HomeMy WebLinkAboutPad Form Certification 3 2018
City of Palm Desert
Pad & Form Certification
Case No./Project Name:
Grading Permit Number:__________________________________________
Address:
Pad/Finished Floor Elevation:
I hereby certify that based on a field review and survey made by me or under my
direction, the graded pads, top of form elevation for finish floor and horizontal
location of forms substantially conform to within 0.1’ of elevations shown on the
approved grading plan.
Lot No. Plan Elevation Field Elevation
Pad
FF
Pad
FF
Pad
FF
Pad
FF
Pad
FF
P.E./L.S. Stamp
Required
Signature Date