BUILDING- INSPECTOB RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,IVNER OUII,DER I}}:L(NRATI('N
<br />I kr.6y rltun urhr FMIy (n lxriurv rh:r I am .rcqi ln,h rtu (inta(tr! 1.f,.i5. lj* l,tr rh. l(!lk,wr! F!y,n tlEL ?0!l 5
<br />tluqnc\s $rt Prn.s('n Crrl.)r Any Cdy or (irnry *hf,h ftrtun\ r Fnn r, Lin{ru.r, .lrd. rtrftr.E. d.E,ltrh or qEu 4y
<br />nru.iurc. nfttrn' rrr rsu.B. .l$ rcquE. rlE {'rll&r id rEh Fmr nr [k i urJ n{.mnr rh:r lE trr {r s l(.ncd
<br />'lur$lnrt! th. F.$ir.., th. Cu.rrr(tr'. l.r.nrd l:v l('h.ntq 9, (bm.rBin! w h S&1tr)o 7lx$ oI Dr!trn,n :l ol rh. BtrnN( ihJ
<br />Pn'l.sDns C,iL) or rlur ,l. or \lE tr .r.trqlr rh.rlnnn r.d rhc tunr t,n rh. rlL!.J.kn$i,n Any vilhrirnntS.l1rn 7t).11.5 hyrny
<br />.Ifhr nrntr sl).m \uhl.rrr rh. rmlrlnr fi) d (rvrl lf,.rlr, {( rn mft rh.n llr. hualr.! .li,ll.r rll(n)
<br />_1. uro*mr ol rhc pn{f,ny. rm.(lunvcly.odr rn8 wtrh lrccnsd !.d.en'F t, La'nnto\r tlx FoFr ( S-.. 7l}lJ, Bu(r<
<br />.il hr'kr\',n C*i.: 1h. Contxtr'r l-k.i* lJ* E! r{ .p?lr !' u ormr o, Irn)Fn y wh, hurlJr or rh0n'v(t rh.tu\'.,
<br />.nn *h !.dr&t ltn iEh,mj(rr w h r (ilntrrd.n \) [$el tu urnr r', th. c.nk.d,tr r l-Nnsc | -.w,
<br />I m,.rrn,pr trd.r Sc(inn
<br />lvaaf,E8s:rqufrNsArgN
<br />D'CLAfutTmN
<br />Ih.r.hyall mtr .r f{nrlryol ('.rllry otu ofrh( n'lbw'nF Jlrllrrri,n\l
<br />I hrlT Irl w'll D'nrru, (.n 'ftrr. .f Con{.r t! Scl, l,Nuk tur work. onllri\a((h,rt ln,v cdntrhyS.(r,nl7(rrorrh
<br />lrNtr C,xlc, htrrhc lj.rlrfrrn(. or ih. nfi n, whih rh. Irmi r Nu(l
<br />I h.h .rl w,ll tufi arn * ortcrr toq{nlrrrD rnsurlrrc. !r rcquFJ hy S..r$n 17(x, ol rhc l-!lt1'r (ixk, ntr rh. F,')muk. ul
<br />rhc *ork ntr *hrhr[Flxrnnr ri trru.! My*orkc^'dnnp(nrri,n rirurrh..r lurr el tnry nrnltr ft
<br />coNsltu('TloN I F-Nr)N(: A(:EN(:y
<br />lh.rt'!allnhuftLrFnrlryollcrjudrhrrrh.r.tr!('n{rurrnnLiJDElfceyntrrh.p.rlitrtuE.otrh(x{titr*hrhrtuFmrs
<br />r\nrc rS.(. l(1r7, (-rv. C.)
<br />lrnlc''\ Nrtu _
<br />AIfLICANT DECL R TION
<br />I h.rr,- rtnru.J.r pqr!y,,1 Iirlurv o'r o, rh. hnL'*rB ncrl{ntrn'\
<br />l).ni'l x'n Pcrnni!A\lr(.! Norrlrirur l:.d..rl R.rulirr)n\ i Irlc.fir.I'rd6r
<br />R.qutrcJ lr cr ol Nrii.2rrn
<br />_l(dJyrhrrrhcr.dcr.l(8ul.r{!nrE3arJ,nt.O.no.rr8'v:1.r.Br.fi'h.rn n,th!InFr
<br />l(l'lnvrhrrlhr\e..!JrhFtpl,lkrrtrrrnlirkr r!l[rhnr1 l dtrrc r) co.rdy $rrh ,ll ( !,hl(',n'nrJ_
<br />onllnxn(r M'l Si!i.l,r*\ r.lrr,n! r, hu'Lnn3. n<tu!ri)n..n] h(rhyiurh{rc rcFNnrrt\ - dl rhr ( y il(i,utrrJ_!'.nnruar)nrh
<br />$.'vc mnk'EJ FtrFdy ntr oiFdr,.:>aru,ru-
<br />ADplnxnl rr Ar.nl SiEtrstu V ",@!LYAg)L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing mi ulFL(L,
<br />lnsulation/Enerqy
<br />Drywall
<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 />FINAL // //.3//4 -al4 ,"u
<br />Certif icate of Oiiri pancy (
<br />N oles/ RemarKF, Etc.
<br />)
<br />rd 7<
<br />_l,r\owhrolrliF{Eny,rf,m!.qrbyc.iwilh*rscsrirh.trq'k(,n{rnerkr.*l.l'rh.witlllrhcrruM6Bn
<br />fiohn .r ollr.d rd qb (Scc.?044, Burft$ lnJ Pnrr.sirnt C(i!.: llE (t Bntr'rl-..nrl,r.lr.Brr'tlyrou"wr,ol
<br />rh.IrnFny rb h*l! i, ,qnB rllcBn lrl *b &s qt krt hmkll or h.rvlf nr lhNllh hn ,r h.r o*n .rr{*,y.$.
<br />F.vd.a, rMt rEh mthrwdt & ft{ idcnki orol|hl lnr qk Il, trkq. rh. t{filn8 or m{ov.m L. q*, $(hu.N F,llrlullPldu rlE Orrr Bu ( w l hlr rh. hunt n ol ln!!r! rt r h. or rlr Ji m. ni ,x qntx rh. F,tdv rlx rlr FrF,( ol
<br />l..n,fyrtur hrh. Frloi,MB..llh. wort ttr whrh rhr ltrmn E srxn.l thrllB{ flrPl'y.nyFN'n u.nt 'Mrr$ s b tEl m wl'j.!r ri' rtE kxi6 .rn{Ent!r,. Lri ol C.ldomr ral +c ih,
<br />'{
<br />I {r,!E liom {uhFlr k' rrE
<br />s dr Loqrrqi0n FrvN$n! of Sd1i.n l7lx) ol rh. llhn (iri.. I rhll tudhwirh Lrrrqty wnh rkE Inrvront.
<br />I'!ARN|N(;: ra,tuE b kurc knt.n .nnJ'.ns.ton $v.E3.,! u.Lqrul .al thil tuhj.ri a 6tll'F ro lill@l tmlir !,rl
<br />cNrl riB un i, oE hu r'l lh,uqrn & L^ Itr(I).(xI)), '. rll .n h rlI .o{ of $qrnqrion. rb,El.r ( !tuvd.d t)r rh.
<br />Seinn 10?6 oi E llh, Oi., !r.Ei td rrrmy i ler
<br />Drk:- ApdL.nl:-
<br />LICENIIII-SIII8A!:IOA
<br />ITECLASAUA!
<br />I hrhy aftrn utoLr Fnrlit of FrIlry thr I .m li.n*n ud.r Fiv(rr if ('t!dn I l!1'llmEirf *irh S<ri'n 70U)) of Drviiir :l
<br />of rh. Blrmrr rll Pr .r..nr C({., d my lIrM ( tr tull lonr lrl.ll..r
<br />D.t.
<br />-
<br />l-o.ltulo.-
<br />Ext.i lnt. Lath
|