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HomeMy WebLinkAboutStructural and concrete observation 1 Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation �� O����VA T� Toll Free Fax 877) 764-3939
'"` 8941 Atlanta Ave.,#5I 8 ���� ON H F ❑ NIC ❑
Huntington Beach,CA 92646 sl SA ROW)
We Just Do A Better Job!
Observation Report and Observation Agreement
Joh Address g i `Jkx y,� � Dr /�/C /� City Permit#24700 — a v ........... 7
Job Name�4/c f~/ T�1`7� Ce ��`� Architect
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Material Description Engine lip �Q/ Q 1 //4 -co Atevu.46.
ObserverE,fC /�je r LQ� ContracttorftoA cs — 6atti.tin 06 Pe a.
Samples: X antity= subcontracto/ itiaeseCS 644in X/g1
Description of Work Observed: ttkid,-:, v/
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signatuthis work to comply with the approved plans,specifications,and applicable sections)of the
re on the this Observation Report. I acknowledge Uniform 6uildng Code,as applicable to the local ty whe a thus s p oject s located. This epo t
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.fr. any and at legal proceedings of any nature
whatsoever,that is related to th:..-.rvatio•
n 19
') =�► Signature- -egistered Observer
Approved by: .�'f (Alea It gi.L 7''cif C e-
I Project Superintendent-Foreman-Other
Specialty No. Agency
(LI ' 9 t I j)._ n q WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY 4'ti
X
Structural Observaton Group, Inc. ��� 24-Hour Pager (949) 227-8668 $
�. A California Corporation ���� O RV��,O Toll Free Fax (877) 764-3939
8941 Huntington C I8 slOt� H GROU p H F ❑ NIC ❑
Huntington Beach,CA 92646
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address Zit L,�t� Ltod�,i �_ ) DK wool o of ^ City I Permit#O,�,2 2-7
Job Name iAf'p M piciit_ e�/�,— [�Archl�it ct Ft l 1 ,J
Material Description 5(,1PVL Kn Engineer
Observer/ti • n tit: Contractor �� �
Samples: Y X Quantity= Subcontractor
Description of Work Observed: E. Pt
DATE:"1._—3-1'-f I
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge this work to comply with the approved plans,specifications,and applicable section(s)of the
g Uniform Building Code,as applicable to tt a local ty where this project is ocated. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Repoli The Owner or a successor in interest shall told
harmless Structural Observation Observation Grcwp,Inc.from any and all legal proceedings of any nature
whatsoever, related to the observation .c@s provided.
' ;11) ture of Registered Observer
Approved by: C0 e7-e_ IQ(6C. r6"Elul LL
Project Superintendent-Foreman-Other
Specialty No. Agency
1 /t ° E-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
vlJ LUG 14
Structural Observaton Group, Inc. ��� 24-Hour Pager (949) 227-8668 $
A California Corporation nititi 0 RVArho Toll Free Fax (8 7) 764-3939
8941 Atlanta Ave.,#518 ��� N �� H - F ❑ N/C ❑
Huntington Beach,CA 92646 sit Oup
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address � �ypp LA ` ,u�� O,4_, b ^ „ __mI City I Permit#© 2 7 '_7
Job Name /�(—ar✓'—iI[ K_ ^t �r�1'—LI` r�j�Architect /�t _ ) J
Material Description r(� , 0�p/�' 3/kL�SO-- Engineer/t1 y ,tio r• 7
Observer/,`, ., ,�V,L /1` `n1 Contractor 1...t /'r/-/ ! V
Samples: L X Quantity= 3 subcontractor/ -- .se
Description of Work Observed: CDA-G"-e-
DATE: /-/3--(`t
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to compy with the approved plans,specifications,and applicable sections)of the
By this signature on the this Observation Report,I acknowledge Uniform Building Code,as applicable to the bcal ry where this p ojec is located. This sport
cannot be construed to be a recommendation of work of any nature be performed. The
that SOG, Inc.performed the above observation. performance ofo uro bser„ation ser vicesissubjecttothetermsandco ions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is re ted to the observation .ewrovided.,I 1.).\CV.I II,III o•
ature of Registered Observer
Approved by CO -- tQ6o196 —.P /LL
1 Project Superintendent-Foreman-Other
Specialty No. Agency
1
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Structural Observaton Group, Inc. i0� 24-Hour Pager (949) 227-8668 $
A California Corporation itititi O RVA?,O TO Free Fax (877) 764-3939
8941 Adana Ave.,h rC l8 l0 tit GR0U H ❑ F�N/C ❑
,,,,, Huntington Beach,CA 92646
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address 48 61 W 1,t o- quo 'fin A (A-cjty Permit# —C4-3 -3(2-i
Job Name D"` I A�WM�,/ t 7 ` a,._ Architect t ,,� ,(�� `t"
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(„(_7j Subcontractor ^
Samples: Le X(3 Quantity= L-k.p,_4".404
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Description of Work Observed: �-�JxicizET€
DATE: I — 2)— ( 1
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and betel,we have found
this work to comply with the approved plans,specifications,and applicable section(s)of the
By this signature on the this Observation Report.I acknowledge Uniform Building Code,as applicable to the locality where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG t terms Inc.performed the abo • observation. performance of our observation services is subject to the tes and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
I harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is ated to the observation services prods
0 . that m�
10i
', l ■ Signature of Registered Observer 'j'
Approved by: Wlg-A. �j as 3 v-?- 1-cc
\I& ct Superintendent-Foreman-Other
Specialty No. Agency
WHI •FFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
I/
Structural Observaton Group, Inc. ��� 24-Hour Pager (949) 227-8668 $
A Califomia Corporation ittiti O RVA nn TO Free Fax (877) 764-3939
8941 Atlanta Ave.,#K518 ������ N H F ❑ N/C ❑
Huntington Beach,CA 92646 GROUP
We Just Do A Better Job!
Observation Report s and Observation Agreement
Job Address 1 w 1 tu.ii-r Fir,-TnN D 1`. A c.,0/6- City,I Pent*# /�o O D(r 2 3 z 7
Job Name plate._) H ^/ Architect '4p cow
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Material Description �;(� Engineer
Observer/ n U`r Contractor t►,�
Samples:
Quantity= Subcontractor
Description of Work Observed: Wll/1,4---
DATE: J— / 4 Lf
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable section(s)of the
By this signature on the this Observation Report.I acknowledge uniform Bulking code,as applicable to the locality where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG, Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc,from any and at legal proceedings of arty nature
whatsoever,that is related to the observe.' .-rvices provided.
tif ` •.nature of Registered Observer
Approved by: -'inject Superintendent-Foreman-Other
k/� r '0666 cf6 Cdr �L L
Specialty No. Agency
11/(10-77 WH •FACE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
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Structural Observaton Group, Inc. 0���� 24-Hour Pager (949) 227-8668$
A California Corporation ����L V��,O Toll Free Fax (877) 7 -3939
8941 ngt nraAve.,#CA �14� �R
m.. Huntington Beach,CA 92646 OU H ❑ F N/C ❑
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We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address i LL/>I ) ` A ! City Permit# l o -4043 — s a-.•�-t
Job Name �-+� Architect WALE-l'x� }
Material Description ^ a j t ./ _ /In, /,# ^ Engineer u.1A
Observer �V / �•�}�t(�( '
Contractor
Samples: X A Quantity= ( Subcontractor A ge; ,
Description of Work Observed: C.� r Ly`�JV l�f
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DATE: t D--
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work unless otherwise noted.To the best of our knowledge and belief,we have found
Bythis work to comply with the approved plans,specificati ons,and applicable sections)of the
this signature on the this Observation Report.I acknowledge Uniform Building Code,as applicable to the locality whew this ao ect is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any all legal proceedings of any nature
whatsoever,that. lated to the observation services
Signature of Regist Observer
Approved by: 9_ ,�1� ��Y►A�rTZ 1 ► A
rol Su rrtendent-Foreman-Other %/ /�•y 1L�"
/► Specialty o. Agency
J I to 1 erroOFFICE COPY, CANARY-ACCOUNTING COPY PINK-OBSERVERS COPY BOTTOM WHITE-JOBSITE COPY Ili
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668$
A California Corporation 1k` ogsFRva r To11 Free Fax (877) 76 -3939
8941 Atlanta Ave.,##5 18 �� ,O�
Huntington Beach,CA 92646 Iw GR H ❑ FN/C ❑
g OUp
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address i 4 ' I. A `J 4 4 In��A ) / - City(Penned# Q �O —Q�3 — 3 )
evfi Job Name / Architect (,4 , / ��J q
Material Description '�/�id midi__ •,� ,rt �f }Q1•��"1��-/�
(J /-j\,1 (/#���' Engineer �,��'11/7 r<.LJ 1
Observer &J / ..i Contractor
Samples: LJ X A Quantity= VI Subcontractor
L4kievit{saA,
Description of Work Observed: e.,,,,..z .:1,F,....
DATE: - -
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
m
By this signature on the this Observation Report.I acknowledge 's Work to cow with w ,the approved plans,specifications,and applicable sectlofs)of the
Uniform Building Code,as applicable to the locality where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,In performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.freer any and,all legal proceedings of any nature
whatsoever,that. fated to the observation services proved.
�L
Signature of Register Observer
Approved by: ltovft, S,164 ,2d- Agency
roe t Sup intendent-Foreman-Other
�///► Specialty No. Agency
' J� ( I /1 f 1 HFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITNOBSITE COPY.V I VI 27 Ili
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Job Address��/] /�7�L n �t� City Permit# �IJo -CJ 4 �+ _ `^
Job Name (���( '1-1�J (Q `(�
\=,, it Architect
Material Description 3 , it • Engineer ^ . LI�
Observer `J , A/ `� Contractor `/` roxTiLto
Samples: I X g Quantity_ 01 Subcontractor l /
Description of Work Observed: (emu - � - — .E.pc),4/
DATE: la.-,.0-1.3
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable sections)of the
y this signature on the this Observation Report,I acknowledge Uniform Building Code,as applicable to the locality where flits project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG, Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is ted to the services pro"
e �
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1! `."� Signature of Registered Observer
Approved by: 211Y I i!" �
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Project Superintendent-Foreman-Other v
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Specialty No. Agency
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Structural Observaton Group, Inc. �e��R 24-Hour Pager (949) 227-8668$
A 41 Manta Corporation ����� VAN Toll Free Fax (877) 764-3939
8941 Atlanta Ave.,#5 18 �� H ❑ :� N/C ❑
Huntington Beach,CA 92646 GROUP
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address��/j r, �i /�V g Da, /� � L �/" city Permit# AD_QL(+2 -3 fl
Job Name tr 7/2t/�.. •t(l ICAL•l' (�11 ( ) r(i [f}''L/ t (�(J J
Architect
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Observer iite.&t Contractor
Samples: 4 X€ Quantity= O Subcontractor
Description of Work Observed: VU -- C(,,/
DATE: Ia.- --t3 1 _ `
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge ttni Loki ng My vA as apP ,o p emir:cetera.Ism)report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation, performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any,and all legal proceedings of any nature
whatsoever,that is •:tad to the observation services pro'• ..
-4 .• ar I c 4ii t--
,�;� �'� Signature of Registered Observer
Approved by: 1 •
••" /1'�I-Ci 5 -69 3011 -_]-C,
i Project Superintendent-Foreman-Other (/� `��-L--
Specialty No. Agency
11 L 1/ ^ '4 • CE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSrTE COPY I I L,
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation CASER
12152 Woodlawn Ave. �Ul p CASON o� Toll Free Fax (877) 764-3F
Santa Ana,CA 92705 51lUC °ROL p H ❑ F�
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address 7 ; ` vi
`t .ir Al,t .!� W..--
, . . j/ City l Permit#
Job Name T I }� 5 _ 3 2�
II./t i L / V • 4 r/� Arc itect
Material Descrip'.n /+j( //�_�,��LA-3v/`/ ILr" C.e��iC/t,S�NEngineer �{
Observer (� //� &Vi p( fir 1?-Contractor � ��
Samples: X9 (r Quantity= q Subcontractor 11- '
Description of Work Observed: co / • -. be-Clc_ SC*}--�
DATE: j , — --
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted To the best of our knowledge and belief,we have found
By this signature on the this Observation Report I acknowledge ,;�°comply �e O`d darn,speaf catiore arM app6caae nacho yin ort fhe
9 rid ng Code,as apal?rxp a to the bcality where the io:tP is ll*s:d. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG, Inc.performed the above observation. performance arnor ���is atheetemsandc nditionsasdescribedon
the reverse side of this Observation Report. The Owner or a successor in interest that hold
harmless Structural Observation Group,Inc.firm any and all legal proceedings of any nature
whatsoever,that is to the observation services pro
0_ �k °
Signature of Registered Observer
Approved by: A Q ' ,....411 IA? ' :r
�e'�"`l-= -Foreman-Other ( z��'�i �'[ 3� ..3�C
. Specialty No. Agency
/11 q IV?? 1 n � TT-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY. BOTTOM WHITE-JOBS:7E COPY I lt,
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Structural Observaton Group, Inc. 0���� 24-Hour Pager (949) 227-8668 $
A Califomia Corporation ��Ms VA n Toll Free Fax (877) 764-3939
12152 Woodlawn Ave. I
.,016. ON Ana,CA 92705 Sl�U N GROup H t7 F�
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We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address ; f 1 1 JM MTV'Vi'`1 A. i / i 10 4 `) City J Permit# w �-j 7
Job Name ' , W� / �1 • / • . itect C WA L J
MaterialDescrip'.n %$j( ML�t `ice Mt C:L,rfi� gineer T
Observer Contractor
Samples: Le X(d Quantity= q Subcontractor 15e1 ,
Description of Work Observed: eoxiCI7 b dr_ 5r-i-�
DATE: i 3— 3.0)-- 1 3
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
Bythis work to comply with the approved plans,specifications.and applicable sections)of the
this signature on the this Observation Report.I acknowledge a itom Building Code,as applicable to the locality where this project is located. This sport
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation semi is subject to the terms and conctitions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shalt hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is fated to the observation services
!� `�- G
/r�}1t � Signature of Registered Observer
Approved by: i 0!' % f�4'7 l 1T 1 i (W. 6 L 'C•,
c - -Foreman-Other
_ Specialty No. Agency
/1,1 1 Lj Iv! 7E OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
1 i ti
Structural Observaton Group, Inc. ��� 24-Hour Pager (949) 227-8668 $
A California Corporation v�A` VA 111„
Toll Free Fax (877) 764-3939
894 I Huntington Ave.,#5I8 ���u soup �F C] N!C ❑
Huntington Beach,CA 92646 u�
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address Z " G*f.K!I uL xi�Ar TL.t.i ofri pit i City I Permit* 13
Lt3-32-7
Architect
Job Name kirk c—
Material Description
Engineer /��� —��
Observer �^ PI� YAM ! G)
C�, ,1 r•' n - p Contractor �17L.e -
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Description of Work Observed: the-uDi—,-
DATE: 1 Z—R- 1 3
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge this wo k to comply wi h the approved plans,specifications,and applicable sections)of the
Uniform Building Code,ast applicable to the locality where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG, Inc.performed the above observation. performance of our observation services is subject to the terns and conditions as described on
the reverse side of this Observation Report The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the obsery '•. - provided.
r
4.gnature of Registered Observer
Approved by: Ii /0466 6_'V ( c L
I Project Superintendent-Foreman-Other
Specialty No. Agency
171/71 lit WHITE OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
11/1/,0
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14-58 12796
Structural Observaton Group, Inc. S 24-Hour Pager (949) 227-8668 $
A California Corporation it OS ER VA r•O Toll Free Fax (877) 764-3939
8941 Atlanta Ave„ CA 16 j t�u N �� H F ❑ N/C ❑
Huntington Beach,CA 92646 o o
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address t � /� City Pert Do -o a
Job Name
./ale c ''/C y/ 1 er Architect
Material Description Enginqe� ��,,yy /J�
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observer i� /� A it Contractor/17/0 /� C. 1'�Ci� JPif
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Description of Work Observed: 1.iejdi4 L
DATE: /2-14z-/3
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We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of Our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable sections)of the
By this signature on the this Observation Report, I acknowledge Uniform Buihang Code,as applicable to the locality where this prgect s located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc,performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.born any and all legal proceedings of any natue
�� — whatsoever,that is related t�observation
1 1�
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_ �� Signature of Regist Observer
Approved by: . i i 7�Q42 -Z-CC./
Project Superintendent-Foreman-Other ,�'//
FJ
Specialty No. Agency
„ _ - , WH FFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY '
1
14-58 12796
Structural Observaton Group, Inc. O • �� 24-Hour Pager (949) 227-8668 $
„oh A California Corporation 12 8 E A n Toll Free Fax (877) 764-3939
8941 Atlanta Ave.,#518 sUCIu OM GR H� F ❑ N!C ❑
Huntington Beach,CA 92646 s� Oti�
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address 1 .2.7 /J
/�✓� �/ V /11fQJ N 12/• Arcadia,. cin I Permit# 13 00 -043-3 7
Arohitect
Material Description Enginr / ( ,Q ���a )114/a r et,�r t
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Samples: X °Quantity= SubcOntractto_7•� �d
Description of Work Observed: We/di'',
DATE: /2—%4z-/3
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We hereby certify that,at the time of this observation,we have observed at of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable sections)of the
By this signature on the this Observation report.I acknowledge Uniform Buildng Code,as applicable to the locality where this caroled is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG performed the above observation. performance of our observation services is subject to the terms and conditions as described on
f Inc.'r� the reverse side of this Observation Report The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation services
avi
d
Signature of Regist Observer
Approved by: i ` t {./iA, e' 7Yo41
Project Superintendent-Foreman-Other
Specialty No. Agency
. - - , WH E COPY, CANARY—ACCOUNTING COPY, PINK—OBSERVERS COPY, BOTTOM WHITE—JOBSITE COPY
t
Structural Observaton Group, Inc. ■ 24-Hour Pager (949) 227-8668 $
A California Corporation �� 8Og sFRVA r Toll Free Fax (877) 7 4-3939
894 I Atlanta Ave.,#/518 ,
Huntington Beach,CA 92646 icw �� UH GROUP
H ❑ F, N/C ❑
8 SUP
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Observation Report and Observation Agreement
Job/lB�s�Q al /c$,e7 f��. . ^te a CitY J P7 9e 2y3 - 39 J'
Job - /e vie �CQ Architect
Material Description Enginee
obse l?JGTa
"ir ,w. 7 ;r Contractor /6
Samples: X 7 Quantity= Subcontractor
Description of Work Observed: f'e.✓ ti/e t ii/ -ce' -77.12e 4j,,,.,
DATE:/2 -(3,—/,y( fir-/3
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Certification of Compliance
We hereby certify that at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable sections)of the
y is signature on the this Observation Report.i acknowledge Unions Building Code,as applicable to the locality where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that le related to the observation services provided.
�I.
//� 4/•:;� Signet of Registered Observer
Approved by: t/ /5 il S7e 4)OVP .
.jest Superintendent-Foreman Other
1 n-Oth
Specialty No. Agency
�� I • WHI •• FICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
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Structural Observaton Group, Inc. ��� 24-Hour Pager (949) 227-8668 $
A California Corporation �IIt� O Rva y,O Toil Free Fax (877) 764-3939
"" 12152WoodlawnAve. SI%II C� I �RO� H�F ❑
Santa Ana,CA 92705 N
C
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address 0 P i i A • t , ity Permit# s
y�1 „Jr
Job Name _
, rIN LC4L _L. I r14 .s..- r .
Material Description /^ 0 Ai ngineer j _ f
Observer UVl Contractor �[f �
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Description of Work Observed:
DATE: 4 1 3- i 3 I
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We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this wet to campy with the approved plans,specifications,and applicable sectionis)of the
By this signature on the this Observation Report.I acknowledge Uniform Btsldng Code,as applicahle to the tocatty where this project is boated- This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG Inc.performed the above observation. performance of as observation semi is subject to the terms and conditions as described on
f the reverse side of this Observation Report. The Owner or a successor in interest shall bold
Ile a harnNess Structural Observation Group,Inc.from any and legal proceedings of any nature
i •
whatsoever,that is to the observation services provided
tt(� ."Al'"'- //��.�I Signature of Registered Observer _/��
Approved by: kin., et i''�� SP- 1 J3.= -Lee__
Project Superintendent-Foreman-Other
^ ^ Specialty No. Agency
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1 I L FI (A it f E COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WH1TE JOBSITE COPY I�/!n I I
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668$
A California Corporation �p�, N/C ❑
osseRvAr Toll Free Fax (877) 7 3939
8941 Atlanta Ave.,#518 ,O
Huntington Beach,CA 92646 ���C �R H ❑ F,
-Mr g DUP
We Just Do A Better Job!
q Observation /Report and Observation Agreement
Job Job ( z ✓7. #� c..., a^ e' a citY IP/ se, — L �j — 3�/
Architect
makriL Description Engine
Ob /nil 4d..., �rr Contractor a 67
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Samples: X 7 Quantity= Subcontractor
Description of Work Observed: 5.774--ti 1/0'/4 /�u,� / ,-..
DATE:/2 -s (3 /(/3 /P/ •/
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report. I acknowledge Ur;donm Build Cod tithe approved°hero'specifications,tip applis locale
oc se.I=of the
9 aPPticeb�to the locality where this Drolect Is boated. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest steal hold
harmless Structural Observation Group,Inc.from any and at legal proceedings of any nature
whatsoever,that is related to the observation services provided.
/p' Wit* Signet P3:":X s ed Observer
Approved by: I"
' �/ i. 71,)OVP l
-roject Superintendent-Foreman-Other
_ Specialty No. Agency
r�/� � MI • ICE COPY, CANARY-ACCOUNTING COPY. PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
-- !i1
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation OBSO
12152 Woodiawn Ave. it Ult V,� ION Toll Free Fax (877) 764-3939
Santa Ana,CA 92705 Sit RI C N GROUP
H�F U
p
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address
r. I, P ' ,.n I a • e i ity Permit# s ,.�,L
Job Name �y�tai� � s. • • ..'
f �Irl�ti_ /Ji`
Material Description
1/V 6 • a /�/1 • + ngmeer t`
Observer �I 1�� Contractor ,x '$1 �
Samples: - X / Quantity. Subcontractor
tkci KC'
Description of Work Observed: coj
DATE: 1,?r' ` 3— i 3 I
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Certification of Compliance
We hereby certify that,at the tine of this observation,we have observed all of the above
reported work,unless otherwise rioted To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge g°�as apace ate, «pis the
project is ble ed. This report
cannot be construed to be a recommendation of work of any nature to be performed The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest stall hold
1 harmless Structural Observation Group,Inc.from arty and an lend proceedings of any nature
t .
• whatsoever,that is to the observation services provided atin
,' Signature of Registered Observer
^� P�
Approved by: kik-, CD�� SP- / Je'd` —L
Project superintendent-Foreman-Other
Specialty No. Agency
11 di Li q (iii 7 p • - E COPY, CANARY—ACCOUNTING COPY, PINK—OBSERVERS COPY, BOTTOM WHITE—JOBSITE COPY I!(An I
Structural Observaton Group, Inc. 0in�� 24-Hour Pager (949) 227-8668 $
A California Corporation IMO VA nO Toll Free Fax 877) 764-3939 ll 894 I Atlanta Ave.,#t5 18 �� O NW' F ❑ N/C ❑
.,... Huntington Beach,CA 92646 SI1 ROVP
We Just Do A Better Job!
Observation Report and Observation Agreement
J `y � /j fit,✓/ hizi 4 4, I�� , Q'tY IP e, rY •- Y3-3 `7
('7� (c / V! C C,j�/`C Gt f ('el /4^ Architect
Material Description Engineer t r t 01.✓I 0
Observe -�
Contractor(7( /
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Samples: X / Quantity= Subcontractor
Description of Work Observed: /Pee
DATE: / — lie -13 I
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed at of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge this Building comply ly with the approved plans,specifications,and applicable section(s)of the
g applicable to the locality where this project is located, This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation seed provided.
Ignatu Registered Observer
Approved by: 4, (i
( � 'd>c1 8 c!
Project Superintendent-Foreman-Other
Specialty No. Agency
1 .-W n q /„, 7IIHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
/ 'fJ/1 I fVVV/1/ f JJ
1411 1
Structural Observaton Group, Inc. ��ER 24-Hour Pager (949) 227-8668 $
A California Corporation ki O VA r Toll Free Fax 877) 764-3939
894 I Atlanta Ave.,#x`518
..., Huntington Beach,CA 92646 SI14CI�1 GROUP H F ❑ N/C ❑
We Just Do A Better Job!
d e Observation Report and Observation Agreement
Job .f >7 / / /�/ ✓�4 {�r, a �.,:a l Pe [O 6 if /_3�
Job(-D _ /e MW C'/'�' i.'.1 l ^ Architect
Material Description ��II ( fY Engineer
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Samples: X / Quantity= Subcontractor
Description of Work Observed: C k.'-` (010 /2 /Pee 14 bt g
DATE: /a - iet "-.13
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
this work to comply with the approved plans,specifications,and applicable sections)of the
By this signature on the this Observation Report.I acknowledge Unrfortn&ailing Code,as applicable to the locality where this project is boated. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation servi provided.
ignatu Registered Observer
Approved by: 4A, 7 13 r c
Project Superintendent-Foreman-Other
. Specialty No. Agency
1 /t,q1; } ! /j ^ /„/1 /HITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
/r ���,/J ,v' 11VVV / 11111
Structural Observaton Group, Inc.
A Califomia Corporation 01116 OSSERVA f 24 Hour Pager (949) 227-8668$
8941 Atlanta Ave.,#s l a V FOR Toll Free Fax (877) 7E =3939
Huntington Beach,CA 92646 Ssi 1 GR°U H ❑ f Of N/C ❑
P
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address Q'CJ
to /�
Z/`� / p Ll/✓ri1 )64v� Vo._ i/9' City I Permit#5 0 0 `4 3 3 2 7
Job Name / ' � J �' �
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Engineer M N /L1 07-0
Observer/'', A _ E n t fJo,
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Samples• X Quantity= Subcontractor 1vo7Ti efts
Description of Work Observed: S u P 1...1 e4_19 f,,.c. /p e ,#,,c,--
DATE: i2 —ci"L3
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge hnrf sto co plya asthe approved plans,specifications,and applicable sections)of the
9 applicable to the locally where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above obs• .tion. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation ReporL The Owner or a successor in nterest shall hold
harmless Structural Observation Group,Inc.from any and at legal proceedings of any nature
whatsoever,that is related to the observation .ces provi
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Structural Observaton Group, Inc.
A Califomia Corporation RA` 00g�R�A r 24 Hour Pager (949) 227-8668 $
12152 Woodlawn Ave. C� 'O Toll Free Fax (877) 764-3939
Sans Sit Ana,CA 92705 Sit GR0 H� F ❑
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Observation Report and Observation Agreement
Job Address Job Name �04 w l t o 017,
�� `/ ��/ L 1``�� �7T�`�f�'City I Permit# v.2 n/,1 �DJ Q� � Jtl
11I �rJ`C4-L C Fr g Architect /4- ' -: —C
Material Description i t
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Samples: X e Quantity= 3 Subcontractor VIAL-k.gsog
Description of Work Observed: P -17'- n
DATE: /a_6- ( 3 F�
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge o to co`p"with"1B droved f ,and ''°b1e l of the
Yo,` 9 Building Code,as applicable to the locality where this prefect is boated. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.performed the above observation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is to the observation services
�\ /7A4 Si nature of R isterPP y: ,i� I -.— n 9 rr --peg rver
Approved by: r� - - �Y/t � i^�L JO2� . c) t 4-
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_ .Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation p` pg9ERVA r Toll Free Fax (877)_7�/64-3939
8941 Atlanta Ave.,#5 18 ������ ,0� H ❑ F I� N/C ❑
Huntington Beach,CA 92646 SI GROUP
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address City Permit#
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Job Name 'r\� I t / l� EMI
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Material Descriptio
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge this work to comply wdh the improved plans.specifications,and applicable sections)of the
Uniform Building Code,as applicable to the locaity where this project is located. This report
cannot be construed to be a recommendation of work of any nature to be performed. The
that SOG,Inc.perform••\he a#,ve o I ervation. performance of our observation services is subject to the terms and conditions as described on
the reverse side of this Observation Report, The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation services provided.
i `, ��`'t Sigpn�atusre{�of Registered Observer ��,^Approved by: ti,' �'� t [�l t 1t 800k6 c )
•'ect Superintendent-Foreman-Other
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■
17595 Harvard,Ste C-237
Irvine,CA 92614 INSPCCTIO[11
P:(714)427-0501 _
"` F:(714)427-0502 RESOURCES
• . EXPERTS IN NON-DESTRUCTTVE TESTING
Report of Ultrasonic Testing of Welds Date
Project Name Applicable Code/Section 12/05/13
Hale Medical Center AWS D1.1/Sec.6 Shop El Field ® Bldg Permit
Inspection Address B00-043-327
289 W.Huntington Dr.,Arcadia,CA Same of Project
S
Contractor Same
Architect
The Hale Corporation Ronaldo Busante
Sub Contractor Engineer
Bell Brothers Miyamoto
ULTRASONIC EQUIPMENT
Transducers cages Fre:aency Send No. Zrvrent Saner No: Coupler*1"round 0 2.25 MHz 2000RXR M9+Fbel °� Type cww.v F etcn N. I Teq attics Type Manor Send�,
.625"8.760" 70 2.25 MHx 028852 I Avenger EZ I 11094398 I Cellubse bum I T.E.D. WA DSC
1018 A03340
ULTRASONIC TESTING OF MATERIALS
Surface Conbbon Materiel Thickness Joint Type l Weldng Process Exam from Face Volunemc Exam in Leg Reference Level Scanning Level
Smooth/Clean 7/16" butt joint FCAW A&B 1,2
53 7Y
Description of Items Tested&Identification Photos 1 "_
Description#1:UT on CJP welds beam to column/beam moment coon.@ top&bottom flanges
Of
Decibels
# E a-b-c=d Discontinuity(inches)
E ci 2 v
° a E °, 9- `s - e e Distance - e-",
u_ g X LL ti 1 x= g 33d LLP _ Remarks
U.1 a - a`� E
3 ,2 �a From From Q
a b c d
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Roof Line B/
3.3—5.7 A&B Desc.#1—13 corn./26 welds
Line B/
4th
(except Beam at B15.7 North) 26 0 0 26
3.3—5.7 A&B Desc.#1-14 conn./28 welds 28 0 0 28
3rd Line B/
3.3—4 A&B Desc.#1—3 Conn./6 welds
(only the South beams tested) 6 0 0 6
2nd Line B/
3.3—5.7 A&B Desc.#1—7 conn./14 welds
(only the South beams tested) 14 0 0 14
Discontinuity Evaluation/Comments: - - -
Accep Reject Rep. complete
Totals 74 0 0 74
Technician Name Certification No: Level I.R.C.Job No:
Stephen Stephen Tekoseno 1112503 SNT-TC-1A 8 CP-189 Level II 706-5890 PAGE 1 OF 1
Certification of Compliance Time Time Reg. O.T. Driving
The Material E WAS El WAS NOT tested in accordance with the Start Finish Hours Hours Hours
OSHPD/DSA and/or CITY/CBC requirements. 07:00 15:00 8
The Material Tested MET ❑DID NOT MEET the OSHPD/DSA All Inspections based upon a 4 and 8 hour minimum. If technician is called to a
and/or CITY/CBC requirements. project and no work performed,a 2 hour minimum charge is applied.
Was the required 40 hour internal reflection procedure for each search unit
performed on this date? ❑YES ®NO
J il 1(.25‘E----.
Technician's Signature
CC: AIA Client Signature
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Structural Observaton Group, Inc. 0���� 24-Hour Pager (949) 227-8668$
A California Corporation ��k� vA r Toll Free Fax (877) 7664-3939
8941 Atlanta Ave.,#5 18 ������ ��O H ❑ F 1� NlC ❑
Huntington Beach,CA 92646 up
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address ,A,d,....J ' I 0 sr 4411CA.City Permit#';)0 5
Job Name ,,.1{A' kii I VArg'J I. V�ICiftal lll
Material Description A ' e S aMi, , D
Observer I , �� Contractor
MA ;FM t�1 �r.�II t�'►J U� l
Samples: F/ X Quantity= Subcontractor oil 'r/'�e '�
Description of Work Observed:
DATE: Q[y1 der Ot1 AZ
11711117111/111111111.921111 0 .111MITOI=PM
0. S. -1 ' SA ►' ' & 6 ` '' -eIa11, a t 'Gi Id /
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No-NT : N ' o 'vs cotl inl
Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge wow to spy wfti't'1e approve'plans, fi .and app able sectioasl the
Report. Uniform Breeding C ode,are applkzble to the IocakY where tttis project fs ktcated. This report
cannot be construed to be a recommendation work of any nature to be performed. The
rtn
that SOG, Inc.performed the above observ. 'on. perfoanceofourobservationservicesis subj to the terms and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation services provided.
Yen CV
� Signature of Registered Observer
Approved by: 4 •,� �
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Specialty ! No. Agency
WH =7. E COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSfTE COPY
Ito 1111 Vl1'L (191
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668$
A Califomia Corporation Og$E�
8941 Atlanta Ave.,#518 II ifa 770 Toll Free Fax (877) 764-3939
Huntington Beach, S�RUC GR0v H ❑ F N/C ❑
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We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address (l,'t \�,, �, }DUII! r 1 ! l Dr [•vats tYI !AJ`' "y5—s�,9---
a4.1)ti t , Ci Pernik N �
Job Name I t 1,41/4.p 61 A' v ` _c r Architect
n t Material Description n / I V kwk_1� Engineer \\jot
)
Observer :[U1� ('I Contractor
Samples:
X Quantity= Subcontractor
pie11194as5
Description of Work Observed:
DATE: [ -)OLI _ 13 I
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Certification of Compliance
We hereby certify that,at the time of this observation,we have observed all of the above
reported work,unless otherwise noted.To the best of our knowledge and belief,we have found
By this signature on the this Observation Report.I acknowledge thu;,;,:,R;;aag�,as per'' y wtaes app is loa seta°rhis of orb
locally where tr:a project is koated. This report
that SOG,Inc.performed the above observation.
cannot be construed to be a�` `ion of work of any nature to be performed. The
performance of our observation services is subject to the tares and conditions as described on
the reverse side of this Observation Report. The Owner or a successor in interest shall hold
harmless Structural Observation Group,Inc.from any and all legal proceedings of any nature
whatsoever,that is related to the observation services provided.
.gnature oegistered Observer%Nal liffV
Approved by: , I 1•Pro Superintend•nt-Foreman-Other -k I �, 4' , •��
Specialty • o.' Agency
li I 11/1 /// E COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSrTE COPY
17595 Harvard,Ste C-237
Irvine,CA 92614 v • INSPEC'flP 1_
aw P:(714)427-0501 RESOURCES
F:(714)427-0502
EXPERTS IN NON-DESTRUCTIVE TESTING
Date
Report of Ultrasonic Testing of Welds 12/06/13
Project Name Applicable Code/Section Bldg Permit
Hale Medical Center AWS D1.1/Sec.6 shop ❑ Field ® BOO-043-327
Inspection Address Address of Project
289 W.Huntington Dr.,Arcadia,CA Same
Contractor Architect
The Hale Corporation Ronaldo Busante
Sub Contractor Engineer
Bell Brothers Miyamoto
ULTRASONIC EQUIPMENT
Trwud... ergo Frequency Said No. �tbrlel SerW Na: Co:da t Type Cauplsre 1 . Balch No. Test Bloch Type Mtleral Sena N.
1"round 0 2.25 MHz 2000RXR
.625k.750" 70 2.25 MHz 028852 Avenger EZ 11094398 Cellulose Gum T.E.D. N/A DSC 1018 A03340
ULTRASONIC TESTING OF MATERIALS
Surface Cvndnian Material Thicvness Joint Type Welding Process Exam from Face Volumetric Exam in Leg Reference Level Scanning Level
Smooth/Clean 7116" butt joint FCAW A&B 1,2 53 72
Description of Items Tested&Identification Photos ► -
Description#1:UT on CJP welds beam to column/beam moment conn.@ top&bottom flanges
Decibels
a-b•c=tl Discontinuity(inches)
u
E m
a ° a
Li" m : i Remarks m °m E
3u- i 1 i �LL i' pi '. '5 = ix
W <i Frem Fm� X
a In c d
Roof B/5.7 A&B Desc.#1-1 conn./2 welds 2 0 0 2
""' 3rd Line B/ A&B Desc.#1—8 conn./16 welds 16 0 0 16
4.5-5.7
3 d Line B/ A&B Desc.#1-3 conn./6 welds 6 0 0 6
3.3—4 (North beams tested)
2n° Line B/ A&B ((North beams tested)welds 14 0 0 14
3.3-5.7
•
Discontinuity Evaluation/Comments' accept Rem. Repair compile
Totals 38 0 0 38
Technician Name Certification No• Level I.R.C.Job No: PAGE 1 OF 1
Stephen Stephen Tekoseno 1112503 SNT-TC-1A&CP-189 Level II 706-5890
Certification of Compliance Time Time Reg. O.T. Driving
--------- - — —
Start Finish Hours Hours Hours
The Material ®WAS ❑WAS NOT tested in accordance with the
OSHPD/DSA and/or CITY/CBC requirements. 11:00 15:00 4 - -
The Material Tested MET ❑DID NOT MEET the OSHPD/DSA All Inspections based upon a 4 and 8 hour minimum. If technician is called to a
and/or CITY/CBC requirements. project and no work performed,a 2 hour minimum charge is applied
Was the required 40 hour internal reflection procedure for each search unit
performed on this date? ❑ YES ®NO
�� i i \t, \S --------.
Technician's Signature Client Signature
CC:AIA
SE
PI
DSA
/11 ..--0 ; 3b 1/9 17?7 1.2-n1%I iqIrJ
Structural Observaton Group, Inc.
A California Corporation �a L OSSERVAr 24-Hour Pager (949) 227-8668 $
2249 Avalon Street Toll Free Fax (866) 732-6429
Costa Mesa,CA 92627 tt�11)Ct ,O� G �+z
S ROUp
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address �/�
j ' " I IIM mV y/! / rcq j Permit ti /� ?.
Job Name ^ /� /��" �/
rr /vl u..j /c/r! c ehitect j�• 4 e'
Material Description V
�/� /4..._ S C �Q/y: Engineer � � �v
Observer` / �p �`-"`�"•
J OS� ly-U�Ir ��� Contractor j/�G
Samples: X ' Quantity= Subcontractors 6� .
Descript'on of Work Observed: V E--4-t) I/�/6--
DATE: /97 43 I
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We hereby certify that,at the time of this :pact•., :ha. observed all of the above reported
By this signature on the Observation Report. I acknowledge that work�unlessotherwse"°'�T°'n@' ' °foul,`°w' •b��f•wehavefoundm;ework
g to comply with tyre approved plan s..: . s, - icable sectionls)of the uniform
SOG,Inc.performed the above observation and am bound by Building Code,as applicable to.. locality is located.This report cannot be
construed to be a mcommen. On of • of ••be peter .The performance of
the terms and conditions on the reverse side of this report. ourobuervationaarvicesis ., to t: / .
rtions as described on the reverse side
of this Observation R:.. e• or e- - :I hold harmless Structural
Observation Group,1• any. eedirgs of any nature whatsoever,that is
related to the o..:• - /.•
-ta'
Signature of R bserver Approved by: iX)A S /vr/l'-
j Project Super ntendent-Foreman-Other S(/
5Lifet
ecialty No. Agency
.n�`���� f���J, HITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, GOLDENROD-JOBSITE COPY /�