|
BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />I nsulation/Energy (0\
<br />vyq3yd-1,Drywall ;1t9u-ti b)
<br />Ext./lnt. Lath tt U\
<br />Brown Coal
<br />lvlaso n ry
<br />Pool Fence ,.--\
<br />'<.^8,?),tvLltf Vt
<br />Handica p Req.
<br />Deputy Final Report
<br />tEngr!1eer Final Report
<br />Flood Zone Certif
<br />A//h ,riltFINAL6/ tolt t fz.z
<br />Cerlif icate of Occu nc
<br />Notes, Remarks, Etc
<br />OWNf, R AUILDEI' Df I,CARATION
<br />I h.r.try nfiiiih und.r Fnrhy or Frjlry rhd I d .r.mfl rmm rh. Conrdo^ Lr.ir b* for rh. fnfi,wii8 ka{,n (tlr 70:t l 5
<br />B!nm( nrl P$f.nrri (in ): Any Cty or (iton, shifi Rqu'm ! Fd ro onrM. rt6. rtrnr.. d.mniih.r rFi ry
<br />(todur.. pri,r' irr n!urnc., rlv, rcqut.s !h. ippltad f.r N.h lqmi n' lil.i qEd (d.rtrr rhlrlr.rr,Enlr.ned nuru.
<br />h rll Fly*imr .l dr Orddn. LEn€d I.* r(-h{{6 e, Colftkii! srh Sdi,.7rll),'I Dir^n. ! orrlE Borh.( rid
<br />Pn'Lsn'nt C,xl. ) or rhd lEorsh. n.r.q, lhn.fromind rh.hrn! f(rrh.ill.t.d.r.qii, Any violarhnofS.dirnTi,:tl5 hylny
<br />.n liGd ntr.Fmn rulrirritr {Irli.ni ro r c'ril p. ryorB dr.rholrr.l dEJ dolrur Ill{rrl
<br />l..r orF oIt,i. F,Fny, or f,y.mnhr?.l sih r+.t r{ rh.tr q)t c,qrnd$n. }'udr ft Hn.d rh. {urm ir nr
<br />d.rLd oroif.kd n, qk lSR.?rx4. Buiftsr rnd fn'f.s1r)n!C,il..Tll (hdBloir l.t.nr Uu l}r( rn q'nly!. u.wmr.f
<br />rlE tirlFny *h,h(dt rtnrFr rtta)r !n *b d,r rh qnl him.ll or lrrclf nr rtrrrh hir (, lrr own.mrhy....
<br />nn)vid.n iha sNi iqnorlmdr r. mr ddd6l f .n EJ i, eL lt h*@ rh. hrtlln8 o, mF,!.En n hu *ahi.oE FrolNn{*ri'n. !h. O*ki Aui&r }ill lEw rlE h!d.n of Ftr\ins d lror{rdil ni tlild or irymwllE FlFnynyrt: Ilrrusof
<br />_1. ai o{ E. ol rh. I',,rd). m.t.b!\.|} c.drd 'ni $ nh rr.n*l ..d,nn^ h n,n{ 1rrrF,iFrrsa 7rlr.r Bu1tr*
<br />inl hft5dr (i .:1fi. Contrmu s l-'c.ns.l. wJo.s n.r lftly ri rn o*n.r of,r'p. y $i' hu'ld! or impnv.s th.r..n,
<br />niil qrr cu arrf'r{.hF,F1\r[h'(n E*ri r ) lr.nkl Flrud (r rh. Codrdttr t l iir€ l'$)
<br />-l
<br />m.r.mrr lidd Sdbi-
<br />rl)altaS:couftltarla!DrtrAaAfI!!
<br />I rrr.hy lmrn u.&, FMtt .( Fnlry nE of rh. fdLs'n3 d(hh nns
<br />_I h.!..n *'llm'd .(drrr{.,'l(hn* r I s.lf lnsr. ny .vtd. $mp.nd i'., I Flvir.d ritr r'y s.di'n :t7(r, of rll
<br />t hi Grr.. nn rl* FlrnR.lrlr * lt ffl }hrh rlr lm. n n{at
<br />[(, r,'.., *r,-... * t r'o,trMnn i.$hr.. !r Eqli'rl hy s(rrn ]7o).r,,l bh, c.&. r rrr Fr',mre na
<br />tiy*.rt.f onqrnerbn ii\uhr. cini.r orl F,la, numha r
<br />C4 l-r .rcss lj-75105 .,,,..0 o/
<br />l..nnyrt[l m rh. r'.rt'rma. dfrlr *.* ntr shkh rhr n rmn ,\ tr\u.d. I \hrllior ?q'by iiy t rnn in iiy mnrr
<br />5.ih trmr \uhj. k,rlr*ort $qudi)n l,$rolcrlifrn ..,nd ryErhd,f I sllrl] t(.r \uhFrr r,rtE
<br />rn fi Lrlnlltnsk'n rovrr'.s nl s.r k,n :r7l ol rrr hhtr c,il.. I oull. f!r.h*ih nrirrD rnh rh)r nn)$i,nl
<br />waLNlN(;: IiriluE r' Kur f,rylcn .mqrnsri,n corrhS. r uillrrur. .nal shnll .trhFd m .,l{'[,y?r (o Eininrl lrMli! 3
<br />.Ml rtrr un n' ok lnndr.n rbuq'n dollnrr itr(i).rrx,r, ,. 'drrrhr h ..{ ol c.ntrndn'n. d,mt 1 6r pro$d.d ntr rtr
<br />k'"-5'i5'iE
<br />I h.dry.ffim unrd Fmhy hfFrpryrlu I &n ta 9(!mni( 'nr
<br />qih S.di,n Tlri)r,rr I)'\Mn r
<br />o, rh.lttr.iBs i l Prnf.(Dtrs (,r!., dl ny lt.nr i5 in
<br />/,".^-,,...
<br />\..r5 -15.)944:6
<br />I r3,I 'l
<br />I lErl'y {ton und.r Funy nl p.rFry lhr rh.E ir . 6dMbn hdint .tdy ilr rlE Fntm of rh. wt id shri rhir Imi irtkd (s(.1097, civ. c ).
<br />ki&r'r AJ&6r:
<br />-
<br />llfilcAll'rlq.a8Atta
<br />I h.Et') l]rm u.d.. Fnrhy nlp..jury.E nfrrE fllh*in! d.(ldrri(,n11
<br />D.DliFi F.rdr.Arh.rdr NdfEdb. tu r.lRqllii{rITtk4). Pd6l
<br />_R.q0iEd taroof t(iirrri,
<br />-l.dlfythdlh.€rcrdrEript'ltli,.rn{.krhdrlEth,kiinndnni6tul!!rdho'q'lyrlhrllClyrldCodynlrn.k l ..d Srdr kr\ek'ryn,tuildnx rurh,u. r.r.(nrrt\.\olrhn ( iy anl C.unryi,'.nta uFtn rlr
<br />rlnv. rn(fimd pilrFnyf rn!81hn
<br /> p0li(ontorAs. r Sir nrun t) u..) e
<br />,,",.5. lz.l'l
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />4tctlu ne D)
<br />T-Bar
<br />-I.drfyrh,
<br />rh. f.&nlESuhtnm ft3d ins rsti{os r.m,v!l rr. n{ qTlitltk h rfii\ nnrd
<br />lltv 0B-07-2015
|