B-2017-1030 Special Inspection Daily ReportH4 INSPECTIONS, Inc. DSA File #H_
DSA Appl. #
CONSrRUCTIoN INSPECTION SPECIALISTS OSHPD #
690 SUNOL ST., BLDG. H • 5AN JOSE, CA 95126
(408) 288-8460
SPECIAL INSPECTOR DAILY REPORT
City of: Date/Day: z ' / 6 -1 q r% —
Project Name: /'! ` /-j E S//) Project No.: Cf�E�4
Address: Permit No.; p7Q/ 7 . 16 36)
Inspection Coverage
❑ Continuous
❑ Periodic
Inspections
❑ Concrete
❑ Masonry
f ❑ Reinforcing Steelo
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❑ Post Tension Concrete ❑ Welding
❑ Fire Proofing ❑ Shop
❑ Other ❑ Field
tfolTs_of.Preyj�ts4y-hi d.lte ,Previei�sly List �ktcorrected +ten+s+.
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Changes to Approved Plans Authorized by Architect or Engineer:
Comments:
To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications
and applicab rk nship provisions of the C.B.0 except as noted above: 7
Signed Certification Date: G 2�
Certification Number: