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ENGINEERING <br />& TESTING, INC. <br />KOURY ENGINEERING <br />14280 EUCLID AVENUE <br />cHtNo, cA 91710 <br />(24 Hour) Cell: (310) 713-4005 <br />Office: (909) 606-6111 <br />Faxr (909) 606-6555 <br />Daro 614119 <br />o''"o *o 19-0554 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />fl neintorceo concrere <br />E Pr6str6ssed Concrele <br />E Reinlorc€d Masonry <br />ff siructuralsleel <br />! Fne Prcofinq <br />E shotcrere <br />E Oualilv Control <br />E Ddled ln AnchoEIorher EDoxV <br />REGISTERED INSPECTOR'S DAILY REPORT <br />500 W. Warner Ave <br />Cirv <br />Sanla Ana <br />Voluntarv Seismic Strenqtheninq 101 99744 Santa Ana <br />Tenant lmprovement <br />It4;terial Descriptiofl (lvpe, qrade. source etc.) <br />I\,4HP <br />Premier <br />Jack Sparacio SPS <br />TESTS PERFORMED <br />TYPE OF SAMPLE SLU MP OIIANTITY IN SET AOOITIONAL REMARKS ON SAMPLES <br />QUALIfY CONTROL <br />CHECKLIST <br />E cBEcKEo rNWrHclrr <br />E oNllME'oJos <br />tr ftEcxEo+N,r <br />tr REVIEWEOAPPROVEOPLAN <br />E REvMes%clac^noNs <br />u REvEwEoPFEMolrs REPoRrs <br />tr TESTPERFORM€OPERSPECS <br />I concrcrrc or sueirs <br />tr sailPtEssroREDsaFELY <br />tr c{EoNsAwrsFoFPcK@ <br />n rLNrcENoEsNoreD <br />E -*- <br />CERIIFICATION OF COMPLIAI{CE <br />ALL !1/ORK LISTEO ABOVE WAS INSPECIEOAS REOUIREO BY <br />IHEAPPROVED PLAN, SPECIFICATIONS, AND GOVERN'NG COOE <br />I woRX CoMPLTES W]TH <br />APPROVED OOCUMENTS <br />CONIINUED ON NEX'T PAG€ <br />TIME IN TIIUE OUT R€G, HOURS O,T. HOURS SAMPLES <br />11 :00 am 1 :00 pm 4.O <br />AJI inspeclions b.s.d on a mnrmum ot 4 r6u6 aod over 4 hou6 a houB ninimuh. ll <br />lhe hspecior is olred lo a Droi&t and no <br />.hsrae will be .pplied. Please venty O C <br />Jacob Kulick P.o|oct s!Dennbndonl <br />SIGNATURE OF REGISTERED I <br />alc <br />WOR( OOES NOT COMPLY <br />526'1928 tcc <br />CC. Archnel, E.qn4, BoildinF Ofiod www.kouryengineering,com FORM FR-20003 07/01/201s <br />INSPECTION SUMIIIARY. LoCATIoNS oF WORK INSPECTED, TEST SAMPLES TAKEN, woRK REJECTED, JoB PRoaLEMS, PRoGRESS REMARKS <br />ETC- INCLUDE INFORMATION ABOUTAI\,IOUNTS OF AIATERIAL PLACED OR WORK PERFORMED. NUMBER A TYPE OF <br />TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS IWELDS MADE. BOLTS TOROUEDI CHECKED, ETC, <br />Location: Wall tie at Purlins. <br />- Observed epoxy 5/8" rods to existing perimeter walls each side of purlins per detail 3/53.0 <br />Holes clean,6" embed, set in Hilti Hit RE 500 epoxy. <br />12 locations. Gtid 42/8, D, F, H, K, M, O, P-O. Grid 28lK, M, O, P-O. <br />Work above completed. <br />ttt