Dsa 156 Form PDF Details

Dsa 156 Form is a document that is used to identify the supplier and purchaser of a particular good or service. The form can be used as evidence of a contractual agreement between the two parties. The form must include specific information, such as the name and contact information of both the supplier and purchaser, as well as a description of the good or service being purchased. In order to be valid, the form must be signed by both the supplier and purchaser.

QuestionAnswer
Form NameDsa 156 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdsa completion form online, dsa 156 notification, dsa 156, completion work form

Form Preview Example

This form shall be completed by the contractor, in accordance with California Code of Regulations, Title 24, Part 1, Section 4-343 (b) and submitted to the Project Inspector.

 

School District/Owner:

 

 

DSA File #:

-

 

 

 

 

 

 

 

 

 

 

 

 

 

Project Name/School:

 

 

DSA App. #:

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

From: (Name of Contractor)

 

 

Building #(s): (As identified on the

 

 

 

 

 

 

 

plans)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To: (Name of Project Inspector)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notice #:

Date of Notice:

DSA 152 Card #(s):

 

 

 

 

 

 

 

 

 

 

 

 

The contractor is required to notify the project inspector of the commencement

 

 

 

 

 

of construction of each and every aspect of the work at least 48 hours in

 

 

 

 

 

advance and is required to notify the project inspector of the completion of

 

 

 

 

(List above all building numbers or

 

each and every aspect of the work.

 

 

 

 

 

all inspection card numbers for

 

Note: This form is not intended to be used as a “request for inspection”.

 

which this notification applies.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For site work, enter “SW”.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The contractor shall complete Sections 1 and 2

 

 

 

 

 

The Project Inspector shall complete Section 3

 

 

 

 

 

1. REASON FOR NOTICE (Check applicable box.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commencement of work (minimum 48 hour notice).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Completion of work.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Work

 

2. DESCRIPTION OF WORK BEING NOTIFIED

 

 

Start/Completion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. PROJECT INSPECTOR ACKNOWLEDGEMENT OF NOTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF PROJECT INSPECTOR

DSA CERT. NO.

SIGNATURE

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

DSA 156 (iss 06-01-13, err 10-08-13)

 

Page 1 of 1

DIVISION OF THE STATE ARCHITECT

DEPARTMENT OF GENERAL SERVICES

STATE OF CALIFORNIA

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2. Just after performing the previous section, go on to the subsequent stage and complete the essential particulars in all these blanks - PROJECT INSPECTOR ACKNOWLEDGEMENT, NAME OF PROJECT INSPECTOR, DSA CERT NO SIGNATURE, and DATE.

Step no. 2 for submitting completion work form create

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