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DEPUTY 1 INSPECTION SERVICE INC. <br />2512I DE SALLE ST, LAGUNA HILLS, CA 92653 <br />I - 800 - DEPUW 1 = r -800-337-8891 <br />DEPT. OF BLDG. & SAFETV <br />crrY oF santa Ana <br />SPECIAL INSPECNON REPORT <br />Job. No.odrc 11122117tlurld,n0 Pcm( No 10194427 <br />Jot, lndenticat'o.r / addrca€Wlde Residence, 2214 N Heliotrope Dr, Santa Ana, cA <br />Gcnoral Con.,Jador / AdclrEss Next Generation <br />Sub . Conlractor / Address <br />Struc{uElEnginoc./nddrc.s sprre <br />REINFOSCED CONCAEIE <br />PRFSTIT!;SID CONCRETE <br />MASONFY- HI.TENSITE SOLTIN6- CHEMICIL ANC*IoNS- <br />WEIDII{O- GYPSUM CONCfiETE- OTHEB- <br />WELOEN NECfIPT NU"IBEA WEU)ER <br />DESCRIPTION OF WORK INSPECTED <br />11t22117 Observed the placement oflg rebar dowels for s a on gra at garage ng per <br />Placement was with Simpson Set XP epoxy lol1A82Z082E, ExpT l <br />Pri to ment th mt n mbed nd prope I clean ing o an compresse r <br />hOUAS SAMPLES <br />ATToBNEfS FEES - r, nry acri,' at bw orin eqqiv is brolghr b Bntorcs or rno.ufl o," D,n6 of 116 co'rrad, nrc p..rdrlE pany <br />srBt bo e'ltiat€dto relaon$te stlolnqy'3ro€6. cods.r# n c€sery rtlbuEomerts insddnion ?oirny arhcr.org, to *t*9i srarr poiy;arb <br />SPECI,AL INSPECNON REPORT <br />lnspestor's Name:Peter Gilpin lnspector'g Signrturc: <br />l.D- No.5232539 r has baen fled and I siatcB that the above wolk to rhe best <br />pra,leo.rq of thc Uniforn BUildcE Codc and nteeE .ipplor,cd plafls ard Speci6catons <br />Grout Block <br />Prisms Densrty <br />Arl li9lr<lbB b.rEl q. htnarD., 4 rEE, E I hol,s - t h..bt{n,tt!R Aiy iEp..rnn.r6dr{ p.< rr. noo.r Dqrr d a. Efi.d D 6hd 6i.irt!6 r. .(rdr,.tm, .n, iEp.d.n qGrtht ,!rr d a ts, ,Grbd. d S:r! lry Gr,.cla.r dt h. bitLd r ttD .har a iln <br />r- <br />DATE REs-OT flmelh flrne Ou! <br />11122t17 [4in 12.O0 <br />I <br />Approved by: <br />hig'rct loortedge ccdtpfes r,tl,l thc <br />B€pccddly Submifed. <br />COUNTY OF <br />Aroh. <br />-