HomeMy WebLinkAboutPermit File BLD-2020-0500 1016 27th Street APPENDIX C — RESIDENTIAL INSPECTION FORM JULY 2018
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Public Works Engineering and
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Residential Inspection
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Address : s1 Date : tit -%iol � Z -� � � s
Owner: A fp t L 41C La_
Contractor: akAsysr r Go A- Ct )
Inspected by : %all 044,
1 . Water Meter Box
Set firm and level to finished grade or backside of sidewalk elevation .
Iseot. id and box undamaged .
gsRill Water meter and customer shutoff installed .
No debris .
e \ Accessible — no landscape obstruction .
i1/4VA ❑ Driveway installation has drive- over box and lid . A.
Customer gate valve intact .
in No leaks at connections .
2 . Curb and Gutter
No cracks , damage , graffiti , footprints , finishing blemishes , or other objectionable
1h marks .
If road frontage improvements :
t\t/A Expansion joints every 15 feet and at driveways .
Concrete has broom finish .
No low spot at curb line , especially at driveway cut . Maximum grade change in
20 feet is �/4 inch .
3 . Sidewalk
No cracks , damage , graffiti , footprints , finishing blemishes , or other objectionable
marks .
10 ADA compliant — 1 percent slope to curb .
If road frontage improvements : lAwcAto4 Leer
Expansion joints every 15 feet and at driveways .
Concrete has broom finish
4 . Driveway Approaches
No cracks , damage , graffiti , footprints, finishing blemishes , or other objectionable
Pi marks .
ge ADA compliant .
APPENDIX C : INSP -02
APPENDIX C RESIDENTIAL INSPECTION FORM JULY 2018
5 . Streets
No cracks , blemishes .
If road or alley improvements : N/fr
❑ Received proctor and sieve analysis of ballast , crushed rock , and asphalt .
Received passing materials testing reports for sub-grade , ballast , crushed
rock , and asphalt .
Received tonnage tickets consistent with required thickness per approved
plans .
6 . Sanitary Sewer
vizr Inspection card signed off and/or verified in Building Department database .
❑ As- built record filed in the address file . OW) bsBahL-r pRaoe. Flom_ gt op
❑ Screw cap (s ) installed on clean -out (s) . aD S es_ AP 1 - 26 - 1 �
❑ Clean -outs) set at finished grade . - iJtcoS Gur Daum.) ( l - ZCo -t9
7 . Storm Drainage
Inspection card signed off and/or verified in Building Department database .
❑ As- built record filed in address file . Osign As6w«T ?baoça To finAt_ C opC)
15e Not blocked or diverted to adjacent parcel . te ''"- taA SO* sy '6'� .
{ M— ❑ Permanent Stormwater Facility
❑ Drawing of Record
❑ Photo of Installation
❑ Drainage BMP Facility Maintenance Covenant Recorded
8 . Public Utilities Out of Traveled Way
iJlA ❑ Concrete collars around City utilities .
N Final grading ok .
0 Restored to prior condition or better.
9 . Landscape ? e. pk ) LptNe, Wein- �
kitAr ❑ B nded for co pletion at later date .
Verifies . gainst a proved landscape plan : picz, yp“,,L,D , /,nt bon;
❑ Inst . lation
❑ Type • quantity of plants .
❑ Sod or : zed in place .
❑ Root • arrie ( receipt filed ) .
❑ B TS . B- . lids Test on Record meets specification
L�J BMP T5 . 13 Soil Depth 8 " minimum
10 . Eros ' . n Control Measures
'a BMPs removed .
: 1 All debris removed . Site clean .
Permanent vegetation established .
APPENDIX C : INSP -02