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Clty ol 5.tzr,* furf <br />Los Angeles Uniform Code Program <br />Uniform Procedure I-7: Special Inspections <br />Speclal lnspectlon Report <br />.DISCREPANCY 'CONFORMANCE <br />hou b $a irmodid. atlndon of lf i'/st to approvad end cldg reqliEfiEnB, submitAJi <br />ti6 Confacu b. ccrec{orl tf correciodt art mt m$a in e <br />&rely rnenoer, trIs regort shd De used al I dagegarEy nolce <br />Submn Urc cdglnd b Buidflg oeprfiEnt aod cophs b <br />Confactor <br />fiis repod b Bulldog ocprtrrat ad gog;es b Contab( Engineer/ <br />Arc|'itect d rrc€.d and Ornlr no l@ t lal fre business day blior..llr4 <br />60 c!fldulion dhr spclC lnrprlon, For inspccdons greater than 5 <br />a d leasl o veeh- <br />fiorxr ffdIlsrgs>a. ,ksd q' <br />Pc"mlt NunrE: <br />/e / tD)t8 Z /r9h t/o <br />Owna:l^liltEvtngh!.r d R.@rd:*>s712 .D-ry,b1) <br />Fu[ Nama a, SpacLl Lrrpctbfl: <br />l{uan Van Bul <br />CJty Ragfficr flurDbcr: - <br />POf 3049 <zt t'-'.ft <br />lD2 2-^/ 4 ,/./- z- <br />Arnpny: <br />VanBul Insp€cdon <br />ThlsEa:..P Final <br />Tlpc of Irupcdon: <br />o Relnforccd Concrete o Stsudrd Maonry <br />o ftesessedPost-Enshnd o MB h Coocret{Masonry <br />o Shotcrrg&r{tc o StrucE ral WrHh, <br />o IneJbE)g CoocntCcypo.t! o tttsh SUt'tgt,t BoehgTlma TtmrData A}trttd D.p.rtsd <br />7/,r/u ( zrt 4' u4 <br />Remarksr I <br />o Piflng, Pla6 & Calsrons a Snpke @ttrd <br />o 6@rat on and n[s : Encrgy Cornplianc€ <br />o SprafApglGd FII! honrE o TestirE Reports <br />c Qlhs &>e/s ,u/ 7-- <br />Dcrcrlpdor and todoa olWorklnopected ,724/.ffi.a-7 . <br />#,+ adtt--t5, gq- " b1+, z-tz-c=;177/7g ,^, t/'* <br />/-7a5, c'/-r.zo ar-, e.-4 cz.oz-zz.< z*=-L, <br />2H4 z-*a@ zb-+<osz4 t<-,/+1>_t, 2..4L <br />G .CZfr aED.,c: /s * / g=- - // .ru_ <br />No. <br />Wpbtd <br />s.E Ptoizt/.bW_-.at <br />e No.lof I <br />Numbar': <br />7t+34U8266 <br />*+- <br />2 <br />I I'IEREBY DECI.AR! Ill T IHE Fotto'ivlllo IS IRUE IO IHE SESr 0f lft KHoWIEDG& <br />:. :A:t CR !{YCOrllP rl.1/IE REIIJHED BY IHE OWIIER 0R IHE AFC}ITIEEIIEHG|iiEER 0F REcoRD l0 PROVIDE sPEcrAL <br />IiSPECTiCX FoR TlrE !19R ( CoVERID Iil tHtS REPoiT, <br />L I HAYE PERFORT{ED IHE REqUIRED IilSPECIIOi DIJRI'IG fiE TlitE PER,OO A8 STATEO AEOYE <br />3. IHE!YCnXCO\TEREDttaIUSREPORTtSfiCoIIFORA'tC!tOIHEAPPSoIEOPt.AilgSPEClEcAnoNsAt{0APPi.lcAncx <br />,,voRKltllrsHrP pRo\4stoli8 0F tltt cooe ErcEPrts txotcATED oTH ERlllsE. <br />*--* zv"- .,:&--:.,Signature: <br />Huan Van 8ui, Ceguty InrE€<tor <br />I <br />I <br />I <br />I <br />oau 7/z/zo -