|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNDT ATJII,DEI' DI:t,CA RATION
<br />I lEEby altm, uBj.r p.n ry of Firy rhlr t u .r.r{'r lmn rh. abtu&rG ti.tM llw (q rh. aollowin3 E.{D ISe.7031.5
<br />Bu3i6t .rd Pr.lBsioi C.dc): any Citv.r Cddy *hth (quirs . Fd r. 6n{tud, .Xs, irpmE. d.mli.h .. EF! iy
<br />sh.tc, pru ro irr ir!lrs!. rLb,q'riB th. lQ?lrd fo, cfi !.m! t) 6t . rIEd i{.cr rhd ll or tr ir litB.d Frru.rn
<br />ro itE |xovshB of fi. C..rer t l,E.n$d Iru (Ct ,r.. 9. C.hEEint wih Ssri,n 7frtr or l)ivirhn I olrh. BaiEs.rld
<br />Pr.f.sbDr Coj.) or rhlr tl ( {E ! .r.ng rlE ton .!n tli h.s for rlE lll.S.d .r.qrirl ,l\ny vi,!db. ot Sdb. ?0J Lt b} my
<br />onpli.d fo. r Fmi ruhj.rtl rlE .t gltmr to ! ciyil p.uxy of mr mr. rhd ny. lEdr.d d.lhB lJ5llr)
<br />l. o orrr .r E FFny. n sy .n+hF, rth *.!6 3 rh.tr $|. cmFdh^. *ill 6 ih. wt lri rh. (fu it d
<br />in&iJ.l q oftrel ln.! lsd ?1x4, BusB! rrd PlDf.sirm Cdt : Tlr codBrd! Iise lrq dc d +pl, to 6 ow oI
<br />rtr FqEry rlD lildr q !'IEB rlEea ed who d.E q[ wl tief ,Er-tf d rtDu8h hi. d ts own.rpbyet.
<br />!frviLd th.t $ch mamrEd!e d iftd.dnoltGd kr r.b lf. hor€- rlE hlildru or uF Ec it$Ultlintr]r
<br />or.on+llix\ rlr OrE Bufila *ill hrE rh. hlnL.lpmvir[ rhd h. or rlE diI d boi! d hroE dE FnF, nx E FrFeof
<br />I. a owEr of lh. Ftrtdy. m.rcuiEly oddus *itn lcrql dd4t6 b dni4r E FoFr (sc. ?0+4. Burim
<br />.d P!*sirCo& TIECo tuor'! Lic.nc Llw dEl @r rpplr ro E 0*6 or FoFny rlb h{rk r or lnDDv.r rh.t{r
<br />.nd wt o ndr (q (.h Ftricrs *ih z c|dd(n*) U4!.d F64 ro rti coddoa, Li.e L,v)
<br />_l u.c.r$ ud.t sdbn-, I &Pc i&rhnErs
<br />worxrffi
<br />AES4BAIION
<br />I lrrhy .ntm uflLr FMhy or pajury or of rlE folowi.l &.LdirN:
<br />_lh.w{n umi rh. CarfHr. olcmfl ro S.l 6@nivqlqi orF6rb4 6 Fovii.i, io. bysdbn i7oooltlE
<br />L.ts Cod., ld
<br />'lE
<br />Fftu. or rll *qt ld *hi.t rlE Fmn i! i!'ud
<br />_l h.r rnd will Did.in sutd onp.Mrbn insuEtu., !! E{uiEd by S{rbn ]?m ol rtE t lr, Cd., r lh.Fn,mEof
<br />rlt *gt ftr *hih rhn Ftu 6 i$!d. My !cl6 mqr"dhn Nurre Mir rn IDlr, nunlrr e:
<br />. l<.
<br />)2*^ryih{ in rtE FformE of rlE *qrn *hichrhnFrmii i!irsu.d,t r,l mr .npby My IEei in .ny rF
<br />ont u'on hwi ofcrlifonn..rrl *r ihd f I ilnukl tl oB.uhrd ro rlE$ 6 r. ltla'r {hj.!
<br />'o
<br />rhc *rrlm
<br />mda! onqEn{Dn pruvi'lE of S-rDn 3700 ol r lj6or Cod.. t att!. tldh*irb .uQly vi.[ .hc pEBiD.
<br />wAxNNG FdbE tu t@ *qt6' @rtBrti', q,En!. i! lrLwtuL dd Jdl ubid D dlf'hF ro Einii.r FutB ed
<br />.ivil 66 up ro oE hudEd rhoos.nd dollar (tl{n.{txr. in rddr6n to rll cor o(tontEisrio., dln[3.r a prcv'd.J for th.
<br />\rr \ra
<br />irid.r lrt arfty r ae\
<br />("*1 . \ cra^4s l,{Cq Lr" I
<br />ucBll!l]-!:u!Illf:1.18
<br />t1l!!"lr4.]t!.2\
<br />I h.Eby dfrm un&t FDt, .I l.r!'y rh.t I .o ,k iad uid.r F.vni.. oI clqrd 9 lommEin3 vih Sdbi 7(D) ol Dirilioi l
<br />or 6. 8uiNs t rd Pllr.sDN Cod.. rn
<br />'D,
<br />b.e ir E n ll f.E !n cftd
<br /><-tf et3
<br />.r I "I zo -tA 5 t cinj
<br />co!srrtEllo!.rE!!t!!-ag!!cr
<br />I h.Eb, rrlrn und.r IrDIy of p.rtsy rhi rh.E t ! mnrto!1i,n bndu{ rs.*y lor rll Ff(ru. oi th. wt to' rttih rhn Fd ir
<br />iis*d rsd lrD7, ci! c.)
<br />AI2IICANLDECIJBAIIO!
<br />I hdrl'y !trm und., F.rL, or Frjurt @ of rll folkrrDg &.l&Iirns:
<br />D.nslir bn Pcmik-Asb.(d Ndin.di,n FaL..l R.alLrbns (T L.(), Pd6)
<br />-Rqurd
<br />Ltr. of N@fxrri.n
<br />_l calf, $d ilE 6.r.1 ,.3!hrbN E8lrdjnt .rbdioi mvrl & d rrrli..bL ro rhir pDrd.
<br />f r.l(
<br />f-l(drtyrhr I h.EE j rhu rprlrd6. rn n!r. rhn E.hoh nfotuim ir.(E1 I .!r ro 6rply vith ICir,&dCody
<br />-qdru6.rd Srr. L.vr EhrtrU ro h('ldul codtur4 rn lrn$y rdlb.iE E ndnjE olth!C y ud Coury ro.dd rpoo tlE
<br />A" <al+Loa
<br />O.Ll e .s ]tt (.-t !,
<br />7 l,,l zo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Boof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Nlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Reoort )-
<br />Flood Zone Certif
<br />la\
<br />FINAL
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc.
<br />Rev. 08-07-2015
<br />ll-7-7r7h $Jllxl)
|