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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNT-i BUILDEN DELCAR IION
<br />I Lr.ty rlftrm undcr Imtry or rsrtrry rh, I d.r.nti 6!m rrr (o.iBr6 Li(inY Iif, lor tlE follo*fu Ergfl (s.r70ll5
<br />Bu\irc$ ! Profc$hn Cod.rr Any Cir, or (l]unry whi(h r.qur.r r ,mi ro 6.rru.r, tlls iqrct. d.frri nr tFtr lny
<br />(rucrurc.0.in b nr ilrurnc. rls rcquiEslhc omli'nr ror ruch Frni[o lil€ 0 sisftn irrrcft.r rhai h.or.h. i liccnEd put$lnl
<br />ro rh. F,vntuns oI lh. Conhktr\ Licen*d lj* (Chaflcr 9. Coi@rin8 Qith S.cri,n Tlxxr ot Divkion .1 ol llE 0usiru$ ud
<br />trcr.{ini Cod.) or rh.r lE or rlE ir.r.ry'l rlxr.f.oo.rt rl8 h.rn nt rlE.lLS.d cr.,qrhn Any riolrlbn of Sdiln 70.11.5 bytny
<br />llpl*r tu ! pcmir subrck rh. rpplk.m k,..,vilpcMhyofftn mn.rhrn fiw hundr.d d<'lltr (t5@)
<br />-1,
<br />!\ olmr urrlE J'nIrdy, (r ny cnpbFr enh wr86 rs th.n q,b Nrlr.db.. w l& ',t w* rn dE ndE E m
<br />id.ntdl or ofiNd for eL l S( 7().r4, Bulims tnd hnrcsiotrr Cd. lrE Conrddi LknE l,* der mr .ndv ro r o*ftr ol
<br />ih.ImFn, *ho toiklr n irlmB lh.@n. di *n) drts *h sn himElforh.^.lforrhniulhhnorhc.o*n.'nPl.v.ci.
<br />Firrvild rhll such impmtrcnk m mr i, cdld .t o,tlEd i)r eb. ta h$.vd. rtr hoiBins or in{mtm ie xrld *irhin oft ,t*
<br />of $r{,lcrbtr rtr OsB AuiBa will hr\t rlr t nh. ol FnvinS lhc h.orllt dn d hild r n\mE ilt FIdy ftf, rh.I{rFEol
<br />-1.
<br />rt oww 6f rlE F{dt. .m.rctusiwl, strrr*rn! *irh litnr.J co 816 ro omft1 rlt tmrc.l (S( 70+l B6tFis
<br />.d Pirltsi, Cod.: TIE Cont*tor's Lienk lrw &B mr lnrl, ro i oPE of ttroFn y *h' tiuildr or irlpmvB llEc,n
<br />.nd *h, 6ffi s ror rorh F!j61s *nh. ftffaronr latn*d Funud roth. G,6kdolr Lic.nE L,*)
<br />Ixtr,rrrn utrd$ Sceri,r'It & P( rnrrhtr rrx\trr
<br />t).t. Orrcr
<br />lI!8f,E8S-.lorfAlArIOr
<br />DECLABAUgI
<br />I h.r.bl rlfirnundci Fnrlry r Frlury.'r of rh. ii,ll,'s t dL{UrrrrN
<br />-l
<br />I'ne drlwill tuinruir r(!nificulcolCon\cnrk) Scll-ln\urc lrtr wortl(.unPtn\ ri.is nmvnbd tur h,Sdltr ]?lx)olrhc
<br />lrhtr (iil.- linrhcFrturtuN( ollh€ worl li,r *hi.h rhe F-rn tr snul
<br />-l
<br />h.w.d *ilt dinl.r *orlcB conit n-riin 6{trm.. $ EquiEi by Snrirn lru, oa rlE lrnor Cod. fd rlr Ffi,lll.a dr
<br />rtr wt rd ehi.h rnn [:mn ir iao.d M, wdtd! smFGtlirn inrulrN trF ,n Fniy rumtE &:
<br />l1'li.y Nun'h.r
<br />-l
<br />c.nify lh.l in l,E Ffotnm or dE rotr fd,hth rht Frmlr t i(u.rl. I fi.ll mr.rntry rny Fen in u, M6
<br />$ r ro lrrnm sbFt h rlE mdm'@nFndbn Lsr ofc.[tumi- .tn *ft rhr il I ruldlEldsbFrhrlE
<br />hrtn of,tEKib. Fori3ion.6r Sdion l7m ol rh. L.tn Codc. I drll, rdhrnh stFly r iri rLE Fovuion3
<br />WARNTNC: FnbE b ru u6rk6' onp.nq,i,n svn+. ir unt *lut. Dd shnl rubFr u .tphFr lo oftfll Fmtas !d
<br />riril fincs op k, oft hurdRt! rhouqnd dollur (l(X).U ). in lddirtr[ l,i rh. cosr of.nn!trdn'n. d!ro3.\ r\ t'!)vild for ln
<br />s.Lrtrnr ri)76rlrlr Lrhr (!itl(. ri.rc
<br />D.*,93/z 8 f zotl
<br />j2[L\El.lll])
<br />I h.r.t, rfm ud.r F lt, ot p.titry ir{ I m li}rt d un&t FDvi.ir. .l ctI|G 9 (@nftmin8 wilh S..li.n ?(lD, nr Divi'nn 1
<br />of rh. BuriEs td PNf.rri.'n cod.. .d my l(.n- is h tull fDtd r,rl dTdr
<br />5b 1150 tG Z%4^oil:7 8 201\AJn4rnb4 F"*f
<br />I h.,rhyrrlnDundrrl{ lLr,ol trUuryr r n{fldid !n n! ng.mt ntr rht I[ nrtrnN. of rhr solk I'r trhEh rhn I.nn a
<br />Nrucd (S.. :ll)97.Civ (-)
<br />l..rxl.i\ NrnE _
<br />AXILII;ANLIIESIJSAIIO!
<br />I tmby lnim undcr p.ndhy olFrjury onc oallE li'uo*in8 debrd{ns:
<br />D.Dn inr Pcrmirs Arh.{o$ Norifi.ali.n t.dcElRcruldhns (Tirk 40. fun6)
<br />-Rcq!
<br />nd ktr( or M.fdriE
<br />bn unJ {ri. rhsr rh. st$rc nrlorouri,tr' a cord Ir3r.!k'oqrly*nhill(ir,snd(irnry
<br />Lldins con(tu.rirE.{nd hqchynurtrnt r.prcstnr ir.sol'hi\CiryandQ,unryrr,. rcrutrrnrh.
<br />I
<br />\Irg soez
<br />^',etLdz:ll
<br />Forms/Steel/Holdowns z/*/,e CGG'? !o1
<br />Erection Pads
<br />SLAB Floor z /t"/, t Eff 16!
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Enerqy 9b /,q
<br />Drywall
<br />Brown Coat
<br />l\Iaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL B/sl ,,t Wlo>
<br />Certificate ol Occupancv
<br />Notes, Remarks, Etc
<br />DATE
<br />Set Backs
<br />UFER Ground
<br />Subf looriVent/l nsulation
<br />Ext./lnt. Lath
<br />t.dl.r. Ad&6s:
<br />-
<br />r!!hr.ns E8!d,r8 .rlE.lo. rm,El ( n{ q'plt.fiL ro rht tftFl
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<br />[- -r-
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