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HomeMy WebLinkAboutStructural and concrete observation 4 24-Hour Pager (949) 227-8668 $
Structural Observaton Group, Inc. ��g��,/ Toll Free Fax (877) 764- 939
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Santa Ana,CA 92705 sl V i/
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Observation Report and Observation Agreement
Job Address w Hu,„Lin it)6'0l� D I\ 672...c6100_, City I Permit#
Job Name Architect
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Material Description 5 000®®�L 3/� �„ls�
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Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation �1 SERVAr Toll Free Fax (877) 764- 939
12152 Woodlawn Ave. r1 u� ON H F ❑
,�,,, Santa Ana CA 92705 Rv Y RO U�
We Just Do A Better Job!
Observation Report and Observation Agreement.
City Permit
Job Address #
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Job Name i o Ep rA� „ ^ Architect
Material Description lam!�- Engineer
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Description of Work Observed: tits e_c,Dttic--
DATE: (1- i3-t3
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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,sperm cations,and applicable sections)of the
By this signature on the this Observation Report.i acknowledge Uniform BuBdmg 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 erformedtheaboveobservation. performance of our observation services is subject to the terms and conditionsas described on
7 P 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 : -ces provide•
I _/i 'mature of Registered Observer
Approved by: j cJ r(PVC— t 0666 G—k' C C.C_
1 ' Project Superintendent-Foreman-Other Specialty No. Agency
WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY I 11 1,.0
17595 Harvard,Ste C-237
Irvine,CA 92614 INaPe
F:(714)427-0502 % Ri'TiOUR S
/EXPERTS IN NON-DESTRUCTIVE TESTING
Date
Report of Ultrasonic Testing of Welds 11-6-2013
Project Name Applicable Code/Section Bldg Permit
Hale Hospital AWS D1.1 Section 6 Shop ® Field ❑
Inspection Address Address of Project
Columbia Steel 2171 N.Linden Ave.,Rialto Arcadia,CA
Contractor Architect
Hale Builders JBT
Sub Contractor Engineer
Columbia Steel
ULTRASONIC EQUIPMENT
lestnenent
Trendtcao Angles Frequency Segel Na Nbeel Serial Net Covprre Type Coupe k Balch No. TM Bbd ryes Meerut Serial No.
1"round 0 2.258!4 11282 Avenger EZ
.6219bL750" 70 2.25MHt 11279 07124746 Cellulose Gum T.E.D. N/A DSC 1018 A27019
ULTRASONIC TESTING OF MATERIALS
Surface Condition Materiel Thickness Joint Type Waking Exam from Face Volunetlic Exam in Leg Reference Level Scanting Level
Process
Smooth/Clean Y:" T-Joint FCAW AB 1&2 47db +19
Description of Items Tested&Identification Photos
Description 1:Contunity Plates to Column(Both-Flanges and Web)
16 Plates,48 welds
Decibels Discontinuity(inches)
a-b-c=d
at E
LLd '�$ P .�T i? Distance Remarks !(`ryj1 m n 3
W LL 9 B e From From U
X Y
a b c d
-,a 212A A Description 1-46 welds 48 0 0 48
213A A Description 1-48 welds 48 0 0 48
Discontinuity Evaluation/Comments: ^ccevt Repair Cormier•
Totals 96 0 0 96
Technician Name _ Certification No: __, _Level I.R.C.Job No:
Kenneth Betts 1091172 SNT-Ta1A a CP•189 Level a 706-5830 PAGE 1 OF -- 1-- - --
Certification of Compliance Time Time Reg. O.T. 2X
The Material ®WAS ❑WAS NOT tested in accordance with the Start Finish Hours Hours Hours
OSHPD/DSA and/or CITY/CBC r uirements. 1030 1130 4
The Material Tested MET LI DID NOT MEET the OSHPD/DSA All Inspections based upon a 4 and B 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
Techni.to.ignature Client Signature
CC: AIA
SE
PI
DSA
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17/A1)M .11 (iI ( 9
Structural Observaton Group, Inc. � �R 24-Hour Pager (949) 227-8668 $
A California Corporation r T Toll Free Fax (877) 764- 939
12152 Woodlawn Ave. r� p Y I �r_ _„ n H F ❑
41111. Santa Ana,CA 92705 SI RS Y — vRC Up
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Observation Report and Observation Agreement
Job Address 2s..5.
City Permit#
RQ 11��b� Architect Job Name kiy yr n n`
Material Description
Engineer
ObserverC. ^ B (� Contractor ( /�
Sample–s{: JL X Quantity= Subcontractor Ace„..
Description of Work Observed: CV e_t--Dt��-
DATE: ft t3--13
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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
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 TMs 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 P subject to the terms and conditions as described on
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 sr- "ces provide•
\t ∎ ..011114. 1141111/
I ' '►(mature of Registered Observer
. r ► i
Approved by: P tNc- 10666 k' c C.L_
Project Superintendent-Foreman-Other Specialty No. Agency
11/UM WHITE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY I I i
17595 Harvard,Ste C-237
Irvine,CA 92614 IN p
F:(714)427-0502 % RIESOUR S
/EXPERTS IN NON-DESTRUCTNE TESTING
Date
Report of Ultrasonic Testing of Welds 11-6-2013
Project Name Applicable Code/Section Bldg Permit
Hale Hospital AWS D1.1 Section 6 Shop® Field❑
Inspection Address Address of Project
Columbia Steel 2171 N.Linden Ave.,Rialto Arcadia,CA
Contractor Architect
Hale Builders JBT
Sub Contractor Engineer
Columbia Steel
ULTRASONIC EQUIPMENT
Transducers MOMS Frewarty SWI No. M/Abed Serial No Gwplent 1YP CuR PAP: Mich No. TM Block Tips Mnvol Serial No.
1"round 0 2.26M14 11282 Avenger EZ
.628'x.750" 70 2.26MNx 11279 07124740 Cellulose Gum T.ED. N/A DSC 1018 A27019
ULTRASONIC TESTING OF MATERIALS
Svfece Sonotun Material TNclmess Joint Type Weldng Exam horn Face Volumetric Exam in Leg Reference Level Scanning Level
Process
Smooth/Clean IA" 7-Joint FCAW AB 182 47db +19
Description of Items Tested&Identification Photos
Description 1:Contunity Plates to Column(Both Flanges and Web)
16 Plates,48 welds
Decibels Discontinuity(inches)
a-bc=d toN
g k' .%pr e % Y o Distance Remarks E
cc En E 5s
o
s 1 1 a lei t�
W 8 a From From
— X V
a b c d
212A A Description 1—48 welds 48 0 0 48
213A A Description 1—48 welds 48 0 0 48
Discontinuity Evaluation/Comments: Accept Reject Repair crn.ru.
Totals 96 0 0 96
Technician Naroe. __. CertificatonNo__._ _ -Level — I.R.C.Job No PAGE - 1 OF _. 1
Kenneth Betts 1091172 SNT-TC-1A&CP-189 Level tl 706-6830
Certification of Compliance Time Time Reg. O.T. 2X
The Material ®WAS ❑WAS NOT tested in accordance with the Start Finish Hours Hours Hours
OSHPD/DSA and/or CITY/CBC requirements. 1030 1130 4
The Material Tested MET 11 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
/ ,�Ozl
• ,
r�
Techni. -'gnawre Client Signature
CC:AIA
SE
PI
DSA
17/A1)1 li 11 I I 12)
Structural Observaton Group, Inc. ,. 24-Hour Pager (949) 227-8668 $
A California Corporation " O �,O Toll Free Fax (877)764-3939
12152WoodlawnAve. *'t�� Y N ph Toll
H ❑ F�
.ate Santa Ana CA 42705 �� ►` _- v O t)�
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Observation Report and Observation Agreement
Job Address 4. vim 64 A /� n/J i t`� City Permit#F.�n e, `/n43 .� `3��Job Name R f'f I� _ �I ui ( `n--_ r-}Y 4 Architect 1 4 r F �C (�J
Material Description `t CO t-e— O� Engineer l �A 1
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Samples: X Q, Quantity= 1 off-- Subcontractor ` /} ��- A �(SU /�
Description of Work Observed: C_ N∎Ge. —( F--4--3`fS`�
DATE: 1( - 11 -(3
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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 rotod To the h st of our knowledge and belief,we have iounc
r , this work to comply w l',,.- r.: :'M;plans,speciticatlons,and applicable section(s)of the
By this signature on the this Observation Report.l acknowledge Uniform Building:.ode,as a rk Ue. 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 nn os ssu b;ect othetermsandcondgionsasdescribedon
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 ad to the observation services provided`
_ ,`--_ Signature of Registered Observer(ii_ Cit( 271.1> cci_
Approved by: 11 �r _-°� �(�� � .__Le L
.1 Project Superintendent-Foreman-Other
Specialty No. Agency
/� , I1( J FFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY OA
Structural Observaton Group, Inc. °_S 24-Hour Pager (949) 227-8668 $
A California Corporation Qa� °� ER ya r j Toll Free Fax (877) 73939
12152 Woodlawn Ave. �rt�'` 0,� G, eO H F 0
Santa Ana,CA 92705 it R V _ = 1[ up .
t�.v:�_. •»„pr;•:�::-:.fir--:.-�s�..-
We Just Do A Better Job!
Observation Report and Observation Agreement
!Job A srd] Wes./ /fib" n4,)L7 '1./O /7 ^e-cater cam' D�-O`- -3
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Samples: X � Quantity= subs°�/ /fro,/ I
Description of Work Observed: Fee Z€7,-
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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,cotes.;otherwise noted.To the best of our knowledge and belief,we have fount
this work to comply with the approved plans,specifications,and applicable section(s)of fin
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 Inc.performed the above observation, performance of our observation services p subj?ctto the terms and conit-onsas described on
r the reverse side of this Observation Report. The Owner or a successor 1n 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.
\�'��
``11� �� �S ignatu Registered Observer
Approved by: �U� ,-rn7 dt2c? - a.,41
\ I Project Slrperirrtendent-Foleman-Other Specialty S'O J)Y
I r
1011-V-oFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSITE COPY
Structural Observaton Group, Inc. 24-Hour Pager (949) 227-8668 $
A California Corporation Rp� u°'4R VAT/0 Toll Free Fax (877) 764-3939
12152WoodlawnAye. V��� N GRO H F ❑
Santa Ana,CA 92705 S'� V Up
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We Just Do A Better Job!
Observation Report and Observation
�iAgreement
Job ArdleSe�el Weri (/h n al 77 `C'64`G7 City ! D(,/ ^a I'3_3D
Job [ e t Architect
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Material Description Engine�elf/1`r A/YI d
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Obs a �r/r! C°C /U!'r /i Wit/r(CYO ?'al tit ��t"�7 ti r
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Description of Work Observed: Re ba,
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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 playa,spe cations,and applicable sections)of the
By this signature on the this Observation Report.I acknowledge Uniform Butlding Code,as app cable to the loca ity where this p oject 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 obse”�tion services is subject t o the terms and conrr�onsasdes`rbedon
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
I , whatsoever,that Is related to the observation services provided.
,4. "
'r "--(-1------2 5i natu Registered Observer
Approved by: r-re4 d1/_r7 4- L---1
II 1 Project Superintendent-Foreman-Other p y n�-�,�,.,n.P
1 9 ,�' V ! ITE-0FEnCE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITEJOBSITE COPY i3O�14
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Structural Observaton Group, inc. __Avw.7-, et, k Bo ma v 24-Hour Pager (949) 227-8668 $
''''' A California Corporation a I ittiOCK Toll Free Fax (877) 764-3939
. .
We Just Do A Better Job!
Observation Report and Observation Agreement
Job Address 4--) .2.1 . I Li/ fi, 1-r-1 . .........r.... , t i'‘ ri 11 .0,47,4 IA Pennit# : 3 ._ 3
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Description of Work Observed:
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DATE: Ci , >----)-- 1 3 I
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We herata caray that,at the timic a:this a-con:at:on,we have observed all of the above
reported Work,unless othewtre ei-Z.1,-.-:.".•::tti-i t,.-..t.:g Li:::kiiev4eclge and belief,we have found
By this signature on tL_ il..._,P.____._,...,_r_L__ m,_,_. ■ ,,i_.„,...,...1.._ this wods.to mmitil7,....n Me.,;_ :..!,:°:-7.,:i.---,:.;tti.strorts,and applicable sechonfs)of the
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cannot be construed to be as'recernmaratabda- • of work of any nature to be performed The
that SOG,Inc.performed the above otiservation, perforniance or.v chsen-qtron services is subiect to the terms and conditions as described on
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Signature of RegisterecrUbserveir--,
Approved by: CiONejgrAl.- 6Peq3,,PD- eT-'CL-
11vject perintendent-Foreman-Other
Specialty No. Agency
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12152 Woodlawn Ave. t��t Rovp 1`
Santa Ana,CA 92705
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Observation Report and Observation Agreement
Job Address :3_601 6g vi v�rn k )j A pa 11 - Permrt# BQ 3 - 3
Job Name ` /ALE I\ '1 eAL AL=i-'/t Architect /r, ' G1 A^Go-a-
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Description of Work Observed: O
DATE: q , - 7- 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,spedhcations,and applicable sectiorys)of the
By this signature on the this Observation Report.I acknowledge Un won Building Code,ast appl cable to the bcal ty where the p of 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 ob -rvation. t 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 e,..ervafion Group,Inc.from any and all proceedings of any nature
whatsoever,that is re j-•to the....web . pro
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Approved by: - r i N��I(`��'If�%(t v /3d� �f`_
jest perintendent-Foreman-Other Specialty No. Agency
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Structural California Obseati n Group, Inc. �� Aar. Toll Free Fax (877) SOG-3939
A Cia Corporation I� ` 764 p -t 1
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Santa Ana,CA 92705
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Observation Report and Observation Agreement
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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 betet,we have found
this worts to comply with the approved plans,specifllcahons,and applcable sectionlsl of the
By this signature on the this Observation Report.I acknowledge Uniform Ruildng Code,as applcabte to the bcalhy 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 suhiect 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 O anon Group,Inc.from any and all legal Prot ngs of any nature
whatsoever,that is relt o the on services provided.a fil -
,. Signature of Registered Observer
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Approved by: I ► ����
Project Superintendent-Foremen-Other
Specialty No. Agency
WH r • - E COPY, CANARY–ACCOUNTING COPY, PINK–OBSERVERS COPY, BOTTOM WHITE–JOBSITE COPY
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Structural Observaton Group, Inc. �����V 24-Hour Pager (949) 227-8668 $
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Santa Ana,CA 92705 S� p
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Observation Report and Observation Agreement
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DATE: 9^024/ 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 plus,specfications,and applicable sections)of the
By this signature on the this Observation Report.I acknowledge Uniform Building Code,as apdicabie to the locality where this project is boated. This report
cannot be construed to be a recornrrmendation of work of any nature to be performed. The
that SOG,Inc.performed the above obs rvation, performance of our ob tionsen'i`es 6m0 ttoMeterms and co`d °nas 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 . s provided.
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',- ig of Registered Observer
Approved by: r - l� 011C�4 0l9 6 C o t.»-T ,
/ Proms Superintendent-Foreman-Other Specialty fr 61 -r cy /
W TE-OFFICE COPY, CANARY-ACCOUNTING COPY, PINK-OBSERVERS COPY, BOTTOM WHITE-JOBSRE COPY
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