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Home My WebLink About1852 W Blackhawk Dr - Misc. Permit*-SNTA ANA,"ffi Planning & Building Agency Building Safety Division 20 Clvic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org RESIDENTIAL PHOTOVOLTAIC CHECKLIST 2 3 4 sol-01 cBc 2013 Solar Photovoltaic (PV) Checklist Ior Detached StNcLE FAMILy RESTDENCES Only lnstructions: The licensed contractor of record shall complete all seclions, answer the len questions and sign the certification section below. A copy of this form shall be attached to each of TWO s ets of plans, of minimum 11" x 17" size. lf answerinq NO to any of the queslions. plan check shall be required Prorect Address:2201 HUCKLEBERRY RD, SANTAANA, CA92706 contractor company Hame: SOUTHWEST SUN SOLAR, INC contractorLiconseNumber: 1004667 YES NO Are the following applicable to the proposed project? Will the PV systsm layout provide the required three-foot wide clear access pathways per Section 605.11 of the Califomia Fire Code, and is this shown on the roof plan? Will the PV syslem be installed on a roof having only one rooJing layerwith no overlays? Will the PV array be flush mounted to the existing roof so that the plane of the modules (panels) are parallel to tho plane of the roof? Will the PV system weigh maximum 4 pounds per square feet or less? Will the PV system be installed where the modules do not overhang any roof edges (such as eaves, gabled ends, ridges and hips)? Will the PV system be installed with a space of 2" minimum to 1O', maximum between the underside of modules and lhe surface of the roof? Will the PV syslem be installed without using any bailast system or counter-weight system? Will the anchors be installed wilh a maximum horizontal anchor spacing of 6 feet and is this maximum horizontal spacing shown on the plans? Will the minimum 5/16" lag screws be installed with a minimum of 2-112 inch embedment into roof rafters (with pre-drilled holes) and is this minimum embedment shown on the plans? Are ALL the structural pages of the plans WET stamped and signed by a California licensed professional engineer? (including project specific site plan, pV layout, anchorage spacing, anchorage details and manufacture/s pV support information.) a tr 8 tstr 9. Etr 10.EE I certify under penalty of perjury under the laws of the State of California that 8tr Eltr tstr Ettr Ettr atr 6 7 Prinr Name: MlMl NGO Signature: Date:Phone Number: 714 582 3909 Email Address Rev:8/1712015 PERM IT@SOUTHWESTSUNSOLAR.COM he(,a bfftstruel ,' 03-16-15 Ref: Tank Venting RE: Venting of Pro-Cast Grease lnterceptors, Clarifiers and Septic Tanks Venting is prior to tank through normal plumbing. There is no additional venting required for any Pro-Cast Produds Grease lnterceptor, Clarifier or SepticTank. Our tank are deslSned to Wet Vent through the lnlet plumbing, Any addltional venting required by localauthorities would be by others. Any questions please feelfree to call me at 909-793-7602 Thonks, Dovid 2Lh-4- Elliott, Pro-Cast Products, lnc. PO sox 602,27 477 East Third St, HiShland, cA 92346 909-793-7602 off ice, ggg.!Ig!!Slplgd!9$49l0 Prf ot)L)<.> I.-<; ,Iw() Attn: Plumbing Customer. 3OrlqSltP = I != h E!i rE ! 5o t o: Es 5'" .! -E:BE E rr: o E?i o ! E+ f t31 .e " *oi " b â‚¬ >r o 3'-ic - " -fi 5EEh- 6 9 c--! D d \. :E o e F99. la o.E & .' 5 â‚¬ EP El 6E oiE.r E;:b Ef ! 5 xE ub 9 e5t =! ES"^ 5I =sE92i -:oE x !so .o i5E s Er9 E o:i ; *; e;e3 b g -!eoE3 t =b! T .5H EsHJ gt; E9 -F 6aot; -Fâ‚¬=t i Ee : 33 9&I * E E f; ;;,i.; r. 2 oh > u)s ItlE ;..:f E il bt s .n EH aa I e ? tHl EX >2:P3I I E3 .6 3 I 7 fr g 5 g >l dl z = ".1 5I H * z 4 ts I -:r $ 5l'l lra I t 1E_ Ee !E 1z .12 ) I* I e 3llllffEEEI IH xl C, ml -l d<lal rlFI =lEI PILI LdI OIdlLrl'FI 1l -lal<lt!t oalol CONSULTINO STRIJCTURAL ENGINEERS Quentin Martin Owner Martin Brothers Construction Madhan Kumar K, P.E. Structural Engineer Structurology lnc 40000 Fremont Blvd, Suite F Fremont, CA 94538 Structurology Project No: 20005.005 Date: February 41h,2020 RE: Santa Ana EOS Fitness Fan Mounting The MacroAir manual states that the fan is to be mounted with Unistrut on joists at eight feet on center. We understand that this EOS fitness has joists at ten feet on center. The attached calculation shows that in order to maintain equivalent bending moment in the Unistrut the fan must be mounted outside of the middle 4.5 feet of the span. Regards, 4t2020 Madhan Kumar K, P.E Owner Structurology lnc ctvlL STRUCTUROLOGY This letter is to confirm the acceptable use of the MacroAir Airvolution-D3 fan on joist spacings oftenfeetoncenterattheSantaAnaEoSFitneSsloCatedat@ 92705. Therefore it is acceptable to mount this fan on joists spaced ten feet on center so lono as the fan is mounted outside of the middle 4.5 feet of the Unistrut soan. 77991 6/30/2021 p.or.", CoS SE--* q fr- l: -r-ENGINEER: STRUCTUTiOLOGY PRoJEcr NuMBER: -? ocro S . o o r oarc: Q f jf Do PAGE NUMBER: l/vl/vlv,STRUCYUROLOGY,COM coNTAcT@sTRUctuRoLoGY.coM 480.269.7675 toou !bf -t â‚¬ u, Q-l.i : 1 &4ooo fl'! - te'1 Fb 1 o- uV1? (n L.r - 1 loo o Lbs 2.7 ' '7 l-f ' It) P^bM:l B.19 1 .9-s -t - r.2{ \ x P'? > t=!. nl kjp^ Ft) t,1 lu p.P5 f 2. 194,'tl s t 4e rr. ,.^.\ a)" Io 6** t''Ja -i- A9.-e r,-, ia.l le- .t,t I .L SouthWest Sr-rn Solar Inc. - Owner's Letter of Authorization PROPF RTY OWNER: Name: Add 55: C City Pho ne q state:CA zipcoa.,9 E?O? )) To whom it may concern, K UV. rr.-"ri\)u ( t \ rt rrrtnorize sourhwest sun sorar , lnc. to act on my behalf as the active contractor in permitting, installing, and all manners pertaining to my Homeowner's association architectural application (when applicable). Sincerely, Ro. -omt r-clo C--*r no erintea &$e Frr.,-3-5-ecao Signatu re Date SouthWest Son Solat lnc. 11752 Harbor Blvd., Carden Grove C 92843 ll l0 Tully Rd. Suitc I 15, San Josc CA 95 122 License# 1004667 q I, +E#HANSEN. HOKAMA, STRUCTURAL ENGINEERS City of Santa Ana Department of Building & Safety Santa Ana, CA Subject To Whom It May Concem: I visited the subject site on April 15,2019 to observe the structural repairs made to the fire damaged portion of the building and to determine if the repairs were in general conformance with the structural repair plans prepared by Hansen-Hokama Structural Engineers. Based on my site observations the structural repairs are in general conformance with the plans. The roof diaphragm nailing' the roof strapping, seismic wall ties and addition of ledger bolts at the purlins were in general conformance with the plans. Therefore, the roof may be covered with roofing material. If you have any questions or comments please call. Sincerel v,ENG *sII Final Structural Observation for the Commercial Industrial Building at 1521 Avenue, Units F, G & H, Santa Ana, CA. Fire E. Damaged McFadden + do,l- rs R12017\17-2lE6.doc I7671 IRVINL BI-VD . StJI'l tj l0l . TIISTIN. CA 92780 . l'El- (714) s73-0073 . F.^X (714) 573-0688 April 15,2019 Chris Hansen Hansen.Hokama, Structural Engineers P,.l L-"-.t, " ^qet t o S,n <-, ,)- t*. ,\""L a", G,ad'ng Conka.ro, rft C6r,.clo.s SuDr ol For.ma^ a Sq.aru'e Hrs on Srt. Fto6 zi,o ro3 !o o Aop,or'rur. F'rl Ya,d.o.Soure and Ot.oDl'6! oi F'rriAr...r3 l: L+ q....1.- LN. .l^-." s^ L /t?-9 o"/a (.oe/ t-l tt li.i ll(.7 At') {-z - z')7.1 ,L2.\qt 7 ," Aqr,).s,'.t- I <*u*-xt'ttr spEcTOR's DAtLy FEpoRT oF coMpacrio-Flff=-.--_- ] (O..crlb..qulpat nt u..d h.ulane, .pr..dlng. w.l.ring. co.dition rnd co prctng; alto..pon lhlctn.r. r lltr, rmovrl ol poor roil inruftkanlly comp.ct.d, .nd corirn nl in unulu.l .y.nlr.) Remarks Sketch N 1 Cop, io Cll.nr ( ) Coryroqcl( ,CAL LANO ENG|NEERll,lc, ll'lc Quertoch Consullants, lnc. by: 2 i.li, 2153 | \p Y3Uz ITTISPECTOR'S OAILY BEPOBT OF COi,lPACTED FILL Job Nant P,,l L-onol td..Ll4to Sac.,,eo.!- An, S.^L An, lob Localro.Paga ol (-t Gcnâ‚¬.ar Co.l.aclo,c,.o,ng Conr,aaor I Dele co/z</4 fr, F,erd Tech H* G.adrng Shill Hrs Contractor's Supt ol Foreman t S'gnalure H.s on Srle F,o 2',OO ro3 ! o o Aogrorrmele Frll Yard.gâ‚¬Sourca and OtlcnplD.rs ol Frll Matanals fl L* qc.4-- L,-- n cln-.n ,,*, ) ,/z?-.9 o"/Torar Rea d Totrl to date \', J a p9/ Rapon S.qurnc. No Tlsr Ory Ocnsrly Ot'l OGnsny Tcal Te3t Loca!on Elevallon Daplh Sorl rvpc Fnl li, 3 ll(.7 4t 2l-l ("r l tt'A rl2.3 st 7zl2.a (Darcilb. rqulprn nl urd h.ulang, !pr..dlng, w.t!.in9, condilion.nd comP.cting; alro .ePon thlclnor! It llltr. [movrl of poor roil insuftichnlly comp.ct.d. .nd commcnt in unu3u.l rvtnt!.) Remarks L,"//-o ^b;,/-,.-^L A tiorlo 5 rt- Aa<-.' l*i n.,. afL s LI.L Ar*,\o^.-- Y. fz I h lut ',( c. I hr'r i.l t:. 2153 ':;.<a),/3112 I I I Sketch Cogy to Cli.nl ( ) Copy lo OCI ( ) Cohr..y ,or(r Iou.l.l hou- irn'6si Chr,a. l'^.ld'.9 r..v.r l.n.r CAL LANO ENGINEERING. INC, N t Ouartâ‚¬ch Consultents, lnc. by Placad thrs shr,t Planning & Building Agency Smoke & CO Alarm Affidavit 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-'19) Santa Ana. CA 92702 (714) 647-5800 www santa-ana o19 tNSP 02 2013 CRC fhis document mqy be lound ot...h ttp:/lMM/v. sa nta-ana.o roloba,' (Please use a black or blue ink ball-point pen) Project Address:M Permit Number:k t 66(,1 I Property Owner:Nonc $o..n \,{r. Contractor:License #: State of California requires that smoke and carbon monoxide {CO) alarms are installed in residential b u ild ings. California Residential Code (CRC) Section R314.1. and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the requ ired locations. A ao,h boxes below must be checked: E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. S Smot e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved bV the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in complaance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the man ufacture r's instructions. (check onel Licensed Contractor 8. Prope y Owner NOTE: fh6 se/r-c ertificdtion is only used for projects thdt dffect the EXTERIOR of the sttucture. This process is applicdble ONLY to projects where dccess to the interior of the dwelling by a Sontd And lnspector is not required. 0,1a x)l*,^,tn -Dote s.l u/rs Have this completed form and the job-card readily available on final inspection! ,"-SANTA NA-Tffi Signature: I PROPERTY OWNER FORM Darctq)oM nloZC Project Address: (h P.z-xt'--I,uA-t,ttlttt ,asl egal owner of the subject property, authorize: Southwest Solar lnc (Solar Company / Contractor) to submit plans and obtain the necessary permits required by the city of Santa Ana to install solar panels on my behalf. Property Owner (Printed Name)(Signatu re) t, r^\t EilERGY UPGBADES AND RTSItlRATIll}I Inergy upgrade! and Restoration lnc 645 Redondo Ave LonB Eeach Ca 90814 cst8t1052128 562-261-5106 &G2019 To whom ft may coocâ‚¬rn, l, Richard vasquez hercby tully authorize representatives Jaime Chisi.k and Jesse orteta to process/pull buildin& mechanical and elect.ical permlts for the followint locatio.l: 19(D E warner Ave, Suite E, Santa Ana, CA 92705. This Authoriration is limited to the specified addreis above. Thank yoo very much, Planning and Buildin8 Oepanment 20 Civic Center Plaza, Ro55 Anner, M-20 Santa Ana, CA 92702 Sln.erely, ar/ac,/Zot O 3 r O. ? 6t- agco - May 28,2019 Civil Engineer's Certification of Line & Grade Of Graded Building Pad Referenced Project: New Single Family Residence 1418 N. Mar Les, Santa Ana, Calilbrnia 92706 Grading Permit No. 10196799 Owner: Tri Duc Duong I hereby certify that the line and grade for the graded building pad are in conformation with the approved plan. Lan N. Pham, P.E. RCE29595. exp. 03 13 1 12021 tt c,vrt. rb.a GIB* aFCA * GEOTEGHNICAL INTERNATIONAL LAN & ASSOCIATES Topographic Survey & Civil . Structural . Geotechnical Engineering. I 3 139 Harbor Boulevard, Garden Grove, CA 92843 Tel: (714) 414-9215, Fax: (714) 537 -7974, Email: l.anpham9Irirholmail.oorn GEOTECHNIGAL INTERNATIONAL LAN & ASSOCIATES Topographic Survey & Civil . Structural . Geotechnical, Engineering. 13 I 39 Harbor Boulevard, Garden Grove, CA 92843 Tel: (714) 414-9215, Fax: (714) 537 -7974,Email: Lanphan.r9(Zlhotrnail.com Tri Duc Duong 14l8 N. Mar Les Santa Ana, CA,92706 Subject Geotechnical Engineer's Certification of Rough And Precise Grading For Proposed Residential Development, l418 N Mar Les, Santa Ana, California 92706. Dear Mr. Duong I hereby certify that the rough and precise grading ofthe subject site has been performed in accordance with the approved soil report and approved grading plan and our additional recommendations during grading; and the graded site is considered geotechnically acceptable and suitable lor the intended use. The previous recommendations of the approved soil report are still valid and should be properly implemented, where applicable. The proposed building footing trenches can be excavated, and construction of the proposed building can be started. It is noted that the remedial removal and recompaction of the upper 3 ft. thick pre-existing earth materials olthe building pad area and minimum 3 ft. beyond/outside of the perimeter of the proposed building has been performed and the fill / backfill earth materials were compacted to minimum ol 90% of the maximum density determined in accordance with the ASTM Test Method D1557. Ifyou have any questions or require clarification, please contact this office. This opportunity to be of service is sincerely appreciated. Lan N. Pham, P.E. Chief Geotechnical Engineer RGE686, Bxp.313112021 llo. a66 Exp. N. , rG 6a ?ROF[ z. 5 0F "r' CALII May 28,2019 Very truly yours, Planning & Building Agency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA92702 (714) 647-s800 ta-ana.orcl Smoke & CO Alarm Affidavit Project Address:'fl 5' p Cl^"sL Nr.- Permit Number:Irrtlboglo Property Owner:5rL'-.-, Co Contractor:G^l-.i" ?c,G..o License #, t-l *+ O t"t NSP-02 2013 CRC This document moy be lound at...httO /A,,rr,rr,v. santa-a n a.orq/oba/ (Please use a black or blue ink ball-point pen) State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential b u ild ings. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314,3.3 define the req u ired location s. fl} eo,h boxes below must be checked: E Crrbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. YJ Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the manufacture 's instructions Licensed Contractor Pro perty Owner NOTE: fhrs sef- certificotion is only used for projects thot dffect the EXTERIOR of the structure. This process is opplicable ONLY to projects where occess to the interior ol the dwetling by o Sdnta Ana lnspector is not required. Signdture:Dote:itr-v- rs Have this completed form and the job-card readily available on final inspection! (check onel tr MTG t ( Coruonla 2992 E La Palma Ave. Ste. A Anah6lm, CA 02006 T6l:714.632.2s09 Fal.: 714.632.2974 Dispatch: 800.491.2990 san Dlcqo/lhperl.l county 8295 Fenl6 Squarâ‚¬ Ste. C San Dlego, CA 92121 Tel:858.537.3999 Far 858.537.3900 DiEpatch: 888.844.5060 lnlird Emplre 14467 Meddlan Pkwy., Bldg 2A Rlver3lde. CA 92518 Td: 951.653.,(8Sg Fa* 951.853.4666 Dlspâ‚¬tch: 800.491.2990 lndlo 44917 Golf Center Pkwy., S1e.1 lndio, CA 92201 Telt 760.U2.4671 Fax760.342.4525 Drspd.h: 800-491.2990 MTGL PROJECT#| _=::-DAILYINSPECTION DSr',/cm/Hb#_l!j!!_ REPORT Ds,arosHpDAppr. #_Pâ‚¬rmir # 10199747 Report # - Page -L- of -]-DSAJLEA # Soprrlo r6por16 .h.ll b. prâ‚¬par6d lor 6rch tt?. of sp.clal h.pâ‚¬cdd on e d.lly baeb. E ch l6p6l shafl b6 ocr.npiâ‚¬led aM aignad by hs sp6.ltl lmpcclor conductlrE th6 THE WAS NOT WORK INSPEC lnspeclod in accordenco with tho.qqulremonls of thâ‚¬ DS/dJOSPHD Projoct approvsd documgnts. The requiremer{s of ths DSA,/oSPHO Project Samplestaken: N/a documenlg, MATERIAL SAMPLING WAS E WAS NOT E N/AE Pâ‚¬rfomod ln accordsncaw,th DSA/OSPHD Project approvsd documents. Weather: 6;96r, gunny T6mp: 76 deg /-L- C uz^- S nature of Special lnspeclor Contraclor Bulldlng DBpartment Owner Pnnt Name PRoJEcr NAME: Tenanl lmprovâ‚¬ment D"t"' s/s/20 ARCHTTECT LBA Logls cs TIME ARRTVED 7Am TIVE DEPARTED spm TRAVEL TIME 30 min LUNCH TIITEENGINEER MHP structural Engineers coNTRAcroR Phllco. conslruction lnc SUB CONTRACTOR JBA INSPECTION ADDRESS 500 w WarnerAvo Unlt#B ADDRESS OF PROJECT 600 W Warner Avâ‚¬ Unh #B H TYPE OF INSPECTION ENGINEERED FILL FOUNDATION BACK FILL TCH PLANT PTCONCRETE SHOTCRETE CONCRETE MASONRY HIGH STRENGTH BOLTING WELDING SHOPWELD FIREPROOFING ANCHOR/DOWEL NDE FIELD NDE SHOP CEILING WRE Ught g8ge lramlng Pemlno:Eâ‚¬ Stopping DSfuOSHPD PROJECT APPROVED OOCUMENTS PLANS Y SOIL REPORT Y f]NE SPECSi Y N APPROVED SHOP DRAWING Y EIru El I\,iATERIALS USED BY CoNTRACTOR (NCLUDE RESEARCH REPoRT NO. OR MATERIAL TEST REPORTS): HlltlHlT- RE V3 Epoxy (s0100833) CONTRACTORS EQUIPMENT/MANPOWER USED 2 guys, Hammor AREA, GRID LINES, PIEoES INSPEoTED Obsorvod th6 placsm6nt ol ( 188) 5/8" Full Thr6ad6d Anchors Rods, with a mln 4 1/2'ohbodmont lnto the â‚¬xlstlng concroto pâ‚¬r gridllnog Gridllhos: (80) Easl wall bâ‚¬twgon 1-14ru-R and (124) on tho Wosl wall on lln6 A,/'l -t 4 f,er shâ‚¬ot A2.3 Noto: Holâ‚¬s w6re verllled lor dopth and cleahllnâ‚¬ss. All work obsorved abovo ls ln accordanca wllh the plans and spocs at thls tlme, STRUCTURAL NoTES, OETAIL OR RFIS USEDI s3,0, A2.3 REMARKS, INCLUDING MEETINGS: Notoi Holos prevlously drllled. Some holos botween gridlln66l/1-14, wor6 drilled at anglos lo 6vold wall reinforcâ‚¬ment - contractor noliflod REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE: rIIa I III IrII E x t:.I Projâ‚¬ct Archil6ct Struclural EnOlneâ‚¬r DSA Rogional Ofiice SchoolDisirict Vorified b)4 Christian Certification #: 8889657 TUIIG 1 Corporato 2992 E La Palma Av6. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 Dispatch: 800.491.2990 San Dlogofl mpcrlal County 6295 Ferds Square Ste. C San Diego, CA 92121 Tel: 858.537.3999 Fax:858.537.3990 Dispatch: 888.8,14.5060 lnl.nd EmplrG 14467 Mâ‚¬ridian Pkwy., Edg 2A Riverside, CA 925 1 8 Tel: 951.653.4993 Fax: 951.653.4666 Dispatch: 800.491.2990 lndlo ,{491 7 Golf Center Pkwy., Ste. 1 lndio, CA 92201 1d:760.312A6n Faxt760.342.4525 Dispatch: 800.491.2990 DAILY INSPECT!ON REPORT DS,/C|TY File#_ DSIr'OSHPD Appl. #_ DSFr'LEA # Separats râ‚¬po.ls shdl bs prepad lor a8ct lyps ot spâ‚¬oal inspecllo.t on a daily basjs. Each reporl shall be complslâ‚¬d and slgflsd by uls 5pâ‚¬cjal inspâ‚¬ctor conducling ihe THE WORK WAS THE WORK INSPECTEO MET DID N lnspected an accordance with the requirements oftlle OSfuOSPHO Projecl approved documents. The requirements of the PHD Projec{ approved documents. Samples taken: NO Wealher: Sun /Warm T 80F a peclor Project Architecl StrucluralEngineer DSA Regional Ofilce School Dislrict Saul Amaya TnnI Name Certification*: 5296829 PRoJEcr NAME: seismic Retrolit 5oo w warner Date: g_09-20 ARCHITECT TIME ARRIVED OTOO TIME DEPARTED ,I530 ENGINEER MHP TRAVEL TIME LUNCH TIME 30 CONTRACTOR PhilCo Construction lnc.SUB CONTRACTOR INSPECTION ADDRESS 500 W Warner Ave, Santa Ana, CA. AODRESS OF PROJECT 500 W Warnet Ave, Santa Ana, CA TYPE OF INSPECTION ENGINEERED FILL FOUNDATION BACK FILL BATCH PLANT PT CONCRETE SHOTCRETE CONCRETE MASONRY HIGH STRENGTH BOLTING WELDING SHOP WELD FI FI ANCHOR/DOWEL NDE FIELO NDE SHOP CEILING WRE OSA/OSHPD PROJECT APPROVED DOCUMENTS IOVED SOIL REPoRT Y EN[f N tr Ntr trSPâ‚¬CS:Y APPROVED SHOP DRAWNG Y Observed the stressing ol 112" A4161270k post tension tendons in the glulam beams between gridlines 1-14 and E-N. Tendons were stressed to the required tension per schedule on 253.0. Elongations were measured and recorded. See stressing records lor further information. Jack/Guage #979-2001-017 were used. They were calibrated on 5-13-20. REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE III Ir!t ):{ItI TIII ITII ):( cc Conkactor BuildirE Department Owrler t\4r61 pp6156# 1'l ggA04 Perm #_ Repod # _ PaO6 _L of _,L MATERTAL SAMpLTNG wes EJ wns uorE vaE Pedormed in accordance with DSF./OSPHD Project approved documenls. verified by: Superintendent not on site Corpordo 2992 E Lr Palma Avo. Sto. A AnshCm, CA 92806 Tsl: 714.63221oq Fex 714.A32.2974 Dlspalch 8fi).491 2990 s.n Dlagdlmp.ric CountY 0295 Fâ‚¬rds Squarâ‚¬ Ste. C Ssn Dlego, cA92121 Tâ‚¬l: aS8.637.3999 Fax 858.537.3990 Dlspatcft 888.8,14.5000 lnlend Enplr. 14487 MorUIan Pl(wy., Bldg 2A RlvoGlde. CA 92518 Tâ‚¬l: 951 .853,4909 Fax 951.85{}.4866 olspdch: efo.4s'1.2990 lndlo ,(4917 GollContor PkwY., Sle.l lndlo, CA 9220 1 Tsl: 760.34:L4AL Fax760.3424525 Dispstch: 800.401.2SSO *n r*rn*, //%ftly' p*awLflLtL?LIlf R6pod #- Pegâ‚¬ L of - DAILY INSPECTION REPORT DSA./CrY ma * - DSA,IOSHPD Apd. * - DSA/TEA Speld l'l3p.c{m R.pdb must bo dlt&old to tlE Ptll.. lbbd bdow ll'lt'h diF oa Ul. tuperbn. R.pdb ol ftn.9.ryT "g'dd'L1]]1-T-ttbdd lflm'dl'ldv' Sb*ae ripcs "r.n u p."pr.d rd 6en Vp. o{ lidlrt lnsp""t* or : Ortty O-t"'. E:r.h l?ir thct b. 6optd.d 1d !l$.d by h. !p&ld l6P-r @duonlE th. MTG t o*'/r'?'&ooPROJECT/L l)TIME ARRIVETL .X.? 4,a..*aHITECTc--ruN-H-E;TRAVEL TIME J"lvt4PENGINEER lh ADORESS OF CONTRACTOR & *. ---Fi?a . - Qnla- lramlngTYPE OF OE SHOP HIGH STRENGTH BOLTINO wELOlt{G SHOPWELI) PT CONCRETE SHOTCREIE ENGINEERED FILL FOUNOATION BACK FILL ANCHOM)OWEL NDE FIELD sorl- REPORT Y EN Q iEFfi3ffio*r,r.rovDHEPT"ANS Y DSA,/OSHPD PROJECT APPROVEO DOCUMENTS @oRT No. oR MATERTAL TEsr REFoRTS): 6DO U3 o5g 'r/a"I tt ,/+CONTRACTORS EOUI AREA, GRIO LINES, PIECES INSPECTED;l)o a a o/lso 5 i/{DETAIL OR RFIS USEDI s I ,D o -l/>o,oc)g LTo/et PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: ln,3p6.led ln ac.odancs wlth tire requlrâ‚¬ments of ltl6 DSA,/OSPHD Pmjec, apprDvâ‚¬d docunonts. Tho roq uirornâ‚¬ntg Samplâ‚¬staken: THE MATERTAL sAMpuNG wns E ms tor E Hta E Perfomsd ln eccodancs wl(h OSA/OSPHO Prdeot appro\â‚¬d documenls. DID NOT of t}lâ‚¬ DSNOSPHD Project approved documer*s. Temp:f{u Signature of special lrEpectot cc Prorecl Arnnect Shrctural Englnâ‚¬er DSA Regiond Ofnce School DlBt ict Conu-&br BLdldlrE Depdrtmâ‚¬nt Owner WeatlEr:mn Câ‚¬rffcatlon #: A llanz IIITG I Corporat 2992 E La PalmeAve, Sle. A Anahcim, CA 92806 T61r714.632.2SS9 Fe,.: 711.632.297 4 Dbmtch: 800.491 .2990 San Dl.go/lmp6rl.l County 6295 Fâ‚¬.rb Square Ste. C San Oiâ‚¬o, CA 92121 T6l: 850.537.3999 Fo( 858.537.3990 Dlspatch: 888.8,{4.5060 lhland Emplra 14467 Morldlan Pkwy., Adg 2A Rlv6r8lde, cA 925,l8 TeJ: 951.653.489s Fer 951.653.4866 DisFtch: 800.491.2990 lndlo 44017 Golf C6nt6l Pkwy., St6.'l lndlo, CA 92201 le/.: 780.U2.$7? Fax:760.342.4525 Dlsprtch: 800,491.2990 MrGL PRoJEcr#: _Ll!!l!! P6.mtr * 10199747 nepoa + - eage -1- or -L DAILYINSPECTION DsA/crrYFi6# re-22s REPORT D$r'osHpo Appl. #_ Rcporl! mmt b. dbtrbutsd !olh. p U.6llst6d b6lows/ilhh 14 dEy! of lh! llEpocdo. Rep.it! ol nol-compls condltlons rust b. dlstrbotad |mm.dt(.r. h.I bâ‚¬ Pr.Psâ‚¬d tur orch tyPo ol 8Pei.l h.pcctoi d a ddly basls. Each roporl .hal bo cdndâ‚¬Gd -d Blgn6d by h6 apdcld lmp6otor conducing ulo DSAJLEA#- MEETEWAs NOT THE WORK lnspectod ln accordEnco wllh tho roqulremonts of the DSA,/OSPHD Project appbwd documonts. The roquirements of the DS^,/OS Samples tak6n: N/a HD Project approved documents. MATERIAL SAMPLING WAS E WAS NOT E N/A8 Porformed in accordance with DStuOSPHD ProJect approvod docomonts. W66th6r C|ear sunny Temp: 74 deg cL- C- ,-.- Contractor B!ilding D6partment Signalure of Special lnspâ‚¬ctor R Getz Certification #: 8889657 fp-.,---"'' PRoJEcr NAME: Tsnant lmprov6m6nt D'Lt srlzr2o ARcHirEcr LBA Loglsflcs TIME ARRIVED 7am TrME DEPARTED Spm ENGINEER [rHPStructuralEngineers TRAVEL T|ME 30 min LUNCH TIME coNrRAcroR Philco. constructlon lnc suB CoNTRACTOR JBA INSPECTION ADDRESS 500 W Warnor Av6 Unlt #B ADDRESS OF PROJECT 500 W Warner Avo Unlt #B ENGINEERED FILL FOUNOATION BACK FILL BATCH PLANT PT CONCRETE SHOTCRETE CONCRETE TYPE OF INSP N IUASONRY HIGH STRENGTH BOLTING WELDING SHOPWELD FIREPROOFING ANCHOF/DOWEL NOE FIELO NDE SHOP CEILING WRE i5lHsass framrhs le Etopping DSr'./OSHPD PROJECT APPROVED DOCUMENTS D PLANS Y SOIL REPoRT Y E]N E Ntr aSPECS: YEINE APPROVED SHOP DRAWING Y ED By coNTRAcroR (tNCLUDE RESEARCH REpoRT No. oR MATERTAL TEST REpoRTs):MATERIALS US Hilti RE V3 Epoxy CONTRACTORS EQUIPMENTi IT4ANPOWER USEDI 'l guy, Hammer, sclssor llft AREA, GRIO LINES, PIECES INSPECTED: ObseNâ‚¬d th6 placernoht ol (68) 5/8'FullThroaded Anchorg Rods, wlth a lnin 6,'â‚¬mbedment lnto th6 exlsll ng concroto for the walltiâ‚¬ al pudln. Grldllnes: (12) N wall on llhe '14lL-U and (56) on thâ‚¬ South wall on lln6 1/A-U por shoot A2.3 Nolâ‚¬: Holes wero verifiod for dopth and cleanllnâ‚¬ss. Allwork observed abovo ls in accordanco with tho plan6 and 6pecs at thls time STRUCTURAL NOTES, DETAIL OR RFIS USEDI 53,0, A2.3, Detall 2/S3.0 REMARKS, INCLUDING MEETINGS Nole: Holee previously ddllod. Mâ‚¬twllh Chistlan PERCENT PROJECT COMPLETE: E aIrI IIIr IIIa rI I Er cc Projâ‚¬ct Archltoct Struclural Enginoâ‚¬r DSA RegionalOffice School Dlsldct Verified by: Christian REWORK AS PERCENT OF ALL WORK TODAY: Hflnl Name TIIG I Co,porato 2992 E La Paha Ave. Ste. A Anaheim. CA 92806 Tel: 714.632.2999 F ax: 7 14.632.297 4 Dispatch: 800.491.2990 San Ologorlmpodal Couity 6295 Fenis Square Ste. C San Diego, CA 92121 Telr 858.537.3999 Fax:858.537.3990 Dispatch: E88.8,1,{.5060 lnltnd Emplre 1,1467 Meri an Pkwy.. Bldg 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 lndlo 4,1917 Golf Centor Pkwy., Ste-1 lndio. CA 92201 7el:75O.U2 46Tl F ax:760.Y2.4525 Dispalch: 800.491.2SS0 DAILY INSPECTION REPORT Report # Pase LoI lL Sâ‚¬parale repo.i6 shall be prepred for sach typs of special in6pe<lloo o.r a daaly basis. Each repct shall be compleled 6nd signod by hs spâ‚¬clal inspâ‚¬ctor conducling ih6 Permit # in E WAS NOT THE WORK INSPECTED MET DID NOT I\4EET The requirements ot the DSA,/OSPHO Project approved documents Samplestakeni NO I\,4ATERIAL SAMPLING WAS E WAS NOT E N/A E Perfo.med in accordance with DSA,/OSPHD Project approved documents Weather: Sun /Warm Temp: 80F re of llnspeclor DSA/CITY File # _ DSA/OSHPD Appl. *_ DSAr'LEA # cc Project Architecl Struclu.al ErEineer DSA Reqional Ofiice School Diskact Contraclor BuildirE Department Owner Saul Amaya |-nnt Name Certification#: 5296829 PROJECT NAME: Seismic Retrolit 5oo W warner Date: B-0S-20 ARCHITECT TIME ARRIVED O70O TIME DEPARTED 1530 ENGINEER MHP TRAVEL TIME LUNCH TII\,!E 30 CONTRACTOR PhilCo Conslruction lnc SUB CONTRACTOR INSPECTION ADORESS 500 W Warner Ave. Santa Ana, CA. ADDRESS OF PROJECT 500 W Warner Ave. Santa Ana. CA. ENGINEERED FILL FOUNDATION BACK FILL PT CONCRETE SHOTCRETE CONCRETE ryPE OF I MASONRY HIGH STRENGTH EOLTING WELDING SHOP !1./ELD FIREP F ANCHOR/DOWEL NDE FIELD NDE SHOP CEILING WIRE DSA.iOSHPD PROJECT APPROVED DOCUMENTS AVAILABLE APPROVED PLANS Y EN E sorl REPoRT Y ENE SPECS:YENE APPRovED sHoP oRAwrruc v E r.r E Observed the stressing ol 112" 44161270k post tension tendons in the glulam beams between gridlines 1-14 and A-E (mezzanine). Tendons were stressed to the required tension per schedule on 2/53.0. Elongations were measured and recorded. See stressing records for further information. Jack/ Guage #979-2001-017 were used. They were calibrated on 5-13-20. REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE y161pp6sEgft 1198404 lnspected in accordsnce with the requirements of the DSA,/OSPHD Projecl approved documents. verified by: Suoerintendent not on site TUITG I Corpo,rte 2992 E La Palma Ave. Ste. A Anahoim, CA928Oo Tel: 714.632.2999 Fa,j ?14.832.2974 Dispahn: 800.491.2990 San Dlegorlmperlal County 6295 Ferris Square Sle. C San Diego, CA 92121 Tel: 858.537.3999 Fax:858.537.3990 Dispalchr 888.8,14.5060 lnltnd Empli. 14467 Meridian Pkwy., Bdg 2A Rivâ‚¬rsido, CA S2518 Tel:951.653.4999 Fax: 951.653./t666 Dispatch: 800.491.2990 lndlo 44917 Golf Center Pkwy., Ste.1 lndio. CA 92201 re!.760.342j6n F ax:760.342.4525 Dispalch: 800.491.2S90 Report * _ Page _L of __L DStuLEA # _ separdâ‚¬ râ‚¬pqG shall be prsp-â‚¬d fof s*h lypâ‚¬ of spocial inspâ‚¬dloo on a daily basiB. Eeh repor sha! bâ‚¬ complâ‚¬tâ‚¬d and brgnsd by rhâ‚¬ 6pâ‚¬dar inspcdor conduc{ng [|6 WAS NOT THE WORK INSPECTEO MET D lnspected in accordance with the requirements ofthe DSA,/OSPHD Projecl approved documents. The requirements of the Samplestaken: No PHD Proiect approved doqrments. MATERIAL SAMPLING WAS E WAS NOT E N/A E Performed in accordance with OSI'iOSPHD Project approved documents. Weather Sunnyruarm Temp: 80F y161pp61g611 1198404 Project Architect Struc{ural Engineer DSA Regional Office School District DAILY INSPECTION REPORT DSFJCITY FiIe # DS,/OSHPD Appl. #_ Contrador Building Deparlmer{ Oivner Saul Amaya Hn Name Certification#: 5296829 PRoJECT NAME: Seismic Retrotit 5oo W warner Date: 8-04-20 ARCHITECT rlME ARRMED OTOO TIME DEPARTED 1530 ENGINEER l\ilHP TRAVEL TIME LUNCH TIME 30 CONTRACTOR Philco Construction lnc SUB CONTRACTOR INSPECTION ADORESS 500 W Warner Ave. Santa Ana. CA ADDRESS OF PROJECI 500 W Warner Ave, Santa Ana, CA E TYPE OF INSPECTION ENGINEERED FILL FOUNOATION BACK FILL BATCH PLANT PT CONCREI-E SHOTCRETE CONCRETE HIGH STREI.IGTH BOLTING WELDING SHOP WELD RY FIREPROOFING ANCHO&DOVVEL NDE FIELD NDE SHOP CEILING WRE DSIJOSHPD PROJECT APPROVED DOCUMENTS AVAITABLE APPROVED PLANS Y ENE SOIL REPORT Y ENE N tr Na trSPECS:Y APPROVED SHOP ORAWNG Y Observed the stressing ol 112" A416l27Ok post tension tendons in the glulam beams between gridlines 14-28 and L-R. Tendons were stressed lo the required tension per schedule on 2/53.0. Elongations were measured and recorded. See stressing records lor further information. Jack/Guage #979-2OO1-O17 were used. They were calibrated on 5-13-20. REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COI\,IPLETE )TITI TIII )t cc Pemil # _ verified by: Superintendent not on site MIG I Corporata 2992 E La Palma Ave. Sto. A Anehelm, CA 02806 Tel:714.632.2099 Fat: 714.632.2574 Dlspstch: 800.491.2990 Srn Dlegonmperlal County 6295 F6nb Square Ste. C San Dlego, CA 92121 Te1i858.537.3999 Fer 858.537.3990 DlBpatch: 8a8.844.5060 lnlend EmplrE 1,1467 Mâ‚¬rldlan Pkwy,, Bldg 2A Rlve6lde, cA 92518 T6l: 951.653.4999 Fax 951.653.4666 Dlspalcht 800,491.2S90 lndlo 44917 Golf Conter Pk$/y., Ste.1 lndlo, CA 92201 ]-at 7A0-312-4677 Fax:1AO.342.4525 Dlspatch: 800.491.2990 DAILY INSPECTION REPORT Sl,pâ‚¬r!l6 dports rhati bâ‚¬ p.lparsd tor oloh tyDa ol si6c.lal lnlpecrbn on a daily bâ‚¬6b. Erch râ‚¬pon shallbâ‚¬ comprdâ‚¬d aDd srâ‚¬md by ho tpoclallnlFclor conducting lh. THE WORK WAS THE WORK DID NOT MEET lnspoctod in accordancâ‚¬ wlth tho requlrements of the DS}/OSPHD Proled approved documBnts. MATERIAL SAMPLING WAS E] WAS NOT L] }.UA L Porfomed in accordance wilh DSA,/OSPHD P.ojoct approved documenls. Th6 r6quir6mont6 of thg DSI'/OSPHD Prolect approved documâ‚¬nts Samples taken: Temp ghaturc of Spâ‚¬cial lnspector KnaEounâ‚¬aoaan Certification #: $40676 Project Architscl Structural Engin6er DSA Regiohal Ofiicâ‚¬ School District Date:PROJECT NAME TIME DEPARTEDTII\4E ARRIVEDARCHITECT LUNCH TIMETRAVEL TIiIEENGINEER SUB CONTRACTORCONTRACTOR 500 Wsst Wam6r Av6. Sanla Ana, CA ADDRESS OF PRINSPECTION ADDRESS 500 West Wamer Avo. SanlaAna, CA E cEILING WREtr_tr_o_ D MASoNRY E HIGH STRENGTH BOLTING E WELDING E SHOP WELD E FIREPROOFING E] ANCHOR/DOWEL E] NDE FIELO E NDE SHOP TYPE OF INSPECTION E] ENGINEERED FILL f] FOUNDATION D BACK FILL N BATCH PLANT O PT CONCREIE E SHOTCRETE E CONCREIE SPECS:YBNtr APPROVED SHOP ORAWING Y f] N trSOIL REPORTY E] N EDSA,IIOSHPD PROJECT APPROVED DOCUMENTS AVAiLABLE APPROVEO PLANSYtrNE IV1ATERIALS USED BY COT.ITRACTOR (NCLUDE RESEARCH RE FoR- No. oR MATERTAL ): Grado 27O 1/2" diameter 7-wire strand, uncoated, stress relioved A416 cable, End brackets aftackad to Glulam beams coNTRAcToRs EOUtp[,]lENTnvlANpowER UsEDi # 979-2001-017 Pump Serial# 330098Jack Serial #979-2001-017, Gau LIN ECES INSPECTED Observed stresslng of PT cablos located on the glulam b6ams dâ‚¬signed to assist the lire sprinklers. PT cables were stress using a calibrated jack that was last calibratsd O5l13l2}2o. PT cables wers stress to 8 klps to 11 kips per plan specificatlons on sheet 53.1. Sit6 speci lications showed gauge prsssuro supersedes elongation. Gaugo pressurs and elongation wero recorded STRUCTURAL NOTES, OETAIL OR RFIS US ED: Sheet 53.1 REIVARKS, INCLUOING MEETI Area stressed was between 2-4 between S-U, 2-13 between P-S and 2-13 between N-P Registered with the city of Santa Ana PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALt WORK TODAY cc Conlractor Building Departmont Owner Verified Prtnt Namo MTOL PROJECT#. l198,aoa Permlt # ]!]!9{- R6port# _ Page _of - DSA/CITY Fllâ‚¬ # - DSA/OSHPD Appl. #- DSA,/LEA # - / // \,.----....-- MTG I Corporatr 2992 E La Palma Ave. S16- A Anahelln, CA 9280G T6l:714.832.2900 Fex:714.632.2974 Dispetch: 800.4S1.2SS0 Sln t hgdlmp.rlrl Counly 6295 Fs{rle Sqlare Ste. C San Dl6go, CA 92121 T6l:858.537.3909 Fa( 858.537.3090 Dlspatch: 888.844.5060 lnl.nd Emplr. 1,t467 Marldlan Phvy., Edg 2A Riv6rcld6, CA 92518 T6l: S51.653.49S9 Fax 951.853.4668 Dlspatch: 800.491 -2990 lndlo 44917 Golf Conbr Plavy., 516.'l lndlo, CA S2201 Iel'- 7603/21877 FEx:760.342.4525 Dl6patch: 800.491.2980 MTGL PROJECT# 1198404 DAILYINSPECTION DsA/crrYFre#- REPORT DsA"/osHpD Appt. #_Permit #101997 47 Report * - ease -L ot -!- DSA,/LEA f S.paral6 ruporlt lhdl b. prqarGd lo' .ach typ. of lp.cld tnspâ‚¬-flon on a dally balls. Eeh r.pql shsll b6 conrpl6t.d .rd llgn.d by ih6 3pâ‚¬clel lnsp.cl6. corductlng hs THE WORK WAS WAS NOT lnspectod ln accordanc6 wlth the requir6ments oftho DStuOSPHD Prolocl apprcvad documoht!. The requlrsmonts oI th6 OSA/OSPHD ProJoct approvBd documâ‚¬rts. Samples taken: |'l/A MATERIAL SAMPLING WAS E WASNOTE N/AE Po.formod in accordanco with DStuOSPHD Project approved document8. Wealhâ‚¬ri C 1"n. BO"(,ffi Signatur. of SpGclal lnspcctor Vincent Pelrucclo Corlificatbn #: 8853142 D'l"t 6rzt2oPRoJEcr NAME: seismic Retrolit 5oo w. warner TIME ARRIVED g.ooam T|ME DEPARTED 2.OOpmARCHITECT LUNCH TIMEENGINEERTRAVEL TIME suB ooNTRACTOR Jas King ADDRESS OF PROJECT 500 W. Wam6r Av6. Santa Ana, CAINSPECTION AODRESS 500 W, Warnâ‚¬. Avo. Santa Aha, CA ENGINEERED FILL FOUNDATION BACK FILL BATCH PLANT PT CONCRETE SHOTCRETE CONCRETE TYPE OF INSPECTION HIGH STRENGTH BOLTING WELDING SHOPWELO ANCHOFVDOAi EL NDE FIELD NDE SHOP CEILING lpery WIRE SOIL REPORT Y N NPLANS Y trNESPECS:Y APPROVED SHOP DRAWING Y Elru DSA,/OSHPD PROJECT APPROVED DOCUMENTS MATERIALS USED BY CONTRACTOR (NCLUDE RESEARCH REPORT NO. OR i'ATERIAL TEST REPORTS): HihlHIT-RE 5o0 V3 ( lot *0850 20LS Exp. 012021 ) , 5/8'Allhroad BohB CONTRACTORS EAUIPMENT/MANPOWER USEDI Foreman: (1) Crewften: (1) all thread bolts wlth 6'embodmonl al znd lovel Hand tools, power drlll, vacuum, alr comprgssor I thread botts wlth 4 'll2" embod PIECES INSPECTEID I mozzanlno. All hol6s werâ‚¬ ddlled 1/8' larger ln dlameler lhan hardware lnstalled and were verlfled of corr6ct depth. All holes rvsre vâ‚¬rified ot SiRUCTURAL NoTES, DETAILoR RFis UsED: S3.0 dâ‚¬tail 12, 2 REi,lARKS, INCLUDING MEETlNGS: Allwork obsâ‚¬rvod ls in accordancâ‚¬ with cod6 and approved plahB, Bpsciflcatlons. PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: IxII I r:tII IItI!t xI r:r Project Architecl Struclulal Engin6or DSA Regionaloffice School Dlstricl Conkaolor BulldlrE Dopartm6nt Ownar Verified coNTRAcroR Philco - constructlon boing clean and clâ‚¬ar of alldgbrls prior to placomant ol gpoxy. Plannlng & Bulldlng Agency Buildlng Safety Dlvtsion 20 Clvic Centar Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 6/t7-5800 www.santa-ana.org RESIDENTIAL PHOTOVOLTAIC CHECKLIST sol-01 cBC 2016 solar Photovoltaic (PV) checktist for Detached stNGLE FAMILy RESlDEl,lcES onty lnstructions: The licensed contractor of record shall com plete all sections, answer the ten questions andsign the cefffication section below. A copy of this form shall be attached to each of TWO sets of plans, ofminimum 11" x 17" size. lf an rino N O to anv the oue ons. Dla check sh all be ired, Project Address:?-tt1, y. (L.urqz- Snâ‚¬f Contractor Company Name: Contractor License Number: O/zn I a{tou,,t r/ Jottp , tr,r( . /tzltLl 1 Are the following applicable to the proposed project? will the PV system rayout provide the required three:foot wide crear access pathways per Section 605.11 of the California Fire Code, and is this shown on the roof plan? Will the PV system be installed on a roof having only one roofing layer with no overlays? Will the PV array be flush mounted to the existing roof so that the plane of the modules (panels) are parallel to the plane of the roof? Will the PV system weigh maximum 4 pounds per square feet or less? will the PV system be instaled where the modures do not overhang any roof edges(such as eaves, gabled ends, ridges and hips)? will the PV system be instafled with a space of 2" minimum to 10" maximum between the underside of modules and the surface of the roof? Will the PV system be installed without using any ballast system or counler_weight system? Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet and is this maximum horizontal spacing shown on the plans? Will the minimum 5/16" lag screws be installed with a minimum ol2_llZinch embedment into rooJ rafters (with pre-drifled hores) and is this minimum embedmentshown on the plans? Are ALL the structural pages of the plans stamped and signed by a California licensed professional engineer? (including project specilic site plan, pV layout,anchorage spacing, anchorage details and manufacturer,s pV support inf6rmation.l I certify undor penqrtr of psrlury u Print Name: t'tSHft nl nl.(u r ths laws of the State of Cal raL YES/NOZA da tra 2 3 4 5 daEa 6. zJ ,. da 8. lza 9 EItr 10.ZA Phone Number: EmailAddress: -fr -tft'7 Signature: Date: the --1 lFopocscltt<-t al( . /ot\ 2-.oZo s true: Rev: 8/29/19 To CltyofSanta Ana planning and Building Department, l, (hanh NSuyen, the owner of the property located at: 2112 N Frow.r srest sonra Ana. cA 92708 havecont.acted Oraoge County Solar, lnc, (619fi1023627) to perform the solar installation at my home andhereby authorire them to pufl any permits related to th15 solar instaffatOi proieo. Thank you, 114.277 7629 'l*l;U,4 ,IFOB 7560 v1.34' PLAN CHECK REPORT County of Orange, Health Care Agency, Environmental Health 1241 EAST DYER ROAD SUITE,I20 SANTA ANA, CA 92705.5611 (71 4)433-607 4 www.ochealthinf o. corry'eh June 07, 2019 SU BMITTER: JOSE D PENA PENA D PENA 3G3 S OLIVE ST ORANGE, CA 92866 SR RECORD ID. sR0135856 PLAN APPROVED / AUTHORITY TO CONSTRUCT FOOD REMODEL - UNDER 101 SQ FT JOBSITE. LA COSTENITA MEXICAN FOOD 1734 W 1ST ST STE F SANTAANA SCOPE OF WORK: INSTALL EXHAUST HOOD ONE GRIDDLE AND ONE STOVE AND OWNER: AMELIA TORRES 401 W LA VETA AVE, APT 207 ORANGE, CA 92866 FOR PC01 :PLAN APPROVAL Thank you for your plan submittal. Your plans are now approved and subject to the following conditions: 'l . This approval does not constitute authority to violate any provision of the related codes, ordinances, or regulations, nor does it prevent further correction of errors found on the plan or with installation upon field inspection. Ali- construction must conform to these approved plans. Alterations or changes to these plans must have review and written approval by the Plan check section of Environmental Health prioi to construciion. 2. All construction work must conform to local building codes and have the necessary approvals from the local building and fire authorities. Please refer to the local building department for plan approval and permits prior to construction. 3 All retail food facalaties must be connected to an approved potable water supply. Please check the following link toensure your food facility is connected to an approved water district or municipaiwater source: http://www.ocgov.com/abouvinfooc/links/oc/water. lf the food facility is not supplied by a municipal source, and is supplied by a private well, you must immediately submit to Orange County Environmental Healti required written verification that the water source meets the standards of the California Safe Drinking Water Act and is acceptable for a retail food establishment. 4. This plan approval is valid for a period of one year from the date of approvat ,.CiG G{#b$@fifrwrng areas:'. ]l]l(a) Replacing the existing nonoperative exhaust hood with a new UL listed hood. /Ll (b) lnstalling new cooking equipments under the new hood JUN 2 1 2019 " (c) lnstalling a new approved steam table in the kitchen. CSG CONSLTI,T N'IS INC 5. Newly constructed food facilities or new portions of exlsting food facilities shall not be placed into use without prior written approval by a member of this agency. Doing so may result in a penalty not to exceed three (3) times the cost of the annual permit. 6 For construction projects resulting in ownership changes or new facility classification, a Health permit Appljcation willbe issued at flnal health inspection. This will include "amount owed" and ;payment due date." lt is the responsibility of the owner or agent representative to submit the Health Permit Application, supporting ownership documents, andpayment within seven (7) business days of the flnal health inspection. You miy pay iir person 8am-4:30pm Monday through Friday or by mail: Orange County Environmental Health 1241 E. Dye/ Road, Suite 120 Santa Ana, CA92705 Acceptable forms of payment in person: cash, check, credit card, or money order To view the status of this project, visit our website at https://ochealthplancheck.ochca.conv sRc135856 PC03: PC09: PC21: PC22: PC28: PC4'I: PC42: Acceptable forms of payment by mail: check or money order Make checkspayable to County of Orange. Health permrt fees are non-refundable and non-transferrable. See reverseof the Health Permit Application for further instruction. INSPECTION SCHEDULING When work on the proiect has progressed to the point of requiring an inspection, please contact us at least ten (10) working days in advance in order to help us accommodate your request. A final inspection will be needed in order toreceiveHealth Permit approval from thisAgency. Health permit approval is required prior to opening the food facility orstoring food or beverages. FINISHES Finishes in all areas, other than the customer waiting or dining areas, must be smooth, nonabsorbent, easily cleanable,and durable. PC16: PC17i DA5067192, Page 2 of 3 Existlng finishes are subject to evaluation by this Agency. This determination wilt be made at the time of the prelimjnary field inspection. Finishes found not to be in compliance with current code requirements will not be accepted. lf you are concerned about the acceptability of the finishes in your facility, please contact your plan checker prior to anywork being conducted. EQUIPMENT SPECIFICATIONS All new and replacement food-related or utensil-related equipment shall be certified or classified for SANITATION by anAmerican National Standards lnstitute (ANSI) accredited certification program. Example of these accredited programsinclude NSF, UL, lntertek ETL, CSA etc. All new and replacement electrical.appliances shall meet applicable Underwriters Laboratories (UL) standards forelectrical equipment as determined by an ANSI accredited certification program. EQ U IPMENT IN STALLATIO N l All equipment, including shelving, must be supported by six (6) jnch high easily cleanabte legs, commercial casters,or completely sealed in position on a four (4) inch high continuously coveJ base or concrete cuib. 2. Sneeze guard protection must be provided where food is displayed or customer self-service foods are proposed. Displays of unpackaged food shall be shielded so as to intercept a direct line between the customer,s mouth;assumed to be between 54 and 60 inches above the floor, and the food being displayed. HOOD CONSTRUCTION lvlechanical exhaust ventilation shall be required at or above all cooking equipment such as ranges, griddles, ovens,deep fat fryers, barbecues, and rotisseries to effectively remove cookirig odois, smoke, steam, lrease, and vapors.Hoods and mechanical ventilation must comply with all applicable requi-rements as set forth in tf,e current edition of theUniform Mechanical Code, as adopted by the local building and fire authorities. DRY FOOD STORAGE Provide a minimum 96 running feet of dry food storage shelving units. This is in addition to the shelving used forworking storage (i.e., over and under counter storage) and refrigeration storage. All storage shelving iust be at least18 inches deep and easily accessible wlth 30 inch iisle clearanie. LOC KE R/SHELF/POLE I NSTA LL within the designated area, you must provide one locker (12" wide x 12" deep x .12,, high minimum) per employee oneach shift. Lockers must be installed on six (6) inch high, easily cleanable legs, cantilJvered off the wall, oi ori aminimum four (4) inch high continuously coved curb or platform. L-angle legs-aie not acceptable. WATER HEATER Pro-vide,a minimum energy input rating of 42,761 BTU'S or 10 total connected KWs at 5O"F rise. Existing water heater70,000 BTU's according to the approved plans. All handwashing facilities shall be supplied with warm water supplied through a mixing valve or combjnation faucet at atemperature of at least 100 "F. AII other sinks shall supply hot water at a teirperature-of at least 120 "F. PLUMBING/ELECTRICAL All conduit, plurnbing, etc., not concealed within walls, must be installed at least six (6) inches off the floor and .l/2 inch To view the status of this project, visit our website at httos://ochealtholancheck.ochca.conV sR013s856 DA5067'192, Page 3 of 3 away from walls. All exposed flex conduit is to be "sealtight" or equivalent. Where pipe lines enter a wall, ceiling o[. , floor, the opening around the line shall be tighfly sealed. PC44: FLOOR SINKS Exlsting unused floor sink in the middle of aisle, shown on the plans, is subject to the field inspection. All equipmentwhich generates condensate or similar liquid wastes shall be drained by means of indirect waste pipesinto a floor sink. Floor drains are not to be used in lieu of floor sinks. All floor sinks must be at least half-exposed underthe curb mounted equipment, or be in line with the front face of elevated freestanding equipmeni, ino located within 15feet of the condensate produclng equipment. Tiis project was reviewed by ZOHREH MOGHADDAM, REHS (714)433_6069, Your original assigned plan reviewer is zoHREH MoGHADDAM, Reus 1zt+;+se-ooos, To view the status of this project, visit our website at https://ochealtholancheck.ochca.com/ CITY OF SANTA ANA FOOD SERVICE ESTABLISHMENT WASTEWATER DISCHARGE NOTICE AND CONDITIONAL WAIVER Effective Datei November 14, 20'16 FSE Owner FSE Name FSE Address FSE City, State, Zip CALIFORNIA FOOD I\,4AMAGEMENT, LLC BURGER KING RESTAURANT 2850 SOUTH BRISTOL STREET SANTA ANA, CA 92704 (lf Box ls Marked) Refer to Specific Conditional Waiver Requirement(s) Effective December 15,2004, the City of Santa Ana adopted Ordinance Number NS 26-70 amending Chapter 39 of the Santa Ana l/unicipal Code adding fats, oils and grease (FOG) conkol regulations applicable to Food Service Establishments (FSES). The ordinance requires all new and remodeled FSES to install and maintain grease interceptors. FSEs without grease interceptors and that meet certain criteria are hereby issued a conditional waiver under the terms of this Notice and Conditional Waiver. FSEs will be routinely inspected to evaluate the effectiveness of their grease control measures. Existing FSES that discharge FOG and are out of compliance with the Ordinance provisions will be required to install grease interceptors. All FSES must implement Kitchen Best Management Practices (BMPs) to remove FOG from the waste stream entering the sewer system. Program Rules and Regulations The City has established Rules and Regulations for the FOG Program. Refer to the City website at httn:ii wr'vll .$anta-ana.orr:/p'"va/foq/cloqlrqqnts/fog rules and regulations.pdf or contact the FOG Conkol Program Manager al (714], 647 -3320 for copies of the Rules and Regulations. Also refer to these sources for the Fats, Oils, and Grease Control Regulations (Section 39-56 of the City's Municipal Code) and for copies of forms and educational material. Conditional Waiver A Conditional Waiver to the requirement to install a grease interceptor is hereby granted. This waiver may be revoked at any time upon a determination of one or more of the following: Quantity of fats, oils and grease (FOG) discharge as measured or as indicated by the size of the food service establishment (FSE) based on seating capacity, number of meals served, menu, water usage, amount of on-site consumption of prepared food and other conditions have changed since the granting of said waiver such that the FSE is contributing to FOG discharges. ldentification of the FSE as a significant contributor of FOG into the Sewer System, which is based on inspection or sampling of the FOG discharged from the FSE'S sewer lateral to the Sewer System. Adequacy of implementation and compliance with Kitchen Best Management Practices (BlvlPs). Change in sewer size, grade, and condition based on visual information. Changes in operations that significantly affect FOG discharge. Failure to comply with any of the specific requirements set forth below in this Conditional Waiver. Any other condition deemed reasonably related to the generation of FOG discharges by the FOG Control Program Manager. Page I of 2 2 3 4 5 6 7 X X FSE ID: FSE Owneri Rep Email:FSE Owner/Rep Phoner 8 j8-631-757i A gravity grease interceptor is NOT required at this FSE: 1 Specific Conditional Waiver Requirement(s) The developer/owner shall install a Hydro-mechanical Grease lnterceptor (HGl), in accordance with the UPC and with the Orange County Health Care Agency requirements. The developer/owner shall design the plumbing system to separate all kitchen drains, floor drains and fixtures from other domestic drain fixtures to facilitate the future installation of a grease interceptor. Other Current FSE Equipment and Configuration FSE acknowledges that below is the existing cooking equipment and seating capacity of the facility and that no changes will occur. E UI ment #E UI ment #Equipment #Equipment # Broile r 0 Grill 0 0 Stove 1 Cha r Broiler 0 Ke tt le 0 Tilt Skillet05 killet Deep Frye r 0 Ove n 0 Smoker 0 Wok 0 1,Griddle 0 Pressure Cooker 0 Steamer 0 Hood Locatron Location #Locat on Notice and Conditional Waiver Amendment Notice The Developer/owner acknowledges that no tenant improvements that include change of kitchen equipment, expansion of dining area, and or change in type of operations or use, are being performed at this time. The developer/owner has been notified that any improvements, that include what is mentioned above, will result in the revocation of this waiver to install a grease interceptor. The City may amend this Notice and/or Conditional Waiver at any time. Compliance with the requirements contained in this Notice and Conditional Waiver does not relieve the FSE of its obligation to comply with the Fats, Oils, and Grease Control Regulations, any applicable pretreatment regulations, standards or requirements under local, State, and Federal laws, including any such regulations, standards, requirements or laws that may become effective during the term of this Conditional Waiver. Non-compliance with any term or condition of this Notice and Conditional Waiver constitutes a violation of the Fats, Oils and Grease Conkol Regulation and may result in revocation of the Conditional Waiver. Print Name (F Ow /Representative)ame (FSE Owner/Representative)Datener ## Taig Higgi S , P-E lnside Seating Outside Seating lr Principal Civil Engineer Page 2 ol2 E Rotisserie 0 BY signing, FSE owner agrees to all terms and conditions of this Notice and Conditional Waiver. Other: vivint solor 2500 Vvhite Rd. Suite A lrvine. CA. 92614 Date: 6122/2020 Please sign below ifyou agree with these terms and confirm your contact with Vivint Solar so we may proceed with the City to retrieve a Permit. Thank you. Kayla Horta \ i\ iDl Sohr - (.llTicr. lhnugtr - ln int. ( .\ karlu.horta a r ir inlsohr.ronr City of Srnte Anr Vivint Solar is sending you, Joel Samayoa, Ois witten notice to confirm yeur authorization and approval to install Sotar to your r"rid*iut nome at' -X tl, --T Ir Customer Print Name C- usto atllrr {./-'t 81512020 IMG-2997.jp9 https://mail.google.com/maiUu/0/#inbox/KtbxlxgddLxWngsjwdLLJlNhfRPNgnPVKL?projector=1 'lt1 a0 M I \. ( \;t* '' )';,s 4*"f.{L -,i-t i,,,f,,t, 90f,,, r,o^J ' t'r / //rulo "/ lruq s' c'f iYe tr <yi,/" 74t* (k /t1a I Y,"/'4 Sofu P u't /4,( To Santa Ana Building and Safety, I would Iike to confirm that l, Tho Trong Do who lives at 1905 Halladay Street, Santa Ana CA 92707, am contracting GRID Alternatives to install a photovoltaic solar system on my home. Sincerely, Tho Trong Do ALPHA OMEGA A&BLrc. No. 1024576 Irtay 29, 201e City of Santa Ana Building & Safety Department 20 Civic Center Plaza Santa Ana, Ca.92702 Re Verizon Wireless Cell Site - Mabury 2151 314 Santa Clara Ave. Santa Ana, Ca.92705 Permit No : 10190674, 20161481 , To Whom lt May Concern. Please remove Alpha Omega Constructors, lnc. as the General Contractor for the above referenced project. Verizon Wireless has awarded this project to another contractor. The General Contractor for this project will be lnland Valley Construction. No work was performed on this project by Alpha Omega Constructors, lnc. Should you have any questions regarding this matter, please feel free to contact me direct at (949) 680-2707 Sincerely, \. \,)a Lyndon S. Brown CEO Alpha Omega Constructors, lnc. 23 182 ALCALDE DR. SurrE J - LAGUNA HrLLs. CA 92653 OFFTCE 949-680-2707 FAx 949-68c'27 Og 7.4 ALPHAOMEGA A&BLrc. No. 1024576 May 29, 2018 City of Santa Ana Building & Safety Department 20 Civic Center Plaza Santa Ana, Ca.92702 Re Verizon Wireless Cell Site - Mabury 2151 314 Santa Clara Ave. Santa Ana, Ca. 92705 Permit No.: 10190674, 20161481 To Whom lt [V1ay Concern. Please remove Alpha Omega Constructors, lnc. as the General Contractor for the above referenced project. Verizon Wireless has awarded this project to another contractor. The General Contractor for this project will be lnland Valley Construction. No work was performed on this project by Alpha Omega Constructors, lnc. Should you have any questions regarding this matter, please feel free to contact me direct at (949) 680-2707. Sincerely, \( \_> Lyndon S. Brown CEO Alpha Omega Constructors, lnc. 23 182 ALCALDE DR, SUITE J _ LAGUNA HILLS, CA 92653 OFFTCE 949-680-27 07 Fr.)< 949-6A0-27 ag vivinLSolor' 2500l A eRd Sudâ‚¬A lrvlno. CA 92614 Draet 6/2612020 Clty ofS.!t! 4tr. Vivinl Soht is sending you. Robeno Romcro' fiis writtcn notice lo ct'rrfirm 'rour authorization and approval l,o in$all Solsr lo ,('ur rcsidcntial home al 1227 W Crmil' St' ' Pleasc sign below ifyou 6gree \"_ith lhese terms 6nd conlirm ]our conlract \r i{h Vivinl Solllr so uc may p,occcd wirh lhc Cily lo tetrieve a Permil Thank you, l{ofla Hotu viri.r So|lrr - (r(ice llnnrg(r- lnint. ( { kn{h.horir,r'vir anlr.'hrtom .!t\ Curlom.t Prhl Nrn.(' ) / S &SOUFlCâ‚¬310 N lndian Hill Blvd Claremont, CA 91711 #403 714.71 5.5903 Lic# 805496 Jilly & Oarron Toll 2435 N Riverside Dr Santa Ana, CA 92706 Per City of Santa Ana, this letter is to confirm your acknowledgement that your Main Service Panel breaker will be derated from 200 amps to 150 amps to meet CEC req uirements for r new Solar System. Please sign edgement. Signature LAtrl llttt/tl y* From: bcyoungTS@gmail.com Sera: Tuesday, December 8, 2O2o 7:51 AM To: maui young Subiect: Roof inspection Re: 200.6..Tr_ast Ave-.-SenlaAna-.CA.9?7-0.6, Roof f inal inspection... on this date,72-Mauw Oeung (Homeowner) has had roof installation done incorrectly on roof edge. Roof paper was installed underneath edge metal. Homeowner takes full responsibility for any leaks or damage that may incur due to incorrect installation of roof paper at.?9Qq.I-r.?sK4y91.5!!!.qAn?, lnspector Daniel takes no responsibility for this incorrect installation. Mauw Oeung. sâ‚¬nt from !lq!.l Windows 10 C Hlrr- ot-Ylc-{) $?ru't ( /ourut - lollo mq, cA.9?7.46- a, D FSE ID FSE Owner FSE Name FSE Address FSE City, Slate, Zip FSE Owner/Rep Email: Oscar Olivares '1036 CITY OF SANTA ANA FOOD SERVICE ESTABLISHMENT WASTEWATER DISCHARGE NOTICE AND CONDITIONAL WAIVER Effective Date: 11119t2019 El lndio Bolanas Y Cerveza A Conditional Waiver to lhe requirement to install a grease interceptor is hereby granted. This waiver may be revoked at any time upon a determination of one or more of the following: FSEs will be routinely inspected to evaluate the effectiveness of their qrease control measures. Existing FSEs that discharge FOG and are out of compliance with the Ordrnance proirisions will be required to installlrease interceptors. All FSES must implement Kitchen Best l,'lanagement Practices (BMPS) to remove FOG from the waste stream entering the sewer system. Program Rules and Regulations The city has established Rules and Regulations for the FoG program. Refer to the city website at hltp: \\\\.sant'ann.orsp\alir!rdocumelltsIi),.: ruic! i]n(l re!ul.Iiois t)(il or contact the FOG Control Program Manager at (714) 647 -3320 for copies of the Rules and Regulations. Also refer to these sources for the Fats, Oils, and Grease Control Regulations (Section 39-56 of the City's Municipal Code) and for copies of forms and educational material. Conditional Waiver 309 Wesl 3rd Slreet Santa Ana,CA,92701 oscaroli0406@gmail.com FSE Owner/Rep Phone; (714) 862-7375 1. Quantity of FOG discharge as measured or as indicated by the size of the FSE based on seating capacity, number of meals served, menu, water usage, amount of on-site consumption of prepared food and other conditions have changed since the granting of said waiver such that the FSE is contributing to FOG discharges.2. Any tenant or facility modilication, addition or alteration of cooking or food preparation equipment3. ldentjfication of the FSE as a significant contributor of FOG into the Sewer System, which is based on inspection or sampling of the FOG discharged from the FSE'S sewer lateral to the Sewer System.4. Adequacy of implementation and compliance with Kitchen Best Management practices (BMps).5. Change in sewer size, grade, and condition based on visual information.6. Failure to comply with any of the specific requirements set forth below in this Conditional Waiver.7. Any other condition deemed reasonably related to the generation of FOG discharges by the FOG Control Program Manager. Page I of 2 A gravity grease interceptor is NOT required at this FSE: Effective August 1, 2017, the City of Santa Ana adopted Ordinance Number NS 2921 afiending Chapter 39 of the Santa Ana Municipal Code adding fats, oils and grease (FOG) control regulations applicable to Food Service Establishments (FSES). The ordinance requires all new and remodeled FSES to install and maintain grease interceptors. FSES without grease interceptors and that meet certain crileria are hereby issued a conditional waiver under the terms of this Notice and Conditional Waiver. S+tacafic Coodttional lltay.r Rtqulrrm.ot(r) r}rr daclcg+rtr*r.. shrfl niLll a Hydm mcchanrcal Grr{rec lntrrcapto, (l-lGl), rn atr rdance *r$ ttrc UFr-' ,|\j \trlh th{r Orrqro Counly H6alth Crru Ag6nc Gqulromcnl! FOR l"lcl lnct.l[ah\)n. I Tlrâ‚¬ HGI ls ,tsttlH p,trsuont tio Bll manuloclurBr rBquiramenls including lbw control ctoyi-s and paur\c{ stroco fw mrintacatft acao$s. i Thn HGI rs nurnletnd pxrsuant to a! msnufucturBrs rocommendoirolrE nck ding. br, oot hited to s Llnd+l $!a orcumttEncâ‚¬9 w{l the setllod sol{ds aod/or,loatng lelg. oils and grGass (FOG) ccntarned ro the HGI erceed 259t ot tho hydrauhc depth ol thâ‚¬ dsvico.n l}le hill cootents ol thâ‚¬ unrlls) are removed prr)/ lo seltlsd golds and/or noafng FOG reachrng 15\ ol the hydraulc depth ol the devte. o. at maxrmum, on s quarlerly bag'B (wh6n in use). A lqg s r'rarntained of gil llGl servffe and mainlenance activitEs: Notrce :nd Condilional W.ivsr Amondmrnt Noticc --:r Crty n!a\ a:r]llid lhrs Notlce ard/or Ccnditronal Waryer at any time. Cc.npliflEo wilh th6 râ‚¬quirâ‚¬merilg crr:.srned ln tr.is Noix-..e a:!d Coici{lKrnal War,-er does rlot relâ‚¬ve tho FSE o, ils ouilaliOo b cdtdy wilh theFats Orls and Greasr Cootol Regulatrcns any apg.ticabb p{olrEdmcfit raoubtbfia, r8dtdi or 'r$cir:ements undet krcâ‚¬|. Slate a:rd l-eJcral laws mcludrng any such ,eguhtixr6, Afand-d+ rcqritetnenE of ra$s i\.!t rnat- become effecti!'e dunng tte terrn of this Conditional Waiver. l.loar-dnpfiance *ith gny letm of ;o.]jrt|or of ttrs Nal se and Co']drtlonii WarYer conititutes a vrolalion of ths Fats. oitg and Graa8â‚¬ Conkol RtrOJle:.;!: a'rd r:av resijlt r''t re!.oca:.on cl lhe Condrttonal Waiver aTJco.r f,\:.'*..\t/lg 1 Dale ! Pfl ''rl Narne ( FSE Owne:'/Fefrresenl3trve)Sqn Name (F O#ner/R@resentali\re ) E\ sg-,ng FSE;rwre: aSfees lo al, le'r:rs 3ns cgndlrcns c! thts Nolâ‚¬e and Conditirnal Wai\â‚¬r i SA53 PE Water Resources Manager l'rrgc 2 ot 2 TMC ENGINEERS INC. GEOTECHNICAT & CIVIL ENGINEERING Address: 9542 Pacific Avenue, Anaheim, CA 92804 Tel: (714) 829-5053. Email: Tienchu.PE@gmail.com Certification of Compaction of Filling of Existing Pool at: 2108 Alona St, Santa Ana, CA 927061 TO CONTRACTOR: COASTAL ESTATES & DEVELOPER ADDRESS: 10627 EL CAMPO AVE, FOUNTAIN VALLEY, CA92708, DATE: lll2l/20 PERMIT NUMBER: 2017 1794 Dear Mr. BEN In accordance with your request, site visits has been performed at the subject site. The purpose of this site visit was to check the compaction at the address above. This letter to certify that the swimming pool at rear of property had filling material generally consisted of medium light brown sand with some sill (have expansion index less than 20) have been compacted to a minimum of 90olo every 1 feet lift of maximum density and is consider geotechnical acceptable. If permitted by the City, a structural objected such as a room addition can be constructed at or near the swimming pool back fill area in the future. Consultation with a qualified geotechnical engineer should be considered for provision of geotechnical recommendation for structural and foundation design. This Report does not guarantee the work ofContractor, nor does it relieve the contractor from performing their work in accordance with the Contract Documents and applicable codes, laws, rules or regulations. Ifyou have any question please contact us (714-829-5053). Respectfully, W CALIF Ro FP azt! E. * Tien Chu, GEOTECHNICAL INTERNATIONAL LAN & ASSOCIATES 'l'opographic Survey & Civil . Structural . Geotechnical Engineering. l3 I i9 Harbor Boulevard, Garden Grove. CA 92843 Tel: (7l4) 414-9215. Fax: (714) 537 7974.Email : [,anphan.r9ir?rhotmai].corr September 28. 2018 Civil Engineer's Certification of Line & Grade Of Graded Building Pad Referenced Project New SFR and ADU 2025 S. Cedar Street, Santa Ana, Califomia 92701 Grading Permit No. 501 0-1 07 2-25205 Owner: CABORACA INVESTMENT. INC. I hereby certify that the line and grade for the graded building pad are in conformation with the approved plan. Lan N. Pham. P.E. RCE29595. exp. 03/31/2019 15,tE ?424t(') c'\,lr. t( * c * INSPECTOR'S DAILY REPORT OF COMPACTED FILL Remarks: Copy to Client { ) Copy to QCI () Company Policy: Three (3) hourr manimum charge {includin8 travel time) CAt LAND ENGINEERING, INC. lob No 14-oto- o4.1 lob Nlme ?u. Argluoou-r e".c G*eq.n*r\ Job l-ocation 2Dzr't Srll'lJa- pi)k L.t- Ctl*t0ue* A'c-- Page of l"r-l Oate 9-tcs-n Day of Week t'nr.s Genlral aontractor Grading Contractor foctr- * 5",^: s Field Tech 7r- Hours on Site r,on ):!6 ro 3: 3-tr Email & Phohe No Contractor'! Supl of Foreman & Signature Source and Oercriptions of FillMaterials A\l*79".,-cz.z-\, Aeo - Qa.,L tLr^^^t (ta,rox noo: lt?.f ?4- @.t2.o'L rn45.{^rO Iquipment U5ed B*(-,*. f errnr^.--o- Test No Test Location â‚¬levation or Depth Soil Type filt Moisture % Test Dry Density lbs/cu-ft % of Max Dry Denrity Remark X-t ?rnu- **r-o-,^.nr-.l A t-7 to6. A 1o.7 x-7 (oo - ,{,a^-r^. \a r--(k ll -to6.A 9o.9 \ \ \ ee\,- â‚¬-c G / r U K Exp /â‚¬H No 2153 Sketch cL,.<- F Ess/ ? ? ** o & quanech Consultants, lnc. by: L ?an l-i-^ i.<-<-7 %a,- â‚¬- <.,.-.---r*, a -rn,t 'l'-ri G,'.-c-G/? LtG b?-'se.a-+t a-<' 9-a,i . tu FYor-- Dâ‚¬yylDN (tâ‚¬ o w/v Ct. ?aee*- # lc< - ole_t - <:f 4 '\lt('.' ''.at't l\ir (9 12 c'r r! ( IC l o)l&,eJUA,J t/- a EA.,reuFZ- frlE+ ^ $uoâ‚¬'cAY){ I I I '17 I L Yp 3>/PL I h Y) \ N\ NI DRtvf W, CHAMDLâ‚¬R 4Vâ‚¬" - 94rlTA A^lA - t L 6Drror Rtrf, t D6N<F 5c& fo30 * I I I I J I I I ,t October 14th, 2019 To the ottention of: Building Deportment oI the City of Santa Ano 20 Civic Center Plaza, Santo Ana CA 92701 714-647-5400 RE: REQUEST FOR PERMIT CANCELLATION FOR PERMITS f40133976 &20169748 To whom it may concern, We kindly request to have the permit 40133976 & 20L697 48 be cancelled as the homeowner has cancelled their project with Temp Air Systems lnc. This project is located at 3613 South Bear St Unit D. No work has been completed, and no inspections have been done. lf any refund is to be administered, please make check payable and send to: The Energuy 26111 Ynez Rd flB18, Temecula, CA 92591 lf you have any questions or concerns, please contact me directly at the information below Sincerely, Bri Mclaughlin The Energuy - Account Lead 1-877-600-0123, ext 369 brianne.m@energuy.com Phone: 1 -877-600-0123 www.energuy.com Fax: I -877-571-0123 Esquire Piaza l2l5 K Street, Uth Floor Sacramento, CA 95814 o Daily Field Report Main Omc6'# 714-637-3093 1590 N. Brian Stroet Orang6, CA 92867 LEA#253, Cr 2U 00199 f6a ^eo N". hsoz-sazo loet $arzzzo'rsLamson Bros Electric lTch.lc!.r lPD,.ci Eiel'u.rProl.ct lBrian Catislon hrorogbr I Uossph L. Welch, P.E.,ttI lG.E. 3629 W. sth, Santa Ana, CA E] suF.rnt-d.'n E c[.nt ^s.il llamson Brothers Elearic Ir+or-eazo loo ras Tlmo (hrs) 10:00 AM 1.0 :00 2:00 PM 17 Pad SubgEde Footing Excavations bubsrEOe l* Testing Equlpment , Various hand tools .l Flll Iet.riaUS6trrd Sand / Onsite ucloar Gaug6 # Nuclear Gaugo Pad Subgrado Isheet S-2) S SG unk 6.7 112.7 120.31 9.5 90 SG2Nuclear Gauge Pad Subgrade (Shoet S-2) S unk 6.9 120.4 125.5 90 as requestod to observe bottom of footings excavatioos as well as perfonn subgrade tesling for Pad. Observed that square and spread footings were excavation prlor to my anival (2 of 6 located below raised foor, Ref Shoet S-1 and other of 6 square tooting excavations, Ref SHeet S2) Bottom ofi footing excavation were probed and found to be firm and ing. Square footings excavalions measuaed approximately 2'x2' or largor wilh an approximate measured depth of at 18" (or deepened as mush as 32") Footing excavation appeared lo be clear of loose material and/or debris and is itable for intended use. Recommend that fooling excavalions be slighlly moisture condilioned prior lo placement of so performed in place density tests for pad subgrade; soil sample was collected to check relative compaction density and will be rgported when lab testing on coll6ct6d soil sample is completsd. Subgrade lvas also subsoquendy probod ofAro T-t dTot Loot on (Ah Norlh vasat.issuâ‚¬s observed found lo be llrm and unyielding. 19 ) Location Elevations, Elevations, Elevalions Oepth (ft)- Oepih (lt)- Oepth {ft)-T6st Flll Nalural Field Moist (%) Dry Oens (PCF) Wet Dens (G/CC) (PCF) Optimum lVoist {o/") Max Dens. (G/ cc) (PcF) Relative Retâ‚¬st No Compact tv.t Test No. Test Type RINGTONoaorrciNlc^r. atsolxlr.rNc.lrrc On Site lr-l'-ll I m- Notice: This report is issued tor informalion only- tost resulb are subjed to confirmation in a written repod. Daily Field Report Main Ofrce * 714â‚¬37-3093 1590 N. Brian Stroet Oran96, CA 92867 LEA #253, CT 234 00199 Cli.nt Lamson Bros Electric fs^ aee N.. hcoz-sszo loarzzrzo.sF.ctrnrd.n Fi."i E 'clBrian celisron h-,*,,I l:r*' 3629 W. sth, Santa Ana, CA Welch, P.E., g sup.rhi.nd.nt D clbnt AlEnt lLamson Brothers Elearic Ir +or-razo hor+s me On Site Timo {hrs) 10:00 AM 1.0 :00 2:00 PM 17 Pad Subgrade Footing Excavations F;* lsuuq.aoo bg Testing rading Equipmont hovel, Various hand tools ol Fill f.icriausour6 Sand / Onsite Gaugo * 1 Nuclear Gauge Pad Subgrade lsheet S-2) SG unk 6.7 112.7 120.3 9.5 125.5 90 2 Nuclear Gauge Pad Subgrade (Sh6â‚¬t S-2) S unk 6.9 112.6 120.4 9.5 125.5 90 as requested to obseNe bottom of footings excavalions as well as porform subgrade testing for Pad. Observed thal square and spread footjngs were excavation prior to my anival (2 of6 locatod below raised foor, Ref Sheet 91 and other of 6 square footing excavations, Rel SHeet 92) Bottom ofi footing excavatiofl were probed and found to be firm and nyielding. Square footings excavalions measured approximately 2'r' or largor with an approtmate measured depth of at 18' (or deoponed as mush as 32') Footing excavation appeared to be clear of loose material and/or debris and is blâ‚¬ for intended use. R6comm6nd thal footing excavalions bâ‚¬ slightly moisture conditioned paior to plaoement of performed in placâ‚¬ density tests for pad subgrade; soil sample was collected to check reliative compacton density Its and will be reported when lab testing on collected soil samplâ‚¬ is complsted. Subgrads was also subsâ‚¬quâ‚¬ndy probed o, Ar!. T..t <V T{t L@tion (3hd No.lh issues observod du visil. found lo be firm and unyielding 19 ) Test No. TestTypo Location Elevations/ Elovations/ Elevations Oepth {lt). Depth (lt}- Dcpth (ft)'Test Flll Natural Field Moist (%) Dry Oens {PCF) Wet Dens (G/CC) (PCF) Optimum Moist (%) Max Dens. {G/ cc) (PcF) Relative Retest No Compact fk) Notice: This report is issued br information onv- tost results are subjec{ to confrmation in a written report ARRINGTONcIoiacHnlc^1. ENclxraRlNc.lNc DAIIY TIETD REPORI Tuyet, LLC Job Address 3629 W sth street, Santa Ana California Type ol Struclure Residential Property Enqineer BDP Engineering Consultant Archite.l Lan & Associates Contraalor Lampson Construction Bualdino Deoarm6nt Sanla Ana Material {orado-tvoe)Epoxy XP 22 & reinforcement lnsoâ‚¬ctor's Name Edwin Jimenez Proiect Soecs Approved and signed structural plans Permll No. 1 0296663 Epory FireProoling Ouality Control Welding other Hiqh Slrength Bolts Reinlorced Concrete Reinforced Masonry 8t23t2019 ()IIII IIII ERJ MATERIAL TESTING & INSPECTION ADDBESS : 1637 DAVIS STnEET COFONA, CA 92882 EtlAlL: admlnld.rtlon@edlntpectlons.com WEB : wyrr.dinspecdons.com OFF|CEi (951) 42Hri06 INSPECTIONS INC. I 0ECIIO]I SUTNMARY Relerences Approved and signed documents and Epoxy manulacture lnstructions. Codes. Slandards 2016 Calilornia Building Code Volumes 1 & 2 with 2017 County ol Los Angeles Amendments Per request ol our client an ERJ lnspections lnc representative has conducted epory lnspection Gommerclal Addltion: Arrived on site as requested by client to conducled continuous inspection and observation of installation oI (19) No.4 reinforcing stoel into (E) concrete with 6" embedment al 24" on center as stated on approved and signed structural plans in detail 2-SD-1. Also installation of (2) hold-downs 5/8"o with l2" embedment and (9) troatâ‚¬d rods with 6" embedmenl Work performed at my departure time took placs on back oI the existing commercial -Do not apply load after cure time 24hrs..SET-XP10 019X698W Exp 12-18-20 Note:Condition o, worked was wire brushed and air blasted per manufacfu rer instructions. TyDe ot samples Quanlity Additional Romarks on sample IESIS ol dâ‚¬te.ls discovs.sd in its wo.t. lr i3 undeBrood rhal orr lim wll ior Oâ‚¬ rEsponsilrâ‚¬ lo. joi, or snb sltory on t s ,roilct. The work lnspecled MET DID NOT I\4ET The requiroments o, the approved documenls Signaturs ol Begister lnspâ‚¬ctor g continued oh nexl page by TIME IN TIME OUT ST HOURS OT HOURS 12:15pm 1 :30pm 4 ICC }{o, 823,&167 Agoncy, cerl & No. The lndustry Leader. ! I -.-l /r I ,r IE I \-- \\,l /n ) \r\ I-1 7 e^L)-"-*Owner's Representative Reprossnting ERJ MATERIAL TESTING & INSPECTION ADDRESS : lGrt DAVIS STREET COROIIA, CA giB&l E]{AlL: admlnlstr.tlon@orllnspectlons.com WEB : ww.orllnspectlons.cortr OFFICE: (951) 427'06/t6 INSPECTIONS INC. The lndustry Leoder. Peml, No. 10296663 Epoxy Fire.Proofing Quality Control Welding Other High Strength Bolts Reinforced Concrete Heinlorced Masonry or &lects diswred in his wo.l( ll 6 undeBtood lhal our frm rll noi bâ‚¬ ,osporlslbb ior job or slte saloty on 0*i proiect. The work lnspected @tr continuâ‚¬d on noxl pegâ‚¬MET DID NOT MET TIME IN TIME OUT ST HOURS OT HOURS 1 :30pm 4 4 r minimThe requiremâ‚¬rils ol ths approved drcumonls Owner's Representative Ropresenting DAI1Y TIE1D REPORI Tuyet, LLC Job Address 3629 W sth street, Santa Ana Calitornia Type of Struclure Residential Property Enqineer BDP Enqineering Consullant Archite.:l Lan & Associates Coniraa.lor Lampson Construction Buildino D6r)arment Santa Ana Material (orade-tvoo)Epoxy XP 22 & reinlorcement lnsDector's Name Edwin Jimenez Proiect Specs Approved and signed structural plans IIIII IIII i n IEcilo]t s MThARY Rererences Approved and signed documents and Epoxy manulacture lnstructions Codes. Standards 2016 Calilornia Building Code Volumes I & 2 with 2017 County ol Los Angeles Amendments Per request of our client an ERJ lnspections lnc representative has conducted epoxy lnspection Commerclal Addttion: Arrived on site as requested by client to conducted continuous inspection and observation of installation of (19) No.4 reinforcing steel into (E) concrete with 6" embedment at 24" on center as stated on approved and signed structural plans in detail 2-SD-1. Also inslallation of (2) hold-downs 5/8"o with l2" embedment and (9) treated rods with 6" embedment Work performed at my departure time took place on back oI the existing commercial ..Do not apply load after cure time 24hrs..SET-XP10 019X698W Exp12-18-20 Note:Condition of worked was wire brushed and air blasted per manufacturer instructions. Type of samples Quantity Additional Remarks on sample Signatllre ol Register lnspâ‚¬ctor ICC No. 823r&167 Agoncy, câ‚¬rl & No. 9n/ )-t* 8t23t20't9 ! t.r =lI I I \ \\VaJ\I I TESIS E! I t 2:r spm t Date:6-1.lq ELITE SPECIAL INSPECTIONS INC. 9545 Firestone Blvd. #5, Downey, CA,90241, Office: [562] 413-8t59 | FAX: (5621 867-8470 Elite.Safe@mail.com SPECIAL INSPECTORS TIME SHEET & REPORT Job # ld\ 1 ( 160 Permit Date 7lvt1 Jurisdiction 6-l-fi4 Building Permit # Job Identification Contractor: General t 4 &u I Address Sub - Engineer (,loto Pqi^lq\,n Avc LDP: Architect AlqrPrq,fl^s {- ,l')es,on Reinforced Concrete D ACI G rade I -Tech tr Dswr\1, \n"\ors t [.,\\ t^"rvu Prestressed Concrete E Other tr Masonry E NOTE: Conlractor assumes responsibilty lor any and all work that is performed outside of stamped/approved plans bearing the seal ol the applicable enlorcing agency ol record. Contractor is informed that any and all work performed prior to Building Department approval is pertormed at contractors own risk pending proper approval by the Building Oflicial. Provided Visual lnspection for:Plans Date: 0 -\ (\$ Ir D U I oN S v\'tL e - 2-o Certif icate of ComplianceHours Billed # Paid Check # BAL,d\CE All inspection is based on a 4 hour minimum, over 4 hours is an 8 hours minimum. After 8 is tjme and a half, respectively. In addition, any inspection extending past noon hour will be an 8 hour minimum. Al) lab work necessary to complete inspections will be paid by owner, engineer or contractor. Certilied Special lnspector (Please Print)Jared Brekenfeld rcc +. 8024.186 Certilied Speci qpproved By: lease Sign ): ) Lqah4r' I hereby certify that I have observed to the best of my knowledge all of the above reported work unless otherwise noted. I have found rhis work to be in compliance with the Approved plans, Specifications, and applicable sections of the Governing Building Codes. /^, t Company: hn+ t hq I Epoxy INVOICE # City #:_ LEJA SURVEYING CORP Land SuNeying I Mapping Legal Descriptions Cou.t Oiagrams 30 January 2018 City of Santa Ana Planning and Building Agency Building Safety Division Re: Building Permit # 10191119 - 3322 W. Edinger Ave I hereby certify that the con n stakes set for the forms and elevations (line and grade) the Godinez Air Gap were surveyed according to thefor the Shared Structures 1 an Construction Plans for the Ora County Water District Mid-Basin lnjection: Centennial Park - Conformed Plan Set Revision dated 5/17 - plans approved by OCWD 3/1/17. Since teve Leja - PLS 5933 STEIVE LEJA PLS 5933 4 o vAN D S oFC 13642 Highland Oaks Orive . Yucaipa, Csliromia 92399 . Phone: (909) 797-3(x3 . Emait: e_lilsurve)nrsn conr . KOURY ENGINEERING 14280 EUCLID AVENUE cHrNo, cA 91710 (24 Hour) Cell: (310) 7134005 offrce: (909) 606611 1 Fax: (909) 6066555 ENGINEERING A TESTING, INC. REGISTERED INSPECTOR'S DAILY REPORT oero o4-2g-lg "-*'* 19-0365 ryPE OF INSPECTION REQUIRED E Reanforced Concrele E Pestressed concrcle E Reanforced Masonrv f] Structu.alsleel E Frrâ‚¬ Proofins f] stotcrete E Oualiry Conlrol I Drilled lnAnchors I ottrer EDoxv L44L V ll eWa an Ana S&A sion - Pull Test and Core Com ssion Testi Pe nd in Santa Ana Slab on qrade IraFiGci P. Petrov Iia;;l:i1"-:!;il6io,1 ( tvou orede sou' erc ) tl?" Dia. x 4718" Long Threaded Rod P Petrov Epoxy Hilti HIT-HY 200-4 and Red Head G5+Walltopia Alfy Mikhael S! bcoiiii-ror Walltopia TYPE OF SAiIPLE SLU MP QUANTITY IN SET AODITIONAL REMARKS ON SAMPLES INSPECTION SUIIII{ARY- LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED. JO8 PROBLEMS PROGRESS. REMARKS, ETC.INCLUOE INFORMATION ABOUT AMOUNTS OF MATERIALPLACED OR WORK PERFORMED. NUMBER &TYPE OF TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS &VELOS MADE, BOLTS TOROUED) CHECKED, ETC. On site to observe placement of Epoxy at the existing slab on grade at the fun room to install Ll2" Dia. x 4 7/8" Long Threaded Rod w/3 U8" Embedment for installation the base plate columns for the climbing wall at the following grid line ( Axis ) a) 37 , 38, 40 and 4L. ( 4 ) Threaded Rod per base plate column .( l-6 ) Total threaded rod b) 36 , 38 , 42 and 43. ( 2 ) Threaded Rod per base plate column . ( 8 ) Total threaded rod Epoxy Hilti HIT - HY 200 - A . c) F.1", F.2, F.3 and F.4 . ( 4 ) Threaded Rod per base plate column . ( 16 ) Total threaded rod Epoxy Red Head G5+ Medium - Duty Strength, Moderate Cur Time Long N4eet ICC - ES ESR - 4138 . Referenced approved plan 5L14 , 1.2/5115, l-ls203 and 5202. QUALITY CONTROL CHECXLIST tr M trt trt REMEI'â‚¬D APPROVED PTAN f] rEsr PERFoiMEo pâ‚¬i spâ‚¬cs. E comEcrNooFsal,.Es tr sa/p,EssroiEosaFE,Y E cAIlEo rN sllrP!'Es roR PrcrruP E ^LL oErrcreNdâ‚¬s NorEo M C'ECXEDPERII'tr REUE /ED PREv'ous REPoRrs tr -*- CERNFlcAION OF CO{TIPLIAXCE ALL V1/oRK LISTEDABOVE WAS INSPECTEOAS REQUIRED BY THE APPROVED PL N, SPECIFICATIONS ANO GOVERNING COOâ‚¬ I v1,oRI. CoMPLIES VMIH E WOR^ DOES NO I COMPLY - APPROVE D DOCUM ENTS TI[,4E IN TIME OUT REG. I-]OURS O,T, HOURS SAI\4PLES 08:00 14:00 8.0 Al mpâ‚¬.1ons baed on a mirimlm ot 4 hours dtd over 4 ho{.3 - 8 toB dnidum ll hâ‚¬ rBp6.ror B cdk to a prqoct Bnd no wolt is pondrEd a two tEur minrnum charsâ‚¬ wdl be arplisd. Pleas. wril, O.C. ChodlEl. Christian CONTINUEOON NEXT PAGE PAoE _-L_ oF _-L REGISTE tcc CC archn&t Emme6r. Burldrm Offcral NO AGENCY www.kouryengineering.com FORM FR-20003 02/18,8CO8 Concrete 5264203 TESTS PERFORMED 052095-D19 132 KOURY ENGINEERING 14280 EUCLID AVENUE cHtNo, cA 91710 (24 Hour) Cell: (310) 7134005 Officâ‚¬: (909) 60641 11 Fax: (909) 606-6555 ENGINEER & TESTING REGISTERED INSPECTOR'S DAILY REPORT NGNC. 4t30t19 "'"'** 19-0365 TYPE OF INSPECTION REQUIRED E Reinrorcâ‚¬d Concrele E Pr$tressed Concete E Reinforced Masonry E Structuralsteel E Frrc Proolinq E Sholcrete E Oualiv conlrol E Drilled ln Ancho.s olher Pull test 1441 V eWa Santa Ana N/AS&A Expansion - Pull Test and Core Compression Testine N/A MAtâ‚¬iames?rptrolt(tttt q[-e Cic.l Pull test Existinq Bickel Grou Aurea Joey lvlartinez Jr TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIOiIAL REiiARKS ON SAIIIPLES CERTIFICA]1Or{ OF COf,IPLIAXCE ALL I,1,lcRK LISTEOABOVE WAS INSPECTED AS REQUIREO BY CONTINIJEDON NFXT PAGF TII\,IE IN TIME OUT REG, HOURS O,T. HOURS SAI\4PLES 4.0 All n3oelDm based on a the rnspector 6 @lled Io THE APPROVED PLAN. SPECIFICATIONS AND Iâ‚¬S WTH Concre NINGCOOE OOES NOI COMPLY 1320189 ACt REVIEWED By valerlem at 9:01 am, May 02, 2019 Arrived on site at 6 AM as requested Performed pull test on 4 5/8" all threads located in the slab with 4" embedment. No failures. Equipment used: G-023, R-102 QUALITY CONTROL CHECKLIST [ *recxeo tx ramr ctrv tr oNnHEroJos I or:cxeo e*xn E REuEr /EoAP?FovEo PLAI E RMEri\ED sPâ‚¬crt^no s EJ Râ‚¬\râ‚¬vrEo FnEvroirs Râ‚¬Po.rs E rEsr Pâ‚¬nrofurEo Pâ‚¬a srccs D coiiEcY No. or srx4â‚¬s E sarrPtEs srof,ED sarErY tr carcD,NsaMAEsFoRP'c"uP E aLLoEF'c'Ei'c,EsNoTED tr orHER S,,ECIALTY MENTS NO AGENCY www.kouryengineedng.com FORM FR-2@03034/2015 6r00 am 8:00 am INSPECTION SUIIT{ARY. LocATIoNs oF \ DRK INSPECTED TEST SAMPLES TAKEN, woRK REJECTED, Jo8 PRoBLEMS. PRoGRESS, REMARKS, ETC. INCLUDE INFORMATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED. NUMBER & TYPE OF TEST SAMPLES TAKEN. STRUCTURAL CONNECTIONS IWELDS MAOE BOLTS TOROUED) CHECKED. ETC, Pull value 7200 lbs corresponding to 2700 psi gauge reading. KOURY ENGINEERING 14280 EUCLID AVENUE cHtNo, cA 91710 (24 Hou0 Cell: (310) 7134005 Officei (909) 6066111 Fax: (909) 606-6555 ENGINEERING A TESTING, INC. REGISTERED INSPECTOR'S DAILY REPORT Dar6 sgfig ",o,""t"o 19-0365 TYPE OF INSPECTION REOUIRED I Reinlorced Concreie E Prsslressed concrele E Reinlorced Masonry E srudurslsteel f] Frre ProofinE I strotcrete E Oualiv Conlrol E Drilled lnAnchors tr olher EOOXV 1441 Villa Santa Ana 2019-148649 City ol Santa AnaS&A ExDansion - Pull Test and Core Compression Si le sto Bickel Grou N/A N/A Glenn Pearman TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADOITIONAL REMARXS ON SAMPLES CONTINUED ON NEXT PAGE tr PAGE 1 OF 1CERT|FrcAIOT{ OF COf,IPLI,ANCE ALL IIloRK LISTEDABOVE Wr'S INSPECTEOAS REOUIREO AY THE APPROVED PLAN SPECIFICATIONS AND GO\,'ERNING CODE tr1H"1[WJE3E""Hiis r\l,,RK D.ES Nor Concrete/ Masonry/PT 83760s4 rCC TII\,4E IN TIME OUT REG, HOURS O.T, HOURS SAI!1PLES 8:30 am 4:30 pm 8.0 All rup*lDns ba3ed of, a mrnmlm ot4 holrs and ova 4 houE - I tho rn$.ctor rs câ‚¬lled to . Drol6cl end no wo.k B oeio.med charqo wil be spplied. Plesse v6nly O.C. Checkrsr l\4ihail Mihalev SPECIALTY INSPECTION SUMTIARY. LocATIoNs oF $DRX INSPEcTEo, TEST SAMPLES TAKEN, VI,13RK REJEoTEo. JoB PRoBLEMS PRoGRESS. REMARKS ETC, INCLUDE INFORMATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER E TYPE OF TEST SAMPLES TAKEN, STRUCTURAL CONNECTIONS (V\ELOS MADE, BOLTS TOROUEO) CHECKED, ETC. Revised report. Per a 10:07 a.m. phone conversation with Wesley Chu, the owner, he would like to proceed with epoxy setting of 12mm (.472"1all thread bolts despite approved plans calling lor 5/8". Mr. Chu understands that this report will be designated as non-compliant pending city approval. ln addition, pull test performed on 4/30/19 was lor 5/E" epoxied all thread bolts only. Visual inspection for drilling concrete, cleaning of holes, and epoxy setting of 12mm all thread bolts to minimum embedment depths ol 3 1/8" per details 1.'l & '1.2/S1'15 for boulder wall frames B & C, inclusive of support beams C01-C35 (26, 2 bolt patterns & 9, 4 bolt patterns). Correct bolt pattern locations and sequence per S 104. Hilti HIT 200 epoxy (exp. 09/19) was utilized lor 4 bolt pattern beam legs and Red Head G5+ epoxy (exp. 01/20) was utilized for 2 bolt pattern beam legs per same details as above. QUALITY CONTROL CHECKLIST p/ aenewro eeeaowo cLe,,r [[f aevreweo srecrrrctro,s E' REME^Eo PREvro,rs REeoRrs tr cArLEo'NSAMPLESFoRP'cxuP tr aLDEF'c'ENc'EsNorEo trgg E TESTPERFoRMEo PER sPEcs E coRREcr o.oF sa fuEs E s{,PrEssroREos FEIY tr OTHER CC Archrt&i. Enared. Buildino Olr.ial NO A6ENCY w\rw.kouryenqineering.com FORM FR-2mO3 0211Arm3 ENGINEERING & TESTING, INC. KOURY ENGINEERING 14280 EUCLID AVENUE cHlNo, cA 91710 (24 Houo Cell: (310) 713-4005 Oflice: (909) 606-6111 Fax: (909) 606-6555 REGISTERED INSPECTOR'S DAILY REPORT Forffi 5oo W- Warner Ave. Crtv Santa Ana Voluntary Seismic Strengtheninq 10199744 Santa Ana Tenant lmprovement Firle alDesaiiDllo.Ttpe. qrade. source elc.) MHP eoniracloi Premier Jack Sparacio SPS TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES Location: Wall Ledger at Purlins & Pillasters - Observed epoxy 5/8" rods per details 1,2,12lS3.0 Location grid A,/28-42 ernbed 4112" & 42lA-R embed 51/2". Holes clean, embed depths observed, & set in Hilti Hit RE 500 V3 epoxy. Exp.3/2020 OUALIIY CONTROL CIIECKLIST tr c.creDNwirHc,r tr snwmJos tr CHECKEDPERMtr tr REMtuoemovEDPW tr REMEwmsPEcFcanoNs ! REvEWEDREvousEPmrs tr TESTPERToRMEoPâ‚¬RsPEcs tr coRFEc,NooFsA,{6s EI sdPrEs srGED saFErY tr CALED NSAMPLESFORPIC(UP tr aLEFrcrENoEsNorED ! -*", CERTIFICATION OF COMPLIANCE ALL WORK LISTEOASOVE WAS INSPECTEOAS REOUIRED AY TIEAPPROVEO PLAN. SPECIFICATIONS, AND GOVERNING CODE CONT NUED ON NEXT PAGE n r $"#.93A',8'JEi,yl',^li, WORK DOES NOT COMPLY TIME IN TIME OUT REG, HOURS o T HOURS SAMPLES 7:30 am .l :30 am 8.0 All insoâ‚¬ctions ba$d on , minimum ol 4 houE and we. 4 houB - I holE oinimum ll ihe insEclor rs c.lled io 6 oroiecl and no m* E Nriom6d a Mo nour ornrmum chaEe wll be apdied B$s6 vqit O c. Châ‚¬hisl. Btc 5261928 ICC Daro 5^ 5/19 "'o'""t*o 19-0554 TYPE OF INSPECTION REQUIRED E Reanforced concreie I P@slross6d concrote ! Reinfo.ced Masonry E slrucrulal sreel E Firs Proo,rno E shotcrels fl Qualitv conlrol E Dnlbd ln AochorsIother Eooxv TESTS PERFORMED cC: Architec1. Emlner. Buildmq ofr.ial AGENCY www,kouryengineering.com FORM FR,20003 07/01/2015 INSPECTION SUM]'ARY- LOCATIONS OF WORK INSPECTEO, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROALEMS PROGRESS. REMARKS. EIC, INCLUDE INFORMATION ABOUTAMOUNTS OF MATERIAL PTACED OR WORK PERFORMED, NUMBER & TYPE OF TEST SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELDS MADE BOLTS TOROUEO) CHECKEO, ETC, ENGINEERING & TESTING, INC. KOURY ENGINEERING 14280 EUCLID AVENUE cHrNo, cA 91710 (24 Hou4 Cell: (310) 713-4005 Officer (909) 606-6111 Fax: (909) 606-6555 oare 5/16/19 o.,"o "" .l g-05S4 TYPE OF INSPECTION REOUIRED E Reinrorced concrete E Prâ‚¬stresssd Coocrets E Reinforced Masonry fl Sfiucluralsloel EI shorcrote E Oualllv Conlrol fl orilod ln AnchorsIorher Epoxv REGISTEREO INSPECTOR'S DAILY REPORT trqrffis"i 500 W. Warner Ave CrlV Santa Ana Voluntary Seismic Strenqtheninq 10199744 Sanla Ana Tenant lmprovement lVatenal Dâ‚¬scriDlion (lype qrade source. etc.)Enqineer MHP Premier Jack Sparacio SPS TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REi/lARKS ON SAMPLES INSPECTION SUI'iIMARY- LOCATIONS OF WORK INSPECIEO, TEST SAMPLES fAKEN, WORK REJECTEO, JOA PROBLEMS. PROGRESS. REMARKS ETC. INCLUDE INFORI\,4ATION AAOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMSER & TYPE OF TEST SAMPLES TAKEN, STRUCTURAL CONNECTIONS NELDS MADE. BOLTS TOROUED) CHECKEO, ETC, Location: Wall Ledger at Purlins & Pillasters - Observed epoxy 5/8" rods per details 1 & 2/53.0 Location grid 28/A-B & Rl28-42,5/12" embed Holes clean, embed depths observed, & set in Hilti Hit RE 500 V3 epoxy. Exp.3l2O2O Epoxy work at G(id A-8128-42 Completed. ! cHEcxEoNwrBCrv tr oNnMErcJos tr dEcxâ‚¬DPEnMr ! REvrEwEoAPmolEDPN tr RNrEwFosPâ‚¬crncAroNs tr RwRsPRrylolsREPoRrs tr rcfiPERFORMEDPERSPECS E comerNooFs^uptâ‚¬s tr sr^,PrEssroRmsAELY tr calLEohvwcsFoRParuP tr aLoEF'c,ENc'EsNoroZ-*" CERTIFICATION OF COMPLIANCE ALL WORK LISTEOABOVE WAS INSPECTED AS REOIJIREO BY THEAPPROVED PLAN, SPECIFICAIIONS, ANO GOVâ‚¬RNING COOEr 1"9ffi3y3'J:",,ylli. CONTINUEO ON NEXT PAGE WORK OOES NOT COMPLY IGNATURE OF REG]STEREO B/C s261928 rcc TlME IN III\,4E OUT REG, HOURS O,T, HOURS SAMPLES 1O:00 am 4.0 tul insDectons ba*d on a minioum ot 4 hou6 and over 4 houc - 3 hou6 minihum ll !o a ooâ‚¬cr and rc wo is oedornsd E M h@r n'nihum Prer* v6fv o c dta.jJ, //- ..' Kennv Holl I ccr Archftct, Enq neer, Blildlnq Offloal www.kouryengineering.com FORM FR-2000307/01/2015 OUALITY CONTROL CHECKLIST = 6:00 am KOURY ENGINEERING 14280 EUCLID AVENUE cHtNo, cA 91710 (24 Hour) Cell: (310) 713-4005 Office: (909) 606-6'1 1'1 Fax: (909) 606-6555 ENGINEERING E TESTING, INC. REGISTERED INSPECTOR'S DAILY REPORT D"'" 19-05-31 Fri "t*'o 19-0554 TYPE OF INSPECTION REQUIRED n Roinforcâ‚¬d Consete E Prcsircssed Concrcle E Roinrorced Masonrv E structuralsreel E Fnâ‚¬ Prcorinq E Sholcrete E Oualitv Conlml trr otner B-l gSEWm;Cily Santa Ana Voluntary Seismic Strenghening "{olUbz+r 'Sb"8tBnn" Y,fl?i3-**o$lq["t Mn lertat De scr !!on tlvDe, arade source el( ]cable and bracl(ets 'ffiiijp 'Plaifii", [ii3Fi'JSldT.oushrin TESTS PERFORMED TYPE OF SAMPLE SLUMP OUANTITY IN SET AODITIOIIAL REMARKS ON SAMPLES !NSPECTION SUMMARY. LOCATIONS OF WORK INSPECTEO, TEST SAMPLES TAKEN. WORK REJECTED, JOB PROALEMS, PROGRESS, REMARKS ETC. INCLUOE INFORI\,iATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER & ryPE OF TEST SAMPLES TAKEN STRUCTURAL CONNECfIONS (WELDS MADE BOLTS TOROUEO) CHECKED, ETC, I arrived at 7:00 and met with James Mendez. We started with grid 2842 x C-H complete. I watched the post and . cable tention procedure and all is correct to approved plans and specs. (6 kips) QUALITY CONTROL CHECKLIST tr E d"E'E*ED**o'-"^ d"E''E*â‚¬"s".c.c^*-s tr Râ‚¬v,EwEoPRlv'c,sREPoF S tr TESTPERFORMEDPERSPECS tr comâ‚¬crNooFsaMetEs E sqHrs sronEo SAFRY E CAILâ‚¬DNSAMRESFoRPck@ tr a!crciENc,EsNoEo M cffic"E"**"tr orHER CERTIFICATION OF COMPLIANCE ALL WORK LISTEOABOVE WAS INSPECTED AS REOUIREO SY THE APPROVED PLAN SPECIFICATIONS. ANO GOVERNING CODE I woRK coMpLrEs wlTH E woRK ooâ‚¬s NorcoMPLY APPROVED DOCUMENTS B-l s322075 rcc O,I HOURS SAMPLESTIME IN TII\.1E OUT REG HOURS 0700 1300 8 All insDections basd on a CC Amhltect Enqin&r Buildinq Oni.i.l www,kouryengineering.com FORM FR-2000303/112015 KOURY ENGINEERING 14280 EUCLID AVENUE CHINO, CA 91710 (24 Hou0 Cell: (310) 713-4005 Office: (909) 606-6111 Fax: (909) 606-6555 ENGINEERING & TESTING, INC. REGISTERED INSPECTOR'S DAILY REPORT o"'" 'l9-06-03 Mon Pro'ecr No. 19-0554 TYPE OF INSPECTION REQUIRED E Rsrnfo.ced Concrete E Preslressed Concreta ! Reinfo.ced l,lasonrv E Sructumlsreel E Fks Proo,ino fl shorcrcre E Qualiiy Conlrol orher B-l 1 07 mb'W\l7i.*,.City Santa Ana Prorerr lrame Voluntary Seasmic Stronghthening "I0'ibbz+q 'Sbiltuinn" Y,fi".'13**." oitlHp lv ''sfffi"r cpria"Hier Desi gn Group lliisFisSldtougnrin TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY. LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS PROGRESS- REMARKS ETC. INCLUDE INFORI\,{ATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER E TYPE OF TEST SAMPLES TAXEN, STRUCIURAL CONNECTIONS (WELDS MADE. BOLTS TOROUED] CHECKED- ETC, Arrived at 0700 and met with James Mendez. I watched the beam & cable tightening to (6 KIPS ) Allwork done today is consistant with specs and approved plans. The area completed today is 2842XH-P. QUALITY CONTROL CHECKLIST tr cHEc{EorNWrHcrY tr M tr TESIPERFORMEDPEfl SPâ‚¬CS E coRRâ‚¬clNoocsMPLâ‚¬S E sMPtEssroREosaFELY tr c&cDNsAwLEsFoRacruP E rLmFrcENcEsNorEoM E tr REVEwEoPREVousREPoRrs tr orHER CERTIFICATION OF COMPLIAI{CE ALL WORK LISTEO AAOVE WAS INSPECTED AS REQIIREO BY rF E APPROVEO PLAN. SPECIFICATIONS, ANO GOVERNING CODE I woqi coveLrEs wI H E woRK DoEs NoY roMPr Y APPROVEO DOCUMENTS lfi'rl TIME IN III\,IE OUT REG. HOURS O.T, HOURS SAMPLES 0730 1330 8 A0 iNDeclio$ basâ‚¬d on a mBimum ol { iDUG and over 4 hou6 - a hou6 the '^soecl,or 's cdled lo a D.oiect and clraoe will be aDolled. Aea* vonly O Jacob KuliSIGNAIURâ‚¬ OF REGISTER B-l 5322075 corrnueoor ruexr ence I CC: richilecl, Enqrneâ‚¬r BurdinQ Ofi.ial www.kouryengineering.com FORM FR,20003 03/1/2015 ENGINEERING & TESTING, INC. KOURY ENGINEERING 14280 EUCLID AVENUE cHtNo, cA 91710 (24 Hour) Cell: (310) 713-4005 Office: (909) 606-6111 Faxr (909) 606-6555 Daro 614119 o''"o *o 19-0554 TYPE OF INSPECTION REQUIRED fl neintorceo concrere E Pr6str6ssed Concrele E Reinlorcâ‚¬d Masonry ff siructuralsleel ! Fne Prcofinq E shotcrere E Oualilv Control E Ddled ln AnchoEIorher EDoxV REGISTERED INSPECTOR'S DAILY REPORT 500 W. Warner Ave Cirv Sanla Ana Voluntarv Seismic Strenqtheninq 101 99744 Santa Ana Tenant lmprovement It4;terial Descriptiofl (lvpe, qrade. source etc.) I\,4HP Premier Jack Sparacio SPS TESTS PERFORMED TYPE OF SAMPLE SLU MP OIIANTITY IN SET AOOITIONAL REMARKS ON SAMPLES QUALIfY CONTROL CHECKLIST E cBEcKEo rNWrHclrr E oNllME'oJos tr ftEcxEo+N,r tr REVIEWEOAPPROVEOPLAN E REvMes%clac^noNs u REvEwEoPFEMolrs REPoRrs tr TESTPERFORMâ‚¬OPERSPECS I concrcrrc or sueirs tr sailPtEssroREDsaFELY tr c{EoNsAwrsFoFPcK@ n rLNrcENoEsNoreD E -*- CERIIFICATION OF COMPLIAI{CE ALL !1/ORK LISTEO ABOVE WAS INSPECIEOAS REOUIREO BY IHEAPPROVED PLAN, SPECIFICATIONS, AND GOVERN'NG COOE I woRX CoMPLTES W]TH APPROVED OOCUMENTS CONIINUED ON NEX'T PAGâ‚¬ TIME IN TIIUE OUT Râ‚¬G, HOURS O,T. HOURS SAMPLES 11 :00 am 1 :00 pm 4.O AJI inspeclions b.s.d on a mnrmum ot 4 r6u6 aod over 4 hou6 a houB ninimuh. ll lhe hspecior is olred lo a Droi&t and no .hsrae will be .pplied. Please venty O C Jacob Kulick P.o|oct s!Dennbndonl SIGNATURE OF REGISTERED I alc WOR( OOES NOT COMPLY 526'1928 tcc CC. Archnel, E.qn4, BoildinF Ofiod www.kouryengineering,com FORM FR-20003 07/01/201s INSPECTION SUMIIIARY. LoCATIoNS oF WORK INSPECTED, TEST SAMPLES TAKEN, woRK REJECTED, JoB PRoaLEMS, PRoGRESS REMARKS ETC- INCLUDE INFORMATION ABOUTAI\,IOUNTS OF AIATERIAL PLACED OR WORK PERFORMED. NUMBER A TYPE OF TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS IWELDS MADE. BOLTS TOROUEDI CHECKED, ETC, Location: Wall tie at Purlins. - Observed epoxy 5/8" rods to existing perimeter walls each side of purlins per detail 3/53.0 Holes clean,6" embed, set in Hilti Hit RE 500 epoxy. 12 locations. Gtid 42/8, D, F, H, K, M, O, P-O. Grid 28lK, M, O, P-O. Work above completed. ttt KOURY ENGINEERING 14280 EUCLID AVENUE cHtNo, cA 91710 (24 Hour) Cell: (310) 713-4005 Office: (909) 606-6111 Fax: (909) 606-6555 ENGINEERING A TESTING, INC, REGISTERED INSPECTOR'S DAILY REPORT D''" '19-06-04 Tues*""''" 19-0s54 TYPE OF INSPECTION REQUIRED E Re,nforced Concrete E Preslresssd Concrâ‚¬te E Rsanforced Masonry E Stucturalslâ‚¬â‚¬l f] Firâ‚¬ Proo,lnq E Shotcrele E Oualily Control trI oue, B-l 107 odob"W.'ffi.u..cnv Santa Ana Voluntary S6ismic Strenghthening '"i0\bbz+q 'S'a"ff8nna \ffi ",j3*,,*"^i,lHp HlE[Sk%iT'3i'? SiiBrq'ade solrce erc )'Sliiflur "FIlfrler oesign liiiSli:i8ld![oush Ii n TESTS PERFORMED TYPE OF SAMPLE SLUMP AOOITIONAL REMARKS ON SAMPLES INSPECTION SUMitARY. LocATIoNS oF woRK INSPECTE0, TEST SAMPLES TAKEN WoRK REJECTED JoB PRoBLEMS, PRoGRESS. REMARKS ETC, INCLUDE INFORMATION AEOUT AMOUNTS OF MATERIAL PLACEO OR WORK PERFORMED. NUMBER & ryPE OF TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS (WELDS MADE BOTTSTOROUED) CHECKEO. ETC, I arrived at 0730 and met with James. I observed them tightening the cables to the specs called out on the approved plans. All work inspectad today is consistant with approved plans and specs. Today they flnished the area A-C X28-42 The only area left to inspect at a later date is 2842 P-R OUALITY CONTROL CHECKLIST tr cHEckED'{wrHcry tr( trl tr(REVIEWED PREVIOI,IS REPORTS tr EsrE*oRwoERsPEcs E comEcrrcGsAwEs tr SAMPLESSIOREDSAFELY tr carED,Ns^MPLEsFoRPaxlP tr aLcF,cHdâ‚¬sNorEDM til tr orFER corrrueo on rexr eace f]CERTIFICATIOI{ OF COMPLIANCE ALL WORK LISTEDABOVE WAS INSPECTEOAS REQUIRED AY THE APPROVED PLAN, SPECIFICATIONS. AND GOVERNING COOE WORK COMPL]ESI!IT11 f:j woRK DoEs Nor coMPLY B-l 5322075 ICC TIME IN TIIVE OUT nec. nound o.T. HouRS SAMPLES 0730 0900 a zl-- All nsoeclio.s based on 6 mrn muh ol 4 the '.soeclo. 's @lled Io a .h6(6 will b6 6pdied Ploase Jacob Kulik NO www.kouryengineering.com FORM FR-20003 03/1/2015 tr flr.ouANnTY rN sEi ] I CCr Arhitecl. Enoneer, Buildnq Otrci6l KOURY ENGINEERING 14280 EUCLID AVENUE cHrNo, cA s1710 (24 Hour) Cell: (310) 7'13-4005 Office: (909) 606-6111 Fax: (909) 606-6555 ENGINEERING & TESTING, INC. REGISTERED INSPECTOR'S DAILY REPORT o"'" 19-06-10 Mon "''*n" 19-oss4 TYPE OF INSPECTION REQUIRED E Reinforced concrcte fl Presksssed concrâ‚¬ts [] Reinforced Masonrv E Strucruralsiesl E Firc Proolnq E shorcrere E Ouallv Control L: U other B-l 107 E8-b"$f.oW'"rn".. nu".Citv Santa Ana Voluntary Seismic Strenghthening "''f0'lbbz++'Sbilitodan" ttt-ijB'**"^'Ml\p Ite6lrDes.iDdon {ry're a,ade solrce etc.)u's{iif:"r "T'iS"liiler oesign croup wiisFiHSl0rtougnrin s,spge'or TESTS PERFORMEO TYPE OF SAMPLE SLUMP QUANTITY IN SET AODITIONAL REMARKS ON SAMPLES Arrived and met wilh James. We went up on the lift and lwatched while they tightend the cables to lhe required are set to 5 KIPS OUALITY CONTROL CHECKLIST tr Ei E trr M tr Esr4RFoRMEoPERsPEcs E comEcrNossAr{Es D SAMFTESSTOREOSFELY tr cALLâ‚¬oiNsalPlEsFoRAck@ tr NLoEFa'ENc'EsNoreo dRry@mPiEvo,,sREPoRrs E dER CONTINUED ON NEXT PAGECERTIFICATION OF COMPLIANCE AL! WORX LISTEOAAOVE WAS INSPECTEOAS REOUIRED BY THE APPROVEO PLAN, SPECIFICATIONS,AND GOVERNING CODE woRK coMPLtES wlTH E WORK OOES NOI COMPLY 5322075 ICCB-l SAI\,IPLESTII\,,IE IN TIME OUI/O,I HOURS 0830 1$9[4 J K r lll E! CC ,rch tecl Enqine. Buildina official NO www.kouryeng neering.com FORM FR-20003 03/1/2015 INSPECTION SUMMARY. LocATIoNs oF WoRX INSPECTEo, TEST SAMPLES TAKEN WORK REJECTEO. JOB PROBLEI\,4S, PROGRESS, REI\,4ARKS. ETC, INCLUDE INFORI\,4ATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED. NUMBER & TYPE OF TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS IWELDS MAOE, BOLTS TOROUED) CHECKED, ETC. specs. The area finished today is P-R 28-42. The single harps are at 6 KIPS and the double harps Tl N'HI JOB MEMORANDUM Date: June 14,2019 Project Name: 500 West Wamer Ave., Santa Ana, CA 92707 Building permit number: 10199744 From: James Kramer Of: N,IHP To; Jakob Kulik Of: Premier Design + Build Group cc: JeffHall Ot: SPS Ph:562.985.3200 Ph:949.333.2261 Ph: - Email: Email; Email: Projecl Number: 17-0285-01 Page 1 of '1 jkramer@mhpse.com jacob.kulik@pdbgroup.com jhall@spsconslruction.com Subject: STRUCTURAL OBSERVATION A structural observation was performed for the above job on the morning of Wednesday June 10, 2019 by James Kramer, SE of our office. Structurally observed was; seismic wall anchorage and roof framing strengthening for the north third of the project (grids 28 to 42, Alo R). With the exception of the items noted below, all observed construction appeared to be in general conformance with the construction documents. At the time of the observation, 100% of the wall anchorage and 100% of roof strengthening in the area reviewed had been completed. On-Site General Contractor - Jakob Kulik, Premier Design and Build Group On-Site Sub-Contractor - Jeff Hall, SPS Specific ltems Noted and discussed on-site - - None U, (9 e * sE rtr t l9o0 Cover Sreci LonS 8ca.h CA 90808 562 985l20O P 562985 l0llF Mhhpsc.om