Information
Preliminary Inspection
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Document No.
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Permit Number:
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Client / Site
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Location
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Key Map
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Contact Name:
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Phone:
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E-mail
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Conducted on
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Prepared by
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Personnel
Occupancy Type
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- Assembly A-1
- Assembly A-2
- Assembly A-3
- Assembly A-4
- Assembly A-5
- Business
- Educational
- Factory Moderate-hazard F-1
- Factory Low-hazard F-2
- High Hazard H-1
- High Hazard H-2
- High Hazard H-3
- High Hazard H-4
- High Hazard H-5
- Institutional I-1
- Institutional I-2
- Institutional I-3
- Day Care I-4
- Mercantile
- Residential R-1
- Residential R-2
- Residential R-3
- Residential R-4
- Moderate-hazardous Storage S-1
- Low-hazardous Storage S-2
- Miscellaneous Group U
Designed Occupant Load
Floors Above Grade
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- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 0
Floors Below Grade
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- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 0
System Preliminary
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Exit Signs/Emergency Lighting
Deficiency
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Add media
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Rated Doors/Roll Doors/Walls
Deficiency
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Add media
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Alarm System
Deficiency
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Add media
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Sprinkler System
Deficiency
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Add media
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Fixed Fire Suppression System
Deficiency
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Add media
Additional Observations/Deficiencies
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Add media
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Owner/Owner Representative:
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Inspector
