BUILDING- INSPECTOR RECORD r
<br />SITE.WORK DATE tD/srG.COMMENTS OWNER BUILDEf, DEI{AX TION
<br />I fidcby lmm u.dd p.nrlty 6f p6jury rhd I m .r.hF 6!n th. aont6or' l,ic.e Lav lor lhc aollowitg r@n (sd 70! I J
<br />Bui.< and Prof*ion Cod.): Any Cily or Counly which r.qutra . Ddmn io .otr{tud, .1t.. itr'Frve &mlbh or lqsu ey
<br />sdcFbrloit' isuec.t .qun< dE .gpl@t ror tuch Fni lo 6L. ]U..d iao6l $r lEor!n a kq!.d Pr.d
<br />ro rlE FvthN of dr Conh.ld r Lk trs.d u* {C!4rd 9, C6nrl:lfin! *nh sdirn 7000 of Dri'bn I or lh. 86iB Dd
<br />Pret*ioN Cod.) or rh E d dE u c@p 0Edron !d lb. b... for dt dL*Gl .rdFioi. Ary vrLrb. of S<liotr 701 I 5 b, e,
<br />i,Dliret lor . p6nh subjcr' rh. applicdt lo ! citil FElly of ml morc lh.n fiv. hun&.<l dollB (t5m).
<br />I. s of,E ofrh. FoFly, or ny 6plor6 virh vls6 a rh.it 5k onpaElion. $iI & tlE KrI an dE nErft a Dl
<br />iddrt d 6 olIr.d tq sr. (S< 7044. B6i6 -d Prnfd6N Co&: TtE Codrrl* t lid* Le dE rcl t ply ro x oeG of
<br />tlEFoFly $ho hlill or lqtrE dEEtr rn rb &d *h h.t hielf ot lE*lr or rtmug|ll fiit n lE oM ErPhlE,
<br />Fov'dqi rtu Mh fiFll€llc @ ml hoi.d or olEd llr el. lt, hdw, tlE &ild$s "rF.offi i $U winE orc tr
<br />oa.o,plcri& rlE Grd B{ilds will hlE rlE budn ofFowu dd lE or dE dn nol hild or ihFor. lh. FoFry tut tlE Fr.Fe of
<br />l, 6 orc otrlr Fopdrr. m .(l6ntty .omdng *irh licslal conrriG to o'dru.l lli pi$J<l {Sc 7o{4. B'6c
<br />.,n ftokio.co&: Tt. Co rEioir Lic.@ bw d6 mr .pply ro e o*.d of FoFn, *ho build! ot iEprotd ltaoc
<br />dd wno mlrEl3 tor $.b Flrclr vin. Cod..lo(s) ticG.n pulll4 lo llE Conrdoi! L.oe le).
<br />I an.x.fl,t.r unds Sdnfn .B & l' (- l.r lhis r.&en
<br />uqas[85:glutft5ara![rigJlrrQ!
<br />I hscby a,Iid undq pdalry of rdjury on. ofrh.lolbwins delmriod
<br />-l
<br />hlrc &ld will ninlain . C6lf.{. ofc.Mr ro S.lf-lw tor wrtd $nFsrioL 6 ,mviral f.r by Sdion lr00 of tlE
<br />lrtor Codc fo. dt Ffolrlld. otdr rq! fd $iidr lb FBn i! i$.d.
<br />11! q,'r1., rl,'.trrh'qNrtr'r '. tr\'d M\r.rrr\ t {nfcn\,i i{' r' ','1,c,,1'11.!,.tl.jtr.r,rrl{- uc
<br />\ .r," 4Lw*on rt.-, t{" "<- Jlq,.rre" c-c
<br />^.,..
<br />. urc ot{oztotq ,.,,,,.. '12-'3o-/1.
<br />I cdiryrhor in th. pqrorm.e ofrh. work for wh(h rhb rdmir i! isu.d.l slEll ml mploy lny pd$. in Dy m!ni6
<br />e s b baorc subjd lo lh. s*6 compsEllion l.*! of cllifomi!. od as6 lhd it I 3t uld bao@ tubFl l.llE
<br />*0116' codF!.rion ForirDN of sd6, lrm olrh. L.bor co<le I !ldl, fonh* h s,ply $nh rh.s Flviiid.
<br />\IARNDIGT [-!t@ b s@ rsl6 otrrFErion ordrs. B uh*tu| !i .ll 3!qel 6 drphF lo sihinn Fdi!.d.nil fn6 !p io oE hundr.d lhoB.rd {bud {t100.000), in rl|'rion lo $. ..r of cottFM'on. d.f,u36 6 Fo\d.d 6r tlE
<br />sdr6n 10?6 of rh. trbor Cone inr6.n lrd rllom.y ! fd
<br />Y"*",J2.e.34q
<br />I]tll.\-Lull!,lf
<br />I hq!!y .rfm un&r p<u!y of Fjuy rh,r I D [.sE d ui& F!viri,. ol(r'.pls g (otll!l4ur3 rth Sdbtr ?0m) of Divilio. ]
<br />of th. BBiB.!d PofdioN Codc ed dy ltqg is in tull 6r.. Ed.Frl
<br />'r,K*'* f3
<br />\-" 12^o?^
<br />q33ozl
<br />tt (or,r,.,o.A tt ri l*st'-.+r"
<br />CONSTRUCTION LF\DTNG ACIINC1
<br />I hdltt .flim udd Fd, of Fj!,y rhr dE ir. odru.lion lddre tECy tlr lh. FfolM. of lh. pD.t 6t *tthfin Fnn i
<br />e.d {sd 1097, cn. c.)
<br />L6d6 s Ad&N
<br />ATETCANI.ASqISAIIO!
<br />I hody .ftrn u.dd Fuhy ol Fjury oE of
<br />'lE
<br />folh*i.3 &tlrarBl
<br />D.ftolition PdE r-A!h..ro! NorilicarD. Fc*,rl Rcsuhrio.r OnE 40. Pd6)
<br />R.quir.d l.ira of Nodnc{hn
<br />I .d it rhc rh. a.dsll r.xrhtrE rcsld'u Bt6rot ,@\.r d. fr, @lk.bk ro
<br />'h6
<br />pmr.d
<br />I cdrif, rhdr I hd. Md rhir !!Fli..rion dn n6r€ rhd rfic lbovc 'nlomarion
<br />n ..f,dl I rsrd ro comply sith ![ Cny &d Counly
<br />Uildin! coNnlci ion. arl hcrchy !urhor;. r.tr6ordiv6 of lhi ('irysd Counryto ors upon thc
<br />^ /Z:o9'4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drylva ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL llztl/,r'n tlttttt ult I '?a)
<br />Certificate of Occupancy UI
<br />Notes, Remarks, Etc
<br />T-Bar
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