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HomeMy WebLinkAboutTI-18-1268 Folder3 GROSSMAN & SPEER ASSOCIATES, INC. STRUCTURAL ENGINEERS
529 HAHN AVENUE,SUITE 200,GLENDALE,CALIFORNIA 91203 (818)507-1020•FAX(818)507-1556
E mall:
engineers@grossmanspeer.com
STRUCTURAL OBSERVATION REPORT FORM
Structures Observation means the visual observation of the structural system, for general conformance to the approved plans and
specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or
waive the responsibility for the inspections required by Section 108, 1701 or other sec ions of the California Building Code.
Date of Observation: 2/4/2020 G&S No.: 18035.01
Project Name: Glenair Logistics Bldg.2 Canopies
Report No.: 1
Project Address: 12359 Lower Azusa Rd.,Arcadia,CA 91006 Page No.: 1 of 1
Building Permit No.: Structural Observer of Record(SOR): Structural Observation performed by:
Comm. 19-2028 Derrick Masulis Andrew Schluter
Phone No.of SOR: Professional License No. of Observer.
818-507-1020 C87577
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE
® Footing,Stem Walls ❑ Concrete 0 Steel Moment Frame ❑ Concrete
❑ Mat Foundation 0 Masonry ❑ Steel Braced Frame ❑ Steel
❑ Caisson,Piles,Grade Beams ❑ Wood ❑ Concrete Moment Frame ❑ Wood
❑ Others: ❑ Others: ❑ Others:
❑ Others:
OBSERVED DEFICIENCIES:
None.All observed work appeared to be in general conformance wth the approved drawings.It is acceptable to pour
footings monolithically.
Structural Observation does not include inspections required by the Building Code. I recommend that acceptance of the structural
systems by the Building Department be withheld until all observed defidenaes are corrected and all required inspections are completed.
2/4/20
Structural Observer of Record Date
GROSSMAN & SPEER ASSOCIATES, INC. STRUCTURAL ENGINEERS
529 HAHN AVENUE,SUITE 200,GLENDALE,CALIFORNIA 91203 (818)507-1020•FAX(818)507-1556
E-mail:engineers@grossmanspeer.com
STRUCTURAL OBSERVATION REPORT FORM
Structural Observation means the visual observation of the structural system, for general conformance to the approved plans and
specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or
waive the responsibility for the inspections required by Section 108, 1701 or other sections of the California Building Code.
Date of Observation: 2/4/2020 G&S No.: 18035.01
Project Name: Glenair Logistics Bldg. 2 Canopies Report No.: 1
Project Address: 12359 Lower Azusa Rd.,Arcadia, CA 91006 Page No.: 1 of 1
Building Permit No.: Structural Observer of Record(SOR): Structural Observation performed by:
Comm. 19-2028 Derrick Masulis Andrew Schluter
Phone No.of SOR: Professional License No. of Observer:
818-507-1020 C87577
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE
® Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ Concrete
❑ Mat Foundation ❑ Masonry ❑ Steel Braced Frame ❑ Steel
❑ Caisson, Piles, Grade Beams ❑ Wood ❑ Concrete Moment Frame ❑ Wood
❑ Others: ❑ Others: ❑ Others: ❑ Others:
OBSERVED DEFICIENCIES:
None. All observed work appeared to be in general conformance with the approved drawings. It is acceptable to pour
footings monolithically.
Structural Observation does not include inspections required by the Building Code. I recommend that acceptance of the structural
systems by the Building Department be withheld until all observed deficiencies are corrected and all required inspections are completed.
ti
TV L -. 2/4/20
Structural Observer of Record Date
National PO. Box 63304
Los Angeles, CA 90063
Inspection & Tel: (800)791-2136
Testing 24 Hrs.: (310)930-5515
office@nationallab.us
SPECIAL/DEPUTY INSPECTION REPORT Job No. Date 1/31/2020 Time
TYPE OF Reinforced concrete 0 Structural Steel Assembly ❑ Quality Control
INSPECTION Post Tensioned Concrete ❑ High Strength Bolts ® Epoxy
REQUIRED Reinforced Masonry 0 Fire Proofing Other
Building Department Arcadia Job Address 11359 Lower Azusa Rd.
Job Name Samuel Sermit No COMM-19-2028
Owner Address
Contractor George C Hopkins Address
Sub-Contractor Engineer Grossman& Speer Associates, Inc.
Inspector(s)Name Ismael Cordero Architect
l TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
'SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC.
Located at exterior footing pads for canopy No. 1-6. #4 horiz. epoxy dowels @32" o.c. Into (E) slab.
Per portal detail 2/S-2 and non-portal detail 4/S-2. Total of 20 pads located at East side.
Ramp located at canopy 1, installation of 10- #4 horiz epoxy dowels at ea. Location details
21/S-2, 22/S-2.
Inspection Passed.
•
r
I 1 _ .,
I i___.
-...1..:_i_..
L
iia I ' 1aiimi i,r►
TERMS:BILUNG AT 4 AND 8 HOURS MINIMUMS.WITH 2 HOUR CHARGE FOR CANCELLATIONS,SHOULD NIT BE REQUIRED TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OF
A DEBT INCURRED AS A RESULT OF ACCEPTANCE OF THIS SERVICE TICKET MT WILL BE ENTITLED TO ATTORNEYS FEES AND COST INCURRED IN SAID SUITE
THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECTION&TEST ING PERSONNEL OR SUBCONTRACTORS.OUR WORK DOES NOT
INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR.HIS EMPLOYEES OR AGENTS.THE CONTRACTOR IS INFORMED THAT NEITHER THE
PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL EXCUSE THE CONTRACTOR IN ANY WAY OF DEFECTS DISCOVERED IN THE
CONTRACTORS WORK IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFETY ON THIS PROJECT.
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE _ OF
I HEREBY CERTIFY THAT I HAVE I CTED TO THE BEST OF MY KNOWLEDGE ALL
OF THE ABOVE REPORTEDREG.HOURS O.T.HOURS TRAVEL TIME SAMPLES OTY. SAMPLE TYPE
• MESS OTHERWISE NOTED.I HAVE FOUND THIS
WI
WORK TO COMPLY WITH THE A..• • • • `IJ?YI. •`,..,AND APPLICABLE
SECTIONS OF THE GOVERN �4.t.•.• . ..r r 4
/ M inspections b a minimum of 4 ours and 4 hours-8 hou
minimum.in add
iti yin tion ex ding a dnoon will be 8 hour minimum
Overtime Ming H and Satur ay's nd a s Double Time.
SIG ler•E OF REGISTERED INSPECTOR
DIA
SPECIALTY NO AGENCY
kent electric
INCORPORATED
electrical contractors
commercial--industrial-medical
6655 San Fernando Road'Glendale,CA 91201 ' (818)247-1192 phone' (818)247-0344 fax
www kntelectricux cart
July 24,2019
Re: 12359 Lower Azusa Rd,
Arcadia,Ca 91006
To City of Arcadia:
Attached please find a copy of the Kent Electric Lockout/Tagout Procedures.
This letter will confirm that only Kent Electric's Certified Electrician,and the general
contractor or his superintendent will have access to energized equipment during the
lockout/tagout phase.
Sincerely,
Troy Kent
Project Manager
-a17r
cel .vItrta "i roce wi -2( q/ /61
D. Kent Electric, Inc. C-10 License#491250
eIR[iNconponATED
e e:
electrical contractors
commercial - Industrial-medical
6655 San Fernando Road•Glendale, CA 91201• (818)247-1192 phone• (818)247-0344 fax
www.kgntelectricinc.corn
July 24, 2019
To: City of Arcadia
Re: 12359 Lower Azusa Rd,
Arcadia, Ca 91106
To Whom it May Concern:
This letter is to state that Kent Electric, Inc. has verified that the electrical panel,
disconnect switches and distribution boards at the above captioned address have been
torqued to the manufacturer's specifications. It is standard practice that we check every
lug, bus bar, nut and bolt, and verify the proper torque.
Kent Electric, Inc.
By: Date: 7/ a Ll //e/
(1Troy ent, Project Manager
/ /iv/ /ilt7F—
(Wiz] Lac&r"hcAt+ F©reivlun
4.0g1a111.111
VEIMS N
VETERAN ELECTRICAL POWER SYSTEMS
GROUND FAULT CERTIFICATION REPORT
Prepared For:
Kent Electric
6655 San Fernando Rd
Glendale, CA 91201
Prepared By:
Veteran Electrical Power Systems
8837 Lankershim Blvd.
Los Angeles,CA 91352
Office: (818) 861-7610
VEPS
Date: July 23, 2019 Job#S119398
Summary Report
At your request,Veteran Electrical Power Systems tested and certified the ground fault
protection system at the 12359 Lower Azusa Rd property.
1.0 Job Site Information
job Site: Job Site Contact Info:
12359 Lower Azusa Rd., Kent Electric
Arcadia, CA 91006 Chad
2.0 Purpose
2.1 The purpose of maintenance testing is to ensure that electrical equipment and components
are safe and operational within their original design and manufacturers specifications.
Comprehensive testing allows your company to safely identify defective or severely aged
equipment prior to electrical failure.When necessary, repairs may be scheduled,thus
avoiding costly and unexpected interruptions to normal production
3.0 Procedures
Ground-Fault Protection Systems
Visual and Mechanical Inspection
• Inspect the components for damage and errors in polarity or conductor routing.
• Verify that the ground connection is made on the source side of the neutral disconnect link and also
on the source side of any ground fault sensor.
• Verify that the neutral sensors arc connected with correct polarity on both primary and secondary.
• Verify that all phase conductors and the neutral pass through the sensor in the same direction for zero
sequence systems.
• Verify that grounding conductors do not pass through zero sequence sensors.
• Verify that the grounded conductor is solidly grounded.
• Prior to cleaning the unit,perform as-found tests.
• Clean the unit.
• Inspect bolted electrical connections for high resistance using one of the following methods:
• Verify tightness of accessible bolted electrical connections by calibrated torque-wrench method in
accordance with manufacturer's published data.
• Verify correct operation of all functions of the self-test panel, if applicable.
2IPag
VEPS
• Verify pickup and time-delay settings in accordance with the settings provided in the owner's
specifications. Record appropriate operation and test sequences as required by ANSI/NFPA 70
• Perform as-left tests.
Electrical Tests
• Measure the system neutral-to-ground insulation resistance with the neutral disconnect link
temporarily removed. Replace neutral disconnect link after testing.
• Perform ground fault protective device pickup tests using primary current injection.
• For summation type systems utilizing phase and neutral current transformers,verify correct polarities
by applying current to each phase-neutral current transformer pair.This test also applies to molded-
case breakers utilizing an external neutral current transformer.
• Measure time delay of the ground fault protective device at a value equal to or greater than 150
percent of the pickup value.
• Verify that reduced control voltage tripping capability is 55 percent for ac systems and 80 percent for
dc systems.
Final Remarks & Recommendations
• Ground fault protection system is suitable for use.
Report By:
Sergio Rangel
Operations Manager
Veteran Electrical Power Systems, Inc.
3II)
VEPS
Table of Content
MSA2 C ............... Page 5
41Pag
NP/ 4
VETERAN ELECTRICAL POWER SYSTEMS
CUSTOMER SITE/BUILDING TECH. JOB#
KENT ELECTRIC INC 12359 LOWER AZUSA RD SR 5119398
LOCATION/ROOM DATE CUSTOMER ID. INDEX it
MAIN ELECTRICAL ROOM 7/23/19 MSA2C -
TEMPERATURE 82 °F HUMIDITY 40% WEATHER CLEAR
BREAKER GROUND FAULT
SWG/SWBD MANUFACTURER SWG/SWBD MODEL/TYPE SWG/SWBD CATALOG# SYSTEM VOLTAGE PHASE/WIRE
GENERAL ELECTRIC SPECTRA SERIES 0425185808 480/277 3 4
BREAKER MANUFACTURER BREAKER MODEL/TYPE BREAKER CATALOG# BREAKER FRAME RATING BREAKER TRIP RATING
GENERAL ELECTRIC POWER BREAK II SSF40G440 4000A 4000A
GFI RELAY MANUFACTURER RELAY CATALOG# PICKUP RANGE(AMPS) TIME RANGE(CY/SEC) GFI SYSTEM
GENERAL ELECTRIC GB740L4X1XFXXX .2-.3 2-14 RESIDUAL
SETTINGS
AS FOUND AS LEFT AS FOUND AS LEFT
PICK-UP CURRENT(AMPS) .2 .2 PICK-UP TIME (SECONDS/CYCLES) 4 4
VISUAL AND MECHANICAL CHECKLIST
CHECKLIST OK N/A NOTES
GENERAL PHYSICAL CONDITION ✓
MAIN BONDING JUMPER 1/
GROUNDING ELECTRODE CONDUCTOR ✓
CONTROL POWER TRANSFORMER 1/
MONITOR TEST PANEL ✓
REDUCED VOLTAGE TEST(55%RATED VOLTAGE) Ni
MULTIPLE SOURCE SCHEME ✓
ZONE INTERLOCKING 1
ELECTRICAL TESTS
TEST PERFORMED RESULTS PASS FAIL TEST PERFORMED PASS FAIL
GROUND FAULT PICK-UP TEST PICK-UP(AMPS) NEUTRAL INSULATION ✓
90%-125° 800 TO GROUND
PICK-UP CURRENT CURRENT SECONDS/CYCLES
VALUE X 150% 800 0.162 1 CT POLARITY 1
GROUND FAULT COMPLIANCE »> YES GFI RE-TEST DATE » 7/2022
TEST EQUIPMENT
MANUFACTURER MODEL S/N or ASSET NO. CALIBRATED CALIBRATION DUE TEST NO.
MEGGER CB 832 2022448 09/06/2018 09/06/2019 70428
NOTES
Ground fault protection system is suitable for use
8837 Lankershim Blvd, Los Angeles, CA 91352 (818) 861-7610 C-10#987407 Veteran Owned Business
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 �E�I N G, INC. Office:(�) 11
606-6555
Date 5/17/19
REGISTERED INSPECTOR'S DAILY REPORT Prolac[No. 18-0792
TYPE OF • Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION ' 0 Prestressed Concrete ❑ Fire Proofing ❑ Dnlled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete ❑ Other
o.
12359 Lower Azusa Rd. Arcadia
Glenair Logistics I Building 2 Arcadia TI-18-1268 City of Arcadia
Tilt-up building Design Build
-
Hilti HIT RE 500 V3 Grossman & Speer
A-615, grade 60 rebar George C. Hopkins
Glenn Pearman Rick Hamm
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
Visual inspection for epoxy setting of rebar for slab to slab connection, and spiral cages, for 8" steel column
caissons from A-A.5/3-4 (8 total) and along line 6 from A.4-C.6 (6 total). Correct cage reinforcement and epoxied
dowels per 11/S34.0 & 16/S33.0. Holes were drilled with the Hilti system hollow bit and vacuum. Hilti HIT RE 500 V3
was utilized for epoxy.
Ready for concrete placement.
❑ CHECKED N WITH CITY itREVIEWED APPROVED PLAN El TEST PERFORMED PER SPECS. E3 CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL p( ON TIME TO JOB Ey REVIEWED SPECIFICATIONS El CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST tom++
izr CHECKED PERMn ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY 0 OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
■WORK COMPLIES WITH 0 WORK DOES NOT COMP 8:00 am 12:00m 4.0
APPROVED DOCUMENTS p
All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is called to a project and no work • ormed a two ur mi urn
charge will be applied.Please verify Q.C.Chec f°
SIGNATURE OF REGISTERED INSPECTOR Jeff Ward �.
Concrete/ Masonry/PT 8376054 ICC P•
Approved . . nntendem
SPECIALTY NO AGENCY
CC:Architect,Engineer,Bulling Official www.kouryengirteering.com FORM FR-20003 021182008
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ej-----NGINEERING (24 Hour)Cell:(310)713-4005
G, INC. OFfic:(�)606-6111
Date 5/15/19
REGISTERED INSPECTOR'S DAILY REPORT ProlectNo. 18-0792
TYPE OF 0 Reinforced Concrete 0 Structural Steel 0 Quality Control
INSPECTION • ❑ Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry 0 Shotcrete ❑ Other
12359 Lower Azusa Rd Arcadia
Glenair Logistic Building 2 TI 18-1268 Arcadia
Nathan Battle,AIA
Gross an & Speer Associated, Inc
George C. Hopkins Constrution Inc
Juan Carlos Ortiz Rick Hamm Constrution
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
Strength 4 4 54001, 4000 psi
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
Provided continuous visual inspection of concrete placement for slab on grade between F-G/4-5 approximately.
About 30 yards of concrete mix 54001, 4000 psi from Robertson's RMC. Rebar chaired and secure in place to
provide specified clearances. Observation of concrete to conform ASTM C-94 for mixing time.
Constructed 1 set of 4 cylinders.
To the best of my acknowledgement,job observed per plan.
II CN IT' A REVIEWED APPROVED PLAN A TEST PERFORMED PER SPECS. A CALLED N SAMPLES FOR PICKUP
QUALITY CONTROLE. ON TIME TO JJ A REVIEWED SPECIFICATIONS A CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHEC
rl CHECKED PERMIT A REVIEWED PREVIOUS REPORTS Ai SAMPLES STORED SAFELY ❑ OTHER'
CERTIFICATI N OF COMPLIA E CONTINUED ON NEXT PAGE 0 PAGE ' OF -
ALL WORK LIS LD ABOVE WAS I •+ .O AS RE• IR D BY
THE APPROV PLAN,SPE IR • INS:A DGOVE-• NG CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
III WORK C PLIES WIT 0 •• DO NOT COMPLY 6:30 am 9:00 am
APPROV DOCUMENT,
AO inspections Dried on a minimum of 4 hours and over 4 hours-S hours minimum.If
the inspector is called to a prof and no a is p►rfonned a tour minimum
charge will he applied.Please v Q.•. ,•
SIGNATURE OF REGISTERED PEGTO Approved Jeff and
RC \IP026809 LA City Project Superintendent
SPECIALTY NO AGENCY
CC:Architect.Engineer,Building Official www.kouryengineering.com FORM FR-20003 03/1/2015
RIKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC. Office:(909)606-6111
IFax:(909)606-6555
Date 5/14/19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF ❑ Reinforced Concrete 0 Structural Steel 0 Quality Control
INSPECTION ❑ Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete • Other Epoxy of dowel
12359 Lower Azusa Rd. Arcadia
I ,.aeG
GLENAIR LOGISTICS I BUILDING 2 ARCADIA COMM-18-0917 City
Epoxy of dowel on slab on grade R.G.A.
#4 bars dowel H.S.A. AND ASSOCIATE INC.
Hilti RE 500 V3 epoxy GOERGE HOPKINS CONSTRUCTION INC.
Manolito B. Burgos RICK HAMM CONST. INC.
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
X X X No sample!
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TOROUEDI CHECKED.ETC.
1). LOCATION IN STRUCTURE :
a). Rest Room Area Epoxy of dowel on Slab on Grade Between Line F - G to Grid Line between 4 - 5
( See Foundation Plan ; Detail on Sheet S2.0 - S4.0 )
2). DEPUTY INSPECTION PERFORMED :
a). Checked and verify all drilled holes diameter, holes embedment and all holes shall be clean using a
Plastic brush and an air compressors to blow dust .
b). Observed Hilti RE 500 V3 epoxy placement pumped into the hole using #4 bar dowel embedded
4 1/2" minimum into the existing slab on grade spaced at 16"on center .
c). All dowel installed and epoxy used are all conformed to the approved drawing .
H CHECKED N WITH CRY rizr REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL 0 ON TIME TO JOE 'REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
0 CHECKED PERMIT (a'REVIEWED PREVIOUS REPORTS 0 SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECI-CATIONS,AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
■WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 8:10 am 10-:15 am 4.0
APPROVED D• /
Id: Al inspections based on a minimum of 4 hours and over 4 hours 8 hours mi -mum.If
,,__. 4 the inspector is called to a project and rio • .' perform•d two ur nim
ti I charge will be applied.Please verily Q.C.C I
SIGNATURE OF RE 1ST 'E INS- TOR ApprovedJeff Ward
by
Reinf. Concrete 5072503 ICC P.: -I.-rr ndent
SPECIALTY NO AGENCY
CC:Architect,Engineer,Building Official www.kouryengineering.com FORM FR-20003 03/12015
RY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
et-NGINEERING (24 Hour)Cell:(310)713-4005
G, INC. Office:(909)606-6111
Fax:(909)606-6555
Date 5/6/19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF • Reinforced Concrete ❑ Structural Steel El Quality Control
INSPECTION El Prestressed Concrete El Fire Proofing El Dnlled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete ❑ Other
12359 Lower Azusa Rd. Arcadia
GLENAIR LOGISTICS I BUILDING 2 ARCADIA COMM - 18 - 0917 City
51,ccru,,
Concrete placement on slab on grade R.G.A.
A615 . Grade 60 , #3 , #4 ,54001 @ 4000 Psi. H.S.A.AND ASSOCIATE INC.
Robertson ready mix concrete GEORGE C. HOPKINS CONST. CO. INC.
Manolito B. Burgos RICK HAMM CONST. INC.
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
Concrete 4 1/2" 1 sets of 4 See data sheet please!
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
1). LOCATION IN STRUCTURE :
a). Concrete placement on slab on grade between Grid Line 6 -7 to Line Between F - G . (by the Loading dock)
b). Concrete placement on column diamond along Line F.3 to Grid Line between 3.5 - 6
( SEE FOUNDATION PLAN )
2). DEPUTY INSPECTION PERFORMED :
a). Before placing concrete concrete verify reinforcements installed spacing , size , clearances , Support
coverage . splices of Dowel , place of deposit be clean , inbed items and mix design .
b). Observed concrete placement on column diamond and slab on grade 8"thick reinforced with #3 bars
spaced at 16"on center each way . Placement using pump hose , Tailgated the Column Diamond
and consolidation using a mechanical concrete vibrator .
c). Checked concrete slump, temperature , water control and make sample 4 - 6"x 12"cylinder
d). All concrete placed are all conformed to the approved mix design on approved plan 54001 @ 4000 Psi.
e). Volume of concrete placed 34yds.
Ie CHECKED N WITH CITY E.REVIEWED APPROVED PLAN lig TEST PERFORMED PER SPECS. 0 CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL V OR E TO JOB Er REVIEWED SPECIFICATIONS Fr CORRECT NO.CF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST CI
VI CHECKED PERMIT ig REVIEWED PREVIOUS REPORTS 16 SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE El PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPEC CATIONS.AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
■WORK COMPLIES WIT ❑WORK DOES NOT COMPLY 6:30 are 11:15 are 8.0 4
APPROVED DOCUMEN
0I / All inspections based on a minimum of 4 hours and ove 4 d hourstwo-8hhors houminimum.If
I A the inspector is called to a protect and work is pe or a minimum
:Tie' charge will be applied.Please verity• r C •c �_
SIGNATURE OF R• -:'INS` TOR Approved Jeff Ward ��
Reinf. Concret• I 5072503 ICC / iroct Superintendent
SPECIALTY I NO AGENCY
CC:Architect,Engineer.Building Oficial www.kouryengineering.com FORM FR-20003 03/12015
052396-D19 KOURY ENGINEERING
RY 14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING 101 (24 Hour)Cell:(310)713-4005
& TESTING, INC. Office:(909)606-6111
Fax:(909)606-6555
f Date 5/2/19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
• TYPE OF IIS Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry 0 Shotcrete ❑ Other
•
cc
12359 Lower Azusa Rd. Arcadia
'toted Nat'l lc
Glenair Logistics I Building 2 Arcadia TI-18-1268 City of Arcadia
of Structure Aterlitect
Tilt-up building Design Build
.',renal Description(type.grade.source.etc.) ' Aineer
Sikagrout 212, Hilti HIT RE 500 V3 Grossman & Speer
,tactor
A-615, grade 60 rebar George C. Hopkins
.r;orilractor
Glenn Pearman Rick Hamm
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
HS Grout flowable 3
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
Visual inspection for epoxy setting of rebar for slab to slab connection for bathroom area from G-F/6-7 and around TI
column cut-outs from G-F/3-6 (12 total). Per general notes on adhesive anchors on S2.10, #4 bar was embedded @
4" depth, utilizing Hilti HIT RE 500 V3 epoxy (approx. 100 bars).
Visual inspection for grouting under same column base plates as above. Per general notes for grout, Sika 212 was
utilized.
❑ CHECKED N WITH CITY 'REVIEWED APPROVED PLAN 0 TEST PERFORMED PER SPECS. Es CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL 0 ON TIME TO JOB E.REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST
Ig CHECKED PERMfT 0 REVIEWED PREVIOUS REPORTS Er SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
■WORK COMPLIES WITH 0 WORK DOES NOT COMP 7:00 am 11:00 am 4.0 3
APPROVED DOCUMENTS
At Inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is called to a protect and no work• performed a two ur mi um
charge will be applied.Please verity QC.Chec
SIGNATURE OF REGISTERED INSPECTOR Approved Jeff Ward 4
Concrete/ Masonry/PT 8376054 ICC P =
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
el----ENGINEERING (24 Hour)Cell:(310)713-4005
G, INC. Office:
ax:(909)606-6555
Date 4-30-19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF 0 Reinforced Concrete U Structural Steel 0 Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED El Reinforced Masonry 0 Shotcrete • Other aDOXV ,
12359 Lower Azusa Rd Arcadia
I kn:,e
Glenair Logistics T1-18-1268 Los Angeles
Steel Construction
Grossman & Speer Engineers
George Hopkins Construction
Robert Copley P&M Iron
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
welder Raymond Serrano P015203/Felipe Magdaleno AWS
provided special inspection for welding on break room framing , on frame#1 &frame#2 had to cut and raise exsistil
beam 4x4x1/4 ,moved up 4" to top of steel, welded and complete as per plans E1.3 detail# 1,2,6,7
also on wall to connection plates 14x19x1/2 (4) total plates with 6 holes per plate, 7x5 allthread bolts with5" embedr
also on same grid line (2) 10x14x1/4 beams with 10x13 baseplates also with 6 holes per plate with 7x5 bolts and 5"
embedment, all epoxy is hilti hit-re 500 v3#2123401 ICC es esr# 3814
❑ CHECKED N WITH CITY Q REVIEWED APPROVED PLAN El TEST PERFORMED PER SPECS. ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL © ON TIME TO JOB LQ REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST
© CHECKED PERMIT 0 REVIEWED PREVIOUS REPORTS 0 SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF
-
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.ANDGOVERNINGCODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
.WORK COMPLIES WITH 0 WORK DOES NOT COMPLY /,i 44 /S() /fr. 4.0
APPROVED DOCUMAS / ll
AU inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is caped to a project and no work is performed a two hour minimum
charge will be applied.Please verify QC.Check"
SIGNATURE OF REGISTERED I SP'EGTOR Approved W /ii-
Welding
L' P029472 LADBS Pro superintendent
SPECIALTY NO AGENCY
CC:Architect,Engineer,Building Official www.kouryengineering.com FORM FR-20003 03/1/2015
052210-D19 KOURY ENGINEERING
(OURY
14280 EUCLID AVENUE
. 105 CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC. Office:(909)606-6111
Fax:(909)606.6555
Date 4-29-19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF 0 Reinforced Concrete NI Structural Steel 0 Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED 0 Reinforced Masonry 0 Shotcrete • Other
12359 Lower Azusa Rd
Glenair Logistics 052066-019
Grossman & Speer Engineers
George Hopkins Construction
Robert Copley P&M Iron
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
welder Raymond Serrano P015203
provided special inspection for welding at the break room framing area, on grid line F3 (4)-hss 4x4x1/4 columns
1)installed with (4) hss 16x4x1/4 beams and 14x19x1/2 connection plates to wall with epoxy anchors, 7x5 allthread
bolts with 5" embedment(6) holes per plate (epoxy not done yet), on grid G
between grids F3 & G frame#1 and frame#2 installed (shop welded),
3)between F3 &G connected to frame#1 (1) 14x4x1/4 beam to the 4x4x1/4 column
4)(2) hss 10x4x1/4 beams installed and mounted to wall with same epoxy bolt plan
all work done according to plans E1.3 Detail # 1,2,6,7. ( welding in progress)
5) on grid line 6a.1& 6a.3 -24" casions installed (2) casions, at 5' below grade with 4-4 vertical #4 ties @ 10 oc
all work done per plans S3.30 Detail#68116
❑ CHECKED N WITH CITY Q REVIEWED APPROVED PLAN 0 TEST PERFORMED PER SPECS. ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL
21 ON TWE TO.108 Q REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
Il CHECKED PERMIT 0 REVIEWED PREVIOUS REPORTS 0 SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIR •BY
THE APPROVED PLAN.SPECIFICATIONS.AND GOVER ! CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
.WORK COMPLIES, PA •RK•• .• •OT COMPLY /()//) 4m r /4/] 4.0
APPROVED DOC S ll !lf! !-!�i
All inspections be on a minimum of 4 tours and over 4 hours-8 hours minimum.If
r the inspector is called to a proiect and no work is performed a two hour minimum
A . /A10/ charge will be applied.Please verify QC.Checklist
SIGNATURE OFR GI ERED I T C %- I/ Approved by
welding LADBS / nt
SPECIALTY • AGENCY 1J
O
CC Architect Fnainear Ruildina Official www.kouryengineering.com FORM FR-20003 03/12015
rREVIEWED
By yaleriem at 10:49 am,Apr 30,2019
052466-D19 KOURY ENGINEERING
RY 14280 EUCLID AVENUE
CHINO,CA 91710
GERING 101 105
I (24Hour)Ce11:(310)713-4005
NG,
INC. Office:(909)606-6111
Fax:(909)606-6555
I
Date 4-26-19
REGISTERED INSPECTOR'S DAILY REPORT Project No.
18-0792
' TYPE OF 0 Reinforced Concrete . Structural Steel 0 Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofirxt 0 Drilled In Anchors
REQUIRED 0 Reinforced Masonry 0 Shotcrete • Other
12359 Lower Azusa Rd Arcadia
,t Name
Glenair Logistics/Building 2 Arcadia
.;.)e of Structure
'.:.aerial Description(type.Urade.source.etc.)
George Hopkins Construction
roector's Name it _r ih.,.,'.:r
Robert Copley P&M Iron
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
welder Raymond Serrano P015203
welded on (7) hss 10x4x1/4 beams connected to exsisting beams on grids F3 to G running north and south, all bear
installed with 3/8 connection clips (2) per connection , welded and bolted with 2 3/4 astm A307 thru-bolts
all work complete as per plans S2.2.2
also on grid line G at 8 locations on 12x19x112 connection plates 6 epoxy bolts with 5" embedment with 7x5/8
thru-bolts installed and complete, hilti hit re 500v3#2123401 ,ICC es esr 3814, this inspector witnessed the
drilling and cleaning of all holes, all work complete
❑ CHECKED N WITH CITY II REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED el SAMPLES FOR PICKUP
QUALITY CONTROL 2 ON TIME TO JOB IQ REVIEWED SPECIFICATINS 0 CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST
2 CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF
ALL WORK LIS i tU ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
®WORK COMPLIES WITH 0 RK DOES NOT COMPLY I �7 /
1 i9 #1 8.0
APPROVED DOCUMEIII SSS ( {I4'
// All ms n§based on a minimum or 4 hours and over 4 hours-8 hours minimum.If
'/�V�` the inspector is called to a project and no work is pe ed a Mo r minimum
charge will be applied.Please verify QC.C W
SIGNATURE OF REGISTERED INS ECT G
Approved by
f it'd Superintendent
SPECIALTY NO AGENCY
CC:Architect Enoneer,Building Otic' I www.kouryengineering.com FORM FR-20003 03/112015
' REVIEWED
By valericm at 9:05 am,May 02,2019
1236 W. BROOKS STREET
ONTARIO, CA 91762
(24 Hour)Cell: (310)713-4005
Office:(909)988-2795
Fax: (909)988-2356
DSA File No. OSA App.No
Job No. °a°° Time
18-0792 4-26-19
TYPE OF El Reinforced Concrete Q Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry 0 Shotcrete • Other
Job Address City
12359 lower azusa rd Arcadia
Job Name Penna No. issued By
Glenair Logistics 052066-D19 Los Angeles
Type of Structure Arctraed
steel construction
Material Description(type,grade,source,etc.) Engineer
Grossman &Speer Engineers
contractor
George Hopkins Inc.
Inspectors Name Subcontractor
Robert Copley
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
Welder Raymond Serrano P015203-provided special inspection for welding on (7) hss 10x4x1/4 beams connecting to
existing beams on grids F3 to G running north and south, all beams installed with 3/8 connection clips(2) per connect'
welded and bolted with 2 3/4 astm a307 through bolts, all work complete as per plans S2-2.2
also on grid line G at 8 locations on 12x19x1/2 connection plates 6 epoxy bolts/w 5" embedment with 7x5/8 through b(
installed and complete, Hilti Hit RE 500V3#2123401 ICC ES ESR# 3814, this inspector witnessed the drilling and clef
of all holes, all work complete
El CHECKED IN WITH CFIY 63 REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED IN SAMPLES FOR PICKUP
QUALITY CONTROL
0 ON TIME TO JOB ■ REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES 0 ALL DEFiCIENCIES NOTED
CHECKLIST
0 'IlECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF
ALL WORK USTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT G. HOURS O.T.HOURS SAMPLES
IIII WORK COMPLIES ❑WORK DOES NOT COMPLY / 9 l'l /2) /1 z) 4 -5
5
NATH THE APPROVED DOCUMEN (7) / `pec ! e J � 11 J
All inspections based on a minimum of 4 h and over 4 hours-8 hours inimum If
the inspector is called to a proIect a qd no is perfo a •hour imum
SIGNATURE OF RE l�T1--
ft/ED INSPECTOR charge will be applied.Please verify11 C. list
welding P029472 LADBS /
SPECIALTY NO AGENCY Approved by l
rot Su r. tendert
CC:Architect,Engineer,Inspector,DSA(If Applicable) WHITE-OFFICE COPY, CANARY-INSPECTOR'S COPY, PINK-JCB C P FORM F-0001(01/01/10)
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC_ Office:(909)606-6111
Fax: (909)606-6555
Date 04-25-19
REGISTERED INSPECTOR'S DAILY REPORT PfojectN 18-0792
TYPE OF ❑ Reinforced Concrete ❑ Structural Steel ❑ Quality Control
INSPECTION Prestressed Concrete
❑ ❑ Fire Proofing ❑ Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete 11 Other d Non Snrink Grout
Add :
12359 Lower Azusa Rd r,r(rtriLl
)Nroiect Name
Glenair Logistics I Building 2 Arcadia TI - 18 - 1268 City of
Type of Structure Architect
Slab on grade and columns Nathan Battle AIA
Material Description(type.grade,source.etc.) Engineer
#4 Rebar dowels- Epoxy Hilti HIT- RE 500 V3 Grossman &Speer Associates
Contractor
SikaGrout 212 Non - Shrink Grout George C. Hopkins Construction
subcontract
Alfy c;'
fY Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
2" x 2"Cubs N /A 3 SikaGrout 212 Non - Shrink Grout/3500 Psi Grout
Non - Shrink Grout
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS PROGRESS.REMARKS
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE BOLTS TORQUED)CHECKED.ETC.
L) On site to observe placement of Epoxy at the existing slab on grade at the following locations : -
a) the area around the columns at the Deburring Operations Room# 165 between the grid line ( 7 ) to ( 10) &
( F.3) to ( G ) . ( 12 ) Columns total . #4 Horizontal rebar dowels @ 16"O. C. With /4" Embedment.
b) At the piles for the columns at the grid line (6/A.2) & ( 6/A.8) .( 2 ) Columns total .
#4 Horizontal rebar dowels @ 12" O.C. With/4" Embedment.
Epoxy Hilti HIT- RE 500 V3 . Meet ICC - ES ESR - 3814 .
2) On site to observe placement of Non - Shrink Grout under the base plates for the ( 12 ) Columns
at the Deburring Operations Room## 165 at the above location .
SikaGrout 212 High performance cement-based grout.
The requirements compressive strength 3500 psi at 28 days .
See data sheet for the samples report.
Referenced approved plan S2-2.2 and S2-1.0 .
❑ CHECKED N WITH CITY E0 REVIEWED APPROVED PLAN 12TEST PERFORMED PER SPECS. EA CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL g ONnMETOJOR W
REVIEEDSPECIFICATIONS CORRECT NO.OF SAMPLES El ALL DEFICIENCIES NOTED
CHECKLIST yVJ
I](J CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS g SAMPLES STORED SAFELY ❑ OTHER-
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T.HOURS SAMPLES
WORK COMPLIES WITH ❑WORK DOES NOT COMPLY
APPROVED DOCUMENTS
All Inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is called to a prosect and no work a performed a two hour minimum
charge will be applied.Please verity Q.C.Checklist
SIGNATURE OF REGISTERED INSPECTOR
Concrete 5264203 ICC Approved by — -
Proiect Superintendent
SPECIALTY NO AGENCY
J yVarc
CC:Architect.Engineer,Building Official www.kouryengineering.com / FORM FR-20003 02/18/2008
KOURY ENGINEERING
RY
052066-D19 14280 EUCLID AVENUE
CHINO,CA 91710
Elt-NGINEERING 105 (24 Hour)Cell:(310)713-4005
& TESTING, INC. Office:(909)606-6111
Fax:(909)606-6555
Date 4-25-19
REGISTERED INSPECTOR'S DAILY REPORT Project No.
TYPE OF 0 Reinforced Concrete • Structural Steel ❑ Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofing ❑ Drilled In Anchors
REQUIRED 0 Reinforced Masonry ❑ Shotcrete SI Other
12359 Lower Azusa Rd Arcadia
,'fplt'Qi Iill llc _ .i ,
Glenair Logistics/Building 2 Arcadia , ,
Grossman & Speer Engineers
P& M Iron
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
welder Raymond Serrano P015203
provided special inspection for welding on ground level for 8 connections with hss columns 4x4x1/4 with 2 angle
clips per connection with a 16x4x1/2 beam connected to column and on other side of beam a 12x19x1/2
connection plate to wall, for a total of 8 column to beam to wall connections, also 2 w24x55 beam to w14x 109
column moment frame connection for a total of 2 complete frames, all work and welding complete as per plans
S2-5.0 details#3 S2-3.0 detail #24
❑ CHECKED N WITH CITY Q REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL © ON TIME TO JOB ip REVIEWED SPECIFICATKNS ❑ CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
© CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
•WORK COMPLIES WITH • ,•-K••r - OT COMPLY /%
1236 W. BROOKS STREET
ONTARIO,CA 91762
(24 Hour)Cell:(310)713-4005
Office:(909)988-2795
Fax: (909)988-2356
DSA File No DSA App.No
Job No.18-0792 Date Time
4-25-19
TYPE OF El Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION El Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED D Reinforced Masonry 0 Shotcrete El Other
Job Address City
12359 lower azusa rd Arcadia
Job Name Permit No. Issued By
Glenair Logistics 052066-D19 Los Angeles
Type of Structure Architect
steel construction
Material Description(type,grade,source,etc.) Engineer
Grossman &Speer Engineers
Contractor
George Hopkins Inc.
Inspectors Name Subcontractor
�hn''t Copley
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER 8 TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
Welder Raymond Serrano P015203-provided special inspection for welding on ground level for 8-connections with
HSS columns 4x4x1/4 tube steel with angle clip connections 2 per column with a 16x4x1/2 beam connected to columr
and on other side of beam 12x19x1/2 connection plates to wall ,for a total of(8) column to beam to wall connections
also(2)w24x55 beam to w14x 109 column moment frame connections for a total of 2 complete frames ,all work and
welding complete as per plans S2-5.0 detail#3- S2-3.0 detail#24
0 CHECKED IN WITH CITY 0 REVIEWED APPROVED PLAN O TEST PERFORMED PER SPECS. ❑ CALLED IN SAMPLES FOR PICKUP
QUALITY CONTROL
0 ON TIME TO JOB ® REVIEWED SPECIFICATIONS 0 CORRECT NO OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
❑ CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY O OTHER
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE O-
F
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T.HOURS SAMPLES
®WORK COMPLIES 0 WORK DOES NOT COMPLY ' /I I'l /70
/, �/ ARC Y
WITH THE APPROVED DOCUMENT
/ i ! / J
/�\V All inspections based on a minimum of 4 h and over 4 hours-8 hours mimum If
the inspector is called to a prgect A\d no is pe a •hour 'Imum
SIGNATURE OF RE I ED INSPECTOR charge wit be applied.Please verify C list
welding P029472 LADBS
SPECIALTY NO AGENCY Approved by
rol ct Su r tendert
CC.Architect,Engineer.Inspector.DSA(If Applicable) WHITE-OFFICE COPY,CANARY-INSPECTOR'S COPY,PINK-JQB C P FORM F-0001(01/01/10)
051859-D19 KOURY ENGINEERING
RY 14280 EUCLID AVENUE
CHINO,CA 91710
et-NGINEERING 101 (24 Hour)Cell: (310)713-4005
G, INC. Office:(909)606-6111
Fax: (909)606-6555
Date 4/23/19
REGISTERED INSPECTOR'S DAILY REPORT Prosect No.
18-0792
TYPE OF I♦ Reinforced Concrete li Structural Steel
❑ Quality Control
INSPECTION ❑ Prestressed Concrete ❑ Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete 0 Other
1 359 Lower Azusa Rd.Arcadia. CA 91006 Arca,: a
Glenair Logistics/Building (2)Arcadia T1-18-1268 City of Arcadia
Type of 5tructurr, Architect
Steel Erection/Tilt up Office Nathan Batttle
Material Descnotion(type Grade source,etc I Enneer
Astm F4554 Grade 36 Grossman And Speer Associates Inc
Contractor
George C Hopkins
Inspector's Narr.e Subcontracts
'Michael John Rothamel 'P&M Iron
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN WORK REJECTED JOB PROBLEMS PROGRESS REMARKS.
ETC. INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER&TYPE OF
TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED ETC.
(1). Special Inspection of Astm F-1554 grade 36 All Treaded Rods epoxied with Hilti HIT-Re 500-V3 @ 12359 Lower
Azusa Rd.Arcadia, CA 91006 Glenair Logistics/Building (2)Arcadia project by George C. Hopkins with Sub
Consultant P&M Iron for placement.
(2. Continuous visual Inspection was performed during the placement of.Astmf-1554 all threaded rods into existing
concrete tilt-up panels @ Lines:8-10/F.3-G Deburring Operations room per sheet S2/2.2 Detail (24)S2/3.0 W/(6)
5/8"Rods Dia x 5'embedment typical @Hss connection P/L W/Hilti RE-500 V3.
(3). Prior to placement verified all holes drilled for proper size,spacing,& equipment used per MPII with ESR 3814
(4).A total of (16) holes were drilled and prepped for epoxy installation. Prior to placement final depth and
cleanliness shall be verified before epoxy operations.
l CHECKED N WITH CITY (r REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL gONTIMETOJOB wr REVIEWEDSPECIFICATIONS ❑ CORRECT NO OF SAMPLES ALL DEFICIENCIES NOTED
CHECKLIST -�
E/ Qf
CHECKED PERMIT I 'REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER'.
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
®WORK COMPLIES WITH •WORK••.- • OMPLY
APPROVED DOCUMENT / /� R inspl tions .J V ill U.V
�/ line e torts based on a minimum of 4 hours plover 4 hou -8 hours minimum.If
the inspector is called to a prosect and no work is performed a two hour minimum
change will be applied PCase verily 0 C Checks st ■
SIGNATU' • D lir CTOR Approved by
Reinforce. 'oncrete 8067685 ICC leas Intendent Jeff War_.
SPECIALTY NO AGENCY
REVIEWED www.kouryengineering.com FORM FR-2000307/012015
By valeriem at 9:02 am,Apr 30, 2019
KOU
Y
RY 051528-D19 4280E ENGINEERING
14280 EUCLID AVENUE
CHINO, CA 91710
-- 11:114111ENGINEERING 101 (24 Hour)Cell: (310)713-4005
8 TESTING, INC. Office:(909)606-6111
Fax: (909)606-6555
Date 4/17/19
REGISTERED INSPECTOR'S DAILY REPORT ProlectNo 18-0792
TYPE OF U Reinforced Concrete ❑ Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete ❑ F ire Proofing ❑ Doted In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete ❑ Other
2359 Lower Azusa Rd. Arcadia
,ct Name
Giem Logistics Building#2 TL-18-1268 Arcadia
concrete tilt up, concrete pads Nathan Battle AIA
4000 psi concrete Robertsons# 54001 ticket #4226703 Grossman &Speer Associates
tractor
George C. Hopkins Stru. Eng.
Subcontracto
Ray Mulinix Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
Concrete 4 1/2 4 Robertsons 4000 psi concrete
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS PROGRESS.REMARKS
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER&TYPE OF
TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS(WELDS MADE BOLTS TORQUED)CHECKED.ETC.
(1) Observed approved plans for and placement of 4000 psi concrete column pads, base plates. OK from city
inspection having reinforcement tied in place &clearance for coverage of bars. All pads consolidated and mix
sampled Robertsons #54001 ticket#4226703 amb. 68, mix 78, slump 4 1/2" . Placed lines G-F 10-2.5.
❑ CHECKED IN WfllI CITY 1� REVIEWED APPROVED PLAN © TEST PERFORMED PER SPECS. © CALLEO N SAMPLES FOR PICKUP
QUALITY CONTROL 2 ON nME TO 3013 Q REVIEWED SPECIFICATIONS © CORRECT NO OF SAMPLES © ALL DEFICIENCIESNOTED
CHECKLIST
© CHECKED PERMIT ❑ REVIEWED PR EVICUS REPORTS © SAMPLES STORED SAFELY OTHER
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE D PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN.SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 9.00 am 1 100 pm 4.0 '+
APPROVED DOCUMENTS
All inspections based on a minimum of 4 hours and over 4 hours-8 hours minlmum If
the inspector is called to a protect and no work Is performed a two hour minimum
•L /V char I applied teVe verAY C Win /'c
SIGNATURE OF REGISTERED INSPECTOR ^/ — �nJ ( 1 1/
Concrete 5006920 Approved by
Protect Superintendent
SPECIALTY NO AGLNCY
rr Arrheert Frrmv,eer Rruwnnfttral lrtiftrir14 (/i ' I 9 FORM FR-2000303/1!2015 --
r REVIEWED
By vateriem at 11:13 am,Apr 18.2019
(KOURY 051418-D19 KOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
101 (24 Hour)Cell:(310)713-4005
G, INC. Office: (909)606-6111
Fax:(909)606-6555
Date 4/16/19
REGISTERED INSPECTOR'S DAILY REPORT ProiectNo 18-0792
TYPE OF U Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete ❑ Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete 0 Other
Prosect Ado••
12359 Building #2 Arcadia
wlect'v-I P �r:.c No aiici -
Glenair Logistics Building 2 Arcadia TI-18-1268 Arcadia
e of Suucturc Architect
Concrete tilt up. Nathan Battle AIA
Materia': -- e,grade.source.p: En sneer
Robertsons #RC188N11, 2 sack slurry. Grossman & Speer Associates
.tor
George C. Hopkins Construction co. inc.
Inspect, Subcontract,
Ray Mulinix Rick Hamm
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED TEST SAMPLES TAKEN WORK REJECTED.JOB PROBLEMS PROGRESS.REMARKS
ETC INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED ETC.
(1) Observed approved plans for and placement of 2 sack slurry for 6'x6'concrete footings/pads per detail It 18 on
page S2.50 depth 3'. Placed @ lines G 8.5& G 9.5, 9 yards 6"slump. Robertsons# RC188N11 plant# 13'ticket
4226620.
(2) Observed reinforcement placement for concrete pads details per S2.2.0#5 having (A) 1'6"sq. x 1'-0 thick 3#4
ew bottom,(B)2'sq. x 1'thick bottom it 4 ew bottom, (C) 4'sq. 2'thick 6#6 ew top &bottom, (D)4'x 9'4"2'think
5#5 long bars 11 short bars, (E) 6'sq. 2'thick 6# 6 ew tb. (F) 6'sq. 2'thick 6# 6 ew tb. Placed @ enlarged break
& restroom area 2-C, 1-B, 2-E, 2-F& 1-D. Debuting enlarged area 8-B,2-E,2-F. Break room area 4-B, 2-Cand 1-D.
Bars tied in placed debris removed.
❑ CHECKED N WITH CITY 121 REVIEWED APPROVED PIAN © TEST PERFORMED PER SPECS ❑ CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL 2 ON TIME TO JOB Q REVIEWEDSPECIFICATICNS ❑ CORRECT NO OF SAMPLES ll ALL DEFICIENCIES NOTED
CHECKLIST
© CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1 OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T.HOURS SAMPLES
.WORK COMPLIES WITH 0 WORK DOES NOT COMPLY 7:00 am 1:00 pm 8.0
APPROVED DOCUMENTS
All mspectans based cm a minimum 01 4 hours and over 4 hours-8 hours minimum If
the inspector Is called to a project and no work Is performed a two hour minimum
charge will be applied Please verity/ ,,Q CChecklist t
SIGNATURE OF REGISTERED INSPECTOR (y��t��� WII� lr V L.T//6/I
Approved by (
ct
Masonry, Concrete 5006920 ICC Protect Superintendent
SPECIALTY NO AGENCY
REVIEWED www.kouryengineering.com FORM FR-2000303/12015
By valerlem at 12:18 pm,Apr 17,2019
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
& TESTING, INC. Office:(909)606-6111
Fax:(909)606-6555
1
Date 03-21-19
REGISTERED INSPECTOR'S DAILY REPORT ProjectNo. 18-0792
TYPE OF • Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION 0 Prestressed Concrete ❑ Fire Proofing ❑ Drilled In Anchors
REQUIRED 0 Reinforced Masonry ❑ Shotcrete ❑ Other
•
12359 Lower Azusa Rd Arcadia
Glenair Logistics I Building 2 Arcadia TI - 18 - 1268 City of Arcadia
Concrete pads and slab on grade Nathan Battle AIA
.`.irerlal Lescrlphun:h;{x grace.sew:e .1;i _
Robertson's Mix#54001/4000 Psi Concrete Grossman &Speer Associates
George C. Hopkins Construction
Alfy Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
6"x 12"Concrete 5" 4 Robertson's Mix It 54001/4000 Psi Concrete
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED(CHECKED.ETC.
On site to observe placement and consolidation of concrete at the following locations : -
a) The new air condition equipment pads at the East side of main building grid line (G)
between (4.6) to (4.8 ) and between (6.6) to (6.8) . Two pads total .
b)The slab on grade around the steel columns at the following locations : -
At the main building grid line ( F.3) between ( 12.8 )to ( 13.5) . Four columns total .
• At the area between the main building grid line ( 11 ) to ( 11.5) & ( F.3 ) to( F.8 ) . Eghit columns total .
Approximately 47 Cu.Yds. of Robertson's mix#54001/4000 psi concrete was placed .
Cast( 1 ) set of(4) samples for these locations .
All concrete was placed per approved plan and specifications .
See data sheet for the samples report.
❑y CHECKED N WITH CITY [1 REVIEWED APPROVED PLAN lin TEST PERFORMED PER SPECS. I]0 CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL 1]!J ON TIME TO JOB l�REVIEWED SPECIFICATIONS l]!JyCORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
CHECKED PERMIT 0 REVIEWED PREVIOUS REPORTS 12 SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
•WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 06.30 09:30 4.0 - 4
APPROVED DOCUMENTS
• All inspections based on a minimum or 4 hours and over 4 hours-8 hours minimum.It
the inspector is called to a project and no work is performed a two hour minimum
er"
charge will be applied.Please verify QC.Checklist
SIGNATURE OF REGISTERED INSPECTOR
1
,. 11
Concrete 5264203 ICC Approved by ProjsetSroarrreandaM
SPECIALTY NO AGENCY
J (%� k/avcI
CC:Architect Engineer,Buikkng Of Icial www.kouryengineering.com / FORM FR-20003 02118!2008
049624-019 KOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ellW-ItYNGINEERING 101 (24 Hour)Cell:(310)713-4005
G, INC. Office:(909)606-6111
Fax:(909)606-6555
Date 3/19/19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF • Reinforced Concrete 0 Structural Steel MI Quality Control
INSPECTION ❑ Prestressed Concrete 0 Fire Proofina 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete 0 Other
12359 Lower Azusa Rd. Arcadia, CA 91006 Arcadia
• -Jame f d B�
Glenair Logistics I Building 2 Arcadia 1e>�'-'o 17 Y
of Structure Architect
Logistics Center Nathan Battle Aja
Material Description tv grade.source.etc En (Freer
Hilti Hit Re500 epoxy Grossman & Speer Associates, Inc.
Co reGector
orge C. Hopkins Construction
e Qtor's me Su�ppr ra or
Cargos `�lcazar tilcK f ain
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
Euclid NS Grout Flowable 3 Column HS Grout placement
Sika 212 Flowable 3 Column HS Grout placement
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
1 .Provided Quality Control and placement inspection for HS Grout using Sika 212 as per plan
details on S2-1.0 , contractor ran out of Sika 212 and used alternative Euclid NS Grout 5252 as per
approval via email by Engineer ,placement at HSS Columns for break room addition at approx grid
line (11-11 .5) verified grout was properly mixed in conformance to manufacturers specs and
placement.
2.Casted two sets of Grout cubes for comprehensive strength testing , one set for each Grout used.
3.Provided Epoxy Injection inspection at Break-room at approx grid Lines (11-11.5) as per detail
embed chart on S2-1.0 using //4 bars @16" o.c w/4" embed . Verified epoxy being used was Hilti
Hit RE500 as per details.(Exp.11/19) . Verified hole depth, verified holes were cleaned wire brushed
and blown and vacuumed free from debris.
4. Verified Epoxy was injected per manufacture specifications and Code Requirements.
To the best of my knowledge work was performed in accordance within code and plan
Specifications
CHECKED N WITH CITY 0 REVIEWS D APPROVED PLAN 10 TES-PERFORMED PER SPECS. 0 CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL 671 ON TIME TO JOB 0 REVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST CJ
21 CHECKED PERMIT REVIEWED PREVIOUS REPORTS 0 SAMPLES STORED SAFELY 0 OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE 1 OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
■WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 10:00 am 11:15 am 4.00 0.00 0
APPROVED DOCUMENTS
At inspectors based on a minimum of 4 hours and over 4 hours-8 hours minimum If
C.� the inspector will s called tle protect and noC.work isl performed a two hour minimum
!n_L_�L�i/•� charge will be applied.Please verity Q.C. � klist.
SIGNATURE OF REGISTERED INSPECTOR APDrovedby -,
RC 8394086 ICC Project Superintendent
SPECIALTY NO AGENCY
REVIEWED www.kouryengineering.com FORM FR-2000303/12015
By valeriem at 9:35 am,Mar 20,2019
OBSER VA TION SERVICES
4161 Walnut Ave. Long Beach, CA -90807-3022 AWS / CWI- ACI / ICC
ALL CITIES &JURISDICTIONS
Tel: (562) 394-8217 INSPECTION & MATERIAL TESTING
Email: Chrea7(uyahoo.col. or i\icho1as74akcri.,gmail.com
REGISTERED INSPECTOR'S DAILY REPORT Job Number Date
19
TYPE OF ❑ Reinforced Concrete03/13/
❑ Structural Steel Assembly 0 Quality Control
INSPECTION ❑ Post Tensioned Concrete 0 Fireproofing 0 Epoxy Anchors
REQUIRED ❑ Structural Masonry ❑ Asphalt ❑ Other
Job Address
City
1235ci Lower Azusa hoax Arcar-'—. CA 91006
Job Name Permit Number Issued By
Glenair Logistics-BLDG 2
Type of Structure Architect
Commercial Grossman & Speer Associates, Inc.
Material Descnption(type,grade,source) Engineer
All Threaded Rods Grossman& Speer Associates, Inc.
Contractor
Epoxy George C. Hopkins, Inc
Inspectors Name Subcontractor
Nick Sek Red Irone
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 AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN. STRUCTURAL CONNECTIONS(WELD
MADE H.T.BOLTS TORQUED)CHECKED, ETC.
Arrived on site as scheduled to performed observations/inspections: Epoxy
Observed the installation of (36) 5/8"o all threaded rods epoxy into the existing concrete wall with 5"embedment_
There are approximately 36 holes that were drilled and clean before epoxy. Verified hole size,
depth and free of debris has been clean with wire brush and blown out with compressed air nozzle_
prior to the installation of Hilti HIT-RE 500 V3 epoxy, with an expirations date January, 2020.
Work done were visually acceptable to the applicable codes, specifications and details sheet E-2.
Epoxy works is complete. End of report.
SAMPLES
CONCRETE MORTAR GROUT BLOCK PRISMS ' DENSITY
PAGE OF 1 TIME IN TIME OUT REG.HOURS OT 1.5X OT 2X
12:00pnri :;:00pm 9 0
CERTIFICATION OF COMPLIANCE: To the best of my knowledge,all of the reported work,
unless otherwise noted,is in conformance with the approved plans,specifications,and All inspections based on a mi. mot 4 hours Over 4 hours=8 hours minimum
applicable sections of the governinc building laws. Any inspections ext: / n charged as an 8 hour minimum
APPBOVF� ��/�jolle
hi( )l! -• ECT SUPERINTENDENT
Signature of Special Ir/pect ( Certification Number
RYK ENGINEERING
14280 80 EUCLID AVENUE
CHINO, CA 91710
GEERING (24 Hour)Cell:(310)713-4005
NG,
INC. Office: (909)606-6111
Fax:(909)606-6555
Date 03-11-19
REGISTERED INSPECTOR'S DAILY REPORT Prosect No. 18-0792
TYPE OF U Reinforced Concrete ❑ Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete ❑ Fire Proofinci ❑ Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete ® Other EPDXY
12359 Lower Azusa Rd Arcadia
Glenair Logistics I Building 2 Arcadia TI - 18- 1268 City of Arcadia
Architect
Concrete pads and slab on grade Nathan Battle AIA
I",us�hj-Uescr.,.t:or C.st:• uaLlc srnace etc) Engineer
#4 Rebar dowels- Epoxy Hilti HIT - RE 500 V3,ASTM A615 Grossman &Speer Associates
ontto
Grade 60 R.S., Robertson's Mix#54001/4000 Psi Concrete CGeoracrgr e C. Hopkins Construction
Inspector's Name Sutx:orrtraclu•
Alfy Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
6" x 12"Concrete 4 11. 4 Robertson's Mix#54001/4000 Psi Concrete
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
1) On site to observe placement of Epoxy at the existing slab on grade for the new air condition equipment pad
at the East side of main building grid line(G ) between (4.6)to (4.8) .
Epoxy Hilti HIT-RE 500 V3 Adhesive anchoring system for rebar fastenings in concrete Meet ICC-ES ESR-3814.
#4 Vertical hooked rebar dowels @ 16"O.C. Each Way With/4" Embedment.
2) On site to observe placement of reinforcing steel for the new air condition equipment pad
at the East side of main building grid line (G ) between (8.3) to (8.5 ) .
Verified reinforcement for proper size, type, grade and location .
Referenced approved plan S2-4.0 .
3) On site to observe placement and consolidation of concrete at the following locations : -
a)The new air condition equipment pad
at the East side of mian building grid line (G) between (8.3) to ( 8.5) .
b) The slab on grade for the new restrooms area between the main building grid line (9.9) to (10.7)&(F.3)to (F.8) .
Approximately 50 Cu.Yds. of Robertson's mix #54001/4000 psi concrete was placed .Cast( 1) set of(4)samples
for these locations . All concrete was placed per approved plan and specifications.See data sheet for the samples .
❑ CHECKED N WITH CITY I REVIEWED APPROVED PLAN 12 TEST PERFORMED PER SPECS. 12L.1 CALLED IN SAMPLES FOR PICKUP
QUALITY CONTROL (21 OTIME TOJOB REVIEWED SPECIFICATIONS 10 CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
Eli
Eli CHECKED PERMIT REVIEWED PREVIOUS REPORTS I](Jy
SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE 1 of
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
I.WORK COMPLIES WITH 0 WORK DOES NOT COMPLY JU CS,u
APPROVED DOCUMENTS
AS inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum If
the inspector is cared to a project and no Work is performed a two hour minimum
—. ---,• --.._ ... charge will be applied Please verify QC.Checklist
SIGNATURE OF REGISTERED INSPECTOR
Approved ny
Concrete 5264203 ICC Prosect Superintendent
SPECIALTY NO AGENCY
CC:ArchEect.Engineer,Biiknq Official www.kouryengirteering.com J FORM FR-2000302/78/2008
RY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC. Office:(909)606-6111
Fax:(909)606-6555
Date 03-08-19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF • Reinforced Concrete 0 Structural Steel 0 Quality Control
INSPECTION 0 Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED 0 Reinforced Masonry 0 Shotcrete • Other Epoxy
12359 Lower Azusa Rd Arcadia
Glenair Logistics 1 Building 2 Arcadia TI - 18 - 1268 City of Arcadia
Concrete pads Nathan Battle AIA
#4 Rebar dowels - Epoxy Hilti HIT- RE 500 V3 Grossman&Speer Associates
Robertson's Mix#54001/4000 Psi Concrete George C. Hopkins Construction
Alfy Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
6" x 12" Concrete 4 1/2" 4 Robertson's Mix#54001/4000 Psi Concrete
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
1) On site to observe placement of Epoxy at the existing slab on grade for the new air condition equipment pads
at the East side of main building grid line (G ) between (6.6) to (6.8) and (8.3)to (8.5 ) . Two Total .
The pad between grid line (4.6)to (4.8) is still in progress .
#4 Vertical hooked rebar dowels @ 16"O.C. Each Way With/4" Embedment.
Epoxy Hilti HIT- RE 500 V3 .
Adhesive anchoring system for rebar fastenings in concrete .
Meet ICC - ES ESR - 3814 .
Referenced approved plan S2-4.0 .
2) On site to observe placement and consolidation of concrete for the three new air condition equipment pads
at the East side of main building grid line (G ) between ( 10.4) to ( 10.6 ) , ( 12.2 ) to ( 12.4) and ( 14.2 ) to( 14.4) .
Approximately 60 Cu.Yds. of Robertson's mix#54001/4000 psi concrete was placed .
Cast( 1 ) set of(4) samples for these locations . See data sheet for the samples report .
All concrete was placed per approved plan and specifications .
❑ CHECKED N WITH CITY ig REVIEWED APPROVED PUN TEST PERFORMED PER SPECS. Ea CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL a ON TIME TO JOB REVIEWED SPECIFICATIONS CORRECT NO.OF SAMPLES 0 ALL DEFICIENCIES NOTED
CHECKLIST
121 CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS Ea SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE 1. OF 1
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG.HOURS O.T.HOURS SAMPLES
III WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 06:00 14:00 8.0 - 4
APPROVED DOCUMENTS
All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
�
.✓ the inspector is called to a protectWO*and no wois performed a two hour minimum
�", charge will be applied.Please verily Q.C.Checklist
SIGNATURE OF REGISTERED IIICTOR
Concrete 5264203 ICC AaxovedW rie4 tsl nnterxient
SPECIALTY NO AGENCY
J e)cft N�G
CC:Architect,Engineer.Building Official www.kouryengineering.com FORMFR-2000307J78r2008
RYKOURY ENGINEERING
14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC. Office:(909)606-6111
Fax: (909)606-6555
Date 03-06-19
REGISTERED INSPECTOR'S DAILY REPORT ProiectNo. 18-0792
TYPE OF ❑ Reinforced Concrete ❑ Structural Steel 0 Quality Control
INSPECTION ❑ Prestressed Concrete p Fire Proofing 0 Dnlled In Anchors
REQUIRED ❑ Reinforced Masonry 0 Shotcrete • Other EPDXY
12359 Lower Azusa Rd Arcadia
Prosect Name
Glenair Logistics l Building 2 Arcadia TI - 18 - 1268 City of Arcadia.
lylx o Structure ,ruled
Slab on grade Nathan Battle AIA
f.1ateral t,,, ,V „;.if1: 1:'.I,I :LI4inee,
#4 Rebar dowels - Epoxy Hilti HIT- RE 500 V3 Grossman&Speer Associates
Meet ICC - ES ESR - 3814 c GeoDr
George C. Hopkins Construction
Inspector's Name Subcontractu:
Alfy Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
On site to observe placement of Epoxy at the existing slab on grade for the new restrooms area
between the main building grid line (9.9)to ( 10.7 ) & ( F.3)to ( F.8 ) .
#4 Horizontal rebar dowels @ 16” O. C. With/4" Embedment.
Epoxy Hilti HIT- RE 500 V3 .
Adhesive anchoring system for rebar fastenings in concrete .
Meet ICC - ES ESR - 3814 .
Referenced approved plan (A2-2.13) , (Adhesive anchors in concrete schedule/52-1.0) and ( 23/S2-4.0) .
❑ CHECKED N [y
WITH CITY ' REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS El CALLED CALLED SAMPLES FOR PICKUP
QUALITY CONTROL Iii ONTIMETOJOB gir REVIEWED SPECIFICATIONS El CORRECT NO.OF SAMPLES El ALL DEFICIENCIES NOTED
CHECKLIST LU
Ea ON
PERMIT ❑ REVIEWED PR EVICU S REPORTS ❑ SAMPLES STORED SAFELY El OTHER.
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE El PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
1111 WORK COMPLIES WRH 0 WORK DOES NOT COMPLY 0%.00 10.00 -
APPROVED DOCUMENTS -
' All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
o the inspector is called to a project and no work is performed a two hour minimum
charge will be applied.Please verify Q.C.Checklist.
SIGNATURE OF REGISTERED INSPECTOR
i Concrete 5264203 ICC Approvedw —'_ ' rolectSuperintendent
SPECIALTY NO AGENCY —(,`r—
J e f•-fey Vkici'c
CC:Architect,Engineer.Building Official www.kouryengineering.com FORM FR-20003 0211812008
RY 048516-D19 KOURY ENGINEERING
14280 EUCLID AVENUE
101 CHINO, CA 91710
ENGINEERING (24 Hour)Cell: (310)713-4005
& TESTING, INC. Office: (909)606-6111
/ Fax:(909)606-6555
Date 02-27-19
REGISTERED INSPECTOR'S DAILY REPORT ProiectNo. 18-0792
TYPE OF ❑ Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete 0 Fire Proofing 0 Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete I♦ Other EDOXV
ctA.
12359 Lower Azusa Rd Arcadia
Holed Name w_
Glenair Logistics 1 Building 2 Arcadia TI - 18 - 1268 City of Arcadia
[vee of Structure Aic.nrti:ct
Slab on grade Nathan Battle AIA
Material Description
#4 Rebar dowels - Epoxy Hilti HIT- RE 500 V3 Grossman &Speer Associates
Meet ICC - ES ESR - 3814 George C. Hopkins Construction
JtOI's[Jame b.Il;,:..-dl;c'c:
ty Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
•
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS
ETC. INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
On site to observe placement of Epoxy at the existing slab on grade for the new air condition equipment pads
at the East side of main building grid line(G ) between ( 14.2 )to (14.4) , ( 12.2)to ( 12.4)
and ( 10.4) to(10.6) . Three Pads Total .
t 4 Vertical hooked rebar dowels @ 16"O.C. Each Way With /4" Embedment.
Epoxy Hilti HIT- RE 500 V3 .
Adhesive anchoring system for rebar fastenings in concrete .
Meet ICC - ES ESR - 3814 .
Referenced approved plan S2-4.0 .
❑�--� CHECKED IN WITH CITY MirREVIEWEDAPPROVED PLAN ❑ TEST PERFORMED PER SPECS. El CALLED M SAMPLES FOR PICKUP
QUALITY CONTROL El ON TIME TO JOB 111 REVIEWEDSPECIFICATIONS ❑ CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST I--�T
12 CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT ,REG. HOURS O.T. HOURS SAMPLES
WORK COMPLIES WITH ❑WORK DOES NOT COMPLY t r;' ()t.) 4
APPROVED DOCUMENTS
All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is called to a project and no work is performed a two hour minimum
charge will be applied.Please verify O.C.Checklist.
SIGNATURE OF REGISTERED INSPECTOR
Approved W
Concrete 5264203 Project Superintendent
SPECIALTY NO AGENCY Ire
J � Va
CC,Ar Architect, gneer,BuldinaOfciaI WWw.kouryen Ineerjng.COTFORM FR-20003 02/18/2008
REVIEWED
By valeriem at 8:48 am,Feb 28,2019
KOURY ENGINEERING
RY 14280 EUCLID AVENUE
CHINO, CA 91710
eL-ENGINEERING (24 Hour)Cell:(310)713-4005
G, INC. Office:(909)606-6111
Fax:(909)606-6555
Date 02-25-19
REGISTERED INSPECTOR'S DAILY REPORT Proiect No.
18-0792
TYPE OF ® Reinforced Concrete ❑ Structural Steel ❑ Quality Control
INSPECTION 0 Prestressed Concrete p Fire Proofing ❑ Drilled In Anchors
REQUIRED ❑ Reinforced Masonry ❑ Shotcrete p Other
12359 Lower Azusa Rd Arcadia
I'ro;a�i r;on�
Glenair Logistics ) Building 2 Arcadia TI - 18 - 1268 City of Arcadia
Architect
Slab on grade and pad footings Nathan Battle AIA
Vtat a.Le. ril.;r,:n :a' ourceeto Enuuleer
Robertson's Mix#54001/4000 Psi Concrete Grossman &Speer Associates
Contractor
George C. Hopkins Construction
;nspectol's Name Subcontract
Alfy Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
6" x 12" Concrete 4 1/2" Robertson's Mix#54001/4000 Psi Concrete
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC.
On site to observe placement and consolidation of concrete at the following locations : -
a) -f he slab on grade for the new restrooms between the main building grid line( 11.6) to ( 13) &( F.3 ) to (F.8) .
h)The seven pad footings for the break room# 155 .
Approximately 34 Cu.Yds.of Robertson's mix#54001/4000 psi concrete was placed .
Cast( 1 ) set of(4) samples for these locations .
All concrete was placed per approved plan and specifications .
See data sheet for the samples report.
❑ CHECKED N WITH CITY g REVIEWED APPROVED PLAN EA TEST PERFORMED PER SPECS. IA CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL
EA ON TIME TOJOB REVIEWED SPECIFICATIONS 1](J CORRECT NO.OF SAMPLES ID ALL DEFICIENCIES NOTED
CHECKLIST
a CHECKED PERMIT 0 REVIEWED PREVIOUS REPORTS l](J y
SAMPLES STORED SAFELY ❑ OTHER
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN.SPECIFICATIONS.AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
■WORK COMPLIES WITH ❑WORK DOES NOT COMPLY 09.45 4
APPROVED DOCUMENTS
All inspections based on a minimum of 4 hours and over 4 hours-8 hours minimum.If
the inspector is called to a protect and no work is performed a two hour minimum
-- - - -- - - - charge wrll be applied.Please verify QC.Checklist
SIGNATURE OF REGISTERED INSPECTOR
Approved by
Concrete
5264203 ICC Protect Superintendent
SPECIALTY NO AGENCY
J e)6 - V arc
CC:Architect,Engineer.Building Official www.kouyengineering.com FORM FR-20003 02/18/2008
Y KOURY ENGINEERING
j 14280 EUCLID AVENUE
CHINO,CA 91710
ENGINEERING (24 Hour)Cell:(310)713-4005
8 TESTING, INC. Office: (909)606-6111
Fax:(909)606-6555
Date 02-21-19
REGISTERED INSPECTOR'S DAILY REPORT Protect No. 18-0792
TYPE OF ❑ Reinforced Concrete ❑ Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete ❑ Fire Proofirp 0 Drilled In Anchors
REQUIRED Li Reinforced Masonry ❑ Shotcrete ® Other EpoXV
Prole
12359 Lower Azusa Rd Arcadia
Protect Farre - is
Glenair Logistics j Building 2 Arcadia TI - 18 - 1268 City of Arcadia
3e of Stluctulc A,r;•:.:..:,::
Slab on grade Nathan Battle AIA
Material Descrlohon(tvi,e glade.source etc)
#4 Rebar dowels - Epoxy Simpson Strong-Tie SET-XP Grossman&Speer Associates
contractor
Meet ICC ES ESR 2508 George C. Hopkins Construction
IusUeuors t;ar'.r: Sutxcntractor
Ally Mikhael Rick Hamm Construction
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS.
ETC. INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE.BOLTS TORQUED)CHECKED.ETC
On site to observe placement of Epoxy at the existing slab on grade for the new restrooms area
between the main building grid line ( 11.6) to ( 13 ) & (F.3) to ( F.8) .
#4 Horizontal rebar dowels © 16" O. C. With/4" Embedment.
Epoxy Simpson Strong-Tie SET- XP
High - Strength Anchoring Adhesive for Concrete with Rebar .
Meet ICC - ES ESR - 2508
Referenced approved plan (A2-2.13) , (Adhesive anchors in concrete schedule/S2-1.0) and ( 23/S2-4.0) .
❑ CHECKED IN WRH CITY or REVIEWED APPROVED PLAN ❑ TEST PERFORMED PER SPECS. ❑ CALLED er SAMPLES FOR PICKUP
QUALITYCHEC KOL CSTROL ll OH TIME TO JOB 11 REVIEWED SPECIFICATIONS ElCORRECT NO.OF SAMPLES ElALL DEFICIENCIES NOT ED
2 CHECKED PERMIT ❑ REVIEWED PREVIOUS REPORTS ❑ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE or
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN,SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
®WORK COMPLIES WITH 0 WORK DOES NOT COMPLY _
APPROVED DOCUMENTS
All Inspections based on a rmmmum of 4 hours and over 4 hours-8 hours minimum.If
the Inspector rs called to a protect and no work is performed a two hour minimum
.- _.-- --- - . charge will be apd,ed.Please verrtY 0 C Checklist.
SIGNATURE OF REGISTERED INSPECTOR
Approved by
Concrete 5264203 ICC: —"---' Protect Superintendent
SPECIALTY NO AGENCY l7 ---
J e f f s/ LAJa' 4
CC:Architect,Engineer.Building Otficial www.kouryengineering.com FORM FR-20003 02/18/2008
RY
048044-D19 KOURY ENGINEERING
14280 EUCLID AVENUE
CHINO, CA 91710
elERING 101 (24 Hour)Cell: (310)713-4005
G, INC_ Office:(909)606-6111
Fax: (909)606-6555
Date 2/19/19
REGISTERED INSPECTOR'S DAILY REPORT Project No. 18-0792
TYPE OF ® Reinforced Concrete 0 Structural Steel ❑ Quality Control
INSPECTION ❑ Prestressed Concrete 0 Fire Proofing ❑ Drilled In Anchors
REQUIRED 0 Reinforced Masonry ❑ Shotcrete ❑ Other
PruR
12359 Lower Azusa Rd Arcadia CA
f'rolect Name Issued by
Glenair Logistics/Building 2 Arcadia TI-18-1268 Arcadia
ot
i
Structure 'ath
Tilt an Battle
Material Description(type_gradesource.rh.1 !neer
#4 rebar, mix design #54001 3000 psi Derick Masulis
Contractor
George Hopkins
Inspector's Name Subcuntre:iar
James Vasquez Jr Rick Ham
,
TESTS PERFORMED
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
6x12 concrete 4 1/2 One set of four 1 @7,2@28 and one to hold
INSPECTION SUMMARY- LOCATIONS OF WORK INSPECTED.TEST SAMPLES TAKEN.WORK REJECTED.JOB PROBLEMS.PROGRESS.REMARKS
ETC.INCLUDE INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED.NUMBER&TYPE OF
TEST SAMPLES TAKEN.STRUCTURAL CONNECTIONS(WELDS MADE BOLTS TORQUED)CHECKED.ETC.
1. Inspected placement of reinforcement for mechanical pad on exterior south of grid line 16/H. #4 @12"oc each
way for mechanical pad.
2. Inspected placement and consolidation of Robertson's concrete 3000psi mix design#54001. Verified truck
tickets. Watch placement of 50 yards concrete for slab on grade at grid line 14-15.5/F-G, slab at columns
grid line 15-15.5/F-G and mechanical pad on exterior of building south of grid line 16/H . Performed slump test
and temp test all test are in compliance. Obtained one set of four concrete samples.
121 CHECKED N WITH CITY Ir REVIEWED APPROVED PLAN 0 TEST PERFORMED PER SPECS. 21.CALLED N SAMPLES FOR PICKUP
QUALITY CONTROL ErONTIMETOJOK ErREVIEWED SPECIFICATIONS 0 CORRECT NO.OF SAMPLES ❑ ALL DEFICIENCIES NOTED
CHECKLIST LJ �(
121 CHECKED PERMIT Er REVIEWED PREVIOUS REPORTS ICJ SAMPLES STORED SAFELY ❑ OTHER:
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE Or
ALL WORK LISTED ABOVE WAS INSPECTED AS REQUIRED BY
THE APPROVED PLAN.SPECIFICATIONS,AND GOVERNING CODE TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES
p WORK COMPLIES WITH ❑WO K DOES NOT COMPLY 1 :00 i.-u 11 8.0
APPROVED DOCUMENTS
17
All inspections bused on a minimum• 4 hours and over 4 hours-3 hours minimum If
the inspector is called to. , n•no work rs performed a two hour minimum
charge will be applied P Y• 1 I 4 '• Checklist
SIGNATURE OF REGISTERE NSPECTOR
Reinforcement C crete 8324799 ICC Approvet
Jeff Waard Protect Superintendent
SPECIALTY NO AGENCY
REVIEWED www.kouryengineering.com FORM FR-20003 03/1/2015
By valerlem at 7:53 pm,Feb 20,2019