BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lation/E neroy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc.
<br />OWNPI BUILDEX DEL( I TI{)N
<br />t td.by .llrm udcr IEMtly of Frrury ih^ t m .r.f,t{ fmh llE Codrkld LitN l,$ t, rlt folblin! Elsn ls..70ll J
<br />Busincs {n r'rofcsri.n Cod.): Any Ciry or Cou y *hth rcqxn.s . IErmil lo cnn{o.r' rh.r' improv.. d.tulirh ot El.tr Mvr
<br />srru.luE. prnr b ili i\rum. tl$ Equtcs lh. .t pli..nl lor th Frnil lo 6lG I sistd ur.nEnl lhol lE or rh. n lic.n*d Furuul
<br />t, rtr Fovni'nr of llE conlk(, \ l.arn€d L!! lch{ .t 9. G,mmftin3 u h sNthn 7lm or Divi\irn l otrL B$irs "dPmL{rbn\ co&r r rhi rrrslE Lr.rcnpr ttsdrom ln rh. b.ri. f rlE .ltsd .r.ny ion Any violtritn or sdnn 70115 br.nv
<br />.ltlnd tor ! IEmlr ohFk rlr lprlicrnr ro..rviltEMhy.fmr En lhrn nYc hudEd &nbr ( !5dJ).
<br />-1.
<br />ii owmr ol rlE FoFny, or 6, cdlrott.s wilh w.B.r r fi.n $b conqx.qr ion. qill d. rlt *dt r,!d ttE irEle i ml
<br />inl.nd.n m ofi.rcd for slc (Sd 7044, BuriEsc ud Pn,G$ions C.n : TIF Qmlt.dois l,ac.n{ Lrw des not +flv fi' e owmr or
<br />rh. Fqd, rrn hrildr n irprsBllEEn .,n *lln &F qh *sL himi.lf oi lEElf or rh^'u!h hn or lir o,n..r+hyc.s.
<br />F)rid $.l lEh imFDElrtfu m n{ n.fir.d fl.rlqld tr eL lt h,hw. E llildilt G irFMld i $td rahinlE Fr
<br />ot$'qirdbc ttr ()wE Builtr *iU h.E rlE t'nLn oftmvi,B rL lEdlrE dil d tuild d i,ssE ilE FDFry,qlt lilFtof
<br />l. !s owNr ol rh. ,r)pmry, Nr cr.l$ivcly conta.r r* ur h liccitrl .ont(nns (' cod{nrd rtr lilcd I Se.' 7ll1-1. Burrc$
<br />il h\)f.si (,xlc rhc(i,nrrrktr \ l.i.cn\. tru (1,$ ur iInlyt, trtro{h$ olrropcny qho huild\or Dlntrc\ rh.r.on.
<br />lni rho (rt.tr.! r f(tr .uch pn,|(.h r n h r Conh.tn( \ | lic.itd 0uhq r k, rhc G'ntrrtr't l-f,cnt ll* )
<br />lrrl. tr*n(r
<br />rVrtlXrr(, tlttlrlttrS,rrrOX
<br />IJECL AAIIU!
<br />I hc(h! rffnn uftl.r F-Mlrydl Frlurv.rc olrhc nnk)r Fd(krrrr n
<br />I !m.r.md !n&r Sctiotr-
<br />nlEn {5a :1097. ct c ).
<br />lJd..s Nlm
<br />?717 sC
<br />- l hrr. rhd s rll trDinhh sorkcr( (oD|xn\nrn,n in{hiru, ds rcquntd hy Scdn'n l7(xr ol lhc l ilxn O}dc. tur rh. p.rlorromt of
<br />ih. $orl f.r$hf,hrh$ ncimir is i\(xrl i{y corl.rl..onlrnqrion in.nr'rt'. rzrkr.rd Fnay numhcr e
<br />-lh.Ern*illminr.i.rftdirr.rcolcoNnrroS.rttroErdu,l6or{ddi..rroviLd,or5,s€rhn17&olrlrlrhr Cd.. f( rh. n rfo,rrllN or rrE *nt lor whth rlE Imil ir i$k,.
<br />-l
<br />c.diayrhxr inrlt p.rfo.roRr.f rh. *ork fitr whkh rhilf.rmir r n{!cd. | \hsll nor .nIk'y &v P.mn in !.y.sd'
<br />{, N ro b..om .uhFrl lo rt yrr(. conFnqlrn hH ol Califomi ifrl rIN rhll ir l fiuld ttom.ubFr ro rlt
<br />rrrt6' or{rNrbn Fo\i\iinr of s&1.n lTlx) ol ilE I rhn aii.. I {Ell. fodh*'iri .r,'ril, *nh ilnc lFvirmt
<br />WARIUNC: tsrrhE k, <uE *qt.r n'mFtui,n cot.E8c i! unL*ftr|. In rh.ll ruiFl m cn?bF k, $mirl FBIB md
<br />.iril fir. ut tr orc hundEd lhu{ul dollr{ lJIOr,u{r), .ddru rr ltk ('{ .f.oryxnernm. dtm3.t a! Fovid.d f.r rh.
<br />'::- T [i7n**^^fr:i@-
<br />ullNsErslNrxal!.lf,llElldxalllrd
<br />I h.rt, artrfl u j.r lEexy or tErJor, (hd I am lieEn unlcr Fovisi,{ o, ( lunl( 9I qnnftNn! *nt Sati.n 7(xt,orD'tiri"' I
<br />ol rh. aurim{r inil Ih,fc$iont (inl.,
<br />"rn my la..s s in lill loc ert cffc.r.
<br />C(o',","*'7//z/vT
<br />coNs,lIrl (-lloN t fNDIN(: ]rGilN(lY
<br />l h.ruhJ_ rflir rurdrrltNlry ltrriu,yrturrhrrnr(trNrntri.nlcRl'nS.8of,!f(trhcponrr!,R-cofrhtsurtn{rhthrh'sFnniN
<br />AITII!: INLDECIJIAIIO!
<br />I hdrl'y .trm u'xtr Fn.hy of F.rrry or of rlE firlk win3 &rlnr.n.
<br />t.fln nn Pcrmi3 Arh.noa t{rifE.lin tu 61Rqulrrimr (Takilr. Ln6)
<br />_R.qotcd lrn.r of NdfK.lnn
<br />lccnifyrhll llE,idcralrcgrl'ri,,ns E8sding i\tr(nr rcnFrrl rr. hr imlicll,h b rhn rth,Fr
<br />-lcqrifrrhrrIh,kFldrhiirmlirli.nand'rcrh.rrlE.hrrtinfqDri'ns.(ffillStal{'@qyRhrll(ilv.tnCouniydf[f*ffi'. *:*:ZtttXI
<br />ISITE.WORK COMMENTS
<br />Set Backs
<br />Subf loor/VenVl nsulation
<br />-
<br />--r
|