HomeMy WebLinkAboutRS080667_Special inspection reportsDEPUTY 1 INSPECTION SERVICE INC.
25121 DE SALLE ST, LAGUNA HILLS, CA 91
1 .800 - DEPUTY 1 = 1 - 800 - 337 - 8891
SPECIAL INSPECTION REPORT
Building Permit No. �, __. __ Job. No.
Jab di entiflcation /Atldress
General Contractor Address_
Sub -Contractor/Atldress
Structural Engineer/Address_
Arch._
DEPT. OF BLDG. & SAFETY
CITY OF _
COUNTY OF
Dole
REINFORCED CONCRETE_ MASONRY "Ya HI -TENSILE BOLTING_ CHEMICAL. ANCHORS _
PREBTRESSEO CONWETE_ WELDING_ GYPSUM CONCRETE_ OTHER__
WELDER
RECEIPTNUMBER
WELDER
RECEIPT NUMBER
DATE OF neomNrn"
DESCRIPTION OF WORK INSPECTED
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HOURS
SAMPLES
DATE
q0g.
OT
Tlme In
Time Out
Grout
Morley
Concrete
Block
Prisms
Density
All l0epe0aeee based an a ii so rare -0 F011e
Any fracases, an0neing des
hear Ore pi
A, trial L..o i�idn site farad strin, and I her
ATTORNEY FEES -if any catch at law or In equity Is brought o enforce or mtempt the terms of this Contract, the remained party
ehsl be ensued to reasonable attorney often, costs and necessary decoureemems m addition to any other relief o etch area party maybe
entitled
SPECIAL INSPECTION REPORT it eir
Inspector's Name that
above Signature:
the:
LOU No. has been filed wtl it states that the above work to the best of M1a/ r knowledge compiles with the
pro Isuns rf we Unilrrm S.BIt ug Died and meets approved plans and specification.
Respectfully Submitted,
Approved by: pmtat s�pedntendebt
DEPUTYIINSPECTION SERVICE INC. DEPT. OF BLDG. s SAFETY
25121 DE SALLE ST. LAGUNA HILLS, CA 91 CITY OF
1-800- DEPUTY I=1-BDO-33T-8891 COUNTY OF
SPECIAL INSPECTION REPORT
Building Pei No. Ic- ' Job. No. Date
Job Intlantifirabm /Address
General Contractor / Address
Sub - Contractor/Address ,19 to Ii)ntT,
Structural Engineer /More= k tr I P.,.. 1; Amid.
REINFORCED CONCRl MASDNRY� H4TENSILE BOLTING_ CHEMICAL ANCHORS_
PRESTRESSED CONCRE<E_ WELDINGGYPSUM CONCRETE_ OTHER
WELD R
RECEIPE NUMBER`
WE ER
BER
RECEIPTNUMit
DATE OF M�
DESCRIPTION OF WORK INSPECTED
L F
' HOURS
SAMPLES
DATE
Rap.
OT
Time In
Time ON
Grout
Morbr
Connate
at
Omally
9
allnq.Mbq bneameMgnunNle
hand, 0Mud
law minimum.Inwibn.MMCmpqNdaI Ypue
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wee. W mry Imgetlen will b Cllb 1" w id hiwnan a
ATTORNEY'S FEES - If any action at my, m'n eeuly, s bought ro enforce ar m onim the semis m this Commas, the preventing peM
stile Wer W to reasonable Abney s fees, coati sate necessary diebmeemenm in etltition W any Other relief W which such party meylae
witi
SPECIAL INSPECTION REPORT
assistant Name: Inspectors Signature:
LD.ft. _L�_ haslreenf led and It ended that be above wc*W me late of debar knowledge complies mind Me
proirs'rwrs M the Uniform Building Code and h ee6 approved plans anal specifiatons.
Respectfully Submitted.
APProved b y:
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