07-0823 (CSCS) Field ReportCorporate:
San Diego/Imperial County
Inland Empire:
^r=,r1mw
2992 E, La Palma Ave. Ste.
A 7313 Carroll Rd. Ste. G
14467 Meridian Pkvvy., Bldg. 2-A
Anaheim, CA 92806
San Diego, CA 92121
Iverside, CA 92518
Tel: 714.632.2999
Tel: 858,537.3999
T I. 951.653.4999
Fax: 714,632.2974
Fax: 858.537.3990
951.653.4666
www.mtglinc.com
Dispatch:800.491.2990
Dispatch:888.844.5060OSA�G[TY
Dispatch:800.491.2990
MTGL Project #: �21Li
s - A
DAILY INSPECTION
File #. 1`
r
Permit # (� 1- �a���
� � ��
REPORT
DSA/OSHPD APPL #:
W.
Report # PG i
OF
DSA / LEA #: okl�� �
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distribute[4'[y�jyh iate:ly.
Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting t Inspection.
PROJECT NAME / {
DATE
AACHITECT
TIME ARRIVED TIME DEPARTED
;�, 7� 3
ENGINEER AAf }�!
LLl1 C� Lrlr�I ynee
TRAVEL TIME LUNCHTIME
^--- " -
CONTRACTOR {�
,_ CQ 04a
SUBCONTRACTOR
W
INSPECTION ADDRESS
d Jkliak0oq11
' 'dam+'_
ADDRESS OF PROJECT
�+v«
TYPE OF INSPECTION ❑ BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY ❑ FIREPROOFING
❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
6 WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑ _
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y 1� N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y'XI; N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO- ORIMATE IAL TEST REPORTS):
1 tom{ sVl V1
V�aov
CONTRACTORS EQUIPMENT /MANPOWER USED:
016 Ir J( 4" 1
WiG i r
Q e
AREA, G ID LINES, PIECES INSPECTED:
e r�
`
e. iA't - �bc
I
L+
` C aVL3 di:�� �t!
I i [ '41 _
1
)'.
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
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com
al(i O O
t'
j
J
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
T
THE WORK WAS ❑ WAS NOT ❑
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents_
MATERIAL SAMPLING WAS ❑ WAS NOT ❑ N/A ❑
Performed in accordance with DSA/OSHPD/PROJECT approved documents,
cc Project Architect Contractor
Structural Engineer Building Department
DSA Regional Office Owner
School District
THE WORK INSPECTED METE] DID NOT MEET❑ --
THE requirements of the DSA/OSHPD/PROJECT approve6 documents.
Samples taken: / M1
Weather: C Get ii / Temp:_ ::zf-'t
Signature of Special Inspector
Print Name
Certification #: - * ?�•
Verified bv: - ,
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
d'
San Diego/Imperial Co jq
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
FIELD REPORT
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK WNSPECTOR O TECHNICIAN
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS A") APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
FOR WEEK EZN¢
PROJECT. NO
ZOF
ENGINEER A�•,�j ,� +�/� � L
IjJd.`-wwd
REPORT NO.II((// PG �
/
CONTRACTC�r
F477�
PLAN FILE NO.
PE o, l/ �-3
SUB CONTR�VACTs QR ,
PROJECT NAME I/004& �� er
INSZZ�CTI N p's / /r Sri"' l �� 14 (����A C ya"o �
ADDRESS OF P:7.7-
/ T G/ /5 14hr •' ( 1,4 61A)14
REPORTING REQUIREMENTS: ICBG 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.
M TERIALS S0 G B/� I �"E RV F>E EJ SEAR�� CH REPOR�N 7 (� 14, TEST
r b pe 23z /.fico, f W'(40 -
/e0-
CONTRACTORSEOUI MENT/MANPO USED
CONTRACTORS
cv�ZaiU �� '7��5,
AREA GRID LI ES, P E OBSER
111✓ ���
POF — co�+PriyT �ncy5 e-r.�.6�' Bis -ro���r�z c��ua�s
X 14 /,OM71O 5, �tN� STr"F.L g 5 -� co✓,v�Gno� PG�r� ,o.,- �• ceosS
j38Ac/P6 < ¢ "M ; 0JUS, 7VI 7PAW
Sud n pDETAIL. OR R5§USED:
Dr✓�4��s 3 �� S `�� ➢rL b p S iZ
T—
REMARK�1MC,r L�DIN 1FUNDS:�/�f
rlf217 t✓�Ziil1� -�9u�t/I't✓ 14-'l' I.OGA-71 �/�S G/STS A,3v�E�P�b�
waD0S w6 -)'e_
40q0�e� w�2Ds cvof-'er VC -P -i&y rO-A 41Z-jC,_, L�y�G if, ",e 770P, 40'PdAJ1435 P07V3
a77taA-)<sC- ice' fAe0'aF 40N &e7rav1ar- PPeOA1761d cr.j&U f p,7r `f Er
0Z;rAA-Qkd1 +rLy 7x372* ,
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION:
WEATHER: GL� SAMPLES TAKEN:
TEMPERATURE: j/Dl TESTS REQUIRED:
SITE TIME START: 2' ':v 447 SITE TIME FINISH: �' d
LUNCH PERIOD: Jy k� TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR TW PLANS, TIO AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
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Signature Date of Report ICBO Certification Number
D4#0 ref 0PE;'y4/
Print Name
City / County Certification Number
Rev: 7/97
�•- �.4 . � .,. .s+ ..---�-+... •. .. _ - ..mow.-...,,-..i.......� �_.«. � ,- .. 3.+. s� .A:....�-..,
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Corporate: '' San Diego/Imperial Count---'
'- 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G
Anaheim, CA 92806 .. San Diego, CA 92121
TeL 714.632.2999 Tel: 858.537.3999
Fax: 714.632.2974 Fax; 858.537.3990
Dispatch: 800.491.2990 , .Dispatch: 888.844.5060
4
FIELD REPORT
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518 -
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK VJINSPECTOR O TECHNICIAN
CyC/ 7'F�L�Lr/
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
SOPA
FOR WEEK ENDING
_711 2.608
PROJECT. N0.
Z/�SEOZ
ENGINEER � -
REPORT N0. PG � OFo
CONTRACr�.O+,
PLAN FILE NO.
PERMIT N0. _
SUB-CONI-5M� SUB -CONTRACTOR
PROJECT NAME
14000W_ \
IV)
�
INSPECTION ADDRESS
!!I G� l�a«nt
ADDRESS OF PROJECT
F-�S
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL:/MTGi. 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 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 (1NCLUDE RESEARCH REPORT 11, 01 MATERIAL TEST REPORTS):
AS�b a�$7uft A3G PZArVS IJeZ3Z wpb/ r,A�#144!:'<k 117 S
CONTRACTORS SEEOUIP/ME,NtT/MANPOWER .USED:
C y /-� I4141"_1
649 TWT''-'`. DC67- /7 W3 W3 Ll &54c&,s <"rB 1641 r ; a fawf , W,4 C k Z O6-Foz,
AREA, GRID CINES, PIECES OBSERVED: r
-�� , t>� g
81090 -r9 -ft8ar s=V-
GbGf�G/,(,11�s </ -Ta 66-S`&Vr AGMs 'Ta 40ds102=77GNJ #00,4T95 ft r r%0&74i;Vd
G¢�� yRAC(VE �8 La�A-�eIJS TAY � �1I�1/
STR CTURALNOTES, DETAIL; OR RFIS USED:
1�or ��, A 53, Z9 -D 51 Z
REMARK(/9/ ING G GS:��ClV
NBA &7tlW_Wi_5?5 4C v �y1 s1 l;
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PRO QF T COMPI FTIOW
WEATHER: GL SAMPLES TAKEN:
TEMPERATURE: TESTSREOUIRED:
SITE TIME TART ��'� SITE TIME FINISH: Ori
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
J
I UO CERTIFY THAT I HAVE PERSONALLY
AND / OR THE APPROVED PLANS. -SPECT
Signature
as��v
Print Name C
WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
\BLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
l 7,5 / z; -C6 S0p6te99-695
Date of Report ICBO Certification Number
City / County Certification Number
• t Rev: 7/97
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial Count
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
FIELD REPORT
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK INSPECTOR 0 TECHNICIAN
Gyq
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y) A)
APPROVED PLANS N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
FOR WEEK ENDING Z�
PROJECT NO.
ENGINEE•R_147 i{ �%�
REPORT NO. PG OF
CONTRACF `
PLAN FILE NO.
PERMIT NO.
z3
SUB -CONTRACTOR
44w 5-
PROJECT NAME
?tea
INSPECTION ADDRESS
ADDRESS OF PROJECT
LA-
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):
f}3G P S Ney3Z74
CONTRACTORS EQUIPMENT I MANPOWER USED:
Amzp/� 66i=&n� 0i �L�✓ 11�1�6�i��' j�SFC� wl3L� 7� /Vl IC221�L d'L�J%E��
rVsT-40Dc0I-1RG�_
AREA, GRID LINES, PIECES OBSERVED.
-roauat- /
iew Awp
Gaut//AnIS </�" LD�%ATIat�S i���ST� �i�ti1S �dy�g101-� 01�i85 A'r SdE�78�P�
STRUCTURAL NOTES, DETAIL. ORRFIS USED:
_ PO 2LNpS ®. .5"7. es,Z-
INCLUDING GS:
REMARK6'05&'A0&110
� o�>ii0 G✓�.�v- U%!� 1/�I�IP� >�a� �/ � Lzr�"�f G�Jc/�jDi�� f}�l7 Z[!>l���s
; jr- ot::� Irl s/ gt.' D IS/a2?55wN16el'Zr _:Vcd 7" P&-PorAfvv N S
Ne -T- Y� ter t�v y-nnr9rt>.
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJiyEPT r_.OMPL F_T1W
WEATHER: �C% �} SAMPLES TAKEN: �(Q
TEMPERATURE: /®/t/��✓�y��( TESTSREOUIRED: LYP1,d
SITE TIME START: ;?' 00 SITE TIME FINISH: cOc)
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED
AND / OR THE APPROVED P1_ANt SPECIFLCATA>�if S
Signature
Print Name
WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
1BLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
1 ZiJ / 7'✓06 5 o49wv—gs
Date at Report ICBO Certification Number
City / County Certification Number 3
Rev: 7/97
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial CoU`I,.y
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
FIELD REPORT
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92508
Te I: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK NSPECTOR O TECHNICIAN
zzz Aw IE%G
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS &f�") APPROVED SHOP DRAWING (Y) (N)
ARCHITECT�
FOR WEEK E,NZDIN ' ��
PROJECT N0. ��� Z
ENGINEER • , -�
REPORT NO./ PG OF
CONTRALTO �
P�!
PLAN FILE NO.
PERM NO.
SUB -CONTRACTOR
PROJECT NAME 09'1/(L 55e;,�j R,�12/�-
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):
CONTRACTORS EQM MANPOWER USED:GI) Z-5kJ/l��/"��� Lf F (� � GJLZ�7�F-> B (KIEZ 4657- lq& DV -5
ase b�sl? . x 602WiWN A1-+ig(41Z
AREA, GRID LINES, PIECES OBSERVED: / n _
l/�� i/E'�G�� �� 6y Y G(%t./%� g�j �i `f
F — C0lu&eT'0_wli, gwAa�a) &z7.5 or"l"Fle-y- ftlw_5 10 7uP�ES�
CI �' L da -Pops > hP9 7u aE STEL - DQft s 70 4WP�;-25-776 Apr- V�A?1eAr_) �s
_D �¢L--'qc#wo)j5, 7u? 4 B vAl %
STRUCTURAL NOTES. DETAIL, OR RAS USED:
1>a7�3 DSD��_r Z� Dt'MGS 3 1klk-uD -5 17-
REMARKS. INCLUDING MEERNDS.
DgS &✓L rlez> O -P -rv'�2 >rPWrkt� A -r 7W5 -1S/ "ayE_ �°77F/by
�t��� �,,�2Ds cv��y�r� �= s�� �✓Gi�f i�i9���; �'D-u✓L��s No��
1)07- Y67 -
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION*
WEATHER: SAMPLES TAKEN:
TEMPERATURE: AD / 5 / TESTS REQUIRED:
SITE TIME START: 7 !4va y
LUNCH PERIOD: 3d A"
SITE TIME FINISH: a
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 JPPROVED PLANS, SPEgFICAJJON�jND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
V71 -W z / ZZ / Z&6 .51041V-�S
Signature Date of Report ICBO Certification Number
Print Name City / County Certification Number
Rev: 7197