|
BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.OWNFJR !IU!I,DI:R DD!,(]ARA IoN
<br />I hcrcby rfllnn u d( r.niky i,r p.rjury rhd I am cxc rr liom (hc Cotrt..ktrs t,ic.n\c Llr lor lh. n,lhwi',c rcru isc.70ll I \
<br />Snsincs strd Prine\sin Cdcr Any Cily or Cou y $hich r.quirc\ r ncDir k, mn{fld. rlrs. nl\p(,r.. dcmrrh or rcr{t my
<br />(r!.rurc. prnrti ns h\u.i.., ln' rcquncsrhc itplicMr rd \u.h F-^n irtr nbr \iB cd n .nrnr lh.rhcorshc t liccnsc rr^umr
<br />n, rhc puhnnr ol rhc Conrrnclr r l,iccn\cd Ir,* {Chrflcr 9. (_.m,ncnci',9 \rirh Sccri,)n 70ln of Divition I .f th. Bu\i'rcss itrd
<br />Pn,fssnnr\Codc)orrhri hcorrhc l.x.ntrr rhcrctnnnrtul rhc hr\is nrrlt. iLlcg.d.rcnlf'ridr A,ryvn rlionolSNlionT0.ll5hyrny t
<br />rptli.r nn rFrnrir \ubjcccrh. imli.rnr h a.rv,!pcMkr"oi nor ndcrhnn,nc hundr.d doll.r l$5({)
<br />-1.
<br />tr\ ow.crolthc DruItny.(n mtcnrpl.yes wirh sr8csrsrhct Nnc.onrNnsolion. $illdo rhc trork tralrhc {ndur n Nr
<br />ificMd or.ltt6d ror slc (Sd 70,1.1. Bxsi.Ns rnd Pnfd$bn\ Co{lc 'l h. C hckr'sLiccn{t-.qdocstrotrptlyroMowncr.l
<br />ric pmJxny who huilds or iryrmrcs lhcren. d *ho des \uch sl)* hitrscllor hcr{lIorrhroueh hi\ or hcr own .'npbyccs.
<br />providcd ihar uh imnmEEnls ,r mr inrcNlcd or of.rcd lor srL. ll hostvcr. Ihc huillins or impflnrnr.r i\ v,U { irhir . c }t.tr
<br />ot.orlnLrior. rlr Ow cr &rikcr sillhr\! rlE bodcn orftulin! rhtrr hc or drc did n.r trild or infmec tlr pn,lEty for lhc lult yoi
<br />l.n\oqncrolrl[nnincn)i,r'ncr.lu\ivcly.otrrrrri'rg$ h licri\cd.onrn.ky(h..tr{nr.r rhc lr.lc.l lScc 7O.{r. Buri,'r\\
<br />d lttrli\si,n Codc:1hc Cotrrr&rr'r l-iccns.l-.s rloc{ n.rr! yn, rnorvtr.r.lporcnysho huil{l{or in,p(k{rh.r.otr.
<br />nM *h. conkrck for \u.[ rolccr\wiihi G,nhcnn(sr lkcnscd lU^urd nrrtuc(,nrrnctn'\ l-iccn:c l-Jtr)
<br />rln .rrmn uL!,ic, \r.r' n J B &p. n ,br:!:{r!, , - /
<br />""," og/tr /Zux ,/S-.. 776.(".4--- }IIItrIBfII]II&:ISAIION
<br />DICLASII]OX
<br />Ihcrchyrlhl utrd.r I[rdllv ol rc' Drv otrc olrh.lnlk,s i'u tl.rltrrrri, \:
<br />lhrlcrrrlwill.untrnirC.nilr.ofcotr\cnrbsclrliso'ri,tr*.*c(.onrFnqriotr.rsrrovidcdlor$ySccron.lTlr)olrhc
<br />t jhrr C.dc. rrtr lhc pcrlorn!ft c of rh. work nn shich rhc pcnnil n issucd
<br />rhc uo'k f(* sh,ch rhi\ |nrnririr n\u.{ l{y trorkr^'.,n r^--n\rrn,n i,trr'rf...m$ |r)liyrtrnvuc
<br />Elpir.s
<br />l.cnilirhrriIrhcpcrtunmNcolrhc$orktu\hi.h(hnNflnnin\ucd.I\lullnorctrrtl,'yin,l.r\oninany,rimr
<br />snslotcconE{$iccrrorhcworkcr'corpcnsuIionhwsol'Crlirornir.rndrsrccrharirlshrdldh.conrc\ubj..rI'irf,
<br />sor[c conlPcnurion pmvkn,n\ oISNiion ]7(x) ofrh.lltytr Codc., lhali.l(lnh*irh cnnply *irh rh)t Pn,rhnnr
<br />IVARNINGT Fdurc to {.urc work$J.onr,trfsnii(in (rchlc i\ utrh{lirl. d \hrll \ubt.r ur cnDlorr ro crinimlp.mlric\ xn,l
<br />) n, or lLrfdrc(l rln,u\trxl Llo l \ r\l(X ,r. m r,lJ r{ ro rl'r .^r/,f u,trr.n(ri, r. dlntrscr as nr
<br />."-"-':, / . I&4'L{,u-,2-,^.6sJ tt/)-ot;t^*,,
<br />I hcnbt rrft und.r!.Mhyofl,.rluryrhdI0'nlietrk{utr.rnn,vni(,noiChrl'lcr9(connrEncingwirhScdion701,ofDivi(i,,n:l
<br />ol rhc Businc$and PmlcsionsCodc. &l nrylircnsc h in tullnrcc ant cftcrr
<br />toNflalcua.t{tE$rlN!-auEN(r
<br />I hcehy rfirn uM.r Fnrlrrolp.rury tlu rhuc is r.otr{ru.ri.n lcndinS i8cmy li,r lhc pcnornEncc olrlt sori ntr *hich rhil p.nnir i\
<br />i\su.,i lscc .!(Ir7. Civ C )
<br />A.TTU!]ANLII}:CIj.BAIIQN
<br />llri-h!rnn ru dcr|ttrrhyol tcrjLryomof rhcnil[^ri']Idc.lrnri(fi\
<br />t).fnnirion Pcnnir\ A\bcnos N.rificrrioi lrcdcrrl RcEuhti,nr\ 11irlc 40. t' d6)
<br />RequtcJ I crrcrotNorificrri,n,
<br />I..difyrh.r rhc fcdcdl rcgulrlbN ogrnlrn! asbr{orrc k^darc mr (nflicrhk ro lhn pm}cct
<br />-l
<br />ccnift lh.r I hnvc rcnd r[is omlicriion ind { c rh$ thc rnoic i.r'omition h corc.r. I aEE ro co'qny wnh illCityand conily
<br />oRlinonccs 0nd Sr.rc Lws rclnlitrB lo buildiry c.nsrrudbn. on tsrchy aurhnrizc rcnrcrnBrnc\ olrhn Ciry rn'l cndtrr, t. crrcr u,!.n Ih.
<br />ir$r.,mirn.rJ r,,,nrny,n- n.tt'trr. T*-\ / _ /, t I
<br />.,,ppn",nro,axnrsv*M-::: 1W(-z2Lb4tL-,"'"' O{/!L/2z'E
<br />""^u** ",r.,g/ 'akzr, DVu,n-
<br />Set Backs 7/ult*AAAA
<br />Forms/Steel/Holdowns lhetix ailYb)
<br />Erection Pads ll
<br />UFER Ground
<br />SLAB Floor ilz-ltag,flfr:
<br />Sublloor/Vent/l nsulation
<br />Roof Sheathing 71plr9 1t0-*9
<br />Shear Wall J6-t t.---'d a <'t-\
<br />Framinq qqlt6 tYt"/
<br />lnsulation/Energy aq/tl tK f"*22
<br />D all 4INLry Ti@
<br />Ext./)nt. Lath 7ltll6 (t W&<*i >r)
<br />ts;r6wn Coat tblt'l I'X v4il14'
<br />It/asonry I t
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En gineer Final Report
<br />Flood Zone Certil
<br />Ylnk/W raarP ,tluilt9n,vr/'r 'l UJ
<br />FINAL t0l tb I t, 7,Dln^qP '?2)
<br />Certif icate of Occupancy I I a ['v
<br />Notes, Remarks , Etc ,A
<br />e uhl
<br />1-70-19 . ?tr, (- e.L T4'b I '7N.*1i)our-.
<br />l'l ,u
<br />COMMENTS
<br />lxnde' \ Addrcs
<br />z. P.t?-r,
|