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2006-276 G/I
NGINEERING SER VICES DEPARTMENT Cit y Encinitas Capital Improvement Projects District Support Services Field Operations Sand Replenishment/Stormwater Compliance Subdivision Engineering Traffic Engineering July 1, 2009 Attn: American Contractors Indemnity Company 9841 Airport Blvd. 9th Floor Los Angeles, California 90045 RE: Craig Lewis, William Fairchild,Clayton Sammis and Shane Felker Phoebe Street and Highway 101 APN 254-230-18 CDP 04-219 Improvement Permit 276-I Final release of security Permit 276-I authorized the construction of public road and drainage improvements, all needed to build the described project. The Field Operations Division has approved the construction of the improvements and approved the one-year warranty inspection. Therefore, a release in the remaining security deposit is merited. Performance Bond 1000761971, (in the original amount of$69,546.00), reduced by 75% to $17,386.50, is hereby released in entirety. The document original is enclosed. Should you have any questions or concerns, please contact Debra Geishart at (760) 633- 2779 or in writing, attention this Department. &cel Debra Geis y Lem ach Engineering Technician Finance Manager Subdivision Engineering Financial Services CC Jay Lembach,Finance Manager Lewis,Fairchild,Sammis&Felker Debra Geishart File TEL 760-633-2600 1 FAX 760-633-2627 505 S. Vulcan Avenue, Encinitas, California 92024-3633 TDD 760-633-2700 �� recycled paper NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText City O ENGINEERING SERVICES DEPARTMENT Encinitas Capital Improvement Projects District Support Services Field Operations Sand Replenishment/Stormwater Compliance Subdivision Engineering Traffic Engineering August 14, 2007 Attn: San Diego National Bank 131 North El Camino Real Encinitas, California 92024-2802 RE: Craig Lewis, William Fairchild, Clayton Sammis and Shane Felker Phoebe Street and Highway 101 APN 254-230-18 CDP 04-219 Grading Permit 276-G Partial release of security Permit 276-GI authorized earthwork, private drainage improvements, and erosion control, all as necessary to build described project. The Field Inspector has approved rough grade. Therefore, release of the remainder of the security deposit is merited. The following Certificate of Deposit Account has been cancelled by the Financial Services Manager and is hereby released for payment to the depositor. Account#5625066044 in the amount of$ 9,081.15. The document originals are enclosed. Should you have any questions or concerns, please contact Debra Geishart at (760) 633-2779 or in writing, attention the Engineering Department. Sinceerre�ly, / Debra Geish ay Lembach Engineering Technician Finance Manager Subdivision Engineering Financial Services CC: Jay Lembach, Finance Manager Lewis, Fairchild, Sammis &Felker Debra Geishart File Enc. TEL 760-633-2600 / FAX 760-633-2627 505 S. Vulcan Avenue, Encinitas, California 92024-3633 TDD 760-633-2700 14 recycled paper NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText NoText Jul 1 a �)� O? : 07a Craig Lewis 8587561573 p. 2 WAYNE A_ PASCO PASCO ENGINEERING, INC. RC.E.29577 535 NORTH HIGHWAY 101, SUITE A JOSEPH YUHAS i SOLANA BEACH, CA 92075 P LS.5211 (858) 259-8212 pia7 FAX(858)259-4812 w.JUSnN SUiTER RC.E 68964 July 2. 2007 PE 1247 ('itv (1f Encinitas F.n<_'incering Services Permits 505 S. Vulcan Avenue 92024 L,NGINEER'S PAD CERTIFICATION FOR TM 04-219 AND TM 04-220 I'h.k i_,I:ADING & DRAINAGE PLANS, PHOEBE ST. & COAST HIGHWAY 101 (APN 254-230-18,19) 'Io Whom It May C.onccrn: I'ursudnt to section 23.24.3 10 of the Encinitas Municipal Code, this letter is hereby sub11 fitted as a Pad Certification Letter for the above referenced site. As the surveyor for the subject project, I hereby state that the rough grading for this pad has been completed with the approved plan according to the requirements of the City of �.ncinitas. Cudes Luid Standards. Certilication was performed on June 29, 2007. :;vcra�c il:ish pad ,rade, both pads: 55.6' ['ad grade per plan: 55.60' if you have w-ty questions in regards to the above, please do not hesitate to contact this ut I ice. Truly Yours, VA5C0 ENGINEERING, INC. LANO C. �Joscph Yu� ['LS. 5211 Vice President land Surveying LS 5211 ExD. 06/30/09 �r 7- -07 CALV Jul J'!a C;raig Lewis 8587561573 p. l WILLOWEN BUILDERS a California Corporation FAX TRANSMITTAL TO: �] y ----- - ---- - _ DATE: ----- -- - -- -- --'-` ---------------- TIME SENT:__C_' RF_: ----- - ------- NOTE: - ��'�'rh` 444, f v / f R,E-CFIVER FAX NUMBER____ - _ NO.PAGES z- Please let us know if you have received only part of have any questions regarding the information sent. this transmission or if you P.O-Box 968, Cardiff by the Sea, California, 92007 Office (858) 756-1873 FAX (858) 756-1573 Cal.License 834196 ENGINEERING DESIGN GROUP C` FOR ESIDENTI EMIL 8gRCHITECTUHAL CONSULTANTS FOR RESIDENTIAL 8 COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office(760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDG@aol.com PROJECT ADDRESS DATE f EQUIPMENT NAME/COMPANY-CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS Cb1„ f r ^ :.J 1 � j C,g, t. t V k F __., t' a ., f �• T � { -- r;, r v — t - FIELD DENSITY TESTS TAKEN �' FAILURES RETESTS ' Arrive: Depart p D TOTAL DAILY HRS ENGINEERING ElDESIGN GROUP GEOTECHNICAL.CIVIL.STRUCNRAL 8 ARCHITECTURAL CONSULTANTS FOR RESIOEMIILL 8 COMMERCIAL CONSTRUCTION - 2121 Montiel Road San Marcos CA•92069 Office (760 )48074702 DAILY FIELD REPORT E mail: ENGDG @aol.com PROJECT r ADDRESS ",. ,-1 -_ DATE EQUIPMENT - NAME /COMPANY-CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS - I FIELD DENSITY TESTS TAKEN ---- ---. FAILURES RETESTS Arrive: q q , q A Depart p TOTAL DAILY HRS D p D EN GINEERING ESIGN GROUP GEOTECHNICAL.CIVIL.STRUCTURAL&ARCHITECTURAL CONSULTANTS IP FOR RESIDENTIAL 8 COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office(760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDGCa aol.com PROJECT ADDRESS !�'. ; ^ DATE EQUIPMENT NAME /COMPANY-CONTACTS �I PROJECT NO. DESCRIPTION OF FIELD OPERATIONS t, ti .J y , r. 't I fs r Fes_ L FIELD DENSITY TESTS TAKEN FAILURES RETESTS Arrive: A Depart D TOTAL DAILY HRS D D D ,,.-:„. ....,;.4•a,rmer.<.A7�'Fer�F0.,�r.*a-.w. .« .rttiw'.+�`k7I:�'lc,r+ ENGINEERING DESIGN GROUP GEOTECHNICAL CML STHUCTURN 8 gRCHITEGTURAL CONSULTANTS FOR HESIOEMIAL 8 COMMERCIAL GON,RUCTION 2121 Montiel Road San Marcos CA•92069 Office(760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail:ENGDG@aol.com PROJECT ADDRESS G,, �� DATE 7 EQUIPMENT ------_-- NO.PROJECT NAME / COMPANY-CONTACTS r�� ,Ir,.. <y ,.f r . ` w_ DESCRIPTION OF FIELD OPERATIONS re ` r1r , f i _.-_._ _.-_.- b'1 .,, ,'�v^i ' - ,� C. . '”-nor."-.. r.. ✓! F/ ��:��l FIELD DENSITY TESTS TAKEN 7 _ FAILURES RETESTS -- Arrive: q ---- / �y Depart D ti D 3 3 0 D D TOTAL DAILY HRS YI - ENGINEERING IPDESIGN GROUP cEOrECHNICAL CIVIL STRUCTURAL&ARTHI FOR RESIDENTIAL 8 COMMERCIAL CONSTRUCTIiEON CiURAL CONSULTANTS 2121 Montiel Road San Marcos CA•92069 Office(760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDG@aol.com PROJECTr.. ADDRESS / �', :,.,,;,{, �; DATE t - fq_o-7 EQUIPMENT NAME/COMPANY-CONTACTS _ " PROJECT NO. __- DESCRIPTION OF FIELD OPERATIONS 1 4r � v FIELD DENSITY TESTS TAKEN FAILURES RETESTS Arrive: q 'F:�� , � q /Y ------------- Depart p ,. D .7 A TOTAL DAILY HRS D D PIF ENGINEERING DESIGN GROUP GEOTECHNICAL.CIVIL.STRUCTURAL 8 ARCHITECTURAL CONSULTANT$ FOR RESIDENTIAL 8 COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office (760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDG @aol.com PROJECT ADDRESS DATE EQUIPMENT f, 1 NAME/COMPANY-CONTACTS `" PROJECT NO. DESCRIPTION OF FIELD OPERATIONS _4 n / a fd 9 . . If _-_------ /0 FIELD DENSITY TESTS TAKEN FAILURES �.� RETESTS _ Arrive: A "o A A Depart p } a D D A TOTAL DAILY HRS D ENGINEERING DESIGN GROUP GEOTECHNICAL.CIVIL STRUCTURAL&ARCHITECTURAL CONSULTANTS FOR RESIDENTIAL&COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office FFAX(760)48074772 DAILY FIELD REPORT E-mail: ENGDG @aol.com PROJECT ADDRESS _ DATE "tl,t; � ; E ` EQUIPMENT NAME/COMPANY-CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS r ` ---- ------ FIELD DENSITY TESTS TAKEN d w FAILURES -� RETESTS Arrive: A ! A A Depart p D D A TOTAL DAILY HRS D ENGINEER1NG DESIGN GROUP OEOTECHNICAL.CIVIL STRUCTURAL 8 ARCHITECTURAL CONSULTANTS FOfl RESIDENTIAL 8 COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office (760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail:ENGDGC@aol.com PROJECT ADDRESS -I_,t. DATE `/ 7 EQUIPMENT ,. ` NAME /COMPANY-CONTACTS !i', {--,. PROJECT NO. DESCRIPTION OF FIELD OPERATIONS —_- _ _/��.,,•r�, t. I( .j'..I �. 1. ?9, . t ..._.,. . .. y - -—col ------- ,A �sr FIELD DENSITY TESTS TAKEN FAILURES - --- RETESTS Arrive: q q q Depart p G,; D D A TOTAL DAILY HRS D ENGINEERING DESIGN GROUP GEOTECHNICAL.CML.STRUCTURAL g ARCHITECTURAL CONSULTANTS FOR RESIDENTIAL 8 COMMERCIgi CONSTRUCTIINJ 2121 Montiel Road San Marcos CA•92069 Office(760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail:ENGDGQ aol.com PROJECT ADDRESS 1" :.,;I 1 DATE „w._ - EQUIPMENT _---------------- NAME/COMPANY-CONTACTS )S PROJECT NO. DESCRIPTION OF FIELD OPERATIONS s .y:. ,f - FIELD DENSITY TESTS TAKEN �.. FAILURES - Arrive: A I A RETESTS A Depart D a D D D TOTAL DAILY HRS ENGINEERING DESIGN GROUP GEOTECHNICAE CME.STROGTN{IAE 8 AnRCHITE!CiUML CONSULTANTS FOR RESDENTW ACOMMERCIAL CONSfl N 2121 Montiel Road San Marcos CA•92069 FAX(760)480747702 DAILY FIELD REPORT E-mail: ENGDG@aol.com PROJECT f ADDRESS DATE p I Tr z ,. �S ; � �n:k�-,�" �_ � � -------- EQUIPMENT ------ NAME / COMPANY-CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS ` f r - � --- FIELD DENSITY TESTS TAKEN -- FAILURES �� RETESTS Arrive: A '�� . A q 4 . . A Depart p [ �._ D TOTAL DAILY HRS D p ENGINEERING DESIGN GROUP GEOEESBENTAL'�V� RUgiORALgARCR EOipRAECONSNLiAN rOR RESIOENiIAL&WMNIERGil,CON' UITEI0N 2121 Montiel Road San Marcos CA•92069 Office(760) 839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDGC)aol.com PROJECT ADDRESS DATE EQUIPMENT ----------- NAME/COMPANY-CONTACTS r PROJECT NO. ---- ------------------- DESCRIPTION OF FIELD OPERATIONS -- --} ?----------- FIELD DENSITY TESTS TAKEN FAILURES RETESTS -_----------__-- Arrive: A A Depart p A A D D TOTAL DAILY HRS D v.:. ENGINEERNG DESIGN GROUP , GEOTECHNICAL CIVIL STRUCTURAL g ARCHITECTURAL C�1j, FOR RESIOENTiAL&COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office (760)839-7302 FAX(760)480-7477 DAILY FIELD REPORT E-mail: ENGDG@aol.com PROJECT 1 t ADDRESS DATE __ � IL EQUIPMENT ,L,,I .;'4' °� i .. ----------_-_---------- NAME /COMPANY-CONTACTS PROJECT NO. --- -- DESCRIPTION OF FIELD OPERATIONS -- -_--- Li 4 r ( y. ti 0""!6'is ------------- FIELD DENSITY TESTS TAKEN r FAILURES r`� -------------- RETESTS --.._-._.___----- Arrive: A A Depart A p D _7 D D D TOTAL DAILY HRS ENGINEERINGr• Q, DESIGN GROUP GE'TECHNICAL CIVI L STRUCTURAL ARCHITECTURAL CONSULTANTS FOR RESIDENTIAL&COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 Office(760)480-747702 DAILY FIELD REPORT E-mail: ENGDGCaol.com PROJECT jI _ ADDRESS DATE ! EQUIPMENT NAME /COMPANY -CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS r V r FIELD DENSITY TESTS TAKEN ,%I FAILURES RETESTS Arrive: A A A A TOTAL DAILY HRS Depart D D D D ENGINEERING Pub DESIGN GROUP GEOTECHNICAL.CIVIL STRUCTURAL 8 ARCHITECTURAL CONSULTAMS FOR RESIDENTIAL 8 COMMERCIAL CONSTRUCTION 2121 Montiel Road San Marcos CA•92069 FFAX(760)480-747702 DAILY FIELD REPORT E-mail:ENGDG @aol.com PROJECT ADDRESS DATE EQUIPMENT NAME/COMPANY-CONTACTS PROJECT NO. DESCRIPTION OF FIELD OPERATIONS I FIELD DENSITY TESTS TAKEN FAILURES RETESTS Arrive: q - A A A Depart p TOTAL DAILY HRS D p p VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Special Inspection Report JOB NO. Phone(760) 743-1214 • Fax(760) 739-0343 Authorized O DATE _ O REINFORCED CONCRETE ED] ACI ❑ ICBO ❑ PRE-STRESSED CONCRETE ❑ STRUCT,STEEL ASSEMBLY ❑ SPRAY-APPLIED FIREPROOFING ❑ REINFORCED pecial Inspector REINFORCED GYPSUM ❑ OTHER 0 MASONRY JOB ADDRESS ❑ DEEP FOUNDATION ® BUILDING PERMIT NUMBER OWNER OR PROJECT NAME 1p PLAN FILE NUMBER 11 O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN SO 1® ©STRENGTH O7 SOURCE OF MFGR. ® ENGINEER DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC.) O GENERAL CONTRACTOR CONTR.DOING REPORTED WORK LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES 0 INSPEC ARRIVAL DETAILED TION TIME 18 REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARK DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. S ETC 19 THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRA OR TYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Special Inspection Report JOB NO. Phone(760) 743-1214• Fax(760)739-0343 DATE Authorized /f C, ACI Q REINFORCED CONCRETE � STRUCT,STEEL ASSEMBLY E] ICBO PRE-STRESSED CONCRETE REINFORCED GYPSUM SPRAY-APPLIED FIREPROOFING Special Inspector E REINFORCED MASONRY ❑ OTHER 3 JOB ADDRESS DEEP FOUNDATION BUILDING PERMIT NUMBER OWNER OR PROJECT NAME 1U PLAN FILE NUMBER O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN 6 O ST SOURCE OF MFGR. ® ENGINEER O RENGTH DESCRIBE MATT(MIX DESIGN,RE BAR GRADE&MFGR.WELD-ROD,ETC.) O GENERAL CONTRACTOR �. CONTR.DOING REPORTED WORK ,r° LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES INSPEC� TIME 18 DETAILED DATE O REPORT OF LOCATION IN WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED;JOB PROBLEMS,PRO DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC.SS,REMARKS,ETC, 19 i THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUI PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. LD TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRUyf 0 TYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS BUILDING , SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C. CODE, UNLESS OTHERWISE NOTED. SIGNATURE DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760) 743-1214 • Fax(760) 739-0343 Special Inspection Report JOB NO. 1O DATE f r Authorized .ACI REINFORCED CONCRETE STRUCT,STEEL ASSEMBLY SPRAY-APPLIED FIREPROOFING ICBO PRE-STRESSED CONCRETE REINFORCED GYPSUM OTHER C JOB ADDRESS Special Inspector E] REINFORCED MASONRY DEEP FOUNDATION ® BUILDING PERMIT NUMBER 10 PLAN FILE NUMBER OWNER OR PROJECT NAME O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN © O7 SOURCE OF MFGR. ® ENGINEER ST�ENGTH C DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC. r l: O GENERAL CONTRACTOR 14 CONTR.DOING REPORTED WORK LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES INSPEC ARRIVAL DETAILED TION TIME 18 REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. ig DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS (WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. r. r t i THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRINT OR TYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official VINJE & MIDDLETON ENGINEERING INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760)743-1214• Fax(760)739-0343 Special Inspection Report JOB NO. 1O DATE //J �j �C2 Authorized [ REINFORCED CONCRETE ❑ / ❑ ACI ❑ ICBO ❑ PRE-STRESSED CONCRETE ❑ RE NFORCED GYPSUM ASSEMBLY ❑ SPRAY-APPLIED FIREPROOFING Special Inspector ❑ REINFORCED MASONRY ❑ OTHER Q3 JOB ADDRESS ❑ DEEP FOUNDATION ® BUILDING PERMIT NUMBER 1U OWNER OR PRO PLAN FILE NUMBER JECT NAME '`' 11 O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN ©STRENGTH O7 SOURCE OF MFGR. ® ENGINEER DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC.) O GENERAL CONTRACTOR 8 CONTR.DOING REPORTED WORK 0 LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES INSPEC ARRIVAL DETAILED TION O TIME 1s REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. 19 THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRINT OR TYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760)743-1214 • Fax(760)739-0343 Special Inspection Report JOB NO O1 DATE Authorized ❑ REINFORCED CONCRETE ❑ STRUCT,STEEL ASSEMBLY ❑ SPRAY-APPLIED FIREPROOFING ❑ ACI ❑ ICBO ❑ PRE-STRESSED CONCRETE ❑ I, r - RE N.FOUND rSUM U O� icrs Special Inspector ❑ REINFORCED MASONRY DEEP FOUNDATION JOB ADDRESS ® BUILDING PERMIT NUMBER 1U PLAN FILE NUMBER OWNER OR PROJECT NAME O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN l' ©STRENGTH O7 SOURCE OF MFGR. ® ENGINEER (3 DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC.) O GENERAL CONTRACTOR 14 CONTR.DOING REP! TED WORK y ILI '? LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES INSPEC� ARRIVAL DETAILED TION © TIME 18 REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. f: n . THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRiIW&A rYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760)743-1214 • Fax(760)739-0343 Special Inspection Report JOB O. � O DATE Authorized -� REINFORCED CONCRETE El STRUCT,STEEL ASSEMBLY ❑ SPRAY-APPLIED FIREPROOFING ❑ ACI ❑ ICBO ❑ PRE-STRESSED CONCRETE ❑ REINFORCED GYPSUM Special Inspector ❑ REINFORCED MASONRY ❑ OTHER JOB ADDRESS DEEP FOUNDATION BUILDING PERMIT NUMBER LAN FILE NU ® BUILD P 10 MBER OWNER OR PROJECT J O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN Q ©STRENGTH O7 SOURCE OF MFGR. ® ENGINEER DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC.) r 13 O GENERAL CONTRACTOR � ' .. 14 CONTR.DOING REPORTED WORK LAB.RECEIVING&y TESTING CONSTR.MAT'L SAMPLES INSPEC ARRIVAL DETAILED TION TIME 18 REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. 19 THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PitW pR TYPE) > WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE / UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official • VINJE & MIDDLETON _ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760)743-1214 • Fax(760)739-0343 Special Inspection Report JQB"°. - OO DATE Authorized / ❑ REINFORCED CONCRETE ❑ STRUCT,STEEL ASSEMBLY ❑ ACI El ICBO El PRE-STRESSED CONCRETE ❑ REINFORCED GYPSUM ❑ OTHER RAY-APPLIED FIREPROOFING Special Inspector ❑ REINFORCED MASONRY ❑ DEEP FOUNDATION JOB ADDRESS ® BUILDING PERMIT NUMBER 1U PLAN FILE NUMBER 1 OWNER OR PROJECT NAME O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) DESIGN ©STRENGTH O7 SOURCE OF MFGR. ® ENGINEER DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC. C ) O GENERAL CONTRACTOR C CONTR.DOING REPORTED WORK � LAB.RECEIVING&TESTING CONSTR.MAT'L SAMPLES INSPEC ARRIVAL DETAILED TION TIME 18 REPORT OF LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. ig DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR PRINT OR TYPE. X } ��? WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, r,y SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATUREyC,,. t `, UNLESS OTHERWISE NOTED. 2t { DATE SIGNED `y / ;`. / CERTIFICATE NO. WHITE-V&M CANARY-Contractor PINK-Building Official F77�- VINJE & MIDDLETON ENGINEERING, INC. 2450 Vineyard Avenue• Escondido, California 92029-1229 Phone(760)743-1214 • Fax(760)739-0343 Special Inspection Report JOB NO. p 0 1 DATE Authorized / ❑ REINFORCED CONCRETE ❑ STRUCT,STEEL ASSEMBLY ❑ SPRAY-APPLIED FIREPROOFING ❑ ACI ❑ ICBO ❑ PRE-STRESSED CONCRETE ❑ REINFORCED GYPSUM ❑ OTHER JOB ADDRESS Special Inspector ❑ REINFORCED MASONRY ❑ DEEP FOUNDATION ® BUILDING PERMIT NUMBER 10 PLAN FILE NUMBER OWNER OR PROJECT NAME O ARCHITECT CONSTR.MAT'L(TYPE,GRADE,ETC.) ©DESIGN � O STRENGTH SOURCE OF MFGR. ® ENGINEER C DESCRIBE MAT'L(MIX DESIGN,RE-BAR GRADE&MFGR.WELD-ROD,ETC.) O GENERAL CONTRACTOR C CONTR.DOING REPORTED WORK C LAB.RECEIVING&TESTING CONSTM.MAT'L SAMPLES 16 INSPECQ TIME REPORT ig REPORT OF TION LOCATION OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS,PROGRESS,REMARKS,ETC. @ DATE DEPARTURE WORK INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PREFORMED,NUMBER,TYPE&IDENT,NO'S OF TIME INSPECTED TEST SAMPLES TAKEN,STRUCT,CONNECTIONS(WELDS MADE,H.T.BOLTS TORQUED)CHECKED,ETC. i THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES. TO THE BEST OF MY KNOWLEDGE,WORK INSPECTED WAS IN ACCORDANCE INSPECTOR(PRINT OR TYPE) WITH THE SOIL INVESTIGATION RECOMMENDATIONS.THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE U.B.C.BUILDING CODE, SIGNATURE UNLESS OTHERWISE NOTED. DATE SIGNED / / CERTIFICATE NO. 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