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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srQ.COMMENTS Ol{N ER BIJ II,DGR DEL('ARATTON
<br />I H'y ifl'm uidd pcrhy of Fjqt tht I D 6onF fron rlE Codt-loB LicoE L!* for $. folloe,B l8n {.(R.rol I 5
<br />ad',6 !i PrcfdbD cod.): Ary Cily or Cdny lhtt r.qri6 . Fna ro odM. rha, dpmq dcDli!fi or r4.n dy
<br />rtudEq Fnr ro tu L!@.. rlo r.qri6 rhc {!lt&r fo. ruch Fs, lo nL. r{r.d r.orEl lid lE or.hc i! li.q!.n puad
<br />lo rh. ForilioN oftlE ('onrr*loir t,ic.N.d L.w (Chlprs o, Codrcncing wilh S6rion ?000 of Division I of lh. Buli.N lnd
<br />Pmfd6u Co&) or rhll h. tr !l'G i! dsr91 rlEiiioi &rd rhc bGb for $. .lLe.d qdp(io,. Any viohion ofsdb. ,0! I t b, .n,
<br />.99k.,{ for . Fmn $bntrr rh. .rpli.d ro r.ivil Frht olmi m.. rhr fiE ls.(H dolla (ltm)
<br />L s oMq otth. F$pdry, ( mr.mplorG wilh w.!6 s rlEt el. conFsdior, wiu & lhc wdt ed tlE.Mw i m'
<br />iddrLd d ofia.d for rL (Sc.70,1.1, BuilB Dd PhfshE Co& Irl Colr id . LsaE ts &'6 .F| +ply lo u otrG of
<br />rh. F!Ft, *ho hritl6 iF!€ EG tdsib dcsh w,t hinrlf or lEElaor ll$uxt h. or hn om pb!6.
<br />provid.d th.l ru.h iDprovoEir * d nc'd.d m ofiEld fo. d. lf. tnw, rlE h'ld,E or hlFlffi L bld $ihh orc )C
<br />of.omplrion. lh! O*rd Buil& will h.vc th. hr&r oaFDvin, Lhn hc or 3lt dij d hlU or n qw. 6. !mF, 6r tlE putFE ol
<br />L B ow of rlE Fopsry, d c!.lua!.!, codr.rhg wah trcolr.d cotuo6 ro odtud llE F!].( (Sd 7044, BdiE
<br />lBl PDtoGir ( od. Th. ConlEcroat Lic.M l-,w &6 nor lpply ro d os n- of tr.p.ny *t buil.L! or inp 6 th6o.-
<br />&d rho ofi-r! fn lch Fojctr edh a co r.rdlll lkoEd p{6d lo th. co'nrr.roi3li.e t w)
<br />I n crdpr und6 Sc1io. ,B &PC aorrhi!.6on.
<br />Drr. .. oinr
<br />rlll5E8{..caulEdlarla!
<br />Dact ]\rtaTtoN
<br />I hdcby dllm undd p6rlry ofpdjury o.. of rh. follo*h! <h.hrdioa:
<br />I h.r. rd sill tuinte. Cdif.n. of c6Er h sdfiBur.6. sstd om!.tErion. B E!\i:Ld for hr sdbn l7(xj olilE
<br />lrlu Cod.. fd llE Ftffic olrhc *ort fo. utich rlE Fhi it is,.d
<br />I h.!. .nd uill m.int.i. Rortd conposrhn nsudcq s r.q!n.d b, sccti.n 17u) ollh. I lbor Co&. to. th. Ft(nlffi. ol
<br />cdir !n lrlky nunbct a
<br />.-,., . I
<br />tc'ul t1Lrl
<br />I csrilr rh.t
<br />'n
<br />th. Ffol11@. olrh! *orl fo. whr.hrhirFnh i! itsu.4l shtll Nl dpby..y F$n in uy meE
<br />ar s to h.romc lubjdr h llE *ort4' compdsnion lr* olcrlirohi& !i ,gE ihr ia l lhould tEon. subial lo rtE
<br />*$116' oDrtrlion FrrirEd ot Srrion 1700 of rh. l,Ih. Code I drll, fonn\ih 6nply vilh lb* FsraNG
<br />dprrls
<br />'o
<br />dihin l FrtB dl
<br />r.. d!h$6 u provid.n lor rh..iv'l nnd up t' oft hu.dr.n rhoM.d JollB (t100.000). m
<br />S(rion 1076 ol(h.bb.(bdq inld6l md.rlorEyq 7i?11-. -_-r
<br />I tc.tr)'lrrm und.r pquhy o I Fjury rhd I M (n Far)l(omnoL'n8u h Saix'n 70(Xr) oflr\ispn !
<br />of rh. BGiB ii Pma6ffi C6&. rn ny la.e i! in lull rod nl.lfd
<br />fr'('
<br />t( I .,"rrr,4Z
<br />I ffit arm uftkr Fuhy ot Fjury rh, llE b
<br />irlcd (sd 1097, ci! c)
<br />lrdd-sNo.:.
<br />-
<br />o<rb. ldd"lg rgdr tor rlE Fftuc of th. *o for$tahrnBFnil.
<br />AIIIICAILDECIJSAIIOB
<br />I hdrb .trm un& Frh} of F,t'} oE .l llE folh\ in3 &.lutl iod
<br />Dcf,ohion Pmir!-Arbdor Nolilic.l ion F.d6rl icguhtkrnr (Tnt 40,l.n6)
<br />R.qui..d Ilrrd.f l{ri6dion
<br />I cd,fy rhd rh. f.da.l r+uhtio6 r.gsdinr stEstos rmn .l s. mt qrli.abl. b lh! lmjd
<br />I cdia! r hd I h$. ral rhs q'plrcal nn -d surc rd rh. !h'E 'nfotuh. i! cold I.aEloomply*irh![Cny.nd(i'!f,lr
<br />oilMft6 !,i sr.r. t q. rclrie ro hoildiq co EBra rurlbro. r.F.drn 6 o f lh! Cny ed Cou y ro ard upon'lE
<br />alxr. mron.tl pdrdj li)r
<br />,1ptli.rnr or rrtdr shn.r 1"+ tl
<br />Set Backs ll'7'r\X.v$A Ol f- l,.oaY,'"
<br />Forms/Steel/Holdowns lt-21'l-7 X.t!J{r't
<br />L-/
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing . ,/A
<br />Shear Wall L*zt1E tyy--*t
<br />Framing klXJt4)
<br />lns u lation/Energ y \)
<br />Drywall A
<br />Ext./lnt. Lath 1"2,1-ll v.vua
<br />Brown Coat v.thw
<br />Masonry \-,
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Cerlif.
<br />/1
<br />FINAL 2-Zz-l I
<br />,v.pJtil)
<br />Certificate of Occupancy
<br />Notes, Remarks, Elc.
<br />lz-Zt'l)i Peaj- as .'1'Y CaLur- ^./ Fa.\'-z(21 pq
<br />d
<br />l0L/P_
<br />tJ -1L )94 I V -T\J
<br />I
<br />Erection Pads
<br />-291\
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