BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNli-L Elrll-Dlf L DDl-ca*lTl()N
<br />I rEEty lftr u .r p.uhy of p.rury d{ I s .x.npr rr.m
<br />'h.
<br />c.nrd6' lr.n* L.w for rh. Lllowin8 Eae. lsc.701l.J
<br />t usincs .d Pn'rc{ion C.dc) Any C(y dr Counrv whi.h EquiEr r lErmi N .rnnrucl .lr.r. impev., d.mlist or EIxtr rny
<br />ntuiuE,Frtrb,B trsc..3ls. Equr! E rppli.dr nn i(h rm', b 6lr \l8rEd (r@' rh.lEornEEUrtren lu{!r
<br />r. rh. tmvar t nr lh. Co .-td,r l.a..r.d I* lchrlid q, Cdllwrcin, rii Sdn. 70fiJ of llivnn. I nr rh. B!Lm3 ..d
<br />P,oLrlbtr! C,rlr q th.t lE c {r ! .r.m|, rlr..tom rrn rll ll.ru tu rlF illrrd .t n{rrn Any vDLtm dl SdD. 701I J by uy
<br />trpltrd for ! Fdn rubF6 rlE +I'lE!d ro . civil D.uhe ., mr mE '{tr lir. hurllql dollu (t5firr
<br />-1.
<br />d o*ncr or rh. nml.dy, or my .mnLtlci wirh w!!$ 6 rh.n $k c.rtEn.rndn, *ill & rhc wk [d ih. (ME E rr
<br />nr.'{al o. olT.rcd tu {k (Sc.7(x4. Burirs snd Rnlxionr Cdt : TIE C.ntrd! l.a.ne Ly l!r. mt .Cply ro m owr oI
<br />rll FDrdy wln hil.lr d rF.E rlr@tr {rl who d6 sh *rI hiru.lf or h.Blr or rtrcu3h [i! or h.! ou.rplo]sl
<br />tml&d rh.i kh mFnlsdr r d n.!d.dn.ff..d fn sl ll. bw. rtr hoiUna d nToErd i! rld 'rli. d Frt{erpbin rlEowE Built *i! lIE Ehd.iolForilt 0. h.rdEdil d{ tdtl(,tFoE & F,r.r, nr EptrFEof
<br />_ 1. 6 o*n.r f rh. ,'n)p.ny, aD .rlur!. \ ..dtu.( rir $ [ l'(.nE l . .r&['^ r, .utrnr!.llE pNAl lS( 7r]rJ, Aurir$
<br />!,rl F\l,l*sira.rl.'llnConr.Jcrr'11.(.nrl-rwdrE\norJffrrn,!!uwtr.r.ltrDtr yrh.huil'lr . rnq'nrv.1 rhcEotr.
<br />rnd *h. contrac6 fttr \uch pn,tck qtrh I ai,drmr.i, tr.nalr nuh@ h r |E ( ndr{i.ls Lr.^{ Ij*)
<br />_l D, .r.r{, unl.r Sabr_, A } P C f rh! E on
<br />Ivoatrtr&It(QufrNrarl()t
<br />lrllcra8aDo!
<br />I hci.by ainmunrl.r n mhy.fa.rjurvoic.l rh. h,lloumg d.rlxrdi,'nr:
<br />_l h.E !n *rll mid.i.. CdfsE ol(iMd 6 S.lf-|B!E ft, *!.k6 llhrErdbn, n Eovlk{ lor by Sdin 37(l) ofirr
<br />lrxr Cdd.. td rh. Fflro ol rll rdt ld ltrit rE Fd E B{rd
<br />_l h,E xrl wrll rorrlin md.R (oirrsdln nsnB., rl Erturd by S<rnn 17m of rh. bbo. Cod., td tr lEfo,llEr. ol
<br />rlr wk for *hf,h rhn p.rmn i! 6.8d. My sdlda omFdsrri ,B!r!B Mn n FI.y Nhtrr d:
<br />I ..nift rh! 'i rlr Fforna. ol rh. *orur *ti.h rh! Frmir ir EtrJ, I jh:ll { c'rrbt ry IErFi ,i y lM
<br />r .! r. tE$m ruh,.. orlE ults.on{Etrrrnn L*sorc Lhn, md rAR rhrr i,I it lld hcoE tuhl..r r. rlE
<br />*!ri..^ con'F.uinlrcvtronrofs.(iEn lTrD af(h. tibo, CrxL,I {r3ll, fonh*ih Nntplt qh rhoi pft'vBron.
<br />WAIININC lllluE o sclE sorlfl{ lr,nf.Biiion cov. 8. ii unlawtul. uJ rtull $bl.d { cmtloyd r. siniiil F tir lrl
<br />ivil lin.s up ro ok hlndrd rlDusnd d.llaB l!lm.(xxr,, 'n ddtrnn b !h. so olcomp.rrion, d,m3.r f,s povn.d fo. r&
<br />ltdron lo'i6 of rh. L,hr cod., dmi .nl .@y\ fa\
<br />UCEIIELCANIXASIIIADTd {TATION
<br />I h.mhy rflirm uidd l.nlliy or p.rjurr rh.r I rh li..^kd und.r F)vNion or Ch{kr 9 (co'nmncinS wiih S.dhn 7fiX).fDivi\i}i ll
<br />o, rhc Bu$E3r ml Pn'tcsioD code, dl .ry li.crc a in llll tuar !i .riid
<br />lr.r._ Conr
<br />CONSTRT'CTION I-ENDING AGi:JICY
<br />I tEEh, rrfrm u0d.r Fulyol p.rr4v rh, rlE! B ! oNM!,n hiint.r!my ntr th. Isr('l1lDE oltlr wl for *tih rh! Fnr i
<br />I.lnrfyrlrlr rlE lahrdl r.3uldirnr\ rc3udn3 bb.iorrlnlrrl(. ril lpplx$L rr nn\ F!.{r
<br />-l
<br />.dif, u I h.E Fr.l lhir .pglarlpn .tn .!t. .tu rh. .bo!. rir()fu6n i! .1]Br I riE ro @,rply rtt rll Cir, ul Co! y
<br />dJllB!.ni Srrr. Lrvr rcr.ir\3 ro t lUllt...fuD^ !n lErhy.utE E rFld.rE of lhn Cry ul Coury ro dq utrE t
<br />.h^t m $tu 1 lf,ntmy ftr lEFdbi FIFB
<br />Appll l or Aa6l StMruE:- D.l.-
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation I
<br />Roof Shealhinq t{Dk+K1
<br />Shear Wall lr 'l
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL q 't-,u bk q2
<br />Cerliticate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />APPLICANT Di(:I ANAfiON
<br />I ha!t{rtrmunI.r llunyof psrur}oE uf r folk}wE3 d..Lr.rirn!
<br />fr.mtt.n F.m6-Arb.tts NdifErbn l-.tl.nl R.3uLrirhr (T.k lO, P.n6,
<br />RalUEd L.t r ot l*rtrt rs
<br />qt',1
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