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il > � Development Services Department 240 West Huntington Drive,Post Office Box 609:1 R PERMIT NO. $OO-054-664 =....%! ` Arcadia,CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/6/2016 CM 11:30 9/6/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 16-143 APPLICANT - MAILING ADDRESS Plan#: 32050 365 Construction,Inc. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL - 'MAILING ADDRESS - - 365 Construction,Inc. 847 Meridian Street PHONE No. (626)599-2002 FAX NO. Duarte,CA 91010 EMAIL ADDRESS: License No. 946056 Type: B Expires: 4/30/2018 12:00: TENANT MAILING ADDRESS Valet PHONE NO. FAX NO. I DESCRIPTION CANOPIES FOR VALET Construction Type UOM N of Units Value Construction Type UOM #of Units Value Value Value 20,000.00 $20,000.00 ritat .-- 12—G2-17 OCCUPANCY: Tenant Improve TOTAL VALUATION: $20,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 262.76 262.76 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 404.25 404.25 01-3104 Bldg Issue ADA 40.43 40.43 01-3104 SMIP Corn 5.60 5.60 14-2207 gm bldg std 1.00 1.00 714-2203 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $765.64 Balance Due: $0.00 Paid Today: $765.64 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114136 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 262.76 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 489.03 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 5.60 Arcadia building inspector for a period of 180 consecutive days. 714-2203 1.00 88-3027 7.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) OF Ane 17 19 PERMIT/PLAN REVIEW APPLICATION • • Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 61111 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 0 License No. 1%6pS,AExp. Date trgt0 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors • 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier!=✓rR: r /1/4.%4,,,/2/ /4/ o demolish,or repair any structure,prior to its issuance,also required the applicant • y Number 7,Ofjro®?y671 k 1 for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000) of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name �� _ �J-- Title x".32. P' NT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date ``'6 �, NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain 101. Rough grade 211. Copper underslab (Z-1Z L6 GE/I1 Ir�l�<�i„dl 102. Figs.&forms / 212. Rough plumbing PiFe -f, itirp tr c3Me -KEieb,27 103. Pre-slab /2-12•44 1 13. Rough gas 104. Floor joists 214. Shower pan rte O /PUG( awn* Fox 57ezr- 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar•rid 114. Insulation-Flr. Pool Inspections Date , Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Cell. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade ��G/ _ X45. Gas line&test 121. Final building (2-/2-17 �,J246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final slumbins 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final _ 152. Under.round conduit 153. Underslab conduit Beroof Inspections I Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures73. Final reroof 158. G.F.C.I. f2-/2-x"2 �' / • 159. Es at.bondin. Sign Inspections I Date Insp. 160. Service panel 280. Setback/overhang _ 161. Final electric 12-12-t 7 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. I Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin /.4W-C-41. 04 a °k h Systems C\:i 11 C s l t3 a rm. 4378 Santa Fe Road Sari Luis Obispo, CA 93401 Welder: David Rivas • Date: December 2 805)544-3276 Social Security No.: 559-41-0661 �AS)544 1786 Job No.: NGT09419-01. Doc. No.: 9412-190.1NS WELDER QUALIFICATION TEST i ECO 93 AWS = DIe1 Company: Abraham Steel P. !*i. Box 3253 San Luis Obispo,CA 93403 Welding I►roeess: IiCAW lagaiaal: Positifljru: Vertical Up - 30 Senaniaiat©uagatic: In accordance with procedure specification no.: AWS Material specification: A36 Diameter and wall thickness ( f pipe); otherwise, joint thickness: 1-inch plate Thickness range this qualifies: Unlimited Specification noe: A5.20 Filler Metal Describe filler metal: Lincoln 71IVLIlassffacatioai: E71 T1 F no.: 6 Is backing strip usedT Yes Filler meta; diameter: 0.045 FluxManufacturer: Lincoln or shielding gas: CO2 • Appearance: Pass Visual Inspection Undercut: Pass Piping Porosity: None • . Guided Bend Test Results •• Type test Result 1 Type test Result : ti 3G side bend Pass 1 3G side bend Pass 1 Test conducted by: Leland Stout Lab®rrat©rry test noo: 5855-94 1, the undersigned, certify that the statements in this record are correct and that the welds were prepared and tested in accordance with the requirements of 5C of AWS D1.1, 1988, Structural Welding Code. Earth Systems Consultants Northern California pp Leland Stout, Certified Special Inspector, ICBO#14917 lb • ;i • fi Atlas ABC Corp(Atlas Tube Chicago) ®®® Atlas Tube RelF°ESL° 80709564 1855 East 122nd Street Date: 03.30.2016 Chicago,Illinois,USA 1:3C3C1 Customer: 7462 60633 ®CI® JMC STEEL GROUP Tel: 773-646-4500 Fax: 773-646-6128 MATERIAL TEST REPORT Sold to. Shipped to PDM Steel Service Centers CIO Industrial Transloading UP PO Box 310 Yard#04 Track#757 STOCKTON CA 95201 NORTH SAN JOSE CA 95112 SA Material:6.0x6.0x250x40'0"0(3x3)RAL Material No: 60060250 Made in: USA Melted In: USA Sales order: 1070008 Purchase Order. SC3676 Heat No C Mn P S Si Al Cu Cb Mo Ni Cr V Ti B N 00760 0.180 0.620 0.010 0.005 0.030 0.036 0.120 0.008 0.020 0.060 0.060 0.002 0.001 0.000 0.007 Bundle No PCs Yield Tensile Eln.21n Certification CE: 0.32 M800622627 9 066151 Psi 082067 Psi 29% ASTM A500-13 GRADE B&C • Material Note: Sales Or.Note:' Material:6.0x6.0x250x48'0"0(3x2)RAL Material No: 60060250 Made in: USA Melted In: USA Sales order: 1070008 Purchase Order: SC3676 Heat No C Mn P S SI Al Cu Cb Mo NI Cr V Ti B N U0760 0.180 0.620 0.010 0.005 0.030 0.036 0.120 0.008 0.020 0.060 0.060 0.002 0.001 0.000 0.007 Bundle No PCs Yield Tensile EIn.21n Certification CE: 0.32 M800622625 6 066151 Psi 082067 Psi 29% ASTM A500-13 GRADE B&C Material Note: Sales Or.Note: , Material:6.0x6.0x250x40'0"0(3x3)RAL Material No: 60060250 Made in: USA Melted in: USA Sales order: 1070008 Purchase Order: SC3676 Heat No C Mn P S SI Al Cu Cb Mo Ni Cr V Ti B N U0760 0.180' 0.620 0.010 0.005 0.030 0.036 0.120 0.008 0.020 0.060 0.060 0.002 0.001 0.000 0.007 Bundle No PCs Yield Tensile EIn.2In Certification CE: 0.32 M800622628 9 066151 Psi 082067 Psi 29% ASTM A500-13 GRADE B&C Material Note: Sales Or.Note: PAuthorized by Quality Assurance: The results reported on this report represent the actual attributes of the material furnished and Indicate full compliance with all applicable 1. specification and contract requirements. Zg Di.i method. \� tnORTH A le Page:12 Of 21 ++* Metals Service Center Institute / Of NORTH AMERICA f F, 1 c .10 r , a e i ..,net a ad�a IS 'di'DUI ZedA3lo sNNooa vii u1Pw1 Se}3avaaaq al&logeWI4J!u32I • y 7- Erg _ ` • ..•Z$0—ad ,ao a ti °isn Flax RI ti$rIoS ad: •„} gym 0-=Istaiatil.mg= •'ftsa Eirz it Q: .• yir-V . " '1 '0:82,121X. NEM (+) MITA 4K SDa QRI •SMS' ' NJ — [og• • , • . oo• Zo' cli'o^ 000- 900 So- TO' l TZ: L00• ETC' L8• OT 2680'[2' -4' ..1; 30 TO . N 8 ' IL OW- JO IV 90 • A IN - nO IS- S d Uri 3 'ON JIr H SISX1VN'd V011hl9HO • • • 3It[.LdS s 9E£9I SOd 3 • • • LZ 3E9 Z£� 9680ti SSBI 9E£9t SOd 800'8{+2 R SK000.96 8 0SZ9'0 t t1N0 Ylf96 .B 8 3OtkISd 00CXISd ad'1S ON1Vd!1 tl0l1dlkiOS�d �� Sl NI 4 c: SS3ra0110H - �JNQT3'Po! nem QHL1 - SAI11E3s:3OE1d 1V3ISAHd 818SELLZIOR HOUDLIITELLS _ 'QS'I'3=3I =£IO 9EVS ffi44"V/{'•C-9EV KLS'd 3IX'Id hSI�Zx' A.a avaami1IIS NOH&VD loom SLN W3HE1103H F9GHO 3SYH Hild 0Mt SHOUWO1 J3d5 3HLL 9 CU.tINfl0i am 031S31trd1:1 3Y (DJVYt tan SYl1 ZVIH3.1"d1I GIRL 9'[OZ/OZ/90 1 96LLOSt ' arta vi.mums. 3iva • L� Pla` � o •no • # OdEOZ46 O- 'QIVEIL110d ® a3y31S1B3H miaow I I e E. ., tC6 uoisn) • an'is $sx asn=xI -x a obit 1 C71 . . •onkEIMIE11 13 ?s lip i.------CS--t #O M /Meow wsff Q• 1,006OO6 OSI LZEPSZ 'MI d 1 Tina TISS.LS MODEM) S -o •C 9TOZ "0£ unD864L0St ouzsaoemovuewoa'wuews6sag a14Bo pais wawa ze.in3 -P 3ora vd ' ana I- Er311128V S1su 1V3ISAMeTV3M3113 dO.LEGdill VN 7NfZ A3 I ZVdA3 = MTR#: U1-358463 riuc® Min Certification PO Box 100 10f 20120012016'[6 7285 West 21200 North PLYMOUTH,UT 84330 NUCOR CORPORATION 435 458-2300 NUCOR STEEL UTAH Fax:(435)458-2309 Sold To: PDM STEEL SERVICE CNTR-SANTA C Ship To: PDM SANTA CLARA PO BOX 329 3500 BASSETT ST SANTA CLARA,CA 95052 SANTA CLARA,CA 95054 (408)988-3000 Fax:(408)988-6016 Customer P.O. SC4009 • Sales Order 268715.51 Product Group Merchant Bar Quality Part Number 5375000024010W0 Grade NUCOR MULTIGRADE • Lot# PL1620676501 Size 314x12"Flat Heat# PL16206765 Product 314x12"Flat 20'NUCOR MULTIGRADE B.L.Number U1-550014 Description NUCOR MULTIGRADE Load Number U1-358463 Customer Spec Customer Part# I hereby certify that the material described herein has been manufactured In accordance with the specifications and standards listed above and that it satisfies those requirements. Roll Date:9/30/2016 Melt Date:9/25/2016 Qty Shipped LBS:14,700 Qty Shipped Pcs:24 ASTM A36/A36M-12 A709/709M-13 GR36,ASME SA36-10 Ed'11 Ad. ASME A709/A709MEDITION-2011 -113 GR 60[250]DDENDA C Mn Si Cu Ni Cr Mo V Cb Sn - = P S 0.19% 0.85% 0.010% 0.034% 0.23% 0.24% 0.08% 0.13% 0.018% 0.0159% 0.001% 0.028% CE4020 CEA529 0.39% 0.42% CEA529:C. CARBON AVALTONEO TM270 Yield 1:57,120psi Tensile 1:78,884psi Elongation:23% in 8"(%in 203.3mm) Yield 2:56,502psi Tensile 2:77,979psi Elongation 24% in 8"(%in 203.3mm) Specification Comments:NUCOR MULTIGRADE MEETS THE REQUIREMENTS OF:ASTM A36/A36M-12,A529/A529M-05 GR50, A572/A572M-12A GR50,A709/A709M-13 GR36/50 NO CVN,CSA G40.21-13 GR44W(300W)/GR5OW(350W),AASHTO M270/M270M-10 GR36/GR50,ASME SA36/SA36M-13 CommMTR COMPLIES WIPLYMOUTH H D N UT IS102AN I.S.O.9001 AND AN A.B.S.CERTIFIED MILL .1 • 1.ALL MANUFACTURING PROCESSES OF THE STEEL MATERIALS IN THIS PRODUCT INCLUDING MELTING,CASTING,AND HOT ROLLING HAVE OCCURRED WITHIN THE UNITED STATES.ALL PRODUCTS PRODUCED ARE WELD FREE.MERCURY,IN ANY FORM, HAS NOT BEEN USED IN THE PRODUCTION OR TESTING OF THIS MATERIAL. AND OR B RTHODEFECTS OR OTHER REPRODUCTTIVE HARMA CHEMICAL OR MORE INFORMATION,PLEASEOCCALIFORNIA LLL1-435-458-2300.4 6 458-20300 USE CANCER • • • Ryan Pennington NBMG-10 January 1,2012 Division Metallurgist , Page 8. of 8 SPECIAL INSPECTION REPORT GeoSolutions 7 INC, Date: Ui FLin Nag . (J i .o1 7, Project No. : ` (. 1004 1 Geotechnical,Geologic&Environmental Services Project: HOC) a' ViAtAujii.,f 220 High Street _I.:, 1021 Tama Lane,Suite 105 Location : lA/j25� 1`i RA./.4 v1/0-LL San Luis Obispo _ .T,-j ' Santa Maria Contractor: j�3217i - 1-1119/1,01 California 93401 -a:`?~ California 93455 Present at Site : `t' i4, (805)543-8539 (805)614-6333 Copies to : e_17--,1 OP- i" ig b--F i T►/r (805)543-2171 fax - (805)614-6322 fax Weather: (..L L 4c ', i , E; 1,= Permit Number: Field or S� op Contractor's Job# Welding bc], H�i -�'sfrength Bolting [ ] Epoxy[ ] Material Specification Grade Heat No. Part or Piece No. Detail No. 6:446-J'1:- A-5-00 ..?-1:9-a-.? !Fa COi1J01 NS C,11-(°I n +cJr d IA-- I :5/w tAill'` 5, pull-TIL F3k, Otn?`�S Notck, A ir:S !0--1 Weld Position Process Weld Type Weld Size Bolt Size Bolt Type Kips/ft/lb [ ] Flat [ ]SMAW [•/-] Fillet [ ].3/16" [ ] 1/2" [ ]A307 [ ]Vertical [[] FCAW [ ] P.J.P. [jc] 1/4" [ ]5/8" [ ]A325 [IC] Horizontal [ ]GMAW [ ] C.J.P. [ ]5/16" [ ]3/4" [ ]A490 [ ] Overhead [ ]GTAW [ ] Spot [ ]3/8" [ ]7/8" [ ] F1852 [ ] Filler Metal [ 1 [41 iti.)(1- [ 1 [ ] 1" [ ] Welder Qualification/Certification verified for: fltluirli O,1I11i Codes/Specification : V\-LC, 5 n I, I pi)A., ,s-rnifr:r o-c. T'I 144, Item(s)Inspected : 1. VIi31./17n't/1 'Th. -f- Oro 10 S G2, -rt) 1‘A h-SS12.N1.iJ l 0,c- T 4 , TO til aiLT i ii 1I3< ri-iq4d PGut' WC-I-LO/iC, Tr) 1A o/ vz. : 4-i A.06- wit-cos i.Uii.4?; WM,440, LI)17,4 r--(tA(.(! 0 n O eiX_SC • j-O 4' .T l=it i.A. 1171 i- I i.c1l 7-1' ,)o7o (3—- Sit 64.J./.. Yi%S r-I(2.1,54$;, (9H (It_L -- WiL 4S 1-PJ -it Lt-b0 ; T-14. F1(.444 ()(a (ANA) Cfr-Ar3iJNg) i-i.iJ,`ah,F Location : PIAX1- Artill S PLA.— Cot-if•.K.C.Ti0.4.S Li .712.7.41 014 P(4i4 51ST Notes : � ba7C P ))i ( cXAi"rr2JiVet 'a 1Ji triz . )/1 �Li r - ltrl Y LO?P_ tj41).1]oli..CiAlTi.01,4 ' 1`J.v � • 4-10 P Lulu A, At t),A-i-l~1 i't_g.t4,1, l1_ .•lc , " ; To the best of my knowledge,the abov- AS/WAS NOT performed in accordance with the approved plans, specifications,and regulatory require -. Weld Inspec r 4t4w', 4 /St9e,I 2 -/ O& SPECIAL INSPECTION REPORT GeoSolutions, INC. Date : MON 4 Nr'1,) A c 1D/ ,, -_= --= ---- -= -- -------------_- -- -' --�- Project No. : ) 00`13-1 Geotechnical,Geologic&Environmental Services Project: 4-100S ;�43(.in(.zJii`1 'I Location : UiitST IF-)11.144 iNii')- 220 High Street 1', \ imi Tama Lane,Suite 105 San Luis Obispo '-=.j Santa Maria Contractor: � J /WV?. (A California 93401 California 93455 Present at Site : TJ6L (805)543-8539 (805)64-6333 Copies to : ;I i -j (7r-- 5fki i-4 1I 14 (805)543-2171 fax -r (805)614-6322 fax Weather: C t„I .a/t,,, hi-to Permit Number: Field or Shop Contractor's Job# Welding [ ] High-Strength Bolting ] Epoxy[ ] Material Specification ' Grade Heat No. Part or Piece No. Detail No. _ O>X 61- i/ T.I-1I-iL Pi- --00 i.l 0'7 b 0 c i / .-4 C,ID .fin/ '?,Ie:(. LVS ‘-' SNX1I.T'' 3"7•IAi t✓ 14—1 ts-R Ix,-TA. , A---Mn i() RS KC'.0i-ir�l►�..e,Tua�1 PLANS M Pui1`TvAa j -30 'K. r''€�3.0(;7(.,S c!1)uts .. P10-7-g.. Weld Position Process Weld Type Weld Size Bolt Size Bolt Type Kips/ft/lb [ ] Flat [ ] SMAW '[ ] Fillet [ ]3/16" [ ] 1/2" [ ]A307 [ ]Vertical [ry] FCAW [ ] P.J.P. [ ] 1/4" [ ] 5/8" [ ]A325 [°],Horizontal [ ]GMAW [ ] C.J.P. [ ]5/16" [ ]3/4" [ ]A490 [ ] Overhead [ ]GTAW [ ]Spot [ ]3/8" [ ]7/8" [ ] F1852 [ ] Filler Metal [ 1 [ ] [ ] [ 11" [ 1 Welder Qualification/Certification verified for: inc4rA Vi airikr.AZ6 Codes/Specification : Aux,,t9S r i,I (-00L S"'i"O.r7G T,Uv 4,�cTiZ.1ii , Item(s) Inspected : St(OfF (Jr 5(A4 1NGPIt r it7'i (9i' `1214Vt.. 10 iAr'l7 pi 0TH c il'tCJ-r(rests ca/iTt-i F IT--OP P IT-t/( 0,14 < :-Tr-1 ion.DO 45 :9,1•1 S 2GTio41 OR .914 7 )41165 (..✓1 .t1G i 4T" 3Ti'o 44 OF Pi i- t.ri1).t. • n)0/L. TO i2(LU N U- r}.7T /0(.05- }i'L/4K .-'F•c-A0 W 17.l4f. -9;71-7---l ist11 i 1 C^0)c, (o - ,l t s- ;t)yA 'l=1 ii.R1t, -Ai.' 4,400 plot .5S ori lo 4';Oi.iJi"ii iNi -- c l 173 r to Location : Notes : = r�C;V(,�- ZL1S� (J1;N /yprl.�fi r DAN FI c-4-p,a,k OP ,M JilA�rl 4-c. 4446(\ LV(tux)i A A_"TI F---1 r AT ti',iS L , aiT Ve/ ef, - r it Cs•P4-!.pI/A•S 'r 1A14-l l410 tA1r-_ '- To the best of my knowledge,the above AS/ AS NOT performed in accordance with the approved plans, specifications,and regulatory requiremen Weld Inspecto P *" s-o 3 144} ,(! , rl