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HomeMy WebLinkAboutTRACKSIDE DINING Ac City of Arcadia, CA _Permit NO. Comm-19-0388 /71 Development Services Department D tt } ' Permit Type Commercial 240 West Huntington Drive,Post Office Box 60021 /l 1 T11 X17,1 " $ i r Arcadia,CA 91066-6021 .� 4": 1 j .1 f j k Classr/lcationtCommercial-Add/Alt (626)574-5416 - =1 - - Permit Status:lssued ARCADIA - Issueoate:04/1712019 ! TO Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 285 W Huntington DR Arcadia,CA 5775001030 Contacts LOS ANGELES TURF CLUB INC. Owner Los Angeles Turf Club,Inc. Agent for owner 285 HUNTINGTON DR,ARCADIA,CA 91007 (626)574-7223 (626)574-6375 VICTORY CONTRACTORS INC' Contractor 2705 N TOWNE AVE B,POMONA,CA 91767 (626)574-9453 rob Description:NEW TRACKSIDE DINING AREA(CLUB HOUSE) Valuation: $ 500,000.00 Tenant i Total Sq Feet: 0.00 Plan Check#19-0388 Plan#22 Fees Amount Payments Amount Paid Accessibility Plan Check $388.44 Total Fees $8,112.66 Accessiblity Building Permit $398.40 Cash/Receipt#REC-00871-19 $3,517.00 Building Issuing Fee $47.01 Cash/Receipt#REC-00987-19 $4,595.66 Building Permit Fees $3,984.00 — Building Plan Review Fee $2,589.60 Amount Due: $0.00 Cal Green Plan Check $258.96 Commercial T.I.Fire Plan Chk. $280.00 Green Building Standard $20.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $140.00 CALLS FOR INSPECTIONS Total: $8,112.66 A Request for inspection by telephone at 626-574-5450. Leave a message COMPIEIFOrequesting the address,timeframe and what inspection item is needed. el This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days 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 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. April 17, 2019 Issued By: Date April 17,2019 Page 1 of 1 ,FAR PERMIT/PLAN REVIEW APPLICATION Ei3*' T 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 ❑ 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 'r Ptnse fessions Co. and my license is in full force and ffect. ❑ I have and will maintain a certificate of consent to self-insure for workers' Class ,. o 1fJ Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the �F�� P performance of the work for which this permit is issued. ature of Contractor �,,� NER-BUILDER D CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 1:1I 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 is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier , demolish,or repair any structure,prior to its issuance,also required the applicant /� {�, Le for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number Q 1 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 1 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, forthwith comply with those provisions. I;� or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for clink sale(Section 7044,Business and Professions Code:The Contractors License LDate U n 1 lck Signature ./ Law does not apply to an owner of property who builds or improves thereon, 1 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 Leader'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: I. 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 ',1 Ica 100r•1' N he 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. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to en • 1 on the above-mentioned property for inspection purposes. cSigna e d1tja Date 1.4( II N TES r _ Q. fS Building Inspections Date Insp. I Plumbing Inspections I Date I Insp. ZOc l // i/�/1// ap h r 100. Setbacks 210. Under fir/bldg.drain ��77 �U / 101. Rough grade r� 211. Copper underslab (f 102. Figs.&forms p-f7�/ L.-212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater nn��>>.,.,lV1/ �✓/ 106. Grout lift 216. Roof drains �jt/r'GYU'�/ CJ 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. /ayii' ( 113. T-bar grid 114. Insulation-Fir. Pool Inspections Date 'Insp.. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shelVbonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 246. Fence,gates&signs 122. Final demo/lot clear r/c yi "7 247. Pool heater - 248. Final electric Electrical Inspections Date Insp. 249. Final•Iumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under round conduit `i� 153. Underslab conduit 41rAgrL� Hereof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eliot bondin. Sign Inspections Date I Insp. --- - 160. Service panel 280. SetbacWoverhang 161. Final electric /b/yr�� dep-7 281. Footing 282. ConduiVwirin• Mechanical Inspections Date Insp. 283. Disconnect 180. Ventingfiiue 284. Anal sign 181. Furnace/A.C. ' 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Are dampers 290. Are 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. Date Insp. 191. Final mechanical 300. Lateral(main to Pt) 301. Saddle/Y Block Wall Inspections - Date Insp. 302. Gess.•.1 filled 200. Footings 303. Sidewalk - 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Anal wall 306. Trash bin - Summary of Accessibility Upgrades Project Address:sir/4/45r/1m/wow !1E • Permit No. /q_3 8e Pro'ect DescriptionlLocation: p fy/K�%�_tekee// e. Proposed Total JConstruuction Cost(A):$ �p/0231) �57f/y / -M MAIL Czb'B `f I Type: M3 Alteration VStructural Repair El Addition PRIMARY ACCESSIBLE PATH OF TRAVEL REQUIREMENTS FOR AREA OF ALTERATION,STRUCTURAL REPAIR OR ADDITION Accessible Features Does existing feature If not,what is the Will this feature be If so,how much meet the accessibility cost of construction replaced or altered to will be spent to standards of the to make this feature meet the accessibility make this 2016 CBC? fully accessible? standards of the feature�}�{/ 2016 CBC accessible? 1. Accessible entrance to the building or LTJ Yes O No $ ❑ Yes id No $ facility / `/ )5/Yes , 2. Accessible route to the altered area 'Yes LR No $ /�/ M Yes 0 No $/617)/an,�,,, 3. Accessible restroom for each sex "Yes❑No 1(/ $ 17 Yes Opo $ Elf9 4. Accessible telephones ❑ Yes No $ ❑ Yes g No 0 NA $ 5. Accessible drinking fountains ❑ Yes ElNo kiNA / $ ❑ Yes .WNooNA $ 6. Signs ❑ Yes O No INA $ ❑ Yes H)No 0 NA $ 7. Accessible parking spaces s O No 0 NA $ ❑ Yes t'J No O NA $ 8. Alarms �s O No❑/u7A $ El Yes o D NA $ 9. Other. ❑ Yes O No 6/!JA $ El Yes UNo 0 NA $ Cost of All Features Provided(Items 1-9) B Sum total of costs of Accessible Features Nos.1-9 provided above. $ /00, Construction Cost C Construction cost for all proposed work(A)on this permit application $ / except Accessible Features Nos.1-9 provided above. (A-B) MV-20 Cost of Preceding Alterations D Construction cost of all alterations within the previous three years on the $ same path of travel if such work did not provide an accessible path of travel to that area of alteration,structural repair or addition. Total Cost on Same Path of Travel (C+D) Adjusted Construction Cost and Cost of Related Alterations $ PO ovJ Twenty Percent Value of Upgrades Provided Twenty percent accessibility compliance cost of the total cost of all $ [0.2•(C+DB features provided. 050 Description of Access Features Provided: 97zvzp &--k/ ll/v 1ZMM'IG/Noss e s-00 0 MW M //Y� is bplicant Certification I have reviewed the abo - .-scribed fea a and st they are an accurate description of the work being provided. Signature: / Phone No.: 3/0 390, aj 0 n_ Name:(print) :4t/;2_ —72/ z �,r �. Date: Bit/�fl/L/O.-r/�3' Title: n l , /* in /t d,u 7 v 7 (/C� / For Building Official Use Only/ l /* win by: Title: Date: / / • SNIITH=EMER3' ABORATORIES _-- - An Independe\t Commereia!TestingLLaboratory - ' Field Daily Report Project# e Job Name: 46)4" 4A'64 Cri. 7V/IF at-de' "A"C ,2Ff r `X/. /Ani,47,n4n 2• onr6 q G4 c itt)7 Job Address: / Report Date: 6/26/19 Inspector: Client: - V/CnJ4'/ co.tiix/ii civie (' j License#: Exp Date: Contractor: ' License Required for Inspection: - , f Contact at Site: A?/l ' 1)177 ti • Permit.#: - Jurisdiction: Offsite? ❑Yes 1No Offsite Location: - - TYPE OF WORK: (check one) 0 Reinforced Concrete ❑ Prestr ssed Concrete ,❑ Masonry ❑ Welding 12.0ther Lfd/L : • :I Description of Work: �(0/G - '�4 G I OA/ 4//- :: a /2; CO y4) 41 /t,.ca-u2-s/1-/4 7 ;cif 7 A177, 4-i/JT/7l ,¢:u, //ifr /c /ifi) 74`. 70 A'v/✓it-Ce CT i1Ti/) Ci-i6C/ /7/C 8oroir? Or ,,1 co•✓ n.✓vOr7( /i6/746. . 4P/A-0 Jel ',1 4,17Cy 2 ' &/ r 2 ' /" x 1-1- '4 !-0C1fi i) /✓0A- Il/ Wit-4 T ( t 77/4 Ccd/3 7/0011 1AL0,c1, is 7 WPMUViir LCit 0 ID /t14-/Lugtt / /3t . Tit /3017b1Y). Of C.0 ://7/✓0It( POO/7tlto . ,2- Cot/ h)C./7/) 77-/a . 1/1J//y -I 72 IT 5 4'u/) 77/If A—r; icr /-.1i Ali.'/) PIfJPU 77//- OX /-, . /'GAJ//c 6/11 a 7 for( 77/G /vc.,,4 -, conpe/L,pail/3 tit-' itIY 1 _4 DATE TASK# REGULAR - O:T. TIME IN TIME OUT G/2(7/9 72/2 .9' 11' :00 P(i) 4f- 00 fir) dfLsJ « i) ,-0 Jz Signature: y 0 Inspector Name: gn Approved by: ., Signature; (Print Name) Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax(562) 946-0026 SWIT Job No. Date REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT 190181 06/19/2019 TYPE OF ❑ Reinforced Concrete . , ❑ Welding 0 DIA/Epoxy Fireproofing INSPECTION ❑ Post Tensioned Concrete 0 Firep REQUIREDh g 0 Wood Framing 0 Reinforced Masonry 0 Asphalt 0 Other Job Address 285 W Huntington Drive Arcadia Tract No. Phase Lot No. Job Name Club House Apron Permit No../9_0388 Issued By City of Arcadia Type of Structure Architect Studio Antares Material Description(type,grade,source) EngineerDODD &ASSOCIATES CONSULTING ENGINEERS Simpson set-xp Contractorvictory Contractor Inspector's Name Joon Lim SubcontractorMcGEE CONTRACTING TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE&!DENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS MELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. -Observed placement of(104 + 18)#4 dowels x 2'long @ 18"O.0 w/Simpson set-xp epoxy into 5/8" x 4"(min embedded) holes of(E)con slab for 4th(N) Platform and 2nd &3rd step stair concrete. As per plan view on S-1.0, S1.1, S2.0.. Locations : 1)4th (N) Platform for(N)5"Concrete Slab on grade. 2)2nd &3rd (N) Platform for Step Stair concrete. -Inspected size. Locations, Embedment, Material of epoxy and Cleanliness of holes. Material : Simpson set-xp ICC#ESR 2508 (Exp, 10/17/2020) CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE .❑ PAGE 1 OF 2 I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOT •. VE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SP- 11a N, G AND APPLICABLE SECTION OF THE GOVERNING BUILDIN .. 4' 12:00 pm =see next page = SIGNATURE OF REGISTERED INSPECTOR Austin Richey I :44 RC #01939 County of LA Approved By SPECIALTY NO. AGENCY Project Superintendent White—Office Copy• Canary—Accounting Copy•Pink—Inspector's Copy• Goldenrod—Jobsite Copy SIT[F-049 S:\FORMS\DAILV REPORTTEMPLATES&FORMS\Concrete Tech.nspector's Daily Report Template.dot ©Southwest Inspection&Testing,Inc Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date 06/19/2019 REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT 190181 TYPE OF 0 Reinforced Concrete 0 Welding ❑ DIA/Epoxy INSPECTION 0 Post Tensioned Concrete 0 Fireproofing 0 Wood Framing REQUIRED 0 Reinforced Masonry 0 Asphalt ❑ Other Job Address 285 W Huntington Drive Arcadia Tract No. Phase Lot No. Job Name Club House Apron Permit No.19-0388 Issued ..City of Arcadia Type of Structure Architect Studio Antares Material Description(type,grade,source) EngineerDODD &ASSOCIATES CONSULTING ENGINEERS Robertson's 4000 PSI contractorVictory Contractor Inspectors Name Joon Lim Subcontractor McGEE CONTRACTING TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS 1 1108 4539196 4th(N)Platform 5" 83 F 92 F 11g 1:40 pm RS400P41 Concrete samples INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE&IDENT. NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. <Performed continuous inspection of(N)New Platform Concrete> -Observed placement of Approx 200.00 cubic yards concrete w/Robertson's mix design RS400P41, 4000 psi, 5"slump, 3/8"aggregate for(N)4th New Platform Concrete. Locations :4th (N)Platform for(N)Thickened Edge &(N)5"Concrete Slab on grade and (N)6"Concrete wall. As per plan view on S-1.0, S1.1, S2.0.. -Checked the cleaning prior to pour concrete. -Concrete slump and samples were taken by Joon Lim (ACI#01319317) -Work was performed in compliance ASTM (C1064,C172,C143,C31), -Consolidated by Mech Vibrator. *Samples : 5 cylinders of 1set(4"x8")concrete CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 2 OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SP TION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAW 12:00 pm 7:00 pm SIGNATURE OF REGISTERED INSPECTOR Austin Richey, 626-574-9453 RC #01939 County of LA Approved By SPECIALTY NO. AGENCY Project Superintendent White—Office Copy• Canary—Accounting Copy•Pink—Inspector's Copy• Goldenrod—Jobsite Copy srri F-049 S:\FORMS\DAILY REPORT TEMPLATES&FORMS\Concrete Tech Inspector's Daily Report Template.dot ©Southwest Inspection&Testing,Inc 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date _ REGISTERED INSPECTOR/ACI TECHNICIAN DAILY REPORT [ " ' C ; :; i -- TYPE OF ❑ Reinforced Concrete ❑ Welding ,y❑, DINEpoxy INSPECTION ❑ Past Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry 0 Asphalt ❑ Other Job Address ' - 1 l-- - Z. Tract No. Phase Lot No. • ., r Permit No. L;7 _ I y'`Y Issued By/ i Job Name r .\ I 1.y, -- r-, Yt,' . t IZ .'\L` 7 .'{t I .,: r, Cf J\. , Architect _I Type of Structure ' 'Material Description (type, grade, source) ,' Engineer -- . r• -1— _ r . Contractor \ f - , Inspector's Nameii . Subcontractor TESTS PERFORMED SAMPLE AIR CONC WATER TIME IET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS i SJSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRE 2EMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S; :EST SAMPLES TAKEN:STRUCT.CONNECTIONSt(WELD MADE H.T.BOLTS TORQUED)CHECKED, ETC. I. i�,1 q.\ ,'`i.�'.� '- \ F-'\ i^-)\ ,`' C'S*5 C F7-k i`\ n \ 1 . i -S-15'fi c . ,t.- (y` 04 - `-'; t ; •,- r } t ' 11 I( ` 4 ` . L. . . v • _ ..r-, , 7', ;:, .e.T, "-Y•, t*t�=Yvr-6. eta • /X r�lv _.."t .r. 11 1`•, t `r'cl- \. - \ r . .. , r' \ Hi 1 n t r, C' C :r••x'I;--, -4-k P 4'7 r_I-e. S i-t 1 r A ` rtE .'+w:v-t'c r ry _ .', - . '♦ i`,.0 i•, f� -, t�:t ..'/ � ). `,, .A I( �� , iti";';rl t c:� i `—,'{L,1,) ,L�. Y)t�S4fi,\, [if, .tip iTh.c- '•.I-i. it:lc:I-,"\, , Ft-sc. Wit.--1' 1~T' - -z-,:-... _2 t'1 Y ht -t'- ,'.) .S f Lr`.t_) {T rt 1 q t ,4 Yt'.'t r "'('v, 1 { ; ..;.)t...<' --- I)- t -, r t .ter. - r•. _ " , 8 oft'-t. 1 c$- ( Iw yip': �. :, v.' A''_\ C `-f 1 -s -1-C\ 11 %.e t"1 t'-z W_ 3. C: t` u f . -.\'N': .X i, k-'ri~ -'--Q ./ 1 0 - 1 `i m _. n _.t q. t +s - - CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑' PAGE OF _ J I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY:KNOWLEDGE TIME IN TIME OUT I SAMPLES ALL OF THE ABOVE REPORTED ORKT UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WWI TH THE APPROVED PLANS,SPECIFICATION, -� /VI"' �it 'AND APPLICABLE SECTION OF THE_GOVERNING.BUILDING LAWS. I i _l �`t r✓ �'-�- . 'Cl-'� t.,�t I�I Al '�c �: '4 .' , [ :14`1 l fl :: .� SIGNATURE OF REGISTERED INSPECTOR , . �r " lc _ (! i fy (.n ,1 Approved By t (_r-i7 SPECIALTY NO. ' .AGENCY Project Superintendent:W.:. a> White-Office Copy• Canary-Accounting Copy• Pink-Inspector's Copy• Goldenrod-Jobsite Copy flit, j 1 c (• : ; SMITH—EMERY LABORATORIES 1 The Full Service bulcpeudertt Testing Laboratory,Established 1904 1,1 DFIELD DAILY REPORT Job 5(r90 it 2 Report s1/4r//9 SECo /j- �) c�Z No. : No. : Date: Representative: 1-04 1/16/CC5.0 ,7-11/1, c dA /A/C. =.'.—‘.. PROJECT I.D. : • 249,(^ W, f/a0kic,/en /)r. ,rcocIia C4 9/007 The following services were provided this date: AO 1-77)A-1 of five)nn G /4",../".4t-,0 0-1-1 I cox-,/'4 c..70../ 72"-074 Equipment Working: (2 ) //yt//)N/Ac/cee 4 Description of Work: it/or/+d/t.) e1/ J/a' C /D :ct 0 /1t7 2 Ac%J A4%. /hVYA4) • �jc//J cliM0 c/ A//T417 _ //Y 77ll/c /'1i./)- Y /J 71) /e1774 7" 17✓0 CicZ/( m' A&/7v//I of `OD/7/IG 1--4c4n/YA w D.//N ,7/' GLUTS , 'Oai/_" i *moil. 'rZ AorTbm 6f f-66 /1 n( // "1730V 7 .3 'ATA- 7Dz ce/ 4a-ex(' i Ani n A 6 cR-4fie .47✓i) /( t4///it . /712 aim= c' .rcyiu fy 7/IL /30,70,'-i et . 't6 /206 4-7✓> C.extm c rip 4y .Nc rJf of /,1,../01UJ 4-cte/1 4 77)1742 r /3 /hi nr/ry /Li/ C%<4 /15/ctI/Lr-rC0 7VjO4y -J7✓r) PM- A-tJvL% tc'T ,W6 90 % /-I/Ad AA4i A-1 JCetduiAicine,tJ/ . fc/c /1i- /(4c4nlit: c44.1 /24c/70A/ TQ. /0 r"ri .- /I I( a 7+4 two �J1 .ice SI! .....i.. pit qp -3 felt .r . 'Alz=se..'.. . ._ _ATGn ' a . 12. 13 FT4 11 f j40411 (Work was conducted in accordance with project requirements. ( ) Work was NOT conducted in accordance with project requirements. PAGE/of (fri781 East Washington Boulevard ( ) 1195 N.Tustin Ave. Los Angeles,California 90021 Anaheim.CA,92607 (213)745-5333 (714)2386133 (213)746-0744 FAX (714)238-6144 FAX i ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CIJENTS,AUTHORIZATION FOR PUBLICATION OF OUR REPORT,CONCLUSION,OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. ❑ 1197 North Tustin Avenue (SMITH-EMERY LABORATORIES) 781 East Washington Boulevard Anaheim,California 92807 Los Angeles,California 90021 (714)238-6133 TABLE I - SOILS TESTING (213)745-5333 (714)238-6144 FAX. (213)3))7746-07444�F1AX PROJECT NAME: .1,CV 4i/6..e et,f 77-'At GL-VE /A/C . JOB#: T f/ 0"r-2 ADDRESS: 981/41- W f/un �7�5{Un v/`' CITY: 41rccrc/iq STATE: G4 ZIP CODE: 9/00y EMPLOYEENO.: 2909 Location Key Elevation Key � ����yMethod Key EaEB East ELC-Electric GUT-Gutter AC-Asphalt ')xcavation Bottom FG- Finish Grade FAB-Finish Agg Base (vAand Cone We West BF-Backfill FL-Fireline CS-Cone Slab SD-Storm Drain AB-Aggregate Base <TMMBottom (G)luclear Gage No-North GSL-Gasline CRB-Curb TR-Trench WL-Waterline FSG- Finish Subgrade EG- Existing Grade DT-Drive Tube So-South SL-Sewerline RW-Rel Wall FTG- ooting BP-Building Pad Date Test No. Location Elev.or Moisture Dry Density %Relative Compaction Soil Type Saturation Max Dry Density Depth % (PCF) Field Specified s/irJi9 IA) Rele41 o Tel/ i / 137AI . 6,0 /20,7 92,6 90 y SC /30 ,y -//i119 2A A/t✓/ Ted /3/71 LG9 //9, 90 i 90 S SC /3/, 8 J//f`//9 c34 /c/e✓f e jet/ #3 ,&/M9 . 6. l /28, 7 98, 7 90 `/ SG /30,9/ .0.57/9 y 76e4/ %e✓/ //9 /LW 6.3 fig.( 9a•3 90 .(- sc, /3J, 8 s-111-79 SA - Ailed lei/ Fr 13)70 6,3 //9, O . 91,3 90 y sG /20, V s /9 l A /Veil ./ Ted ,H 4 STM 679 //9,8 90,9 90 -s-C,' /3/r8 for//9 7A 12e/el/ df TPJ/ # 7- 13Th B,y /lr, 9 96,f 90 y SG /30,'/ "r/19 8A /A /elf Q.! %erg // a STY) 6, 1 /23 ,0 96,4/ 90 S -CC /3/, 8 , si s,/9 9 o,a, cost/774100w fcHJ ATM y1f Mr, 3 9(4,( 90 _ y sc /30, 5/ re ,W//.) ?O/Z770,4/ Sfirt9 /0 ,e,,3, ca,✓r74)uoox fx 16 13Th) 817 // 9, y 90,0 90 y ,CC /30, V , re ic-0/) /Oft- Ton/ sJ/s//9 // .c d" co/vn.J000f//6.gJ ,BT7Y) /0,1 //d , 2 90i& 90- y sc /30.V /-f/ ) A0/L/70A/ TA //9 /2 ,.S7aL on Croc1C tZ S,3 1/1,3 9/•f- 90 y N( /30,5/ e k,-/cult li cfr Sl/S//° /3 u/aL on 6rclale PJG, S, g //6), 9 90, 2 90 r S ma /21, 8 (d Foj/ „Dolt Soil Typo MOD Opt Moist Description SMITH-EMERY LABOI2AT®RIES C9 /3019 73r8 M-RK ,w oeA' kr/cry v.i.4/, a An Indepcndeia Commercial Testing Laboratory c 4i3/, 8 /,0 Pial .6/1/4.x. N f: r`y 4-4--A/aa SELTablolSoils 09-10-2014 SMITH EMERY LABORATORIES An Independent Commercial Testing Laboratory 791 East Washington Boulevard •Los Angeles.California 90021 •(213)749-3411 1195 North Tustin Avenue •Anaheim,California 92807 •(714)238-6133 ALL REPORTS SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS CONCLUSIONS,OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL ASA MUTUAL PROTECTION TO CLIENTS,THE PUBLIC AND OURSELVES. 2-Of .p.ien I d Nigt- GW,B zATC, FOOTING INSPECTION 2-5r- Lv /fun�ioI, Dr. gqfo 47-c aiia , G•4 9I 007 INSPECTION DATE: / �r PROJECT NO.: 9,-1705--.2 INSPECTED BY: aD Df c-4 Cie°Z REPORT NO.: THE FOLLOWING FOOTING EXCAVATIONS WERE VISUALLY INSPECTED, MANUALLY PROBED; FOUND TO BE CLEAR OF ROCK AND DEBRIS; AND WELL FOUNDED INTO ( 4'NATIVE ( ) RECOMPACTED FILL, AND ARE APPROVED FOR THE PLA EM NT OF REINFORCEMENT AND CONCRETE AS OF THIS DATE: S4.1-7/ 11 DESCRIPTION LOCATION OOw2-7)14,/0 u.0 fOOPO6 4Ptnox/,n4-0t y /6 ',v x 3 'Dire prci i (/0sP6412 ( iao 't) rTG h's (/66 '4) n6tr(166'L) PTS fJJ` ( BOrL ) it76 # 6 ( 2 ) nG y ( 5/014 ) • LDC-477.J) W'J7u/N Gvv,e fro u.rr THE FOLLOWING FOOTING EXCAVATIONS WERE REJECTED THIS DATE AND REQUIRE RE-WORK AS STATED BELOW, AND REINSPECTION PRIOR TO APPROVAL: DESCRIPTION LOCATION REWORK REQUIRED • — I NOTE: Approval of footing excavations by representatives of this agency is not in lieu of approval by the local building department. Be sure to notify the building department of your inspection requirements; NO NOTICE IS MADE BY SMITH EMERY LABORATORIES. OFFICER \ - -- o uuILIIWcaa xi.o'.rcuuvrflat Itt Tea'LIIHy; IrIc: 441 commercial Way, La Habra, Ca 90631 e`6 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date • REGISTERED INSPECTOR/ACI TECHNICIAN DAILY REPORT ( C 10 ; e ! 11- _ 2- TYPE OF ❑ Reinforced Concrete ❑ Welding ,Q DIA/Epoxy • INSPECTION 0 Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED 0 Reinforced Masonry ❑ Asphalt ❑ Other Job Address • C' i^- � i , ..c., _ ,, --t +.t.r. Tract No. n - -„ Phase Lot No. C. Job Name �_ 0. t \ -i ,'_ Permit No. t' , ;`n `c Issued By i Architect Type of Structure r 1 - %..k f tI s� k IC ti 'Material Description (type.grade, aoUrce) ,Z 1 r , Engineer s) 1 ` t Rr'-r \ ; . ` r `• Contractor \ ,t `\',13 r In C--- . .�V '�',, �, Inspector's'Name ) , / rt' t' ,T ' ' ` Subcontractor `- t •y ' , ' D ti, TESTS PERFORMED iIET# • • • •• REMARKS 4 ;JSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRE tEMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & (DENT. NO'SI ZEST SAMPLES TAKEN:STRUCT. CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED, ETC. r', �. /� f [ tit-L• .--••'•."1 e '4.•r* _j?`rr),d, CAA-' ){.i:a% r\ \\ : ii, .c51)p,'.fc i ,', '(p :n.'.`I. ,..-1 ,,,- ; i t• . Yl p`LTl J."t:irt- 1.-y 014+, C v.J. ,..i.,,,..,.•Lk' .f ,c1 'i',11 -��..$' ., - - - �.i1 .. "- S -r'- r 4...1 c, ter, v. L. ' V.:s r•A v4. 1-k 11 C 4 - S L"J /f f7,. y-L t'-"� T tS t' 1� fy `h(, `,1)1 0.,?:- -c, Zr' `-e- )::, J� ,r•.L '✓,l/f L �r, , i�C 011 J _— } ' F, 1)31.X,4\,/ l ) '_ . 1 , V { ( y y r) C. '..•"t' i,:-T-ii�c a 4._14 � ' �1' ..' `,. r: •-- A t i\: \A.) .g lab b •�r^,' In n in(.1 . f= . . ,-, -- ..c.... C.i '::" LA':\ s �-'% t c # ' •_ . 0_ t •o - i .�,`J A. 1,- •••-,,.• ' .,- es tio• .' l _C., i 1 \_fYr9.. , i •-e I-1 i -& `1... .:/ `...lt,,,,. ?'''"- yc --c I t . ,. CERTIFICATION OF COPr1PL1ANCE. CONTINUED ON NEXT PAGE 0 PAGE "" OF — I ( I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN : TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE _ FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATION, C , � CCC PIVD APPLICABLE SECTION OF GOVERNING BUILDING LAWS • -�4'. _.' .2 0 //. 'L ':ty •.' •-,/ n I SIGNATURE OF REGISTERED INSPECTOR :,, , f rr t f1 I A (:)-?... ! i i 1/4-',i, Approved By .1 ..:,.' y r `v% '`f'C 1 SPECIA(w NO. "AGENCY - .. . Project Supennlenderierr' 1 .' :Y... • White-Office Copy. Canary-Accounting Copy• Pink-Inspector's Copy• Goldenrod /obsile Copy ygL(ny,'�0,1N ., , i \\ COUNTY OF LOS ANGELES —1 rt al, DEPARTMENT OF PUBLIC WORKS PUBLICWORKSBUILDING AND SAFETY DIVISION T ikil • SPECIAL INSPECTOR REPORT I. . D,I' Ohl s,aGrtlfi�Tist$cok pie0sJe $ffi ;I 4-D isti flaegD�s ilof®j(��e,C'W cet hss,wee:1: , NI'DAILY 0 WEEKLY 0 FINAL Report Date 5-28-2019 Building Permit tl 19-0388 Districtofficen Job Address 285 W. Huntington Drive., Los Angeles - General Contractor Victory Contracting Engineer of Record Dodd &Associates Inspection Frequency: Ef Continuous U Periodic Type of Inspection: D Reinforced Concrete 0 Gunile I Shotcrete U Prestressed Concrete 0 Masonry For any of above types of inspections provide Design Mix RS400P41 / psi 4000 ❑Welding 0 High-Strength Bolts U Epoxy Ytl Other DIA S2.0 FramingPlans; 1/S1.1 Location on Site ( ) Description of Work Concrete observation. Concrete placement w/Sm. Trailer Pump; Concrete consolidation w/ mechanical vibrator. Performed Air Temp., test(ASTM C1064); Slump test(ASTM C172); & Cast one (1) set of five (5)test cylinders(ASTM C31). All tests were in. compliance of ASTM Standards &Approved Plans 50 cu.yds placed on site. DIA observation w/Simpson Set XP exp. date 9/4/2020, ESR-2508. Eighteen (18) holes. Hole Size: 5/8"; Hole Depth:4"; Hole Emb:4"; Drill Bit Used: 5/8";#4 Rebar ASTM A615, Grade 60; Edge Distance:2 1/2"; Hole Cleaned: Air Compressor/Steel Brush. All holes applied Simpson Set XP &#4 rebar w/o any visible air bubbles to observer. All manufactures instructions followed. • Discrepancies All work on this job to date HAS/HAS NOT been ailsfactorily completed in conformance with the approved plansand requirements of the Los ngeles County�uifdin)g dq. Signs ur �t-k-/,+.%A--,C-2.-SIl'%f .--7 LA Co ID# 01977 Date 5-28-2019 Print Full Name Lynnard Smith Daytime Phone 0 (323) 506-6808 SiREPORT Revised 04-29.14 4 Southwest Onspeccfiulk:n and Test hg, Mc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 ® (714) 526-8441 o Fax (562) 946-0026 SWIT Job No. Date RfEOBSTE tEIID D SPEC'TOr 9S ®6a0L1fr REPORT 190181 5-28-2019 TYPE OF ® Reinforced Concrete 0 Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete ❑ Fire Proofing 0 Wood Framing REQUIRED 0 Reinforced Masonry 0 Asphalt ❑ Other Job Address City 285 W.Huntington Drive., Los Angeles Job Name Permit No. Issued By Club House Apron19-0388 LA County Type3o'Ftgf Structure Architect 5 ; Studio Antares Material Description(type,grade,source) Eod &Anggineer Dssociates Contractor 4000 psi; 3/8"Agg; Robertson's VicmryContracting Inspector's Name Subcontractor Lynnard Smith _ McGee Contractors TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLE 4x8 5.5" 5 • • INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE&!DENT.NO'S OF TEST SAMPLES TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. Concrete observation per plans @ S2.0 Framing Plans 5" Conc. SOG & Ftg's. Concrete placement w/Sm Trailer Pump; concrete consolidation w/mechanical vibrator/Steel Brush. Performed Air Temp., test (ASTM C1064); Slump test (ASTM C172); & cast one (1) set of five (5) test cylinders (ASTM C31). All test were in compliance of ASTM Standards &Approved plans. Mix Id # RS400P41, 40000 psi, Robertson's 50 cu.yds placed on site. .� DIA observation per plans @ S2.0 Framing Plans (1/S1.1) Eighteen (18) Dia. Hole Size: 5/8'; Hole Spacing: 18" O.C; Hole Depth:4"; Hole Emb: 4"; Drill Bit Used: 5/8";#4 Rebar ASTM A615, Grade 60; Edge Distance: 2 1/2"; Simpson Set XP Epoxy exp date: 9/4/2020, ESR-2508; Holes Cleaned:Air Compressor/Steel Brush. All holes applied Simpson Set XP Epoxy&#4 Rebar w/o any visible air bubbles to observer.All manfactures instructions followed. CERTIFICATION OF COMPLIANCECONTINUED ON NEXT PAGE ElPAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATION, 1100 1600 YES AND APPLICAB E SECTION OF SV,ERE1ID BUILDING LAWS. s SI ATURE OF GIST INSPECTOR �—; / RC 01977 LA County ,--Approved B,y ' ';ci,1 t SPECIALTY NO. AGENCY Pro ect Superi erf'ent White—Office Copy o Canary—Accounting Copy o Pink—Inspector's Copy o Goldenrod—Jobsite Copy Sri F-002 S:\FORMS\DAILY REPORT TEMPLATES&FORMS\Registered Inspector's Daily Report Template,dot ©Southwest Inspection&Testing,Inc ec d� X TREND WEST OBSE 'NATIONS 2790 LA CIMA RD. CORONA, CA 92879 (714) 325-1098 PAGE OF 0 REINFORCED CONCRETE 0 STRUM.STEEL ASSEMBLY g1-OTHER REGISTERED INSPECTOR'S ❑ PRESTRFSSED CONCRETE 0 HIGHSTRENOTH BOLTING CACP kr REPORT OF: 0 RETNFORCED MASONRY ❑ RE-BAR WELDING 0 SHOP /LP—FIELD JOOADORE S /flL 11, inaDINCIPERWSTNUi6ER FLAN FILENUXISS1 27S ( 1- /JrC(AJ , a �� %,o4'1J�2 S/1-21/71- .v GWNFxcRPRGJEDTNAME ARCNIiEar 5 A y( ( 4) r- 4 Dy-(ICY- C 724 r4r4-4 7 ZT , 12 , S 0E6cR PM R RHIAR GRADE 6Urti wEi6RCD,Ara) KJke1EER h On ) -i /1-C c OC .�A r > GHIEJIALCn R - (J.rGreu1/2/ rLd r RA c TZP/LS cU RR.U04f0 REFORi69 — NI5PFL'YOR • .SO4-19/4--c s0 sr& LOCATIONS OF WORK INSPECTED. TEST SAMPLES TARN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. LIATE INCWDAeRCNrAATD3dAMOµT.BO�0L'f8�7�U CHECI<Eb'EIC�ttibfiK PERPDI4AED ILIIiBEi%IVp ,A DWt NOV CF1EStSMGtE81I481RUL•C 5�, (06 ; 1i-14,1r06 gj7n1/4., / 4 t/ bn(,() IF; c- S 4C ga- r_ cTrs/ ci f' ,Sr_/z33` d /4/ 4-r-( f / /4/S/. 2 -I / S i. I . ✓/c2 rr,4rA.Sa„ 0 <t=ir -�r� 4-=.QFJ k-/%%'. rr f _ I • • I HEREBY CERTIFYTHAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED,AND TO THE BEST OP MYABILRY,I HAVE-FOUND THISWORRTO COMPLY WIN THEAPPROWD PLANS,SPECIFICAT7014S,aAPPUOABLE BUILDING LAWS, Site Worm SIGNAIUAEbP RE01sTEAEDINSPEQIQR SIoSfpervlaorApproval: _ - - � Qf/G/ r i / ATEOPREPDRt REGIBtER NUMMI ,' 0\ eonctte .. Southwest Inspection and Testing, Inc. e+< 441 Commercial Way, La Habra, Ca 90631 L (562) 941-2990 • (714) 526.8441 • Fax (562) 946-0026 ' SWITJob No. Date is 4 . REGISTERED INSPECTORIACI TECHNICIAN DAILY REPORT / 70/e / S' -30 - ( I • TYPE OF V Reinforced Concrete 0 Welding 0 DIA/Epoxy { INSPECTION 0 Post Tensioned Concrete 'z' .. REQUIRED 0 Reinforced0 Fireproofing 0 Wood Framing Masonry 0 Asphalt ❑ Other I Job Address ` Tract No.A `a Phase Lot No. e' Job Name Sal\+C\ I"1r.*e\ '\0.c- . rc ck Permit No. o. Issued By/11,_.c . d1. _ 4, } Type of Structure (] . c , Architect ( /S*LA. 8 ; , n.^n+c&r T& •lilt Matenal Description(type.grade,'` source) Engineer b J 4 l /_'/'i SSS 3 Q ' 4-43 p l'SCq Contractor ` I l �.c. . Ctt \/IcTory Car,ftractlv Inca .y+ Inspector's Name AV I i I I s 1 c I� Subcontractor i A C c e. C ,,n 1- ; Cl 11 { I l -I �JttnCT t h� TESTS PERFORMED SET*'TRUCK# TICKET# I SLOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS { I I 2 i 9 1+C4S69cT 6 2- 6 $. d'(:R. I I o ;aleftS r , 1 INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED. JOB PROBLEMS. PROGRESS. '4'' REMARKS, ETC.INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER.TYPE 8 (DENT. NO'S OF TESTr11SAMPLES TAKEN:STRUCT.CONNECTIONS ELD MADE H.T,BOLTS TORQUED)CHECKED,ETC. V h S\+`rL.. tO 7 rO V I -R_ R N:. VA 5 _2(--- -E C1 h tl i 4-00 (, ►'S 1 Co'n c Ic.ctw. 21/4.-k W� COvt • Th-Q. `crr11 SI LAre-yrT^z.ry d.� s �k. ac .. r Slc�h of 1 -Zr ac ? , T4-4-c,.\ o4 Crs,r. c. 1l cLct d 1 7 o c Lk . ; ci t t'\%/M;.� r I�S400 f Na— ' ` z . V-Qr i �1e „ Fc\ � 1Y�� �r c � 0s L��hrtiS �._ • Y- .vcsJzd 2 — tc lad & Ii c.i Rc.r added ov'R.r . brcA;v.. -{ SQ. Tr Q.`C- tri ?(cl.c2v1n-2v.-F o-f C4, C. CERTIFICATION OF COMPUANCE CONTINUED ON NEXT PAGE ❑ PAGE osY' ' OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT ! ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE SAMPLE$ t FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS.SPECIFICATION. / • n " AND APPLICABLE SECTION OF THE GOVERN G BUILDING LAWS. / . U J NI G , a riYti / i : 1 �' >,- — fff I ` SIGNATURE OF REGIST RED I SPE OR Q + Sc- 013 L A Co , Approved By _ 4'�: SPECIALTY NO. - AGENCY Project Superintendent `,,,Z drx, White-Office Copy,• Canary-Accounting Copy•Pink-Inspector's Copy• Goldenrod-Jobsite Copy :„.-N... 1 f S 2.w \ , I 1 SWITJobNo. Date i REGISTERTED INSPECTOR/ACI TECHNICIAN DAILY REPORT 6-11 -19 TYPE OF ❑ Reinforced Concrete - INSPECTION ❑ WeldingoWooDIA/d Framingay REQUIRED ❑ Post Tensioned Concrete 0 Fireproofing 0 Wood I ❑ Reinforced Masonry 0 Asphalt ❑ Other Job Address 285 W.santa Anita Arcadia ca Tract No. Phase : Lot No. Job Name Santa Anita racetrack Permit No. Issued ByCiry 1 Type of Structure Reinforced Concrete patio Terrace (fin Studsil ���e A IteDtStudio Antares Material Description(type,grade, source) Engineer Dodd& associates • ASTMA 615,S1.0,S1 details#2&11 Contractor Victory Inspectors Name Eugene Yancosky Subcontractor McGee concrete I TESTS PERFORMED SAMPLE AIR CONC WATER TIME { SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY— LOCATIONS. OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER,TYPE 8(DENT. NO'S OF TEST SAMPLES.TAKEN:STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. I observed installation of#4 dowels with 6"embed connectingexisting curb to reinforced concrete patio 105 total and at cast in FF place wall 20 total at terrace#3 ,All holes were drilled to proper embed 2"3/4"and cleaned out with pneumatic power and installed l with Simpson's set XP epoxy expiration date 10-17-20 as per plans and details I t-: CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1 OF 1 LrrM , I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT SAMPLES ALL OF THE ABOVE-REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE [1. _ , FOUND This WORK TO COMPLY WITH THE AP RO ED PLANS,SPECIFICATION, AND APPLICABLE SECT! THE MING LAWS. 4 hrs ' SIGNATURE OF REGISTERED INSPECTOR _ w,vnumauw•'amnmd a PT 8223015 ICC , Approved By SPECIALTY NO. AGENCY - Project Superintendent White—Office Copy•Canary—Accounting Copy•Pink—Inspector's Copy•Goldenrod'—Jobsife Copy t SITI F-049 i S:\FORMS\DAILY REPORT TEMPLATES&FORMS\concrete-Tech Inspectors Daily Report Template.dot a @Southwest Inspection&'Testing,Inc., ' , . it - 'ti Ja' wwt s;55 -'.ntif40. - ,"' •.. i 4..t•4' r r k•w . i 'r it zd + ^'5�t-, .-s .� r...' : S FN.... ,t•4';XY4, +.P-"T si..•5I2 'C,47, .) 11. ,Y4!:1.0r '*ti'-'4 .-4 ..s':'c ,7-^1 , ....., .