746, Construct a SFR with basement,, Studies & Reports_ •
County of Los Angeles
Department of Public Works
Building end Safety Division
ENGINEERED GRADING CONSULTANT STATEMENT
(Submit to the local Office of Building and Safety prior to Rough and Final Inspection)
Job Addresses
or Tract No. 3 V AC-K S4s.D1--)LFc- Locality: r i4 lkt�.LS Permit No.•.
Owner Contractor. TZ,Z5 i C- 1-4
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ROUGH GRADING
COMPLETION OF WORK- SECTION 331F3. LOS ANGELES COUNTY BUILDING CODE
•
CIVIL ENGINEER
Based upon field observations, rough grading of the lots listed below has been completed in
conformance with Sections 3317 and 3318 of the Los Angeles County Building Code. The work
includes, but is not limited to, the following: grading to approximate final elevations, staking of
property lines; location and gradient of cut and fill slopes; construction of required drainage devices
Building pads are free from flood hazard in conformance with Section 110 of the Los Angeles County
Building Code.
Latest approved plan revision dated:
Lot t!o.(s):
Othe - Areas:
Remarks:
Engineer:
No.: 0
(Sigitaturej
4k2_,
Date:
FINAL GRADING
COMPLETION OF WORK- SECTION 3318, LOS ANGELES COUNTY BUILDING CODE
XCI'/lL ENGINEER
Based upon field observation, earthwork subsequent to Rough Grade inspection has been
completed within the area of my responsibility as defined in Section 3317 and 3318 of the Los
Angeles County Building Code in conformance with the final approved grading plan. This includes.
but is not limited to, the establishment of line, grade. surface drainage, and all drainage devices
necessary to drain the building pad.
Latest approved plan revision dated:
Lot No (s)
Remarks. S e A� �'r'A_ C /.S" L3 u 1 L-� Gaj y , ( P�f�,erl
En ineer „ &_'ae Reg.. ti Z� Date : j —1 Z �.Z
!Signature)
DEPARTMENT USE ONLY:
Inspectors Comments/Notes:
P BSPUBIORAINGRADE\Cradmg InspemonkGRADING PERMIT FORMS\Consultarits Statements for Grading (5.25.041 doc
• COUNTY OF LO•GELES
l�I
B1
B2
B3-
B5
Lomita District Office
Building & Safety
310-534-3760
24320 S Narbonne Avenue
Lomita CA 90717
INSPECTION I DATE l INSPECTOR
Building Inspections and`Approvals
Location/Setbacks .,\ /) - A
Soils Engineer
Foundation/Forms 4 \
Retaining Walls
Masonry Walls
B6 Bolts/Hld Dwns/Strps
B7 Floor Slab & Steel
88 !Raised Floor Framing
B9 'Underfloor Insulation
B1011st Floor Sheathing
B11 12nd Fir Frame/Sheath
B12 !Window Replacement
,4B43'Roof Sheathing
INSPECTION FORD
Job Address: `=`� i (XE _
Permit No(1ga.C.eYiT 3 Date:' - (11 - 4
Owner:
Description: l•1 f! r `L('SC:: '7Fe. ; iC jf-'
1 'NO. I INSPECTION I DUE I INSPECTOR
Mechanical Inspections and Approvals
1M1 FAU/Wall Furnace
M2 Exhaust Vent
M3 Combustion Air
M4 Duct Work
M5 Rough Mechanical
M6 AC/Compressor
M7 Thermostat
M8 Fire Dampers
1M9 Smoke Detectors
M10 !Commercial Hood
M11'Boiler
1 12 !
•ti (j IM13 (Mechanical Final
B14 (Masonry/Mfg Fireplace
B15 !Roof Covering
B16 Frame/Bracing
B17 [Frame/Bracing
Strip
Do Not Cover Walls Until Frame, Insulation, & Rough
Electrical, Mechanical, & Plumbing Have Been Signed
B18 Interior Lath/Drywall ,
B19 Exterior Lath C--reC
B20 T Bar Ceiling
B21 Rated Floor/Ceiling
B22 Rated Walls
B23 Rated Shafts
B24 Disabled Access
B25 Demolition
626 Lot Drainage 1
B27
628 (Address posted) Enter Building Final Below
Electrical Inspections and Approvals
1E1 Temporary Power
Service/Ground
E2 0 Location ❑LIFER
❑ Water Ground
❑ Driven Rod
E3 Underground Elect
E4 Outlets
E5 Rough Conduit r, (
E6 Rough Wirinq "i— l�
E7 Dist Panel(s)
E8 Rough Electrical
E9 Smoke Detectors
El Syr Ground Fault Test
Ell Service Panel
E12
E13 Electrical Final
P1
P2
P3
P4
P5
f P6
P7
P8
P9
P10
P11
P12
P13
P14
101
{02
03
104
05
JA1
IA2
IA3
A4
A5
A6
A7
A8
A9
Al
B28
Plumbing Inspections and Approvals
Water Service
Under Floor/Slab
Shower Pan
Water Lines
Rough Gas Piping
Rough Plumbing
Sewer (Public/Private)
Backflow Preventer
Water Heater
Lawn Sprinkler
Roof Drains
Gas (Test/Final)c;I
tY.'Yt( i I�
Plumbing -Final
Verify Other Approvals
Spec. Insp. Reports
Methane System
Grading Approval
Struct. Observation
Agency Approvals
Fire Department
Construction Division
Environmental Proq.
Health Department
AQMD
Planning Dept.
Business License
CalTrans
Highway Dedica/Impr
Off: 4
BUILDING FINAL
Certificate of Occupancy '+ f`%Y A+A
POST THIS CARD AND THE APPROVED PLANS IN A CONSPICUOUS PLACE ACCESSIBLE TO THE INSPECTOR. IT
SHALL BE THE DUTY OF THE APPLICANT TO CAUSE THE WORK TO REMAIN ACCESSIBLE AND EXPOSED FOR
INSPECTION PURPOSES. PERMITS WILL BE VOIDED IF WORK IS NOT STARTED WITHIN 180 DAYS OR IS
SUSPENDED FOR A PERIOD EXCEEDING 180 DAYS.
20-0015 DPW Rev. 9/00