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cl{Rts W}TELAN <br />INSPECTIONS <br />Special lnspection Report osre 02J2?J2021 <br />Dept. of Building. & Sabty City of Santa Ana Buildng Pemit Number 101 103631 <br />Job Name & Address'1010 MacArlhur Blvd, Santa Ana <br />General cootractor MCC subcontraclor Pacific West <br />Engi neer EJD <br />client Name & Address MacArthur Mllage HOA <br />O Reinforced Concrete <br />0 Pre-Str€ssed Concrete <br />fl Masonry <br />O Welding <br />tr HFTensile Bolting <br />tr Other <br />I Chemical Anchors <br />Description of Work lnspected <br />Observed the preparation and epoxy installation of the following <br />#5 rebar dowels top and bottom at 24 o/c with a minimum 6" embedment per detail on D1 for new <br />to existing footing connections, located rear of existing structure foundation. <br />All holes were drilled 3/4' diameter and cleaned using compressed air and brushing. Simpson SET <br />XP was used with an expiration dale of 0'1127122. All work observed is in accordance with approved <br />plans, specifications.' <br />Sam Hours <br />Cenlflcation of Compliance: <br />To the b€sl of my knowledge, the work inspected complies with the approved plans, specifications and applicable sections <br />of the uniform building code except as noted above <br />lnspectors Signature g,21.g 0?r'222021 <br />Name of lnspecto r Christopher J. Whelan 1.9. Ngmggl 8326394 <br />Concrete Grout Mortar Prisms <br />All inspectbn bssed on a ritrxrn ol.l hors & ovc',i hous -I hours minimum. ln addition. any inspeclion oderdirE past <br />ooon hou. will be an I hour minimum. O\rer 8 hou. period ard <br />Saturdsy inspedio.rs vlil be baled at li.ne and a haf. <br />II <br />orDateTime ln Tilrle Out Reg Time <br />1000 1200 4o2tz2m21 <br />I <br />Approved By <br />PO Box 1923, Lake Anowhead, CA- 92352 . 844-4DEPUTY (844133-7889) <br />: <br />I