150 S MAGNOLIA AVE (30)Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT PAGE 1 OF 1
JOB NO.
REPORT NO.
PROJECT NAME Soft -Story Seismic Retrofit
INSPECTION
MATERIAL IDENTIFICATION
ADDRESS 150 S. Magnolia Ave.
❑
CONCRETE
CONC. MIX NO. & Ib/int
Anaheim, CA 92804 Building #2
❑
REINF. STEEL
GROUT MIX NO. & Ib/inZ
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/inZ
ENGINEER Micheal O'Brien
❑
P.T. CONCRETE
REINF. STEEL GRJSIZE
CONTRACTOR Concrete West Construction, INC. ❑✓
FIELD WELDING
STRUCTURAL STEEL
OTHER Nolasco Welding Services
❑
SHOP WELDING
HIGH-STRENGTH BOLT
INSPECTION DATE 2/11/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER City
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05869
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR
❑ GROUT
❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL
❑ BOLTS
❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site as scheduled to perform an Observation/Inspection:
Observed the 5/16" fillet welds of top plate to (E) beam and beam to beam splice for the garage headers per detail
3/SD2 for building 2 Lines A3/A10. Welds were visually acceptable. Work observed were done following the approved plans.
Work for today is complete and over all work is ongoing.
Welder: Ernesto Flores License: #022118SW Process: FCAW NR232
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 4 hrs
CERTIFICATION NO. SI 82019-00048 SIGNATURE
Superintendent Cody Wienke Yi4
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT
PROJECT NAME Soft -Story Seismic Retrofit
ADDRESS 150 S. Magnolia Ave.
Anaheim, CA 92804 Building #2
ARCHITECT Engtegrity
ENGINEER Micheal O'Brien
CONTRACTOR Concrete West Construction, INC.
OTHER Nolasco Welding Services
INSPECTION DATE 2/17/21
PLAN FILE/OTHER City
BLDG. PERMIT/OTHER Bldg 2019-05869
PAGE 1
JOB NO.
REPORT NO.
OF 1
INSPECTION
MATERIAL IDENTIFICATION
❑
CONCRETE
CONC. MIX NO. & Ib/int
❑
REINF. STEEL
GROUT MIX NO. & Ib/int
❑
MASONRY
MORTAR TYPE & Ib/int
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
❑✓
FIELD WELDING
STRUCTURAL STEEL
❑
SHOP WELDING
HIGH-STRENGTH BOLT
❑
BATCH PLANT
MASONRY BLOCK
❑
EXP. ANCHOR
OTHER
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR ❑ GROUT ❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL ❑ BOLTS ❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform observation/inspection of :
5/16" fillet welds of (4) base plate's to (4) W10 columns as per detail 3/SD1 for new moment frames for building 2 along lines A/5 -A/8.
Fillet welds of 3/4" studs to W10 flange spaced at 36" o.c. For new moment frames for building 2 along lines A/5- A/8.
Reviewed welders certifications.Welds were visually acceptable to the applicable codes.
Welder : Oscar Ruvalcaba. License#11007776 Process: FCAW NR232 E71T-8 0.72"
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 4 hrs
CERTIFICATION NO.
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke Mi4
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION
REPORT
PAGE 1 OF 1
JOB NO.
REPORT NO.
PROJECT NAME Soft -Story Seismic Retrofit
INSPECTION
MATERIAL IDENTIFICATION
ADDRESS 150 S. Magnolia Ave.
❑
CONCRETE
CONC. MIX NO. & Ib/inz
Anaheim, CA 92804 Building #2
❑
REINF. STEEL
GROUT MIX NO. & Ib/inz
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/inz
ENGINEER Micheal O'Brien
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
CONTRACTOR Concrete West Construction, INC. ❑✓
FIELD WELDING
STRUCTURAL STEEL
OTHER Nolasco Welding Services
❑
SHOP WELDING
HIGH-STRENGTH BOLT
INSPECTION DATE 2/19/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER city
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05869
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR
❑ GROUT
❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL
❑ BOLTS
❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform observation/inspection of :
Preparation, fit up and tach welds of 1"thick stiffener plates to be welded full penetration to WF columns as per detail 1/SD2 for columns
to be placed along lines A5 - A8 at building 2. Work for today is complete and over all work is in progress.
Welder : Sergio Garcia Process: FCAW NR232 E71T-8 0.72"
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 4 hrs
CERTIFICATION NO.
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke // 14
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT
PAGE 1
JOB NO.
REPORT NO.
OF 1
PROJECT NAME Soft -Story Seismic Retrofit
INSPECTION
MATERIAL IDENTIFICATION
ADDRESS 150 S. Magnolia Ave.
❑
CONCRETE
CONC. MIX NO. & Ib/int
Anaheim, CA 92804 Building #2
❑
REINF. STEEL
GROUT MIX NO. & Ib/inz
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/inz
ENGINEER Micheal O'Brien
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
CONTRACTOR Concrete West Construction, INC. ❑✓
FIELD WELDING
STRUCTURAL STEEL
OTHER Nolasco Welding Services
❑
SHOP WELDING
HIGH-STRENGTH BOLT
INSPECTION DATE 2/22/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER ary
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05869
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR
❑ GROUT
❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL
❑ BOLTS
❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform observation/inspection of :
1/4" fillet welds of 3/8" shear tab to W column flange as per detail 1/SD2 for moment frame to be placed at building 2 along lines along
lines A/5- A/8.
Welds were visually acceptable and free of discontinuities. Work for today is complete and overall work is in progress
Welder: Oscar Ruvalcaba. License#11007776 Process: FCAW NR232 E71T-8 0.72"
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 4 hrs
CERTIFICATION NO.
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke // 14
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT
PROJECT NAME Soft -Story Seismic Retrofit
ADDRESS 150 S. Magnolia Ave.
Anaheim, CA 92804 Building #2
ARCHITECT Engtegrity
ENGINEER Micheal O'Brien
CONTRACTOR Concrete West Construction, INC.
OTHER Nolasco Welding Services
INSPECTION DATE 2/24/21
PLAN FILE/OTHER City
BLDG. PERMIT/OTHER Bldg 2019-05869
PAGE 1 OF 1
JOB NO.
REPORT NO.
INSPECTION
MATERIAL IDENTIFICATION
❑
CONCRETE
CONC. MIX NO. & Ib/inz
❑
REINF. STEEL
GROUT MIX NO. & Ib/inz
❑
MASONRY
MORTAR TYPE & Ib/int
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
✓❑
FIELD WELDING
STRUCTURAL STEEL
❑
SHOP WELDING
HIGH-STRENGTH BOLT
❑
BATCH PLANT
MASONRY BLOCK
❑
EXP. ANCHOR
OTHER
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR ❑ GROUT ❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL ❑ BOLTS ❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform continuous observation/inspection of :
Full penetration groove welds of of 3/4" continuity plates to column flanges and 5/16" fillet weld of continuity plate to column web as per
detail 1/SD2. Columns to be placed along lines A5 -A8 at building #2. Welds were visually acceptable to the applicable codes. Total of 8
plates to 2 columns were completed. Work for today is complete and overall work is in progress.
Welder: Oscar Ruvalcaba Process: FCAW NR232 E71T-8 0.72",
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 8 hrs
CERTIFICATION NO.
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT
PAGE 1
JOB NO.
REPORT NO.
OF 1
PROJECT NAME Soft -Story Seismic Retrofit
INSPECTION
MATERIAL IDENTIFICATION
ADDRESS 150 S. Magnolia Ave.
❑
CONCRETE
CONC. MIX NO. & Ib/int
Anaheim, CA 92804 Building #2
❑
REINF. STEEL
GROUT MIX NO. & Ib/int
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/int
ENGINEER Micheal O'Brien
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
CONTRACTOR Concrete West Construction, INC. ✓❑
FIELD WELDING
STRUCTURAL STEEL
OTHER Nolasco Welding Services
❑
SHOP WELDING
HIGH-STRENGTH BOLT
INSPECTION DATE 2/25/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER City
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05869
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR
❑ GROUT
❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL
❑ BOLTS
❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform continuous observation/inspection of :
Full penetration groove welds of of 3/4" continuity plates to column flanges and 5/16" fillet weld of continuity plate to column web as per
detail 1/SD2. Also full pen welds of W beam flange to W column flange as per detail 1/SD2. Columns to be placed along lines A5 -A8 at
building #2. Welds were visually acceptable to the applicable codes. Work for today is complete and overall work is in progress.
Welder certs on file. Process: FCAW NR 232.072" E71 T 8
V11-V
PWRy
ii
���r-
Certificationn of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 8 hrs
CERTIFICATION NO. SI 82019-00048 SIGNATURE cz�9�__
Superintendent Cody Wienke Mialw_,
Branco
74054 San Marino Circle
Palm Desert. Ca 92260
Mobile (949) 264-3199
PROJECT NAME Soft -Story Seismic Retrofit
ADDRESS 150 S. Magnolia Ave. ❑ CONCRETE CONC. MIX NO. & Ib/int
Anaheim, CA 92804 Building #2 ❑ REINF. STEEL GROUT MIX NO. & Ib/inz
INSPECTION REPORT
PAGE 1 OF 1
JOB NO.
REPORT NO.
INSPECTION MATERIAL IDENTIFICATION
ARCHITECT Engtegrity
ENGINEER Micheal O'Brien
❑ MASONRY MORTAR TYPE & Ib/int
❑ P.T. CONCRETE REINF. STEEL GR./SIZE
CONTRACTOR Concrete West Construction, INC. ✓❑ FIELD WELDING STRUCTURAL STEEL
OTHER Nolasco Welding Services
INSPECTION DATE 2/26/21
PLAN FILE/OTHER City
BLDG. PERMIT/OTHER Bldg 2019-0586
❑ CONCRETE ❑ MORTA
❑ REINFORCING STEEL F-1
❑ SHOP WELDING HIGH-STRENGTH BOLT
❑ BATCH PLANT MASONRY BLOCK
❑ EXP. ANCHOR OTHER
9
F-1OTHER
MATERIAL SAMPLING
R ❑ GROUT ❑ FIREPROOFING ❑ MASONRY BLOCK
STRUCTURALSTEEL ❑ BOLTS ❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform continuous observation/inspection of :
Full pen groove welds of W beam flange to W column flange as per detail 1 /SD2 at column and beam connections A/6 and A/7. Welds
were visually acceptable.
Additional stiffener plate was welded on top of continuity plate to sit flush with W beam flanges at columns A6 and A7 per approval from
structural engineer Mike O'Brien via email.
Work for today is complete and over all work is in progress.
Welder certs on file. Sergio Garcia Process: FCAW NR 232 .072" E71T 8
r
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME
CERTIFICATION NO
Antonio Miranda Time Charge 8 hrs
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke Mialw"
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION
REPORT
PAGE 1 OF 1
JOB NO.
REPORT NO.
PROJECT NAME Soft -Story Seismic Retrofit
INSPECTION
MATERIAL IDENTIFICATION
ADDRESS 150 S. Magnolia Ave.
❑
CONCRETE
CONC. MIX NO. & Ib/int
Anaheim, CA 92804 Building #2
❑
REINF. STEEL
GROUT MIX NO. & Ib/inz
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/inz
ENGINEER Micheal O'Brien
❑
P.T. CONCRETE
REINF. STEEL GR./SIZE
CONTRACTOR Concrete West Construction, INC. ❑✓
FIELD WELDING
STRUCTURAL STEEL
OTHER Nolasco Welding Services
❑
SHOP WELDING
HIGH-STRENGTH BOLT
INSPECTION DATE 3/1/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER Cit'
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05869
❑
OTHER
MATERIAL SAMPLING
❑ CONCRETE ❑ MORTAR
❑ GROUT
❑ FIREPROOFING ❑ MASONRY BLOCK
❑ REINFORCING STEEL ❑ STRUCTURAL STEEL
❑ BOLTS
❑ OTHER
INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
PLEASE NOTE ANY RE -INSPECTION, TESTING, OR OTHER PROJECT ISSUES.
Arrived on job site on time as requested to perform continuous observation/inspection of :
1: Full pen groove welds of W beam flange to W column flange as per detail 1 /SD2 at column and beam connections A/7 and A/8 of
building 2. Welds were visually acceptable to the applicable codes.
2: Epoxy process of #3 dowels with 4" embedment @ 16 o.c in to existing slab as per SD1, using HILTI HIT-HY
3. Epoxy process of #5 dowels in to existing footing with 6" embedment @ 12 o.c as per SD1 using HILTI HIT-HY
Holes were wire brushed cleaned and blown out with compressed air.
Welder: Sergio Garcia. Process: FCAW NR 232.072" E71T 8
r -
Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications.
PRINTED NAME Antonio Miranda Time Charge 8 hrs
CERTIFICATION NO.
SI R2019-00048
SIGNATURE
Superintendent Cody Wienke Mia
SL INSPECTION SERVICES
1370 Valley Vista Dr Suite 200 Diamond Bar, CA 91765 1(213)986-8224 1 www.SLinspection.biz SL.inspection@gmail.com
REGISTERED INSPECTOR'S REPORT
TYPE OF UT
❑ Reinforced Concrete
❑ Structural Steel Assembly
❑ Quality Control
INSPECTION
❑ Post Tensioned Concrete
F f Fire Proofing
Non DestructiveTesting
REQUIRED
❑ Reinforced Masonry
❑ Drill in Anchor/Epoxy
❑ Other
Job Address: 150 S Magnolia
City:Anaheim
Job Name: 150 S Magnolia
PermitNo.:BLD 2019-05869
Type of Structure: Moment Frame
Architect:
Date 2/26/2021
Engineer:
Contractor:
Inspector(s)Name: Brandon Lau
Subcontractor:
TESTS
PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
WELDER NAME
CERT NO.
WELDER NAME
CERT NO.
METHOD
INSPECTION SUMMARY LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & INDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCTURAL CONNECTIONS (WELD MADE H.T. BOLTS TORQUE) CHECKED; ETC.
1) Arrived at site to perform UT on UP
2) Calibrated UT machine for index point, angle beam, sensitivity, and horizontal sweep per
AWS D1.1-2015
3) See attached report for further details
6 4'
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE THE ALL
OF 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/ PRINT OF REGISTERED INSPECTOR
UT Level II SNT-TC-1A CP -189
SPECIALTY NO, AGENCY
QCONTINUED ON NEXT PAGE PAGE 1 OF 2
REG. HOURS I O.T. HOURS I SAMPLES
4
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum. In addition, any inspection extending past noon hour will be an 8
hour minimum.
Approved By
gj?ectSuperintendent