Inspection Report Daily, Weekly or Final - Report – Daily, ... Daily Report Weekly Report Final Report ... Welding: High-strength Bolts Epoxy Other

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  • LOS ANGELES BASIN CHAPTER

    INTERNATIONAL CODE COUNCIL Established 1957 P.O. Box 1099 www.icclabc.org Alhambra, CA 91802

    July 11, 2014 3 Forms Page 6 of 19

    Inspection Report Daily, Weekly or Final

    LABC Form 9 Page 1 of _____

    Jurisdiction _________________________________

    Building Permit Number _____________________ Address_____________________________

    Daily Report Weekly Report Final Report

    General Contractor __________________________ Structural Engineer ____________________

    Inspection frequency- check one:

    Periodic Continuous

    Type of Inspection - check one:

    Reinforced Concrete Shotcrete Prestressed Concrete Masonry

    For any of the above insert Mix Design No. ___________________ PSI: ____________

    Welding: High-strength Bolts Epoxy Other Welder Name/s ______________________________ Describe Below

    Off Site Fabricator ___________________________ _________________

    Time present at project; location and description of work inspected: Date

    (Insert additional pages if necessary)

    To the best of my knowledge, the work that I have inspected has been completed per the stamped, approved

    plans and the requirements of the California Building Code pertaining to special inspections.

    Inspectors Name _________________________________ Date __________

    Print

    Inspectors Signature ______________________________

    http://www.icclabc.org/

  • LOS ANGELES BASIN CHAPTER

    INTERNATIONAL CODE COUNCIL Established 1957 P.O. Box 1099 www.icclabc.org Alhambra, CA 91802

    July 11, 2014 3 Forms Page 7 of 19

    Inspection Report Daily, Weekly or Final

    LABC Form 9 (Additional Page/s)

    Page _____ of _______

    To the best of my knowledge, the work that I have inspected has been completed per the stamped

    approved plans and the requirements of the California Building Code pertaining to special

    inspections.

    Inspectors Name _________________________________ Date __________

    Print

    Inspectors Signature ______________________________

    http://www.icclabc.org/

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