|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI]CANATION
<br />I holby lrlm uE d Frhy of FIly rlli I m .r.ng nDm thc Colrrrlm l,x6g lrs lot llE followm{ la]. tsd 7011 5
<br />Asi,ld Jn ProlBi,n Cod.) Ary Cny o. (bunr shah rstln6 r Fni to odM, .n6, EForq &mlit or EF, e)
<br />nnde, Fd ro nr s.l,sq .h6 r.qun6 rh. +pliet tu .h Fni ro 6k r tisi<l irtul $r lE or rE ir licdEal Fod.tr
<br />ro fi. FoviiioB of tlE Conlr-rd 3 Liois, lr*' (( lq{d 9, Con1Min! "nh sRlbn 7000 of Dr nioo I of ,E Butrd .nd
<br />Pnf*6ro Co&l or lh,l lE tr slE n amF rhq.fmm !d rhc bcL for thc ollqcd sotrflion Any riohlio. of Sdhn r0ll 5 bt lny
<br />Bppli.ur itr i F6t rubjcls rh. +plicer ro . c'vil F.u!!, of mr morc rh& fiv. hun trd dollas (1500).
<br />l, s ownd olthcnmFlr. or ny cnpt't6 *nh *!+6 N th.ir sL comFEdion. trill& rlt *orl md $. $tu.lrc i! ndi
<br />i,rdi.l o, o rarj for $1. (Sd 7044. ABi"d &d Prct<ioN Codcr Ttc Conrri.lor'! l.i..e b* {h6 nol tpply io e o$ os of
<br />lhc FlrEly uho hlt! or inF.€ dEa( nd * l$ .t E *-h $oft hiG.la or h.*lf or ttoush hir or ho 6M mrloyc,
<br />Fovil.n rh.t r!.t inFllEcnr e mr idqdsl n ofisql tur $L l( lb*R6, th. bnitlilu .r rp.lrdEn u $ld *hht. oft !ft
<br />ofotrpLrb( r(hG 8!'ld6 wiu lEr. Ehrd.tr orFori'E thd lEor tEdn ml txJdot in+.ot.$. FrFiy &'tllE F,F*of
<br />l. s.$E of rlE D..!any, m dchr .l) co rrlinx *nh lf,dud colnrxroEh.odtud rlE Foj.< (S€.7Or.{. Ulu6
<br />en EokB ( o& 1]l. Co rdort Li.ru lt* d.i6 mr ,pplr ro o o$n( oalroFly sh! hIrld! or inpror6 thdon.
<br />ud $ho odralr for {ch p.oj.rai snh ! Conrrro(, l{dE d pursuJn ro rh. ( otu11oa! l-i.ru L!q)
<br />l0n.rmrpt 0nd6 Sdi.n
<br />1!llBl$:er:g)![!rsarlarDli0rraAll(l!
<br />I hrar\ affim undd Fdhl oaFjurt on. of
<br />'h.lolli'$lnl|
<br />d(lsdio6:
<br />I h!r. ,n Nll minrun . C.n'a.!i. ot Co.6r t. s.ll- l6U. f $st6'onFsrFn.6 Ford.d lorbySdrtnl7m.f rh.
<br />L.tq Cod., fd rh. FtullM. otrti *!A ror *hi<h rlE Fnn B iqat
<br />lal h,r. .nd * 'll m.nrr'n $ 0A6 comFutrn ,curm(.. B r.quiEd by S.d ion !70o of rh. bbor Cod€, for thc !-fo,rlr$c or
<br />th. rn{ for*hrh $ir Fnn ii is,.d Myqo*6 comrE6nhr iNulmc ffi !.d Flry.umbd @:
<br />5 Ld L &-^) c. ""?
<br />"Iacr2 ab t lr,; t.r )r 7
<br />I cditrhd inrn Ffol]Mc01lh.*!a for*h'.hrhBFhil Bsu.dI nrll mr mpLy uy IEsn i. &y run<
<br />b 3 ro t(nft stFr
<br />'6
<br />rlE mrt6 mrFsirn hss of ( nifomi{ .nd 4r lhd rf I {$!ld lrro@ $bjql ro rlE
<br />*!*6' conFqrbn Fbybio6 of Sdbr 17m of th. t.hn Codc I slEll. fonntr nh NDd) r'nh lhoc rm\ irio6
<br />WARNINC r.jtu. ro cu. uorla @6F!rio! svs.S. a Eh*tuL .nd rhdl ahFl & dployE lo dimitul FrhE . d
<br />cnll fh6 up lo om husisl tfiou$d dolld (llm,ux)). i. idnhn ro ih. cor of corp6nrol! d'@sd c Fn! dj tu rlE
<br />S6rBn 1076 otth. lltv Code inrqr!,i dkrBrt fc
<br />l-/- -(-.-,3\
<br />Lrtlillr.ll!9J!&1(rcts
<br />Dlj( l,\[\lIoN
<br />I hdby.fiirm undd nallty o I psjuy lhal I d lic(sj uda ForsionoachaBd') (..!nmdtins with Sdlion 70.J0) ofl)*Btrln l
<br />of rhc Buin* ed Pr.l6ioB Co&, and m, li.cE Le in llll fo... drl.ilal
<br />ri.c*.(ri$ C tO
<br />D.,, l7tlt?'l I tro t
<br />ir,^e*2.!V €n-t.$) rlt u...,f ..g-<
<br />CAiiiIf,IICIANIEBDIXG-ACEII}
<br />I halby lmm un&. r6!hy ot pdjury lhd rhq. i! i N'lnruc1bn Lndiry agacy foi lhc psfo.rMa of lh. work 6r *tnh rh! FL s
<br />ku.{ (sc 1097, civ. ( )
<br />AIILI(ANITECIASAIIO!
<br />I hftat.trin ufrrn Frh) or Fjury oE oflhc folh*in8 &.1[ bc:
<br />D.rmliirn P6dni.A!b<d6 Noriliorion F.dd.l R.3uldi,N (TnL.l0. Pal6)
<br />R.qurc! l.rrsolNdff,dm
<br />I cdlify rh.r rh. fo.ldd r.slldio6 csqj'ns abcJ$ ro(val &c nor @pltahl. lo lhis p.o.,.c1
<br />!-l cdriar rh,r I ha!. rdd rhir applicar'on otrd srfll. rhrl lh. ri$v. idaomdion L con.d. lrsre ro.orplywirh all ( ilrdnd ( oonr,
<br />o.diffid d Srar.lr*s ELrirB t. boildin3 coisrrudio( lxl hs.byduihdrt.r.F6.rndiv6 oflhi! Cnyad Counr,l.6td ulsn th.
<br />rbo!. Mrhn<d poFnt lor iBpelion F po.6
<br />^pplst or Arar shurlrc: - ll,- ' t---=a'z.--
<br />Pmrtc um. (p.itrr): NicL \)9r!cCt
<br />af 4lt'l
<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 />Framinq
<br />lnsulation/Energy
<br />Drywa ll
<br />Ext./lnt. Lath
<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 />,/^qrr%FINAL V t lt7u1 ?fi
<br />Certificate of OccupanLy
<br />Notes, Remarks, Etc
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
|