INSPECTIONS & TESTS IDENTIFICATION OF RESPONSIBILITIES CERTIFICATION OF COMPLETED INSPECTIONS
TOTAL ITEMS NAME INITIALS LAST INSPECTION DATE INITIALS
Borings/Test Pits
Piling
Subgrade
Controlled fill
Underpinning
Soil Bearing Pressure
Welding
Aluminum
Laminated Wood
High Strength Bolts
Cable Fittings
Smoke Test
Fire Stops
Eng/Installers Ventl. Cert.
Fuel Burning Storage
Noise Control Tests
Refrigeration System
High Pressure Steam
Soil Percolation Test
Curtain/Panel Wall
Shoring
Structural Stability
Spray on Fireproofing
Reinforced Masonry
Masonry Units
All Concrete
Concrete Design Mix
Concrete Test Cylinders
Sprinkler Test
Standpipe Test
Fire Alarm Test
Crane Foundation
Final Inspection
70 Church Street, White Plains, New York 10601
Phone: (914) 422 - 1269 * Fax: (914) 422 - 1471
DEPARTMENT OF BUILDING
CITY OF WHITE PLAINS
Controlled Procedures form 04/13
http://www.ci.white-plains.ny.us/building/building.htm
Building Permit # Address:SBL#:
Controlled Procedures by Design Professional
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