|
SITE.WOBK DATE ID/SIG.COMMENTS OWNER IUILDET DELC TATION
<br />I tEcl'y {r,n unl& Frhy,n |r rrry rhr I .r.,r{, rioh llE CodrdtE ltsc Uw rd rlr ftllhwn8 E^$n ls.<.rulr,
<br />aurr.$ .irl Pror.si,n (iri.) Any Cily .r C,{'ry shrh ,.quirs . Ffrr kr code' .116. uYlrot. &mlilh or EF{ u,
<br />nodu , Irr, io r !s!rBc, tln' Rqut.s rh. .llllf,dr for rkt ltmr n, ilc . nsEJ i.r.mn' lhrl lr or ir ( [.cnsd l'Bu.ti
<br />o rh. m,vdsN ol d. ConkrcN s Larnsci L.w (Ch.pl.r 9, Coomring e(h Sccrtun ?flJo ol Divrn,n I oflh. Burims .nd
<br />Pnnc$nlns Co<L) m ltul lE or 3h. ir.icn{i rlEEfx,6 &1 rh. t:ss ror rh. rlk!.d cxcnFion Anytnn.ri.,norSeri,nT0rl t by.ny
<br />rrf l'[nr tu . tEmi rubFri tlE .fliiqrt kr c (ivrl ,tMIy of B, nrft rhd livc hlntral dolld ( tJu)r.
<br />t,d olEof rlr FoFnr, d ny.nj9rrrcr wlh wrF s rlEt el.!qn!.lir. w Ll, dE lvdt.d ErlrtfuBd
<br />lrdloj d of.61 (d s|. (Se 1x4, DMsr .,r, ProfdroB Cdl.: TIE Grrr-.q ! t ile ti* JrE n,l {'dy lo o orE ol
<br />rh. FI6y wi. lxillt ,r ,rpor oEq! lrJ *no *B tut udL h,reltnr ts-ltor llmu3h hit 6lE oh ctphyd1
<br />ph*LJ th,r fth n{mEmtnr @ ftn i olal rofiel ftx st.lf, hl{t@,0r tnixins d !rynEm n$!Into'mrr
<br />ol conFLlioq lL Owrr Buiud riU h.* tlE hrd.n ot !n)yo8 rhd tE or dE .lil Bn tr'tl o inqhE {E frtEry for tlE F4F* o,
<br />-1,
<br />rio*Eof rrE FrFny. mdclunwly.o r-lhA unh ll!.nsl.od*nE h Lfliru rrE FrFr (St. 1!t4, BurK
<br />.r! h\,&sm CqL: Tlr Conaru r Lx.r Liw ltE Dr rr'rly ro s oqH {r FbFdy llF bu ltr mroE rlE 6G
<br />rnd *h, ddtuB ftr.kh F,Fr. wi$. Codddte) l(Nal l{mrrr lo rlE Comxlq i Li.M trw)
<br />}lrSf,EBi:.cautElsallq!
<br />IIECIJSAIIA!
<br />I rE(h, rrm undd FMlry dl Flury om ol rlE n t,*hr dc(llIlri,rN
<br />_l h&,rl Ull flDr.i,. Cdirr.r. of C@,tr ro S.U-Ille td hrro R,tIEndia ! tn ralal n{ b, S€!i@]rO ol rL
<br />L.&x CcL. fs tlE Ffcr'e. of rlt Nt t{, wnEh rIE FrnI ir su.rl.
<br />_I hrvc lnJ *illhrmrsin *orkcr\' $nFnsrton rntrr.c., us rcquircd hy SL.r rnr l7(x) ol rhc trtxt Cqlc, lnr rh. FridrNtu. dl
<br />rlh work tur whrh rhN Frnnr rs rssuti My worlrcri ..ml.Nlrim rnsur,tuc raft( aii B,licy nu n$.r el
<br />&nry NuniEr:-
<br />-l
<br />r.n,ry rhrt r r FrLrDB. of rhc mrt lG rhrh rhn Fm,r it E$.tj. I rhru ftr .r{hy rny FRr b.ny ,mE
<br />q' { l,r lEom subFr lo tlE s'rtqi.lhFtrsrior L*r of C.lfomr, {tr +r 'h.'
<br />iI I !h)u! lE r'tu rutFr lo rtE
<br />*o*c^ cohrcns,rnin t^ivnn)nr or Serion J700 dr lhc bhtr CoL, ! slull nln hw h .rmply * irh rh,€ ln,vaiotu.
<br />TryABNING: Frilu,c kr kur n,krh $nqxmdkrf, .rr.na. Lr unh*tuI ...1 rlDll hitr u .ryi'ytr b dirrwl F tE .d
<br />.!rr li..! u! to oE hutrt d tl!'us,rl dollM (Jloo.Ux,). m rld nn t rh. con or comJE.sr$n, L,rm8.r * F.vid.d n{ rlE
<br />Sdr t{76 of rtE LrEi CqL. hkEr .,rj .rnftr'r lFr
<br />UCldlED.rCaNBAgqB
<br />DECIIf,AIIIT!
<br />I Lrh, rllim u.d.r I'.Elty or,ErJUry (h{ I rm l,en<J uftl.r pfl,vtlrn ot Chrfld 9 (co.1mcbg qrrh Scrl i'n 1x)0) of rrrvuon l
<br />of lhc Burimss dtr.l PnrL$hnr Ci)Jc, .rn my li.n$ n in tu,| t)rd dnl .llit(.
<br />ro!$f,t(uotilElllMi-&ilrgr
<br />I hrrr$y nl,lrnutrJ.r r^..nilryn, trrttrr rh.r th.r ir. (lr{trdi)t lcndml rtcRy ilt tI[ p.rtrnuk. !'l rlr s)* tr wh[h rhN lrnnr !1
<br />r\{r rS.( .r(ir7, C'v C )
<br />AETLICANLDECIdEAI1IA
<br />I hd6, rnim h.i.r a.n.hy o( pcijxry orc ur th. nrlrlwrn! .t( llations:
<br />Drml i)n PdmitlAstE{o! No$ltrlon F.d.rilR.BuLtionr(Tirk 40. Pd6)
<br />R.quld t lldolMrf.rnn
<br />_l ..nlry rhd rlr fd.rn Ephrb6 E8-dhB .rlrjor rcmv.l ,c Br .fl r.r't b rhn lin Fr
<br />I ccnrli rhar I h.r,c!n rh' rmlrrrpn,,n nlrc rh.r ih. rbv. nn,lrurDn B $N! l.s€ rd comrly qnh.ll Cny. Coun'y
<br />{,{,nrR.t cnJ Srarc Li*r Ebrus ro blildins co.oru.ri,(,rl rEr.ht.ulhtr,. rcrE}.nlrriEs ofrhl CIy rnd Cuxnryt,."!d uthn rrE
<br />rhrvc mnrnmJ !$r,.n, lor inrra-tn)n NqxNcs
<br />ApDll.rnl o. AA.nt SiAmlurc
<br />-
<br />Ihl.
<br />P.<c E( rrrlnD:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathing Llt u 64+t7
<br />Shear Wall
<br />Framinq
<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 Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />t I I r.?-z6-/FINAL t"*w
<br />Certiticate of Occupancy lt
<br />Notes, Remarks, Etc.
<br />EUILDING- INSPECTOR RECORD
<br />uKtv{
<br />_l .h.r.n{,r ldJ. Sftrx'n_. 3 & P C for lhB rc.vrn
<br />t n&i AItB5:-
|