ࡱ>   bjbj %jjl...8..N11(111222MMMMMMM$O $QRM22222M3114M3332X11M32M3N 3J===1x1 b5=,.83==M0N=vQ3vQ=3 Address:Site Inspection DateApprovals:Parcel #:Inspected by Architect/Engineer:Building Inspector:(Name) DateName of Historic District or individually eligible/listed propertyFinal Disposition After Work Completed(Return to original site(Relocate to another site(Remain on site(Reconstruct(Demolish(Unknown at this time(Name), Architect/Engineer Date CDF General Comments on physical condition: Suggested Treatment or No Work Needed (N/A) Regulatory Env. and/or SHPO Review CommentsWork to be Done: Resolutions/Agreements/Most Cost Effective Solution/Selected OptionBuilding and Structural ElectricalHeating and MechanicalPlumbingEnvironmental, Health and Sanitation State of California Department of Transportation Business, Transportation and Housing AgencyCondition Assessment ReportPhysical Conditions Evaluation Recommendations (add date) (add address here)Design Scope For Cost Estimates Character Defining Feature = CDFMost significant = MSignificant = SLess Significant = L[Form developed by California Department of Transportation, Division of Environmental Analysis, Cultural &Community Studies Office] Page  PAGE 1 of  NUMPAGES 4    -78F_bcdx!";<=VWgjkxyzKMRTlm)12Z\ack 56CJ5:5:B*CJph6CJ 5:CJ jo5CJ joCJ:CJ5CJCJO   !,-E$$Ifl4rFt"5E V04 la $If$If -78F_`abcIH$$Ifl4rFt"5E V04 la $If$IfcdxyS$$Ifl4rFt"5E V04 la$If!#;=VXghvlllvvvd$If ($If $($Ifa$~$$Ifl4F5EB0    4 la hij"$If$$Ifl4ִ!>+-5E&p~ 0    4 lajlxz $($Ifa$ ($If $If$$Ifl4ִ!>+-5E`&``p``~ ``0    4 la $($Ifa$ ($If $$Ifl4ִ!>+-5E       0    4 la45ar $$Ifa$Fd>$If$$Ifl44ֈL8%5Evv04 la ($If$Ifa$$Ifl4LEPF  04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 la     H>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>>>>> ($If$$Ifl4ֈL8%5Evv04 laH>>6>>($If ($If$$Ifl4ֈL8%5Evv04 la !>6($If$$Ifl4ֈL8%5Evv04 la ($If!"#$%&'>6($If$$Ifl4ֈL8%5Evv04 la ($If'()*+,->$$Ifl4ֈL8%5Evv04 la ($If-./01236$$Ifl4ֈL8%5Evv04 la ($If($If34567896$$Ifl4ֈL8%5Evv04 la($If ($If9:;<=>?($If ($If?@ABCDEH>>6>>($If ($If$$Ifl4ֈL8%5Evv04 laEFGHIJK>6($If$$Ifl4ֈL8%5Evv04 la ($IfKLMNOPQ>6($If$$Ifl4ֈL8%5Evv04 la ($IfQRSTUVW>$$Ifl4ֈL8%5Evv04 la ($IfWXYZ[\]6$$Ifl4ֈL8%5Evv04 la ($If($If]^_`abc6$$Ifl4ֈL8%5Evv04 la($If ($Ifcdefghi($If ($IfijklmnoH>>6>>($If ($If$$Ifl4ֈL8%5Evv04 laopqrstu>6($If$$Ifl4ֈL8%5Evv04 la ($Ifuvwxyz{>6($If$$Ifl4ֈL8%5Evv04 la ($If{|}~>$$Ifl4ֈL8%5Evv04 la ($If6$$Ifl4ֈL8%5Evv04 la ($If($If>4$$Ifl4ֈL8%5Evv04 la ($If ($Ifa$$Ifl4LEPF  04 laI??7?7($If ($If$$IflֈL8%5Evv04 laA777 ($If$$IflֈL8%5Evv04 la($IfA777 ($If$$IflֈL8%5Evv04 la($If?$$IflֈL8%5Evv04 la ($If7$$IflֈL8%5Evv04 la ($If($If7$$IflֈL8%5Evv04 la($If ($If($If ($IfI??7??($If ($If$$IflֈL8%5Evv04 la?7($If$$IflֈL8%5Evv04 la ($If?$$IflֈL8%5Evv04 la ($If?$$IflֈL8%5Evv04 la ($If?$$IflֈL8%5Evv04 la ($If?`5 ($If$$IflֈL8%5Evv04 la ($If     ($Ifa$$Ifl4LEPF  04 la  I?????? ($If$$IflֈL8%5Evv04 laI?????? ($If$$IflֈL8%5Evv04 la !I?????? ($If$$IflֈL8%5Evv04 la!"#$%&'(I?????? ($If$$IflֈL8%5Evv04 la()2I(? ($If$$IflֈL8%5Evv04 la23456789 ($Ifa$$Ifl4LEPF  04 la9:;<=>?I??7??($If ($If$$IflֈL8%5Evv04 la?@ABCDEF?$$IflֈL8%5Evv04 la ($IfFGHIJKLM?$$IflֈL8%5Evv04 la ($IfMNOPQRST?$$IflֈL8%5Evv04 la ($IfTUVWXYZ[?$$IflֈL8%5Evv04 la ($If[\]^_`ab?$$IflֈL8%5Evv04 la ($Ifbcdefghi?$$IflֈL8%5Evv04 la ($Ifijk?$$IflֈL8%5Evv04 la ($If($If ($Ifa$$Ifl4LEPF  04 laI??7??($If ($If$$IflֈL8%5Evv04 la?771$If$If$$IflֈL8%5Evv04 la ($IfA$$IflֈL8%5Evv04 la$If;$$IflֈL8%5Evv04 la$If$If8 S T U , - ùùCJhmHnHujCJUhCJhCJ55CJCJ 6:CJ];CJ5CJ5: 5;CJCJCJ7CJ$;$$IflֈL8%5Evv04 la$If$IfA$$IflֈL8%5Evv04 la$IfA$$IflֈL8%5Evv04 la$IfA$$IflֈL8%5Evv04 la$If7 8 T U t$If$ !$Ifa$X$$Ifl4EF04 la$If   , $If$a$i$$Ifl05E6604 la , - njhfhdhh`$$Ifl4\%5PF04 la #&P0N /!"#$% i@`@ NormalxCJOJQJ_HmH sH tH F@F Heading 1$$@&a$5CJOJQJF@F Heading 2$<<@&5:CJOJQJ<A@< Default Paragraph Font,@, Header  !, @, Footer  !&)@& Page Number:B": Body Text6CJOJQJ  !,-78F_`abcdxy!#;=VXghijlxz45ar      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()23456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijk78TU,-000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@0@0@0@0@0@0@0@0@0@0@0@@0@0@0@0@0@0@0  U-chj!'-39?EKQW]ciou{ !(29?FMT[bi ,  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTVWXYZ[\ !44@  @H 0(  0(  B S  ?8UUy~EHa8UU'+3333333gscottC:\Documents and Settings\gscott\My Documents\Personal\Word\ADMIN\CONFEREN\CPF Standards Workshop - 2003\Sample Part II-Physical Conditions Form.docgscottC:\Documents and Settings\gscott\Application Data\Microsoft\Word\AutoRecovery save of Sample Part II-Physical Conditions Form.asdgscottC:\Documents and Settings\gscott\Application Data\Microsoft\Word\AutoRecovery save of Sample Part II-Physical Conditions Form.asdgscottC:\Documents and Settings\gscott\My Documents\Personal\Word\ADMIN\CONFEREN\CPF Standards Workshop - 2003\Final Versions for show\Sample Part II-Physical Conditions Form.docgscottC:\Documents and Settings\gscott\My Documents\Personal\Word\ADMIN\CONFEREN\CPF Standards Workshop - 2003\Final Versions for show\Sample Part II-Physical Conditions Form.docgscottfC:\Documents and Settings\gscott\Application Data\Microsoft\Templates\CDF-PhysicalConditionsRecord.dotgscottvC:\Documents and Settings\gscott\Application Data\Microsoft\Word\AutoRecovery save of CDF-PhysicalConditionsRecord.asdgscottC:\Documents and Settings\gscott\My Documents\Personal\Word\GUIDANCE\EHHandbook\EH Jan 2004 Revisions\EH Jan 04 Templates\CDF-PhysicalConditionsRecord.dotZI>~gg^g`o(.ZI !,-78_`abcdxy!#;=VXghijlxz4a      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()23456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijk78TU,-@4t?@{@UnknownGz Times New Roman5Symbol3& z Arial;Wingdings"1hff V0d2Address:gscottgscottOh+'0 $0 L X d p| Address: ddrgscott:scosco!CDF-PhysicalConditionsRecord.dotrosgscotts2coMicrosoft Word 9.0o@G@Ԫ@'+=@'+=՜.+,0 hp   CaltransAd  Address: Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F@F5=1Table^vQWordDocument%SummaryInformation(DocumentSummaryInformation8CompObjjObjectPool@F5=@F5=  FMicrosoft Word Document MSWordDocWord.Document.89q