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04-6326
Corporate: / San Diego/Imperial County: Inland Empirt: 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK X INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (#ej (N) SPECS (1q'(N) APPROVED PLANS ft (N) ARCHITECT APPROVED SHOP DRAWING , FOR WEEK ENDING PROJECT. N0 � . ENGINEER /0 ` 0 r." - c S NPO T NO. PG OF CONTRA OR i PLAN FILE N0. PERMIT N0. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT xnrUKI INN REQUIREMENTS: ICBO FIELD INSPECTION MANUALIMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR_ (/INCLUDE RESEARCH REPORT NO.OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: v3 n Tini r l'�P1 C % x'— 2 STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING NEETiNcs- WEATHER: TEMPERATURE: Tl 6 N f ZAN/ 'n X-;, ''s!:-A14P, C-i�s' ✓)Fr=i/7 Oji r�o6 7.i r/ 1. SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: /%'( 0-z SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED �. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES W /fi fHE SOIL 4ESTIGATION RECOMMENDATIONS, AND /ORT OVED PLANS, SPECIF AT ONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHER ISE NOTED INgHE DEFICIENCY REPORT ignature Date of Report ICBG Certification Number Print Name /Ae e�Q 5 % City / County Certification Number Corporate: • 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 * San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 r Inland Empi T0 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN E if AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEKENDING -01 PROJECT. NO. 3\\ 5 - ENGINEER -s REPORT NO. PG ` OF 1 CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR �� . n1eS�` PROJECT NAGE � J� - 1� � INSPECTION ADDRESS �i'�►�t,� ��V �� ADDRESS OF PROJECT " 1 REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVI ,,.PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BYCONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USED ti AREA, GRID LINES, PIECES OBSERVED: a.. e ,.....1A1 (o STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION* WEATHER: ��C�q SAMPLES TAKEN: -49- TEMPERATURE: ��A«\ TESTS REQUIRED:_4er SITE TIME START: AcnQ' tn'_ SITE TIME FINISH: �� C�C)<►M LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 11�-.v�d.� ill •// - :r Z / Z 'l / OCA �aRr�t�P,- �/ 9 Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 .... __ .....,....:. CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego I Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 SUB -CONTRACTOR:; Portola Constructios, Inc. 10722 Edison Court+ Rancho Cucamonga, CA 91730 INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA Inland Empire '14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) FOR WEEK ENDING 03/04/2006 I PROJECT NO. 311 B303 REPORT NO 1 PG 1 OF 1 PLAN FILE NO. PERMIT NO. 04-6326 PROJECT NAME: Bed Bath & Beyond ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICSO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 ICONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Lincoln SAE 350, Miller Big Blue 4000 AREA, GRIDLINES, PIECES OBSERVED: Items Completed: (1) Welding at the top of Stairs to the supporting tube steel columns at stair #1 on line 6/8 and stair #2 on line 5/8. (1) Welding of the TS6x6x3/8 lobe steel header on line 6 from line B.9 to C.3. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: Hot SAMPLES TAKEN: TEMPERATURE: 77 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 11:30 AM LUNCH PERIOD: none TRAVEL TIME: PERCENT PROJECT COMPLETION: n/a n/a 1 DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL IN RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. zn ED BY 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 03/02/2006 City Of La Quinta Print Name Date Of Report City / County Certification Number Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -CONCRETE ASTM C39 GEORGE* VCC P.O. BOX 5883 LA QUINTA, CA 92248 Client: THOMAS ENTERPRISES A Set No.: 6-2086 File No.: Date Tested Permit No.: 046-326 Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q 6X 12 HWY 111 @ ADAMS 5,030 LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area Load (Sq. Inch) (lbs.) Strength (psi) Type of Fracture 7 3/17/2006 6X 12 28.37 142,610 5,030 Cone 28 4/7/2006 6X 12 28.27 28 4/7/2006 6X 12 1 28.27 28 H 4/7/2006 6X 12 1 28.27 Specified Strength: 4,500 PSI Sampled By MICHAEL G. Location: S.O.G. @ REC/LOADING DOCK RAMP Concrete Supplier: ASSOCIATED READY MIX Mix No.: 17231 Ticket No.: 3640000 Water added at Site: 0.00 gal. By Cement Type: Mix Time: Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** A ASTM C172 Date Sampled: 3/10/2006 Date Received: 3/15/2006 Concrete Temp: 68 °F ASTM C1064 Ambient Temp: 70 °F ASTM C1064 Slump: 4.00 in. ASTM C143 min. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emph.. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN �'4.i�C—C Chi CA�C..re.-�- I AVAILABLE. SOIL REPORTO (N) SPECS IMN) APPROVED PLANS (QN) APPROVED SHOP DRAWING (Y) (N) ARCHITECT ENGINEER FOR WEEK ENDING PROJECT. N0. REPORT NO. PG OF CONTRACTOR v � c. SUBCONTRACTOR � � ��� ��U� INSPECTION ADDRESS PLAN FILE NO. PERMIT NO. PROJECT NAME �jUA'�'�ti -� �-` • pyo ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED. AREA, GRID LINES, PIECES OBSERVED: 1 ZOD1 , LA�o��s`��e�a e 4 STRUCTURAL NOTES. DETAIL. OR RFIS USED. REMARKS. INCLUDING MEETINGS: 1 REWORK AS PERCENT OF ALL WORK TODAY PERCENT PRO IECT CoMPl ETION• WEATHER: (ZA SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED:' DL u?V Cac�P `.rt SITE TIME START SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: _ I DU GLHTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT i Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Aa 7ro7 Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653-4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -CONCRETE ASTM C39 CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: THOMAS ENTERPRISES A Set No.: 6-2086 File No.: Permit No.: 046-326 Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q HWY 111 @ ADAMS LA QUINTA, CA Age (Days) Date Tested Nominal Actual Area Load Strength Size (Sq. Inch) (lbs.) (psi) Type of Fracture 7 3/17/2006 6X 12 28.37 142,610 5,030 Cone 28 4/7/2006 6X 12 28.27 28 4/7/2006 6X 12 28.27 28 H 4/7/2006 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By MICHAEL G. Location: S.O.G. @ REC/LOADING DOCK RAMP Concrete Supplier: ASSOCIATED READY MIX Mix No.: 17231 Ticket No.: 3640000 Water added at Site: 0.00 gal. By Cement Type: Mix Time: min. Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 3/10/2006 Date Received: 3/15/2006 Concrete Temp: 68 °F ASTM C1064 Ambient Temp: 70 °F ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer CORPORATE San Diego / Imperial County 2992 E. La Palma Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 03/04/2006 P 03 ROJECT NO. 31 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO 1 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed Bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Lincoln SAE 350, Miller Big Blue 400D AREA, GRIDLINES, PIECES OBSERVED: Items Completed: (1) Welding at the top of stairs to the supporting tube steel columns at stair #1 on line 6/6 and stair #2 on line 5/B. (2) Welding of the TS6x6x3/8 tobe steel header online 6 from line B.9 to C.3. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Hot SAMPLES TAKEN: n/a TEMPERATURE: 77 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 11:30 AM LUNCH PERIOD: none TRAVEL TIME: VE IFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. "SAe, A61i Signature Steve W. Bodnar Print Name 03/02/2006 Date Of Report 0849264-85 ICBO Certification Number City Of La Quinta City / County Certification Number J MTGL Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San DiegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emph .. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK PfINSPECTOR O TECHNICIAN IF -0 co&u AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS (Y)(N) SPECS (Y) (N) APPROVED SHOP ING(Y) ARCHITECT FOR WEEK ENDING PROJECT. NO. ENGINEER L3 1 REPORT NO. PG OF \ 1 CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR T1 R� eS16C� PROJECT NAME saY y3 e INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USEDM � 1 AREA. GRID LINES. PIECES OBSERVED: STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INCLUDING MEE17MGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: (jkQj,,ik TEMPERATURE: SAMPLES TAKEN: -49- TESTS REQUIRED: _e SITE TIME START: AQ0`QCn_ SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 0311112006 PROJECT NO. 3115603 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO 1 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed Bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL ! MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Lincoln SAE 350 AREA, GRIDLINES, PIECES OBSERVED: In Progress: Welding of the seismic sway bracing angles at the bottom cords of the roof joists to the roof girders. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Warm SAMPLES TAKEN: n/a TEMPERATURE: 74 Deg. F TESTS REQUIRED: n/a SITE TIME START: 10:00 AM SITE TIME FINISH: 4:30 PM �4A A _t LUNCH PERIOD: 1/2 Hr. TRAVEL TIME. VERIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. '�?(j 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 03/07/2006 City Of La Quinta Print Name Date Of Report City / County Certification Number T,> z MTG L Corporate: San Diego/Imperial County: Inland Empil 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK V NSPECTOR Q TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (MN) APPROVED PLANS jY (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT 9— V$ ����>' a FORWEEKENDING gRIJIFC1 NO G—'N�,,—L ENGINEER _, REPORT NO. PG ` OF \ CONTRACTOR \/ Y PLAN FILE N0. 77PERMIT N0. SUB -CONTRACTOR PROJECT NAME (C INSPECTION ADDRESS' \O ` ` � �c ADDRESS OF PROJECT �\ �i REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OFTHE WORK DAY. OR MISSING MTRS. AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES. PIECES OBSERVED: VNSTRUCTURAL NOTES, DETAIL. OR RFIS USED: � o� •ESS � REMARKS. INaUDING MEETINGS: �Z\ �1 Trca S 1.�.,--a�.+.� G�C�i �cC�cLi�� v� � : •.r....t�a���: _ U S r REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: _ WEATHER: �L SAMPLES TAKEN: ,� St O C TEMPERATURE: TESTS REQUIRED: ,{� �r� lZ�r �'�� L ,♦S �. SITE TIME START: __- __40 © —, LUNCH PERIOD: SITE TIME FINISH: ����,Zfs_ TRAVEL TIME: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS /AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report Print Name ICBO Certification Number City / County Certification Number 1 Rev: 7/97 w MTG Cor - ,} P San Diegopmperial County: Inland Empil-„. Corporate: 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632:2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT ill � TYPE OF WORK \ INSPECTO(R� 0 TECHNICIAN S "-� `-, A\ AVAILABLE: SOIL REPORT(Y)IN) SPECS (Y)(N) •„'l" ARCHITECT ` APPROVED PLANSON) APPROVED SHOP DRAWING (Y) (N) FOR WEEK ENDING PROJECT. NO ENGINEER REPORT N0. PG Of CONTRACTOR PLAN FILE N0. PERMIT N0. SUBCONTRACTOR PROJECT NAME _ �TO; �I �) ADDRESS OF PROJECT REPORTING REQUIREMENTS: 1CBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): zl7dy0� 3000 S i CONTRACTORS EQUIPMENT/ MANPOWER USE ^ /� AREA GRID LINES PIECES OBSERVED o r STRUCTURAL NOTES DETAIL OR RFIS U\SED ' `T Q..�) GiJJ � G'��.` � -��'►' .�\ Q,1�1-i- �� f � lel, �1.� C�i:� REMARKS INCLUDING MEETINGS.J REWORK AS PERCENT OF ALL WORK TODAY p RC PRn IFrT t^n APl GTIOKI WEATHER: �,k SAMPLES TAKEN: -c!-7- { Q r TEMPERATURE: TESTS REQUIRED: V S SITE TIME START: _ , 1.O G_N2—'- SITE TIME FINISH: —,Zo!g) LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 1 FA P[(]TN T vv Ucn i ! FYI nHi 1 MAVt PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature L_r> l 20 /0(� Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7197 Corporate: ~� 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empit.. 14320 Elsworth Street. Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT T'.+PE OF WORK ! INSPECTOR OTECHNICIAN AVAILABLE: SOIL REPORT (Y) (N). SPECS (Y) (N) APPROVED PLANS Y�N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT. NO REPORT NO. PG :, OF ENGINEER J i CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME ' INSPECTION ADDRESS.. _ A� ADDRESS OF PROJECT REPORTING REQUIREMENTS: 1CBO FIELD INSPECTION MANUALIMTGr. SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF -THE WORK DAY, OR MISSING MTRS. AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED('/''� �J � »*' �-•Cs �"\tl � �� � O� 'HCl "�,��. �F- �e � AREA, GRID LINES. PIECES OBSERVED: s' STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS. INCLUDING MEETINGS: IREWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETIM WEATHER: �`� SAMPLES TAKEN: TEMPERATURE: �� d -T TESTS REQUIRED: SITE TIME START: n cwt' LUNCH SITE TIME FINISH: TRAVEL TIME: VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND /.DR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature/ Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 �!tc:-rH: j: „WHrti MTGL Corporate: ^� San Diego/Imperial County: Inland Emph 2992 E. La Palma Ave., Ste. A 7313 Carroll Road. Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT hR TYPE OF WORK INSPECTOR Q TECHNICIAN AVAILABLE: SOIL REPORT (Y)(NJ SPECS (N) APPROVED PLAN -<_4 (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEKENDING PROJECT NO ENGINEER REPORT NO. PG` OF CONTRACTOR PLAN FILE N0. --[PERMIT NO. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT FERT"'I,G REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS RE S NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT A DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED; SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND MITA COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): �� M CONTRACTORS EQUIPMENT / MANPOWER USED: AREA. GRID LINES, PIECES OBSERVED. y`sacAu.e�A, r 01-, T`r' STRUCTURAL NOTES, DETAIL. OR RFIS USED. 1-j bN �iw`i \t1 Qca�"2t REMARKS. REMARKS. INCLUDING MEETIMGS: REWORK AS PERCENT OF ALL WORK TODAY* PERCENT PROJECT COMPI ETION• WEATHER: TEMPERATURE: SAMPLES TAKEN: --6- TESTS REQUIRED: '4G -- SITE TIME START: SITE TIME FINISH: _Z on0� _ II LUNCH PERIOD: TRAVEL TIME: __._ VERIFIED BYl..�J /� /�� 11 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBG Certification Number Print Name City / County Certification Number Rev: 7/97 MTG L Corporate: } 2992 E. La Palma Ave., Ste Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emph.. 14320 Elsworth Street. Ste. C101 Moreno Valley, CA 92553 Te I: 951.653.4999 Fax: 951.653.4666 FIELD REPORT T1r:?, TYPE OF WORK NSPECTOR ❑ TECHNICIAN I AVAILABLE: SOIL REPORT (Y) (N)4= 11gpE (Y) (N) v v 5 APPROVED PLANSO(N) ARCHITECT APPROVED SHOP DRAWING (Y) (N) FOR WEEK ENDING PROJECT. NO ENGINEER C C 1 J J REPORT N0. PG OF CONTRACTOR c F -,c- PLAN FILE N0. PERMIT N0. 1 est w.S� v it SUBCONTRACTOR �f :T� INSPECTION ADDRESS' - ` � - � ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RFIS. ETC:, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN .A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT No. OR MATERIAL TEST REPORTS): CONTRACTORS EOUIPM_ ENT/ MANPOWER USED: �zt ��W♦1L�3L �ear�t��� AREA GRID LINES PIECES OBSERVED c C -ti CL STRUCTURAL NOTES, DETAIL. OR FIRS USED: REMARKS INCLUDING MFE17MG5. f REWORK AS PERCENT OF ALL WORK TODAY P Rf FNT pRn ECT CpMp GTlnnl WEATHER: Cera 11 SAMPLES TAKEN: _ TEMPERATURE: TESTS REOUIRED;,_g SITE TIME START: i (d-� e—t SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: ---- VERIFIED I DO CERTIFY THAT HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Print Name Date of Report ICBG Certification Number City / County Certification Number Rev 7/517 Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-399 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 6 Tel: (909) 6534999 Fax: (909) 65346'J 53. Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-00 Report of. COMPRESSIVE STRENGTH -CONCRETE ASTM C39 CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: THOMAS ENTERPRISES A_ Set No.: 5-6638 OCT 31 2005 File No.: Permit No.: 046-326 Project No.: 3115B03 Project Name: BED, -BATH &BEYOND MARKET PLACE @ LA Q HWY I I 1 @ ADAMS <LA QUINTA, CA A Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 3 10/17/2005 6X 12 28.37 45,000 1,590 Cone 7 10/21/2005 6X 12 28.37 60,500 2,130 Cone 28 11/11/2005 6X 12 28.27 28 11/11/2005 6X 12 28.27 28 H 11/11/2005 6X 12 28.27 Specified Strength: 31000 PSI Sampled By: JEREMY JOHNSON Location: FOOTING SOUTH SIDE OF BLDG LINE 6 E+G Concrete Supplier: ASSOCIATED READY MIX Mix No.: 15336 Ticket No.: Water added at Site: 0.00 gal. By Cement Type: Mix Time:. min. Remarks: a Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** Date Sampled: 10/14/2005 Date Received: 10/17/2005 Concrete Temp: 82 of Ambient Temp: °F Slump: 4.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer f- < w MTGL Corporate: San Diego/Imperial County: Inland Empire:' 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (V) (N) SPECS (40) (N) Liz 'ec APPROVED PLANS j*) (N) APPROVED SHOP DRAWING (Vi (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. i— ENGINEER PORT NO. PG / OF 1 T C0� CTOji ' PLAN FILE NO. PERMIT N0. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS �r - ADDRESS OF PROJECT REPORTING REQUIREMENTS: CBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT ACOPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Cir✓c_ R.6 -.6 ; To r» /;-,;z : zZ/553_3,{2 CON7f TORS EQUIPMENT/ MANPOWE'Ry $ED: �/�� ./'y : W f'i z AI.A-7 r2 - flid /i/ AREA, GRID LINES, PIECES OBSERVED: 11-IS//rToP T �2id; f5 5 Filld �'�iVif/v'r j aus /�00/1_'N6 nN /'rid /�/)ld /'!/'T /dAl-i LooT/� ,� 17- a.�i�s SM72 1y 4 S /� /V 4AP i'J ; STRUCTURAL NOTES. DETAIL. OR ROS USED: T lPllT 7'/.�6PA/. /V6T'_ - • S Pic- (' S a dA % i UW eZ2& 6 Zall n 10a � 6' g � r/ZX1 r/ Z x _ REMARKS. INCLUDING MEETINGS: t ��/�s�aVrc� PL�?� d✓� n!!' n� k��BA>'� irlJcl '/F/�l2fYX LF flA1d rP%AC'l��l R 0F,;/4na /�sz r'QA(C �EPo�ITF� SY // d z�TiC, 4z ice»aj: /-orM; Z�oL7-i- hPPRavcC> P,1,6/VsSPrCn!":Zi0/97/r) lsts P 6 ,-3d,iLC� REWORK AS PERCENT OF ALL WORK TODAY4 PrpGENTj7njEQT COMPLETION* /-5�67_ O F 3 G D ivC WEATHER: SAMPLES TAKEN: TEMPERATURE: pD TESTS REQUIRED: ..� n,Q rT' ME START: Id'O SITETIMEFINISH:. 71ar� PERIOD: �— TRAVEL TIME: �—J VERIFIED BY: w" I nn r rPTIFV THAT I HAVF PFacnNAI I v nRSFRVFn AI I OF THF WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVES ATION RECOMMENDATI NS, AND 10 R ROVED PLANSVSPECIFIC TIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT o /D leldvv�D� Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: t San DiegoAmperial County: Inland Empirr.: '- 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK P INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT APPROVED PLANS. V4 (N) (N) SPECS A) (N) APPROVED SHOP DRAWING (X (N) ARCHITECT i T/ FOR WEEK ENDING PROJECT NO. ENGINEER EPO NO. PG OF CONTRA TOR C PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS L") -- A, ADDRESS OF PROJECT Sf��l�. REPORTING REQUIREMENTS: ICBO =D INSPECTION MANUAL/MTGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS ULLSED BY CO/N�TR/AACTTOORR� (INCLUDE RESEARCH REPORT �NO. OR MATERIAL TESD REPORTTS��)/ /- e / & TME fi)/(n g CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: / 411 /<' 1)16,r IR/ AC.� q7 To 7— ")"t' ®�C�.F. /-�.�Tii/v �i/_s7 b�_ /�/�.��G�I To5'Ti?FiioHi r ^v STRUCTURAL NOTES, DETAIL. OR FIRS USED: STRGl e Tc/peA L it/O 7-5"g' P6a REMARKS, INCLUDING MEETINGS: 1(''dEaisic .car uJ 7I/ el 7- X06 A., -n 7&/s' iVD�P�,/ii!/4 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION• WEATHER: TEMPERATURE: SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: TOO SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: `-�'� VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SO VESTIGATION RECOMMENDATIONS. AND /OrT�,ROVEO PLANS,WSPECIFNS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Ipnature Date of Report ICBO Certification Number ✓�. Print Name City / County Certification Number Rev: 7/97 on/ Q:-" _1 Corporate: --' San Diego/Imperial County: Inland Empirr: 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR 0 TECHNICIAN ARCHITECT ENGINEER CONT CTOR AVAILABLE: SOIL REPORTAA(N) SPECS e4 (N) APPROVED PLANS kY,) (N) APPROVED SHOP DRAWING^ (N) FOR WEEK ENDING PROJECT. NO. REPORT NO. PG/ OF PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR r 'ec- INSPECTIONADDRESS / z/ ' PROJECT NAME G G ADDRESS OF PROJECT REPORTING REQUIREMENTS: 16130 FIELD INSPECTION MANUAUMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: - - AT q/n or� e09 Z4 S /// '�.-x/T . z"IQ 47X4. STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUD/NGMEETINGS. REWORK AS PERCENT OF ALL WORK TODAY PERCENT PRO IFCT COMP) FTIn I WEATHER: TEMPERATURE: SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: / KD r� SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 100 GER I ity I AI L HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH IfHE SOILESTIGATION RECOMMENDATIONS, AND /ORT OVED PLANS, SIC NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN�T,� ESD—E�FI7CIENCY REPORT X2/ Z?� ignature Date of Report P ICBG Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: I San Diego/Imperial County: Inland Empirc: y 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Ad rT,,TM Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 AM is Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK X INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT(f�j (N) SPECS (W(N) ARCHITECT APPROVED PLANS (dy(N) APPROVED SHOP DRAWING (N) FOR WEEK ENDING PROJECT N0. ENGINEER REPO T NO. W PG OF CONTRA pR ' i PLAN FILE NO. i C PERMIT N0. SUB -CONTRACTOR ' PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT D— REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO.OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPM.E�N/T/ MANPOWER USED: AAEA,GRID LINES, PIECES OBSERVED: zs 'r r STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS.INIXUD/NGMF NGS: 21 "1 fi-/p _ f// /i Iii n /- �'-... , .--_- •- - - -- ' WEATHER: TEMPERATURE: SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: Z2 Oa SITE TIME FINISH: iv LUNCH PERIOD: _— TRAVEL TIME: VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES W AND /HE SOVESTIGATION RECOMMENDATIONS, �TOVED PLANS, SPECIF AT ONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHER iSE NOTED I IL IL HE DEFICIENCY REPORT ignature d l — l Q (� J J6!( D ;,• % Z/ q� Date of Report ICBO Certlflcahon Number Print Name Clty / County Certification Number ae„nn� CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type OF Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 03/11/2006PROJECT NO. 31151303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO 2 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed Bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICSO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Lincoln SAE 350 AREA, GRIDLINES, PIECES OBSERVED: Items Completed: Welding of the seismic sway bracing angles at the bottom cords of mthe roof joists to the roof girders on lines 3/A to I, 4/A to I & 5/A to I. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Warm SAMPLES TAKEN: Na TEMPERATURE: 74 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 10:00 AM LUNCH PERIOD: none TRAVEL TIME: VERIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 9&.- 0849264-85 Signature ICSO Certification Number Steve W. Bodnar 03/08/2006 City Of La Quinta Print Name Date Of Report City / County Certification Number Corporate: San Diego/Imperial County. 2992 E. La Palma Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Am& FIELD REPORT Inland Empire: 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 909.653.4999 Fax: 909.653.4666 TYPE OF WORK XINSPECTOR OTECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS40(N) APPROVED PLANS M(N) APPROVED SHOP DRAWING (Y)IN) ARCHITECT FOR WEEK ENDING }� PROJECT. NO. ywy ENGINEER REPORT NO. PG \ OF CONTRACTOR v PLAN FILE NO. PERMIT N0. (i SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): C9 e � a 16th L.i %i� :�� ` �� \ G� C� e-- �r 1l CONTPACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES. PIECES OBSERVED. G en Y � `,�-- �� � S'C9 �+�•'� L' s` � .� fit- CS �— \ <<J..�c:� �'fl�,.C`L � bt +. P Cz �S STRUCTURAL NOTES, DETAIL. OR RFIS USED: S REMARKS, INCLUDING MEETINGS: Z a ,,..,..� .,t �..�- ;moi'\ •tZ��caY� �.c' A�i�y �..:� ��... •, c�•�[.1�� ��'E-•5s'+�C:A;�.� �e.>SL �� �:�'1VZ � C>�dia�-'LQ A'La �) �.\\ REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMP) FTIOM WEATHER: Cis SAMPLES TAKEN: --p-- TEMPERATURE: TESTS REQUIRED: SITE TIME START: U ��--� SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: R ff-k I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WA THE SOIL VESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN HE DEFICIENCY REPORT / / / '� / O S: Ski 8 oGG> P, - RL -i Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire: 14320 Elsworth Street, Suite C101 Mo-reno Valley, CA 92553 Tel: 909.653.4999 Fax: 909.653.4666 TYPE OF WORK XINSPECTOR ❑ TECHNICIAN t _ _G AVAILABLE: SOIL REPORT (Y) (N) SPECS V') APPROVED PLANSOO(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING k �-\1\'"©s PROJECT. NO. 3\ ^�O ` ENGINEER REPORT NO. PG ` OF ` CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR t PROJECT NAME o %e_O INSPECTION ADDRESS 121 \ ADDRESS OF PROJECT `hq i \ C)s k REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): '�I� t� �. � i �L'L.L �.J�.�i C��v�'^�!`�/�w � �� © \ "-� r J. � • �l � �.. � \y \41 ! �Y'�ls� CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS. INCLUDING MEETINGS: / c REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: G .-r. --rc -. SAMPLES TAKEN: '�- TEMPERATURE: nr� TESTS REQUIRED: .gr SITE TIME START: 'N UC1 C." . SITE TIME FINISH: "mcNs� ',' LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILTINVESTIGATION RECOMME1C1jd11M, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 MTG L Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp,._.; 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORTiMaD SPEC ) N) APPROVED PLANg^�Y N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT S " •�jv�\ �� ENGINEER ` c� r� J FOR WEEK ENDING C PROJECT. NO. ' \ \ ' J �J \ ��'j REPORT NO. PG OF CONTRACTOR PLAN FILE N0, PERMIT NO. SUB -CONTRACTOR PROJECT "Z NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): q \\ CONTRACTORS EQUIPMENT/ MANPOWER USED: oC �� AREA, GRID `INES_PIECES OBSERVED: _ � �C' E. �+�5� `y;.L�v ' ��_� Q \S� c_2� � \ CSo�p"' +\Gl � o C u �) •2�\� `\ .I� �2 "� 11 ` STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS. INCLUD/MG MEETINGS.- - '�\ ._,.. ``� : �"....�.v,� 1e �.•��:.�-``.cam • ����'-�+-�`�S l ' S.�'���cE�.�`�\\s 1 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION• WEATHER: SAMPLES TAKEN: © TEMPERATURE: TESTS TESTS REQUIRED: E START: \Q� p`c — SITE TIME FINISH:SITE F TRAVEL TIME • VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL ISTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN E DEFICIENCY REPORT Si gnature Print Name !� / 9 / c s So �-9y Date of Report ICBG Certification Number City / County Certification Number 7 Rev: 7/97 "�MT1. GL Corporate: I 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORTdb (N) SPECS (N) APPROVED PLANSe(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT vd FOR WEEK ENDING PROJECT. NO. ENGINEER REPORT NO. PG OF CONTRACTOR PLAN FILE NO. PERMIT NO. SUB-CONTRACTAAR PROJECT NAME INSPECTION ADDRESSADDRESS '\v— \\\ A. Lii`�•���. OF PROJECT \\c) V REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALJMTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CON CTORS EQUIPMENT/ MANPOWER USED: e AREA, GRID Llt�f�PIECES OBSERVED: ter' (` 1 t4-.�.^s�S v�e� .��� \'.r..� !;;;� rc' �Z ��•, C 1 STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INCLUDING MEETINGS. REWORK AS PERCENT OF ALL WORK TODAY' PERCENT PROJECT COMPLETION* WEATHER: SAMPLES TAKEN: . 11 -It - TEMPERATURE: TESTS REQUIRED: _Cal - SITE TIME START:. SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH 9E SOIL INVES TION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DE IENCY REPORT• Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 MTG L Corporate: \ 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 �l Inland Emp. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK INSPECTOR OTECHNICIA``N `Z' • J A �H=�-� c AVAILABLE: SOIL REPORT4V4(N) SPECSIT( (N) APPROVED PLANS MP(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. ENGINEER REPORT NO. PG ` OF \ CONTRACTOR L PLAN FILE N0. PERMIT NO. SUB-CONTRACTOR PROJECT NAME ' eINSPECTION ADDRESS ADDRESS OF PROJECT ` REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: �iC.Map OZ ��CS`�w•��\� �h\� S���Z AREA, GRID LINES, PIECES OBSERVED: STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INIMUOING NEEWNGS. \ ` REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETI ft WEATHER: SAMPLES TAKEN: G e A n `.'Z� n^ TEMPERATURE: j > jUF TESTS REQUIRED: SITE TIME START: '_Z -C— N 41,-- SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WA THE S AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED Signature Date of Report Print Name STIGATION RECOMMENDATIONS, DEFICIENCY REPORT ICBO Certification Number City / County Certification Number Rev: 7/97 MTGL Corporate: .. 1 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 1 Inland E4.- 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK ,6 INSPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT`M�N) SPECSIM(N) APPROVED PLAN&M (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING ` PROJECT. NO. ENGINEER S REPORT NO. PG t OF \ CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR �y • PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): —qc) ty �\ �. �� -� � ` :!:Z' S CONTRACTORSEQUIPMENT/ MANPOWER USED: (� AREA, GRID LINES, OBSERVED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS., 72. lily l ' I1 � C✓•'J�` C�r�r� G� � S�•rCa� `n�0 'L` � " \cs�� �o � C�� ��� � �. REWORK AS PERCENT OF ALL WORK T DAY• PERCENT PROJECT COMPLETION* WEATHER: TEMPERATURE: �FiY , t,r_ SAMPLES TAKEN: O TESTS REQUIRED: SITE TIME START: �y �^--- SITE TIME FINISH: �`• �• c? LUNCH PERIOD: TRAVEL TIME: -- VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVES ATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DE ICIENCY REPORT Signature Date of Report ICBO Certification Number 9111V4111__ Print Name City / County Certification Number Rev: 7/97 Corporate: �, .�' 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empil'. % 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 IISITE TIME START: `U --� SITE TIME FINISH:O� O I LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL IOXTIGATION RECOMN AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN TXEE DEFICIENCY REPORT r Signature Date of Report ICSO Certification Number e/ f Print Name City / County Certification Number Rev: 7/97 MTG L Corporate: 2992 E. La Palma Ave., Ste Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp,...: 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPEC ( N) APPROVED PLANS(2DN) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT NO. ENGINEER REPORT NO. PG ; OF CONTRACTOR PLAN FILE NO. PERMIT NO.' SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIA USED BY CONS, T\(I� DE RESEARCH REPORT NO. OR MATERIAL TEST g�R`PO�R_TS�� -Illy CONTRACTORS EQUIPMENT I MANPOWER USED: ` kL'O�Z, t_��3oses5, lC�l ���scStJS AREA, GRID LINES, IECES OBSERVED: ` -Z '� `v ,o STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDINGMEEIINGS: ������: • s e... ��--�..�.�R. �� � �c7 �.�_�"C w._�e�`\.. � \.�11� yam:` �jw� REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI FTIOM WEATHER: Q_,1 >� TEMPERATURE: �� SAMPLES TAKE S -_"Z TESTS REOUIRED�` ��JJ SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: I VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE Sq�AVESTIGATION RECOMMEN10 AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED THE DEFICIENCY REPORT o � Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire: 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 909.653.4999 Fax: 909.653.4666 TYPE OF WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPEC . ) r APPROVED PLANaf j {iA) APPROVED SHOP DRAWING (Y) (N) ARCHITECT � r FOR WEEKENDING PROJECT N0. \\- \� -Cr 3`\,1_� - ��3 ENGINEER REPORT N0. PG OF CONTRACTOR '14PLAN (11 C1 FILE N0. PERMIT N0. SUBCONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): ell CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED' STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INCLUDING MEETINGS: l� \.7 m na ' P Ott C'_C� �"\y REWORK AS PERCENT OF ALL WORK TODAY- p RrFNT PROJECT CO E FTION WEATHER: C✓\r s` SAMPLES TAKEN: �®-- TEMPERATURE- TESTS REQUIRED: SITE TIME START: ""�' SITE TIME FINISH: �^'—_ '=ht4 LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 1 nn /`CDTIN TUAY 1 1 1 nni 1 HAVE HMOUNALLT OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report Print Name ICBO Certification Number City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empilu: 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK XiNSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS N) APPROVED PLANSQ4 (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING - Z.S- Qyj PROJECT. NO. I a � \ j - ENGINEER S `— REPORT NO. PG ` OF \ CONTRACTOR \� C e PLAN FILE NO. PERMIT NO. - SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): '<Zkcs CONTRACTORS EQUIPMENT/ MANPOWER USED: �� \` I 0 AREA, GRID LINES, PIECES OBSERVED: U STRUCTURAL NOTES, DETAIL, OR FIRS USED: REMARKS, INCLUDING MEETINGS: a1C-s2 c��<�"e REWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION! WEATHER: ��,si_ G�D��� SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START: `1 �(Z5 SITE TIME FINISH: — —,;z> �— LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTION OF THEBUILDINGCODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT O's Signature Date at Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 a T FMTq Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San DiegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl,..' 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS(MN) SPECS (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING - PROJECT. NO. ENGINEER REPORT NO. PG ` OF CONTRACTOR PLAN FILE NO. PERMIT NO. C SUB -CONTRACTOR a PROJECT NAME i�c INSPECTION ADDRESS ADDRESS \ OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL – REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USED: �� l l.0 Cis AREA, GRID LINES, PIECES OBSERVED: kNk v., es �-_s Z t\� E STRUCTURAL NOTES, DETAIL, OR RAS USED. REMARKS. INCLUDING MEETINGS. �li 4�L'S�I�V�ao'� �\�_�� 4��►Ce(1i4�C�� ti'`�1'E? �`�lvto ��'��r=�`\: REWORK AS PERCENT OF ALL WORK TODAY* PERCENT PROJECT COMPI ETIO I' WEATHER: f�� �, j� SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START: 1cL: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: k—Z,41 .1 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL VESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN E DEFICIENCY REPORT Signature Print Name / / z z/ ©S SEP8 y Date of Report ICBO Certification Number City / County Certification Number .> Rev: 7/97 -.['MTGL Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empi,.. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK Z INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS(!R(N) '_.c0r ARCHITECT APPROVED PLANSMN) APPROVED SHOP DRAWING (Y) (N) to � FOR WEEK ENDING PROJECT. N0. ENGINEER ` d l—Z - p J O � REPORT N0. PG OF 1 CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR`` —� `� �c ti PROJE�CTNAME k- ��ck INSPECTION ADDRESS ADDRE S OF PROJECT REPORTING REQUIREMENTS: 1CBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT 40. OR MATERIAL TEST REPORTS): g C5 CONTRACTORS EQUIPMENT/ MANPOWER USED: 0� AREA GRID LINES RV PIECES OBSEED. STRUCTURAL NOTES DETAIL OR RFIS USED REMARKS, INCIUDINCNEETIns. ` 6 REWORK AS PERCENT OF ALL WORK TODAY p RCFIUT PROJECT T CO nvl ETIOnt WEATHER: C � SAMPLES TAKEN: -E9.- TEMPERATURE:j� TESTS REQUIRED: SITE TIME START: "�eE 'Z-� SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 1 nn PERT v V i nhi I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN HE DEFICIENCY REPORT Signaturez SOo Date of Report ICBO Certification Number //mar/ �'G.;iL �� L Print Name City /County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empli .. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT -'2, 1 os&�) TYPE 0 W INSPECTOR �i�AK ' Q�')tOj 6- ❑ TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (ff(N) APPROVED SHOP DRAWING (Y) (N) ARC eL I C.LeLL a Awjil. F O �OR K®ENDwl G915 lm�� 1G dJ EER E q / /� 24k a%ee_� 6ad 8•&/ REPORT NO. PG OF CO 0L PLAN FILE NO. PERM] N0. S CTaO PRADT NAME '��� INSP TION ADDRESS - ® ® S ESS OF ROJECT ADDRESS �,- REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAIJMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USEIl BY CONTRACTOR (INCLUDE SEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, P}ECW OBSERVED: Z-66 9e J&S a 1 -7o � Laa.VCL STRUCT OTES DLETAIL, OR R 9El: � ®� S REMARKS.INpUOI�jbMfET1013S rw -04 rOUf Al dt S B2_ 194 4— r14 � c �c f✓ B ,, cc ,� REWORK AS T OF ALL WORK TODAY4 PERCENT PROJECT COMPLETIONO WEATHER: 1 �6lcs AlIL L H TEMPERATURE: 3t) .Aw L.Q Tb )t> �� SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: LUNCH PERIOD: SITE TIME FINISH: L 7 t;T TRAVEL TIME: VERIFIED BY: !/ I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND THE APPROVyb PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number �15ro� F)&o4 Print Name City / County Certification Number Rev: 7/97 =rIIIITG I s Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empil.: 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPF7p� 06p6WORK pB INSPECTOR ❑ TECHNICIAN UfH �B.ZDQL AVAILABLE: SOIL REPORT (Y) IN) SPECS (Y) IN) APPROVED PLANS #) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT �1 tr�ti7rE �� i J o FOR WEEK ENDING PROJECT. NO. G 2• c7�. ®J d REPORT NO. PG OF EN EER SCkt 4' DrIz,ld5 CON-TIiA pp112266 SUB(i® RAC OR d PLAN FILE NO. PERM j(pT No.. a B PROD NAME r INSPECTION ADDRESS �r - DS® X�-� ADDRESS OF PR JECT pp p ry Y 4c_ REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USE BY CONTRACTOR (INCLUDF ISfARCH REPORT NO. OR MATERIAL TEST REPORTS): ,rL :5,tp4 CONTRACTORS EQUIPMENT / MANPOWER USED: t�) S�ssa2 L r- e 3) C AREA, GRID LINES, PIECE I OSERVED:- 4- STRUCTURAL N TES, DETAIL, OR RFIS �sED: / e=id41c-S Z 2D REMARKS.I�UDIMG MEMNGS: � ®�.SccQd�D I �fE C..��rPc"tL�CaG� L(lcfCAa�G 6'� � z•� �'/rt/� � ' k� �� � ��� ��L.64aLm. &asrl,.,�r /.�� REWORK AS PERCENT OF ALL WORK TODAY* PERCENT PROJECT COMPI FTIO 1 II,,,, WEATHER: Ari. ji OY54L- ytQ F& SAMPLES TAKEN: S TEMPERATURE: SII 4055-- Pit b J TESTS REQUIRED: SITE TIME START: Atl SITE TIME FINISH: LUNCH PERIOD: 17-�D11 Z -='m TRAVEL TIME: VERIFIED BY: ,�//J�//�%+c t°✓ 1 DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND E APPROV PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 7c (D �r w l _'ZSignature Date of Report ICBO Certification Number .8 &S-11— r '2dM� D Z.Vo. B� Print Name City / Co ification Number Rev: 7/97 MTG L Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San DiegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl,.. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYP�OWORKJ��PECTOR 0TECHNICIAN ARCH CT /� 0/ mill$ C,�aCSr�d FTILL� �2 t. I AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS ft (N) APPROVED SHOP DRAWING (Y) (N) FOR WEEK ENgING PROJECT. NO. d �' DT 0S ENGINEER ®.SCS �D 6�LS REPORT NO. PG < OF CONT_ gAeR(+ ONTRACTOR g �J INSPE ION ADDRESS / �- 05®ILL PLAN FILE NO. PERMI 0. �n P ECT NAME , ADDRESS 0 PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. ' MATERIALS U ED BY CONTRACT (INCLUDEPESEARCH REPORT NO. OR MATERIAL TEST P PaRTS): r H ED- C.�B.Jr/ORSS.Sie/Z Mt7tdRUSb) Sl_Yok4k_ IL) k1,600116 �Ca/+� � t_/ ICa�t�rl% Ul:Le1Q12S IL.LOQt�i 0�e 'i,) AREA, GRID LIN_ ES, PIECES QBSERVED:b TD STRUCTURAL NAjES- T�Ld_OR AFIS USED: a REMARKS, INCLUDING MEETINGS: ����J�� E•t@� -G�J� ILLCr`$�4 � r'E 31((—+1Z�`�u I'O IDP s 4. (- ! ��irt ' '[ � D i�-v//l ,P�A�p r"o To -to . �oto a ft . A. Ill . eicai� �y^ REWORK AS PERCENT OF ALL WORK TODAY PERFNT PR111Ff T f (1 npI GTlnnl WEATHER: f�P9 /j i �7� 6 �L J¢� ��1�1 SAMPLES TAKEN: TEMPERATURE: A,H, 40£ TESTS REQUIRED: SITE TIME START: , 'It)SITE TIME FINISH: � T� t LUNCH PERIOD: 14"M— IL' 30 TRAVEL TIME: 1-011, VERIFIED BY: DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND /114hTHE APPROVEDPLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r1,r id / 20 / 0 s__1_ ®ftq 2.4o - 25s Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: THOMAS ENTERPRISES A Set No.: 5-7583 File No.: Nominal Size Permit No.: 046-326 Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q 1,440 HWY 111 @ ADAMS 28 12/28/2005 LA QUINTA, CA Y A . Age Date (Days) Tested Nominal Size Actual Area Load (Sq. Inch) (lbs.) Strength (psi) Type of Fracture 7 12/7/2005 3 X 3 X 6 9.46 13,630 1,440 N/A 28 12/28/2005 3 X 3 X 6 9.00 28 12/28/2005 3 X 3 X 6 9.00 Specified Strength: 3,000 PSI Sampled By MICHAEL G. Location: 5TH LIFT LINE I Concrete Supplier: - ASSOCIATED READY MIX Mix No.: 46511 Ticket No.: 3592382 Water added at Site: 0.00 gal. By Cement Type: Mix Time: min. Remarks Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 11/30/2005 Date Received: 12/7/2005 Concrete Temp: 70 °F ASTM C1064 Ambient Temp: 80 °F ASTM C1064 Slump: 10.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653A999 Fax: (909) 653-4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -GROUT ASTM C1019 CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINT& CA 92253 Client: THOMAS ENTERPRISES A Set No.: 5-7190 File No.: Date Tested Permit No.: 046-326 Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q 2,530 HWY 1 I 1 @ ADAMS 28 LA QUINTA, CA Age (Days) Date Tested Nominal Actual Area Load Size (Sq. Inch) (lbs.) Strength (psi) Type of Fracture 7 11/16/2005 3 X 3 X 6 10.27 26,000 2,530 N/A 28 12/7/2005 3 X 3 X 6 10.66 40,460 3,800 N/A 28 12/7/2005 3 X 3 X 6 10.69 39,620 3,710 N/A 28 H 12/7/2005 3 X 3 X 6 9.00 Specified Strength: 2,500 PSI Sampled By MICHAEL G. Location: 1 ST,LIFT LINE 6 Concrete Supplier: ASSOCIATED READY MIX Mix No.: 46511 Ticket No.: Water added at Site: 0.00 gal. By Cement Type: Mix Time: 50 min. Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** A ASTM C172 Date Sampled: 11/9/2005 Date Received: 11/15/2005 Concrete Temp: 70 OF ASTM C1064 Ambient Temp: 81 OF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. l M.B. (Ben) Lo Chief Engineer 3760 PSI 28 -day compression test complies with the specified strength. r Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 653-4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -GROUT ASTM C 10 19 s* CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: THOMAS ENTERPRISES A Set No.: 5-7459 File No.: Date Tested Permit No.: 046-326 Project No.: 3115B03 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q 10.52 29,470 2,800 HWY 11 I @ ADAMS 28 LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area Load Strength (Sq. Inch) (lbs.) (psi) Type of Fracture 7 12/5/2005 3 X 3 X 6 10.52 29,470 2,800 N/A 28 12/26/2005 3 X 3 X 6 9.00 28 1 12/26/2005 1 3 X 3 X 6 1 9.00 28 H 1 12/26/2005 1 3 X 3 X 6 1 9.00 Specified Strength: 2,500 PSI Sampled. By Location: 4TH LIFT LINE I Concrete Supplier: ASSOCIATED READY MIX Mix No.: 46511 Ticket No.: 117201 Water added at Site: 0.00 gal. By Cement Type: 'Mix Time: 30 min. Remarks: TRUCK # 265 Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** A ASTM C172 Date Sampled: 11/28/2005 Date Received: 11/30/2005 Concrete Temp: 71 OF ASTM C1064 Ambient Temp: 81 OF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B.(Ben) Lo Chief Engineer 9 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego I Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 01107/2006 PROJECT NO. 3118303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quints, CA REPORTING REQUIREMENTS: fCBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE ENO OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Ranger 275 AREA', GRIDLINES, PIECES OBSERVED: In Progress: Torque tightening of the ASTM A325 High Strength Bolts on the canopy framing from line 6.2 to F.3 between lines 6 & 7. Completed: Welding of the canopy beam extensions from line 0.6 to F.3 between lines 6 & 7. STRUCTURAL NOTES, DETAIL, OR RAS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: warm SAMPLES TAKEN: n/a TEMPERATURE: 71 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM 11 LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: IF D BY I UO t1Y ULH 16•Y I MAI I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 00, 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 01/03/2006 City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 01107/2006 PROJECT NO. 3118303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICSO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Shield -Arc SA -250, Miller trailblazer 301G AREA, GRIDLINES, PIECES OBSERVED: In Progress: Installation and welding of the channels for the canopy facia from line 0.5 to F.3 between lines 6 & 7. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: warm SAMPLES TAKEN: Na TEMPERATURE: 75 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM LUNCH PERIOD: 112 Hr. TRAVEL TIME: PERAED BY I UU t$Y UhH I II -Y ]HAI I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPS WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 01/04/2006 _ City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego I Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) SSW APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects FOR WEEK ENDING 01/07/2006 12220 EI Camino Real Suite 200 San Diego, CA 92130 PROJECT NO. 3116303 ENGINEER: CSSI REPORT NO. 3 PG 1 OF 1 2445 Fifth Street Suite 300 San Diego, CA 92102 CONTRACTOR: Vratsinas Construction Co. PLAN FILE NO. P.O. Box 2558 Little Rock, AR 72203 PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. PROJECT NAME: Bed bath & Beyond 10722 Edison Court Rancho Cucamonga, CA 91730 INSPECTION ADDRESS: 79-110 Highway 111 ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Shield -Arc SA -250, Miller trailblazer 301G AREA, GRIDLINES, PIECES OBSERVED: In Progress: (1) Installation and puddle welding of the canopy metal roof decking. 2) Welding of the canopy facia channels from line D.5 to F.3 between line 6 & 7. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Hot SAMPLES TAKEN: n/a TEMPERATURE: 84 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM L_ _4A4 LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: VERIFIED BY 100 BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar Print Name 01/05/2006 Date Of Report 0849264-85 ICBO Certification Number City Of La Quinta City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIFLD RFPnRT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 01/07/2006 PROJECT NO. 311B303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 4 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04 6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND FIRS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Shield -Arc SA -250, Miller trailblazer 301G AREA, GRIDLINES, PIECES OBSERVED: In Progress: Puddle welding of the canopy metal roof decking. Completed: Welding of the canopy facia channels to the ends of the canopy beams from line D.5 to F.3 between lines 6 & 7. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Hot SAMPLES TAKEN: n/a TEMPERATURE: 84 Deg F TESTS REQUIRED: Na SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME:VERIFIED BY I nn RV R9:0TI9:V TWAT I WAvc -----•-••--•-. �•,-�. ��., VVWMML10ICUMOUVtHNLJIMAI IMISWORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNNLLE/SSS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar 01/06/2006 Print Name Date Of Report 0849264-85 ICBO Certification Number City Of La Quinta City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego I Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD RFPC)RT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 12/31120 0 5 PROJECT NO. 3118303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 3 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Shield -Arc SA -250, Miller trailblazer 301G AREA, GRIDLINES, PIECES OBSERVED: In Progress: (1) Welding of the canopy framing along line 6. (2) Puddle welding of the metal roof decking. Items Completed: Welding of the canopy joists and joist tie plates from fine B.2 to C.9 between fines 6 & 7. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: warm SAMPLES TAKEN: Na TEMPERATURE: 75 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME:�/ 17V RIFIED BY I nn GV ncnTw r ------ - - -- -•--•-••�----••�..++��. .. WF I nC VVURn L.IOItU AtbUVt ANU IHAI [His WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 12/29/2005 City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego I Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C 10 1 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 12/31!2005 PROJECT NO. 3116303 ENGINEER: CSSI 2445 Fath Street Suite 300 San Diego, CA 92102 REPORT NO. 4 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quints, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT ACOPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 & E6022 CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Lincoln Shield -Arc SA -250, Miller trailblazer 301G AREA, GRIDLINES, PIECES OBSERVED: In Progress: (1) Puddle welding and seam punch locking of the metal roof decking. (2) Welding of the canopy framing along line 6. TURAL NOTES, DETAIL, OR RFIS USED: S: INCLUDING MEETINGS: PERCENT OF ALL WORK TODAY: Narm 73 Deg. F 7:00 AM 1/2 Hr. (PER APPROVED PLANS) SAMPLES TAKEN: TESTS REQUIRED: SITE TIME FINISH: 4:30 PM TRAVEL TIME: PERCENT PROJECT COMPLETION: n/a n/a FIED BY c PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH -)MMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE WISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 12/30/2005 Date Of Report ICBO Certification Number City Of La Quinta City/ County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) t ARCHITECT: Smith Consulting Architect sFOR 12220 EI Camino Real Suite 200 San Diego, CA 92130 WEEK ENDING 12/31/'2005 PROJECT NO. 3116303 i i ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04-6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga. CA 91730 PROJECT NAME: Bed bath & Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICSO FIELD INSPECTION MANUAL ! MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RRS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 & E6022 CONTRACTORS EQUIPMENT! MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Miller Bigt Blue 302P, Red Arc D302K AREA, GRIDLINES, PIECES OBSERVED: In Progress: (1) Welding of the metal roof decking. (2) Welding of the roof joists bridging angles to connections at the block wall on lines A & I. (3) Erection of the canopy framing along line 6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Hot SAMPLES TAKEN: n/a TEMPERATURE: 81 deg. F TESTS REQUIRED: Na SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: VERIFIED BY ., I I -Q. ^LLr UDOrMVcu NLL Ur i Nt VVUHI, LI51 LU ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. "'� -Z�- � 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 12/27/2005 City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego ! Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: Smith Consulting Architects 12220 EI Camino Real Suite 200 San Diego, CA 92130 FOR WEEK ENDING 12/31/205 PROJECT NO. 311B303 ENGINEER: CSSI 2445 Fifth Street Suite 300 San Diego, CA 92102 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: Vratsinas Construction Co. P.O. Box 2558 Little Rock, AR 72203 PLAN FILE NO. PERMIT NO. 04.6326 SUB -CONTRACTOR: Portola Constructios, Inc. 10722 Edison Court Rancho Cucamonga, CA 91730 PROJECT NAME: Bed bath 8 Beyond INSPECTION ADDRESS: 79-110 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-110 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES SMAW E-7018 CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINE: MQ Whisperweld BLW-400SSW2, Miller Big Blue 302P, Red Arc D302K AREA, GRIDLINES, PIECES OBSERVED: In Progress: (1) Puddle welding of the metal roof decking. (2) Erecting the canopy framing along line 6. Items Completed: Welding of the bridging angles for the roof joists from tine 2 to 6 between lines A and I. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: warm SAMPLES TAKEN: n/a TEMPERATURE: 72 Deg. F TESTS REQUIRED: n/a SITE TIME START: 7:00 AM SITE TIME FINISH: 4:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: VERIFIED BY I UV nY ULK I II -Y I MAI I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. e-71 j, 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 12/28/2005 City Of La Quinta Print Name Date Of Report City / County Certification Number MTG Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl,_. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK'- fNSPECTOR ❑ TECHNICIAN C AVAILABLE: SOIL REPORT (Y)(N) SPECS (N) APPROVED PLANSO(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT R �!`- FOR WEEK ENDING PRGIECT.NO. ENGINEER REPORT NO. PG \ OF CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT Y\W3 REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY -REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): �A CONTRACTORS EQUIPMENT/MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: T REMARKS. INCLUDING NEETTNGS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PRO ECT COMP) ETIOM WEATHER: n \e�� TEMPERATURE: tiJ�R SAMPLES TAKEN: TESTS REQUIRED: �jCl9v:� SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: / I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ,-14e/�------ /Z / z 1% /()S- sOF(�S" Rei Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 rmwTGL es._ Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empi.- 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 !FIELD REPORT TYPE OF WORK eINSPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS 0 (N) aceta" APPROVED PLANSIM(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. ENGINEER c' REPORT NO. PG OF \ CONTRACTOR PLAN FILE NO. PERMIT N0. SUB -CONTRACTOR PROJECT NAME 1 INSPECTION ADDRESS ADDRESS OF PROJECT c \ \ O REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MAN ER USED: AREA, GRID LINES, PIECES OBSERVED: n STRUCTURAL NOTES, DETAIL. OR RFIS USED: l \ \ L REMARKS. INCLUDING MEETINGS. 1A REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETIM WEATHER: �\ Qy�C\ SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START: O M-- SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED 8 I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT a Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 MT LL Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emph .. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK $INSPECTOR ❑ TECHNICIAN ..]'tv �� !J AVAILABLE: SOIL REPORT (Y) (N) SPECS (N) APPROVED PLANSI (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT R FOR WEEK ENDING PROJECT. NO. - c ENGINEER REPORT NO. PG ` OF CONTRACTOR PLAN FILE N0. PERMIT NO. SUB -CONTRACTOR e PROJECT NAME o $. INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGi. SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OFTHE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT /MANPOWER USED: AREA, GRID LINES. PIECES OBSERVED:��� \ r, ) R STRUCTURAL NOTES, DETAIL. OR RFIS USED: ` REMARKS. INC(UDING MEETINGS: p REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETIOM WEATHER: TEMPERATURE: 5 SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: '10(&1 LUNCH PERIOD: SITE TIME FINISH: 3�CM TRAVEL TIME: VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 'Z 8, dy Signature Date of Report ICBO Certification Number Print Name City / County Certification Number C r Rev: 7/97 MTGL Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA. 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empil,,. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR O TECHNICIAN SITE TIME FINISH:�'1n AVAILABLE: SOIL REPORT (Y) (N) SPECS a (N) APPROVED PLANSe(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT e FOR WEEK ENDING _ to PROJECT. NO. ENGINEER REPORT NO. PG OF CONTRACTOR VC PLAN FILE NO.PERMIT N0. CL - SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK ATTHE END OFTHE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE. ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): nnsm e- --'� C c -.._k' X,«"-\ c-qc (Z 1 —tib S aza�,st Rs V, CONTRACTORS EQUIPMENT/ MANPOWER USED: _ �^ AREA, GRID LINES, PIECES OBSERVED: SZ� cam ��.�� S�� r, C, C.,. <S 1�r STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS. INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION• WEATHER: � CZ TEMPERATURE: �r OJ_ SAMPLES TAKEN: \ \ TESTS REQUIRED: ) SITE TIME START: !)ocs Avg SITE TIME FINISH:�'1n LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBG Certification Number e � ms's y, e Print Name City / County Certification Number Rev: 7/97 ■� L Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FEEL® REPORT Inland Empire: 14320 Elsworth Street, Suite C101 Moreno Valley, CA 92553 Tel: 909.653.4999 Fax: 909.653.4666 TYPE OF WORK INSPECTOR O TECHNICIAN M 5 0 tJ SITE TIME FINISH: AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y APPROVED PLANS6 (N► APPROVED SHOP DRAWING (Y) (N) ARCHITECT 5.." FOR WEEK ENDING 12-30-s' PRQJECT. NO. ENGINEER ` J VERIFIED BY: REPORT r,,, - ^ 1 PG OF EN \ CONTRACTOR 1 PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR r SIS t res �� PROJECT NAME 5 s INSPECTION ADDRESS 2112- 410y Ve- C-�Ri58g0 ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTPR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REP TS): izoLj� .� CONTRACTORS EQUIPMENT/ MANPOWER USED:: H,jD lliC, PcGllcfNl�L AREA, GRID LINES, PIECES OBSERVED: t w/ x OFL001-J4. Q OC IZ STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEE17NDS: iNsP�c-c�.n 'rla-� �r-.�-P� P+��� c�-F' 2�o Psi Csr•..�...r PLP- r4P_RD_Au Lb C00t AA11b t�Il�awl-�c.s w t -t-RIC IC(OL- 0wjj4 cr oc- Pt,o.j-s •. &g—�- G41XAT L� %ic5 `� T w t S Z T FT w qs 5 r� �r AA -0 9_,,,j4L 0 -T -I r-!Sz C AS -r �i D m -F CAo 1L -T L_,1PaA+11J4 CCAS PO )J CD4tm %,0 k "P4,%ov REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION' WEATHER: 01J 6j1r f.} 5T r TEMPERATURE: ) / O ' S SAMPLES TAKEN: s 9-.` OF TESTS REQUIRED: p SITE TIME START: 00 A'^ SITE TIME FINISH: 3 • co r" LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPR ED PLANS, PECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Raw 7/97 Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653-4999 Fax: (909) 653-4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -CONCRETE ASTM C39 ss CITY. OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA.QUINTA, CA 92253 Client: THOMAS. ENTERPRISES' - n Set No.: 6-1367 File No.: Permit No.:. 046-326 Project No.: 31151303 __ Project Name: BED, BATH & BEYO MARKET PCACE'@ IXQ HWY 111 @ ADAMS ��r( LA QUINTA, CA Age (Days) Date Tested Nominal Size• 1 Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 7 1/31/2006 6X 12 28.37 83,170 2,930 Cone 28 2/21/2006 6 X.12 28.37 116,550 4,110 Cone 28 2/21/2006 6 X'12 1 28.37 1 111,530 1 3,930 1 Cone -28H 2/21/2006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By MICHAEL G. Location: PERIMETER FOOTING LINE 1 @ MAJOR D Concrete Supplier: ASSOCIATED READY MIX Mix No.: 15331 Ticket No.: 3628431 Water added at Site: 0.00 gal. By - Cement Type: Mix Time: min. Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA OUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 1/24/2006 Date Received: 1/26/2006 Concrete Temp: 69 OF ASTM C1064 Ambient Temp:, 55 OF ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 tz/ M.B.(Ben) Lo Chief Engineer 4020 PSI 28 -day compression test complies with the specified strength. �� ,:.'�q Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 653-4999 Fax: (9,09) 653-4666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH -CONCRETE ASTM C39 s* VCC 4425 JAMBOREE ROAD, SUITE 180 NEWPORT BEACH, CA 92660 . Client: THOMAS ENTERPRISES A Set No.: 5-6638 ' �l OCT 2 52005 File No.: Permit No.: 046 -326"` --- Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q HWY 111 @ ADAMS LA QUINTA, CA (� A Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 3 10/17/2005 6X 12 28.37 45,000 1,590 Cone 7 10/21/2005 6X 12 28.37 60,500 2,130 Cone 28 11/11/2005 6X 12 28.27 28 11/11/2005 6X 12 28.27 28 H 11/11/2005 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By: JEREMY JOHNSON Location: FOOTING SOUTH SIDE OF BLDG LINE 6 E+G Concrete Supplier: ASSOCIATED READY MIX Mix No.: 15336 Ticket No.: Water added at Site: 0.00 gal. By Cement Type: Mix Time: min. Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** Date Sampled: 10/14/2005 Date Received: 10/17/2005 Concrete Temp: 82 °F Ambient Temp: °F Slump: 4.00 in. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 . . 1 ;4 40�//4t M.B.(Ben) Lo Chief Engineer Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tel: (818) 833-8100 Fax: (818) 833-0085 Report of.- COMPRESSIVE STRENGTH -CONCRETE ASTM C39 VCC 4425 JAMBOREE ROAD, SUITE 180 NEWPORT BEACH, CA 92660 Client: THOMAS ENTERPRISES A Set No.-- 6-1260 File No.: Permit No.: 046-326 Project No.: 31151303 Project Name: BED, BATH & BEYOND MARKET PLACE @ LA Q HWY 1 I 1 @ ADAMS LA QUINTA, CA Age Date • Nominal (Days)- Tested Size Actual Area (Sq. Inch) Load Strength (lbs.) (psi) Type of Fracture 9 1/18/2006 6X 12 28.37 118,390 4,170 Cone 28 2/6/2006 6X 12 28.27 28 2/6/2006 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By MICHAEL G. Location: S.O.G. AND DOCK LEVELER @ LOADING DOCK Concrete Supplier: ASSOCIATED READY MIX Mix No.: 17231 Ticket No.: 3617611 Water added at Site: 0.00 gal. By . Cement Type: Mix Time: min. Remarks: Distribution: THOMAS ENTERPRISES VCC CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 1/9/2006 Date Received: 1/17/2006 Concrete Temp: "F ASTM C1064 Ambient Temp: °F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B.(Ben) Lo Chief Engineer I Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl._. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK �O INSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT 0?(N) SPECS Z (N) APPROVED PLANS®(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT II FOR WEEK ENDING k—\3' PROJECT. NO. -UO ENGINEER • REPORT NO. PG \` OF CONTRACTOR PLAN FILE NO. PERMIT NO. Q SUBCONTRACTOR PROJECT NAME INSPECTION ADDRESS ADDDDRE(S'S1 OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): >> -Ub V1�C c� S �� C� CIIJCe �'. ` / Z\\�� U \` c.`st� S�S�fCjr� c C \ CONTRACTORS EQUIPMENT/ MANPOWER USE AREA, GRID LINES, PIECES OBS V D: ase ���� cv'.��:.� i (Z— STRUCTURAL NOTES, DETAIL, OR FIRS USE1"X A REMARKS, INCLUDING MEETINGS. \ j ��iP.ipC�y�—�c Lti��?\`' SZ^SCR / I✓r�ar��'t .c�R �� Qi r CS /�C`]'L�L Cr REWORK AS OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: PERCENT WEATHER: SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START: ©© -. SITE TIME FINISH: 3CO R -, LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number �Gli�lP/.�Je— Print Name City / County Certification Number a," <- Rev: 7/97