|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing ll' t /'>'rt 0{krra N.5 60
<br />lnsulation/Energy it.2v.h i( W-14nDrywalll t d</ ,ro M"ntea
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />Atl-t
<br />FINAL tlt arutryt (X
<br />Certificate ol Occupancy I
<br />Notes, Remarks, Etc.
<br />OWNF,f, IUILT'ER DELCAITATft)I{
<br />I ltEr,y.rrd ud.r FMly of F jury rtd I B.rcrpl flM ttE Co sloF Ltdc trw r.t rlE robwin8 r$n (Sd7oll3
<br />Bu*in.s .lt Polcarion Cod.): Any Cily or Counly *hth Equircs r Fnir t' co[ntrl. !ll.t, i,n rerc. d.rrli,h or EFn o!
<br />uruc pd lo ilr i!ru*e. il$ ErluiE! rh. lpttad n, ruch Fmil lo liL . li8ncd sldcftnr rh.r lE or dE t licnBi Fmr
<br />ro rlE FovirbN or dr Contt-1q : Lirhsd Lre (Ct4r 9. C.|lwrin! rrh Salion 70@ or Divnb. I or ltl BuriE$ .rd
<br />Pma.irionr Co&r d !lr! lr d rrE k.r.npr rdtm.,n rh hrt for rlr dLr.d.r.ngbn. Any virlr'b. ofsdb.701My ry
<br />lpplttd for . For {r'F|! rlr .rrlad to r c,vil Frhy or d mrc rh& livc hundr.d dolb! (t1q))
<br />-1,
<br />$ oeB of r hc F.p.rly, o. my.rntloFs with el86 G lh.n Fb omFnl.lion, *iU d. rlr w.,! .!n tlt tuE i! r
<br />iddn d or offcEd ror xl. (5€.7044. Buimr, dd P,nf6io6 Cod.r Th. Conlrdoar LicnE hq &B ml ipfly r{, u o*k ol
<br />rlE In dy vl, tlrllr or inFo6 rlEFtr id vrs {tE tn u* himlf d lEMlf d rhhuth ht r hd o*n.,tI,b}s,
<br />pmvilcl rhd rt iqm@trr G m{ nsi.d d oGrd 6r -& ll lww, tlr biBiE irFDtGd n nld ranh c F,
<br />of orplria tlE OqE Builtr *ill ltE dE htdar ofFDvil| ln. lt d rlE .lil d bd! r ilproE iE FlFty fn lll FIFE of
<br />L ur orM ol rh. Pf,,pst!. m .xctusiwlt conracrins *irh licoed col{.elo ro .oNt d rlE Imi*l (Se. ,O14, Buir$
<br />r,n Ph6drh Cd.: Th. c.nt-rols Lk..c Ltr drcr ml rpply lo e owE of reFny wlr) buildr or inproEr lh.rdr.
<br />rnl *b onrrdr 16. sh FDFr *nh r Co.rdo(n lEard Flrslr ro rlt C!,rrab.\ tj(rN bw)
<br />_l rmcrcmt, uD:l.t Sdrion-. A &PC rq rhir rr$n
<br />l).1. ()rn.r
<br />wotxr rrs' cotlrprl s,rrrol
<br />u;llA&trroN
<br />I hrhtamm uolcr FtrriyofIqlu,) omol rlr lol[){ ir3 nNLrdion\
<br />I llE an *ill rid.h t Ccniflrrc olcotrrd lo S.lt lnG rd *dt6 o,FMirr. ! F$viLd fa 6y Sdlbn lrt ) of rlt
<br />rnn Cod.. for lll lEfl]lrlrc or lh. slt fc shth llt IEnl i i!$.d.
<br />_l hr* ad will nrinrrin workcn conrrrnnri,n i6ur!r., .1 r.luiEd by S.cli'n :1700 o, ln lrx" Cdi., rot r,E Ftrmm. or
<br />rhc k,ll ror *hih rhh Frmir k ir$.d. My qdlss otrIE.qliln intllJuc .ui, uri poliy n!r$.r m
<br />x"",
<br />mt r:-Er+iE!
<br />li rh( in rtu lf,rforerc orrlk *orl ll, *hxh rhn Fnnir ir nsu. .I (h.llnor cnl,r'ylny rr6on in sy Enn.r
<br />shF t! llr wtd{ snpcnr.li.n Lrs or C.lfonir !d {N Oi if I sthutd tFor suF lo llE
<br />wtrtd @drEEr hn rovni,6 of S..rir l'7@ otr,E tikr C.ns l irl[ fdiufi olrdy rith tllE pDvtiB
<br />WAIi{INCT FriluE l. rM wt.F $trp.dion mr!! i! u,L*tu|. In lLI $bF &.nphrq b in l Fnri. !n
<br />civll nEs ut, to oE tu'nEd llnus,n &,llG (slm.Gn). h ..ldira6. k, Itr .d of con!.trrlior d.mt6 a Flvilcd for ItE
<br />sdri,n !076 uf rh. I rhr,ord., inrcr{dd rnlrmyi f.6
<br />),,"
<br />"n[ii: lt;;"''^,*-" irr.,,/. d f.y,) r, ;y
<br />LICEISED.IIINIXAI.IIA r'
<br />DEllrX^Irr!
<br />I M, tfrm !i&r Frny ot F!l., rhr I u [GEd uils Fvir-o of clrFa 9 (offiinr dh Satitn 7m)) or Diviri,n ]
<br />of rlEBEiEsrn Pr .si,c Co&, rd d, ltff t! in tull rm .,n.llel
<br />13 /D)-n,,1
<br />b,, /sy'\ ?-a)o, *,,*,* 3-o52L $t:, b'.- ( o,,S/n,4!to>-
<br />CONSIBI]CII}I.LBDTNiISIII;I
<br />I lrrchy alilm undd Fnalry or Frjury lhd rh.E is a onrru.rhn lcndins .s!ry for lh. FrforlN ot rh. worl( for ehi.h rhi. tmn ir
<br />n$.li rs( 1097, cat c )
<br />knd., 3 N.r:
<br />-
<br />AI2IIqANI.DEC!48AI]ITU
<br />LEr!, !trm !'tto FMlry of Frj!ry oE nr lll lolbwinS d..Lnlion!:
<br />Dcmlnion ilrnilr AiEn6 lldirrdbn tudrl R.lrLriinr (TnL 40. P.n6r
<br />-lt
<br />{!nd Lrrdor*nfdi
<br />Xccniry rhdl lhc hd.Bl Egtrlsrions rsontirs '4.sro. rcn$vrl ec tur appttlblc ro rhi* ln,rer
<br />l->al d,lylh{ I h.\. Erd rhrs+rlmrr'nri q.rcrhr,rr rlnr. 'nl6 r,n
<br />'nratEm! r,n Surc I .w! EbrE rn t rld'nr (ddr4 !n h.rr5y .ulDui! (tu I llEbNnply*nh.[ Cay.'n Couty
<br />.ofrti! Cat.d Cdnnr, ro 616 uFn E
<br />.lrtr! nEdioEd InrFny fc
<br />At,plirfl nl or,ttdrl Si*r{hrr
<br />t'/cn.*-,./r"/ar-
<br />ttilrd
<br />Rev.08'07 2015
<br />Brown Coat
<br />I
<br />--------T------
<br />--------T------
|