NV5 Daily and Staking Grade Sheet 2019-11-15 ADA Parking and SpandrelNV5, Inc.
42-829 Cook Street, Suite 104
Palm Desert, CA 92211
Tel: (760)341-3101
Fax: (760)169-4086
REQUEST FOR
SURVEY
STAKING
Note: This form must be faxed to NV5's office a minimum of 48 hours in advance of requested
staking to allow for office calculations. All work needed must be included in fax; if not
included, client must not expect NV5 Survey Crews to commence work.
*Information to be completed by NV5. All other information to be completed by client.
REQUEST FROM:
CO,M^PANY NAME:
DATE:
TIME:
:
*REQUEST RECEIVED BY:
*JOB #:
*DATE:
*TIME:
NAME:
TYPE OF STAKING REQUESTED (CURBS, SLOPE SlAKINtr, �EWJr tc., E, I%,. -
TO BE STAKED PER:
DRAWING NO.
C -4
SHEET NO.
AREA TO BE STAKED (USE STATIONS IF APPLICABLE):
tQI-A �_16 to �
LATEST REVISION DATEIA
OFFSET DISTANCE: ON WHICH SIDE? (Right or Left looking up station):
SPECIFIC INSTRUCTION (Be specific — mark up and fax portions of plans for clarity):
:. LE
_A I
* CONTRACT INFO:
* IS WORK REQUESTED INCLUDED IN CONTRACT? YES NO
DATE AND TIME REQUESTED FOR SURVEY CREW TO BEGIN WORK:
DATE AND TIME SURVEYORS ARE ABLE TO SCHEDULE CREWS: (-\, - -), <
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