Larsandersen.com:: Civil Engineering| Land Surveying & Mapping | Master Planning

LARS ANDERSEN & ASSOCIATES, INC.

CIVIL ENGINEERS • LAND SURVEYORS • PLANNERS
4694 W JACQUELYN AVENUE
FRESNO, CA 93722
PH (559) 276-2790 FX (559) 276-0850

SCOTT A. MOMMER, P.E.
PRESIDENT

DANIEL J. ZOLDAK, P.E.
VICE PRESIDENT

JOVI R. TORIO, P.E.
ARTHUR L. LUCAS, ARCHITECT

SAMUEL L. BEEGHLY, P.E.

CASp Informational Sheet

Name of Establishment :
Site Address/City/Zip :
	*If there is a location map available, please include it.

Are there any pending lawsuits against the property?

Yes

Scope of Inspection :

Both Interior & Exterior

Interior Only

Exterior Only

Would you like to purchase a CASp Inspection Sticker for your Facility ($25.00)?

Yes

Accommodations :

N/A – if Exterior Inspection Only

Number of Restrooms :

		Unisex
		Men’s & Women’s Single Accommodation
		Men’s & Women’s Multiple Accommodation

Building Information :

Year Built :

Building Square Footage :

Building Structure :

Single Story

Two-Story

Plans Available :

Floor Plan

Site Plan

Remodel (if applicable) :

Remodel Date :

Remodel Construction Cost :

Was a Hardship filed with the Building Department at time of remodel?

Yes

Client Information (Responsible Party) :

Contact Person for Scheduling Inspection (if other than the Client):

Access Compliance

» CASp Reports
» Accessibility Audits and Surveys
» Transition Plans

» Plan Checking
» Expert Witness
» Informative Presentations

4694 W. Jacquelyn Ave.

Fresno, CA 93722

Phone: 559.276.2790

Fax: 559.276.0850