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Corporate <br />292 E La PalnE Av6. Ste. A <br />Ansh6im. CA 92800 <br />Tel: 714.632.299e <br />Fax:714.€E22971 <br />Dbpatcrt: 800.491.2990 <br />San Oiegorl mpcri.l County <br />6295 Ferds Squ.re Se- C <br />San Oi€go, CA 92121 <br />Tol: 858.537.3999 <br />Faxr 858.537.3990 <br />oisparci: 8E6.844.50@ <br />Inllnd Empire <br />1,1467 Morllian Pkvry., Bldg 2A <br />Rivelside, CA 92518 <br />Tel: 951 .653.4999 <br />Fax: 951 .653.4666 <br />DisFtch: 800.491.2990 <br />lndlo <br />44917 GofC€ntEr Pkwy.. St6.l <br />lndb , CA 92201 <br />fel: 7@ .312 A6n <br />Fex:7d).342.{525 <br />Dbpotsh: 8OO-,191 .2990 <br />MrcL PRoJEoT*: 5403A19 <br />P.,rfl r 10191322-17509 <br />Report, 1 Page 1 of 1 <br />DA!LY INSPECTION <br />REPORT <br />DSA/CITY Fil€ a _ <br />DSA/OSHPO Appl. a <br />DSA,/LEA ' <br />- <br />Separate repoats $all be paepared t een bre oa sFoal r6!€ctton on a da y Da5|6 Eadl rcro.l shall be co.npleted and sgned Dy lhe sFcral insp€clor condrf,trng ihe <br />TTITG I <br />oare: O811712017PROJECT NAME: AIdi MoT StoTe # 34 <br />TIME ARRIVED: O7:OO AM TIME DEPARTED: 2:30 Pl\llARCHITECT: APD <br />LUNCH TIME: -ENGINEER B&B Associates TRAVEL TIME: <br />coNrRAcroR: ED GRUSH SUB CONTRACTOR <br />INSPECTION ADDRESS ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa Ana,CA <br />TYPE OF INSPECTION <br />O ENGTNEEREo FrLL <br />E FouNoATroN <br />O EACK F|LL <br />E BATCH PLAI.IT <br />0 PT coNcRETE <br />D SHoTCRETE0 coNcRErE <br />E MASoNRY <br />E H|GH STRENGTH BoLTI G <br />[! wELorNG <br />O SHoPWELD <br />E FIREPRooFING <br />E ANcHoR/DoA/EL <br />E NoE FrELo <br />E NoE sHoP <br />CEILING vvREtrtrtr <br />tr <br />DSIJOSHPD PROJECT <br />APPROVEO OOCUMENTS <br />AVAILABLE APPROVED <br />PLANSYENO <br />SOILREPORTYONf]SPECS:YENE <br />APPROVED SHOP ORAWING Y E N EI <br />MATERIALS USEO BY CONTRACTOR 0NCLUOE RESEARCH REPoRT NO. OR MATERIAL TEST REPORTS): NonrEl\ lsigtn Concrole, Hi6rddo Mix <br />EQEUtP1l,ENr USED By CONTRACTOR: BoOm lift, Harness, chipping hammers, wire brush and welding machines. <br />r /oRK AREA: First Floor <br />Completed welds were visually inspected in the following locations: <br />-Connections between HSS on lines LE & 7&D.4 to angel L4"X6"XU 4" with %" fillet weld 3 sides as per <br />detail C2 on sheet fl 5403 <br />- Connections between HSS on lines !!$f to angel L4"X5"X114" with %" fillet weld 3 sides as per detail 82 <br />on sh6et # 5-303 <br />- Connections between 2 Channels and %" thick plate on grid line 7 and between lines A & B with %" fillet <br />3" -12" as per detail A2D on sheet # 5-403 <br />Welds were inspected for size, length, location and free of visible defects. <br />All welding was performed as per approved plans and code. <br />Certified welders Ratael Depaz license #PO30500 expire date 12/20 and Enrique Zaragoza license <br />#PO24065 expire date 5/18 performed the above detailed welding. <br />All work detailed above is still in progress as per approved plans and code. <br />REWORK AS PERCENT OF ALL WORK TOOAY: 0%PERCENT PROJECT COMPLETE: <br />THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEEI <br />lnspected in accordance with the requirements ofthe OSI'/OSPHD/ <br />PROJECT approved documents. <br />Ths requirements ollho PROJECT doorment6 <br />Sampbs taken: <br />Vt/eather: <br />MATERIAL SAMPLING WASE wASNoTE N/A EI <br />Performed in ac.ordance with DStuOSPHD/PROJECT approved docurnents. <br />Clear remp: 76 f <br />Sqlnature ot Special lnspedor <br />Maged SaadProjed Arc tecl <br />Structur.l ErEineer <br />DSA Regional Ofice <br />School Oisfi.t <br />Contrac{or <br />BuiHing Oep6rtment <br />Owner Print <br />certilication #: ICC{457 <br />c& <br />verified <br />me