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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS O\A NER BU!LDf,R DEL('ARATION <br />I h6.tt iltm o..ld Fn6hy of Fjury lhil I 6.\mfl fmm lh. (ont!clo6' Licms. l,tw for rh. follosinB Ettn (st 70.11 5 <br />Usrn6s dd Pr fsur C.d.), An, (-{v .r coudt *h(h Eqund r IEmi ro erdrud. .hs. inFo\., &ttl6h .r qar Mr <br />qrudue Fxtrro iri sum., .k r.qric I h. q'Plkd for $ch Fnni lo fiI. ! sun.d slddol rh h. d !h. it licos.d ,'u6utrl <br />r' rhc Foririons of rlE Co.rr*rd'1 Lrcdsn lrs (Ch6fl6 9. Comnn'n8 $ih Sdrion 70(x) ol Divisior ] of lh. It8m<r md <br />Ptuf*.n! Co&, or rhd h... d. t .\trpl thd.6om Md rh. tEis tu rh. .lk$.d doplar Arv virbriln of sdirn 70:r I t bt.nt <br />rmli.ad fnr r Fnit suhjal! lhc ipphcirt kr i civ rl paihy ol nol mo!. lhd n\. hundi.d d.ll$ (t5m, <br />l. 8 or nr 6arh. ptup.nr, or m! mployB snh w.lld 6 rh.r s,l. corrpornion. will d. rh. *ltl etl rlE nf,du. a rcr <br />ii6!d.d or orcd fd sL (sa 7{xJ, IIBiIB ud hDrdioN Cd. rk (b rdoir t](re liu do6 mr dat lr to d o\tffi nf <br />rh. FreFl! *h. hrilds or mFor6rhoon. stl lho do6srh qo hinr.lfor hdclror lhrcu8h hr! or h.r.sf,mplo,.6. <br />p.ovd.d rt r such hFntrE Ec bt iddi.d d o&d tu !t ll h.$6q. rh. bildir* or inqF\dd i! $B nittr oE !w <br />ol conot h.. lh. (xvn6 Builk w l halc lhc hrdo of pro\ils lhd hc or sh. did Nr hnkl or nn n^c thc psF! for rlE El4e .f <br />l. s o$E of rh. Frtd). m.rcirn.h .o'nr*iq rnh licdE d Nnlr.<roB ro 6dtud tlE t,or.d (S( 70.1.1. RE B <br />rd ProE iG Codc: Th. Co.[kr.r'3l-ic.M tl*do6.ol.!rlyr. mown6 otp,op€ny{ho buildior inprc!6rh6on, <br />.nd sho codmJ as s(h F!Ed3 trnh r Co'rr*o(rr licdEdj p!6urt ro'h.coffiM ! l.k.B L,ul <br />I am er.mF u.dd sdru <br />tr!lBaD8lla!.lf[!sarr9! <br />PEqJSAI]AN <br />I hschy amrm unds FMltvotp6jur,von..lrh. follos'in8 &(le,ln'6 <br />I h.!.dwill minrain. C6lillqrc of (i,nsr to sclf'|trlurc nr work6 comFirerion. s Foridcd for blS<lion 17ti)olrh. <br />Inbor ( od., for !h. FfDllffi. of rlE n!* tu snrh lh. Fnn i isu.d <br />I hn\€ and uillmsinrlii tr orkd' conFB^rion 'Bu,.N.. s r.qun.n b-r Sdion 17()of lh.Iin, Co&. lor rh. Faoffi. ol <br />rn. *ukfo,qnkhrhnp6nir i3 iqd My$orr6. .ont Mio. i6oroc. cMir od rFlicy nlmbo &. <br />l.di$rn '. lh. Ffotffi of lh. *ol for ehich lhi! p.rn'r i3 i!$.<t I lhlll nol orloy !p6oninanydend <br />$ s to b..orc llbjrlto rhc *olt6 .odp.i!dio. l,*. or ( .rifomi.. fd !8r rhd ia l ltFuld lE(om $ti.tr r. r& <br />tron6' .onF.lrioh pro+rioN of Sdion !700 ofrh. l,ntr Cod. I Cull. fonh*nh @Drly *ilh rhrk prorisioN <br />WARNINC: F.ilurc lo sw wrld' cooF.nion cordis. n unbs'tu|. ..d !h!ll 3ubFi o 6plo)q lo ml FEhE nd <br />.r'il fin6 up k, oft tuftn.d rhoMd &lls (rlo0,mo), 'i adJirion t! th.olcomFNnon. drmscs.s pnxidcd lor lhc <br />S.dnrn 1076 orrhc lihor ( odc, $rdd..d rnoft}3 fG <br />G-11'\1 <br />DE(IJAAIIIIBIffiy.rmu ld Fn l! of p.rur. lhd I D licqu.d uda Fovision of ch4na e l.omd rn8 tr ilfi S.d hn 7000) of Dv iion :r <br />Dl rh. auri.<r Md I'r6f*io.i cod.. Md ny licm. i if, full forc. el.ftdr <br />I 1 1(A c <br />b41-'1 x <br />laliIAUCIot_LEIDltiClAEll.a <br />I hd.6y fim ur&r F&lrr ot FruD'lht rh6c ! ! coodrud., Lndins t*e:' f.i Ih. Fforocc of th. n otl lor \ii.h lhh Fnn i <br />Bu.rt (s< 1097. ci! C) <br />affu(aNfDtctlBAua! <br />I *!lJ rllm unda Fnolit of Fjur) on. ol lh. follor iry &(lqd iont <br />Didohnrn Pdmns AitBxr Nolifi. iDn F.ddal R.golari.nr (Trl.t0, P0n6) <br />- Rcq!rcd l.crld ot Norificdi). <br />I.difylhd rh.lcdE lr.sul.rions rcB diry Bbdlos rano\ al arc ool ,ml'ctbl. ro rhi proFd <br />I csr ily r hal I havc rcad rhis lpplicahon ed .rar. rhsr rh. .htr c 'nfom.tion is cond I 5sre ro comply *rrh ill Cn, i,i (-.un'l <br />ordroE6 rd Sr.r. ljss Ehriry ro hl'rdinr cod.r.rio.. trr hd.l'y adlh.iz r.Fcsfin6 orlhE ( il:_ !d (i,unrr t' 6rd opon rh. <br />.lnv. m6rn'n.n propdt tu insp<lroo <br />rii 6rr\*^! <br />b-'t1t 1 <br />Set Backs (l1q \l lr!')4 <br />Forms/Steel/Holdowns L11t1 t+fit'X'r <br />Erection Pads il'14 l^'L rrt <br />UFER Ground {1At Y4 ty'i <br />SLAB Floor <br />Subf loor/VenUlnsulation 11 <br />Roof Sheathing t W It <br />Shear Wall <br />Framinq 7 tlq <br />lns u latio n/Energ y 7)t <br />Drywall gh -/€Dttnt. Latn /h///1,//, <br />Brown L;oat <br />lvlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />t- <br />Certificate of Occupancy / I <br />Notes, Remarks, Etc <br />l,[,4//3{ <br />I'r' ' <br />I <br />I I <br />I <br />I <br />I <br />IFlood Zone Certif. <br />I <br />FINAL x <br />^pprl.rnr <br />or <br />^rhr <br />sirnrrur(L-.-'