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4518 Westminster Ave - Misc. Permit
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4518 Westminster Ave - Misc. Permit
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Last modified
11/13/2025 8:27:45 AM
Creation date
6/29/2021 8:07:09 AM
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Template:
Misc. Permit
Full Address
4518 Westminster Ave
Street Number
4518
Street Direction
We
Street Name
Westminster
Street Suffix
Ave
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CAL IIVSPE c ?rorvs,r rc. <br />374 Sierra Ave . Norco, CA 92a6O AWS/CWI- ICBO/ICC <br />ALL CITIES & JURISDICTIONS <br />INSPECTION & MATERIAL TESTING <br />Ifrbne (951) 2O3-97O1.Fax' (6261 9r7-8739 <br />r, <br />EGISTERED INSPECTOR'S DAILY REPORT <br />PAGE 1 or 1 <br />CERTIFICATION COMPLIANCE best of my knowtedge, allofthe repoded work, <br />.isin with the approved plans, specifications. and <br />applicable <br />ICC Concrete: 5296764 <br />IrYPE oF <br />INSPEcTIoN <br />IRECiUIRED <br />tr <br />tr <br />tr <br />Reinforced Concrete <br />Post Tensioned Concrete <br />Structural Masonry <br />n Structural Steel Assembly <br />E Fireproofing <br />E Asphalt <br />n Quality Control <br />n Epoxy Anchors <br />E other <br />14518 Westminster Ave Santa Ana, CA <br />iCalifornia Japanese Auto Service City Of Santa Ana <br />Auto Shop <br />M.torial Oe.cdption (typ., grad6, sourcol <br />lHilti RD 200 Epoxy Seizmic Engineering <br />Aird raulics <br />',Charles F. Ramsey lll <br />LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED. JOB PROBLElils, PROGRESS, <br />REMARKS, ETC, INCLUDES INFORIVIATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED. <br />NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN, STRUCTURAL CONNECTIONS WELD <br />MADE H.T, BOL]-S TORQUED) CHECKED, ETC. <br />.II(SPECTION SUMMARY - <br />Epoxy Anchors <br />Observed placement of 12" #B rebar slab dowels for new to exiting slab dowels per <br />Detail 2 on anchoring sheet. #8 bars were installed with 6'' embedment into concrete <br />Slab. All holes were clean prior to placement of epoxy. Hilti RE200 Epoxy was used. <br />CONCRETF MORTAR GROIIT RI OCK PRISMS DFNSITY <br />TIME IN 'TIME OUT REG I]OURS oT15X oT ?x <br />1 1:00 <br />Allrnsp€clioN bas€d on 6 mhimumol4 houE Over 4 hours = Ahoursminimum <br />Any msp€dDns oxlending pasl @n will b6 cha.Oed as ar A hour mnimum <br />PROJECT SUPERINTENDENT <br />BY: <br />Signalure of Specia <br />lhe ilding la'*s <br />01t16t19 <br />SAMPLES <br />4
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