|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/ En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />lt I
<br />FINAL a
<br />Certilicate ol Occupancy I
<br />Notes , Remarks, Etc
<br />OWNET BU!LDER DELCARATION
<br />I lFr.by .f!D u .r Fndiy or FJ{ry rh.r I o .rcnll, iiom rlt Cotuard Lis* Uw n'r rlr foudylr! E&, lsd n)ll ,
<br />Eunm$ .,n Prorcs.nn Cd,l): Ary Cn, or CN , wh.h Fquft! . Ftu ro co.rM', .lrd, rtnt. .l.mlBh or r.Fry
<br />(turur.. rrr lo i(s rxuBr, lko r.qlnB rh. rp i(.n| ntr rkh F mr tt rik . rkmd rrrtcftnr rhrr lE r nr n le.<d t@et
<br />b rh. FtrvBioB of rlr G'nr^rof r Li.n*l L.s (Ch.Icr 9. Co||ftru8 wirh Serirn n[0 d Diviiion I of ilr Bu.mlr .r!l
<br />Pnr.soft C,rl.) d rh.r lE r ih. ! .r.n$ rhd.from jrJ rh. b(6 ld rlE .lk8.rt .r.qr hn. tut vnLrD. of Sri.n 7Ol I t b, .n,
<br />in lkr ntr . JEmr rubJ..k i,r rmlrc..! b r dvil rrh y ol no! nft rh{ nv. huftrFJ tlollri (55(x,),
<br />_1. a ohr ot rlE FlFnr. q hy ctrpbF.t unh *.3cr .r rlE, $L onF...rion. U! Jo tlE at !n [E dtulE i! n,r
<br />ur.nbl ( oltcElj fc eL (5{.?0{4. Bu!B..rd Prrf.$DB Cdcr TIE Co'r*lai LIu- L.* Ub nor q! r lo D o*E of
<br />rh. FIEny wh, huJd! o qhB tlEoh, rrn wtb B rh si I hms.[ or ]tmlf or rt6,!gh hir i, ltr os .q)loydi,
<br />tn'v{cJ rhrr .n ,4h,Nr"B E ml ,'r.ftlqi o.o,IcEr ftn EL. ll tFrtc, rlE t!i!!u o. ir{mEE.r ii $! wirhin oE Fjol(nq|lrth.rlrOvEBu,ls*1!trEtrh,r.lnofln,wtrdlrlxrtllcdndxhi!'rurrmEtlEFl'srynxIEFIFEor
<br />_,. rs osMr of rh. rnD.ny, rm .rrlusi!.ly c.ntri.riry r h lir.n*J roturrr,! nr on{tur rt rnrFr (Sa 7044. Bustr*
<br />.Dl PrDkt{Citlc Th. Conrebr r Lr.ne tiw d*r n {f'ly ri, o osH of F.Idy qh. burldr or n,ln'ki rh.rain,
<br />.nd *h' ro'rEk ntr tNh rn'Fak *nh r Ci) enilo l.asd rrRurr b r,E Cod,f,ti ! Li.tns l,*)
<br />_l an.r.nfl un].r Ssrion_
<br />lgr8aE8[CqUtlNtArAN
<br />IIECI.AEAIION
<br />I lErcby rfl trm !ftLr Fn lr, of FlUry om of rh. tdb*o! &alr..rx ::
<br />I havc drl w'llm rsr Ccn,lirtrrcolCoiscnrt, Scll-lnsurc I'rwD'kcri eonFh:ar(,i, sr tln*'rl.d tn hy Scrri,n :17{lO o, rh.
<br />l-lttr ai{c,l({ rhc Fnnnwc ol rhc q,lk ntr }hrh rh. Fmr. a\r.J
<br />I h.vc .Bl urllnirnr.n uot
<br />lh. work tu whf,h rh p.rmit
<br />kcn LdnFnr.rk'n hsu.tu., a rc1lmd hys..r rn l?ur .r ih. trtrtr CoJc. tu rrE Fr.lrM. ol
<br />ar lri Fni.y nuhhs e$url My*orlcn .rmFnsdlr
<br />t(1Ceo
<br />01:'.br501 , elfitlzt
<br />-l
<br />rdllyrhrr
<br />'nrlE FrlolrE. oailr *. nr*h.hrhBFrdi!ris!.al-Iih.lln cq i,t rnt Fr$n D .ny nffi
<br />s, s
<br />'o
<br />lE .m subi! h lh. s,t6a conqEhr.rbh llws or c.lnam!, 8l {E rh{ rr I rh'rll tE otr ubF.l l,r
<br />'rEeo,ksi $qxnsrrn)n p$vision! ol Sernn l?u) ol rlE I fhn C{rlc. I {ull n'rlh* n cond, *irt rl!'r ,ovriiJnt
<br />WAININ(i. l-.rhrc t, s-N *trk.^ d.qrneri,n $!.h8c r unL*tuL d !h hFLr m djilrF rd funnd FEIB dl
<br />(,vrl fim. up ro or hudlrcd rhusdl dolld! (Sl0o.mo), r .&lnhn tu rlE or of omFMr,on. drd!.r .r Jrovrl.rj lor tlE
<br />Sccrin 1076.tthc tihtr Cd., mr.rc(.*l .rrcy-s i&5
<br />IIECIdEAIIaNIh.Fhyrttnu.rFhrlryorFrllryrh{Irhucn<rluaJdInv6xD.rctufl.r9krmnr6-,r8whSdx,n7O(U)o,t)'vrnn:l
<br />ol rtr Bu\d( rll Ih .rsrns C,iL. ,rl ny lxcr* tr tr 6r ll itrr .d cfG"r
<br />clu k€6Lot4
<br />'' 7tt-ttLl
<br />gAISBIqIAB.J.ENDBCJ.iENCI
<br />I rEEhy rlfnn u cr Fnrxy ol JEllury rh.r
<br />'rEE
<br />6 r $nnn(r.n L m8 .3.ry r *E Friolrie. .r th. srrr tu whih
<br />'hB Fft' !
<br />Nsu.d(s( rll97.civ. c ).
<br />l"LLr'sN.m:
<br />l.dcis AJtlrcsr:
<br />AIEIICANI.PECIISAIO!
<br />I ho*'y.nim uftLr ll.n.lly ol Frlury oE.lrlE nnir*r3 d..Lr!rn'n(:
<br />l).mrnion P.rmnsArh.rtos Nor'rldrkrn F.rlnrl R.8uLrH,ns (T 1.40, P{r6)
<br />Rcqu&! L.(cr ri l${lr.all'n
<br />I I thclcd.r.lqlLrDnsErrnlmg.stEnorrcmlvrldcnor!ppl.rhlcl,,llN!n'Fl
<br />lfy rh.t I h.E r.rl lhr .Irhtrr)n .il {.t. rhd rtE rh,w nnrmr.n a c(mr I .!,d io (ort{,lt virh .ll Ctry .nl Counry
<br />c\rtr(l sr, c I-,*\ r.L tru lJ'n! (,nrn'.hon. rklh.rc$yI honr.kI{.\.nrir'v.\olrl,h( iyrtrJ (rn,nyroctrr.r trFrrlr
<br />nr rntrulPr)Frrv r,tr aF-.tr
<br />,\ppli(r orAr.n(SismluE
<br />3,m 9abE rn
<br />2/qtzt
<br />ulut@lt.j;w?it/
|