HomeMy WebLinkAbout106 W Fourth St Unit# 300 - Misc. PermitType o,
lnspection
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Welding / HS Bolting
Rebar Placement
Rebar Welding
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Reinforced Concrete
Fireproofing
Reinforcod Masonry
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Shotcrete
Epory / DIA
Other
Proiect Name:stJtTE 30-0 AND 500 T tO eemit* 1O110012
Jurisdiction:Address: 106 W 4TH ST.. SANTAANA SANTAANA
Architect:contractor: VISIONEERING STUDIOS
Ensineer: GOUVIS Subcontractor:
Type of Sample:No. of Samples:
Welde/s Cert.'s. etc.
/rVSPECfr0r{,qEPORf
Dato: 7129119
PLACEM NTO 4 o
CONCRETE 3RD L L o F PER MD AND , THREADED RODS AT
FTOP C 2.2 SIM e N XP EPCXY ICC 2508, ALL HOLES
BLOWN AND BRUSHED CLEAN PRIOR TO PLACEMENT PER MANUFACTURER
INSTRUCTIONS.
I h.roby ao.tify that I havo ln8poatdd to thc bart of my knowlgdg. rll the.bovo repoiod wo.k uhls.r otherwiao noicd.
I h.v. round thl. worf to comply wlth tho approvod pl.nr, spaclflc.tlors .nd applicablc roctlont otthe govornlng bulldlng code6
lnspector's Slgnature h{4w All insp€ctions ba6od
on l minimum of 4 hrs. 8nd
over 4 h.a. ia an 8 hr, mlnlmum
Print Namc CRYSTAT- LEFF R6g. T!me Over Time DBL. Time
certllication rypJCC REIN CONC
certtflcation tru.uu, ICC 5028455 Approvod 8y
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