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SPECIAL INSPECTOR REPORT <br />E DAILY tr WEEKLY tr FINAL <br />Report Date 064{-2018 Euilding permir * l0l 95377 City of Sanla Am CA Districi Offre I <br />Job Address 2600 S Gamse\ A\e Sa a Ara CA <br />Location on site warehouse T&I Al rEurr of sitc <br />Descripti on of wofi Obseri'e and inspcct installation of # 4 ban as dowels into existing concrete slab & footings $.ith 6" min <br />embed@ 12" oc. 5,15 total . Using Simpson Ser )(P Epoxy ro ICC ESR2508ard LARR 2574,1e\?. date 09-2019 \lith the <br />holes blown out and brushed clean prior to inshll. \€ri! materials . Iocations. and workmarship. All work to 2016 CBC code <br />ard guidelines. <br />Discrepan 6u" None <br />All wotk on lhis job T satisfactorily completed in conformance with the approved plans and <br />requiremen ts of the g Code <br />Signature tD#P028287 931s 06{4-2018 <br />P.inl Full Name KiIk Mosher LADBS # P02828 ICC#51731{2 Daytime Phone I (714) 719-8957 kmosh-@.,y mail com <br />6"*131 6onl1E6or Ouner builder /JMC oncrete & Masonry Ehgineer of Record Maum T Aziz # C 76916 <br />lnspec{ion Frequency: E Continuous D Penodic <br />Type of lnspeclion: O Reinforced Concrete D Gunite / Shotcrete O Presiressed Concrete O Masonry <br />Fot any of above types of lnspections provrde D6ign Mix <br />- <br />PSI- <br />! wetdlng I BiglFslrength Bolts E Epoxy I Ottrer_