|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Framing
<br />ln s u 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 />rh
<br />FINAL E-711r \YAC4tr
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />OlII{EN BUILDER Df, I-IL'ARATION
<br />I hscb! amrm unda poah, of psjurr lhal I m .rcnrpl lrom lhc ('onlEclo6 l.(ai. Iaw lor lhc foll$v,.! r.e$n (s(70t1 t
<br />IruinB ,i Prorer Cod.) An, (r) o. (-oudv *h{h rqutr6, Fn. ro $drud..ha, irp..rc, &knith.r EEtrM\
<br />s'tuddc rrn b rr isuffi.. .lso r.qlr6 rh. qldkd for sr.h Fnnn to fil€ 5 sBn.d sldffi'l rhn lE o. sh. ! !ic4<t l)uRudn
<br />b rhc F,vsnrB ofoE ( onl'actn s I ic..sdj l,* (( h.prd 9. CoMdci.! {irh sdridn 7000 ol oiri.n,n I of lh. tt'sincs lnJ
<br />Phf*h.s Con ) oi thd rE o. !h. k n.nlF thd.6om m, $. h.rir lo. th. Jh.d .rm',hn Anr rhbtirnolsdrFn 7(r1l 5 t,'! anJ
<br />applica nn s pshil slhjdis rh€ lpnli.trnllo !civilp.nollyoinol nu.thd fivchund,.ddoll6(!J00)
<br />I. 6 o*nd of rh. prrtErr, .r hy mrloy6 *irh s!86 a rh.c ek .onrp6dnrh, "ill 6 rh€ "ut a,rj llE nBlE u mrl
<br />id.r.Ld orolId.dlorsk(S{to.l.l,E6ilBMdProa6toB(Gl.'Ih.(t,e1r'tL'cEElr*(h6nn+plyloe0*.6of
<br />rh. FqEry *hr }!ildor qpro€ rlEon. nl *lb dBkh trr,t hiMlf or lEsllor rhrcuxh fi! or lE oNf,npk 16.
<br />pruvdsl rhlr s!.h nnprovsE ! e fr, inlqxlGl or oafqql for $lc. lt lar*.u, lh. t!'kltrU or i'nlR'lmdr ir $lt w hin on. @
<br />otcotrpl.rE
<br />'lE
<br />(XE 8{ilb *il h.E llE hfilor ofFori,E lhr lE.r+rdd mi hl d or rqKr. rh. FrF t. rd $.,uFEor
<br />l. a or E ol rh< F)tE!], m actun b tudding unh k6E rl..ffioc ro onfud rlE FoFl lsa 7orl, &atrr
<br />od hlkionCod.:1t. Conlricloir l-rcG.1,.w do6 nor lnrly lo e ouns !fpmp.ny uho buildt or impro!6 rhda,n.
<br />sd sh..o n!Lr.u.hFrdttrnh.codmo(s) lkds.d p{[d r'lh.('odrdor ! Lt* liul
<br />I &n.rctript undr Sdion
<br />D.t.: ortrd
<br />\roxJi F Ls' ( ont PENSA noN
<br />DISJNAIIA!
<br />I hd.by dm.m trndd paahy o I psJuo dn. olrh. foln'win! d.rharnrnr
<br />I hrEddnill @i.r!in . ( .d 'a{ar. oa( 6nhr ro s.lf lBu.. aor *orld'$mFMio.. a pro!'d.d for h}. Salrcn 17(D otrh.
<br />I lttrr Cod.. for ln. pgfomffi. oI lh. *ork tor qhich lh. Fnit ir isu.J
<br />I hav. and *ill mim.m *0.16' .omrEBd io. iNur.ft.. a r.qun.d by sdion l?0o o f rh. L.b.r Cod., fu lh. lsrotrhdc. .r
<br />'hc
<br />\orl for rhth rhL Fi,i' ir isEd My sarrtd $mFNri.. iNurdcc cMi6 nj rDlicy nudbs E
<br />I rdr'fy rh,| r rh. Fro@k. olilE eod lor rhrh rhn Fdn B eEl. I 3h.ll mi mplot oy F$n in &v mffi
<br />$ a ro tE$,ft subjd k, rhc {ortd comp<urio. hs! of Calilomi!. d lrrN rlar if I srnlld b..om. sub)..r rorh.
<br />r0*6 q'mFsrion l,ovaida of !s1i,! !70() of rh. l rh, ( odc l ddl n,(h* nh .omplr * nh rtor Fo\ ilioB
<br />w RNtN(;: Fallr. ro c6. $nl6 cof,p.Mrn (o!6rgc 6 ul$tu|. drl Jr.ll $l*rl e 6ploF lo qimin l FkliE d
<br />.nrl 6nd up lo on. hun&.d th.usnd
<br />:i(r., :1076 6f rh. tlh, Co&. mEd
<br />.,{'tr'r '' .ilJ''' tr 'a rlr t.\r . i<,_"t,(r- . n j, rJ.r. J. t1 \ihrl l,{ rl'r
<br />a/\
<br />I rE@r\ amm und.r Fulr, oltEjuD rhri Ln Fo\ iril. of ('hq*s e (.om,tEtrin€ r nh S<crFo '70 r)ofDN'.nn'
<br />.l rh. llusrKr lrd Profd'oB Cod.. sd oy IEN B m full lorcc &d.lIsl
<br />//
<br />I holhr imm unds pdlhy oflEjurr rhrd r
<br />Ls!.tj {S< 1007, Cn. C )
<br />'s
<br />a..tr\1rudkn' l.iJins i!$.r lor rh. tEnnnmncc fllhc \.'l h' \hi(h rl'is f. nnr L\
<br />"/777 . k-
<br />aftu(ANtD!(trf,allQ!
<br />I horby llrm unds p.nllly of nsjury on. of lhc louowi.s ddluationl
<br />D6ml hn PaTiletut io! NotrlEdnn F.ddil Rc8uh' ionr t lnE J0. Pd16)
<br />Ratut d Lnls ofMrrificrM
<br />I cd iS rhll rh.lrdqal r.*uLr@B EE&dns Bbdroi , @n,l R N 'paltr$h h rhB pmd.
<br />I (d!'l}rhs I hdldJ rhE !ppr'-r,",r.ea qrdha r* ab.'",$/*don s(orRl. I r€rE ro mmdysnh tll(''rt rtut (i.ur)
<br />o,d'ltrtrd! trq/Lr r Eh hs r. boildid (.dtud io! id hq.6 rurrFriz. ,.F.drtrB or rh! (ir ) ind c.ur) ro 616 upon rh.
<br />"h...M,-,r)\.'yr"d"ei-yh:, ..., 1 "
<br />^rruo.r
<br />o.,Gar sbrrud. l,'0 L'. .,/ D.r."**"v'D- :(-
<br />I
<br />Shear Wall
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
|