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100 �!,- P, <br />OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />FACILITIES DEVELOPMENT DIVISION <br />14 <br />SPECIAL INSPECTORS (Continued) <br />Provide Following Information for Each Special Inspector Employed by the Agency (Attach <br />additional sheets if needed) <br />*To update expiration date a renewal application for CPAA and proof of renewal for certification/license shall be required <br />Inspector's Name <br />Certification/ <br />Certification/ <br />Certification/ <br />Expiration Date* <br />Comments <br />License Type <br />Licensing Agency <br />License Number <br />Reinforced Concrete <br />ICC <br />8715595 <br />08/29/2020 <br />FT <br />James Reeves <br />Structural Masonry <br />ICC <br />8715595 <br />03/22/2021 <br />FT <br />Spray Applied <br />ICC <br />8375377 <br />01/28/2023 <br />FT <br />Fireproofing <br />Jonathan Taylor <br />Soils <br />ICC <br />8375377 <br />01/282023 <br />FT <br />Soils <br />ICC <br />8017636 <br />07/22/2020 <br />FT <br />Spray Applied <br />ICC <br />8017636 <br />07/22/2020 <br />FT <br />Fireproofing <br />Reinforced Concrete <br />ICC <br />8017636 <br />07/22/2020 <br />FT <br />Felipe Cisneros <br />Prestressed Concrete <br />ICC <br />8017636 <br />07/22/2020 <br />FT <br />Structural Masonry <br />ICC <br />8017636 <br />07/22/2020 <br />FT <br />Structural Steel and <br />ICC <br />8017636 <br />12/26/2020 <br />FT <br />bolting <br />Robert Frazer <br />Soils <br />ICC <br />8418831 <br />04/24/2022 <br />FT <br />Neil Carey <br />Soil <br />ICC <br />8803597 <br />08/11/2020 <br />FT <br />William Woltman <br />Soil <br />ICC <br />8897104 <br />07/27/2021 <br />FT <br />Certified Welding <br />AWS <br />O4090271 <br />09/01/2020 <br />FT <br />Inspector <br />Adhesive Anchor <br />ACI <br />00088722 <br />01/23/2021 <br />FT <br />Inspector/Installer <br />Spray Applied <br />ICC <br />5098547 <br />04/18/2020 <br />FT <br />Fireproofing <br />Structural Welding <br />ICC <br />5098547 <br />04/18/2020 <br />Randall Lewis <br />FT <br />Structural Steel and <br />ICC <br />5098547 <br />04/18/2020 <br />FT <br />bolting <br />Prestressed Concrete <br />ICC <br />5098547 <br />04/18/2020 <br />FT <br />Reinforced Concrete <br />ICC <br />5098547 <br />04/18/2020 <br />FT <br />Special Inspectors with expired license shall not be permitted to perform Special Inspections. <br />"Access to Safe, Qualitv Healthcare Environments that Meet California's Diverse and Dvnamic Needs" <br />OSH PD <br />STATE OF CALIFORNIA— HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (03/01/2018) <br />5/6/2019 <br />OPAA-0042-16 <br />Page 16 of 19 <br />