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Home My WebLink About10195671 - PermitTProiect Address: 1924 E Deere Ave Assessor's Parcel 430"'t91-15 Lot: POR 115 Block: 9 Bldg: Tract: IRVINE SUB Address Range: 1920-1940 Historic: No Suite Range: Zoning: P city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: lO{9567{ Pin #: 4O155 Buildang Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: lndustrial Tenant lmprovement Wood Siding Commercial Occupancy: Constr Type Code: Flood Zone: # of Stories: B VA cBc 2016 x-0602320278J 1st FL Area; 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd Valuation: 0@0 $1,440.00 Description of Work: New wood siding. Planning Conditions: B0t{hf | 44r-46 -,1,/1"q 0ff i .e: t:TY! Trrr, qr-p l+ 1t-i2i?7i \ r'cln I x Owner: Address Alton Deere LP 1301 Dove St Newport Beach, cA 925602440 Contractor: Line Electric lnc Address: 4055 Wilshire Blvd #524 Los Angeles, CA 90010 Phone: (2131272-3364 State Lic #: 910172 Lic Type; B, C-10, C-20 Bus. Lic #: 345560 Workers' Compensation lnsurance: Carrier; Wesco lnsurance Company Policy #: WWC3150679 Expires: 08/16/2018 Engineer: FSCO Address Fardad ForoutAnnaini 8860 Corbin Avenue, Suite 212 Northridge, CA 91324 (310) 36513905 43995 Wolcott Architecture & lnteriors 3859 Carditf Avenue cutver citir, 6A bozaz l310l 204-2290 279',15 Architect / Desiqner: Address: Phone: License # Phone: License # Plannang Approval By Plan Checked By: Permit lssued By NPDES lnsp. R PWA lnsp. Req'd G ara, Jerry ki, Teri Dale: 0212612018 Misc. Receipt Date: 03/05/2018 Misc. Receipt Date: O6/i8/2018 Misc. Receipt Subject to Field: No No Account# 07116002 07776002 07776002 07776002 07776002 07776002 5760 7 5 3600 57770 57672 57600 57607 $154.26 $213.86 $10.86 $1.00 $21.25 $52.98 70646 Total Permit Fee Plan Check Fee lvlicrofilm Records Bldg. Stds. Revolving General Plan Update lssuanceoFire lnsp. Req'd Planning lnsp. Req'd: No Police lnsp. Req'd Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit issued shall becofie invalid unless the work on lhe site authorized by such pefinit is commenced within 180 days aftet its issuance ot if the wotu authoized on lhe site by such pefinit is suspended or abandoned for a period of 180 days after tha time the wotk is commenced lnspector MID#: 2018-140906 0'1 I '16002 0'1 1 '16002 01 1 16002 01 1 16002 51600 51601 51612 57770 $21.25 $2O7 .24 $1.00 $10.86 Fee Total: Paid to Date: Balance Due: $454.21 $213.86 $240.35 Unit: Phone: Tenant: BUILOING- INSPECTOR RECORD SITE.WORK DATE tD/stG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads I T7>Wr ,l <-- D€ *-lD UFER Ground rt SLAB Floor Subtloor/Vent/lnsulation Rool Sheathinq Shear Wall Framino lnsulation/Energy Drywall Ext./lnt. Lalh Itrlaso n ry Pool Fence T-Bar Handicap Beq Deputy Final Report Enoineer Final Report Flood Zone Certif . FINAL 4 I t, ,tdrR Vx,,e ,€r) Certilicate ol Occupancy t t I ' U l Notes, Remarks, Etc. oWNtrR BUtI,DER DELC RATION I hercby allird undcr l.mlry 6r pcrjury rhd I r'n cx.mrr rmnr ttE Contmdor' Liensc li* t)r rhr rollowinS atF. lscc.70.1l.5 ausi,rcss nnd Proic$dn codc): Any City or Counr] which rcquircs ! lcrnir ro connrud. alr.r. nnllovc. dcmli1h ur ^Tdt nny srrudurc. lrhr h ns ksurncc. oho rcquncs rhc 4plicanr for such Flnir ro fiL , si8ncd shl.m.t rhll hc or shc is li(n\cd rxnnmr ro rhc pmvisiotu .frhr conrr.rols Liccns.n Ljs (Choprcr 9. Onnnrcncing airh s..ri.n 7fix) of Divhion 3 of lhc Busiocs ud Pmtt$ionr Codc)orlhal hcorshc is excnrl rhcrErrcm ud rhc hisis for rh. J hgcd crcmprion AnyviolorionofSc.ri.n 7011.5 bya.y $plicfl lnr a Frnir subje.rsrh. arplicdn o,.ivilp.ialryofnor mrcihrtr 6vc hundrcddollus ( 5m). I. ,\ ownn or rhc l)mlrcny. or nry cmrloles wnh q0scs 0\ thcir sle conlncnsrrion. will do rhc qolk srkl rhc srtullE is or intcndcd or olttEn lor elc lsc 704,1. Bnsi.cs\ and Profcssn'nr Cod.: fic Crtrt!.t.r's l-i.ctr{ llw do.! nor 0pnly,o an olmr of rhc nm|x y wtn hildsor imp('rcsrhcG)n. rnd wh, d,n {rh wd( him{lf ot hcrcll or rhmugh hi! or h$ owtr rnrlovcc\- r,vidcd rh.r nrh impmrcnEff orc mt intcndc{ ., ofcEi hr {lc ll howclri rhc buildirg .r iq)torcmd t qnd wirhirt om }ur of conrllkrh.. thc Owmr Blildcr wlll h!!c rh. hod.n of l,olins rhdr h. or rhc did nor build or iflprcvc thc lmFny for rhc PUiIIM or l.a\o$Nrofrhcpm|rcny.r cr.lusvclyconrch!$irhli.cn\cd..nka.kxbcotr*u.rrh.fm](d(Scc70t1.hx'nrs rnd lhnts$nCod.'lhcConrrrrnnsl,iccnicl-rtdoc\norrtplyn,iiosturnlpro,Enysh.huil&otnnprur.llhcr..i. rnd who coirrdr(lar nrchtojc.hwilhr ('.tr|tu.to(s) h.cnscd purulnlx,rhcCi'ntJcroi\ Liccn{ Lnw) I Jm.xrtr,nr un(lcrS.cri(n Irat€ Osner wonxrmi tirmpr.,,r.s,rrtrn OICI.AI{IION I hcRbyrliir otrd.r Fnrlryofncijuryonc ofrh. folLwint d.clirdlius lhnr.atul will.uiflah r(ini,icatc.{ConEnr lo Scllln{nc nn {orkc^ co rPcNarion. r\ Providcd foriySccrn,n.lT0Oofrhc tlhr Cnd..,ar rhc tdf.mran.. ofrhr s.lk ld whi.h lh. pcrinn n issucd I havc and sillnrinhin workcrs .onlp.trsarn insumn.c.rs rcqlircd hy Srrion.lTU).t rhc tiftor Codc.lor rhc Pcrlirnunc. ol rhc*orkforwhi.hrhis|f,rnririsisnLrdMyuorkcrs$n{Ensllioninsoran.ecdicr,lPolicynumhcrm -lrnilyrlnrn,rhcp.rfoi,Mr..olrh.qorkfirqhichrhispc nir is issu.d.I shrll ort Pk,, dn! Pcrsnr in 00y tnmocr $Nr.tE..nEruhr.lrk'lhcworkcrsconrpcnslrioilrwsofcrlif nir.rn +(c rhd ill \houkl$ccont \nhJ.tr rorhc rorkcr'conDcnvfio.pDrisionsolSccrion.]7fi)ofihdlnhtrGxtc.llhrll.li haih cotrDly sirh rh,r n(,vi\n'ns. 1VARNINC Frilu( (, {rurc workc6 $nlEns(tnr covcftSc n unhwfil- rnd \) ll \ubi.r .n.mfloyc. ro nininrlfcnxlrt\ md civil lin!\ uI b .n. hu.dtrl thdu\rnd Srcrion.1076 ofrhc L.kr Codc. irtcrcsl ).0(X)r. ir ftldiri,,n n) rh.,l ro lJfncdi,nr. Jitrugcs ,s prri{trd nx thr v*",C)6- le - \g I hcEby 0finn unncr pcnrllyrlr^-rjur, rhri pmvti.n ol Chnfld q (com rncing wirh Srcri{nr TtxI)) of Olvis iinr l o o'. 06 - 18 ^l I herchy rtfi rmxndcr FnaxyorFrJury'h. isucd (Sa -1007. Ci! C ) iN r consld.ti'n lcndins.scN, r(tr rhd n rlninrk. oirh. rork for $hich rhis pcnnir i\ atgJ(aNfDl:s.aaafl1! I hor$y lnnm u Mcr rcnoll, oi pcrjury otu or rhc rollowirg dc.lmrions Dcmolitiotr Pcrnrits.Asbc(os Noriicarion Fcdcral Rcs!larions (Tirlc40, Pd6) -Rcquircd Lcllcr al N.lifi clri,r l.cn,fyrhrr rh.lad&(lrcguldions rcAirdnE rsbc{os rcnovalarc nor rpPlir$l. r. rhis Projccr inronrunr s.oncd I rarlr loconrply $irh,llCiry dtrd C.unry rtrrl$'r.tuj,.{nltrc\ol lhls ( irJ_rRlC.unrvni cirtr utx rhc ^,", o6^19-lp, J€SAS c>- ;/2)lt'\) Brown Coat or rhc Busirc$ ind ProfcsionsCodc, md my liccn\c i in tull fore ml rrrc.r Projed Narne Address: Owner Name Address: Phone & Fax Contraclor: Address: Phone & Fax: I HEREBY CERTIFY THAT THE FOLLOWNG PORTION OF THE WORK ATABOVE ADDRESS VV}IICH REQUIRED SPECIAUDEPUTY INSPECTION AND FOR WHICH I WAS EMPLOYED TO INSPECT BY MEANO COMPLY WTH THEAPPLICABLE PROVISIONS OF THE BUILDING CODESAND THE APPROVED DRAWNGS: Engineer: Address: Phone & Faxi TYPE OF INSPECTION Reinforced Concrete Shotcrete Gunite Rebar \4,/elding E Structural Masonry Prestress Anchors Bolts Dowels a Fireoroofno E Post - Tension Framino Nailing lnsp Grading Others Quality Control Cylinders Samples Core Panels Mortar Grout JTS INSPECTION SERVICES OFFICE/CELL| (323) 53G9436 146 SOUTH BONNIE BEACH PLACE FAX: (323)269-5671 LOS ANGELES, CA 90063 E-rnail: JTsinsp@gmail.com INSPECTION DATE 06t221't8 REGISTERED SPECIAUDEPUTY INSPECTOR - CERTIFICATE OF COMPLIANCE Permit # NAME- DANIEL SIGALA SIGNATURE OF REGISTEREO ICC: 8'144858 LA: p033469 'tD195673 1C195674 1U95672 10195671 10195670 1932 1940 1936 1920 1924 DeereAve SantaAna Ca92705 Alton Deere LP 1932 1 940 1936 1920 1924 Deere Ave Santa Ana Ca 92705 INSPECTION DESCHPNON: Simpson epoxy set XP RR#:257M EXP: 9-19 TIME IN 8AM IIME OUI 11 REG HOURS O T HOURS SAMPLES ALI INSPECIIONS ARE BASEOON MINIMUM OF 4I]OURS,AIIY INSPECTION OVER 4 HOURS WLLBE CHARGEO AS 8 HOURS ANY INSPECIION EXTENOING PAST NOON WILL BE CIIARGED AS 8 HOURS SATUROAY ARE AILIED AS TIME AND A HAIF SUNOEY ARE BIILED AS OOUBLE TIME SITE CONTACT: TYPE LICENSE NUMBER 0 Farhad Foroutannami E E E D E E EtlEE E E E JTS INSPECTION SERVICES OFFICE/CELL: (323) 63S9436 FAX: (323) 259-5671 E-mail: JTSinsp@gmail.com 06/20/18 REGISTERED SPECIAUDEPUTY INSPECTOR - CERTIFICATE OF COMPLIANCE Permit #: DANIET SIGALA 0NAME 145 SOUTH BONNIE BEACH PLACE LOS ANGELES, CA 90063 INSPECTION DATE: Owner Narne Add.ess: Phone & Fax Contrador: Address: Phone & Fax Engineer: Addressi Phone & Fax I HEREBY CERTIFY THAT THE FOLLOWNG PORTION OF THE WORK ATABOVE ADDRESS WHICH REQUIRED SPECAM)EPUTY INSPECTION AND FOR WHICH I WAS EMPLOYED TO INSPECT BY ME AND COMPLY WTH THE APPLICABLE PROVISIONS OF THE BUILDING CODES AND THE APPROVED DRAWNGS: TYPE OF INSPECTION Reinforced Concrete Shotcreto Gunite Welding Structural Masonry Prestress tl Anchors Bolts Dowels a Fireproofino Post - Tension Framing Nailing lnsp Grading Others Quality Control Cylinders Samples Core Panels Mortar Grout S/6A'ATURE OF REG/STERED INSPECTOR ICC:8144858 LA: 0033469 1U95672 '1932 Deere Ave Santa Ana Ca 92705 Alton Deere LP '1932 DeereAve SantaAna Ca 92705 Farhad Foroutannami INSPECTION DESCR,PNON Simpson epory set XP RR#:25744 EXP: 9-19 TIME IN 8AM TIME OUT lOAM REG HOURS OT HOURS ALL INSPECTIONS ARE BASEO ON MINIMUM OF' HOURS, ANY INSPECTION OVER4 HOURS wlLLAE CHARGEO AS 8 HOURS ANY INSPECTION EXTENDING PAST NOON vvILL BE CHARGEO AS 8 HOURS SATUROAY ARE BILLEDAS TIMEANOA}IALF SUNOEY ARE BiLTED AS OOUBLE]IME SITE CONTACT: WPELICENSE NUMBER Project Narne: Addressi E E Rebar E tlEEEEtlEE Observed the Dlacement of 8 steel dowels (#4 rebar with 4 5" emh ) into evistina concretc Erl;:LA DBS 0!t i txT 0flullo clto lAtETr Los Angeles Regionol Uniform Code Progrom STRUCTURAL OBSERVATIOil REPORT FORM STRUCTURAL OBSERVATION means the visual obseNation ol the structural system, tot general conformance to the approved plans and specifications, at significant construction stages and at completion ol the structural system. Structurat obseNation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the code. Report No utZ This report ancludes all construction work through ZZ day of u qsb*L OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS ,20/B Page No. al of ot Ptoject Addrcss: //)Z -/?f- - /?)6- /?ar- l?z E. Dz-<-.<- Av. . Structural Observe6FJJ of Record (SOR) E orln,*- Phone No of SOR .3to:369.31, (D tt!$a1ryee'mno/z- /?s-17+ Structural ObseNatron oerformed bv F--./J E.--L-,-,,n', Professional Lic /Reg No of Observer:G 43?"r Phone No. of Observer 31. -3 Lf-37 to / ? sa+. FOUNDATION FFAME FLOOR ELEMENT/ CONNECTION OBSERVATION LOCATION Aooting, Stem Walls, Piers EConcrete lSteel Moment Frame EConcrete Dat Foundation EModulus of Elasticity' Concrete Shear Walls Esteel Braced Frame fiCaisson, Piles, Grade Beams !Masonry flConcrete Moment Frame Dood Detaining Foundation Hillside Special Anchors flwood OModulus of Elasticity' Seismic Moment Frames Ithers OOthers NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load palht (A final reryrt by the structural observer which states that all observed have been resolved is requied belorc acceptance of the wok by the building oflicials.) €t {p /?Li -c.,-7 l-/- J,>t). A. l-.1 t HE FOLLOWING STATEfiEtr{S AFE TRUI TO LtlL-b.J.--t, (a-I t, I DECLARETHATT THE BE OF MY KNOWLEOGE: 1. I AII THE ENGINEER OR AFCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHABGE FOR THE STBUCTUBAL OBSERVATION IN ACCORDANCE WITH THE REOUIREMENTS OF THE CITY OF LOS AI{GELES. 2. I, OR AI{OTHER ENGINEEF OR AFCIIITECT WHO I I,iAVE DESIGNATEO ABOVE AI{D IS UNOER MY BESPONSIBLE CHAFGE, HAS PERFOBMED THE REOUIRED SITE VISITS AT EACH SIGNIFICANT CONSTBUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFOBMANCE WITH APPROVEO PLANS AND SPECIFICATIONS; 3. ALL NOTED DEFICIENCIES WHICH REMAN TO BE CORRECTEO HAVE BEEN INOICATED ABOVE; 4. I BECOMMEND THAT ACC T E OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS ANGELES BE W L OBSERVED OEFICIENCIES AFE CORBECTED. SIGNATURE OF CTU rtl/Form oa {Pa,'l 1) (Rov G/1ryr7) OESERVER DATE STAITT!P OF STRUCTURAL OBSE RVE R WALL lSteel Deck [Others: Ithers. ' For concrete buildings more than '160 feet in Structural Height: Concrete mix meets the modulus of elasticity requirements in design for seismic force resisting systems. szu Los Angeles Regionol Uniform Code Progrom STRUGTURAL OBSERVATION REPORT FORM OE'ISTXENT Of BUILDIIIG AIIO SATETT STBUCTURAL OBSERVATION means the visualobseruation of the structural syslem, lor general conlormance to the approved plans and specilications, at significant construction stages and at completion ol the structunl system. Structural obseruation does not include or waive the responsibility tor the inspections requied by Section 108, 1704 or other seclions of the code. Thls report includes all construction work through /3 aay ol Report No. ,201a$Page No. a/of ot 60 / Phone No of SOR. 3./- -?/-9'-31 r, Structural ObseNer of Record (SOR)r /'t/,/?a-,/- At l.ozc rz Aa na. Project Address; n32 E De-o,--.- Ar. Structuraiobseryation performed by: E-_/-./ 6---t- ^-..^ Professional Lic./Reg. No. of Observer: C€+I?\9 Phone No. of Observer 1i-- Z.t9> 3' Building Permit No /d?-s,/+< OBSERVEO STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNOATION WALL FRAME FLOOR ELEMENT/ CONNECTION OBSERVATION LOCATION Elooting, Stem Walls, Piers Econcrete Esteel Moment Frame EConcrete Dat Foundation EModulus of Elasticity' Concrete Shear Walls OSteel Braced Frame flsteel Deck [Caisson, Piles, Grade Beams !Masonry Econcrete Moment Frame Dood Betaining Foundation Hillside Special Anchors Ewooa EN4odulus of Elasticityr Seismic Momenl Frames Eothers [}ttrers;' .9,4:-s 9l--a.EOthers [thers: * For concrete buildings more than 160 feet in Structural Height: Concrete mix meets the modulus of elasticity requirements in design for seismic force resisting systems. NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conlormance with the approved plans or in the load path: (A final repoft by the structural obseruer which states that all observed deficiencies have been rcsolved is required betore acceptance of the work by the building ofticials.) A1 .)-^ -/t- I DECLARE THATTHE FOLLOWING STATEMENTS ARE TBUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR AFCHITECT RETAINED BY THE OWNER TO 8E IN RESPONSIBLE CHARGE FOR THE STRUCTUBAL OBSERVATION IN ACCORDANCE WITH THE BEOUIREMENTS OF THE CITY.OF LOS ANGELES. 2. I, OR ANOTHER ENGINEER OR ABCHITECT WHO I HAVE DESIGNATED AAOVE ANO IS UNDER MY RESPONSIBLE CHAFGE, HAS PERFORMEO THE REOUIREO SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATEO ABOVE; 4. I RECOMMEND T T PT E OF THE STRUCTURAL SYSTEMS BY THE C'TY OF LOS ANGELES BE SIGNATURE CTURAL lN/Fom 08 (Pad 1) (Rov 6/1917) UNTI OATE I STAMP OF STRUCTURAL OBS€ RVE R OBSERVEO OEFICIENCIES AFE CORRECTED. Los Angeles Regionol Unilorm Code Progrom STRUCTURAL OBSERVATIOil REPORT FORM 0EPtiTIlt{T oru ,onc lI0 tltEIy STRUCIURAL OBSERVATION means the visual observation of lhe structural system, tor general conformance to the approved plans and specifications, al significant construclion stages and at completion of the structural system. Struclural obseNation does not include or waive the responsibility tot the inspections required by Section 108, 1704 or other sections ol the code. Report No ..* This report includes all construction wolx through 2j day of .20 lSPage No a/ of ol eroile(tgd!$s: */hn l2-.-- /q32 - /q{o /+/rL" )..t _ Structulal Observer of Record (SOR) EJ.-/ 6.n,hnnu)n. Phone No of SOR ?1,,- ?L(-37," tqs6't + tolq uilding Permil No Prolessional Lic./Reg No of Observer:cG 4?s3r Phone No of Observer 3la-\Lf-)?o + lD\SI OBSEBVEO STRUCTURAL ELEMENTS ANO THEIB CONNECTIONS ' For concrete buildings more than 160 feet in Structural Height: Concrete mix meets the modulus of elasticity requirements in design for seismic force resisting systems. NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans o. in the load palh: (A final repoft by the structural obseruer which states that atl obseNed deficiencies have been resolved is required before acceptance ol the work by the building oflickts.) FOUNDATION WALL FRAME FLOOB ELEMENT/ CONNECTION OBSEBVATION LOCATION Dooting, Stem Walls, Piers OConcrete Esteel Moment Frame EConcrete EModulus of Elasticity' Concrete Shear Walls ESteel Braced Frame lsteel Deck !Caisson, Piles, Grade Beams flMasonry EConcrele Moment Frame Dood Detaining Foundation Hillside Special Anchors OWood !Modulus of Elasticity' Seismic Moment Frames Itrers EOthers flttrers J 2 17f-E _/1 7 G Lk;) I OECLARE THAT THE FOLLOWING STATETIENTS AFE TRUE TO THE BEST OF MY KNOWLEDGE: 1, I AM THE ENGINEER OB ARCHITECT RETANEO BY THE OWNER TO BE IN RESPONSIBLE CHAFGE FOB THE STRUCTURAL OBSEBVATION IN ACCOROANCE WITH THE REOUIBEMENTS OF THE CITY OF LOS ANGELES. 2. I, OB AI.IOTHER ENGINEER OB ABCHITECT WHO I IIAVE DESIGNATEO ABOVE ANO IS UNOER MY RESPONSIBLE CHAFGE, HAS PERFORMED THE REQUIBED SITE VISITS AT EACH STGNIFICANT CO STRUCTION STAGE TO VEBIFY IF THE STBUCTURE IS IN GENERAL CONFORMA CE WITH APPROVEO PLAI{S ANO SPECIFICATIONS; 3. ALL NOTEO DEFICIENCIES WHICH REMAN TO BE CORFECTEO HAVE BEEN INDICATEO ABOVE; 4. I RECOMMENO THAT ACCEPTATC€ OF THE STBUCTURAL SYSTEMS BY THE CITY OF LOS ANGELES BE HELO TIL OBSERVEO OEFICIENCIES AFE CORRECTED SIGNATURE STRUCTU il /a ifuFm c18 (PErr 1)(Rev @r9r7) SERVER DA STAMP OF SIR I]CTI]RAL OBSE RVE R I Structu.al Observalron performed oyI a-t.-/ c^ -L^-.:. Dat Foundation !others. JTS INSPEGTION SERVIGES OFFICE/CELL: (323) 630-9436 E-mail : daniel.sigala@sbcglobal.net 8990 KRISTIN DRIVE DOWNEY CA9O24O REGISTERED SPECIAL/DEPUTY INS ECTOR - CERTIFICATE OF COMPLIANCE TYPE OF INSPECTION To the Building Official Building lnsp ector I hereby certify that the following portions of the work at the above address which required Special/Deputy lnspection and for which I was employed to inspect, were inspected by me and comply with the appl bt sions of the Building odes nd approved drawings lnspector (Print) lnspection Sign: HOURS: License #' / / // 7/J Type: Date: n, <1r*r*-2- /,/ha-,Proj. Date q,//7/xBUILDING DEPARTMENT Permit #//lq+/4{Project Name Project Address Phon6 #Owner Name Address General Contractor Phone # Fax #Address Site Contact Cell # Sub-Contractor Phone # Fax #Address Phone #Engineering Firm Fax #Address Rebar tr )#6ldinq nReinforced Concrete !Shotcrete tr Gunite D Prestress tr Anchors bolts tr Dowels W Fireproofinq nStructural Masonry tr Gradinq tr Others E::z-t>,1.*,, WPost - Tension n Framinq tr Nailinq lnsp tr Quality Control tr Core Panels Mortar Grout Masonry prismCylinders Samples lt o ,/- Verified By: (Print & Sign) Tues,Thur, X Fri, _Sat, _Sun, _ .\- 4@sE oElliTitfT 0f !!IL!llG llto slfETY STRUCTURAL OBSERVATION means the visual observation ol the structural system, tor general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural syslem. Structurat obseruation does not include or waive the rcsponsibility tor the inspections required by Section 108, 1704 or other sections of the code. Report No oor This report includes all construction work through 62 day ot L ,20 /E Page No. o,t ot o I OBSERVEO STRUCTURAL ELEMENTS AI{D THEIR CONNECTIONS ' For concrete buildangs more than 160 in Structural Height: Concrete mix meets the modulus of elasticity NOTED OEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final repod by the structural obseNer which states thal all obseNed deficiencies have been rcsolved is required before acceptance ot the work by the building otficiats.) r- -/ L .b ,.n^.- t;^ -/! 4 ---'),\, at tA--t,t 6,1 /' I OECLARETHATTHE FOLLOWING STATEMENTS ANE TRUE TO THE BEST OF MY KNOWLEDGE: ,I. I AIT THE ENGINEER OR AFCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHABGE FOR THE STBUCTURAL OESERVATION IN ACCORDANCE WITH THE REOUIREMENTS OF THE CITY OF LOS ANGELES. 2. I, OR AI{OTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED AEOVE A D IS UNOER MY RESPONSIBLE CHAFGE, HAS PERFORMED THE REOUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTIOT{ STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE wlTH APPROVED PLATIS AND SPECIFICATIONS; 3. ALL NOTEO OEFICIENCIES WHICH BEMAN TO BE CORRECTEO HAVE BEEN INDICATED ABOVEi 4. I RECOMMEND T TANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS ANGEL€S BE SIGNATURE OF c o 1s4" .&"/ .D-.-n Projecl Address:Stru-ctural Observer of Record ISORIE-A./E --/ ^-- Phone No of SOR Building Permrt No Structural Observation oerformed bv,4J-/ ,1---l^n..', Professional Lic.,Reg No. of Observer:c€+3Caf Phone No of Observer: ?/- - 3Z.c-- l9o FOUNOATION WALL FBAME ELEMENT/ CONNECTION OBSEBVATION LOCATION fhoting, Stem Walls, Piers !Concrete Dsteel Moment Frame ffioncrete OModulus of Elasticity' Concrete Shear Walls Elsteel Braced Frame Esteel Deck !Caisson, Piles, Grade Beams !Masonry flconcrete Momenl Frame Sood Betaining Foundation Hillside Special Anchors [Wood !Modulus of Elasticity' Seismic Moment Frames fltners r{lotherslA .', ,l -/(a, /tztc tat l-'lthersI/;^, @1917) L L OBSERVEO OEFICIENCIES AFE CORBECTEO STAMP OF STRUCTURAL OBSERVER a Los Angeles Regionol Uniform Code Progrom STRUGTURAL OBSERVATION REPORT FORM FLOOR Dat Foundation !Others: requirements in design for selsmic force resisting systems.