HomeMy WebLinkAboutX2021-1043 - Misc)NIECTORER H
4 DOWELS @ 12" O.C.
PROVIDE FULL LAP AS
SHOWN, INSTALL INTO
EXISTING SLAB IN 5/8" 4
HOLE w/ 6° EMBEDMENT w/
SIMPSON SET-XP EPDXY.
INSTALL PER MANUFACTURER
SPECIFICATIONS, TYP.
X2 zi
Z11i\ Oc-
EXISTING CONCRETE
SLAB, TYP.
I
NEW SLAB WHERE
OCCURS
6-1-2 U21
?3�22 La Cadepa D-. Suhe 201 1 LniT,--- _-.
RECORD OF: Telephone
GEOTECHNICAL
Confer
Proj. No.
ACTION REQUIRED:Au
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BY:_%w
ae:
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3098 VIA SERENA NORTH, STE B, LAGUNA WOODS, CA 92637
(949)295-3956 and Testing
Email=dhannanmsn3 �-hotmail.com
Report of Special Inspection
Project Name & Address Heimal Residence Remodel
2411 Orchid Hill, Newport Beach
Permit Number X2021-1043
Inspection Type(s) Epoxy
Inspection Date(s) 6/2/21
[ ] Periodic [ X ] Continuous
Describe Inspection Made, including Locations:
Also, 112' dia threaded rods for the holdown(s) with 12" embed, and 5180 dia threaded rods with B- embed.
Sim on Set XP eRQ2ZLWas used. Verified exo[ration dates on enoxy - rior to use.
List Tests Made: Visual
Total Inspection Time Each Day:
List Items Requiring Correction, include uncorrected items previously listed
None
Comments:
the slab on
To the best or my knowledge, the work inspected was in accordance with the Building Department
approved design drawings, specifications and applicable workmanship provisions or the U.B.0
except ..tied about_ -.
Signed: Date 612/21
Print Full Name: Mark Bumett Registration, No. NB 465
GC: Dedicated Construction Services
FORM. Sl-02,40