|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWN[I' BT]II,DEN DEL('ARATION
<br />I h6.6, rm.n !nd.r FMn! or psJUry thd I m .rmpl ilm th. Co r.cr.a' l-k.e Ils tor rh. folh*inrr to$n (s< 70ll 1
<br />Duin6r !d Prof$trn Cdcl Any Ciry or Gury -hrh r.<tun6 t Fmir ro conrdd. .lla. rmForq d.nolilh or EFr M,
<br />itudGi Fu ro i!3 isufi., .!. rcsln6lh. latltDt aor ruct rEmn l. fik ! qo.{ 3le.fur rhd h. or slr i! licds.d plNDl
<br />ro rhc rrordioG ot rlE ( onr&ror's l-i..tu d Ir* (('hrprd 9, co,nm.n.ing wnh Scclior '7(100 ol lnusrcn :l of rh. 86'.6 tnd
<br />Proldons ('o&ldr ihd lE or rlE ir.rdDr ths.fron &d llE tis! for rh. rlEs.d.rfrptio. A.) \.hrir.ofs.dbn 70ll 5 byoy
<br />lrplic!trr for ! Fmil subjct! rhc .ptlicer l( r civil p.nalry o t not m.rc rhM ,ir. hund!.d dolldt I lJ00)
<br />l. s ow.6 of rh. ForEly. or ny dplo)6 pilh us6 6 lh.n sk NmFlrion. trill & tlr *(t !n dE rrElr i ml
<br />IndiLd or offd.d for iL (sd 704,{. &!iB &d PrDfdioc cod. TIE codrxlo.! LkoE l^ &B er ip?ly b M o*ru of
<br />lhc l,lr6ty sho t!il& tr iftpr.vB[Eon, d'd wtr rt(E*nw nidclt o. h<clf or rhmugh hi h6oMoph]c,
<br />Forrkd ih.l sch mF\ErEB c d nrdrlld or olY6.d 6r qk l[ h.*aq. fi. hrildla n inpovqFr ir eld wnhin oE td
<br />of.ompkia $. OMr UuiBa *ill haw rh. hlrb olFovitB lhd tE tr !h. did br hnll or ing.ort lh. FoFl-l ao. rh. F po*or
<br />l. s.q€ oarh. FoFr), e.rclBnrE conrrocli.s *,nh hcduai coirdroBb &rltuc]lh.Fd.cl (Sc 7O{4. B6rBs
<br />.nd trei!.M Cod. Thc Conr6.ror'3 Li.@ l,*.tB tui .tpl, ro e orn6 of Foltn! uho h'l& o optor6 rhd6t.
<br />od $lxi dd.r13 tor $ch F!j.(lr*irh. Conrrero(, licoEd p6@r t. rh. conL.dois Licor trw).
<br />I otr.ronpt unds Satn,n
<br />Drr. Orn.r
<br />\r'oRKiRS CO|UPENSAI IOii
<br />ol:(ldBAua!
<br />I ha.b amm und.r Fdhr.aFl$ one.arhc folhtrin8 ddldari.N
<br />Ih.\.tieillminr.in.(.niaE.r.ofcooglnrSclalNurcftywrt6 co6pnEdrn. a Fnrd.d f.r by s6l io. l7(x) of lh.
<br />t hor corl., lor ln. Fnffi. o r th. so fd$nkhrh.Fhn i! Bucl
<br />I h.r. dd *ill mFllh *'ort6' comFctti.n i.fu4., s Equirdj h, Salion l?00 olltE l:bor Codc. ftv rh. Ffotrrrec of
<br />th. work for whkh rhi! psnit a ittucd My vo.k6 .omFniliion $uft. ffi6 cd FolEy numb.r rc
<br />tr,tr\\trLr(rz[ir-t
<br />I ccnifothll ,n lhc Ffor64. olrhc worl tor shrhrhBFmtr i. is.d- I irallml dplo, dr F$. mot meF
<br />$ a b bc.om $bd
<br />'o
<br />rh. snr6'mnpqslion L{s of ( alifomie d ascthlt ilI3kruld hccoru sbj(l lolh.
<br />s$rt6' (onFerion ForirioB o f S..l6n l7l)0 of lh. L.h, Cod.. I {!r,1, fodh*Ih ompl, $nt rhs [ro! aoc
<br />WARNINC Fnluc to su. q)rl6 (onFsdhi cov€.s. i! u.bulul. ttrd shell subj(t d oployd ro aimiMl pd!h6 dd
<br />to oG hun&.d rh.lari d.lls itlo(,oo()). 6 ath$ ro llE.d ot.o nqEBdion. d.r[t6 6 prelid.,i for rh.
<br />sdrrcn 11076 o,rh.litFr ( ({q drBr dJ aiiomoi v-I
<br />DTCIASAIIA!
<br />I ha.6t .lTm u.dd FMlry oI psjuD lh, I M licr.d uryl6 FI ision oroq{d e ((nNmcins wilh Selhn 7000) of Dirision I
<br />of rh. llBiner d.l ntufdioB cod., dd m, lk.M b in full forc. arl.fid
<br />,*.* C-
<br />_,, 1J j\ 11
<br />3q!_
<br />CaISIBUSIIAII.EdDTIG.AC!!.CI
<br />t h@by a,Im und6 Fnahy of pclu,y lnd $6. ; t otrrtuclion lddiiB .8ftt tor tlE Ffolrffic of lhc urt 6r $ hkh rhB Fni ir
<br />isu.d (sa -1097. cir C )
<br />l.nds . Nd.
<br />aftt.l( rlDEclttraua!
<br />I hodr lrn undr p.n,x, oa Fru.y om of !h. folhwinB debdriont
<br />D.nol rcn P6mite-Asbdros Noriricarion F.J6rl R*ular tr)6 (I irl. .10. Pd6)
<br />Rcqtrtr.d lnl6 of M{,fi(nFn
<br />I (diay rhd rh. a.nsd r.sul,liom rcsrd,n8 otEslor,@n.r e. d 4prtabL h
<br />'h$ FoFl
<br />l.at'fy rh, I h$. 6d rh6 aB icll
<br />o '@ftd lrl srar.ltq3 El,tnB ro b0
<br />.h)!. m'iorcrl propdy for i6p.(1D.
<br />I
<br />app[sn. or A16r skMllr Yi
<br />Pmnc Em. (p.itr,). f El,r
<br />io. rd !rd. rhn fi. rho!. info liiotr 6 c6rr I rlrc
<br />'o
<br />Noply wilh !I Cn, lrd ('runy
<br />ildingmnfudioo rdlEcb,uhro.EF.s8tn6ofrhBChymdCou )'oo'sqi'nlh.
<br />od@rd I'&4^ l//"2?- -,.1)z,fg
<br />eV\ -V :<7 ttiel.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing 3-1- t'/ ,Dofu I 'tv)
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />lvla sonry
<br />Pool Fence
<br />T-Bar
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A
<br />FINAL K-10,4v V"ILflb\
<br />Certificate of Occupancy \-/
<br />Notes, Remarks, Etc
<br />o N)
<br />I DArE tD/StG. I
<br />r(@Nynhs: q5L7-!3 ..,^^,,*Y.,-Jz+.t-', "2A./Z y'
<br />I
<br />I
<br />I
<br />I I
<br />I
<br />Llandicap Req. I
<br />l
|