|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG-COMMENTS OWNE-N BUILDER DEI,(-AIATION
<br />I hd.tt drm lndr F dlty of Fjurr lhd I d .topt from lhc Co'{,E1oB' l...M ti$ aor rh. folLr*in8 Esn (ta.7o]l J
<br />llcin* &d Profsion Co&)r Any Cily or (ounly qhth r.qun6 a Fnn to .oNlrud, 516, itn{trore danoliih ur q{n y
<br />lttuciu. Fnl re ii isd( .I$ Eqlc rrE .l0lter for Mh Fnn to 6L a !$Ed niml tlld t or 3h. is lic.tE d pnB",
<br />to rhc [ovGioB ot lh. (ir Bror'! Licd$d L!* (Chaptd 9, ( oh6.mr! *nh sdion 7000 ol lrlis@n ] ol lh. B$ind lnd
<br />Prea*ioB Cod.) or $d rE q slr i! dmF ln€cfom Md rh. b.!ir lor th. llks.d.lsnplid Any riihiion.rsdion 70115 ht.n!
<br />.rplk for!Fmnsbj6BtlE.p?1rc61lo..ivilFuhyotmr'mr.6envchu.rt.d&lla(ttu)).
<br />l. s o{E .frlE FDFry, or m} mpb}6 s'irh sra6 6 Eit $L rchF$aion. sil {h tlE srnl nd dt rnE|rc it d
<br />fio'&j or olI6.d atr slc (Sd 704,1, Bu.B od EolBoc Cqj.: IrE Qdd 'r Lidg ls'dr6 tr'l +rly lo d o*ffi or
<br />th.FDpqiy *ho hil& or inF.vd th@a dnd *ho dc uh "orl him.lf or h*lf or lhoush hn oi hd om .s9loy.6.
<br />Fovij.l rt l sh lrF !!Er! G r, nod.d (ofsEl fr'r nl lt lE*w. tlE ti din8 d in4.cttid ir $ld \ihh @ !d
<br />oaco,rFkbtr tlE o*E rhn& M[ lEw tlE h!&' of FovitB rl'i lE or dE dd rci hnld d ingot rh€ FrFr, 6r lh. Fr!.* or
<br />I. s o*n ofth. Pr.pdy. o.rchErEly co ,..lins *nfi li.or.d .o'r1...t6 b $nrtud rrx FtrF (Sd 70.1.1. tt6r6
<br />and PNi3sion cod.: Th. ( ont..ro. s Li.ru rl* do6 nor rpplr ro m own6 ofPlopslyf,ho buildr or if,pFve rhd$tr
<br />lnd $ho odd! fo. $ch Foj.r1s snh r Co .r]ro(3) ltdBj p{s{d ro!h.( odd('r Li..B lls)
<br />I m.rdnr, unddSdion
<br />r,r1!\!tllL!)\
<br />I hscby dilim un!6 p6dlt!ofDquo
<br />I h,r. sd r ill @imrin ! Cdifkd. of coMr b S.lf-llue fd $.rtd @EFEdbq B Ford.d for bt sdnn ! r00 o{ rh.
<br />Iibor (ixi., aor rhc pqrolrre. 6f rh. NrI aor whrh $. Ff,n ir su.d
<br />I h,r..nd will mi.bh *ort6 conp.B.lion itMu., s Gtur.d h, S.d{'n 1700 oallt rrnr co&. lor tlE Fr(),rrld. of
<br />rh. *orl for vhrh lhL pdnn n isucd M, *ort6 snFEdioo iNtu.. .dnd td poli., numb.i ac
<br />I cdiay lhd mrh.pdfomrnc.of thcMrk for whichrhisF,rn h iesu.( I shall @r @tiry any Frson in uy mmns
<br />r B to b..om ubi6r ro
<br />'lE
<br />${t6'@oFaiion h*! otcriitomi. rd isE th, ial lhuld bBom eti.{l lo rl8
<br />*s*6' comF!.r ir. rtuvisioB of Sdidn l7m 6l rlE t bor Cod.. I 3ldl. tonh! nh ond, with rhos prova.E
<br />WARNING: F ilrc to Ks€ workd' comFMlion cov@sc n urbqtul md trhlll tubjel s dploF lo Eiminal psEn6 ud
<br />.ivil fn6 up ro om h!.d,.d I tlm,ooo). m ldlfFn 1,, rh. cdd of .omFNrion. d& 36 a rroud.{ tu Ih.
<br />sdri.n {176.arh. r,htr (-.,L nr
<br />I H^ 6fiim unj.r FEhr,' of
<br />DFCt-{rt TloN
<br />uBt6 rm\tion of (-h,F6 e (comffiit{ $ in S..1nn 70(x)) ol Lrn ist'n 1
<br />Dl th. uGind Md PtoldioN ( odc. ad my lic.N k m loll fok! ud.trat
<br />COXiIf,IJqIOI|TE!iDI!IiAGE!(I
<br />I fi@by .lIm un&r Frlty ol Flury rhd lhd. i! ! rcnnrud6. LrdiS .!4y for rh. Flffi. or lt *.rk aor *tkh rhl! Fni R
<br />ilrual(sd. 1007.civ. c )
<br />Arrlt(:A.ufD[g,a&ula!
<br />I hdd, ltrm udd Frh, of pdjury oE or llE 6lh*in8 d&l[d i)ns:
<br />l).moh,on Pm lArhdlos Nor ili.rlion l,olaal R.suhtiou (T lc40, P.n6)
<br />-R.rruEd lnlqof f}oli6<nb.
<br />I cdily rhd rh. Ld6.l rcsuldnrE Esrdins erb.sktr rooulsc ool .{,plEhl. (, rhir rn!.tl
<br />$tr i! cotr..r I ajrc !o c6mnl, wirh ull Cily .nd Cou.ly
<br />.i]. nF.ddiv6 of fiis Ciry .id ( oury lo 6rs urDn $.
<br />Y(aY s/t1/7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/1
<br />FINAL {-llt-l/V.Wlta
<br />Certificate of Occupancy t) \7
<br />Notes, Remarks, Etc
<br />/--tr/
<br />I
<br />I
<br />I I
<br />I
<br />I
<br />I
<br />I
<br />I
|