing Inspection and Testing D Masonry Inspection D Paint Thickness Testing □ Roof Inspection D Coring D Sample Pickup □ Other Inspection Dale: 04/24/2018 I Initial Inspection D Re-Inspection Weather: Clear Samples Taken D Yes I Na Time Samples Taken: □ Out-al-Scope Inspection or Testing Inspected rebar placement for the Building foundation and Slab-On-Grade at the area between A to Band from 1 to 2, the rebar installed for the wall footings around according to details 9NS-701 & 1/S-701 & 14/S-701 & 2/S-701 & 15/S-701 Footing schedule & 10/S-701 Column schedule & 3/S-701 & 4/S-701 & 8/S-701 in the approved plan and also the rebar installed for Slab-On-Grade WI# 4@ 18" O.C.E.W. according to the information on sheet# S-O-1.0 in the approved plan for Retail Building D. Report Continued □ Yes I No Work inspected as outlined in this report is, to the best of this inspector's knowledge, in conformance with the approved plans and specifications: Ii Yes □ No (If no, inspector shall complete and attach a Discrepancy Report). MTA Corporate address: 2527 Fresno Street, Fresno, CA 93721 (800.268.7021). Website: www.mooretwining.com Inspector's Signature c::??a~ahs« s _/ Date: 04/24/2018 Supervisor's Signature Date: We do not undertake the guarantee of construdion nor do we relieve the contractor of his primary responsibility to complete the project in accordance with the plans and specifications. Our firm is not responsible for construction safety. Our services were performed in accordance with generally accepted standards and practices. This warranty is in lieu of all other warranties either expressed or implied. IJ"fMOORE TWINING - Page 2 of 3 --'----REINFORCING STEEL AND CONCRETE REPORT Date: 04/24/2018 ---------- Project Name: Bressi Ranch Retail MT A Project No.: D56624.01 ------------- Store No.: Building D Inspector (Print): Osama Daoud Project Address: 2656 Gateway Road, Certification No.: ICC # 5098536 City, State: Carlsbad, CA 92009 Weather: Clear Client Name: Shea Properties General Contractor: CSI Construction --------------Approved Project Plans Dated: _0_51_1_9/_2_01_7 ____ _ Specifications Dated: 05/19/2017 Reference Section: -------------Code/Acceptance Standards: 2016CBC Bui Id in g Permit/ DSA No· CBCA2017-0014 .. IZJ REINFORCING STEEL IZ)Footing □Sidewalk/ Curb □Tilt-up Wall Panels □Elevated Deck □Other: □Form Work Dvapor Barrier □sub Grade □Anchors Duffer Ground Dother Grid Line/ Location: The Buildina foundation and Slab-On-Grade at the area between A to B and from 1 to 2 for Retail Building D. □CONCRETE PLACEMENT 0 CONCRETE SAMPLING ONLY □Foundation 0 Sidewalk / Curb □Tilt-up Wall Panels D Elevated Deck □Other: Supplier: Concrete Mix Design No.: Required Strength: Yards Placed: Method Placed: Consolidated By: Other: □Please see attached Concrete Sampling Data Report Discre ancies Issued: p @No C??tl> >,ha.-, _/ Inspector Signature CORPORATE 2527 Fresno street Fresro, CA 93721-1804 (~9) 268-7021 Fax 268-7126 U Yes If es, see attached Discrepanc Re rt ( y y po ) COROW. 500 Harr1ngton Street, Ste. It Ccrona, CA 92879 (951) 898-8932 Fax B98-8974 MONTEREY 501 orttz Avenue Sand City, CA 9:3955 (831) 392-1056 Fa< 392-1059 IZI Slab on grade □shear Walls IZl Reinforcing Steel 0PIT Tendons □slab on grade 04/24/2018 Date SACRAMENTO 5675 Powertnn Roaa, Suite C Sacramerto, CA 95824 (916) 381-9477 Fa< 381-9478 Project Name: Sample Sample No. Type Inspector Signature /iidMOORE TWINING Page~of_3 __ Date: 04/24/2018 Bressi Ranch Retail MTA Project No.: D56624.01 CONCRETE SAMPLING DATA REPORT Truck# Ticket# ✓ CORPORATE 2527 Fresno Street Ffesro, CA 93721-1004 (559) 268-7021 Fax 268-7126 Batch Time Ambient Truck Time Em~-Temp Osama Daoud Inspector Print CORONA 500 Han1ngton Street, Ste.11 Corona, CA 92879 (951)898-8932 Fax 898-0974 Concrete Slump Temp MONTEREY 501 Ortiz Avenue Sana c~. CA 93955 (831) 392'-1056 fet(392·11l59 Water Added Onelte Untt Air Sample Location Weight Content 04/24/2018 Date SACRAMENTO 15675 Powertnn Road, Suite c sacramerto, CA 95824 (916)381-9477 Fat 381-9478 ~GEOCON FIELD REPORT PAGE -~1 __ OF -~1 __ DAY OF WEEK _____ _ DATE 04-14-18 D GRADING TRENCH BACKFILL ET PT OTHERWB REPORT NO. 14 PROJECT NAME PROJECT NO. UPTOWN BRESSI RANCH G2108-32-05 CLIENT PHONE PROJECT MANAGER I I FIELD TECHNICIAN/AUTHOR SHEA HOMES T.MYERS R.NOWAK CONTRACTOR PHONE PROJECT BRIEFING LJ YES DATE ROBINSON/ CATT/ GMI BY 181 PREVIOUSLY BRIEFED CONTRACTOR'S SUPERINTENDENT/FOREMAN PLANS AND SPECIFICATIONS 181 UNCHANGED BRIAN / MARK/ MARCUS TITLE EQUIPMENT WORKING ANO TYPE OF COMPACTOR BY -3x BACKHOES -4xWACKERS APPROVAL DATE REV, DATE -3x WATER TRUCKS WEATHER SUNNY SOURCE OF FILL ., .. FOLLOW-UP INVENTORY DID YOU REVIEW PREVIOUS FOLLOW-UP FIELD REPORT? ONo 181 YES UST REPORT NUMBERS WHERE FOLLOW-UP WAS SATISFIED BY THIS REPORT: J\.I I A UST REPORT NUMBERS STILL REQUIRING FOLLOW-UP: M/ A Nhflt.T IN PARTICULAR SHOULD BE OBSERVED, CHECKED, OR TESTED DURING W!VISIT? WAS A MEMO ISSUED TODAY? 181 NO DYES MEMO NO. CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DI0 ANO ll!lUlQI OBSERVE. DOCUMENT CONVERSATIONS, OBSERVATIONS, OR OCCURRENCES, DEEMED SIGNIFICANT TO THE PROGRESS OF WORK, BE SPECIF JC AS TO WHO, WHAT, WHEN, AND WHERE. , Arrived on job site AM as requested by client to observe and test backfill operations at UPTOWN BRESSI location for ~lectrical trenches, plumbing trenches at buildings "C" , "D" , "E" and wall backfill for west side of SPROUTS building , Upon my arrival contractors already have started backfill operations. , Contractors utilized backhoe and water trucks to moisturize, mix stockpiles of spoils and place into the trenches and wall backfill. Compaction effort was made by backhoes with compaction wheel and wackers were used to compact around ET ,PT risers ~nd wall backfill. , Due to multiple backfill operations all of the backfill operations were observed partially. Contractors completed ET and PT at buildings "C" , "D", and "E except as following: , lateral drain pipes on west sidse of buildings "E" and "D" , bundled electrical risers on north side of building "E" , south side of building "D" and "E". , Contractor completed -75% of backfill at west side of SPROUTS building Derek (CSI) informed me that at his request contractor placed temporary fill at loading dock screen wall at north side of SPROUTS building -3'-4' fill and -3'-4' out of front of the wall. , Derek stated that temporary fill will be removed some time next week, fill will be placed in small lifts and compacted to •equired standards. All density tests performed today indicated >90% of compaction with adequate moisture content. , Randomly probed areas indicated to be firm and unyielding. FIELD TECHNICIAN (PRINT) I DATE I HOURS I 0 T UST ON-SITE VISITORS RNOWAK 04-14-18 11 NUMBER OF DENSITY TESTS TAKEN CLIENT REPRESENTATIVE (WB / 2ET / 4PT SIGNATURE X OTICE: The professional engineer is represented on site solely to observe operations of the contractor identified, form opinions about the adequacy of those )erations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet intractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. eGEOCON FIELD REPORT PAGE _ __,1 __ OF -~1 __ DAY OF WEEK. _____ _ DATE 04-21-18 D GRADING 181 TRENCH BACKFILL PT ET ' □OTHER Bldg permit# CBC-2017-0430 REPORT NO 15 PROJECT NAME PROJECT NO. UPTOWN BRESSI RANCH Sprouta 416-2634 Gat•way road G2108-32-05 CLIENT PHONE PROJECT MANAGER FIELD TECHNICIAN/AUTHOR SHEA HOMES T.MYERS R.NOWAK CONTRACTOR PHONE PROJECT BRIEFING U YES DATE CA TT PLUMBING BY ~ PREVIOUSLY BRIEFED CONTRACTOR'S SUPEAINTENOENTn::OREMAN Pt.ANS ANO SPECIFICATIONS 181 UNCHANGED MARK TITLE EQUIPMENT WORKING ANO TYPE OF COMPACTOR BY -BACKHOE APPROVAL DATE REV. DATE -WATER TRUCK WEATHER SUNNY -WACKER SOURCE OF Fill''"-' Ii.."! ra;; FOLLOW-UP INVENTORY 010 YOU REVIEW PREVIOUS FOllOW•UP FIELD REPORT? ONO 181 YES LIST REPORT NUMBERS WHERE FOLLOW-UP WAS SATISFIED BY THIS REPORT: Ml A LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP: Ml b. N,¥4 TIN PARTICULAR SHOULD BE OBSERVED. CHECKED, OR TESTED DURING tlW VISIT? WAS A MEMO ISSUED TODAY? 15a NO nYES MEMO NO. CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND Wl.l!QI OBSERVE DOCUMENT CONVERSATIONS, OBSERVATIONS, OR OCCURRENCES. DEEMED SIGNIFICANT TO THE PROGRESS OF WORK. BE SPECIFIC AS TO WHO. 'M-IAT, WHEN, ANO WHERE. " Arrived on Job site AM as requested by client to observe and test backfill operations at UPTOWN BRESSI location for ~lectrical and plumbing tranches located inside of SPROUTS building on west side . • Upon my arrival contractors wasn't ready to backfilling yet. On stand by 7:30 -11 :30 -Due to plumbing pipe inspection water was released Into the trench on isolated area -1 O' -20' at north west comer inside SPROUTS building. Contractor removed water prior the backfill. • Contractor utilized backhoe and water trucks to moisturize, mix stockpiles of spoils and place into the trenches . • Compaction effort was perfonned by wacker. "Due to multiple backfill operations this operation was observed partially . • Contractors completed -40%-50% of backfill. 1 density tests perfonned today indicated >90% of compaction with adequate moisture content. Randomly probed areas indicated to be firm and unyielding. FIELD TECHNICIAN (PRINT) I DATE I HOURS I 0. T LIST ON-SITE VISITORS RNOWAK 04-21-18 5.0 NUMB!;R Of DENSITY TESTS TAKEN CLIENT REPRESENTATIVE I PT SIGNATURE X IQT/CE: The professional engineer is represented on site solely to observe operations of the contractor identified, form opinions about the adequacy of those :,erations, and report those opinions to the cfient. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet mtractual requirements The contractor retains sole responsibility for site safety and the methods and sequences of construction ~ ' ~GEOCON I 1 Vft u... p /\d>< r-) i.,.I- FIELD REPORif PAGE / OF ~/ __ DAYOFWEEK ]'S1""1>DA'-f' DATE 1../-/ 9' i S' 0 GRADING 'G5[TRENCH BACKFILL i,vl! if"T 0 OTHER REPORT NO. /fl ,- '!l:OJECT NAME PROJECT NO .. i/f' TOvv.V ,Jt/1:...,. ,; i(.l>tVCJ./ t-~"1. c~ ;;1.:?.-'J:J.-if)~ CUEN:" PHONE PROJECT MANAGER FIELD TECHNICIAN1AUTHOR <;;11ct1 f{v IJ 16' T ,,., 1:" cit. s "Tt,u At/,. '-1 r' .5 CONTRACTOR PHONE PROJECT BRIEFING 0 YES ,:SM°1. DATE BY dffiEVIOUSLY BRIEFED CONTRACTOR'S SUPERINTENDENT/FOREMAN PLANS AND SPECIFICATIONS ~CHANGED TITLE EQUIPMENT WORKING ANO TYPE OF COMPACTOR BY :s·i,,:,u• ,l..1.1r,i;,z. f(,_,> Hvs,;;-APPROVAL DATE REV. DATE ~~I.:. .......... l(' .L.. WEATHER II") L(t(n~ -l> J,l(,q, #1N -"> t~~~{ (¼D, C 'J,,r SOURCE OF FILL {)IV >' I ft FOLLOW-UP INVENTORY DID YOU REVIEW PREVIOUS FLLLOW•UP FIELD REPORT? ONO ,,x,ls /7f / UST REPORT NUMBERS WHERE FOLLOW•UP WAS SATISFIED BY THIS REPORT: UST REPORT NUMBERS STILL REQUIRING FOLLOW-UP· , { r.) WHAT IN PARTICULAR SHOULD BE OBSERVED. CHECKED. OR TESTED DURING~ VISIT? , WAS A MEMO ISSUED TODAY? y)o CYES MEMO NO. CONTRACTOR/FIE~~ TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND= OBSERVE. DOCUMENT CONVERSATIONS OBSERVATIONS, OR OCCURRENCES. DEEMED SIGNI ICANTTO THE PROGRESS OF WORK, BE SPECIFIC AS TO WHO, WHAT. 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(( f} V.> /}/ I} rv,, T /1/1(,r'.f I 1-L fr/ !1,(¼CYI. 1'fl "",.; t-·r --A l-l fl-D6L-fl~,) sf '11-iC Sv·i'[IJ}Jl-./t/•~, .J ('1 /1,2.i.:'ll-i'\;,'l<.t;- r,r.,lf\ " V,V'{1 L't o, /.I Ii ;rr r/1( cu:c rn, c,>1. ... m,·rvi,..; ., W;., <~ -AL!.. r1'l..c },C ·n::, ; s ,flA!ov r-.J ~ 11,(~ So v 11 (;."n,5.~ ')r D ~ of -~~ ~ ( M✓,<; r,i..oi;; vr l),'1,J, I ;J ;, r fl-It -WJ'l.,\,(_ of ·'Jr(E: Pi:'>Z.(Aff l'l.t. ~"'? 'flAi< &/1W) 1/.I fr i,111, Ye' fr><: iM '( VN ~, \::1,. O, N 'i , oP ~?,( -,4u ... Nvv Tlt>,'S /1'\L T Afi'Q<i ;fcV•'11:'7V(:5 r ,)'¥ I/'~ ilc,J .. Wfl\A A-~cQ0~-(( /)10 \ ,'Nit;:=-f &"V --re N'f ~ ...,,ELD TECHNICIAN filNT) p <, I DATE I HO~ I ti) LlSTS ON-SITE VISITORS ' iM PiAiU..1 'f·i 1·117 NUMBER OF DENSITY TESTS TAKEN ' CLIENT REPRESENTATIVE 2.Wf:;. SIGNATURE X NOTICE: The professional engineer is represented on site soleley to observe operations of the contractor identified, form opinions about the adequacy of those operations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. ~GEOCON FIELD REPORT Q GRADING ~TRENCH BACKFILL WG It'/ DATE , I. I OoTHER REPORT NO. 1? PAGE / OF _/ __ _ DAY OF WEEK j,v}('t:> 4 l{ !1 k· ?ROJECT NAME . /(,M-JC'\{ PROJECT NO. t \/~i1).,J,J (:;(1,~9',\ (Ch\,\ M l'."l ?-lo~ -31-0~ -CLIEN. PHONE PROJECT MANAGER FIELD TECHNICIAN'AUTHOR ~\di j-{;l;,,t'5-(. /r?[~l"/?... ~ ·11n1 /tlrL/,.J/.S CONTRACTOR PHONE PROJECT BRIEFING 0 YES DATE TM·r., BY /O'REVLO,IJ,SLY BRIEFED . CONTRACTOR'S SUPERINTENDENT/FOREMAN PLANS AND SPECIFICATIONS /0 UNCHANGED TITLE EQUIPMENT WORKING AND TYPE OF COMPACTOR BY ')K1f'~0•,r.._1't.-APPROVAL DATE REV. DATE 1-i,i...o 1-l•>.f «;"""~ I c,i:-.. r,:., IYH'\-(.Jl "1,. 1<· l. WEATHER .... ~. 1-; SOURCE OF FILL 1 ,,._, --S1 r 1,- FOLLOW-UP INVENTORY DID YOU REVIEW PREVIOUS FLLLOW-UP FIELD REPORT? 8 NO ;x::,Es CX:' LIST REPORT NUMBERS WHERE FOLLOW-UP WAS SATISFtED BY THIS REPORT: LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP: ,,. rvr.~' WHAT IN PARTICULAR SHOULD BE OBSERVED. CHECKED. OR TESTED DURING Nm VISIT? ( WAS A MEMO tSSUED TODAY? V-:a OYES MEMO NO CONTRACTOR/Fl ELD/rECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND QlllllQI OBSERVE DOCUMENT CONVERSATIONS. OBSERVATIONS. OR OCCURRENCES, DEEMED SIGNIFICANT TO THE PROGRESS OF WORK, BE SPECIFIC AS TO WHO. WHAT. WHEN, AND WHERE -{) 11/ S:1/L.-~ 'fV Jt!.5t7c'v2 -,<J.,,-,,1] 7l:, ;--6,1,,,u.;:: 1 t... L c)/11 l'Y'.l ~ 1--it 9,;(: G( i~ ~/cl f', i,v-41.-L-of'.'. sfr::c:,-:;; -s ,. .... , f.:,,, t;, <q 11'> M---Z.l. !2-<; I ,VTt-71.. I'° ,-C. . t'lc-c-;?t(, ,,_c.. 7Jf <:;:-1\t (' ,-(_ ON M;//. 7H Ct.1-/!.1'/,7? ,:.,'r" fl,({-'>f11.c ~-T<,. (fL.¢{. . -( C V 1>'21-C rt' (c 5 r11..a-o t._ t <c-0·72., (; I.._ ?,:c'71,· Cf-f 1N' I , r LtP;--'S th>(} (t)-7)1 /'d. C77?) w,·T>-1 v,1"(,:J-C Ki~ ') -[1Jfr/71,A-v(On..5 ,Jt ~ 0 fbc« f I L-l..0 L~>('rz:'Tc,o;-~L U+4 t.. [._ I/\/ I ., I-1F,-S. ;w 1 { tfr711 / '-t (C-"?) w-,rcf o2. 1<1r11(.K,;-rr > . -/1.Ll~ ()Ro 6. C j(.'5,> u.z.?2.c f"r te,1/\ "?: //Al '-( 'L'-,y ,J 0 -/H.l. /11 v C 7T?·i":;· ,n<:.-r 1t't--ci.V,fcC'YI( ,.,.-7-5 '[-;-r :::,.... ?-c.,/ -t' vr-r /'.,:t.( 77.' v w'Tl{ fo (Y::O., I; rt, "7' ,416 rS tvfc'-'"~ (.ffe-., Tl '1/ ,..- ';LO TECHNICIAN (PR?? s-1 DATE J HO~ 1 °XI LISTS ON-SITE VISITORS -',' I;'( /!l/tL.l-1f' <,_,YJ NUMBER OF DENSITY TESTS TAKEN CLIENT REPRESENTATIVE 1 w-f::.., ~ E1 SIGNATURE X NOTICE: The professional engineer is represented on site soleley to observe operations of the contractor identified, form opinions about the adequacy of those operations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. -~GEOCON . 0 GRADING ~H BACKFILL />t • ')JECT NAME CLIENT CONTRACTOR FIELD REPORT G'foTHER ?c,,//5 PAGE / OF / oAv oF WEEK Tues-. DATE V / 7 / /:, REPORT NO. /~ PROJECT NO Gz.to?-.s ;z_ · OS- \ PROJECT MANAGER I r /.Ji::..;e.rs- PHONE • PROJECT BRIEF!NG O YES BY FIELD TECH~IC,~IAUTHOR e vf/ll M.c;er,,,~-~--DATE -:;;-~-------I e'PREVIOUSL Y BRIEFED CONTRACTOR'S SUPERINTENDE1TIFOREMAN PLANS ANO SPECIFICATIONS efONCHANGEQ M.ot...r11-'> TITLE -------------------------1 1-------'---'~---"'------------------11 EQUIPMENT WORKING ANO TYPE OF COMPACTOR a,..,1a.c/..er / BY _______________________ ...... ii -z. o !-lose s k ¥1 t..o.«k APPROVAL DATE REV. DATE WEATHER S°' -c.,..J -SOURCE OF FILL C? ,,,..,..,_~ / ~ FOLLOW-UP INVENTORY DID YOU R6"1EW PREVIOUS FOLLOW-UP FIELD REPORT? LIST REPORT NUMBERS WHERE FOLLOW-UP WAS SA~I~ BY THIS REPO _,:RT!;,"'-' .£:J=--------------------------------1 LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP•,)' ""':._--------------------------------------1 WHAT IN PARTICULAR SHOULD BE OBSERVED. CHECKED. OR TESTED DURING Nf2U VISIT? ONO YES WAS A MEMO ISSUED TODAY? ~YES MEMO NO CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND lllQJjQI OBSERVE DOCUMENT CONVERSATIONS. OBSERVATIONS. OR OCCURRENCES. DEEMED SIGNIFICANT TO THE PROGRESS OF WORK, BE SPECIFIC AS TO WHO, WHAT, WHEN, ANO WHERE. UST ON-SITE VISITORS NUMBER OF DENSITY TESTSJ'-.KEN CLIENT REPRESENTATIVE SIGNATURE X NOTICE: The professional engineer is represented on site solely to observe operations of the contractor identified, form opinions about the adequacy of those operations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. ~GEOCON 0 GRADING ~NCH BACKFILL FIELD REPORT />1 OoTHER PAGE / OF / DAY OF WEEK /f.1o_r1_. -- DATE "'//C· 1<f REPORT NO /.Jl'" rOJECTNAME UtJfr:7Z,vvr. /{,ess i. /tcu,,_c/,_ -C,,.,= PROJECT NO. G Z-IOf-3z -o::r-TII l3'f4 -CLIENT s4 ect_ /h ...,,_ es (;ti~') PROJECT MANAGER I F~CHNICIA.NIAUTHOR T ,l'(,{e,_,~ ,,,1,1;,MOe,o:~ CONTRACTOR PHONE PROJECT BRIEFING 0 YES DATE ~ _')MI BY 01>REVIOUSL Y BRIEFED CONTRACTOR'S SUPERINTENDENT/FOREMAN PLANS ANO SPECIFICATIONS ~NCHANGED (Yl/A.[K TITLE EQUIPMENT WORKING ANO TYPE OF COMPACTOR BY -W,JI('</ APPROVAL DATE REV. DATE ~ 11-2,0 vw·~/11'"<->< WEATHER C (q o ,,l,__ -.,,~.-,wM~-SOURCE OF FILL a->-15· ✓re FOLLOW-UP INVENTORY DID YOljJ!VIEW PREVIOUS FOLLDW·UP FIELD REPORT? ONO ..-<es LIST REPORT NUMBERS WHERE FOLLOW-UP WAS $AT1SF~Y THIS REPORT: LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP: WHAT IN PARTICULAR SHOULD BE OBSERVED, CHECKED, OR TESTED DURING Mf2U VISIT? WAS A MEMO ISSUED TODAY? ~OYES MEMO NO CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND ll!llliQ1 OBSERVE. DOCUMENT CONVERSATIONS. OBSERVATIONS. OR OCCURRENCES. DEEMED SIGNIF!CANT TO THE PROGRESS OF WORK. BE SPECIFIC AS TO WHO, WHAT, WHEN. ANO WHERE. Or;~. l-e::_ q,.-.... I ,1/1,e.l-~/ .f:o.rev--a....-.... -°-'""~A"' to +;.11 ~" Co,· R.m, 1 up.~, A''MICI, I Cc/1~:S Lvci._ iotuk+'.;•ll"c,-~rv,r "-"<.ii ~~¢ ::]w~ A. .ht,.i+. i:wJ ~ ,1-Jc... -\,Jei.l ir...c In;.\J.,. ct /of.Jb' A-iN,'#'> lilM ( ~v;>,.,,'n·i-<.~) +o q,ho..., p-11,,,,1:u.rr. w!,.,,'t.. U:c.•"j'.<.l~ i.,,o.!, /n f(iuiLh • .4~ l,Jc.N. pn,txJ M.:I ¼,.,1;\<> ·fc, h,i_..._ Cu:l~,-:ik ,~k/1.., lou.,. ~t,J £)ii Cc,f"lf'-,Lf.'M. U(!ur'lf•,.,t,f,.,J ~.,,..,, /1"..trk"~ oil f,,.,f,, -:)t.., r LO'Hl'tt£-!Of~ ,,..,.c~<6 -tr:i So-;rl• ji-Jt, J 1oucr A) Ctn+1,11.1,;r ex~r 1.v~,1 ~~ 60.lj,,~}\I ,VI<! ~/lvl ~1+ Cor~,.r -lo r +ti<, ci""(, 1cik-Hwetf.>+-1 ~ • /j, · I 8 1,, < ,£i ~~lCIA;tllNTJ I DATE /~ Hoz:s J o.r. LIST ON-SITE VISITORS o 1-,r.en;_-79C //·I(, 1 NUMBER OF DENSITY Ti::~ 1 S TAKEN ,wB CLIENT REPRESENTATIVE SIGNATURE X NOTICE: The professional engineer is represented on site solely to observe operations of the contractor identified, form opinions about the adequacy of those operations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. ~ GEOCON FIELD REPORT OGRADING ~ENCHBACKFILL £T )0 t PAGE / OF / DAY OF WE,E~ p-/' /, DATE '7', / '.? · IQ O0THER CONTRACTOR PHONE - CONTRACTOR'S SUPER!NTENDENTIFOREMAN EQUIPMENT WORKING AND TYPE OF COMP~TOR ,,vt;,,, -k lva.f-a--frvck S "-'/ l,.,,ac{.cr ,__,J-<J-e,~t' -l.- PROJECT BRIEFING • 0 YES BY Pt.ANS AND SPECIFICATIONS REPORT NO /-3 CATI!~--------) e,-i;'REVIOUSL Y BRIEFED cl' UNCHANGED TITLE --------------------------1 BY _________________________ --1 APPROVAL DATE REV. DATE WEATHER _ _,-Se_'_!,._,,"-:-,;;;-:'~:.!...::.·h' --::----------------1 SOURCE OF FILL Cf 1--,-; ;~- FOLLOW-UP INVENTORY ore YOU ~IEW PREVIOUS FOLLOW-UP FIELD REPORT? LIST REPORT NUMBERS WHERE FOLLOW-UP WAS SATISFIED BY _JHIS REPORT:._ccJ-c_ ______________________________ -1 ONO ""1es LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP:_~(2'}'=---------------------------------------1 WHAT IN PARTICULAR SHOULD BE OBSERVED, CHECKED, OR TESTED DURING Mf.lSI VISIT? WAS A MEMO ISSUED TODAY" OYES MEMO NO. CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTIVITIES YOU DID AND Q!Q..!iQI OBSERVE. DOCUMENT CONVERSATIONS. OBSERVATIONS. OR OCCURRENCES. DEEMED SIGNIFICANT TO THE PROGRESS OF WORK, BE SPECIFIC AS TO WHO. WHAT. WHEN. ANO WHERE _ (( (}., I( ::ijllllll:'jTi,.HNICJ'N(~R!/ffl -70,,-IL/DATE I HO~fS I \-P'. C t.-i M n,-r a efl::o,v-., ' rf. 7 t 3 ,f I.I- 0. T. LIST ON-SITE VISITORS NUMBER OF DENSITY TESTS TAKEN {er-s ) CLIENT REPRESENTATIVE SIGNATURE X NOTICE: The professional engineer is represented on site solely to observe operations of the contractor identified, form opinions about the adequacy of those operations, and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods and sequences of construction. OGEOCON FIELD REPORT PAGE I OF /_ DAY OF WEEK A.) ed... ,.-i GRADING ~NCH BACKFILL ET OoTHER DATE '-f l/•,....,t __ REPORT NO __j 2- ,._.,. .. mJECTNAME / , .) .• Vu- PROJECT NO CLIENT PROJECT MANAGER ,-:-/4( e,,,.,e/s FIELD ~NICIAN.'AUTHOR K tl(;,,,,.,,e ra. ......._ CONTRACTOR PHONE PROJECT BRIEFING ...,. , cS DATE ,,;,/'!',,./.,4 BY /-_.,,,.,,, , 0 PREVIOUSLY BRIEFED CONTRACTOR'S SUPERINTENOENTIFOREMAN PLANS AND SPECIFICATIONS CXJNCHANGED TITLE __________________________ _ 1----------------------------;1 EQUIPMENT WORKING AND TYPE OF COMPACTOR µ;,,., ~-1'.. I BY ______________________ -1 ...,<.(.C/,..r:,.r APPROVAL DATE REV DATE WEATHER~$'~-~~-~~-----------------~ SOURCE OF FILL ~ ...£. a FOLLOW-UP INVENTORY 010 vou REVIEW PREV1ous FLLLOW-UP FIELD REPORT? c NO '1ves LIST REPORT NUMBERS WHERE FOLLOW-UP WAS SATISFIED BY THIS REPORT. _,m=-------------------------------1 LIST REPORT NUMBERS STILL REQUIRING FOLLOW-UP:-J .... ~--------------------------------------1 WHAT IN PARTICULAR SHOULD BE OBSERVED. CHECKEf>, OR TESTED DURING~ VISIT? WAS A MEMO ISSUED TODAY? ~ C YES MEMO NO. CONTRACTOR/FIELD TECHNICIAN ACTIVITIES -INDICATE ACTMTIES YOU DID AND QlllJ:jQ:[ OBSERVE DOCUMENT CONVERSATIONS OBSERVATIONS. OR OCCURRENCES DEEMED SIGNIFICANT TO THE PROGRESS OF WORK..,.,.. SPECJFJC AS TO WHO. WHAT WHEN ANO WHERE - NUMBER OF DENSll"f' TESTS TAKEN 41-. er~ I DATE I HOZ..URS I O T 7'?~ 'fll·1~ V.i.. I C. LISTS ON-SITE VISITORS CLIENT REPRESENTATIVE SIGNATURE X NOTICE: The professional engineer is represented on site soleley to observe operations of the contractor identified, form opinions about the adequacy of v1ose operations. and report those opinions to the client. The presence and activities of the engineer's field representative do not relieve the contractor's obligation to meet ,.,.,.,_..,,..,,,.I _,..,.,,,;.,..,....,. .. f,. Tl,.,.,.,...,,.,..,..,,. ....... :_..,.. ,.,.1,. .,.,. .. ,.,.,.:i,.": ... # ..... :•,. ,.,.,:,..__ ---' •'-• ••••'-• .,. • •• , -• • •• fiii#MOORE TWINING Date: 6/26/ 18 FIELD DAILY INSPECTION REPORT Client Name: Shea Properties Project Name: Square at Bressi Ranch Project Address: 2656 Gateway Rd, Carlsbad, CA MTAProjectNo.: D56624.01 Store No.: na Building Code: 2016 CBC Specification Date: 11 /4/17 Page 1 al 2 PermitNo: CBCA2017-0014 Plan Dote 11 /4/17 General Contractor: CSI Subcontractor: Cam bell Certified Inspector: t an oore Certification Number: ICC 52144 78 Exp. Dote: 7/4/19 □ Building Pod □ Utilities □ Pavement Sub-grade D Pavement Base □ Pavement AC □ PCC Pavements □ Off-Site Improvements D Sidewalks D Curb & Gutter D Foundations D Slab-On-Grade □ Columns D Beoms D Walls D Trusses D Deck □ Suspended Floors □ Roof □ Rack and Shelving □ Light Gauge Interior Walls/Framing □ Pre-Cast Concrete I Other canopy framing □ Sample Pickup D Earthwork Observation & In-Place Density Testing □ Reinforcing Steel Inspection D Concrete Sampling □ Concrete Placement Inspection (including saw-cut depth, CO monitoring, curing, etc.)□ Post Tension Concrete D Moisture Vapor Emission Testing □ Floor Slab Relative Humidity Testing □ Slip-Resistance Testing D Floor Flatness Testing D Gloss Measurements D Joint Sealer Inspection □ Anchor Bolt/ Epoxy Inspection ■ Field Welding Inspection D Shop Welding Inspection D NDT D HS Bolt Testing □ Spray Fire Proofing Inspection and Testing D Masonry Inspection □ Non-Shrink Grout □ Roof Inspection □ Coring □ Nailing/Wood Framing Inspection □ Other Inspection Dale: 6/26/18 Samples Taken D Yes I No Time Samples Taken: I Initial Inspection □ Re-Inspection D Out-of-Scope Inspection or Testing Weather: sunny Welding was performed for the attachment of galvanized a C-channel "Eyebrow" canopy section at Building D at the northwest corner of the building by point 1-A. The channel was welded to the HSS column per detail 17/S503, using fillet welds top and bottom and a flare-bevel weld along the front side. Per RFI #87, the channel beams were welded to the HSS columns on three sides due to the wood framing in place behind the column. Welding was performed by the welder Jesse Barnett using FCAWwith E71T-8. The welds were marked "VTOK EM 6/26" in green. Report ContlnuedlE)ves0No Work inspected as outlined in this report is, to the best of this inspector's knowledge, in conformance with the approved plans and specifications:IE!YesONo (If no, inspector shall complete and attach a Discrepancy Report). MTA Corporate address: 2527 Fresno Street, Fresno, CA 93721 (800.268.7021). Website: www.mooretwining.com Inspector's Signature ~ Supervisor's Signature Date: 6/26/18 Date: We do not undertake the guarantee of construction nor do we relieve the contractor of his primary responsibility to complete the project in accordance with the plans and specifications. Our fim, is not responsible for construction safety. Our services were perfonned in accordance with generally accepted standards and practices. This warranty is in lieu of all other warranties either expressed or implied. /iilMOORE TWINING FIELD WELDING INSPECTION REPORT Project Name Square at Bressi Ranch Store# na Date of Inspection 6126118 Project Address 2628 Gateway, Cartsbad, CA Detwl(s) 171S503 MTAProjectNo. D56624.01 Approved Ploos 1114117 Specifications 1114117 _ Inspector (PnnQ Ethan Moore Bul~ing Permit I DSA No. CBCA2017-0014 Process FCAW WELD/CONNECTION TYPES MEMBER/JOINT TYPES As Arc Spot Weld HH Beam to m l'C F late to Coh.Jmn (.;Omplete 1"'8nelra111Vl 1-.roove Weld BC Beam to lumn TA Tube Steel to Angle B Flare Bevel uroove Weld n 1:rn11mn to lumn Tube :;;teel to -m w Ffllet weld = Deck to m A Angle to Beam I l'ene roove Weld r.• ~usset Plate lo Beam Tube tileel to Tube I ISloo r.r ~-usset Plats to Cotumn Joist to Girder AA Angle to Angle F bar to Angle PB Plate to i,eam AJ Angle to Joist """' Weld/Connection Membll'/Jolnt Item N.D.T. -Rejtel In Complete Remllktmote1 Type Type Type Prog11n 17/S503 FBIFW BC C-channel canopy beams to HSS column at line 1-A V X X Notes: ------------------------------------------------ Disaepancies Issued: IZI No O Yes (tt yes, see attached Discrepa:,cy Report) ~ ,:;IC:;C;,5:;2:,:1,;44:,:7_:;8_~--------- lnspector Signature AWS/ICC Certlllcatlon No. --~;''"""""'"'""'"'·"-·-""'"''"""" ,, .. ,,,, ,;::'~'.';~~, 6126118 Date