|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNNR BUII,T)!]R DF:I,CARATION
<br />I hcicb! alfirn uMcr p.nrlry of |frlury rhir L .rnllr fnn rhc (innm.nna l-i.ctr{ tiw nr rhc followiD3 rci$n (5$.?011.5
<br />Busincs\ . llolc$ion Codc): Any Cily or Cou.ry which rc,tunc\ r p.nnil ro conllnrcr. llrcc impr.vc. dcdnish nr r.nrn rny
<br />ntucbrc- pri,trk, ir\ i\suancc. rho rcqutcs rhc applicanr tur such pcnnir ro filc! \isncd nrknrnr rhll lrd! \hc ( |i..tr{d N'\urtr'
<br />to thc l)n)vlsnnr( or rlL Cont,clois Li.c sed L,w (Chur.i 9, connncrkinF wid Sccri T(xro ol Divtion 3 ol'lhc h,\iIc$ 0nd
<br />irpli.inrlarnNnnirsuhjc.hrhcl')fii.ntrrt)r.ivill.mlryofinrnktrrhdfiv.hudrcddollr^(S5()o)
<br />L osncrolrhc pmpcn,- or m,.mplorrcs sirh $a8cs rs lhct {,lc conpcnsari.n. trilldo rhr sqk ul Irt {ftrm N nor
<br />idcnd.d or olTcrcd f(tr elc ( Sri 70l.l, Bu\in.$ rnd Prctcsn,ns CGh -fhc G,ntd.r'\ lj..n* Laq dks nor Ertly b rn .$rcr .l
<br />rhcprFny !hi h,iklsor i,ryrorc\ rlrFn a,xl s,ho d,rs rEh srrt hinNcll.r h.r*lfor rhn)ulh hk or hcr osn cmpk,yccs.
<br />provdcd rhd {,.h Dnlrnmr.ts m nor intdxlcd or.flarcd nn Nrlc.lt }[$lcr. rh.huik1m3.r irqtro\rmnr hsoklwirhinom )tU
<br />of.onrlcriD. rhcOsncr Brillcr willhrvc rlk huilcn oipnliry ttu hcorshcdA id hildorinlPn,vc rhc rn,F{y lbr rh. !u,Tx'{ ol
<br />l.dsowtr$u!thct)lqury.rnc{.hNivclycofta..8wilhlicci\cdrotrtr.tfstu..nslnr.rrh.pn)iccrlscc.70{.Bu.i"r$
<br />anJ lrbli\\iB(itrtc'lh.Connacttr\l.icco\cl,a$docsnol0mlylonnown.rofntr)plrryshohuikl\orimp(tusrhcr. n.
<br />rtrd sho.onrfr\lnr\uchtmlc.r\wirhr(inft.kJdrliccn\cdfu'\uIrorhcchtrra.nr'\LNnrt]rs)
<br />lr crrn'pr ! cr Sc.rnr . B & I'( nlrrha,r !)n
<br />D . OEner
<br />woRx!.ks, (rlnrPFNslTtoN
<br />DECLAAAUA!
<br />I hcrcb, afinh undfi lEMhrofpcriuryotrc oflhr LllowinC dc.l* ions
<br />-l
<br />h,vc xl will mi M a Cenific c ol Cotrscnr ro scll- Insun rn wnlkc,s ompcnslion. us !$vided lor by Secrnnr l7(n .l rh.
<br />Ltrtxr Codc, fr r hc t rfotun.c of rhr work ftr wh i.h rh. Frmir ir t\.cd
<br />_l hlrc rRl willnr0n rinqo*cn comncns.thtr insuratrc. a\ rcqntcd by Scclior l?00 orlhc Llhor Codc- tor rhc pcraornurc or
<br />rhc s,ork for whichrhn pcnnir is tslql MyworkcG .onpc.nrriotr insur!rcccaricr md p.lt, nlnrhcruc
<br />Lt-t-r7
<br />-l..niiyrhil
<br />in rhc !.rlonmn.c olrtu sork ri, shich rhis Fflnir i\ ir{'.J. 1 shall nor cn!rn,! iny Ftui i'i riy knNr
<br />$.(k,h.*ntsrhF.rkirhcqorkc .onrxn\.rn{ lrws of C.litunrii. rnl.xrcc rhorrf! (h.ul hccoN {u$id torh.
<br />trorkcrI cotrluqrn,r fmvisiotrs ., S.{ ( l70tr ol rlr tjtrr C.Jc, I drll. lonh*irh ont,ly $irh rho$ pDrisnnr
<br />WARNINC: Ijaihrc ro surc sorkcr\, c.m!!n\rion ovcma. is utrlos1ul. nnd shrll suhrccr rtr c$rloy.r ro .nmnrl ltrlric\ d
<br />civil finc\ tr|] rn nnc htrndrcd lhougnd {lolhrs (1100.0(x)). ir i iriflr l.Nr ol ., nl|r.nvr .r. dxnxlc\ r\ tnrni(l ln, 11r.
<br />Sc.roD llrT6.lrhr I |ll}tr( 'nk 1 .,.{ ialxii,f.v \ li.\
<br />5-- 2J - I e, ^p.,n*l
<br />IhcEhylllinnxMcr|JlrlryolFrjur!rhdI!nli.cn{dund.rtnrni(.iChrUcr9(.lnnmNin8}ilhScclion?(Xx))ofl)irkion]
<br />of rh. Bu\tE\\ rnd ttoftsn,n\O c. kltrlyliccnr is in fullli)r.c rtt rfir.r
<br />,""^,' 4 t<,c
<br />5- Zt-/B
<br />'7 L/{ra /
<br />\d,
<br />X'*
<br />t17 ?- r-to,'c nunrrrr,
<br /><{Faz<e rt:/ (,
<br />lIfUc ltll2[l!,lB?l.Il0f
<br />l lr\-ht rrlnD, u idcr t)c xlr! ofptruiy otrc ol rlt n)lldvi'r! dr.lnrrr(ni\
<br />D! x)lirnnr l,.nnir\ nxnf\ Noril'(itri l..rl$rl R.!uhron\ 1l c l{) I,n'r6i
<br />R.tLtrtr.(l l..rr., rr Nrrll.Iitrl
<br />l.c'r l.r rl r rh.l.d.'xl,.gtrlxri(rr,.Sri trg r\h(r.s'rfnrr rrNl:t)fl.rh.k,rh\trfrcrr
<br />nrf 'rtr.\r (rnc\ or rhi\ ( ir\.nl (irtr l r,, fn1. utrr rlr
<br /><-7 t -/CIrsr! ) w (l
<br />n'o|].ny itr i'rpcdnx, ndrrx)*\
<br />),,,,.".,,,<t77' 374*+t(,5.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathin g
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />V2-/n -t)c!o*.
<br />Certilicate ot Occu pancy
<br />Notes, Bemarks, Etc
<br />(
<br />t
<br />^-(d-f /^( 3
<br />l't zc.l,
<br />CONS'IRIJ(ITIoN I INDIN(; A(;ENCY
<br />I hcEhy rlltnr undcr pcnllly ol F-rJur J- rhrr rhcrc h r $.nrullinn lcniiry ag.ncy tor th. ncrnlnuncc ofrhc eork fd *hi.h rhis rnnil is
<br />isucd (S.c. :iU.)7. Civ C.r
<br />l.trd.a\ NJtrr
<br />Set Backs
<br />UFER Ground
<br />Flood Zone Certif .
<br />FINAL
|