|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTSDATE
<br />Set Backs
<br />Forms/Steel/Holdowns A4r7 2cz-)
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing 5.77-t 7 lLc 21 t* ll*zu a-t+t
<br />6-z?-19 (2.c^r I
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<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 />FINAL 5-;'.70 lc Zs ,r//4.ro> 21 \
<br />Notes, Remarks Etc
<br />0fc
<br />Y-''
<br />OTVNER BUILOER DET-CARATION
<br />I h6.ny lmm urd6 Flhy ot Frjury thi I m d.nfl Inm lhc ('onl[ddr' LK* L.w lor thr follo*ing ra,q(Se.r0ll.J
<br />It$i.B &d Prof*ion Cod.): Any City or Cou.ry *hich r.qu,6 a p6mi! lo oNlrud: !hc, nphvl danollh or rqsn &,
<br />!lnsr6.. FDr kr i6 i!!le.. .b. r.qun6 rlE +plkel for s.h Fmn lo 6k a risn d llitul lhd lE or 3L i! licd!.d Pu$lrn
<br />ro rh. FtrvirFB ot tlE Cotrt..6 t Lieru.d lrs (( 1ur.6 9. Comin8 wnh Sdion ?000 of Divsb! I of 0E AuiB aln
<br />PrDr*ioB Cod.) q On lE o lE ir d..qr rtd.fmn !n rlE hsit fo. tlE rlh.d d6nFio. an) yhlnion of Sclion 70:r1.5 hy &y
<br />.rplkDr tu . Fmi sbiaa tlE q'r,licur to . civil p.dhy oa roi Br. rhr. liv. huidr.n (t,lld (!500)
<br />-1,
<br />6 om6 of rhc !(oFly, or ny mplorG $nh wl36 B rh.n xnc ompcrEiio.. *ill &' lhc *!lt {d dE rllE i ml
<br />ddrLd or ofi6.d for sk tS6 7o1t, BGiK ud Prcf6ioB Cod.: Tn Co r.d,, t Ii.* t!* &E ml e?ly ro o oqc of
<br />rh. FFty *l$ hr di d i,qfr\6 iE@ !t $ho &E ri qlt hinrlf or hs*lror rtuonAh h!.r h- om oph'6,
<br />Fovir.d rhd sh mF@lE6 Gmr ns!.!.d d ofir.d tr el lf.,n6s.llE &*jit d it4.ssd it,ld fitn w r-
<br />ofotrpkior lh. OqE Buitb triU h.( {E hrdd ol FortB ln. ll or tlE dij ml txild or i,{lnE lh. FDpaty 6r tlE s,p.* of
<br />-1,
<br />s ouF of th. FrFry. o d.lsi!.ly.odrd ins *in kdlGj co'irrloR lo sdtu.r ilE FFI (Sc ?04r, h!i6
<br />!n Prltsih( od.: Tt Conlrcloar l.ic.* L$ {k6 ml$r'lyk' 6o$c of Fq6, rl'. hild! or 6For6 rl6@n,
<br />ud $ho ond! fd trh FoF! *1rn . Co'rr.ldl3, lilcl p{6d to 'lr Con!..rd . Lt.d L,r)
<br />-lMc,mpl
<br />und6sdion-. B. & P.(.lotlhirr6on
<br />D.r. osEr
<br />*orKFRS (',OitPrr\sArlarN
<br />DE(liSrtll!
<br />I fis.by anrm und.r p.Br'y .f pdjory o.. of rh. nnb$
<br />'nB
<br />d(lj.lNRr
<br />-l
<br />hsv. ad Ull mlnlain a Cd i,i.,l. of Colwr lo S.laJ6u. for *o.kdi @hD.nerb.. s Fn\ iddl for by Scln n .r 7ul ol rh.
<br />llbor Code for rlE pafolrll4. otth. *dt (,r *hth rh. Fmi ! i{u.d
<br />-l
<br />hrr. ud ulll roi.nai. *!.I.r' comFMdion uulwe s rctur.d t r Sertn 17({l .ldE L.tFr (-o<1, for llE FfM. of
<br />rh rhs p.mn r (uqj M,v *orkdr nrurm..m6 in policy nuDlE E.
<br />U ,^lS ll,.:r\
<br />.1,"I cditrhi rrhcFfomd.of rh. s.rl ld shkhrhiFnr ir 6su.d., rhlllnol oploy d) F$. i.s,
<br />e' dro bccom. st dr lorh. wolld compar.lion lnss ofcrlilomi!. 6d asr thd ilI rhould b..om. ubjcl lo lh.
<br />w6rtd' c66lnrsiion Fo! iridN of S..rion 1700 of th. &nor Codc. I lull lonh* nh comtly with llF$ FolnhB
<br />ITARNIN(; In'lur. h su( " loi comrsrinn c unL$ lul. Md ndl rubj.rr u dployt ro 6imid Fdi: !d
<br />.nil rh6 !p
<br />'o
<br />oE hurd.d lhousd &116 rh. cor ot codr.rlF( dm.86 B pro\ '(H for llE
<br />Sclioo 1016 ofrh. l!E, Cqt .
<br />,.,.,0\? -\-l- \q
<br />I h..by ,lIm !ftLr Fdt) ol F olct prd 9 (mnffiins snh SElbo 70m) olDilBbn l
<br />of lh. DNI6 ind Pref*reB Coi., dld mj' lkae ir in tull fole,rl.fr6l
<br />Oo 'b
<br />I hftb, rmdnrndd Fnah,oiFjurythal Ih6.n!o lcndins.sfrt ntr lh. pafonnanc. ol lhc wod lor thi(h lnis lanit t
<br />w.d (Se 1097, Civ C.)
<br />AIIIJ(AtrLIIIIJXAIja!
<br />I hdtby .trnn !n& tEEhr of Fjur) oE ot rh. lolb*i4 drl&.r ird
<br />Dneln.. P@G-A3bdor Ndinc.lkrn F.d. l l.8ul!l ions ('t'lL {0, Ptd6)
<br />Rqtutrcd I 4(oiNorilicsotr
<br />lclcr.l rcsubi[G Esrd]ns Etrsrd rm\,1 e. mr dp?licabL b rhs Foj(1
<br />.tov. lrfonniF. b .oEct I .tra ro omply w h a! c{, .d coury
<br />.urnrrnc cF@rdir6 of rhi! ( ny od Coury k, d'6 uFn ilE
<br />.,.? -!l- l1
<br />VYELV-A EEI?
<br />Shear Wall
<br />Certificate of Occupancv
<br />Por,$ r,mtrr I / L
<br />I-.trd..s Ad&6s
<br />--------T------
<br />I
|