HomeMy WebLinkAboutUntitled .,.*,.,„ City of Arcadia, CA
Permit NO. RALT-18-0826
Development Services Department Permit Type:Residential Addition/Alteration
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Addition/Alteration
(626)574-5416 Permit Status:Issued
ARCA DIA Issue Date:06/05/2018 I Expiration: 12/05/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
904 W Huntington DR Arcadia,CA 5783007025
Contacts
BARBARA FAMILY LTD PTNSHP Owner AARON COOKE Applicant
904 W HUNTINGTON DR
(818)923-3664
LA STRUCTURAL LLC General Contractor(B)
1112 N CORDOVA ST,BURBANK,CA 91505
Description:SEISMIC SOFT STORY RETRO-FIT(TUCK UNDER Valuation: $ 30,000.00 Tenant
PARKING)
Total Sq Feet: 0.00 Plan Check#18-0826 Plan#32527
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees $1,002.33
Building Permit Fees $551.50 Cash/Receipt#REC-001201-2018 $394.33
Building Plan Review Fee $358.48 Cash/Receipt#REC-001355-2018 $608.00
Cal Green Plan Check $35.85
Amount Due: $0.00
Green Building Standard $2.00
Solid Waste Management Fee $6.25 `
Strong Motion Inst.Program Res $3.90
Total: $1,002.33
6,21.I 3 robilAtfr4 CALLS FOR INSPECTIONS
r( r` Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
1'✓`•l F
�Q�I,f I/� O7 This permit/plan review expires by time limitation and becomes null and
�Cr/t v I '7 if the work permit is not commenced days
fromvoid the date of issuanceauthorized orbyi if thethe permit is not obtained withinwithin 180 days180
7-4C5-0$ IKr6, ( ( GArde .77
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
7.-Z,?-4/S divWG- � consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
41 COMPLETED
/,
/ June 05, 2018
Issued By: Date
June 05,2018 Page 1 of 1
.F
4 !l PERMIT/PLAN REVIEW APPLICATION
E,l:*' • Development Services Department,240 West Huntington Drive,Post Office Box 60021
9..-,.....„ ..,„„,...-4,
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
yiI 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 e i t. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class i -No/�!'ii,�� xp ate compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contract. o`f// /vim• performance of the work for which this permit is issued.
OWNER-BUILDER DEC TI• ❑ I have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under penalty of perjury 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(S: +• 7031.5,Business and Professions is issu My workers'cornsa n ins ce carrier and pglicy numbers are:
U r� n
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
� Le_ \J
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number fil�'(� . S tg1�O)
for such permit to file a signed statement that he or she is licensed pursuant to the P' P
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need of be completed if the permit is for one hun ed 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 ❑II 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 .: ome subject to the
workers'compensation provisions of Section 3700 . . .Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
lief,"
compensation,will do the work,and the structure is not intended or offered for )
sale(Section 7044,Business and Professions Code:The Contractors License Da �_/ Signa
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.
0 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. n //
�° / i'v 0 /�
Name��./�� �i Title �'V 1
PRINT N�
I certify that I have .•:d this applicatio• and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comp . h all City or..11°: ces and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ent• upo the above- oned pro••rty for inspection purposes.
S' n. e ri .43 Date €-5' KS
r - /,, , .
HUNTINGTON DR.
157.50'
SPL SPL
N
APARTMENT
BUILDING
I 1
I
f 11'0"
COURTYARD B
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z
U
I I
AREA OF AREA OF
REPAIR REPAIR
_ 4
PARKING
STRUCTURE
id 1
� 157.50'
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS
# — BUILDING AND SAFETY DIVISION
��gut -�
PUBUC WORKS
‘ '�, SPECIAL INSPECTOR REPORT
Each inspector must complete this report and mail it to the District Office where the permit was issued.
C DAILY C WEEKLYFINAL
TOTAL TIME ON JOB (IN DAYS) oL= BUILDING8PERMIT NO. � le& DISTRICT NO.
0
JOB ADDRESS 4 W—1 J NGl'i;A Q�;
GENERAL CONTRACTOR t 4// 3 �� rdi244-L.
SIZE OF BUILDING . NO. OF STORIES TYPE OF WALL
TYPE OF WORK: _- REINFORCED CONCRETE __ MASONRY _ HI-TENSILE BOLTING
- PRESTRESSED CONCRETE . !' WELDING
❑ OTHER
DESCRIPTION OF WORK INSPECTED 7 WA)G ratieli-A) wak'GJ
.ba t 2 /tiiis (QAC . Puz_
LOCATION IN STRUCTURE e 0243D l- t rVe-- 6/1-g/1-67E-5
1+
REMARKS LOfi bt0 wArg 4 Jjt j
(Qw ILc V/6- (45/ li -Rte = o '�Z -1'- larz-Ery
All work on this job to date has been satisfactorily completed to the approved plans and requirements of
the Los.Angeles County Building Code.
4o� P" �., - -r. o6g5-u)-4 • -
6 6-t �8
Spe ' I pector(PRINT) rLL I. D.c ' x.73(_Loeb Date
iscatr.rStl.j�oBEe'YYY�7.�1 - C - ,56�7/4 X1,2•
Special Inspector(SIGNATURE)Z'-caaa1, _8cf Daytime/Cell Phone Number
P/bspub/Research/ED8\S IREPO RT
REVISED 04-04-05
uLAl 'fy7fD BS Los Angeles Regional Uniform
DEPARTMENT OF BUILDING AND SAFETY Code Program
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the
approved plans and specifications, at significant construction stages and at completion of the structural system. Structural
observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of
the code.
Report No.
This report includes all construction work through '7 i day of S i , 20 Page No. '\ of 1
Project Address: Structural Observer of Record(SOR): Phone No.of SOR:
-10 4U/if"' " _ Cr~:� S4�.J�y li, 331 Z?
Building Permit No.: Stmictural Observationerformed by: Professional Lic./Reg.No.of Observer: Phone No.of Observer:
( J Y7-6 7c— 9/6 37> 17 -,.['--
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAME FLOOR ELEMENT/CONNECTION
OBSERVATION LOCATION
❑Footing, Stem Walls, Piers ❑Concrete ❑Steel Moment Frame ❑Concrete
I
❑Mat Foundation ['Modulus of Elasticity* ❑Steel Braced Frame ['Steel Deck �s
Concrete Shear Walls (`c,,e
Caisson, Piles, Grade
['Masonry ['Concrete Moment Frame ❑Wood
Beams r nc
0 Retaining Foundation ['Modulus of Elasticity*
Hillside Special Anchors ❑Wood Seismic Moment Frames ❑Others: .
❑Others: ❑Others: ❑Others:
* For concrete buildings more than 160 feet in Structural Height: Concrete mix meets the modulus of elasticity
requirements in design for seismic force resisting systems.
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials.)
J ,mak C
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OF THE CITY OF LOS ANGELES. •
2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER ►�
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH it �`A'A
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL T Ce '. 5
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS;
3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED
* EXP._tv t
ABOVE; •1/ . CSP.
4. I RECOMMEND TH T ACCEPTAN,C OF THE STRU I RAL SYSTEMS BY THE CITY OF LOS / .
°PCA`O
ANGECES BE HELD U 1L•`ALL OBSERVE' = FICIENCIES ARE CORRECTED.
CPIZC ( l�
• IRE OF STRUCT .:1'` OBSERVE' _ DATE STAMP OF STRUCTURAL OBSERVER
IN/Form.08(Part 1)(Rev.06/19/17)
JTS INSPECTION SERVICES
OFFICE/CELL:(323)630-9436 146 SOUTH BONNIE BEACH PLACE
FAX:(323)269-5671 LOS ANGELES,CA 90063
E-mail:JTSinsp@gmail.com INSPECTION DATE: 06/21/18
REGISTERED SPECIAUDEPUTY INSPECTOR - CERTIFICATE OF COMPLIANCE
PROJECT INFORMATION:
Permiteo11 #: 18-0826
Project Name: / Seismic Retrofit
904 W Huntington Dr. Arcadia Ca 91007
Owner Name: /
Address:
Phone&Fax: 904 W Huntington Dr. Arcadia Ca 91007
Contractor: /
Address:
Phone&Fax:
Engineer: / 1
Address: Craig Erick Standey
Phone&Fax:
2
TYPE OF INSPECTION
Reinforced Concrete ❑ Shotcrete I I Gunite ❑ Rebar IT Welding ❑
Structural Masonry ❑ Prestress ❑ Anchors Bolts ❑ Dowels [] Fireproofing ❑
Post-Tension ❑ Framing ❑ Nailing Insp. ❑ Grading ❑ Others ❑
Quality Control ❑
Cylinders Samples Core Panels Mortar Grout Masonry Prism
I HEREBY CERTIFY THAT THE FOLLOWING PORTION OF THE WORK AT ABOVE ADDRESS WHICH REQUIRED SPECIAUDEPUTY
INSPECTION AND FOR WHICH I WAS EMPLOYED TO INSPECT BY ME AND COMPLY WITH THE APPLICABLE PROVISIONS OF THE
BUILDING CODES AND THE APPROVED DRAWINGS:
4NSPECTION DESCRIPTION:
Observed tie placement of 12 steel dowels (#4 rebar with 8" emb.) into existing concrete
foundation/pads. Location: seismic retrofit garage area.
Simpson epoxy set XP RR#:25744 EXP: 9-19
/TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
DANIEL SIGALA 8AM 9AM
NAME: O ALL INSPECTIONS ARE BASED ON MINIMUM OF 4 HOURS,ANY INSPECTION OVER 4
HOURS WILL BE CHARGED AS 8 HOURS.ANY INSPECTION EXTENDING PAST NOON
WILL BE CHARGED AS 8 HOURS.SATURDAY ARE BILLED AS TIME AND A HALF.
SUNDEY ARE BILLED AS DOUBLE TIME
SIGNATURE OF REG TERED INSPECTOR
ICC: 8144858 LA: 0033469 SITE CONTACT.
TYPE LICENSE NUMBER
We hereby certify that the test results presented here
���►�� are accurate and conform to the reportedgrade specification
CMC STEEL ARIZONA CERTIFIED MILL TEST REPORT P P
ran Mil 11444 E. GERMANN RD. For additional copies call
RalN11' MESA AZ 85212-9700 830-372-8771
CMC Jac bS�CMCSteel
Quality Assurance Manager
HEAT NO.:4075659 S H &Y Rebar Inc I S H &Y Rebar Inc Delivery#: 82408467
SECTION: REBAR 19MM (#6) 60'0" 420/60 0 H BOL#: 72511107
GRADE:ASTM A615-16 Gr 420/60 L 3254 Cherry Ave I 3254 Cherry Ave CUST PO#: HOF 604 B
ROLL DATE: 04/18/2018 D Long Beach CA P Long Beach CA CUST P/N:
MELT DATE:04/18/2018 US 90807-5214 US 90807-5214 DLVRY LBS /HEAT: 30640.000 LB
Cert. No.: 82408467 /075659F053 T 5625957444 T 5625957444 DLVRY PCS /HEAT: 340 EA
0 5625955054 0 5625955054
Characteristic Value Characteristic Value Characteristic Value
C 0.32% Elongation test 1 13%
Mn 0.93% Elongation Gage Lgth test 1 8IN
P 0.017% Bend Test Diameter 3.7501N
S 0.035% Bend Test 1 Passed
Si 0.20% Rebar Deformation Avg. Spaci 0.482IN
Cu 0.30% Rebar Deformation Avg. Heigh 0.0421N
Cr 0.16% Rebar Deformation Max.Gap 0.11 1IN
Ni 0.15% Uniform Elongation 10.0%
Mo 0.029%
✓ 0.001%
Cb 0.000%
Sn 0.011% The Following is true of the material represented by this MTR:
Al 0.001% 'Material is fully killed
N 0.0162% •100%melted and rolled in the USA
Carbon Eq A6 0.54% 'EN10204:2004 3.1 compliant
'Contains no weld repair
Yield Strength test 1 86.Oksi 'Contains no Mercury contamination
Yield Strength test 1 (metri 593MPa 'Manufactured in accordance with the latest version
Tensile Strength test 1 106.Oksi of the plant quality manual
Tensile Strength 1 (metric) 731 MPa 'Meets the "Buy America"requirements of 23 CFR635.410
EMARKS :
06/05/2018 11:21:05
Page 1 OF 1
JTS INSPECTION SERVICES
// OFFICE/CELL: (323) 630-9436 8990 KRISTIN DRIVE.
E-mail: daniel.sigala@sbcglobal.net DOWNEY, CA 90240
REGISTERED SPECIAL/DEPUTY INSPECTOR— CERTIFICATE OF COMPLIANCE
BUILDING DEPARTMENT Proj.Date
Project Name Permit#
Project Address
Owner Name Phone #
Address
General Contractor Phone #
Address Fax #
Site Contact Cell #
Sub-Contractor Phone #
Address Fax #
Engineering Firm Phone #
Address Fax #
TYPE OF INSPECTION
Reinforced Concrete ❑ Shotcrete ❑ Gunite ❑ Rebar ❑ Welding ❑
Structural Masonry ❑ Prestress ❑ Anchors bolts ❑ Dowels ❑ Fireproofing ❑
Post -Tension ❑ Framing ❑ Nailing Insp. ❑ Grading ❑ Others ❑
Quality Control ❑
Cylinders Samples Core Panels Mortar Grout Masonry prism
To the Building Official Building Inspector
I hereby certify that the following portions of the work at the above address which required
Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and
comply with the applicable provisions of the Building Codes and approved drawings.
•
Inspector (Print): License #: Type:
Inspection Sign: Date:
HOURS: Mon, Tues, Wed, Thur, Fri, Sat, Sun,
Verified By: (Print & Sign)
CASCADE CERTIFIED MILL TEST REPORT
CUSTOMER H & Y REBAR, INC. STEEL (CMTR) DATE 4-06-18
DBA OF: HOF & YATES REBAR, INC. Rolling MillsrlC. 3200 NORTH HIGHWAY 99W
3254 CHERRY AVENUE 9 McMINNVILLE,OREGON 97128 BILL OF LADING 40132470
LONG BEACH, CA 90807 (503)472-4181 FAX(503)434-5739
A Schnitzer,,s1)Company PAGE 1 OF 1
DESCRIPTION TEST NAME/UNIT OF MEASURE
HEAT NO.;PRODVCF:GRADE YIELD TENSILE ELONG. NOM. WT BEND DEF. Melted Shipped Melt Lbs
PSI PSI % 8 INCHES % DEGREES Rolled Lbs/Tons Roll Lbs
*101918
#4 COILED REBAR 60D GRADE 64,500 97,500 16 99 180 OK OK 03/14/18 19,024 210,384
ASTM A615-16/A706-16 Gr60 03/22/18 9.5 205,252
AASHTO M31-15
*101818
#4 COILED REBAR 60D GRADE 64,500 99,000 18 98 180 OK OK 03/14/18 22,672 225, 968
ASTM A615-16/A706-16 Gr60 03/22/18 11.3 220,180
AASHTO M31-15
CHEMICAL ANALYSIS
IIE:\TNO. C % Mn % P % S % Si % Cu % Ni % Cr % V % Mo % Sn % CE %
101918 .30 1.22 .013 .020 .24 .24 .07 .12 .023 .02 .022 .52
101818 .29 1.25 .014 .023 .24 .26 .06 .12 _ .023 .02 .021 .52
PO NUMBER(S) : HOLD
r/:7/7:.‘re7n,az,„/----
CERTIFIED BY:
Jeff Kramer
* ALL MELTING AND MANUFACTURING PROCESSES FOR THE MATERIALS OCCURRED IN THE UNITED STATES. Quality Assurance Manager
Pyr id Te g
A Dlvlsion of CGI Pia Inc
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
ic ?! 44PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: 6' F) 57-iel 7INSPECTION FIRM OR CLIENT: JOSE SIGALA
PROJECT ADDRESS: YYY 904 West Huntington Drive INSPECTOR'S NAME: -
Arcadia,Ca INSPECTOR'S LICENSE NO.: L 4 - i Q -J e
PERMIT NUMBER: - FIELD IDENTIFICATION: fee: .,/z/ / If $
CAST DATA(ATTACH DATA SHEET OF OTHERS WHEN AVAILABLE) bbb"'
CAST DATE 6/25/18 DESCRIPTION CONCRETE
CONTRACTOR - SPECIFIED F'c-PSI 4,000 CEMENT TYPE -
CONC.SUPPLIER - CAST BY - ADMIXTURE -
PLANT - NO.OF SAMPLES 3 SLUMP(C143) -
MIX DESIGN NO. - TOTAL YARDS - AIR TEMP(C1064) -
TICKET NUMBER - CAST/MIX TIME - - CONCRETE -
TEMP(C1064)
LOCATION OF POUR No Paperwork Submitted
NOTES
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 6/29/18 EQUIPMENT USED FORNEY
REPORT DATE 7/23/18 SN OF EQUIPMENT F-25EX-F-CP1 LOT
TECHNICIAN On File CALIB.DATE 6/28/17
AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.3 AREA LOAD F'c BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
NUMBER DAYS' TEST TEST
(DAYS)1 IN. IN. IN. IN.
PT-32951.1 . 1 28 7/23/18 9:00 AM 4.00 4.00 NA NA 12.57 75,460 6,005 3
PT-32951.1 . 2 28 7/23/18 9:03 AM 4.00 4.00 NA NA 12.57 71,750 5,710 5
PT-32951.1 . 3 28 7/23/18 9:06 AM 4.00 4.00 NA NA 12.57 68,870 5,481 5
Avg.F'c 28= 5,732
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height,NA if Cylinder 2.2>lid>1.8
'Break Type Designation Per ASTM C39 Figure 2 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 8=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH I COMMENTS: THE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE
(W:/v__ie___ee__
AUTHORIZED SIGNATURE
23225 MARIPOSA AVENUE,TORRANCE,CA 90502 I OFFICE 424-263-5955 I FAX 424-263-5987
WEB WWW.PYRAMIDTESTING.COM I EMAIL PYRAMIOTEST1NGSGMAIL,COM
e16019 Kaplan Ave.,City of Insdustry,CA 91744
FRANKLIN INSPECTION Website: Franklininspection.net
Phone: 626-255-2148
SPECIAL & MATERIAL INSPECTION REPORT MTWTF SS
Date: 6/21/2018 ✓
Project Name: 904 W Huntington Dr. Arcadia, UA Project No:
Project Address: 904 W Huntington Dr.Arcadia,CA Jurisdiction: City of Arcadia
Contractor. LA Structural LLC Permit No: RALT-18-0826
Sub-contractor/Fabricator: Anvil Steel Start Time: 09:30AM Stop Time: 1:30PM
Weather. Good Reg. Hour: 4 OT Hour.
Type of Special Inspection: Material Sampling &Testing:
Field Welding Fireproofing Batch Plant HS-Bolts Mortar/Grout
Shop Welding Reinforced Concrete Engineered Fill/Grading Shear Connectors Masonry Block
HS-Bolts Shotcrete 1 J Drilled-Piers-Caissons Sprayed on material Rebar
'Masonry 1 (Prestressed Concrete ' JAnchors/Epoxy, Expansion 11 (Structural Steel 11'Other: NDT-UT
Approved Documents:
Work Inspected:
1.Arrived on-site(aJ 904 W Huntington Dr.Arcadia,CA.
1.(`q;l,r,teA;”.,lex..,,;,,r '.,..le be siti,il., R,h„r;z,,.,r•l sive.,- per Awc n1.1-101i.
J.Performed lamination check on base metal of scanning area and HAG.
4.Performed Ultraonic Testing(UT)on Complete Joint Penetration(CJP)welds.
�. 1
1,:,v:1_
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mllIll.
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The work I was was not inspected in accordance with the requirements of approved documents.
The work inspected I met did not meet the requirements of the approved documents.
_--,•__ I-1..._- f1..._- ll,
IVlrll F'.I lrll .1 r11111111111� I IWrl ll. I.W rf1 not 11-7,1V/M IIY.I I111111Y.11 I11 iYlIII IT'll l/:Y. W1111 r11111111VMI1'Inc:,1111M1111
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Inspector Signature: ' All inspections based on a minimum of 4 hours and over 4 hours-
8 hours minimum. If i.-•-c • is called to a project and no work is
Inspector Name: Ron Pham performed, a 2-hou minim �1.l!e will be applied.
--Iii—
Inspector Certification: UT/MT Level II,SNT-TC-1 A&CP 189 Acknowledged •, / /^
!�/ Page 1 of 2
1
REPORT OF ULTRASONIC TESTING OF WELDS
Project Name 904 W Huntington Dr. Arcadia, CA Project No.
Contract/Project Specification AWS D1.1-2015 Section 6 Part F
Ultrasonic Testing Procedure AWS D1.1-2015 Section 6 Part F
crept nrelPeienfinn(`riterin 4\l/C n1.1-701 G T'l.,1e 6.7 P de No 7 cc 2
_ ULTRASONIC EQUIPMENTS
n+anuraaurer Z type of
Angle Mtg Model nnu) sae pn) sena No Horizontal6/8/2018 conha
S. Panametrics a) IIW Type 11 ~ 0 Sonatest PSLM1025 2.25 10 544/22 m
C � ' I ype of Material 2 Angle Mfg, Model t(MHz) Size Senal No. a Internal Reflectors,Resolution '
co
a Epoch LT A 1018 Steel g• 70 Sonatest PSS75752 2.25 0.75x0.75 1603/05 at 6/18/2018
sena rto. ae Sena No. t) Angle Mfg. Model f(MHz) Size Senal No. pindex.Angle,Distance/ seep,Sensitivity
140824207 B09175 R 60 Sonatest PSS75752 2.25 0.75x0.75 1603/06 , Prior to testing
ULTRASONIC TESTING OF MATERIALS
Surface t,onckbon 1 helmess Joint I ype welding Process Exam from Face Volumetric Exam In Leg Reference Level Scanning Level
Clean 5/8" T-Joint FCAW A&B 1st&2nd 59.5 DB Table 6.2
Items Examined/Tested: CJP welds
Weld ID, pc mark Interpretation
Floor gridlines, location Description Xweld(s)IAccepted!Rejected IRepaired Remarks
2nd Column 1 Top'bttm beam flanges to column flange 2 2 0 0 UTOK
2nd Column 2 Topibum beam flanges to column flange 2 2 0 0 UTOK
2nd Column 3 Top/Wm beam flanges to column flange 2 2 0 0 UTOK
2nd Column 4 Top/bttm beam flanges to column flange 2 2 0 0 UTOK
-- — --- -- ------ - ----4- I - . I
I I I II I I I ,
I Total Welds 8 8 0 0 8 I 0
Comments: 8 CJP welds inspected,8 UTOK
n/nln A TInaJFnI rnI SIM nu nr I i ne-I nes
/IVLiIL.M I 111.11111•31 r LIIIJIVILI VIEW rtCJCla I cu WWGS—uo
DECIBALS(dB) DISCONTINUITY(in.)
c
o 6 .,ig g m 4
.-E. � ,�
c N o g J LL c°i g.g - 15-=to DISTANCE § m REMARKS
5 E i-- a tr_ 3 a b c d .i < S 2 3 Q From X From Y b t.l (Discontinuity Evaluation)
1 I I I I I I I I I I I I I II ,
The work Owes Owes not inspected in accordance with the requirements of the approved documents.
The work inspected Omet ['did not meet the requirements of the approved documents.
))(17
inspector Ron Ph.' L� III ��,r .,V L..- Level til/M1 Level 11,SNI-1C-1A&CP 189 uaie June L1,2015