|
SITE-WORK DATE ID/SIG.COMMENTS OTVI\ET BT]'I.DEf, D.L(ARATION
<br />I tlrchy rllth unld Frh, ,'l Frjury rhd I o .tcq'r tom lhc (i,da-tr' lrde t:, tu llr nnh*rt E.$n (Serol, 5
<br />AustrBr .il Prol$r.n Qrt ) Ant C , d C d, ,hf,h rqu6 r F1fu r. co.rrEr. 6. uritot. &ftLrh or EFr sy
<br />{lLrm. rmr io r ssuff, rls r.!ui6 rtE.p?ll4r ror rkh Fmr n' flL r !'!dl {d.Mr rhli lE or lrE ! l.cnrtl Fmfi
<br />ro trr Fiv^rrr or rh. (i)ntrtG i LNnsn lls (Ch.Fq 9. Conmn68 wih Sarhn 7@ oI DlvnDn 1 ot rlr Burms er
<br />PDlis..( cdi.) d lhrl lr G rlr u .r.trpr rlEcfiom .ri rll l!{\ ro, tlE rlk!.J .r.EFirn tuy !{Lrrrof SdM?0-rl J hyu,
<br />.mlilni litr r trmn ruhjdk rlr rnnhrnr to . riv 'l n Elr t of n'! n$E rh.. nv. huoirJ rtoll,E (15@).
<br />,. r\ owr ol rh. FlFny, d dy.nllJkrFl w h *.s.\ I ih.r r,L $n{.nsl!}n. wiu rb rtr *ql ti dE nrErE E mr
<br />idcnldl or oll'.rcd kr .k ( Sa 70,14, Bushcs Md tt$f.rronr Cd. fh. CioLr(n's Lf,.n* tie dr! nor rl'l y l{, .. o*ftt or
<br />dE FrFny wh, ho Llt nr illtn,wr rh.c,.. ar,l wh) U{r ruch s'.t h6tc ll or h.mll or rhmugrr hs ot h.r .un .n{'loy..t.
<br />pn,vidcd lhlr tuch mpoEE i t n{ ihr.nldl or oltthl ftr pL ll, h)Eq. r horllinS q urfhwftnr it $11 w hh o.c Ftr
<br />or.ontkrrn lh. ovn.r Bu j.r *ill hle 0E hnLn ot F,vins ihd L or {t dn d hlil] or i,{nM tlE FoFry lir rlr n{rFe or
<br />_1. r o*Er or rh. Flxny, rn.(luliEly odrulDr rrh l*.n<i (onBrod b onrtu dr F)F (S... 70L. Burrs
<br />.,n hDt.s Cqk Tn Ci,.rr-roi! L(n* tr, &$ nn rmly r.r {owE of F)p.ny eho bu'Ll. or ntNwr lh.B)n.
<br />ml wh, codBrr rd rkh Foi.tr rirh. Colhionn ll.nql l[rurr rorlrC. turd't trttr* tiB)
<br />-l
<br />m.r.mfl unl(r SRr
<br />DrL:- OrE
<br />SI!85E8S:SIMIIBSAIIO!
<br />PESAAAIIAB
<br />I h.rrhy llltrnonJcr FMlryol lEtDry orc ollh.ldhwml Jellllrn]
<br />-lhrrcrul*'lln
<br />ur r(.drlf,.l.olCon\.nr l() Sclllr{k ntr *orkcA' rodlf, n\,
<br />'un.
<br />as lh,vd.d n, hyS.dtr,n:l?0o.lih.
<br />lrhtrC,rlc.luihc Ii'l,rtun..ol rhc w.rk lor wh(hrh. p.rnn s rs{r.d
<br />I hdw and * rll mrrnrdrn work ra $q,.n$tron inrurrruc. .! squ rd $y S.dion lTln ol rh. Lrklr Crxk, nn ilE !.tltmw ol
<br />d y workcr' $ryEndi'n mturnc
<br />lJ
<br />I lrnrfy rh.t rn th. IE.loruB. or rlE *o r**fi.hrhFFrh tr 6.u.n,I rh.ll n, .q'hy lny FRfin r.y 'MEr$ ts b lirrrm ohFr ro rtr srt6 Nrp.ndhn hui ofcrlfr'mr. .si rtN rhd I rlbuu hdrrr suhFr h rlt
<br />krl.A oqinqr on pnrvssn! of S- lnn l?u) of llE Llu (inc. I nEI. lonhw h $nply wnh rtbr FnvNn.t
<br />WARNING: E..durc r,' <.uE qrlcB (rqEnsrxr $@!. r! unhwt!1, r,rl rh.ll rubr{l u.q,brtr h (t1JMrlFuls rnd
<br />.lvll lnEr ua lo dr hundkd rholiuJ doll&\ (5100.(xr),- in r r[n I' rh. .!r ol.oDpcnr.ln,n, Jrm!.l 8 F'vrj.J tu th.
<br />'Er\"iil YL/K,qx-,"q
<br />utJrr)}jrl(l)tlx tlaB![lIilB/tnQ!IlErh,,nmun|ryEnrlydIFrruryrhJlIalEneduBtrln,vnpnuf(]EFd9(!.mftNmSrrhSdr,n7(tl())olDrYsonl
<br />of rh. BurBtr &! P$f.(trnr Ct!. .nl my lIcM N r tull fonr {rl .lldr
<br />L?[6rtrl
<br />lqNllalJlfjaNllNrNi.AcENcr
<br />I h.Eby rrarn utuld |tndry dr IE juryrh.r rlEE i!. larndNlrrn Lndss Isctuy lor $. FcnnlfrE. ol rhc k n,*hththNFml s
<br />iiiu.J (Sc.. t(li,?, Cr ( )
<br />AIILISANLDEII.ASAIIO!
<br />I Hry rnifr !d.r Fh.Xt ol Frllry oE of ih. foll'wh! J..L!.r pnr
<br />tJ.mrl'rxr Pcrn/tsArh{or tldfkr.n Fdicnl R.luLlbn.lTIk {r, P.n6)
<br />-R.1uGtl
<br />Ldrf ol f*rirdD
<br />_I dlfy rh.r rrr raj.El E UlrtbB EssJu! rt .ro. rm'v.l c n, {E!HbL to lhit FojBl.
<br />-l
<br />diry rld I hrE rd rhu .r0lr.lFn .rn st.lc ihlr dE .trE hft,murNn n oror I +E lo on{tly *nh rll Cr, .Bl County
<br />or{nuNc\ rtrrlsrrrc lr*t r.Lr0r3 k) hu'lJ'n!
<br />rh)!. nktrrrnrll nn)Bny ntr tr(
<br />Zand'.o, ".,rr"r,,,,
<br />[._,,,*_-",,",,,,
<br />'ti 5
<br />z1
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq t/-t f- t \rZc z)
<br />Shear Wall
<br />Framing
<br />ln su lation/E nerg 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 />Enqineer Final Report
<br />Flood Zone Certif
<br />I IFrNAL 117.)lll f..,a{hy {_t0-I
<br />Certilicate ccu nc
<br />Notes, Remarks, Etc 4
<br />-/
<br />BUILDING. INSPECTOR RECORD
<br />1.frJ.,'t J&.A
<br />-
<br />Erection Pads
|