|
BUILDING. INSPECTOB RECOBD
<br />SITE-WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathin
<br />Shear Wall
<br />Framin
<br />lnsulation/Ene
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />De Final Re ortu
<br />rtEnineer Final Re
<br />Flood Zone Certil
<br />l qFINAL
<br />Certif icate of Occu nc
<br />Notes, Remarks Elc.
<br />OWNEN AUILDER DELCARATION
<br />Lrrlty .rtuh u ld tEBtry ol FJllry rh:r I e .r.h0l 6tn rlE Conrr(6 tr.nt L,* ror rlE nnbwus n''h (Sl. tuJ l.J
<br />Bu{n.( lil Pnrf.slr (iiL)r Any Ciry ot G,unt, qhrh FquF . Fmi b on{Mt. .lrs. iq,trE. d.frnlh or ElEu ry
<br />srrucluE. Fin h ! r{urBt, !l$ rcquitr rh.,lphrd lnt su.h Fmirt! hL. iism,l dlrcsir rhd lrorrlt s lic'hcd luN'nl
<br />b rlr F,v6rrt or rh. (ontr*L,'( L..nkn li* ((lufl.r 9. cl,nmBn8 *'rh Js*r.n ?(Itl.{ D*Fx{ I ol lh' Bunr( d
<br />Pnntsn,.! C(xi.) s rhlr lE or rlE F (!.n{n rtF.fun 0l rlE tf,$t t)r rlr rlLP.,l .r.q o. Any v$L!r.ofS..rr8l0ll l hv.nv
<br />amliranr tur i I'trmrr r!hj.(h rh. rnplie.nl n, . civil Fuhy ol nor fr)F rtun I r!. hundnl dolhr! ( S5fir )
<br />-1,.1
<br />offol rlr ln)Fny, ir ny..r9l'F. wnh h!c!.s rrEr $L.onFnqrrr' s l.la, rlr rd* zn llE nerm ' d
<br />mrcBLJ o' oficmJ ntr rrL rse.70l4. Buttrs .nd Prnc(ont Cirl.: Th. C nlrrxtr'r 1.d... lrw dci nol rrfly nt u o*rcr ol
<br />rlr !nrd! *tr, t!i& or iqwB rrm)n. .d whl &r ur uil hm€lf o,lEMll nr r,mu3h hn or ls own.,rl||loyccs.
<br />pnrrlal rhr ruh ir{$'wdr s n daru o..fl.Bl ftr sE ll.lxr.E, riEt! luIA d rt{ftmd 6illi qrhrd tt
<br />ol.txlridm. rh. ()*Rr Bu[L( w l hrE rlt tirnLn ol F'qn! rhd lr or \h. Jn mr h{ru o. ilti*t tr F{6v nn r lorF tor
<br />-l.rso*RTorrh.Ii'JHry.nr(lu!\cly(unktuint*
<br />h l'!.nrJ ( rnr &1.r t! ! )n(tur rlr lln,J.d lS( 7l,l Bu'tr$
<br />ml l)Idsqr(i c: Ihc(i,nrrlcttr'r l-r.n\c l.a*J,Kr norrydy !),n *n.rrftn',f. vvhohu'1J\rrrltlhv'srhcron
<br />rnJ wlx) ()ht&lr1,{ qrhI'rFl\r h.(idmrrri,ltrtrlJ noru rt'rh.( onrrrrrt r l-t.ne tr*r
<br />-l
<br />!fr.r.mpr undcr $.r!,n-, B &PC lirrhrR{i'n
<br />!V(IRKXRS' CONIPENS TI(,N
<br />IIECI.IISAIII}!
<br />I h.r.hy.lli'6utrJcr Fnrnyd F]!r) om o, rlx n,lllqi,8 'lebrrrtxF
<br />I h.v. !d *nl Brrrh . C.n .rrc ol (i'n(.! t, Stll.lnur. ntr rul(a $mFnur Dn rl rDlriGl ttr hv Sdrk'n lL_U) ol !h€
<br />tftxtr (iic. nn rh.FrlomNc l lh. worl l,r*hich rh.Fnnl r rsucl
<br />- I hrr rBl er ll mlmrlo wort.^' rofrl.r\.ri'n rn\uriht. rs rc+u&l hy SNr ix r7l[ ol rh. I jlin (iik ktr rlE lrrlomxh' o'
<br />rhr work lo.rh'chrhr p(rnxr ri F{tJ Mywuk.6 c.nrFn\rtotr ontrrkc rJmr ul Inlrv ntrnlhcruL
<br />-l
<br />(dltyrh.r r UElrrl.rmNcof ltE rod l{r *hrhih* IEirh r F{kJ.I rh.ll n{.nnhv.ntFe)n r rnvlM r
<br />v, n' tEonr ixhJ.u k' rh. wtrk.^ .$mFn$tron Inw{ .i ClIn'mE, ml +rcc lh rfl \liinlt tENm suu.cr t)rtr
<br />kdqi d'ryrhqhn,n,vlrr.! olsdbn:1700ot rh.Irtnr(irl.I shrlL l.nh* hdrrply r[h tlFk pn,rii'nr
<br />WARNTNG: ,'.rniE b sr sxt r' conFneri,n (r'kz3c ,! lnlrrlul. :[l illt ruhFr u qr{ll,F io lM.l lmt'r rd
<br />!tr'l lft\ trn t) onc htrtr,lr.'l rh,nhnn.l .l.lltr1 ($l(xr.lr,(l
<br />S..rrr 1076ol rlruhtr(iit. icrc( ufrldi[rJ_ sk.\
<br />). h r,,Jion t) rl[ .on u8.s .r ,ro!d.J ntr rhc
<br />I-t(-! NS Ut) (-( r:\TR.\ ( l('R
<br />l)F:( t-t&ttl()l\
<br />I lEEri, allrn lLLr FDIy oi p.rFrr.M I !D lEtrhl uftL' Fotlrr oa(rlF( ollrmnfrr! *rh Ser!'n nm) orD'vtrr'n I
<br />ol rhc Bu\incsmd Pnn.!$onr C ,1.,Irl nr lic.n\. n s tlll nk! ul.lf-.-r
<br />L,r.n( Chs
<br />-
<br />Ilfthy.lfmu.rP.dlt,olFrlrryrtnrhd.(rdtn{u1.n!tn!SrSatforllEF.Llle:coftlru to, *trh rhn FBi !
<br />r\{i.!!rsa 1rr7.c'v ( )
<br />AIEUI)INLUECIISAIIO!
<br />I hd$y.Rimu ]dF..x,ofFrJtl.yodor rh. tulk'*n3 ddLrrrFn\
<br />Dcninlon P.rm iAft.(os NonIr.rl!,n F'.Jcrel R.suhrr)n< ( llrl.40.l{n6)
<br />-R.quErl
<br />Ldld of t*rtrrrm
<br />I dify rhrt rh. lok .l E!!Lri'B ESrnrS .rLnor EmtJ e n +r a.r . b rhi! lmFl
<br />-l
<br />..rrir, rh.r I h.w Fal lhit tppL.l nn ,tl .r.t. thr llE itE 'rt'mi,n i! .*_'. I rE( ro dt'ply trnhal!(irvanlCnunry
<br />onltr'rtr(.s snd srrr.lzw\Fhrm8 k! h!il'linr cohdrucr('n,,Jrl hcr.hy {r r1vc\ ol (hnc y ifrlcrlnryn'.nr( ronr
<br />rh'v. nrnr$kJ l'trFnv l(tr nr
<br />,"., 7-30 7?\l,Ili.tr or,\$nlSi!niltr'a
<br />P.fidt*|mrDrlrl!:
<br />COMMENTS
<br />Subf loor/VenVlnsulation
<br />Handicap Req.
<br />I l]
<br />W {$^r,3 t tD+1/t"oDa/t&(5&
<br />Off-
<br />I)rl(:-
|