|
I
<br />SITE.WORK DATE ID/SIG:COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Subf loor/Vent/lnsulalion
<br />Roof Sheathinq tl-L- 1.?-DEs.8/ ot
<br />Shear Wall
<br />Framino
<br />lnsulationi Eneroy
<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 />FINAL rr.-a-\1 trr.l I oi
<br />Certilicate of Occupancy
<br />Notes, Remarks, Elc
<br />EX UELCAf,Af|('N
<br />rlr Cuntrrk.F' t.ros l* ,,n rh.li'ltt*ui.c.snisd lurl:I hcrb' .fftrn usLr rEuly or rEUlr, rh{ I u .r.q{ ln)r
<br />Bu\mc$ .u, Prn r\r,n CuL): Any C y or Couory *hxh tquftr . Fm h conrtut. dr6 rllln*.. &ml*h or ..Pu uv
<br />do.rur.. pnrn' ds ,srfrc..lso rcqtr(t rh. {tlKrnr llt nkh lEmir l0lilcIri3md nrt mnr lh.rlror \hc 6Ir..cJ arnu r
<br />t, lhr novnir)n! oi rr. conrEcroar LMnEn ll* (Chrpr4 L Conm*in! *rri Scrhun 7tr)0 dt Drviron .! ol rh' Bu{m'r 'dln,r.lrsns Grl ) or rh.r ll or ih. B .r.q* rrEr.from rnd rh. t't1r lir rh. rlhcJ .t.nv{Fn Ary vlLr0n or Ser.. 70 1 5 iv .trv
<br />rpt r.nr to.. Fmr \utrFts tli {r'lE..l n, . civrlltulrr ol nn fr,E rhs lrv. h!nn.{ Jolls (3u,
<br />l. .t owrcr oi rhc FrFdy. d ny .rrhts3 * h *iac! .r rh.t bh dmFnqfu'n. * l do rlE *dt .n lh. ilurE ! n
<br />ur.ohl or ofi.r! tu nk (Se m44. B!rm\ .d Pnr.$rrr (irlcr Th. Conlr&tt'r trM bq dNr ton q,llv b .n oqBr ol
<br />rh. rh)p.ny eh, ho dror iqx)wr rt6$h. rrd wh) dB rEh *)ll ninscltor hcrcll or rhNU3h hit or h.r own cnlni'r.r.
<br />ln,viJcd rh{ rlch mln)ErnaNr dctoldl oroltar.tl ttr qL. ll tu*E, rL h dru or lqmEBd r $U lthr orc ,re
<br />.ldlirlrior rtE ()*sr Buirlr wil lIE rE hhl6 otFntur rhr rErslEdrl d'r h j or inli.E ttr FIErv frx rh. r,F,i or
<br />-l,.row*r
<br />Irh. F{rdr. an.ktun(ly.onrtu1n! *rrh l.or.rl.odrktn !' lrrnNt rll Fl,Fr tsa ?Oi4. Busr\
<br />rd Pnr.san (',ri.: 'I h. Conrr.ro.! Lr.n\c Liw J{* ior rtilly ro r own.t ol ln,Fny who burldt or mpruv.s rh.r.on.
<br />$J who.dnrr.hrnriu.hImFrs*ih!Conhd)(nlkcn€Jpurlrrbth.cnnlrrtloisL..n{l:w)
<br />_I rn.rcmF unlcr SdDn-
<br />Io8rE8S:CAUTEEIAII!]tr
<br />UECI.AEAIq!
<br />I h.r.by rt trmund.r pcnrlry ol Frrxry.nc.flhc folkrwi!3 d.tl{'!Kff:
<br />I htk.rn *rll nrrrm r C.d rl.rt. .l 6nEni loS.lunlur. n worl6 c.nllrnrrrx,n.I thivrl.d tu I'vsdtx,n !7(Xl Irh.
<br />Illir C{rL. frtr rh. p..lo'l]un. ot rM k,rt tq *hEh ilE Im !\ Nru.1l
<br />-l trk .,ri *rU mrr.h rortcn' oriiNr.. GunE.. .i aquEi I'y Sdri,n rru of trE L.lxt Cn& rN llE Frrm. of
<br />rn h.t for whrhrhnFmr R tr dl Mt*d \o:.S+\uqqq \)-- r-\q
<br />I!ffdyth.t trrh.Fri'luntolrh.K fGrhrhrhrFrm n s$d,I rh.ll nn.i4tloy rnt FRr h.nvlUB
<br />g) .\ b hc.nr ruhFr ro rlE wrt6 .rn{tf,errn b*r ul Cl,IttM. .rn .SB rh.r f t .hrul, lElB rohjtir ro rlr
<br />*olts .ompcneri'n pNvkbn! or Sd$n l7l)o of rh. li!, Otl., I shrlL tunh* h dml y wnh lbt p.ot(rn.
<br />WARNINC: FirlnE tr srurc srlcn .ontEner$n urvcns. n unh*rtl rnd rhlll ruhrul m c,{l,,y.r to mn.l FslrB atu]
<br />ctvil ar.i up ld .m hunJrci r,x 5&l d.lls ($loo,fill), h u'.ldirdn t, rh. $( ol.on{Enernm, J.fl3c. .r tmql.d n lh.
<br />1
<br />qtL-L'l ue
<br />IIICIdEAIIAts
<br />by rrtrn und.r pcnlhy o l p..jury rhrr l .h lisf,En !fr]., ln vi\io. or chrJ cr I ($derc'n! wrlh Serirn 7000) or Dvrk'' I
<br />I rh. Itu!n($ rrl l\nlc\{.tr\ (n(t. rrl,t h(tn$ A tr' h'll h{(. $t rll((r
<br />\L
<br />qb6?-t3 C.al
<br />:z-Yo\Cev ,f,c 5 (,'o\,S6
<br />coltl8llcuollJBDlrri-d{i[lcr
<br />I lEEby rfrm uftLr Fndry of Frtry th.l rt* i! | qnnturbr EDlin8 {.my nr rh. Frfmc ol rh. hrt tur whrh rht! Ftui u
<br />nruJ (S& I)07. Crv C )
<br />APPLTCANT DECI-AR Ti('N
<br />I hddr tfm uftlq Fnnr y or Firy oE .t il! fdllo*o3 LktLni $ns:
<br />ttDl Fn Pcrnne^tlError tlotf.tron F-Lr.l Rquhrxfi (T k 40. P.n6)
<br />_R.qumd lir.rul NdninDn
<br />-lc.d
<br />yrhrllhc rAjcralrclalnr n\ (8ddm8 !rh.(o\ rc$tvrl !rc rcr rml($lc x, rht lor.tr
<br />-l
<br />endi rh, I h.k Rd rhtr .!d..l$n rn ni. rhrr rt rlr,w DrorE &n ! .({ftr' I .8c to
<br />onlisr! aB, Str. li*r ELti.a io t! lu! oh!furr,\ arl h.r.t'y rnlr{c qr.yr!.rv6 or I
<br />rhrv. lmri'ml fl{rEny tr drD.d b^ xrv,4
<br />i.anl or A!$l Silnnrue
<br />lL
<br />.Dn0ly * htll Cdy.tl Cou.ry*''ffzliq"
<br />I
<br />BUILDING. INSPECTOH RECORD
<br />UFER Ground
<br />SLAB Floor
|