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0204-035 (CSCS) Special Inspection ReportL City of La. Quinta Building a Safety Dh*ion Box 1504, 76-495 Calle Tampico La Quinta, CA 92253 - (7601777,7012 Building Permit Application and Tracking Sheet Permit # P-4P.O. Project Address: -1 _ i 0 Hwy, I (. t B16-6- Owner's Name: OLE 15L&VV,{.� �A'O A. P. Number: Address: -) J —0 6ct '_FAQK Legal Description: fWCOL ex- P 501 �-7 City, ST, Zip: "UCtio Mt(2,4&67 CACj 2ZZp Conxxtractor: �FaD t! Telephone: Z 3 Address: t�6-15j � 1.,t� �-(; Project Description: `5zu4 es, City, ST, Zip: i,4 Q l�tl l�'T-� cI �Z� 3 X12. Nt�cN P,2 C 56g_-Tmrs 60evs hon Telephone:.......... e 0 i �✓ i � 4 State Lic. # :,-7( Q — City Lic. #: Arch., Engr., Designer: Cr{-- CcKA I& Address: 6I _ City, ST, Zip: r, 'I)to 66" ` tzol Telephone: .Co nstruction Type: VPISPQ Occupancy: : 2 Lu.# Repair .DemoState Pjone). roJecttYPa (circle N e Add'n Alter Name of Contact Person: Sq. Ft.: 9660 # Stories: 1 # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for correcti Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue V Electrical Subcontactor List c Called Contact Person Plumbing .Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I.SP'LCIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY �r 78-194 Elenbrook,Ct. Palm Desert, CA 92.211 Office (760) 772-71,92 Fax (760) 772-7193 Pager (760) 776-3338 /I. TYPE OF INSPECTION PERFORMED EINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED_ MASONRY O FIRE PROOFING O O OTHER JOB LOCATION ` ^ ^ � A �I , REPORT SEQUENCE NO. TYPRUCTUE y C PERMI&O� DAY OF WEEK MATERIAL DESCRIPTION ARCHITECTw C//tv� INSP Cj HRS. CHARGED ENGINEER ASSISTANTS MRS. CHARGED. INSPECTION DATE GENERAL SUB CONTRACTOR -Q 4-Cx Ls l� t CONTRACTOR L 0 (CAP I?A A& gob & Cows-mucIoN r� COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE IHEREBY CERTIFY THAT .I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI ATURE OF REGISTER INSPECTOR b3 .1�� 04--) DATE bF REPORT REGISTER NUMBER OUR (SPECIAL INSPECTION SERVICE REGISTERED INSPECT R'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED INFORCED CONCRETE O STRUCT. STEEL ASSEMBLY J O POST TENSIONED CONCRETE O ASPHALT O REINFORCED_ MASONRY O FIRE PROOFING O O OTHER JOB LOCATION I'M— i I C A &U`A:f— N REPORT SEGUENCE NO. TYPE STRUCTURE i k082��qAMITN) �o ��/ DA]� �^ } DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT Co/W SP TO C HAS. CHARGED ENGINEER S � Lv ate. ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL�� 1�C� SUB CONTRACTOR CONTRACTOR �i, IIL (,�%!�✓ Peo-f U L T Serf, 101 3 Gv k -L Go aae— c,k, eeL - ot- r_kOle �-jgjAn C_- I ` O < lid v �s Z=. l u 4� R •- i NS i N D �k LST` —ci, e-kX-- WLA-6L (jl/i.z„ E 4v Y-Ju c COPY SENT TO CLIENT O CON INU ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE 'HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i (_',AId'yIATyJF1,fbF REGISTERE NSPE T R6 DAT!/ OFF REPORT REGISTER NUMBER INSPECTION SERVICE� REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED — O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY C24 WQAT ❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER ❑ REINFORCED_ MASONRY ❑ FIRE PROOFING JOB LOCATION e REPORT SEOUENCE NO. TYPE OF STRUCTUR o� PERMIT N0. �Z. 0 TE z m3 DAV OF WEEK MATERIAL DE RIP N 1 - � AR HITEC ��c INS CTO HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL �' CONTRACTOR a SUB CONTRACTOR r 912A 0 ` ( 1 x 7 1" Im - w f nr� ` r S � 4o 1 % na, L' -J�A -.. A DM N\cVi)cS ® L' COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGN U E 0 REGISTER INSPECTOR TE OF RPORT REGISTER NUMBER SPACIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED. MASONRY ❑ FIRE PROOFING JOB LggATION\� �D ` � O � REPORT SEQUENCE N0. TYPE OF STRUCTURE�` © PERMIT qNO. �p t� LQS DA ! p DAv 0 WOE MAT&IRIAL DESCRIPTION y ` ARCHITE_�Tpf, \�ld�°� INS P CTO MRS. CHARGED Z`Z ENGINEER _ � �� � ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR SUB ,CONTRACTOR OSLO •P � d G N ro 9 2..3 � ck'fir a. La Lt COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF Ml' KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. S ATU E OF REGI EKED INSPECTOR -17711-N DAr OF REPORT REGISTER NUMBER 4".. REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED. MASONRY O FIRE PROOFING 086�o Fy O OTHER JOB L ATION V\ REPORT SEQUENCE NO. TYPE OOf�STbRUPTUR ; �n PERMIT NOzz� - f � s V� DATE DAY O�WEEK(\ MSJR,IAL DESCRIPTION 1 2Z t 0�2� AR ECT -k INSP TOR HRS. CHARGED Co alms ENGINEE - VA [ASSISTANTS HRS. CHARGED INSPECTION ' DATE GENERAL CONTRACTOR' S(Z��jVk%a31QCONTRACTOR SUB C 1 1 jtDkX \ 1+7 V Vim♦ P VI c] MA J O &IL-Q)fink tte o 82s b o --'8 rt o oJ'4' COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV �,. KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE + NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. e SIGTURE OF REGISTE 0 INSPECTOR ®� (as D{TE F REPORT REGISTER NUMBER SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT O REINFORCED_ MASONRY O FIRE PROOFING Cod-, L O OT ER _` JOB LOCATION REPORT SEQUENCE NO. TYPE OF STRUCTURE � � PERMIT N0.D �� Q) ?,,S TE � � DAr� EEK MARIAALL `DESCRIPTION o ARCHIT T INS CTO MRS. CHARGED S2 i Zcs�S Zm® ENGINES LOAN ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR SUB CONTRACTOR _ I Il S �S �I 6 M Oh cs • 6-i q k Co 0 )n,%A S ��CASc� c� J al e`Il� mtAN f \ - m .N. A O� COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE i HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i, SIG AT RE OF REGISTERS INSPECTOR gafl J._1 % VAl_1 _ g DATI OF REPORT REGISTER NUMBER 1� �, F. -F/ ?El (Z) REPORT OF GROUT COMPRESSION TEST t�. TESTED fOR'Z25cr� [C C' PROJECT: -�,-� DATE: (— l a OUR REPORT NO.: FIELD DATA: �'`�'� LOCATION OF PLAC&&NT J UTA DATE PLACED — SUPPLIER n ^ ` TIMEPROPORfION5 12' ,{ Z CEMENT (��,✓�`� �/ AIR CONTENT. %d WATER AIR TcMPERATURE.'F 1 " FINE AGGREGATE " � ((�' AD(yIUCTURE GROUTTEMPERATURE.4F �7t PATE RECEIVED IN LAS FIELD DATA SUBMITTED By MIX DATA SUBMITTED 8Y ! J COMPRESSION TES RESULTS ASM CIOM �N j TOTAL j Cu9E I CARE lcaplKssN4 .ylepRATpaY 1 Ip�l78'ICA–��tON AG2 i oAi� OR LOAD ( VK) 1 tsa w.l IPSO TM�6 OF eaEnK 1 NUYBFR l OR SET no. ! (DAYS) I TEST I<85.1 . Vol ® „ svfacicATIOMS REMARKS: _ C w n -k Dy pst we"npu". cw"s p or PSI na••ef—ido- _ Cuoes .seoe try Amruea'a or Cwes daO woa to PS' p -awy Cprorae;als reprutastiw. /. C -44,t - �P—, Tett rums ao ear e0leeq wifA aaaYGaU �aafiptgRt. rAGN*sst&en&r.A/ILrvlltTorw w4WC VwRAatsslEOA00—My asi0amAorTHE BMW AUTMIL. aEJeRte wtr rateE-ts�e•.aPraaAivrlfr7tR wffMI. KioMMgor s• ONSFESSOLAL GERuM09MM Aata. Respectfully Submitted. Professional Service )ndusvias:: b. ** TOTAL PAGE. 05 ** REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT; BIG S -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE PALM DESERT, CA 92211 REVISION ##2 DATE: July 17, 2003 OUR REPORT NO.: 073-30231-1i --_- FIELD DATA: LOCATION OF PLACEMENT Pier footing, 1st one on east side DATE PLACED July 17, 2003 TIME 10;37 am SLUMP, IN. 4 1/2 AIR CONTENT. % - - - AIRTEMPERATURE.sF 93 CONCRETE TEMPERATURE, OF 86 DATE RECEIVED IN LAB July 16, 2003 FIELD DATA SUBMITTED BY Cosy Douglass MIX DATA SUBMITTED BY Simon SUPPLIER Simon DELIVERY TICKET NOJTRUCK NO. 93096 MIX NUMBER AND PROPORTIONS ES -03-041 CEMENT --- WATER --- FINE AGGREGATE - - - COARSE AGGREGATE - - - ADMIXTURE --- COMPRESSION -- REMARKS: _ eyoum moo by Psi mpeeentetive. Cy1:,dms mem by "MAI Bds O, X Ca�itacmre mpTeBelgStiVe. (ivihOOfi pipce0 up by PSI repTeeeliietnv. X Cvt ,0* dRh oftl t0 PSI I8I)MM ry. TECHNICIAN: CORY DOUGLASS X Test eaoi, c Pty -ith OWWAbts Te:t,os,nts ao Aa eompty w!tn BDDiICiDb ipOCiykiliRfltl. mm TW RMA -TS APKV ONIY TO TME IPECFC SAWUS 112"Z0 AM WAY NOT BE 1AOICATgtE OF 11B ENTIRE OOWAETE PVCOiEiIT- REP'ORT: MAY ROT BE REPROONCEO. EKCUT M RAL. to nMO VWhV MN 1`013428M 9V PAOPESBW WL Sclvw 1t10Y:TRIEe. BIC. VBi A,20" MF Respectfully submitted, Professional Service Industries, Inc. COMPRESSION TEST RESULTS ASTM C11"I; C1n1-W ` , SPECWIfiN I TEST i TOTAL I C4t)NOER ; CYL COMtEMGTH STRENGTH W@pMTORY NyWDfiR ! I�M�GATfptg AGE) i DATE OF OR SET NQ (DMS) ; TEST I LOAD (Los.) ! ONINETER lBa) AREA 1 ' ' (SQ a•) (PSD TYPE OF BREAK 870 A 3 X07/20/03 84000 6.00 28.27: 2970 ? Cone 870 g 7 :07/24/03 96000 ? ' 6.00 28.27; 3400 Cone 870 C 28 108/14/03 132S00 6.00 1 28.271 4690 Cone 870 D 28 .•. 08/14/03 i 12SS00 6.00 j 28.27 i 4440 :. Cone i SPECIRCATIONS i - I 4500 I REMARKS: _ eyoum moo by Psi mpeeentetive. Cy1:,dms mem by "MAI Bds O, X Ca�itacmre mpTeBelgStiVe. (ivihOOfi pipce0 up by PSI repTeeeliietnv. X Cvt ,0* dRh oftl t0 PSI I8I)MM ry. TECHNICIAN: CORY DOUGLASS X Test eaoi, c Pty -ith OWWAbts Te:t,os,nts ao Aa eompty w!tn BDDiICiDb ipOCiykiliRfltl. mm TW RMA -TS APKV ONIY TO TME IPECFC SAWUS 112"Z0 AM WAY NOT BE 1AOICATgtE OF 11B ENTIRE OOWAETE PVCOiEiIT- REP'ORT: MAY ROT BE REPROONCEO. EKCUT M RAL. to nMO VWhV MN 1`013428M 9V PAOPESBW WL Sclvw 1t10Y:TRIEe. BIC. VBi A,20" MF Respectfully submitted, Professional Service Industries, Inc. R ISPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED INFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT INFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCA ION j 4� 4 � REPORT SEQUENCE NO. TYPE OF STRUCTURE OERMIT NO. DATE DAY OF WEEK MA ERIAL DESCRIPTION ice^ n ARCHITE IN SP T R HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR SUB CONTRACTOR 9. 5 o - c 2 % f _1f &,j+A-\ A 93 Ami 2 a, (j2 A -I( S fid. � - 3 env 'n \d r �S -71 1"1 1 Cc�kcNS fo'ASak S . v� w- w O-� 3fZT �o CCC'-� -TA. � ZOSS66 c S. COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGN E OF REGISTERED SPECTOR Z s 7-C.11 1 DATE 4F REPORT REGISTER NUMBER ,/ REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ O OTHER JOB LOCATION O `: C REPORT SEQUENCE NO. TYPE OF STRUCTURE �. � �� j PERMIT NO. 2 -G5 DATE OAv OF WEE 71 31 1 e MATERIAA L DESCRIPTI N ` + ems- / f .. " C. �� ARCHITECT T INS PE T R MRS. CHARGED • ENGINEER �� ASSISTANTS HRS. CHARGED INSPECTION DATE GENERALSUB CONTRACTOR &. "e4 CONTRACTOR s `Z e- HT1 ,CL - 1 (Scr\ i -i -!Na s i �► N L \ �r 'V COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI GOATURE OF REGI ERED INSPECTOR GATE F REPORT REGISTER NUMBER i REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMEDREINFORCED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER MASONRY ❑ FIRE PROOFING JOB OCA N REPORT SEQUENCE NO. TYPE OF STRUCTURE o 12 E±s,c S T � PERMIT N0. DATE ! DA OF WEEK �. MATERIAL DESCRIPTI ARCHITj T INSP TOR R5. CHARGED ENGINEER I LO ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR , SUB CONTRACTOR bscc S m v L �-aSi•� �- - v G« CXQ 6 r; c . 5 Jf c s©—, sCiA L4 Q— �r &f -71 S `AIL.j - — f'0�5 A 0 G Gf� �Z coj tip COPY SENT TO CLIENT ❑ CONTINUED ONNEXT PAGE O PAGE 0r CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M`% KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. 9 t1qu c5h. VC -4 "� 1j, 5 . - NATURE OF REGI TERED INSPECTOR `l t q eo r1 IS I C 6 SO -17 71'7-8q DATE OF REPO T REGISTER NUMBER SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fait (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCA N_ REPORT SEOUENCE NO. TYPE OF STRUCT+R ` a _ 9.277 PERMIT N0. DATE k DAY OF WEEK MATERIAjDESCRIP I . } S` � ��` ^�^ ," \ ARCHITEC INS 'TOR MRS. CHARGED ENGINEER C ASSISTANTS HRS.CHARGED INSPECTION GENERAL m DATE CONTRACTOR SUB s.ONTRACTOR 1 V` L, -1141' r-\ CQ'lo, o� (� -k �C 2� L er � Tt OM 4 COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE O PA OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. lr SIGN T RE OF REGISTERED I SPECTOR t�t-8q ATE F REPORT REGISTER NUMBER SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED 0 REINFORCED CONCRETE 0 STEEL ASSEMBLY . w -MASONRY 0 FIRE PROOFING 0 OTHER .:.� .-REPORT SEQUENCE, TYPE -OF STRUCTURE jr.10 1,151 PERMIT NO. ARCHITECT INSPECTION GENERAL -� SUB \ ,. CONTRACTOR i �"q 0 IRMO E AM SON - �-14'Vv M&WO A- k M I L MMM -19'a 1 i r '\ `A i J \ S \11w 'o aim COPY SENT TO CLIENT ■CONTINUED O ■ . CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. t N RE OF REGISTERE INSPECTOR L& -eq DAT OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE ❑ STRUCT'STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE O ASPHALT O OTHER EINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION REPORT SEQUENCE NO. TYPE OF STRUCTURE ERMIT N0. DATE DAV` OF WEEK MATE IgLpESCRIPTIO ARCH111,CT INSPETTORI NRS. CHARGED ' ENGINEE (^� , ASSISTANTS MRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR .� SUB CONTRACTOR 6 r7 wi t '+ Ll CV '6 6k Ct,.N X29, Ccs L-% (iO `T \eA o -v C -)r, Z7 a � E r r L..i w�CJY1 � b fUCi \r- J4 O laJcsr i O l `k �Vc)f a AI" C5� cw 0d kr COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. Sf NA RE OF REGISTEREDI PECTOR DAT OF REPORT REGISTER NUMBER rte•. /� REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT CM4REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION REPORT SEQUENCE NO. TYPE OF STRUCTURE 4 o � PERMIT NO. v ® 2 DATE � DAY PF V C�.ac.� e MATERIA DESCRIPTION ARCHIT T f6 L' `e INS CTO MRS. CHARGED ENGINEER LO ASSISTANTS HRS. CHARGED INSPECT N DATE GENERAL SUB CONTRACTORDe—s�ACONTRACTOR ob-swo a - s Sk V 1)rA- Com5 rn3 �o n \w%- m o Note. k\ V% 0, t - 1118 os� v S j- e re \` aj - ° - rimT T" - 8 Li o. OILA a ` COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M`% KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. C0*4 7:) I NATURE OF REGIS RED INSPECTOR �' 3 S D TE OF REPORT REGISTER NUMBER 1 OCT 26 '03 14:31 FR 11� (bz(z q - (z 3 REPORT OF GROUT COMPRESSION TEST J)OLL'44ROJECT: TESTED FOR: • Lam- Qvr�� FATE: 3 OUR REPORT NO.= FIELD DATA:DN OF PLACEMENT 3rd Li �' C L7 "S . iSUPvUEFt A — E PATE PLACED 1 PROPORTIONS D� TIME C � V-A CEMENT WATER AIR CONTENT. % S t _6 FINE AGGREGATE AIR TEMPERATURE. -F l ADMIXTURE GROUT TEMFERA►URE 'F DATE RECENEO IN LAB -Tv qs F(13L0 DATA SUBMITTED By MIX DATA SUBMiT; ED BY COMPRESSION TEST RESULTS tt ASTM CIM" SPEC�EN I BEST ' TOTAL I CUBE CUBE CQefPRESSNEi AREA STRENGT:1 j TYPE OFBREAK LABORATORY 10060 flCAflGB AC. pwTS OS: �� I NUMBER ORS Nt). (DAYS) j TEST tLBS.I l�•1 j (S4 w l (PSq ? f 43 i SPECIFICATIONS REMARKS: _ CuoesIryOe P91rtpcefMeDre ^ Clbo.taat.ouearPSI marese—tivea Cubes mace W Arenite tsar Cubes OetNeret! to PSI IaooreltRY. Cantraeters rearesetaalivs. _ 44 2�g gop- n�zehsca¢su�csro�r�en.EavEeas�=worsu.euS REPORT& VA4 NOT Psi f Te.t tw11AS-covVy -il. uaeseele .._ specdietit�en>_ Tea resue. eo not mmow wiu% aaPGestite saeGfieatians. Respectfully Submitted, Professional Service IndustrieO, It JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 SPECIAL' • Fax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER CNCREINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION !E� — - ` W \ REPORT SEQUENCE NO. TYPE OF STRUCTURE ® 4 s/�/'�•1 a j�V\ `T J PERMIT N0. DATE -1 DAY OF WEEK MATERIAL DESCRIPTION ARCHI T INSPEETOR HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR SUB h � JPNTRACTORCX (� ` 8 s nxu U. `s- 4z La Cie wA .5A C e p A a C d' G uc aCA G"& or- �od COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. S NA RE OF REGISTERE INSPECTOR DATE OF REPORT REGISTER NUMBER—i4 - f _ REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT CrtwINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCA ON o REPORT SEQUENCE NO. TY E OF STRUCTGU\ PERMI®. DATE T DAV F W EK MATE IAL ESCRIPTION ��e Ss ld c,�l� (s ARCHIT T IN_SPj1.E TOR HRS. CHARGED L, ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR S SUB . .CONTRACTOR ��S o Cggzc-se2�,I (G s "+') L►-' -a. Gr( L.�-& A -Pr-qcn - 5 fo & l- L� Lc't -A oA Gr, - k4 'Z� o ID 'I Iv \ r 'I-Ceacs- eJ. Is -704 rcif'rzr Lej' oc� COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. S SI N URE OF REGINSPECTOR DATJ OF REPORT REGISTER NUMBER ^�� REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE ❑ REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY . ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION _"Ro 14 to it , V�� 0- �} T REPORT SEQUENCE NO. TYPE OF STRUCTURE �c+ 1!0 PERMIT N0. y/ `� DATE 3-03 DAV OF WEEK MATERIAL �� DESCRIPTION � /INCL ARCHITECT II , (, V Co 7L. INSPECTOR 'VZ 1"c> HRS. CHARGED ENGINEER IqiL-10►t ^^ VA - ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR CLvu-'S SUB CONTRACTOR L/T\• -k --rr)Lxc� UC Nr S6 d o W `` - COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGIST INSPECTOR * ` 3-02!� *C450 l a3 DATE OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ OST TENSIONED CONCRETE EINFORCED MASONRY O STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCAT N REPORT SEOUENCE NO. TYPE OF STRUCTURE 42�4S 0-4— d '� PERMIT N v3 DATE DAr WEER MAT RIAL DESCRIeT10N (-,& \ ARCHITE INSP CT HRS. CHARGED ENGINEER ASSISTANTS MRS. CHARGED INSPECTION DATE DATE GENERAL CONTRACTOR SUB _CONTRACTOR - S - e,S S k V Q(' - N4. m m3 G `n f1cs,4N IN Ah I C c\Q- ika`J�1 <r -a- S 52 w vY ;� of o \_ ` o ZogS[ r �2 -- 3 `a S° iq lon Z 3 De -r a, V-0 2-# ` cd V_ 'L�� Q% -y\ k Atzs 2.s. QP or COPY S N TO IIICLIEN p CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. " I"\ S GN URE OF REGISTE ED INSPECTOR _71 R DAT OF REPORT EGISTER NUMBER _�� N�; Information . eTo Buaki On Engineering • Consufting • Testing COMPRESSION TEST RESULTS ASTM C100.99 LABORATORY NUMBER REPORT OF GROUT COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 .HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE TYPE OF BREAK PALM DESERT, CA 92211 7 07/10/03 REVISION #1 DATE: July 03, 2003 OUR REPORT NO.: 073-30231-9 FIELD DATA: 863 B ' LOCATION OF PLACEMENT 3rd li! t',' 811 CMU bulding wall, east wall center 3.00 x 3.00. 9.00 2170 DATE PLACED July. -03, 2003 SUPPLIER- A-1 TIME 06:22 alit MIX NUMBER AND PROPORTIONS 60503 FLOW, SEC. - - `: CEMENT - - - AIR CONTENT, % - - - WATER - - - AIR TEMPERATURE, °F 80 , ' FINE AGGREGATE - - - GROUT TEMPERATURE, OF 76 ADMIXTURE - - - DATE RECEIVED IN LAB July 08, 2003 " FIELD DATA SUBMITTED BY Cory Douglass MIX DATA SUBMITTED BY A-1 COMPRESSION TEST RESULTS ASTM C100.99 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) CUBE SIZE (IN.) CUBE AREA (SO. IN.) COMPRESSIVE STRENGTH (PSI) TYPE OF BREAK 863 A 7 07/10/03 9250 3.00.x 3.00 9.00 1030 Cone 863 B 28 07/31/03 19500 3.00 x 3.00. 9.00 2170 Cone 863 C 28 07/31/03 21500 3.00 x 3.00 9.00 2390 Cone SPECIFICATIONS - 2000 REMARKS: Cubes made by PSI representative. Cubes picked up by PSI representative. — — •Y" Cubes made by Architect's or X Contractor's representative. X Cubes delivered to PSI laboratory. TECHNICIAN: CORY DOUGLASS Test results comply with applicable X specifications. Test results do not comply with applicable specifications. THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE MATERIAL PLACEMENT. REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC. Respectfully Submitted, Professional Service Industries, Inc. REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Paget (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATIONREPORT --3%J; (\� W SEQUENCE NO.. TYPE OF STRUCTURE .o r PERMIT NO. DATE P7 -2-e DAY OF E14 MATE L,DESCRIPTION. 1 ARCHITECT INSPECTOR NRS. CHARGED p a3 ENGINEER y � ` � ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR r SUB CONTRACTOR s V ♦�, Lf, �V, �\ n v 3 coo �®�r� L -to . \.4-6 ..l f ®�rb l.� .Af S� c _ 1"d\ u% s a a IL'i Acam: U u 0 G . COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MJ KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIG14TURE OF REGI n ERED INSPECTOR DATE OF REPORT REGISTER NUMBER u REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Paget (760) 776-3338 TYPE OF INSPECTION ` PERFORMED.d-REINFORCED O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER MASONRY O FIRE PROOFING JOB LO TION lLos REPORT SEQUENCE NO. TYPE OF STRUCTURE PERMIT NO. a) 2 - DATE - k - t1b3 DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT INSPECTOR HRS. CHARGED V, ENGINEER 3(LOAM ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUEZ DATE CONTRACTOR ---1--464eS CONTRACTOR SlCV 2i LR C aC.o�r l l► Qclk) AM C a 0 0 - - 2 - l C So ^ar IL Na _ -fit cd L�M M O4t rf\ colj C L4 s w co l k- .. COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. 6 SI ATURE OFR ISTERED INSPECTOR _ S IC. ACS SQ) -7-11 t l -8q DATE OF REPORT REGISTER NUMBER Informaution /r oTOBuild On Engineeing • Consulting • Testing REPORT OF GROUT COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE PALM DESERT, CA 92211 REVISION #1 DATE: July 01, 2003- OUR REPORT NO.: 073-30231-8 FIELD DATA: LOCATION OF PLACEMENT 2nd lift, 811 CMUs, NE corner DATE PLACED Jul Y.' 4.01, 2003 SUPPLIER A-1 TIME 06:48 am - MIX NUMBER AND PROPORTIONS 60503 FLOW, SEC. - - - -- CEMENT --- AIR AIR CONTENT, % - - - WATER - - - AIR TEMPERATURE, OF 88 FINE AGGREGATE - - - GROUT TEMPERATURE, °F 77 ADMIXTURE - - - DATE RECEIVED IN LAB July 03, 2003 28 FIELD DATA SUBMITTED BY•. Cory Douglass 3.00 x 3.00 MIX DATA SUBMITTED BY A-1 Cone COMPRESSION TEST RESULTS ASTM C109-99 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) CUBE SIZE (IN.) CUBE AREA (SO. M.) COMPRESSIVE STRENGTH (PSI) TYPE OF BREAK .8.59 A 7 07/08/03 7000 3.00 x 3.00 9.00 780 Cone =859 B 28 07/29/03 20000 3.00 x 3.00 9.00 2220 Cone -859 C 28 07/29/03 22500 3.00 x 3.00 9.00 2500 Cone SPECIFICATIONS - 2000 REMARKS: _ Cubes made by PSI representative. _ Cubes picked up by PSI representative. Cubes made by Architect's or X Contractor's representative. X Cubes delivered to PSI laboratory. TECHNICIAN: CORY DOUGLASS Test results comply with applicable x specifications. Test results do not comply with applicable specifications. THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE MATERIAL PLACEMENT. REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES, INC. Y: Respectfully Submitted, Professional Service Industries, Inc. SPECIAL INSPECTION S,ERVICE, REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Favi (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY O FIRE PROOFING JOB LOCATION 1 ?3 71M U` ;\ CA - REPORT SEOVENCE NO. TYPE OF STRUCTURE = S t� c�c�► S PERMIT NO. b1 DATE s DAY OF WEEK a MAT ,D ARCHITECT IN P CTOR I HRS. CHARGED ENGINEER7STANTS HRS. CHARGED INSPECTION DATE GENERALe -bSUB CONTRACTOR e i 1 l eo.CONTSUB '--�IN1MI 011& nQ, o A�: C� �'e • s C�l`� '�1�C�J COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. OF REGIS ERED INSPECTOR � � 3 DATE OF REPORT REGISTER NUMBER T- OR Mo ME& I �: MOM REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER REINFORCED MASONRY ❑ FIRE PROOFING JOB LOKION LA REPORT SEOUENCE NO. TYPE OF STRUCTURE o cc�5 PERMIT N0. 2(b - DATE 022101 DAY OF WEEK r.: MAT RI jL DESCRIPTION M `c� ARCHITECT .- 0—w- � lc� IN CTOR HRS. CHARGED ENGINEER ENGINEER � LO ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR C CONTRACTOR 1I mos e .'a y rZ To Z u -c. r.ciSt l�c� s� t As--) FEgzj rS �� �� ^n® L.�t ('�►SkA e011. i �OdtQ� , U fl COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE 0 PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGN . RE OF REGIST ED INSPECTOR ��3 o "1VT -84 TE OF IREPORT REGISTER NUMBER I REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED '0 REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY�� ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER EINFORCED MASONRY ❑ FIRE PROOFING JOB LOCAT N 11 _ �\ REPORT SEOUENCE NO. TYPE OF STRU�CTU$L PERMIT NO. 2 - DATE QAV OF EK 3 MATERIAL DESCRIPTION S O ARCHITECT INSP CTOR I NRS. CHARGED 3m5 ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR _ NTRACTOFI w e�A 2. Com: U �.>A 2 �oJs S�LA' tita �; C�c\.�t2. \.� 4, kCrt, 2.5 t okso sSeA ►r tial _` R. a Gr-�1_0 ��ahn A + om AIL COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. C L SI NA E F REGISTERED INS CTOR 2 a -17 0 -p DAT OF REPOPT REGISTER NUMRFR OCT 26 '03 14:31 FR TO 97727193 P.021M - k #* REPORT OF GROUT COMPRESSION TEST _ pa - TESTED FOR:eSG►-�t�-�� r O C PROJECT: 1�.`� J DATE: CQ OUR REPORT NO.: FIELD OATH: p r• (Stj�;� y� S! lir' LOCATION OF PLACEMENT GATE PLACED (-eSUPPLIER? 1 ! m3 PROPORTIONS TIME \ 1 3 1 CEMENT WATER AIR CONTENT. % o FINE AGGREGATE AIR TEMPERATURE.'• � 0 ?s ADMIXTURE GROUT TEMPERATURE.'. �� G DATE RECEIVED IN LA8 (,p, 3►O �-3 rr FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY t�Cr� A COMPRESSION TEST RESULTS ASTMC109-0 I CUBE • _ SPECUAEN �5T ` DATE OF GTO AL i I� I �� U80RATORT dX"TMr_ATIONI AGE (LBS.) (a+•I I (501011 ' NUMBER OR Se'T N0. DAYS, i TEST '7 I? -3.-03 7500 j x3 7r 3 216-3 lion o3n2,,f4# SPECIFICATIONS 7 2S Ra : REMARKS: —CIA" maee a vst �' e1°t"'0 _ C,bee PGUd w Oy PSI repmsd llWL C.mee e�Oasa A7 scrs m C;,ba aet:.etm m PSI tabotS WV. CmwsGors Kpeesn,yAwm. j 2 (psi)I 'PC OF 8,FAI, i jacoo Y401 c - 324-P jz,> TW mwAW OWROY "Ob aeOaJbM sOeCtiACam^s- } Test msou Got" COMM wm .pedltiatie�e. . nEsc .%- REsu6Ts Aff" Q.qr can* SpEcm wt EA Tt3TFA, Mp &,^,fNOT KtwOICA7NE 01 eta a®ORTS uar NOT GE RIVROWCOb� mlea<sc a AAL wTtIOYr vubTIFN a Wawv' er rwwesmaw ps •.:49.31 s i - 1 , R sp Submitted. e conal Service Industries, 1; REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O•ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING O ❑ OTHER JOB LOCATIONREPORT ms- i .e c-�. SEQUENCE NO. TYPE OF STRUCTUAL cociM s�'.Y^i PERMIT N0.,� DATE DAWEEyC MATERIAL DESCRIPTION�e� G i �, �[Q�`` ARCHIT C coy, INSPECTOR HRS. CHARGED ENGINEER jj `o fr ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL - CONTRACTOR SUB CONTRACTOR \t� / ( L CA vV _ zS ♦- A G'/1 r5� u ® ` ern G J f o y2 f 1" U C t moi. G 1 (( k ^- w r„ ,f `iso La, -rrp A'O 25 y Q St � V 1 iI A NCi � \ � �•1� � r COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. S IVLE OF REGIST ED INSPECTOR ATE 01 REPORT REGISTER NUMRFR Information /r ®TbBuild On Engineering • Consulting • Testing REPORT OF GROUT COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE PALM DESERT, CA 92211 REVISION #1 DATE: June 25, 2003 OUR REPORT NO.: 073-30231-6 FIELD DATA: LOCATION OF PLACEMENT 1st lift., 811 CMUs, at west wall building DATE PLACED June 25, 2003 SUPPLIER, A-1 TIME 11:55 -am MIX NUMBER AND PROPORTIONS 60503 FLOW, SEC. -.- - CEMENT - - - AIR CONTENT, % - - - WATER - - - AIR TEMPERATURE, °F 97 FINE AGGREGATE --- GROUT --GROUT TEMPERATURE, °F 83- ADMIXTURE - - - DATE RECEIVED IN LAB June 26, 2003 FIELD DATA SUBMITTED BY Cory Douglass MIX DATA SUBMITTED BY A-1 COMPRESSION TEST RESULTS ASTM C109-99 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) CUBE SIZE (IN.) CUBE AREA (SO. IN.) COMPRESSIVE STRENGTH (PSI) TYPE OF BREAK 849 A 7 07/02/03 7000 3.00 x 3.00 9.00 780 Cone 849 B 28 07/23/03 14000 3.00 x 3.00 9.00 1560 Cone 849 C 56 08/20/03 SPECIFICATIONS - 2000 Test results comply with applicable REMARKS: —'Cubes made by PSI representative. _ Cubes picked up by PSI representative. _ specifications. Cubes made by Architect's or Test results do not comply with X Contractors representative. X Cubes delivered to PSI laboratory. _ applicable specifications. TECHNICIAN:- CORY DOUGLASS Respectfully Submitted, Professional Service Industries, Inc. THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE MATERIAL PLACEMENT. REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES, INC. i • ECIAL INSPECTION SERVICE' REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE ❑ ASPHALT 404REINFORCED MASONRY O FIRE PROOFING ❑ ❑ OTHER JOB LOCATION e 1 ` REPORT SEQUENCE NO. TYPE OF STRUCTURE PERMIT NO. DATE DAY OF WEEK MATE L�jESCRIPTIO Cy\kQ.. // (� ` t \ ARCHI T INSPT CTOR . HRS. CHARGED E1 ENGINEE� ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR CONTRACTOR O pi \ r, \ b o S . it -LA mss, i^. ® 6c CLO c, L C, C . _ o O a C `j �� • �Q, O C (.2.' O O 1 � S , 8 n \ S NOr 1 VC 2yS, fJ�C'G p ri boS' (O ZLI.3 C'� 4 • (- T S� � 0 � COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. qSIGN RE OF REGISTE O INSPECTOR 2 . G o 711 --et f ATE O REPORT REGISTER NLIMRFR n � � i In,tonnation mTo Build On Engineering • Consulting •_ Testing REPORT OF MORTAR COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 JON'TANDY INSPECTION SERVICES 78-710 HWY 111 •37630 MED300L. AVE LA QUINTA,• CA PALM DESERT, CA .92211 PERMIT NO. Revision #1 DATE: June 26, 2003 REPORT NO.: 073-30231-5 FIELD DATA: LOCATION OF PLACEMENT P' lift, west building wall, center DATE PLACED June 24, 2003 SUPPLIER own mix. TIME 1.0:24 am DELIVERY TICKET NO. FLOW, SEC. CEMENT MIX WATER TEMP. QF WATER AIR TEMPERATURE, LT 9211 FINE AGGREGATE MORTAR TEMPERATURE, 9F 794 ADMIXTURE DATE RECEIVED IN LAB June 26, 2003 FIELD DATA SUBMITTED BY Cory. Douglass MIX DATA SUBMITTED -.BY Cory Douglass COMPRESSION TEST RESULTS ASTM C109.93 SPECIMEN LABORATORY ID OR SET NUMBER N0. TEST AGE DAYS - DATE OF TEST TOTAL LOAD CUBE SIZE INCHES CUBE AREA SQ. IN. COMPRESSIVE STRENGTH PSI TYPE OF BREAK 850 A 7 7-1-03 12,500 2"x4" 3.14 3980 850 B 28 7-22-03 14,000 2"x4" 3.14 4460 850 C 28 7-22-03 14,500 2"x4" 3.14 4620 SPECIFICATIONS 1800 REMARKS: Test results comply with applicable Cubes made by PSI representative. Cubes picked up by PSI representative. X Specifications. Cubes made by Architects or s Test results do not comply with applicable X Contractor's representative. X Cubes delivered to PSI laboratory. specifications. Respectfully submitted, Professional Service Industries, Inc. These lest results apply only to the specific samples tested and may not be indicative of the entire material placement. Reports may not be reproduced, except in full, without written permission by Professional Service Industries, Inc. •r *�• JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 �;SPECIAL INSPECTIONFax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE 04EINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY O ASPHALT O FIRE PROOFING O O OTHER JOB LOCATION t ® t L_ \ REPORT SEQUENCE NO. _ TYPE OF STRUCTURE • ' o, iS . s PERMIT N0. dn9�,- 35 DATE Co I 23 DAV OF WEEK ko�` MATERIAL DESCRIPTION tl ARCH ECT INSPEPTOR HRS. CHARGED ENGI mASSISTANTS O 1\ MRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR S�, �g CONTRACTOR ce Cb v, ' ` C r. o `S r I epIASv A CAL3e� C11 CkA Gr 4 Line! S o �J COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE 1 HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV A URE OF REGIST ED INSPECTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED ) RC S/ 7 i "7 f 7 1 PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE 1, V V1 L / (, ( VV GOVERNING BUILDING LAWS. VDATE CA REPORT REGISTER NUMRFR 9t SPECIAL REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED SIGNA 6. REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED MASONRY O FIRE PROOFING ❑ ❑ OTHER 6Z JOB LO ATION � o TTT REPORT SEOUENCE NO. TYPE OF STRUCTURED 0 6�1 PERMIT N0. J c Q1 " 2- DATE lV 2 DAY OF WEEK 1. MATERIAL DESCRIPTION PTION � Q) PST ARCHITECT (/y.,,EC_ T V"n /`'7o r INS CTOR HRS. CHARGED P/6 O� ILi � ENGINEER J L0N� ASSISTANTS HRS. CHARGED INSPECTION GENERAL e , �QSUB o DATE CONTRACTOR /� CONTRACTOR CN c `SC kc N,- �. Cl INA ® oILI : tea. S- 3— r t o (NVs' tsxs Cn�c V `///� - V{/ V (o FS r# isog COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. OAA" SIGNA RE OF REGISTEFrjD INSPECTOR -T-8q 6Z � o TTT ATE OF FVEPORT REGISTER NUMRFR ffs�� Information /r .ToBuild On EnginetiI • Consuitieg • Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE PALM DESERT, CA 92211 REVISION #1 )ATE: June 20, 2003 OUR REPORT NO.: 073-30231-4 'IELD DATA: .00ATION OF PLACEMENT 411 slab on grade SUPPLIER Simon Co DELIVERY TICKET NO./ TRUCK NO. 91308 MIX NUMBER AND PROPORTIONS ES -03-041 CEMENT --- WATER --- FINE AGGREGATE --- COARSE --COARSE AGGREGATE --- ADMIXTURE -- ADMIXTURE --- 61-99_ CYLINDERS: C31-09 (EXCLUDING SEC. 9.1.21: SAMPLING: C172.99 COMPRESSION TEST RESULTS ASTM C39 -01;C1231-00 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. )ATE PLACED June 20, 2003 'IME 07:07 am iLUMP, IN. 4 1/4 %IR CONTENT, % - - - kIRTEMPERATURE, OF 68 '.ONCRETE TEMPERATURE, OF 61 )ATE RECEIVED IN LAB June 23, 2003 'IELD DATA SUBMITTED BY Cory Douglass JIIX DATA SUBMITTED BY Simon Co SUPPLIER Simon Co DELIVERY TICKET NO./ TRUCK NO. 91308 MIX NUMBER AND PROPORTIONS ES -03-041 CEMENT --- WATER --- FINE AGGREGATE --- COARSE --COARSE AGGREGATE --- ADMIXTURE -- ADMIXTURE --- 61-99_ CYLINDERS: C31-09 (EXCLUDING SEC. 9.1.21: SAMPLING: C172.99 COMPRESSION TEST RESULTS ASTM C39 -01;C1231-00 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) CYLINDER DIAMETER (IN.) CYLINDER AREA (SO. IN.) COMPRESSIVE STRENGTH (PSI) TYPE OF BREAK 848 A 7 06/27/03 90500 6.00 28.27 3200 Cone. 848 B 28 07/18/03 133500 6.00 28.27 4720 Cone 848 C 28 07/18/03 134000 6.00 28.27 4740 Cone 848 D HOLD SPECIFICATIONS - 4500 Cylinders picked up by PSI REMARKS: _ Cylinders made by PSI representative. _ representative. Cylinders made by Architect's or X Contrectoes representative. X Cylinders delivered to PSI laboratory. •TECHNICIAN: CORY DOUGLASS Test results comply with applicable X specifications. Test results do not comply with applicable specifications. HESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE CONCRETE PLACEMENT. :EPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES, INC. Respectfully submitted, Professional Service Industries, Inc. REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ADAT RE F REGISTER INSPECTOR OF REPORT REGISTER NUMRFR TYPE OF INSPECTION PERFORMED EINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCAT N �REPORT \ v � o, SEQUENCE N0. TYPE OF STRUCTURE `� r '�� Ick S Sotr MAT IAL DESCR TION `] �� PERMIT NO. Zw® 31E ARCHITECT ` G� DATE/,,DAY �� INSP CTOR. OF WEEK HRS.CHARGED INSPECTION DATE GENERAL CONTRACTOR S o ENGINEER '_ A ASSISTANTS o V_ SUB S CONTRACTOR A C C HRS. CHARGED 8 eAr \ Com, c,►1�Q, 1 Cx V ) L y COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PA OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ADAT RE F REGISTER INSPECTOR OF REPORT REGISTER NUMRFR t REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED (k -REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING It,4�po'--y ❑ OTHER JOB LOCATION ^ `It {��1 `i� ^ _ e r ►C"rl /` 1\ REPORT SEQUENCE N0. TYPE OF STRUCTURE < PERMIT N0. O!LOq - 03!5 DATE fo-k3-03:. DAY OF WEEK MATERIAL DESCRIPTION Sios�ot--3 AL DlOqiRk ARCHITECT INSPECTOR 42 .C!-. NRS. CHARGED ENGINEER i o A-wA ASSISTANTS HRS. CHARGED INSPECTION GENERAL CONTRACTOR R CONTRACTOR e , l. ^ c�J' D &f J ' Ind -106 AV S G V4,1/ -,r — 1p/" ,c. ttj0r(� try It MES . 14-5v36 Cy {y `® U2 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERE I PECTOR /3- D 4VAe--) /!!(32 7 DATE OF REPORT REGISTER NUMRFR I • ¢ �` a e i Information =AA' mTo Build On Engineering • Consuidng • Tesffng REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MEDJOOL AVE PALM DESERT, CA 92211 REVISION #1. DATE: June 20, 2003 OUR REPORT NO.: 073-30231-3 FIELD DATA: LOCATION OF PLACEMENT. West perimeter footing, center section DATE PLACED June 13, , 2003 SUPPLIER Simon TIME 09:45 am DELIVERY TICKET NO./TRUCK NO. 90778 SLUMP, IN. 4 3/4 MIX NUMBER AND PROPORTIONS 03041R AIR CONTENT, % - - - CEMENT - - - AIR TEMPERATURE; OF 87 WATER - - - CONCRETE TEMPERATURE, OF 80 FINE AGGREGATE - - - DATE RECEIVED IN LAB June 16, 2003 COARSE AGGREGATE --- --FIELD FIELD DATA SUBMITTED BY Roy Douglass ADMIXTURE - - - MIX DATA SUBMITTED BY Simon 4620 Cone dam: APPLICABLE ASTM STANDAR OS UNLECS OTHERVNSE INDICATED• SLUMP• CU300• AIR CONTENT: C231-87 (E NO' C172-99 COMPRESSION TEST RESULTS ASTM C39-01: C1231-00 `+ LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) ' CYLINDER DIAMETER (IN.) CYLINDER AREA. (SO. IN.) COMPRESSIVE STRENGTH (PSI) TYPE OF BREAK 833 A 7 06/20/03 85000 6.00 28.27 3010 Cone 833 B 28 07/11/03 124500 6.00 28.27 4400 Cone 833 C 28 07/11/03 130500 6.00 28.27 4620 Cone 833 D HOLD SPECIFICATIONS - 4000 Cylinders picked up by PSI REMARKS: _ Cylinders made by PSI representative. _ representative. Cylinders made by Architect's or X Contraclofs representative. X Cylinders delivered to PSI. laboratory. TECHNICIAN: ROY DOUGLASS Test results comply with applicable X specifications. Test results do not comply with applicable specifications. THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE CONCRETE PLACEMENT. REPORTS MAY NOT BE REPRODUCED. EXCEPT IN FULL. W 4011T WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC. Respectfully submitted, Professional Service Industries, Inc I, .. _ r c. .. —. : -f T. .l . .. VI .i+,, t s L 4.. -..-_ .I.; ... �n I:SPECIAL REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED Y.REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION REPORT SEQUENCE NO. TYPE OF STRUCTURE •° B i S iAl . PERMIT NO. V rL o ck- - 0,39 PATE -- (-2.0-3 DAY OF WEEK M TERIAL DESCRIPTION 848y -1(o .3• 1Irlew/ * ARCHITECT X INSPECTOR , P. . HRS. CHARGED S ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL � � RA C� 4 DATE CONTRACTOR 11V CONTRACTOR MIC/1 i �� O S Cc�GP�tvt�o.rT s� 14 C� r fv /yn r ®AC ,4( fL'kokrA*'pS- T- \ r✓ COWGLt (ill A.L � ee _VISE AGI 'AJ'2 le - F'po X'' n ILL[AS N t. 5Z tJ e "V COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGIS"R D INSPECTOR DATE OF REPORT REGISTER NUMBFR Information /r .To Budd On Engineering • Consulting • Testing REPORT OF MORTAR COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 JON TANDY INSPECTION SERVICES 78-710 HWY 111 37630 MEDJOOL AVE LA QUINTA, CA PALM DESERT, CA 92211 PERMIT NO. Revision -#1 DATE: June 11, 2003 REPORT NO.: 073-30231-2 FIELD DATA: LOCATION OF PLACEMENT 15C lift along east perimeter DATE PLACED June 11, 2003 SUPPLIER Job mix. TIME 10:10 am DELIVERY TICKET NO. FLOW, SEC. CEMENT MIX WATER TEMP. °F WATER AIR TEMPERATURE, °F 8611 FINE AGGREGATE MORTAR TEMPERATURE, QF 722 ADMIXTURE DATE RECEIVED IN LAB June 12, 2003 FIELD DATA SUBMITTED BY Roy Douglass MIX DATA SUBMITTED BY Roy Douglass COMPRESSION TEST RESULTS ASTM C109-93 SPECIMEN LABORATORY ID OR SET NUMBER N0. TEST AGE DAYS DATE OF TEST TOTAL LOAD (IN) CUBE SIZE ONCHES CUBE AREA SO. IN. COMPRESSIVE STRENGTH. TYPE OF PSI BREAK 836 A 7 6-18-03 13,000 21x4" 3.14 4140 836 B 28 7-9-03 18,500 21x4" 3.14 5890 836 C 28 7-9-03 18,000 2"x4" 3.14 5730 SPECIFICATIONS 2000 REMARKS: Test results comply with applicable Cubes made by PSI representative. Cubes picked up by PSI representative. X Specifications. Cubes made by Architecfs or Test results do not comply with applicable X Contractors representative. X Cubes delivered to PSI laboratory. specifications. Respectfully submitted, Professional Service industries, Inc. These test results apply only to the specific samples tested and may not be indicative of the entire material placement. Reports may not be reproduced, except in full, without written permission by Professional Service Industries, Inc. • REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED -%-REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY O ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION L0 %31 REPORT SEQUENCE NO. a TYPE OF STRUCTURE t� iV-i� , T71 PERMIT NO. , ( DATE ,O DAY OF WEEK f. . MATERIAL DESCRIPTION Q 1 MO 11.J T��1r ARCHITECT �r// �X- INSPECTOR � -o, HRS.CHARGED ENGINEER ENGINEER ';!� i L- o Am ASSISTANTS HRS.CHARGED INSPECTION DATE GENE(� CONTRACTOR F�1 GVH CONTRACTOR 17- Ct (9 p `J f 619- 12 u 1 o Dam E-, aA3 G- Uw - t o obs m %cajpps--W qjAA.Qo ® Tt-(tG-t--ec2 OF _Cpt.,, Tp 113c, PA 2§QE— LDpele� C L A S °-'- l px-0 . 1t: COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE OF C ' CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M1' KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE 70'F:STED INSPECTOR lo DATE OF REPORT REGISTER NUMBFR +% Information r oTo Build On Engineering a ConsWlling • resiling REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: DESERT CITIES PROJECT: BIG 5 -- 78-710 HWY 111 JON TANDY INSPECTION SERVICES, LA QUINTA, CA 37630 MRDJOOL AVE PALM DESERT, CA 92211 REVISION #1 DATE: June 17, 2003 OUR REPORT NO.: 073-30231-1 FIELD DATA: LOCATION OF PLACEMENT Center section of east perimeter footing. DATE PLACED June 10, 2003 TIME 06:50 am SLUMP, IN. 4 3/4 AIR CONTENT, % --- -- AIRTEMPERATURE, °F AIR TEMPERATURE, 66 CONCRETE TEMPERATURE, °F 70 DATE RECEIVED IN LAB June 11, 2003 FIELD DATA SUBMITTED BY Roy Douglass MIX DATA SUBMITTED BY Simon SUPPLIER Simon DELIVERY TICKET NO./TRUCK NO. 90417 MIX NUMBER AND PROPORTIONS 03041R CEMENT --- WATER --- FINE AGGREGATE - - - COARSE AGGREGATE - - - ADMIXTURE - - - NOTE;sow tCABLE ASrM sTANDARDS�iI,�,�SS OTj �S�j�DI�ATED-$lUM1t Ci 4•-M• AIR CONiENf• C 1 In 1EXQwMG sEc B)• T�,I, neTVRE: cio61A9• CYLINDERS- C]1.00 fEXCIwINc 8u' 9 1 r• �� INO• cm -BO COMPRESSION TEST RESULTS ASTM C3901: 01231.00 LABORATORY NUMBER SPECIMEN IDENTIFICATION OR SET NO. TEST AGE (DAYS) DATE OF TEST TOTAL LOAD (LBS.) CYLINDER DIAMETER ' (IN.) CYLINDER AREA (SO. IN.) COMPRESSIVE STRENGTH (PSI) TYPE.OF BREAK 631 A 7 06/17/03 85000 6.00 28.27 3010 Cone '831 B 28 07/08/03 117500 6.00 28.27 4160 Cone 831 C 28 07/08/03 120000 6.00 28.27 4240 Cone 831 D HOLD SPECIFICATIONS rT 4500 REMARKS: Cylinders made by PSI representative. Cylinders made by Architect's or X Contractors representable. Cylinders picked up by PSI representative. X Cyfmders delivered to PSI laboratory. TECHNICIAN: ROY DOUGLASS Test results comply with applicable X. specifications. Test results do not comply with applicable specifications. THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE INDICATIVE OF THE ENTIRE CONCRETE PLACEMENT. REPORTS MAY NOT BE REPRODUCED. EXCEPT IN FULL. WITHOUT wkrnf:N PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC. Respectfully submitted, Professional Service Industries, Inc.