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CITY OF SANTA ANA <br />Planning and Building Agency <br />❑ The material utilized was as specified in the SMART Tool engineering vendor <br />above (if applicable) and included in the material certification folder is a packing <br />materials. <br />Approved <br />claPIR Pru tRio sT ISSUANCE <br />nst <br />Master ID: <br />Date: <br />❑ The material utilized was approved by a SMART Tool engineering vendor as an "equivalent" and this <br />approval is included as part of the contractor submission. <br />Comments: <br />Contractor certifies that the climbing facility / safety climb was not damaged prior to starting work: <br />❑ Yes ❑ No <br />Contractor certifies no new damage created during the current installation: <br />❑ Yes ❑ No <br />Contractor to certify the condition of the safety climb and verify no damage when leaving the site: <br />❑ Safety Climb in Good Condition ❑ Safety Climb Damaged <br />Contractor to provide measurement from top of the highest equipment/steel to the bottom of the <br />lowest equipment/steel by documenting it using the most appropriate illustration below along with <br />supporting photos: <br />TIP OF HIGHEST APPURTENANCE- <br />OTAL VERTICAL ENVELOPE <br />TIP OF LOWEST APPURTENANCE= <br />Illustration #1 <br />Certifying Individual: <br />Illustration #2 <br />TIP OF HIGHEST APPURTENANCE = <br />TOTAL VERTICAL ENVELOPE - <br />TIP OF LOWEST APPURTENANCE = <br />