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Report of Special Inspection
project Name&Address Bay Shore Community Association
Permit Number M2019-0057
1h2019-0057
204 Bay Shore Dr
Inspection
Type(s)
R/C-water driven piles
Inspection
Date(s)
07-18-19
I (Periodic
zContinuous
Describe Inspection Made, including locations:
Scope of work: Replace(2) 12" sq. concrete piles at floating swim dock in same
locations as shown on approved plans. Pile schedule - Sheet S-2/Detail V. Piles
are numbered on plans for easy reference and locations as shown on Sheet
S-2/Detail S. Verified length of both piles.
Pile #1 = 12" sq. T -Pile x 34' long with minimum 15' embedment
Pile #2 = 12" sq. T -Pile x 34' long with minimum 15' embedment
Location:
Observed the placement of Pile #1 and Pile #2. Embedment met on both piles.
Work complete per plan.
List Tests Made
Total Inspection Time Each Day:
Date 07-18-19
Hours
List Items Requiring Correction, Include Uncorrected Items Previously Listed:
To the best of my knowledge, the work inspected was in accordance with the Building Department
approved design drawings, s�cifications and applicable workmanship provisions of the IBC except as
noted above. ' J / I
07-18-19
Print Full i am, N Tracy Barr Reeistration No NB -0711
FORM SI -02.2014