HomeMy WebLinkAboutRS080667_Special inspection and soils reportDEPUTY I INSPECTION SERVICE INC. DEPT. OF BLDG. &SAFETY
25121 DE SALLE ST, LAGUNA HILLS, CA 92653 CITY OF
1-800- DEPUTY 1=1-800-33T-8891 COUNTY OF
SPECIAL INSPECTION REPORT
Building Permit No. R506i0669- Job. No.
Job lndgntiiication/Atltlress do"'; ..
General Contractor/Adtlress 6/a- _..
Sub - Contractor/Atltlress 4A 4
Structural Engineer/Adtlress R.,n...
Date
REINFORCED CONCRETE_ MASONRY Hi TENSILE 90LTING CHEMICAL ANCHORS_
PRESTRESSED CONCRETE WELDING_ GYPSUMCONCHETE___ OTHER _
WELDEP
RECEIPT NUMBER
WELDER
RECEIPTNUMBER
DATE OF INSPECTED
DESCRIPTION OF WORK INSPECTED
7 �G
it
C r.
il
HOURS
SAMPLES
DATE
Reg.
OF
Time In
Time Out
grout
Mortar
Concrete
BIoeN
Ptleme
Density
of
miniapDoorportion Cased on a minimum of 4 hours 0 or 4 hour$. 0 hour$
mum. Anymaparnonaai Paatma nnen m ur.nl hahill.aaaa
any Duration o+brong post on a hour pe
eon.--wimmrm .pie: ,If he sel.
ATTORNEY'S FEES If any anion at or in equity is broughtto enforceor'mremptme terms ofthis Contract the prevailing party
shall be enticed to reasonamo anomey s fees, costs and necessary diAundome, In Oriented to any other relief to which such party maybe
entitled.
SPECIAL INSPECTION REPORT
Inspector's Name: Inspector's Signature:
I.D. No. has been filed and It states that the above work to the best of insurer knowledge compcee with the
provisions of tho Uneorm Building Code and meets approved plans and specifications.
Respectfully Submitted,
Approved by .._,_
DAILY FIELD REPORT
Client: PfAri Client Rep: larl {L-1 Week Day: how. Date:LCa M1a09
Field Tech: Field Engineer: Db.➢roj Name: Proj NO:O
Start:_Stop: Start: _Stop:_Regular pre: —Over Time; _Mileage:_
Proj. Location: 1"7 AII/A. n. 1 VISiA Equipment used: yIDC hii Eaeavt(4
Weather Condition: '>ce.i`L-I
COMPACTION TEST RESULTS
Test
No.
Test
Date
Test Location
Ele. or
Depth(ftt
Moist
M
Dry
Dens.
Max
Dena.
Relative
Compectt8t
£ C
1
�sr
All lnspeconv Bmul Opun 4 Mrs Minimum ': C Op fAU4"v
aem..m: 011 Lt) t ,r 1%
lZr;c A RS r`Ac 4�n < is of f�
ItN q ItIl A"C1n)l ( f) t, 1C �Tk dl-AZO.J - tx.WcK-4r(I4y,.,,
/st fQ At pP%Utcfl '9t n..�,
Approved By:
P.A. &ASSOCIATES, INC.
Soil Engineering. Material Testing
Geology. Environmental Services
CALIFORNIA. 28 Edelman. Irvine, CAN619 - Tel 949579-7474 Fax 9441