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DEPUTY 1 INSPECTION SERVICE INC <br />25121 DE SALLE ST, LAGUNA HILLS, CA 92653 <br />1 - 800 - DEPUTY 1 = 1 - 800 - 337 - 889'l <br />SPECIAL INSPECTION REPOBT <br />Job. No <br />DEPT. OF BLDG. & SAFEW <br />CITY OF <br />COUNTY OF <br />Date <br />Brce 4 <br />Building Permit N <br />Job lndentif icat ron <br />General Contractor i Address <br />Sub - Contraclor / Address <br />Structural Enqineer / Address Arch <br />RFINFORCED CONCRETE MASON RY <br />PFIESTRESSED CONCRETtr WELDING GYPSUM CONCFIETE- OTHEH- <br />HI.TENSILE BOLTING <br />- - CHEMICAL ANCHOHS <br />WE LOE R RECEIPT NUMBER S/ELOER RECEIPT NUMBEB <br />oalE oa rNsPEcTroN DESCRIPTION OF WOBK INSPECTED <br />HOURS SAMPLES <br />ATTORNEY'S FEES - ll any aclion at law or in equity is brought to enlorce or inlerupt the terms o, this Contract, the prevailing party <br />shall be entitled lo r€asonable atlorney's lees, costs and necessary disbursemgnts in addition to any other reliel to which such party maybeentitled <br />, spectnu rNspEcrroN REpoRT <br />lnspeclor's Name:lnspector's Signature: <br />LD. No.has been lilerl and it stales lhat the above work lo the best of his/her knowledge complies with the <br />provisions of the Unitorm Building Code and meets approved plans and specilicalions. <br />Respectf ully Submitted <br />Approved by <br />Proiecl Superintondent <br />DATE Reg.OT Time ln Time Out <br />IIIIIII <br />Grout Mortar Concrete Block <br />Prisms Oensity <br />All insp6ctions brsod on a minimum ol4 hour5 & over 4 hours - I hou.s <br />minimum. Any inspection ortending past thE nooh hou, will b. billed as I <br />hour miniftum. ln addition, any insprciion erl6ndiflg pist an I hour ge- <br />riod, or Saturday inspcction will bc billrd at tifiE and . halt. <br />I IIIItt