06-3868 (SFD)"POB NO:
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,!Permit
CITY OFZ-,Fi (AVILY1
DEPARTMENT OF
BUILDING AND SAFETY
BUILDING INSPECTION
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REGISTERED DEPUTY BUILDING INSPECTOR'S CERTIFICATE 'OF COMPLIANCE
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TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR. -
I hereby certify that the following portions of the work at the above address which
required continuous inspection, and which I was employed to inspect, were inspected by
me and comply with the provisions of the Building Code applicable thereto:
Type of inspection:
E]/Masonry
0 ReBar Placement Ej Concrete or Mixer
Welding Concrete Placement [-I Gunite
n Hi -Ten Bolts Tendon Placement Other ----------------------------------------
Description and location of work completed: .................
..........
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'CARLLS VIPAJ &).PF_7 -
Size of Structure -- --------------------- ------------------------------------------ Time Arrived -------- ---------- A- I --
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No. of Stories ------------------------------------------------------------------------ Time Left Job ------- - -------------
Conc. Mix Design No - ------------- &/,A ---------- Psi ---------------- Swimming Pool ---------- N/ /A ---------
I had sufficient time to inspect all materials used and placed.
1 was not employed by the contractor, subcontractor or material vendor.
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Registration o.
Employed By:
Lab. --------
egistered Deputy Building Inspector.
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Print Full Name
Independent 0
R & S B-94 (R. 10/86)