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engineering DAY OW
geotechnical PROJECT NAME
application I LOCATION n 77
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SUPER TEfypEN /FOREPERSf1N
FIELD REPORT
CONTRACTOR(S)C/_ 4
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ENGINEER d ,,, �r ,
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EQUIPMENT ON SITE
2 OZ - o8ee PERSONNEL ON SITE
TYPE OF
Veils
❑ Structural Steel Assembly
INSPECTION
❑ Reinforced Concrete
❑ Drainage
REQUIRED
❑ Reinforced Masonry
❑ Asphalt
SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS:
mac' e t A
-Z
4CITV
A.
❑ Quality Control
❑ Epoxy
❑ Other
1
®psi? 7ren a4e'
7'or
TESTS PERFORMED: CYLINDERS:
RECOMMENDATIONS:
PERSONNEL ON SITE ARRIVAL DEPARTURE TIME ON TTIMEL SUBTOTALSITE t� Z42
SIGNATURE OF SUPERINTENDENT, TITLE (POSITION)
EGA CONSULTANTS
y375-C Monte Vista Avenue
Costa Mesa, CA92627
TOTAL HRS (949)642-9309
(4 HR, MIN.) FAX (949) 642-1290
4
DEPILn lINSPECTION
1-840-DEPUrN t
Gm conuChristianos Homes
5-b.co—Santos Hernandez._.._.....
Gary Trimm
Report of Special Inspection
Hobson Residence/1226 Blue Gum, Newport Beach
Project Name R Add,e _
r4ml-t Number XR2023-0811
Inspection Type(s) Reinforced Concrete
Inspection Date6%5l23s) ., ._.. [
'," Inspection Made, including Locations:
12' for new holdown attachments
j Periodic j x ] Continuous
5/sand (41 7/8" all thread bolts embedded
all thread bolts embedded 6" for anchor bolt
for new to existing footing connections. D).
Last Tests Mad-:..
E(56 #4 dowels embedded 6" for slab patch per detail _2F . 46 #4 dowels embedded 6" into
concrete slab at entry garage and rear tootinq per detail on sheet 9.
Total Inspcction Timc Each Lay.
List Items Requiring Correction, include uncorrected items previously listed
Holes brushed and blown clean prior to insertion of dowels/bolts
Holes drilled oversized to allow for full coating of dowels/bolts.
Simpson set xp exp 2024
To the best of my knowledge, the work inspected was in accordance with the Building Department
approved design drawings, specifications and applicable workmanship provisions of the U.B.C.
except as noted above. 6/5/23
Signcd: Mato
P int Full Name: vThomas George Registration No. NB-0617
FORM SI_32;9Q
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