Loading...
HomeMy WebLinkAboutCOMM-19-1203 / City of Arcadia, CA -PermiiiNo Comm 19 1203 n Development Services Department P P 1 � Y�'"`"4s �"" °'" �7`� s )�- � „? � , �PC'rmltTyJJC' COt11t71erClal�. t " 240 West Huntington Drive,Post Office Box 60021 a .; g ,�^ � iso �c �� I tti 3 r + �,xx t r t AWoreelassificbtiion Commercial New,, .: Arcadia,CA 91066 6021 : „,, „w, + fq,�+, r` k„ 4- , 4, ;- 4 ,� (626)574-5416 . ° ro ,i�n a '� .4.,t,,,1*..- g' em �aaii(pnE *.+ ups Pefmlt5tatus :Issued ARCADIA Issue Date o9/20/2019'I Expiration: 12/22/2019 the,. . , _t. 4., , ,,: :, Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR BUILDING Arcadia,CA 5775015029 B 1ST FLOOR Contacts f, VG PROPERTY INVESTMENTS LLC-C/0 Owner GONZALO DE VERA Applicant MIKE SOO 903 CAZLE AMANECER 210,SAN CLEMENTE,CA 92673 125 W HUNTINGTON DR (714)600-2234 CON-AM INC* Contractor 903 Calle Amanecer 210,San Clemente,CA 92673 (949)498-1003 698311 Description:NEW MEDICAL BUILDING FOR LINAC EQUIPMENT Valuation: $ 172,038.16 Tenant ATTACHED TO BUILDING B 1ST FLOOR.OSPHD 3.SHIELDED ENCLOSURE. Total Sq Feet: 1.288.00 Plan Check#19-1203 Plan#137 Fees Amount Payments Amount Paid Accessibility Plan Check $168.46 Total Fees $19,489.65 Accessiblity Building Permit $172.77 Cash/Receipt#REC-02565-19 $15,021.87 Building Issuing Fee $47.01 Cash/Receipt#REC-01632-19 $4,467.78 Building Permit Fees $1,727.70 Building Plan Check Fee Commercial $1,240.74 Amount Due: $0.00 Building Plan Review Fee $1,123.01 Cal Green Plan Check $112.31 ��C2, /5/7•416' C Double Fee(Building) $1,282.16 / e Energy Plan Review Fee $345.54 See ei 4C 57@e%Cl/I �L l� moo//%��46, Arh Fire Final Occupancy Fee $200.00 Fire Plan Check $168.46 CALLS FOR INSPECTIONS Grading Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message Grading Permit Fee(1-1000 CY) $450.00 requesting the address,timeframe and what inspection item is needed. Grading Plan Review Fee $850.00 Green Building Standard $7.00 Medical/Dental Office $9,119.04 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee $6.25 void if the work authorized by the permit is not commenced within 180 days Strong Motion Inst.Program Com $48.18 from the date of issuance or if the permit is not obtained within 180 days SWMF FEE 2 $100 from the date of plan submittal.This permit expires and becomes null and SWMF FEE 2 $1.00 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 WELO Inspections Fee $625.00 Arcadia building inspector for a period of 180 consecutive days. Total: $19,489.65 ai COM#LETTh 1/ / September 20, 2019 Issued By: Date September 20,2019 Page 1 of 1 f ARC V~4 ouF ',06 PERMIT/PLAN REVIEW APPLICATION �` Development Services Department,240 West Huntington Drive,Post Office Box 60021 0m.uity atv 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 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' G `" compensation, asprovided for bySection 3700 of the Labor Code, for the License Class S Lice Y�'�f! Exp. Date 0/40-1 P performance of the work for which this permit is issued. Signature of Contractor AlliP OWNER-BUILDE' ECLARATION ❑ 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 Professionsis issued.My workers'compensation insurance carrier andfpolicy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier T° ter .p au newel ry 1 . ewe demolish,or repair any structure,prior to its issuance,also required the applicant Policy for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permif 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 'e Labor Code,I shall ElI, as owner of the property, or my employees with wages as their sole forthwith co ply with those provisions. compensation,will do the work,and the structure is not intended or offered for Z • sale(Section 7044,Business and Professions Code:The Contractors License Date [ Signature i APIIIPr- 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. Named Title • PRINT NAME certify that I have read this application and state that the above information is cor sect and that I am the owner or duly authorized agent of the owner. I agree to comply • : • - • •'nances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ent• - r p• the above-me tioned property for inspection purposes. ature i /� \ate / /Snef Business Services (SitJ Certificate No. 20190226-031 150 South Third Avenue A A C A 3 A Arcadia,CA 91006 p 626 821 6631 lkit,,4,41c Unified School District f 626 821 6632 Imagine • Inquire • Inspire www.ausd.net Certificate of Compliance for Payment of Developer Fees (Education Code§17620, et seq. &Government Code§65995, et seq.) Effective April 29, 2019 Current rate in effect applies at the time of imposition of fees/payment. Project Address/APN: 125 W. Huntington Dr., Building B, 1st Floor, Arcadia, CA 91007 Number of Units: 1 Plan Check Number: 19-1203 ❑ Exempt* ❑ Residential" ® Commercial/Industrial** ❑500 sq.ft.or less(residential addition/expansion) $3.79/sq.ft. $0.61/sq.ft. ❑Other: Area in Sq. Ft.: 1,288 Receipt Number: 330510 Total Fee: $785.68 Check Number: 724 Owner's Name: ConAm Building Co. Owner's Address: 903 Calle Amanecer, Unit 210, San Clemente, CA 92673 Phone Number: (949)498-1003 Email: gonzalo@conambuildingco.com Representative's Name& Phone Number(if applicable): Gonzalo De Vera (714)600-2234 *The above-described development has been determined to be exempt from the developer fees of Education Code§17620, et seg., and Government Code§65995, et seq., and a Building Permit may be issued therefore. **All fees due to the Arcadia Unified School District, under provision of Education Code§17620, et seq., and Government Code §65995, et seq., as a prerequisite to the issuance of a Building Permit by the Building Department of the City of Arcadia, City of Monrovia, City of Sierra Madre, City of Temple City, and County of Los Angeles, Department of Public Works have been received. Based on the information presented above,this Certificate of Compliance is hereby executed. Connie Chu Senior Administrative Assistant 9/25/19 Signature of District Representative Name/Title Date of Issuance The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds"check in addition to a$35 fee for the returned check. Only cash or a Cashier's Check will be accepted as payment thereafter. The District charges a$100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance formerly issued on any type of development. If 500 sq.ft. or less is the reason for exemption, any future additions, expansions, or remodels to the property that result in the past aggregate square footage to exceed the allotted 500 sq.ft.will be subject to fees at the current rate for the entire square footage of the development. Owner/developer may request a refund of fees paid to the District within 12 months of payment only in the event the Building Permit expires or the project is canceled without commencement of construction in accordance with Education Code section 17624(all other requests for refunds must be made in accordance with the fee protest procedures set forth in Government Code §66020). All refunds will be reduced by a $100 administrative fee. The refund check will be issued in the name of the owner/developer and mailed to the address of payee. PURSUANT TO GOVERNMENT CODE§66020(d), OWNER/DEVELOPER HAS A PERIOD OF 90 DAYS FROM THE DATE OF ISSUANCE OF THIS CERTIFICATE OF COMPLIANCE TO PROTEST THE IMPOSITION OF FEES Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided to the District is true and accurate to the best of his/her knowledge. /> / 0'6 210 T&"" (/XPi . `�G2.�Z©lV. signature of Applicant (� Name ate ORIGINAL —City/County COPIES-Business Services,Fiscal Services&Applicant Certificate of Compliance(4-29-19) ice+ .., 141; r • N 1,`r c.. iA P!7.�_..._ a'o AM %�` .li^" +{ T. '. 1 Al:.♦ ...,b. sv .`•4sz. ' , F. ,`' t ip. :WA,,,,;', � a• i t",.}.^r'9 44,iv ,GTY'<ie, etlA.. - n.M. ' .'.7n> "'-1A f }fi ,;IN�• .�.r„ .y„ �"j°- N. 4 { Sz'K= ..A9� IRSh: Na, x- .- ..., t�.t rY,h..,. ... t.'t --... �; '�" �`�tif r ".`, �t �i�'� •tj ' �r*,.a +'��r� ?+. .. l,A'':1: r v \ /' Z :"', ", 4� n n\ , � .,,,, t F ;1,...,2,4,, 1,� /^ ^^ C7,' ' tf .'; ..,. ^ lo �6 e r �� T g. .441.0 .. 1 .f i... Certificate /�) � Q/�Q/,may ///� Occupancy /�y�)�,�/p {�/�J/�''//yp , .<• ,, City of Arcadia- K I`"` ^ Development Services Department—BuildinDivision �L •a i. :rte tom ... fi Tom .i r} '` This certificate issued pursuant to the requirements of the California Building Code certifying that at the time of issuance this structure was in aA< ;•;. # P compliance with the various ordinances of the City regulating building construction or use. {+ A rr , 1 e- may �y{ Permit No. TI-19-1203 :.i k'''' g, I Building Address: 125 W. HUNTINGTON DR BLD B 1sT FLOOR ARCADIA, CA 91006 r ,..... :' r. `yY �{ti vr1 s`}� , ,`.f permit Type: COMMERCIAL NEW p!i _ Effective CBC: 2016 C.B.C. 0,4, f'SUR 1, ��Occupancy Code: B N" _s•VtZone Code:,', L I Final Date: 5-26-2020 Type of Construction:- TYPE 11 SPRINKLERED t - ?eaa� i:::.', y � .( pr s�. r + ` ° , owner: VG PROPERTY INVESTMENTS LLC Tenant:LINAC • fl..;,--" "° ,67t' i r. ' r ,,) - , ,..:-: .. w `,- �' Kenneth Fields, ilding•'' ial ' ?° x.-' riIt3 m ate ' Post in Conspicuous Place 3 ^y f{G J c. .- / ,.n"61'6.,.,,,,_ . S�v„,„,a®a.t..":r�u,.., ,r..:t as ,, :,:' os v- Tiri��,s i;�:,ffaivez.,,e i •:.;.aar"", �i 1�(.•r� F. ,.--, -.4,.;- - • i� rte` X•+.Dies'r*.s"i`5�'.�s".5fia` .:LC 'pane "^SiL # dndeffttF?,':€`x rx.:..z:.:�..,r•, `�, .1. "'`v2 V• +R. {.;:. ': :. ,,,—. ^,",-..f'J"' l^ y..T—' ,:f. 1 ,�:- ..i 4 -o! wR.°,..4 y, ��,-.-i..• v'�` .�,�, r�'rr . ..:; � „�� .. . .r +� 9fi� `"'��.� �r�'tl ,:%'z+ f ` 'Ir _,,' F !..`.moi�,-��� '`,� �:y.� �.,,,r. ' '' - fv. l- � 2y ,. ��v��y"�� �, p - .�A ,,$ ,r " .{r'��.�: r c '` ' ! r^ �9.r> '. 'yi. ,1:F.: .! � '^V4 1. ""'tsCY/' `".#'�.. t �l/i f E•"�.� .,.` 'f,. C.\ . • n'a�V" ''' � >r" {' P.l-:� ' / '.t:. a'; A„ ,w _ rFati. t �i ` II �' wa... ;n•' i;k ",• -.,.kyr^ " • � fi" t ' .„01#•.-1'...%1‘;';4r. 1 ,� ,moi: II _ bg .y �"'� w? � V_,^� }, U ° t:, : is kk� mf e ffi, wry t $ yf ' ^ + q e OV ARc 4��,yirottv�4Itw Agu t5,1903 IMF 11,70. # a�•g July 7, 2020 ma unity of Subject: Address Assignment: 125 W Huntington Dr CitY ®f Please be advised that the Cityof Arcadia has approved pproved an address assignment Arcadia. for the subject property, Parcel No 5775-015-028 Please update your records as follows: Development Services CURRENT COMMERCIAL ADDRESS ASSIGNMENT: Department 125 W Huntington Dr, Arcadia CA, 91007 Jason Kruckeberg Assistant City Manager/ Development Services NEW COMMERCIAL ADDRESS ASSIGNMENT Director 125 W Huntington Dr, A100, A200, A300 B100, B200, B300 Arcadia CA, 91007 The City of Arcadia would like to bring to your attention that we are requesting to update the unit from one address number to six unit numbers and would request you to modify the address in your records. Should you have any question, please contact the City's Development Services Department/Building and Safety office at (626) 574-5416. Sincerely, Kenne field tui oing Official 240 West Huntington Drive Post Office Box 60021 Arcadia,CA 91066-6021 (626) 574-5415 (626)447-3309 Fax www.ArcadiaCA.gov REGISTERED DEPUTY INSPECTOR'S ( ----'CERTIFICATE OF COMPLIANCE � Date of CertificatezQ'/ 0X) Address: [ U). }-161-4,9-6-14 J Y. Fabricator: Permit: P 1 - CD3 TO THE CITY OF ATOI 10( SUPERINTENDEENT OF BUILDING&SAFETY I hereby certify that the following portion of the work at the above job address which required continuous inspection,and which I was employed to inspect,was inspected and approved by me and complies with provisions of the Building Codes applicable thereto: Type of Inspection: ❑ Steel Construction 0 Sprayed Fire-Resistant Materials ❑ Prestressed Concrete ❑ Concrete Construction 0 Smoke Control Drilled-in Anchor ❑ Masonry Construction ❑ Methane Gunite/Shotcrete ❑ Wood Construction 0 Seismic Resistance 0 Exterior Insulation&Finish ❑ Soils ❑ Wind Resistance ❑ System 0 Other: Location and Descri)ion of w rk completed: L irlam of 1:,21,(0 ,,, t(tdt"--. i J •� Fr !' ft Do-j- . , t:1i^-1 t ►i-^ .�► ■J:`; 'J 110. 1! ' • � V/'--Itt 4 Size of Structure: Time Arrived: 5 O -' ' No of Stories: Time Left Job: Registration Number_)(JaIJ t.6 CC6 LIA7) EmployedBY: t Signature: ys — Registered De ty Building Inspector Name: Woong Choi E-mail Address:cwsi789 a(�,gmail.com - DO NOT AMEND,ALTER,CHANGE,DELETE,OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. , 40 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of , Job No. Date TYPE OF ❑Reinforced Concrete ❑Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address S 1,\J }}U AI T(NI cy'c-\j 'b. city c4p ,ic-p� A. Job Name L1 Sc Permit-No. i 4-- 1 Rem Issued Bycir>, op iirgc,tha Type of Structure&Size Architect Material Description(type,grade, source) Engineer i.4 P pp W-Nv -re n1 K._C 147°. Contractor CO''JA ro, Inspector(s) Name Subcontractor WELDER LICENSE# WELDER LICENSE# INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT:AMOUNTS OF MATERIAL PLACED OR i WORK PERFORMED,NUMBER,TYPE&!DENT.NO'S OF TEST SAMPLES TAKEN,STRUCT.CONNECTIONS (WELD MADE H.T.BOLTS TORQUED)CHECKED, ETC. __ 11.9sOaCe6 b i` ei l Cep ApRA j6 A41 0 1.4 CA Ti c.PA c-ic DACT ke-r 514 K 6 tf/ TO mft— S,e ciCrO ort_ l FA in S i 1 ck.JI ) e`'`c, IN e) _1::. P-Q A M--C; E? 7 G 7 7 -4 A V G . ` +ei-`evss PcC_141L.1)Fb 57gi' -telAGA)sT 6,(s1f2f;`►) %',,00-Dqllt!i , Fog__ Tt . s-r e---E2- P LA TUS' I N T+ic VA-U L-T AK ! -p AV Ci 14(c J' s A H,al et s-/E'' AGA-ai`7' cti/6 -4 A LL.C_c r Le ai • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORT D WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS ORKTOCOMB YWITH THE APPROVEDPLANS,SPECIFICATIONS, AND APPLI (A' SE^�TIOf S'��F THE GOVERNING BUILDING LAWS. L11 lJ All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum. In addition,any Inspection extending past noon hour will be an S p� SIGNATURE OF REGISTERED INSPECTOR r hour minimum. P re Pit'*I^P /-tQ,1s7U r�.e Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/11/2014 r rp3 Z Z )fi e,12- Y 1941CR FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of A,Ri A Job No. Date a`to-C TYPE OF ❑ Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control INSPECTION ❑ Post Tensioned Concrete eRrFre Proofing ❑Other REQUIRED 0 Reinforced Masonry Job Address ,.2A-- W, -Wyk)1')k)( -1-0 7.1 E%(:. City L pA Job Name (..)Sc., Permit-No. .,1 C.1,Igo3 Issued By u T Y (5-P' M Type of Structure&Size Architect Material Description(type, grade,source) Engineer N4 p 'p p 140Vrc m k6 7 Contractor ell A-) Inspector(s) Name g.ioUNI tiAt2,KA-K31 Subcontractor WELDER LICENSE# WELDER LICENSE# / 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. kls-c-c b-PV14 eAT! o-7v 0r M OTNI CKOT L J1K. C3 "' P 1 Qt" A )206-P 9,i G Po r4-ems- TO TO 'i FJcj ST12U CCU��1Z., s-ci- 1,___ m EL,=t'S� 6U CA- / li s,, Ph-site-7 c ETC (t ,c• 0 6)(0,- I's-i2GA cow 1 sT)i) Cs Kau)) G)at b b1170- M o 6 7,6--7,7 `_- est Arcs ET(' FII) MAUL` Ps-kb-is.--- ()"L tEs lr'o-e_IL. i h1 PRL 6 14-5 Cr \ • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSP TED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED 0 UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WOR OCO fbP,YVI E.APPROVEDPLANS,SPECIFICATIONS, AND APPLICABLE (t;TION tpITHE GOVERNING BUILDING LAWS. �,l All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum.In addition,any Inspection extending past noon hour will be an B t� SIGNATURE OF REGISTERED INSPECTOR hour minimum. P'o're --r PQZ>dl"3 /a'Z a7)- Approved By SPECIALTY + NO. AGENCY Project Superintendent Fisher Form VI/11/2014 .,/0 2Ss 7o /cc_ — lCil 7 LACan T. • WigFISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 i Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of q.�cpr ti i1/2 Job No. Date .2_ 'O�G TYPE OF ❑ Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing ❑Other REQUIRED ❑'Reinforced Masonry Job Address 1 is W, •Wcf fv 7)iL3 C.�TO-.1 1731,9‹, City c ,b,.ec -rr Job Name USG Permit-No. r ,1GI,?aC3 Issued By c y c..r_ A/341/ Type of Structure&Size Architect Material Description(type, grade,source) Engineer k p 1=p 141* -c L ,%n 6 t,‘.7 Contractor e_ pom Inspector(s)Name Subcontractor WELDER LICENSE# WELDER LICENSE* 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. 1 ki s c.Zr`1) h Q Pl al,ri c ' M ori 0 Kc'T& P'1)& 147 P 1 Qt A k6zp-P1N G Nl,)-rCQ1 T6 re r1 k)cj . 6T12U c[u tP ct sTG 2 m C k --r?s 6U 04- /ls-s A.Il_sa j 6112.1 15.- .A ce,r;>'A(sTJ iv e Kr-4J)v'6 GO b tin/0' M-0 6 7.6-77 — 1A11 s E T C Flip VA-L.LT A- Z ---- 01,A T.Es Y sQ-e_k. jr ' 9 lL G W–C-- C N • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ . PAGE OF I HEREBY CERTIFY THAT I HAVE INSP TED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED 0 UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WOR O CO1 P)YVSI E PPROVED PLANS,SPECIFICATIONS, % AND APPLICABLE TION UATHE G VERNING BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum.In addition,any Inspection extending past noon hour will be an 8 h SIGNATURE OF REGISTERED INSPECTOR hour minimum. •SPECIALTYrc �JN Tci / 12 2 LA c AGENCY Approved By Project Superintendent Fisher Form VI/11/2014 X'0 2S. 71) /CC l/7 g 7 LA CriN Ta. • FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 Office: 818-349-1806 • Fax:818-349-2340 • Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of ARCA-D ft* Job No. Date��ay_� TYPE OF ❑Reinforced Concrete 0 Structural Steel Assembly 0 Quality Control 66 INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address i '�~I y t 1 J isa 1-614- Q City Job Name USC AZA DI4 Permit-No. I vi_ 1 0.3 Issued By Type of Structure&Size Architect Material Description(type,grade,source) Engineer If c'F Contractor Colin Inspector(s)Name Alta.."( sTizee. Subcontractor WELDER • LICENSE# WELDER LICENSE# Pu r cj po Po o' - 2j 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. 10 ��I I l,'1/U ,Nd 1A4.131,311 PF2 IV+AtLs 244 4(3 4' A&ei 2 a c._.� 6--;:r S61 o0 --1 • • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNL OTHERWISE NOTED. I HAVE FOUNDTHISWORKTOCOMPLYWITHTHE•, ►V DPLA ,SPECIFICATIONS, AND APPLICABLE SS OF�TH�GOV'�r-TT'' =UILD�'f LAWS. / �� All Inspections based on a minimum of 4 hours and over 4 hours—8 hour� (/ minimum. In addition,any In ection extending past noon hour will be an B SIGNATURE OF REGISTEREDLINSPECTOR 1 hour minimum. 56a—h 1 V 8517 4 6 Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/1/2010 f giiip FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT city of ARC RPI.i'i Job No. Date_4i. TYPE OF ❑ Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control INSPECTION ❑ Post Tensioned Concrete' ❑ Fire Proofing ether Di Al L=FC y REQUIRED ❑ Reinforced Masonry Job Address \ ), ,- W 14 VI f\i, T"1 iI/�i o ',I j.)‘k City Ni.L A.b, ! A Job Name L i N p L VA iA L_. _ Permit No. ici _ 0 3 Issued By L. s CG i�NTy Type of Structure&Size Architect Material Description(type, grade,source) Engineer Contractor CO N A p,\ Inspector(s) Name G/R At &,r LD 14/Z Subcontractor WELDER LICENSE# WELDER LICENSE# 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. 1S&D — tB 01/1 --r 5 i DE ©� I/t iAL-r- 1.-.7-1), ; fi-H-T- 6---A b-k r>A D 0-)A1-1-5 j r.T s i vel 5 pjNG14o2 r RL trR .0/Av�l1✓r->�d `5� 1>°1.1"1(,75-16.7- K AN 5-FA i_i-go Ii r LYj KB----r . I/a.x 3 >/y, AN H—oJS ( V L----,Q-T) /Al"I-D coJvc2-t-c /% /—I / 7T (fs-e 3c:-y --V.0 li b L 65 -Tc.c LI IAC.- 30 .1 n 1- , Eiv p 0c i// vi L I f. FT foto ov►r. ii-c R.l LT &It W iA i-t TklA-C,K 5'orltM4 RE-ii-iv 0 i% 5 o)=----%7-1 i/Y STA L-t D 4i(/ fl H 17,--RE: 5 o-o V 3 EPDXY (c)(Q J I /,2ti,4.v)f fig', 17Le-- i ji 'IZ'r 0tA,.T, w 17"j-) .9:11g)(1,5e72 1-o1-AL iAT/11.4-1- 'l t o74OR Il 64/1,-. 14,<v i 7i / D /2 - /t L 1-EPV 1 v ,}(12-:7-1,4e8-�'r/S3/8 x�s_�1��'�i4 r�2S , Sc T/, .rb 2c X1351 g&�L C/ 6/ •1- c o- e-. A />V/ 5,r r1-7- i o 1 '-t' I% 2 bili6- A g CS,, / / / 0,"< OTA-15.--p_ fi V (--- IMLF:7., RR G151� h •" A L 0 wA) 0 i-t`1' CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE \ OF_j____ I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE y� FOUND THIS WORK TO COMPLYWITHTHE APPROVED PLANS,SPECIFICATIONS, 7 � I 00 ! X "--. 1 AND APP,j.ICABLE SEC V�' OF THE GOVERNING BUILDING LAWS. (/1 f All Inspections based on a minimum of 4 hours and over 4 hours—8 hour �� minimum.In addition,an spection extending past noon hour will be an B SIGNATURE OF REGISTERED INSPECTOR hour minimum. b 1 A 1 ) 0 - t-r A. Approved By � SPECIALTY NO. P6)75-0 AG{C Y pp r Project Superintendent Fisher Form VI/11/2014 L. 'Pv,c- I 'f'y e_6) 7J • FISHER INSPECTION SERVICES • rev- CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 Office:818-349-1806 • Fax:816-349-2340 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT CiAlIA Job No. Date. tyoflie Z3?L3 TYPE OF ❑Reinforced Concrete P1 Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete ❑ Fire Proofing C'Other pip.- REQUIRED 0 Reinforced Masonry Job Address Liu, 'l La Irl 1 I N'4-7 LON DR City ARCAlki A Job Name .1i ne .)!At Permit-No.1 el_ 12 03 Issued By Type of Structure&Size Architect Material Description(type,grade,source) Engineer j,Ler'1: Contractor CONS- Inspector(s)Name A��L U• ST2 cr Subcontractor Sc u go f` R JR©u WELDER LICENSE# WELDER LICENSE# C-4 f l D5 POI-72.4 b E-ZG-70 YA-A FI ckeNS Po 3b3' 7 • 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. FrC—C l i vha Ci i'= Tl ue`C4g l L'2, ti 5LAi4 323— Hf C- l S I�eN t -/ 1-301,71.5 -"iv;"Atvd el.,-11616615( =s if xis( 13i.�i i nc. E 1=OkM v i-t " 'X 3//''/ AIL-74 c_-,s C oiQfAe T stt1_1 -''' /-ifLi I IACa M30 rr Las 3-c11,ACE5 1-4,11-L-_- -K6 © Lo 1- 6 L13i FLt4er- I t Ns A-LLIcri .M >r 3J41( hJ.L, T1-11915-...AJ i &1OrerP IW1 cLi 3 (i pi.,4c. r5 _ NC IiL l - 7 -- 20 1� D l 2 10- 2.020 OA-Tel-414 I I 0'7 !- lei2. L‹ 1E41E4,-7fir-' (A t h- 6�t 1,I2-* T o AR l Nem 1345r CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, AND APPLICABLE SECTIONS OFTHE RNING BUILDING LAWS. _/(7 All Inspections based on a minimum of 4 hours and over 4 hours—8 hour t (f minimum.In addition,any Inspection extending past noon hour will be an S SIGNATURE OF REGISTEREDTINSPECTORIN /'' hour minimum. 14 r�L-g 3 /-• L'3 (� Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/1/2010 FISHER INSPECTION SERVICES iii.1.0 CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 • . Office:818-349-1806 • Fax:818-349-2340 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT ,� City of ARMIN/ Job No. Dat1: �3?� TYPE OF 0 Reinforced Concrete t3 Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 1 Other REQUIRED 0 Reinforced Masonry Job Address I Z /A), I.4 wu 67 ;tv DR City IIRci bi 4 Job Name u..c4 AR c AAR( 4i)1, Permit-No.1 (./_ j 2 03 Issued By Type of Structure&Size Architect • Material Description(type,grade,source) Engineer pc Yrt'' Contractor ONI+ice, Inspector(s)Name A/o L pN a Sl-2L6T Subcontractor Sc R0 pD IR hick WELDER LICENSE# WELDER LICENSE# G J1.LO5 P>/A_ Pt12-72.4 e) u- —2.0 R Y1 -fit Pi C( 6N-5 Po 38847 (7.--3-2.2. 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 a • (WELD MADE H.T.BOLTS TORQUED)CHECKED, ETC. kit GP .S I f A/ I-4 eoiJ3 ✓k;r`Ae , AL?' fz LL . r L) I~'LAihtr_-t jr- 3 4X3"A3/8" AO6Gf_s ifxie_t /3/5/47- . Pi,A-C h E f EFokm r? Lt "X41'5( 3/8'1 Ar 1674 s T o R Q(Le Ti-=.5-1 11-2-V Mi 1-71 tG 6 l c 3 0 /T Las .5- rt,A CES S,%`1� II, rL- 3 '' vC0r';JJCBS j�, FL14 • 1 NS TALLIA.-Teo ki e v 3/i+" /4 .t.: `f,'-/p A ci i 0" Ogre ittrrii C Live 6 p .pet 1E5 Li iN i 1 111 1-1,7 --}-f' 2.0071- 117 6 t-cT 3 D 1.( 1v 202.0 1 Te_i4 15'5' 1 01 t..)- //2. .2 `ei PI-L-1,4 (A L ' L M c-) OC /17 c./,. 5716 `( I=L - c �L<1 r a y 6r 4 ``X Li, 33/g` A-/&&4i -g I o kikR 1 Nikt 8i45 41- PL iC-.5 - • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE O PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. . ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, AND APPLICABLE SE TelONS F THE RNING BUILDING LAWS. \,....) 1(7 Ci✓�Q All Inspections based on a minimum of 4 hours and over 4 hours—8 hour f minimum. In addition,any Inspection extending past noon hour will be an B S�SIGNATURE OF REGISTERED—INSPECTOR/'�GISTERED INSPECTOR /'' hour minimum. 5 5IAJ 1)1 4 0 3 S-1=-L-- ( l� Approved SPECIALTY NO. AGENCY Project By Project Superintendent Fisher Form VI/1/2010 FISHER INSPECTION SERVICES 44 , CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 . Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 / Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City ofAa Q/4 Job No. Date`l 3-La TYPE OF ❑ Reinforced Concrete fa Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address i Is-Wi 1- iI—i(per p CityMacza_oi As Job Name LL5e._ me i(A Permit-No.l '1- 12 53 Issued By Type of Structure&Size Architect Material Description(type, grade, source) Engineer tic - Contractor Coici4AIN Inspector(s) Name /I,kaAto, 57721;a21- Subcontractor WELDER LICENSE# WELDER LICENSE# Z/ c j-f 6t-,4c5c2iy 3a65' A-tu5 INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDESCHECKEDINFOR,MATIONETC. ABOUT:AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&!DENT.NO'S OF TEST SAMPLES TAKEN,STRUCT.CONNECTIONS`' (WELD MADE H.T.BOLTSTOIRQUED) ',Him 0 r 2:5(-2_, l/zt- ilnic-71_-.5 To L.1-1,1 a ---R scar oF ROO C=i -)---IX 2- X W- f vteE S 62 41,5 E UALL s CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK U - OTHERWISE NOTED. I HAVE / \ FOUND THIS WORK TO COMPLY WITH THE O D PLANS,SPECIFICATIONS, AND AP PP B SECTIONS OF l l' E GOV I • BUI +ING LAWS. �/,`7 CT All Inspections based on a minimum of 4 hours and over 4 hours—B hour Aft minimum.In addition,any Inspection extending past noon hour will be an 8 SIGNATURE OFF REGISTERED INSPECTOR hour minimum. W.-PI j�j SS / 14 D 8 6.R5- j r- ( ( Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/11/2014 FISHER INSPECTION SERVICES lCONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 0 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT Job No. Date City of Aar' A(�G A., !'10-70-0 TYPE OF ❑ Reinforced Concrete ❑Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing Ef Other t A REQUIRED 0 Reinforced Masonry Job Address 12-3 int: . I /i214TL Gtr OR. City RC ND 1/. Job Name , Nt .e G)( A Permit-No. 1 Issued By Type of Structure&Size Architect Material Description(type, grade,source) Engineer 1l c Fe Contractor Co j► ,A_Nev Inspector(s) Name i`/oL Q,;S Lltivg-`� Subcontractor WELDER 1� LICENSE# WELDER LICENSE# A c 14 6rti soy( 3 o Ce444;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&IDENT.NO'S OF TEST SAMPLES TAKEN,STRUCT.CONNECTIONS • (WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. Q( M IT 6 l `3/. `'4 41L LTf -rZ 3/L ,X '7`` t&L i 5 To 1.ti L 1 c:t< 1 PcLi,rej 76 PLA I^- ( aG 3./q"ei4 32 i.. . ( 35/,.( - 6!-{ I3 1 '5 1 (= 5- F C - t���� N d S ? RACES 57/6:/F iLi_L-T litelac( tigc, aF 7 4 0 CJ- i s To boO�z 1-/cAa1=R_ Y 'Pc LL.iAT(A) e=L d-uic, OF 2.u`)C24 4 d 3 I`;X3"X 1/4 IL-L(3 es To I .gid 5 A,l4 -t,�, d C 5 icJE 6F Roo F. 13AA5 Auc( 3`` 311)( 1/4A `` 14-, Lt ANci A-iceLo 'b RooF Biyts • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, AND APIyLI BL SECTIO S OF THE G -RNING BUILDING LAWS. • .�� All Inspections based on a minimum of 4 hours and over 4 hours—8 hour �� �/ minimum. In addition,any Inspection extending past noon hour will be an 8 SIGNATURE OF REGISTERED INSPECTOR hour minimum. 5qik1 - i;i2 -0;1+ Z%�til �,`1 1'x'1 G Approved By SPECIALTY NO.' AGENCY Project Superintendent Fisher Form VI/II/y0,4 FISHER INSPECTION SERVICES . „.. .1.4:0. ' , CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street,#350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 2 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORTJob No. Date City of 1��i4— �.Z4o /9 TYPE OF ❑Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED eitt Reinforced Masonry Job Address 1 z 5 co , I 'mil /7. City A�„ilz � Job Name v 5 e i 4- Permit-No. /q . i Issued By d/ Type of Structure&Size (,,l'M.u_ x.6'1/ /S/t- r-'04/ Material Description(type, grade,source) Engineer ..519p tZ rf1o../ Contractor e, AJ/l Inspector(s) Named lit tej,i Subcontractor m ikSaAl 1 eatimf i WELDER LICENSE# WELDER "�'� LICENSE If --- _____ '2.--N._ 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. — — — obs�.etED 1/fe-tgAtif-AFt u 1 1-tz4-_ CZ— XI. (,C?/rl/ re / .D. W I �.D.cs�-� /rcrutita 4.4-1 �4J /_) 6-� Co ,els�b� Ail /int 1ra4lcil�r,f v6 la s i 's lfc� . ,41/ 1,00,t-/e ( l • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE / FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, —T:i2 ' Z.i ( AND APPLICABLE SECTIONS OF THE VERNING BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum.In addition,any Inspection extending past noon hour will be an 8 hour minimum. SI ATURE OF REGI ED INSPECTOR �03 /`{I�SPnIt�G( O/S +' <+�4D4S 5 177 Approved By SPECIALTY ` NO. AGENCY Project Superintendent -- Fisher Form VI/1/2010 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street,#350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of 44c21/41— Job No. Dyezh g/9 TYPE OF 0 Reinforced Concrete ❑Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 9J:Reinforced Masonry Job Address r 2 5 k) . / ,�[ t2 City �/ Job Name USC L (� Permit-No. Issued By • ��t� I9- l2o3 C°. Type of Structure&Size la1 Architect Sfi� Material Description(type,grade,source) Engineer sp3/ Iwo 4/ Contractor 6,44 4_.5 Inspector(s) Narpe-1 toj «Iure i_ Subcontractor WELDER LICENSE# WELDER LICENSE# 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. Mkt eV �O,(. ///o mom/ M• •W c 1 5e- lvzZ) 0244(44/V of 015A,_lei 36� /�nvr) .r/5 0/,a Vett . ,j4� r,),' sow ,k/' G�ou • 7u�a/ IFf' 5 Lars !ems/ x2, " -e. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE :tti 3, FOUND THIS WORKTO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOV•' NG BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—e hour -AMPminimum.In addition,any Inspection extending past noon hour wtli be an 8 SIGN•- R OF- - -D INSPECTOR hour minimum. ite 412y Lk al/.09'r 1.4v35 ?o3V T77 Approved By SPECIALTY ! NO. AGENCY Project Superintendent Fisher Form VI/1/2010 • FISHER INSPECTION SERVICES . _._ ...40 CONSTRUCTION INSPECTION AND TESTING -.- 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 -- M Cell: 818-618-1052 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT city of As,,t.,4 i4 Job No. Date /Z /8/9 TYPE OF ❑Reinforced Concrete ❑Structural Steel Assembly U Quality Control INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED XReinforced Masonry Job Address i Z 5- w, ?4. ij_tAi G �stJ 'P2. City 47.4,e415/4-- Job Name U$ ��4., Permit No. l 9. _ Zo 3 Issued By G.,e', Type of Structure&Size CNA- w*/s Architect �6 ed JJ Material Description(type, grade,source) Engineer ,5.72yTe..„:4 ,., /4.2„,,,,,,fay Contractor (1,04, - Fa-de/to-S Inspector(s) Narrte-D iwv tque„Lietis Subcontractor X4404/ eor4e.yo44 WELDER LICENSE# WELDER LICENSE# 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. `,.) i'l b)Ers- w*t i! di-avec/ soca o '4)-- -1.• 0.Gv . tot'1-i_ ivr5.4./r/?'I s``/Ifs II i o. r p/.t./lei/ZO�C- Vi t t.c. n !'k��7 6-axl4 I.)itf/ / VD!a r o�c� . .gai eL. /iel W i �ow�n.,v , At4-to.vs .W / oi v AlA i i/ 4,8-4 U� ,- S/� /De-kr Z /.'A% D g'C'.vE' C�o.i- / ,// 4-re_ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, 'Z%" 3:'^^ S 0 AND APPLICABLE SECTIONS OF THE GOVERNING B LDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—B hour minimum.In addition,any Inspection extending past noon hour will be an B GNATU F REGIS SPECTOR hour minimum. It4 A50 [�/ � 0/299 h+z% ?,03 4{777 Approved By SPECIALTY 11 ND. AGENCY Project Superintendent Fisher Form VI/12010 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of lead 44:44.. Job, e._ %. /rib g TYPE OF O Reinforced Concrete 0 Structural Steel Assembly 0 Quality Control INSPECTION O Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED It Reinforced Masonry Job Address /zcto14. / G /_At -D City A � 4,4 • Job Name u S a- /t�C��4 tzJ Permit-No.! ? izo� Issued By C,• Type of Structure&Size GtiL w.f?/5 Architect Tof.p 4.,7,-_I. Material Description(type,grade,source) Engineer 5p�/rzio/04/ eritr�r/� 5 Contractor a0N A.8._ uilol 4 . Inspector(s)NamO-DAAI ititteStr-t- Subcontractor .4 � Gt r� l WELDER LICENSE# WELDER ` LICENSE* At 04— Atm- A/4 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. rTh D st1tits `511 i6 - a_ ilo' 14).1` oG �/ �kizci T36k'5 0Ase r.tie 0 plA2OoLetrA/ 7 D f v524ovfs.. epAr.44-0-4 -- mow(- tv.r6/ l vZ ?c 1srI�- MafGdt Vie/to/hew// off Re i / E-A- L-c� xes �0 2 ( e4Le-LO li/f 4tikd s T lelD le.1.1)/q/ 6110-1/1 Zoe J`it-wi3O Lt A g- °' - 5��Oc. / 5, 7 �.01 7D2.kS t'z- -77-0, CO . /4 LA)res -S r p f _ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.1.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE i FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, 7: 'a 3%up 0 AND APPLICABLE SECTIONS OF THE GOVERNIN BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum.In addition,any Inspection extending past noon hour will be an 8 SIGNA EGISTER P;TOR hour minimum. fH*S0 wt 0/S 9 V 4* Lear Fq P031,77 +.5` Approved By SPECIALTY NO. / AGENCY Project Superintendent Fisher Form VI/1/2010 ,„, .1;6 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 • Office:818-349-1806 •Fax:818-349-2340 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of ki:-LCkd\OL - JobNo.N TYPE OF ❑ Reinforced Concrete 0 Structural Steel Assembly 0 Quality!Control INSPECTION 0 Post Tensioned Concrete ❑ Fire Proofing 0 Other REQUIRED 4 Reinforced Masonry 1, Job Address Mssw\ r-\ �Or\sk04-\ City As-C-C.A;Gt Job Name 4SC✓ 11\CCpsA;o,_ Permit-No. \O _1Z3 Issued By Li-.1/4.s.k Type of Structure&Size 0,k-I' u4\\ Architect --vvaQy\; Material Description(type,grade,source) Engineer 3? c\(\o \\S-e_sjok.::.AL LS 1\ \S G-S-O-e; CO \ e30cLS-- Contractor C0\\1k .kAi,:f\,5 Co. Inspector(s)Name ET �c lJ-'CJ�\? Subcontractor 1.0-5 O tN.S.- C MCC eE *S WELDER LICENSE# WELDER LICENSE# 1�1� Nle N. 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. 66SeS\Le-<:\ Vit.)fig ,�\cL�� �- r kawc c:sv. eAA 6koc.t V,�� 6a.0= s;Ze� br"c e, �Pc c , t C3 O \ -V`tv4\9 E cage tRev eLnvoQc.A pkoLeNs,, \S 'rrsov\ Pko..c.e o* r;S &le ctL,6ot- -for v e--c-- ;" cam\ Ce-Azotr C \\s off\\`l,. _ 1`tNe,INLkoA \eco -ko ex, ��- vo; a5 o\ cam\. C- \ ( '"X3 X 6,) 9ca14A- 50. \eS, zap CSS o'% . g€ c \S `�.( C.\• I &NrVi \ \ €(NC\t-6 kNoke,A, . T"I'-S N S Ovr\9 0\i\9. • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ID PAGE \ OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, ,.0 0 '0 0 ANDA CABLE SEC(/TIIQINS OF THE GO NING BUILDING LAWS. All Inspections ased n a minimum of hours and over 4 hoursr B hour minimum. In addition,any Inspection extending past noon hour wit be an B SIGNATUR OFIREGI TERELD1INSPECTOR hour minimum. /� 6 Approved By C'I�IJ�J�'4D` trrZ SPECIALTY NO. ! AGENCY Project Superintendent Fisher Form VI/1/2010 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 • Office:818-349-1806 • Fax:818-349-2340 DepL of Bld.8 Safety REGISTERED INSPECTOR'S DAILY REPORT City of R.CC-CNv Job No. 11 A Date k...0 L 0TYPE OF ❑Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control I INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑Other REQUIRED Reinforced Masonry Job Address`'ZS City As-Cc�A;(3L Job Name 14SC Ks—c ;a_ Permit-No. \z1`0Lc) Issued By Type of Structure&Size 9g5h;NckA Q`\ Architect seraiN�IN� Ks-(...Lv'te-cks Material Description(type,grade,source) Engineer�VVyao. p\s-cL e c-*s SSL-3 a— I (o d W c 07 5 Contractor Ceff\KA.k. Inspector(s)Name ��; &-0L6 \A Subcontractor cor\c-e4--sc-S WELDER LICENSE# WELDER LICENSE# 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. OL.SeC"\w-A (-)) \p\es c,�c e (,c k;,Vcutt\ c c cAeaat\. K �c5c5 s-e e�beaded ;ice e)(s ; N5 _ o.�� -�o a .s � _ 4cev5 \d cuctye �fl,-ac� 'b N c), ae::ceo.cse3 emcee- i\cr 1 'KNA.5 u cV"K 3-6;0/1 � . • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE OF 2 I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, U AND APP BLE SECTI S OF THE GOVER ING BUILDING LAWS. All inspections based on a minimum of 4 hours and over 4 hours—B hour 1 1 • minimum.In addition,any Inspection extending past noon hour will be an B ®� SIGNATURE OF REGISTERED INSPECTOR hour minimum. • ( /`J C,\4 �1--� l — �, Approved By \A-LC-Co SPECIALTY NO. AGENCY roject Superintendent Fisher Form VI/1/2010 • FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 • Office: 818-349-1806 - Fax:818-349-2340 0 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT city of k\--CO ,:c), Job No. `1 I k Datet,lf'ii In TYPE OF 0 Reinforced Concrete 0 Structural Steel Assembly 0 Quality Control 7 INSPECTION Oi 0,Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED Reinforced Masonry Job Address 0.:.. \o \_4(y, c5,��� A-- City jcC •\c . m- Job Name/ 'S .,„ , Permit-No. 1p5_vL0-6 Issued By Ck Type of Structure&Size G1.w t o c� ArchitectaLck 1\C 3 cz Material Description(type,grade,source) Engineer rkcAt3t� V,..\--cdc .Ms c ,;-•-crAe, co (pcy Contractor c4:30 .. 3\A4 _ c c,i Inspector(s)Name d•%` . 13--.k� Subcontractor1$.43&!)/1\574-k c'oSNC.0 S, WELDER LICENSE# WELDER LICENSE# NIA Ilk \4- Iqk 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. ,I '\___/, (c)6 e meA ' 'e: ck oH mW o1J_- `'‘&.\.A 1p l0 C�� Sod mac.. cc,,��, ��c-;• -,eA 6o..5 - 'izc,► 5 raLje, _ L _t._ .t5; r\cd 'LCCX&:r" QST ',Q\--' • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ID PAGE k_ OF \ I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TOCOMPLY WTHTHE APPRO EDPLANS,SPECIFIICATONS, ����-1%i "G-- IlefilIFIVEMIll `AND APP ABLE SECTIONS 0 TH GOVER G BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—B hour OK.' l minimum.In addition,any Inspection extending past noon hour will be an B SI •-TUR -EGIS RED INSPECTOR 1hour minimum. `__ 4i, �-1nA g \ -LC( Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/1/2010 FISHER INSPECTION SERVICES iiiip . CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 Office:818-349-1806 • Fax:818-349-2340 U� DepL of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT city or k�C01�\.� Job No. `1 I k Date mi.1,119 TYPE OF 0 Reinforced Concrete ❑Structural Steel Assembly 0 Quality Control INSPECTION q Post Tensioned Concrete 0 Fire Proofing ❑Other REQUIRED Reinforced Masonry .t� w ` Job Address ``� G 4\. "�iv�^!N.g ©11� ��- C ��c oz3 \e Job Name it Sc,I�- I��p4"sck, Permit-No. 1(4_`•�0- Issued By C.,,1 Type of Structure&Size GWS Llek\K . Architect If\C0._-1,\1 CAS Material Description(type,grade,source) Engineer Srynkc adzA1 VS-c y,V6 W-S S-ce- 0 Se( .7 Contractor LON�44.... ;%`Ai,ti\..5 cc); Inspector(s)Name d-•,'.S Subcontractor Sed`c Cod V to #,S, WELDER LICENSE# WELDER LICENSE# MIN 14 k '0rk- \fk 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. Voc- s- c-k- X06.\ . ve,s>-;er,\ 6cS £ 'iZc,f 5 rte,, 5 1 - i_tS �:-o� ('Sam i ti\.*(A . , ems $r:s'ce.S pi 'g, -• 0 ok_d\A <k ;t `).—I )c--t.• 0- -t . .,e,C-'1 c-5\ 7,c S Qk \. f\_, t IS per)a' • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE l OF ` I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE 'tr.r" FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, `to �•'�O 3 AND APP ABLE SECTIONS O. TH n GOVERN G BUILDING LAWS. �l All Inspections based on a minimum of 4 hours and over 4 hours—8 hour 1U�/ ( ii�=. V - minimum.In addition,any Inspection extending past noon hour will be an B SI . TUR -EGISTED RINSPECTOR hour minimum. .� 6 �(a Approved By <!% _ SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/1/2010 dof 45 FISHER INSPECTION SERVICES 1 CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE,CA 91326 Office:818-349-1806 •Fax:818-349-2340 0 Dept.of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of P\S—C_Chalt c, Job No.+C Its, Date�,ZI v51 t9 TYPE OF ❑ Reinforced Concrete 0 Structural Steel Assembly ❑Quality Control INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 9 Reinforced Masonry Job Address \1-s w u '4\ City iks--c_ s(� Job Name\..k SC ��� 3 Permit-No. t '? Issued By Type of Structure&Size `` Architect 7c- lie t.,,,c-cLvtec S Material Description(type,grade,source) Engineer,. t-�ae� O�tel�t•,..ed4 t5 �'� (SO Se C( C� Contractor Cm.�:� 'Le). Inspector(s)Name ; ®u Subcontractor o SAk C,01•C WELDER LICENSE# WELDER LICENSE# 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. ©Lse-r e3 j-tfe V\ e Lxv c-o. : e la b 1 oc.ks `lila \of-c — b C. c rk-r I L„ 0.iNN VS n Vel"; e3 oocy 9ccSCI £4cj \9 , koCcic.1/4So csok. ct -e eek -• ° ?Ce`�'eA '\cLNSt S'2-�'-�o�'�►.�.� v;SLk,0.\ :v\S e c ��\ -co r Pws.c.9ketkic ��9�_ecLc \"E e\. o.a -C-\ G-cc�a �Ui\Cceke S®o6 Co&S -e.A LP cdot,ve .c-pS" o oge kuo.k\Nk Aj.k A`2 4c-c) �0. 4 i •N' L...j Qt : �E��e \C � t�\�e��'•t o o vN ? . \cA.0 Ae.- \ `-1—I)�c.A. o. )+ \otiockvex- CceLs•-j £c`' *TZ CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE . OF k I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE ry� FOUND THISWORKTOCOMPLYWITHTHEAPPROVEDPLANS,SPECIFICATIONS, Cr) 310 V / AND Af ICCABLLESECTIQOJ S OF THE GO RNING BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours-8 hour / minimum. In addition,any Inspection extending past noon hour will be an 8 SIGNATURE OF RE IS ERED NSPECTOR hour minimum. L � �Z t Approved By SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/1/2010 4°.1.11): FISHER INSPECTION SERVICES Construction Inspection & Testing 19360 Rinaldi Suite#350 - Northridge,Ca 91326 Office (818) 349-1806 . Fax (818) 349-2340. TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: Linac Vault-Building B INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Mark Adams Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: 19-1203 FIELD IDENTIFICATION: NR CAST DATE 10/30/2019 DESCRIPTION CONCRETE CONTRACTOR Con-Am SPECIFIED F'c-PSI 4,500 CEMENT TYPE II/V ' CONC.SUPPLIER National Ready Mix Concrete NO.OF SAMPLES 4 ADMIXTURE Type A MIX DESIGN NO. S70106 TOTAL YARDS 130 CAST BY Mark Adams SLUMP(C143) 5-in. LOCATION OF POUR Slab on grade at lina vault building B/property line wall footing NOTES NR=Not Reported.Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 DATE SPECIMENS RECVD. 10/31/19 EQUIPMENT USED On File REPORT DATE 11/27/19 SN OF EQUIPMENT On File TECHNICIAN On File CALIB./RECAL.DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES (DAYS)1 TEST TEST IN. IN. IN. IN. 90099.1.1 7 11/6/19 11:56 AM 4.00 4.00 NA NA 12.57 61,130 4,865 3 90099.1.2 28 11/27/19 9:21 AM 4.00 4.01 NA NA 12.60 78,470 6,229 3 90099.1.3 28 11/27/19 9:24 AM 4.00 4.01 NA NA 12.60 78,290 6,215 3 • 90099.1.4 28 11/27/19 9:27 AM 4.00 4.01 NA NA 12.60 76,930 6,107 3 Avg.F'c 28= 6,183 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height:NA if Cylinder lid>1.8 'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: THE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE .3 Authorized Signature 0 Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-OF-023.1 Page 1 of 1 2-14 V1 FISHER INSPECTION SERVICES fC4-) CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street, #350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT city of A R GM?( PiJob No. .Date 1 2....z_i9 TYPE OF ❑ Reinforced Concrete ❑Structural Steel Assembly O Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing )B.Other -3)4I,f ,, REQUIRED ❑ Reinforced Masonry Job Address fj 2 S VU, 1�v N 1.. i tv/r 'j0 7J b P. , City A ACS}D I A Job Name L j i A G vii It L-T Permit-No. , C( - i 2 03 Issued By L ,A, cc 6\I,1 r Type of Structure&Size Architect Material Description(type,grade,source) Engineer Contractor ('0/k f✓t Inspector(s) Name clA A 16- Lokf-iR Subcontractor //�Lc.0 WELDER LICENSE# WELDER LICENSE# • 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. "Fr 6G k Clip of to It L.L co i rfi 574.-8.4 L i"7?y bo®R /t/5TA1-Li b H1Li-1 RAM= '/2" ANC 1+vP3 5ET%o licOLAS `C (- QL-4 E- AT' U 6e,dv"T PLATE-5) 0 V e I2-%'Aire CD,/ti cAETE F LO"b a +10+0 R 1 -2-- iX To C oiAiierilt O -,s, AT TW-v Gv - Pc-1 ro ais , • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE U PAGE 1 OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORKTO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, lar' /2 ✓V' 8 0 r f I r� AND APPLICABLE SECTIONS OF'� RNING BUILDING LAWS. ` , All Inspections based on a minimum of 4 hours and over 4 hours—8 hour .,_\,„ minimum.In addition,any Inspection extending past noon hour will be an 8 SIGN RE OF REGISTERED INSPECTOR hour minimum. D,I r A A. / D a, A,l� , CO t T6'Ty Approved By W SPECIALTY NO. AGENCY s, `' d Project Superintendent Fisher Form VI/11/2014 L.A ,c }y r01-7 5°6565 _ • .;40 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 ° NORTHRIDGE,CA 91326 • Office: 818-349-1806 • Fax:818-349-2340 DepL of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of Job No. Date'vivi9 TYPE OF fidReinforced Concrete. ❑Structural Steel Assembly ❑Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address I W `� — r-, City �f'oaci a Job Name Permit-No. Issued ByA,tr-Cad Pacicaq e. Li A- acc4o Type of Structure&Si2e Architect GF Arc_.-.c -1-ec.4-S :.l._Irzc - Material Description(type, grade, source) Li 5 Engineer PSI din;)( Contractor C� j l C 9 e � Inspector(s) Name R. Ake. Subcontractor C®a Cc.- S-k r ! WELDER LICENSE# WELDER LICENSE# 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. \ I - d io 54e_I-V`&--s cam.. or dr- ip 1 S •{-G1i c L� S 9 awe . #5 C 12"oc E�c.Gz d 94-c _P1. i S2.a-c, - 5 - co C pi acv-, . 4cc(5 C Q e G-C) r e-L3 ,. . 0,--va icy c , c-e-me(..-t' - cE v- . .0 5. • . . ' S I_ . ' st cI1�, S r �!-STOI C;Cn Sonic-ea( to 1\3a44 1 R_eetc xect r( ace 01 �+�;c-k- - - toz.41_ eP .‘ C L Ak--o - 42,N. Piav,1 a2.o 4e - q)•a . c.)2 - c&,1 & 4 1/ c9 F_ Ski V 4 e-SS k cv--1 S4 e�c)-k 4-e t1n� C'a-. 4- a4- 5°" -- l' c- = sl a, cc...D[e- ol r 1 '/atz. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE t OF f I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.HOURS TEST S. _ ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE T FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, G-oo 10:00 £_ AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum. In addition,any I pection extending past noon hour will be an B SIGNATU E OF REGI LED INSPECT hour minimum. Rer -- c• t A 985Zcc Approved By ,SPECIALTY NO. ii AGENCY Project Superintendent Fisher Form Vl/1/2010 REGISTERED DEPUTY INSPECTOR'S CERTIFICATE OF COMP TANG { ;Date of ecrtiCcate rAi Fabricator: Permit; TO THE CITY OF Aratolk SUPERINTENDEENT OF BUILDING&SAFETY I hereby certify that the following portion of the work at the above job address which required continuous inspection,.and which I was employed to inspect,was inspected and approved by me and complies with provisions of the Building Codes applicable thereto: Type of Inspection: ❑ Steel Construction CJ Sprayed Fire-Resistant Materials restressed Concrete Concrete Construction 0 Smoke Control `Drilled-in Anchor [] Masonry Construction 0 Methane 0 Gunite I Shotcrete ❑ Wood Construction 0 Seismic Resistance 0 Exterior insulation&Finish • Soils ❑ Wind Resistance ❑ System Other: Location and Description of work completed: C ` to e 3 'fif A . ( y aw , ZIA:406 7i Val 38..E �F Size of Stuucture: Time Arrived: `'1�"U, ►'' No of Stories: Time Left Job: Re 1nflian Number i . 0A. s Ern to ed B : / . Sienature: Registered Deputy c uniting Inspector Name: Woon_Choi E-mart Address cwsi789 kola_ DO NOT AMEND,ALTER,CHANGE,DELETE,OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. 1 ' F,ISI ER INSPECTION SERVICES le ,`, CONSTRUCTION►NSPECTION AND TESTING :"'' a� , ''' 19360.4Rinatdi Street,#350 NOrtfiddge tx91326 `Office .818349-1806 `; = ,paxx:818-349-2340 Cell:818-618-1052 Dept of Bid.&Safety REGISTERED INSPECTOR'S DAILY REPORT City of Job No. Daro 44A9 TYPE OF !f Reinforced Concrete O Structural Steel Assembly 0 Quality Control T INSPECTION O Post Tensioned Concrete O Fire Proofing • 0 Other REQUIRED 0 Reinforced Masonry t 25 ...c.�. Ft-c. t-1•,'Y� 0 live at. Job Address - ' c� �.�f`C.�7t.�-T Job Namepacga e HA-L t-,Qc V� 1 Permrt*lo. t. ( _ issued By 4 Type of Structure S Size Architect ZC7 F A-rct,44ec.-s , it-1c Material Description(type,grade.source) 1.-t sem. Engineer Aad e' - Q.j.e- i..,.0 tots "Si nni ® ri , r.COContractor Cc - A---. 90 tc4 - C.- n . . Inspector(s)Name ikke_cary‘e,tiSubcontractor Coa✓"1 a:7Y'xS4,f'uG4.4+ WELDER LIC NSE# WELDER LICENSE# 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 N.T.BOLTS TORQUED)CHECKED.ETC. C lo'S.e'.a-t/ l4-i e' crC pt.ar' ear + a tri.c Ad.. -1- s-f. S.r pt l C' .9- .D S/Lt Sat,' P S.I. ccv-N e_9'"e f': dY!i�X 1 eSi in f S 7.40t 0 Coti ec.G. -1-i cfNet a I Rea ` Ilk e1cl anc p t&c d �4 &-t-e t_ t.)3 U Q-1-• c L . X 8.5/M-0 cavld a+ E3".c A"curt.MA..4-cve of stab a+ Slat ed1g; per Foda- ► PL -, S2.0e3. l S,e, cr /t (( < s) ext;n oles-5 c -4- c. s-- ;c'v' s-gre1 -4 / -t-1, -e �,ar.s- -1 . Cv-Lee-oz.-1-e ft a e r# • ^ CERTIFICATION OF COMPLIANCE CONTINUEDAN NEXT PAGE 0 .. PAGE 1 OF l I HEREBY CERTIFY THAI l HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIRE OUT AEG.HOURS O.T.HOURS TESTS. AU.OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE •Q (i: j� FOUND THIS WORK TOCOMPLY WITH THEAPPROVED PLANS.SPECIFICATIONS. AND APPLICABLE SECTIONS THE C' 0.RING UILDINGtAWS. 7 Inspections based on a minimum of 4taus and over 4 taws—s hour d►.-�. minimum.In addition,any Inspection ming past noon hour vile be an 8 SIGNATUR CUES! a ED INSPECTOR hour minimum. Reel.... • - . ,Li c 91:7S Zc Approved By - ! SPECIALTY NO. AGENCY Project Supadntendenl F6herFares VI111/2014 }tiiiipi) FISHER INSPECTION SERVICESy CONSTRUCTION INSPECTION AND rEST/Na 19360 Rinaldi Street,#360 Northridge CA 91326 Office: 818-349.1806 Fax: 818.349-2340 Cell: 818418.1062 Dept,of aid.&8dfaty �t! Job No, ECIELERED 1NSP CTOR'S DAILY REPORT laty of _ YPE OF Reinforced Concrete0 Structural Steel Assembly 0 Quality Control VSPECTION 0 PostTensioned Concrete 0 Fire Proofing O Other IEQUIRED 0 Reinforced Masonry ob Address I2S lit.). (41•A"- 'Y'� 4-C1v-k.. Drive- 6.4.)1 (81-1A. ,City a,,r-Gc3,cti,3 ob Name � Permit•No. Issued By A �. �,' r .•- -'ac. c e_ A— L''c. v8u I9. 2.v3 ype of Structure&Siz Architect z G F Arcir4 4.e.c. -S taterial Description(type,grade.source) Engineer A kyr- ,,,, 13„ 6.••-T�'— -� � &c. t �1r .-:�2. coo ,r'=f`l° s.. Contractor ,vim cji ,Ispector(s) Name ccaxiet; Subcontractor Co C s4iftjcA-i - LICENSE# i,, :ER LIC NSE# WELDER SPECTif1N SUMMARY-- WORK REJECTED, JOB PROBLEMS, O 'ROF EWORK INSPECTETC. INCLUDES TEST SAMPLES ABOUTAKENT:AMOUNTS OF MATERIAL PLACED OR PROGRESS, REMARKS; ETC. INF WORK PERFORMED,NUMBER,TYPE&!DENT.NO'S OF TEST SAMPLES TAKEN,STRUCT CONNECTIONS (WELD MADE H.T.BOLTS TORQUED)CHECKED.ETC. • t• 0105-erVa4-o,.... 0•c *Li e t 8`'oG Loi Co" .e.-E._._— rQ'. 94-- o -e-t Art_S40 a-14 cw... a+ GL MI Ce.•5^ ?. Co f e._./" p eA-a t 2/55,02 i pct a-I-r c•w.- Pt a.c"./ S2.0v itA.s4ei(teet t.o - i4; i44 t4 E.T-P-E Scro 'V 3 +el - Drat in-o Let w !'f_. w:V'e. torus - . - - (ice) slat? ec1cjQ. ,f-cL to 4-icy*+.... .- ' &D .. ,v .�-1- r G� c1 ige n r. v-v- u&ut e„,:_, . mo &. tQ-44 Cflle%•. flee-1/ 2- (ly,otago_t_. ' ts ( 2, 314, 5, 7 , 819, dc/ t)42-4—a; is t _ S .oz. C .s - u Le. c r , Cracte, la. Se_irtealo te,f ss.0 I # sr- e r-e-Io c+ry -/srU 5 c ciuLe_f SS..c - ,,. .� Reioar es:eery-tee-A- cowl)I erg trI c' L vta.c ‘12.‘,..) 14- stab, c a- .e.- tn.e� L • S, p e-s , c oattS . • .41p FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET,#350 • NORTHRIDGE, CA 91326 Office: 818-349-1806 • Fax:818-349-2340 r DepL of Bld.&Safety REGISTERED INSPECTOR'S DAILY REPORT city of Ac ' ' ' Job No. Dat TYPE OF 111 Reinforced Concrete ❑Structural Steel Assembly ❑Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address L z Vi . j--‘j►.i'(al rJ(a 1 in,A D,2 City , Re-Ai t o Job Name Li NAC_. VAuCir gc)JEb '78" Permit-No. i tJ_I Zo? Issued By A2Cw Di A Type of Structure&Size Architect Material Description(type, grade,source) Engineer Contractor oN —A M Q>"&-7.) . Inspector(s)Name iirmi . A0S Subcontractors py,, dtb lat,.;itAcN..‘ WELDER LICENSE# WELDER LICENSE 4# 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. .. — �r-ri a,b c.V- CzYCI.4,1,‘ iv" C `l ) CbA•S ,0 ,s- Li)NAc VAO(..0 — Ci3NA•pCge.. e.,?-' ON+siZ S Cae Sir+ C.•GA-S ? 04..:4,4 L. I A EPOS S (s i--`f 14 --. • -_____51-± P-3 — 4-,u•) P i /L z{._. P---2- 0 l c-3 -- -- 3 '' s'P I>..)t ) w iir.4.0 o%,-TA dkr o CcGi_S — 1.10 Wall P_k 6 - " M I>G C ./.0i' l� (rc f.51 ? ovi - 5"` S Is (' --)0 , 1-11.7.13c, 4 l$ ) PP •— • — '17W"i ik.. 4) iPi. 74iTofi ® P liaa- Kj b CAS-- 14) CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE 1 OF t I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS O.T.•OURS MENE ALL OF FOUND2TH WORK TO COMPLY WIABOVE REPORTED TH THE APPROED PLANS,SPECIFICATIONS,ORK UNLESS OTHERWISE ED. I U —, ANDA ABLE SECTIONS OF THE GOVERNING BUILDING LAWS. (� 'p /y \ All Inspections based on a minimum of 4 hours and over 4 hours—8 hour "!` y `�'7 r� I yPDA�i'� minimum.In addition,any Inspection extending past noon hour will be an B 6�i CIGNATUROF REGL,F4j Ild/1^IED INSPECTOja_ C.)9 hour minimum. J Approved By �✓'^ SPECIALTY NO. AGENCY Project Superintendent Fisher Form VI/II2&O " • z .S}("''g. (`` 448 7" y 01 • 11A• " � V ...7'l $, '. ' . : 121 �i tt< q). �])` +' ''''t," L',.ny v • -- {; J* • 't ,, W ,9 � 0)R r; ir ' aa R f `_ rp'5. £ � 1 (1,,,.$ -v. ' ' 1 '.....,- . , t. '''''', ..;.:1... r. , '',,, '; !..-s: n,, , 1, !,,.,,- !:,,,45., ia,.:, ' ,,,,, z_li, ., i;,,et, ). , _ .:-.,/:, 0, 1,..1 :,,,,,, ,.:!:..4...i 1 - . S I i ace . 7,;g:,, i... .... )-. 0 2-, ii$ . 0. ,•11,- g ,c) a. 1 — it .` � C! , . ; r •: .,;:-; s.) .v :6' -,....-0, -,Z :,-2: !,*" .r..-- -z, t--, 70' . ' • ' -4-5 -,,i., - 9'4°. ' . II'° .i. 1 '''': - 0 ''; ar 1 crj:-.'- ; ; 1.' 6.1007 : -,..)."''i ,.I‹ -..r.);:' ...;. '''... ,... Li-- iyr. tr.' ° , ° (...-j : . '.-h,' , . ' t 8 i v zsz ii i :IL. El: ‘ i? s • , : , .. - -L. t., , :,(1.,4,;:v3 iz,, . .: „,„frif-,'''i.).1.„..? t,' 7.„..4*2'.Y7',.,---"' --;-, . 4.;, . - • : ' - . - g, , , ,,... ,: ,, ! , a , , : .4 , 4 '.: ',6-=,,!-‘,.- ' '.. ..-,/: '......, - oi "' , -, '*-- 'a, - - . .--cj ,.a .sfoi se . .._ d lir i 7 4 '.` ,15 . j �^' :1:',1.,,e),,, 1 r # { ' ff % l } w ,Y • z 4 sfY Fw�N/ i ! rji4t ii35.4..4-; ,41) ,..1^.'•.:': -: § .`," }eii5 .1,,,,,:,,, Yi 461''-: , . 64 • fi'o %, ob3 L'..-ej: ' t g .. c l 4f. •. V� , . ... x F ` o n ` : i . ...,.... . ._. . ,.. T , . , . .. .•,,:, . ,, ., ,, , .. .. ,„ FISHER INSPECTION SERVICES Ig CONSTRUCTION INSPECTION AND TESTING 19360 Rinaldi Street,#350 Northridge CA 91326 Office: 818-349-1806 Fax: 818-349-2340 Cell: 818-618-1052 Dept.of Bid.&Safely REGISTERED INSPECTOR'S DAILY REPORT cIIy of Arcadia Job No. Date 9-24-19 TYPE OF ®Reinforced Concrete ❑Structural Steel Assembly 0 Quality Control INSPECTION 0 Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Masonry Job Address 125 W Huntington Dr Building 8 1St Floor City Arcadia Job Name Permit-No. Comm-19-1203 Issued By Arcadia Type of Structure&Size Architect Material Description(type,grade,source) Engineer Holliday Rock Mix Code:4C40H006-4,000psi Contractor CON-AM INC Inspector(s) Name Fargo Araiza Vela Subcontractor WELDER LICENSE# WELDER LICENSE# 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. 1) Verify the reinforcement rebar sizes, grade and clearance at 3 caisson total. At (2) P1 caissons grid lines (N/7.6 and 6.7) and (1) P2 (N.4 and 6.0) All per plan schedule. 2) Observe 4,000 psi concrete with consolidation @ 3 Caissons total. Cast 1 set of 5 cylinders for test. 56 yards were place. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGED PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURS TEST S. ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE , ,FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, AND APPLICAS E .ECTIONS OF THE GOVERNING BUILDING LAWS. I / _ All Inspections based on a minimum of 4 hours and over 4 hours—8 hour minimum.In addition,any Inspection extending past noon hour will be en 8 I SIGNATURE OF REGISTERED INSPECTOR hour minimum. Construction Construction P038121 L City Approved By SPECIALTY NO, AGENCY Project Superintendent Fisher Form«/11/2014 FISHER INSPECTION SERVICES t rsit) 19360 Construction Inspection & Testing Rinaldi Suite#350 - Northridge,Ca 91326 Office (818) 349-1806 (----",\ Fax (818) 349-23.40. TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: NR INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Ron McCamey Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: 19-1203 FIELD IDENTIFICATION: NR CAST DATE 11/5/2019 DESCRIPTION CONCRETE CONTRACTOR Con Am Building Co. SPECIFIED F'c-PSI 4,500 CEMENT TYPE II/V CONC.SUPPLIER National Ready Mix Concrete NO.OF SAMPLES 4 ADMIXTURE NR MIX DESIGN NO. S70106 TOTAL YARDS 9 CAST BY Ron McCamey SLUMP(C143) 5-in. LOCATION OF POUR Vault grade beams,stem wall footing,slab NOTES NR=Not Reported.Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 C } DATE SPECIMENS RECVD. 11/15/19 EQUIPMENT USED On File .,,," REPORT DATE 11/18/19 SN OF EQUIPMENT On File TECHNICIAN On File CALIB./RECAL.DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.' AREA LOAD Pc BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE' (DAYS)1 TEST TEST IN. IN. IN. IN. 90468.1.1 13 11/18/19 11:30 AM 4.00 4.00 NA NA 12.57 69,910 5,563 3 90468.1.2 28 12/3/19 90468.1.3 28 12/3/19 90468.1.4 28 12/3/19 • 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder lid>1.8 3Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: For Information Only. 00.00,0 �_., Audio d Sig ure I Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized „.1 Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-OF-023.1 Page 1 0l1 2-14 V1 °11:77.18) FISHER INSPECTION SERVICES Construction Inspection & Testing 19360 Rinaldi Suite#350 - Northridge,Ca 91326 Office (818) 349-1806 Fax (818) 349-2340 TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: LINAC VAULT INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Mark Adams Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: 19-1203 FIELD IDENTIFICATION: NR CAST DATE 9/26/2019 DESCRIPTION CONCRETE CONTRACTOR Con-Am Construction SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V CONC.SUPPLIER Holliday Rock NO.OF SAMPLES 4 ADMIXTURE POZZ 700N/Glenium MIX DESIGN NO. 4C40H006 TOTAL YARDS 70 CAST BY Mark Adams SLUMP(C143) 5-in. LOCATION OF POUR (4)Caissons at Linnac Vault Bldg"B" NOTES NR=Not Reported.Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 ' \ DATE SPECIMENS RECVD. 9/27/19 EQUIPMENT USED On File c___,) REPORT DATE 10/24/19 SN OF EQUIPMENT On File TECHNICIAN On File CALIB./RECAL.DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES (DAYS)1 TEST TEST IN. IN. IN. IN. 89337.1 1 7 10/3/19 1:16 PM 4.00 4.01 NA NA 12.60 54,630 4,337 3 89337.1 2 28 10/24/19 10:43 AM 4.00 4.00 NA NA 12.57 70,240 5,590 3 89337.1 3 28 10/24/19 10:46 AM 4.00 4.00 NA NA 12.57 68,970 5,489 3 89337.1 4 28 10/24/19 10:49 AM 4.00 4.00 NA NA 12.57 69,850 5,559 2 Avg.F'c 28= 5,546 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder lid>1.8 'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: THE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE Autho " d Sig ure Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-OF-M.1 Page 1 el 2-14 V1 FISHER INSPECTION SERVICES e:1?-5144) Construction Inspection & Testing 19360 Rinadi Suite#350 - Northridge,Ca 91326 Office (818) 349-1806 Fax;(818) 349-2340. TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: USC-Building B INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Eric Gould Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: 19-1203 FIELD IDENTIFICATION: NR CAST DATE 9/25/2019 DESCRIPTION CONCRETE CONTRACTOR Con-Am Building Co. SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V CONC.SUPPLIER Holliday Rock NO.OF SAMPLES 4 ADMIXTURE Water Reducer MIX DESIGN NO. 4C401-1006 TOTAL YARDS 50 CAST BY Eric Gould SLUMP(C143) 6-in. LOCATION OF POUR Caisson at 0/7.6 NOTES NR=Not Reported.Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 J —�\ DATE SPECIMENS RECVD. 9/26/19 EQUIPMENT USED On File REPORT DATE 10/23/19 SN OF EQUIPMENT _On File TECHNICIAN On File CALIB./REGAL DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES (DAYS)1 TEST TEST IN. IN. IN. IN, 89296.1 1 7 10/2/19 9:30 AM 4.00 4.00 NA NA 12.57 56,810 4,521 3 89296.1 2 28 10/23/19 8:33 AM 4.00 4.01 NA NA 12.60 72,200 5,731 3 • 89296.1 3 28 10/23/19 8:36 AM 4.00 4.01 NA NA 12.60 72,450 5,751 3 89296.1 4 28 10/23/19 8:39 AM 4.00 4.01 NA NA 12.60 74,090 5,881 2 • Avg.F'c 28= 5,788 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder lid>1.8 3Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: THE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE Auithor d SI re Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 Mr-0F-023.1 Page 1 of 1 2-14 V1 FISHER INSPECTION SERVICES Construction inspection & Testing '7 19360 Rinaldi Suite#350 - Northridge,Ca 91326 Office (818.) 349-1806 (--- Fax (818) 349-2340 .—J TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: NR INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Fargo Araiza Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: Comm-19-1203 FIELD IDENTIFICATION: NR CAST DATE 9/24/2019 DESCRIPTION Concrete CONTRACTOR Conam Building Co. SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V CONC.SUPPLIER Holliday Rock NO.OF SAMPLES 5 ADMIXTURE POZZ 700N/ Glenium3030 MIX DESIGN NO. 4C40H006 TOTAL YARDS 56 CAST BY Fargo Araiza SLUMP(C143) 5-in. LOCATION OF POUR Pour at caissons.(2)P1 and(1)P2.Total of(3)caissons. NOTES NR=Not Reported.Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 DATE SPECIMENS RECVD. 9/25/19 EQUIPMENT USED On File I j REPORT DATE 10/22/19 SN OF EQUIPMENT On File TECHNICIAN On File CALIB./RECAL DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES (DAYS)1 TEST TEST IN. IN. . IN. IN. _ _ s 89272.1 1 7 10/1/19 11:13 AM 4.01 4.00 NA NA 12.60 53,520 4,248 3 89272.1 2 28 10/22/19 12:10 PM 4.00 4.00 NA NA 12.57 77,110 6,136 3 89272.1 3 28 10/22/19 12:13 PM 4.00 4.00 NA NA 12.57 76,310 6,073 3 89272.1 4 28 10/22/19 12:16 PM 4.00 4.00 NA NA 12.57 74,280 5,911 3 89272.1 5 HOLD Avg.Pc 2e= 6,040 1 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder l/d>1.8 'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: THE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE Atrt6o .,d011.°#, ..-" Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized 0 Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-OF-023.1 Page 1 o/1 2-14 VI FISHER INSPECTION SERVICES rConstruction Inspection & Testing 141°....."414) 19360 Rinaldi Saute#350 - Northridge,Ca 91326 Office (818) 349-18.06 Fax.(818) 349-2340 TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: USC-Building B INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Eric Gould Arcadia,CA INSPECTORS LICENSE NO.: On File PERMIT NUMBER: 19-1203 FIELD IDENTIFICATION: NR CAST DATE 9/25/2019 DESCRIPTION CONCRETE CONTRACTOR Con-Am Building Co. SPECIFIED Pc-PSI 4,000 CEMENT TYPE ll/V CONC.SUPPLIER Holliday Rock NO.OF SAMPLES 4 ADMIXTURE Water Reducer MIX DESIGN NO. 4C40H006 TOTAL YARDS 50 CAST BY Eric Gould SLUMP(C143) 6-in. LOCATION OF POUR Caisson at 0/7.6 NOTES NR=Not Reported Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 DATE SPECIMENS RECVD. 9/26/19 EQUIPMENT USED On File REPORT DATE 10/2/19 SN OF EQUIPMENT On File TECHNICIAN On File CALIB./REGAL.DATE On File SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN! AREA LOAD Pc BREAK NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE3 (DAYS)1 TEST TEST IN. IN. IN. IN. 89296.1 1 7 10/2/19 9:30 AM 4.00 4.00 NA NA 12.57 56,810 4,521 3 89296.12 28 10/23/19 89296.1 3 28 10/23/19 89296.14 28 10/23/19 I 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder I'd>1.8 3Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: For Information Only. O!-'_ 41110 Autho •d Slg • re gr Laboratory tests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized `� Testing authored this report using jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-0F-023.1 Page 1 of 1 2-14 V1 FISHER INSPECTION SERVICES 4 .,,,,,,,i4)0 IConstruction Inspection & Testing lioiiiiii 19360 Rinaldi Suite#350 - Northridge,Ca 91326 Office (818) 349-1806 C ��, Fax (818) 349-2340 TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB) PROJECT NAME: NR INSPECTION FIRM OR CLIENT: Fisher Inspection Services PROJECT ADDRESS: 125 West Huntington Drive INSPECTOR'S NAME: Fargo Araiza Arcadia,CA INSPECTOR'S LICENSE NO.: On File PERMIT NUMBER: Comm-19-1203 FIELD IDENTIFICATION: NR CAST DATE 9/24/2019 DESCRIPTION Concrete CONTRACTOR Conam Building Co. SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V CONC.SUPPLIER Holiday Rock NO.OF SAMPLES 5 ADMIXTURE POZZ 700N/ Glenium3030 MIX DESIGN NO. 4C40H006 TOTAL YARDS 56 CAST BY Fargo Araiza SLUMP(C143) 5-in. LOCATION OF POUR Pour at caissons.(2)P1 and(1)P2.Total of(3)caissons. NOTES NR=Not Reported Results relate only to the tested specimens. LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C39 - DATE SPECIMENS RECVD. 9/25/19 EQUIPMENT USED On File REPORT DATE 10/1/19 ,SN OF EQUIPMENT On File ���/// TECHNICIAN On File CALIB./RECAL.DATE On File AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES NUMBER (DAYS)1 TEST TEST ( ) IN. IN. IN. IN. 89272.1 1 7 10/1/19 11:13 AM 4.01 4.00 NA NA 12.60 53,520 4,248 3 89272.12 28 10/22/19 89272.13 28 10/22/19 89272.14 28 10/22/19 89272.15 HOLD 'Test Schedule Provided by the Client 2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder Vd>1.8 'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS: For Information Only. /kWh° _d S' re' /f ,.— Laboratorytests and results reported herein were performed for Fisher Inspection Service by Specialized Testing,Inc.(dba Specialized Testing).Specialized Testing authored this reportusing jobsite information submitted by Fisher Inspection Service.Specialized Testing employs the laboratory engineer.This report C ,,,i shall not be reproduced,except in full,without written permission from Specialized Testing. 10600 Pioneer Boulevard,Suite G • Santa Fe Springs,California 90670 • (562)903-0032 Fax(562)903-3534 MT-OF-023.1 Page 1 of 1 2-14 VI eot chnoIogies,Jnc. NOTICE OF FIELD OBSERVATION Consulting Geotechnical Engineers 439 Western Avenue - Glendale, California 91201-2837 Z./76+7 6818.240.9600 • Fax 818.240.97 7 FILE NO: . 1: DATE: "--//41 9 TIME: *e:5'eG' T21...._ SITE ADDRESS: la-5- 14J. {ZGr,•- , P,t / CLIENT:ror. SG ' 1 <..1 y { ,,, - REQUESTED BY: A- v+ TITLE: MET WITH: rl TITLE I. NOTICE LEFT WITH:' I TITLE: SPECIAL CONDITIONS: (WEAn-iER;Joa SHUTDOWN;ADVICE IGNORED;SArE y) THE -t.A " HAVE BEEN OBSERVED. SEE COMMENTS BELOW. COMMENTS-SND OBsERVATtoNS: • 0 r /14'*t.ellg. iial,e3.-C2. pi..4 dr ' ,..„tty. . / Iir .0 5.1",...a.,41 ,4220.6 eIK 1 1l1' I f 11 11 _ 1 FI ' is - r. = ............ '-..^/ CLIENT/REPR ENTATIVE SIGNATURE AND PRINTED NAME- ADDITIONAL.SITE=VISUr REQUIRED: L YES ONO S' I HOURS I (2-1-IouR MINIMUM CHARGE) ` e .Q .e 4 - e s ► r 4. kaa E r S _- GeoIenhnoI0gle5,Me. NOTICE OF FIELD OBSERVATION Consulting Geotechnical Engineers • 439 Western Avenue Z1 76 'I; Glendale, California 91201-2887 FILE N0: r 818.240.9600 a Fax 818.240.9675 3 DATE: """/Z-19 au-crlME: // 6 �� g TECH: I • teSill ADDRESS: /2,5- ex.-1,k /V Sc. r ...._ r t r.P. ,,, ijt I ., USC.— ' V. .'' CLIENT: REQUESTED BY: -_c'• ' lir TITLE: MET W(TH: TITLE NOTICE LEFT WITH: TITLE: 9. SPECIAL CONDrONS It r 'FEATHER;JOB SHUTDOWN;ADVICE IGNORED;SAFETY) THE / HAVE BEEN OBSERVED. SEE COMMENTS BELOW. COMMENTS AND OBSERVATIONS: & 46- l . . r r-- - .r_, ' Or . :. f • . - . .Z:/ •J)-44)41-4446 `� %% to r I I 11 1 ti iIiiiIIiiiIIIIIIIiii . IIiiiiM11111.111111111 ■.11M111111 iiii1111111111111111111111111111.1111111110111111111.11 11 -- -' CLIENT/REPRESENTATIVE•SIGNATUP AND PRINTED NAME ADDITIONAL SITE VISIT REQUIRED: �` .YES C:1 No 1-r,,"c�,'' ``,r . - ems„"..- ..'"'_- •- HOURS .FT11 ( HauR MIMMuM CHARGE) i GEOTECHNOLOGIES COPY 1 ;�` t Gootechnologies,ine. NOTICE OF FIELD OBSERVATION W: Consulting Geotechnical Engineers 439 Western Avenue ' Ifi Glendale, California 91201-2837 .- .2116'1 818.240.9600 • Fax 818.240.9675 FILE No: vs3w4 1 ,i,, DATE: 9/-2,-k lot TIME: 19,11, - 3e,A2,,, TECH: 6.4214 Nerr-L SITE ADDRESS: \25 Lk) , Vq/Y -11/\ OrA' /fra-ictifiCr , -4- / C CLIENT: ky-j',.. REQUESTED BY: 61-t a k, (-5YaNi TITLE: / ! MET WITH: -re-t--:4---- . --1,:.-- el'i4N 16tiov" TITLE • er-Ce" 4't.1"/ NOTICE LEFT WITH: TITLE: TITLE: SPECIAL CONDITIONS: (WEATHE ;JOB SHUTDOWN;ADVICE IGNORED; SAFETY) THE C-Clig-A.A. inqii).S. HAVE BEEN OBSERVED. SEE COMMENTS BELOW. COMMENTS AND OBSERVATIONS: .01 .1e,. 05. trel/ 4, cfoxive„ trd, (--,154,24 la& Aratr. 4 3 cq,c,o,,, Lioa ci-Dilki 04, 4-011 _irig,Ar. C04.0,7 I C AZ ir- 'wit) 'I' dif Ad it, -1 ld i . if 14 - Miff (7 .., i." 1 vA , Mi' tia., *el, -44 111 9 .i.far ..t L 'ar% c....".. • I ( 4,/, .A. ti\k 4- N. c9/501 , tz-Per 544,,e_ 1,./ kr, 4,/ ,, , .0,-4k, *,,, )"c/j ' Fri Ple, vfit— t40Ac, 4-- cAi5,504c, et eftA (9 mit 'raft) ti41,, ck 900ivtle 1 OrtitV4- Ctels ' 1 I I ' ‘ 7 1-1-211 0 . 1- t-k4"---144-144CT-1 ? 1°7) ; _1_10 il L 1 i... ....._...1 i --__ — 1.--,..,.. 1 ,! _ Jr_ ILITylp_,_...J.LS' 13 sli-i , brviro witi) 1 ._ 1 _ -7 1 7 -- i 1 1 In,d,' i o . •td4*.4, t., . 1" - le' 1010÷1-4- ffil4 1 i t lielo, ?al [ Cj, 011_111 ___,_ II I I I i I ; nill , al 1 ' "1al— 1 i tit —rI Ih , i I 1 i L___1_ _..... -27.LIENT/RRESENTATIVE SIGNATURE AND PRINTED NAME ADDITIONAL SITE VISIT REQUIRED: 11YES UNo 9 Hous (2-Hou R MINIMUM CHARGE) GEOTECHNOLOGIES COPY Gooteeknologiest Inc. NOTICE OF FIELD OBSERVATION Consulting Gebtechnical Engineers 439 Western Avenue 4,;L: Glendale, California 91201-2837 818.240.9600 • Fax 818.240.9675 FILE No: 2t16/-k. i 4' . 716 TECH: (14Ij/7i. DATE: :* TIME: �.'" t1 c SITE ADDRESS: 195 (UI, V1,M jitRc M/ `r d o/ C4 1 .max- - r- } ,. tJ CLIENT: 6,, ITLE:„, REQUESTED Br '- „. . , _ /. ,-- MET WITH: ' 7 driet✓1 JSKvy.TITLE NOTICE LEFT WITH: ( '4( (1t,714-..11-62:11 � 2- K'`"TITLE: SPECIAL CONDITIONS: (/'.4. /1/ SHUTDOWN;ADVICE IGNORED;SAFETY) THE a i JNt(( - tt HAVE BEEN OBSERVED. SEE COMMENTS BELOW. U COMMENTS AND OBSERVATIONS: ILI 4 L~ , 3;!0:'.'A,if •r.' e ':...i 41"1 I .- ' }} , , f I 1 L Lei hi.1 t 4 : ► ll4 ' '"- ft, /4 "�1/�� Irrr j 0, rte, r l Wt 7i ?it' A YC= . oft ,27 i _t -;4,044 ISC3, rig. cod 1 ro 010- eiCc ✓A lir\ c1 % '1 tllk Qty 1I TiJJ..II I I _ i IIV i 9 i i H._j, r , t 1 r.1 til&I'” ! f f,... j I I 11._ , k. 1 Iv _. Li itti ___11144—_,.*651 ' 'rat _rn I i. ii_r_i_I 1 4:1301t94 ° 1 1: . —I --1 —i- 1-- I+ t- v*‘.1, , C? — --t" 1 ,.....: qz_i-__.:2;) P ! 4.....tcozassict 4114....: ills.44.47--__4 i_ __E. H 1 1 Li 1 1 i ez 7 i , , f� .� I yin L� ( , i' I I ; I I ,'tom !„ ,— -- i L y; Jim/ ,`? l �t �ik I I_ I I 4_. 1 I__r-1_ 1 L ( 1 • I I_ J.LIENT/REPRESENTATIVE SIGNATURE AND PRINTED NAME ADDITIONAL SITE VISIT REQUIRED: ,YES Ci No 407 e"... • ''.--~:'.r--'..- .7 HOURS (2-HOUR MINIMUM CHARGE) GEOTEC'HNOLOGI5S COPY '715: Geolechnologies, Fe. NOTICE OF FIELD OBSERVATION Consulting Geotechnical Engineers 439 Western Avenue Glendale' California 91201-2837 . 818.240.9600 .2 Fax 818.240.9675 FILE NO: 241/611, tzti,,v DATE: 1/26iGit 7 — 3A7t, TIME: MIA, . - TECH: ed414,0/1,91 1/1.../ SITE ADDRESS: A. v 4 At II 1 k Or. ji,Alt ,; ...._ .4 d,:i ,,..,,,, , , „.„ CLIENT: _______ p _ 6riCIA A56117 REQUESTED BY: - -me -Ka, iiikie-- TITLE: i M4 ... 11111.1111leo 61- MET WITH: tion ,VIOWITAVir ITLE .. / i .. ,' AT-1. --f NOTICE LEFT WITH: -7- tivimitisitriTik ITLE: SPECIAL CONDITIONS: CIOCkl (WEATHER;Jo 0 I SHUTDOWN;ADVICE IGNORED;SAFETY) THE 6•4150/1 cir, k\s,fy) HAVE BEEN OBSERVED. SEE COMMENTS BELOW. COMMENTS AND OBSERVATIONS: 4 " *Ss. Affig Aig.'", 1. 444 'f Ate ' 1.0 / ' / A e4 Jr 14, CA'‘S5a4vc-7 titve-r dr491 Oc7 ,ii,owlei Wow-. Gtise445 f-LqAti p , e., .A 'i 1.. Air. 4 i Li '''''1:'iii.kr it1 I 1, *16. try lt. ' t A i , ro r , tip.''it'i. *6 441 d kt-: I ...".0. ,... * 4.1 Alt, ' - r ir' ft of? . t,,1' ,,ri....... fr I •' 1 A i 14 .' #'„, 'f'A , .. i .41. a. 9 f, fif,". EA Lit /... ."0, " -0-.1 r, ' a. 66A 17et.,1 eka , etliCeQie. (..6a5 ipotarsit /116 41.4 1-1u6. iii, tip 1 , ‘ , - r, cstiwk , -,4,0 P.- wrilf tsv;;. .A.A . 90 . ,..* . r—A_Li'ci . 111 , ' Il Iiiil—T- T riiiiTafti _.1. _........„,_ --ii1 i 1 1 ki_ ..1— i If ii il 11 ' rii _ .ir_ _ .. .,.., , - t - v..? -r-- , ' FT-101 i ig-rf7 v ' i elat9:11_ 1 I l'eztC:tit(11) 1 rn- : -----i---- , Ma" ' -1—;1----1---qt• 1 r--- ___ _____ ! , 1 _f_ALkTipe, i *isitfdiA ell , 1r 1„kir- 1 1 i 9 tri i e' -+-- , i - -i- ---4 iili , I , . ' — 11777 , _- ltl lil I l LA/VILA :-.), i 041- ..5g- '7... L_ I i .____. I I_ 1 I I l ,li,L,i_ 1 L j_ _, '-- LIENT/REPRESENTATIVE SIGNATURE AND PRINTED NAME ADDITIONAL SITE VISIT REQUIRED: DYES gNo HOURS (2-HOUR MINIMUM CHARGE) GEOTECHNOLOGIES COPY 700 South Flower Street,Suite 2100 Los Angeles,CA 90017 213.418.0201 kpff.com 1cI3ff FIELD REPORT PROJECT KPFF JOB# REPORT# FILE# DATE Package 4A—Linac Vault&Enclosure 1700713 04 1.14 11/26/19 CLIENT LOCATION ZGF 125 W. Huntington Drive Arcadia, CA 91006 CONTRACTOR OWNER ConAm Building Co. USC ATTENTION PREPARED BY Gonzalo De Vera Franklin Suarez I walked the project site on November 26, 2019 and observed the progress of construction to date: 1. Placement of the"GSB" blocks for the vault walls appeared to be complete. Dywidags were ready to be tensioned. 2. Installation of the "USB" blocks for the vault walls was in progress for the primary barrier adjacent to the existing building. 3. It was observed that the slab on grade& retaining wall had been poured. 4. It was observed that(2) HSS posts for the vault enclosure had been installed. COPIES SIGNED Shanna Whelan, Brett Meyer, Lorraine Franklin Suarez, P.E. Gemino, Brian Askov, Nick Nieves, Spiro KPFF Consulting Engineers Kremmidas Structural Field Report#4 Package 4A—Linac Vault& Enclosure KPFF Job#1701263 11/26/19 Page 2 ,. — NV:,,,,,Overall Construction Progress _ `` < ^''.. Y,y , .. a Ali, Q,,gg '1.r ' ., ;.a < '� § ,„.,4).• ,tet � '"'f+�"r*Ir' } "fr*,�. ' Installation of blocks for"USB"wall adjacent to + existing building in progress. ; ,,, g, • a,. C < ,r€r ,5.e"- if fi 4F p * '�� E+ l»�-sig i Y ? e��^_ � by �' y. e u' Assembled "GSB" blocks. '' r ^ u r 700 South Flower Street;Suite 2100 Los Angeles,CA 90017 213.418.0201 kpff.corn FIELD REPORT PROJECT KPFF JOB# REPORT# FILE# DATE Package 4A—Linac Vault&Enclosure 1700713 01 1.14 09/26/19 CLIENT LOCATION ZGF 125 W. Huntington Drive Arcadia,CA 91006 CONTRACTOR OWNER ConAm Building Co. USC ATTENTION PREPARED BY Gonzalo De Vera Franklin Suarez I walked the project on September 26,2019 with Maikol Del Carpio/KPFF and observed the progress of construction to date: 1. Installation of piles for the Linac was in progress. (6)of(12) piles had been already installed. 2. Vertical reinforcement for installed piles had staggered terminators as specified on the 1/55.01- 4A. 3. Rebar cages for the remaining piles had staggered terminators as specified on 1/S5.01-4A. 4. Observed the drilling of for installation of pile mark"P3" on grid 0 north of grid 7.6. COPIES SIGNED Shanna Whelan Franklin Suarez, P.E. • KPFF Consulting Engineers • J i Structural Field Report#3 Package 4A—Linac Vault & Enclosure KPFF Job#1701263 09/26/19 Page 2 a � 1 Pile with compressible material per 6/S5.01-4A. � � ��� ltt �, f '40' °AVi,,,4�tp `1 4 3 ` t"tverwriiii;''. fE�' ' 4E , iJ 3 h �g� `x4 '' * �{0" .s�F P�k���(� :p 'i � E+" ��"' jk 3�i��� '�`, � ks $W i k.1,,,,,,,;:::,,,,,,:,.. :,.„,,,,,,,..:,„,,,,,:.,,:,,,::,,,,,,,,,,,,,,,„::::it... .:::,...„6,..,..,.:,..-T,::.,,,,,,,i,,,:71.,:.;,,,,,:,,i..i.7.,i r °Vii..k tv,, # a ioi�, Pile reinforcement with terminators. - �., -''x ®+q 3p� } + 6c , £ , T !:,4,-; k • v i B 74. t� {.>w i-- • k• .,°.i.3 i.,.. i to r ii ,, a�* t of• ,#l,g "�,3 a Ci'�i ,i^,`w•! try z • bwt � �y Drilling for installation of pile. . `fit 4 1} ' ` . py A 700 South Flower Street,Suite 2100 Los Angeles,CA 90017 213.418.0201 kpff.com FIELD REPORT PROJECT KPFF JOB# REPORT# FILE# DATE Package 4A—Linac Vault&Enclosure 1700713 02 1.14 10/24/19 CLIENT LOCATION ZGF 125 W. Huntington Drive Arcadia,CA 91006 CONTRACTOR OWNER ConAm Building Co. USC ATTENTION PREPARED BY Gonzalo De Vera Franklin Suarez I walked the project on October 24,2019 and observed the progress of construction to date: 1. Installation of reinforcement for grade beams per 3/S5.01-4A was complete and installation of formwork was in progress. 2. It was observed that hairpins were used in lieu of full hoop for interior grade beam stirrups as noted on RFI 7 response. 3. It was observed that#7 bars were either hooked at grade beam ends or terminators per RFI 9 were used. 4. It was observed that(4)#10/11 bottom bars where replaced with two layers of(4)#7 bars per RFI 12 response. 5. Installation of reinforcement for grade beam extensions per 5/S5.01-4A and 10/S5.01-4A was complete. 6. Installation for reinforcement for slab on grade was in progress. 7. Installation of reinforcement for retaining wall has not yet started. 8. It was observed that base plates template and anchor bolts per 7/S5.01-4A for enclosure posts were installed. 9. It was observed that(2) Dywidags were in the process of being installed within pile reinforcement. COPIES SIGNED Shanna Whelan, Brett Meyer, Brian Askov Franklin Suarez, P.E. KPFF Consulting Engineers Structur #2 al Field Report lt & Enclosure Package 4A— Linac Vau KPFF Job#1701263 10/24/19 Page 2 n$ _#' d1 R.s �� ��"�d �}� s Overall construction progress. "'; ,-,..4--....i..:‘:,,,,,,,,......,...-., 4"` , ‘,40'1,,,,� x .,' t m 3' '4" t }..., t is �, •' Grade beam reinforcement at pile. �` t a Retaining wall reinforcement not yet installed. P° A ms `s , :.,...v,„„ . 1.4.1 P � z✓✓, f ysL �'. �� x 1 Er 700 South Flower Street,Suite 2100 Los Angeles,CA 90017 213.418.0201 kpff.com FIELD REPORT PROJECT KPFF JOB# REPORT# FILE# DATE Package 4A—Linac Vault&Enclosure 1700713 02 1.14 10/29/19 CLIENT LOCATION ZGF 125 W.Huntington Drive Arcadia, CA 91006 CONTRACTOR OWNER ConAm Building Co. USC ATTENTION PREPARED BY Gonzalo De Vera Franklin Suarez Allen Escobedo/KPFF walked the project site on October 29,2019 and observed the progress of construction to date: 1. Nelco in progress of reviewing the installation of uplift plates on nuts on dywidag bars. 2. GC to install form to hold concrete pour from retaining wall footing from impacting(E) below grade utilities. 3. Placement of#4 @ 12" U-bars for column concrete encasement per 6/55.02-4A not fully installed. 4. Construction appears to be in general conformance with the construction documents. COPIES SIGNED Shanna Whelan, Brett Meyer, Brian Askov Franklin Suarez, P.E. KPFF Consulting Engineers 0 , Structural Field Report#3 Package 4A— Linac Vault & Enclosure KPFF Job#1701263 10/29/19 Page 2 k f rd , ,;,.e.,.-.•%.,t �A�,"�S g Iii fie �� '�A`.lta»�, �C !x " r Installation of Dywidag Bars. ' , ffi . #4 U-Bars @ 12"OC for Column Concrete U Encasement not yet finished. �B ',6 ,tin M � E>= lib— � , '"' ;5,�' " ' fie° Y r _ t a "", , (E) Below Grade Utilities Adjacent to Retaining Wall '. & ` Footing. . 4„0',...!,,!,,:,:.;..,::.i,,,:,,,„,,t-,*,..,-.4.„,4.,i..,,±,:4 v%,,',;'.', ,,:.:.•,-.'-*6:-‘.r..,. . yb \ KPFF Consulting Engineers, Inc. 6080 Center Drive,Suite 700 • - Loe Angeles,CA 90040 SURVEY OF G f ./ CO r 2.-- (310)666-2800 , ✓� SURVEY SY �y 'p .�r . Fite Name �1 -, DATE 9/2715 W.O. 1 qt)c ( PG. ` ` TASK: 5- "- '. Srl f, 0.k . 7" j Contractors are cautioned to observe the following rule In using the grade stakes given by this office for putting in curbs,walls,sewers,gum other work. Three consecutive points that are shown to be on the same rate of slope must be used in common in order that any varietio perfect straight grade may be detected, and in case any such discrepancy Is found,the samemust be reported. Otherwise this office' responsible for any error in the grade of the finished work.The grades shown hereon take precedence over any grades marked in the field. fNST Ci 1 ELEV HI as 0-P.6 i TGT CHK TO STATION PT NO. ELEVATION . GRADE . CUT/FILL REMARKS N 14 1 4 4 0a r ', ., c,,1, ,.- "x .- f- ( 4 ondr " CP ,:k) t r N 1 a k H.1 q 'Via0 1A„ , y &ym "' ,,% �n d„lpg o i I `. : 1 pix Pje) 'lc : a , t)2, 6 I " ai "� , '401$ '' 1,4. . . eta i. .: ,t ' C,, ( e c i, . 4 ,(. ii if '. v C) . a `"i c),,,-1 " 1 " I y cif --,, 4, t _.,/' / / ,1 0 (0) t / t // E 0307120.BLVD ., I / \,_21,,,,..1,A.,B.VD / J1/< I • I I APPROXIMATE OUTLINES >\ • / • i / CONCRETE CAISSON // / / (TYP.) • Nig'' JF K�rrinc:oN CR //'/ 475.53 �47, 5_48 475.48 475.5 PROJECT SITE i / ,/ ,1 /'x f5 /. FS -A f5 /..s. f5 3 _ f/ SEE NOTE 2 BELOW . /.,/ / / / CAISSON REBAR (TYP.) 1 / CAGE (TYP.) i /'1 /1 ' / 475.55 475.51 SCALE: 1"=5' / ... / FS FS 4'�'� � COMMENTS i' ,� / '� -" SITE ADDRESS. . .. 125 W HUNTINGTON DR ARCADIA, CA 91007 } /! . I i (BUILDING A) '-_-. 1 l / / i 1 DATE OF SURVEY. . . OCTOBER 15,2019 / 1 / ISO CENTER JJ 1 /' / j e / / I 475.5,`:_ 125 W HUNTINGTON DR i/// ,.•• 475.52 /:'�5 NOTES ' ARCADIA, CA 91007 / / ( /1 1 /�'1�\ // / ��_/J 1 \i ) 1. LOCATION OF THE CAISSON IS APPROXIMATE. BUILDING A / / / 1 '''•-i-'' 2. GRADE SHOWN WAS TAKEN APPROXIMATELY AT ' THE CENTER OF THE CAISSON PER GRIDLINE '1 j MARKING IN FIELD AT TIME OF SURVEY. /' 1 3. PER KPFF STRUCTURAL(CAD)S2.00-4A LINAC / FOUNDATION PLAN,CAISSONS MEASURE 2.5•IN 1 //il/�' 1 DIAMETER 4. GRIDLINES SHOWN TAKEN FROM 475.48 475.53 ix i ,/ 475.53 x75.59 ARCHITECTURAL CAD"LINAC FLOOR PLAN (2)" /J/ / S /y g / PS i;4 (SENT 2019-09-11) /'/ ✓ '...-, �'L.i� �---, i CONAM USC ARCADIA: CAISSONS AS-BUILT Frro,E<Ie 140E709 BUILDING A 0290900799E4 1515 219 O PREPARED FOR: 1(13ff ,_ CRAM 6Y DB MR.GONZALO DE VERA 4146610r0 BY CJ 106 FLOWER ST.,Suite 2l00 CONAM BUILDING CO, In AngNes,CA 06013 41 403 CALLE AMANECECL SURE 210 O:21I.4 t6L2O1 = SAN CLEMENTE.CA 42573 F:713.166.5299 DYWIDAG SYSTEMS INTERNATIONAL DSI DYWIDAG-Systems International,USA r Post Tensioning/Reinforcing Unit • 2154 South Street Long Beach,CA 90805 Tel.:(562)531-6161 REPORT OF CALIBRATION Fax:(562)529=2225 www.dsiamerica.com Ram ID: A-135 Gauge: 6-20518 I Li Calibration Date: 8/14/2019 /'c - Dia . Gauge Press. Load (psi) (kips) Ram Model 04 Series 0 0 Capacity(Tons) 75 1500 30 Area(sq.in.) 20.54 3000 60 Stroke(in.) 2.00 4600 90 Load Cell Cal Trans#6904 6100 120 7700 150 • 160 - I 0 140 - !l 111 I I 120 - - 1 __ I 100 1 Cl) O. 80 , - 75 I I I I I . o I60 . I I . - . I I 40 - I - 1 . l I I 20 _ I . 771/ 0 Z 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 Gauge Pressure (psi) • DYWIDAG SYSTEMS INTERNATIONAL DSI - DYWIDAG-Systems International,USA Post Tensioning/Reinforcing Unit -` 2154 South Street ' • Long Beach,CA 90805 Tel.:(562)531-6161 'REPORT OF CALIBRATION Fax:(562)529-2225' www.dsiamerica.com Ram ID: RJ2006-5 1 -4, 3 P A Gauge: . 6-10482 Calibration Date: 8/13/2019 Gauge Press. Load (psi) (kips) Ram Model Simplex 0 0 Capacity(Tons) 246 1267 60 Area(sq. in.) 49.30 2500 120 Stroke(in.) 6.00 ' 3700 180 Load Cell Cal Trans#6910 4900 240 6500 320 -1 • 350 - 300 . � I — 250 I I . I _ N 200 J 150 • 1 I _I I 100 50 I I . I I 0 0 1000 2000 3000 4000 5000 6000 7000. Gauge Pressure (psi) DYWIDAG-SYSTEMS INTERNATIONAL ' DS! oa . . — SAFETY AND OPERATING Dywidag Systems INSTRUCTIONS INTERNATIONAL,U.S.A.,INC. Corporate Headquarters THREADBAR ® STRESSING 320 Marmon Drive Bolingbrook, IL60440-3078 Phone: (630) 739-1100 a `F Fax: (630) 972-9604 fi ' t`', `.:, EQUIPMENT DEPARTMENT 3 R �a afro x n 'S $# 'p y 3 ,. "' Fax: (630)739-5139 zi -� Post-Tensioning Systems a '. ' Special Construction Methods 5 � � • `• � �' �, a ,ter'� ,�� ,� �"@ � cw '� 4. Stressing operations must be under the direct control of 1 ,i s `• ,. : , a superintendent experienced in such operations. , x ,� .ckyr "4t k� , 5. Operators must wear proper personal protective • r I. equipment(hard hats, safety glasses and shoes, gloves f A t,v and long sleeves, etc.)while operating equipment. 'x ` 6. Stressing unit should be securely tethered to the > :y structure at all times. In the event a tendon breaks " during the stressing operation, the tether will prevent the x k * k unit from falling. 9, 1 g � 0� Operatingkeep g �� �� �r� � ��" �� � 7. O eratin personnel must feet from becoming " -1 , ,,:. ,z„ 2 �, ,01 ,�,„ ,,,, _ .; entangled in the hydraulic hoses while stressing. 8. No one should be allowed to stand behind, directly town VAJTCW.It Ai,VPI above,or below the jack when stressing operations are under way. 9. Never exceed the maximum allowable stressing Read all safety and operating instructions and warnings pressure. (Check Calibrations accompanying equipment) before starting any work or operation.NEVER stand or 10. Make certain jack is in the fully closed position when allow anyone to stand directly behind,above or below a moving from tendon to tendon. Do not activate pump jack when stressing operations are under way. while moving the jack. 1. EQUIPMENT COVERED HERE: 11. Do not attempt to service the equipment beyond that described in the operating instructions. All other A: Jack: 110 Mp Series 01,02,03 servicing should be referred to qualified DSI service 60 Mp Series 04,05 personnel. 25 Mp Series 01 B: Pump OTC PE554115 volt single phase, 30 amp. 3. OPERATING INSTRUCTIONS C: Hoses: 19,000 psi bursting pressure A. PREPARATION D:• Pressure Gauges: 10,000 psi. 100 psi gradations 1. Proper and complete connection of the hydraulic lines is vital to the safe operation of the equipment. Connect 2. SAFETY INSTRUCTIONS hydraulic hoses from pump stress port to jack stress port,from pump return port to jack return port and from 1. Observe all relevant OSHA standards e.g. use of the pump seating port to ram seating port. Fully engage protective clothing and devices, grounding of electrical all fittings hand tight. equipment, control of work area, etc. 2. All system components must be in good working WARNING condition prior to use. Inspect daily for signs of wear or Improper or incomplete coupling of hydraulic hoses may cause injury or death to personnel,or severe damage to equipment. damage. Do not use if grippers are worn excessively, hoses are cracked, pressure gauge is in operable, or 2. Visually inspect concrete around the anchor. It should other defects are observed. be free of voids. 3. After inspection, test run system (see Operating instructions)to insure all components are in proper ,._ working order. i. FOSTTENSIONING INSI 11141 E w ei GER.. . PIAt,, SAFETY AND OPERATING INSTRUCTIONS THREADBAR STRESSING 3. Be sure jack is equipped for the bar size to be stressed. 6. Engage pull rod coupler'/length on pull rod, using the Check the wrench sleeve for fit over the hex or anchor proper size alien wrench tighten set screw. nut. Be sure the pull rod, pull rod nut, and coupler are the correct size and in good condition. 7. Engage pull rod and couplet fully on to the bar. 4. Check that oil level in pump is adequate. WARNING: TO AVOID SERIOUS ACCIDENTS, PULL ROD COUPLER MUST BE FULLY ENGAGED. 5. Connect the hydraulic pump to 115V AC 60HZ 30amp 8. Place pump valve in Stress position, Pos A, close power source. Extension cords should be 3 wire, 12check valve on stressing line(if installed) gauge minimum with a maximum length of 50 ft. Further distances will damage the pump motor and will 9. Extend piston between '/"and W. interfere with stressing. 10. Place jack over bar, nut, pull rod coupler and pull rod. 6. Proper lifting equipment must be available prior to Jack wrench sleeve must slide over hex on anchor and commencing. bearing nose must be flat on bearing plate. 7. Lift equipment by lifting harness only. Never use 11. Install pull not until it contact the ball plate on rear of hydraulic lines for moving, carrying or adjusting of the jack. equipment. 12. Depress remote pendant switch on pump and stress B. BLEEDING THE JACK tendon to desired load. Never exceed the following (See Stressing for operation of Jack) pressures(P). 1. Tilt jack so rear fitting is higher than front (approximately 30 degrees)and facing up. Jack Bar P SSI) Ske Size Grade 2. Advance ram until piston is fully extended. When piston is (Tons) (Inches) 150 160 fully extended,the gauge pressure will rise sharply. 25 5/8 4,50C — (DO NOT EXCEED 500PSI) 60 1 5,000 5,400 - 3. Tilt jack front fitting higher than rear and facing up. 60 11/4 400 110 11/4 4,7400 100 4,400 Return the piston fully. (DO NOT EXCEED 500PSI) 110 13/8 5,200 5,600 4. Repeat the cylce 2 or 3 times to remove air from the system. 13. Measure total bar elongation between bearing plate and any fixed reference point on bar before and after C.STRESSING stressing. 1. Put pump motor switch in"Remote" position. 14. Using ratchet handle to tighten nut to plate. DO NOT 2. Place pump valve handle in return position, Pos B. use"cheater" bar. CAUTION: Tightening of anchor nut 3. Depress pendant switch and return piston fully. with ratchet should be performed while ram is in motion. 4. Hand tighten anchor nut on bar until plate is contacted. 15. Switch valve to Pos B. and slowly open the check valve. Failure to do so can damage the internal components of Once the pressure on the gauge is zero, activate the the jack. pump retracting the ram. WARNING: NEVER EXCEED 500PSI IN RETRACT. 5. Be sure bar extension beyond anchor nut is at least'/ coupler length plus 1 inch. MOTOR SWITCH .p RATCHET HANDLE 01 . GAUGE ��\ PRESSURE STRESS �� / ) -�• 1� dRETURN 14 lii VALVE I r1 VALVE HANDLE RETURN 1111 \ \—sTREss •,.._.) 0 PENDANT SWITCH DYWIDAG SYSTEMS INTERNATIONAL, U.S.A., INC. FORM 11-3-S2 REV 4/2000 DYWIDAG POST-TENSIONING SYSTEM USING BARS DYWIDAG BARS The strength of the DYWIDAG Placing DYWIDAG THREADBAR® The components of the DYWIDAG anchorages and couplers exceeds anchorages is simplified by the use of Bar System are manufactured in the requirements of ACI 318 and the reusable plastic pocket formers. Used the United States exclusively by PTI Acceptance Standards for Post- at each stressing end,the truncated, DYWIDAG-Systems International. Used Tensioning Systems. cone-shaped pocket former can extend worldwide since 1965,the system through, or butt up against the form provides a:simple, rugged method of Bars may also be galvanized, but will _ bulkhead. efficiently applying prestress force to a lose about 5% of their strength. Epoxy wide variety of structural applications coating is the preferred method. Threadbars are available in mill lengths including post-tensioned concrete,as to 60' (18.3 m),and may be cut to well as rock and soil anchor systems. Test reports are available for the specified lengths before shipment to principal components of the system. the job site.Where circumstances Available in 1" (26.5 mm), warrant,the threadbars may be 1 1/4"(32 mm)and 1 3/8" (36 mm) Conforming to the requirements of shipped to the job site in mill lengths THREADBARS®are hot rolled and ASTM A615,the deformations develop for field cutting with a portable friction proof stressed alloy steel conforming to an effectivebond with cement or resin saw or coupled to extend a previously ASTM A722 CAN/CSA(G279-M1982). grout.The continuous thread simpli- stressed bar.Cold threaded 1 3/4" The 1 3/4"(46 mm)and 2 1/2" (65 mm) fies stressing. Lift-off readings may (46 mm)and 2 1/2" (65 mm)diameter nominal diameter bar is cold drawn be taken at any time prior to grouting are available in lengths up to 45 feet. quenched and tempered alloy steel and the prestress force increased or which after threading also conforms decreased as required without causing to the strength properties specified in any damage. A722. The DYWIDAG Bar.System is prima- The DYWIDAG THREADBAR®pre- rily used for grouted construction. In stressing steel has a continuous rolled- addition they are sometimes used as in pattern of thread-like deformations external tendons with various types of along its entire length. More durable corrosion protection. than machined threads,the deforma- tions allow anchorages and couplers to All system components are designed thread onto the THREADBAR®at any to be fully integrated for quick and sim- point.The 1 3/4"(46mm)and 2 1/2" ple field assembly. Duct,ducttransi- (65mm)bar can be cold threaded for its tions,grout sleeves and grout tubes all entire length or if enhanced bond is not feature thread type connections. required the bars can be supplied with threaded ends only. Tendon duct can be metal or plas- tic. Galvanized or epoxy coated accessories that thread over the coated bar are available. � x g 3�` Ott a ' $ tg, • l� �"a r"r i 4 �'i,t ih $ a�yf • ,qs 2 - i v r Y� ti ! k �- gi., ",» $ _ ag 1 g' s 7 " m ,o+�� 3 ham"� �? s,, Ars .!�� , 4.11 THREADBAR® 2q3 22 subject to modification,April 2006 Prestressing Bar Properties Nominal Ultimate Cross Section Ultimate Prestressing Force Weight Minimum* Maximum ' ` , , Bar Stress Area Strength Elastic Bending Bar ,.._._/1 Diameter fp„ Aps fp„Aps (kips)(kN) (lbs,/ft.) Radius Diameter (in.)(mm) (ksi)(Mpa) (in 2)(mm2) (kips)(kN). 0.8 fpc Aps 0.7 fp„Aps • 0.6 fp,,Aps (kg/m) (ft.)(m) (in)(mm)• `i m 150 :0;85:: :127.5 ;102.0' 89.3 76.5 3.01 ''...,,52: .1.20- 26 mm : -`d1,030`[.4` 548 ,, 567 ,454 -397 340:,' '4.48 • , 5,9: 30.5 1114 in. 150 1.25 187.5 150.0 131.3 112.5 4.39 64 1.46 32 mm 1,030 806 834 662 584 500 6.54 19.5 37.1 13/8-in- : 150 1,58,' -- 37.0:'` ',` . .189.6 165.9 142.2 4 '5.56 • ` 72 • •1-.63. 36 mm - , 1;030- ' 1,018= . 1055 ,`. '839 `.., , 738 633 °- 8;28 .22.0 . 41.4 13/4 in. 150 2.62 400 320 280 240 9.22 92 2.00 46 mm 1,030 1,690 1,779 1,423 1,245 1,068 13.72 28.0 51.0 2112 in .1501,!'. 5.16 774 624 : ,` 546 . `4,618 `. 18.2 - 2.79 66 rnm ., 1;030 3 331,, 3,442 =-. 2,753 2,409 - 2;065 27.1 , 70.9- * Prebent bars are required for radii less than the minimum elastic radius *" Grade 160 bar may,be,available on special request Steel Stress Levels DYWIDAG bars may be stressed maximum final effective(working) analysis of the structural system, to the allowable limits of ACI 318.The prestress level. 0.60 fp„may be used as an maximum jacking stress(temporary) approximation of the effective(working) shall not exceed 0.80 fpu„and the Prestress losses due to shrink- prestress level. transfer stress(lockoff)shall not age,elastic shortening and creep of exceed 0.70 fp,,. concrete, as well as steel relaxation Actual long term loss calculations and friction must be considered, require structural design information ACI 318 does not stipulate the not normally present on contract docu- magnitude of prestress losses or the The final effective(working) prestress ments. level depends on the specific appli- cation. In the absence of a detailed Some important notes concerning the safe handling of high strength steel for prestressed concrete: 1. Do not damage surface of bar. 2. Do not weld or burn so that sparks or hot slag will touch any portion of bar which will be under stress. 3. Do not use any part of bar as a ground connection for welding. 4. Do not use bar that has been kinked or contains a sharp bend. Disregard of these instructions may cause failure of material during stressing. �x , , .j l£' N1 , , -.", ' ,tillItioll yi:;',;i.,;&",,..t,,,:-"r''',.°14:',4:::41/ir?,'''''''..,::'. ',4:-•-?,';:::::- 4,61t;,,, , , ,,,0- 010-,t1t! '-' 4, ' °°:" .: mss. ,. 0i t h .,, ; Cold Threaded bar ' iq, ui.. iE;Mit Ore- subject to modification,April 2006 23 THREADBAR® Accessory Dimensions Anchorage Details Bar Diameter 1 26;mm. : 1-1/4-t` :<32 nim 1-3/8 . ,36-mm 1-3/4 46 mm " --� AnchorPlateSize' 5x5x11/4 127x140 x32 6x7x11/2 152x178x38 7x71/2x.13/4 178x191x44 9x9x2 230x230x57 "Anchor PlateSize` ,- 4x 61/2x11/4_:102x165x32 5x8x11/2 127x203x.38..5x91/2x13/4 127x241 x44 ' - - Nut Extension a 1-7/8. 48 21/2 64 23/4 70 27/6 74 Min Bar Protrusion: B .- '3 :',76'y 31/2'= 89 "' 4 ` 102` 35/a . 92 *other plate sizes available on special order. To accommodate stressing Coupler Details Length C �.. ° - . ''For plain bars 61/4 159 6/4 171 83/4 219 63/4 171 ;."For epoxy coated bars ,,73/4 ,-197p7 • 81/4*,= 210 101/8';, 267 83/4 222 Diameter d 2 51 23/8 60 23/4 •67 31/8 79 Duct Details(galvanized steel) Bar Duct 0D 1719 ` 47 2 51 '• 21/8 '. 55 23/4 ' 70 Bar Duct I.D. 15/8 43 17/8 48 2 51 25/8 67 Coupler Diuct O D• -'--;';,`„,-,,;'..'.'04.,:-,,T-,:-:•-.' 70 3 - 76 31/2 "87 4 101 Coupler Duct LD. 2518 67 27/8. 72 31/4 83 33/4 95 Duct Details(plastic duct) :Bar duct`OD ,> .., 27/e 73 27/9_ 73 , ,„27/B 73 .:27/8_ 73 Bar duct ID 29/32 63 29/32 63 29/3263 29/32 63 Coupler duct OD 27/8 ':73 :39/48 9'0.6..` - • 37/8- 98.4 417/32 115 Coupler duct ID 29/32 63 3 76 31/4 82.5 315/16 100 Pocket Former Details Depth r..... S,„;:,,,',. .71/6 . -. 178 - 8- 203 85/8 ;219 N/A N/A, .. Maximum Diameter 51/8 130 61/2 165 61/2 165 N/A N/A l Plate Anchorage ,. .. . b a Coupler Pocket Former Detail ----f- Plug Bulkhead 1r ,` .. / ,,,,.Grout Tube �. s, t ..__:*__ Pocket Former Coupler Duct Coupler 111 `w/gasket(reusable '3'4'44 `' 1 .t Nisi i , h ,t' ,. Plate =Grout Sleeve °$ -, "Connector j Plastic Nut :--Bearing Plate (reusable) Stressing End 24 subject to modification,April 2006 Modulus of Elasticity Stress-strain characteristics The modulus of elasticity„E" is an A typical stress-strain curve for a intrinsic property of steel whose stretched and stress relieved bar is 2-1/2" 66 mmmagnitude remains basically con- substantially different from a typi- 12 x 14 x 21/2 305 x x 63.5 stant and is little affected by nor- cal curve produced for a cold drawn, mal variations in mill processes. cold threaded bar.Samples of each 5' 127 For Threadbars this value has been are illustrated below.The most notable 53/5 ' - 135.5 determined to be 29,700 ksi (205 MPa). feature is the lack of a definite yield point characteristic of cold drawn bars. Relaxation Fatigue strength:._____ 103/4 273 Relaxation is defined as the loss of 1 3 prestress load in a post-tensioningUnder normal circumstances fatigue f0/4 °;273 9 41/2 114 steel'subjected to a specified initial is not a primary design consideration stress while maintaining the length and for prestressing steels. However,all . 3 ys/s. -. a6: the temperature constant. Relaxation DYWIDAG bars and accessories have 3 9/32 83 tests are usually conducted at an ini- been tested and proven to exceed the tial load equal to 70% of the strand's fatigue requirements specified by the 5=,,7/ ,. 138 , , actual ultimate strength(see char`. Post-Tensioning Institute. 51/4 134 below).The tension loss after 1,000 hrs for a THREADBAR®initially stressed to Temperature characteristics 3,/e ' 98.4,, , 70% of guaranteed ultimate strength -.. 31/4 82.5 can be assumed between 1-.5 and Tests have demonstrated that no ., .,: , , ._...r,, „..7-2 2%.Tests indicate that the relaxation significant loss of strength occurs 5 127 losses in cold drawn,cold threaded when bars are subjected to elevated bars are significantly higher. temperatures up to 1,100 degrees F -N/A ,N/A (593° C).Only the yield strength is N/A N/A reduced when temperatures exceed approximately 750 degrees F(399°C). Relaxation foi Wiwi %ordain Bar ductility is not significantly affected by temperatures down to-60 degrees I -ry . ,. _ �x F(-51°C). } -” ter,. Susceptibility to stress t•9�s �-. :F' w"" corrosion cracking and hydrogen �a C ,�i_ g 1 embrittlement . ki � -� - �rfYk: y' _ m , All prestressing steel is susceptible to j I#t, K 41, 4ttzsmen=unz. =ill 4 stress corrosion cracking and hydrogen I , """"" 'j - embrittlement in aggressive environ- a r£`.i:8 k ments and therefore must be properly ls t � , hiXir4 01 6.1 t• f,1 IN WI VO protected. However, accelerated tests have demonstrated that while A 416 strand failed after 5 to 7 hours, bars Stress-strain characteristics still held their load when testing was discontinued at 200 hours. cr, a � � r Bond € _ The deformations on the DYWIDAG 11 � ki �t. THREADBAR®exceed the deformation requirements of A 615. Consequently 1 t.:164; 7 TIbond strength is at least equivalent to ° A t, D .' � A 615 reinforcing bars. ease'' 14-41 '9 eta-z _" ' lsif tn5 t t Shear • ; � ' High strength bars are not usually '. used to resist transverse shear loads. , - However,their untensioned shear as_ 1 -- strength is similar to that of any other N mini fin otr t et steel. fy 0 butt 52ctc s1:/s 04.4t MEti)312a u.g at al1l t t= \,3 WO IBJ tiA t subject to modification,April 2006 25 Stressing , DYWIDAG Threadbars are stressed ) using compact lightweight hydrau- lic jacks. In most cases handled by one man,the jack fits over a pull �, ,. rod designed to thread over the k ',A•x 41"' THREADBAR®protruding from the ' ' ' - anchor nut.The jack nose contains i € ._ a socket wrench and ratchet device .,.-1.1'_ � i F� {F"„ which allow the nut to be tightened as „;:41.0.4,;-'1,-,1 .;, ayk l the THREADBAR®elongates. 13/4"and ' ''. �' �e° E�, Vii' 21/2"bars utilize specially equipped Afr center-hole stressing jacks. , n 4 The magnitude of the;prestressing * ,w *` , 0 force applied is monitored by read- 4, �0 ing the hydraulic gauge pressure ` iG . is. and by measuring the THREADBAR® elongation.The elongation can be measured directly by noting the change in threadbar protusion. ,. Jack Capacity ` Kips`: = 67 'i.:.160 220-: .330 ' 630* kN 267 x,712 . .979. 1;500 ..2,800 Bar Size in 5/8 1, 1.1/4 11/4, 13/8 13/4 21/2 a mm 15 26,32 32,36 46 66 a** In 73/41/2 11 N/A 1N/A� mni, 197 216 279 :,^^ 6 7 b in 31/4 4 6 ____, -Y.. • mm 83 102 152 145 180 i b Alun.c , in, ..__ . ` . mm, . 610 :'660' .. .' 762._;. 00 1,070 d c Weight lbs 50 80 110 334' 500 Kg 23 36 50 152 227 d= Total tendon elongation This system should have a mechanical means of lifting and moving. " Special nose extensions for deep stressing pockets are available on request. NOTE:Detailed operating,and safety instructions are provided with all stressing and grouting units. Read and understand these instructions before operating equipment. Grouting Grouting completes the installation process for post-tensioned concrete construction.The grout is important in protecting the steel from corrosion and ', .� contributes significantly to the ultimate , F , I strength of the structure. , After mixing,the grout is injected into , DS .3; a low point vent until consistent mate- i— rial is exhausted at the terminating or anchorage vent.An admixture may �, , •l ..... rii el i be used to control expansion and I pumpability. 1 `. , i , N ,, �` fi.� s CG 500 26 subject to modification,Apnl2006 DYWi • DAG THR.-7.--m-- - -•-1 i—Cr-4 t';''';'• ; — ''-i.11'• EADBAR® Details & Applications :: .,,,____, ,,,,, .., _ i 'Sw r+ " ��4 r a r9 txs' • ,,a �. � �; ° 3 , �- �i ate, Temporary Thre,:-" ,m,,,,,,,7-4.17'M for Precast 1;::':::':::..:1-1'''::: :::: .ti: e ; '. ^gym- Segmental Construction 'r � ;�'� is � yy.4 w � pY y,' ,�. x. f � - �;' :°Svi,4,V. ';k d f w s'', F:1�' p y,� Cc r} � v ,st. �Y ,..;_if)...;','q .' 'fi �`. "�'y`��"**� a° � „.1,,,,_._..e.=� v .i''''',....- a< �mA`'eE � vow,. '. A .. .�;°rn. .' --:,-;01, "dam a,, 'a ek's ' £ ° � i,.. n .a ` ,., x £ �` a i em- w dw f t ;� „=,.=,=,-,::,Ji,,15:,, ,'"::`,!: ;',.ii,,,k, } E *kms : 3. ',.t:,...:.-1.„.1=-=',,,,,,.7-2',.-.; S' , acs a q i'l r G k �,� ° 2 4 .a�.-. s x.,. y'ea w:7;793 r� A � ,+ .f" `'''°•i. „ s y y� THREADBAR®Stressing Operation • 5 ��-� Mopac Freeway/US 183 Interchange Austin, TX. � � _ � �� A t ° �° • t e� �. asi=-,=.1„ t .....�.! 'Tia. _-t..,.,,, ...,:,.„,...,..., 17,,,,,.., „ ,.. .....,i,,,,,,,7...i„..,:c7:::::„..,,; ....;.,1..,:.;,:,,,,,,.;...s,:„....:.;.,,,,.,..,„.,,i,,,,, ,',..,,,a-7 $.. 3 's w� ... E'�- j <y P#i£ '' apt:.P d "i a r ;',, .y7 ,.. �'`'`++, "^ v 4 1p} Vin, �$, p - � ” , 4 SFr»� ::°a" ; ° ' r, �� ro : a i r ° '`. ^a' � ' . -- , 0 l r ., t,)1 aaG .x ., ..,:kt,z, ,:,..:,:::,•-,. .,,,,,,,,a07,:,.:7,A.,„,"1,75, ,,,I.,..t,411,1*.,,,No„,,,,, Typical THREADBAR®Tendon 1nStallation, £ P , £ . s � ' Aeration/Equalization Basin McIntosh,AL K� " r '" } £ F 3£ Seed, o Bridge Repair THREADBAR®S#ays Route 580 .gct —:"4:::,-1:411M.,13.2--;;:::',411‘674- - ,:i �' Altamont Pass, California � ' +: ```^ x q4 subject to modification,April 2006 27 DYWIDAG-SYSTEMS INTERNATIONAL DSI Failure to properly follow this assembly procedure may result in reduced load carrying capacity of the splice causing serious injury or death. PROCEDURE LENGTH SET SCREW 1) Make sure bar ends are cut square. IF PROVIDED 2) If the coupler comes with set screws, make sure that they are EQUAL EQUAL (2 PLACESI elevated and will not interfere with the bar installation. LOCK NUT IF PROVIDED�' MATING BARS 3) Measure the overall length of the coupler. (2 PLACES) r /r//�/f� ; 4) Divide the coupler length bytwo and mark off this distance on �/I �I I r� r�► !to P 9t ,�'�l p �� • � each of the bar ends. ` -� 5) Thread lock nuts (if required) onto bar ENGAGEMENT - ENGAGEt�IdT MARC COUPLER MARK 7) Torque bar ends together, *tighten set screws or tighten lock nuts as appropriate. 8) Movement or rotation of the bar after coupler is engaged is not allowed. Typical Splicing Detail EXAMPLE Assembly procedure DYWIDAG THREADBAR®splice If the coupler is 6 inches long, each bar must be engaged 3 inches. * NOTE: SET SCREWS MUST BE POSITIONED SO THEY TIGHTEN AGAINST THE FLAT SIDE OF THE BARS.TO ACCOMPLISH THIS, THE BARS MAY BE ROTATED UP TO 1/a TURN AS LONG AS NEITHER ENGAGEMENT MARK EXTENDS MORE THAN 1/2" BEYOND THE END OF THE COUPLER. ( ter. � . ••••••••••• ••• • -•-• •• •••• . •-......::• :.•.•-•.•••••::':.;,:::::,.:',•••.;;•,.;•;•. •. ,.::-•••••',.:1;.;....;.;.,,..:;',,,,...„,..•:, :• : ::. :.,•: '•:•i J•i::.: ii•;.::.-•:••••jiilNi,jjl :,.....••:• ;;•••••••:.,•;..,... :::-.:.......•.................................. 0- ty.4.46iiii4Iligoitt•lglin.fi44:0-44,0•411,1511iiiiiiik)01:10:.'Q. ,•• ''' H'.i•iof•i',.';':':,:'pqrmiriavolzllhgf2::slnthtiiiIttaN;TfmivjiAegfgRtylgntailigttq'o4-c51-'il:Rgmiz_f:fhioyt:*i::-:ihoiard'gr•w.................... : ,,:',:oiP.PN:;.iqifltillgq,'-ttbrglp3otfilmri1-i.gi_oivotva-.VJ:4!of-',:l!J1,i-sy,I_ygjitgrvift:,iir.-aslii..iloISATt.EZ;lafsroi:ItttrarkvimwizinPo.4d4',,A:.n-::;. ; '.',I :--,--elli‘.4•41:aliflifit-iiiiii'i.:i.-gf,S-Kii-Oilailbaltikiligi:a,I.';:tra,Thgli•A411,,,..,•-q1:fildg?.'., ..,- ,F4:-:,.10...T.f'.!--,-c.q•iq.-..•:-,..: .•..,.-7.:..........-:... . ....... . .:.::;,::!...........,. ....„,., . ‘ , : . • ...'• ...!:,.:•:::: ::::•• -H: ,.....:i::.::-H::.•:::,.:.'.::::.:.::::••••:.;:•—•:::::::',. i.1.•::::.:-::::....•••••: „. ...--: -• • ••••••-•••••:::-iH:: -.... : ••:-.*::.••• :::: :::::i).4.e..:•::H: :.: • "...-:. ".::.3:::::• .• •.: ••••.-...:.. ••••••• •H." "".:••••••:::-:.•••••."••••• :- ••::.::. :- :•••'"'."-.:'''..: • ........•.: ••-••••••••••-::i::•.•::.-:".•;•:::.•:-. ..ii;;•;•.••:.; ..;;;;:::.'. -: ••••••".: ••,: : . • .-".".". .3..:;•••••-:•, ..."•-•••••.„:„. ..:::*.F.Ei.1."...i.::. ::"...,•:....::::::•••••::-:::::::-.::E: ';::•••::•••••:.- ..... •:::•,.::::. •:•:. ::: •••.:.I............ ---•- - . .....:: ....:::..........• ••::.:;:i...---..t.k.:.;:::: : : : ::. : -:"' •:::ii. •.::. -:;.•••:.••••:. . :1.1............."•::.:"...i.,..1-:::..:..;.........;::":.••••••.••••:::.:....... : •::::::. ::••••••••••••:".•:;:-.-..:„,:. ••••:::•••::::..F..:.....:. •::,::-.:..3. .....::;,:-:-..:-.:-.,;,::.'.::.•........7...:....r. .::,•:. . . . -. : ..' '..'. ....'......... --":- ;.•' ,"-- ' --....::.:::-- : -.':'..:::::. .....1:: CITY OF:ARCADIA! ••••••••••••:::;::.• ........, ,:..-:::-...;.:•;:.::••••:;..:::::.::............ • .-...' :• • . : .. •-• •:::.:....::: -:•::: ...-,- .-.N. .....:::::.........i.:•.-,•. .:...........::- • ••••••..... . • :•.• ' '':::'"'..:':.:•:': :•'"'... l'stit'fr, .:•....:'...'....•: ••••••••..• •• ACCEPTANCE FORM •••••••:..:.....-..-.....'". ..:::....::• .:::.:::::.:•.: .:•:: ::1:: :.::• •: - ::::„.. ,....- -- :. : ..•.:..:••••-: -:.: `\\ P/ ::: --::.:.•:: •••:-• ••••.•-:-.••... Development Services ..............:,.,.......,....:... ......::. . ,.,: ,....;........ .... .... . . . - • - '''''.::- :-: \\"./, •-• - • - - ......... .... ... Community Development Diviiton-Olenning. Services :.::,.. ..: •..i.i.-:••••••-........,....•:.....::.,....i.,.: • . • .. .: ' •• ..•......-: ••• •••- ••••--- .......'•;--:::.:::• --....''' '' 240 Witt Huntington Drive •- •:.•••-- . • •:•••••-:.:,.:.'. -••- :: ::..: ::-..• : ::- ...- -•- ' .....: •. .::: :::. - :: - - ...•-• •• - --.' - • •- ::::'..........• .:::.:::::::..•.:: ..::::•:::::•:-.:::.- •:. ....-: i:" ' . •-•;:i...*::: • :'•1:'s -.......: r.k.vi.A: ::. " " .:.:... ' ......-Artidik:dAbl007:•:F....-• .2..••••. ••••••••..:::::-::...':.•-•-::.:.::-:::::.:•:::::.,..: :...: ::•• ... :.i: i. :: ';:. • ',••'::..".' ••••:-..i i.:ARAulti•:-•••:-.•-•H •-...•-••..;.. ." . . - ::::..;..:...•;......:::: .-.• ••••••.;.it....•.::::::::•,...:•,..yL:,...•... .:..H......i...,..•ii.:,...,.y.....:.,-.. ....,•::..H.:.•::.:::...::........... •......... • ' ::1 . :'-:. .-:"..''' :-•:-' :: ::.......•................::.::.••••.•.........-.1•:..:. .•••••••••••..•.••••... '•••••• • ,......7 --":-.•..: -...-•., • I -.' -.-... --. - -- '.. ..... :.. ...........:••••:•:-.'• -': . 1. - .. .... .... ..-.:iii ••:.•••••::--: ...- -'.• •-• :••••• ': APPLICATION.....r....y.......- .-..•„„•:• Architectural.y. .Lm NL,,,,,,.„A.,zttiti „,. ;._.,,,, ,,. .r..r..,.,,............. .... :. . ... ••• :::'••••• ..:.:.:.:.,..:.:-:::.,'..,.,',.....:.•-•• • •• SUBJECT : .. • - .. . •.• : :::i.....”:.: "...............-„F.,:,.:.•-• ••••-....„ ,:::••,. ::,, : .::.„:..• . . . :: - --:.:-.••.."•-•:*:•••; T PROPERTY:::....:..::,•Jamt.f.1)::: -.:.:prIjo......,y!,..,4•,.....!......;7„,.....„..,...,,,,..7,,,„........!r„,.,„__ ___.. • :.:-.'...•::::....1.:- :::: .. '...•:::.:::::.::.:.....::......::- :::.::::.:::::.::.:•••••:••". ...; ::•'....-:•••••••:: '::.:.:::::;•:•!....',.:.:.,....I 3:.i:',:•„:".•,::::.-:::-..:*-:.•:::;:::."::.......: .. ..:•••.:.:.:::;..•.:,:::..: .:.:„..::: ::: . „. :• ..-..."::::::•:•"::":'-'• -........... :;•:.":.....:1".3:a iiii.W 4:.:.are:.:::thajigppIlea rit(a),::.and;i••#.noi..::"....o wn...e..r(s),-:::or.::••th: a'.daly::::;:0M40.6titli "•... .----• ..::.'•..'-:: .::-:-..;...re:..nreia. respectively,:ittliOya(0).:36f,•:the:o-#.""nt11(,):.;•' . . . ,.'nf !".!..:i.:Irsolf.,010...t..4.....,.!..o.....!..1:...,!!...pe..r!y............ !. •is :..•.....„....,. ,.......„:........ . . : ' :. .•:::i...; :::.::•:the alibied of theithatia-applicatiati(a) ::--- ....... -::::::.....:. .....:..........:::::.:H:::.::::•::.:::::::.:::-. • ...:...: .. ,. .::. ..... ..,.. . : . • .• - - -- : .. . _ .....•- •:: . -....... . .....:.:.....1:: •. -•-•• • .... ::::-. .....-. - - :::.....• :.••:•••• ••-: .::..: :•:. :::.: ::.: . •••:i•::•..:.::::::::.........,:..liaqe•:;,...rwaviiare: understand,:::,..., •:• . ::• • .- .;:. • • .... ..of the,:::•....„........ . „ ..•. ..... ... -....:.. ..' . .':: .. ...... ':•:a ::::•'::-- of,.: ..ii -and'at•Capti:0113.Aha"provitiOnsand..00nditiona:•.::.:..• •••: ::. .: : :.; :•,:. ..„:•:.:.„„.... : • • .,, • ...„„ .::: ::::: d: real.. ::::::propertyiFithat,":1s.""ithei....subjec .;a1::::tna.::annve Imposed upon an - . . ......--Hance-3.Witlf•-•said;. :-. :.::. --:••••..'::::;:,:.:•••'•:apalloationts),. •and::also understand that.,:nonc:ornn . provisions and :.:.3:-.: •••••••••i : . • 3.;:'• 3.....•2• .•conditions-;shall:constitute.:4talindafor,the::imtnediate:anspension„or:Tevocationint..anY: 1.:::::::' ......' : ..... 1. • - .. ,.:.., ..•,.: : : , ....•... ............. ....:•::•,:::::::..:.:..:... - : ......:::........ ....... :••••ariptaiiiiagrantedihrough:taidiapp.licallaa(s.j.,, ::.: ......: ... -• ....:..::::„::::::...:.2,, :::::::,:i,...:... .....; :„:. :.:. ::::: : :. ... . :.::.,•.:.::;i'.-i...: .. ::.::...:.:.:.....::...-...":.:.-.:"..............., -... ... •••• • •.: ...,:::::::::.......:........- •-•""• • • . , .. :.........: .,... :. • • . ;..• i.:::.... ...'.......:'::.:::.'1. '''''..-. ...lilAin.natt -and..dariara-::::Ondai::neild .alty3" :"aiiiiiir.V3thai.#i:e:Ilareaningi'..............................:....„ :: ; : .• .•:.• •:. -•... :........• ••...... •• ..:.......: - • •.:::::... . .... ::.:.:::.. : ....... ........ .........•......::..... .. . . • :.: •• • ::.:.•F...,.... .. :.co ........•,;• -....-.:-•••• .. . .............:. . . ...........,.s..•:: .....,....,...;...:..:,.... . . -- ••• -- - • •:• :::22::••• :'::•*.•;::'':.:..:::....:'.2;:::•::••••••:.-... . ....-•••• ...• • el-.....•.. .:.. . ......•.:..:... ... : :.•::;.;.......••:•••,...:. : ...... •:;•• ........;.;........::::::..: ;: :::::::•••••••:.; :...•; • - -:. . . ....... :::I.:.'.'..............ps-660, -.,::-::.:::::::,:•:,........ ... ....,•:•:....,::::::.•••• • ...,... .: :...........,.:.. ...„,t6:::24•:„..•••••:::: :.. .... ....:: :...:::::,::-.:.....:.:...... ,../.:::• :: ..::..::•:: ..•..: ;. • •. .:.... 1,4-4 . ......-::.:.-::.::.. —.=..=7.::::.:...:::- : ::::.•:: ..i...Dge ....;;::.:::.•:-:.•;::- ;.•:•-::;.;;;;-.i. ,..:s•.- ........--: . . , ::: ;:............ : . .•••••••••:::::.;0040000.1.._:-47:19-RE,•, ..:.:: :..::::............. ..„... . • :::.:.... ... ....„ ......:::...... .... ...... ::.:......... .. :...... i... ... • ...: : . 3....:•3-- ." " .....I 3..":-.:*:.:.::::••••••.."....'."...'3-......"..--:"H..":"'•-.3.":::::::....- •••••:::.::::::.....-E.:::.........".:• ...........-..:.*:F.-3:-3-....:::::.:::::::::::....::...::.:....:..,.......„:„..„:„,„::::.......:::::.::„, „..: :„ .:: : ,, . ;• .'•-.::;.,3•:,:::....................lolh,',.• .. _', t........ ••••.•:•••.:.20'..• -: •• • -..' "":"...--:'-::: 3•••‘•::•:::::....... I.:-2 •: • • - s ::".::::•!:::::,. ::::..::„.: - • .:' PRINT iii,„, • - :......... : . ... .... . '...::..•! ...7:!:•.":7..7:71.7....:::::.:::::. .........-.. .. • • ---....::-:':. ........:..•:.:.:-........: ::::::....'......H;H::....;... .. ::::: ...:......t.:;..::,::,,. •--::::.... • : . ; •- • -• .. "••' -. . : ... ..... ........: .. :, . .. ....... : . .. /. .. ......... .....::::,,,::......::;::":?.• ::.-:::-:•••-::-..•:'•';'-''-.,-.... .•........:.... ... . ;•::... ' • - -"... • ... t:::.:... . •... ...... .. . .:•-•:, .. . . 7 :':::::::..: ...::.;;::::'::.:-..• .e6-:• -::::-OV.0.4Eft liSK0.441URE-:: ••• .• -.-- :•••-:-.:• : 1.:•••. - -•-::.- - 2OATE ::.::.-.:.;.:::: '....::.•:•::.•••••••••.:...:...:•:..........:....,,.::.: . ., . •••• ••:.•-•••••••••••• -::::':'• • :• - .....'•• .••• •:• ••••.........-...".••:..::.:::•••••• •••••........-•-• .. ......:::::..•::::.••• .•*--.'..."..:::::'''.:'.:.....::..2..:.. . ..... ... ... . .•:....::.:,:. : ..... ...,... .. /A . .....- •::....:: : -s•-•............. •:•:::...'. -..:' . • -...--: ..-........',........-........-• .:.••..::.....::::.......-......•.:.:..::::.::: .:: - ••• - ...........::.•,.....:.• :::-:•-:" "- ••... ..... ....... :.:::-:.:.:•: :: ••• . ..:• :"Hi::: ••••••:: - -!... ••..•... ;11* ••••<pp .. . ...::..:..:::.::.....-:......:::::. ,............ . ............. . .:.,.....:..::::.:.r.,: ....:......:.:. .:.... ....... .... .,, : . .. — .-• • • ,... . •• ....:..----,,,,-.,---.•.:-,:-........ :i. ..•:•••:.:..:...:....:.........::.:.-.:..::. :•••:•• •:::::::::.:::. :: .. . •• •• - .•::•,.,:::. :..- :.. PRINT NAME .::::•pcifri . .....:.................H.::....-...:..:::.. •-•::: ••••-.......... ••• ..... ••,.::... . --: • .......;...:.:::.:....... ..... -... .. .... . :. „ .. ;;. . -. . . -..... •. ..:.:::..:::...........•:::.. "::... ••.„...... .. ....:•.:....••:. :.:.::... .•.•........ •• • .' ..:::-.-.. .....:...:....:..:.. 4:.:0,...::.64.iii•:oiiciut.....iiiiiIICiititii!: hajtiiiiit;bi. . .iiit....i.:Ii.ffiSt...!.!npi?40,.....: heipropertt:Owner•a •• : . . : . : • • . „.:..::: applicant::. ........:executed. .. .,...: . ... .-. ' .•.•".'.2. •••• *. hava- :and filizod'thia'Accantancni awareness..nTm3-toindlOaita•3 : ., :•::....:--„.:::•••• ::: : ; ,•- ..-:.,....,.....':; .i-• and3.iinnantan.c.A:.•Of"theae:c.nrdliortia3.::•Of...:annr!thivali...."Ta0"' Coantanal...10rnria:due:i:....i. ..•: -: , . *i: '.1.•.:•:.*:::.....•-• • •- •• and if it notreseKiadby„July,13,2019,• napproyal.:W:Ii!i:libec."- 1nina*nu:1!and.j.:-•,•••!.:.-,..', „...":„ ' -.... . . . -- .... ...... - • .-..:::".:..--:*---- 3- voIttand:allifeeswillbe f!!!10tf!dr3.---::::... .-••.':i.::..i.!i .-..-..-'"."-.. -' . .. •• --:• •.•••••.....:.::.:."I:..3..............:. ••• . .......... ... Issued 6/12119 :: ....:.,..: :.J:',.': -.,-• •..:3.-,::::.....:• ..::: :..• •.:.:...:;-- :.... „.„,..,.....:F. ......-:::::.....:: :. -:::..„.„:..:::....• •: ::.:: : :::::::.:.:::•• ... : .. :: : : .r. ••••• ' • . ,..z •-• :. ••• " ' ---• ...: -' .....: :- .--3---- •- • • . •' :.;":":' •:-.: •-•.:.::::-:.• .::-:":'••••...................:.:..••::•..-••-•:•:;.. .. ..,....,;;;;:.•..: . • •••••• ".......:".::::::...:-:.:::: :::•.- ...........:.:::.. ......:,:::-F.::.„:..:::-:.:::•:..,.....„.::::::-..: : :.: :::.•.:...:::: • .:. ..::....„„..„.....„........ . .,:„ ...:::...... ......, ::::..::. ..:, .... ... . :3,•:• .: :::•-•:-. . •:-•:•• :„....••••• ..: .:::.:.: :-.::.::::.ii,.:.::::,..!.:::::-:::•:.•::•••:-::.......:„..•,..:::,.:::::. ..::.::,;:.........:.:::..:.••••• -..•:::.........:::::,.„:.„.:„.::::::::„...•• :.• . ....: .:::... .::: •I: ..••::. :::.:.:':.:--::::.: • : •••.: ••• -..:..;:"'"::....":::.".:.f"..::::.:.-::...H.:H.:..:::•:: ... :::: :„.: ::::..........„.......- ••.•.........:::...:: .......:..: ::. .:...:i:--... ::.::: :: . :: . • "" •...: ••.•.•::.:.:.•.:::.;:•:::::....„:::•-.:::...:...„.„:,: ;::::.,..::....:.......i„.......-:.. ..... ,::.•:•::••::: :i ;;•„:„:::::::::: ,......::::::::: ::.. :.... .:::::..:.:.:::::..:„.:...::: ,,,..:......... ...: .:: ‘. ... . . ....." • • '• -3-.3..3:.."...-•.33...:33333.-.... ..-:-....:. .....: .:....:.:.:: •...: :. ..:. . :- : .......23. ... • ...:. .... ::,.... ..: ..:,...,:., :...• :.,..:::..... 1. :.: :: : ... ... ..........::::: : -F• •••••• -.: - .........„:.. • • • .: .. .. .. .. . . :.:....:, ,..., .: ........ - • ... ...• ..... - • . ..... .. . . . .••• .. • ,...,. .. . • : -•••s•":". ••••••• •• -•••'•••••:•.::•-••••••••••: ------:::: '.-•-•::••••ii,.]:,.-,-...::::.:::,.....•:.";:....... :.• ••.:..- ...:::..:-.:-.••-.... :::. ::•41/?:".1: ••-•- .:: :•: ....F.'-.. -4 . . ........... . . - ..-•1 .....•i ...• • -•..3.3••3:• .•:• -•-• :.:: •.........:.. . .-- • ••..•„ ::„.„.:........::.::.„„........... . •••• ......•-• •••• -- it. • i 6 1 . . • ; • ., . .. . . • ., • !,. -..........- ',. . . .............. .. .... . . ........... .. . ......... . . i i :. '.' i ...................... .. ... ..................... ...,.......... .. .. . ........ .................. ................. .. ...... ....................... ................ .......... .,,..............................,........... . .......,............ . . . . .... OWNERS CERTIFICATION • ,;::..:,,,,,,litik.,i:..,..,..i. !;.i.l.r.:.c..:,.„..17.1..,!...ii.,,,,,,:,.:.:!.:..i: ;: :: • . . .:. i MINIMUM BMPs FOR. .,:,: .:.,.. ....... .., .. . .,. ... „. . ...., :„ ...... .... .., • . „... • ,•::: . :: ALL CONSTRUCTION:Stitt. ' t; Ju:i:i .. ... ..-- . _- .. ......... . ; ...._... . . ...... .„„.,i.,.„,,,,,,,,,,k.,,„,,,..,,,„„..,,. ivied.Name:„:::12.5::HUNI/NalPtd:DR4,‘,Fcrici.,ii,,..,. , , : •••:.••,•!ICIVILylrit*UKEIVIINII.,rqnol,i4,:POIRR::.::::: •• • •••• : pro ••... -• ' .. •• , --•••• ."":•. . ....::......-...:..::.:::.:...........:•:::-:.::::::::•••••.::" " " - ": .... •- • • • .'., i 61 14666n 1? ......, iipt.mt4R114me!5!KMW,"0!).;P -RM.„ .........„„..„ — "." • ;...'................,..,..„....;:::',......:.:„„::::::: :„..:::.:;*;!;.;* ;;;;;.;;.;;..;:-:::,.;..::.;. . :; • . • .: ..;..— - ; • ' . ,Owner Name .,i.W.R.RQP.Err:ft:1)/ESTAIENTALLCM.MIKE. ,..... Contractor.Name coM i. Address, : 125ri.uNriNG:raNI41,,.ARDIA,.c.A;91906,: ...... Address: ...903 CALLE AMANECER 210 SAN 1„E.MENTE;:CA 92073.. i . . 1. Phone ..._........ ..:. : Phone (714,)60 .14234,:. „._. .. ... . .. . FAX/Email ---,....,...-..--.... . . . .FAX/Email .GONZALO@CONAMBUILDINGCO.COM :: ,'...." 1" `"8"*"."4"14°. .-•-::"":::::":::••• :.::"• -:"",:::::•:.:::-:: : . : .- •• • :...: -.... "...:..:::.::::•::,.......- . i• IA The National Pollutant Discharge Elimination,System:(NPDES) is the portion of the Clean WaterAct that applies to the .. ... protection of•receiving waters. Under permits from the Los Angeles Regional:Water Quality Control :Board (R,WQC0), ' .! • .; !:::certain:activities are subject to RWQCB enforcement To meet the reitiremerits of the Los Angeles County Municipal Separate Storm Sewer System (MS4) Permit (kii-ltid.i minimum requirements for sediment control, erosion control and.construction:aaiVities must be implemented on each project site .Minimum:requirementsinclude:: .lt . . . . .. .. . • • • . . . ... .. - !•is ":' E.°SION: Erosion from slopes and channels shall be controlled by implementing.an:effectiVecoMbination of BMPs, !! : SkIgh„as-the limiting of gradingactivitiesduring:the wet season; inspecting graded areas!cluiing rain events,-planting and maintenance of vegetation on:slopes;:and covering erosion susceptible slopes. • .i. . :Sgpm:ENT.CONTROL: Eroded i sediments from areas.diiturbedby•ConStruction and from stockpiles of sOil,thallbe :i rqtairred on:siteto:minlinizesediment transport from•the site to streets, dilinage.faCiiities::andler adjacent properties - ! .: yea:runoff,t*fehicieitracking or wind. . . • CONSTRUCTION iMATERIALS CONTROL: Construction related materials, wastes, spills or residues shall be retained on site to minimize transport from the site to streets,:drainage facilities or adjoining properties by wind or • :;i rUnoff, RiAnOff.from:equipment:and vehicle waShing shall be contained attonstructlon:sftes:Uniess treated to remove seciiine.nt and,:p011utants.: . . • ' i*. NON4ToRmWAtER RUNOFF. Non-stormwater runoff from equipment and vehicle washing and any other activity shall be contained at Site: • EgosioNANDSEDIMENTCONTROL PLAN.:(ESCP)t Required for projects one acre.be more. The ESCP.-must:be •.. .,. developed and certified by a Qualified SWPPP Developer:OM .. .• . HILLSIDE: ConStructionuPOn:slopes.25%or more•requires the implementation of additional BMPStoiprOtect!slopes : •::! arid:preventeroSion,and:sedirnernoff. ,• . . • . . .. 151101M0 OfilPS:factede::(1)5011 plies must be cOVeredMith tarps Or:plaStiti:(2)reaking:efluJerrierit must be tepairdd immediately,(3)•reftieling,mtik be ':: conducted away from catch basins,.:(4)catch basins must be protected:when:working nearby, (5)vacuum all:concretesaw cutting, (6) never Wash .:•, !.!: concr,waSteInto thestreet,(7)100theiiite dean,sweep the gutters at the end of each working day and keep,ahash receptacle on site• ;. . !:. • ....... :::: •••• --- :::- ! •••• .. .... • As.:theIngineer:Of record,,I bog 1Selected appropriate BMPs to effectively minimize the negative Impacts of ttils9H:,iiiyict conStructiOrkiactivities:on ! • -stormwater quality The project owner.ancitontractor:areiawareithattheselectedlIMP,a. . •••,. *".-1:•:f-.47....?!°;; ;.ah4•Cfleitgelfled to ensure their .: i• efftdieffitifiViiie.6191010414iiledfailIael*ritaiiik$Offliefz-,firidentbedainfed-httf_tfllbabiiita the Tr :i 1....,,CW''t,tiii*::,..,.: •. . :.. ,. .. 644,..„.1:, , • ;•: . ...... ........... . : ...vv. — ' ....-. i . i:Engineer of rteCord:Name: 101.5100-9t"'.:'..:14:6101E ;:: ';:''::-•:i:::-!'ci-i ••••-........... ... • •',• T(i.-t ' ' ;6 ifiSA':::, , : • t i : . Titf :-:• ' ' ... '! •::qt.0•''''...."-----...:'- - : • 4 • t certifithatthisliocument and all attachinents were prepared:under my.clirectibiyor supeiviilen in accordanceWithia system diSigned.to assure that qualifladVersonnel properly gathered and evaluated the information SUbnaittedBased on my inquiry of the persan(S):WhO:managetheisySterrciethOSe : persons)directly responsible for gathering the information to the best of my knowledge and belief, the:Information:subrnittedistrue:attiirafe:and • •. cOMPlete.••1:am aware that subinItting false and/or inaccurate:information,fallingto update the:BMPs Or:SO to reflect conditions;or failing to properly and/OrOdequately:implemeritthe!BMPS•may reSUltsin revocation Of grading!and/Or Other permits•or other sandiensprovicled bylaw. :• -$..i c_ , :.•.••. „..•.- . .........::'.::'•:'.:1...''.'' a. ititiiii.tte.A:-ge.r.it.N.a . •'''.''''!' i.Y&.Q__... ...PP : Lide • —! .:!, :tbidiihdAd.O ii §f...a..:.t,.i.ii... ''-''' • v•p - .. ..iiieAi /1- 1 ,. . . .... Title 040 ...:.,.•, ....• • • - . . ................. ... .. .0.:, ',.i. . ••i' . . !2 . 1 STRUCTURAL OBSERVATION PROGRAM AND DESIGNATION OF THE STRUCTURAL OBSERVER PROJECT ADDRESS: 125 Huntington Dr, Arcadia, CA 91007 PERMIT APPL. NO.: Description of Work: LINAC Addition USCZGF Engineer KPFF Owner: Architect: STRUCTURAL OBSERVATION (only checked items are required) Firm or I ivjdu l to pe responsible for the Structural 31 Orya io-0112 C85381 Ma11co�Del Carpo Name: Franklin Suarez Phone: (310) 256- 1119 Calif. Registration: C87522 FOUNDATION WALL FRAME DIAPHRAGM ®Footing,Stem Walls,Piers ®Concrete 0 Steel Moment Frame 0 Concrete 0 Mat Foundation 0 Masonry ❑ Steel Braced Frame ®Steel Deck ®Caisson,Piles,Grade Beams El Wood ❑ Concrete Moment Frame ❑Wood ❑Step'g/R0 Others: etaln'g Foundation, Hillside 0 Others: ® eel (Gravity) Framing Special Anchors ❑Others: DECLARATION BY OWNER I, the Owner of the project, declare that the above listed firm or individual is hired by me to be the Structural Observer. 41110 4fp lie rV e" Signature DECLARATION BY ARCHITECT OR ENGINEER OF RECORD(required if the Structural Observer Is different from the Architect or Engineer of Record) I, the Architect or Engineer of record for the project, declare that the above listed firm or individual is designated by me to be responsible for-the Structural Observation. AtAaron Reynolds No. S4338 8/5/2019 Signature License No. Date 1N1FO T.08(PSR 2)(Rev.06/19V17) 3 c STRUCTURAL OBSERVATION PROGRAM AND DESIGNATION OF THE STRUCTURAL OBSERVER PROJECT ADDRESS: 125 Huntington Dr, Arcadia, CA 91007 PERMIT APPL. NO.: Description of Work: LINAC Addition Owner: USC Architect: ZGF Engineer: KPFF STRUCTURAL OBSERVATION (only checked items are required) Firm or I divjdu I to be resppnsible for the Structural Observation: Malkol Del Carpio 310 654-0112 C85381 Name: Franklin Suarez Phone: (310 256- 1119 Calif. Registration: C87522 FOUNDATION WALL FRAME DIAPHRAGM ❑Footing,Stem Walls,Piers 0 Concrete 0 Steel Moment Frame 0 Concrete 0 Mat Foundation N Masonry ❑Steel Braced Frame ` 0 Steel Deck ❑Caisson,Piles,Grade Beams 0 Wood []Concrete Moment Frame 0 Wood ❑Step'glRetain'g Foundation,Hillside 0 Others: 0 Others: 0 Others: Special Anchors ❑Others: DECLARATION BY OWNER I, the Owner of the project, declare that the above listed firm or individual is hired by me to be the Structural Observer. 40 A.t' 0 Sign:: .re Da e DECLARATION BY ARCHITECT OR ENGINEER OF RECORD(required if the Structural Observer is different from the Architect or Engineer of Record) I, the Architect or Engineer of record for the project, declare that the above listed firm or individual is designated by me to be responsible for the Structural Observation. 51-1-4 S4930 08/06/2019 gna ureLicense o. a e INIFo m.08(Pert 2)(Rev.08115117) . • 1 . • . -.-., . ,. . . .. 'ilcipisiiiii4 . ... ' iii : — :....,........................... . . : ,::: :•••::: ... ::.,........,............-........, .. . . ...........„.............. ............................. .. . ............. . ....... . ... . ... ., . . OWNER'S CERTIFICATION ...................._.....,......... ... .. ................... . ..... ,!:1:1:ili.:,:.,:..;.;:locntr4:::;:::::::: : . .. .. : ::: ' ,..,.,,,,,..„...,._.„...,.................,.... „.„........,„....„....:,:.......,.,„....... ... MINIMUM MIPS FOR. .1),„(t........1. ;.i...,.: . . ... ,!I„,. ..,., • ,..:.1:1.:..:: : ALL CONSTRUCTION SITES ..............,..................,...„............ .........---------..... . . AigirifflAI! ...............................,.................. .. ,.. .......,....:.................. - .... . .. , .. ., .--.:. .7:ritett:Nan*:,12.5.-.HUNTMTON:OR:BLDG.ii . • ••:• ... : -..;:"i:BUILCIINWGRADING Pqfpgr NUMBER :::.:::,... • : - ..............:...::..:::..:::.:::...:.:::.:;:.:::;:... .:•-....•:....:: .•. . ,. :* : PrOject.Locatian ,125 tiUNTIKT01...PP!Kffic!0.4i9439I0c6... ...................:: 1:..1...:.1:I...... :.:, :..........1.:.:.::.;::;;;...:-:•;:.;.;;.;.::-;-;;.;;;;.;-:; -;;.:,i.;,:i::::;;::.;:;i:;:;::.:.::::.:..:::::;.: ....::;. ; : ...... ............. ..............................,,....._ .... - ' .........1 ..4Owner Name: .::vop_Rop.gerr:INvEsTmpu-slle.PiaMIKE.. . . ... Contractor Name .C°NAM - • •..• - _:. ....._..... .. ... ....-- •' • • I:. . . i. Address ..123.11Uwinipipm1F1,:.Anegnx.pkelcms:........,....: . .. Address: ..:90 CAU.EANIANggEy);16,*1q.46g.NT:g;PApgen.:.:... • .. . • • ::::.: Phone . --.• Phone ..(714)eido 4231: : • ..... ... .. ....... . ....... il 1 • ,.• F'.' ,.Email ---- -..,.-- ..—.--... .. .„ Ememaii..... .GONZALO@CONAMBUILDINGCO.COM . .. - •••• • •• •' . -----.*. . . . ......:i . " • • ••••••,•-•..............................................'...........--::••••::::::••::::::•:::::.:.:::::::..,.:::::::::::::::,::..................•..., .. .............-....i:..::::..:.::.:.:.:::.:•1:::::::.:::...1:,:.:.:;- ••.• .......... ..; . The National Pollutant Discharge Elimination System (NPDES) is the portion of the Clean Water Act that applies to the i 1 i •:: protection of•receiving waters. Under permits from the Los Angeles Regional Water Quality Control:Board (RWQCB), Certain;activities are subject to RWQCEI;enfOrcement. To meet the requirements of the Los Angeles County Municipal Separate:Storm Sewer System (M$ ) Permit (R4-2012-017.5), minimum requirements for sediment control, erosion contrOand.construction:aalVities must be implemented on each project Site. filinirnum.,reqpirements:include:: • . . . : . .::: Ei,t0S/01"1: Ercodryfrom Slopes.and channels shall be controlled by:implementing an effective combination of BMPs, .. •!: :, skich..asthe limiting of grading activities during the wet season; inspecting graded areas during rain events, planting • : and maintenance of vegetation on slopes;:and covering:erosion susceptible SlOpes. .. ... ,.. : .: •H • :SEDIMENT CONTROL::Erodedisedirnentsifrom areas.distorbed'hy:congrudtion and from stockpiles of soil shall retained on:site to minimize sediment transport from the Site to streets, drainage*ilities:andlar adjacent properties runoff vehicle or wind. . ; • CONSTRUCTION MATERIALS CONTROL: 'Construction related materials, wastes, spills or residues shall!be . retained on site to minimize transport from the site to streets,drainage facilities or adjoining.properties:by:wind or runoff RiinOff'from:equipment and vehicle washing shall be:containedat construction•sitestifiless treated to remove • •. :, sedlinent and.ptiltutants.: . . iik NORSTORMWATER RUNOFF: Non-stormwater runoff from equipment and vehicle waShing:andanyother activity shall be contained at the project site: • EROSION AND SEDIMENT CONTROL Purt.:(Escnt Required for projects one acre or more. The ESCP must be .... -.:• . -::: developed and certified by a Qualified SWPPP DeVelOperi(QSD):. .: l.!. HILLSIDE:: ConStructioniuPansiOpes.25%or more requires the implementation of additional BMPs to protect slopes ..,.: ,a1,:id prevent et6Sionand:sedirnentriinoffi. •-;: . ;.. moimiiiii,Mrs:iiticlude:tlySijil piles must be covered With WO Or:pleatie,:(2)leaking:eidPnlerit must berepaired Immediately:im-refueling mtiStbe ]• •Ii conducted away from catch basins,:(4) catch basins must be•protectedwhen:working nearby, (5):vacuum au concrete saw dating,(6) never Wash concrete:wadi:Into the street,(7)keep:theiite dean,sweep the gutters at the end of each working;day and keecratrash receptaderin site.r.... * . ;:. • :„ . ,... .....,.:.....,..... :•. ... ..,..................,......................... .....„ ..,. .... ::•: .•:: ... .... ' ' As:the..erigirieet::Of reetirdi,1:have Seletted:appropnate:BMP.S to effectively minimize the negariVe.:IMPattS of ttils:.!:7,...,:,::`,14.•i:i construction activities on -stortnwabar panty-, :The prcijciiorpe.tanti:contractor,ArqiaiAiorgth4!:Ctie.iselecied:ENP.e.7.!1.::...::: •4,i!:.:.,.-.1.q1. .,..--;':!'siArici.riiaini4ned to ensure their adiii:Egitfillielefif**kielettOtiieliiiiit6iiiiiitokitsiiIitiv-:aittotek.itteadd. :',Oiiallifilio Ehitik,1•.;i:L-1.i•Zn•' •:•'...'•-•«•`'t-- 010,....... . :, -:e 11/44.i• Of:. • :. ..-!e1:. :.. ....:.,i.:.;,,,,, ......_ • i Engineer of Record Name: I .lrieet:tif'."..err".1:Sipa i."re :::::]':::.:17:-:::;':•::: .... .. :: . -`' •:.•••.. :......:... , ri....;...; C‘7,-7t • • •,...,••:.:. „.. :. ... . . .... . .6.:.(46,:../. ..A.-.:.......... • ,p • - * • • • .,.,:. H: I certikthat tills:document and an:attachnientt were mpared:under my4irectionor supervision in accordance Niiitn:a system designed:0 assurkthat ' qualified personnel properly gathered and evaluated the information Siiiithitted. Based on my IngUiry of the person(s)who manage the system or those . ' person )directly responsible for gathering the Information tilthe best of my knowledge and belief,.theinformation:submittetriStIre,...atdirate:and • . comptet-e. 1:am aware that submitting:false and/or inaccurate information,falliog:talipdate the:&IPS or;BO to reflect coridititins,or failing.to properly and/cirOdequatelyimplemeritthe BMPS.may.rciSUlt.in revocation of grading:and/Or ether permits:or other sandinnsprovided bylaw. : -• t c._ \ Qp AAi< ,... , .Q. ,.._ ., ...... ... .. . . • • :,., •• •.„..„„.„• •„„,„....,„•„•,:.•..,..,:„:„.,.,......,j1.1 I:J.,....Z.Z.,.,7.:Z.I.,. •..tandoWrier:OrAgent Name.' ---- /. '. • ti....cp..-.... ... ....... „ . . . . . ..... .51v../p ., „ ...., . . . .,,, • . . ..... ................... • Title ... P7 i f ...., - ..:, I air / -..J ., . . .,. . • . . - ..,. !!,. • , , . • / r" > City of,Acadj , CA Permit NO vMech .20-07.02- ; � ., ,,. �, _ Development Services Department 11 - r w - , Permit Type Mechanical , 240 West Huntington Drive,Post Office Box 60021 •; ' r i : ` - Arcadia,CA 91066-6021 ' 1 ; Work Classification Mechanical Commercial . (626)574-5416 ,Permit Status:,Issued ARCADIA Issue Date 05/15/2020' Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W HUNTINGTON DR BUILDING Arcadia, CA 91007-3050 5775015027 B1ST FLOOR .os„.^—s+»a. -> i. •",tS_.�.ayes xem+-_�._ -,,G•s. -nz x.ara.-*..arn ,.,-', n vas.r:aarw�asb a�v;.x.. .�.m,tma,annt. :rr_xrs uwa . ,*, ,.ro, �, o+wvme.ar a s,a3e ,Contacts - - -, • - VG PROPERTY INVESTMENTS LLC C/O Owner VECTOR AIR SYSTEMS* Contractor MIKE Y SOO 25250 VISTA MURRIETA,MURRIETA,CA 92562 0 125 W HUNTINGTON DR (951)894-2413723012 i i Description:MECHANICAL FOR USC MEDICAL OFFICE AT Valuation: $ 0.00 Tenant BUILDING B 1ST FLOOR a k Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Air Handling Units<=10,000 cu ft per min. $14.96 Total Fees $99.32 Compressor 3-5 Ton(3 to 15 hp) $36.35 Cash/Receipt#REC-04482-20 $99.32 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $99.32 .5<..j,�� /> /7C� CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 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. a COMPLETED May 15, 2020 Issued By: Date May 15,2020 Page 1 of 1 of An° y��'±!; A PERMIT/PLAN REVIEW APPI-CATION. o44,,,,, , 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 0 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date _ 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 0 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 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 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 0 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 El 1, 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 Title PRINT 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 te‘cioa� City of Arcadia, CA '' Permit A10.°.EI eC 19 1962`_ Development Services Department ' .�, ,^ i - `v a,'- ,.I—Ii -1 Permit Type.Electrical 240 West Huntington Drive,Post Office Box 60021 r ) I i \1„ Arcadia,CA 91066-6021 }t s Work Classification Electrical Commercial I p (626)574-5416 permit Status:Issued Issue'oate•r09/26/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR BUILDING Arcadia,CA 5775015029 B 1ST FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner AMP'T ELECTRIC INC* Contractor MIKE SOO 3121 E LA PALMA,ANAHEIM,CA 92806 125 W HUNTINGTON DR (714)204-0728 ilESEL Description:ELECTRICAL FOR TI WORK AT BUILDING B 1ST Valuation: $ 0.00 Tenant FLOOR Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Distribution Panel $16.48 Total Fees $129.61 Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-02617-19 $129.61 Light Fixtures $35.78 Outlets-Receptacles&Switches $29.34 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $129.61 g�' ki --e______ .„ CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 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. COMPLETED - / / September 26, 2019 Issued By: Date September 26,2019 Page 1 of 1 .,.+ m• ilipm.lPERMIT/PLAN REVIEW APPLICATION `iril ,:'.-",\ti ' j� Development Services Department,240 West Huntington Drive,Post Office Box 60021 mow..,0t''° 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: /1 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 (� License No. I I`�t-"t Exp. Date( /1a compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION j"ti 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 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 f31-1 I-1 LJ demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the olicy Number 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 I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 0 I, as owner of the roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for ".."-----.1- 1 sale(Section 7044,Business and Professions Code:The Contractors License Dateyri--(fr") 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). 0 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 I IL(- 6-/1IT1-6:7 Title Z-t.rt Pt-147- PRINT t-14TPRINT NAME certify that I have read this application and state that the above information is orrect 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 build' g construction. I hereby authorize representatives of the City of rcadia to enter upon the above-mentioned property for inspection purposes. J Signature Date 9 /'1-c/ (�1 �` � ' PermitNO PI;um 19-1469 ' • a City of Arcadia, CA r s Development Services Department ( v"i r . "� Permit Type:Plumbing 240 West Huntington Drive,Post Office Box 60021 -?t _.l C F M` 1 ,� 1 ) 7,.-...,, 1 i,( , I=nk 1;Work Classification:Plumbing Commercial f Arcadia,CA 91066-6021 , ,� '._,, ..\--) , 1 (626)574-5416 ','%,,',, . p Permit Status Issued 'll Issue-pate 07/30 /2019 I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR BUILDING Arcadia,CA 5775015029 B 1ST FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner MUIR-CHASE PLUMBING CO INC* Contractor MIKE S00 4530 BRAZIL ST,LOS ANGELES,CA 90039 125 W HUNTINGTON DR (818)500-1940 539835 Description:PLUMBING FOR USC TI BUILDING B 1ST FLOOR. Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Additional Plan Review $16.43 Total Fees $177.29 Fixture with Trap/Misc. $105.68 Cash/Receipt#REC-01969-19 $177.29 Floor Drain Fee $13.21 Amount Due: $0.00 Floor Sink $13.21 - Kitchen Sink $13.21 //�/�/7 Water Heater and/or Vent $15.55 . r‘.- (C `` Total: $177.29 ((�, CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 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. Itti CQI14PLffEQ / ' July 30, 2019 Issued By: Date July 30,2019 Page 1 of 1 v`4�Ff Rv�`9di PERMIT/PLAN REVIEW APPLICATION o• o y Development Services Department,240 West Huntington Drive,Post Office Box 60021 muo+,,tety 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 Professions Code,and m license is in full forc and2e ect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class L icense No. 53 s 7 Exp. Date Li—j8 71 Signature of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 is issued.M�,w,olrikers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions GjV `G` Code.Any city or county which requires a permit to construct,alter,improve, Carrier I ( !�+ demolish,or repair any structure,prior to its issuance,also required the applicant s /�37 3 �� f�; for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number t.' 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. f (J/� �r �//,, (Name e _1 UVk n" t (Title ��L�if�� PRINT 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. �jnl c.Signature :9,//11//1 Date City of Arcadia, CAP,ermif rvo Demo 19 1358. Development Services Department I :� ✓ } Permit Type Demolition ;4.,41,110.1", NV/l ` 240 West Huntington Drive,Post Office Box 60021 j i 1 -d , ` �` Arcadia,CA 91066-6021 ;, .r" i {i Work Classification:.DemoCommercial- r'` 1 (626)574-5416 ' "'Permit Status:Issued A.RCA DIAIssue Date•07/16/2019 p' I Ex Expiration. 01/12/2020 •` Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 17=1. NMESOMMEEMMEMEMM=MMEMMYRIEM2M Contacts VG PROPERTY INVESTMENTS LLC C/O Owner Con-Am Inc* Contractor MIKE S00 903 Calle Amanecer 210,San Clemente,CA 92673 125 W HUNTINGTON DR (949)498-1003 698311 -uom mammy Description:DEMO BUILDING B DRIVEWAY PATIO AREA IN Valuation: $ 20,000.00 Tenant PREP FOR NEW LINAC Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Demo-Sewer Cap and/or Cesspool Fill $16.48 Total Fees $117.75 Demolition Permit Issuance Fee $47.01 Cash/Receipt#REC-01825-19 $117.75 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee $6.25 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 /J�/� � Total: $117.75 2' i Z / '/ " &/ La CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 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. 111P411 COMPLETED . July 16, 2019 Iss ed By: Date July 16,2019 Page 1 of 1 v`4°FF RN,�9d9 1►_ PERMIT/PLAN REVIEW APPLICATION 41,4 !MEI 411 ; We'i'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 (Professions Code,and my license is in full,Afo-ce n i effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class CP") Signature of Contractor e No. 0/' 14711 Exp. Date co :ensation, as provided for by Section 3700 of the Labor Code, for the %.rformance of the work for which this permit is issued. OWNER-BUILDE DECLARATION Ii I have and will maintain workers'compensation insurance,as required by Section illk❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 00 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.M work,'comPensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier TIG l demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 Secti•�the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith co ply with those provisio .. compensation,will do the work,and the structure is not intended or offered for f 1sale(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. !/ • dame -,V0Zti1� V �— �� Title [ N12 PRINT NAME I ertify that I have read this application and state that the above information is cor ct and that I am the owner or duly authorized agent of the owner. I gree to comply with all City ordinances and State Laws relating to building onstruction. I hereby authorize representatives of the City of Arcadia to enter . •o the above-mentioned property for inspection purposes. ignature ` Date o ' /6lN9 , rr _ 1 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 ONLINE PERMIT/PLAN REVIEW APPLICATION city.or._ ARCADI Job Site Address: 125 W. Huntington Dr, 1st Floor Bldg. B LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ElI 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 iris in full force and effect. 'IJ I have and will maintain a certificate of consent to self-insure for workers' License Class C-20 License No. 3012 Exp. Date 5131120 compensation, as provided for by Section'3700 of the Labor Code, for the r__, performance of the work for which this permit is issued. [Signature of Contractor` •OWNER-BUILDER DECLARATION Q 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 is issued.My workers'compensation insurance carrier and policy numbersLicense'Law for the following reason(Section 7031.5,Business and Professions are: Code.Any city or county Which requires a permit to construct.alter,improve, .'Carrier Insurance Company of the West • demolish,or repair any structure,prior to its issuance;also required the applicant .Polic Number V115A504665101 for such permit to file a signed statement that he orto she is licensed pursuant to the (This section need not•be completed if the.permit is`tor:one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(cOmmetieitig with Section 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 LJI certify that in the performance of the work for which this permit is issued.]shall Section 70315 byanya licant for•a permit subjects thea applicant to a civil not employ any person in any manner.so as to become subject to'the'workers' PP_ ) pP compensation Laws of California,and agree that if I should become Subject to the penalty of not more than five hundred dollars(S500)): Pe g j workers'compensation provisions of Section 3700 of.the Labor Code.I shall pi,.as owner•of the property, or my employees with,wages as their sole forthwithcomply'withahoseprovisions. compensation,will do the work,and the structure is not intended or offered for 5115/20 . sale(Section 7044,Business and Professions.Code:The Contractors License Date Stgnatuteti ___ ,`O i 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 seatre 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.compensatiori, . 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. 01, as owner of the property, am exclusively contracting with licensed • contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a 1 hereby affirm under penalty of perjury that there is a,construction lending agency contractor(s)licensedpursuant to the Contractors License 1.4w). for the performance of the work for which this permit is issued (Section 3097, Civil Code_). ElI 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 Tony Vernon Title Owner PRINT 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. •Si nature' • '!_ - —, — - - Date 44:1Y 01,31F Ojtivzodo (11! 1r 0Ararm3 0\ j0 0 �aaity oO MEMORANDUM Fire Department DATE: May 20, 2020 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 125 W. Huntington Drive, Building B THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY (PC# 19-1203) 4-23-2020 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-23-2020 Rita r. dyeoyltr..<i .. ' Al „holt City of Arcadia. . DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: ` Public Works lnspectorn To: 15, T V From:: O /7 • Address: Permit No. Contractor / IG./ Phone No.: 7/2 3T3 '2 7, Owner: Phone No.: Please inspect the following items tel ensure that the Contractor/Developer is in compliance with all conditions of . 'approval established for the project, and that the work performed meets the City's standard for Public..Works. construction: Type OfInspection :Date• i I[nntlal . Date Final Approval !Dt rainage • Grading • :. Erosion Control' • Offsite IImproviements . • . •Street Improvement(s) (conduit, curb/curb&. • gutter,curb,numbers; driveway.approach, .9 -e parkway planting, sidewalk,street dight, traffic flow, etc.) Sewer(s) (lateral,grease/san intercepter,saddle,Wye, COMMENTS: c I7 (-}INO Rev.1/12/11 - - - - - - - - - A• 00lFoa,y41.,.. PLAKNING SERVICES ATTENTION: / DATE: -� FROM: BUILDING SERVICES INSPECTOR: ( 12/7 PROPERTY ADDRESS: PERMIT#: PLAN#: PHONE#: CONTRACTOR: ��/(// OWNER: • PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE& INITIAL DATE &INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION JZ �/� TRASH ENCLOSURES 6 PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT WALL HEIGHT BACKFLOW SCREENING COMMENTS: c' June 13, 2019 +,, F i All "#" s USC Real Estate & Asset Mgmt. c\�� a,/° CIO Peter Songster '% 3335 S. Figueroa St. City of Los Angeles, CA 90007 Subject: Architectural Design Review No. ADR 19-04 Arcadia Project Address: 125 W. Huntington Drive Dear Mr. Songster: Development The Development Services Department has conditionally approved the Services design concept plans submitted on June 11, 2019, for a 1,288 square foot one-story addition to an existing medical office building at 125 W. Department Huntington Drive, subject to the following conditions: 1. The actual colors, materials, and location shall be consistent with the colors, materials, and location shown on the design concept Jason Kruckeberg plan and elevation approved by the Planning Services Department Assistant City Manager/ on June 13, 2019. Development Services • Director 2. The applicant/property owner shall comply with all City requirements regarding building safety, fire prevention, detection, suppression, emergency access, public right-of-way improvements, parking, water supply and water facilities, sewer facilities, trash reduction and recycling requirements, and National Pollutant Discharge Elimination System (NPDES) measures to the satisfaction of the Building Official, Fire Marshal, Public Works Services Director, and Planning & Community Development Administrator, or their respective designees. Compliance with these requirements is to be determined by having fully detailed construction plans submitted for plan check review and approval by the foregoing City officials and employees. 3. The Applicant shall defend, indemnify, and hold harmless the City of Arcadia and its officials, officers, employees, and agents from and against any claim, action, or proceeding against the City of Arcadia, its officials, officers, employees or agents to attack, set aside, void, or annul any approval or conditional approval of the City of Arcadia concerning_ this project and/or land use decision, including but not limited to any approval or conditional approval of the City Council, Planning Commission, or City Staff, which action is brought within the time period provided for in Government Code Section 66499.37 or other provision of law applicable to this project or decision. The City shall promptly notify the Applicant of any 240 West Huntington Drive claim, action, or proceeding concerning the project and/or land use Post Office Box 60021 decision and the City shall cooperate fully in the defense of the Arcadia,CA 91066-6021 matter. The City reserves the right, at its own option, to choose its (626)574-5415 (626)447-3309 Fax www.ArcadiaCA.gov l own attorney to represent the City, its officials, officers,,employees, and agents in the defense of the matter. 4. Approval of ADR 19-04 shall not be of effect unless on or before 30 calendar days after approval of this project, the property owner/applicant has executed and filed with the Community Development Administrator or designee an Acceptance Form available from the Development Services Department to indicate awareness and acceptance of these conditions of approval. There is a ten (10) day appeal period for this application. To file an appeal, a completed Appeal Application form must be submitted to the Community Development Division along with a $600.00 appeal fee by 5:30 p.m. on Monday, June 24, 2019. You will be notified if an appeal is filed. This design approval shall expire in one year (June 25, 2020) from the effective date unless the approval it is exercised and implemented by the applicant or the approval is renewed. The implemented design must be consistent with the approved design concept plans and any conditions of approval. Any inconsistency from the approved design concept plans may preclude the issuance of a building permit. An extension may be granted by the Development Services Director or designee, or the Review Authority that approved the project for a maximum period of one (1) year from the initial expiration date. An extension can only be granted if the required findings 'can be made. Please note that acceptance of an extension request does not indicate approval of an extension. You may visit the City's website at www.ArcadiaCA.gov/noticesanddecisions to view this letter. If you have any questions regarding the above approval, please contact me at (626) 574-5442 or by email at Itorrico@ArcadiaCA.gov. Thank you. Sincerely, DEVELOPMENT SERVICES DEPARTMENT Community Development Division/Planning Services fl;uis Torrico ( Senior Planner c: VG Property Investments, Property Owner 1 CITY OF ARCADIA 11,4 ' ACCEPTANCE FORM Development Services Department Community Development Division-Planning Services • 240 West Huntington Drive cm-or Arcadia, CA 91007 ARCADIA APPLICATION NO.: Architectural Design Review No.ADR 19-04 SUBJECT PROPERTY: 125 W. Huntington Drive I am/We are the applicant(s), and the owner(s), or the duly authorized representative(s) of the owner(s), respectively, of the project and real property that is the subject of the above application(s). I am/We are aware of, understand, and accept, all the provisions and conditions imposed upon the project and real property that is the subject of the above application(s), and also understand that noncompliance with said provisions and conditions shall constitute grounds for the immediate suspension or revocation of any approvals granted through said application(s). I/We certify and declare under penalty of perjury that the foregoing is true and correct. • APPLICANT'S SIGNATURE DATE PRINT NAME PROPERTY OWNER'S SIGNATURE ' DATE PRINT NAME Approval of your application shall not be,of effect unless the property owner and applicant have executed and filed this Acceptance Form to indicate awareness and acceptance of these conditions of approval. The Acceptance form is due now and if it is not received by July 13, 2019, this approval will become null and void and all fees will be forfeited. Issued 6/12/19 CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION A PROJECT INFORMATION Date: 08-06-2019 Project Name: USC Arcadia - Building B Expansion Project Applicant: Project Address and Location: Street Address Assessor Parcel Number 125 W Huntington Drive Arcadia Tract/Parcel Map No.and Lot Number(s) Nearest Cross Street California 9100_91739 Colorado PI. Project Type (Please check all that apply): ❑ New ® Rehabilitation ❑ Single-Family Residential ❑ Private ❑ Public S ❑ Multiple-Family Residential ® Commercial/Industrial ❑ Mixed-Use ❑ Institutional (i.e., hospital, school, etc.) 2 Other Replace Existing. No new area. Please fill in the information below to describe the landscape project: Total landscaped area 980 (sq. feet) Total turf area 0 (sq. feet) Total non-turf area • 0 (sq. feet) Total active recreational areas 0 (sq. feet) Total area of Special Landscaped Areas na (sq feet) Total irrigated landscape area 5 980 (sq. feet) Total non-irrigated landscape area 0 (sq. feet) Please check the Water Supplier for this project: ❑ City of Arcadia Water Services — 11800 Goldring Road,Arcadia, CA 91006 — (626)256-6650 • ❑ East Pasadena Water Company — 3725 Mountain View Ave., Pasadena, CA 91107 — (626) 793-6189 ❑ Sunny Slope Water Company — 1040 El Campo Dr., Pasadena, CA 91107 (626)568-4266 ❑ California American Water — 2020 Huntington Drive, San Marino, CA 91108 — (831)646-3252 • ❑ Golden State Water Company — 110 E. Live Oak Avenue, Arcadia, CA 91006 — (626)446-1372 Acknowledgment: I agree to comply with the requirements of the City of Arcadia Water Efficient Landscaping Ordinance and submit a complete Landscape Documentation Package. Applicant's Signature Date -3- December 1,2015 • CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION B PROJECT CONTACTS — The project applicant and other individuals may receive inquiries or notifications of all proceedings regarding the Water Efficient Landscaping Documentation Package. Please provide the name, mailing address, email address, and telephone no(s), etc. of each person to receive such inquiries and notifications. 1. Project Applicant Name Telephone and Fax Number(s) Title Email Address Company Mailing Address City State Zip Code 2. Property Owner Name(s) Telephone and Fax Number(s) • Mailing Address Email Address • City State Zip Code • 3. Licensed Landscape Architect Name - Title Jaime Macias Landscape Architect Company License No. Macias Landscape Architecture Studio CA5870 Mailing Address Telephone and Fax Number(s) 953 Flore St 714-612-1758 City Email Address Anaheim lajmacjr@hotmail.com State Zip Code Website CA 92802 na • 4. Certified Irrigation Designer Name Title Jaime Macias Landscape Architect Company License No. Macias Landscape Architecture Studio CA5870 Mailing Address Telephone and Fax Number(s) • 953 Flore St 714-612-1758 • City Email Address Anaheim lajmacjr@hotmail.com State Zip Code Website CA 92802 na -Continued on next page- • -4- . December 1, 2015 4 I CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION B (continued) 5. Landscape Installation Contractor Name Title Alfredo Zuniga Project Manager Company License No. Zunigascapes, Inc. 994916 Mailing Address Telephone and Fax Number(s) 10533 Morning Ridge Dr. Tel (951)455-6626 & Fax (951)379-0025 City Email Address Moreno Valley zunigascapes@gmail.com State Zip Code Website CA 92557 zunigascapes.com 6. Irrigation Installation Contractor Name Title Alfredo Zuniga Project Manager Company License No. Zunigascapes, Inc. 994916 Mailing Address Telephone and Fax Number(s) 10533 Morning Ridge Dr. Tel (951)455-6626 & Fax (951)379-0025 City Email Address Moreno Valley zunigascapes@gmail.com stateCA zip Code 92557 Website zunigascapes.com 7. Landscape & Irrigation Maintenance Contractor Name Title Landlord Company License No. Mailing Address • . Telephone and Fax Number(s) City Email Address State . Zip Code. . Website • 8. Certified Irrigation Auditor . Name Title Company License No. Mailing Address Telephone and Fax Number(s) City Email Address State Zip Code Website . -5- December 1, 2015" �L jf ` CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 WORKSHEET - SECTION C THIS WORKSHEET IS REQUIRED TO BE FILLIED OUT BY THE PROJECT APPLICANT Reference Evapotranspiration (ETo) Rate = 50.2 inches per year The ETo for the Arcadia area is based on the State Department of Water Resource, Reference Evapotranspiration rate(ETo) for the City of Monrovia—Appendix'A'of the State MWELO. Hydrozone# Plant Irrigation Irrigation ETAF Hydrozone ETAF Estimated Total &Planting Factor Method Efficiency (PF_ IE) Area x Area Water Use Descri.tion PF IE in s.. ft. ETWU Regular Landscape Areas 1) Existing Drip Zone 1- Low water use Plantings 0.3 Drip 0.81 0.37 980 362.6 11,95 2) 3) 4) 5) r Totals Special Landscape Areas (SLAs)-Includes areas irrigated with recycled water 1 . . I 1 I I1 I . = .,',,,-°„? =,, 4 Totals N 4; II 11,295 ' 6 C .+'f �fi' w &`t'} `� F 4 �P p� n '9 4 ° 1,'i: I $ ; ,', MAWA . . °' .x.w`r . .-- . ''.....1.4.:A u :,.,>. ° ?..:as�21,347 Hydrozone # & Planting Description— e.g., 1) Lawn/Turf, 2) Low Water Use Plantings, 3) Medium Water Use Plantings, etc. Plant Factor(PF)— Irrigation Method—Overhead Spray or Drip Irrigation Efficiency(IE)—0.75 for Overhead Spray,0.81 for drip ETWU(Annual.Gallons Required)=ETo(50.2)x 0.62 x ETAF x Area MAWA(Annual Gallons Allowed)=ETo(50.2)x 0.62 x[(ETAF x Area)+((1-ETAF)x SLA)] 0.62 is a conversion factor to convert acre-inches per acre,to gallons per square foot per year Area is the total Regular Landscape Areas SLA is the total Special Landscape Areas ETAF is 0.55 for residential areas,and 0.45 for,non-residential areas ETAF Calculations Regular Landscape Areas: Average ETAF for Regular Landscape Areas must be 0.55 Total ETAF x Area (B) Total Area (A) Average ETAF B+A All Landscape Areas Total ETAF x Area . (B+D) Total Area (A+C) Sitewide ETAF (B+D)+(A+C) L -6- December 1,2015 J