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BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS O* NER A!ILDET DETI-ARATION
<br />I h(cb) lmm undcr Forhy oI F.rjur, ! hd I .rc,npl from lhc Co rodo^ l -i(fu I.* for lhc tollo$ins r.te,, (s6 7$ r l 5
<br />Burins ud PFtdFn ( qj.) Aiy C ! or Cou, y \hrh r.r1uu6 r rEnd ro 6dtui1, .Id, improv., &,frniih o. Epair e! I
<br />ntudd., Fnr ro r isum., .b{i rq!tr6 rh. ,mli.er nr su.h Fnd kr nL . riSn d nddd thn lE or sh. ir lEar.d plN.rr
<br />ro rh. Fovrio6 o f ltE Conk .r(tr r Li.cft.d l,w (Chlprd 9. (i'm.kint w h s.dn'. 7000 ol Divnnrn 1 ol rh. Ilurin6 .nd
<br />Prof*nc Cod.) .. rhd lx or sl* 6 .rmF rlE c6om axl !h. hGi! for rh. .lk*.d .taprion. nr r hhlrn of Sdnn 70! I i br d)
<br />.mlica aor s Fnr il subJftG lh. 6pplic..t !o a dlrl p.nilly oI nor mor. lhM fivc hudr.! doller {15tu)
<br />l. a osffi Drrh. FrFnr. or ny mrk)rG *nh sa36 a rh.r $k com'lMxrn. $ JorlE$vtin'lEserEin{
<br />intdd.d or.lTftn aorslc(SE 7044.ltusins erd lrefsnrE (-('dr lt.(i,orradoisl.ic@lrwdo6ton'lrlytuso*n6or
<br />rh. rRrpdry $ lr llrkE or iqro\ 6 trE6G !d tr lt\ &a uh rn* nimrlr.r hdxlf or lhrlsh htr or h( otrn .nrloy.6.
<br />Fov'd.d rh!! 5!ch anForsEnr c rei ddd.d or ofiEcl for $l. lf. lFs6 d, rh. hildns or intnrmt i! $lt *nhin n. ]6
<br />.a.ompki,n. rh. ()$ 16 uuildd will hav. lh. htrJ6 ol Fo! in8 fi, h€ or slE dll frn hlild or irp.ovr llE pllrEq, ntr lh. EIFE ol
<br />l. ao*Eof rh. Fot6r, m.rclGn.l! codrdinrr ui'h ltdrd cont61o6 to cotr{od lh. Foj.cr Is( 7or{- &!'n6
<br />En PEfBrh Co& Th. co aldl'i l-i.@ l.ru d6 rtn .{'nl} ro e o$E of FoFn, sh. nsilds or impo 6 rh6(,n.
<br />md who contr&1sforsuchpNjr(lswirh!Conrrodo4sllcs.dpuEu6nrtoth.Co,acroisl,i..Nl!$)
<br />I m.\otrpi utrdd SNnn
<br />lr.r. C,'nd
<br />\rotu(.lrs, ('oniPprsa-roN
<br />lriicltEaDa!
<br />I ho.h! a,li.m und( Full) .f rEJor_v oE .rlh. r.lh{ or JaLTalnrE
<br />I h.r. rl w ill nmimlin ! Cdifratc ot (t.st h S.li.lMr. lbr (t.L6 smFtsd$n. a F.vid.d tu b, s(liotr uoo of rn.
<br />Ilhor cek. f.r rh. Ffolrffi. of rh. trn for et.h
<br />'h. Fhi it isu.n
<br />I harr lnd * ill mi ain tr o*qt (onperrion iNu!B.. s r.qui'.d h! scl i,n r7m df rh. lib.. (b&. ior rh. pa6nIe. of
<br />th. urrt for Ehrch lh6 Fr.il ir E{.d. My q!*d conFEnir. iEud. @F &d Flry numbd a.
<br />,",,,."'-K.0. lnJ (o'
<br />r1,r,r,Nn,r{r' d TwC06brj 5q vl*h",
<br />I cn,f,rhal r rh. psro nancc or rhc sork lor rh(htlns pom is isstrcti,l shlllnor dtrplo) in, pds n rn in) mmn.t
<br />vr d ro tEron'. $t'r..' ro !h. $ 0116' conrpqMn,n hs r of C.lilomiq drj adc rhll if I sh,uld BLom. uli.< h rh.
<br />uo 6' crmpqsr Kn pror RFN oa S<l nn 1700 of lrE I lhv (irL, I irull. tunh{ hconrb trnhit${p( 6FB
<br />wARNIN(; Fd'lur. ro Ru. sor|ds conrpasridr rolma. ir onh*tuI. ed ihdll suhjd u onplols lo m nal Frlrs s d
<br />:tury"m9tt;*
<br />rt.lNx)1. In ad!(0tr (, rhr..sr rf
<br />I hd.6y .mnn unda Fdr) ol Fju., rha I m lrd&d unld F.! nio. of(]rFt e (o'n'.Et__.nr $ irh lidrn rooo) ot l)n shn l
<br />ot lh. Iturn6s Dd PreI<rtB (id.. dd '.y lEos. is m ruu rorc. a.d .lYer
<br />""'t'l'AP e 7
<br />ts
<br />1n 1a
<br />4
<br />(-,,."- F DNI 6
<br />Calilau(llarlr!-0llicrrGtI(I
<br />Ihfthy i0iflnlndd p.ntrhy.lpnjury rhar rhe t d connru(rion Lrdin! +ocy lnr rh. p<llolru(. ofth. "o nrshichlhisFuilis
<br />Bsu.{(Se 1097. ( ir C )
<br />ATTII(AXLI}'CIJAAIIOB
<br />lhddrafim u.dd Fna[y olpdjury oe ofrhc lollo*inr drlr ioni:
<br />D.nrnren Pm r-Ast6k! Nolrfic rco l-.116.l Rcsuht rc (1 irk J0. ,'Ei6)
<br />R.qur.J l.lr.r olNoni(-nion
<br />H-dffiffi,;;
<br />r.*{dins dt}Est)s rdBtr,1 cn.r4rltr.hl. ro lhs,rrojdl
<br />n.,n sb'.rhd rh. !nl\. '.f(,tun,n iicord l{.raroNnpb trnh lll('() and (i)ur}
<br />inl co.shtr1ion. kl lE.hy0urh.n/.n6 olrhB Ciry.nd Counrt ro or6 uE,n rhc
<br />,h,\r 'ffirkrrJ lIotd) itr trEFr
<br />,{ptli.rtrr or Agmr SiSn{rurc !l
<br />l'{nrlrEnrn'etpnnr): r(5nr0[ tl',1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall +
<br />Framing DAfir.
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />6
<br />Certificate of Occu nc
<br />Notes Remarks Etc
<br />-+
<br />l DATE ID/SIG.
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<br />FINAL Pu.:Ll,rsv 3k,/.iljf *h
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