|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER BUILDER DTLCAR TION
<br />I lEEhy rfirm ui*r FMhy ot Frrrr, rtr,r t m crortr imn llE Codrdd Lirne t,* for rlt tolkr*in! E ln lsft mll t '
<br />Busimr dr Piof.rsbn Cd.,: A., Ciiy or Cmnly Ehth Equir . ltri r. 6trniu1 .hq. inpro* .Lmlirn o, ,.trn .nv
<br />{d.tor., rtuk, ilr hrurN. tL$ Elllircs rhc qdic.nr i(tr luch FrmI t, fik! listd {ar.mni rhtr hcot xlE t! lkmd Pur2rn'
<br />ro rh. Fi*iri.inr or rrE Contsrtr\ t,ttnld Irv (ChlFtd c. Conftrin! wnh Sdi,n ?@0 ol Divishn :1 Df rh. Bure\l-nd
<br />Pmr.$i,n! Co&) d r lE or rlt n .r.q, d.r.Iioh.d tL t \nn ih .lh8.d .rmYiion Anyviohli,nofsdrh.?oll5bt..v I
<br />ippli.rf,r rorrFn subF.rrrtt tpplksnl lo !.ivilpcnolrrotnor n,Ernan nvc hundr.rldoll-.(l5ll0)
<br />lE?.. "** "t ,*
<br />^*nr.
<br />q m, .'qrk Fs *i!l' E.!s. !r rhn $b oqEMih. s'itl d' rl! wl !n ft {turft i mt
<br />inrc.d.d r ofi.rcd ln sk I SG 7Ot4. Ausimsr rd Profsti,N Cdk TIE Conrlr.as t-icn€ t u &Ei mr qrly to r. '*F of
<br />rlE pn,Idy wlr, hikLs or iigmB th.6n, irl rk, dtt ru.h w* hi'ni.lfor h.rcll.r rln,ugh hh Dr hcr o*n.r{)kiyc.<
<br />prcv-td rh.r uh i.lrDwnB c nn ir(d.rofiftl ftn al ll lr*!w ilE t iEnt d irlmEmnr ar nld slhin or Ja,
<br />;ftulritrhtr 0E ()*F Boitld wi[ lrE E h,&r olrmtuB rL ltd{.dii d hi]d d irrg.oE ttE FItiv td tlx FjIE of
<br />-1...d*Erolrtr
<br />FtrFt. tmcr(turn.lyc.drrrin! *ih lk..*d codrtln\ bdn{e1llE InrFt rS( 7l}l-l- BunK
<br />sd P!'ft(rr Cnl.: l'hc Corrrmktr ! l-acns.l.!w del dn lplly k, .n ocBr olprnpcnr rho hildr or impmY.s rh.,mn.
<br />ond *ho conks.k fo. ru.h nmicck sirh r (intE kd \ | li.cns{ nui\ u! rn ih. Ct nlr(ln s l.ic.h* tjw )
<br />lrr /tl v-I
<br />ll[l;LASallQN
<br />I hcrchy !lfirn, undd lcnrlryofr.rJUryonc ofrh ntlk,wirr n..hrrri,nr
<br />-l
<br />h.E.,n *ill dinr.in r Cdrfr.k of Consr ro s.ll INF ri, *rtts q!nlx.dir.. B In,v&n for hv S6lhn l7m 6r rlE
<br />bbor Co,.. lor rtr Frfomk. or$. eolt lor whict lh. Frnir n iarlcd.
<br />-l h.r. .'n $ill mi.r.in *. s @n{tnqrbi nMrt...s squn.d h, sdrirn lTln.rllE l,rrrcft,..lor lh Frtffi ol
<br />rh. *orl td whrh lhir D.rnil it nqd My *dtm' oqrnqiion inrnrrm ffs rd Fnty runtEr e
<br />Poli.y Numhcr:-ErPircr
<br />---l&.t,ry rr'.r . rr. p..r-*m ortrE sod nr *nt ni. Frnir K Gnrd.l.tull n dlllkt.nvFenm.nvnUF
<br />s.!rotioft t'r.r io llE *rl6i mnp.n{tu. hrrofc.lifomn. !,n.XGitd ifI {r,uLl h.tor l*tr ro rrE
<br />eorrcn' 6n{Frs.l ion p^rlnionr ol Sdion l?fir of thc Lrlsr Cd.. I rlEll. fon hvirh onply silh rhE l,n!nio.r.
<br />WARNINC: iiturc 16 <w mrLB on{E {thn mv.n8c i{ u.L*tuI. rd lhdr qhFl &.tifkvq !i' aimiNl l6h.. 'ndciril fift! unft' o* hmdt n rfi.urri &,lhr\ (ltm,fiIr. in.ddnirlolh.6r of turFnslion. drmlli.r lrvill.n fo. thc
<br />l]ilii'" "', ,6A*.PC-I
<br />IIEIIId8AIIO!
<br />I tEErt, rttrn udd p.Mllv or lxrrlry rhd I rn litn$d u ls In)tid)nof chlprd I (of,ffiina *ith s'db' 7m)r ol t)ieishn I
<br />of rL SuiFl lrd h srb6 Cod.. rd ny lt.rc i\ in tull loE rd cftd
<br />gNiIAIIqII!]TLL!8DIN'J.AG!!q
<br />I lEEhy sfll,n!nd.r FnrlryofFrjoryrhdr rh.rc is r consrrucl6n kniti.S aecn.y a(tr rlE llrromrc oI ln. Borl f.t whth lhh Fmt ir
<br />i*Hn iSG: 1D7 Cir C )
<br />lr.dcr'r N.m
<br />AIILTCAI{LDECIJBAIIII!
<br />ItBL+y.nimu*Lr Fnllly ot FF.y !E of l,E foll'uins &il,^rhnr:
<br />I)er)lirhn P6ftFA$.ror N.,lifrdb. FtLil Rc8uLrrw tTnk 4I Pd6,
<br />_Rcquii.d lrrr.r of NdilE.lion
<br />I cd ily thlr ! h. frdcd E8lltr ir'.t EAEdiry t\lBn,r t mvrl rrr nn ,{,p|.$k k' ihir Pmi{r
<br />fq?cdiry r,Er I rbw Edl
<br />'h,i
<br />.Frltlbn ain n.k rh{ rh..h,v. inln,mrhi n.oNr I rs,r ro onrtlv rnh.ll cirv
<br />,xdiMKi rrn 5rrr. l ^( rhr!l8lo trrld'nF .on<M.tr :rn hEbt .urtnM EFrr. rB ol lh't ( it .rn Cnuflvrl
<br />^**:HH:""'X7.}-? <--- .,. '?lilp.m,,a*m.(pn ): FMtq*neu S- CtSNrl4)S
<br />t1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Boof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beporl
<br />Enqineer Final Report
<br />I
<br />FINAL //tq /22 /U ,D:
<br />Certiticate ol Occu n
<br />Notes, Remarks, Etc
<br />-+
<br />COMMENTS
<br />Flood Zone Certif .
|