HomeMy WebLinkAbout104 E Fourth St - Misc. PermitICS P.O. Bor 2047 . YYest Covln!' CA 9t193'2047
Pbotc (626) 9264236
ic6ilsPccfl oo@Yshoo.coltr
Hours
REGULAR 1.5 x 2X
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Mix Us€d Spedm€ns
Certiftcation of ComPliance
I doclars t,nder ponstty ot podury lhal al ot the above shtements
ara lruo, and that ol own p€rsonal knolYledgp lhal tho wofi
during tha period covered by thls teport has b66n Pedormed
and installed ln every mal€rlal respect in compllance with tha
approved plans, spscllications and all applicable codes
All lnspecllon basad on a mlnlmum o, 4 hours end over 4
hours - I hou minimum, ln addillon, any lnspeedon €rilendirE
pasl noon will bo an 8 hour minimun. lt lnspador ls callsd to
a prol€cl and no worft perlormed, I 2 hour minlmum will be
applied.
lnsp€ctor Name lll/(r.r+^eL.4. bTF
-P a-{Approved / Authorized by:
lnspeclor (Prolect Sup6&lerdent)
(lNp.clion Contuiing Servbe!)
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RECI,JIBEIIENIST Llclt ol o'r leb lll,rt r; on p.rrdt rrmb.r p.r dt aL ldrntity .llnolt by ryF.itd SPEOFIC loc.loo.
N,ol}cooplilnt norl( murt bo Eoc{ic.0y k E ltd. Co.rirunlcrtbn (RFlSktr,rlc.)'roldng ra'rioqt noi.corPlhr{ llfiE musl b. llatod.
Eecod convrGsloo! and colrllxr ca0m! Ot poled d.8lF..r. hddn! .nd pefiln onntin! .ulhority olficlah.
Oosign PSI Cubic Yerdg
lnspector I U 'tt J Iec-Submitted
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Iusppcrrox CoxsurrrNc SERvIcrs
Sentat Soc,thcm Calilonb
INSPECNON BEPORT
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ICS
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P.O. Box 2{N7 . West CoYlo& CA 91793'2047
Phon (62O9254236
icsi$Pectlon@YshooxolE
Scn|lag Sot then Calilonia
INSPECTION BEPORT
Hours
REGULAF r.5 x 2X
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O n*lorce.rrr*
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Cl u."-ry
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Mix Usod Spodmons
Ce ilication of ComPlianee
I d6chr€ under penalty ol pedury lhat all ol lh€ above statem€nB
aIe truo, and that ot own per3onal knolYledge that lhe work
during lhe period covered by this rePorl has bsen Podormod
and installsd in €very malerial respoct in compllance wlth tho
approved plans, specillcatlons and all aPplicable codes
All lnsp€crtion basod on a mlnlmum of 4 hour8 and over 4
hours - I hour rninimum, ln additon, any lnspecdon o)dendirE
pasl noon wlll be an I hour minimum. ll lnspeclor b called to
a proiacl and no wotk p€rlormed, a 2 hour mlnlmum will be
applied.
lnspectot t c-**€c 6. oorn
-
Approved / Authoriz€d by:
lnspector Signature (Prclec,l SuFednl.ndent)
Pago z or
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nEOUIREUEIIIS: LLr{t ol orr lo! nuns.q on rumb.r p.r Eh.tL ld.itt .1, Efi b, tl?. rnd SPEC'FIC lo..lbn.
,loGCoi?li.r1t nort must bo sp.dficalty kbrdfird. Co,nttlunlctlho (RFlSlot r,dal lroldrE pl.lrotE nonoqdhnt lt.lEr must bG lblcd.
Flscotd com,irlaloars snd codMhath u,Or Boled derhn .t. hJ0&rg .nd penn[ lrrnlino .ulrErily olfdaB.
Oeslgn PSI Cublc Yads
0 t,rtt
Submitted By:
Scanned with CamScanner
INsppcrroN Consurrtuc SERvIcFS
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(lNp.clion Cm.uiing Servlcos)
lnspectorlDl /D AYs-'t I-c-c
ICS Ixspncrron Consurrmc SrRucBs
Scnla g S o uthc nt Califu nia
INSPECTION BEPORT
PO. Bor 2M7 . West Covina, CA 9L793'2047
Photc 62A 9264236
icsi$Pectio]l@Yahoo.com
Hours
REGULAB 1.5 X 2X
,(-4-o-Erp€nses
O neh,lorce,nenr
-
E concrae
-
O uaso.ny
-
O Plestrer.r Poet Ten
-
0 rteproofrrg
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EfEpoxv 0 or..
Dolcdptlon ol Work ln3poct.d
t ,\LSi-f+LLhTr6p bF '' 2" '/2" ft+cE & Eg s 12-c,el 6 1a1 I rx 8" € )'!g6,i)
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Spsclmens
Certilication of Compliance
I declare undar penalty ot pedury that all ol lhe above stat€ments
are trus, and that ol own p€rsonal knowlodga lhat the work
during the period covered by this report has been P€r{ormed
and installed in every material Iespsct in comPlianc€ with ths
approv6d plans, specilicalions and all aPplicabls codes
All lnspoction bas6d on a mlnimum ol 4 hours and over 4
hours - 8 hour minimum. ln addition, any lnspoction extending
past noon will be an 8 hour minimum. ll lnspector is called to
a proiect and no work perlormed, a 2 hour minimum will be
applied.
lnspector t c.+ t+E .- E , e-Da 'L_<*Approved /Authorized by:
lnspec{or Signature (Project Sup6rintendent)
(lnspsclion Constilting SeNices)
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REOUIREMEMIS: Limlt bl gne lob numb.( one p6nnh numb.r por Bh€ot. ld€ntily sll work by typ€ lnd SPECIFIC locatlon,
Non-Cornplionl work mu3t b€ spocscally ldorilifi6d. Co.nrnunlcaUon (RFl Sk.ti ; ctc.) roldi.E F.virir. hontompll.nl ilcms musl b6 lisled
Recotd co.fl.tsalgos snd cor nrlhauons with Folocl d66lgn 13. hrilding Bnd p€mil granling a'nho.ity oltidals.
Oesign PSI Cublc Yards
lnspeclor lD's loB.Lt{ 1€ 7-c-c-Submitted By:
Scanned with CamScanner
Mileage:
o
Mix Used
ICS INsprcuox Coxsur-rmc Snnvrcns
Se m i n g S oulhe nr C aliio rnia
P,O. Box 2047 . lYest Coyina, CA 91793-2047
Phone (626) 926.4236
icsinspection@yahoo.com
T I s s
Euild P.di( Nuob.r / OSA / OSHPO ApC FiL ,
Sub Cfitrcloi (rl Any)
Hours
REGULAR 2X Miloag6
Expenses
D Reinforcement
-
E concrate _- O Ma"onry
-
fl Prestress Post Ten .- O Firsproofing
-
fl shctural st6ol
-
E Epory.-O om.,
Doscription ol Work lnspected
Cubic YardsDesign PSIMix Used
Certif ication of ComPliance
I declare undarpenalty ot p€rjury lhat allol lhe above statements
are lrue, and that ol own personal knowledge that the work
during the period covered by this report has been perlormed
and installod in every material respect in compliance with the
approved plans, sp€cifications and all applicable codes
lnspector Name
lnspector Signature
lnspector lD's- Submitted BY
Specimens
All lnspection based on a minimum of 4 hours and over 4
hours - 8 hour minimum. ln addition, any inspection extending
past noon will be an 8 hour minimum. lf lnspector is called to
a project and no work performed, a 2 hour minimum will be
applied.
(lnspection Consulting Services)
Page: _ of: _PW, " I t{ Ftr Lc-{9 k,o. oc,
INSPECTION REPORT
REQUTREMENTS: Limit ol one job numbor; one permit number psr sheet. ldentity all work by type and SPECIFIC location.
Non-Compliant work must b€ spociticalty identitigd. Communicalion (RFl Sketch , €tc.) voiding previous nontomplian! ilems musl be lisled.
Record conversalions and communications with proiect dosignors. building aod permit granling authority oflicials.
1.5 X
Approved /Authorized by:
(Proisct Sup€rintendent)
t-t1.t.c,'1+to , L3. tq I v 4 s s
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REOUIREMENIS: Llmll ol ono lob nlmb€r one nulnb€r por 8ho€t. ldsntily .ll work by typ€ lnd SPECIFIC locall'on.
Noloonipliant work must be rp.clficalt ldenlifiod. CornmunlcGtion (RFl Sket*l ; .lc.) r,oirng F.vbu! non<.lhpll.nt ltcrB musl be llsled
Rocord cornsrlellollr and cormqllcadon! wfth paolocl deslgnoa!. bu0ding md p€.mit granling authority oficials
I
ICS Ixspscrrox Consulrnc SERvICEs
Seni;z,g Southcn Califurnia
INSPECTION BEPORT
P.O. Box 2fi7 . I{est Covio4 CA 91793'2041
Phor, (626) 9264236
icsinsPection@Yahoo.com
Hours
REGUTAR 1.5 X
Y
Mlloage:
ErD€rrses'
E Rchtorcoment
-
0 concr*e
-
O u"co*y
-
O Prostres Po6t Ton
-
0 Eraproorng
-
E svucrrdsrd
-
W1.,,,ry-O ottrr
D,olc.lptlon ql Work lntpoctcd
c;T-m\; D ?-.-54..J 5 r-t I
e7D T Cc ti5 e t1 1 ,TH €e-EaT fi- | e
t>l-o c P-T€ r:' Zt D € t-,- o ?- L<? v E <- Lt *a Lr G<
z-3
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Mix Used Sp€clmens
Certif ication of ComPliance
I @hIe undar penalty ol p€riury lhat all ol th€ abovs stat€monG
are lrue, and that ol own p€rsonal knowl€dge thal lhe work
during the period covered by this repofi has boen perromed
and installed in every malerial ,espect in comPliancs with th€
approved plans, speciticalions and all applicable codes
All lnsp€ction based on a mlnimum ol 4 hours and over 4
hours - 8 hour minimum. ln addition, any lnsp€ctlon extending
past noon will b6 an 8 hour minimum. ll lnspector is called to
a proigct and no y',ork psrlormed, a 2 hour minimum will be
applied.
lnspeclorNams , l1r4 I e t+Yf-t z--4e LsrA
Approved /Authorized by:
lnspector Signature a--l-
loZ4<tS fce
{lnspeclion Consultihg S€rvlc.s)
Pago: _ ol: _
Design PSI
lnspector l0's Submitted By
Scanned with CamScanner
2X
Cublc Yards
ICS P,O. Bor 2047 . Wcst Covlaq CA 91793-2J47
Photc (GZO 9264236
islnsPcction@;nhoorom
Scrr/,tl,t Sourh.tlt CaliJonb
INSPECTION REPORT
Hours
REGII.AR 15X 2X
{-5--o-
lr!..9.: ---
ErBoraa:---
O nar*orl.'nrn r
-
O concr*r
-
O ulrcrv
-
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-
tr nrrproofrp
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a 5 L+8 6 cJ R*$'6 Ftr-rs Lt lz" 6.c-r rti 3r Og
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L-s€€ t--r L6 v {,t--. Lt r>€3 L.l'.-L€1 F-*L
t ^.r3f 'l'lo tt e€ t/r't 'f(+itzr*>e;o P-o.lS ftz- \.t pr-L- -f , G1 lal I -rll
t (f rv- B 5-A r^l f l-l op isr €P ?'7 Z-/*s 6f *t,- 4 6t fre- z>' a .-ac (a_ te ar(--aar t ft
LD c-sLr 5 Lrw53 B,<-
Mlx U6cd Spedmens
AI lnepec-tion bascd on a mlnlmum ot 4 hours and over 4
hourc -E hour
part noon will
a prol€c{ and
applied.
rdnimum. ln addlllon,.rry lnsp€ctbn oxlending
be an 0 hour nrlnlmunr. ll lnspedor is oalled to
no worfi a 2 hour will be
approvad plans,and all appllcable codes
lnspoctor / c"+,4l.2 C-r= f a
-z q-AppDved /Aulhorizod by:
lnspedor (PrcJ€cr
(ln p..ddr Corl.ulthE S.,ttcg!)
Page: _- ol: _
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F otA6Lrm*..4 6 u, <.( t ns ldd Pnrr Mrb.r/q8 /OgHPOleB F-ttot9q 3l-e wSwk
(o4 c. ,laA Sr __-r
€tn!o-.J 6a L*aa13aDt
BEOI IREII|E TS: Udt !l on lot ,ob.fi q! Frfl nmD.t pcr $eol lddl!'ty t,l wo,t by rype rnd sPEClflC fcelbn.
Nol}comlisr|t tlo.t nutt b. rp.cJic8ly ldar n!4 Co(lttlxnhdon {RFl Sktt$ , rtc.} vddng Faliour mftcoflp0rnl ll.n! mud bo llslod
Rocord @oltnrnqrt rnd co rrrncdhna x,th BoF.f t cCg rt. hd&E rnd p.it l grrntin, .ulhod.ty ofidd3,
Ocsign Psl Cublc Yards
lnspeclor lD I o D +st{ -Z-e c-Submitted
Qaanrtar{ rrri}lr F.e rrrQaan na;
Inspncfl oN Consurnxc SERyICF,s
o
Certilloatlon ol Complhnce
I declar underpenally ol perrury t\at allot lhe abov. sHemente
are trua, and that ol orvn p€rsfial knotrlodgo $at th6 wotk
durlng th6 p€riod covered by thls report has been peformed
and installed ln 6very matorial rBspect in comdianee wlh thg