|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />-/^t -,,4
<br />FINAL //7run ,rtrz d0
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc.
<br />oWNEX BUII,DER DEI,('ARATION
<br />I h.r.ty rfirn und.r p.Mlry of Frjury thd I an .r.rir rn'm rrE Codrdm Lr.rc L.* nn rh. n,lL;r ne ftrfi ls.. 7ll.l l t.
<br />BunBr .rn Prncisbn ccl.r Any Ciry or O{ y whah Eiuircc . Ffld ro crnntl. .hd, 'qr.w. &n!8h or EFr rny
<br />slrucrur., rin nr ilr nru!rc. .le rcqut.s l,E r0llt6nl tu iuch F.n h nk ! riBrd {d.ftnr rhd h.n ci\liaccd Pue.nl
<br />kJ rh( Imvhi.n( of r C.nrmro* l,i..tred t u (Ch.fl.r 9. ComnEmins with Sc.tion Tlrx) or Divki.n I ol rh. Burin.sr rnd
<br />Prcf.(bns Cod.) d rh.l lE or rlE n c!.trr{ lhcEftom .d lh. r$n ,or ltE .lts.d .r.n9li'n Ant vi.Lrin of S&ibn ,trl I 5 lry rny
<br />rpplkrnr lor ! Irdn .ohjr.k rh. !fl'lkrnt ro r .ivil ,xElr y of fr, mft rhrtr fir. hunlr.d dolls! (55if,,)
<br />_1. !r o*m. .r rlE FnFny. q ny cn{,loyr3 sirh $rsc\ .t rtxi, $k $nirtrdhn. *iU d. rh. w*l rn [r {rEln ir mr
<br />idcrldl d oi.kd fd qk rSd 7O4.{. ausiF. rrd Pmt (hnr CtL Th clflrdor'. l,&nr lr* &Er d {td! n! d.sE of
<br />thc FnFny tr h, tuil& r rIn,F rlFs,n, [n $h, 116 *h *rl him€ll o, hc*lf r rrFu3h nt , hs orn .rqik,y*1.
<br />pfuvidctl rhcl su(h iryoEEnls e fl'l intc .noronidlorsL ll.ln,*cki rlt ttildinS or intmEm is sld wirhin oN )c(
<br />ofsnlpLrin rlEOsrcr BuiB, will h.E r,r h!d.i orFin! rEr hc{r {E dil m' hrll inF.E dE FotEr, fs rlt r,trFE nl
<br />I. ds owmr.f rh. tmFdy, ,m cx.lurivcly cotrkNt i.I r h li..nrd c.nrrNt,rh d,nsrd.t tlF ln)F.r (Scc 7I!.,t, Blqrcs
<br />rl t\l .sin Cod. Thc C(,nr*ttr \ Li...* l-N df,s nn inply t, s .smr .f ,)n,p.n y rho nuilh or impmrts rh.r.on-
<br />lnd rno ol'r..ds rfr rrt FDFll *[l.Gddkmn liin*ii p,lgd rorh. (h.rdd'3ljNnc llsr
<br />I fln.rcmnr dft].r S.crion
<br />E0arESll.Crrllgidrlr,l!
<br />uDg.asaltoN
<br />I rHct'y rmrm!.dd rEMlly of rErirry.x ofltE l'lt'sinx d..lurdiotrr
<br />I hsvc jri r
<br />'
<br />ll minr.m r (tnif{ltr ol Concd t, Scli In{uiu lItr u rk$ mqxhg, i.'n, r ,k*il.r, fn hy Set r)n .l?(x) ol I h(
<br />lihtr C'(xlr- l'or rhc p$fornufrc ofrhr wo* ior whi.h lh. lJ..nir is hsu.d
<br />_l h.E rnd * ill minrln eorld codlFnqrbn n$rN.. ! r.qui,sl ty s€rnn r7(x)olrh. bb.r CcL. for tlE Fftnrrl[col
<br />ItE qnt fs *hth lti rEmir i Lsqrcd My sorks enqEngri.n i.rur.m. (si6 !n Plty numlEr @
<br />l..n,fyrtur m rlE p.rlormNc olilI l.ll ntr Bhih rhn Frmii r nrkal. I rhrll dn.n{'ldy.ny Fs,n in 3.y mnrr
<br />$ nt,lEor rulF ro ilr hrtR onlxndim L*iorc.!rfom!. ltrl !3r rhd il I rlnuld lE or uhFl ro rtE
<br />*ort6 omlrhurbn t)n,uri,ns ot Sel bn l7{D of !h. bh, C.dc. I (hrll. llnh*ith c:'nply w t rlr){ Pnrvsirnl
<br />WAllNlN(; I.!,luu ri, *..trr. *ork.'i (oi,lPlnq nn,.ov.rrsr n !nL$lnl. xnd \hrll n'bl.cr !n cmnk
<br />I r}xru'il Jollar (ll(rr.lxxrr. tr','A
<br />t/
<br />dcr.{ aftl lnoEy\ rd
<br />u!Lt&\lra)
<br />I hcrch) lffiflntridd lf,mlr!.lF Uryrhar I trn lktnral unlcr f'.ornirol ( hr r el.omn.&li8 trirh Sceti,n 7(xrDoll)ivNi,m I
<br />ol rlf, Au\irr$ tnJ Proll$trlh\Gxl., rl ry lr(n{ i\ h tulln{Ndrlrtl!.r
<br />I h.Ehy rfarm uhLr Ffrlly of Frrury rlnn rhsc n n !r,ns&1r,n hnlng r3.Fy f(rlE Frfo'r'rm..llrx sod for }tah rhir rrrmr ir
<br />nsu.rl {s( :}u)r. ci!. c )
<br />I cdirrrhrrrh. f.rLrr| Egoloranr EBlrding r\h.noiEm)ulm nn qnlInhk k, lht ntuFr
<br />I (.dilithr' I hlvc rcadrhn $pltarinrud (dc rql
<br />unl'Nrr\ r l srdc lr$( rurns ro tn'U sllx<(-t,ih\r rnrntuJ F,rrd! r({ h.pc<r.rrod,q.
<br />.rpprl.rnr nr,nrcnr SI*mlum A
<br />".*u.*,,"iiDra-i@\+Ez-,r",. 1 t6
<br />aurzr7.,
<br />Crit
<br />-
<br />AISIICANL!&q.ASAIITN
<br />I H't .fm ud., Fnllr y or Frjuy oft nr rlt r('llire,ni &{lr,rr i,nr
<br />I,.mnnir P.milt AitE(or ft irr.li'n rdcrl Rf3uhlion\ (Til.{r. I!d6)
<br />-ltcqutcd
<br />lllrcr.f Mrirtujion
|