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HomeMy WebLinkAboutX2019-0342 - Miscx2015-03/42 395 Geado Ave CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1(949) 644-3200 Structural Observation Report DIAPHRAGMS (Floor/Roof) ❑ Concrete ❑ Steel Deck Project Address: Cm f3� fs�u,� Date: 12- 11- /7o Name: ° jCNB Ins7Teleprh)ne#: CNB Permit M X2r18-IBuilding ❑ Wood Owner Name: JReport rs Mailing Address (if different from site); ner's sA,rie CNB Plan Check #: ❑ Other: ❑ Other. f437 Full Name of Siibctural Observer (SO): (Z�ZdE i -mail Address: i Q ice- en - Ccm SO TeleponALl 9A9 - A34 to PLEASE PLEASE INDICATE STRIlrTIMAI Fr Wrucurc Aun rnrurerrrnuc ..ncve..�.. ,_._ ❑ REPORT CONTINUED ON ATTACHED PAGES. FOUNDATIONS Conventional Footin s$IQIS ❑ Mat Foundation, Prestressed Concrete SHEAR WALLS FRAMES te ❑ Steel ❑ Concrete DIAPHRAGMS (Floor/Roof) ❑ Concrete ❑ Steel Deck rl4eule INDICATE LOCATIONS) OBSERVED Grtv1{. gry (1e{• �lal(G p uoxe5 DATE OBSERVED 2-/7 20 ❑ Caissons, Piles,r Grade Beamsanels Manuf. ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other. ITEMS CHECKED APPROVED AND WITHOUT DEFICIENCIES. t ❑ OBSERVED DEFICOMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure senerally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible QRUFESS/ON charge of the structural observation; /�� P�� REZgF�q! 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant /''0 construction stage to verify that the structure is in general conformance with the ;z No. 41068 approved construction documents; °-.�aa Exp: 3/31/ 2I 3. f understand that all deficiencies which I have documented must be corrected, prior to final acceptance o!/Pe structural. systems by the City of Newport Beach, Building Z0 I-- STAMP OF STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BYAUTHOR¢ED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Ro,mn�Sv::ti,uelOWervationReponAiop:uc�o� . E51/FME lab No: H394 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPART-NIENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 wvvw.newportbeaclica.gov 1 (949) 644-3200 Structural Observation Report Project Address: 315 Lindo Ave Report Date: June 13, 2019 CNB Inspector Name: CNB Permit* 2599-2018 Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone* SO Ucense/Reg. #: Emily Wright emily@esifine.com 714-835-2800 C62784 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes) I declare that the following statements are true to the best of my knowledge 9. I amthe-licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division, June 13, 2019 DATE FOUNDATIONS SHEAR WALLS FRAMES DIAPHGRAGMS (FloorlRoof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED Conventional Footings f— Concrete r Steel r Concrete Final Framing 6/13/19 :Mat Foundation, Prestressed Concrete i Masonry i� Concrete iv Steel Deck Caissons, Piles, Grade Beams r Wood or Manuf. Shear `� Panels i` Masonry 1 Wood 1 Other: Other: l Other: F W ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUGH DEFICIENCIES. I� OBSERVED DEFICIENCIES AND COMMENTS: i^ REPORT CONTINUED ON ATTACHED PAGES FINAL STRUCTURAL OBSERVATION REPORT: he structural generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge 9. I amthe-licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division, June 13, 2019 DATE ESI/FME Job No.: H394 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.00v 1 (949) 644-3200 Structural Observation Report Project Address: 315 Undo Ave Report Date: May 3, 2019 CNB Inspector Name: CNB Permit #: 2599-2018 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License/Reg. #: Dale Forbes dale@esifine.com 714-835-2800 C30407 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes) I declare that the following statements are true to the best of my knowledge 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. Q04 u/ I/Y" May 3, 2019 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE FOUNDATIONS SHEAR WALLS FRAMES DIAPHGRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED WO Conventional Footings r— Concrete F Steel F Concrete Rebar at new pad 5/3/19 r Mat Foundation, Prestressed Concrete r Masonry r Concrete F Steel Deck r Caissons, Piles, Grade Beams Wood or Manuf. Shear r Panels r Masonry Wood Other: r Other: F Other: r Other: F ITMENS CHECKED ABOVE ARE APPROVED AND WITHOUGH DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: F REPORT CONTINUED ON ATTACHED PAGES r FINAL STRUCTURAL OBSERVATION REPORT: The structural generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. Q04 u/ I/Y" May 3, 2019 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE E51/FMEIob No.: 11394 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 315 Undo Ave Report Date: March 21, 2019 CNB Inspector Name: CNB Permit#: 2599-2018 Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: -Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #. SO UcenselReg. #: Dale Forbes dale@esifine.com 714-835-2800 C30407 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTION OBSERVED (check applicable boxes) I declare that the following statements are true to the best of my knowledge 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. March 21, 2019 OBSERVER FOUNDATIONS SHEAR WALLS FRAMES DIAPHGRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED I✓ Conventional Footings r Concrete Steel Concrete Footing Rebar, Anchor Botts, and Holdown Anchors 3121/19 �- Mat Foundation, Prestressed Concrete )"" Masonry i Concrete A _ Steel Deck Slab Rebar at new Entry 3121119 Caissons, Piles, Grade Beams (-- Wood or Manuf. Shear Panels iµ Masonry Wood F Other: r Other: ! Other: Other: Wo rrmENs CHECKED ABOVE ARE APPROVED AND WIT14000H DEFICIENCIES. C— OBSERVED DEFICIENCIES AND COMMENTS: r REPORT CONTINUED ON ATTACHED PAGES FINAL STRUCTURAL OBSERVATION REPORT: he structural generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge 1. 1 am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1 or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verity that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. March 21, 2019 OBSERVER t rr'`` '�� CITY OF NEWPORT BEACH ��E-o3rA2 '4 ?IT linco Ave t - COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1(949) 644-3200 CONTRACTOR/PROPERTY OWNER SELF -CERTIFICATION DECLARATION FOR PLUMBING FIXTURE REPLACEMENT Project Address: 31J L- //V Date: Z-3-26 Permit #:- 4 Z=:D 19 d 3 -( z, The following is to be completed by the California licensed contractor or owner -builder, participating in the City of Newport Beach Self -Certification Program. Please type or print. Installer's Name: SU/60- ! 'o+� (' ���� p A raf License No (if applicable)_5 e c r6 -a; -- Installer's Mailing Address: -.5-0 6 6ya 4�L qc��y� Phone 9' (required): �/ � �/ -6 Installer's Email: S L✓c((� 1 r q , Cl�� FAX #. Installer I certify that the installation is in compliance with applicable code requirements. I further affirm that I have reviewed and understand the requirements of the applicable 2013 California Green Code and Newport Beach Municipal Code (NBMC) Section 301.1.1 and that all self -certification reports submitted will be based on the code requirements contained therein. I declare that all plumbing fixtures subject to the NBMC 301.1.1 has been replaced meeting the low flow requirements Kitchen faucets: 1.5 gal/minute at 60 psi Shower heads: 2.0 gal/minute at80 psi Wafer closet: 1.28 gal/flush I Faucets: maximum flow rate of 1.5 gal/minute at 60 psi, and minimum 0.8 gal/minute at 20 psi 1 tnstalte.. Signature Date Property Owner (Required) As the property owner of the project address noted above, I have read, understand and agree to participate in the Plumbing Fixture Replacement Self -Certification Program. I further understand that by participating in this program, the plumbing system will not be inspected by a City of Newport Beach Building Inspector during construction or after installation unless requested. The Building Division may request and reserves the right to verify code compliance after the installation is complete. Property Ovin T Signature Date Print Name Email This form must be completed and returned to the City of Newport Beach, Building Division, for a final approval of the plumbing permit. Please return this form to the Building Division by mail or fax. Please mail to: City of Newport Beach Phone: (949) 718-1888 Community Development Department Fax #: (949) 644-3250 Building Division P. O. Box 1768 Newport Beach, CA 92658 ForaslContractor-P.mcrSclf-CerlGetlara,ion-Oishr,asherGarhage DispN/aterCloset 12/IP/13 18682 Beachmont Avenue, N. Tustin, Ca 92705 fax(714)730-2724 May 2, 2019 Goldencrew Construction Re: Hsieh Custom Remodel 315 Lindo Avenue Newport Beach, CA Dear Doug, As requested, I am happy to respond to the building inspector's question about the use of special wood screws installed to screw down the 1/4" floor sheathing and 1-1/8" deck sheathing in this project. The framing plans had specified for either sheathing thickness to use l Od nails at the required spacing. You installed a "SIMPSON" Quick Drive WSNTL212S #8 wood screw product in lieu of the plan specified 10d. I consulted with the structural engineer who confirmed that the installation of this type of wood screw is acceptable as long as the following occurs... 1. At a/4" floor sheathing conditions, use #8 x 2'/2" long Quick Drive screws at same spacing as the l Od were specified. 2. At 1-1/8" deck sheathing conditions, use 98 x 3" long Quick Drive screws at same spacing as the l Od were specified. I hope this new information is helpful, please let me know if you have any further questions. Thank You, Y` J T. Morgan RCHITECT Hsieh.020 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: Jqr�" Building Permit Number(s): As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. Provide each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to the inspector before roof framing inspection. All elevation points are based on: a NAVD88 O NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building Inspector. RIDGES (3:12 slope or greater) /W&U ?- r nNtj6 1. Approved elevation point of ridge is _ and actual elevation point is -3C-J-( 2. Approved elevation point of ridge is and actual elevation point is 3. Approved elevation point of ridge is and actual elevation point is FLAT ROOFS, PARAPETS AND GUARDRAILS &h) lC 1. Approved elevation point of fla roof or parapet is 3L0and actual elevation point is ' C� Z 2. Approved elevation point of flat roof or parapet is and actual elevation point is 3. Approved elevation point of flat roof or parapet is and actual elevation point is I certify that the above height measurements are correct and the above project: goIS in compliance with the City -approved plans. OIS NOT in compliance with the City -approved plans (Provide explanation; Please describe any deviation from the City -approved plans on the back of this form. Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) * License number of 33965 or lower PormsTuilding Height Certification 11/02/16 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915 www.newportbeachea.gov 1 (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey mast be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name _ ROA/'H' 1 &1)&* * License # L S / 6JF3 Engineer/Surveyor's Address a3oli LwkG Fvai+ Ar.4ye Job Address 315- L 140 A Ve. Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). t *Top of slab/floor elevation: A^86+6K 0(t_5+,Al * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks_._are _ k- are_not_❑, per City approved plans. Describe any deviations from plans: _ I certify that top of slab/floor elevation(s) any deviations from plans: Data r� Forms/SetbacksandTopolSlabElevationCert. is 0, is not ❑, per City approved drawings. Describe At - Engineer/Surveyor's stamp and 0ve"4*5 RDvw'" IN ALLeY LIA/Do Av�.vvs 3lw wcK ru% CITY OF NEWPORT BEACH X.2019.0392 Community Development Department I Building Division 315 L; "Jo Ave 100 Civic Center Dr.I P.O. Box 1768 1 Newport Beach, CA 92658 www newoortbeachca oov 1(949)644-3200 CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS:�_l I`S t/ lbo kl M%k/ ' dr; 4-14 rkj PERMIT NO.: I3( 2a q..- (D 92 THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE. The following section shall be completed by a person with overall responsibility for the planning and design portion of the project. REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S) ❑ Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) ❑ VOC Contents Limitation ❑ Formaldehyde Emissions Limitation ❑ T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) ❑ T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) ❑ Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL -(RESIDENTIAL CONSTRUCTION-ONL-Y-)------ ❑ I certify that the moisture content of the wall and floor framing is less than 19 percent as determined in accordance with Section 4.505.3 of CAL Green prior to being enclosed. DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct. • 1 certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing agency. Name: Signed: azo 1 6 &k/n Notes: Forms\CALGreen Documentation Compliance Cert Form 1-2017 Project Status Report CaICERTS, Inc Effective: 02/10/2020 06:42 1 of 2 GENERAL INFORMATION Energy Standards Code Year: 2016 Project Name: 18168 Hsieh Remodel Project Type: Alterations SFR Address: 315 Lindo Avenue ti ■ City / State / Zip: Corona del Mar / CA / 92625 Enforcement Agency: City of Newport Beach ■ Permit Number / Date: X2019-0342 / 12/2/2019 Easy to Verily @ ca/certs.com VERIFIABLE COMPLETE MEASURES: 4HERS RALL STATUS: COMPLETE t,,ertificate Type: Compliance Registered Form: CFIR-PRF-01 Registered Date: 10/18/2018 15:38 Registration218-PO10284915A-000-000-0000000-0000 Number: CF2R a energyF S CF2R-ENV-Ol-E 02/07/2020 1 218-P010284915A-000-001-EO1001A-0000 (Fenestration Installation) 07:57 JOSE CURIEL (GOLDEN CREW CONSTRUCTION INC) -- _ CFENV-0 - -- 02/07/2020 218=P0102849SSA=000=001-E030018 0000 _-- (Inssululation Installation) 08:16 JOSE CURIEL (GOLDEN CREW CONSTRUCTION INC) CF2R-MCH-01-E 02/07/2020 218-PO10284915A-000-001-MO1001A-0000 (Space Conditioning 07'57 JOSE CURIEL Systems, Ducts and Fans) (GOLDEN CREW CONSTRUCTION INC) System 1 CF2R-MCH-20-H 02/07/2020 218-PO10284915A-000-001-M20001A-0000 (Duct Leakage) 07:57 JOSE CURIEL (f (GOLDEN CREW CONSTRUCTION INC) System 1 CF2R-MCH-23-H 02/07/2020 218-POI0284915A-000-001-M23001A-0000 (Airflow) 07:57 JOSE CURIEL (GOLDEN CREW CONSTRUCTION INC) System 1 CF2R-MCH-25-H 02/07/2020 JOSE 218-P01028491SA-000-001-M25001A-0000 CURIEL(GOLDEN (Refrigerant Charge) 07:57 CREW CONSTRUCTION INC) System 1 CF2R-PLB-02-E 02/07/2020 218-PO10284915A-000-001-BO2001A-0000 (SD HWS Distribution) 07:57 JOSE CURIEL(GOLDEN CREW CONSTRUCTION INC) CF3R INFORMATION,- Certificates of Verification (Documents the verification of HERS Measures) System Form Registered Registration Number Date System 1 CF3R-MCH-20-H 02/07/2020 218-PO10284915A-000-001-M20001A M20B Rex Hoefer Dang Leakage) (Duct 08:01 (REX QUE HOEFERDANG) HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 I Project Status Report CaICERTS, Inc Effective: 02/10/2020 06:42 2 of 2 HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 CF3R-MCH-23-H 02/07/2020 000-001-M23001A-M23A System 1 (Airflow) 08:01 Rex Hoefer DangA (REX QUE HOEFERDANG) CF3R-MCH-25-H 02/07/2020 000-001-M25001A-M25A System 1 (Refrigerant Charge) 08:01 Rex Hoefer DangA 12 (REX QUE HOEFERDANG) HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance Dec 2015 To the best of my knowledge, the work inspected was In di 1.1800-DEP" z j� Gen Contr Golden Crew «oww rr saw ee.su z.*veaisyaa�, sru kxnt axaewaea nanship provisions of the UAC, 3/14/2019 mtion No. NB 0617 FORM SI -0200 COAST GEOTECHNICAL INC. 1200W. Commonwealth Ave., Fullerton, CA 92833 ■ Ph: (714)870-1211 ■ Fax: (714)870-1222o Email: coastgeotec@sbcglobal.net INV. Daily Observation Report HRS. W.O. Date Name Client Address ❑ Footings ❑ Key Way ❑ Grading ❑ Swim Pool ❑ Trench ❑ Other Test No. Location Elev. or Depth Moisture Content % Dry Density P.C.f. % Relative Compaction Test Type Soil Type T, v Acceptable ❑ Unacceptable Page of Received BY: By: 4", COAST GEOTECHNICAL INC. 1200 W. Commonwealth Ave., Fullerton, CA 92833 ■ Ph: (714) 870-1211 ■ Fax: (714) 870-1222 ■ Email: coastgeotec@sbcglobal.net NV. Daily Observation Report HRS. W.O. Date Name r a. Client<T+ Address :;, 0 Footings ❑ Key Way ❑ Grading ❑ Swim Pool ❑ Trench ❑ Other Test No. Location Elev. or Depth Moisture Content % Dry Density p.C.f. % Relative Compaction Test Type Soil Type 7 1 'Q'Acceptable ❑ Unacceptable Received By: Page _.__. `F of By. COAST GEOTECHNICAL INC. 1200W. Commonwealth Ave., Fullerton, CA 92833 w Ph: (714)870-1211 a Fax: (714)870-1222o Email: coastgeotec@sbcglobal.net Daily Observation Report W.O. Date Name C. Client Address HRS. Q' -Footings El Key Way El Grading El Swim Pool ❑ Trench El Other Test No. Location Elev. or Depth Moisture Content % Dry Density P. C. f. % Relative Compaction Test Type soil Type j Job Progress and Activity: IV Comments: 0i1, .. ..... y-, Y :"r <r. Acceptable El Unacceptable"'11 'Page of By: Received By: COAST GEOTECHNICAL INC. 1200 W. Commonwealth Ave., Fullerton, CA 92833 ■ Ph: (714) 870-1211 ■ Fax: (714) 870-1222 ■ Email: Daily Observation Report INV. HRS. W.O. Date Name Client , rr Address footings ❑ Key Way ❑ Grading ❑ Swim Pool ❑ Trench ❑ Other Test Elev. Moisture Dry % Test Soil Location or Content Density Relative yp Type Type No. Depth % p.C.f. Compaction i Comments:;�,� tf , :,i� a �,�s:. `•' , ,: f:,i, � i - ���..I=,, Job rogress and Activity: ^tom i i Comments:;�,� 0"Acceptable ❑ Unacceptable Page of Received By: f 1 LI ;�'By.