BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ott?{gR il,[Lt Et t EI{lx.ATIoN
<br />I hd.b, rrrm un&r F..lry of p.ljEy tlll I d .r.nFr 6Dd rlt C6drd6 Liff t * ld rlE folbunt re. (s...70]l 5
<br />Bu\ift.r !n PmL$ion Cod.): Any Cily or C.unly vhih f{unlr r pdmil to onrnd .tq. in$ovc .LmlLh or EFn uy
<br />ruErE ri,loir! tolE..ra EgriB rlr.!pla..n fo, qh Fnit bfih.si8n d fl.lml rtd lEor tlE i liltrrd F orr
<br />ro rlE Fov"ionr of rlt Conr*rtr! Lib.d L!, tchrlr.r 9. C..mEi.8 wth Sd'io. ,cln of Divirior I of tlE BoiElt &d
<br />Prclcsbnr GxL) d rL h. r.lE ir.r.n9r lh4fmm !d llE t.ln for llr nbs.d.rcqri{. Ary virLrbn of S.<&n 7oll.5 b, {,
<br />il,li:n ,q ! I'hn abj.Elt dE .Flt n ro . civil F6tr, 6t d mE rhr 6w nldEd &lln (!500)
<br />-1,
<br />( owr otrrE FoFdr.6 my oplo)r{3 wlh w.86 r l,E $l.orrrtntlio[Bi[&0rrdt.ddErrE@itr,
<br />idoi.d colt.En fq rl (Se m.4, Borir<.d Pl$rBi,B CorL TIE C(flddt Liw t vdo.. ml.n yl.dwFof
<br />lLt6Fny whot ikti or inpr.w. Oqor lrl sho d..s Mh mlt hiNcror ltelf orlhru8h hir r hcr own.trploycd.
<br />pn'riLd rhn *h itr+rEds G tur iddn d doftr.d 6r -l ll how. rh. triuirB 6 invomri ii nld dhin c Fr
<br />ofo,nphrm dE o'rB auild *aU lrk Eh,n norFmryrld t d tE.lil ri hlild or irs@ tli !q6, r.. ttE F!F-6r
<br />_1. ! o*F of rlE rrrr&ry, d .r.!.ikly coiblrin8 srh lim(n effi(n b mNrrud rL troFl ( 56. 7(,lr.|, BNiBat
<br />ond FdB { Cod. Tnc Contrrkn ! Lic.nE Llw des .or rttly 16 ,n owno or proFny sk' buildt ot iml(rcs lh.rd,tr,
<br />.nd ut olh13 fo. Mh Foi!1r with . cnrr-rdlo lirnsd po,rEd b rll colrkd r Lilm l,w).
<br />-l
<br />oDcrcmpl u{hl Sd
<br />glStrEBli-laMtBta[qN
<br />Dfil]Lllxall(xi
<br />I lrEby rmm u.dd Fnnry of Fjtry om .r rh fo lbwinS dc.bdD.r
<br />I h.w !n will minrb. Cdii(d. orcor |o S.lf.lNE ftr *s(6 otrp.Nrbr t FDviH fd bysdtb.1700ofdE
<br />l,!or C.d.. ror rE FfolrlrE ol rrE srt rir whi.h l,E Fni it i$!d
<br />I bw .'r, *ill oi, sir wlsr' NrrEn{rh, i6lrc. s rcqu!.d by sdr.n l7m or E t hor C.n . fot llE Flilrrc of
<br />rlE *st tm shih rhi! Fdir ir irnbd My Et6 oqEnuio. itr{llN qir .,n lbliy nun*d e.
<br />c**,'aA Sle+e /*-.:-/
<br />3- 6-dLO
<br />-l
<br />adify rlrr in rlE Frfdlre of rlE hrl for lhihrhk Fnrd i. a$uc{ l.rdl r.nphyDypnminuymnr '
<br />b $ to tEod {hrd lo l,E "r,t6l @qrndion hw. or Crffomn. En lgE rtu if I !h!ld tEroft roB.l ro lL
<br />wrrtn 6nF6.li,n pmvir*rc orsdin l?mof iE t lu Cod.,I trll foiih,nh @n!ry li6 rlE pmvilim
<br />WAnNINC: F.ihE ro tle wkd onF.{i.n @Er$ t unhutul. .,n dil sbi.ll e dphF.lo oiriMl pd h !,n
<br />civil lin.r up n, orc tu.nEd tbu{trd dnls (tlLU
<br />Sdi.. 1076 of rh. lrbor (-ri.. mr.d r drl,ty'r
<br />ion. dotrl8c\.\ Fovklcd Ior llE
<br />= 1o4a.2Q^
<br />I lrrchr ,rrrlrm,ilfl If, rlrtrn Frjur!rhd, n Itro\Fn oI(lL' ('] (.ornxNi,,r eirh Sr(in ?(xt)) ol l)ivti(,n I
<br />of tlE BlriEi..d Pro{srb6 Gn . .,n n, lt.e ir i. tull roE.,n dfdr
<br />lo3f,% 7/lo'2o -2o."^,
<br />! hr.r,y rrm un r Fd, ol F,'rry Ulr UEr ir . odnaliJn tnrliU .!Ea, fd dr Fflm of llE snl ,or r'|lil,! rtt pdtt ir
<br />tud (S<. 1097, Cit C.)
<br />AIIIICAII.TECUAIIIIN
<br />I hodry lttm uB!.r p.n.lry or p.rjury drc ol ttE folbwing d..luti.ni
<br />DcnDliri'n Fcrir! Aih..i6 Ndif.{h. fd.nl R.Srhirn! tT l.
<br />'tO.
<br />P.n6l
<br />-RcquiEd
<br />l,licrof Mrifi caion
<br />-l
<br />c.rit rhsr rlE &d EsuLritu Esrdi.s 8t .ror cmvd c mt 4t f,$b ro rni! pmJ41
<br />_l (dilyfir It wEdrhir@lirrb.rn r1.$.r dE&E iriorrrbo !drld l.!rEbotr?|,
<br />.d Cornry lo qrq uF)n r,EordrnaEl ad Sfurc ll*a ELrirB
<br />ih,v. mnrr,rdtmldt ntr
<br />lDt,liclnr or,\!mr Sisnrhr.
<br />EFst rirr ot lhit Cit,
<br />-
<br />Drt.:-la38( 1-
<br />Set Backs
<br />Forms/Steel/Holdowns ll 1-1 z,a/DkJ{".)
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall lt .t
<br />Framinq (7-l@ a ) >wc7
<br />lnsulation/Energy
<br />Drywall6t tlnt. Lath e '-*(
<br />-B-rown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />I I
<br />FINAL DW.s
<br />Certiticate ol Occupancy I
<br />Notes, Remarks, Etc.
<br />Rev. 08 07.2015
<br />SLAB Floor
<br />t Q(l*
<br />I toYl.\
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