HomeMy WebLinkAbout40130574 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: 17 14]. 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4013o374
Pin #: llOa{
4Project Address: 2830 S Bristol St
Assesso/sParcel: 140.251-01 Lot; 75
Unit:
Block: NA
Bldg:
Tract: 5653
Address Range: 2E20-2872
Historic: No
Suite Range:
Zoning: C1
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Aldi lnc
12661 Aldi Place
Moreno Vallay, CA 92555
(951) 530-57s0
Ed Gruah General Contract(
3236 E Wlllow Street
Signal Hill, CA 90755
(552) 426-9526
011 16002
0't 116002
0'1116002
011't6002
01116002
01116002
01116002
01116002
01't 16002
51604
51604
51604
51604
51604
51604
53603
51600
51604
Amount
84.00
105.46
40.62
28.42
32.79
29.80
0.65
20.56
51.26
Qty
1.00
't.00
1.00
1.00
3.00
1.00
387 .32
't.00
1.00
Fee
$84.00
$105.46
$40.62
$28.42
$98.37
$29.80
$25'r.76
$20.s6
)c Lzo
Fee Typo
Heat Pump
O/D Pks H/C
Add'l Vent Sys
Bathroom Fan
Envir. Air Other
Condensate Pump
Ptc - 6s%
General Plan Update
lssuancePhone
State Lic #: 246399
Lic Type: B
Bus. Lic #: 345947
Workers' Compensation lnsurance:Carrier: Libsrty Mutual Fire lnsurance Company
Policy #: WC22914646670
Expires: 1OlO1l2O17
Building Use:
Job Type:
Nalure of Work:
Commerclal
Tenanl lmprovement
TI
M
III B, SPK
cMc 2013
Planning Condations:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 10191322
Ewry pemit issued shall bocgme invalid unless lhe wot* on the site
authotized by such pennit is cgmmencod within 1 80 days afto( ils
o. abandoned tor a potid o1180 deys aftet the time the work is
commencod.
\ West. Glen
\)hernanoez, xatny
Date
Date
Oate
1111712016
06t29t2017
Account#
Mlsc. Receipt: 68805
Misc. Receipt:
Misc. Receipt:
Total
Notes: Note: Walk-in cooleB are not part of this plan check
and will requi?s a s€parate pormit
$710.25
$450.09
$260.16
lnspector MID#: 2016-'132727
011'16002 51600
01116002 51604
$20.56
$239.60
Fee Total:
Paid lo Date:
Balance Due:
-/
Occupancy:
Constr Type:
Code:
MECHANICAL.INSPECTOR RECORD
APPROVALS COMMENTS
Appliances
Metal Fire Place
Evaporalive Cooler
Furnace
Compressor
Iiilisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled /\
Rough Ductwork l0'ztf-l)?r"vl.M,
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release n
FINAL
Notes, Remarks, Etc
owllan Bulurtx Dar a roN
I hd.by.nrD oo& pa.l, or Firy fir I a d.qr &@ ttE Cdt Jl6' Litd. lre br $. blbeir tuo (Se rollj
BsiE d lrotilr Cod.) Aa, Cay d cad, *ttt .q!iq . Fni l. 6duc. .ld. nryotc dqDlilt or ,9.i rv
6rdLt FEtot -8 ...bo Gq,iEG.{did 6. rd Fii b 6l.. dildira.d rtabqntrl.(a.d F,rd
lo rt. F!wb6 of ri. Coir*rar Lid*d r& (ct+rd 9. CdMcbs *i[ s.dio. ,od, of Diriio. 3 ot lhc Eoin6 ;!d
PrDf!-ird Co&) or dr Ir d rlE i a.4( &a6oE -d lt bi tu ltc rlksd a.4.bo. A!, vbLbo ors!.rii rotl.5 by ary
@ltd tu. rdEr st'iet 6. {p[.d ro t civil !a.ly ofer @GiL^ liw hdH &lhr (tt@).
al-. ovE ofrtE FlFir. a o).ql6tE wnh q.8q r lh.ir -L @npdrbn $in & dE wr d dEGldn a bl
i a.t d d ofrsld br.L (Sc.r0{,1, &si,rd s{ Robbd co& Th. Col,Elc't liq!. Le.bi br ?9ly to h oac of
lb FoFr, vho hill d in9llE 0EEi. &.!s,lb &o rd, mlt hiMlf or tcElf or ttdou$ lti' d lE om m9brs.
Fovid.d rhr ucl! iEFlrqEu,! ml i 6d.d cotuld 6r d. tl t !ff. r!. hqildirr n bFovaEr i hld *itltit oi. d
of @dpubn ll!.orc Alilda wi[ trw6. hrtt
'
orFoviry $r h.d $c di.l bl hiLl u iq.!E UE FFty &itlE Frlc.l
-1.
! orG of rlE FlFrr. e q.hliv.ly.onrrliB with lir!.d 6d.d lo orold llsFli..l (s... ?04r. &.iE
-d hotri! C.d.: Tltc Con rroir Lile tr* .b6 @r sly ro - osE of FeFry wto bild. o, ioFlq t E@D.
rld *lD 6dar 6. rdr Foldr rit . ColrrEd(r) lta.d F,r.rr lo th. c.mtral ti@ lry).
_l 6 d@rr u(b setr
D.r. oinr
lllrBh}:&xaJfl!$rxA
ul:u.d&utQt
I h-.b\ rlllr rui\to t<rl( o l nstu^ oN o l rh. nnl,,r tr,! .l.rl.n rr tr'nl
-l
hlB El will Birr.h r cErificn. of co&r ro sdf-ls@ fo. srtd @E a!dio,,. a Folild tn bt Sdn ! 1700 of tlr
t lrcodA for th. r.hffi. orrlE *ul ror whth rh. Fii ir iE.d
1l h,E .'d *'ll dht - *,16 o|a6ab. i..trc d ilqricd !, S..li, l?oo of tlE tllot C.& 6t ft Ftffit ot
0E wt ftn *lti.t ttir Fnr n b!.1 M, *qld olqdrbo iElrc.dE ttd polic) o@bd c:
\--- TK.er4L.,a t 7nt7o.-/7
Pur,.. :-.t"" f B L z- q/ 4L lz a c7 o , L r,pn6 r o/,/r7
-l
qdry &r b ll. F6orEd! 01tn. w.rt tf, ,hi.i rii. rdti h ia,.( I rL[ 61 6Pby dy tEDn b ay il@
i lro te'r otirl to tb 6td'o4@rb. hq otcrli&di -d ryE fir if I dDald t@@ di.r to d.
m a' .firdai, foviriE of S.cb! 1700 of $. lrto. Code I tatll fo.lhrii oddy wi6 Oo. Fwiia.
\IARNIN(; Ijsilur. !o (u. *0.16' compdMnr Nrdrsc 6 !n[srul, and shall subjal e mplo)( r. dmmal FmkE md
cirl find Ul kr .n. hundr.J Ihouend dollds ( t loo,t[x)). '. atjd nn ir rh. .oi of comI'.trslon, da'es.r dr ro1'd.d l rh.
s(rilr 11176 olrlr I r|r{ {inll. n(dsrrntl art]nrv r lir
OEI'8AIIO!
t IE.br.lE6 'e pdbof Fi6, lh I E li.d lrdi potli! ofct+t 9{o@i| wili sdin r(m) of DnLb !
of rb qdE.d hiE-r Codc 8l oy liu a ii tuo bitc d.ftd.
g VVuS?7
o/ a-t/tz a*,-"*\k.vn*-
caruBJr(Ila[Lftrali-acllsr
I hd.5! lmm ond6 Fmlry or pqjur.- lhd lh6. t ! cointu.l Dn Lidif,8 .gtry for
'hc
Ffol)1@. o I rh! wrl for efiict tni! IEnit a
Anr(t{\r. rl),r.(r ( I
AIIIJCAdI.DECI'EAXIOU
I t rt, 6E 'd& p6.r, of Fjrr, @ of t ,olbwis &(b.ii!:
o@Ub! r6Eie^ltra Ndifi..no 6..b.1 R.a!hi(E OlL /o, Pr6)
-R.{rid
t,ala of tldihir
I .qriry [Ir dr r.dd.l EIU!.tiE Eerdils &$ tlmnl re @l ?PlirbL ro Oi Foitl
I cciit $n I lw! 6d rli rmti.nion rd na. $r rh..toG i.6,r bn.cdr.d.I.!rEo ceely eio.llCil, rd couiry
odit,Ig ed sl.lc lls Eidhs ro bo dEg .odu.ri@ ,n hatb .uobrn! rF6.dii6 of$ir Cny &d coolr, lo at. upon tt
.llrc DctrrknrLI pn.tdl\ nr r\tRr(rn V..-,-p /-**rAlplicd d A&d SiSnaus
Pdoitc.e(Fir):_Da <t /<. 12 u+a,5
/,/a y'/ 2
TEESIINNATIU'
I oATE I rD/SrG.
,.r,, '/zy't-,/ E z-*--
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www.mtglinc.com
|\.'ITGL Project I
Permil,
Report,PG- OF
Corporate: I
2992 E. La Palma Ave. Ste. A
Anaheim. CA 92806
Tel: 714.632.2999
Fax 714 632 2974
Dispatch: 800.491.2990
San Diego/lmperial County
6295 Ferris Square, Suite C
San Diego. CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
DAILY INSPECTION
REPORT
rnr.norilr,
'14467 Meridian Pk$/., 8ldg. 2-A
Riverside. CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
oSITClTY File #:_
OS{OSHPD APPL
':
DSA/ LEA *r
lndio:
44917 Goll Center Pkwy, #1
lndio. CA 92201
Tel: 760.342.4677
Fax: 760.342.4525
Dispatch: 800.491.2990
illTGr
ALT DAITq
I ME AFBIVED I ME OEPABIED
I
tLcl
\INGINIIF IBAVEL T ME LUNCII T ME
collxAcT0F SI]8 CONTFACTOB
trtsf EAroN ADoF-Isf aD0RESi0r PRo.rEcr
,I
TYPE 0f SPECT|0tt
ENGINEEBEO FILL
i.., FOUNDATION . It.
i BACK FILL 'i '
BATCH PLANT
PT CONCBEIE
SHOTCRETE
CONCRETE
FIREPROOFING
ANCHOB/DOWEL
NDE FIELD
NOE SHOP
CTILING WIRE
I
DSA/OSHPD/PBOJECT:
APPROVEO DOCUMET,lTS
AVAILABLE:
APPROVEO PLANS Y] N]
SPECS: Y N
APPROVED SHOP OBAWING Y N
SOII REPOBT Y N
MATEfi ALS US'O BY COIITFACION (Ii]CLUOE RESEARCH NTPOFT NO OB MATEF]AL TEST REPOFTS)
c0[TFACT0FSE0UTPMtNT MAj'lP01,vtfl U5E0
ASEA OAIO L]IJIS P ECTS INSPECTED
STRUCTURAL IIOTES DEIAIL Ofi FFIS USID
F rlAarrs lxcl uolx6 ltf6l/r65:
B
-
L
PERCENT PROJECT COI\,lPLETE
THE WORI( WASL] WAS NOT ]
lnspected rn accordance wilh ihe requiremenls ol the oStuoSHPD/PRoJECT
approvBd documents.
THE WORX I'ISPECIEO MET DID NOT I\,IEET
The requirements 0l the DSll/0SHPD/PR0JECT approved documenls
Samples taken:_
Weather:\>
Signature ot Sp€cia! hspector
Print Name
Certification I
Verilied by:
Temp: /
iIATERIAI, SAMPI.II{G WASL WAS NOT N/A']
Performed in acc0rdance with 0SA,/0SHPD/PR0JECT approved documents
cc Proiecl Architect
StructuralEngineer
0SA f,egionalotfice
School oiskict
Contractor
Euilding Departmenl
0wn€r
MASONBY
HIGH SIRENGTH BOLTING
WELDING
SHOP WELD
REWORK AS PERCENT OF ALL WORK TODAY:
Corporale:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
F?d.'.714.632.297 4
oispatch: 800.491.2990
san oiegoTtmperiat counryo
6295 Ferris Square, Suite C
San Dieoo, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 800.49'1.2990
lnland Emplo:
14467 Meridian Pkwy., Bldg.2-A
Riverside. CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
o
www.mtglinc.com
lvfiGL Proiect r:5/O3 A 19
Perm,
Rsporl r_ PG_ 0t_
DAILY INSPEGTION
REPORT
0S^rcIrY Es a_
OSIr'OSHPD APPL }:
DSA / LEA ':
MIGr
PfiOJECI NAME DAlt
IIUE OEPASIEOAFCIIITECT
LUilChIUE
collMcrof,
E!l\ aD( r4,r,l aa rrrol/-{rp tarare
.qAAr?a .^rA .SA-t A -< ADtq.Tnl -qT .<^^YrA l^l.r
SUBCONIFACIOE
[6P[fiXn
^IXrnBi f83r}3 RPrsfi I -qf
IYPE OF IIISPTCTIOX
ENGINEEREO TILL
TOUNDATION
EACK FILL
- BATCH PLANT
_ PT Cot'lcREtE
- SHOTCRETE
L CONCRETE
-l MASoltlRY! HIGH STBEI{GTH BOLTlttlG
L WILDI{G
U SHOP WELO
TIHEPHOOFII'IG
ANCHOF/OOWEL
NDE FIELD
NDE SHOP
PULL/TOROU€ TEST
U
DSA/OSHPD/PHOJECI
APPROVED DOCUIITE[]S:
AVAILABLE:
APPROVED PLANS Y R t'I tr
SPECS: Y! Ntl
APPROVED SHOP DRAWING Y:] T'I:]
SOIL REPOR] Y' N:]
M T!B|A!S t Sto EY C0{IR^Cr0R {liCLUot FESI RCfl nEPoBI [O 08 MAlIflr.Ar TIST FtmFTS)
COIiIAACTOHS EOU IPMEIIT 1 MANPOWEs USID:
arYrlFp -€.farL ( e*e'luo,
AREI GErD L[iES. PTECES [irSPtCrEo
ha' - c.t * 51' l
5
STSUCIURAT IOIIS DEIAIL OF RIIS USTD
qt uAFris,xctulrrxo fl 6f ,N6sl
REWORK AS PERCENT OF ALL WO K TODAY:PER NT PROJECT COMPLETE
THE WoBX WASN WAS NoT i_-
lnspected in accordance wiih ihe requirements ol the oSrr'oSHPD/PRoJECT
apprcved documents.
ittlEnttl stlrPLtIG WAS WAS NoT N/A
Performed in accordance with DS&0SHPD/PRoJECT approved documents
MET X DID NOT MEET'
S&0SrlPD/PR0JECT approved documents.
THT WOBK It{SPECTED
The requiremenis the D
Samples taken
lv€athei:SlJAlugqf_p F
Signature lnspector
cc Project Architect
StructuralEngineer
DSA Begional 0tlice
School District
Conlractor
Buildin0 Department
0wner
r.1
Print Name
Certification ri
(t n ,'tl-,E -l-.I
1
.L
I
\q.
!r
l\lha
l!
b,
\a
h \,\C
Verified by ._
IIITG L
Coreoria
2992 E t-a P8kia Ava $e. A
A,l$ein, CA C806
Td: 71u|.6?.2990
Fex 714.&32.2374
Oispddr: 800.491 .2990
Sao DLgorlsr podd Conity
6295 F€.rB SqreE $a C
Sen Diqio, CA 92121
Td: 85E.537 3999
Fdc 858.537 3990
Dispakh: 888.84,(.5060
lnLl.' Emplr
1{a67 rtktfrl Pkwy., Edg 2A
RivEliia, CA e518
Td:S51.66ii.4900
Fa 951 .653.4666
t)ispdr: &D.,t91.2990
lldb
44917 Gdl CdrtE Ptwy.. slal
lrrto, CA @01rd..l@.gzsn
F8x.7@.3l2a525
Oi!9aLh: 8{D.491.2990
Rao.r* 3 Pag. 1 dl DSE/LEA * }{/A
Sp.dd lftpddl RrP(tl! nud bo dlirbrE lo tto prli.6 Ldr{ bdow sithh la drr! d [l. itsp.d.n. Rq(rir ca ndl{dnl'i cdflrari nu.r b. d.tDur.d rtnodlady
S€p'.ce rtPdr3 lha b€ Fpr.d {o'6&n ryrl€ oa lFri bs+dim m 5 dry b!ri!. Edr rpal rtul bG cdlplctd ild sgnd by El6 rpdd hrpdtr c<'l(tdi!g tne
THE WORK WAS THE WORK INSPECTED MET DIO NOT MEET
y161pp61E6s 5,r03A19
Permi #I01g1322-1750S
Prcied Ardiled
Strdur8l ErEirEer
OSA Regbml o{fice
Sdml Disrrid
DAILY !NSPECTION
REPORT
DSc/CITY Fae , !4-
DSTJOSHPO Apd r N/A
Pniied approl?d doqrDertsIrEpecled h accodarce wth the rcqdernerG .d ttE DSA/OSPHD
Pmied app.o!,ed doq,rlert6.
i,ATERIAL SAMPLING WAS E WAS NOT E N/AA
Perform€d in 8cco.dance wnh DSA/OSPHD Proj€d @pro,ed docrrnenB.
WeatEl: 5umy an6 gtd' T6rnp:79F
TtE rcquiEm€rts of the
Ssmpbs td€n: t{/A
Coilredor
BdldnE DegqrtrEnl
Of,rEr
SigrlalurB of Special lrBpector
RIqAFAT tli{LlM
Pnn Name
Certittcatirn I ICC # 8288668
PRoJEcr NAIIE:4;6| MOr StOre # 34 Oate Bn n7
ARcHtrECr APD Architecfu re rllrE ARRIVED 2 pm TIME DEPARTED 4 pm
ENGINEER B & B Associates IRAVEL TIME LUNCH I]ME
coNrRAcroR ED GRUSH suB coNrRAcroR X press
lNSPEcrroN ADDRES 2a3o s Bristol sr, santa Ana, cA ADDRESS oF PRoJEcr 2830 s Bristol sr, santa Ana, cA
ENGINEERED FILL
FOUNDANON
BACK FILL
AATCH PI.-ANT
PT CONCRETE
SHOTCRETE
CONCRETE
HIGH STRENGTH EOLTlt'lG
WELI}ilc
S OP WELD
TYPE OF FIREPROOFING
ANCHOR/DOi^,/EL
NDE FIELD
NDE S}IOP
CEIUt{G WRE
E
DSI/OSHPO PROJECT
APPROVED OOCUMENTS
AVAI LABLE APPROVEDpuers v EH E SorL REPoRT Y flNO SPECS: YE NE
APPffoVED s}IoP DffAIIJIIT|G YIJ N t-l
rrATERr,Ats usED 8y @NTRAeioR 0NCLUD€REPORT NO, OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPMENT/MANPOT^'ER USED:
AREA GRID UNES, PIECES INSPECTE0 I arived on site and observed the placement and consolidation of approximatety 12
cubc yards of concrete at Loading Duck Sedton for total of (4) of C'6 at grit line 7 and 2 littb frootings ftont d th€ Bldg
(Footings) with mix design # 4305'l with an expec{ed 28 days strength of 3000 psi. Concrete was supplied by
Robertson's Ready mix. I performed slump and temperature tests on composite samples prepared at the point of discl
STRUCTURAI. NOTES, DfiAIL ORTFT-T'SED Approved Plans D2yS-302, 83, C3/9303, and RFI# 15
RElrARl(s, INCLU0NG llEETu{Gs: All WOfk WaS peffOfmed as per approved phns & RFl.
Note: Slab Dowels will b€ iBtalled later by tho foreman
REWORK AS PERCENT OF ALL IADRK TODAY PERCENT PROJECT COMPLETE:
@
vrilaWWW
ar4^<
TIIIG 1
Corporate
2992 E 1,. Pakne Ave Se. A
A/|ahem, CA 92806
Td: 714.632.2999
Fax 714632.2374
Dispaldr: 800.491.2990
S.n Daogorlm peri.l Courty
6:€5 Fs.is Squre Ste C
San OieOo, CA 92121
Td 858 537.3999
Fax 858 537 3990
D'sp€tdr: 888.444 5060
lnhnd Eftplll
1{467 ii€.Uian Pkwy., Edg 2A
RiveIsd€, CA 92518
Td: 951.653 4999
Fax 951 653 4666
Dispatch: 800 491 2990
lndio
,1,1917 Gdf Csts Pkwy.. Se 1
l.dio. CA 92201
rd:760.?42.$n
Fax760 U215X
Oispatch: 8m.a91.2990
MTGL PROJECT#. 903419
pem f 1019'1322-'17509
DAILY INSPECTION
REPORT
D$r'ClrY File # I4--
DSA.TOSHPD Apd f i'uA
R4od * I PaSe 1 of 1 DSA/L Eq * N/A
Sp€dd ln6p..iim Rep{.ts rusl be d6trlDolod ro ho prli6 li6l€d bdor wibh la dsys d f1o insp€cto R€pat3 ol.ofiadplsi cdldrjds .rust b. clsEibut€d amm€diatdy
S+rtc r?s!s .hd b€ p.q'd l(. sdr t pe ol srecrd nsp€do 6 . ddy bais Eadr .qd sndl b€ co.rdd€d rd siJtd by t\s sp€.id nspdd cdtdJ{rrE ul€
THE WAS NOT THE II{SPECTEO t!,t
lnspeded in accordsnce wilh ttE requirements ot the DSA/OSPHD
Proied appo\.ed doqrner{s.
TtE requirements ol the OSNOSPHD Prqed approved doo,nents.
Samples taken: IVA
MATERIAL SAMPLING WAS E WASNOIE MAA
Perfomed in acco.dance wnh DSFJOSPHD Pmjed approled doqments.
Weatlcc g96nr 6n6 glsar Temp:926
SEnalurE of Special lnspec,tor
Projed Architect
Structural ErEineer
OSA Region€l OfficE
Sdool Didril
Corliaclor
BuihirE Depa.t nen{
O,vrEr
RAAFAT FIALIM
Pnfl Name
Certrficatton *: ICC # 8288668
PRoJECT NAME: Aldi Mor store # 34 oate:Bl4l17
ARCHrrEcr APD Architecture rlME ARRIVED 1O am rME DEPARTED 12:30 pm
ENGINEER B & B Associates TRAVEL TIME LUNCH TIME
coNrRAcroR ED GRUSH suB coNrRAcroR x press
INSPECTIoN ADDRESS za3o s Bristol sr, santa Ana, cA ADDRESS oF PRoJEcr 2B3o s Bristol sr, santa Ana, cA
TYPE OF INSPECTION
ENGINEEREO FILL
FOUNDAIION
BACX FILL
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
HIGH STRENGTH BOLTING
WELDT{G
SHOP WELD
FIRE PROO FING
ANCHOR/DOWEL
NDE FIELD
NDE SHOP
C€IUNG wlRE
DSA/OSHPO PROJECT
APPROVED DOCUMENTS PLANS Y
sorL REPORT Y EIN fl NOAPPROVED SHOP DRAWNG Y
sPECs Yfl N
MATERIALS USEO BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS)
CONTRACTORS EOUIPMENTA4ANPOWER USED
AREA GRID UNES PIEoES lNsPEcrEo: Anived on site for Epory lnspection at Loading Duck Section (4) of c's at grid line 7
Observed the brushing and blowing of all the driued holes prepared for installation of rr4 dowels (overhead)& hooked
dowels @12" O.C at top & bottom with emb€dded 5" into existing concrete(Footing). All holes were cleaned prior
placing the Epory. Contractor used HIL-Tl HY 200 with EXP date May, 18, & Simpson Set-XP, EXP Mar 29. 19
srRucruRAl NorES' DETAIL oR RFls usED Approved Plans DzS-302, 83, C3/S-303, and RFI# 15
REMARKS. TNCLUDTNG MEEINGS All work was performed as per approved plans & RFl.
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETEI
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cc
Verified by:
]IITG I
Corporate
2992 E La Palma Ave 9e. A
&lal|ern, CA 92E06
Td: 714 632 2399
F.x 711.632.n?1
Dspeldr: 800.49, 2990
S.n Oiogdlm p.rLl County
6295 Fe.ris Squae Sle C
San D€Oo, CA 92121
Td:858 537.3999
Fax 858 537 3990
Ospddr 888 641 5060
lnlrrd E lpirr
14467 rrkrdaan P1(wy . Edg 2A
R'v€rsile, CA C2518
T€l: 951 653.4980
Fax 951 653 4665
Dispatdr 80O ,191.2990
lndlo
u14917 Goaf Centr Pkwy.. S1e 1
lndlo, CA C2:El
Td:760.942 Sn
Fax:760 U2.4525
Dispdtcir: 8t0 491 2900
MTGL PROJECT* 03A19
Pemit * 10'191322-'17509
DAILY INSPECTION
REPORT
DSA./CITY File , tUA
DSA/OSHPO APd # tUA
DS',/LEA * t{,/AReon f 2 Pagc 1 of 1
S?-cs rlpqts shd b€ Fqad la o*h Vpe ol 3p6lai n6pd6 m a ddy bais Each .Ep{i shdl b€ co.nd.r6d d slgnd by tho spEd inspoclo. cdxlcling oro
THE WORK WAS WAS NOT o DID TME
lnsp€ded in accordance with the rcquirements of ttE DSA,/OSPHD
P.()ied 6pp.o!ed doqrnenis.
TIE requiremer{s of the DSA,/OSPHO Projed approved doqnents
Samples taken: N/A
MATERIAL SAMPLING WAS E WAS NOT E N/AA
Perfomed in acco.dance wnh OSA,/OSPHD Projed app.o,red doqments
WeattEr Sunny and Clear Temp:92p
Projed Architecl
Stnidural ErEineer
DSA Regiorlal Otfice
Scflool Dist.id
Sbnature of Special lnspeclor
RAAFAT HALIM
l,nnt Name
Certification #: ICC # 8288668
PRoJECT NAME:Aldi Mor Store # 34 oate: Et4t17
ARCH'rECr APD Architecture rlME ARRMED 12:30 pm T|ME DEPARTED 3 pm
ENGINEER B & B Associates TRAVEL TIME LUNCH TIME
CONTRACTOR ED GRUSH suB coNrRAcroR x press
lNSPEcrloN ADDRESS 2B3o s Bristor sr, santa Ana, cA ADDRESS oF PRoJEcr 2830 s Bristol sr, santa Ana, cA
ENGINEERED FILL
FOUNDATION
BACK FILL
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
CTIONTYPE OF iIASONRY
HIGH STRENGTH BOLTING
WELDING
SHOPWEID
FIREPROOFIT.IG
ANCHOR/DOWEL
ND€ FIELD
NDE SFOP
CEIUTIG wlRE
DSA/OSHPD PROJECT
APPROVED DOCUMENTS PLANS Y
sorL REPoRT Y flN fl SPECS YENE
APPRoVED SI-OP DRAWNG YIJ N [-|
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS)
CONTRACTORS EOUIPMENT/MANPOWER USED
AREA GRTD LTNES PIECES lNsPEcrED Anived on site for Rebar-check lnspection at Loading Duck Section for total of (4)
of C's at grid line 7 (Footings). ObseNed the Reinforcing Steel for conect size, type, grade, lap, spacing, clearance,
srRUcruRAL NoTES DETAIL oR RFrs usED: Approved Plans D2lS-302, 83, C3/S-303, and RFI# 15
REMARKS. TNCLUDNG MEETTNGS All work was performed as per approved plans & RFl.
Note: Slab Dowels will be installed later by the foreman
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
!IIa E
..t
Corliaclor
BuildirE DepairYEri
Orrler
Vefltu by:
and location.
E E
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cc
]TITG I
Co,porata
2992 E La Palma Ave. Se. A
Anaham, CA 92806
Td: 714 632.2999
Fex 711tlt.2.2371
Disp€tdr 800 49'1 2990
Srn Oiogorlmporlal County
6295 Fems Squa6 Ste. C
San Diego, CA 92121
Td: 858 537 3909
Far 858 537 3990
D'spdch 888 8aa 5S0
lnhnd Empi o
1,1467 ire.idian Pkwy , Edg 24
Rivaside, CA 92518
Td: 951 653 ,1909
Fax 951.653 4666
DispAd!: 8O0 491 2990
lndlo
44817 Gdf C€nt€. Pk y, Se.l
lidio, CA 9201fd 7&.312 Sn
Far:760.3424525
Dispetch 8m.491 2990
MTGL PROJECT# 5403A19 DAlLY INSPECTION D$Jclry Fire * -!4--
o&A/OSHPD Apd I N/APermit- 17s09 REPORT
Report # -1- Pase L .* -L DS^/LEA # N/A
Sp€aal h6p€clid1 R?dls rud b€ distribtl€d lo he pat6 l|sld bdow withh 14 dsys oa he nsp.diql R€p..ls d nm-csryaant cqxrtfis tuil bo dslribol.d immodldoly
s4a-ste r€pcts stuI be pr€paed 16 eEn rypc ol sp€.isl iolpelio.r m a dat bais. Een r€pd lndl bo co.ndded rd $gned by tre spod lnsp61d cmdudng the
THE WORK WAS
lnspeded in accordarrc€ wlh the requirements of the DSAOSPHD
Projecl sppro\red docwnerts.
TtE requiremer{s of the DSI',/OSPHD Prored approved doq.meris.Samplestaken: N/A
MATERIAL SAMPLING WAS E WASNOTE N/AO
Perfomed in acco.dance with DStuOSPHD Projed appro\,ed doqments.
WeatlEr: Clear & Cool Temp: 81.,f
tu,
Proied Architect
Strudural ErEineer
OSA Regioml Office
Sdlool Oistri,
Contrador
BuildirE Departrnent
O,nEf
Signature of Special lEpector
Edwin Jirn€noz
Certificatron I
PRoJEcr NAME: ALD| tnc.-Santa Ana , Stors No.34 Ort, W3'2O1Z
ARcHlTEcr APD Archit€c{ure tnc.TIME ARRIVED 7.OO T|ME OEPARTEO 11. OO
ENGINEER B&BAssociates TRAVEL T|ME 35 Minutes LUNCH TIME N/A
coNTRACToR FAcrLlry BUTLDERS & EHECToBS SU8 CONTRACTOR
INSPECTION ADDRESS 2840 South Bristol St Santa Ana CA ADDRESS OF PROJECT 2a4o South Bristol St Sanla Ana CA
TYPE OF INSPECTION
ENGINEEREO FILL
FOUNDATION
BACK FILL
PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASONRY
HIGH STRENGTH BOLTING
WELDING
SHOP WELO
FIREPROOFIT{G
ANCHOR/DOWEL
NDE FIELD
NDE SHOP
CEILING w]RE
DSA/OSHPD PROJECT
APPROVED DOCUMENTS PLANS Y
sorL REPORT Y flNo rEAPPROVED SHOP DRAwlNG Y
SPECS YON
MATERIALS USEO 8Y CONTRACTOR (lNCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS)
35 yards of 3OgO psiconcrete typ6 ll & V
CONTRACTORS EOUIPMENT/MANPOWER USED
Slump cone, rn€asuring tap€ , tamfing rcd, whe€l barro,r ard Cytindors.
AREA. GRIO UNES. PIECES INSPECTED:
Arivod on silo as Equ€slod by clr€nl lo cor|dLd cor lnuous ob3on slbn and insDetbo ol rtaasor€d ol 33 rdrds o, f(x) qsi concroto loa (2) colwnn ,ootnos
lor lhe fleez€r slab and lor lh€ m€al cool€r . Work prlorrn€d took plac€ on lh€ slab Ftan in linas 5 io 5.5 belwB€n lirEs D lo C ,lina3 A.5 lo 8.5 b€lween lirEs 6 to 7
in lines E.4 / 8.8 & 6 4 /D.zl. Co.E ele supdl€r: Fob6ison's i corE el€ sardss, slurnp and lonp€rarure t€sl were p€rlom€d try my sei
Ec,win Jirn€n€z. Produd Cod6: 43051 CorErale was consolidatsd by rn€ans ol inl€rnal vibatim. Slump€d and r€np€{arure are with in rolorancs
STRUCTURAL NOTES. DETAIL OR RFIS USED:
Approvod and signed slructural plans sheet 51
REMARKS, INCLUOING MEETINGS
tgmporafur€ during dacornont was 78"F and amtient temperaturo was 80oF
REWORK AS PERCENT OF ALL WORK TOOAY PERCENT PROJECT COMPLETE
E
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II!
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cc
Verified by:
Hnfi Name
cA'.$oAlZ
E
]TIIG 1
Coapoita
2992 E La Falma Avo. $e. A
Aiahdm, CA 92806
Td:714.632.2999
Fex.714.632.2371
Dispdd! 800.491 2990
San OLgdh perill Coonty
6295 Ferns Squde Ste C
San D€Co, CA 92121
Tel: 858 537 39Sg
Far 858.537.3990
Dispatdr 888 8.14 5060
Inhrd Empirr
14457 t endian Pkwy.. Adg 2A
Rive.siJe. CA 92518
Tdr 951 653 4909
Fax 951 653 4666
O'spatdr: 80O 491 2990
lndio
44917 Gdf C€nte. Pkwy., 9€ I
lndb. CA 9220'l
fd:7@ U2.$Tl
FaxT(ff.3/21525
Dispstdr 8m.491 2990
MTGL PROJECT# 5403A19 DAILYINSPECTION DSA/crryFrre#-!4-
REPORT DsA/osHPo Apd # N/A
osA/LEA * N/A
Perm,t # 175099
R€pod # | Page 1 of 1
Sped hsp€ctm R€pdls nusl b€ dirnriurl€d loth€ pali€6llstd bdo*sorn 1a days d h€ nsp€.ti, R€p{.t! €l nm<ofiplr{ crrxttdls firrsi b€ d6tradcd immdrddy
S€Pralo rcp€.is 6hdi b€ p.ered ld s*n rypc or spcjal inspEris! m a dairy Detsl6. Eaci ftpdi shdt be corndd€d 'ld
ggn6d t y he spa, inspElo. csducling tha
THE N THE WORK INSPECTEO NOT M T
lnspected in accodance with the requiEmer{s of ttE DSA,/OSPHD
Prcrjed appro\,ed doctments.
The requirements of the
Samples taken:
Proiecl appmved doqnents.
MATERTAL sAMpLTNG wns E us tror E ve U
Performed in accordance wilh DStuOSPHD Projed approEd doc{rneols.
WeattEr Clear & Coo_l Temp: g1"f
il,
Prqed Archited
Stnlclural ErEineer
DSA Regional Offce
Sdlool Oistrn
SignatuE oI Special lrEpedor
EdYin Jirnenez
Certificalon l:
ALDI lnc.-Santa Ana . Stors No.34PROJECT NAME Date: argDolT
ARcHlrEcr APo Architecture tnc T|ME ARRMED 11.00 T|ME DEPARTEO 1.OO pm
ENGINEER B&BAssociatss TRAVEL T|ME 35 Minutes LUNCH TIME N/A
coNTRAcroR FAcrLrry BUTLDEHS & EHECToRS SUB CONTRACTOR
INSPECTION ADDRESS 2840 South Eristol St Santa Ana CA ADDRESS OF PROJECI 2840 South Bristol St Santa Ana CA
ENGINEERED FILL
FOUNDATION
BACK FILL
EATCH PLANT
PT CONCRETE
SHOTCRETE
CONCR€TE
oFt N MASONRY
HIGH STRENGTH BOLTING
WELONG
SHOP YVELD
FI
ANCHOR/DOWEL
NDE FIELO
ND€ SHOP
CEILING WRE
!P9n' arrchors
DSAJOSHPD PROJECT
APPROVED DOCUMENTS
IOVED sorl REPORT Y END sPEcs Y0Ntl
APPRoVED sHoP DRAW NG Y EI N
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIA]. TEST REPORTS)
(12 ) 5/A " o epoxy bolts & Hilty Hy.70
CONTRACTORS EOUIPMENTiIIANPOWER USED
Hilty HIT-HY 70 l9{815L1 Epory Exp 0V1/18 , epory gun , Oaspensing gun, air comprossor, wir€ brush ard rnoasurirE tap€
AREA, GRIO UNES, PIECES INSPECTED:
arP.d 6 3i. a 6q!61€d b' cas.n ro co.xrJcI co.rtltD! o&..v.rur &d Bp-rd ol fEirbrq| ol (12 ) 5a t orory tlons r 2'F d d ith 6" rrb.dndr b {E) nr.gry w.r
6 3tebd on 4prov€d grd €lgn€d stuciJral pLn5 &t!, A-3 -Sno! wo podo.m.d tri( de 6 nE SLb dd rldB lino A rt trB6 5 ro 5 5 did .io.E h6 7 .t hn OloC
STRUCTURAL NOTES, DETAIL OR RFIS USED
Approvod an signed Structural plans detailA3'S-301 and E@xy notgs orr dotail 82 -S3O1
REMARXS INCLUDING MEETINGS
Nolg: Condfion o{ wo* was wire brust}od and air blasted p€r manulacturer instnicrtbn
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
E l!
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ca Cor*rador
BuildirE Depatunent
OrrEr
Verified by:
I.nnI Name
alL?
E
a
Wetcome, Ron Norrissetla! t
$ eroiect Home
Tools
Concept & Feasibility
Design & Approval
Bidding
I Plans
A RRs
j! Change Directives
rI. Reports
l: Specifications
A Submittals
a' Observation Logs
A ALDI Vendor Information
Arch iving
Operation &
Maintenance
Change Projects
Log Out
https://www.apdproiects.com/index.php?pagelD=1 I 24View&rflD: I I 02 I 3 7/26t2017
' . Sharenology Projects :: Project Management and File Sharing Software Page I of2
nology
ALDI MOR - Store #34 - 2830 South Btistol Street - Santa Ana, CA
expires on:05/26/2017
Bidding period
Const - Request for Information (RFI) #
15 - SIot Cut Footing Size
( vie\/ request list ) ( pflntable version )
ALDI
Requested On :
Prorect
07/2512017 10:31 am EDT
15-0159A :: ALDI tlOR - Store t3,l - 2830 South
Brlstol Stre€t - Santa Ana, CA
2830 South Bristol Street
Sant Ana, Callfomla
Add.€ss
Clty, State
Job Superintendent
Job Slte Phone
Currcndy S€nt To:
Orlglnal Attachments
(562) 209-1361
CLOSED - R€sponse rssued Eelotr
Attachment *1 - ALDI Possible RFI loading dock
_2,pdf
InformaUon
RGque3tad:
Same as RFI a1l
We would llke to thicken (lncrease tlle stem wall on llne'7 rylth the slot orts
(O2lS-302) by 5', we propo6e to us€.ddttion reb.r of t4 at 12' on cent r in both
dlrlc0ons. Please see attached sketch. Sketch was sent to you yesterday By
Chase Campbell of Aldi and later by Uz of Ed Grush. I have t id once aoaln to
attach lt to this RFl. t et's see what happens.
Response:
Raaooni. Attachrn.ntj
Att chment #1 - ALDI Possible RFI loadang dock _2.pdf
Thls ls acceptable
The rcsponse above is hom Chds Guena on 07/25/2017 at 5:04 pm EDT, An
ammended tesponse is displayed below.
Please add epoxy dowels to wall and footlng for top portion of wall as p€r attached
Responded By: Chrls Guerra
R6ponded on: O7l25l2or7 5123 pm EoT
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Corporste
2992 E La Palma Ave., Suite A
Anaheim, CA 92806
Teli 714.632.2999
F ar 714 .632.?971
Oispatch: 800.491.2990
San Oiegorl mporill County:
6295 Fems Square, Sude C
San Deqo, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
lnland Empirq:
14.167 tJendian Pkwy., Bldg 2A
Riversrde. CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispadr: 800.491.2990
MTGL PROJECT#| 5403AI9 DAILY INSPECTION
REPORT
DSA,/CITY File #
Permil *
Report *
10191322-17509
Page 1 o, I
DSL/OSHPD Appl. *
OSA/LEA
'
s.p5/r16 ropo.rs $ail b. prlpdld ld.dt rrp6 o, $ed rnrpeo. d a drry brs! E.dr,6Fo.1.trdr bo co.rddod fid $9n64 b, ho sr.oal rn t cto. drdr(!.g lll€
NOT DID TME
lnspecled in accordance with the requirements of the Projed
approved documents.
The requiremenls of the Project approved documents
Samples taken 1 Set of (4) 4 X I Test cyl ,-
Sunny Tem p 86
MATERTAL sAMeLTNG wa€ wns Nor E nlnE
Performance in accordance with Projecl appoved doorments -*Yr,*,
Khlok
Cerlification *l
PROJECT NAME ALOI Store #34 Dale 8-10-17
ARCHITECT APD Architecture, lnc TiME ARRTVED 12:3opm T|ME DEPARTED 3pm
ENGINEER B & B Associates IRAVEL TIME LUNCH TIME
CONTRACTOR ED Grush G€neral Contractor, lnc SUB CONTRACTOR Xpress Concrete, lnc.
INSPECTION ADDRESS
28i)0 S. Bristol St., Santa Ana. CA 92704
ADDRESS OF PROJECT
2830 S. Eristol St., Santa Ana, CA 92704
PE OF INSPE ON EATCH PLANT MASONRY
E ENGINEERED FILL
I rouruoarroru
n PT coNcRErE f] HrcH srnerucrn aorrmc
flwerorrucfl srorcnere
BACK FILL CONCRETE SHOP WELDING
trtr
FIRE PROOFING
ANCHOR/DOWEL
! ruoe rrero
l-l r,roe sxop
E CETLTNG WIRE
Epoxy
Pertormed OC, Observed th€ placement and consolidation ol approx. 10 cubic yards ol concrete into stem wall
Location:Along line 7 btw A.5/C.5 foundation lev€|.
Concrete supplied by Robortson, Mix Design 49894, 5000psi , 6 1/4" slump test results.
Concrete was placed via gravel pump & mechanical vibrator was used lor compaction.
Casted 1 set of (4) 4 X I tesl Cyl.
Status: Work is completed.
2. Observod Epoxy installataon ol #4 dowel into (E) CMU wall & (E) concrete slab W / Min of 2 3/8" €mbedment @ 15" OC per
detail 82, 83 / S3O1 locatad @ line F btw 5.8/6.1. All holss were properly cleanod and Simpson Sot-XP Epoxy was used.
Status: Complet€d.a
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
Venfied by:
Chhivr
rcc 82962
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B.-a'
TIIIG I
Corporate
2992 E La PEIrE A!lo. Ste. A
Anaheim, CA 92406
T6l: 71,1.632.29S
Far 7118322371
oisparch: E00.,191.2sso
San Oi.gorl rp.rial courny
6295 Fenis Squar€ Sto. C
San Di.go. CA 92121
Tel 858.537.3999
Fax:858.537.3S0
Oispstch: 888.844.5060
loland Emdr.
1 ,1467 Meriri.n Pkwy. , Bldg 2A
Riv.6ke, CA 92518
Tol: 951 .663.4999
Far: 951.653.4566
Dispatch: 800.491.2990
lndb
44917 Gof Cenbr Pl(wy. . St6.1
lndio. CA 92201
r*7@.u2.16n
Fex:76O 342 i1525
txp.dr: 8OO./€'l 2990
MrcLpRoJEcn:5rro3Alq DAILY INSPECTION osArcrYFibr-
pa.'il l2ll, 1ZZ - I+ Sgq REPORT DsA,,osHPo Appr. t
Repod, L- F.eclorl DSA./LEA,
-Seporab rcpoft dd,be p.ep6l!d k, Bct! t)re d spedal irEpad,on on a (hdy b6sis Ea.h Epo.l shal b co.IlPteEd and s]]n€d by the spedtl nspedo. ddudog lhe
THE WORK WAS WAS NOT THE WORK TED MET OiD NOT MEET
documentslnspacted in accordance with the requiremonls ofthe DSA,,/OSPHO/
PROJECT approved doqJments.
The rgquirements of the PROJ
Samples taken:
Wealher:Temp c
MATERIAL SAMPLING WASE WASNOTO NiAR
Performed in accordance 'rith DStuOSPHD/PROJECT appioved
Signature s lnspedor
Projec{ Archilect
Strudural Engineer
DSA Regional Ofic€
School DBtrid
Conlractor
Bulldhg OeFatuner
Ouner
q
Pnnl Name
oate 08lt5 l/of[tf,1 ${or 5{irep= V +PROJECT NAME
TIME DEPARTED 3.Bo PHTIME ARRIVED:l,eoPflARCHITECTAPD
LUNCH TIMETRAVEL TIMEE NGINEE R ssocrilesF.,?B A
CONTRACTOR E b C-Q-US l.l SUB CONTRACTOR
ADDRESS OF P RoJEcr: lE30 5. gr t Sfol !T,INSPECTION AODRESS
E cErLrxc wREo_tr_tr_
E] MASONRY
E HlGH STRENGTH BOLTING
O wELDTNG
E SHoPWELD
tr
EI
E NDE FIELD
E NDE SHOP
FIREPROOFING
ANCHOR/DOA,'EL
TYPE OF INSPECTION
E ENGINEERED FILL
E FoUNDATIoN
B BACK FILL
trtr
E SHoTcRETE
RcoNcRETE
BATCH PLANT
PI C-oNCRETE
SPECS: YEI N B
APPRoVED sHoP DRAwnG Y E N EAVAILABLE APPROVED
PLANSYDNE
SoiaREPoRTYtrNEIOSAJOSHPD PROJECT
APPROVED DOCUMENTS
R MATERiAL TEST R
EAEUIPT/lENT USEO BY CONTRACTOR:
t/\,ORK AREA
TS): Nonr6lV\reight Conqete. Hi€rado Mix
.J ff{ mqnu loqlote l ns\roi\i"n la ilasTql/qTrlr\
rtzc
cq\io,ld \Ji+I
c F5
e d
Ver-fictl nTq\hstrve tor tnfdl6\iao ilg anl lZ llaE POX olloutn3 ns..IoConcrele FooTr rntttIorc\s fo r his
an $r,na rins B8? coTnls.) c ent cnJ be1fo qll l/o/es q'itKI depTf,' orrd observcd Clecni,l Hrtet diq,:'cryeob
E FOXI,ss.J A lr Pt,or Ta H ,lJA n f, Comfre4 u"re atbtrsh
oo-R uros 0sttl E fPi,o-Te 12 l'/olAEPor,) HtLTI il IT'-HY L
Co rff r a cTor lo llo*
-31 8+wclt a5 E sR
Fer AFPro"'q/ P/ons q''dct9obo{e wor'!( wqs co-Pleted
de.
a5
Ail
Co
PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WoRK TODAY: 0%
documents
Certlficatio
Verifi€d by
n*: f Cc - $aS t+'+q
MIG I
Corporde
2992 E La hlr. Avo. Sle. A
Anah€nn. CA 92606
Tol: 7'14.dt2.299()
F 6x: 71 1.632.297 I
Dbpatci: 8m.491.2S0
San Oi.gonnpanal Cour*y
6295 Ferris Square Slo C
San Diego, CA 92121
Tsll 858.537.3990
Fax: 858.537.3990
Disp€lci: 888.8,{,t.5060
lnlrnd Empi.c
1 ,1467 M€ruirn Ptvry. , Bldg 2A
Riversir€. CA 92518
T6l: 95,l .653.4999
Fsx: 51 .653.,186€
Dbp.tch: 410.491.29$
lndb
rlzl9l 7 Gof C€rb r Plv.y. , Sre. I
lrdio, CA 92201
f.l:7fi312/6n
Fax:7d) 3{2 ,1525
Ctspoichr 800.491.2990
MrcL PRoJEcr*: 5403A19
pemiu 10191322-17509
Ropon, I Pago 1 o, 1
DAILY INSPECTION
REPORT
OSA,/C|TY FiL t _
DSATOSHPO Arpl. t.
DSA/LEAt _
SeparaE reporls shall be prEparcd lq each type of speoal r6pedDo on a dait bas6 Eadr repod shall be cdnpleten and *ln€d by ttle spacralrrEp€dor condldtrE the
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEET
lnspected in accordance with thr reqllremenB ofthe DSAuiOSPHD/
PROJECT approv€d docum€nts.
Th€ requiEments ofthe PROJECT documeotE
Srmples laken:
Weathet:
MATERIAL SAMPLING WASE WASNOTE N/A E]
Performed in accordance with DSI/OSPHD/PROJECT approved docurllenE.
Clear temp: 73 f
Srgnahrre hspedor
Project Archited
Strudural Engineer
DSA Regional Of6ce
Sciool D€ind
Maged Saad
PROJEoT NAME:Aldi Mor Store # 34 Date: 08/t5/2017
aRCllrEcT. APD A rchitecture rrr"re nnnrveo. 'l:00 PM TIME DEPARTED, 3;30 PM
ENGINEER: B&B Associates TRAVEL TIME:LUNCH TIME: -
CONTRACTOR ED GRUSH SUS CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S Bristol St, Santa Ana,
TYPE OF INSPECTIOT{
E ENGINEERED FILL
E FoUNDATIoN
O BACK F|LL
trtro
E coNCRETE
BATCH PLANT
PT CONCRETE
SHOTCRETE
otr
E vvELDTNG
E sHoP wELD
MASONRY
HlGH STRENGTH BOLTING
trtrtr
FIREPROOFING
ANCHOR/DOIA/EL
NDE FIELD
NOE SHOP
CEILING WREtrtrtrtr
DSAOSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYEINE]
SOILREPORTYENE SPEcs:YENE
APPROVED SHOP ORAWNG Y E] N E]
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS)Normal Weight Concrete, Hi4r.de Mix
EQEUIPMENT USED BY CONTRACTOR
WORK AREA: Fi.st FIooT
lnspected the placement of 10 Cubic yard concrete 3,000 PSI ready mix S 43051 in the following locations:
Grade beams flpe WF1 on grid lines ff and between lines B&C.
All areas of concrete placement were tlean of all deleterious materials, reinforcing is clean of mud, oil or
other nonmetallic coating.
Concrete was mechanically vibrated,
Reinforcing Steel was secured against displacement.
One set of 3 test samples were taken.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
REWORK AS PERCENT OF ALL WORK TODAY, O%PERCENT PROJECT COMPLETE
cc Contraclor
Building Dep€rtmer{
certificstionll: ICC
Prinl Name
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Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax.714.632.2974
Disparch: 800.491.2990
San Diegolmperial Counly
6295 Ferris Square, Suite C
San Diego, CA 92'12'1
Tel:858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
DA!LY INSPECTION
REPORT
t
lnland Emplre:
14467 Meridian Pkw., BldO.2-A
Biverside. CA 925'18
Tel: 951.653.4999
Fax: 95'1.653.4666
Dispatch: 800.491.2990
lndio:
44917 Golf Center Pkwy. #1
lndio. CA 92201
let'. 760.342.4677
Fax. 760.342.4525
Dispatch: 800.491.2990www.mtglinc.com
MTGL ProFcl t:q4o411
Report r- Pe \ or a-
DSfuOSHPD APPL #:
DSA / LEA *:
lUlTGr
t=4 a TT
\r
rvE0 TIME OEPARTEOAFCHITTCT
NCN IIMET [!LEI]GINFIR
L^-\rtr.
z 5 I
Eo
'5E
PT CONCRETE
SHOTCRETE
CONCRETE
CFIIING W RF
al
r fOUNDATI
,7-ancx rtlON \lr-'q
BATCH NTTYPE OF IIISPTCTIOTI
- ENGINEERED TLtt
] MASOIIRY. HIGH STRETIGIH BOLTING
WELDING
SHOP WELD
] FIREPROOfING
a ANCH0F/00WEr
NDE FIELT
NDE StlOP
OSA/OSHPO/PROJECI
APPROVTD DOCUMTIITS:
AVAILABLE:
APPROVED PLANS Y -ll SPECS: YL{ Nf
APPR0VE0 SH0P DRAWING Y l Nrl
sorr RrpoRt v4 tr
I.^TIRNTS USTO BY COf,TRACTOR IIXCTI]DE RESTAFCH REPORI iIO OR MAIIRIAT TISI BEPOBTS, J AtlA.wr- . rr-s,.le . S--d- 9, !{q*/4wc-v-c vfJo t'A"o<-1.)2 -\,e\\ r+...-
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SINUC'IURAL I{OIIS DETAIL, OB 8IIS USTD
(<-(-/.I +KS.
l.-r Co<-
Y<l <<€J-<4 c (-
REWORK AS PERCENT OF ALL WOBK IODAY PERCENT PROJECT COMPLETE
TflE WoBr WASi WAS Nor -l
lnspected in accordance with the requirements ol the DSA/oSHPo/PR0iECI
approved documents.
IHE WOBX IIISPECIED METI DIDIIOTMEET.
The requirements of the 0SAr'oSHPD/P80JECI approv0d documents.
Samples
Tempi
ure( t
Print Name
eF:
iltTEBltL SAliiPtltlc WAS.- wAS NoT N/A!
Pedormed in accordance with DSAr'oSHPD/PR0JECT approved documents
Contractor
Euildin0 Department
owner
Signature ol Special lnsp€clor
cc Proiect Architect
StrucluraiEnOineer
DSA Regional otlice
SchoolDistrict
+o
Certification #:
Verilied byi
CSoa2>
Permit,
oSA/CITY File ,: _
-l
Wsather:<
t j,),2.L-<---<J)
TTIIG t
Corpoa:i.
2ge2 E L. P.lrm Av.. Ste A
Ansheim, CA 92806
T6l: 714-6412.298e
Fe\: 711 .632.87 4
Oisp€td: 8m.49'1.2990
S.n Dicgolmpcri.l County
6295 F€ms Squ.ro Slo. C
San tjiogo, CA 92121
Td:454.537.3999
Fax:&58.537.3SO
Dbpatdr: 888.844.5060
lnlend Empiro
14447 Msridhn PtwY.. Edg 2A
RiveBid.. CA 9251E
T.l. 951 .6S3.,€9e
Fsx: 961.653.,€56
oispatch: 0m.491.2s0
lr|db
,{4917 GofClnEr Pkwy., Ste.1
lndio, CA 92201
1e| 7@.3.,2.16n
F.x:7@.342.455
DisFadr. 0q).491,21990
MrGrpRoJEcn:6.103Alq DAILY INSPECTION DsAErrYFirer-
p.,.'.il, nn t4LL-115o1 REPORT DsAlosHpDAppr.r.
neportrlpagolof i DSA'LEA'
-
speoal rrBpet r epdb mulr bedEriboEd k, ttE p.rtE k&d b.a6r wittm 14 d.'F o(ltle ln€p€cton R6!o.€.' no.!.odElatt cgdlloo. mud b€ dirtiund imEl€dlaLlv
sbarae ripods elslib. prep€red to. €.cr! lype d d€oai nspedron on a dsdy b6i! e-d, rcport st alt te -npueo a.d srt !.d b, th€ sp€o.r iru@o. conductr'o the
THE.WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT M
do(rlmentslnspected in acao with the requirements of the OSAJOSPHD/The requirements of the PRoJE
Sampbs taken:PROJECT approved documeots
Weather:Temp: a+=-sMATERIAL SAMPLING WAS D WAS NOT N N/A
Perlormed in accordqnce with OStuOSPHD/PROJECT
Signature of pecial
ea
"So,"o docurnents
cc Project Arciitect
Sfudural Engineer
OSA Regional Oftce
Sdrool Dislnct
Contraclor
Building Dcpgrtnent
Owner
t q
Cerlification #
Printtc(-6+5 Name.i+q
Verifed
Oate d8l16lZot:moiE.-4"-. fldt lAor 5aore #')+
TIME OEPARTED OoIME ARRlvEo: ?.* qmisARCHITECT:Ar
LUNCH TIMETRAVEL TIMEENGINEERPE Ass.,ci .fics
SUB CONIRACTOR.CONTRACTOR ED 6 LusH
ADDRESS OF PRoJECT: 1,! 3()5. gn;.ro\ sr,INSPECTION ADORESS
CEILING WREUtrtrtr
trtr
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E NDE SHOP
FIREPR@FING
ANCHOR/DOWEL
E BATCH PLANT
E] PT CoNCRETE
E sHorcRETE
D coNcRETE SHOP WELO
LDING
MASONRY
HIGH STRENGTH BOLTING
OF INSPECTION
E ENGINEERED FILL
E FouNoATroN
E BACK FILL EINEI
DSHoP DRAW GYENEIAPPROVE
YAVAILABLE APPROVEO
PLANSYDNO
SOILREPoRTYENElDSA/joSHPO PROJECT
APPROVED DOCUMENTS
MATEEnLS usED By coNTRAcroR 0NCLUDE REgEARcH REPoRT No. oR
EQEUIPi'ENT USEO BY @NTRACTOR:
v\ORK AREA
Concrcte, Hi€rade MitNorrmlMATERIAL TEST REPORTS)
o n ahrfi u- s- r+e}
Url[i",*ii{trrl|ttl'd-Cor s,7e, ltn9lf,,lo6"q(1on onJ f r'e <'l tltl)ble
Af t tr,,.lJiy1q trcs ptr/ormcl cs p'i A'pprortd Phns qnd cete
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PERCENT PROJECT COMPLETE:YKWORDA 00/.T oRCEPEOFNTALLEWORRASK
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Corporata
2992 E L. PalrrE A!/e. Ste. A
Anrheim, CA 92805
T.l: 7.l4.632.2999
F Ex'. 71 1.@2.297 4
Dbp6lctr: 800.491.2990
Serr Oicgonnperi.l Corrnty
6295 F.nB Squr.o So. C
S.n Oi.go, CA 82121
Tol: 85E.537.3999
FEx: 65E.537.3990
Dbp.tch: 888-844.506d)
lnl.nd EmdrC
I ig57 Morirbn Pkvry.. Bldg 2A
RiveBirr, CA 92518
Tel: 951.659.4999
Far: 951 .663.4665
Dispatch: 8m,ls1 2ggo
lDdb
,1,19'1 7 Gof Codd Plevy., Sto.1
lndb. CA 92201
f.l:7@.3.,.46n
F.x:7€o342.1525
tlsp.t h: 8OO.491 .299t)
MrcLPRoJEc* |rylNq
ffiidrgt_;tz- -t15oq DAILY lNsPEcrloN ffiI*;
aeoort r 3 easetof I DSA./LEA a _
Sp6ci.l lnap€citon Repoft mud be di6iitubd to tle partles li*6d b€lo\,witxn 14 days ot the inEpsc-ton. R€@rts of conditi{r6 mud be ddnhned immediaielySeparatereports slEll be p{epared for erEh type d specjat inspedon on a daily basi6. Eedt repod 6hall be complded and sbrEd by the special inspedor cordudirE the
h,
T}IE WORK
lnspecled in
WAS WAS NOT THE WORX INSPECTED MET DID NOT MEET
with the requirements of the OSI'/OSpHD/The requirBments of the PROJ
Ssmples taken:
ments
PROJECT 6pproved doorments.
MATERTAL sAMpLrNo wAs g1 wAs Nor E N.rA d-Perlomod ln accord€ncs wn r OSA,/OSPHD/pROJECT a#rov6d
Weather.
of lnspeotor
Proiect Arciilect
Strudural Engineer
DSA Re(ional Ofice
Scfiool [Hriot
q
Pfinl Name
Oc itu tion fr. I CC -
PROJECT NAME: A rd,Mo i" gTorr #3q Date:0 6 It6lzoiAARCHITECTTIME ARRIVED 3c-rIME o
E NGIN EER ifle',b 7 B A'-soc TRAVEL TIME:LUNCH TIME
CONIRACTOR E> &rQ,usrt SUB CONTRACTOR:
INSPECTION AOORESS ADDRESS oF PRoJEct, ,g 30 €, .Rri S o
CEILIiTG
trtr
tr
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Y N
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DSIr'OSH PROJECT
PLANT
Y NAPPROVED OOCUMENTS
INSPECTION
trtr
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PLAITS Y
FI NG
APPROVEO SHOP ORAwlNG Y
MASONRY
SHOP WELD
OVEO so
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FOU NOATIOT]
EACK FILL
PT CONCRETE
SHOTCRETE
CONCRETE
ANCHOR/OOII/EL
NDE FIELD
NDE SHOP
D H|GH STRENGTH BoLING
E wELDtNG
RESEARcH REpoRT No. oa uatenn@. HH3rade Mii
EOEUIPMENT USEO BY COiITRACTOR:
\AORK AREA
MATERTALS usED Bt coNTRAcroR 0NCLUDE
oF /A cabic J<rl Concr{\e 4rooo PsI
I"llwinq loc(io'rsr;t;;";hi ";';i;. a b" s Pttccs 7 '"C
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cieqvr oF ail del{"rt'ovs tnifdt,ol co rt cril plrt * neriT' &rerell Arecs
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Co ncrdt t1,las Dech<n tc<(vrb r,ite
iTc€l r/4s 5 urrd t3tCnpor.,19 *{ dfsplare -t{.F"r
fl ec nCr fl pp"o"td6It p/ece^enT ias teen aomflel"d Q5 P<r
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Concr€lc b,qll lL'tiatc( and
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REWO RK AS PEBCENT oF ALL WoRK TODAY: 0%PERCENT PROJECT COMPLETE
cc Conuactor
Bdldlng Oap.rtm.rn
Olvner
documenls
Veri[ed
+51+"1
o
I
CorporaL
2S2 E L! P.lrna AE. S1e. A
An.h.im. CA 92806
T.l:714.632.298
Fa,t:714.€tsz.2s74
Oisp.tch: 600.,491.2S90
lnl.nd EmFi.c
1 ,1467 Moriliar Pkvry. , BUg 2A
RiYorsilo , CA 9251 8
Tol: +51.653.4)S
Far: 51.653.,1666
Oispotch: 8m.491.2S90
l.!db
iizlgl 7 Golt Cenb r P|firy.. Sle. I
l.ldio, CA 92201
f d..7@.u2!6n
Flx:760.342.4525
Disp.tch: q)0.it91.2S
S.n Oicgonnp.ri,el Cou. y
6295 Forris Square St6. C
Ssn Cli€go, CA 92121
T.l:858.537.39$
Fax: 856.537.3990
ObFtcrr: 8aa.0{4.5060
MrGL PRoJEcr*: 5 'r a3 A I I
r"nt lont722--l+509
Report t:L Pagslor I
DAILY INSPECTION
REPORT
osA/ctTY Fih t _
DSA,TOSHPO Appl. t
DSAJLEA I
Speoal lr6pedton ReoorE mul be d,shbdted b tre rBriEs lisEd b€to$,
Separate repoats $a{l be paEpared tu eadt type ol specat nsp€cton on
sthh I 4 days or $E rri€pecOon ReF.ts o, no. co.nphant 6d,tEB mu6t be dBlrDuted .m,iedEtely
a daly bagla Eadr aeport sholl tp completsd ard srlned by lhe speclal risp€do( cdnlIfuE th€
MIG 1
oale: O 8Z+
TIME ARRIVED TIME DEPARTEO-{..oo P,
I
A
I Mor STore t6 lotPROJECT NAM
ARCHITECT:7...c
ENGINEER BPE ,\ssoci t\.5 TRAVEL TIME LUNCH NME.
CONTRACTOR Es 4Q-usrt StJB CONTRACTOR
INSPECTION ADDRESS ADORESS OF PROJECT 30 .r. $rtirol J
TYPE OF INSPECTION
O ENGINEERED FILL
E FoUNDATIoN
D BAoK F|LL
trtr
D SHOTCRETE
6coxcnere
SATCH PLANT
PT CONCRETE
trtro0 SHoPWELD
MA,SONRY
HIGI{ STRENGTH BOLTING
WELDING
D FIREPROOFING
E ANcHoR/DowEL
E NoE FIELD
E NoE sHoP
O C€ILING WRE
Dtrtr
APPROVED DOCUMENTS
osAJosHPo AVAILABLE APPROVED
PLANSYEND SOIL REPORT Y fI N EI
DRAWNGYENE
SPECS:YElNEI
APPROVED SHOP
EOEUIPUENT USED BY CONTRACTOR
VT,oR K AR EA
MATERIALS USED AY CONTRACTOR (NCLUDE RESEARCH REPORT NO. OR MA TERIAL TEST REPORTS): tlornatVt{eigm Concr6t6, Hi€
Cl ifrccl"r fotbr.l rtl monu$,q[\sce tntTr<;cTiovl lor rn5fqllq'Iion
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oa,mbqhctrtlt/^e5sCo I rf\,)e rh r (Ad EtclF ofrP )rJ
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lla
RE\A/CRK AS PERCENT OF ALL WOR K TODAY: oon PERCENT PROJECT COMPLETE
THE WORK WAS WAS NOT
lnspec{ed in accorda nce with the requirements of the DSFJOSpHD/
THE WORK INSPECTED MET DID NOT MEET
PROJECT a pproYed documents
MATERTAL sAMpLtNG wAs E wls tor E vl w6ather:
Perfonned in ac.ordanca with OSA,IOSPHD/PROJECT approved docurEnt3.
The requirements of the PR
Sampla6 taken:
T documents
Q)eor Temp: -+ tr E- o
Signature of S I lnspedor
me
Cenincalion f:
Prcjecl Ar$itect
Shudural Engineer
DSA Reoional Offce
Sdool Distrld
Contradoa
Euilding Depqrtment
Owner
cc
Verified
lct *rlqt+s
Corpor.te
2992 E Le Prlna Ave. gto. A
An.h€im. CA 928Oo
T6l: 714.€i12.2999
Fa\,711.63.2.2971
OEpercfi: Em.491 .2990
S.n U.gonrrp.ri.l County
6295 Ferris Squlre So. C
San Obgo, CA S2r2l
Tol:85a.$7.3990
Fer: 858.537.3990
Oispetch: 888.8,{4 5060
lnlard Empire
1,1467 Merirbn Plwy., Bdg 2A
Riv.6id€, CA 925,8
Tol: 95, .653.4999
Fax: 951.653.,1666
Oispatcfi : 80O.,agl -2990
lrdi,o
44917 Golt C6nbr Phry.. S't.. ,l
lndb. CA 92?ol
fcl:7@.Y2.8n
F.i:760-3.|2.,1525
tIsFEn: 600.,19'l.2gSO
MrGLPRoJEcrr: 5+O3 Alq
ecma*te1p_!!Lz - l+ 5o1
nepod r t- caselor t
DAILY INSPECTION
REPORT
DSA/CITY Fil6 , _
DSATOSHPO Arpl.,
DS',/LEA '
-
Reports mul be dr*rbuEd D he parn6 l,sl€d bebl/ r/Ithn 1 4 daFolrhe lnspedon Repods or Erd,lD.lS must De o6mDu6{ ,nmedEietySeparate €po.ls sarsll be p.ep6nd tor ea<fi tyf o{ 6poq5l nsa€dfir on a ctaily llaes Each relErt shatt b€co,npleEd ard sgned by th€ specBl nsp€doa €orEuctno tie
TTIIG 1
t or orc
..oc AN ..1sbBSSeJ
t E \Oate
E NGINEE R
ARCHITECT:
CT NAME
TIME ARRIVEO
TRAVEL TIME
TIME DEPARTED
LUNCH TIME
o
CONTRACTOR US SU8 CONTRACTOR:
ST
CEILING WRE
N
tro
sTo\RD oESS OJR cET:28 lD E Ir5
SPECS: Y N
INSPECTION ADDRESS
BATC T
PT CONCREIE
E sHorcRETE
CONCRETE
PLANS Y
RY
HiGH STRENGTH AOLTING
E wELotNG
SHOP WELD
SOIL REPORT Y
OF INSPECTION
BACK FILL
D PROJECT
APPROVEO MENTS
E NoE FTELD
NDE SHOP
N
APPROVEO SHOP DRAWNG Y
FIREPR@FING
ANCHOR/DOWELE ENGINEERED FILL
E FoUNDATToN
EOEUIPi'ENT USEO BY CONTRACTOR
TA,cR K AR EA
RES€ARCH RE TNO ORMA IAL TEST REPORTS): Nonnal y\telgtr Concrete, Hr€r.de Mix
MATERIALS USEO BY coNTRACTOR (t CLU
All .qfoor< uroy( r'Liqs Compl"kJ os fer {pprorcl phnE onJ eoAe.
REWORK AS P PERCENT PROJECT COMPLETEcENTALLOFKWORDATOY
tr P51 /o^r,lu cilr){.'r Co5r
"Te5
zo U.M_tlrJ S,S,n,\o llo"
rf lo Cd\
i9 UaT(hJ 4kvto\t ce
eYld dPe:lo (nrrae t foc fio o oojI ontPo \5ftJ.IAanIIIt,h trIde eFb \Ee raIz3oY (t5o sFI sro9aUfn0n()6 al hCo bl I d d
eSh d fu-U oedPP I$C u {II nIH 7re <,oJt(o 4 It tdInItV7rtrrItt\o cTIIaJ (L ro EfI Y t SScoo9nsmn4oDdcU5pedr@rm5nahCo(fl"5 tc Ifo(l qP\h c"ledfla5tleeda3fr)n trbr o rqrrrod ,llfi x Irt q ltP1qdr c If)Ind
an e rh.nQT1 ct (5h {d IPr Jlc(P blo3I aeS((J|zt6hac5hdclreq0n
WAS NOT THE WORK INSPECTEO MET DID NOT MEETac@nc9 with the requirements of the DSAs/OSPHO/Th€ requirements ofthe PROJECT documenb
Sampbs taken:PROJECT a pproved doqiments
weather C,lt O f romp: a2- f "
THE WORK
lnspected rn
MATERTAL SAMPL|NG wAs E wns ruor E tra 6.
Perlormed rn ac@rdance with DSATOSpHD/PROJECT aiprov ed documenls.
Proiecl Ar.hitect
SfucluralEngineer
OSA R€gional Ofrc€
Schoot Distnd
Contraclor
EuildinO Oepartment
OlYner
4
ignatu ot Special I
a
Certifcatio
Veriied by
Print Neme
nf: I c(- 6+5+r{?9
]IIIG 1
Corpor.lc
2992 E La PalrE Ava. Ste. A
Anahoim, CA 92806
Tel:71{.632.2999
F.x:711.6i2.2€71
Oisp.tchi 8OO.491.2900
S.n Oicgolmp.riil County
6295 Forris Squaro Se. C
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537 3S),0
Disp.tch: 888.8,t4 5060
hl.nd Emdrc
1446-/ Merili.n Ptv/y.. BHC 2A
Rivenn e, CA 92518
Tel: 951.653 (999
Fax: 95'l .853.,1566
Disparch: 6m.491.2SO
lndio
44917 GofConter Phdy., Ste.1
lndio. CA 92201
Iel 7@.U2l6n
Fari760 342.4525
DlsFHr: 8O0./P1 .2990
MrGL PRoJEcrr. 5qo3 Alq
c"*at lolfltz-lzL' t+5oq
nepo.rr I e"s"/or L
DAILY INSPECTION
REPORT
DSA/CITY File , _
oSAIOSHP0 Arpl #
DSA/LEA
'
-
SFod rnspec{on Reports mud b€ d6tnhrEd to
S€FraG rclorts saEtl be paepared kr Eoh tyDe
the par!€s lisEd belox eilhn 14 d.,s ot rre inspccton Repo.E oa m.LcffDtiarn 6rd[Dr}6 must De dEEDued nnordlaieryd so€oal jfis9efuai on a &ily basls Eadt repoal sltal b ao.npLi€d alld eoned by ttl€ sD€cbl irEpeato.6dudtn0lhe
6
THE WORK WAS WAS NOI tHE woRx tNspEcrEo MEi DID NOT MEETlnspected in acco with the reqLlirements of th6 DStuOSpHD/The requirements of the PROJ
Samples taken:
T documentsPROJECT a pproved docum.nts
- Weather.
MATERIAL SAMPLING WASO WNSIOTE VI !i
Performed in accordance w n DSA/OSpHO/pROJECT a'Dproved docurnontE.
1-t)r-o
Project Ardtitect
Structural Engineer
0SA Regional Ofice
Sdrool Dlstrid
Signature of lnspedor
o e
Print Name
6y t
o
orq.0 1
PROJECT NAME
ARCHITECT rIME DEPARTED
t t +
TIME ARRTVED: 1 .. I
Date: 8
ENGINEER oc.(a c5 TRAVEL TIME:LUNCH TIME
SHCONTRACTOREN 6RU SUA CONIRACTOR
INSPECTION ADDRESS AOORESS OF PROJECT:lSso rF;rS.!Sl-51,
trtr
D
cEt
N
N
PLANS Y ND
TYPE OF I
E ENGINEERED FILL
FI G
NDE SHOP
N
APPROVED SHOP DRAYVING Y
BATC RY
HlGH STRENGTH EOLTING
SHOP WEtD
AVAILABLE APPROVED SOIL R
LING
OSAJOSHPO PROJECT
APPROVEO DOCUMENTS
FOUNDATION
BACK FILL
D ANcHoR/Dor ,,EL
E NDE FIELD
O PT coNcRETE
E sHorcRETE
D coNcRETE
EOEUIPfUENT USED BY CONTRACTOR
TAloRK AREA
RESEARCH R NO OR MATER REPORTS): NorrEl It Concrgto, HiCrade MxMATERIALS usEo Bt coN TRACTOR
REWORK AS P CENT OF ALL WORK TODAY: O%PERCENT PROJECT COMP
af.Y\:t,o (.1
oitd cile
.oinqLJlnsP
f,Y,+#
)q"lo4,\"5 \)b3
qlc\\ulTfrCo cI
(,fi
rTr d oottloqborIe\a
ela 3lt
euJ eIdsu)r<G to U 5 J(octI4oIIet\\
Qltt e\!ln\5 I h 56@5H Jo {tC 6 E
Ds orq ct')Idq uAt S It 50 t-+4 t+L I t d51s.t
c muI n (D x 4 tl(de t5q oqrt tPnPl^S t 5 t54PaeICr(end$eIty d d ro5 ,P e o oPII h odq}1 (rtqI urSli3r€
I t U J e$e BIdatcQCdYute)^e h I z af o ,q I (q z q o L c6L+o 5 oJP*I L AEArI5edmPfrsrr.dPe fr.e-c t q\IJtdd K
I I oAu r t(e d qJ b.I t I I (5 I h c tIr\.1SrqSqrPrAPPF]0I h,'l I q edCdoP
Contaclor
Building Oep6rtrnent
orYner
Cenifcatio
Venfled by
n*:l!l-99.519.1
STRUCTURAL OBSERVATION REPORT FORM
SIRUCfURAL OASERVATION means the visual obseNation ot the structural system, fot genealconformance to the approved
plans and specifications, at signiticant conslrucrbn slagres and at completion of the structural system. Structural obseNation does
nol include or waive the responsibility for the inspections by Section 108, 1701 or other sections of lhe code.
This reporl includes all construclion work through lb'b day of Auau:r .2
Report No. 2-
o 11 Page No. I of I
No of SOR
626) 204-1088
hone No ot Observer
6) 204-1088
OASERVED STRUCTURAL ELEMENTS AND THEIR CONNECIIONS
E others None
OBSERVED DEFICIENCIES
No d-f iuerrci.= "L"."^"&
DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE
3 R
4S II
xP cir:19
Ll c TJ
FF-SS/
I I
1 I AM THE ENGINEER OR ARCHITECT REIAINED BY THE OW!{ER TO 8E IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE \/VITH THE REOUIREMENTS
OF THE CITY OF
: I, OR ANOTHER ENG]NEER OR ARCHTTECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPOIiSIBLE CHARGE, HAS PERFORMED THE REOUIRED STTE VISITS AT EACH
SIGNIFICANT CONSTRUCTION SIAGE TO VERIFY IF IHE STRUCTURE IS IN GENERAL
CONFORMANCE wlTH APPROVED PLANS AND SPECIFICATIONS
3 ATL DEF ICIENCIES WTTICH R Ei.IAIN TO 8E CORRECTED HAVE BEEN INDICATED ABOVL
4 I RECOMMENO TI.iAT ACCEPTANCE OF THE SIRUCIURAI" SYSTEMS BY IHE CIIY OF
8E wlTHHELD UNTIL ALL OBSERVED OEFICIENCIES ARE CORRECTED
26{o s. Dnrstor-st. S \r'r{ \rx. CA {ZPl
Strudural Ob6€rver ol Record (SOR)
Armen Baroonian
Burlding Permrl No Struclural Obs€rvaton performed by
B & B Associates, lnc.
Prolessional Llc /Reg. No. of Observec
sE 4227
FOUNDATION FRAMES FLOOR (ROOF)PORTION OBSERVED, IF NOT WHOLE
E Footing Stem walls 6nPs\\ tcr.r - unlgaf|X
df jurLDFlGl. sLr.r Cr>€'
sec-rrar ' 6l Prrlfts{rsq
d rrre
E Mat Foundation E Masonry E Steel Braced Frame E Steel
E Cajsson, Piles, Grade Beems fl Wood E Concrete Moment Frame E Wood
! Retainrnq Foundation, Hillside
SpeoalAnchor E otners
Embed
connection
! Ottrers:
Roof deck
conneclionE Others None
S ICiNATUR I DA'I'E
STAMP OF STRUCl URAL ENCINEER OIJ RI]CORD
D Concrete I fl Sleer Moment Frame | ! Concrele
Tl Masonrv Wail Frame
I
OF.
Corporate
292 E La PalnE Av6. Ste. A
Ansh6im. CA 92800
Tel: 714.632.299e
Fax:714.€E22971
Dbpatcrt: 800.491.2990
San Oiegorl mpcri.l County
6295 Ferds Squ.re Se- C
San Oi€go, CA 92121
Tol: 858.537.3999
Faxr 858.537.3990
oisparci: 8E6.844.50@
Inllnd Empire
1,1467 Morllian Pkvry., Bldg 2A
Rivelside, CA 92518
Tel: 951 .653.4999
Fax: 951 .653.4666
DisFtch: 800.491.2990
lndlo
44917 GofC€ntEr Pkwy.. St6.l
lndb , CA 92201
fel: 7@ .312 A6n
Fex:7d).342.{525
Dbpotsh: 8OO-,191 .2990
MrcL PRoJEoT*: 5403A19
P.,rfl r 10191322-17509
Report, 1 Page 1 of 1
DA!LY INSPECTION
REPORT
DSA/CITY Fil€ a _
DSA/OSHPO Appl. a
DSA,/LEA '
-
Separate repoats $all be paepared t een bre oa sFoal r6!€ctton on a da y Da5|6 Eadl rcro.l shall be co.npleted and sgned Dy lhe sFcral insp€clor condrf,trng ihe
TTITG I
oare: O811712017PROJECT NAME: AIdi MoT StoTe # 34
TIME ARRIVED: O7:OO AM TIME DEPARTED: 2:30 Pl\llARCHITECT: APD
LUNCH TIME: -ENGINEER B&B Associates TRAVEL TIME:
coNrRAcroR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa Ana,CA
TYPE OF INSPECTION
O ENGTNEEREo FrLL
E FouNoATroN
O EACK F|LL
E BATCH PLAI.IT
0 PT coNcRETE
D SHoTCRETE0 coNcRErE
E MASoNRY
E H|GH STRENGTH BoLTI G
[! wELorNG
O SHoPWELD
E FIREPRooFING
E ANcHoR/DoA/EL
E NoE FrELo
E NoE sHoP
CEILING vvREtrtrtr
tr
DSIJOSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYENO
SOILREPORTYONf]SPECS:YENE
APPROVED SHOP ORAWING Y E N EI
MATERIALS USEO BY CONTRACTOR 0NCLUOE RESEARCH REPoRT NO. OR MATERIAL TEST REPORTS): NonrEl\ lsigtn Concrole, Hi6rddo Mix
EQEUtP1l,ENr USED By CONTRACTOR: BoOm lift, Harness, chipping hammers, wire brush and welding machines.
r /oRK AREA: First Floor
Completed welds were visually inspected in the following locations:
-Connections between HSS on lines LE & 7&D.4 to angel L4"X6"XU 4" with %" fillet weld 3 sides as per
detail C2 on sheet fl 5403
- Connections between HSS on lines !!$f to angel L4"X5"X114" with %" fillet weld 3 sides as per detail 82
on sh6et # 5-303
- Connections between 2 Channels and %" thick plate on grid line 7 and between lines A & B with %" fillet
3" -12" as per detail A2D on sheet # 5-403
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Certified welders Ratael Depaz license #PO30500 expire date 12/20 and Enrique Zaragoza license
#PO24065 expire date 5/18 performed the above detailed welding.
All work detailed above is still in progress as per approved plans and code.
REWORK AS PERCENT OF ALL WORK TOOAY: 0%PERCENT PROJECT COMPLETE:
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEEI
lnspected in accordance with the requirements ofthe OSI'/OSPHD/
PROJECT approved documents.
Ths requirements ollho PROJECT doorment6
Sampbs taken:
Vt/eather:
MATERIAL SAMPLING WASE wASNoTE N/A EI
Performed in ac.ordance with DStuOSPHD/PROJECT approved docurnents.
Clear remp: 76 f
Sqlnature ot Special lnspedor
Maged SaadProjed Arc tecl
Structur.l ErEineer
DSA Regional Ofice
School Oisfi.t
Contrac{or
BuiHing Oep6rtment
Owner Print
certilication #: ICC{457
c&
verified
me
ilIIG I
Corpor.l.
2S2 E La hlrr6 Ave.gte. A
Anaheim. CA 92808
Tel: 714.812.2999
Fe\:714.632.W4
Dispatch: 8m.491.29)
l,rlio
,{4817 GofCenbr Pl$ay., St€.1
lndlo, CA 92201
7.L 7@312.46n
Far:l& 342.4525
Di.p.bh: 800.€1 .2990
San Oi.gpnrnpcri.l Oounty
6295 Ferris Squ.ro So. C
San Diogo. CA 92121
Tel: 858.537.3999
Fax: 858.37.3990
Dispetchr E84.8,14.5060
lnl.nd Empi.e
14467 MEndian Pkwy., Bldg 2A
Riversidc, CA 92518
T6l: 951 .653.4999
Far: 951.653.4566
Oispatdt: A{D.49'1.2€O
MTGL PRoJEcT,: 5i[03A] 9
Permitl 1 0191 322-17509
Roport r 2 Page 1ot I
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEET
lnspected in accordance wlth the requirements of the DSA/OSPHD/
PROJECT approv6d doaments
The requirements otthe PROJEcT doorments
Sarnple6 taken:
V\lEather:
MATERIAL SAMPLING WAS E WAS NOT E I.i/A E
Psrto.m€d an accodance with DSA./oSPHO/PROJECT Epproved docunEnts.
Clear temp: 71 f
of Sp€cial lnspedor
cc Projecl Architecl
Strudural ErEineer
OSA R6gional Ofrce
Scfrool Olatnd
Maged Saad
cerrificarion #r lCC4457
Venied
DAILY INSPECTION
REPORT
DSA/CITY Flle ,
-
OSA,/OSHPD Appl. I
DSA/LEA '
-
Conlraclor
Building Oep6dm€r{
Owner Print Name
Date: 08/19/2017PROJECI NAME' AIdi MOT STOTE # 34
TIME DEPARTEo: il:30 PMTIME ARRIVEO: 7:00 AMARCHITECT: APD
TRAVEL TIIVE LUNCH TIME: -ENGINEER B&B ASSOCiATES
SUB CONTRACTORcoNTRAcroR: ED GRUSH
ADDRESS oF PRoJECT 2830 S- BristolSt, Santa Ana, CAINSPECTION ADDRESS
E] CEILING I/UREtr_tr_tr
trtr
O SHOTCRETE
E coNcRETE
BATCH PLANT
PT CONCRETE
E MASONRY
EI HtcH STRENGTH BoLTrxc
E YvELoINc
EI SHoPWELD
E FIREPRooFING
E ANcHoRi oor lEL
E NoE FIELo
E NDE SHOP
trtr
TYPE OF INSPECIION
E ENGINEEREo FIL L
FOUNDATION
BACK FILL
AVAILABLE APPROVED
PLANSYENE
SOILREPORTYONE SPCCS:YENEI
APPROVEDSHOPDRAWNGY D N EI
DSAJOSHPD PROJECT
APPROVED DOCUMENTS
MATERIALS USED BY CONTRACTOR ONCLUDE RESEARCH REPORT tIO, OR MATERIAL TEST REPORTS): NOTTTEII,.{'hM CONC'EI3. Hi'GEdO MiX
EOEUIP"ENT USED BY CONTRACTOR:
r /oRK AREA FOUndation FIOOr
lnspection and rebar pre-check was performed in the following locations:
Footing type WF2, and 12" thick wall on grid lines 7 and between lines B & C for 3 sections 7' long each
section.
lnspected reinforcing steel installation.
lnspected reinforcing steel for size, grade, type, labsplice and clearance.
lnspected location for reinforcing and embedded items.
All work inspected and detailed above has been completed as per approved plans and code and is ready
for concrete placement.
PERCENT PROJECT COMPLETE;REWORK AS PERCENT OF ALL WORK ToDAY: 0%
2992 E Ls PalnE Ave. Ste. A
Anahoim, CA 92q)6
T€l:714.632.299e
Fa\: 71 4.632.297 4
DisParch: 8m.491.299O
S.n Oicgorlrp.rirl Couft y
0295 F6(rb Squaro So. C
San Diego, CA 92121
Tcl: 854.537.3999
Fax:856.537.3990
Dispalch: Aa8.8, r 50@
lnl.nd Emgirc
'14467 Morilbn PhYy., Btdg 2A
Rivorsldo, CA 9251E
Tel: 951 .653.4999
Far: 95'1.663.4666
Dispatch: 8m-491.29SO
lndio
:i/€t 7 GoI Ccnr. r Ph/y. , St6.1
lrdlo, CA 92ml
ret 7gJ342I6n
Fax:7@.342.4525
Disp€bh: AOO.49I .2,390
MrcL PRoJEc : 5403A19
permnr 1 019'l 322-17509
R6ponrlPago1ot1
DAILY INSPECTION
REPORT
DSAr'CITY F.Io ' _
DSAr'OSHPD AppI. ,
OSA/LEA '
-Separate rcportg 6hall be p.epa.ed lt ea.h type d sp€oal
'r6p€dlon
on a da't b6rs Each epo.t snal tE csnpleted ad sprEd by rE sp€clal tlsp€oto. co.xldng the
]IITG I
oate: 08/19/2017
TIME DEPARTED, 4:30 PMrlME ARRIVEDT 7:00 AMARCTiITECT APD
LUNCH TIME: .TRAVEL TIMEE NGINEER: B&B AsSOci.tES
SUB CONTRACTORcoNrRACroR: ED GRUSH
ADDRESS OF PRO.JECT: 2830 S. BristolSt, Santa Ana, CAINSPECTION ADDRESS
CEILING WREUtrtr0
tro0
E CONCRETE
BATCH PLANT
PT CONCRETE
SHOTCRETE
f] MASONRY
EI HIGH STRENGTH BoLTING
D wELDtNG
D SHoPWELD
tro
EI FIREPROOFING
E ANCHOR/DOWEL
NDE FIELD
NDE SHOP
TYPE OF INSPECTION
E ENGINEERED FILL
E FOUNDATION
E BACK F|LL
SPECS: Y EIN tr
APPROVEDSHOP DRAWNGYE N DDSAOSHPO PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYENE
SOILREPORTYENE
EQEUIPMENT USED BY CONTRACTOR
r^/oRK AREA FOUndation FIOOr
MATERIATS USEO BYCONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS): NorrEl\,,eigl Conctete, Hk3rade Mix
Observed epory for installation of 168 Horizontal dowels and 42 vertical dowels for Concrete footing and
concrete wall in the following locations:
On grid line 7 and between line B & C.
Observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air prior
to placint Epoxy.
Epoxy Simpson HILTI-HIT-HY 200-R was used expire date 5/2018.
Contractor followed the manufacture instruction for installation as well as ESR-2508
All above work was completed as per approved plans "detail 82 on Sheet # 5-301" and code.
PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY, O%
TI.IE WORK WAS WAS NOT
lnspeclcd in sccordance vrtth the requirements of the OSA,/OSPHD/
PROJECT approvEd documonts.
VlEather:
MATERTAL SAMPL|NG wAs0 wAsNorD wAE
Perlormed in acaordance with DSA,/OSPHDi PROJECT apptoved docurnents
THE WORK INSPECTED MET DID NOT MEET
The requir€ments ofthe PROJECT documents
Samples taken:
Clear remp 71 f
cc
Signature of Special lnspedol
Maged SaadProiecl Archtect
Strudural Engineer
OSA Regional Ofice
Sdrool Di*id
Contractor
Building Dcpartmcnt
Owner Prinl Name
Ce rtificatio n *: ICC{457479
Venfed
PRoJEcr NAME| Aldi Store Mor # 34
ilITG I
Corporate
2s2 E La Palrna Ave. Sts. A
Anrh6im, CA 928@
Trl: 714.602.2999
Fex: 714 .etsz.297 4
Dbpatch: a@.491.2990
S:n Oi.goInlp.ri.l County
6295 Ferrb Squers 9e. c
S€o Diorp. CA 92121
Tel: E58.537.3999
Fax: 858.537.3990
Dispatch: aEa.a44.5060
lnl.nd En|Iire
1 4467 Morilian Pkwy. , Eldg 2A
Riv.rsit.CA92518
T€l: 951.653.4999
Far: 951.853.21686
Dicporch: 8m.491.2990
lndio
,1,191 7 Gof Cenbr Pkwy., Ste.l
l,x!o, CA 92201
7el: 7@ .U2 16n
Fax7a U2 4525
Okpatch: 800.i191 .2S0
MrGt PRoJEcTt: 5403A19
Permit * 10191322-1 7509
Report*4Page1of1
Projecl Archilecl
Strudurdl Engineer
DSA Regional Office
Sclrool Dialricl
DAILY INSPECTION
REPORT
DSA/CITY FiL a _
OSAr'OSHPO Appl. t
DSA/LEA '
-
THE WORX WAS WAS NOT
lnspected in accordance with the requirem€nts of the DSA,/OSPHD/
PROJECT approved documenls.
Vlbtthei
MATERIAL SAMPLING WAS D WASNOTO N/A E
Perlorm€d in accordsn€e with OSA/OSPHD/PROJECT .PPEved docrrrnents.
THE WORK INSPECTED MET DID NOT MEET
The .equiremenls ofthe PROJECT documents
Sampleg taken:
Clear temp: 71 f
Signature of Sp.cral lnspeclor
Maged SaadContractor
Building Oepartrnent
Owner
oate: 0E/19/2017PROJECT NAi,E AIdi MOT STOTE f 34
IIME ARRIVED.OT:OO AM TIME DEPARTED 4:30 PMARcHrrEcT: APD Architecture
LUNCH TIME: -TRAVEL TIME:ENGINEER: B&B ASSOCiATES
CONIRACTOR: ED GRUSH
ADDRESS OF PROJECT 2830 S BTiSIOISt, SANTA ANA,INSPECTION ADDRESS
trtrfl NDE FTELD
E NDE SHoP
FIREPROOFING
ANCHORTDOYIEL
CEILING WREtr
D
trtr
trtr
O sHorcRErE
E CONCRETE
BATCH PLANT
PT CONCRETE trtr
E uesornv
E sHoP vvELD
HIGH STRENGTH BOLTING
WELDINGtro
TYPE OF ITISPECTION
O ENGTNEEREo FrLL
FOUTIDATION
BACK FILL
SPECS:YEINE
APPROVED SHOP DRAWT{G Y E N ESOILREPORTYONEDSA./OSHPD PROJECT
APPROVED OOCUMENTS
AVAILAALE APPROVED
PTANSYENE
hEPORTS): Nonml lr\&igm Conc.ct€, Hl-Grado Mix
EOEUIPMENT USED AY CONTRACTOR:
r ioRK AREA Foundation FIOOr
lnspected the placement of 8 Cubic yard concrete 3,000 PSI ready mix # 43051 in the following locations:
Footing type WF2 on grid lines 7 and between lines B & C for 3 sections 7' long each section.
All areas of concrete placement were clean of all deleterious materials, reinforcing is clean of mud, oil or
other nonmetallic coating.
Concrete was mechanically vibrated.
Reinforcing Steel was secured against displacement.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: O%
Cerlification #:79
Name
SUB CONIRACTOR:
Colpollte
292 E La PatnE At e St€ AArahem, cA 02806
T€l: 714.63229stg
FEx.7t4.f!,a.2gt4
Disp6lch: 8OO 491.29SO
,seIt_OiagoJtn|Pcri.t Coulltvozvf Form Square S€. CDan uiogo, cA 9212,
Tol:854.537 S)ge
FEx: 658.537.3990
Oisp.tch: BaB.644,5060
lnl.rd Emdr!
,446l MerdEh P|(vry.. Bldo 2aK,v€rstdg, CA 92518
T6l: 951 .653 49sg
Fax:gSt.653.4S6
DisF6tch: 000.,t91.299O
lrldio
44917"Gotf Centor ftwy., Ste.t
fel:7@34z8n
Fax:7A342J525
Oispodr: g)O.,lg.t.2ggo
MTGL PRoJEcr*: 54,t 3 A iq
Pennr lQ19t \l2- _ iliO g
Raponr_ pago of
DAILY INSPECTION
REPORT
3 (hdy ba6la Ea.rr
THE WORK WA s WAS NOT
Inspected in accord wilh lhe requlrements of lhe DSA/OSpHD/
THE
Th€
Sam
IN MET OID NOT MEETPROJECT approved doauments requ irements otthe PROJEC T doq.lmentsplestaken:
yflHS:"'IHHL*ff ,g&i"riB,-B.yi"*.,"o**."nI*"Temp -1-
Project Architect
Slruciur.l Engineer
DSA Rgglonat Office
Sctool District
Signalure of S
Cenjfcafion #: laC-
A,r ot'3
PROJE CT NAME re
Dale 8 L 2.o irARCHIIECT;
'.oc.AD:TI ME ARR TIME DE PARTEDENGINEE R
.,feS5Sc-'c-TRAVE L TIME LUNCH TIME:ci
coN IRA c OR
su8 coN TRA croRINSPECTIONeooness
5-i a{
DOR OFESS P RoJa c I l8 b3e rtl )C)
TY NS
t1 G E EDER LFI LFOUDATION
BACK FI LL
AATCH
tr PT CONCRETE
SHOTCRETE
coN CRETE SHOP LD
RY
HIG}I STf,ENGTH SOLTING
FIRE PROOFIN G
NDE S
ANCHOR,IOOWEL
NDE FIELDCT
R oOVE U00c F TSN
tr
c EILING wRa
PLANS Y TY NsotLRE
N
SPECS:N
D SHOP
EOEU'PMENT USEO AY COITRACTOR:
IAICRK AREA \- I -.Fc\ n d q\ rra r\Y lr€,r
E USED av coN R(R NO OR TE R ,AL TTES ER NorrEl Con M
R EWO KR PAS c TN Fo ALL WOR TK DAo 00/o PE R PCENT OJR Ec I
cc contraclor
Building DeEErfiirnl
Own6r
Verified by
Print Nam.Sqtr+tr
,F
OSA/CTTY Fiti t _
OSATOSHpO Appt. t
DSA/LEA
'
i
b
1'AUUU
A GOLD ARC INC. COMPANY
SERVICE ORDER
848 Towne Centsr Dr. . Pomona, CA 91767
(909) 394-7311 Fax (909) 599-1941
cA License #850249
www.pascodoors.net
)
- oifiien's, AIJTOMATIC DOOR DAILY SAFETY CHECK
1. Chock daily for propsr operalion lncludlng all Infrared approach 8nd s8l6ty flelds,
safety mati, thrdshdld and mal moulding, hbld open photo calls, hold oPen threshold
dotoction fi€lds, decals 8nd op€ratlng sp€eds.
2. DlscontinuB door operatlon immodlataly upon malfunctlon
3. Consult your psrformanco and saloty checklist.
4. Notify PASCO for ropair.
),' ', )
lf you need a checklist copy or have quostions rsgarding proper perlormance and satoty
check procodur€s call. wrlts, or g-mallat: www.pascodoors,com
PASCO
Sales / Service (AllAroas)
848 Towno Center Dr.
Pomona, CA 91767
(909) 394-7311
PASCO has an AMEBICAN ASSOCIATION OF AUTOMATIC DOOR MANUFACTUBERS
(AAAOM) CEHTIFIED INSPECTOR ON STAFF AT ALL TIMES.
TECHNICIAN'S
SAF ETY/Q U A LITY/P ERFO R MANC E C H EC KLI ST
I
Safety hold beams properly functioning
Walk test microwave pattern, intrared pattern, carpsts
lntrarsd/ultrasound safety sensors properly functioning
D6cals lnstalled
Motor/gearbox inspect and test
Contrcller inspect and tesl
Unit performing to ANSI/AAADM standards
Structural intEgrity o, unit visually acceplable
Drive wheels and guide system lnspect or replace
Drive b6ludrlvs chain inspect or replace
Locks inspact and test
Clean door and glass
StorE torm neEded E Anached
TECHNICIANS RECOMMENDATIONS:
STORE STAMP
I
ril
{.IP/
UAXE/MODEL
NAME
ADDFESS
?cao
CIry STATE Z P
/)-,
SERVICE CALL '
TECHNICIAN
L
Y.0 Q/wennerrv ceu
Ll L/ couFlESY Crr!p/E sererv sverw ox
E-! serEw cxrcrust
E(E ooo" .rrr o"r*,r.s
/
MAI(E / MOOEL
MAKE/MOOEL
AUTOMAiC XSLTOER *-SIOBEFSONT o MANUAL tr SWIN6ER D
TFOUBLE BEPORIEO Z
SEFVICE PEFFOFMEO
VTTrq'-NO
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
wwV+vVVVV
tr
k,
YES
Wd
MATERIALAND LABOFI BECOBO
AUTHOFIZED SIGNATUBE ANO RECEIPT OF OUALITY/ SAFEry CHECKTIST
OATE
x
Shnllurc.!ow condtut.s Eulhodr6Ion ol wort .nd acc.plan . ot abovo
trod( ar b.ln9 tsll.hclory . 6nd lhal equlpmonl hai b6on blt ln good condllion lTr.aruL/ou
rtt\rnra\E _r/\ E'.\t I .rll, hr\ ttr\T o/\v Eol'lt/l Tulc eEll\rl.rE rlantrrl
CONIACT/ PO. }
7
BUSINESS PHONE
LOCATION ILL
INSIALL OATE
LOCATTON INSTALLOATE
h$-./7
7
INSTALL DATELOCATION
/,
&
IIMEOESCBIPIIONPBICE
I IN
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s SUB
TOTAL
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MANUFACTUBER S NBOUNO FFEIGHT
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I
TOTAL
DAIE WOFK PEHFOFMEO
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S.n CX.eo, CA Pl2l
T.l. 856.537.3e80
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Riv.r.id.. CA 02516
T.l 951.663.49S
F.r: 05t.Eial ,1686
DbFtcrr:80 a9l 29
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OSA/CrrY Fr. t _
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DS^/LEA '
-
Sl€ 1
UTGL PRO.'ECT': 540341 9
P.nri. 10191322-17509
Rspon, 1 P.!. t ot 1
slr-rod !r!pe@r F{tlqtf, mld E dartuE Et fE oanr3 &d b.lo,5fh 14 d.yr., rh. lfEp@n R!po.t! d r,c.Fcsrdl'r csrdnsr mLEt b (Httrr.d mnEdEHy
960r* r€9o.li arrdl t p.e96.d lq 6cl' t.pe cr.9o.l ,Ep€dut on a dr, basi Eeh rcpdt ,r.n b conpt i.d ,a r{rt d b, flt.ral .t p.du @xrdrE ttr
THE WORK WAS WAS NOT THE WORK INSPECTED MEI DIO NOT MEET
DAILY INSPECTION
REPORT
lDlp..ted in .ccord.nca wilh th. DqunGmrnt! ol ,le DSA"/OSPHD/
PROJECT approvad docum€nti.
Tha rlquilnrnt! ot th. PROJECT documnt!
S.mphi t6k.n
V\iqtlr
MATERTAL SAI'PLING WASE WAS NOT EI TVA E
Po.to.rnGd in lccodan . with DSI,/OSPHDPROJECT rpprov.d docurEnts.
Clear remp 72 f
sig ot Spooal lmpeCor
Maged SaadPrci€d Anhted
Structudl ErEiraer
DSA Rlglonal Otltce
Sdlool Dilin€l
Cmtraalor
Adk hg O.Frrm€r[
O,rter Pnnt Name
PRoJECT NAME Aldi Mor Store # 34 oate 10/03/2017
ARCHITECT APD TIME ARRIVEO 7:OO AM IIME DEPARTED 9:OO AM
E NGINEER BIIB Associates TRAVEL TIME LUNCH TIME .
CONTRACTOR EO GRUSH SUB CONTRACTOR
INSPECNON ADORESS ADDRESS oF PRoJEcT 2E3) S. Bristol St, Santr Ana CA
BATCH PLAIiT
PT COXCRETE
SHOTCR€TE
CONCRETE
llAsoll RY
XlGH STRET.IGTH BOLNXG
V\,ELOING
SHOP I,\ELO
FIREPROOFII{G
AXCHOR/DOU/EL
NOE FIELO
NOE SHOP
l
N
SOIL R PORT Y SPECS Y N
PLANS Y
D
EEgXI
cEr
APPROVED OOCUMENTS
EACK FILL
oslJosHPo
APPROVEO S}loP ORAI.IING Y
D E GNEEREo FILL
E FoutloATloN
UAtERLAl-a UEEO gY COI{TRACTOR OICLUO€ RESEARCH REPORT }aO. OR LATERLAt TEST REPORTS): No.'trl Vqttt C..rqi., Hi{sod. UE
EOEUIPT'ENT USED AY COXTRACTOR:
ripRx AREA Founddion Floor
Observed €poxy for installation of 26 horizontal anchors for connection between canopy ceilng frame and
existint masonry wall in the following locations:
On lines F and between lines !!.,!!Q.
On lines 7 and between lines 0.4 & F.
On lines 7 and between lines A.8 & A.
On lines 7.4 and between lines {!fu\.
Onlv 7 Holes were rood but the others l19l locatlons wer€ poinr throu&fi hollow btocks. As oer
Suoerlntendent an RFI was sent to the enrineer for an accedaHe soluuon.
Observed holes dia. & depth and ob-rved cleaning of all holes with a wire brush and comprcssed air prior
to placinS Epoxy.
Epory Set-XP was used, expire date 03/2019.
Contractor followed the manufacture instruction for installation as well as ESR-2682
All above work (7) seven anchors were completed as per approved plans "detail D2 on Sheet i 5-301" and
code.
REVI,oRK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE
cc
Cedrncation l: lC 479
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292 E L! Pikn A\/€. Sto. A
An.heim, CA 92EOo
T.l:714.632.2999
Fa\714.6g2.N4
Obp€tchi 8(rc.491.2990
San Oi.gormp..ial County
6295 F6ois Square Sb. C
San Diego, CA 92121
Tel: 858 537 3s€
Fax: 858.537.3g9O
obp.rcfi : EE8.84,{.5060
lrllrnd EftpiE
14€7 Merirbn PXwy., BHg 2A
RiveBide. CA 9251E
Tol: 95'1.663.4999
Fax: 951.63.4668
Disp.lct: 8&.49 1 .2S$
lndio
,14917 Gof C.nbr Pt$.y. . St.. 1
lndb. CA 92201
f.t:7@.342t6n
Fax:7@.342.4525
clsp.bh: ax).491 .2so
Speoal inspe(ton RegorB must be ddnhrhd b
separale reports $all be FeparBd for edl rype
MATERIAL SAMPLING WASE WASNOTE N/AE WbAthET:
Periorm€d ln ac€ordancs wt$ DSA,/OSpHD/PROJECT approvrd docurnents.
*e1!is]]tl9:q -S{ t4 days_dttE
'rEpedaoo Repo.ts., ioo€.rplani .ornihqB mud tE dufibded irmedi*lyq speoar Dsp6ctrcn on a da'ty bqs6. Ead' repofl 6han be coanpletEd aid storad by the 6pecd irEpodoa co.tdudirE the
MTGL PRoJECTT: S403A19
Pennfi ' 10191322- t 7509
Repont l Page 1 ol I
Proied Architecl
Strudural Engineer
DSA Regionat Ofice
School Dilrnd
T}IE WORK WAS WAS NOT THE WORK INSPECTEO MET DID NOT MEETlnEpeclod in accordance with the requirements ofthe OSA/OSpHO/
PROJECT appmved docdrments.
The rBquiEmsnis ofthe PROJECT doqJments
Samphs taken:
Clear Tenp: 7 4 t
S of Special lnspedor
Maged SaadContrSdor
BuiHing DeFrEnent
Owner Print Name
cerufcauon f : ICC{457479
TTIIG t
PRoJEcr NAME: Aldi Mor Store # 34 oare 0912712O17
ARCHITECT: APD rrME ARRIVEoi 08;00 AM TIME DEPARTED: 3:OO PM
ENGINEER B&B Associates TRAVEL TIME LUNCH'nME: -
CoNTRACToR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDR ESS OF PROJECT: 2830 S. Bristol St, Santa Ana CA
roNTYPE OF INS
BACK FILL
E ENGINEERED FILL
D FoUNDATToN
BA PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASO
E HlGH STRENGTH BoLTII{G
E welonc
E sHoP V\ELD
FIREPR@FING
ANCHOR/DOYI/EL
ND€ FIELO
NDE SHOP
CEILING \MRE
tr_
DSA/OSHPD PROJECT
APPROVEO OOCUMENTS PLANS Y
APPROVED
NE SOIL R N
N
SPECS: Y N
APPROVED SHOP ORAWNG Y
EoEUrPjrrENT usEo BycoNTRAcroR: Boom lift, Harness, chipping hammers, wire brush and welding machines
MATERIALS USED BY ERIAL TEST
WORK AREA] Roof
NO OR(INC LU DE RESEARCH R NonrEl lilroi0trr Concrsts. Hi6r.de Mix
eted welds were visually inspected in the following locations:
-condenser support at rco? 3h6" fillet weld for each end both sides for L3x3xl/4 Brace and the HSS3"X3"xt/4" as per detail 81 & 83 on sheet # 5-408.
-Opening for RTU Support at roof between lines C&D and lines 5.6&6 as per detail D3 & 83 on sheet # S-
405 and as per RFI 854.
Welds were inspected for size, lenSth, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license #P031279 expire date o3/201g and Rafael
De Paz LA license *P030500 expare date O5/ZO2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
Compl
EWOR KR PAS cER TEN ALLOF KWOR ODT Y 0%PERCENT PROJECT COMPLETE
ca
o-+.r cr-t-*v Jr t#
DAILYINSPECTION DsA/crwFirer_
REPORT DSA,/osHpo Appr. ,
OSA/LEA '
-
IUIIG I
Coaporrtc
2S2 E Lr Palrr. Avc. Ste. A
Anaheirn, CA92E06
Tel: 71,1.632.2999
Fax:711.eB22€71
Dilp.tch: E@.491.2990
San OicgornpGri.l County
6295 Feris Squaro 516. C
San El€go. CA 92'121
Tol: 858.537.39So
F.r:8S.537.3990
DisFtchi 8E6.&{.t.so@
lnland Emrrirc
1 ,a467 Moridbn Ptwy. , Bldg 2A
Rivorsido, CA92518
Tcl: 951.653.,19$
F6x: 951 .553.4866
oispotch: 80O..tS1.2S9O
l.|db
4491 7 Gotr C€nLr Pkwy-, Ste. I
lndb, CA 92201
Id:760342.16n
Faxtl60 312j525
ObFbh: 8O0.aS1.2990
Separde reFrts lrr€ll E FEpa@d lrr ea* tlpe c, sFoal rlsoedEri on a daity b63E Edr rEpori shall ba compbed ar'd s{ned by the specral irEpedor coarduatno the
MTGL PRoJECTT: 5403A19
eernit r 1019'l 322-17509
ReponJePagelofl
Ploject Architect
Strudural Engin€€r
OSA Regional Ofico
Scrrool Oidnd
DAILY INSPECTION
REPORT
DSArcIY Fib ' -
OSAToSHPO Apd. I
osA/LEA * _
THE WORK WAS WAS NOT THE WORK INSPECTEO MET DID NOT MEET
ln€pect€d rn acaDrdance rylth th6 r€qulrgments ofthe DSA/osPHo/
PROJECT approvBd documents.
Ths rsquiremonE oftho PROJECT doqrmefits
Samples taken:
V\bath€r
MATERIAL SAMPLING WAS E WAS NOT E] II/A EI
Perfomed ln ac@rdance with OSI'/OSPHD/PROJECT approved docurnents.
Clear temp: 76 f
SE of Special lnspedor
Maged SaadContracior
Bualdmg Oepertno
Owner
certification #: 1CC345747
Verified
Print Name
-
PRoJEoT NAMEj Aldi Mor Store # 34 oare:0912612017
ARCHITEcT: APD TIME ARRIVED 9:OO AM TIME DEPARTEo: 3:00 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME:.
CONTRACTOR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa Ana, Ca
TYPE OF INSPECTION
E ENGINEEREo FILL
E FouNoATroN
E BACK F|LL
U
D
E SHoTcRETE
E coNcRETE
BATCH PLANT
PT CONCRETE
EI MASONRY
E HIGH STRENGTH BoLTING
O vvElorNG
EI SHOP WELD
utr
D
E} FIREPROOFING
ANCHOR,/DoI'VEL
NOE FIELO
NOE SHOP
D CEILING \^/tRE
troo
OSA/OSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVEO
PLANSYENE
SOIL REPORT Y f] N trI SPECS:YENE
APPROVEO SHOP DRAWNG Y D N E
MATERIAIS USED BY CONTRACTOR (NCLUDE RESEARCH REPORT NO. OR MATERTAL TEST REPORTS): Noni.lt bighi Con.rctc, Hil3radc Mb(
EOEUIPitENT USED SY COI{TRACTOR:
v\oRK AREA First end Floor
lnspected the placement ofgrout 3,000 PSl, in the following locations:
Shopping cart wall from level +d-0" To +4'-0" level on grid line G between lines 5.8 & 5.4 "top of wall".
Grout was mechanically vibrated.
All above work is still in progress as per approved plans and code.
REWORK AS PERCENI OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETEI
]UIIG t
Co,poratc
2992 E L. Peh. Avo. Ste. A
Anaheim, CA 92d)B
T6l:714.632.29S
Fe\:711-€E?2€71
Dispatch: 8@.49'l.2SO
lnland Emfrira
142167 Msrilbn P|(llry.. BrCa 2A
Riv.6ide . CA95lE
Tol: 951 .663.4990
Fax: 951.653-21668
Dbp.tch: 8{x).491.2990
S.n Oiagolrnpa.ial County
6295 F€rris Squrro S[€- C
San Clsgo, CA 92121
T€l:858.137.3SS
Fax: 85t1.537.3990
Otsperch: 888.8,14.9,G5O
Ir|db
:14917 Gol, C€nbr Ph y.. Ste.l
lr|db. CA 922()l.reL 7@.312Agn
F.x:7q).342 3525
C}bp.dr: 800.,191.2S9O
speoal lospectoo Reporb mud be dislnbut€d tD
Sep€rale lepoats $att be p.Epsred lo. ee.i rype
qE frys Ilsled. b€br\rdt'n 14 daysd lh€ rrydon REports oa no.lcsnptiant dr,tixE mlj3t be drst|bJhd mmed€btyd speorl rEpedbn on a darty ba!r3 E dl repo.t sha{ be co.npl€ted ard sE.Ed by rhe spectst ,.rp€cfor E d,-drE fE
MrGL PRo.lEc : 5403A19
Permtr 10191322-17509
Roporl r l Pago 1of1
cc Project Ardritect
Strudural Engineer
OSA Relional Ofice
Sd|ool DEfid
DAILY INSPECTION
REPORT
DSA/C|W Fib t _
OSAr'OSHPO Appl. ,
DSA/LEA r _
THE WORK INSPECTED MET DIO NOT MEET
Th€ requirementE ofthe PROJECT documentg
Sampbstaken:
Clear Temp: 76 f
rHE WORX WAS WAS NOT
lnspected in accordance with the requirementg of the DSA,/OSpHD/
P ROJECT approved documents.
WEathen
MATERIAL SAMPLINCI WASE WASNOTE N/A EI
Perto,med an accorrance wlth DSA/OSpHD/pROJECT approved docurnents.-X-rs
Contracloa
Euilding Dep6rtment
ot'vn.r
SErEture ot Special lnspedor
Maged Saad
Pnnt Name
Ceditication #: ICC{457479
Verified by:
PRoJEcT NAME: Aldi Mor Store # 34 Date: 09126/2017
ARCHITECT:APD T|ME ARRTVED 09;00 AM TIME DEPART€D: 3:OO PM
ENGINEER B&B Associates LUNCH TIME: -
coNTRAcToR: ED GRUSH SUB CONTRACTOR
INSPECTION AODRESS ADDRESS oF PRoJECTT 2630 S. Bristot St, Santa Ana CA
TYPE OF INSPECTION
E ENGINEERED FILL0 FoUNDATToN0 BACK F|LL
E] MTCH PLANT
E PT coNcRETE
E sHorcRETE
El coNcRErE
trtr
E
E sHoP \,rcLD
MASON RY
HlGH STRENGTH AOLTING
WELDING
E] FIREPROOFIITIG
E ANcHoR/Dor EL
E NDE FrELo
E NDE SHoP
trtrtrtr
CEILING WRE
APPROVED DOCUMENTS
PO PROJECT AVAILABLE APPROVEO
qLANSYEINE SOIL REPORT Y EI N E
APPROVED SHOP ORAWNG Y DNO
SPEcs:YUNE
EoEUTPTTENT usED By coNrRAcroR: Boom lift, Harness, chipping hammers, wire brush and welding machines.
H REPORT NO
1NJORK AREA. Roof
MATERIALS USEO BY CONTRACTOR (INCLUDE RES MATERIAL TEST R PORTS): Norrnal tlr.ighr Concrote. Hi€rrdo Mn
Completed welds were visually inspected in the following locations:
-Condenser support at roof: 3/16" fillet weld for each end both sides for L3X3XL/4 Brace and the HSS
3"X3"xl/4" as per detail 81 7 83 on sheet # S4OG.
-Continuing reinforcing joists between lines C&D and lines 5.6&5 as per detail C on sheet f 5-405.
-Opening for RTU Support at roof between lines C&D and lines 5.5&6 as per detail D3 & 83 on sheet # S-
405.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license fP031279 expire date 03/201g and Rafael
De Paz LA license #P030500 expire date 0S|2O2O,
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
EVIICR RK ERP EN T OF ALL WOR TOK YDA 0%PERCENT PROJECT COMPLETE:
TRAVEL TIME:
TIIIG I
Co,porrtc
2992 E L! fttryla A\16. Ste. A
Anah€im. CA 92EO6
T6,: 7r 4.612.2990
F.\1714.ets2.2974
Oilpotcfi: 8O0 4gt.2990
San Oi.gorlnrp.rirl Countv
6295 Fe.rb Square So C
San CI69o, CA 92i21
T6l: 858.537.39S9
Far:658.537.3S0
Dbp€lch: 8€8.444.5060
lnla.|d Empira
1,146l MorUbn Pkwy.. BkS 2A
Xlvcrsiro. CA 9251A
Tel: 951.653..t999
FEx: 951.S3.it506
Disp6bn: E0O.491.2090
lrrlio
449t7 cof C.nbr pt(ttay., Sr..l
lndio. CA 922Or
7.1:7@342.6n
F.x:7@.312.4525
Disp.bh: 600.,€1.2990
MrcL PRoJEcrr:5403A19
Pemit, 10191322-17509
ReportrlFbCe1oti
Spe.ial lnsp€ctoo Re9o.6 mud beSeFraE repo.ts $aI be p.epared
d6blhrEd b tle partres lEted bek x
hlf eact! t,re oa 6IaC€l r6rEdxh on
DAILY INSPECTION
REPORT
DSArcITY FiI6 '-
DSA/OSHPD Appt. ,
DSA,/LEA
'
-
l9l 1o 0"1,"_c U" ,op..o", Report6 d rErFcqn!,tEnt oo.1dto.B mGr be dEttr€d mnEd€Ety6 oary 66. Eadr repo.t srEr !o corptGbd Erd rired !I n" "r"_
-,_*o?ffi#ffi-
rHE WORK WAS WAS NOT
lnspected in
PROJECT a
accordance with th6 requirements of the OSA/OSpHD/pproved doqJments.
THE WORK INSPECTED MET DID NOT MEET
The requirements ot the pR OJECT doqrments
Samples taken
Clear Temp: 82 fMATERIAL SAMPLING wAS E] WASNoTEI N/A EI WbtthE[
Pet ormed in ac.ordance with DSA./OSpHD/en6lleCi afrroveO aocunnnC.
cc Projed Architect
Structural ErEineer
DSA Regionat O,ice
Safiool Disff.t
Conlractor
Buibing Dep€turem
Owner
s(rna pecial Inspedor
Maged Saad
P.int Name
Cefticatirn #: ICC{457479
Verifed
PROJECT NAME, Aldi M or Stoi€ # 34
oate: 09/25/2017ARCHITECT APD TIME ARRTVED: O7:00 AM TIME DEpARTED: 3:00 pM
ENGINEER: B&B A ssociates TRAVEL TIME LUNCH TIMEr -coNrRAcroR: ED GRUSH S U8 CONTRACTOR
INSPECTION ADDRESS
ADORESS OF PROJECT:2830 S. B ristol St,Santa Ana CAOFTYPErNsON
FILLtrENGINEEREO
FOUNOATION
BACK FILL
SATCH
D PT coNcRETE
SHOTCRETE
CONCRETE
MASONRi
HIGH gTRENGTH BOLTING
WELOING
SHOPVVEID
FIREPROOA NG
D NoE sHop
ANCHOR,/DOWEL
NDE FIELO
LING I,\4RE
tr
DSTJOSHPO PROJ ECT
APPROVED DOCUMENTS PLANS Y
APPROVE O
N
SOIL REPORT Y N
NEI
SPECS: Y N
APPROVED SHOP ORAw|NG Y
EOEUTpMENT usEo By .oNTRACTOR: BOom rift, Harness, chipping hammeTs, wire brush and werding machines.
(INCLUDE R RCH R
VVORK AREA: Roof
IALS USED BY T XO. OR MATE RIAL TEST R EPORTS): N orrnal \ ,/€igtn Concrete , HiSrade Mix
-Continuing reinforcin8 joists between lines c&D and lines 5.6&6 as per detail c on sheet f s-405.welds were inspected for size, rength, rocation and free of visibre defects.verified welders certificates as: christopher Ponce LA license #p031279 expire date o3l2018 and RafaelDe Paz LA license #p030500 expare date OS/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
s:
roof:u4
Co m leted wep td we5 re asu n n tlypected h fol low loca oti nng
nd-Co ne rse su rt tappo t 6)l we d 3 s ed s ae ch e rfo 3XL3X xe 2 lo na d ht e HSSng3"x3"x 4 sa I deLl ta ?Bpe no h5 eet s-406
R EWO KR PAS R ENTc ALL WOR K oT YDA oo/o PER CENT P ROJ CE T COMP L ETE
fillet
[IIG t
Corpordc
2902 E L. tulru AvE Ste A
Aneh.im, CA 92806
Tel:7!4.63229@
F.r:711.tj2.2371
Oispqtch: 8@.491.2990
Srn DiagolrlPcrial Coui y
6295 Ferris Squaro Se. C$n tlogo. CA 92t21
Tel:E58.537.39S
Fax : 858.537.3990
Obpatch: 888.8.14.50G0
lnl.nd Emlrrc
14467 Meruhn Pku.y.. Bde 2A
R iv.rsk .. CA S25'l E
Tel: 951 .653.21990
F.r : 951 .653 {866
Dispatch: 8(x).,191.2990
hdio
{agi7 Gof Cont6r Pk y.,St..1
l.dio. CA 92201
raL 760312.8n
F.x:7€Xr.342.45a5
DbFbh: 80O.€1.2990
Speoal lftsp€aton ReporlE must be dsbboted tic
Separate repo.ts $att be prepar€d 1o( each tlDe Fel]P_!*d-P* *rr'rn l,{ dayr_ot th€ nspedron Ftepo,ts of non{omptlsnt odartDns mud be dslhri€d rnmediaEy
or speoal r6rhon on a daily batir Eadt regoal shalt be dnpt€led arld *Jned by rp Epeclat,n6p€{td co.a,,rctno th€
MTGL PRoJEcrr: 5d03A19
P€nrit t I 0l 91 322-1 7g)9
ReporltlPag€ 1of 1
Projecl Architect
Sttudurdl Engineer
OSA Regionsl Ofice
S6ool Diifid
DAILY INSPECTION
REPORT
DSArcIY Fle t _
OSATOSHPO Appl. ,
DSA/LEA r _
MET DID NOT MEET
The requirements ofhe PROJECT docum€nts
Sample€ takqn:
Clear Temp: 70 f
sig ot Special lnspedor
Maged Saad
THE WORK WAS WAS NOT THE WORK IN
lnspectsd in accordancs with th€ requirements of the DS OSPHD/
PROJECT approved documenb.
V\bather
MATERIAL SAMPLING WASE WASNOTD l.l/A EI
Perfomed in accordance with OSA/OSPHD/PROJECT appDved docurnente.
ConEactor
Building Dop6rtrn€nt
Orner
PROJECT NAME: AIdi |,or Store f 34 oate:0912212O17
ARCHIIECT: APD TIME ARRIVED: 07;00 Al,l TIME OEPARTED: 3:O0 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH 'IIME: -
coNrRAcroR: ED GRUSH SU8 CONTRACTOR
INSPECTION ADDRESS ADD REss oF PROJECT: 2830 S. Bristol St, Santa Ana CA
trEu
TYPE OF INSPECTIOIi
ENGINEERED FILL
FOU N DATIOT{
BACK FILL
EI BATCH PLANT
E PT coNcRETE
E sHorciETE
E coNcRETE
f] MASONRY
E HGH STRENGTH SoLTING
El WELDTNG
E sHoP wELo
EI
D
E NDE FIELD
D NDE sHoP
FIREPROOFING
ANCHORiDOWEL
CEILING WREtr
Do
DSA/OSHPD PROJECT
APPROVED DOCUMENTS
AVAILAALE APPROVED
PLANSYENB SOIL REPORT Y EJ NF SPEcs:YEINE
APPROVED SHOP ORAWNG Y O N O
EaEUTPUENT usEo BY coNrRAcroR: Boom lift, Harness, Chipping hammers, Wire brueh and welding mechines
TAORK AREA ROO'
MATERIALS USED BY CON T REPORTS): NonmlWb€hTOR (INCLUDE ESEARCH REPORT NO OR MATERIAL TES oncrete, H,-GrEde
Completed welds were visually inspected in the following locations:
-Condenser support at root:3/L6" fillet weld all around between the (9) nine HSS 3"x3,.x1/4,, and plate
size 5 %"X5:tr"X % " as per detail 83 on sheet # 5{06.
-Condenser support at roof: 3/15" fillet weld 4 sides between the (9) nine base plate size S %"XS h:"X % "
and C channel 5X10.5 as per detail 81 on sheet # 5-406.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license #P031279 expire date 03/2018 and Rafael
De Paz LA license #P030500 expire date OS/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
AYREWORASKRCEPEOFNTWOALLKRTOD 1Yo PERCENT PROJECT COMPLETE:
Print Name
Cenification r: ICC{457479
Verified by:
TIITG I
Corporale
2S2 E La PalnE Ave Si6. A
An.heim, CA 92606
Tel: 714-632.2999
Fax:714.@?2g71
Dispatcfi : 8oo.491.2990
San Di.gonmperial Cou.{y
6295 Fonis Squsre sle. C
Sen oi.go, CA 92121
T€l:858.i37.39$
Fex:858.a37.3€O
Disp.tch: 888.844.:/@
lnlend Empirc
lul467 Meridian Phvy., B|dg 2A
Riv66k e. CA 92518
Tcli 951.653.4999
Fax: 951.653.4666
Dispqtch: 8@.491.29SO
lrdio
,1,{9'17 Gof C.nEr Pl(vry.. Ste.1
lndir. CA 9Z2Ol
1.1:7@312.8n
Frr:760312.4525
Obp.Hr: E0O.il91 .2990
Speoal lr}spectff F€porE must be dstnhrted to
Sepal-aE reports $att be p.ep6rrd tor e6ci tyE j: Frtf..l:!1ry:pn tlr d.aF_ot trp rq€ction Repods d mo-csnpl,art drdto.B lnrd be ddfined mnEdateiyo speoa rlrsp€drdl on 3 da'ty Bls Eadt Epo.t shalt De co.nplded a'|d egr,ed by $E 3p€._ts1 lfBpcdo. c.ndudnE tE
MrcL PRoJEcrt: tlO3A19
Peftil r 10191322-17509
R€port, 1 Page I of ,
THE WORK WAS WAS NOT
Projed Ar.fiitect
Strudural Engineer
DSA Regional Offce
School Oistrid
DAILY INSPECTION
REPORT
DSAT|TY Filo t _
DSA,/OSHPD Appl. ,
DS'LEA
'
THE WORK INSPECTED MET OIO NOI MEET
TtE requirements of the PROJECT (bolrn€ntB
Samphstaken:
Clear fenp: 7 2 I
re of Special lnspedor
Maged Saad
print Name
Certincation *: ICC{457479
Verified b,y:
h.
lrEpecled in ac.ordance with the requirements of the DStuOSpHD/
PROJECT approved do.riments.
Wbather
MATERIAL SAMPLING WAS f] WASNOTE iUA E
Performed ln accordance with DSA/OSpHD/PROJECT apprcved docurnents.
Cgntractor
Building Depadment
OYvner
PRoJEcr NAME: Aldi Mor Store # 34 Date: 09121 12017
ARcHITECTT APD TIME DEPARTED PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME: -(,
coNTRAcroR: ED GRUSH SUB CONTRACTOR
INSPECTION AODRESS ADORES S OF PROJECT: 2830 S. Bristol St, Santa Ana CA
NS PECTIOF
NGE IN RE DE FILL
E FoUNDATtoN
BACK FILL
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASONRY
HIGH STRENGTH BOLTING
WELDING
SHOP WELO
FIREPROOFING
E ANcHoR/DowEL
E NDE FIELD
E NDE SHoP
CEILING wlRE
tr_
DSIJOSHPD R
APPROVED Elc)CUMENTS PLANS Y N
AVAILABLE APPROVEO SOIL REPORT Y N
N
SPECS: Y N
APPROVED SHOP DRAwlNG Y
EQEUTPMENT usED BY coNrRAcroR: Boom lift, Harness, Chlpping hammers, Wire brush and welding machines.
(rt{cLUoE RESEARCHTE RT NO. OR MA
Ur'ORK AREAj Roof
t\.i TERIALS USEO BY CON RIAL TEST RE PORTS): Nonrlal\ leight Concrete
-Condenser support at roofi 3/16" fillet weld all around between the (2) two HSS 10.,X6,,x1/4,, as per
detail A3 on sheet # 5-405.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: christopher Ponce LA license #P031279 expire date o3/201g and Raf"el
De Paz LA license #P030500 expire date OS|2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
Completed weld s were visually inspected in the following locations:
R EWO KR PAS RE ENTc Fo WORALL TKo YDA oo/.PER CENT PROJECT COMPLETE
cc
TIME ARRIVEO: 07:00 AM
MIG 1
lnl.id Emtir.
1446-/ Morilbn Pkwy., Bldg 2A
R iveEidc , CA 9251 E
Tel: $51.853.4999
F.x: 51.863.,{866
ObFdr:8@.49'1.29S
MTGL PRoJEcr*: !l(l3A19
Pem*tr 1 01 91 322-l 75{19
Ropont Z Peg€ I ol 1
THE WORX WAS WAS NOT THE WORK INSPECTED MET DID NOT MEEI
lnspected in accordance with the requirements otthe DSfuOSPHD/
PROJECT approved doorments.
The requirements of the PROJECT documonts
Sampbs taken:
Weather:
MATERIAL SAMPLING WASE WASNOTO N/A E
Pertomed in sccordance witll OSI,,/OSPHD/PROJECT approved doclnlents.
Clear temp: 721
of Special lnspeclor
Maged Saad
Coryorala
2992 E L8 P.lrE Arr. St€. A
Anaheim. CA 92606
T€l:714.8 2.299e
Frx'7116322€71
Oispotcfi: 80O.,€1.29S
S.n Oilgolnpcrial Couity
6295 Fenii Squ.r6 S€ C
S.n EI€gp, CA 92121
T6l: 858.537.3999
Far:858.537.3S0
Obpetch: 8a4.844.5O60
l.rdb
rl49'17 Gof C.flbr Ptvry.. St .1
lrxlio. CA 9220,
lal:760.342.46n
Fe\:76Iji12 tS25
t BFEh: 8OO.rl91 .2SO
OSA/CrrY FiL t _
OSA,/OSHPD Appl. a
OS'JLEA '
-
DAILY INSPECTION
REPORT
cc Projecl Ar.htect
SbudualEngine€.
OSA R6gional Ofice
Sdrool Distrid
Contrac{or
Building Depqrtmer
Owner
Certif citron #: ICC$457479
Verifed byi
Pnnt Name
PRoJEoT NAME: Aldi Mor Store # 34 oate:0912012017
ARCHITECT: APO TIME DEPARTED: 'l:30 PM
ENGTNEER B&B Associates TRAVEL TIME:LUNCH TIME:.
coNrRAcroR: ED GRUSH SUB CONTRACIOR
INSPECTION ADORESS ADDRESS OF PRoJECT: 2830 S. BristolSt, Santa Ana, Ca
TYPE OF INSPECTION
EI ENGINEERED FILL
E) FoUNDATToN
O BACK F|LL
Dtr
E SHoTcRETE
E coNcRETE
BATCH PTANT
PT CONCRETE trtrtr
E MASONRY
HIGH STRENGTH BOLTI}.IG
V\,/ELDING
SHOP WELO
trtr
E NDE FIELD
E NDE SHOP
FIREPROOFING
ANCHOR/DOI"EL
CEILING V\,REtro
D
B
DSTJOSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVED
PLANSYEI NO
SOIL REPORT Y E] N E SPECS:YENE
APPROVEO SHOP ORAWTIG Y E N EI
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST R EPORTS): Normlt l€igtn Concrot6, Hi€rade Mix
EOEUIPMENT USED BY CONTRACTOR
yvoRK AR EAr Firsl and Floor
lnspected the placement of 3 cubic yard grout 2,500 PSl, Approved ready mix # RS250G41 in the following
locations:
On grid line A between line 7 and 7 .4lrom level +16'-8" To +19'4" level "top of wall".
On grid line 7.4 between line A and A.8 from level +15'-8" To +19'-4" level "top of wall".
On grid line A.8 between line 7 and 7.4from level +16'-8" To +19'4" level "top of wall".
Shopping cart wall from level +0'-0" To +4'{" level "top of wall".
Grout was mechanically vibrated.
All above work is still in progress as per approved plans and code.
RE\ArcRK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE:
TIME ARRIVEDT 7:00 Ai,
TTIIG I
Coapor.l.
2992 E La PalnE Aw. Ste. A
Anah€im, CA 92806
Tel: 71,1.&!2.29S
F.\:h4.eEz.?g71
DisFtci: 800.a9'1.299)
lnl-d Emrir.
'l 4487 M.ridbn Pkwy. , Bldg 2A
Rive6ido. CA 925t8
Tel: 951-653.4)99
Fax: 95'l .653.4686
DisFt€fi: 8@.4912S0
lirdio
4491 7 Gof Cenbr PkMy., Ste.l
lndb, CA 92201
1.1:7@.U2.16n
F.x:74)342.,t525
tbFHr: €(x).491 .2SO
San Oi.gor]Ip.ri.l County
6295 FerrE Squsre $o. C
San Disoo. CA 92'l2'l
Tol: 856.537.3999
Fax: 858.537.3990
Dbp.tcft: 888.8u14-506O
MrGL PRoJEcrl: 5403A19
pem* * 10191322-17509
ReporttlPagelotl
Speoal lflEp€cton Repo.ts mu$ be dl€triuJbd to [le partEs rlsEd rEk r, ffthn 14 daF of the irEped$n
S€lardle retslB strall be preparE{ k, each type d speoat r6pedldt on a ctaity bas$ Eadl lE ort stEI
Repo.t6 o, non€mplrarn qld ixls must be d6uibded m,nedEtety
b€ co.npl€led atl(, eorEd by the gpeoal nGp€cts cmductng tE
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEET
lnsp€cted in accordance with the requirements of the DSA/OSpHO/
PROJECT approved docrlments.
The requirements ofthe PROJECT doqtments
Samples taken:
wbather:
MATERIAL SAMPLING WASE WASNOTE N/AE
Perlormed in accordance with DSA,/OSPHD/PROJECT approvod docurnents.
Clear Temp: 7 2 t
DAILY INSPECTION
REPORT
DSA/C|TY Filo t _
DSATOSHPD Ap9l.,
DSA,/LEA I
-
Proiecl Ar.hitect
Strudural Engineer
DSA Regioml Olfice
Sdrool Distrid
Stlnature of Special lnspedor
Maged Saad
print Name
certircation r: ICC{4.57479
Verified by:
PROJECT NAME: AIdi Mor Store # 34 oate. 0912012017
ARcHITECIT APD TIME ARRIvED: 07:00 AM
ENGINEER: B&B Associates TRAVEL TIME LUNCH IIME, .
CoNTRAcIoR: ED GRUSH SUB CONTRACTOR
!NSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S. Bristol St, Santa Ana CA
TYPE OF INSPECTION
E ENGINEERED FILL
El FouN DATror,r
E BACK F|LL
E] BATCH PLANT
E F r coNcRETE
E SHoTcRETE
El coNcRETE
MASON RY
H6H STRENGTH BOLTING
V',/ELDING
SIJOPWELD
E FIREPRooFING
E ANcHoR/DowEL
D NDE FrELo
D NDE sHoP
CEILING WRE
DSTJOSHPO PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVEO
PLANSYEINE]
SOILREPORTYONE SPECS:YEt'ID
APPROVED SHOP DRAWNG Y D N D
INCLUOE RESEARCH REPORT No oR MATERTAL TEST REPORTS): NonrEt
EoEUTPMENT usED sY coNrRAcroR: Boom lifi, Harness, Chipping hammers, Wire brush and welding machines.
WORK AREA TOOf
MATERIATS USED BYCONTRACTOR (\ roilht Con(,ete, Hi4rad6 Mix
Completed welds were visually inspected in the following locations:
-condenser support at roofi t/8" fillet weld both side between rhe L2"xl2"x3h6" plate and top cord of
the joists as per detail 43 on sheet # S{05.
-Condenser support at roof:3/L6" 6" long weld between the l2',X12,,X3115,, plate and HSS LO,,X6,x:^/4"
as per detail 43 on sheet # 5405.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license #P031279 expire date 03/2018 and Rafael
De Paz LA license #P030500 expire date 05/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code
REWOR K AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE
cc Contractor
Building DeFrtnenl
Owner
nME DEPARTED: 1:30 PM
ilITG t
Corpo,rta
2992 E La PalEra Avo. Sl€. A
Anahcim. CA 929)G
Tel:714.@2.2999
Fe\:714.8ts2.2g74
Disp€lct: 8@.491.2S
S.n Oi€olrp.rial County
6295 F6rri5 Squaro sle. C
S.n CI€go, CA 92'l2l
Tol: 856.537.3990
F x:E56.537.3900
Dasparch: 888.844.5060
lnl.nd Eindrc
I 4467 Merk bn Pkvry. , Bldg 2A
Rivorsile, CA 92518
T6l: 951 .653.4999
Fex: 951 .653.4866
Dispatch: 8fl).491.29€X)
l.dio
4401 7 Golt Conbr Plory. . Sto.l
lndb. CA 92201
Tal7@.U2.46n
F617@342.45ts
Clsp.dr: ArO.491 .2SO
DSATC|W File t _
LSA,/OSHPD Appl. ,
DSA./LEA r _
DAILY INSPECTION
REPORT
MTGL PRoJECTI: 5403A19
Pormit * 101 91322-175(19
Roport a Z Fag6 1of 1
SepardE lepo.'l8 sliall be p.epared lor e&n $,pe d spedal rn€pectsr on a dart b666 Eadl epo.t 6hall be co.npleled and 6€ned b, the specd rEpedor cddrrcom tlE
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEET
lnspec{ed in accordance with th€ requirements ofthe DSA,IOSPHD/
PROJECT approved doc!ments.
The requirements otthe PROJECT doqlments
Samples takon:
Weather:
MATERIAL SAMPLING WAS E WAS NOT E I.UA E
Pertormed in accotdanco with DSA"/OSPHD/PROJECT approved documents.
Clear renp. 72 f
cc
Sirnature of Speqal lnsp€dor
Haged SaadProied Architect
Structural Engineer
DSA Regional Ofrco
Sctrool Oidrid
Cont|-ador
Buildlng Depanment
Owner
Certifcation #l
Venfied
PROJECT NAME AIdi MOr StoTe # 34 oate: 09/19/2017
ARCHITECT APD TrME ARRIVED: 7:00 AM TIME DEPARTED: 1:30 PM
ENGINEER, B&B Associates TRAVEL TIME LUNCH TIME: -
coNTRAcToR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS oF PRoJEcT: 2830 S. Bristol St, Santa Ana, Ca
trtrtr
TYPE OF INSPECTION
ENGINEERED FILL
FOUNOATION
BACK FILL
E BATCH PLANT
O PT coNcRETE
E SHoTcRETE
E coNcRETE
E] FIREPROOFII{G
E ANcHoR/DovvEL
E NDE FIELo
E NDE sHoP
CEILING l/\/lREtrtrtro
El,T4ASONRYE HlGH STRENGTH BoLTING
O V'/ELDING
O sHoP vvELD
DSA,/OSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVEO
PLANSYETNE]
SOIL REPORT Y EI N E SPECS:YENE
APPROVED SHOP DRAWNG Y EI N D
MATERIALS USEO AY CONTRACTOR (NCLUOE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): NornEl $reight Concrote, Hi4r.de Mir
EOEUIPiTENT USED BY COi{TRACTOR:
rAoRK AREA: Finst and foundation Floor
lnspected the placement of4 cubic yard grout 2,500 PSl, Approved ready mix f RS250G41 in the following
locations:
On grid line A between line 7 and 7.4 from level +11'4" To +16'-8" level.
On grid line 7.4 between line A and A.8 from level +11'-4" To +16'-8" level.
On grid line A.8 between line 7 and 7.4 from level +11'4"To +16'-8" level.
-lnspected the laying up of 8" CMU wall in the following locations:
On grid line A between line 7 and 7.4trom level +16L8" To +19'4" level "top of wall".
On grid line 7.4 between line A and A.8 from level +16'-8" To +19'{" level "top of wall".
On grid line A.8 between line 7 and 7.4lrom level +16'-8" To +19'4" level "top of wall".
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, lrade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
REWORK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE
Print Name
TTITG L
Coapor.l.
2S2 E L. P.l?rE Aw. Ste. A
Anaheim. CA 92806
T.l:714.&)2.29@
Fs\,711.8€22374
Dbpotfi: 8q1.491 .2990
S.n Oiagorl[pc.i.l County
6295 Forrb Squ.r6 S[€. C
Son Diago. CA 92121
Tel: 058.537.3099
Fax: 8ai8-537.3990
Disp6lch: EE8.844.5060
lndb
{4917 Gof C.nt8r Pkwy.. St..l
ldio. CA 92201.rol:7@.3/,2.4677
Fax'.7@.34,2.4525
OirFEh: 8OO.u€1.2$O
lnlfid Emdrc
1,046-7 Meririan FtYry.. BUO 2A
R lv.6ilo, CA 925 1 8
Tel: 951.653.,€S
Fex: g;l -653-,1666
DhFotch: 80.491.2900
Speoal lrEpeaton Flegorts musl be dFtnboEd to OE paft€s tl6tsd beb/ wthi6 14 cta,E oa tE inspedo.l
Separae .Eport! $an be Feparcd lor ea€i typ. c, speoal insFcton on a dany b6$s Eaci r€po.t shsll
Repo.ts ot ntrl€mpllart co.diborE mog De cliatnki€d irrnedBt€ty
E co.npleted and eoncd Dy the 3p€*, insp€ds co.td'drrE the
MrGL PRoJEcrr: 5403A19
P6rm r 10191322-17509
Roport, 3 Page 1 ot I
Prolec't Ar.hitect
Struclural Engineer
DSA Regional Oflice
S6ool Distrid
DAILY INSPECTION
REPORT
DsArclry Frb I _
OSArcSHPO Appl. t
DSA,/LEA '
-
THE WORK WAS WAS NOT
lnspec:ted in accgrdanca with the .equirements of th€ DSIy'OSPHO/
P ROJECT approved dooJmenb.
Wbather
MATERIAL SAMPLING I/\'AS E WAS NOT E N/A E
Performed in accordance with DSA,/OSPHO/PROJECT approved documents.
THE WORK INSPECTED MET DID NOT MEET
The requirements otthe PROJECT document6
Samplgs taken:
Clear remp:72t
of Special lnspedor
Maged Saad
Certilication #:
PRoJECT NAME: Aldi Mor Store # 34 Date: 09/19/2017
ARCHTTECT APD Architecture IME ARRIVEOT 7:00 PM TIME DEPARTEOj 1:30 Plll
ENGINEER: B&B AssoGiates TRAVEL TIME LUNCH TIME: -
SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PRoJEcT: 2830 S Bristol St, Santa Ana,
trtr
D
TYPE OF INSPECTION
ENGINEERED FILL
FOU N DATION
BACK FILL
tr
D
E sHorcRETE
E coNcRETE
BATCH PLANT
PT CONCRETE
f] MASONRY
E HIGH STRENGTH BoLTING
E WELDING
D sHoP wELD
fJ FIREPROOFING
D ANCHoR/Dor,,vEL
D NDE FIELD
E NDE SHoP
CEILING vvlREtro0
D
DSAJOSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYENE
SOIL REPORT Y f] N E]SPECS:YENE
APPROVED SHOP DRAWING Y O N f]
T NO. OR MATERIAL TEST REPORTS): Nonml Wbigtt Con.rete, Hi€rade Mix
EOEUIPMENT USEO BY CONTRACTOR:
!/\,oRK AREA FiTSt FIOOT
PORMATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH RE
lnspected the placement of 20 Cubic yard concrete 4,000 psl Ready mix # 71391C
locations:
6" thick slab between grid lines A.5&C.6 and north side from {id7.6.
All areas of concrete placement were clean of all deleterious materials.
Reinforcing steel was secured against displacement.
Concrete was mechanically vibrated.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
in the following
REWORK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE:
cc
Verifed by
s
Pnnt
coNrRAcroR: ED GRUSH
Cont'actor
Building OeFrbrenl
Owner
t
TIIIG 1
Coaporat.
2@2 E L. Prln Avr. Ste. A
Anaheim, CA 92806
Tol: 714-&,2-2999
Fex:714.fl322g71
Disp€lch: 8m.491.2990
San Oi.go[mpari.l County
6295 Forris Squaro Se. C
San Di€go, CA g2'121
Tsl: 858.537.3999
Fax:E58.37 3g9O
Dispetch: 888.844.50@
lnlend Emlir.
14.{5-l Meri{ri.n Pkry., Bldg 2A
RiveBido, CA 92518
Tol: 951-653.4999
Fax: 95'1.663.4666
Oispatch: 8@.,191 2990
lndio
,14017 GofCenbr Ph,vy., Sle.l
lnd,o. CA 92201
f 6l:7@.34,2A6n
Fax:7@.3212.455
tlsp€bh: 8oo.rl9l 2990
Spedal lnsp€ctorr Reports must be distbqH to
Seporate repoats cllatt be p.ef6rEd to. e€€tr type
th€ Frbes rEtd belo, wthn t4 da)6 oa tE insp€ctm Repo.ls ot norFcompl6rt corditroars mt6t be ctlsulbdsct imrrdEtsty
c{ specal rnspeclpn on a dary t6rs Eadr BFir.t shall be compteEd and Egned by tE speoat lrEp€ctor cdldlEtnq the
MTGL PRoJEcrr: 54{13A19
pemit r I 0'l 91 322-1 7509
Repont 1Page 1 of 1
THE WORK WAS WAS NOT
cc Pro,ed Ar.hitect
Strudural Enginee.
DSA Regional Oftce
S.hool Oisarict
DAILY INSPECTION
REPORT
osA/ctw Fib r _
DSAOSHPD Appl. t
DSA,/LEA
'
-
InspecGd in accordance witi the requirem€nts o, the OSLiOSPHD/
PROJECT approved doqlments.
Weather
MATERIAL SAMPLING WASO WASNOTE TUA E
Performed in accordance with DSA,|OSpHD/pROJECT approved docurnents.
THE WORK INSPECTEO MET DID NOT MEET
The Equi.ements of the PROJECT docunEnts
Samples taken:
Clear temp: 721
sig ot Special lnspeclor
Maged Saad
P Name
Certificatio
Contra.tor
Building Oepartment
O n6r
PRoJECT NAME: Aldi Mor Store # 34 Date: 09/'19/2017
ARCHITEcT:APD rlME ARRIVED: 07:00 AM TIME DEPARTED: 1 :30 PM
ENGTNEER: B&B Associates TRAVEL TIME LUNCH TIME: -
CONTRACTOR ED GRUSH SU8 CONTRACTOR
INSPECTION AODRESS ADDRESS OF PROJECI: 2830 S. Bristol St, Santa Ana CA
FIREPROOFING
ANC H OR/DOr'VEL
NDE FIELO
NDE SHOP
CEILING VURE
NE]
N
N
TYPE INSPECTION
SPECS: Y NAPPROVED OOCUMENTS
BACK FILL
TOSAJOSHPD PR
BATCH PLANT
CONCRETE
AVAILABLE
PLANS Y
MASONRY
SHOP WELD
ROVEO SOIL REPORT Y
APPROVED SHOP DRAWNG Y
tr_tr_E ENGINEERED FILL
E FoUNDAIIoN
E PT coNcRETE
E sHorcRETE
E HlGH STRENGTH BoLTING
E wELDtNG
EoEUTPt ENT usED ay coNrRAcroR: Boom lift, Harness, chipping hammers, wire brush and welding machines
liroRK AREA First Floor roof
MATERIALS USEO BVJO NTRACTOR (INCLUDE RESEARCH R NO OR TEST REPORTS):Norrml Wbight Concreto, Hi,Grads Mix
eted welds were visually inspected in the following locations:
-canopy fnming 3/16" fillet weld all around between the L6"xG'x5/16" and HSS t0,,x4,,x4,, as per detail
A2 on sheet # 5402 for connection at grid lines 7&F.8, 8.4&F.8,5.9&F.8 and 5.6&F.g
-Top cord repair 3/16" fillet weld all around between the s"xL6',xL/4" plate and top cord as per RFI f 49.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license #P031279 expire date 03/2018 and Rafael
De Paz LA license #P030500 expire date OS/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
PERCENT PROJECT COMPLETEODAYEWORRKASNTPERCEOFALWORLTKoo/.
Compl
MIG t
Coapoastc
292 E L. PalrE Ave. St6. A
Arehoim, CA 9280G
Tel: 71 /r.€i,2299O
F.\:711.632.?s74
Dbpetch: 8@.491.2990
S.n Di.gofl npc.i.l County
6295 Feiris Squ.re slo. C
San CX€go, CA S2121
Tel: 858-537.3999
Far: 858.507.3990
Disp6tch: 888.84,1.5060
lnlard Emfirc
1,1467 Meririsn Fkwy., Bldg 2A
Rtv.rsld€. CA9251E
Tel: 951-653.,1999
Fax : 951 .663.4€86
Dbp.tch: 80O.,191.2990
lndb
44917 Gor Ccnbr Ph,vy., St6.1
lndb. cA 92201
Tel:.7@.342A6n
F.x:7@.342.4525
tlspabt: @0.431.2SO
MrGL PRoJECTT: 5403A19
P6mn, '10191322-17509
Rcpont a Pag6 1d1
Speoal tn€pccton Repods mug be dEtrihrbd
DAILY INSPECTION
REPORT
b r.E partbs l6Ed beto,w !n t4daFdth€[Epedo.1 Flepo(t3 oa noo-cofiptbnt slditlo is mud be d6tnb(ed fiiS€Frdts rEpo.ts dtalt be pepor€d b e3dr twe cr 6peqal rnrPdi,l on a dary bsis Edt repo.l shall be coanp&d and egrEd by the speod nsp€ator corxluctrno lhe
fHE WORK WAS NOT THE WORK INSPECTED MET DID NOT MEETlnspected in accordance w h Ule requirements of the DSA,./OSPHD/
PROJECT approved documents
MATERIAL SAMPLING WASE WASNOTE N/A EI
Perto.med in ac.ordence with DSA,/OSpHDipROJECT approved docurn€nts
Th€ requirements ofthe PROJECT do.rrments
Samples taken:
Weather:Clear fenp: 7 2 f
Projecl Architect
StructuEl Engineer
DSA Regional Ofice
School Didlict
Conh_aclor
BuiHing D€p€rtmert
Signature of Speoal lnspedor
Maged Saad
Certification
PRoJEcr NAME: Aldi Mor Store # 34 Date: 09/18/2017
ARCHITECT: APD TIME ARRIVEO: 7:00 AM TIME DEPARTED: 3:00 Piil
ENGINEER: B&B Associates TRAVEL TIME:LUNCH TIME: -
cONTRAcroRi ED GRUSH SUB CONTRACTOR:
INSPECTION ADDRESS ADDRESS oF PRoJEcr: 2830 S.Bristol St, Santa Ana, Ca
D
tr
TYPE OF NS
O BACK F|LL
ON
ENGINEERED FILL
FOUNDATION
BATCH
E PT coNCRETE
E sHorcRETE
O coNcRETE
MASON
HIGH STRENGTH BOLTING
E wtlorr'rc
SHOP WELO
tr FIREPROOFING
ANC H OR/DOT'VEL
NDE FIELO
NDE SHOP
cETLTNG
trtr
APPROVED OOCUMENTS
PD PROJ
N
AVAILABLE
PLANS Y
SOIL REPORT Y N
N
SPECS: Y N
APPROVED SHOP ORAWNG Y
EOEUIPI,IENT USEO BY CONTRACTOR:
r^pRK AREA First and foundation Floor
RE T NO, OR RIAL PORTS): Norlml t/tt6ig itt Conqete, Hi4rade Mix
MATERIALS USED BY CONTRACTOR (lNCLUDE
On grid line A between line 7 and 7.4 To +1G-8,, level.
On grid line 7.4 between line A and A.8 To +1Gg,, Ievel.
On grid line A.8 between line 7 and 7.4 To +16-8,, level
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
-lnspected th e laying up of 8" CMU wall in the following locations:
EWORKR P RCE oENT ALLF WOR K DATO o%PER CENT PROJECT COMP
Pflnt
OS&CITY Fil. a _
DSAOSHPO Appl. a
osa,/LEA
' _
ilIIG 1
Corporat.
2992 E Le PEl.rE Aw. Ste. A
Anah6im, CA 92606
Tel:71,t.632.2909
F.x:714.632.2si11
Dispetdt: 8@.,19,.2990
San Diego/lrrpe.i.l Courny
6295 Ferris Squa.e 5[6. C
San Erisoo, CA 92121
Tel: E54.537.39S
Fax: 668.537.3990
Dispalch: 884.844.5060
lnl.id Emdr.
1,1467 Meruian Pkvay-, Btdg 2A
RivcBid.. CA 92514
Tol:951.63.,€S
F.x: 96r.653.4666
Oisp.dr: 8@.,191.2$0
Itdio
4,4917 Gof Cenbr Pl$ry., Sb. t
lndb, CA 92201
16l:7@.Y2.6n
Fax:7@-3ut2.4525
C)isp.dr: qx).{91.29SO
MrGt- pRo.recrr: 5if03A1 9
pemit r 10191322-17509
RoporttlFag€ l ot 1
Sp€oal lnsp€c1bn Reports mud be di$lhrbd b fie panEs tlsted belof, wihin 14 day6 o{ttle inspedioo Report6 ca no.lconlplEnt condfbrE mlJ3r be dlBtDutedSeparale repo.ts sha be p.epsr€d tor eacn type of speoal ir,spectjoo on a daily basrs Eadr Gpo.t shs be cofipl€bd and s€ned by tlE speoal ins[Edor cDrd'.tcln0 the
THE WORX WAS WAS NOT THE WORX INSPECTED MET OID NOT MEETlnspecied in accordance ryith the rsquirements qlthe OSA,/OSpl-lD/
PROJECT approved (b(r,ments.
MATERIAL SAMPLING WASO WASNOTE N/A EI
Perfomed in accordance with DStuOSpHO/pROJECT approved documnts.
The requi.ements ofthe PROJECT documents
Samples taken:
Clear tenp: 721
Sig'lature lnspecaor
Proj€ct Ardtitsct
Structu-al Engineer
OSA Regional Ofice
School Dlddct
Contractor
Buildlng Depofinent
Own€r
Maged Saad
cenaficallon #
PRoJECT NAME] Aldi mor Sto.e # 34 Date: 09/18/2017
ARcHlrEcT: APD TIME ARRIVED: O7:OO AM TIME OEPARTED: 3:OO PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIMEr -
oONTRACTOR: ED GRUSH SUB CONTRACTOR
ADDRESS OF PROJECTT 2830 S. Bristol St, Santa Ana CA
TYPE INSPE
BACK FILL
O ENGINEERED FILL
E FouNoATroN
PT CONCRETE
SHOTCRETE
COTCRETE
El wELDTNG
E sHoPv\ELD
MASONRY
HlGH STRENGTH BOLTING
FIR E G
ANCHOR/DOWEL
E NoE FrELo
NDE SHOP
cEtLrNG wRE
APPROVED OOCUMENTS
PD PROJECT
PLANS Y NE
AVAILABLE APPROVED SOIL R TY N
N
SPECS: Y N
APPROVEO SHOP DRAW|NG Y
EQEUTPMENT USEO By CONTRACTOR: BOOm lift, Harness, Chipping hammers, wire brush and welding machines
MATERIALS U IAL
woRK AREA: Finit Floor roof
D AY CONTRACTOR (INCLU DE RESEARCH REPORT NO Nonm ll lsiolrt ConcIete, Hi6rade Mix
canopy framing % " fillet weld between the 3/9"x6"x6" plate and %,,x6,,xg,,embed plate as per detail D2
on sheet # 5-401 for connection at grid lines 7&F.8, 6.4&F.8, 5.8&F.8 and 5.6&F.8
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: christopher Ponce LA license #P031279 expire date 03/2018 and Rafael
De Paz LA license frp030500 expire date O5/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
Completed weld s were visually inspected in the following locations:
EWOR KR PAS RE ENc OFT WORALL K TO YDA CENTPER P ROJ cE T COMPLETE
Verifed
1
Print Na
OAILY INSPECTION
REPORT
OSA/CITY Fde a _
DSA,/OSHPD Appl. ,
DgA/LEA '
-
INSPECTION ADDRE_
]IIIG t
Corporate
2992 E L. PalnE A\ro. Sts. A
AnatEim. CA 92806
T.l: 7'14.632.29S
Fa\i 71 1-6n.2.2971
DEpatcir: 8@.491.299O
San OiGgonnpe.ial County
6295 F.rris Squaro St€. C
San Di.go, CA 9212t
T6l: 854.537.39S9
Far: 858.537.3990
oispsrch: 88E.E{4.5060
lnland Emplrc
1445-7 Moririan Ptoll.y., BldO 2A
RiveBiro, CA 92516
Tel: 951.653.,4999
Far:961.63.4606
Dispetch: Em.49l.29SO
lrdio
4491 7 Golt Cenbr Pkvy., Sto. 1
lndb, CA 92201
f el:7@.34,2.$n
Fax:760.342.rl5:l5
Dbpadr: 600.491.2SO
MrGl PRo..,Ecrt: 5403A1 9
Pemft, 10191322-17509
Repoi, ? Pag€ 1 of I
DAILYINSpECTION DsArcrwFiror_
REPORT osA/osHpo Appr.,
DSA/LEA
'
-
uE FrtEs l6Ed Elor wlrcn 14 datE cl the rsFctrc't Fllpots or nonarnptari co.dnirE must be dtsrtr-ted mme(frtyot speoar r6pecron on a dairy bssE Ea<rr ,Epdd 3hJ e ;;r,O&iiji,a 6E i,iiiJiE]ifri:aor -,"*,,g r.
Sp€c]al lnspectoo REporE mud be
Separate repo.lB shal be prepared
rHE WORK WAS WAS NOT TTIE WORX INSPECTEO MET OID NOT MEETlnspedod in accordance with th€ requirements of the OSA,/OSpHD/r.KUJtc I approved doqJments.The requirements of the PROJECT dooJrnenb
Samples taken:
Clear remp: 72 fMATERIAL SAMPLING wAS E wAs NoT E I,I/A Et V\hA0lEC
Performed in accordance lvith DSA,iOSpHD/pROJECT approved documentB.
Project Architecl
Strudural Emin€€r
DSA ReCional Ofrce
School Distrid
ConEaclor
Buildiog D€parbnern
otrnaa
of Spcial lnspedor
Maged Saad
Prlnt Name
PROJECT NAME: AIdi Mor Store f 34
ARCHITECT APD TIME ARRIVED: 7:00 AM TIME DEPARTED: 3:00 PM
ENGINEER: B&B Associates TRAVEL TIME LIJNCH TIME: -
coNTRAcroR: ED GRUSH SUB CONTRACTOR
INSPECTI ON ADORESS AODRESS OF pRoJECr: 2830 S. Bristot St, Santa Ana, Ca
OF INS
BACK FILL
E] ENGINEERED FILLE Fou NoATtoN
o
D
BATCH PLANT
PT C'NCRETE
SHOTCRETE
CONCRETE
RY
E HlGH STRENGTH EoLTINGfl v'lelorr'rc
E SHOPvvELD
FI
a ANCH OR/DOI/VEL
NDE FIELD
NOE SHOP
CEILING WlRE
tr
DSA/OSH PROJECT
APPROVEO DOCU MENTS
VAJLABLE APFROVED
PLANS Y N
SOIL REPORT N
N
SPECS: Y N
APPROVED SHOP DRAWNG Y
EQEUIPi'ENT USED BY CONTRACTOR:
! DRKAREA First and foundation Floor
MATERIAL ST RE NoryEl \ leight Concrete , Hi-ri6de Mix
MATERIALS USED BYCONi (INCLUDE RESEARC H REPORT NO
On grid line 7.4 between line A and A.8 from level 11,*4,,To +1G0,, level.
On grid line A.8 between line 7 and 7. from level 11L4,, To +16{,, level
Shopping cart wallfrom level 0'-0,,To +40, level
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steer for size, grade, type, rab sprice, secured rocations and crearance,
All above work is still in progress as per approved plans and code.
-lnspected the laying up of 8,,
On grid line A between line 7
CMU wall in the following locations;
and 7.4 from level 11'-4,, To +160, level.
R EWO KR PAS RE ENc T o ALL KWOR oT DA 0o/o CENTPER P R cOJE T co PLt\,t ET E
cc
Certifcaton t: I c 4457 4
oar", 09/r5/2017
-
TTIIG I
Coapor.tc
2992 E La PalrIl3 Ave. Sle. A
An.h6im, CA 92606
Teli 71,1.632.29S
Fa\.714.632-2371
Obp6tch: 8@.49129S
San Dicgorl rp.rial County
6295 Fords Squar€ St6. C
San Diego. CA 92121
Tel: 858.537.3999
Fax: 856.537.3990
Dispatch: 888.644.5060
lnlar|d Emfirc
14467 MoriCbn Pkwy., BHg 2A
Riv.rside, CA 92518
Tel: 951 .65:1.,(999
Fex:951.&1.4686
Oispoich: E00.491.2900
lndb
44917 GoltCenbr Pkwy., Ste.l
l.db. CA g22O'1
lol; 7@ .342 .16n
Fax:760.342./455
fxsp€bh: 80O.€l .2900
Speoal ln6p€ctd' Repo.ts must be dEtrblrE to the parlles l#d beb* wihm 14 (hys or ihe |nspecto.r
SelaleE reportB siall be p.Epar€d l(x each type of speoal ntpectir on a cta y 0615 Edl repod shat!
Re9o.ts c,f tufi-compliant dtdtlgl8 must b€ dEfitut€d rnfiEOratety
b€ complded and 6/gned by lhe specBl nEpedo. corldudt p the
MTGL PRoJECTT: 8O3A19
Perit t 10191322-17509
ReporialPag€,of1
@ Proied Arcflitect
Strudural Engineer
DSA Regional Offce
Sdool Distrld
Contraalor
Building OeFrlment
olvner
DAILYINSPECTION DSArcrwFib._
REPORT DsA/osHPD Appr. ,
osrr'LEA t _
THE WORK INSPECTED MET DID NOT MEET
The requiremenE ofthe PROJECT documents
Samples taken:
Clear Temp: 73 f
THE WORK WAS WAS NOI
lnapected in accodance with th€ requirements of the OSA/OSPHD/
PROJECT approved doqJments.
Vlreather
MATERiAL SAMPLING WASE WASNOTE N/A E
Pertormed ln accordance with DSA,/OSPHD/PROJECT approved documonts.
S of Special lnspedor
Maged Saad
Pnnt
Certifca tio n
PRoJEcr NAME: Aldi Mor Store # 34 oate: 09/15/2017
ARCHITECT: APD Architecture TIME ARRIVEO: 7:00 PM rlME DEPARTEO: 3:00 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME. .
SUB CONTRACTOR
INSPECTION ADORESS ADDRESS OF PROJECT: 2830 S Bristol St, Santa Ana,
TYPE OF INSPECTION
E Er{crNEEREo FILL
D FoUNDATtoN
E BAoK F|LL
trtr
E BATCH PLANT
E coNcRETE
PT CONCRETE
SHOTCRETE
trtr
E wELDING
0 sHoP wELo
MASONRY
HIGH STRENGTH AOLTING trtrtr
ff FIREPROOFING
ANCHOR/OOWEL
NDE FIELO
NDE SHOP
CEILING \MRE
DSAJOSHPD PRoJECT
APPROVEO DOCUMENlS
AVAILABLE APPROVEO
PLANSYEINfI
SOILREPORTYONE SPECS:YENE
APPROVED SHOP DRAWNG Y E] N O
MATERIALS USEO BY CONTRACTOR (INCLUOE RESEARCH REPORT NO, OR MATERIAL TEST REPORTS): NorIrl!lV\hight Concr.t6, Hi€r.de Mix
EOEUIPMENT USED BY CONTRACTOR
\fuCRK AREA: First Floor
lnspected the placement of 50 Cubic yard concrete 4,000 PSI Ready mix # 71391C in the following
locations:
6" thick slab and staris between trid lines A.5&C.6 and between lines 7 & 7.6.
All areas of concrete placement were clean of all deleterious materials.
Reinforcing steel was secured against displacement.
Concrete was mechanically vibrated.
One set of three concrete samples was taken.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
REWORK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE
coNrRAcroR: ED GRUSH
:-rN
af71
TUIIG
Corpo.al.
2S2 E La P.tnr Ar€. Ste. A
Anlh€im, CA 92&6
Tsl: 71,0 632 29S
F.x|711.6g2,g71
Dispabn:8@.401.2SO
S.n Oi.gon,rpcrial County
t1295 Ferds Squsro ge. C
S.n DbCo, CA 92,2i
Teli 85E.537.39S
Fax: 858.537.3990
Disp.tch: 888.84,t.s{bo
lnl.nd Em;ir.
1 4.167 Moritirn ptwy. , BHq 2A
Riversiro. CA 925,8
Tel: 951 .653.!i9gg
Fer: 95'1.653.,1668
Obp.tch: 8m.{91.2990
l.rdio
.14917 colt C€nbr ph^/y , Sto..l
Itdio. CA 92201rd:7@.U2.6n
F.x:760.U2.4s25
Oi3p.bh: 4x).4X.2990
Mrcl pRoJEcTa:5403Ar9
PEmn, 10191322_17509
Repod, a Pago .t of 1
Separdle repoaG
DAILY INSPECTION
REPORT
DSAT|TY Frb a _
Dgq./oSHPD AFD|. a
OSA,/LEA 'ReporB mus be d6trD(lH tc t'|e padles lstsd beb, w nn t4 daF d rhe jnspedon R€po.ts oa nfl{o.npliant 6ldiD.|s must be dEtr|t\/ted im$all be prepared b. e6cj t)re d rlspedEn on a da y bas6 Eaatt repod snal b€and srgned by the spcc€t lrEpedd moductno the
THE WORK WAS WAS NOT THE WORX IN SPECTED MET DID NOT ME ETlnspecled a
PROJECT
n accordanc. with the requirBmanta of the DSA/OSPHD/
approved doorments.The requirEments
Samples taken:
ofthe PROJECT doqhents
MATERIAL SAMPLING WAs E wAS NoT E I,I/A E WbAthET
Pe.ro,med ih ec.odan€e with DSA./OSPHO/PROJECT a;roved docurnents.
Clear temp: 72 t
Project Arcn ect
Struclural ErEineer
OSA Reglonat Oftce
Sch@l ttlfict
Signature of Speciat tnspecior
Maged Saad
Prinl Na
PROJECT NAME: Ald i Mor Store # 34 oate O911412017ARCHITECT:APD
TIME ARRtvED: 08;00 AM TIME oEPARTED: 5:OO PMENGINEER: B&B Associates TRA VEL TIME LUNCH TIME: -CONTRACTOR EO GRUSH SUB C ONTRACTOR:
INSPECTION ADDRESS
ADORESS OF PROJECI 2830 S. Bristot St, Santa AIla CATYPEOF INSPEC
B ET.IGINEERED FILL
E FouND TroN
BACK FILL
TCH
CONCRETE
E PT cor.lcRETE
0 SHoTcRETE
tr
EI
RY
HIGH STREI{GTH EOLTING
WELOING
SHOPWELO
D
FIREPROOFING
ANCHOR/DOWEL
NOE FIELD
NDE SHOP
LING RE
Dtrtr
c
DSIr'OS PROJECT
APPROVEO DOCUMENTS
OVED
NPLANS Y NsotL REPORT Y
N
SPECS: Y N
APPROVED SHOP DRAvvlNG Y
EQEUT'MENT usED ay cor{TRACToRT Boom rift, Hamess, chipping hammcrs, wire brush and werding machines
MATER USE
RE
ur'oRK AREA First Floor roof
CONTRAC TOR (rNclu RESEARCH R EPORT NO OR MATE IAL Nonn l\ toEtn Concreto . Hi€rade Mu
Reinforcing .ioists between lines A & B and lines 5 & 6.4 to antel and %" rod asper detail C2 on sheet # S-405 and as per RFI # 43.
welds were inspected for size, rength, rocation and free of visibre defects.Verified welders certificates as: christopher Ponce LA license fp031279 expire date o3l201g and RafaelDe Paz LA license #p030500 expire date 05/2020.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
/4
Co m leted weP 5d rewe u5 a ns e ct d nv t eh fop lowi tiloca no sng
nCa o mfra fitpv weletng d nbetwee het L6X 616X5 na Hd LSS x40 x1 a s Ie etad oA2 np 5 ehe #t 0s4 2rfoocnnioectnatndnseD47&
OAYEWORRKPASERENTALLKWORTo o%EP CR NTE PR OJ LIE C o PLETEM
cc Contrador
Buildhg Oep6rt nent
Owner
Certicatbn #:4
TUIIG 1
Corporatc
2992 E La PalnE Avo. Sto. A
Anaheim, CA 92EOo
Tel: 71,{.632.2999
Fax 714.6ts.22374
Dbp6rch: 8m.49129S
San OiegorlmF.rial County
6295 Ferri6 Squs.e St6. C
Sa.l Oiego, CA 92121
Tel: 858.537.3999
Fax: 85E.537.3990
Dbpstch: 8aa.8.t4.506o
lnl.nd Empirc
1 4467 M.rilbh Pkn y. , Btdg 2A
Rivel6lde. CA 82516
Tel: 951.653.4999
Fax: 951 .653.4666
Oisp.tch: 800.491.2960
Irdio
449'17 Golt Conbr FJts,y., Ste.1
lrdio. CA 92201
f al:7@.U2.4677
Fa\,?@342.15?5
Dipobh: 8oo./tgt.2SO
MTGL PROJECT': 5t103A19
perma r 10191322-17fl19
RepodaaPag6 Iof1
Speoal ln6pedlon Repo.E mut f,e d,strtuted to
Sepaaate leforls $all be paeparpd fo. eadl ttpe
Proied Arrhnect
Structural Englneer
DSA Regional Ofice
Sdtool oisfid
*P5-lgtq y .*l 1a 6nlr u* ,,eeao,' R!eo.t! or Do.t-coiplEnt 60nd1irE mult be dErribur.d immedEreryc' speod rl6pdrdl on a cbiy basE Edr rcpo.i 3hrI b. co.nptdd ard lUn€d by the cpec&i ,upecto. osrd,j@ng rE
'HE
WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEETlnspectcd in accordance with tt|e requirements ofthe DSA./OSPHO/
PROJECT approved doqrments.
Tha lgqulroments ol llro PROJECT doqrmontB
Samplos taken:
lrr,reather:
MATERIAL SAMPLING WASE WASNOTD N/A Et
Pertomed in accordance with DSI,/OSpHD/pROJECT app,oved documents.
Clear temp: 72 f
Contra(lor
Building Departrnert
oixnet
Signature of Special lnspedor
Maged Saad
Pnnt Name
1
PRoJECT NAME: Aldi Mor Store # 34 Date: 09/ 14/2017
ARcHITECT:APD TIME ARRIVED: 8:OO AM TIME DEPARTED: 5:OO PM
ENGINEE R: B&B Associates TRAVEL TIME LUNCH TIME,.
coNrRAcroR: ED GRUSH SU8 CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S.Bristol St, Santa Ana, Ca
AACK FILL
TYPE OF INSPECTION
E ENGINEERED FILL
B FoUNDATToN E sHorcRETE
E coNcRETE
BATCH PLANT
PT CONCRETE
MASONRY
HIGH STRENGTH EIOLTING
O wELDTNG
SHOP WELD
otr
FIRE NG
ANCHOR/DOWEL
NDE FIELD
NDE SHOP
CEILING WRE
OS'r'OSHPD PROJECT
APPROVED DOCUMENTS PLANS Y N
AVAILABLE APPROVED SOIL REPORT Y N
N
N
APPROVED SHOP DRAW]NG Y
NonialWbight , Hi€radeMATERIALS USEO BY CONTRACTOR (INCLT.'lDE RESEARCH R EPORT NO, OR MATERIAL ]EST RE
2,500 PSl, ready mix # RS250G41 in the following locations:
m level 6'-8" To +11-4" level.
On grid line 7.4 between line A and A.8 from level 5,-8,,To +11-4,, level.
On grid line A.8 between line 7 and 7.4trom level 6"-8,, To +11-4,, level
One set of 3 grout samples was taken
Grout was mechanically vibrdted.
lnspected the placement of 4 yard grout
On grid line A between line 7 and 7.4 fro
ODAYREWOKRASPERNTCEALOFLWOTRK 0 PERCENT PROJECT COMPLETE
C ertr,icatio n
DAILYINSPECTION Ds^/crryFibr_
REPORT DSArosHpDAppr I
osA,/LEA r _
EOEUIPUENT USEO BY @NTRACTORi
u/oRK AREA: First and foundation Floor
IIIIG I
Corporatc
2892 E La PalrE Avo. Ste. A
Ar.heim, CA 92@6
T.l: 714.632.2999
Fax:714.632-2571
Obpotdr: A@.491.2990
San Dicgonnp€ri't County
6295 F.rris Squere $r. C
S6n Diego, CA 92121
Tel: 858.537.39SO
Fex : 858.537.3990
Oispotch: 8Ea.8.44.5()a)
lnl.nd Emd.c
1iu6l i/i€rHbn Pky,y , BHO 2A
Rv.Isk e CA 92Sla
T.l: 951.053.?t999
Fax: *il.653-4666
Oispatcfi: 800.491.2S0
l.dr,
4zt9t 7 Go[ Conbr Phiry., Sto..l
lndio, CA 92201
Toli 7@3.,2I6n
F.!:760.342.rt525
Clsp€dr: 80O.€, .2990
M?GL PROJECT': 5403A19
Pen tt 10191322-175{19
Repo.t t ? Fbge 'l of 1
Specirl lrlsp€dbn Reports muEt te dstnlut€d lo 0le parties t6ted Detow wdr.n 14 d6)is Ca tll€ lrEpedon Repo.ts ot norFco.npl6nt co.ld,hons musl be disulbiried immedEietySeparate €ports shalt be prepacd loa e-n tyDe ca Bpecal rBpedon oo a daly bs66 Eadt l€po.t stEX be co.npteGd and qtn€d by the srbt 'nsp€ds cood'r.tno rhe
THE WORK WAS WAS NOT THE WORK INSPECTEO MET DID NOT MEETlnspected rn ac€ordance w h the requirements ol the DStuOS pHD/
PROJECT approvcd d,ocrrments.
MAIERIAL SAMPLING WAS E] WAS NOT E] N/A Et \A'EAIhET:
Pertormed in accodancs tryih DSIJOSPHO/PROJECT approved docurnents
The requirements otthe PROJECT dodhents
Samples taken.
Clear remp: 73 f
Signa of Special lnspedor
Maged Saad
Pnnt Name
Prcjec, A.rhitect
Strudural Engineer
DSA Reglonal Offcs
School Disind
Cont-ador
Building Departrnern
Own6r
PRoJECT NAME: Aldi Store # 34 oate 09/14/2017
ARCHITECT:APD IIME ARRIYED: 8:OO AM rlME DEPARTEDT 05:0O PM
ENGTNEER: B&B Associates TRAVEL TIME:LUNCH IIME: -
CONTRACTOR ED GRUSH SUB CONTRACTOR:
INSPECTION AOORESS ADDRESS OF PROJECT: 2430 S.Bristol St, Santa Ana,
BACK FILL
TYPE OF INSPECTION
E ENGINEEREo FILLfl rouxonrror
BATCH
PT CONCRETE
E SHoTcRETE
CONCRETE
trtr
RY
HIGH STRENGTH BOLTING
WELDING
SHOPWELD
FIREPROOFING
ANCHOR/DOWEL
NDE FIELD
XDE SHOP
EILING l/\,RE
trtr
osAJosH PO PROJECT
APPROVED trcCUMENTS PLANS Y Ntr
AVAILABLE APPROVED SOIL REPC,RT Y
N
N
APPROVEO SHOP DRAWNG Y
EOEUIruENT USEO BY CONTRACTOR
r ,oRK AREA FoundatiOn Floor
RESEARCH REPORT MATE R REPORTS): Nonrul'^bE ht Consele. Hi€rade Mix
MATERIALS U SEO BY CON TOR
5" thick slab between grid lines A.5&C.6 and between lines 7 & 7.6.
lnspected reinforcing steel insta llation.
lnspected reinforcing steel for size, grade, type, labsplice and clearance.
lnspected location for reinforcing and embedded items.
All work inspected and detailed above has been completed as per approved plans and code and is readyfor concrete placement.
lnspection and reba r pre-check was performed in the following locations:
DAYREWORASKPERCEOFNTWOALLKR0T lYo EP R c TEN P ROJE cCT Mo LP ETE
@
Cert,fication #: ICC$457/179
DAILYINSPECTION Ds^,/crwFihr_
REPORT osA/osHpD Appr. .
DSA/LEA I
-
(-
IUIIG 1
S.n Dicgo/lrlperial Courty
5295 Fe.ris Square Se. C
Ssn Dicao, CA 9121
Tol: 858 537.39S
Fex:854.537-3SO
Dbpotch: 888.844.50@
THE WORK WAS WAS NOT
lnspected in accordanca,flith the requirsmenls ofthe DSAJOSPHD/
PROJECT approved documents.
V\reath€r:
MATERIAL SAMPLING WASE WAS NOTT] N/A E
Prrformed in accordance wilh DSTJOSPHD/PROJECT aFprov.d doclrnenis.
Coaporltc
2$2 E La PalrE Ave. Ste. A
Anaheirn, CA 92&6
Tal 7'14 632 29s
Fd\.714.ets22s74
Oispalch: A(x).491.29$
lrdb
,!1917 Gotr Contir P*\ry., St.. t
lndio, CA 922O'l
lct:7@312iAV
Fax'.7@.342-4525
Oispctch: 800.,€1.2990
lnl.nd Emfi.c
1{.167 Me.irbn Prvry.. Bldg 2A
Rivsriir€, CA92518
Tcl: 951 .653.4999
Fax: 951.653.4866
oisp6tch: 800.491 .2s0
urcLpRoJEcr.: $103A19 DAILY INSPECTION DsA/crryF.er-
PErnn r 10191322-17509 REPORT os^,osxpD Appr. r.
RoportlzPego I ot1 OSrt/LEAa_
SepaEb .Epo.ts dlsll be !.e9ored tr ead tlDe ol6pecral irF@bn on a dait bash Eadr report shall be cornplded and saned by the sDecial inspedor condudim the
Projecl Architect
Strudural Engineer
DSA R€glonal Ofice
S{rlool Disfid
Contractor
Building Dep6rtnent
THE WORX INSPECTED MET DID NOT MEET
The rsquir€ments oftis PROJECT documonts
Samples t.k6n:
Clear Temp: 72 f
ofS lnspector
Maged Saad
Print Na
C ertiflcation #:
PRoJEcr NAME Aldi Mor Store # 34 Date: 09/13/2017
ARcHITEcT: APD TIME ARRTVEO: 8:00 AM TIME OEPARTED: 3;00 PM
ENGINEER: B&B ASsoCiates TRAVEL TIME LUNCH flME: -
CONTRACIoRI ED GRUSH SUB CONTRACTOR
INSPECNON ADORESS ADDRESS OF PROJECT: 2830 S. EristolSt, Santa Ana, Ca
TYPE OF INSPECTION
E E GIN€EREo F|LL
E FoUNDATToN
E BAoK F|LL
trtr
O sHorcRETE
E coNcRETE
BATCH PLANT
PT CONCRETE
DI MASOTIRY
E H|GH STRENGTH BoLTITG
EI wELoNG
E sHoP WELD
trtr
E NDE FIELD
E NDE sHoP
FIREPR@FING
ANC H OR/OOI/VEL
trtr
E CEILING v!,REtr_
DSAJOSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVED
PLANSYEINE
SOILREPORTYENE SPECS:YENE
APPROVED SHOP DRAWNG Y E N E
MATERIALS USEO 8Y CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Normi \ reight Concrote, Hi€rade Mix
EQEUIPMENT USED AY CONTRACTOR:
uroRK AREA. First Floor
lnspected the laying up of 8" CMU wall in the following locations:
On grid line A between line 7 and 7.4from level 10'-8" To +12-8" level.
On grid line 7.4 between line A and A.8 from level 10'-8" To +12-8" level.
On grid line A.8 between line 7 and 7.4trom level 10L8" To +12-8" level.
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
RE\AIORK AS PERCENT OF ALL WORK TODAY: 00/6 PERCENT PROJECT COMPLETE:
cc
Venlied
s
4457479
TTITG t
Corporata
2S2 E La tulnt Aw. Sls. A
Anahsim. CA 92E06
Tel: 71a.632.2999
Fax:711.8.22371
Obp.tch: 8@ ,49'1.2990
San Oiagonrp.ri8l Courty
6295 Fenis Squar. $e. C
San Dego. CA 92'12'l
T6l:854.$7.3999
F6x: 858.537.3990
Oispatch: aaa.A44.5m
lndb
,{49i 7 Go[ Conb r Plo.ry-, sto.1
lndb, CA 92201
T.l'.7@.312.16
Fix:760.342.21525
CXrFdr: Ax).zlgl -2990
lnla.d Empla!
14467 Meruian PktYy.. Adg 2A
R ivoEilo , CA 9251 E
T.l: s51 .653.,()90
F.x: 951.63.,0886
DtsFtcll: 8O0.491.2SO
MrcL PRoJEcTtr 5403A19
Permiu 10191 322-175119
Report t 2 Pag€ l of1
DAILY INSPECTION
REPORT
osArctw Fib a _
DSA/OSHPD Appl. t
DSA/LEA r _
THE WORK INSPECTED MET DID NOT MEET
The requlrements ofthe PROJECT dooJments
Sampbs takcn:
Clear Temp: 72 f
Special lnsp.dot
Maged Saad
nnl Name
THE WORK WAS WAS NOT
lnspecled in accordance y,ith lhe rcqulrcments of the DSA/OSPHD/
PROJECT approved doqrments.
\i/eather:
MATERIAL SAMPLING WASO WASNOTO N/AE
Performed in accordance Mth ostuosPHD/PROJEcT approved doclrnents.
Contrac{ot
Building Deparlment
Owner
Date: 09/13/2017PRoJECT NAME: Aldi Mor Store # 34
TIME DEPARTEO: 3:00 PMARCHTIECT: APD TIME ARRIVED 08:00 AM
TRAVEL TIME LUNCH TIME: -ENGINEER: B&B Associates
SUB CONTRACTORcoNrRAcToR: ED GRUSH
ADDRESS oF PRoJECT. 2830 S. Bristol St, Santa Ana CA
CEJLING v\,/lREtrtrTYPE OF INSPECTION
E ENGINEERED FILL
E FoUNDATIoN
El BACK F|LL
trutrtr
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
tr
EIu
E MASONRY
}IIGH STRENGTH BOLTING
WELDING
SHOPWELO
E FIREPRooFING
E ANcHoR/Doti\rEL
E NDE FIELD
El NDE sHoP
AVAILABLE APPROVED
PLANSYENEI
SOIL REPORT Y E] N E]SPECS:YENE
APPROVEO SHOP DRAWNG Y E] N E]
OSIJOSHPD PROJECT
APPROVED OOCUMENTS
MATERIALS USEO BY CONTRACTOR (NCLUDE RESEARCH REPORT I{O, OR MATERTAL TEST REPORTS): NoT'TBIVV.(Ih CoNqEtO, HH3TAdE MiX
EOEUTpMENT USEO By coNTRAcTOR: BOOm lift, Harness, chipping hammers, wire brush and welding machines.
r,l/oRK AREA: First Floor roof
Completed welds were visually inspected in the following locations:
Canopy framing % " fillet weld between the L6X5X5/15 and HSS LOx4x7/4 as per detail 42 on sheet # 5-402
for connection at grid lines F&7 and F&5.8.
Welds were inspected for size, len6h, location and free of visible defects.
Verified welders certificates as: christopher Ponce LA license #P031279 expire date 03/2018 and Rafael
De Paz LA license #P030500 expire date 05/2020.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code.
PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: O%
Projec't Architect
Strudural Engineer
DSA R6gional Ofice
Sdrool tHrlct 479
INSPECTION ADORESS:
Ce(ilication,
TTIIG I
mror PRoJEoTT: &003A19
Pemn r 10191322-17509
R€porl*?Pago I of 1
Srn Ocaol litperi3l County
5295 Ferris Squaro S16. C
San Crego. CA 92121
Tel: 858.537.3999
Fax:858.537.3990
Oispdcn: 888.844.5060
DAILY INSPECTION
REPORT
DSA/Ctry Fib t _
DSAr'OSHPD Appl. ,
DSATLEAi
-
THE WORK INSPECTEO MET DID NOT MEET
The requirementE ofthe PROJECT dodiments
Samples taken:
Clear remp: 72 f
S of Special lnspector
Maged Saad
Pint Name
Cerlifcation #:79
CorForlta
2992 E k PalnE Av€. Ste A
Anahsim. cA 92806
T6li 714.632.2999
Fzx:714.f32.N1
Oisp6tch: 800.491.29S0
lnland Emfiae
1 ,!16/ M6rira.n Ptvry. , BUg 2A
Riversiile, CA 92518
Tel: 951.653.4999
Fax: 96l.63.,1666
Dispetch: 8@.491-29OO
lndb
4491 7 Golt Ccntsr PtY.y.. Ste. I
lrdb, CA 92201
Tel:7@.312!6n
Fa\:7@.u2.1515
Dispadr: 8(x).491.2SO
THE WORK WAS WAS NOT
lnspeded in accordance with the requirements of the DSA/OSPHO/
PROJECT approved doqrments.
WbathEr
MATERIAL SAMPLING WASE WASNO'E] N/A EI
Performed in accodance with DS&OSPH0/PROJECT approved doclrncnE.
Project A.drnect
Strualural ErEineer
DSA Regional Ofrca
Scfiool Oisfid
Contrac{or
Buibing Departmenl
oate 09/13/2017PROJECT NAME. AIdi MOT STOTE # 3/I
TIME ARRIVED.8:OO AM TIME DEPARTED 3:OO PMARcHITEcT: APD
LUNCH TIME: .ENGINEER B&B AssOciAtES TRAVEL TIME
SUB CONTRACTORcoNTRAoToR: ED GRUSH
AoDRESS oF PRoJECT: 2830 S. BristolSt, Santa Ana, CAINSPECTION ADDRESS
otr
E NoE FIELD
E NDE SHOP
FIREPROOFING
ANC H OR/DOVVEL tr
trtr
E cEILING vvlRE
EPOXY
trtr
Dtr
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
trtr
E MASoNRY
f] HIGH STRENGTH BOLTING
WELOING
SHOP WELO
TYPE OF INSPECTION
E ENGINEERED FILL
E FoUNDATION
EI BAoK FILL
sPECs:YENE
APPRoVED sHoP DRAWNG Y EI N E
SoTLREPoRTYENEOS^./OSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYEINO
MATERIqLS USEO BYCONTRACTOR (INCLUDE RESEARCH
EQEUIPMENT USED BY CONTRACTOR:
rI/oRK AREA: Foundation Floor
REPORT NO. OR MATERIAL TEST REPORTS): NonYlal\Aleight Conctete. HiGrade Mix
Observed epoxy for installation of 6 Horizontal dowels for connection between existing Masonry wall and
new masonry wall in the following locations:
Loading dock on lines !y[ and A.8 & 7.
Observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air prior
to placing Epoxy.
Epory Set-XP was used expire date O5/20t9.
Contractor followed the manutacture instruction for installation as well as ESR-2582
All above work was completed as per approved plans "detail 82 on Sheet # 5-301" and code.
PERCENT PROJECT COMPLETE:REWORK AS PERCENT OF ALL WoRK TODAY: 0ol.
MTG 1
urGl PRo.tEcrt: 5403A19
Perma r 10191322-17509
RoportaZPage1of1
Spsd trEpecton ReF.ts mug be d6utu&d to tlE lartE6lEted belo. utun 14 d6ys dthe rnsp€diIl wts d nGFcomplBllt cordn*r6 m'-d b€ dE8rbuled mmcd6lely
SeparaE Eports $all be Fepared fcr eaci type ot sp€oal r6pectEn on a daily tasB Eadr repo.t 6nan be co.nPHed End sgn€d by the spec€l rns9€dor cD.dudir'g lhe
I}IE WORK WAS WAS NOT THE WORK INSPECTED MEI DID NOT MEET
lnspeclEd ln accordance with the requirements of the DStuOSPHO/ The requirements ot the PROJECT docrrments
PROJECT approved doorments.Samples taken:
\Albather: Cleaf lenp: 12 t
MATERIAL SAMPLING WASE WASNOTE N/AE
Perfomed in accordance with OSA/OSPHD/PROJECT approved docurnents.
Sign.ture of Special lnspedor
Maged Saad
Corporata
2992 E L. P.krE Ave. St6. A
Anaheim. CA 92806
T6l: 714.632.299e
Fe\:71t6ts22974
Obp.tcfi: 8{D.491 29$
San Dicgofl mp.rial counly
6295 Ferris Squaro S16. C
San tl€!p, cA s2l2'l
Tol: 85E.537.38€
Fax: 65E.537.3990
Dispatc+r: 888.844.s{EO
lnl.nd Emrirc
1,1467 Merilian Pkt!ry.. Bldg 2A
Rivorsite. CA 92518
Tel: 951.663.,(999
Fax i 961 .63.4668
Dbp.tch: 8m.i$1.29)
DSA,/CITY Fil€ * _
DSA/OSHPO Appl. t
OSA,ILEA
'
-
lndio
,1.191 7 Golt C.nbr PkYay., ste.1
lrdb. CA 9zz)l
lrl: 780.342 .$n
Fa\.7@ 3423525
Oirp.bh: Eoo.,l()l.iAgO
DAILY INSPECTION
REPORT
certifcation #: lC
oare: O911212017PROJECT NAME AIdi MoT StoTe f 34
TIME ARRIvED: 8:00 Al,rlME DEPARTEo: 3:00 PMARCHITECT: APD
LUNCH TIME -TRAVEL TIME;ENGINEER: B&B AssociateS
SUB CONTRACTORcoNrRAcroR: ED GRUSH
INSPECTION AODRESS AoDREss oF PRoJEcr: 283O S. Bristol St, Santa Ana, Ca
f] FIREPR@FING
E ANCHoR/Dov\rEL
E NDE FIELD
E NDE SHOP
O cErLrNG \MRE
EI
cltr
O BATCH PtAIiT
El PT coNcRETE
E sHorcRETE
E coNCRETE
Etr
O WELDING
E SHOP WELO
MASONRY
HIGH STRENGTH BOLTINGtro
TYPE OF INSPECTION
O BACK F|LL
ENGINEEREO FILL
FOUNDATION
SOIL REPORT Y E] N O sPECs: YE N fl
APPROVED SHOP ORAWNG Y E] N EDSA/OSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVED
PLANSY[INE
MATERIALS USED BY CONTRACTOR (I CLUDE R
EOEUIPTTENT USED BY @NTRACTOR:
woRK AREA Fin;t and foundation Floor
ESEARaH REPoRT No. o iAL TEST REPoRTS): NorrElwoil]ttt concrete, Hi-r36de Mix
PERcENT PRoJEcT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: 0%
cc Projed Arcfirteot
Strudt.ral Emine€r
DSA Region6l Ofic€
SchoolOidrict
Cont-actor
Buildhg DeFrtmer{
Own€r
Venlied
Print Na
lnspected the placement of 10 yard grout 2,500 PSl, ready mix f RS250G41 in the following locations:
Trash enclosure from level -1'4"to +2'{" level,
1 Pilasters On grid line F& 5.6 from level + 5'-d'to level+10'-2".
Grout was mechanically vibrated.
lnspected the laying up of 8" CMU wall in the following locations:
On grid line A between line 7 and 7.4 trom level 6'-8" To +10-8" level.
On grid line 7.4 between line A and A.8 from level 6'-8" To +10-8" level.
lnspected masonry unit for conformance to specification and Code.
tnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
MIG t
CoDorate
2992 E La PalrrE Av6. 516. A
Anahoim CA 92E06
Tol:714.632.2999
Fa,:7u.6322371
Oispotcfi: 800.491.2SO
San Diegoilllp€rial Coutty
6295 Fsrris Squ.rs Sls. C
San Di€go. CA 92121
Tel:858.537.39S
Fax: E5E.537.3990
Dispatc*!: 888.844.5060
lnland Emdre
14467 M.ridi.n Pkvay., Bdg 2A
Riv6rsilo. CA 92518
T6li 951 853.4)99
Fax: $1 .853-{686
Okpatch: 4m.491.29X)
lrdio
4491 7 GoI Ccnter Pl$ay.. Ste.i
lndio. CA 9220'l
Tql]. 76 342.6n
Fe\-7al 312 1525
CIsFbtr: 800.491.2SO
MTGL PRoJEcTI: 5403A19
Pen tr'10191322-17509
Reponr A Page I o, I
Specral lrEp€aton Report mul b€ disbtbubd to [le parE lded bebfl srlhtn 14 da)s ot the rmFad'o.l Repo.ts d norFcarnplort cdrdtivE mrd be dffirt€d mmadobly
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEET
DAILY INSPECTION
REPORT
OSA/CITY Fil6 I _
OSA/OSHPO Appl. ,
DSI,/LEA '
-
lnspected in accordance with th€ requirem€nb oftho DSA./OSPHD/
PROJECT approved dooJmenb.
\ily'aatheri
MATERIAL SAMPLING WAS E WAS NOT f] t.I/A E
Pcrformed in accordance with DSA,/OSPHD/PROJECT appDved docum€nts
The requirements ofthe PROJECT doqrments
Samples taken:
Clear temp. 7 2 I
re of Special lngpector
lraged Saad
Prinl Name
cerlifEation #: ICC{457479
-.---2
PRoJEcr NAME] Aldi Mor Store # 34 oate:0911212017
ARcHrrEcTr APD TIME ARRIVEDT 08:00 AM TIME DEPARTED: 3:00 PM
ENGINEER, B&B Assoc.ates TRAVEL TIME LUNCH TIME: -
CONTRACTOR: ED GRUSH SUB CONTRACTOR
INSPECTION AODRESS ADORESS oF PRoJECTT 2830 S. Bristol St, Santa Ana CA
TYPE OF INSPECTION
O ENGINEERED FILL
E FoUNDATToN
E BACK FILL
tr
D
tr
E coNcRETE
BATCH PLANT
PT CONCRETE
SHOTCRETE
E MASo RY
E HIGH STRENGTB BoLTING
E V\TELDTNG
fl sHoPwELo
E FIREPRooFING
E ANCHoR/DoV€L
D NDE FrELo
E NDE SHoP
E cErLrNG r^tREtr_D-tr
OSA.IOSHPD PROJECT
APPROVEO OOCUMENTS
AVAILABLE APPROVED
PLANSYEINE
SoIL REPoRT Y E] N Ef SPECS:YENE
APPROVEDSHOP ORAWNGYE N E
MATERIALS USED BY COTITRACTOR 0NCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Nonml\ l.ight Concrete, Hi6red6 Mix
EQEUTPfTTENT usED BY coNTRAcToR: Boom lift, Harness, Chipping hammers, Wire brush and welding machines.
vloRK AREA: Finst Floor roof
Completed welds were visually inspected in the following locations:
Canopy framing % " fillet weld between the L5X5X5/15 and HSS 10x4x1/4 as per detail A2 on sheet # 5-402
for connection at grid lines F&5.4.
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: Christopher Ponce LA license f,P031279 expire date 03/2018 and Rafael
De Paz LA license fP030500 expire date O5/2O2O.
All welding was performed as per approved plans and code.
All work detailed above is still in progress as per approved plans and code
REWORK AS PERCENT OF ALL WORK TODAY: O%PERCENT PROJECT COMPLETE
cc Prolect Arch ecr
Structuaal Enoineer
DSA Regional Offce
Sdlool Didricr
Cont!'aclot
BuildkE DeFrfne
O ner
Verilied by
TTIIG 1
Corporatc
2992 E 1,, Palrn Avo. St€. A
Anah€im, CA 92806
rot 714 .862.2999)
Fax:7146.12-?974
Dispatch: 8m.491.2990
San OiaooInlpcrial Cou'|ty
5295 Forris Square St6. C
San Dhgo. CA r'121
Tol: 858.537.3999
Fax: 858 537.4990
Dlspdtch: E66.E 14.5060
lnland Ernrira
14457 Moritian Ptvry., BHg 2A
Rivorside. CA 9251I
T.l: 951.553.4999
Fax: S1.663.,1866
DBpatch: 600-491-2990
lrldlo
4491 7 Go[ Center Pkwy., Ste.1
lrdb, CA gzml
I.L 7&.542-4477
F.':7@ 342 .4325
Erispatch: E00.491.2990
MTGL PRoJECfT: 5403A 1 9
Penrii I 01 91 322-17509
R6port, ? Pags 1 of 1
DAILY INSPECTION
REPORT
DSArc{TY File t _
DSA/OSHPD Appl. a
OSAr'LEA '
-
Separale rcports slEll be prepa.ed for each ttpe ol speoal nspe€tion on a darly b6sis Eadr reporl shallbeco.npl# and sgned by the specElinspector conduclng the
THE WORK WAS WAS NOT THE WORK INSPECTED MET OID NOT ET
lnspected in accordance wilh the requirements of the OSNOSPHD/
PROJECT approved doc!ments.
The requirements ofthe PROJECT documents
Samples taken.
\ resther
MATERIAL SAMPLING WASE WAS NOT f] N/AE
Performed in accordance with DSAJOSPHD/PROJECT approved docurn€nt6.
Clear temp: 72 f
Prqect Arcf!itec,t
Struatural Enginoer
DSA Regional Ofrce
School Distid
Signature ot Special lnspedor
Maged Saad
Pnnl Name
PRoJEoT NAME:Aldi Mor Store # 3/t Date: 09/11/20't7
ARCHITECT APD TIME ARRIVED 7:30 AM TIME DEPARTEDT 3:00 PM
ENGINEER B&B Associates TRAVEL TIME LUNCH TIME: -
coNrRAcroR: ED GRUSH SUB CONTRACTOR
INSPECNON ADDRESS ADDRESS OF PROJECT: 2830 S. Bristol St, Santa Ana, Ca
TYPE OF INSPECTION
N ENGINEERED FILL
O FoUNDATIoN
E BACK F|LL
E] BATCH PLANT
E PT coNcRETE
E SHoTcRETE
E coNcRETE
EIo
E wELorNG
E SHoP wELo
MASOI.i RY
HIGH STRENGTH BOLTING
tro
D NDE FtELo
E NDE sHoP
FIREPROOFIT.IG
ANCHOR/DOWEL
CEILiNG vvtREtrtr0tr
DSAJOSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVED
PLANSYEIND
SOILREPORTYENE]SPECS:YENE]
APPROVED SHOP DRAWNG Y f] N EI
MATERIALS US€D BY CONTRACTOR oNCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): NorrElV\,leight Concrete, HiSIsd€ MLr
EOEUIPMENT USEO BY CONTRACTOR:
woRKAREA First and foundation Floor
lnspected the placement of 10 yard grout 2,500 PSl, ready mix # RS250G41 in the following locations:
Trash enclosure from foundation level to -1'4" level.
4 Pilasters On grid line F.8 from level + 5'{" to level+10'-2".
Grout was mechanically vibrated.
lnspected the laying up of 8" CMU wall in the following locations:
On grid line A between line 7 and 7,4from level 5'-4" To +6-8" level.
On grid line 7.4 between line A and A.8 from level 5'-4" To +6-8" level.
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grader type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
PERCENT PROJECT COMPLETEREWORK AS PERCENT OF ALL WORK TODAY: 0olo
cc Contractor
Bullding O6p6rtment
Ovrner
Certifcation 7
t
T
o o
San 0iaCo/lmpGd.l Colrfi
6295 Ferris Square, Suite C
San Diego, CA 92'121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 800.491.2990
DAILYTNSPECTION DSITCITYFiIE*
REPORT OSA/OSHPD APft '
OSA / LEA
':
lnland Emplrs:
14467 Meridian Pkwy., Bldg.2-A
Riverside, CA 92518
Tel: 95'1.653.4999
Fax: 95'1.653.4666
Dispatch: 800.491.2990
MTGL Projecl
Permil ,
Rsport r_ PG_ 0F_
MIGr
18cllrrtcT TrutASSrvE0 .IIM€
OEPARIEO
E[GntfR t
5U8CoitIF CroB
INSPECNON AOOAESS aDDS$S 0r PEoJICI
IYPE OF II'SPECTIOII
.1.' ENGINEERED FILL.
FOUNOATION
BACK FILL
BATCH PLANT
PT CONCRETE
SHOTCREIE
CONCREIE
MASONRY
IIIGH STRENGIH EOLTING
t{rELo[{G
SHOP WELO
FIREPROOIING
ANCHOR,/DOWEL
NDE TIELD
NDE SHOP
- PULL/TOROUE TEST
OSA/OSHPO,/PROJECT:
APPR0VE0 D0CUiittlTS
AVAITABLE:
APPROVED PLAIS {b N
SOIL REPORT, Y' iI SPECS: f\ N:,
APPR0VED sHoP oRAwtilc Y
{altBlaLs usED By comR cToR (xcLUDt 8E$anc$itP.0fi I0 0B uaIIBlAl. rTsr Bfpoflrs)
AAIA, GFID UflES, PIECTS IITSPTCTED:
iIBUCIUML I|OITS DET6L ORNfIS USTD
8[MA8(S /rr(Uoi46 ]l,ff Lf6S
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
rHE Wonr wAEtr-wAs NoT L
lns@ted in accordaice rvilh the requirements ol the DSr/OSHPD/PflOJECT
approvod documonts.
THE WORI( IilSPECTEO MEIK DIONOTi,lEET
Ihe requirements ol the 0SA/OSHPD/PROJECT approved documents
W?,d]f]| L-L< rtt<-- L leng---/-Q--ArEBrlt sA Puitc wAS ,/vAs Nor r.r/&-\-
Pedormed in accordance with DSATOSHPDnROJECT abpr0ved documents
cc
fnr,'-ffifip*hr k'spector
Project Archilecl
Structunl En0ineer
DSA Regional oflice
School Districl
Contraclor
Euildino Depanment
0wner Print Name
Cerlificalion *
U"r*A
Cor?orelo:
2992 E. La Palma Avs. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
F?d.:.714-632.2974
, o(spa&h: 800.491.2990www.mtglinc.com
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Samolss blBn:
tr-.)
1,4*ln
TTITG I
ColporCr
2992 E L, Paima Ave $e A
Anaheim. CA 92806
1e1..714.63,.N9
Fa\:714.632.2374
Dispatch: 8o0.4s1.2990
5.n DlGgorlmp.rld Coullty
6295 Fofiis Square Ste. C
San Di6qo, CA 92121
Tel: 858 537.3909
Far 858.537.3990
D'spatch: 848.844.5060
lnl.nd Emttirq
14467 Mendr8n Pl(wY, Bldg 2A
RNerside, cA 92518
T€i: 951.653.49S9
Fax 951.653 4666
Diipatch: 800.491.2990
lndio
44917 Golf Conter Ph.rY St€.1
lndio, CA 92201
1ol. 760.Y2.16n
Fa!760 342.4525
Disp8tch: 800.491.2990
MTGL PROJECT*: 03A19
Report lt
-Page
1of 1
sG5l lrEoedbo R6oo.ts r|'El b€ distbled to ule ptt6 r'r'd bdow
s[para" r,ipo.t" *J e p.ep"."o tor s&h t]T. o( spccl'l rEf!'ton dr
DAILYINSPECTION osAlcrrYFire#
REPORT DSNoSHPD APPI *'-
DSA,/LEA * ......-.-
,rtirh ! 4 deY3 o{ t E h4e.lhn R€p..ts o, rD.}cdlTfsf cdldao"s nxld b' {t$rrb'lEd rn'nditldy
H'rr, E'#i,;; *r't .i.Ua.a -'o *i"a q uE GpdT rEp'dd c"ldl6E t'€
Permit lt
-
lnspected in accordance with the requitements ot lhe
Proiecl approved document6.
MATERIAL SAMPLING WAS! WASNOTE N/A X
Performed in accordance with Project approved documenb
THE WORK INSPECTED t,'!ET DID NOT MEET
The ,equiements of the Ptoiecl approved document6.
Samplestaken: NA
ParUy Sunny Temp 70"-76'
7A-,S ELrtqJu\
Proiect Ar.hitect
Stuctural Engineer
DSA RegionalOffice
Sdlool Oi6trict
Corftaqtor
Building OepaJtnent
Ovvner
Signature of Special lnspecio.
Mat Ecker
Print Name
Certification #:
a
Date: 9-,|4-17
PROJECT NAME: ALDI STORE ltt SANTA ANA
TIME OEPARTED: '! 1:30 PmTIME ARRIVEO: 9:30 amARCHITECT:
LUNCH TIME: Id{TRAVEL TtMEi ,.0 hrENGINEER
SUB CONTRACTOR: (1) XPRESS CONCREETE
CONTRACTOR: ED GRUSH GENERAL CONTRATOR
ADORESS OF PROJECT: (SAME)STEETBRISTOL2830SOUTHADDRESS:rNspEcTloN
CA,ANASANA CEILINGWIRE
D
D
FIREPROOFING
ANCHOR'DOA./EL
NOE FIELD
NOE SHOPSHOP WELD
fl MASoNRY
D HIGH STRENGTH BOLTII'IG
EIYIELD*{G
TYPE OF INSPECTION
f] ENGINEERED FILL
BATCH PLANT
PT CONCRETE
€IloICRETE
CONCRETE
rcUNDATION
tsACK FILL
trtr
N
SPECS: Y N[]
APPROVEO SHOP DRAWING Y
NBSOIL REPORT Y
PLANS Y N
AVAILABLE APPROVEDDSfuOSHPO PROJECT
APPROVEO DOCUMENTS
MATER REPORTSTESTORNO.IALREPORTNCLUDEESEARCHBYU9EDCONTRACTOR
On srte, Lab rg3T (122 1 @ 10 3 %)
CONTRACTORS EQUIPMENI/irIANPO,VER USED
( 1 ) 1 - Loador. 1 -Smooth drum roll, 2jumping iacks
AREA. GRID LINES, PIECES INSPECTED
(1) Loading dock approach on north slde of building
STRUCTURAL NOTES DETAILOR RFIS USED:
REMARKS. INCLUDING MEETINGS.
On site as requested for beck fll obsenration and compadion tesung on base placement loading approaclt at above listed locations
(1).Cortradors had alread€d plac€d matErial fir* and s"'ord test tadei rornttadoi rervoiked nlatsiai. Rei€stedall base mdterial.
Bad( Fillon slorm drain 95l)6 mix densty
PERCENT PROJECT COMPLETE:REWORK AS PERCENT OF ALL WORK TODAY:
TUIIG t
MTGL PRoJECTT: 3f03A19
Penhit, 10191322-17309
ReportrlPa0elof'l
Speqd hsFaioi Repo.E musl be
S€paBte reports riali be
THE WORK WAS WAS NOT
DAILY INSPECTION
REPORT
Corporalc
2992 E La hlrns Aw. Sls. A
An.h6in. CA 92806
Tolr 711.632.2999
F.x:714.6i2.2371
oisp.ich: 6q).491.2990
Contrador
Buildhg Dep6ftner{
Owner
San Diagormperi.l County
6295 Forris Squ!.. sl.. C
Sen t ego. CA 92121
Tel: 85E.537.3999
Fax: 856.537.3()90
Dispatch: E88.a?ta.5060
lnlend EmFir.
14467 frori,an plffy., BldO ZA
Rive6{re. CA 9251S
T€l: 951.653.,1990
Fax: 951.853.{686
oisP.tct: aoo.4g.t.2g9o
l.rdlo
'1491 7 Gotr Cenbr ptwy.. Ste. 1
lndio- CA 92201
lel 7il.U2.6n
Fax:?@.342.4525
Oispolclt: 800.,191.2990
dEtrituEd to OE p6rt€6lded beb,
lor e6dl ttIE ca sp€aat
'nsped,on on
wthin 14 daF d the rEpedo.l.Rlro.ts d nqlcqnplbri co.ldituis mu< b€a d&ly ba.!. E cfi rsro.t stEfl be co.npt t€d a.!d .{rEd by tle specral r6pe0lcx cfid(Etng UE
THE WORK INSPECTED MEr DID NOT MEETlnspected i
PROJECT
n ac.ordance with th€ requtrements otthe DSAJOSpHD/
approved doqJment6.
The requiEm€nb ofthe pROJECT doqrments
Sampbs taken:
Clear Temp: 77 tMATERIAL SAMPLING WAS E] WAS NOT E iI/A E
\4/€AthCT:
Porformed in accordance with DSA/OSPHD/PROJECT a;roved documents,
cc Proied Ar.fiitecl
SkucturEl Er€ineer
DSA Regionat Ofice
School Disldct
srg of SIEcal lnspedor
Maged Saad
Pnnt Name
Certification #: ICC 79
Verified
PRoJECT NAMEi Aldi Mor Store # 34 Date. 09/08/2017
ARCHITECT: APD TIME ARRTVED: 08:00 AM TIME DEPARTED: 3:OO PM
ENGINEER B&B Associates TRAVEL TIME LUNCH TIME: .
coNTRAcTOR: ED GRUSH UB CONTRACTORs
INSPECTI ON ADDRESS ADORESS OF PROJECT.2830 S.Bristol St,Santa Ana CATYP
EeE OF INSPECTION
NGINEEREO FILL
E routonrrolr
BACK FILL
TCH PLANT
PT CONCRETE
D sHorcRETE
CONCRETE
MASONRY
HIGH STRENGTH BOLTING
El wELorNG
SHOP WELO Dtr
REPROOFING
E ANcHoR/DowEL
NOE FIELO
NDE SHOP
G TA4REcEr
APPROVEO OOCUMENTS
HPD PR LE APPROVED
PLANS Y Nfl SOIL R N
NAPPROVED SHOP DRAwlNG Y
SPECS:N
MATE USE HR
\ r'oRK AREA First Floor roof
BYCONTRACTOR (INCLUDE RES NO, OR MATERIAL TEST R lYveight Concreto, Hi-rsrade
A & B and lines 5 & 6.4 to angel and f/2,,rod as per detail C2 on sheet # S_
Welds were inspected for size, length, location and free of visible defects.
Verified welders certificates as: christopher ponce LA ricense #p031279 expire date 03/201g.All welding was performed as per approved plans and code exceot the followlnq item is innoncomoliance with plans:
As per sheet # S-111 '? joists should be reinforced which are located between lines A & B and lines 5 &6.4" Welding contractor is only reinforcing the middle 2 joists.
Engineer need to be notified with the above mentioned issue.
All work detailed above is still in progress as per approved plans and code.
Completed welds were visually i
-Reinforcing joist between lines
405.
nspected in the following locations:
TODAYREWORKPERCNTEOFALLRwoK lo0 P E CR NE T PR OJ EC cT OM PLETE:
DSA/CITY F'lo a _
DSAOSHPO AIf{. ,
OSA/LEA '
EQEUTpMENT usEo sycoNrRAcroR: Boom rift, Harness, chipping hammers, wire brush and werding machines.
TTIIG I
Corporete
2992 E Lr hlrE Ave. St€. A
Anaheim. CA 924)A
Tel: 714.632.299e
Fax 711.6ts.2.?924
OBpetcn: E0O.491.2990
San Di.golmperisl Countv
6295 Farris Square ste. CS.n 0ie9e, CA 9212i
Tol: 858.537.3S
Far: 85E.537.3990
Oispatch: 84a.8/tzt.So@
lnlsnd Errplr.
1,1467 Merdi.n prwy., Btd0 2A
nrv.rBitto. CA 925.t8
Tel: 951.653.4999
Fax: 061.653.,t666
Dtsp.tch: 8@.491.2990
l.tdio
i!19'17 Gott Cenbr pkv.y., Slo.1
lridb. CA 92201
leli 7*.U?.46T2
F.x:7d).3,t2.4525
Obp6tch: 600.491 .2990
MTGL PROJECT',
'IO3A19Permiu 10191322-17509
Rsport I a Pag. 1of 1
DAILY INSPECTION
REPORT
DSA/CITY Fits t _
OSA,OSHPD Appt. ,
DSA,/LEA
'Specil trcFdion Reports lnusI be OsElbuted to tie PartPs llsted bebw ffthrn I a Repoahd rlo.t-complBrn co.tdtt,({B hld b€ distrbursd mnEdEE{yc cqnpl€Ed and sgrEd by uE sp€crst rt6p€dor Eructrlg tE
SeparEia reports shallbe Prepared tor eadt type of s.r€,--, i.ErEcton on a da y
days d the nsr,ection
THE WORK WAS WAS NOT
lnspected i
PROJECT
n accordance with thc requirements orthe DStuOSpHD/aPproved documenb
THE WORK INSPECTED MET OID NOT M-ETTlle requir€ ments of the PROJE CT doqJments
Samples taken
MATERIAL SAMPLING WAS E WAS NOT EJ T,I/A f] h/EAhEf;
Po.iormed in accord.nce wi$ DSA./OSpHD/padJeCi a-pprovea aocumens.
Clear lenp 7 2 I
of Specral lnspedor
Maged Saad
Print Name
Certilication #: ICC
PRoJECT NAME: Aldi M or Store # 3.{
Date: 09/08/2017ARCHITECT:APD
rlME ARRTVED: 8:0O AM T IME DEPARTED 3:oO PMENGINEER, B&B Associates TRA VEL TIME LUNCH TIME: -ONTRACTOR ED GRUSHc SUB CONTRACTOR
INSPECTIO N ADDRESS
BristolDRDPOFEROJTc2830S.Santast,CaAna,NS PECTIONtrLLENGINEERED
FOUNOATION
BACK FILL
trtr
EATCH
PT CONCRETE
SHOTCRETE
CONCRETE
D
HIGH STRENGTH BOLTING
WELDING
MASON
SHOP WELD
FIREPROOFING
E ANCH oR/Dovl,El
E NDE FIELD
D NDE sHoP
CEILING WREtr
0SA,iOS HPD PR CT
APPROVEO DOCU MENTS D
N
VAILAALE
PLANS Y
SOIL REPORT Y N
N
SPECS: Y
DRAWNG YAPPROVED S HOP
EQEUIPMENT USEO 8Y CONTRACTOR:
\ /oRK AREA: First and foundation Floor
R NonnalH REPORT NO OR MATERIAL Concrete . Hi4rade
MATERIALS USED CON TOR (NCLUOE R
One set of 3 grout samples were taken.
lnspected the laying up of 9,, CMU wall in the following locations:
On grid line A between line 7 and 7.4from level dO,,io +!<,, level.On grid line 7.4 between line A and A.g from level 0,_0,,To +S-4,, level.lnspected masonry unit for conformance to specification and Code.lnspected masonry mortar for proper mixint and handling.
lnspected reinforcing steer for size, grade, type, rab spricelsecured locations and crearance.All above work is still in progress as per approved plans and code.
To
n s htpected lace m ntp ,t 1 7 rd u tyagro 00,5 are d ixm #RS25v 10G4 n ht fo lo loca nstion8ondnA.neI 5 betwee n n e5 7 a6 7nd 4 fro m fo U nd at ton eve to +0'8 leveonrdn7e6betweenn5.5 na d D from fo nu ad t o n to +0'-8"leveonndAnenbetweeen7adn74from0'-0 +54 leveonrdn7e4IbetweenneAnadAfromeEVo'T +-45 leve
G ro ut a s m ec h na ca b rate d
REWO ASK cPER OFENT ALL WOR TK o o o%RPE Ec PNT cROJE T COMP EL TE
cc Project Ar.fitect
StruduEl ErEineer
DSA Regbnal Oflice
School Distdd
Contractor
Building Deportmenl
Owner
Vertlted byi
4
PSt,
level
level
MIG I
Corporata
2992 E La PakrE Avo. Ste. A
Anaheim, CA 92806
T6l: 714.632.2990
F.x: 714.6o2.297 4
ofsPatch: Eoo.491.29€o
S.n Oi.gon.r?e.ial Couity
6295 Ferris Square Slo. C
Sen Dogo, CA 92121
Tsli 850.537.33S9
Far : 454.537.3990
Disp€tch: a8a.844.5060
lnl.rd EmEirc
1/1467 Meridi.n Ptwy., Bldg 2A
Riv€rsk €, CA 92518
T.l: 951 .653.499e
Flx: 951 .653.4666
Ol3p6tchi 8@.491.2SO
rdb
44917 col, Contor Ptwy., Ste.l
lndio. CA 9220'l
Tot:7@.342.4677
Fax.7@342.4525
Ct p€tch: 8OO.,191 .2990
Spe<jal lnspecton ReporE mud be disffirted to
SeperaE repo.l6 $allbe gegared tr eaah type
tjre partl€s l6led Dero, wihrn 14 dq6 0r the rEp€ctul Repoats cl noartoanptar* drdnlorB mLd be dffir€d mmedEbty
oa Epeoal inspedroo on a da't brsrs Eadr rcgo.t sh.lt be co.nplebd a.rd cgfled by the sfcrd irEp€dor cordud,rE U,e
MrcL PRolEcrt: 54{l3Al 9
Pelmi, 10191322-17509
Repod, 3 Page 1 of 1
Proiect Architect
Strudural Engineer
OSA R€gional Oftce
Sdrool Distil
DAILY INSPECTION
REPORT
OS^JCITY Fil€ t _
DSA./OSHPD Appl. a.
DSA,/LEA
'
-
THE WORK WAS WAS NOT
lrEpecied in accordance tvith the requirements ofthe DSA,/OSPHD/
PROJECT approved (bcumenE.
VW6ther
MATERIAL SAMPLING WASE WASNOTO N/AE
Performod io accord.nc. with DSA./OSPHO/PROJECT .pp.oved document6.
THE WORK INSPECTED MET DID NOT MEET
Th€ rcquirements ofthe PROJECT doqJments
Sample8 taken:
Clear renp 77 I
Contraclor
Building Depadment
Srgnatur€ of Special lnspedor
Maged Saad
Certrficatron #:
Print Nnme
PRoJECT NAME.Aldi Mor Store # 34 oare: 0910712017
TIME ARRIvED: 8:00 AM rlME DEPARTED: 3:00 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME: -
CONTRACTOR: ED GRUSH SUB CONTRACTOR
INSPECTION ADORESS ADDRESS OF PROJECT. 2830 S. Bristol St, Santa Ana, Ca
E ENGINEERED FILL
EI FouNoAroN
BATCH PLANT
PT CONCREIE
SHOTCRETE
CONCRETE
trtr
TYPE OF I
BACK FILL
E HGH STRENGTH BoLTINc
MASONRY
WELOING
SHOP WELO
EI FIREPR@FING
EI AMcHoRDor rEL
E NDE FIELD
D NDE sHoP
CEILING l^,lRE
trtrtr
DSA,/OSHPD PROJECT
APPROVED DOCUMENTS
AVAILAALE APPROVED
PLANSYENE
SOIL REPORT Y E] N E
APPROVEO SHOP DRAWNG Y trNnSPECS] YENE
EOEUIruENT USED BY COI{TRACTOR
r/voRK AREA First Floor
MATERIALS USED BY CONTRAC TOR (INCLUOE RESEARCH REPORT NO OR MATERIAL TEST REPORTS): NorrEt W6iJhtboncr€toJf i€rade M'x
lnspected the laying up of 8" & 12" CMU wall in the following locations:
On grid line A.5 between line 7.6 and 7.4ftom level -1'{,,To level +O-8,,.
On grid line 7.5 between line A.5 and D from level -l'4" Io level +0-8,,.
Trash room walls from foundation level to level -1,4,,.
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
REWORK AS PERCENT OF ALL WORK TOOAY, O%PERCENT PROJECT COMPLETE
cc
Veritud
79
ARCHITECT: APD
MIG I
San Oicgorlrnperial County
6295 Ferris Squaro Ste. C
San Dhgo. CA 92121
Tel: 658.537.3999
Far: 858.537.3090
OLpatch: 8aA.A,14.5060
MTGL PRoJEcTt: 5f{13A19
Pemrt * 10191322-17509
Roporta?PagpIot1
Speoal l,l6pecton RepoaE muC be d,$rbulsd to
SeFrdle reports $all be p.epaed ba eBch t)re
THE WORK WAS WAS NOT THE WORK IN
lnspected in accordance with the requirements ot tie oStuOSpHO/
PROJECT approved documents.
V\reather:
MATERIAL SAMPLING WASE WAS NOT E] N/AE
Performed in accordance with DSA/OSPHD/PROJECT approv€d doqrnentE.
Co.poralc
2@2 E La tulrra Av6. St.. A
Anahoim, CA 92E06
Tel: 7'14 632.29S
Fax|71t.6322971
Dbp.tch: a@.4e1.29eO
lnland Emplre
14467 M€ridian Pkwy., Bldg 2A
Riversiro, CA 92518
Telr 951.653.,t999
Fax: 961.66:|.,t€56
Dispatch: a00.49r.2S€O
lrdb
rl49'l 7 Golt C€nbr Phdy., Sto.l
lndio, CA 92ml
I.L 7@312A6n
Fax:78).342.4525
D.3p6bh: aoo.491 .z€oo
DAILY INSPECTION
REPORT
DSA/CITY Frb , _
DSAOSHPD Appl. I
osr,/LEA, _
EelF-lsl try ",t'rn 1 4 da,rc_c, the rEctectiro Repo.ts o, nsrconprarr Edituls mud be dEuthrred rnrEd6Ety
or spec{d rlspe.ton 0n a daity b6$6. Eadl leport shall be compteted 6rt sgned by the speoat il6pedo( drdudirE tll€
DID NOT MEET
The requirements ofthe PROJECT documents
Samples taken:
Clear lemp: 77 f
Project Architect
St udu-al Eruineer
DSA Regionel Otrce
S.fiool tHrid
Contractor
Building Oep6rtmerrt
Srgnature of Special lnspedor
Maged Saad
PRoJEcr NAME Aldi Mor Storo # 34 oate. O91O712017
ARCHITECT: APD TIME ARRIVEO 7:00 Atl rIME OEPARTED 3:OO PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME; -
CONTRACTOR, EO GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PROJECI: 2830 S. Bristol St, Santa Ana, CA
TYPE OF INSPECTION
E ENGINEEREo FILL
D FouNDATIoN
0 BACK F|LL
ff BATCH PLANT0 PT coNCRETE
O sHorcRETE
E coNCRETE
E MASoNRY
E ttcH STRENGTH BoLTTNG
E WELDING
D SHOP WELD
trtroo
FIREPROOFI}iG
ANCHOR/DOIVEL
NOE FIELD
NDE SHOP
trEtro
CEILING l,uRE
EPOXY
DSAJOSHPD PROJECT
APPROVEO DOCUMENTS
AVAILAALE APPROVED
!!4!SYEINE
sollREPoRiyEilF SPECS:YENE
IPPROVED SHOP ORAWING Y E] N O
EQEUIPtIEt{T USED BY CONTRACTOR
vvoRK AREA: FOUndation FIOOr
REPORT NO TEST REPORT ilonrla|\ /€ight Conciet€. Hi-t3rade MixMAT€RIALS USEO BY CONJRAC (I}.ICLUDE R
ation of 5 Horizontal and 10 vertical dowels for connection between existing
Masonry wall and new masonry wall in the following locations:
Loading dock on lines A & A.8.
Observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air prior
to placing Epoxy.
Epoxy Set-XP was used expire date 07 /2OL9.
Contractor followed the manufacture instruction for installation as well as EsR-2692
All above work was completed as per approved plans "detail 82 on Sheet # 5-301,, and code.
Observed epory for install
RE\A/I3RK AS PERCENT OF ALL WORK TODAY, O%PERCENT PROJECT COMPLETE;
cc
Certification #: ICC 479
TTIIG
Corpord.
2892 E La hkrE Aw. St!. A
Anaheim, CA 92806
T.l: 714.ffi2.2999
F.x:714e32:g74
Dispotch: 8m..€1.2S0
Sln Oiegolrperial Cour v
6295 F6rris Sauar€ $o. C
San Oiego. CA 92121
Tel: 856.537.3999
Fax: 858-537.3990
Disp.tch: 688.E 44 50@
lrdb
44917 coI CohtEr pt!ryy., St .llndb. CA 922()tr.t 7@.312.46n
F6\:7@.3423525
Disp.bh: 800.491.2990
MrcL PRolEcB:5403A19
P€.rrd, t0191 322-1 7509
Roportr l tug€ 1 of .l
Reflqts mun be ct*DuEd tc ItE PanEs l6H betftwitun 1!Separate rEports gtall be prepareO ID. e&n tyIE oa
dals oa non@mptlart coft,tlo.ls mud b€speosl nspectioo on a daly basls Eadl repoi sha cofipteted and sgned Dy the Epeoal
THE WORK WAS WAS NOT THE WORXtnspeded i
PROJECT
n accordance with the requiremonts ofthe DStuOSpHD/approved doqhents.
MEI DID NOT MEE-The requirements ofthe pROJEC T documents
Samples taken
MATERIAL SAMPLING WASE WASNOTE N/A Et VlbAthET:
Perfomed in accordance with DSA,/OSpHD/pR-ECl afrmveO Ooanrrnls
Clear Temp: 77 f
Projeci Arcfiitect
Skudur3lEngineor
DSA Regbnat Office
School Digact
Contraclor
Building Oep6rtneri
Ovrner
Signa ture of Special lngpedor
Maged Saad
Pdnt Name
Certilication #: ICC{457479
PROJECT NAME: Ald i Mor Store # 34
oate. 0910712017ARCHITECT:APD
TIME ARR,VED: 08:00 AM rlME DEPARTED: 3:OO pM
ENGINEERT B&B Associates TRA VEL TIME LUNCH T]ME: -CONTRACTOR: ED GRUSH su8 c ONTRACTOR
INSPECTI ON ADDRESS
ADDRESS OF PROJECi 2830 S. Bristot st,Santa Ana CAT
D
tr
toN
ENGINEERED FILL
FOUNOATION
BACK FILL
EOF EATCH
CONCRETE
E PT coNcRETE
E SHoTcRETE
HIGH STRENGTH SOLTI}IG
VVELDIT,IG
MASONR'
SHOP WELD
FIR EPR@FING
ANCHOR/DOWEL
E NDE FIELD
E NDE sHoP
CEILING \^,/lREotr
D0sA/o SHPD PROJECT
APPROVEO DOCUMENTS
AILABLE APPROVED
PLANS Y N
PORT YsorL N
N
SPECS:Y N
APPROVED SHOP DRAWNG Y
EoEUrpuENr usEo By coNrRAcroR: Boom rift, Harness, chipping hammers, wire brush and werding machines.
TERIAL TESi
woRK AREA: First Floor roof
E
RIALS USEO AY CONT TOR (INCLUDE RESEARCH R EPORT NO OR Nonnall l6ight Con6ete , Hi€rads Mix
welds were inspected for size, rength, rocation and free of visibre defects.All welding was performed as per approved plans and code.verified werders cerflficates as: christopher ponce LA ricense fp031279 expire date o3/201g.All work detailed above is still in progress as per approved plans and code.
Completed welds were vizu
-Reinforcing joist between I
405.
ally inspected in the followi
ines{&!and lines Q & 6.4
ng locations:
to angel and l/2,, rod as per detail C2 on sheet # S-
R EWO KR PAS RE C ENT OF ALL KWOR T o YDA 0%EP R CE PNT OJR CE T COMPLE TE:
cc
V€rilied by
g-6L^-^
lnl.nd Erndr.
1 4467 Meririan pkwy. , Btdg 2A
rirueErde. CA 9251a
T6l: 951 .653.{999
Fax: 951.S3.it866
Disp.tcfi : 800..t0t.2S90
DAILYINSPECTION Ds&crryFler_
REPORT DsA/osHPD Appr. ,
DSA,/LEA '
-
[IIG 1
Corpo.aL
2992 E L. Prlfta Aw. Ste. A
Araheim, CA 92606
Tol:7t4.(xi2.2999
F^\:714.6.2?g71
Oisp€tch: 86 ,{91.2990
San DiegonnFcrial Cou,rty
6295 Fsms Squars St . C
San Diogo, CA 92'121
T6li 858.537.3999
Fa!: &58.537.3990
Dbpalch: 884.844.5060
lnlsnd Eillt ire
tzl467 Meridian Pkyar., Btdg 2A
Riversiio, CA 92518
Tel: 951.653.,1999
Fax: 961.663.4566
DisF.tchr 0@.491.2990
lndb
rgl917 colt Cent r Pkry),.. S1e_I
lndio. CA 92201
r*.7@.312.46n
Fax:7@.U2.4525
oisFbn: 8fi).49.t 2SO
MTGt- PRoJEcrr: 5403A19
Pem* r 10191322-17509
RcporttlFage I o{ 1
special lnspectjon Reports mir$ be dlstituted tc the partres lisH beki, r{thio 14 da}6 of the in€pedi,t ReportE ot Doo-comptaant coodrt|orls must b. dlsuuledS€perrte reports $all be prepared to. e&h lype ol6peo3l nspediyl on s dary b6s6 E d1 repo.t stlall be coanpl€ted ard sqned !y th€ Epectal rcpedd
THE WORK WAS WAS NOT THE WORK INSPECTED OID NOTlnspecled in accord6nce with the requirements of the DSA,/OSPHO/
PROJECT approved document8.
WeEther:
MATERIAL SAMPLING WASO WAS NOT E] N/AE
Perlormed in accordance with DSA"/OSPHD/PROJECT approved documents.
Th€ rgquirements ofthe PROJECT dodrmcnts
Sampbs taken:
Clear Temp: 77 I
s ofs pecial lnspector
Maged SaadContractor
Buildlng Oepanmern
Osrner Print Name
cenificatron #: ICC{457t179
PROJECT NAME AIdi Mor Store # 34 oate: 09/06/2017
ARCHJTECT: APD TtME ARRIVED, 07:OO AM TIME DEPARIED: 3:OO PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME .
CONTRACTOR, ED GRUSH SU8 CONTRACTOR
INSPECTION AODRESS ADORESS OF PROJECT: 2830 S. Brislol St, Santa Ana CA
INSPECTION
BACK FILL
O ENGINEERED FILL
E FoUNDATToN
trtr
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASON
HlGH STRET{GTH BOLTING
IAiELDING
SHOP YVELO
o
FIREPR@FING
ANC HOR/DOiA,/EL
NDE FIELO
NDE SHOP
CEILING WREtrtr
OSfuOSH PROJECT
APPROVED DOCUMENTS PLANS Y N
AVAILABLE APFROVID SOIL REPORT Y N
Ntr
SPECS: Y N
APPROVED SHOP ORAWNG Y
EoEUTPMENT usED By coNrRAcroR, Boom lift, Hamess, chipping hammers, wire brush and $relding machines.
MATERIALS D BY CONT (rNcLU RE NO OR MA TEST RE
l ioRK AREA: First Floor roof
hl Concrste. Hiarad6 Mix
welds were visually inspected in the following locations:
-Reinforcing joist between lines ! & Q and lines Q & !.1[ to angel and !/2" rod as per detait C2 on sheet # S-
405.
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #PSF 046, Boris euinanilla AWS and Divan Michell
license # PSF 149.
All work detailed above is still in progress as per approved plans and code.
Completed
ER RWO ASK ERP ENC oT ALLF KWOR DATOY 1Yo PERCENT PROJECT COMPLETE:
Verified
DAILYINSPECTION DSArcrwFirer_
REPORT D€A/osHpo Appr.,
DSAr'LEA 4 _
Proied Arrhite.t
Structural ErEinee,
OSA Regional Ofrce
Scfiool Dislrid
ilITG
Co,porala
2S2 E La PalnE Avo. St6. A
Anaheim, CA 92@6
Tel:714.632-2999
Faxt 714.632.2974
oispatch: 8@.491.2990
San OicgoilnEE ial Coudy
6295 F6ris Square $e. C
Sen O.go, CA 92121
Telr 858.537.3999
Far: &56.537.3990
Oispdldl: E68-6,{4.50@
lnl.rtd Emtire
1/1467 Moridbn Pkv/y.. Btdg 2A
Rivorside. CA 92518
Tel: 951.653.4993
Fax: 951 .853.,1666
Dbpetch: 800.491.2990
rl49l 7 Gol, Csnbr Pl(wy.. Ste. I
lndlo. CA 9220 tf.t 760312!6n
F.x:760.342.4525
DisFbn: 8o0.a9l .2990
Speoal lnEpecton Repoals must b€ dlsfihrted to
Sepalate reports shall be prepared tor eaci type
o," part*s lbrEd b€b* wrihn 14 da* or rhe r*ectffr R"po.ts ct non compr.nr coodiions n',uc be d*trrbuled imr*d.Eryor speoa, rnspedon on a da y ba6s. Ea.i Epo.t shal b.;;d.rJ;; "je;; titij" "ilijii,iio. *,o.n p u.
lnspected in accordance with the requirements otthe DSA,/OSpHD/
PROJECT approved doc{,ments.
MATERIAL SAMPLING WASD WASNOTE N/AE
Performed in accordance with OS OSpHD/pROJECT approved docurnents.
DAILYINSPECTION DsA/crryFire._
REPORT DsAr'osHpD Appr t
OSA/LEA '
-
THE WORK INSPECTED MEI DID NOT MEEI
The requirements ofthe PROJECT do€uments
Samples taken:
Weather.Clear fenp: 77 t
MTGL PRoJECTI: !003A19
pemn r 10191322-17509
Report t 2 PaOo 1 of 1
THE WORK WAS WAS NOT
Proiecl Archttecl
Struclural Engineer
DSA Regional Office
School Distict
Contrador
Building DeFrbnent
Signature of Spedal tnspector
Maged Saad
PROJECT NAME] AIdi Mor Store # 34 oare: 09/06/2017
ARcHITEcT: APD TIME ARRIVED, 7;OO AM TIME DEPARTED: 3:OO PM
ENGINEER: B&B Associates TRAVEL TIME:LUNCH TIME: -
CoNTRACToR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS oF PROJECT:2830 S. B ristol St, Santa Ana, CA
OF INS
BACK FILL
O ENGINEERED FILL
E FoUNDATToN
H PLANT
PT CONCRETE
E SHoTCRETE
CONCRETE
RY
SHOP WELD
E H|GH STRENGTH BoLTING
E wElorNG
FI
ANC H OR/DOV\./E L
NDE FIELD
NDE SHOP
CEILING VT,IR E
E EPoxYtr_
APPROVED DOCUMENTS
ostuosH ROJECT
NPLANS Y
SOIL EPORT Y N
NE]
SPECS:Y N
APPROVED SHOP ORAWNG Y
EOEUIPMENT USEO BY CONTRACTOR
t /oRKAREA: Foundation Floor
TEST RE NorrEl , Hi-Grade Mix
MATERIALS USED BY coNTRACTOR (l NCLUOE RESEARC H REPORT NO. OR MATE
new concrete ramps in the following locations:
External ramp 4" thick slab between lines 5 & 5.S.
Observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air prior
to placing Epoxy.
Epory Set-XP was used expire date OS/2019.
contractor followed the manufacture instruction for installation as well as EsR-250g
All above work was completed as per approved plans "detail 82 on sheet # s-301,, and code.
Observed epoxy for installation of 7 Horizontal d owels fo r connection between existing Concrete Slab and
EWOR KR PAS RE ENTc OF ALL KWOR oT YDA lvo PERCENT PROJECT CO[ilPLETE:
Certrfca
Prinl Name
MTG 1
Corporat.
2S2 E La Palma Avo. 516. A
Anah6im. CA 92805
Tel: 714 632.29S
F ex: 71 1.A2 E7 1
Oisp6tch: 8@.,t91.2990
San Dicgofl np€aial County
6295 Ferris Squaro Ste. C
San Di€go. CA 92121
Tel: 858.537.3999
Fax: 858.537 $9O
Dispatch: 866.E44.56O
lnl.nd Emd..
1,1467 Meridisn Pkwy., Bldg 2A
Rivelsade, CA 92518
TGI: 951 653.4990
Fax:951.853.{666
Dispatch: 6@.491.2So
lndio
44917 Gol,Cant r Pkwy, Ste.1
lndio, CA 92201
ror 7@342ign
Fzx:l@ .342!525
Disp6dr: 600./t9i .2990
Speoal lnspectjon Repoals must be
SeDarEte reports stralt be prepared
dlshtuEd b the garues l6tsd beb, lvllnn '!4 .tays-ol the nsp€<lro.r R€lo(ls ot non comptlant condfto.ls mud bc ddrihrted mrnedBl€tyIor each lrpe of speoat rEpectir on a da'ty bas6 eaAr rcporr sU Ue &"p*o;;-";;;;;.F".r r*p.dcx co.du.tnp the
MrGL PRoJEcrt: 5403A19
pemrt I 10191322-17509
Reporlt{Pagelofl
THE WORK WAS WAS NOT
DAILY INSPECTION
REPORT
Inspecled in accordance w h the rBquirements ofthe DSA,/OSPHD/
PROJECT approvcd doqrments
MATERIAL SAMPLING WASE WASNOTI] N/AEI \AbAIhET:
Performed in accordance y/ith DSA,/OSPHD/PROJECT apprcvod doclrnents.
THE WORK INSPECTED MET DID NOT MEET
TIE requirements ofthe PROJECT do.uments
Samples taken:
Clear temp: 77 I
of Speciai lnEpedor
Maged Saad
Prinl Name
Cenificatrcn #: ICC 79
Vefllied
cc Project Archit.c,t
Strudural Engineer
DSA Regional Ottrce
School Dbtrict
Contractot
Building D€p€rtmern
Owner
PROJECT NAME:A|di Mor Store # 34 oate. 09/06/20 17
ARCHITECI: APD Architectu16 IIME ARRIVED: 7;OO PM TIME DEPARTED: 3:OO PM
ENCTNEER: B&B Associates TRAVEL TIME LUNCH TIME: -
CONTRACTOR, ED GRUSH SU8 CONTRACTOR
ECIION ADDRESS]NSP OF PRoJEcTT 2830 S Bristol St, Santa Ana,AODRESS
EACK FILL
TYPE OF INSPECTION
O ENGINEERED FILL
E FoUNDATtoN
otr
AATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASONRY
El H|GH STRENGTH BoLT|NG
D wELorNG
E sHoP ! /ELo
FIR
NDE SHOP
E ANcHoR/DowEL
E NDE FrELo
CEILING wlRE
0sa/os HPO PROJECT
APPROVED DOCUMENTS PLANS Y
APPROVED
NE SOIL RE TY N
N
SPECS:Y N
APPROVED SHOP ORAWNG Y
EOEUIPMENT USED BY CONTRACTOR
l4roRK AREA First Floor
RES REPORT NO. OR MATERIAL T T REPORTS)r Nonral Weight Concrete, Hi6€de Mix
MATERiALS USEO BY CON (rNcL
concrete 4,000 PSI Ready mix # 52403 in the following locations:
5 & 5.5.
Shopping cart Curb on lines F, F.8 & 5.8.
All areas of concrete placement were clean of all deleterious materials.
Reinforcing steel was secured against displacement.
Concrete was mechanically vibrated.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
lnspected the placement of 10 Cubic yard
External ramp 4" thick slab between lines
EWOR KR AS P RE ENc oT ALLF KWOR DATOY 0o/o PERCENT PROJECT COMPLETE
OSATC|TY Filo t _
DSA,/OSHPO Appl. t
DSATLEAt _
#ffi tr*.*Ef-ffi fl;*u:
Ste. A
MIGT PROJECIT s403Ar9
Pemttt l0lglJ22-1tsoe
ReDon l1 o1g" 1
Prorect Arcittect
Strudural Engineer
DSA Rcgion.l Otrc€
Sdrool Didrid
DAILY,NSPE CT'ON
REPOR T
, Bioo ze ,Ddi
OSArc,rY FT€ ,
DSA,/OSHPD
Appt. ,
, Sre.,
THE WORK WAS WAS NOI
MATERIAL sAMpLrNc wnsE wAsNoro N/A fl
Performed in accordanco with DS OSPHD/PROJECT approved docunrents.
INSPECTED MET DID NO MEETE
lrup€ctod in Eccordanoe wlth the r.quirement otth! OSTOSPHD/ Th. rcquircrncnts ofthc PROJECT documcnis
PROJECT approved doorments. Samptestaken:
weather: Clear temp: 77 t
re of Special lnEpeclor
Magod SaadContractor
Building Depadmed
Certification #:
PR OJE ct ME A ,di or Sto re#34
ARCH]IEC r APD
Oate:0 1 7rIMERRDIVE700AM
ssociateENGINRB{t B A s
PARIE :0TIMEDE03 P0 MTRAVELrtue :
ON TRA c TO R E D G R SU HINShADD ACTOR
llrN
o 0 R ESS OF cPROJE T:2830 S St,Santa Ana,Ca
FI R E N LCEI ING €RANCHoRiDor'yE L trNDDEFIELoD
N SDE HOp
OF TION
ED NG EIN E R ED LFI tFOIJnTDAtoN
BACK FIL!
NPLA T
PT coNC R
str HOTCR Elts
coNC RETE
HGX STRE GTH BOLTINGtr
SHOP WELOHsr'roS PR OJ
PA P R D CUDO E E APPRsN
SOIL R TY
N
PPR OVED s 0HOP GEOEUIPMENT USED gY CONTRACTOR
u,onx eael Firct FloOr
S USE
R oN RIAL TEST RE PORT s): N onrlallt/eigtt onqote, Hia rade Mix
All above work is still in progress as per approved plans and code.
txt
ns e dcte tp he aI I n uv 8ofc &p 12"c UM I tn h e fol lo I o cat oi nsng0nIIdne5AbetwenII7nea67nd.4 fro m eve 3 t o Iave 7 4ondriII7neBb6IewenneA.5 a nd D mfro 3 -0"1 4n5ampectedosnunitforfnfoamncstoIcafitotpecandn
n 5 LL md ap so n om rrtary rfo ro e Ip m np a nd h aD nd II ng,
I ns ctee d Ire rcnfo Ip st Ingee fo sr ,e r a d a hp p Ircd t
R EWO RK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE:
cc
Vedlied
479
wall
level to level
Code.
t-t-
MrGL pRoJEcTr: it03AI9
Fe'nrit, 10191322-17509
Reportr l page I ot l
E WORK WAS WAS N OTlnsp€cted in acco rdance wtth the requiraments of the OSA,,/OSpHD/PROJEcT a Pproved doqrments.
Corporata
2992 E L. fttrE Av6 St€ AAnah6im. CA 920€r€
Tel: 7tla.(xr2 2999
Fax:714.€F.2.2E71
Dbp.tchj Em 491 .2990
yflHSf :s*l""*Hf ,E"x}.,iBlB.yi"fl .*o
PrDisct Arcfiitec-t
Strudural Emineer
OSA Regionai Ofice
School Distrtd
DAILY INSPECTION
REPORT
San Di.g[crntr)crisl Countv
6-295-Ferris Squaro Sto. C:,an Lr6go. CA 92rri
Tel: 85a.537.3990
Far:E5E.S37.gSO
D;sp.tch: 68A.0.{4.SO@
lnland Emdr.
I 11467 M.riji.n plvry.. Btdo 2AtrryeBde, cA 925ta
T6li 951.653.4999
Fir: 95r.653.,1666
Obp6tci: 600.491.2990
Irdb
ffi]"|.!$1t'eu,s" r
f oL 7@.3 2.6n
Fax:7@ -342j525
tlsp.lch: BOO.{91.2990
a daiy bans Eadl
WORK
OSArclTy Fitc a _
DSA/OSHPD Appl. ,
DSA/LEA
'
DrD Noi MEET
doqlments
THE
The
Sam
requrcments ot the pROJECT
Pb6 tak€n
weather: Cleaf Temp. 77 f
of Sp€osl lnspeclor
ged Saad
s6natrre
ita
Certitlcaton #: ICC
ITIIG t
PR OJE Tc ME A td M ro #Store 34
Date.09/0 5t2017ARCHITECT:APD
TIME A RRTVED: 8:0O AM TIME DE PARTED 3:00 pMENGINEER: B&BA ssociates
TRAVE L TIME
LUNCH TIME: -CONTRACTOR ED GRUSH
SUB C ONTRA CTOR:INSP ECnoN ADDRESS
D ORE OF R OJE CT:2830 s.a ristol st,Santa CaAna,NS PEC TIONtrFILLD
ENGINEERED
FOUNDATION
EACK FILL
8A rcHocoNCR ETEtrSHOTCRETE
CONCR E TE
MASON RY
SHOP WELD
HIG]I STRENGTH BOLTIiIG FIRE PR NG
NDE S HOP
ANCHOR/DOWEL
ND€ FIELD
c L E
PD ECPROJ T
D DOCUME NTS NE
LAELE
PLANS Y RESO N
N
N
RAWNG YDOVEDSHOP
EAEUIPMENT USEO BY CONTRACTOR
r roRK AREA FOUndation Floor
RE
OE RH E PORT NO OR TE IALR TE Norma I W6i9ht Hi€rade
RIALS U DBY
lnspected masonry unit for conformance to specification and Code.lnspected masonry mortar fo
rnspected ,."inror.l";;;;l 'vr proper mixins and handlins'
r size, grade, type, lab splice, s€cured locations and clearance.
All above work is stifl in protress as per approved prans and code.
Foundation level for 4 courses in
"loadins dock area
n s dcte tpe he a u 6ofn8p &1 C UM wa tn eh fo lo oca t onongrdnc76betweenen5andDfromaverate
R EWOR AJK P C OFNT ALL WOR TK U DA Y 00/o P R OJ cE T
Contaactor
Eurlding Oep6rbhern
Owner
documents
A-
Print Nsme
A.5
Corporctc
2892 E La PrlnE A\/6. Ste A
Aneheim. CA 92804
1.t:711.632.?999
Fa\:71afn.2.XI{
DiiP6tch; 8oo.ao.t.2so
San Oiegorrp.nrl Counly
6295 Foris Squ.re Stg. C
Ssn Oi€go, CA 92121
T6l:85a 537.3999
Fsx:868.537.3SO
DisP.tch: 866.844.5060
lnland Eiifira
1{.167 Moriri.n Pkury., Btdg 2A
Rtuorsido. CA 02519
T6l: 951.653.4999
Fax: S1.63.466E
Oispatch: 8@.i191.299)
lndio
44917 Got Conbr pt(wy.. Sto.l
lndb. CA 92m1
Tel 7@i42.1577
Far:7d).342.4525
Obp.dr: 800.,191.2&O
MrGL PRoJEcr.: 54{13A1 I
P6mitt 10191322-175{19
RspontlPaqe 1ot'l
Speoal tnspecion R€po.t6 hust be clstrtutsd
DAILY TNSPECTION
REPORT
DSArcIY Fil€ I _
DSATOSHPO Appt. t
DSA,TLEA 'to lhe gart'€s li*d beid wnhh t!SepardE .EF.ls $all be preFred tb( eaait t)re of speoal lr6ped'on on a dait
cq.B c, th€ 'n aEdion o, noo@plant q|ddrciE mlJst be drsilbulcdba$s Edr regod snait c..Dpl€t d 6nd eO,Ed by the sp.crat inspeds
THE WORK WAS WAS NOT
Projec{ Ardritecl
Strudur.l ErEineer
DSA Regional Ofrce
School Oi.toid
TtIE MET NOT MEETIn€pecGd in accodanoe w h the requiremenb of the DSNOSPHO/r.xuJEc I apprcved documents
MATERIAL SAMPLING WASE WAS NOrf] N/A E
VVE'IhET
Pedormed in accordance with DSA,/OSPHD/pROJECT apprcved doqrmsnts.
The requiremsnts ofthe PROJECT documerB
Samples taken:
Clear Temp: 77 f
of Speclal lnspedor
Maged Saad
Print Name
Certrncafion #: ICC
t
MIG t
PROJECT NAME: A ldi Mor Store # 34 Date: 09/05/2017
ARCHITECT: APD IIME ARRIVED: 08:00 AM TIME DEPARTED: 3:OO PM
ENGINEER] B&B Associates TRAVEL TIME LUNCH TIME: -
ooNTRACIoR: ED GRUSH SUB CONTRACTOR
SPECTION ADORESSIN
AOORESS OF PROJECT:2830 S- B ristol St, Santa Ana CA
INS TION
E ENGINEEREo FILL0 FoUNDATToN
E BACK FILL
BATCH
PT CONCRETE
0 sHorcRETE
CONCRETE
trtr
HIGH SIRENGTH BOITING
YVELDING
SHOPWELD
NGFIR E
ANCHOR/OOWEL
E NDE FrELo
NDE SHOP
CEILING wlRE0troDSIJOSHPD PROJECT
APPROVED OOCUMENTS
ILABLE APPROVED
PLANS Y N
SOIL REPORT Y N
N
N
APPROVED SHOP DRAWN GY
s
EOEUTruENT uSE0 By coNrRACToRi Boom rift, Hamess, chipping hammers, wire brush and werding machanes
RIALS US€O BY CON MATE
woRK AREA. First Floor roof
(tN LUOE RESEARC}L REPORT NO REPORTS)i Normat \ ,reigtt! Concrete,Hi€rade Mix
lines 6.2 & / to angel and !/2,, rod as per detail C2 on sheet $ S-
-Reinforcing joist between lines ! & p and lines $ & !! to angel and !/2" rod as per detait c2 on sheet # S-405.
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #pSF 046, Boris euinanilla AWS and Divan Michelllicense # PSF 149.
All work detailed above is still in progress as per approved plans and code.
Completed welds were visually inspected i
-Reinforcing joist between lines f& ! and
405 5 joists were completed.
n the following locations:
TODAYREWORKPEERCoNTALLFRWOK 0%CPER ENT P EROJ CT COMP LETE:
cc Contraciot
BuiHhg Departnrent
Ownsr
e1
79
TTIG I
Corporatc
282 E L. tulrln AE. Sto. A
Anaholm, CA 92806
Tel: 714.632.2999
Far 714.63.2.2371
Dbpatc*'i 800.491.29SO
S.n DiGgon npGri.l County
6295 Fcrrb Squaro 8o. C
San Oieoo, CA 9212'1
Tel: E5a.537.3990
Fax: E58.537.3900
Oaspstch: 8aa.8zl4.50@
lnl.nd Ernfir.
t,1457 Mork bn Ptwy., Btdg 2A
Riversido. CA 9251a
T6l: 95 1 .653.,(999
Fsx: 951 .653.,166€
DBpatch: 8o0..{91.2990
lrdio
it49r7 GoH Cenbr Pt(say., 9e.l
lndb, CA 92201
f el'.7@.U2.6n
Fer:7d).342.4545
OisFEhr 8OO.491 .2990
MrGL PRoJEcrri 54{13419
P.'rit t 1 0, 91 322-1 7509
Roporl,4 PaOo 1 of I
Spedal lr6pectirn Reports mu$ be d6hhrtEd
DAILY INSPECTION
REPORT
lc! tlP parti= l6led b€tou w$in 14 da),E c{ lh€ n6p.d|dr lws ot noal.coanpliant condilirE mul be dBtrlhrteO mSep€rdto rcoorte sllalt be tlPe of speoal i.E@ion on a darly ba6Js. Eadr repon shaltbe cornplel€d ard siofEd by lhe speoal inspedor conOEtno th€
THE WORK WAS WAS NOT THE WORX INSPECTED MET DID NOT MEETlrlsp€ctsd in ac.ordance with the requiremenb ol the DSA/OSpHO/
PROJECT a pproved do@ments.
MATERIAL SAMPLING WAS E WAS NOT E N/A E
VTy'EAthOT
Performed in accordance with DSAJOSpHD/pROJECT spprovod docurnenb.
The requiGments ofthe PROJECT documsnts
Ssmples takEn:
Clear remp: E6 f
Proj€cl Ardritoct
Shuctulal Enganeer
OSA Regional Ofice
Sd|ool Didrid
Conhaclor
Building Depqrlrner
O'vner
Signature of Special tnspedor
Maged Saad
print Name
ccrtific€tlon #: ICC{.1tt7479
Verined
tr
PROJECT NAME: Ald i Mor Store # 34 Date: 09/01/2017
ARCHTTECT: APD Architecture TIME ARRIVEDT 7:30 PU TIME OEPARTED: 4:OO PM
ENGTNEER: B&B Associatei IRAVEL TIME LUNCH IME: -
CONTRAoToR: ED GRUSH SU8 TOR
] NSPE CTION AOORESS ADDRESS OF PROJECT: 2830 S Bristol Sf Santa Ana,
TYPE INSPECTION
fl ENGTNEERED FtLL
E FoUNDATtoN
E BACK FILL
BA PLANT
E PT coNcRETE
SHOTCRETE
CONCRETE
RY
HEH STREI{GTH BOLTING
WELDII.IG
SHOPVTELO
FI
NDE SHOP
E ANcHoR/DowEL
E NDE FrELo
CEILING
'^ilRE
o
APPROVED OOCUMENTS
PO PROJECT 0
N
AVAILABLE
PLANS Y
SOIL REPORT Y N
N
SPECS: Y N
APPROVED SHOP DRAwlNG Y
EQEUIPMENT USEO BY CONTRACTOR
'r1pRK AREA: Filst Floor
H REPOR OR MATER TEST REPORTS): NonrB I W6i9ht Conqete . Hi€rade Mix
MATER BY COr{ONCLUOE
Loading dock 5" thick slab between lines A & A.9,7.6&7.
All areas of concrete placement were clean of all deleterious materials.
Reinforcing steel was secured against displacement.
Concrete was mechanically vibrdted.
All concrete placement inspected and detailed above has been completed as per approved plans andcode.
lnspected the placement of 20 Cubic yard
Shopping cart 5" thick slab between lines
concrete 4,000
G&F,s.6&6.4
PSI Ready mix # 52403 in the following locations:
TODAYEWORKRPRCENTEOFALLRWOK o/"0 PERCENT PROJECT COMPLETE:
ASA/CITY Frb , _
OSA/OSHPD Atpt_ t.
DSA/LEA t _
TUIIG 1
Co.por.L
2992 E Le ftlrm Aw. Sto. A
Anahei'n, CA 92806
Tel: 714.632.2989
Fax 711.@22s74
Oispetci: 8CD.,191.29$
S.n Oicgo, rnpGri.l Courty
6295 Fe.ris Square Slo. C
S.n Disgo, CA 92121
Tel: 856.537.3999
Fax: 856 537.3990
Oisp.tch: 888.8.a.1.50@
lnlr|d Emfi..
1 /tzl6, Morirhn Ptvay. , Bldg 2A
Rivo.sire, CA 925't I
Tel: 95'l .653.21999
Fax: 05'1.663.,1666
Disp.tch: 600.491.2990
lndio
zl49'l7 Gof Cenbr Pt y., Ste..l
lndio. CA 92201
Tel7@.U2.16n
F.r:7e,312i525
tlspqbh: 80O.u191.2990
Speoat hspecbon REpdts mus be
Separ6le r@rts sttall be p.epared
dEfiboEd uc rE Dadps t6tsd tetp wltxn 14 .tayB ot tE rEp.d,o.t Repo.ts d r,.rFcornpt|snt co.xnlo.!6 mu6t be dsruJted m|ItdlaFtvlb.ea.htlpedsDe.ElinseedDnonadaivbesis'Ed,;"&d,"r;;;t#;;;H;fi;;;;;;#;ilil--t
uTct PRoJEcTt: 5403A19
Pemit, 1 01 91 322-1 75{19
Report t 1Page 1 of l
THE WORK WAS WAS NOT
Projed AEfinect
Structurel Engineer
DSA Resional Ofrce
Sdrool Distrid
DSA/CITY Filc a _
DSA,OSHPD Apgl. t
DSA,/LEA *
lrEpecl?d in ac{ordanc€ vrith ttE requirements of the DSNOSpHD/FK(JJEC I approved doqrments
MATERIAL SAMPLING WAS E WAS NOr E N/A E
IA/EAIhET:
Perfurmed in accordance wi$ DSA,/OSPHD/PROJECT approved documenb.
THE WORK INSPECTED MET DID NOT MEET
Th€ rsquiremenb otthe PROJECT documcnts
Samples taken:
Clear Temp: 86 f
Contrac-tor
Buildi.g Dep6rhent
Owner
Signatlre of Speciat tnspedor
iiaged Saad
Print Name
Certltication # lCC{457479
PRoJECT NAME: Aldi Mor Store # 34
ARcHITECT: APD TIME ARRIVEO: 07:30 AM TIME DEPARTED. 4:OO PM
ENGINEER B&B Associates TRAVEL TIME:LUNCH TIME -
CONTRACTOR, ED GRUSH SUB CONTRACTOR
JNSPECTION ADORESS ADDRESS OF PROJEcT: 2830 S.B.istol St, Santa Ana CA
OF
BACK FILL
E ENGINEERED FILL0 FoUNDATtoN
PLANT
PT CONCRETE
D sHorcRETE
CONCRETE
MASONRY
HIGH STRENGTH BOLTING
WELDI}IG
SHOPWELD
FIR OOFING
ANCHOfuOOWEL
NOE FIELD
NDE SHOP
CEILING WRE
trtrOSTJOSHPDOJEC
APPROVED DOCUME NTS
D
PLANS Y NO
AVAILABLE APPR ,L REPOR N
N
SPECSj Y N
APPROVED SHOP DRAW]NG Y
EOEUTPMENT USED 8y CONTRACTORi BOO. lift, Hamess, Ghipping hammers, wire brush and welding machines
MATERIALS USED CONTRACTOR ONCLU RES H REPORT OR MATE
r^roRK AREA: First Floor roof
TEST REPORTS): N onna Meight Con6et6 , Hi6rade Mix
-Reinforcing joist on lines 5.3 and between lines Q & ! to angel and !/2" rod as per detail C2 on sheet # s-405.
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #pSF 046, Boris euinanilla AWS and Divan Michelllicense f PSF 149.
All work detailed above is still in progress as per approved plans and code.
mCo lete WEd d WEs rep s au cte d tn hev fo onspe o cat nsong
e.R n ffo c stol b e ntweeng esn &a nd ne s &F ato nE a dn 2 rod aaZ s f etd a C2 no spe he te *540
R EWORK PAS RE E TN Fo WOALL KR DATO Y lYo ERP ENC PRT TOJEC oC M PLETE
DAILY INSPECTION
REPORT
Date: 09/01/20 t 7
PRIIJfCT NAMI 0Alt
ARCIiIIECI
TIME OEPABIID
IRAVTL TIME
COI{IRACTOB su3 coilT8acT08
lrsPtclota aDonrss SS OF PROJE
TYPE OF IIISPECTIO}I
ENGINEERED FILL
FOUNDATION
, EACK FILL
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASONRY /
HIGH STBEI'IGTH B0LT|lic
WELDIIlG
SHOP WELD
FIREPROOFIIiG
ANCHOR/DOWEL
NDE FIELD
NDE SHOP
PUU.,TTOROUE TEST
DSA/OSHPD/PROJTCT:
APPROVTD DOCUfiIEIITS
AVAILABLE:
APPROVED PLANS Y Z-iI SPECS: Y., I'l -
APPROVED SHOP DRAWING Y , N
SOIL REPORI Y., ] N
MlltBral-s (rsEo By c(xr8 Ct08ltictuff Rts€ nc8 ntpo8I [o o8 MATIR|AT ]tST RtpOSrS)
cotTBAclof,s foutpMEtrl / M lpowt8 usto
STRUCTUBAL ifits. oEIA|L 0B BFII_IJSEO
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
MIGr
t}o
Corporals:
2992 E. La Palma Ave. Ste. A
Anaheim. CA 92806
Tel: 714.632.2999
Faiij714.632.2974
Dispatch: 800.491.2990
San oiesonmperiat counp
6295 Ferris Square, Suite C
San Dieoo, CA 92121
Tel: 858.537.3999
Fax 858.537.3990
0ispatch: 800.491.2990
lnland Emplrr:
14467 Meridian Pkhry., Bldg.2-A
Riverside, CA 92518
Tel: 951.653.4999
Fu: 95'1.653.4666
Dispatch: 800.491.2990
www.mtglinc.com
MTGL Proiect ,
Permii #
Project Architect
SlructunlEngineer
DSA Regional 0ttice
School Districl
DAILY INSPEGTION
REPORT
Special lnspection Reporls must be distributed to the parties tisted below within 14 da ys of lhe inspeclion. Reports ol non-compiiant co0ditions must b€ distributed immediate lySeparatereports shall be prepar8d for oach type ol speciat inspeciion, o0 a daity basis Each repod shall be compleled and si0ned by the special i nspeclor Conduoting the inspeclion
rHE Woix wAsd-wAS ilol
lnspecled in accordance with tho requirements o, the DS&oSHPD/PHOJECT
approved documsnts.
tllllIRlAl. SA PLlLG WAS WAS NOT t'J./A
Perlormed in accordance with 0SUoSHPD/PR0JECT approved documents
T}IE WORX IXSPECTEO MET .r'DID NOT MEET I
The requirements ol the DS&oSHPD/PBoJECT approved documents
Samples take?
Weatier C I
Siqnature ol Special lnspstlor
Priol Name
Cerlificalion r: --
Verilied by
teng: 1*lZt-tt1 L^
cc Conlnctor
Buildin0 0epartment
owner
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MrGL PRoJEcTt: 5fi13A19
penrn r 10191322-17509
Roporl t 1F.q6 1 ot 1
Sp€o€l lnsp€€ton Reoo.E mug be dEhborEd t6
SeparaE repofls $alt De pregared tDr €aci tloe
THE WORK WAS WAS NOT
Proiecl Archnecl
Struotural Englne€r
DSA Regional Oftca
School OBtricI
THE WORK INSPECTED MET DID NOT MEET
Coaporata
2S2 E La Pdlma Avo Ste. A
Anah6im, CA 92806
Tol:714.632.29S
Fex:711.8€2.2g71
OBpatch: E00.491.2090
Contraalor
BuiHing Dep.ftner
Owner
Sen Dicgofl rnp.riat Cou,tty
5295 Fenis Square Se C
San Dbgo, CA 92121
T.l: E58 537.3099
Fex i 858.537.3990
Oispatch: EE6.844_5060
lnl.nd Empirc
l44gl Mcrftr.n Pkw!,., Btdg 2A
Rivorsirc, CA 9251 8
Tol: 951 .65:i.49€9
FEx: 951 .653.4666
Dhp.tct: 8(tr.491.2SO
lndlo
a49t 7 Gor Ccnbr P!(fy., sltG.l
lrdlo, CA 92201
f .lt 7@312AAn
FaxtT@342.1523
Ditpobh: €[)0..19|.2990
*]:tr'?",f]!11ry **rn 14 d.ysla th€ 'rEoeclon ReporBol ho.1_complianr co.dibns mud !s dlshhned ,mmediatetyq specEr rrlsDec0on on a da'ry b€sb Eadl rDlort shan b€ co.npr€bd and 6t9rEd bv th€ Gpeciar irEf.do.ErduduE the
Inspecied in accordance with the requirements of the DSIJOSpHOi
P ROJECT approved doqrment6
The .equirsmontE ofth6 PROJECT do.uments
Samples takon:
\ /€ather
MATERIAL SAMPLING WASE WASNOTE N/AE
Pcrbmed an .ccordlnce with OSA/OSPHO/PROJECT approved docurnents.
Clear Temp: 86 f
Sigmture of Special lnspedor
Maged Saad
Certificatrcn *
Print Name
479
PRoJECT NAME: Aldi Mor Store # 34 Date: 08/31/2017
ARCHITECT.APD rlME ARRIVEDT 08:00 AM TIME DEPARTEo, 3:30 PM
ENGINEER B&B ASSOC|ATES TRAVEL TIME LUNCH TIME: -
coNrRAcroR: ED GRUSH SUB CONTRACTOR
INSPECTION ADORESS ADDRESS OF PROJECI: 2830 S. Bristot St" Santa Ana CA
otr
TYPE OF INSPEC
ENGINEERED FILL
FOUNDATION
BACK FILL
BATCH
PT CONCRETE
D sHorcRETE
CONCRETE
RY
HIGH STRENGTH BOLTING
WELOING
SHOP T^/ELD
tr
ANCHOR/DOWEL
NOE FIELD
OE SHOP
CEILING l,/vRE
APPROVED DOCUMENTS
OSIr'OSHPO LABLE APPROVED
PLANS Y N
SOIL REPORT Y N
N
N
APPROVED SHOP DRAwliIG Y
EoEUIPMENT usEo BY coNrRAcroR: Boom lirt' Harnessr Chipping hammcrs, Wire brush and welding machines
\^/oRK AREA: FiISt Floor roof
MATERIALS USED 6Y CONTRACTOR (INCLUDE RES IAL TEST PORTS)r NolriialHR Con6eto. Hi€rade Mix
-Reinforcing joist between lines [& f and lines 5.2 and 7 to angel and L/2" rod as per detail C2 on sheet #
5-405 t Joists were completed from one side (Grid E side).
-Reinforcing joist between lines f& ! and lines 6.2 and 7 to angel and t/2" rod as per detail C2 on sheet #
s-405.
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #pSF 046, Boris euinanilla AWS and Divan Michell
license # PSF 149.
All work detailed above is still in progress as per approved plans and code.
Completed weld s were visually inspected in the following locations:
R EWOR ASK EP R OFENT WORALL TK o DAY 0%PERCENT PROJECT COMPLETE
DAILYINSPECTION DsA./crwFirc'_
REPORT DsAr'c,sHpD Appr.,
DSA/LEAt _
lUIIG I
Corporrte
2992 E Ls Palnu Ave. St6. A
Anaheim. CA 92806
Tel: 71,1.632.2990
Fax 714.@2.2€74
Oi6p.tdr: 8m.491.29S0
San Oieool,rp€rl.l County
6295 Fenn Squero Ste. C
Srn Dieoo, CA 92121
Tel: a58.537.39S
Fax: E58.a37.3ggo
Dispatch: E88 8,14.5060
lnland Erll,irc
I ,1467 Moriltan Ptwy. . Btidg 2A
Riv6Bld.. CA 925ta
Tel: 951.653.4!199
Fax: 951 a53.446€
Dispotch: 8@.491.2990
44917 Golt C.nbr F,h/y., Ste..l
Itdio, CA 92201
rel'.760.312.4677
F.x:76 3a2.4,523
Disp.dr: 8oo.ilgl.2990
Speoal hipedon ReporG mu{ be
Sepa,ae remats $a be prepared
oErtDuEd b U'e F€,!6 l6Ed belor *rhn 1a .,rv!_of the rEp€dE,r Repo.tE c, rlo lco.npliant conon|orE must be d$tEf€d xnmed,aElyIu €6ci t,e of speoarnspedut on a da'ty b66 E d,,.*-"h"tib.;;;kbd;;;;;ffi "r.* ","p"o.. -o,orp,r*
MTGI- PRo.ltcrt: 540341 9
pemit r 10191322- l7509
Reportr4Page1of1
Proiect Arcfiitect
Strudural Engineer
DSA Regional Offce
Scfiool Disirid
DA!LY INSPECTION
REPORT
DSATC|TY FilG I _
DSAIOSttPD Appl. t
DSA/LEA I _
THE WORK WAS WAS NOI THE INSPECTED MET DID NOT MEETlnspected in accordance with the requirements ol t\e OSA,/OSpHD/
PROJECT alproved doc.rments.
The requirement8 ofthe PROJECT (bcuments
Samples laken:
Clear Temp: 86 fMATERhL SAMPLING wAs E wAs NoT E N/A E V\,/b€tItET
Pedormed in accordance tvith OSA/OSpHO/pROJECT approv.d <tocumenta.
cc Contractor
Building Dop6rtm€nt
Own€r
Sg of Special lnspedor
Maged Saad
Pnnt Name
certification #: ICC{d57
Verined
PRoJEcr NAME] Aldi Mor Store # 34 Date O813112017
ARCHTTECT APD Architecture rIME ARRIVED 8:OO PM IIME DEPARTEo 3:3O PM
ENGiNEER B&B Associates TRAVEL TIME LUNCH NME .
coNrRAcroR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S Bristol St, Santa Ana,
TYPE OF INSPECT
EACK FILL
g ENGINEEREo FILL
E FoUNDATToN
PT CONCRETE
BATC
E sHorcRETE
E coNcRETE El sHoP wELD
MASONRY
HIGH STRENGTH EOLTING
YVELDING
OOFING
NDE SHOP
D ANcHoR/Dot /EL
O NoE FrELo
CEILING \^/lRE
tr_
OSA./OSHPD PROJECT
APPROVEO T)oCUMENTS
o
PLANS Y N
AVAILABLE A SOIL REPORT Y N
N
SPECS:Y N
APPROVEO SHOP DRAWNG Y
EAEUIPMENT USEO BY COT,ITRACTOR
t ,oRK AREA First Floor
IALS USEO BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST RE PORTS): N orara|\ treight Concrete, Hi€rsde Mix
[.,
Wall on grid line A.8 and between lines 7 & 7.G
lnspected the placement of 10 cubic yard concrete 3,000 Psl Ready mix # 43051 in the following locations:
Footing type FW3 and FW2 located on Brid 7.8 for loading dock.
All areas of concrete placement were clean of all deleterious materials.
Reinforcing steel was secured against displacement.
Concrete was mechanlcally vibrated.
All concrete placement inspected and detailed above has been completed as per approved plans andcode.
lnspected the placement of 20 Cubic yard co
Concrete ramp for freezer, loading dock
demolish).
ncrete 4,000
refriterator
PSI Ready mix f 52403 in the following locations:
ramp and loading dock outside slab (canopy
EWORKR PAS RCE NTE Fo ALL WO KR DATO Y O'/o PERCENT PROJECT COMPLETE
ilIIG I
Corporetc
2S2 E La PalnE Aw. Ste. A
Aneheim, CA 928Oo
T6l: 714.8 2.2999
F ar'. 714.€ts2.297 1
Disp.t€i: 8&.491.2990
lhdio
/t49t 7 Golt Conb, Pt(wy. , Slo.1
lndio. CA 92m1
feli 7gJ342.6n
Frx:760.3,12..1525
Oitpaur: 800.491-2990
San Dlaoorlrnpcai.l County
6295 Fenis S{u.re Ste. C
San Clcgo, CA 92t21
Tel: 456.537.3999
F.x:858.537.3SO
Disp.tch: a8O-0,14.50@
lnland EmpirG
,,ta67 M.ridbn Pkrv, , Stdg 2A
RryeBid., CA 92514
Tel: 051 .653.499S
F.x: 95'1.653.4866
Dbp.tch: 60.491.2990
MroL PRoJEcTt: 5403A19
P€rnit t I 01 91 322-1 751)9
Report I 2 Pago 1ot1
Sp€oal lll6pectoo Regoat6 mu6t be (M&rH
DAILY INSPECTION
REPORT
to ir€ Frt€s l&d beto./ wfim l4 de'€ oathe rlsp6don Reports ot
OSA/C|TY Filo a _
DSATOSHPO Appt. t
DsA/LEA '
norFcornptiant @{itEns mud be oEutbuted mmedEtelySeparab le ons $alt be gE ared b eadt tloe d speoal nspedo.l on a dally b€6l6 Edl rcpo.l .hall be compl€bd art gg.ed by the 6p.osl 'rsp€dd
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEETlnspecled ln accordance with the roquirements of the OSA./OSpHO/
PROJECT approved documents.
MATERIAL SAMPLING wAs f] wAsNoTE N/AE VVE.IhET:
Performed in accordance with DSA,/OSPHDPROJECT appmved documenb.
TIlo rEqui.gmonts olthe PROJECT doqrm6nt6
Ssmples laken:
Clear remp: 86 f
Project Architcct
Structural ErEineer
DSA Regionel Oficr
School Di$nd
Contractor
Building Departn€,i
Sqnature of Speoal lnspedor
Maged Saad
PROJECT NAME: Aldi M or Store # 34 oate: 08/31/2017
ARCHITECT APD TIME ARRIVEo 8:OO AM TIME DEPARTED: 3:30 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME] -
coNTRACToR: ED GRUSH SUB CONTRACTOR
INSPECNON ADDRE.SS AODRESS OF PROJECT:2830 S. Bristol St, Santa Ana, CA
oFt
BACK FILL
E €NGINEERED FILL
O FoUNDATIoN O sHorcRETE
D coNcRErE
BATCH PLAXT
PT CONCRETE
MASOiI
HIGH STRENGTH BOLTING
vtELor{G
SHOP WELO
FIREPROOFITIG
ANCHOR/Ootl1/EL
NDE FIELD
NOE SHOP
RECEILING
EPOXY
APPROVED DOCUMENTS
D
N
AVAILABLE
PLANS Y
EPORT YsorL
N
SPECS: Y
APPROVED SI]OP ORAVYI NGY
EQEUIPtIENT USE0 By CONTRACTOR
v\roRK AREA Foundation Floor
NO RIAL EPORTS): NormlWeig ht Concrete. H Srade Mix
MATER IALS USEO BY (tN LUDE RESEARCH R
Concrete rilmp for freezer, loading dock refriterator ramp and loading dock outside slab (canopy
demolish).
observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air priorto placing Epory.
Epory Set-XP was used expire date LOl2Oi:g.
contractor followed the manufacture instruction for instafiation as wefl as ESR-250g
All above work was completed as per approved plans "detair 82 on sheet # s-301,, and code.
ectio exist
lowi s:
bse erved fo r n sta a oftionpoxy oH oftz tan d owe fos r c no n n ebetwe n cCon Srete ab dnnB
ne co n retc rae m n ht foleps olocati n
ODAYE\AICRR K CENTPER ALLOF TWORK o%PLETE:RCEPE PRNT OJ EC cT OM
cc
Certifcation #:
Name
]TITG I
CorpoaatC
2992 E La hlnE Aw.9e. A
Anah€im, CA 9280G
Tol: 71 ,1.632.29S)
Fex: 711.tl2.N)7 4
oisp.tch: 80o.ilg1.2s$
Stn Oi.go4ripc.iel County
6295 Fcnis Squ6to Sto. C
Ssn Diago. CA g2121
Tel: EIi6,137.3S
F.x:856.537-Gx)
DisFtcfi: 884.8{4.5G)
lnland Empire
'1,{467 M.ridi.n Pt<wy., Bldg 2A
RivsrEuo. CA 925i8
Tel:951.053.'€S
Fax: 961.653..m6
OispsHr 800.,191 .2990
lndlo
4ilg'17 Gotr Cenbr Phry.. Ste.1
lrxlo, CA 9?m1
Tc[ 760.342.4rr
Fax:7@.3,12.:155
cbpatn: @o./o1.2Fo
MrcL PRoJEcrl: 6403A19
Pend t 10191322-17gl9
Repodt e P.go 1ol1
SF<i'| tri6peda. REpo.b md be d3irblrbd b Ur6 tEli?s ticLd b.lrxvirEin 1! daF.rth€ kEDeaton ReDorls d n('!.(Irpfant qxtlEcs mtd be &lbuled mnEdhlely
Si:parae niporte slCibe lieF ed to eachtlDe oa6pe(i.Il artspedbn on e ddly b6is Edr repo.l sttallbecollpl*d ad signed b, Ste speclal rE9edor conduct ng the
THE WORK WAS WAS NOT THE WORK INSPECTED MET OID NOT MEET
lBpgcl.d in lccord.nc. with th€ requa.ements of the DSA/OSPHD/
PROJECI apptBved doaumentE.
Th6 rsquuEmrnta ol the PROJECT docum.nt8
srmDbs taken:
v\leather. Clear rgmP: 73 f
MATERIAL SAMPLING WASE \,/\/ASNOTE N/AEI
Perfomed in accordance with OStuOSPHD/PRoJECT approved docunEnts.
ol Special losPedor
Proied Architecl
Studrrql ErElnee.
DSA Regional Otnce
sct'ool Ditritt
Maged Saad
Priht Na
cenifcation #: ICC€457/t79
DAILY INSPECTION
REPORT
OSA/CITY File ,
-
OSA/OSHPD Appl. I
DSA'LEA '
-
Date:08/3012017PROJECT NAME: AIdi STOTE # 34
rlME oEPARTED: 03:00 PMTIME ARRIvED: 8:00 AMARCHITECT: APD
LUNCH TIME: -TRAVEL TIMEENGINEER: B&B ASSOGiATES
SUB CONTRAcTORIcoNTRAcToR: Gray Construction
ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa Ana,!NSPECTION ADDRESS:
MASOTIRY
HIGH STRENGTH BOLTING
\A'ELDING
STIOP VvELO
CEILING WIRE
trtr
NN
N
8AC FI
PLANS Y APPROVEO SHOP
FIRE
NDE SHOP
sorL
APPROVEO DOCUMENTS
DSAJOSHPD
cor'lcREr
tr_u_E] ANC HOR/DOYVEL
O NDE FIELD
TYPE OF INSPECTION
E ENGINEERED FILL
E] FOUNDATION
BATCH PLANT
PT CONCRETE
SHOTCRETE
UAIE-FiAIS USED B'' CONTRACTOR (INCLUOE RESEARCH REPORT NO. OR
EAEUIP ENT USEO BY @NTRACTOR:
r,noRK ARE.!( Fundation Floor
WGight Con(,ote, Hl6r.de MirNonmlIAL TEST REPORTS)
lnspection and rebar Pre-check was performed in the following locations:
Wall on grid lines A.8 and between lines 7 & 7.5.
Footing type FW3 and FW2 located on axis 7.8
I nspected reinforcing steel installation.
lnspected reinforcing steel for size, grade, type, labsplice and clearance.
lnspected location for reinforcing and embedded items.
All work inspected and detailed above has been completed as per approved plans and code and is ready
for concrete placement.
LETE:COMPPRCENTOJEERPODAY0%K TwoROFCENTALLKEWORPERASR
CL Conlr-ador
Br.dldtt€ DeFrrma.n
O{.n6t
Verifed
]IITG I
Corporata
2992 E La PllnF Av.- Slo. A
Anahei& CA 92806
Tel:714.63219S
F er'. 711.632.2971
Oiipatch: 8OO.491.2990
&n Dicgorlmperirl Cour y
6295 Ferrb Squ.ro $o. C
San Oielo. CA 92121
Tel: 856.537.3999
Fax:8s8.537.3SO
Oispatch: 888.8.44.50@
Indio
4,19 7 Gof C.ntor Phvy., ste.1
lr&. CA 92201
f ot 7fi.U2A6n
F.r:760.342.4525
Dqpebh: EOO.491 .2990
lnland Empire
1i1467 Ueridi.n Ptwy., Bldg 2A
RivorsH€. CA 9251E
Tel: 951.653-,l(m
Frx: 51.ei3.4666
Oisp.tch: 800.,191.29S
MrcL PRoJECTI: 5f03A19
Permit* 10191322-17509
RoportrSPage 1of I
Sral lrEpedixl Repsb mud b dEffirted b he pdtr€s lded beb., wihm 14 daF d l}E rEpedirn. Reports d non-comp6ant condRtoars mird be d6turted FnmedEtely
Separate teoods $Ell be preDar€d f(r each type d specal ansDedrq| on a daily hir Edr repat shall be cooplebd ard sroned by the special i69€dor cDrdudrrg lhe
THE WORK WAS WAS NOT THE INSPECTED MET DID NOT MEET
lnsp.clcd ln ac{ord8ncs rdth thq requiremenb ofthe DSI'/OSPHO/
PROJECT approved do(,rm6nts.
TtE requiremenls of the PROJECT documentB
Sampbs taken:
VVbather:
MATERIAL SAMPLING WASE WASNOTE N/A E
Performod in acaordanca with DSA,/OSPHD,,PROJECT tppoved documentg
Clear lemp: 86 f
sigmture ot Spedal lnsp€dor
Maged Saad
DA]LY INSPECTION
REPORT
osA/crrY Flh t _
OSAiOSHPD Appl. t.
DST./LEA
'
-
Proiect Archrtcct
Studurdl Engineer
DSA R.gion6l Offic.
Sdlool ohtrid
Conlroador
Euilding OeFdmern
C ertilication *: 1CC"8457479
?+
PRoJECT NAME: Aldi Mor Store # 34 Date: 08130/2017
ARcnlTEcT: AFD TIME ARRIvEDi 7:30 AM rrrre oeeanreo. 2:30 PM
LUNCH IIME: .ENGINEER: B&B AssociAtes TRAVEL TIME:
coNTRACToR: ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa Ana, Ca
TYPE OF INSPECTION
E ENGINEEREo FILL
E FoUNDATIoN
D BACK F|LL
E] BATCH PLANT
D PT coNcRETE
E SHoTcRETE
E coNcRETE
atrtr
E sHoP WELD
MASONRY
HIGH STRENGTH BOLTINC
VI'ELOING
trtro
E NDE sHoP
FIREPROOFING
ANCHOR/I]OWEL
NDE FIELO
CEILING vvlRED
D
DSA/OSHPD PRO.IECT
APPROVED DOCUMENTS
AVAILAALE APPROVED
PLANSYENE
SOILREPORTYEND SPECS:YEfNEI
APPROVEO SHOP DRAWING Y E N EI
MATERIALS USED BY CONTRACTOR (INCLUOE RESEARCH REPORT No. OR ttATERIAL TEST REPORTS): Nonrlal V\blght Concrele, HH3reds Mix
EOEUIPiIENT USEO SY CONTRACTOR:
ri\oRK AREA Foundation Floor
lnspected the laying up of 8" & 12" CMU wall in the following locations:
On grid line A between line 7 and 7.4 from Foundation level for 8 courses in average.
On grid line 7.4 between line A and A.8 from Foundation level for 8 courses in aveEige.
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearcnce
All above work is still in progress as per approved plans and code.
REWORK AS PERCENT OF ALL WORK TOOAY: oon PERCENT PROJECT COMPLETE
TUITG t
Coaporata
2SS2 E Lr P.ln Aw. Ste. A
Anah.irr cA 92E06
Tel:7r4.8,22999
Fax:7'14.eBz2€71
Dbp€tch: 8U).tl912SrO
S.n Dicgorlmpcri.l County
6295 F.rris Sqr.ro sle. c
San Oiego, CA g2l2'l
Tol: 85E.537.3999
Fax: tl5g.537.3BO
Dhpatdr: 886.E44.5o.x)
Irdb
44817 Go{ C€nEr tl(wy., Sle.l
tdb, cA 9?201
l.L 7@.312.6n
Fzt T@342.1#
t)isprEi: o(x)./r91.2so
lnland Emplre
I ,t4g/ M.rilbn PtYry.. Bldg 2A
Rivoxih. CA 92518
Tol: 951.63-,199)
Fax: 951 .65:r.4666
Dispetdr: aq).49r.2s
MrcL PRoJECT': 5103A19
P.",fl. I0l91322-17509
R.pojrt1P.9. 1of 1
Speqal lnspectm Reporb musi be disfituted b tle Frties lisl€d b€b/v wifin 11da)6 dthe insdh Reports d nm{ompNant coodiths mLd be d6tibuted immedialely
Separdte rcF.ts shatl be pGpar€d hi e&h lyF of sp€oal an6pedbn on a dsily b6l5. Esdr epon shal De ctmpleH 6m 90ned !ry Ule 6peclal anspedo. co.xnrdilE lhe
THE WORK WAS WAS NOT MET OID NOT MEET
lnspec{ed in accordance with tllo rcquirsments of the DSA/OSPHD/
PROJECT approved docrjmenta.
Th€ requirements ofthe PROJECT documenE
S.mpL! t.kcn:
Vl/EatheI:
MATERIAL SAMPLING WASO WAS NOTE] N/A EI
Perform€d in accDrdsnce wl$ oSA/OSPHD/PRoJEcT aPp{oved doqrm€nti
Clear remp: 86 f
DAILY INSPECTION
REPORT
DSATCIIY Fil6 *
-
OSATOSHPO APpl. t
DSA'LEA '
-
cc
Signsture ol Special lnsPector
Maged SaadContractor
BLilding Deparbnetn
olN,trer
Proied Arrhitecl
Slrudtral En€inect
DSA Regk nal Ofic.
SchoolDhlrict
Prlnr
certlllcatlon r: ICC+4574
Vedfed
Date: 08/2912017PROJECT NAME: AIdi MOT STOTE # 34
TIME DEPARTED: 3;00 PMTIME ARRIVED O8:OO AMARCHITECT: APD
LUNCH TIME: .TRAVEL TIME:ENGTNEER: BEB AsSOCiAtES
SUB CONTRACTORcoNTRAcToR: ED GRUSH
ADDRESS oF PRoJECT: 2830 S. Bristol St, Santa ADa CAINSPECNON AODRESS:
EI NDE FIELD
E NOE SHOP
FIREPROOFING
ANCHOR/OOWEL
CEILING \MREtrtr
Dtr
oootr
EATCH PLANT
PT CONCRETE
SHOTCREIE
CONCRETE
MASONRY
HIGH STRENGTH AOLTING
WELDII'IG
SHOP WELD
trtr
EItroo
TYPE OF INSPECTION
O ENGINEERED FILL
FOUNDATIOI{
BACK FILL -sFEES'YETIT
APPROVED SHOP DRAWINCY E N ESOIL REPORT Y ff N f]DS!/OSHPO PROJECT
APPROVEO DOCUMENTS
AVAILABLE APPROVED
PLANSYEINE
MATERI,ALS USiD BY.ONTRACTOR ONCLUDE RESEARCH REPORT I'IO, OR MATERIALTEST REPORTS)
EoEUtptrrENr USEO By CoNTRACToR: BOOm lift, Hamess, Ghipping hammers, Wire brush and welding machines.
vroRK AREA First FlOor rOOf
t{ornral u,oigti Concrete, tIlcrade Mix
Completed welds were visually inspected in the following locations:
-Reinforcing joist between lines [& ! a nd lines 5.2 and 7 to angel and L/2" rod as per detail C2 on sheet #
5-405 !Joists were completed from one side ( axe D side).
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #PSF 044 Boris Quinanilla AWS and Divan Michell
license # PSF 149.
All work detailed above is still in progress as per approved plans and code'
PERCENT PROJECT COMPLETE:REWORK AS PERCENT OF ALL WORK TODAY: 0%
TTIIG
Copor.tc
2992 E L. PrlrrE Av!. Sto- A
tu.h€im. CA 92806
Tel: 71,1.632-2sog
F.\: 714.6ts2.297 4
Oisp.tdr: 800.491.28O
lnl.nd Einplr.
1446-/ Mcririln Pklrry.. Brdg 2A
RiversiJo, CA92518
Tel: 95i.e53.4999
F.x: 95'l .653..1686
Oispotch: 8(x).49'l -299)
S.n Oicgorl lrpcrial County
4295 Ferris Sqlaro sto. C
San D.Oo. CA 92121
Tel: 456.537.3999
Fax:858.537.399()
Oispotct: 8aa.E44.5O6O
DAILY INSPECTION
REPORT
lndb
14917 Gor C€rbr Phry., St.. t
lndb, CA 92201
felT@i12.6n
Fzx'-7€x).342.4525
Ctrspobh: d)O.,*91.29)
MTGL PRoJEcTt: 54{t3A1 9
Pemrit c 10191322-17509
Reporl a ![ Page I ot 1
Speqal lnspeaton Repo.ts mud be dsfrituled b
Sep€r-ate repo,ls $alt be grpered far ea.n l}.!e
THE WORK WAS WAS NOT
ProjEct Architect
Strualulal Enginoor
OSA Reglon6l Ofilce
Sdrool Oisirid
f]:Il:s-5!1!ry *Tin 1 4 dayEla tlE n6p€dbo. Repo.t6 o, mcc.rnptiad cddtnrB mun D€ clgErured anmffi{yq 6p€oat nspecnon on a at6iy hlls Ead rEF.t sh.I becompteted and gln€d by th€ specbtnEpedd.o.d,-di.lo the
DSA,ICITY File + _
OSA/OSHPO Appl- t.
DSA/LEA
'
-
THE WORK INSPECTED MET DID NOT MEET
Clear temp: 77 t
Sigr|ature Special lnspsctor
Maged Saad
Print
Ce.tifc€tion *: ICC-84574
Ven[€d
dt-
lrBpecled in accgrdEnce with the r.qui.msnts of th. OSA/OSPHD/
PROJECT approved documenB.
Th. r8qua.Ements ot the PROJECT docJm€ltE
Sampbs taken:
V\bathcr:
MATERIAL SAMPLING WASE WAS NOT[] N/A EI
Performod in accordance wth DSA/OSpHO/PROJECT appoved docunrenb.I
ContEcIor
Bullding Dep6rtnont
PRoJECT NAME: Aldi Mor Store # 34 oate: OBl29l2O17
ARCHITECT: APD Architecture TIME ARRTvED. 7:30 PM TrME oEPARTED: 2:30 PM
ENGINEER B&B Associates TRAVEL TIME LUNCH TIME: -
CONTRAcToR: ED GRUSH SUA CONTRACTOR
INSPECTlON ADDR ADORESS OF PROJECT; 2830 S Brisu St, Santa Ana,
BACK FILL
TYPE OF INSPECTIOII
E ENGINEERED FILL
E FoUNDATToN
BATCH
PT CONCRETE
El sHorcRETE
CONCRETE
HIGH STRENGTH EOLTING
VVELDING
SHOPWELO
ANCHOR/DOWEL
FI NG
E NDE FIELD
E NDE SHoP
CEILING VURE
tr
APPROVED OOCUMENTS
PROJECT
PLANS Y N
AVAILABLE APPROVEO SOIL REPORT Y N
APPROVED SHOP ORAW|NG Y N
EOEUIPMENT USED BY CONTRACTOR:
l,,voRK AREA: First Floor
LUOE R HR NO, OR MATERIAL REPORTS)r NonnaI l,i\r€igtrt Concret€,MATERIALS USED CON
15 Cubic yard concrete 2,000 PSI in loadine Dock area in the following
24" thick concrete under footing on grid lines 7.g between lines 8.6 to C.6
All areas of concrete placement were clean of all deleterious materials.
Concrete was mechanically vibrated.
All concrete placement insPected and detailed above has been completed as per approved plans and
code.
lnspected the placement of
locations:
EWOR KR PAS CEER oNT F ALL RWO TOK YDA ovo PERCENT PROJECT COMPLETE
www.mtglinc.com Dispatch:800.491.2990
MTGL Project #
Permrt,
o
c0rp0rate:
2992 E. La Palma Ave. Ste. A
Anaheim. CA 92806
Tel: 714.632.2999
Fax. 71 4 .632.297 4
San 0iego/lmperial County
6295 Ferris Square, Suite C
San oiego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch : 888.844.5060
DAILY !NSPEGTION
REPORT
a
lnland tmplrc:
14467 Meridian Pkw., Bldg. 2-A
Riverside. CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
lndio:
44917 Golf Cenler Pkwy. #1
lndio, CA 92201
Iel. 760.342.4677
Fax: 760.342.4525
Dispatch: 800.491.2990
Reponl _ PG 2 OF
MIGr
PFOJTCl I{AMI OAIE
AFCI] IECT IIME AFBIVED T MI OEPAFTED
ENG NEtB LUIICH I MT
CONTFACIOS SIJB CONTRACTOB
]NSPECT]ON ADDFfSS AOOBESS OF PROJECI
TYPE OF IIISPECTIOII
ENGINEERED FILL
>LF0UNDATI0N
BACK TILL
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCBETE
It4ASONRY
HIGH STRENGTH BOLTING
WELDIN6
SHOP WELD
! FIBEPROOFING
Ll ANCH0R/DoWEL.] NDE TIELD
.] NDE SHOP
CE LING WIBE
0SA/06HP0/PR0JtCT:
APPROVEO DOCUMTT{IS
AVAII AELE:
APPROVED PLANS Y.J N
SOIL EEPORT Y.N N SPECS: Y.l N
APPROVEO SHOP DRAWING Y iJ
MTTEFTALS USE0 8y CoNTRACT0S 0NCLUDE A[SEAq6H BEPORT[0 0F MATERTAI TEST RtPOnTST
CONIqACTOBS TOUIPMENT / MANPOW€B USED
ABEA GB!DLINIS PIECES INSPECTED
STRUCIITRAT {oTaS 0aTAI 0H nflS USFI)
FEr.1A8(S /tct U0't6 ,tttLX6S
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COIVlPLETE
THE WOBX IIISPECTED METFI OIONOT['EET
The requiremenls 0l lhe 96AlOgtlPE PRoJECT approved d0cum€nts
THE WORK WASt/ WAS NOT I
lnspected rn accorf,ante w'lh lhe requrremenls ol lhe D€,ld86t{Pg/PR0JECT
approved documents.
TIATESIAL SA PTITG WAS WASNOT- N/A
''Pertormed in accordance wrlh 9SIdOSHPB/PROJtCI appr0ved documenls
Samples laken
Wealher Ternp
Signature ol Special lnspector
Project Architecl
StructuralEngineer
DSA Re0ional 0tlice
School Diskicl
Certificalion #:
cc Contractor
Building 0epartment
0wner
Veri,ied by
Print Name
DWCITY File #: ,,'';..;
DSIr'0SHPD APPLr: zl-
DSA / LEA r: )/' r//
TM
MIG L
Coaporata
2902 E L! P.lnl. Av.. St€. A
An.h€im, CA 92806
T.l: 7'14.@2.1€90
Fz\.714.6i2.2971
Disp.tch: 8@.4S'1.20S
S.n Oiagolnpcri.t County
6295 Fonls Squara Sto. C
San DieCo, CA 92121
Tol: E58 537.39S
Fex: 858.537.3990
obpotch: aa8.844.5060
lnland Empire
14467 Moridhn Ft(ryy,, Btdg 2A
Riverside, CA 95tE
T€l: 951.653-49ss
Far: 951.653.4666
Dbpatch: 8OO.{91.2SO
lndio
44917 Gol, Cetur Pl(wy.. Sts.l
lndb , CA 92201
fcl:7@.342.8n
F.x:7@.342.4525
Disp€tch: @O.rl9l.2990
MTGL PRoJEcrt: 5f03A19
Penit, 10191322-179,9
R6podraPrgo t of I
Spec€l lr6p€dbn RGodts mud bc dEtnnjbd
DAILY INSPECTION
REPORT
b tt€ padres liEted bek vsthm14 da)€ d the rnsped'ol1 Ftgo.ts or
osA/ctry Fib I _
D€rqigSHPD &d t
DSAr'LEA '
noar-aoflrplianl co.tdrtp.E musl rE dstsDd€{ rmSepardlerefE ts sltall be p.Epar€d td €6dt type or 6i€oal "l6F(rul on a daiy 66 Edr rerort shatt be csnpl*d ar'd s€.ted by uE specid
'rEpedo.
qductrru fE
THE WORK WAS WAS NOT THE WORX INSPECTEO MET OID NOT MEETlrEpected ln accordsnco with tiE .lqurcmonb ol the OSA,/OSPHD/
PROJECT app.oved doqJmentE.
MATERIAL SAMPLING WASO WASNOTD N/AB
Pedormed in .c.ordanoe with DSA/OSpHO/pROJECT approved doclrmnts.
The rEquirBments of the PROJECT documents
Samgles taken:
weather Cleer temp: 73 f
Prorect Arctlitecf
St udural Engineer
DSA Reglon6l Ofic€
Sdroot Oisrid
Conhador
Buihhg Dep6.tment
Ownor
Si{rnature of Spectat tnspector
Maged Saad
Prinl Name
PROJEoT NAME, AIdi Mor Store # 34 oate:0812812017
ARCHITECT: APD TIME DEPARTED 2:3O PM
ENGINEER B&B Associates VEL TIME LUNCH TIME: -
coNrRAcroR: ED GRUSH SUB CONTRACTOR:
INSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S.Bristol St Santa Ana, CA
TYPE OF I
E ENGINEERED FILL
FOU N I\ATIOT{
EACK FILL
BATCH PLANT
PT CO CRETE
SHOTCRETE
CONCRETE
MASON RY
HIGH STRENGTH EOLTING
WELDING
slroPwELo
tr
FIREPROOFING
ANC H OR/DOYVEL
NDE FIELD
NOE SHOP
CEILING t/VRE
APPROVED @CUME NTS
DSr'VOSHPD PROJE.i D
NPLANS Y
SOIL REPORT Y N
NAPPROVED SHOP DRAWNG Y
SPECS:N
EQEUIP't'ENT USEO BY COTITRACTOR
rA/oRK AREA Foundation Floor
RESEARCH REPORT NO ht Concrete. Hi€rad6 MtrMATERIAL TEST R EPORTS)r NonrEIMATERIALSD BY CONT (NCL
dowels and 3 vertical dowels for connection between
existing concrete footing and new concrete footing in the following locations:
on grid line 7&A, 7&A.8 and 4 horizontal dowels for masonry wall on grid lines 5.6&F.
Observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air prior
to placing Epoxy.
Epory Set-XP was used expire date 5/2019.
contractor followed the manufacture instruction for installation as well as EsR-250g
All above work was completed as per approved plans "detail 82 on sheet # 5-301,, and code.
Observed epoxy for installation of 13 H orizontal
ODAYEWORRKASRCPENTEFoALLWORTK 00k PERCENT PROJECT COMPLETE
Certifrcation #: ICC 479
rlME ARRIVEO: 8:00 AM
Corporete
2992 E L. hlrn Ave. Ste A
Anaheim. CA 92@6
T.l: 714.632.2999
F.x:711.6c,2.2974
Dbp€tch: 8tD.{91.2990
Srn Dicgonqrc.irl Courty
6295 Fenis Squere 9e. C
San oirgo, CA 92121
Tel:656.537.39S
Fax: 858.537.3990
oistr6tch: a88.8,{4.50@
lnlari Emdre
t4,167 M.rdbn Pkwy , Bldg 2A
RivoEiro. CA 925t8
Tol: 951.653.,t9S
Fax: 951.653.i686
ObFrch: E0O.491.2990
lrdb
/t l9l7 Golt Conbr Ptlrvy . Ste.1l.db. CA S2Il
f .l:7@.342.46n
Fax7@.342.4525
Di3I}!dr: a)o.,€t _29SO
MrcL PRo.iEcrt: 5403A1 9
Per* r 10191322-17509
Ref,ort r l Pag6 I of 1
DAILY INSPECTION
REPORT
Speoal hsfEcton Repo.ts mug be d*ihrhd b fE parlc! lrsbd tet rrwltih raSepaEte reports liall be p.ep6red tor e.cn rype cf speoal n6p€ctpn on a da y
days of lhe insp€dDn oa rs)-cdnpl|a qldt,oaB musl be d,*UnedBa. Eadr report shdt b€co.npleted and soned by the sp€cjat inspedor 'rn
fiEdralely
TTITG t
oJEcr NAME: Aldi Mor Store # 34PR
oate. 0812812O17ARcHtrEcT: APD TIME ARRIVED O8;Oo AM TIME OEPARTED: 2:30 PM
ENGINEER: B&B Associates IRAVEL TIME LUNCH TIME: -coNrRAcToR: EO GRUSH SUB CONTRAC TOR
INSPECTIO N ADDRESS ADDRESS oF pRoJEcI: 2830 S.Biistol St,Santa Ana CA
tr ENGINEERED FILL
FOUNDATIOT.I
BACK FILL
BATC H PLANT
PT CONCRETE
E SHoTCRETE
ETE
MASONRY
E HIGH STRENGTH BoLTING
E vvELDTNG
D sHopWELD
FIR NG
ANCHOR/DOWEL
E roe rrelo
NDE SHOP
CEILING \,ViEo
B
HPD OJEC
APPROVED DoCUMENTS OVED
PLANS Y
SOIL REPORT Y N
N
Y N
APPROVED SHOP
EQEUTpMENT usEo By coNrRAcroR: Boom rift, Harness, Ghipping hammerc, wire brush and werding machines
MATER USEO TOR (INCLUDE ESEARCH R TERIAL
t /oRK AREAj First FloOr rOof
coN NO, OR REPORTS): n orrnal \ Ieight Con€r€te. HPSrade
welds were inspected for size, rength, rocation and free of visibre defects.All welding was performed as per approved plans and code.
verified welders certificates as: Jeffery Rodgers license #psF 046 and Divan Michell license f psF 14g.All work detailed above is still in progress as per approved plans and code.
forci
mCo weeted std wep re s u a ns ctely dpe
Re n o st betwee nng nes &na d n 5es nac_D 5d to.5 a a nd arodngeL/2"s dr eta c2pe son h eet0s-4 5
EWOR KR AS PERC NTE OF AL L WO KR TO DA )Yo EP R CENT ROJP CTE LETEcot\rP
MATERTAL sAMpLTNG wAs El wAsNorE N/A El weather
Pedorrr€d in ac{ordanc. wi0r OStuOSpHD/pROJECT aEoved docurflents.
THE WORK WAS WAS NOT
lrEpected
P ROJECT
in accordancs with the requirements of the OSNOSpHD/aPP{oved doqlmenE
THE WORK IN SPECTEO MET DI NOT MEET
The requirsmeots of the PROJE CT documentrs
Samples taken
Cloudy remp: 73 f
Signature ol Specjat tnspedor
Maged Saad
Print Name
certifcation #: ICC{457
Proiect ArchnGct
Slruclural Engineat
DSA Regionat Ofice
Sctrool Oi*id
Contraalo,
Building Oepartmerl
Owner
Vedfied by
D.SArclTY Fib T_
DSA/OSHPO Appt. t
osA EAt_
in the following locations:
MTG t
Corporatc
2992 E L. PrlnE Av€. St6. A
Anah€iit. CA 92805
Tel:714.632.2999
Far: 714.832.297lr
Dispatch: 8q) 491.2m
San Diegonmp€ri.l County
6295 Ferris Squaro 9e. C
San DieOo, CA 92121
T€li 858.537.3999
Fax: 458.537.3990
Dispqtcfi : 8a8.E44.5{fo
lnl.nd Em[irc
1 1467 Meddirn Pkwy. , Bdg 2A
Rive6iJo, CA92518
Tcli 951.&i3-{999
Fax:961.63./|a64
Dbp€tch: 800.,191.2990
lndlo
421917 Go[Cerbr Pkry., St .t
lidio, CA 92201
folt 7fi.342.6n
Flx:75O.342..1525
Oasp6Hr: A)O.,e1.2SO
Speqal lospecton ReporE mu$ be
separate reFfls slE be paeparcd
dBt'ibuted b 0E oaltr€s lisled b€l.i/ wlhm 14 .!eys_ol the nlp€dro.t Repo.ts of norFcofiptiant co.rdnb.|s mud be dEtributed tnrl€d|aEiybr e6ci typ€ of speoat rnspedbn on a daily bas6' E"d, "q& "h"ir
be -,ii;; ";d;;;'[, ir,. "p*o, i*p"ao. _r,oua6 u"
MTGL PROJECT': 5403A19
Permiu 1 0191 322-l 75{19
Repod rl Page 1 of 1
THE WORK WAS WAS NOT
Proiect Arcfiitect
Sku.lural Engine€r
DSA Regional Office
Schoot Distrid
DAILY INSPECTION
REPORT
DSA/CITY Filc , _
OSA,/OSHPO Appl. t
DSAr'LEA '
THE WORK INSPECTED MET DID NOT MEET
The requirements ofth6 PROJECT do@menti
Samples taien:
Clear Temp: 73 f
srg of Special lnspedor
Maged Saad
Print Name
lnsp€cted ro ac€Ddance wi0r the r.qurEment ot the OSA,/OSPHO/PROJECT approved doqrmenb.
MATERTAL sAMpLtNG wAS El wASNorE N/AE weather
Perform€d in accordance with OSA,/OSpHD/pROJECI approved doorrnent8.
Contractor
Buildlng Oepertment
Ownea
PRoJECT NAMEj Aldi Mor Store # 34
ARcHTTECT: APD Architecture TIME ARRTVED: 8:00 PM rIME DEPARTED: 2:30 PM
ENGINEER B&B Associates TRAVEL TIME LUNCH T]ME: .
coNrRACroRr ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS AODRESS OF PROJECT: 2830 S Bristol St, Santa Ana,
tNs ON
BACK FILL
D ENGINEERED FILL
D FoUNDATtoN
BAICH
PT CONCRETE
E sHorcRETE
CONCRETE
RY
SHOPWELO
E HIGH sTRENGTH BoLTING
El wELDTNG o
FIREPROOFING
ANCHOR/DOWEL
NDE FIELD
NDE SHOP
CEILING \A,iRE
Dtr
DSA,/OSHPO PROJECT
APPROVED OOCUMENTS PLAI,IS Y
E APPROVED
N
SOIL REPORT Y N
APPROVEO SHOP DRAWNG Y E N
SPECS:Y
EOEUIPiIENT USEO BY CONTRACTOR
I/\PRK AREA FiEt FIOOr
N Concrele
MATERIALS U BY ONCLUDE RES EARCH REPORI NO OR MATERIAL TEST RE
concrete 3,000 PSI ready mix # 43051 in loadine Dock area in
Footing type WFL,WF2 and WF3 on grid lines A, A.b, A.8, 7.6 and7.8 C.
All areas of concrete placement were ctean of all deleterious materials, reinforcing is clean of mud, oil orother nonmetallic coating.
Concrete was mechanically vibrated.
Reinforcing Steel was secured agaanst displacement.
One set of 3 test samples were taken.
All concrete placement inspected and detailed above has been completed as per approved plans and
code.
lnspected the placement of 26 Cubic yard
the following locations:
EWORKR PAS RCE NE OFT WORKALL ODT v"0 PERCENT PROJECT COMPLETE
cc
Certlfcation #: ICC 179
-To"r"i-ilrdzo_.i-
MIG I
Corpor.t6
2992 E L. hlnlg Av€ . St6. A
Anlhrin. CA 92tb6
Tol:714.€m-2999
F.x'.71a.Ej2.2974
Obp6ldr: Em.452SO
Sen Oicgorlnpcrisl County
6295 Foois Squarq Eo. C
Srn Clogo, CA 92121
Tel: 858.537.39S
Far: 454.537.3900
DbFd': 888 84a.5og)
lnl.nd Empir.
l44ga Merirbo Ftryy., Bldg 2A
Rivd3ir., CA 9251 8
Tel: 951 .653.,+999
F.r: 95'1.653.4566
Dispetch: 8@-.19'l.2FO
hdlo
'14917 Golt Conbr Ph./y., Ste_,|
Irdb. CA 9201
1.1:76-Y2.6n
F.x:760342.4525
tlsFbfi: mo.49t.z€so
Sp€oal In6pedron Repo.ts mr ab.
Ser6rale repo.ts $dl be p,epa.Ed
dtlthrtsd bEEFlEstst{ Detorwlif,t 14 rb\adtre nEpedEr Fhpolls d rdr<tph.t dtdills musr E d8ttted rnrr€dai€tyb. eaci tEE d speoar nspcrrin on a daiv basii Eaor ep& srril oeanipreeo "ii&,i;ifrir.p".a "*p"a-
(ur,di{ tE
Mrcl- PRoJEcTa: 54{l3A 1 9
Pe,nil r 10191322-17509
Reportt 1 96 1or'l
THE WORK WAS WAS NOT
Proj€ct Arririt.ct
Structural Engh66r
DSA Flegional Ofic.
Sdlool Dhfrict
DAILY INSPECTION
REPORT
THE INSPECTED
Clear
DSA,Elry F ., _
OSA/OSHPD ADot. I
DSA/LEA
'
-
DID NOT MEETl$pocted in ac€ordanc. with ths requkemenb of lhe DSA,/OSpHD/
PROJECT apprDwd doqJments.
The rEqursments of the PROJECT doolrnentB
Samplq6 tiaksn:
MATERTAL SAirpLtNG WAS Et WASNOTE fvA El wcrliq:
Perfomed in ac.ordrnc. with OSA./OSPHTPROTECT rpp.oved do<lrnErts.
Temp: 77 I
Buildlng Departnent
Signature of Spscial lnEpector
Maged Saad
Certifcatio n
PRoJECT NAME: Aldi Mor Store # 34 oate . O812912017
ARCHITECI: APD TIME ARRIVED: 7:30 AM TIME DEPARTED: 2:30 PM
ENGINEER: B&B Associates TRAVEL TIME LUNCH nME: -
CONTRACTOR:GRUSH SUB CONTRACTOR:
INSP TION ADDRESS ADDRESS OF PROJECT: 2E3O S. Bristol St, Santa Ana, Ca
oFr
BACK FILL
B ETGINEERED FILL
E FoUNDATtoN tr
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASON
HIGH STRENGTH EDLTING
O wELorNG
SHOP WELD
FI
D ANcHoR/DowEL
E NDE FIELD
E t{oE sHoP
LING wlRE
DSAiOSHPD PROJECT
APPROVED ENTS
AVAILABLE APPROVED
PLANS Y N
TYsotLE N
Nfl
SPECS: Y N
APPROVED SHOP DRAWNG Y
EAEUIPMENT USED BY CONTRACTOR
Ii\ORK AREA FiTSt FIOOr
LUDE NO, OR TEST R NorEal Woight , Hi€rado MixRMATERUSEDTOR (
For Pilasters on lines F&5.6 from foundation level to Level +4,{,, from finish floor.
Grout was mechanically vibrated.
lnspected the laying up of 8" & \2" CMU wall in the following locations:
on grid line A between line 7 and 7.4lrom Foundation level for 4 courses in averate.
on grid line 7.4 between line A and A.g from Foundation rever for4 courses in average.
lnspected masonry unit for conformance to specification and Code.
lnspected m.sonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance
1 set of 3 mortar samples were taken.
All above work is still in progress as per approved plans and code.
lnspected the pl acement of grout 3,000 psl in the following locations
EWORKR PAS RE EN T OF ALL PERCENT PROJECT COMPLETE:
Venfied
Corpoaltc
2992 E Lr patrta Ave. Sts. AAn.hcim, CA 92806
Tel:7i4.63229S
Fat711.8ts,2.EZ4
Obp.tch: 8@.491.2g9O
Sln Di.tolnDaaial Countv
6295 Fords Squ.re Ste C'S.n Dl€go, CA 92121
Tel: 85a.537.3999
Fax: 85E.537.399o
Obp.tch: Os8.B.r4.SO@
lnhnd Enpire
1.t467 Mondhh ptwy.. Btdq Z{Frwrstde. CA 92518
Tol: 951.653.4999
F.x: 95,.653 4a8a
Olspotclt: 8OO.49t _2SO
lrdb
,14917 cot Ceni.r phry.. SIE IIndb. cA 9220t
Teli 76..3/,2.6n
Far:760.3:i2.4S2S(hFHr: 8OO.{91 .2ggo
Mrcl pRoJEcT.: Si003A1 9
Pcrnt.10r913ZZ-17509
Roportalp.sle1o,1
OAILYINSPECTION Ds^/crryFrb,
REPORT DsArosHpoApp;
Sp€oat h6oection Repo.b mud bodt6dlurhd to tle FrtiEs trsH belor witiin t4 days dtne irEpediooSeparatereports sha be preparEd for each tyDe of SECial ilEpedion oi a daily ba6is Eadr report sha[
THE WORX WAS
DSA,/LEA
' .-,"HffilffiHffiHffi
lnspqcted ln accordanca wilh SE
PROJECT approved doqrment!.
requirements of the DSA.,OSpHD/
THE WORK INSPECTED MET DID
The requ
Samples
iremenb otthe PROJECT do(rlmenb
lakon:
Clear romp: 77 I
of Special lnspedor
Maged Saad
Print Name
Oerullc6tton f:
ET
MATERIAL SAMPLING WASE WASNOTO AUA Et V\CAIhET
Perrorm€d in accordancs tyith DS,,/OSpHD/pnO.trCi alrwea Ooarments.
Proiect Ardrit€c1
Structurat Engincer
DSA Regional Ofice
S.,lool Districl
Contaadoa
Buildlng Oepartmer
O$ner
TIITG t
R cOJE T NAME A Mdi or Sto re #34
Date 7ARcHtTECT: ApD
IIME annlveo: 07:30 AM TIME DE PARTEDT 2:30 pMENGINEER: B&B A ssociates TRAVEL
LUNCH TIME: .CONTRACTOR :ED GRUSH
SUB COINSPECNON AD DRESS:
0D RE OF ctPROJE S.a30 Bristol st,Santa Ana CAOF
FILL
EACK FILL
ENGINEERED
FOUNDATION o PT CONCRETE
SHOTCRETE
CONCR ETE
AATCH
E
HlG]{ STRENGTH BOLTII{G
SHOP
A C HOfuDOWEL
FI
NOE FIELD
NDE SHOP
WRE
TPROVOOCUMENTS PLANS Y N
sotL N
N
N
DRAWTIG YsHoP
hip
EA:
IALS
UCL(N DE R EPORT NO OR RTEST E !,,,ler9hrEUEQTENUSE8YDcoNTRACTOR:Boom ift,cHarness,sptn hammers W tre b rush and machinesweldingl ,oR K AR First F oor roof
welds were inspected for size, rength, Iocation and free of visibre defects.All welding was performed as per approved plans and code.Verified welders ceftificates as: Jeffery Rodgers ri".illpir 046 and Divan Michefl license s psF 149.All work detailed above is still in progies aJ pe, .rpr*"a-or"n. and code.
lowi ti
r/2ists
Co m le te d wep td 5 WE re VI us a nsv dpecte n ht fo loca o nngRefonctjon8ebetwennes&dnc.esnD 6 a 5nd .5 to a a dnnge rod as dr3s-405 p etaJ C2 on shewe fretcoremetedp
ODAYREWOKRPRCENTEoFALLWORKT 0%PLETE:EP R CENT ROJP TEC COM
cc
Veri6ed
sis
479
-
Lr
T
www.mtglinc.com
o
corp0lale:
2992 E. La Palma Ave. Ste. A
Anaheim. CA 92806
Tel: 7'14.632.2999
Fax: 714 .632.297 4
Dispatch: 800.491.2990
San Diego/lmperial County
6295 Ferris Square, Suite C
San 0ie0o, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
a
lnland Empire:
14467 ireridran Pk!v.. 8ldg.2-A
Riverside. CA 92518
TeL 951 653 4999
Fax 951.653 4666
Dispatch: 800 491.2990
lndio:
44917 Goll Center Pkwy, #1
lndio. CA 92201Iel 760.342.4677
Fax: 760.342.4525
Dispatch: 800.491.2990
M lCl ProteLI o
Permit #
DAILY INSPEGTION
REPORT
DSITClTY File #
Repon t LPG / Ot- DSA/LEA,: 27
DSIVOSHP0 APPL #:-1 .
MTGr
DATT
ABCHIIECI TME FIVED TIMI DEPARTFO
EriG tEtrr IFt\i[ ] tlt
CONTRACTOF SL]8 COiITRACTOR
lrrsPEcr or ADDF€ss ADDRESS oFFBoJtcr
TYPE OF ITISPECTIO}I
ENGINEERED FILL
E FOUNOATION, BACK FILL
EATCH PLANT
PT COI'ICRETE
SHOTCRETE
CONCRETE
]MASONRY
- HIGH STRENGTH EOLTING
WETDING
] SHOP WELD
FIREPROOFING
ANCHOR/OOWEL
NDE FIELO
NDE SHOP
CEILING W RE
AVAITABLE:
APPROVED PLANS YT NI]
SPECS: YD{ Nf-
APPROVED SHOP DRAWING Y
sorL REPoRT YF N
l.J
MATIFIALS LISEo BV CoNTFICToF rrNCLtlDE RTSEABCN nEPonTI0 08 MATERIAI TEST FtPofiTSr
coNTfiAatoBs Folrpr €NT i MANpai[vfF r]sFD
AFTA GF D LIIIES PILCES II{SPECTED
2:z>/F
,
I
STNUCTURAI I{OTIS, DETAIL OB flTlS USED
4- .;! z /J-E -,
FEUAF(S i/VCtU0'r6 itttl/t6sl
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PBOJECT COI\,1PLETE
THE WoR[ WAS 5( wAS NoT ]
lnspected in accordance with the requiremenls ol theS€,4€SIiPSPRoJECT
approved documents.
THE UIORX IIISPTCTED MET DID NOT MEET:{
The requiremenls ol the B6'I/85|PO/PR0JECT approved documents
Samples taken
Wealher: . 7 T€mpHITERIIL SAtrlPLltlG WAS: WAS NoT I N/AS-
Perlormed in accordance with DSAI00HP0/PRoJECT approved docum€nls
Signature ot Special lnspector
Project Architecl
StrucluralEngineer
DSA Regionalotlice
School Diskict
Cerlificalion #
cc Contractor
Building Depariment
0wn€r
Veriied by
Pnnl Name
OEA/OIHPO/PROJECT:
APPR0VE0 D0CUiIENTSi
TTIIG t
Corpor.t
2992 E L. PrlrE Aw. Sto. A
Anah€im, CA 92806
T6l: 714 El2 23€
Fa\'.711.@2.2974
Oispatch: 8{D.491.zso
lr$.rd Ern{i..
1446, MorHitn Ptvry., 8&g 24
Riv66*lG. CA92518
Tol: 05'1.663..19S
F.x: 951.663.i1666
Oisp.tch: 600.a9'1.2980
lndlo
44917 Golt CGnter Phrry., Srs.l
lrdb. CA 92201
f .L 7@342.46n
F.\:7gl.U2.45?5
Oirpatsh: 9x).491 .2990
S.n Dicgolr?c.id Courity
6295 Fenb Squarc Se. C
San CIelo, CA 92121
Tel: 858.537.3990
Fax: 858.537.@0
Dispatch: 888.8,14.5060
MTGL PRoJEcrr: 5403A19
Pemtt I 10191322-17509
Roport*lFag€ I ot 1
Segarate reports atlall be prepared lEr €6cn me o, spoal rlspadbn on a da y ba6E Eaai repo.t shall be cornpl# ard sgn€d by the specrat rEp€do. co.dndinC fle
THE WORK WAS WAS NOT THE WORK INSPECTEO MET DIO NOT MEET
lrEpecled in acaordance rvith the requiremenb of th€ DS|L/OSPHD/
PROJECT approved documents.
Th€ requiroments ofthe PROJECT dooJmentB
Sample6 iakon:
Vrreathsr
MATERIAL SAMPLING WAS E] WASNOTE N/A EI
Performsd in accordance with DSA,/OSPHO/PROJECT apprcved doclrnenb.
Clear tenp: 721
of Special lnspedor
DAILY INSPECTION
REPORT
osArcrry Fib a_ .
OSA/oSHPD Appl. ,
DSA/LEA '
-
Projecl Ar.hitect
Strudural ErEineer
DSA Regional Ofice
S.hool Dildd
Cont"acior
Building DeFrtnern
Or,nor
Maged Saad
Pnnt Na
Certifrcation #r ICC{4574
PROJECT NAME: AIdi MoT Store # 34 oate: 0812612O17
ARcHITECT: APD TIME ARRIVED: 7:00 AM TIME OEPARTED: 12:30 Pil
ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME: -
CONTRACIOR ED GRUSH SUB CONTRACTOR:
INSPECTION ADDRESS ADDRESS OF PROJECT: 2830 S. Bristol St, Santa Ana, Ca
E ENGINEERED FILL
E FouNoATroN
BATCH PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
TYPE OF
BACK FILL
EI0
E wELorNc
E sHoP wELD
MASONRY
HIGH STRENGTH BOLTING tr0o
ff FIREPROOFING
ANC H OR/DO!\'EL
NDE FIELD
NDE SHOP
CEILING WRE
DSA,/OSHPO PRO.JECT
APPROVED OOCUMENTS
AVAILABLE APPROVEO
PLANSYElN0
SOIL REPORT Y f] N E]SPECS:YENfl
APPROVED SHOP DRAWNG Y E] N E
MATERIALS USED BY CONTRACTOR (NCLUOE RESEARCH R EPORT NO. OR MATERIAL TEST REPORTS): Norrialliroigtn Conc.6te,Hi€rrde Mix
EOEUIPMENT USEO BY CONTRACTOR
1 /oRK AREA: First Floor
lnspected the placement of grout 3,000 PSI in the following locations:
On grid line F.8 between grid line 7 & 5.6 from foundation level to +d-0" level.
For Pilasters on lines F,8&7. F.8&5.4. F,8&5.8. F.8&5.6 from foundation level to Level +4'{" from finish
floor.
Grout.was mechanically vibrated.
lnspected the laying up of 8" CMU wall in the following locations:
On grid line F.8 between line 6.4 and 5.8 from 0'-0" level to O'-8" from Finish floor
lnspected masonry unit for conformance to specification and Code.
lnspected masonry mortar for proper mixing and handling.
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code.
REWORK AS PERCENT OF ALL WORK TODAY: O%PERCENT PROJECT COMPLETE:
cc
TTITG l
Corporalc
2S2 E L. P.trE A\,e. St6. A
An.hoirn. CA g28OG
Tcl: 71,1.632.29S
F611714.632.2371
Disp.lch: 8@.491_2990
San Olcgol nrpcdal County
8295 F.rns Squ.rs Sto. C
S.n CIogp, CA 9212,
Tol:858.a37.39S
Fax: E56.537.S9O
Oisp.tch: 8a8.6{4.5060
lnl.nd EmEi..
1 ,1467 Merirhn Phyy. . Bldg 2A
Riversiro. CA 92518
T.l: 951.663-4999
Fer: St.453.4666
Disp6tch: 800.491.2990
DAILYINSPECTION osA./crrYFihr-
REPORT DSAlosHpDAppr.,
DSA/LEA
'
lndio
i1491 7 Gof Conb r ptcry.. St6. I
lndio. CA 92201
lol:7@312 1A77
Flx:760.342.i1525
D6pe!*; qx).,tgr.2990
Separdle reports shallbe preoared ibr €ecj i/pe aa spedd fiapectb.l on a daity
14 .lt)6_o{ th. 'rEpecuo.l R€po.ts o( no.r-dnpl€ril ExttldE mL6t LE OEtnUIed firtrpd6rcvoas6 E&h EDo.t stlat bC cdnpktd and dgn€d by thc apet ,rt6pedq dldud,m E
Speoal lrBPcto.l Reports mud bedEfihrEd b tE garttes l6ted b€k , wihin
THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEETlnspected tn accordance with th6 requtrements olthe DSAJOSpHD/PReJEc t approved documents.The .equirements ofthe PROJECT doolments
Samples taken.
Cloudy renp: 71 t
urcl pnolecrr, 5{03A I g
Permr r 10191322-17509
Report, ? Page 1 of 1
Proled Arcfiitec1
Structurdl Engineer
DSA Regional Otice
SchoolDistid
Contractor
Building Oep6rtmsnt
Owner
MATERIAL SAMPLING wAso WASNoTE N/AE WE6th6T
Ps.tomed in accord.hc. with DSA,/OSpHO/pR-ECT a;roved doqJrEnb.
Signature of Speoal lnspector
Maged Saad
Print Name
Cerlificatpn #: ICC
e-
PROJECT NAMEj Aldi Mor Store # 34 Date: 08/2512017
ARCHITECT:APD TIME aRRtvED: 8:00 AM TIME DEPARTED: 3:OO PM
E NGINEER, B&B Associates TRAVEL TIME LUNCH TIME: -
coNrRAcToRr ED GRUSH SUB CONTRACTOR
SPECTION AOORESSIN
ADORESS OF PROJECT: 2830 S.Bristol St, Santa Ana, CA
TYPE OF INS
AACK FILL
O eruoHeeneb riilE FouNoATloN
PLANT
PT CONCRETE
SHOTCRETE
CONCRETE
MASON
SHOP WELD
E xrct srREtolt gorrrtc
E welor'tc
IREPROOFING
NDE SHOP
E ANcHoR/oovvEL
E NDE FIELD
CEILING
tr
APPROVED DOCUMEN
PROJECT D
NPLANS Y
SOIL REPORT Y N
N
N
APPROVED S HOP DRAWNG Y
EQEUIruENT USEO BY CONTRACTOR
r r)RK AREA: Foundation Floor
HR EST RENO Norl?lallrJeighi Concrote,Hi-Gr6do Mu
USIALS oE TcoN TORRAC rNc UL RESOE
ng dock between grid lines A&D and between lines 7 & 7.g.
lnspected reinforcinS steel for size, grade. type, lab splice and clearance.
lnspected location for reinforcing and embedded items.
All work inspected and detaired above is stifl in progress as per approved prans and code.
lnspection and rebar prerheck was perfo
Footing type WF1, WF2 and WF3 for loadi
I nspected reinforcing steel installation.
rmed in the following locations:
R EWO KR AS PERC NTE o F ALL WOR TK DAo Y lvo PER TEN PR OJ cE T COMPLE ET
cc
479
TIITG I
Co'llo.dc
29S2 E La PalnE Avo. Sto. A
Anahoim. CA 92806
Tel: 714.632.2999
Fa\:714.6322s74
Dbpstch: 8@.,191 2Sq)
San Oiegonnpe.i.l Cou.lty
6295 Fenis Squ.r. $o. C
San Oiego. CA 92121
T6l:858.537.4)S
Fax: 858.537.3990
Oispetch: 888.E44.5060
lnl.rxt EmdE
t 446/ Merabh Pkwy. . BHg 2A
Rivers,iro, CA 92518
Tel: 951.853.4999
Fax: 951.653.{686
Diep.tch: 8m.491.2990
lndlo
4491 7 Gof Conrer pktr/., Ste.1
lndio. CA 92201rd 7@312Adn
F.xi7@.U2.45?5
OBp.Br: EOO.49,.2990
MrGL PRoJEcrt: 5403A19
Pcrnitr 10191322-175O9
RoponteP6ge 1ot t
Speaial lnspecto.l RepodB must tE dlstnb.Ifd to tle panE6 t|sled bekx wffxn 14 ar lhe nrpe<to.r Reports oa nor|compllam dt(ftirrs mrd be dEtnhjedSeparaE leports *lslt be prepared for ea.*r type of sFoat ns@lon on a (h[y basls Eodr report shall be corhpHEd and *Jn€d by lhe specral nspedor corE[Etmg the
lnspecled in accordance with thc requirements ot the OStuOSpHDi
PROJECT a pp.oved dodJmenb.
MATERIAL SAMPLING WAS E WAS NOT E N/A E VlI.AthCT
Performed in accordsocE witt DSA,/OSPHD/PROJECT approved docurnont6.
THE WORK WAS WAS NOT
Projec{ Arciitect
Strudurdl Ehgineer
DSA Regional Office
School Dist d
THE WORX INSPECTED MET DID NOT MEET
The .equirements ofthe PROJECT dooJments
S8mples taken:
Cloudy temp: 71 f
Contr"a{dor
Buildhg DeFrtment
Owner
Stlnature ol Special lnspe.tor
Maged Saad
print Nam6
cerfl16lon f : |cct457479
PROJECT NAME: AIdi Mor Store # 34 oate:0812512017
ARCHITECI: APD lME ARRIVED: 08:00 AM IME DEPARTED: 3:OO PM
ENGINEER: BEB Associates TRAVEL TIME:LUNCH TIME .
coNTRACToR: ED GRUSH UB CONTRACTOR:
INSPECTION AOORESS AODRESS OF PROJEcT: 2830 S. Bristol St, Santa Ana,CA
BACK FILL
TYPE OF INSPECTION
E ENGINEERED FILL0 FouN DATToN D sHorcRErE
D coNcRErE
BATCH PLANT
PT CONCRETE
E
HIGH STRENGTH BOLTING
WELDING
MASONRY
SHOP WELO
EPROOFING
NDE SHOP
D ANCHoR/DowEL
0 r{oE F|ELD
CEILING l/\/lRE
otr
APPROVED OOCUMENTS
OSAr'OSHPD PROJECT OVED
N
AVAILABLE
PLANS Y
SOIL REPORT Y N
NAPPROVEO SHOP DRAWNG
SPECS:Y
EOEUTPMENT USED By CONTRACToR: Boom litt, Harness, Chipping hammers, wire brush and welding machines
'r,oRK AREA: First Floor
MATERIALS US EO BY CONTRACTOR ONCLUDE RESEARCH R EPORT NO, OR MATERIAL R EPORTS): NorrEl \.V6igm Con6ele , Hit3rads Mix
-Reinforcing joist between lines Q & ! and lines 5 and 6.2 to angel and Ll2" rod as per detail c2 on sheet ss-405
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
Verified welders certificates as: Jeffery Rodgers license #PsF 046, christopher ponce license # po3:l27g
city of LA and Divan M ichell license # pSF 149.
All work detailed above is still in progress as per approved plans and code.
Completed weld s were visually inspected in the following locations:
AYREWORKPAScTENOFALLWORKTOD 0%EP CR ENT PROJECT MCO PLETE
by:
DAILYINSPECTION osAr'crryFir6r_
REPORT DsA/osHpD Aper..
osA./LEA r _
TIITG I
Corpora(a
2992 E La p.krr Av!. St6 A
Anrhoirh, CA 92806
T6l:714.6i2.296
Fax.714.ets2.zst4
Oispabn: 8@.,tsr.29oo
San DrGgoflnp.'ilt Cour y
6295 Forb Squ.re g€. C
S6n Osgo, CA C2121
Tsl: 858.537.3999
F.x:858.537.3$0
Oi3pltch: 8@.844.a,oa)
lnll'€ EmfirG
I aG-l Meritian pkwy., Btdg 2Anu.rsde, CA 92518
T6l: 951.8$.a990
Fa!: 95't.63.{666
Dbpetch: 8m.49r 2So
lndb
,1,{917 col Ccobr ptcvy . Sro.llndb. CA 92201
lol:7g,312.16n
F.*7@.?42.1525
EbpaEhr 8@.491.2990
MrGL PRoJEcrr: 5403A19
Pon nr 10191322-17509
Reponrlpageiofl
Project ArEfiitect
SUudural Engineer
OSA Reoional Ofice
Scttool Oilirict
DAILY INSPECTION
REPORT
DSAr'CIY Fita t _
OSA.IOSHPD Appt. a
osA,/LeA f
fle partbs hried bde rrEpedDfi Rtrloats 6a nor'-.arnplEnt co.rdti}lBo, speo€J nsoedEn on a dalyba66 E dt cqhDlsfi .nd s€r'ed by U€
THE WORK WAS WAS NOT THE WORK INS PECTED MET DID NOI MEElnspected in
PROJECT a
accordance with th€ rBquirements ot the DSA,/OS pHO/
frgroved doqJments Tha r.quirements ol the pROJE CT document6Sampbs taken
Cloudy remp: 71 fMAT.ERIAI. SAMPLING wAs E WAs NoT E I,UA E WEAther;
penorm6d in accordance wth DSA,/OSpHD/pROJECT a;roved dooJmcntB.
of Spedal lnspecior
ed SaadConLactor
Building Depertne.n
PRoJEcr NAME: Aldi M or Store # 34
Date.08/25/20 '17ARCHITECT: APD
TIME ARRIVEO OO AM TIM E oEPARTED: 3:00 pMENGINEER: B&B A ssocaates TRAVEL
LUNCH TIME: -roa: ED GRUSHCONTRAC
SUB CONTRAC TOR
Tro N ADDRESS
o SSORE OF PROJE Tc 2830 s.Bristol Sa ntast,CAAna,OF NSPECTIONoFILLtr
ENGINEEREO
FOUNOATION
BACK FILL
PLANi
COtiCRETE
D PT coNcRETE
O sHorcRETE
MASON RY
SHOP WELD
E HlGH sTRENGTH BoLTtNG
I.J WELDII{G ANCHOR/DOIA/EL
NOE FIELD
FI NG
NDE SHOP
c EILING WRtr
trDsA,/oS PROJECi
APPROVE o tABL€oAPPROVE
PLANS Y N NsoIL REPORT Y
N
ECS: Y N
P DRAWI.IG YAPPROVEDsHo
EOEUIPIUENT IJSED 8Y CONTRACTON
rr,oRK AREA: Foundataon Floor
REPORi NO. OR MATERIAL ST RE PoRTS)i N onnalWbEht Conc.ete,
M R USEO BYc ONTRAC (rNcLU
,".Tiff: [:"#''
& depth and observed cleaning of all hotes with a wire brush and compressed air prior
Epoxy Simpson HILTI-HIT-HY 200_R was used expire date 9/2019.Contractor followed the manufacture inrtrr.tio, fo, inrtJllation as well as ESR_250g
All above work was compreted as per approved prans "detair 82 0n sheet # s-301,, and code.
new concrete
tio footi
o bse rved fo rep stanoxy a n of 10 H o zon nta d owe fols I exist Conc rete a ndngfootinhtfon8lowocattonsng
On grid line A.9 and line 7.
E\ t)R K TODARPERCEOFNTALLWORKY 0k P E R CE PNT CTROJE co PLETE
cc
Certifcation #:
s
Mag
79
Name
]IITG I
Corpor.tc
2S2 E Le Pelrne Aw. St€. A
Anahoam. CA 92806
Tel:714.6,2.2999
Fa\'-714.6n2.?lJ74
Oispot<fi : 8@.'191 -2990
S.n Oicgofl mPcri.l County
6295 F€rris Square Ste. C
San Dego. CA 92121
T€l: 856.537.3S90
Far: 858.537.3990
oisporch: 884.82L.5060
lnland EmPirc
1{457 Moririan Plorry., BtdO 2A
RiveBk o, CA 92518
Tel: 951.653.'(999
Far: 951.€53.,1666
Dirp.tch: 600.,19'1.2s
lrb
44917 Golt Canter PkwY-. Ste l
lndio. CA 92201
1or.76,312.1677
Fax:760.3.12.4525
Etspadr: 8oo.agt .2SO
MTGLPROJECT':5403A19 DATLY INSPECTI
P€mitr 10191322-175{t9 REPORT
R€podl?Pagelof1
Seoal f6pecto.r Reports must be cEulbuH b trF BnEs rEEd H! sthn 1il (hF d llE lrEpedon
;A-#ffi",",i; tr"r"'.d t' *' rvpt J-"8 "i
n'p"an r on a da v b6$s Eac'1 tegort 6harr
ON osA/clrY File t - '
DSAToSHPO APPI. l.
DS}r'LEA I
-
Rem.E d noa!€ompbant cDodmos mrEr be d6tlb',led mfiEd€lely-*-r.oJ-iito
"o.neo
ov th6 sEoal rspedq co'6'ru'0ltE
THE WORK INSPECTED MET OID NOT MEET
The requiremenls ofthe PROJECT dotuments
Sampbs taken:
weather. Clear temP: 71 f
Signature ot SPecial lnsP€dor
Maged Saad
Print Name
lnspacled in accordance with the re$Jilements of the OSA./OSPHD/
PROJECT approved doqlmonts.
MATERIAL SAMPLING WASE WASNOTE N/A EI
Perlormed in accordance with DStuOSPHD/PROJECT approved docurnents'
TTIE WORK WAS WAS NOT
Project Arcllited
Strudural Engineer
DSA Regional Ofic€
School Di$rid
Cont'ador
Bdlding OeFltrner{
Ownea
iate:0812412O17
PROJECT NAME: A ldi Store # 34
TIME DEPARTED: 3:OO PMrrue enntvEo E:OO AMnacHrrecr, APD
LUNCH TIME: -TRAVEL TIME
ENGINEER B&B Associates
SUB CONTRACTO R
cONTRACIOR: ED GRUSH
Bristol Ana,Santast,s.OJR CE 2830T:POFRDESSoINSPECTION A DORESS
LING WRE
trtr
EPR@FING
ANCHOR,/DOIA/EL
NOE FIELO
NOE SHOPE) wELDING
SHOPWELD
MASONRY
HIGH STRENGTH BOLTIHGBtr
BATCH PLANT
PT COt{CRETE
SHOTCRETE
CONCRETE
PECTION
BACK FILL
O ENGINEERED FILL
E FouNoATloN
N
SPECS: Y N
APPROVED SHOP DRAWING YTYLRND
PLANS Y N
AVAILABLE ADSAr'OSHPD OJEC
APPROVED DOC UMENTS
EGIEUIFMENT USEO 6Y CONTRACTOR
!\/oRK AREA: Filst Floor
. Hicrade MixNonrlalWoight ConcreteIAL TEST REPORTS)OR MATERTOR (INCLUDE RES EARCH REPORT NOMATERIALS USED BY CON
all in the following locations:
rt wall and pilasters from level 0 to level +4' 0" from finish
floor.
lnspected masonry unit for conformance to specification and Code'
lnspected masonry mortar for proper mixing and handling'
lnspected reinforcing steel for size, grade, type, lab splice, secured locations and clearance.
All above work is still in progress as per approved plans and code'
-lnspected the laying up of 8" and 12" CMU w
On grid line F.8 and line 5.6 for shopping ca
OJR CTE Mco PLETEEcPNTERPO'/oTKDoTNFoWORALLASKRCPEEEWORR
cc
Certifca
Verified
tion *: ICC{45747
TTITG 1
lhl.nd Emrirc
'l 4467 U.rilian Pkwy. , Bldg 2A
RiveFid€, CA 92518
T6l: 951.653.,{99€
FEx: 951.653.,1666
Dispatch: 8OO.rl91.2SO
MTGL PROJECT':5403A19
P6rmd , 10191322-17509
RoporttlPage 1of ,
Specal lnsp€cto.r Reporls mug b€ dlstnbut€d to UE partes tlsled beton wthn t4 days
Separate repoats shall be prepared ic,. each type of sp€dal inspecton o a d. y bssia
d the nsp€dDo Report ol non-compliaflt tDrditorls musl be dstnbut€d imrn€diately
Ea.,l rcpon Ehall b€ compld and sroned by the spec'al irispedor coodlrctirE lh€
THE WORK WAS WAS NOT THE WORK II{SPECTED MET DIO NOT MEET
Corpoaatc
2992 E Lr tulIrl. Ave. Sto. A
Anah6im, CA 92806
Tel: 714 432 2e99
Fex:714.eB2.F7 4
Dispetcn: EoO.491.29€O
San Oicgo/lrperial County
6295 F6rris Squara S:to. C
San Diego, CA 92121
T€l: 854.537.399s
Fax: 858.537.39X)
DisFtch: 888_8,{4_5(rO
lndb
41917 Gof C.nior Plwy.. Sts.l
lndic, CA 92m1
lol:7@.U2.4677
F.x:7@.U2.1525
Oi3p.Hr: 800.,191 .2990
OSATITY Filo ,
-
OSATOSHPO Appl. t
DSA/LEA '
-
DAILY INSPECTION
REPORT
lnspectod in accordance with th€ rsquiremenb of th6 OSAJOSPHD/
PROJECT approved doqJments
MATERIAL SAMPLING WAS E wAS NoT E I\UA EI WbAthET
Performed in accordance with OSA,|OSPHD/PROJECT approved docurnenis.
Ttre roquirements otthe PROJECT docum€nts
Sampbs takeo.
Clear remp: 71 f
Proiect Ardrilecl
Strudural Engineer
DSA Regional Oftce
Scfiool Ois*rid
Contraclor
Building O€panment
O,vner
Signature ot Special lnspedor
Maged Saad
Print Name
Certiltcatio n #: ICC
PRoJEcr NAME: Aldi Mor Store # 34 Dare O8l21l2O17
TIME ARRIVED O8:OO AM TIME DEPARTED: 3:00 PM
E NGINEER: B&B Associates TRAVEL TIME:LUNCH TIME: -
CONTRACTOR, ED GRUSH SUB CONTRACTOR
INSPECTION ADDRESS ADDRESS OF PROJECI: 2830 S. Bristol St, Santa Ana,CA
TYPE OF INSPECTION
O ENGINEERED FILL
E FoUNDATToN
E BACK F|LL
f] BATCH PLANT
E PT coNcRETE
E sHorcRETE
E coNcRETE
f] MASONRY
E H|GH STRENGTH EIoLTING
E wELorNG
E SHoPWELD
trtrtrfl NDE sHoP
FIREPROOFING
ANCHOR/DOWEL
NDE FIELO
C€ILING WREtro
DSA"/OSHPO PROJECT
APPROVED OOCUMENTS
AVAILABLE APPROVED
PLANSYENE]
SOILREPORIYENE SPECS:YEND
APPROVEO SHOP ORAWNG Y f] N f]
RESEARCH REPORT tlo. OR MATERIAL TEST REPORTSX Norrratt bEht Concrere, tii-crldG ltrx
EoEUTPMENT usE0 By coNrRAcroR: Boom lift, Harness, chipping hammers, wire brush and welding machines
\ roRK AREA First Floor
MAT€RIALS USED BY TRACTOR (INCLUOE
eted welds were visually inspected in the following locations:
-Reinforcing joist between lines ! & ! and lines 6 and 6.2 to angel and L/2" rod as per detail C2 on sheet #
s-405
Welds were inspected for size, length, location and free of visible defects.
All welding was performed as per approved plans and code.
certified welders Jeffery Rodgers license #psF 046 performed the above detailed welding.
All work detailed above is still in progress as per approved plans and code.
R EWOR ASK EP cR TEN OF ALL RWO TOK DA 06/"PERC ENT PROJECT COMPLETE:
Compl
cc
Verifed
479
ARcHITECT: APD
TTIIG
Corporata
2992 E La Palm6 Aw. Ste. A
Aiah€im. CA 928m
Tel:7'1a.632.2999
Fax'.714.632.2971
Dspatch: 800.491 .2990
Sin Ologorlmporhl Coumy
6295 Ferds Squa.e St€. C
San Di€go, CA 92121
Tel: 856.537.3999
Fax: 856.537.3990
Dspatch: 888.8,14.5060
lnl.nd Empirr
1,(467 Meruian Pkwy., Bldg 2A
Riversftle, CA 92518
Tel: 951.653.,i999
Fax: 951.653.a666
Dispatch: 800.491.2990
lndlo
1,a917 Gof Cenior Pl(wy., Sle.'l
lndio, CA g22ol
Tel:7@.112.4677
Fax:760.342.4525
Dispatch: 8oo.,t91.2sfl)
MTGL PRoJEcr.:E 4a 3 Alq
eernn* lDtTl tL2 -175c-l
neporrr { eage.lot f
DAILY INSPECTION
REPORT
DSA/CITY File *
DSI,/OSHPD Appl. *
DSAJLEA I _________l
separde repo.ls $an b€ Fep€rcd ld eacn rype ol 3p..€l insp€dm o. . daly Dasr3 Each repott shall ue csndet€d md s,grpd by th€ 3pecirl lrrsp€ctor conduclmg rhe
THE WORK
lnspected in
WAS NOT THE WORK INSPECTEO MET DiD NOT MEET
with the requirements ofthe DSNOSPHD/The requirements of the PROJECT documents
Sarnpbs taken.PROJECT approved docurnents.
Weet
iitATERIAL SAMPLING WAS ! WAS NOT D N/A (
Perfo.med in ac@rdance vv h OSA/OSPHD/PROJECT approved documents.
her: Sunny o
Slgnature
Prqed Architect
Structural Engineer
DSA RegionalOtrce
School Distrid Certillcation
Atdr Hor sIo{?#Z+PROJECT NAME o"'812a/2ot+
ARCHITECT APp TIME ARRIlTD B'so Al \,ME DE,ART6D: // , 30 A l.r
ENGINEER B9-B f,s5oq.\fie 5 TRAVEL TIME LUNCH TIME
CONTRACTOR Eb 6ROSH SUB CONTRACTOR
INSPECTION AOORESS ADoREss oF pRoJEcr:1$3b g, $ rrsTo I sT,
TYPE OF INSPECTION
f] ENGINEEREO FILL
E FoUNDATToN
E BACK FILL
E BATCH PLANT
f] PT CONCRETE
E SHoTCRETE
E CONCRETE
[T.MASONRY
DI|GH STRENGTH BoLTTNG
O WELDTNG
E SHOP WELD
E FIREPRooFING
O ANCHORyDOWEL
E NDE FIELD
D NoE SHoP
E] C€ILING W]RED-D-tr
OSA,/OSHPD PROJECT
APPROVED DOCUMENTS
AVAILABLE APPROVED
PLANSYENE
SOILREPORTYENE SPECS:YDNE
APPROVEDSHOP DRAWING Y D N E
MATERIALS USED BY CONTRACTOR 0NCLUOE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): N,o.nalW€ighl Concrete. Hlcrade Mix
EOEUIPI EMT IJSED BY COMRACTOR:
VVORK AREA:
anspeded.1tri ,iJ,IJ op o! a*.e re" cHu .,qfi I h 7E |otto-,\ Ioct(or\s
1n 3r;dl]r. r.8 qnd (rne 5.6, lor sh"ppin3 Coft roq\ g.o"
1 Courses lram youy.dfiion (evcl
lnstepd yn4sonr.J ovr'fi Sor eonloyr'.or,q1 fo SFcril(ccll o\ qnd ede,-In:pedel
",q:o1^i nor\q.rr por frofer *ir.,.i5 o"t-f""ifi"5-
rnsped.J rt.rn[orrr1\ 6-tct\ go" r,iSr g"ol",t5T(, /rb *lrce qnd
Clco ran.",
A\1 qbor< .r,or( iS sfitl ,r? prcsr(ss qs F.rr Approud plOn.qnd code.
REWoRK AS PERCENT OF ALL WORK TODAY: 0%PERCENT PROJECT COMPLETE
cc
Verified by:
q e
of Sp6cral lnspedor
d sqoJ
Temp: .a_
Contraclor
Building Oepartnent
O,vner
www.mtglinc.com
2992 E. La Palma Ave- Sle. A
Anaheim. CA 92806
Tel: 714.632.2999
taJ,':714.632.2974
oispatch: 800.491.2990
o
Comorate:
a
San 0iogo/lmperial Counly lnlrnd Emplrs:
14467 Meridian Pkwy., Bldg. 2-A
Riverside. CA 92518
Tel: 951.653.4999
Fa(: 951.653.4666
Dispatch: 800.491.2990
6295 Ferris Square, Suite C
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 800.491.2990
DAILYINSPEGTTON OS&CITYF.IE'MrGt ProFd* 5
Permit,REPORT OSlr'oSHPO APPL ':-
Report r_ PG_ 0F
IUIIGT
OAIT
iNLfittli IRAVEL TIME LI]IICH TIME
CONIBACIOR Su8 C0rrrPACT0F
lrsPfcr ori aoo8fss AOOAESS OF PSOJTCI
TYPE OF IIISPECTIO}I
ENGINEERED TIL I
TOUNOATION
EACK FILL
, EATCH PLANT
- PT COiICRETE
. SHOTCRETE
a col'lcRETE
MASOI{RY
HIGH STRE GIH BOTTII{G
IVELDIIIG
SHOPWTLO
I] FIREPEOOFII{Gz At{cHo8/DowEt: NDE FIELO
.] NDE SHOP
PULL,TOROUE TEST
OSAiOSHPD/PBOJICI:
APPBOVEO DOCUMTIIS:
AVAILABLE:
APPROVED PLAI'IS YE I{
SOIL REPORT Yi NI SPECS: Yll ilL
APPROVED SHOP ORAWII'IG Y ] I'I
t aTt8llrs us€o 8y cllfiRlcroF ([acruoE BtsE EcH 8tPo8t[0 08 uArEErAL rEST BEPoRrs]. r.
STSUCTURAT I{OTTS, ONAIL, OE RfIS USID
FEMAFXS /f,aud|o r6Df6S:
REWORK AS PERCENT OF ALL WORK TODAY
lrESttL st PUiG wAs wAS NoT r'l/Al,
Perlormed in accordance with oSr/0SHPo/PRoJECT approved documents
I E UONT WAS l9 WAS I'IOT:]
lnsp6ded in accordanc6 with th6 r.quirom€nts ol tto DS oSHmPRoJECT
approv€d documents.
IHE W0nI IISPECIID METc DlO t'I0T MEET
The requirem0nts of the oSA/oSHPo/PRoJECI approved documents
Samples taken:-______-_____:
Weather: Temp
Sionaturo of Special lnspector
Project Architect
StrucluralEngineer
0SA Re0ional otlice
School District
Contnctor
Buildin0 Department
ownsr
cc
Vented by: _
OSA / LEA '
ANEA GEID LIIES, PITC'S ITSPTflIO
I
/t I
PEBCENT PROJECI COMPLETE:
prinl Name
Cerlrficalron ,: _
AEROHYDRON'CSra.zw *'i$s Page: 1
oale:11117r2U7
No. Of Copies: 2
SUMMARY OF BALANCE REPORTS
FOR SYSTEMS & EOUIPMENT TESTING
ON THE PROJECT NAMED BELOW
PROJECT:
LOCATION:
CONSULT, ENG,:
CONTRACTOR:
GEN. CONTRACTOR
Aldl Stote #34 Santa Ana, CA
2840 South Bristol St Santa Ana, CA92704
T - Squared Professional Engineers, lnc.
Controlled Envlronment HVAC lnc.
Lajos CsontosT€sts were performed by:Our Project#: 11177
INDEX
NO SYSTEM SERVICE NOTES
1
2
.)
4
5
6
7
I
9
10
11
12
13
14
15
16
17
18
19
20
Sales #102
Offic€ #107
Break Room #106
Back Room #109
Toilet
Back Room # 109
Supply
Supply
Exhauster
Exhauster
Exhauster
Exhauster
RTU.1
FC-1
EF-1
EF .2
EF.3
EF.4
I
I
I
I
I
I
I
I
2
-.
1o :4 !
2 =
3oo 2o R
o
:r -l !o E
-2 z =
=*a
=I!!o
o-.
{a
tr v ovo
z a
,a
oFI o
,
Io o2 o
o o oz o
"E
-I
o
Il
"l
:
-<
l"
E
't
o
.l
z
-c.
a
,
3
2 =zC.,
1
1 o-{camvo -.
{
z E o =6)o?
6-
.D P I
o o
o!
o B,N s
-!
=,
I m <t -{o o2 9 :oz
io b.bq
9o i5
;@ o
3oiouo --
{
6 oaz9oomo{I
v -tbI
-t
-1
_.
1o
t o -lo
-.
{I E
'T
t zv m ozo @I m m-l
|na
J!b e!a
i?!
I
o I!F!
.l
t z o m 2 oz 0 -.
{
x
!I
ca nl =!
o
I a -
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-
3 ]l
'p7ot-moJ Pg It U'
o t,P r)
roo -{6 =aoo
=o
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.
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Page:
Date:
11117 2017
COMBINATTON TEST SHEET
FOR IND. OUTL,, INLEIS E DUCT TRAVERSE
AEROHYDRON'CSr-fial--t
SYSTEM NO 1 SUPPIY RTU - 1PROJECT: Aldi Storo f34 Santa Ana, cA
Avg
Final
FPM
t1
#3 i4*1 #2
9 108
f5
t2 t5 16
FINAL DATATESTING DATA
FPM or VEL Pressure
CALCULATED DATA
Oitfwer Grille, Oucl, etc.
Ft.
4 763sI l3 l4
Zone
CFM
Aclual
CFM
Area
ln
Size
ln
lnch
lD.
No.
Req.
c Fi,
Req.
v.P.
Req.
FPM
Room
No.
Acl.
850 F PfuI'1346 1.67 806 9801
Sales
Area
30" x 8'
Lower
806
I
8306,1 013461.67
850
830
835835540
102
102
2
3
30' x 8"
30" x 8"1346 1.67 i806
8801060I10230" x 8"4 1346 1 .67
85598030' x 8"1346 167
806
8061025
880
855
210
870
285
60013451.67 806
300
102
106
6
7
30" x 8"
10"Q
Diff .
2001018 210
215230
200
275
200101I
1V0
10"6 200
1.0
275
200
1.0
1.0
Hood
I
680 FPM
it6' x 16"
Gtille
Return Air Data
3375
8750
Fan tota
capa
4.58
737
3375102
102
2
Achieved Ian total indivadual capacity
870
T
680
690
760
69065046" x16"
Fan total
5750
190
Minlmum Oulside Alr Data
242
4 75873
I
+
8.25
Ak.2000
(3)ra' x 20"
Filters
1420
1386
1394
1470
210
215
9261
627 4
285
2083
3114
3160
1428
1453
250
Noles
DESIGNED OATA
I
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I capacity I
1
'llli'lllll
Achieved fan total individual R.A. capacity
t-
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11t17 no17
Dale I ndex
1Page
FAN AND OUTLET SHEET
COMBINATION
AEROHYDRON'CSrA--*ret1
t-t- - |Su pply
PROJECT: Aldi Store #34 Santa Ana, CA
LOCATION: CeilingFAN NO: 2 Office #107
OESIGNED DATA
Diffus€r Grills, Duc1. etc.
Sq.Ft.
Area
ln Req.
FPM
Req
v.P
Room
No.
lD.
No I
eq.
FM
R
c
Size
lnch
lndiv.
OutleU
lnlet
CFM
t6
FPM CFM
Avg Branch
FINAL DATA
Final Zone
I4 I5
CALCULATED DATA
lt
*4
TESTING DATA
FPM or VEL. Pressure
t2
#5
l3
Act.
v.P.
r0
#1 t2 t3
8 9 r4567I23tt
R6tum Alr Dala
315
1.0
Hood 315
Fan total.
R.A. cap.
24" x24"
Screen 340
190
340
__l_Minimum Outside Air Oata
Min.O A
196 179
6"0
Duct
340FPM
It_![.]_190
FAN ACTUAL CFM
377l-T,S,P
1t400.10'
CFM
350
FAN DESIGN DATA
E,S P RPM
TEST CONOITION
OpenMIN FRESH AIR OAMP
MAX FRESH AIR DAMP
R eaditmPrel
SUCT PR..
TOTAL SP
OlSCrl PR +RETURN AIR OAMP
EXHAUST AIR DAMP
SUC IEMP f F)COI-D ZONE OA-i.lP
HOT ZONE OAMP
FACE OAMP
AYPASS I]AMP
SPRAYER IS
VORTEX / VFO
Erhausl
09"
H
PH 12
FIELD TESTING DATA
Final R
17'
72
PH '3
PH X2
VOLT PH
'1
08"
--,+--
40
208
PH
'3(.08' - (x:) .04'
FAN IS
FITTER PRESS DROP
HEATER SIZE
MOIOR DATAFAN MANUFACTURER OATA
LG
1t40
sr2E
EELr NO /S|ZE1050
0.10"
OTHER
srzE
Thermal
PULLEY'S DATA
MOTOR
1t60t20a
HPNAIUE OF MFG
TOT SP
CAP IN CFM
NO /SrZE
LG
3s0
LCNl87HV
SHAFT C TO C
ADJ
SERVICE FACT
OPERAT AHP
IT,IAKE
PH/CYMTS
Direcl drive0.60 A,lP
EXT SP
I
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Open
I
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L-
-.1
FAN AND OUTLET SHEET
COMBINATION
Date
11t17 t2017
lndex: 3
Pago: 1
AEROHYDRON'CSr-r*-zet-l
EF.1Exhauster
PROJECT: Aldi Store #34 Santa Ana, cA
LOCATION: RoofFAN NO: 3 Break Room #1
TESTING DATACALCULATEO DATA
FPM or VEL. PressureDif,u8er G.ill€, Ducl. etc.
#5#1Req
v.P
Req.
CFM
Area
ln
Ft
Req.
FPM
to.
No
Room
No,
Size
h
lnch
Brancrr
or
Zone
cFltl
lndiv.
OutleU
lnlet
CFM
FINAL DATA
Avg
l6l4t5
Act.
v.P.
Final
FPM
ll t2
*2
9 t0
*3 *4
6 7 85I23
FPlil180
1.0
Hood 'I B0
10"0
Grillo
Fan lota
195 195
FAN ACTUAL CFM
195
HPT,S.P
1,319 1/300.25"
E,S,P RPi?,t
FAN DESIGN DATA
c Flu
180
Prelim Raadings
TEST CONDITION
Openl
lIHOT ZONE OAMP
FACE DAMP
BYPASS OAMP
VORTEX / VFO
SPMYER IS
FAN IS
FILTER PRESS OROP
I ogl
Final R
1.05
120
Erhrurl
30"
33'
Thermal
FIELD TESTING DATA
PH
'3
74"F
1550
SUCT PR..
OISCH PR +
TOTAL SP
SUC TET'P FF)
pa s2l
PH '3
VOLT PH. II
?H t2
TIEATER SIZEOTHER
FAN MANUFACTURER OATA MOTOR DATA
1/30
MAXE
HP E AMP
Greenheck
HPNAME OF MFG Greenheck
PH/CYMTSMOO. NO /SIZE,G.O7O-DGEX
180CAP IN CFM
TOT SP
0.25"
PULLEY'S DATA
T NO /SIZE
SHAFT C TO C
srzE
MOTOR
Oirect drive
MO IOR ADJ
1550/3spd
1/60/115
FRAME
1.10 AMP
SERVICE FACT
OPERAT BHP
EXT SP
I
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Dale lndex 5
Pags: I
FAN AND OUTLET SHEET
GOMBINATION
AEROHYDRON'CSs-t*Zat*l
EF.3Exhauster
PROJECT: Aldi Store #34 SantaAna,CA
LOCATION: RoofFAN NO; 5 Toilet
lndiv.
Outleu
lnlet
CFM
t2loll
#'1
8 9I
t2 #3 *4ReqReq
Ft FPM V.P.
Final
FPM
Zone
CFM
Avg Branch
FINAL DATATESTING DATA
FP[4 or VEL P/essurc
CALCULATEO DATADESIGNED DATA
Oifruser Grille, Dud, etc.
ID
No
6 74532 I6t3l4l5
Area
ln
Size
ln
lnch
Req.
CFM
Act
v.P.
265300FPM250
1.0
Hood250105
270
265
270220
265
270't.0 2s0't0"0
10'0
Grille
250103
1
3
500
Fan 535Achisved fan total individual ca
I
FAN OESIGN DATA FAN ACTUAL CFM
T,S.P E,S,P RPI\4 HP
500 0 15"1,550 1/15 535
TEST CONDITION FIELD TESTING DATA
Erh.u!t
MIN FRESH AIR OAAIP
l\rlAx FRESH AIR OAMP
RETURN AIR OAI\,IP
03
EXHAUST AIR DAMP Open TOTAL SP .29"
COLO ZONE OAI'P SUC TEMP C F)7 4'F
HOT ZONE DAMP
1550
AMP PH
'1
?a 12'2.4
PH '3
VOLT PH
'1
PA 12 120
FAN IS
F1LTER PRESS OROP PH
'3
OTHER HEATER SIZE
FAN MANUFACTURER OATA PULLEY'S DATAMOTOR OATA
Mc Millan El
1/60/1 '1 5PH/CYMTS.
MOTOR
Dired drive1/8 HP 2.6 AMPN^T'E OF MFG Greenheck
MOD NO /SIZE G-095-GEX
CAP IN CFM 500
SIZESIZE
EELT NO /SIZE
SHAFT C. TO CSERVICE FACT
OPERAT BHP
TOT SP
0.'15'EXT SP
I
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Prelim. Roadingg_l.I'Ie! jgeqnJg
l.*r.,* -_1__
6.q".". T-
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levpAss o uP
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Therma
155o/3spd
tl17no17
6Dalendex
Page; 1
FAN AND OUTLET SHEET
COMBINATION
AEROHYDRON'CS.rA-n7e-f-l
EF -4Exhauster
PROJECT: Aldl Store #34 Santa Ana, CA
LOCATTON: Roof
FINAL DATA
l6lllo
#3 #4#'1 i2
flI
#5
\2
Req Req
Ft,FPM V.P.
TESTING DATA
FPM or VEL. Pressure
l5I3l4
CALCULATEO DATADESIGNED DATA
Diftuser Grille, Oucl, etc
ID
No
5-1 6 732
lndiv.
Outleu
lnlet
CFM
Room
No.
FAN NO: 6 Back Room #'109
Branch
Zone
CFM
Act.
Avg.
Finat
FPM
Area
ln
Size
tn
lnch
Req.
CFM
10601060FPM100010601000
12" x'12"
Screen 1.0
Fan total
gipqc,ty
FAN ACTUAL CFM
1,060
HPTSP
1140.15"1,000
TEST CONDITION
CFM E,S, P RPM
FAN DESIGN OATA
Prelim Readingsl
I
Open
MIN FRESH AIR DAMP
EXHAUST AIR OAMP
ti,lA)( FRESH AIR OAMP
RETURN AIR OAMP
TOTAL SP
COLD ZONE DAMP
HOT ZONE DAMP
SUCT PR -
lorscx pa .
sUC TEMP f F)
PH2
04
u
785
FIELO TESTING OATA
.30"
Final Readin s
74'F
120
FAN MANUFACTURER OATA
NAME OF MFG Greenheck 5,0 AMP114 AP
Marathon
MOTOR DATA
SPRAYER IS
VORTEX / WO PH 13
HEATER SIZE
VOLT PH
'1
Plt 13
PH 12FAN IS
OTHER
FILTER PRESS OROP
MAKE
HP & AMP
GB - 121 -LMDXMOD NO /SIZE
1,000CAP IN CFM vP24 - 112"
SIZE
H
4L220
PULLEY'S DATA
Fixed
srzEAK 52H
u4"
ti()TOR
1tm llom max
TOT SP
EXT SP
1/60/115
FR48YZFRAME
OPERAT BHP
SERVICE FACT
BELT NO /SIZE
STIAFT C TOC
1725
0.15"
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E^..r4,r-
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