HomeMy WebLinkAbout3630 Westminster Ave - Misc. PermitOAILY DEPUTY/SPECIAL INSPECTOR'S REPORT
LAC LACO CBC IBC OTHERS
D,J.S, SPECIAL INS?ECTTONS, rNC.
2060-D Avenida de los Arboles #498
Thousand Oaks, CA 91362'
O: (805) 4931475
F: (805) 493-1425SUMTThFSa
Bldg. Permit#
Proj ect
Date /- /g'/ 7 weatner cond./rem
Address
p.
C< ouaY60SrLrr,t
Owner of lnspection ,
Architect L Englneer,U6 Lf
General Contraclor '7
Concrete Supplier_Mix Design #
Average Slump _Design Slrength
aO t^<f L-
SubContractor F-.TT
Cu. Yds. Placed
Sample Pickup #
n lnspected By _
No. Samples Cast Type
Reinforcement Supplier Flturt sr Date g
LOCATION OF WORK INSPECTED
COMMENTS:
7 A.rf,a
D 2rA( E ./4tr 4,t f t-/rst r-r( tl I
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tlt( ttar'x's aD OnGE / /)F/r)r1..)i tJA /t)4-/ /
7
lrlt L/ CrtnrC On.t Frl E
lnspectors Name
(Contraclors Representative)
Pink - Job Site Goldenrod - lnspector
Lic. #
HOURS
^.#O,T
Pay Hours Benellts
Remarks
lnitials
S ignature
Special lnsp€ctors ar6 lic€nsod by and work under the dr6ction of various city and county building authoritieL As such, tha bilting onlity
disclaims any expressed o. implied liabilily lor erors or negligence in fulfilling their inspeclion duli6s- This ield leport presenb a summary
of obsorvatiom and tests conducted by the testing and inspection agencl. This Gport shall not coostituto a wananly that lhe work
requi ng sp€cial insp€clion was in coniormanca wilh lho conlract documenls or lhe applicablg wo*manship provisions ofth6 govorning c!de.
A'rTORNEY'S FEES-lt any aclion is brought lo enforce or to interpret th6l6rms of this contract, the prevailing party
shall be entitled to ils actual attomey's fees. costs, and necessary disbursements in sddition to eny other reliet to which such pady
may be €ntitl€d.
Time ln Time Out /t fl /t/t Travel Time
Authorized By
White&Yellow-Office
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SAZh /ot A tJb
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Welding: Electrode_Process _Material
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