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150 S MAGNOLIA AVE BLDG 313ranco 74054 San Marino Circle Palm Desert, Ca 92260 Mobile (949) 264-3199 INSPECTION REPORT PAGE 1 OF 2 JOB NO. REPORT NO. PROJECT NAME Soft -Story Seismic Retrofit INSPECTION MATERIAL IDENTIFICATION ADDRESS 150 S. Magnolia Ave. ❑ CONCRETE CONC. MIX NO. & Ib/in` Anaheim, CA 92804 (Building #3) ❑ REINF STEEL GROUT MIX NO & Ib/int 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 1-29-2021 PLAN FILE/OTHER City BLDG. PERMIT/OTHER BLD2019-05868 ❑ CONCRETE ❑ MORTAR F-1REINFORCINGSTEEL F-1 ❑ SHOP WELDING HIGH-STRENGTH BOLT ❑ BATCH PLANT MASONRY BLOCK ❑ EXP. ANCHOR OTHER ❑ OTHER Epoxy MATERIAL SAMPLING ❑ 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 as scheduled to perform an Observation/Inspection: Observed the epoxy process for (2) 1" 0 HDU5 anchor bolts and (19) 5/8"" O anchor bolts to the (E) concrete Stem wall per detail 2/SD4 and /3D4. All of the holes were clean with wire brush and compress air blown removing all of the debris prior to the anchor bolts embedment with HILTI HIT-HY 200 epoxy. 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. Work observed were done following the approved plan and specifications. Work observed is complete Welder: Oskar Ruvalcaba License: #11007776 Process: FCAW NR232 Superintendent Cody: Wienk Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications. PRINTED NAME Khunthy "Nick" Tuon Time Charge 8hrs CERTIFICATION NO. SIR2017-00047 SIGNATURE