BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDER DEI.('AR TION
<br />I lE$y lrm u.dd Frty .f Fiu4' inr I d qmF to6 rlE Coffim' l-i.de l,e for t& lilloarE ta: (Sa ?0! I 5
<br />Bulin6r md ftofdion Cod.) Any Cny or Coof,ty vhi.h r.quiE r p-mn ro cord rl, rlrE. inFov.. rtrotil^r qotr .ry'
<br />3llu(1ue Fi,r ro it! iBuso .!o rcqun6 rh. .ppli.ur lor ruch Fmir ro fiL i riftd {dffil rh'l rE or .h. ! licoBn ptred
<br />b rlE F!\tioB of rlE Coildor'r Lic.N.n bw ((ll4ra c, Comtrins *nh Sdir 7000 of rrivilion ! 6r dE &!in* .nd
<br />Pmf6iotu Cod.) or rhlr h. o ihc i .imF rhddron r.d llE t Jn for rlE ill.s.d .iorflhn Ary v6hri.notsdlion 70ll I J b, uy
<br />lpglkmi for . Fmn rubjat th. rppli..nl io..ivilpodyot l @G 'he
<br />fir. huidr.l doll6 (!J00)
<br />L e 0"16 oflh. FlrEly. or fty mphrG wilh $.{6 s rh.t $1. mnp.rEnion, rill d, lh. soit ad ll. rn(1@ ; mt
<br />iaori.d or ofotd tor glc {Se 7044, BBi,B dd PrordioB Code In. Co'nd.lol r Lt.M l,* dE d rpply ro M o$M of
<br />lhc FrFty who hriti 6 ing!\E rtEq rd *lD dE st soi hiMlf or tE*lror rlmu8h hir or lE om dplot6.
<br />Ftrlidcl rh{ rEh iniF.rgltfu n d itdld.d or olE d 6r !.L lf, h$6E. fi. tliLtins c ntFDrsEr ir $ld *anm oc }d
<br />olconDldioc lh. Osr6 Build, vill h!v. dr hdn of F$vts rh! lE or rh. d'd mt build or rnFo( dE FDFty aor th. FrFr of
<br />L a osra oarhc pNF y. m .rclNi!.i, .odr.d inB $nh h.@!.d.onrdon kr codtud lh. Ftrjd (S€. 70.14. BNin6
<br />lrn ftokiB ( o&: Th. ( o.rrrrol, Lic.e Llw &,6 nor 4'9ly lo u oms ofpropdry *ho build! 6r inpro!6 1h6on.
<br />sd trho aink. fr, sh For<i whh. Colfudltl lid!.d pol.d torlE (-odrdd r LkG u$.)
<br />I m .r.hfl undd sdrhn
<br />D.t. 0 6
<br />WOR(TRS'COMPEN.ATION
<br />DES4SAUIIB
<br />, hd.t!) rmm und6 p6.ny of Fju.) or .I rlt f.lhtr ns &ct[nio6
<br />IhlE&rlwillMi.in.c.nifi. .ofconstrosdllNi.torulda'onFEaion,6Fr\id.daorb,sction1700oflh.
<br />l.tv Co<lc. fn lh. Fftu of lh. mn f.r qtat rlt Fnn i isrd
<br />I hrv. a.d will mainrain wortd .onr.Mii.n iauan c, a r.qutcd by S<t ion l7& of
<br />rh. $,{l lor \h(h th! Fmn a e** Mr *oA4'conFE hn@ft.ffindFl.
<br />cm. A@
<br />rh. t tsr (bdc. foi lhc pgtonnucc.f
<br />i*l,f nq&/bfz-/ q
<br />-l
<br />cdrit th.r in rh. p6fotrw. otrh. eorl for shth rhir p.rnn Lr isud I .h.U @r @pLy lny pa$n in yms6
<br />$ o ro tdoc etixl lo ilE Erld onvdsion lr*! otc.lhmq !i 'gc rni if I 3huld b-oft {bFr lo llE
<br />s.rtd onyx@liJn P,olnirB .as..rio. l7m .f rh. hhor codc I n![. lonns nh ondt trnh 'he prclitioB
<br />wALNlNCr ljailur€ lo su. rort6'conrr(Mi.n co\6ar.is uhsful ed sh.ll sbjal e dpk'rs lo siDidl F!hi.! Md
<br />.nil nf,d up h orc hu&.d rhound &lla {llm.uD), in rdd .or or conF@ion. d&!sd a Fovd.d for rrE
<br />('.dc. i.r6d Md dlorrE s1
<br />DEClJaAUqB
<br />I @ arm uin6 Fn lt, 6f Fjury ihi I o [G!.d .nd6 Frtio. of (-h,pr6 0 l@@i.B
<br />ot rh. B6i.d ed Prcf6b6 co&. rn ny lit* u i! tull fora.!d.,Lcl.rt4t.Saoto^>tlt
<br />I Hr artrn ondcr Fn.hy of p.rrury lhd tha€ is ! coElrucibn k dinr !*try fo, lh. Ffomffi. of rh. $!rk iir qnich rhh Fmir ii
<br />aiual(sr:rrx7,(_r c)
<br />AIIIICANI.DECTJSAIIIT!
<br />I hat, .ftm uhrld Fliy orFj!ry oE ol rh. follo*n8 d.(l'rhN:
<br />Dnmlirion Pmir-Alhdor Nor'licnioi F.dr.l ReultlDn! (Tirl. 40, Prn6l
<br />- RAuircd l.rq ot f,lorifi.dir
<br />l.dl,li rhr rl!.1(idrlrqlrlxrk, s rrJJtr,8 r(r\i.sr r\rlrrrr,(,t)d'.rln.rorh'sf'orr.r
<br />I (qlify lnd I ha. r..d
<br />'his
<br />4rlEd rn rd. thr rlE str!. infotuhn t c.trBl I .$a l[ conply tr nfi lll ( ir) url ( dud\
<br />nrdiutr(6 lnd Srrr. L.trr El6rirs l,
<br />.h\. nmrion.d nrcD.n] rm GDlal
<br />oor'-,,* n ^,,n .r,7/--
<br />entx uaq oaao:/y''
<br />6irrhBc r Md ()unD h d'd uFrrh.
<br />-;l l511l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loorNenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sulation/E ne rgy
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar ,l t-(- t'2.JlAtJa t qN)
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />D ,a_^\
<br />FINAL ry 5;ta .17 IL Ctoa4t6" -r,
<br />Certificate of Occu pancy
<br />Notes Remarks Etc
<br />7-(
<br />4 1C LT. J>
<br />^rrt ,1\t
<br />SLAB Floor
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