|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNER BUILT'ER t'EI,C RATION
<br />I lrr.hy rflnm !nl.r Fodr, ,n Frjury rh.r I o crcmpl ln'm rtE ai' rudon' l-f,.ne Uq ntr lh. r'ollowos r..s'n (Se 70lli
<br />Btrfis .iii Pnft(rr CoL): Ary C , or CiEnt, wh.h ,t1um5 r ltmr i(! c..rB1. .ld. oiroE. &frnKh or EIEI sy
<br />sturw. Frtrb (! s.ue!. !la' r{!ftr rlr {,lilld ft, rkt Fmr l. nl r \ryFl drm h, h. tr {r . lE..d FnrM
<br />b rh. Fovxirns or rlr cdnr*M r L&nrn l,* (Cbrr.r 9. CoflmkrnS wllh Sdlo. ruD of r),vrr'. , ol ltE AunFr\ d
<br />PDt.$n).r Codc) or lMl tr or rh. s.r.ny rh.Ernrm u'l rh. hasr li,t rh. alL:scJ cr.nflD. Any vknllionolSccrionT0rl l btmy
<br />lPrhDr lix r Fmn rublarr llE .ml.:nr b ..rvil n Mlry of br frlE rh lrv. hltilEJ Lnnh! (Jlml
<br />l,.r$wrrofrlEl'.Itny,ormy.rphr..rr h e.8cr .r rlEu $lc !.n!tnqxo., w l rto llE q*t ln th. {Brm . {
<br />irr.,rlol or ofi.r.d rrtr sL (Sc.7o44, Busims mJ Pnn r\ir! Cdl:'rh. Ci,nttrcl,tr r l-i.enE Ir* d,fl nor {tly to u ownn ol
<br />rh. F lEny !h' tn lt ir IIFDE rlEs^ .nl qls dr. ..*h qr* hh,Elf or h.r(ll or r[Du8h hn .r lEr own ct{'lor..r,
<br />Frvrld rhr sBn Imrid! r mr dhlol s oitral lir qb ll hrR€. lh. hlllra n lrF,x'd s nll a.tr rE F
<br />orcort*trrn, ilE Owr ABlj.. $dl h.E tt h$!.nof FrvuE$rlEdftdildnllrllndlhkrlElnrdylrtlEI'{Frol
<br />-1.
<br />rr o*Er ol rh. In,Fiy, d.LlusEly .dirr&rr3 *nh lrlnrJ $dhdo^ rrt d'Nrru.t rlr F,Fr (St 704a aurtr(
<br />.rn Pr,lcsrrC,rL Th. C.nrBn,'! L...* lre &E\ Dn .C'f'ly h e.vF ol t oFdy qh, bu,[t.r mlt.Et ihdoh
<br />uJ *h, co.rhck fd su.h F,r..k *rrh i (i,nrotnl9 lrn(J pxnurt ro rh. (i.r*tn r I -itnr bsr
<br />_l rm.r.mpr !ftt r Serxr
<br />woRKFns' collPEllsaTloN
<br />IECLAEAIIO!
<br />I h.rch, .lirm uDLr JEMlry ol FJllry od o, rh. n, dr n! JeLr.h,nr
<br />I htv. rrn erll m,nr.D . Ccrrf.r. o, Ci'n{nr ro S.lf-lBuE for k'*6 !'n{End nh, 1! F,vrlol tur by Ser bn 'Um ol rh.
<br />lrlr (iik, ror rh. Fh,llre. nl,h. wo* tr wh(h rh. n mrr n trlu.J
<br />t"fr.*., *, *.". *n6'd'n+.nurln orunr...! Equr.il h sarpn t7I) orrh. btttr c-oL. ro' rlE Fldrls. or
<br />| ?th qf,r fttr whrhrh:! Fmr n nchl Mt *ort6'or{rnubn rturh(.ffl lrl tblrt.urnrtr E'
<br />-fkraT-1,Lr-JD,,LO
<br />-lknnyrhrlinrh.pcrturron(colrh.workfttrwhthrhrnrmil
<br />il rs\ucd.I n llnoi.nll(lyany Fson tnrny m n.r
<br />$ r\ h) lr otu ruhjdr b rh. *0*6'dnIEn\.I(r L*{ o! C.hlomr rnJ 18@ (h.r
<br />'l I sh)u! E*or \rhrd t, rh.
<br />*o.tc\ !1,ry$nrr)n t!trv$.$ of Sarpn lrlx, ol rh. Uhx Ari., l .li,l. r.(h*rh ormly * n rll'< |jnlvsb.r t
<br />WARNINC: F.rllE t, su. sntc6 on{rnetrn x*ci.Fc r. u.L*tul ml th:ll bidr .n dlnhrr (! (tud trMhF r,{
<br />!Nrl ltri\ trp h.trc huo,l'cJ rhou\atul Jollirr lSl0(,.lxxD, ,n Jr t.! r\ povtl.,l ntr rhc
<br />Sc.tr[ 1l176ol (tk l,,lix
<br />I lEEhy.lltmun,s IEMlryol p.rFry rh, I ln Lancl utrld Fovri,n r$n.rtornt wrlh S..rnn 7lx
<br />of rlr Bulmlr .fl1 Pnrfesr,nr (i!.- arl oy lr.M r o llll fotot .r .fiar
<br />c-4 nq o
<br />I [r.nv rllrmurtLr Fallryol tx4un rh.t rh.!. Nr.onnturnn k' ms p..lr'lDft. oi rlt krk fi rtrh rhn Ff,n 3
<br />lrEJ (Sa. .1007, c'r c ).L.d.i! N.m:-
<br />APFLT(]A r DECI {IIATION
<br />I hd*! rnln unJ.r FnrhyolF ltlry oE oarh. foDoetiS Jdlrnr.nr:
<br />fxtuLnn P.mrqAlh.no! Nrr ..tM Fst ri R.fuhrxn\ rTirk40. Pm6)
<br />_R.q!md t cr.l Nolrfinnn
<br />I .drfy th.r rlr r..!rn r!!hrD$ E8,rl,n8 r*rnor rR,v.l c , {rlic.hk hr rhr rlirFl
<br />l!.n yihrr I tln. r&l rhtr ilrl(rr nrtrhrr ih.fi,rc rntrnrrr r!o,r!r l,'3Nn!.onllly *(hrllCnyn (irtrry
<br />dnl'tr. nr! rnJ Srrr( l.rw\ NLrn! r'lrrrc rcnB.tr(rrrT\ ol rh^ ( 'ryrll(i{tr y!rcnrcruFrnrh.
<br />rhoE mnri'Erl pon ny litr
<br />Applidnl or ,\!.nr Sirmlur ,,i\wl+f t1
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lns u lation/ Energ y
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL l7 le \q DA n,<w**1
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />DATE ID/SIG.
<br />D.t.,-
<br />nr*rn""*,, , DnW
|