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B19-1527 - 30333 CAMINO CAPISTRANOApollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ Shawn Nelson 5281691 ICC 5-17-21B19-1530 SJC Groves LP The Grove Senior Apartment 30333 Camino Capistrano San Juan Capistrano C&C Construction Services Inc. OC Concrete IDE Arc Gouvis Engineering Observed placement of 3000 psi concrete for foundation footings section D&E gridlines AA-O / 1-12. Concrete supplied by Cemex ready mix . Mix design # 1418319 . (2) sets of (4) cylinders cast for strength testing . Work mechanically vibrated . Total of 240 yards placed. Conduits adjusted at strongwall and hairpins placed prior to concrete placement . C&C Construction Services Inc. 4 8 4x8 FINAL 09/30/2022 Form - Structural Observation Report v1.0.doc Updated: 06-28-17 Page 1 of 2 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (check applicable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Roof) IF PORTION OF BLDG WAS DATE … Footing, Stem Wall Concrete Steel Moment Frame Concrete Mat Foundation, Pre-stressed Conc. Slab Masonry Steel Braced Frame Steel Deck Caisson, Pile, Grade Beam Wood Shear Wall Panel Concrete Moment Frame Wood Foundation Pad, Anchor Other: Masonry Wall Frame Other: Other: Other: Other: Other: City of San Juan Capistrano Development Services Department Building and Safety Division Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all construction work through day of , 20 . Report No.: Page No.: of Project Address: Structural Observer of Record (SOR): Professional Lic./Reg. No.: Phone No. of SOR: Building Permit No.: Structural Observer (SO), if not by SOR: Professional Lic./Reg. No.: Phone No. of SO: OBSERVED, INDICATE LOCATION ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1. I am the Registered Design Professional retained by the Owner to be in responsible charge of the structural observation in accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated above and is under my responsible charge, has performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. I understand that all deficiencies which I have documented must be corrected and a new structural observation report must be issued clearing these deficiencies; and 4. I understand that final acceptance of the structural systems by the Building and Safety Division cannot occur without the correction of all observed deficiencies. SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER OF RECORD 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org 2nd June 21 1 1 1 30333 Camino Capistrano Gouvis group 9497521612 B19-1527 Basil Ammari C052030 9497521612 Area A,B 6-2-21 Observed slab on area A and B. Provide chairs under rebar. No other deficiencies. 6-2-21 Job number: 65246 Form - Structural Observation Report v1.0.doc Updated: 06-28-17 Page 1 of 2 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (check applicable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Roof) IF PORTION OF BLDG WAS DATE … Footing, Stem Wall Concrete Steel Moment Frame Concrete Mat Foundation, Pre-stressed Conc. Slab Masonry Steel Braced Frame Steel Deck Caisson, Pile, Grade Beam Wood Shear Wall Panel Concrete Moment Frame Wood Foundation Pad, Anchor Other: Masonry Wall Frame Other: Other: Other: Other: Other: City of San Juan Capistrano Development Services Department Building and Safety Division Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all construction work through day of , 20 . Report No.: Page No.: of Project Address: Structural Observer of Record (SOR): Professional Lic./Reg. No.: Phone No. of SOR: Building Permit No.: Structural Observer (SO), if not by SOR: Professional Lic./Reg. No.: Phone No. of SO: OBSERVED, INDICATE LOCATION ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1. I am the Registered Design Professional retained by the Owner to be in responsible charge of the structural observation in accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated above and is under my responsible charge, has performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. I understand that all deficiencies which I have documented must be corrected and a new structural observation report must be issued clearing these deficiencies; and 4. I understand that final acceptance of the structural systems by the Building and Safety Division cannot occur without the correction of all observed deficiencies. SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER OF RECORD 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org 1st June 21 1 1 1 30333 Camino Capistrano Gouvis group 9497521612 B19-1527 Basil Ammari C052030 9497521612 Area C,D,E 6-1-21 Observed slab on area C,D,E. No deficiencies. 6-1-21 Job number: 65246 Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ Shawn Nelson 5281691 ICC 6-1-21B19-1530 SJC Groves LP 30333 Camino Capistrano San Juan Capistrano The Grove Senior Apartment IDE Arc Gouvis Engineering C&C Construction Services Inc. OC Concrete On site for rebar inspection foundation slab sections C , D & E . # 3 60 Grade rebar placed @ 16 “ OC . Details sheet S-1.1 and SD-1 . 4 “ thick slab to be placed . Concrete placement upon city offcials approval . C&C Construction Services Inc. 4 Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ B19-1527 30333 Camino Capistrano The Grove Senior Apartments San Juan Capistrano, Ca 92675 C&C Construction . 8/13/21 Gouvis Engineering Arrived on site to provide periodic special inspection at Sections D and E of 1st Level shear walls requiring nailing at 4” on center or less and 2nd Level ﬂoor sheathing. Referenced sheet SN1 Shear Wall Schedule. Referenced sheets S-1.1C, S-1.1D, S-1.2C and S1.2D for wall types and locations, as well as Holdown Schedule and anchor spacing. Inspection included sheathing type and thickness. Veriﬁed nail spacing, edge distance and penetration. Inspected top and bottom shear transfers. All walls were complete with the exception of party walls between units. 1 side was sheathed and both walls were checked for anchor bolts and HDU’s. 2nd Level ﬂoor sheathing was nailed per contract documents. 4 Michael Vidovich 8292714 ICC Idearc Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ 8/20/2021BLD19-1527 The Grove Senior Apartment SJC Groves LP 30333 Camino Capistrano San Juan Capistrano IDE Arc Gouvis Engineering C&C Construction Services Inc. OC Concrete Observed placement of 5/8 “ threaded rod for additional anchor bolts placed at buildings C & B . Detail 19 on sheet SN-3. 7” embed. All locations brushed and blown prior to placement . Simpson XP epoxy used. ESR - 2508 Exp. date 6-19-23 . C&C Construction Services Inc. Shawn Nelson 5281691 ICC 4 Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ Shawn Nelson 5281691 ICC 5-25-21B19-1530 SJC Groves LP IDE Arc Gouvis Engineering OC Concrete The Grove Senior Apartment 30333 Camino Capistrano San Juan Capistrano C&C Construction Services Inc. On site for foundation footing inspection prior to concrete placement . Sections A and B . 60 grade rebar placed per approved plans . Details on sheet SD-1. Hold downs and anchor bolts in place and secured . Concrete placement upon city official and engineers approval . C&C Construction Services Inc. 4 Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ B19-1527 The grove senior apartments 30333 Camino CapistranoSan Juan Capistrano C&C Construction Framing 08-22-2021 Idearc Gouvis Eng. Work was observed to been completed per the project documents and drawings as provided. Work was observed to be Complete at the areas as described above. Observed the floor deck at the second level for the spacing and locations and penitrations and to be free of excessive edge nailing damages. Observed the shear wall nailing of the first floor area "C" at the areas of installation requiring nailingvalues of 4" and less, as well the areas of the floor sheathing of the second level was observed to be nailed at 6 / 12. Observed the placement and attachment of the shear wall HDs and plate anchor spacing and locations per SN1 and the applicable details. Observed the nailing for the spacing, thicknesses and locations and to be completed at the areas shown per the structural drawings. 8250109 ICC Robert Lisk Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ 8-27-21BLD19-1527 SJC Groves LP The Grove Senior Apartments 30333 Camino Capistrano San Juan Capistrano IDE Arc Gouvis Engineering C&C Construction Services Inc. OC Concrete Observed placement of 5/8 “ threaded rod for additional anchor bolts placed at building A . Detail 19 on sheet SN-3 . 7 “ embed . All locations brushed and blown prior to placement . Simpson XP epoxy used. ESR - 2508 Exp. 6-19-23 C&C Construction Services Inc. 4Shawn Nelson 5281691 ICC Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ 9-3-21BLD19-1527 SJC Groves LP 30333 Camino Capistrano San Juan Capistrano The Grove Senior Apartment IDE Arc Gouvis Engineering C&C Construction Services Inc. OC Concrete Observed placement of Cementall Multi-Purpose material & Non - shrink grout for column base building B . ASTM C1107 . 9000 psi at 28 days . Details 21 on SD-1 and Foundation Plan B . Total of 10 columns . (12) addional anchor bolts placed at building B . 7 “ embedment . Simpson XP epoxy used. ESR 2508. Locations cleaned prior to placement . C&C Construction Services Inc. 4 5281691 ICC Shawn Nelson Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ B19-1527 The grove senior apartments 30333 Camino CapistranoSan Juan Capistrano C&C Construction Framing Idearc Gouvis Eng. 8250109 ICC Robert Lisk 09-10-2021 Observed the nailing for the spacing, thicknesses and locations and to be completed at the areas shown per the structural drawings. Work was observed to been per the project documents and drawings as provided. Work was observed to be Complete at the areas as described above . Observed the shear wall nailing of the 2nd floor areas "D & E" at the areas of installation requiring nailingvalues of 4" and less, as well the areas of the floor sheathing of the third (3rd) level was observed to be nailed at 6 / 12. Observed the placement and installation of the strap / post nailing and the SDS attachments at the shear wall locations for the areas as noted above. Observed the floor deck at the third level for the nailing spacing, locations and penitrations and to be free of excessive edge nailing damages. Steve Salcedo Building & Grading Inspector City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Subject: SUMMARY OF DEPUTY/SPECIAL INSPECTOR DAILY FIELD REPORTS AND CERTIFICATE OF COMPLIANCE FOR THE GROVES APARTMENTS PER BUILDING PERMIT B19- 1527. The following attached Deputy/Special Inspector Reports are listed in chronological order. FRAMING 12/30/21 1st – 3rd Floor double shear walls inspection at sections A – E. 10/19/21 3rd Floor shear walls inspection at section A – E. 10/8/21 3rd Floor shear walls inspection at section A – E. 9/20/21 2nd-3rd Floor shear walls inspection at section B. 9/16/21 2nd-3rd Floor shears walls inspection at section A. 9/14/21 2nd-3rd Floor shears walls inspection at section C. 9/10/21 2nd-3rd Floor shears walls inspection at sections D & E. 8/30/21 1st-2nd Floor shear walls inspection at section A. 8/22/21 1st-2nd Floor shear walls inspection at section C. 2 8/13/21 1st Floor shear walls inspection at section D & E. FOUNDATION 9/3/21 Observed cement pour for steel column bases at section B. Continuous inspection for anchor bolt placement post concrete section B. 8/27/21 Continuous inspection for anchor bolt placement post concrete section A. 8/20/21 Continuous inspection for anchor bolt placement post concrete section C & B. 8/11/21 Continuous inspection for anchor bolt placement post concrete section D & E. 7/23/21 Continuous inspection for anchor bolt placement post concrete pour. 6/4/21 Observed concrete pour for slab section A & B. 6/3/21 Observed concrete pour for slab section D & E. 6/3/21 Foundation slab inspection for sections A & B. 6/1/21 Foundation slab inspection for sections C, D, E. 5/25/21 Foundation footing inspection for sections A & B. 5/28/21 Observed concrete pour for footings section A & B. 5/20/21 Observed concrete pour for footings section D & C. 5/17/21 Foundation footing inspection for section D & C. 5/17/21 Observed concrete pour for footing section D & E. 5/13/21 Foundation footing inspection for section D & E. 3 WELDING 8/14/21 Observed field welding for structural steel. 8/3/21 Observed field welding for structural steel. SITE CONCRETE 11/6/21 Observed concrete pour for driveway approach. Apollo Inspection Service, Inc. Serving Southern California Since 1990 Contractor ________________________________ Architect/ Designer________________________________ Sub ______________________________________Engineer_________________________________ _ Deputy/Special Inspector Daily Report and Certiﬁﬁcate of Compliance Description of work observed Inspections are based on a 4 hour minimum. After 4 hrs is 8 hrs. Over 8 and Saturdays are time and one half. Reg. Hrs.___ O.T.Hrs.___ Test Cyls____Type________ BillTo:________________________________________ _____________________________________________ _____________________________________________ Approved______________________________________ Project Superintendent-Foreman-Other Permit___________________________________ _ I hereby certify that, unless otherwise noted, I have observed all of the above reported work. To the best of my knowledge and belief, I have found this work to comply with the approved plans, speciﬁﬁcations, and applicable section(s) of the governing Building Code. _____________________________________ Special/Deputy Inspector-Print Sign_____________________________________ Special/Deputy Inspector-Sign Date_____________________________________ Lic.No._______________Agency__________________ The Owner or a successor in interest shall hold harmless Apollo Inspection Service, Inc., a California Corporation, from any and all legal proceedings of any nature whatsoever, that are related to the inspection services provided in this report.. Should Apollo Inspection Service, Inc. be required to institute legal action for the collection of a debt incurred as the result of the acceptance of this report, Apollo Inspection Service, Inc. shall be entitled to Attorney''s fees and costs iincurred in said action. 2409 Faircross Street Torrance, CA 90505 310-995-6007 cel 310-326-9787 ofc 310-326-5841 fax admin@apolloinspection.com Project___________________________________ Address__________________________________ _________________________________________ Owner___________________________________ ________________________________________ Shawn Nelson 5281691 ICC 5-17-21B19-1530 The Grove Senior Apartment 30333 Camino Capistrano SJC Groves LP San Juan Capistrano C&C Construction Services Inc.IDE Arc Gouvis Engineering OC Concrete On site for foundation footing inspection prior to concrete placement . Remainder of section D and C . 60 grade rebar placed per approved plans . Details on SD-1. Hold downs and anchor bolts in place and secured . Concrete placement upon city offcials approval . C&C Construction Services Inc. 4 Form - Structural Observation Report v1.0.doc Updated: 06-28-17 Page 1 of 2 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (check applicable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Roof) IF PORTION OF BLDG WAS DATE … Footing, Stem Wall Concrete Steel Moment Frame Concrete Mat Foundation, Pre-stressed Conc. Slab Masonry Steel Braced Frame Steel Deck Caisson, Pile, Grade Beam Wood Shear Wall Panel Concrete Moment Frame Wood Foundation Pad, Anchor Other: Masonry Wall Frame Other: Other: Other: Other: Other: City of San Juan Capistrano Development Services Department Building and Safety Division Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all construction work through day of , 20 . Report No.: Page No.: of Project Address: Structural Observer of Record (SOR): Professional Lic./Reg. No.: Phone No. of SOR: Building Permit No.: Structural Observer (SO), if not by SOR: Professional Lic./Reg. No.: Phone No. of SO: OBSERVED, INDICATE LOCATION ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1. I am the Registered Design Professional retained by the Owner to be in responsible charge of the structural observation in accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated above and is under my responsible charge, has performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. I understand that all deficiencies which I have documented must be corrected and a new structural observation report must be issued clearing these deficiencies; and 4. I understand that final acceptance of the structural systems by the Building and Safety Division cannot occur without the correction of all observed deficiencies. SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER OF RECORD 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org 25th May 21 1 1 1 30333 Camino Capistrano Gouvis group 9497521612 B19-1527 Basil Ammari C052030 9497521612 Section A and B 5-25-21 Observed foundation at section A and B. No deficiencies. 5-25-21 Job number: 65246 Form - Structural Observation Report v1.0.doc Updated: 06-28-17 Page 1 of 2 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (check applicable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Roof) IF PORTION OF BLDG WAS DATE … Footing, Stem Wall Concrete Steel Moment Frame Concrete Mat Foundation, Pre-stressed Conc. Slab Masonry Steel Braced Frame Steel Deck Caisson, Pile, Grade Beam Wood Shear Wall Panel Concrete Moment Frame Wood Foundation Pad, Anchor Other: Masonry Wall Frame Other: Other: Other: Other: Other: City of San Juan Capistrano Development Services Department Building and Safety Division Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all construction work through day of , 20 . Report No.: Page No.: of Project Address: Structural Observer of Record (SOR): Professional Lic./Reg. No.: Phone No. of SOR: Building Permit No.: Structural Observer (SO), if not by SOR: Professional Lic./Reg. No.: Phone No. of SO: OBSERVED, INDICATE LOCATION ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1.I am the Registered Design Professional retained by the Owner to be in responsible charge of thestructural observation in accordance with the requirements of the City of San Juan Capistrano;2.I, or another Registered Design Professional whom I have designated above and is under myresponsible charge, has performed the required site visits at each significant construction stage toverify that the structure is in general conformance with the approved construction documents;3.I understand that all deficiencies which I have documented must be corrected and a new structuralobservation report must be issued clearing these deficiencies; and4.I understand that final acceptance of the structural systems by the Building and Safety Division cannotoccur without the correction of all observed deficiencies. SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER OF RECORD 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org 13th May 21 1 1 1 30333 Camino Capistrano Gouvis group 9497521612 B19-1527 Basil Ammari C052030 9497521612 Area E and partial area D 5-13-21 Observed foundation only at area E and partial area D. Slab to be poured later. Interior footing not installed near stairs and trash area. Relocate conduits at strong wall and provide hair pins for the strong wall. Provide dowels from 1st pour to 2nd pour. Deputy inspector to verify the corrections. No other deficiencies. 5-13-21 Job number: 65246 Form - Structural Observation Report v1.0.doc Updated: 06-28-17 Page 1 of 2 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (check applicable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Roof) IF PORTION OF BLDG WAS DATE … Footing, Stem Wall Concrete Steel Moment Frame Concrete Mat Foundation, Pre-stressed Conc. Slab Masonry Steel Braced Frame Steel Deck Caisson, Pile, Grade Beam Wood Shear Wall Panel Concrete Moment Frame Wood Foundation Pad, Anchor Other: Masonry Wall Frame Other: Other: Other: Other: Other: City of San Juan Capistrano Development Services Department Building and Safety Division Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all construction work through day of , 20 . Report No.: Page No.: of Project Address: Structural Observer of Record (SOR): Professional Lic./Reg. No.: Phone No. of SOR: Building Permit No.: Structural Observer (SO), if not by SOR: Professional Lic./Reg. No.: Phone No. of SO: OBSERVED, INDICATE LOCATION ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1. I am the Registered Design Professional retained by the Owner to be in responsible charge of the structural observation in accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated above and is under my responsible charge, has performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. I understand that all deficiencies which I have documented must be corrected and a new structural observation report must be issued clearing these deficiencies; and 4. I understand that final acceptance of the structural systems by the Building and Safety Division cannot occur without the correction of all observed deficiencies. SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER OF RECORD 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org 18th May 21 1 1 1 30333 Camino Capistrano Gouvis group 9497521612 B19-1527 Basil Ammari C052030 9497521612 Area D gridline 17/18 5-18-21 And Area E gridline 15/16 Observed foundation on area D gridline 17/18 and area E gridline 15/16. No deficiencies. 5-18-21 Job number: 65246 09/30/22 A-2 / R-2/ B / S-1 88,072 BOARD OF DIRECTORS CHARLES T. GIBSON SAUNDRA F. JACOBS JUSTIN McCUSKER BETTY H. OLSON, PH.D FRANK URY DANIEL R. FERONS GENERAL MANAGER Santa Margarita Water District  26111 Antonio Parkway, Rancho Santa Margarita, CA 92688 www.SMWD.com  (949) 459-6420 August 12, 2022 Building Department City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, California 92675 Attention Release Desk: building@sanjuancapistrano.org Subject: I.D. No. 9, 30333 Camino Capistrano, San Juan Capistrano, The Groves Apartments The following referenced location(s) may be released as far as the District is concerned effective August 12, 2022. Developer: SJC Groves LP This release does not constitute authorization for you to release the water and sewer bonds for the subject lots. This authorization will be a Resolution of the Board of Directors of the Santa Margarita Water District. When the water and sewer facilities are formally accepted by the Board, they authorize release of the water and sewer bonds. A copy of the Resolution will be forwarded to you. Should you have any questions please contact me at (949) 459-6504. Sincerely, SANTA MARGARITA WATER DISTRICT Jeffrey P. McDonnell, P.E. Construction Engineering Manager cc: Tony Gaetano, Inspector Elena Wilson, elenaw@smwd.com Jenna Finch, jennaf@smwd.com Bill Webster, billw@smwd.com File S\Eng\Development\CSJC\CSJC Occupancy Release