HomeMy WebLinkAboutCT 01-02; CALAVERA HILLS VILLAGE K; CONCRETE COMPRESSIVE STRENGTH TEST REPORT; 2004-09-08RECEIVED &ço( Southern California Soil and Testiig,liiEi
6280 Riverdale Street, P. 0. Box 600627, San Diego,
9A 92161 9)294321
Concrete Compressive Strength Test Report
CM&I File Number: 0312305 -
Project Title: Montara
Project Location: Sand Court
Architect: ABPA
Engineer: ODay/Gouvis Engineers Permit No: Contractor: McMillin Homes/Coastal Concrete Plan File No: Carlsbad
Location In Structure: Sidewalk
Material Supplier: Hanson
Mix Designation: 4033502
Admixture(s):
Time in Mixer: 30 Mins. Slump Inches: 3.75 Air Content: % Unit Weight, pcf Air Temp: ° Concrete Temp: 77 0 Truck Number: 532 Ticket Number: 691154 Samples Made By: SG Samples Tested By: CN
Laboratory Number: 4820
Mark:
4821 4822 4823
Date Made: 08/10/04
Date Received 08/16/04
Date Tested 08/17/04 09/07/04 09/07/04 Discard Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 118,250 151,250 150,750 Compressive Strength, psi 4,180 5,350 5,330
Age Tested, Days 10 28 28
Required 28 Day Strength, psi
Fracture Type C C
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with
t
h
e
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S; Columnar = CL
Distribution: Reviewed By:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
t(1) City of Carlsbad Edward C. r&soras, TICE # 44233
9/8/2004
r Southern California Soil and Testing, Inc.
459Z6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive strengtfl I est Keport
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
0312305
Montara - Phase 2
Sand Court
O'Day
McMillin / Diaz
Permit No:
Plan File No: Carlsbad
Location In Structure: Sidewalk
Material Supplier: Hanson
Mix Designation: 4033002
Admixture(s):
Time in Mixer: 50 Mins. Slump Inches: 550 Air Content: % Unit Weight, pcf Air Temp: ° Concrete Temp: 75 0 Truck Number: 447 Ticket Number: 689731 Samples Made By: SG Samples Tested By: CN
Laboratory Number: 4301
Mark: A
4302 4303 4304
Date Made: 08/06/04
Date Received 08/09/04
Date Tested 08/13/04 09/03/04 09/03/04 Discard Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 125,750 101,500 119,000 Compressive Strength, psi 4,450 3,590 4,210 Age Tested, Days 10 28 28 Required 28 Day Strength, psi
Fracture Type C CSH
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = 5; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
&dc.rasoras,RE# 44233
9/8/2004
( 15823
SOUTHERN CALIFORNIA SOIL & TESTING, INC.
6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627
Phone (619) 280-4321, FAX (619) 280-4717
SCS&T FILE NO. 03t 2.
-
P.O. NO.:
IPLI I INCI I I FIX I I PAGE 1 OF
1
FIELD INSPECTION REPORT FOR: D REINFORCED CONCRETE EIREINFORCED MASONRY DWELOING GFIREPROOFING
Q.C. CONCRETE 0 ROOFING/WATERPROOFING 0 P.T. CONCRETE/STRESSD EPDXY ANCHORS 0 H.S. BOLTING 0 OPROJECT TITLE: PHASE #: DSA FILE NO.: DSA APP. NO.:
PROJECT ADDRESS: PERMIT NO.: PLAN FILE NO.:
ARCHITECT: ENGINEER: &'
GENERAL CONTRACTOR: 4 SUB CONTRACTOR: D
LOCATION OF WORK INSPECTED:
MATERIAL CLASSIFICATION:
DATE: DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: 7:60 TIME DEPARTED:
L CVT r 57 F-oc.#r, c/-.' A/Gz L,3 i TrF '71(-
, 4aJ
5LUI1*? 33i
TniP
532.
Tl.KEt (.'thS/
lol
PER '
UBC I hereby certify that I have inspected the above reported work. Unless noted
otherwise, the work inspected is to the best of my knowledge in compliance with the
approved plans, sPeclficaoQyd applicable sections of the governing building laws.
Inspector Initials
DSA I hereby certify that I have inspected the above reported work in accordance with the
requirements of the DSA approved documents. Sampling and testing were conducted in
accordance with the requirements of the DSA approved documents. The work inspected
complies with the DSA approved documents.
Yes:......... No:........... Inspector Initials:
NSPECT S SIGNATU
I TENDENTS SIGN
Signature authorizes the 'work.
ON
DATE
U Southern California Soil and Testin
6280 Riverdale Street, P. 0. Box 600627, San Diego, CA
Concrete Corn Strenath Test Re
RECEIVED
16 0 (6q V 8d4
NGINEEjJNc I)EP4pTMj.',T
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
0312305
Montara - Phase 3
3576 Flat Rock Street
ABPA
Gouvis Engineers
McMillin Homes/Coastal Concrete
Permit No: CB041605
Plan File No: Carlsbad
Location In Structure:
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
Lot 67A-Left front slab on grade
Hanson
2533001
60 Mins.
%.
80
539
TC
Slump Inches:
Unit Weight, pcf
Concrete Temp:
Ticket Number:
Samples Tested By:
3.75
79 0
681630
TC
Laboratory Number: 2705
Mark: 67A
2706 2707
Date Made: 07/20/04 Date Received 07/22/04 Date Tested 07/30/04 08/17/04 08/17/04 Diameter, Inches 6.00
Area, Square Inches 28.27 Maximum Load, Pounds 75,000 98,250 96,750 Compressive Strength, psi 2,650 3,480 3,420
Age Tested, Days 10 28 28
Required 28 Day Strength, psi 2,500 2,500
Fracture Type
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone C; Cone and Split CS; Cone and Shear =CSH; Shear = 5; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
Edward C. Trasoras, RCE # 44233
8/18/2004
5 tOIL I TESTING. ME.
$ Southern California Soil and Testing, Inc.
!: 6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
'oncrew ompreuve QLFVF1qL1J • et repurI.
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
0312305
Montara - Phase 3
3572 Flat Rock Street
ABPA
Gouvis Engineers
McMillin Homes/Coastal Concrete
Permit No: C8041611
Plan File No:
Location In Structure: Lot 66A-Left rear slab on grade
Material Supplier: Hanson
Mix Designation 2533001
Admixture(s):
Time in Mixer: 40 Mins. Slump Inches: 4.75 Air Content: % Unit Weight, pcf Air Temp: 80 0 Concrete Temp: 80 0 Truck Number: 424 Ticket Number: 681699 Samples Made By: TC Samples Tested By: TC
Laboratory Number: 2702
Mark: 66A
2703 2704
Date Made: 07/20/04
Date Received 07/22/04
Date Tested 07/30/04 08/17/04 08/17/04 Diameter, Inches . 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 72,500 93,750 92,000 Compressive Strength, psi 2,560 3,320 3,250 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 2,500
Fracture Type
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with
t
h
e
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
Edward C. Trasoras, RCE # 44233
8/18/2004
SOILS TESTING,
( Southern California Soil and Testing, Inc.
: 6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive Strength Test Kepon
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
0312305
Montara - Phase 3
3552 Flat Rock Street
McMillin
Permit No: CB041509
Plan File No: Carlsbad
Location In Structure:
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
Lot 61 Footing at Garage Exterior Side
Hanson
2533001
35 Mins.
%
78
459
TBO
Slump Inches:
Unit Weight, pcf
Concrete Temp:
Ticket Number:
Samples Tested By:
3.00
85
679064
CN
Laboratory Number: 1944
Mark: 61
1945 1946
Date Made: 07/14/04
Date Received 07/15/04
Date Tested 07/24/04 08/11/04 08/11/04 Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 83,250 101,750 106,000 Compressive Strength, psi 2,940 3,600 3,750 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 2,500
Fracture Type C I C
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S;Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
Edward C. Trasoras, RCE # 44233
8/13/2004
SOIL . TESTING.
! ( Southern California Soil and Testing, Inc.
(3t6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive Strength Test Report
File Number: 0312305
Project Title: Montara - Phase 3
Project Location: 3568 Flat Rock Street
Architect: ABPA
Engineer: Gouvis Engineers Permit No: CB041600
Contractor: McMillin Homes/Coastal Concrete Plan File No: Carlsbad
IS
Location In Structure: Lot 65A-Left front slab on grade
Material Supplier: Hanson
Mix Designation: 2533001
Admixture(s):
Time in Mixer: 40 Mins. Slump Inches:
Air Content: % Unit Weight, pcf
Air Temp: 85 0 Concrete temp:
Truck Number: 427 Ticket Number:
Samples Made By: TC Samples Tested By:
Laboratory Number: 2699
Mark: 65A
2700 2701
Date Made: 07/20/04 Date Received 07/22/04 Date Tested 07/30/04 08/17/04 08/17/04 Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 68,000 86,250 82,250 Compressive Strength, psi 2,410 3,050 2,910 Age Tested, Days 10 28 28
Required 28 Day Strength, psi 2,500 2,500
Fracture Type
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type —Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
Z.~' ZI - - - Edward C. Trasoras, RCE # 44233
8/18/2004
Southern California Soil and Testing, Inc.
!: 5(6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive btrengtn I est Keport
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
0312305
Montara - Phase 3
3564 Flat Rock Street
ABPA
Gouvis Engineers Permit No: CB041610
McMillin Homes/Coastal Concrete Plan File No: Carlsbad
Location In Structure
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
Lot 64A-Left rear slab on grade
Hanson
2533001 -
40 Mins.
%
85
424
TC
Slump Inches:
Unit Weight, pcf
Concrete Temp:
Ticket Number:
Samples Tested By:
4.25
81
681890
TC
Laboratory Number: 2696
Mark: 64A
2697 2698
Date Made: 07/20/04 Date Received . 07/22/04
Date Tested 07/30/04 08/17/04 08/17/04 Diameter, Inches 6.00 Area, Square Inches 28.27 Maximum Load, Pounds 68,250 87,750 87,750 Compressive Strength, psi 2,410 3,100 3,100 Age Tested, Days . 10 28 28 Required 28 Day Strength, psi 2,500 2,500
FractureType
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear CSH; Shear = S; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1' City of Carlsbad
Reviewed By:
&c.rasoras,RcE#4423
/
. 8/19/2004
Lot 62 Footing at Garage Side Stem Wall Exterior
Hanson
.2533001
60 Mins.
%
78
477
Slump Inches:
Unit Weight, pcf
Concrete Témp:
Ticket Number:
Samples Tested By:
5.00
87°
679087
CN
Southern California Soil and Testing, Inc.
!: 6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive strenqtri test
File Number:
Project Title:
Project Location:
Architect:
Engineer:
Contractor:
Location In Structure:
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
0312305
Montara - Phase 3
3556 Flat Rock Street
Permit No: CB041609
McMillin Plan File No: Carlsbad
Laboratory Number: 1947
Mark: 62
1948 1949
Date Made: . 07/14/04
Date Received 07/15/04
Date Tested 07/24/04 08/11/04 08/11/04 Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 76,250 93,250 94,750 Compressive Strength, psi 2,700 3,300 3,350 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 2,500
Fracture Type C C
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = 5; Columnar = CL
Distribution: Reviewed By:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad Edward C. Trasoras, RCE # 44233
8/12/2004
!( Southern California Soil and Testing, Inc.
(J3Z 6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete C
File Number:
Project Title:
Project Location:
Architect:
Engineer:
Contractor:
btrencitrt Test
0312305
Montara - Phase 3
Flat Rock Street
McMillin
Permit No: CB041603
Plan File No: Carlsbad
Location In Structure:
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
Lot 60 Slab on Grade Center of Garage
Hanson
2533001
50 Mins.
%
80°
477
TBO
Slump Inches:
Unit Weight, pcf
Concrete Temp:
Ticket Number:
Samples Tested By:
3.75
86
679217
CN
Laboratory Number: 1941
Mark: 60
1942 1943
Date Made: 07/14/04
Date Received 07/15/04
Date Tested 07/24/04 08/11/04 08/11/04
Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 77,250 97,250 95,750 Compressive Strength, psi 2,730 3,440 3,390 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 2,500
Fracture Type C C
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S; Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad
Reviewed By:
Edward . Trasoras, ACE # 44233
8/1V2004
Southern California Soil and Testing, Inc.
(!!L6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive Strength Test Report
File Number: 0312305
Project Title: Montara - Phase 3
Project Location: 3555 Flat Rock Street
Architect:
Engineer: Permit No: CB041609 Contractor: McMillin Plan File No: Carlsbad
Location In rStructure
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
Lot 59 Slab on Grade Center of Garage
Hanson
2533001
60 Mins. Slump Inches: % Unit Weight, pcf
80 0 Concrete Temp: 86 0 459 Ticket Number: 679186
TBO Samples Tested By: CN
Laboratory Number: 1938
Mark: 59
1939 1940
Date Made: 07/14/04
Date Received 07/15/04
Date Tested 07/24/04 08/11/04 08/11/04 Diameter, Inches 6.00
Area, Square Inches 28.27
Maximum Load, Pounds 78,000 96,250 97,250 Compressive Strength, psi 2,700 3,400 3,440 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 2,500
Fracture Type C C
Specimen sampling, transportation and compressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear =CSH; Shear = S: Columnar = CL
Distribution:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) ON of Carlsbad
Reviewed By:
Edward C. asoRCE# 44233
8/12/2004
4 SOIL
5j Southern California Soil and Testing, Inc.
!: 3(6280 Riverdale Street, P. 0. Box 600627, San Diego, CA 92160 (619) 280-4321
Concrete Compressive strengtn lest Keport
File Number:
Project Title:
Project Location
Architect:
Engineer:
Contractor:
Location In Structure:
Material Supplier:
Mix Designation:
Admixture(s):
Time in Mixer:
Air Content:
Air Temp:
Truck Number:
Samples Made By:
0312305
Montara - Phase 3
3560 Flat Rock Street
ABPA
Gouvis Engineers Permit No: CB041604
McMillin Homes/Coastal Concrete Plan File No: Carlsbad
Lot 63A-Left rear slab on grade
Hanson
2533001
40 Mins. Slump Inches: 4.50
% Unit Weight, pcf
85 0 Concrete Temp: 81 °
539 Ticket Number: 681972
TC 'Samples Tested By: TC
Laboratory Number: . . 2693
Mark: 63A
2694 2595
Date Made: • 07/20/04
Date Received 07/22/04 Date Tested 07/30/04 08/17/04 08/17/04 Diameter, Inches 6.00
Area, Square Inches 28.27 Maximum Load, Pounds 72,250 90,250 88,750 Compressive Strength, psi 2,560 3,190 3,140 Age Tested, Days 10 28 28 Required 28 Day Strength, psi 2,500 . 2,500
Fracture Type
Specimen sampling, transportation and 6ompressive strength testing were performed by this agency in accordance with the
applicable ASTM C39 standards.
This agency makes no other warranties express or implied.
Legend: Fracture Type - Cone =C; Cone and Split =CS; Cone and Shear CSH; Shear = 5; Columnar = CL
Distribution: Reviewed By:
(1) McMillin Homes: Brad Robbin
(1) McMillin Homes: Dave Shields
(1) City of Carlsbad Edward C. Trasoras, RCE # 44233
8/18/2004
( 13634
SOUTHERN CALIFORNIA SOIL & TESTING, INC.
6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627
Phone (619) 280-4321, FAX (619) 280-4717
SCS&T FILE NO.__Q_3LQ_._
P.O. NO.:
IPLI I' ICI 1 I FIX I I PAGE 1 OF _j
FIELD INSPECJON REPORT FOR: YREINFORCED CONCRETE DREINFORCED MASONRY DWELDING DFIREPROOFING
0 Q.C. CONCRETE 0 ROOFING/WATERPROOFING 0 P.T. CONCRETE/STRESSO EPDXY ANCHORS El H.S. BOLTING El
PROJECT TITLE: PHASE #: DSA FILE NO. ______ ______ DSA APP. NO.::
PROJECT ADDRESS s J Cr gll~j
ARCHITECT:
PERMIT NO.: PLAN FILE NO.:
f:S ENGINEER:
GENERAL CONTRACTOR: t'1 M ci. i i4nyu S. SUB CONTRACTOR:
LOCATION OF WORK INSPECTED:
. tL, t4iA-f MATERIAL CLASSIFICATION: c: a/ y
DATE: I DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED:
p i S,4. ,.tA-C( _. iLo,
si do (Li4-z, 41_I ,.J cu , i c( ( T
ICZ16 e%
— S/jts f ( -riiJt2 (0..
UBC I hereby certify that I have inspected the above reported work. Unless noted
otherwise, the work inspfi4eis to the best of my knowledge in compliance with the
approved plans, spetio applicable sections of the governing building laws.
Inspector Initials
. . . DSA I hereby certi hat I have ins ected the above reported work in accordance with the
requirements of the ______ documents. Sampling and testing were conducted in
accordance with the requirements of the DSA approved documents. The work inspected
complies with the DSA approved documents.
Yes:..... No: Inspector Initials:
-7• -;-
TORS SIGNATURE
NDENTSSJG ATURE su ITE
signature authorizes the above work.
REGIST TION No.
13612
SOIL S SUTINO.
S SOUTHERN CALIFORNIA SOIL & TESTING, INC.
6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627
Phone (619) 280-4321, FAX (619) 280-4717
SCS&T FILE NO.
P.O.NO.:____
I C J1 vi F PL I I NC I FIX I PAGE ( OF I
FIELD INPECTION REPORT FOR: 0 REINFORC.D CONCRETE DREINFORCED MASONRY [:]WELDING (:]FIREPROOFING
0 Q.C. CONCRETE 0 ROOFING/WATERPROOFING EIT. CONCRETE/SE ESS.D EPDXY ANCHORS 0 H.S. BOLTING 0
PROJECT TITLE:
,
PHASE #: DSA FILE NO.: DSA APP. NO.:
PROJECT ADDRESS: PERMIT NO.:
ENGINEER: .oiJa-r1) PLAN FILE NO.:
It ~4
ARCHITECT: )S40
GENERAL CONTRACTORM c fri -- I I SUB CONTRACTOJ 1q-
LOCATION OF WORK INSPECTED: T S MATERIAL CLASSIFICATION: I c 1-s t..4d.% (ii..T11d1
t ftC — ii 7-7- r,-L 5 a ,thátj: f21d ssu.• cç-
DATE: DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED:
OAJ tt A— uaQci4,tJ
Thi t)cd ç7aq4 4vv4
f2 t&I
, 7-J C' 17Vt ) - Ui it Mp ( 4i1rA Iff't
s ,/t1 t itfI1
c4.A(jcf- cR0 -5( I3j 33/
k 01 sw CR a
P.E. R W:
UBC I hereby certify that I hag inspected the above reported work. Unless noted otherwise, the worke the best of my knowledge in compliance with the
approved plans, specific ns and a plicable sections of the governing building laws. PE OR SIGNA E REGIS RATION No. Inspector Initials __________________________
DSA I hereby certify at I have inspected the above reported work in accordance with the
requirements of the SA approved documents. Sampling and testing were conducted in./'
accordance with the equirements of the DSA approved documents. The work inspec 'sign ure authorizes the above work. -
complies with the DS oved_documents.
Yes:....... No:__ Inspector Initials: