0209-025 (CSCS) Special Inspection Reportst+
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
�SPECIAL INSPECT-IONFax (760) 772-7193
REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER.
JOB LOCATION
REPORT SEQUENCE NO.
TYPE OF STRUCTURE
ccs :
o %
PERMIT NO.
2
DATE
1. 3
DAY OF WEEK
MATERIAL DESCRIPTION
ARCHITECT
--
INS CT R
HRS. CHARGED
ENGINEER
M
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL SUB
CONTRACTOR ♦� CONTRACTOR
s. a
W o.
5
(�
w
stit-♦
V�
C
+ O►
,1
r
� VL
a
-
COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE ❑
PAGE
OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF W
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 TUBE OF REGIST RED INSPECTOR
m 1�4y
TE 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 XISTRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATION , � ' �®
� a Q 0 / �
IAWI IL
J A ( �A _
REPORT SEQUENCE N0.
TYPE OF STRUCTURE
��1 t
C^]�-I/�
i l S/
PERMIT NO. ��17 ^ DIV���
C7
DATE /� �
1_ V^ 3
DAY OF WEEK
MATERIAL DESCRIPTION OI SMA 0
M1 AfW ^.
ARCHITECT _ ^
INSPECT
HRS. CHARGED
i
ENGINEER' `• _ _
�'
l L- 0
ASSISTANTS
HRS. CHARGED
INSPECTION GENERAL/
DATE CONTRACTOR 2 r
SUB
CONTRACTOR LAIA
/-6-03
V
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.
SIGNATURE OF REGIS D INSPECTOR
DATE OF REPORT REGISTER NUMBER
0�z
:N
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
Q>REINFORCED MASONRY
❑.STRUCT. STEEL ASSEMBLY
❑ ASPHALT
❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATIOPL
—
L
REPORT SEQUENCE NO.
TYPE OF STRUCTUR
PERMIT N0.
DATE
DAV OF WEEK Mon
MA RIAL DESCRIPTION
ofjok
ARCH TE C
INSPICTOF1
CC
MRS. CHARGED
ENGINEER (
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL
CONTRACTOR
SUB
NTRACTOR
W
Q
s K 3
' Pu
No.
r'Nr,m
Z
AA
Gof
ZA
tr
COPY SENT TO CLIENT 0
CONTINUED ON NEXT PAGE 0
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.
offikv,_1 b��
SIG URE OF REGISTE D INSPECTOR
iCcgc-�A-,c1-77 717-4-9-1f
DATE F AEPORT REGISTER NUMBER
FEB 04 '03 13:40 FR
.,
W
Infonwdon
N
eToButld On
ADWkeerim • e ner- . Tetlzti»�
TO 97727193 P.02iO3
REPORT OF PRISM COMPRESSION TEST
ESTEO FOR: o.L�^ O� s E Q� C�'tJSiQvL�\JN
PROJECT:
OUR REPORT ,NIO.:
)ATE:
=1EU0 DATA:
:OCATION OF PLACEMENT (� O L \ �`Y E N1 Raa\•\ CSS P M E n r�`t
SUPPLIER
DATE PLACED \ �^ 03 DEINERY TICKS It NO.rMUCK NO. \ - 3e. k ,
TIME ��', Z7_ MIX NUMBER AND PROPORTIONS
CEMENT
AIR CONTENT, % WAT—GR
AIR TEMPERATURE, °F 7 \ FINE AGGREGATE
MIX TEMPERATURE. e F �% J COARSE AGGREGATZ
DATE RECEIVES IN L -AS ' a u 3 ADMIXTURE
FIELD DATA SUBMITTED BY Q. y�� d U C, ` a 5
MIX DATA SUBMITTED By
COMPRESSION TEST RESULTS
ASTM E4A7
•
1.+60Ri•.OQy ;
SPEctmeN (EST.
jOENTIi15Ar1001 LIGE
DATE Oi
-EST
NuMeER
JQSENo. .(DAYS)
v3
L
SPECIFICATIONS
REMARKS: SOaumanS maae 0y ?St ,tweSentan+e.
SOlPmtM •TaOo oY ?rcmtecf i 0,
COntyat.tD�f IlDratenle4+e.
iO(AL
LOAD
SPECIMEN
OIMENSVIS
(L95.1
IIN.)
I
50ec:ment o-e+iao U0 Dy PSI
(earlsentw ---,
SOeumens 0efi.e140 w PSI 1300•8100y.
SDE-:IME:N
CLAAPRESSIVE
AREA
ISO.:N 1
STRtENGT*I Tv D'O
(PSI) _ F 3R9xK
2rOG�i
Teu .lttwta D:mOty .,.m aoot�cade
SODafi�:aPons.
Test mums CD mat COM01Y.'n
1091. aete %06C.bcab0n9.
MAMAIA4 00 MTIR
QOORriswwY I+OT DE EoAooVtEo. &KCEpfEw10uLL. •,vtTMl7ut wlgtTtcw aSRwl&o. it P40f 'QN Moir S PLACE e+Du6'a�'i K,CeuEY+.
Professional Seryioe Industries, Inc, - 42-240 Green Way, Suite C - Palm Desert, CA 92211 •• Phone 760r341.5790 • Fax 760/341-5794
Industries, In,
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
CIAEINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATION_
T79`
REPORT SEQUENCE NO.
TYPE OF STRUCTURE
PERMIT NO.
2 --rs,
DATEDAV
OF WEEK
MATERIAL DESCR
:
TION
N r
ARCHITECT
INSP TO
HRS. CHARGED
•S
ENGI ER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERALSUB
CONTRACTOR •
- CONTRACTOR
(t. L
OJ
G�
1
f
Se -c
COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE ❑
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF Md
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.
IG URE OF REGISTE D INSPECTOR
It
ATE ZfF 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 ❑ STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCCAATION
C7 -
REPORT SEOU.ENCE NO.
TYPE OF STRUCTURE
�,ss '
W
PERMIT 0.
� -
DAT
3
DAY OF WEEK
- t'S ,
MATE RIAL,QESCRI PTIO �F
,Fi-` h
ARCHITECT
INSPECTOR ///HRS.
CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL `
CONTRACTOR
SUB
aa-NTRACTOR
Ca
N r��
a '�
o.
t� a oAU
S
S
2"I"CoaD021o
�0.
Qz
a
No o'
J ��
W `
*,`
a
�cx1
t
CQ
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.
SIG URE OF REGISTEkED INSPECTOR
I U (60 5(67-1-7 )q
AT OF REPORT REGISTER NUMBER
SPECIA-L 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 OFTCC033
INSPECTION
PERFORMED
REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY
POST TENSIONED CONCRETE ❑ ASPHALT
REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATION raj n - �y / , J % J Q�
u
74A
REPORT SEQUENCE NO.
TYPE OF STRUCTU/R]lEyJ1q _i/ ; �`)PERMIT
_r. (\"i�I1
N0.
® 17- Li�
DATE1_1�
DAY OF WEEK
MATERIAL DESCRIPTI
4Jf r cdAec,
ARCHITECT
CbK
INSPECTOR
7Qr P
HRS. CHARGED
0 J5 ' 'Vr
C% F(/l
Aqf--100
ENGINEER Si
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL ° SUB
CONTRACTOR, CONTRACTOR
2 02
" CAP lc-I—Pc a x('- '7-/;,�
P
COPY SENT TO CLIENT O
CONTINUED ON NEXT PAGE ❑
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,
SIGNATURE OF RE ItoS
DATE OF REPORT REGISTER NUMBER
Nor1.-Wz12.-�5/�
-7 717J
c�a�=
-4pi 4skad/ tr / 7w
:tau �mV i 81Z8 -86S(606) i�J.
JpqumH 59416 V' `-AYg puoaletQ
�,jng17� .e7 91 I/t TV uotueo eoig EEEE
4S550 / Aor �veil"sctoJ 8uuaaw8ut luino us
..��.Gi ; CLL — -- - ><.cdo7ts
r _ In -V • T ZIMM fa? •:]a(1 AC) M=C CAtC • •f4.! VH a ".Ja -IH; n I ,)r w I q I:IFU"1"1 J q : •I:.II
7
N
-¢�-apr+�v-+hex x•; �wsSR.�a. i}_ -' - '�'�•
I
- a
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 i`
PERFORMED I
Q�REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY �> L1 TIT Fi CT0 �E3
O POST TENSIONED CONCRETE O ASPHALT O OTHER
O REINFORCED MASONRY O FIRE PROOFING
JOB LOCATION- M 100 -VA, IT- ;- i-_ � (
U�+� tl {f
REPORT SEQUENCE N0.
TYPE OF STRUCTURE "`" � "-
'NDSB DSB M Out - Carta
PERMIT NO.
C) 20Ct - 0'_.5
DAY OF WEEK
MATERIAL DESCRIPTION
ARCHITECT
Z ^� i ,f�
INSPECTOR
i 0.
HRS. CHARGED
ENGINEER!! JJ Lo6 (�1�
st \m
ASSISTANTS
HRS. CHARGED
INSPECTION GENERAL V��
DATE CONTRACTOR '�„r�`.T CONTRACTOR
TCNi
Ltov,a PSI - 0,0666 2it-:�TP,7 WTO
TO
F\tr,G TeA SAA AQP f 0' 0 C.
^ �
Omi/.-/ 6t1-"-ro (F"o 0—O I11 C*��t 1C-
a
MD -ST A-1 Hst( . +o v "Tv -p po'5. O Pit Lkf
coy!KIE,C T 10 W "TQ -;F¢\/-TUe,e ,CJ4 e.C.iG(F- D,
PII," k' -A 4L
(A 31•`0 To
COPY SENT TO CLIENT O
CONTINUED ON NEXT PAGE ❑
PAGE a OF
CERTIFICATION OF COMPLIANCE f to . '4C
G �`" �✓
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY' ; l`
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK'UNLESS OTHERWISE J SIGNATURE OF REGISTERED � INSPECTO
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED �' '�. 1 (j,{t C
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS. DATE OF REPORT REGISTER NUMRFR
IY