HomeMy WebLinkAbout1010 N Fairlawn St - Misc. Permit (2)Date:6-1.lq
ELITE SPECIAL INSPECTIONS INC.
9545 Firestone Blvd. #5, Downey, CA,90241,
Office: [562] 413-8t59 | FAX: (5621 867-8470
Elite.Safe@mail.com
SPECIAL INSPECTORS TIME SHEET & REPORT
Job #
ld\ 1 ( 160 Permit Date 7lvt1 Jurisdiction
6-l-fi4
Building Permit #
Job Identification
Contractor: General
t 4 &u I Address
Sub -
Engineer
(,loto Pqi^lq\,n Avc
LDP: Architect AlqrPrq,fl^s {- ,l')es,on
Reinforced Concrete D ACI G rade I -Tech tr
Dswr\1, \n"\ors t [.,\\ t^"rvu
Prestressed Concrete E
Other tr
Masonry E
NOTE: Conlractor assumes responsibilty lor any and all work that is performed outside of stamped/approved plans
bearing the seal ol the applicable enlorcing agency ol record. Contractor is informed that any and all work performed
prior to Building Department approval is pertormed at contractors own risk pending proper approval by the Building
Oflicial.
Provided Visual lnspection for:Plans Date:
0
-\
(\$
Ir
D U
I oN
S v\'tL e - 2-o
Certif icate of ComplianceHours Billed #
Paid Check #
BAL,d\CE
All inspection is based on a 4 hour minimum, over 4 hours is an 8 hours minimum. After 8 is tjme and a half, respectively. In addition, any inspection
extending past noon hour will be an 8 hour minimum. Al) lab work necessary to complete inspections will be paid by owner, engineer or contractor.
Certilied Special lnspector (Please Print)Jared Brekenfeld rcc +. 8024.186
Certilied Speci
qpproved By:
lease Sign ):
)
Lqah4r'
I hereby certify that I have observed to the best of my knowledge all of the above reported work
unless otherwise noted. I have found rhis work to be in compliance with the Approved plans,
Specifications, and applicable sections of the Governing Building Codes.
/^, t Company:
hn+ t hq
I
Epoxy
INVOICE #
City #:_