14030128-INSP REPORT-B GG
ENGINEERS
ry baogengIneers.corn
847 West Maude Avenue
Sunnyvale, California 94085-2911
phone: 650.852.9133
info@baggengineers.com
j FILE
`b' �raio
Special Inspection Reports must be given to the contractor on the day of the inspection, and distributed to the other parties listed b within 7 days of the
inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for ea pe of special inspection, on
a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection.
Client: �Of. fL� raf. 5&)1.e_ Report Date: 9 U • 201 S
Address: Z 2 o5,/ C lf�r�Lv Y( C.�. BAGG Job #: C - 15 -0 1
6 A Time Arrived: $: 15 A44
Attn: Pr, �'� �uG�oNt Time Departed: //,'50 AM
Travel Time: /0 /#din • R• -T
Project Name:
�V Su hou i
Bldg Permit #: /l/o301 Z$
Project Location: 279 uva>A
Contractor: Fabricator: AJ
Inspection ❑ Concrete ❑ Reinforcing Steel Epoxy Bolts/Dowel ❑ Welding -Shop
Coverage: ❑ Post -tensioned Concrete ❑ Masonry ❑ Engineered Fill ❑ Welding -Field
Continuous ❑Batch Plant El High Strength Bolting Dee Foundation Pu
El Periodic
,
Describe inspections made, including locations: 6�3,
.6 4_6 4264
/Hf�lllj
51d'��//
11
S4,"Au,t ea/r cc,� 2Lf �lO lid
%�/fi
fe✓sLUSro�
�C1 '30 fl
�orLly/ ��f is i . b.�l�i�euh'.✓/
/
rl al II&I �s �Y S?.OGi lam/ lL1Q r✓ Li✓le?
LjI (
���. Ti 0
►�hef�/
L/rim st/..i/� ►[h.� L,
kw "i s�„ d �� �i i� 4,, 4 ,e4 f �
5/, 4) vel, �' < J� �Yf J✓br i�ff � 1" )L�1✓ I �%�l� S
SPf-Xi
P,,_ ,141 -,r h •1 S• sJI "? L..
J,,*a,f roI.,� s -A, l2 �_�/�H�
L,r�
5 �w
Tests made:
List changes to approved plans by architect or engineer:
Comments:
The Work ,K WAS ❑ WAS NOT
Inspected in accordance with the requirements of the approved site plans and /
cnacifications +_
Material Sampling ❑ WAS ❑ WAS NOT JR N/A Signature of ,Special Inspector
Performed in accordance with approved site plans and specifications CdnGi Se/Jr if -1,3 r,m -r&A
The Work Inspected JR MET ❑ DID NOT MEET Print Nam / Title
le requirements of the approved site plans and specifications
",W, �r�«� 1 ��4a' 'L
s
cc: Project Architect Certification #
Structural Engineer
Project Inspector
Client Page 1 of 1