150 S MAGNOLIA AVE BLDG 4Permit Types
BLD ELE MEC PLM
X
Permit Number: BLD2019-05867
Issued: 12/21/2020
INSPECTION REQUEST LINE:
(714) 765 - 4626
Quarter Section: 27
CI
200 S-�ANAHEIM---BLVD.
(714) 765 - 5153
Site Address: 150 S MAGNOLIA AVE n 'uv y
Legal Description: SEC 18 T 4,R 10 POR NW1/4
W11
Project Description: Seismic Upgrade: Voluntary seismic retrofit at carports at multi -family complex. (carports for units #153,
154, 156, 157, 160, 161, 253, 254, 255, 256, 2567, 258, 259, 260, 261, 262) REF BLD2019-05556
Valuation: $25,000.00
Construcion Types: VB, ,
Fire Sprinklered? No
Total Fees paid for Permit: 341.25
People Associated with Project:
Owner NASCH INVESTMENTS ANAHEIMLLC 2421 FOOTHILL BLVD STE 12G LA VERNE CA 91750
Contractor CONCRETE WEST CONSTRUCTION INC 1733 S DOUGLASS RD I ANAHEIM CA 92806
Permit Applicant AMBER ZAMORA
Type Electrical Fixtures
Qty Type Plumbing Fixtures Qty Type
Mechanical Fixtures Qty
The permit shall expire by limitation and become null and void if the building or work has not passed final inspection 365 days from the date of
permit issuance. A new permit is required to commence or continue work. fbld_permit_combo
P�PHEIM CqC
Cityof Anaheim o� i0
Building Division z
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�DUn'DED �$hn
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS DATE INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
Engineering Final (714) 765-5126
INSPECTION DATE T INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fire Dept. Final (714) 765-5041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COA/Migadon Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
i
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
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Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
Underfloor Insulation (Raised Foundation Only)
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Do not cover or conceal the work below until the following applicable items have
been sqaned7
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbing Inspections
Framing (Only after Plbg., Ele., Mec. & Fire) JSG
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
Exterior Lath
Electrical Inspections
Electrical Service Meter-(Meter will be set within 2-3
business days after approval) Excludes New
Construction
Exterior Plaster (Brown Coat)
T-Bar (Strutt., Ele., or Mec.)
Grease Interceptor
Sewer
Water Engineering Backflow (Testable Only)
Water Service
ENGtegrity, Inc.
STRUCTURAL OBSERVATIONREPORT FORM
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH_X_<eDAY OF -March -2021
REPORT NO. +3
PAGE NO. I OF 1
PROJECT ADDRESS STRUCTURAL OBSERVER STRUCT. OBS. PHONE NO.
Arbors at Magnolia, 150 S Magnolia Ave, Anaheim Michael O'Brien, SE 949-2784328
OWNER LIC. OR REGISTRATION NO. BUILDING PERMIT NO.
Ron Nasch, Fairmont Management S4468
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
LOCATION AND PORTIONS OF BLDG.
DATE
❑-FOUNDATION
❑-WALL
❑-FRAMES ❑-FLOOR
FOR THE STRUCTURAL OBSERVATION.
ESS
❑-FOOTINGS, SLAB & STEM WALLS
❑-
CONCRETE
1:1 -STEEL 0 -
MOMENT -SPECIAL CONCRETE
E. 0,
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
❑-PRESTRESSED CONCRETE SLABS
❑-MASONRY
❑-STEEL BRACED ❑-STEEL
DECK
3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
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F-1 -CAISSONS, PILES, GRADE BEAMS
®-WOOD
1:1 -CONCRETE- ®-WOOD
DUCTILE
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
❑-HILLSIDE BLDGS-SPECIAL
FOUNDATION ANCHORS
❑-
❑-CONCRETE- 0 -
NON -DUCTILE
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
6. 1 HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
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SIGNED�.�OF March 202 AT_Lake Forest, CA
SIGNED
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F-1 DEFICIENCIES CONTINUED ON ATTACHED FORM (B&S 261 A)
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
I. 1 AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
ESS
2. I, OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED
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ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
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EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
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CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS;
3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
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INDICATED ABOVE;
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4. 1 UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
EXP. 12/31/2022
DEFICIENCIES.
5. 1 AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
SST P Q'
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
6. 1 HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
TF
THE CITY OF Anaheim
OF CA` )FOS
2.)l
SIGNED�.�OF March 202 AT_Lake Forest, CA
SIGNED
_
DAY MOMH EAR CITY
X
STAMP OF ENGINEER OR ARCHITECT
WET SIGNATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPY TO THE APPROVED PLANS, AND
KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.
ENGte-aritv. Inc.
STRUCTURAL OBSERVATION REPORT FORM
REPORT NO._1
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH_1_DAY OF_February_2021
PAGE NO. 1 OF 1
PROJECT ADDRESS STRUCTURAL OBSERVER STRUCT. OBS. PHONE NO.
Arbors at Magnolia, 150 S Magnolia Ave, Anaheim Michael O'Brien, SE 949-2784328
OWNER LIC. OR REGISTRATION NO. BUILDING PERMIT NO.
Ron Nasch, Fairmont Management 54468
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
OBSERVATIONS:
LOCATION AND PORTIONS OF BLDG.
DATE
❑-FOUNDATION
❑-WALL
0 -FRAMES 0 -FLOOR
FOR THE STRUCTURAL OBSERVATION.
❑-FOOTINGS, SLAB & STEM WALLS
❑-
CONCRETE
❑-STEEL F -1 -
MOMENT -SPECIAL CONCRETE
S%Nq
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
❑-PRESTRESSED CONCRETE SLABS
❑-MASONRY
1:1-STEELBRACED E] -STEEL
DECK
3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
E] -CAISSONS, PILES, GRADE BEAMS
®-WOOD
0 -CONCRETE- ®-WOOD
DUCTILE
• 4468 M
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION
❑-HILLSIDE BLDGS-SPECIAL
FOUNDATION ANCHORS
❑-
E] -CONCRETE- E]_
NON -DUCTILE
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
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F— DEFICIENCIES CONTINUED ON ATTACHED FORM (B&S 261 A)
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
I. I AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. 1, OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED
ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
S%Nq
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
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CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS;
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3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
INDICATED ABOVE;
4. I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT
OF ALL OBSERVED
• 4468 M
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION
...1
DEFICIENCIES.
5. I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
EXR 12131120
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
6. I HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
THE CITY OF Anaheim..^T��P��\�
SIGNED--I—OF—Fe 2021 , AT_Lake Forest, CA
M CITY
X
STAMP OF ENGINEER OR ARCHITECT
WET SIGNATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPY TO THE APPROVED PLANS, AND
KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.
ENGtevuritp. Inc.
STRUCTURAL OBSERVATIONREPORT FORM
REPORT NO. Z
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH—lei DAY OF_February_2021
PAGE NO. I OF 1
PROJECT ADDRESS STRUCTURAL OBSERVER STRUCT. OBS. PHONE NO.
Arbors at Magnolia, 150 S Magnolia Ave, Anaheim Michael O'Brien, SE 949-2784328
OWNER LIC. OR REGISTRATION NO. BUILDING PERMIT NO.
Ron Nasch, Fairmont Management S4468
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
LOCATION AND PORTIONS OF BLDG.
DATE
0 -FOUNDATION
❑-WALL
❑-FRAMES E] -FLOOR
FOR THE STRUCTURAL OBSERVATION.
❑-FOOTINGS, SLAB & STEM WALLS
❑-
CONCRETE
0 -STEEL 0_
MOMENT -SPECIAL CONCRETE
�
SIOVE
CONSTRUCTION O VERIFY IF THE
❑-PRESTRESSED CONCRETE SLABS
0 -MASONRY
11-STEELBRACED 0 -STEEL
DECK
INDICATED ABOVE;
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❑-CAISSONS, PILES, GRADE BEAMS
®-WOOD
E] -CONCRETE- ®-WOOD
DUCTILE
DEFICIENCIES.
❑HILLSIDE BLDGS-SPECIAL
FOUNDATION ANCHORS
❑-
❑-CONCRETE- F_
NON -DUCTILE
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
6. I HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
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SIGNED_10_OF Feb 2021 , T_Lake Forest, CA _
OBSERVA IONS:
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R DEFICIENCIES CONTINUED ON ATTACHED FORM (B&S 261 A)
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
I. I AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. I, OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED
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URRE IS NU GENERAL VISITS AT
IS UNDER LE CHARGE, HAS PERFORMEDTHE
EACH GINVIFICANT STAGE
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CONSTRUCTION O VERIFY IF THE
CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS;
3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
INDICATED ABOVE;
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4. I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
DEFICIENCIES.
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5. I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
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DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
6. I HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
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THE CITY OF Anaheim..
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SIGNED_10_OF Feb 2021 , T_Lake Forest, CA _
DAY M YE CITY
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STAMP OF ENGINEER OR ARCHITECT
WET SIGNATURE OF REGISTE D &VTL OR GINEER OR LICENSED ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPY TO THE APPROVED PLANS, AND
KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.
ENGtegrity, Inc.
STRUCTURAL OBSER VA TION REPORT FORM
REPORT NO. 2
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH-1—DAY OF—March-2021
PAGE NO. 1 OF 1
PROJECT ADDRESS STRUCTURAL OBSERVER STRUCT. OBS. PHONE NO.
Arbors at Magnolia, 150 S Magnolia Ave, Anaheim Michael O'Brien, SE 949-2784328
OWNER LIC. OR REGISTRATION NO. BUILDING PERMIT NO.
Ron Nasch, Fairmont Management S4468
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
LOCATION AND PORTIONS OF BLDG.
DATE
❑-FOUNDATION
❑-WALL
0 -FRAMES ❑-FLOOR
FOR THE STRUCTURAL OBSERVATION.
❑-FOOTINGS, SLAB & STEM WALLS
❑-
CONCRETE
E] -STEEL FT
MOMENT -SPECIAL CONCRETE
Q
E O F�
GENERAL
❑-PRESTRESSED CONCRETE SLABS
E] -MASONRY
11-STEELBRACED ❑-STEEL
DECK
3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
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❑-CAISSONS, PILES, GRADE BEAMS
®-WOOD
❑-CONCRETE- ®-WOOD
DUCTILE
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
❑-HILLSIDE BLDGSSPECIAL
FOUNDATION ANCHORS
❑-
0 -CONCRETE- ❑-
NON -DUCTILE
5. 1 AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
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THE CITY OF Anaheim..
OBSERVATIONS:
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F-1 DEFICIENCIES CONTINUED ON ATTACHED FORM (B&S 261 A)
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
1. 1 AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. I, OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED
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ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERY IF THE STRUCTURE IS IN
IF
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GENERAL
CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS;
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3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
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INDICATED ABOVE;
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4. 1 UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
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DEFICIENCIES.
5. 1 AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
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6. I HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
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THE CITY OF Anaheim..
OF CA`
SIGNEDI_OF_ ch 21, AT Lake Forest, CA _
D NTH CITY
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STAMP OF ENGINEER OR ARCHITECT
WET SICNATUPE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPY TO THE APPROVED PLANS, AND
KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS.
ENGIeeri, Inc.
STRUCTURAL OBSERVATIONREPORT FORM
REPORT NO. 3
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH 3 DAY OF—March-2021
PAGE NO. 1_OF I
PROJECT ADDRESS STRUCTURAL OBSERVER STRUCT. OBS. PHONE NO.
Arbors at Magnolia, 150 S Magnolia Ave, Anaheim Michael O'Brien, SE 949-2784328
OWNER LIC. OR REGISTRATION NO. BUILDING PERMIT NO.
Ron Nasch, Fairmont Management S4468
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
LOCATION AND PORTIONS OF BLDG. DATE
❑-FOUNDATION
❑-WALL
❑-FRAMES 0 -FLOOR
❑-FOOTINGS, SLAB &STEM WALLS
❑-
CONCRETE
❑-STEEL El -
MOMENT -SPECIAL CONCRETE
Q?,OF /p
��
❑-PRESTRESSED CONCRETE SLABS
0 -MASONRY
E] -STEEL BRACED ❑-STEEL
DECK
Q�-
❑-CAISSONS, PILES, GRADE BEAMS
®-WOOD
E] -CONCRETE- ®-WOOD
DUCTILE
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8
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❑-HILLSIDE BLDGS-SPECIAL
FOUNDATION ANCHORS
❑-
❑-CONCRETE- ❑-
NON -DUCTILE
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❑-
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OBSERVATIONS:
Bldg #1 - footings at ends of shearwalls are ready to pour concrete
F— DEFICIENCIES CONTINUED ON ATTACHED FORM (B&S 261 A)
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
1. 1 AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
ESS
2. ],OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED
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ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
O
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EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IFTHE STRUCTURE IS 1N GENERAL
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CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS;
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3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE
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INDICATEDABOVE;
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4. 1 UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT
OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED
EXP. 12/31/2022
'k
DEFICIENCIES.
5. 1 AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE
Hip
DEPARTMENT OF BUILDING AND SAFETY, CITY OF Anaheim.
PROVIDED STRUCTURAL STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF
R(�C-� V�\P
TF
THE CITY OF VI
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SIGNED 3 OF March 2021, AT—Lake Forest, CA
-BAY— MONTH YEAR Cm
X
STAMP OF ENGINEER OR ARCHITECT
WET SIGNATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT
STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT
DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPY TO THE APPROVED PLANS, AND
KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS
Branco
74054 San Marino Circle
Palm Desert, Ca 92260
Mobile (949) 264-3199
INSPECTION REPORT PAGE 1 OF 1
PROJECT NAME Soft -Story Seismic Retrofit
ADDRESS 150 S. Magnolia Ave.
Anaheim, CA 92804 Building #4
ARCHITECT Engtegrity
ENGINEER Micheal O'Brien
CONTRACTOR Concrete West Construction, INC.
OTHER Nolasco Welding Services
INSPECTION DATE 3/25/21
PLAN FILE/OTHER City
BLDG. PERMIT/OTHER Bldg 2019-05867
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 :
Epoxy process of #5 dowels to existing footings at columns A5 A6 A7 A8 with 6" embedment @12" o.c per detail 5/SD1
Epoxy process of #6 dowels matching tie beam t&b reinforcement with6" embedment per detail 6/SD1
Epoxy process of 3/4" all threaded anchor bolts to existing footings with 14" embedment per 3/SD1 at baseplates A5 A6 A7 A8.
Epoxy process of #3 dowels to existing slab with 4" embedment at 16" o.c from lines A4 to A9
Holes were wire brushed clean and blown out with compressed air. Hilti Hit-HY epoxy was used.
Placement of Quickrete precision no shrink grout with minimum 1" thickness beneath column base plates at A5 A6 A7 A8 per detail 5/
SD1.
Work for today is complete andoverall work is in progress.
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 Mi4
JOB NO,
REPORT NO.
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 Epoxy
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 :
Epoxy process of #5 dowels to existing footings at columns A5 A6 A7 A8 with 6" embedment @12" o.c per detail 5/SD1
Epoxy process of #6 dowels matching tie beam t&b reinforcement with6" embedment per detail 6/SD1
Epoxy process of 3/4" all threaded anchor bolts to existing footings with 14" embedment per 3/SD1 at baseplates A5 A6 A7 A8.
Epoxy process of #3 dowels to existing slab with 4" embedment at 16" o.c from lines A4 to A9
Holes were wire brushed clean and blown out with compressed air. Hilti Hit-HY epoxy was used.
Placement of Quickrete precision no shrink grout with minimum 1" thickness beneath column base plates at A5 A6 A7 A8 per detail 5/
SD1.
Work for today is complete andoverall work is in progress.
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 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/int
Anaheim, CA 92804 Building #4
❑
REINF. STEEL
GROUT MIX NO. & Win
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 3/24/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER City
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05867
❑
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" 3"@12" o.c fillet welds of continuous plate to new W beam bottom flange to existing beam on one side as per detaill /SD3 from lines
A5 through A8 of building #4.
Flare bevel groove welds of #4 rebar to W column flanges @ A5 through A8 of building 4 per detail3/SD2 alternative connection.
Welds were visually acceptable to the applicable codes. Work for today is complete and over all work is in progress.
Welder: Sergio Garcia. Process: FCAW NR 232.072" E71T 8
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 82019-00048 SIGNATURE
Superintendent Cody Wienke �Tial&
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 #4
ARCHITECT Engtegrity
ENGINEER Micheal O'Brien
CONTRACTOR Concrete West Construction, INC.
OTHER Nolasco Welding Services
INSPECTION DATE 3/23/21
PLAN FILE/OTHER City
BLDG. PERMIT/OTHER Bldg 2019-05867
PAGE 1
JOB NO,
REPORT NO.
OF 1
INSPECTION
MATERIAL IDENTIFICATION
❑
CONCRETE
CONC. MIX NO. & Win
❑
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 :
1/4" 3"@12" o.c fillet welds of continuous plate to new W beam bottom flange to existing beam on one side as per detaill/SD3 from lines
A5 through A8 of building #4.
Welds were visually acceptable to the applicable codes. Work for today is complete and over all work is in progress.
Welder: Sergio Garcia. Process: FCAW NR 232.072" E71T 8
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 P 14
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 #4
❑
REINF. STEEL
GROUT MIX NO. & Ib/in 2
ARCHITECT Engtegrity
❑
MASONRY
MORTAR TYPE & Ib/int
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 3/22/21
❑
BATCH PLANT
MASONRY BLOCK
PLAN FILE/OTHER ary
❑
EXP. ANCHOR
OTHER
BLDG. PERMIT/OTHER Bldg 2019-05867
❑
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 :
CJP groove welds of 2 column to beam connections as per detail 1/SD2 for moment frame to be placed at gridlines A5 and A6 of building
#4.
Welds were visually acceptable to the applicable codes. Work for today is complete and over all work is in progress.
Welder: Sergio Garcia. Process: FCAW NR 232.072" E71 8
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 _ e�
CERTIFICATION NO.
SI 82019-00048 SIGNATURE
Superintendent Cody Wienke // 14
REPORT OF ULTRASONIC TESTING OF WELDS
Project Name 150 S Magnolia Project Nc
Contract/Project Specificati, Project Specs
Ultrasonic Testing Procedu AWS D1.1 -2015 Section 6 Part F
Acceptance/Rejection Crite AWS DIA -2015 Table 6.2
ULTRASONIC EQUIPMENTS
Page No. 2 of 2
ULTRASONIC TESTING OF MATERIALS
Surface Condition Thickness Joint Type Welding Process xam from Fal
a Volumetric Exam in Leg Reference Level Scanning Level
Clean V Butt FCAW A/B I 1st & 2nd 66 Table 6.2
Items Examined / Testei CJP per AWS D1.1 Section 6 Table 6.2
Floor Weld ID, pc mark
# gridlines, location
Description
Interpretation
9 weld(s ccepte Rejected Repaired
Remarks
A/5
Moment Connection
2
2 0
0
UTOK
A/6
Moment Connection
4
4 0
0
UTOK
A/7
Moment Connection
4
4 0
0
UTOK
A/8
Moment Connection
2
2 0
0
UTOK
Comment:
u:eprw Rnru� R�p�„� wepminx Re,nw���
Total Welds 12 12 0
INDICATIONS) FOUND ON REJECTED WELDS
The work Ewa: ❑was not inspected in accordance with the requirements of the approved documents.
The work inspected 0 met ❑ did not meet the requirements of the approved documents.
Inspector Brandon Lau Leve H Date March 23, 2021
DECIBALS (dB)
DISCONTINUITY (in.)
C
C o c
C O
L„ E
# __
Y c
O 7 0 m =
LL
(e N
�2
U N N N C O V c
ID
'° or
N n. 2
E ��p
C
N —
y c— E m
m N N x W
c- -JQ LL c
w
L
� a t4 DISTANCE
N
v, REMARKS
F¢ LL J
a b c d
J
Q o N o a From X From Y
Q U (Discontinuity Evaluation)
The work Ewa: ❑was not inspected in accordance with the requirements of the approved documents.
The work inspected 0 met ❑ did not meet the requirements of the approved documents.
Inspector Brandon Lau Leve H Date March 23, 2021
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
INSPECTION
❑ Reinforced Concrete
❑ Post Tensioned Concrete
❑ Structural Steel Assembly
❑ Fire Proofing
❑ Quality Control
✓❑ Non DestructiveTesting
REQUIRED
❑ Reinforced Masonry
❑ Drill in Anchor/Epoxy
❑ Other
Job Address: 150 S Magnolia Ave
pity Anaheim
Job Name: Building 4
Permit No.:
Type ofstrueture: Moment Frame -Continuity Plate
Architect:
Engineer:
Date 3/17/2021
Contractor:
Inspector (s) Name: B ra n d o n Lau
Subcontractor:
TESTS
PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY M 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 CJP
2) Calibrated UT machine for index point, angle beam, horizontal sweep, and sensitivity per AWS
D1.1-2015
3) See attached report for further details -- ` _..
f _
v�
pY.
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 6F REGISTERED INSPECTOR
UT/MT Level II SNT-TC-1A CP -189
bf'=WALI T NU. AUtN(:T
❑✓ CONTINUED ON NEXT PAGE PAGE 1 OF 2
REG. HOURS O.T. HOURS 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 r-jW
Project Superintendent
REPORT OF ULTRASONIC TESTING OF WELDS
Project Name Building 4 Project Nit
Contract/Project Specificati Project Specs
Ultrasonic Testing Procedu AWS 131.1 -2015 Section 6 Part F
Acceptance/Rejection Crite AWS D1.1 -2015 Table 6.2
ULTRASONIC EQUIPMENTS
Page No. 2 of 2
Items Examined / Teste CJP per AWS 131.1 Section 6 Table 6.2
Floor Weld ID, pc mark
# gridlines, location
anufacturer
Interpretation
N weld(s crept Rejectec Repairec
Type of B odc
A/5
ng a
fg.
ode[
(M z)
Size (in.)
anal No.
m
onzontal inearity, Gain Control
u3,
Sonatest
UTOK
IIW Type 2
4x Continuity Plates
70
Sonatest
pSS75752
2.25
.75"x.75"
1717/03
'm 9 r CL to DISTANCE
3/15/2021
in S
0111
y
O'
Model
Type of Material
Angle
Mfg.
e
z
Size
Sone o.
ntema Reflectors, Resolution
g
D 0
o
Steel
CX
3/15/2021
e
n
p
ex, Angle, Distance/Sweep, Sensib
aria o.
Serial No.
V le
fg.
el
f Hz)
Size
erial o.
I006746
Prior to Testing
ULTRASONIC TESTING OF MATERIALS
Surface Condition
Thickness
Joint Type
Welding Process
am from FaVolumetric
Exam in Leg
Reference Level
Scanning Level
Clean
1/2"
T
FCAW
AB
1st & 2nd
66
Table 6.2
Items Examined / Teste CJP per AWS 131.1 Section 6 Table 6.2
Floor Weld ID, pc mark
# gridlines, location
Description
Interpretation
N weld(s crept Rejectec Repairec
Remarks
A/5
4x Continuity Plates
8 8 0 0
UTOK
A/6
4x Continuity Plates
8 8 0 0
UTOK
A/7
4x Continuity Plates
8 8 0 0
UTOK
A/8
4x Continuity Plates
8 8 0 0
UTOK
c Uf
E
S of ti°
'm 9 r CL to DISTANCE
$ N REMARKS
in S
1- ¢
ti �
Q o N o a From X From Y
p U (Discontinuity Evaluation)
a b c d
Comment
Total Welds 32 32�-1 �r0 w 032'x'' �O�r
IND/CATION(S) FOUND ON REJECTED WELDS
The workEwa: LJ was not inspected in accordance with the requirements of the approved documents.
The work inspectedE met ❑ did not meet the requirements of the approved documents.
Inspecto Brandon Lau Leve II Date March 17, 2021
DECIBALS (dB)
DISCONTINUITY (in.)
c
o
c
at
_
o o
E
c Uf
E
S of ti°
'm 9 r CL to DISTANCE
$ N REMARKS
in S
1- ¢
ti �
Q o N o a From X From Y
p U (Discontinuity Evaluation)
a b c d
The workEwa: LJ was not inspected in accordance with the requirements of the approved documents.
The work inspectedE met ❑ did not meet the requirements of the approved documents.
Inspecto Brandon Lau Leve II Date March 17, 2021