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Home My WebLink About1941 DOVE LN; ; CB141756; Permit08-27-2014 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No:CB141756 Building Inspection Request Line (760) 602-2725 1941 DOVE LN CBAD RESDNTL Sub Type: RAD Status: ISSUED 2131120700 Lot#: 0 Applied: 07/22/2014 $0.00 Constuction Type: 5B Entered By: SKS Reference #: Plan Approved: 08/27/2014 1 Structure Type: Issued: 08/27/2014 0 Bathrooms: 0 Inspect Area: Orig PC #: Plan Check #: fM OOS Q. LA COSTA GREENS(PALOMA) APTS: BLDG 4 REPAIRS FOR WATER DAMAGE // REPLACE DOORS & THRESHOLDS // REPAIR ONLY THRESHOLDS AS NEEDED // REPAIR STUCCO WEEP SCREEDS // REPAIR STAIR NOSINGS // REFURBISH EXTERIOR LIGHT POLES, LIKE FOR LIKE Applicant: BUCKLES & ASSOCIATES INC Owner: DOVE FAMILY HOUSING ASSCS 27381 VIA INDUSTRIA TEMECULA CA 92590-3699 951-506-4815 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Building Permit $0.00 Meter Size Add'l Building Permit Fee $233.50 Add'l Red. Water Con. Fee $0.00 Plan Check $0.00 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.00 PFF (3105540) $0.00 Park in Lieu Fee $0.00 PFF (4305540) $0.00 Park Fee $0.00 License Tax (3104193) $0.00 LFM Fee $0.00 License Tax (4304193) $0.00 Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00 Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $0.00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $0.00 Renewal Fee $0.00 ELECTRICAL TOTAL $0.00 Add'l Renewal Fee $0.00 MECHANICAL TOTAL $0.00 Other Building Fee $0.00 Housing Impact Fee $0.00 HMP Fee $0.00 Housing InLieu Fee $0.00 Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00 Meter Size Master Drainage Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Sewer Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB 1473) Fee $1.00 Fire Sprinkler Fees $0.00 Green Bldg Stands Plan Chk Fee $0.00 TOTAL PERMIT FEES $235.50 Total Fees: $235.50 Total Payments to Date: $235.50 Balance Due: $0.00 Inspector: FINAL APP Date: ^ OVAL PROV, Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. Inspection List Permit*: CB141756 Type: RESDNTL RAD LA COSTA GREENS(PALOMA) APTS: BLDG 4 REPAIRS FOR WATER DAMAGE / Date Inspection Item Inspector Act Comments 02/12/2015 19 Final Structural - Rl 02/12/2015 19 Final Structural MC Fl RECEIVED Dl REPORTS Friday, February 13, 2015 Page 1 of 1 SOUTHERN CALIFORNIA r SOIL&TESTING JNC. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street 83-740 Citrus Avenue, Suite G SANDIEGO, CA92120 Phone (619)280-4321 Fax (619) 280-4717 INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone (877) 215-4321 c PL NC FIX SCS&T FILE NO.: RO. NO.: ^ n r i ^' LEA # 047 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone (877) 215-4321 PA6E PROJECT TITLE: DSA/OSHPD FILE NO.: A-/ DSA APR NO.: ^ J PROJECT ADDRESS PERMIT NO.: X^ ?mi FILE NOT: ARCHITECT: ^ CMr^lMCClJ. _ FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE O REINFORCED MASONRY • WELDING • FIREPROOFING • Q. C. CONCRETE • RT. CONCRETE / STRESS • EPOXY ANCHORS • H.S. BOLTING • ROOFING / WATERPROOFING PO/ / GENERAL CONTRACTOR: SUB CONTRACTOR: LOCATION OF WORK INSPECTED: MATERIAL CL0,SSIFICATION: DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: J ^Xf y^s S'^/7/^'C?c^/ r>o X/^yr-e^ X>(^j-^y/^/y <^/» ^^-T ^ Zao, :XP^ Zo/y ^ z ^^/-^^/>-^ Xf^X y - 7 ^ -p y^^^r c^/^ /LJ/'OO /^rry<i :P/'o^ /rc^^^r^(^ ^ -Xy^r.^ /"/r>^ /> 'y^~</ ^/9x /^x^ CBC/ICC I fiereby certify that I have inspected tfie above reported work. Unless noted otherwise the work inspected Is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. Inspector Initials DSA/OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the DS/VOSHPD approved documents, The work inspected complies with the DS/VOSHPD approved documents. Yes: No; Inspector Initials: "X^ ^/39Z(,2-^ REGISTRATION M *AUTUe)RIZir«rSIGN 'signature authorizes ttie atXNe work SCS&T 205 REV 7-2014 SOUTHERN CALiFORNiA SOIL&TESTING,INC. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 83-740 Citrus Avenue, Suite G INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone(87 c PL NC FIX SCS&T FIIE NO.: RO. NO.: LEA # 047 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone (877) 215-4321 PAGE / OP / FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • RT. CONCRETE / STRESS • EPOXY ANCHORS • H.S, BOLTING • • WELDING • FIREPROOFING • Q. C. CONCRETE • ROOFING / WATERPROOFING rJECT TlTLt «*ltCT ADDRESS v _ _ DSA/OSHPD FILE NO. PERMIT NO.: 7^ DSA APR NO.; PLAN FILE NO.: AWSHITECT: ENGINEER: '(/• DESCRIPTION OF WORK INSPECTED: \JICOIN6 G^itXX<LUX^e. {K)f<ixdJPQxxXfI (mtizc)NX)^i^PeJq^ I .XtS'lhicXfjcX) F>J h AT' T'^/^^ C'S^Sf^XKJS T-XLUXr)d/X X^aiOS5 XXe XadL LQjKj<XrX. ^XYTX^JC^L, pcX>(iL SXiry^fS Of SiLu eA,eJ FLMmiC VM Xf\-/n5 3IVCCP mtdxMcS PRINT NAME/^ Z! TI! "7^ ^7^7"!^^^^?^^^ I RE. REVIEW: CBC/ICC I hereby certify that I have inspected the above reported work. Unless noted otherwise the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. Inspector Initials DSA/OSHPD I hereby certily that I have inspected the above reported work in accordance with the requirements of DSA/OSHPD approved documents. Sampling and testing were^ conducted in accordance with the requirements of the DS/VOSHPD approved documents. The work inspected complies with the DSA/OSHPD approved documents. Yes; No; Inspector Initials; REGISTRATION NO. PRIZING SIGNATURE *signature authorizes the obove worit SCS&T 206 REV 7-2014 •PilRlil SOUTHERN CALIFORNIA SOIL&TESTING, INC. LEA # 047 A California Certified Small Business Enterprise (SBE) 83-740 Citrus Avenue, Suite G INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone (877) 215-43: PL NC FIX SCS&T FILE NO.: RO. NO.: 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone (877) 215-4321 PAGE OF FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • VrtLDING • FIREPROOFING • Q. C. CONCRETE HOOFING / WATERPROOFING PROJECT TITLp. mf'^ y DSA/OSHPD FILE NO: AJ f DSA APR NO.; PROJECT ADDBBS / Z^<j>(/e x./>xX PERMITNO.;. ' | ^ PLAN FILE NOTT' / ^ ARCHITECT: . /^uc/^/e S FM«IWFFP- GENERAL CONTRACTOR: _ SUB CONTRACTOR: ^ 41^1X0/~^/Pf/)jJ MATERIAL CIASSIFICATION: Sc y^yy^. Ty ^ ZS'=' 'Tc/^L^ /^^X6"^ rr DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: /(Jy/-y K TIME DEPARTED: X^.SJf£ yJ /3cy/XiPy.^c yf XX //M ^TS ^ ?^ ^ P.^Y'^. ^ Z/Z Z^3, -^Z/X . ^ ?c) Q ^^^.^^ ^ ^/XK) iX^py, XX:^o^ /^^r ^ ^<r^^ ^ XXyog- ^/:}^yy<^ y /r y<l^/^cy^^yf ^y-'(; Z^^RINT NAMF 'Xf^^ I ^ ~Z RE. REVIEW; CBC/ICC I hereby certify that I have inspected the alxive reported work. Unless noted otherwise the work Inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws, inspector Initials DSA/OSHPD I hereby certify that I hove inspected the above reported work In accordonce with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the DS/VOSHPD approved documents. The work inspected complies with the DS/VOSHPD approved documents. Yes: No: Inspector initials: *AUTHORi; 'slgnatCfe authorizes ttie atxue work SCS&I205 REV 7-2014 SOUTHERN CALIFORNIA SOIL&TESTING,IN^. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 83-740 Citrus Avenue, Suite G INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 c X PL NC FIX 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone (877) 215-4321 / (y o 5^2 /^ 12B146 LEA # 047 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone (877) 215-4321 SCS&T FILE NO. RO. NO. PAGE PROJECT TITl^; '^^Jf'-jy . DSA/OSHPD FILE NO.; y DSA APR NO.: , PROJECT ADDRESS X>y^i/^ Xy^yjC X^y>yt^S3^^ PERMITNO; ^ PLAM FILE NO; ' A ARCHITECT: /Xc/^.Xce s ENGINEER: GENERAL CONTRACTOR; ^ SUBCONTRACTOR; ^ / y\ ^ , W <^^/«/ r^y / X FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • WELDING • FIREPROOFING • Q. C. CONCRETE • ROOFINiG / WATERPROOFING • RI CONCRETE / STRESS • EPOXY ANCHORS • H.S. BOLTING • .X?u'^4PrMX ^ X99X MATERIAL CLASSIFICATION; ^ X, X '/y< /'(-^ y X^ DATE / DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: X^ yc/yyy<^ <^ <7 TIME DEPARTED: /<e/'^^/Z s XJ^ ^/y^ /^^^ X^^/^X> /^/T<^i^Z^ 'yo yr- y ^ <r^(^c /^f ^ X<^r cS<XOuA^,^/) /^ / ScXr(^s ^ l-/o>^'y7 My^^Lf M ic^'k^ -^^ /r J £> c/ ^ /=^Sa^ X~^^^ ^ XZ^c/r f-^SoCi X''^r='AyT ^ XPcs.<j(z~- ^ME PE. REVIEW; CBC/ICC I hereby certify that I have inspected the above reported work. Unless noted otherwise the work inspected Is 1o the best of my knowledge In comptiance with the approved plans, specifications and applicable sections of the governing building laws. Inspector Initials _.. DS/k/OSHPD I hereby certify that I hove inspected the above reported work in accordance with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA/OSHPD approved documents. The work inspected complies with the DS/VOSHPD approved documents. Yes: No: Inspector Initials: ,. ,. . X i41 •AUTHOWTG SIGN/WURE 'signature authorizes the atxive work SCS&T 205 REV 7-2014 SOUTHERN CALIFORNIA SOIL&TESTING,INC. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street ^ 83-740 Citms Avenue, Suite G SAN DIEGO. Phone (619) 280-4321 INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone (877) 215-4321 NC FIX SCS&T FILE NO.: RO. NO.: LEA # 047 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone(877) 215-4321 PAGE_ FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • WELDING • FIREPROOFING • Q. C. CONCRETE • ROOFING / WATERPROOFING • RT. CONCRETE / STRESS Q EPOXY ANCHORS • H.S. BOLTING • ' PROJECTTITLE: / ^ . PFMfBE #) U. DSA/OSHPD FILE NO.: / 1 N / DSA APR NO.: ) PROJECT ADDRESS -jrj ^ PERMITNO: • f ' A PLAN FILE NO,: ' < A, ARCHITECT; 5 " ' XXijr/< ifS ENGINEER: ' ' GENERAL CONTRACTOR; ^ X>cyA/ C e^yAy r/^X SUB CONTRACTOR; ^ ^ y / , /^/ / ^/X4/La sr t/^U//.X)ry^/, ^ X9Y/ MATERIAJ. CLASSIFICATION; J^^.y^-r^yj^ AX/-X/- XP<^o.t X^ ^>^J-/'/^^f DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: ^ TIME DEPARTED: (xX)\^Xn ONJVT C?cpA\r2-5 r x>A-^ J^^r"^ x^cj/t- X^/y^/x^x? /Xy^i^y^x- C>/?SX/L iy.^9^yoyj y^yf^ sjy Xc r?^^ o/^ U-./y/yty4 SS^ ^ X/YUcDO/f ro^ Xyy</IY C^^^y O/^/ L/yJ fr ^ ^ Zoo ^ /y^2^Y .X:f ^/0.^l'^,^ZyJ.^2/9. M.30/,^7^'^^.^ V 6^'yf-rX/^f/I €jaX^y- d ^ '^C/y ;^/? Y/ (_y/i4/iy^ X^^ y^ IXf^/^^^t, /u rcu 'Pc^<D<^ cXa^S X ^ 7 /O ^ 7^ ^-, 2y3M 2 ^ x7^Jo ^ iif^J OS. ^ ^ Q > 7^ ^ ^-to^T ^ (t4-r^ X^^,,^J. :J2- <-y PE, REVIEW; CBC/ICC I hereby certify that I have inspected the above reported work. Unless noted otherwise the woilc Inspected Is to fhe best of my knowledge In compliance wifh the approved plans, specifications and applicable sections of the governing building laws, inspector Initials ^ DSA/OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the DS/VOSHPD approved documents. The work inspected complies with the DS/VOSHPD approved documents. Yes: No: Inspector Initials: _^^«?r~^ SIGMATOE "signature authorizes the obove worit SCS&I205 REV 7-2014 • y I • i I SOUTHERN CALIFORNIA SOIL&TESTING,INC. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 83-740 Citms Avenue, Suite G INDIO, C A 92201 Phone (760) 775-5983 Fax (760) 775-8362 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone( PL NC FIX SCS&T FILE NO.: RO. NO.: 5(877)215^4321 / /4f/?-:?/A/ LEA # 047 9549 East Slauson Avenue PICO RIVERA, CA 90660 Phone (877) 215-4321 PAGE / OF WtmrA PA/am A "Wib^i DSA/OSHPD FILE NO.: A / / M DSA APR NO,; . A if /\ PRpiftCT ADDRESS- ", _ ^ _ „ ThML UJ CA(>l.).<>eAD PERMIT NO.; / \J / A'i PLAN FILE NO^\>y ENGINEER; SUB CQf^^l^ <-J-— FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • WELDING • FIREPROOFING • Q. C. CONCRETE • ROOFING / WATERPROOFING • RT. CONCRETE / STRESS • EPOXY ANCHORS • H.S BOLTING • )AIE ^ , ^ DESCRIPTION OF WORK INSPECTED: TIMBBSimD: MME UtfAHIhK (AIE ^ ^ DESCRIPTION OF WORK INSPECTED: TBUBBSBWD: MME UtFAHIhlt: V Oe>5fs^hTlX)r.)/^^<^eC'170fJ of liJXiA)r~> nLrrc^c>fAjC~. SLJOP£..^U UAJOCCL.L.Xfja At^\ u^x MPm,£jAL<. .fccJi^Tn i )uyU(^^f\L F^^^D fiLiixm ^f^h. j^mi SILUFA^AJS XA/\T7kUX} Kv^3> P'fT '-rK^i^T PRINT, CBC/ICC I hereby certify that I have inspected the atxive reported work. Unless noted otherwise the work Inspected is to the test ot my knowledge in compliance with the approved plans, specifications and applicable sections of the governing buiiding laws. Inspector Initials DSA/OSHPD 1 hereby certify that I have inspected the above reported work in accordance with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in occordance with the requirements of the DSA/OSHPD approved documents. The work inspected complies with the DS/VOSHPD approved documents. Yes: No: inspector Initials; _ _ _ _ - 7- •slgnofure aufhorizes ffie above wo* SCS&T 206 REV 7-2014 SOUTHERN CALIFORNIA SOIL&TESTING,INC. A California Certified Small Business Enterprise (SBE) 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 y^ 83-740 Citms Avenue, Suite G INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 PL NC FIX LEA # 047 514 N. California Avenue, Suite 5 9549 East Slauson Avenue BEAUMONT, CA 92223 PICO RIVERA, CA 90660 Phone (87J)p 15-4321 Phone (877) 215-4321 0 5a IN) ^ j SCS&T FILE NO.: RO. NO.: PAGE PROJECI TITLE; PWOE #r DSA/OSHPD FILE NO.; . ^ y i / /I DSA APR NO: llli t / -1 PKOiECT ADDRESS— PERMITNO; / PLAN FILE NO.; / V_/ / fX AgeyiTECT; A ^ ~ ENGINEER; G"Wfi!AL CONTRACTOPi , SUB ^etji^^Rj^ FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • RT. CONCRETE / STRESS • EPOXY AWCHORS • H.S. BOLTING • • WELDING • FIREPROOFING • Q. C. CONCRETE • ROOFING / WATERPROOFING LOeiWION OF WORK INSPECTED: , _ . ^ MSItRy\L CLASSIFICATION; ^ ^ r6y> '^^i ' . r>i ^ , DATE I DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: ' TIME DEPARTED: ""ff^^^ "iij^V -Tf^-^^ A^^ rc )T3 . '^/\^S.^PS ^7AU^_ F.QfrJ ScAL^(0 (XiTM S//<r_^^cfc>^V/4 Done ZTP^r^eS A^^. fez/OG ra -r] C^rTT fiT A^J^ r/T" /^fTW ^fiiClC o PI>0£=rX X^ CBC/ICC 1 hereby certify that I have inspected the above reported work. Unless noted otherwise the work inspected is to the best of my knowledge in compliance with the approved plans, specificafions and applicable sections of the governing buiiding laws. Inspector Initials i DS/VOSHP^ I hereby certify that I have inspected the above reported work in accordance with the requirements of DS/VOSHPD approved documents. Sampling and testing were conducted in accordance with fhe requirements of the DS/VOSHPD approved documents, The work injected complies with the DSA/OSHPD approved documents. Yes; No; Inspector Initials: 'signature authorizes the above wor* SCS&T 205 REV 7-2014 i 12 9 9 0 SOUTHERN CALIFORNIA SOIL&TESTING,INC. A California Certified Small Business Enterprise (SBE) LEA # 047 6280 Riverdale Street SANDIEGO, CA92120 Phone (619) 280-4321 Fax (619) 280-4717 83-740 Citms Avenue, Suite G INDIO, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 c PL NC FIX 514 N. Califomia Avenue, Suite 5 BEAUMONT, CA 92223 Phone (877) 215-4321 . Pl 9549 East Slauson Avenue PICO RIVERA, CA 90660 'hone (877) 215-4321 SCS&T FILE NO.: RO. NO.: PAGE FIELD INSPECTION REPORT FOR: • REINFORCED CONCRETE • REINFORCED MASONRY • WELDING • FIREPROOFING • Q. C. CONCRETE [3 ROOFING / WATERPROOFING • RT, CONCRETE / STRESS • EPOXY ANCHORS • H.S. BOLTING • I PROJECT TITU PROJECT ADDRESS DSA/OSHPD FILE NO.: ^ /4 DSA APR NO: PERMIT NO.; PLAN FILE ARCHITECT; ENGINEER; GENERAL CONTRACTOR; SUB CONTRACTOR: yo2~ - 3oX^ LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: ye. ^ cJ y*^ / y^ 'y^ /"^^Jy DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: -^J £^C:>ocx\r(cX^ ^ yT~YX ^^^X?^jy~(r^ X^yj /^^^^ c:^ y^/Y^.^c^ X^X^rf^"^ ^>t^ ir^c y^isb/-y<: ^^/f 2^c/y Oti/^-^^^ X=X /9 X^ ^ yj^y ^irS ^ Jn-^^ ^ 7^3 , 7^ yf^(ruj ^r^cJ'^c^ xX^^^^^ <^^f y^^ fr^zi/x^ ^/.-^^PaNT NAME X^t^ !INT NAME yx,x^ RE. REVIEW: CBC/ICC 1 hereby certify that I have inspected the above reported work. Unless noted otherwise the work inspected is fo the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. Inspector Initials DSA/OSHPD 1 hereby certify that 1 have inspected the atxive reported work in accordance with the requirements of DS/VOSHPD approved documents, Sampling and testing were conducted in accordance with the requirements of the DS/VOSHPD approved documents. The work inspected complies with fhe DSA/OSHPD approved documents. Yes: No: inspector Initials; , . ^ ^NATURE 'signature authorizes the obove work SCS&T 206 REV 7-2014