|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMME}ITS ()liNl:R B(TILDER DELCAtlTlor_
<br />I h'chy rfnr undg fl.tulry orFll,ry rhl I !'n cr.nfl fbrn rtr (i{ ffron LE6E ti* lhr ltu ltlt'*u[ rcusn (Sd 70li l
<br />au\iNs{ rftl Proi.ssio" C l() Any C(y .r Counr} *hth rLalutrcc u Fmil k, .on(tur. !hc. ihprcrc- :ml'\h or Erqn iny
<br />{nf,rurc pd, h i!3 ,\\urki..l\o BquEi rlr.ml.! lor ruch Fmir h rll., rBk{ stdcmN rh.t lror rlr i\ li..nrd pur$Mr .
<br />ro rh. F,!ti,ro\ of rt! ConriNr.i s t.ilrnqd l je (Chltlrcr 9. (iuckinS r ih S(r io. 7U:t) ol Diliril l ot th. Bos *dd
<br />Pn,,tr\idr\ (irl. ) or rlut Ii or JE i\.r. {! rh.rcfro Dnd rlE h!s( fttr lh. dhScd crcnDrur tur,v('Lt$nrtslilaniro:tt.5hyrn,
<br />rDrrli.r nn r l.hln \uhr.rk rt aff'ltlnr lo r cilil ncndry of tu'r tr$R rhd lir. hudrc{ dollr$ (S5([)
<br />l. i( Nrr ol !h. ttuFn,, d nry cnflorcc! $ h *4.s s\ rh( ir rlk .rnqEnsr'x,n. *dl d, lll (rl !d rlE it xlm h ml
<br />inr.ftlul or f.r.d ritr {& ( SLr.70{. ltu\im\1 a Pnnc{'uu CdL rli ()nt&loi3 l,.cnt f!* {tar mr lmly ro m orw of
<br />rhc0n'Fn, rh. t{ild\ or iarmEr rh.a)tr un *ho diF sth $nl hihsclror hc^elr6r rhFuShhk d hc. osn cii'lo yc€s.
<br />tnv'J.rl rhd.kh rlfrsinB r@ n idcnldl.r.fl.El n qL ll h'mw. rh. tuillmg or irtl ErEilh3 f,ihiff oft )Ei
<br />of$trlicr i"n, rlt O*m, Buildcr qill luE rh. hd.n of pnvins lhd hc or \hc dil Br tii! or in{'nn ! rrx t)fitdy [o llr lUryE of
<br />l, isosn.rur rhrI'nDc y. or.rclurivcly.ontridin! *irh lic.nrd . o ntacr tr\ h..n( d rh.lmrr..rrs.r 7cl'.l, Busirs
<br />ntol thrN\iic,xl. 1h.C.nhn rof\ Lr.nr I-.s d*r nor mt!r, tr owR. of InF.ty rho $uild\ oi impmvcs rhcror.
<br />and *ho cont(rr lor {.h I,nFl\ *iih ! (.nkrron!) Ii(rn{d por\6nr t, rhc (idr!.ttr r t{cN tr* }
<br />_lr .x. rJ'r u.&r sor tun__, ll &l'C tnrlh(rcrqB
<br />lhlr ()rNr
<br />rvoRxr'Rs'col\rPLr*aATri)N
<br />[[CL/I&UIQN
<br />I &r.6vnlfir xnd( lrtrrl,y,'fFrJurrorf,nrrh( n)lh$ irt ,hlaritt'A
<br />I }I1rtdJrilrrui tin. (tn if$rc of Consnr h Scll lnsuc ru lorks! rori*n\ri'n, trs ln)ukrl r(, by selhn .l1r(l {r rh.
<br />lf,hn (iid. l'or lhc FrlormNc ol rt w{rl lo. whth rlE Firni 6 n'ucLl
<br />l:rhr (irt.l(n rhc p.n,rnuNc of
<br />l.cn,fyrhrr inrh.IE lornu'{c{, rlr !or& f(tr*h$hrhn Frnrir tr A\xcd.l \lullnor erqrl()r" lnr lxhn in m, runmr
<br />{! i\k,h..n, \ot']..t b rh. $dkus .1rnlJfnsnr i(n Ls{.f ('nlrlonn. inl agN lhrr rf t \t,ull tf,co r \uhFr kr rlt
<br />$uk.^ roryrn\rrr,o pmvNi,trs of licli()n l'7(xrollhl Lltn,Cndc.l {bll nh*nh $nDr, sirh rh.k l,n,vrlid\.
<br />WARNni(i liih8 r, {.trtu worlcri .oqrndii.orda8. is unl,*lul. nd \hrll ruhF-r !tr cnrritDrr ln sinriml lrufic\ l
<br />(Nl linc\ ul] n,.tu ho'xlrd rl$u.ffil doll,^ (5100.([l)r, in lildli r, rhc c n ol .rnFnqrli.n- ihnu!.i $ trovidcd rd rlt
<br />S(nntr :1u76,)fi1f, Lft, (id..o[ercirrl Jk,Nr'rr..\
<br />L(f t1/?^o?o
<br />pFcr 4{ TloN
<br />I hcft6yDlfirnud.r ltrslryollErrxry ihd I dr lnusl ulld.r tr(,ri(rtr olChlt t6 9lcomEFna *nh sNriD 7{lID ofl)ivhion l
<br />ol rtu ausnEi atul th,r.\\iort (-lxlc. ,n ny lic.n* is m full tuR! dn .fi(i
<br />Lo) 37 t
<br />lt I E[;.^o &,
<br />CONSTRTI(-TI('{ LFTINING AG!'NCY
<br />I hcrch! lntur ud.. Fn,llyollE4rryrnd lncE h !.on(mlioo Ldin8 aacE, r,tr ihc pedorturc orrhr f,ul l& $hihrh'i FJnir ir
<br />i\u.dlsN r$)r. crv C )
<br />d.ITLICANLDES.AAAIU!
<br />I hdrn,amno i.r l.nllr,orFyruryor oi rlt ful,owins d..l,nrion\l
<br />Dcni,liliofl Pc,nts AstEsros Ni,ri6c ion fcd.ral Rcsultrri,nr (Tirk.lo,l'an6)
<br />-Rquircd
<br />Lcl rcr 01 f,Lrilf,nlion
<br />l(rrifyrhd rhr fcJctutrcluLdrn\ rc8unm8 $tEsros r.nr,vnl sr Bn lml(rhL h rhi\ pojl\r
<br />I.cn'fyr, lllvcrc rhNitiola(rrtr{&!{nrcrhnrrhc bv( nfortruri(r N.utr$r I xFlr [,ron{,ly* hdlCit,r Cnrtriy
<br />.dimNc\ iBl S,rrc Dr\ Nl(rn{ r(i hurlJtr'S (otr\rBrnnr dn h.n'hyrurhtrrr rqirc{trrrx\c\ n,r[n Cir] nnJ (iiutry ro cn,ct uFrrh'
<br />rh*. mnttrmd nmpcdy (r in<Fdrq! puFF.
<br />u ' LL'-
<br />ADDII(d| o. A!61 !ikDlo(.- ---+ ' ---- -
<br />P,,,,8M.,,rin,,: Swfarlctlt
<br />,l,z{aa,
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Root Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handrcap Req
<br />Deputy Final Report
<br />Enqineer Final Beport
<br />Flood Zone Certil
<br />FINAL /'Y)/Otz.ad(b 6.[l
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Bov. 0B.07-2015
|