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t}UILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns 7 I
<br />Erection Pads 7 ,Wn
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<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 />Ir I r,\
<br />hFINALA t1 tAzttl I
<br />Certificate of Occupancy 7r
<br />Notes, Remarks, Etc Y
<br />O\A I\iEN AUII,DEN DEII'ARATION
<br />I h6!r'.v rfim undd Fony ol tEruD rh, I m.rmF nom rh. (t,rEloE t-t@,:* for rlE follo{m*,drf, tsciror|5
<br />Blsins .ii Frofdnr Cod.) Air ciry dr cody *hkh r.qund , Fmi ro coNru(. !hE. mpro\.. ddfrn6h or EFn u!
<br />itudr., Fril ii\ s isud.., ako r.qon6 !h. dpplko! for soch Fn( lo fik r eBn.d ndmor thd hc or shc i I'coed ,!dtd
<br />to thc r'.vir$nr ol th. Conkacir r l-i.dkr! b* {ch.0ra 9. (imnocins (ilh Scclion 70q) 6l DnGion :l ol rh. Burin6s and
<br />Prcf.sion! tud.)or lh.l h.orsh. isscm,, thgclionand lh. hNLr f(r thc .ll+.d .rdFrio. An, violllionofScclionT0ll-5 bya.,
<br />.pplicanr for . rEnil 3ubj(c rhc .mlicafl ro rovilpcn.hvornoi mor. rhe fi\. hunlr.ddolhr(1500)
<br />L s 6*6 or rh. FF!r. or n! mplotE $ nfi $ 186 s rh.n sk con'Fation. * ill d' rrE rst ,n
<br />'lE
<br />rd!. ! ml
<br />ilnarLl Mord.d fmsL(Sa 70{. ttsilB ud Pmr6hB (.& rh.(ndn<roi! t.iru l,tr &6m14?b lodotrEof
<br />rh.ImFr, *lFhr &or i4r$r6 rlE6.. rxt $h. rh6 *h *nd( hrn*lf or lEr*lf o. rhou*fi ha 6r hd o{n mplo}'6.
<br />pmvi!.tl rh.t ruch imForuEnr F ml nor&l o' oFsld Iu st lr, b*qq, rlE blr*lina d nIN€Bn ir $ld uirhin k ya
<br />of6hpla-'( rlr (xr6 auiBa ullh!\.rt b.&tr ofFutts rhi lE or $. iLd mr hild.. mF.r. tlE pilFiy aor llE rrrla.f
<br />l. d owE of rh. Fopqry, m sclustr.ly.onrrr.rios wnh lictu.d.6 rdon io mNrud llE rmj.d {Sa 7fi.1- I}NIn6
<br />.!x!AotsisCod.ThcCod.a!l.i..liqdo6mr.ppltrouoqn6otFoFly*h.huild!6timptn\6rhdd'n.
<br />ed *l$ .odd3 for rch F.Fr { nn r Conrrb(i) l(o!.d''ue!n lo rhc Conrkoa. l-k@ t s)
<br />lm.\dn lndd s(rior
<br />-",.. tl"ln A
<br />Dti(J.aaalla!
<br />I hF!,"L lmrm undd ,.naly oa Fjur)_ on. .lrh. follo*m* ddltulri(.r
<br />I h,v. ri *rll minbi,!. cdia(.r. of (-oMr b S.la-lMr. for qorld' NnFs.rrn. 6 F\ xlal lor b sdren liu) orlh.
<br />lltv Code for lh. Ff(fu. olth. *ort ftf, $nkt rh. Fnn i! isu.l
<br />I hd\..rd uill i!'nr!i. *ort6 .omrEMrirn ilMrm.. B r.qun.d b,, S.(irn l7(Xr of lh. l*rt (-odc, for rh. Fnn]M(c of
<br />th. qlrt for *hih rhn Fnn n ie.d Mt qorl6- ompoei.n iBurN. csid sll Fli.y.umbd i.:
<br />I .dify rh{ in rlE Ffolrom. orrh. rort fG shi.h lfin Fnil s Bu.d. I ltull qn dlpLy..t FM. in.nt meF
<br />b 6 to b(rm $bd lo th. uni6 onFudFn Ls! of C.liton6. tnd teE rh, if I .lhrld tE(E sut*{l lo llt
<br />${*d' onFslnr F$ tbd of S.clx,n 1700 oflhc L.bor Codc, I .rdl f.dh*nh ont } $ irfi rhos FtrvilioN
<br />wARNINC l-!il@ ro $fu. wrl6 .onFndion c.\ms. i! unLunrl ed rhlll lut ar d dphrr ro 6inml lEuhi: tnd
<br />civ,l fin6 up t, on. hun&.n rh.us.nd do
<br />sRtnn 1076 olrh.l-abor Cod.. inrdsr and
<br />o*,, t -lto/t7 n
<br />). ln .ddrrn!, r.lh..on of..,np.6 on. dama36 is Pr,r',1.d f,tr rh.
<br />,/t(
<br />I hdtt y ilrrd uidd Fely oa Fju.r'lh, I M li.qn d un& po\ irion oroEpls 9 (Nfrnfti.s snh sdF.7uD, otDn6nn l
<br />of lh. tlurinB ud ProfBFB Co&, &d n, lrdg . in tull turc d.lfd.
<br />COMIBT&IOII.IIDIISIG.EI(A
<br />I hdty dlm uid.r FuXy of Fjury ihn th* t . 6dtu<1i.n lddhB !gd) for llE Ffr.lrlet ol rh. $ol n)t $hkh rhn Fni it
<br />issu.d(Sft :roer.Cir C.)
<br />APPIICAIlI Df, CI-{I AION
<br />I h,*t rtrrn un&r p...t! oaFjlD om ofrn. f.llo{ing &rljdhB
<br />DcrFhirn Pmnr'Arhdoi Norin.dnn r.d.r.l R.!ui,, h6 (InL ,r0. Pd6l
<br />R.quircd I dr6 of Ndifi cnnn
<br />I coliry thar rh. a.ndd E{obtnrN Essdins sbdos rflx al ur€ not {rhcabl. lo rht pmjdl
<br />I c6iif! rnd I n r. @d rnii sprrarhn d (nc rhri rhc itn\. i.Iomd 60 i! cord I ura h omdr *irh ,ll Cirl t.d (bonr!
<br />nrdlrd6 u<l sl.t.l.s! Eldtr* It t{'H'nr .ndrudrR ,n h-.h\ {nho.u. r.F.<dtr6 of rhB Cd),i cnudt rn iaq$nrh.
<br />:;:::i:;:z"KL A >) --,, sL./z/
<br />e^t* ".-, O'r"rrt f
<br />I
<br />Set Backs I
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