|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE to/slG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads b-\ -t't t ,Itwd,,\../
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />u Final Re ort
<br />Flood Zone Certif.
<br />FINAL /-/a -/t ,-Y*
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />-rle1Aa L
<br />I
<br />L.
<br />,r^-T 99./ (b
<br />- tre
<br />qIo-
<br />OWNEN BUILD]:R DEII'ARAI]ON
<br />I lE.b,,mm uds FrXy of Fjur, lhl I d d.n,, nom th. Codd@ Lt.e I^ aor lL folhtriry @n Ise 70ll 5
<br />Aditd .,{ PtofBion Co<h) Any Cn} or Cou.ly $hkh r.qun6 r Fni ro @drud. .ha. improq darclah or .q.n dy
<br />rruLtue Fior lo ni i!t@c.. dlo rcqun6 lh. ,pplk tor such Fnn ro fi1. r 3ign.d .r.rmdt rhrr h. or drc n licmrd purs!,
<br />lo lh. F.vilioa ol $. ( onr*rd i Licd!.d L.w (Ch!rr6 9. Comtrins $ ih S.nhn 7uD of Dn nion 1 of rlE BNitrd dd
<br />ftDr6ioN ( od.) d thd lE d nE i! .rdnF rhd.Con rd rlE bsi for rh. ilEs.d darDriln An' \ Fldion ors.nior Turl5 bydy
<br />q+li(&l for ! Fnn .ubj.dr ln. .p?[cmr ro . .i! il p.olty o f not dor. rh,. fiv. hu.dr.n doll&! I lt00].
<br />l.6o*Eoarh.FoFlr,orntalployBunhuis66rh.n$komFMion.trIrlotlE$lll!nrlrinrru.En{
<br />ilnqd.d oi olt6d rm sh (Se 7044. BBi,B md Rot6i's Co& 'rh. Codr*o.! I tce l!tr &G rcr lptly to e ouc ot
<br />rh. rroFl, wrb &il.Lr ot nnFov6lhc@n, nl who d.6 s.n *bd him!.la or h.*l f or ihrcurh hi! Dr hd osn .nrrlox6,
<br />F.rilal rh.l $ch inForqEn! m d hldr&l orofiral tu sl. It how6a, !h. hlikl $ or imFNdEn i! rru tr i,hr rn. \r
<br />ofcqpldi\ llE O*c Boiltd willl!\!tlEhllltn otFori,B rhi lE M iE dil mr hrU or inp.o\! rE FoFt n). rlE FlrFEoa
<br />l. B.$!6 of rlE F.pqrr, m .rcEn.lt .omr&lin3 \ nh lic4rcd c.nlEron ro cotrrucr tlE rmjd (Sc ?Or!. B6'n6
<br />dd Elasn Co& ln Cotuxloir tic6r trs rlo€ m! .prl) n' 6 o*nd orFoFd! u ho bt'ld. or inpd6 rhdon.
<br />ud $h. odnd! for 3uch Fnj.rr! w'rh r ( o.'lrDcro(r) lt.n*d p!B@ ro rh. Co rldo.s tkru 1," )
<br />I M.rmrr u.dd Srr'o.
<br />l).r. Osner ran[t]&xlut[lsdl]t !
<br />Dl;(taxalrg!
<br />I hdcb! afn,mundd Fnnh).f F uDon .rrh.roltNrtr'l€lairtr,ns
<br />I h,v. ad wiu n!i.r!in r C.niff,alc ot (irMl ro S.lt lNuE ftn *0116 c mpd.lion, a F.\ id.d aor bt s<rion !r(x) of lh.
<br />I rho, Co<lc for tlF Ffollrl*. all lE qlrl fm rnih rh. Fnn n au.d
<br />//: h.\. !n,l * 'll n,,n!,rn s orld' comFehnn rNu!nc.. s r.qtrn.d br 56r ion 1700 ol rn. tnhr (bd.. for rhr pcionffi. ot
<br />Ih. wort for which $n Fnnit t islql. My rort6 cooFE li,)i iNur&c. .eis d lx'licy numha &.:
<br />cffi a-T:,t7za _ Fu,r D
<br />poricyN,ob6: 10? Ak/s'- / 4 Erpnd 1/- t 7, ,
<br />I cdify rh,i i. th. Ffotuc oflh. $orl for stich rhir Fntr n isEd, I rh,ll mr .lrialor d} td$n in rn) manE
<br />h 6 to ba\'n. subjcl lo 1fi. w 6'comradion lrw! olc.liron'.- ed osEthd if I.tnuld h..on. $bjar to rh.
<br />"orld o'nFBl ion ForiioB ofs.clion ! 700 of rhr ltbor ( cL. I rldl, fonhtr nh &,nplt $ nh dr,e Fmrtnr.s$ARNlNc r-tilm l. !.tG $orld' c.mFBiion cota.sc ir u.l,*tuI..rd 3hrll et ct e anhls to dinin l FdtE dld
<br />.ivil fm6 up k, on hu'tdrcd lhoe'd dolld (1100.0001, in.ddnion ro ih. con oa..mFMrion. &mg6 rs roviJ.J for rh.
<br />s.dion 1076 dlrh.l..lr ('od.. inrd6r Md unonEl, s f(6
<br />Drr.: Z--27' I 7
<br />DECIJSAUA!
<br />I ho*, .llm un&r F.]ry of Fju.] rhi I m licoql uftrn For irhn .t( n4't6 9 (.onmtrins q ith Scdiln '10001 of I )n EFtr I
<br />.f lh. BUIB axl PEf<i6G Cod.. &d fr) l(6e i in tull ror.. lxl clTdr
<br />44!'11Y:-z
<br />Z- -z--t -1 7 <:onr,."to,,W '7/690/
<br />calilarglatl.f:dltrc-&Gfrct
<br />I h.t t'y .mm lndc F.ny o t pdjury rhd thd. ii ! oidtucl(( Lrdi.s aracy lor lh. llsfonrr4c of thc {o ft. s hich rhir p6nil i!
<br />nru.d (Se los?. Civ c)
<br />L.i& r Nd.
<br />AITLI(ANLD}IIJAAIIAN
<br />lnddt.rlmundd ndrhy olpdjury on ofrhc follo$irs d(ld0rion!:
<br />l).mlnhn PqhnlAitEdos Nolilicltion F.d.rrl R.guhrnrns (1 irl. ro. Pd6l
<br />R.qu'Gj lnrnolthiftinn
<br />I cdl,ty lhd th. i.{srl r.3uLrioB E8edi.* sh..t{ rdor rl u. mt q'pl{rbh io rhs nroid
<br />I.diay rh.r I harc BJ lhir lppliclrhn a st!r.fidrh(.h{. inntrdion i!.ord I.xr<r...hpl) sirhall( ir} and(i'uiry
<br />ordin.n.6 md sratc lr*s rclolinr kr bu ilding codldcrion. Md hd.by
<br />'urnon2.
<br />r.rMrdn d o i thir ( \ry Md (i)u ry r. a d ulFn rr.
<br />tb.\. mnrion d FotEiJ ny insFdior [irlr]6 - -:;il;;;-::""x;7-4 D." z-27-/?
<br />Pmnc um. (prfno: 5S o4' 37722;z-t 6
<br />I
<br />I
<br />UFER Ground
<br />SLAB Floor
<br />I
<br />I
<br />I
<br />Masonry
<br />I
<br />Engineer Final Report I
<br />I
<br />L -174 q *
|