|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DELCANATION
<br />I ls.b .ltm !.& pa.!y oaFrury rhn I n q. F noh llE Conr-ld ttce r,r for tlE lollowin3 lrn (Sd 70ll J
<br />Burind .rd Profsion Cod.) Ary City or Coutny wh,.h r.qut6 ! ,cDn lo mtrrflcl, tX6. idrNv.. &rolilh ot qti, 6y
<br />scrr Firro !t! 6.l,zE..!d,.qur6 rlE {plt d lorsfiF to nL. iisi.d rioEn tr lEor CEi lkc!.d Fed
<br />ro rh. FsvitioB ofdE ConlEdoar Licdlcd liw (Ctlpld 9. Coruocoe with Sdion 7000 ol Divirion I olftc BBi6 Md
<br />Prcr*ioB C.d.) n rhd lE o. dE i dqnF lhd.tui.d rlE bGir for rlE dLg.d qaFbn AIyublrio.ofs<rb.7olI5 byey
<br />$pl'curlor!p.rf,.ubrqErhc!pphc!.tro!ori,p.ndrrofnotmoErhtuli!.hu..ddolld!It500)/y1 l. s a*E,nih. FtrFn). or m) cmplo}t6 q (h *ix6 B lh.r ok o,mFNhon. MII & rlE *rtl lld ln 'lry1G! hr
<br />i drLd orofod tq,& (Sd 70.u. a6il6ed Pml6bB Cod. TltGnr.rd.tiwt *dGDl4plrloEo*Eof
<br />rh. flllarr r'h tlildo. FEro€$qe.r rd *lE dEsh w hirelaot ha*lf .. tlru8n hn or hd oh drdolq
<br />provd.d rh.n uh inF.ElEB e d hlaxLd o. oltdtd h. ul. l[ lb{t6. dE t{ilditrg or i,qovoE it sld vinh or JE
<br />oa.dekia rh O{ro AriBa {ill lrE d. hddr ofFovrg Uli lE @sh.td d hild or irproE 0r Folory t tl: FrDo*of
<br />l, 6 ownd ol rh. Fopsry. McrclBiv.ly(ontrelins with licftai co.rr8tus to codtud thl Imjdl (Ss. 70,11, Bunn6
<br />.,rl Ptlk in ('o&: Tn. C.nlr*roir l-ic@ t r'&E mr .pplt !o 4 o$E orF.Fly *'ls t{'ldr or inFord rhdon,
<br />and who .onmcl! ad !!.h F.jets v{h 6 Contffio(s) lic6s.d ,,6@r to lh. Conrrlol! Li..M t,w)
<br />I m crmfl urdd s{rion
<br />^ r"b/zs(7
<br />!rtL\Rl11,)\
<br />I h.(by rmrh undd I'6.1t) of pqu.yon. of lhc followm8 d{lmrioE
<br />I hN. od *rll m.inr.in . Ccnilr.rc ol Col6r to Sdf-16@ fd uortd mnp.tunior d provii.d for b, serior !700 of6.
<br />llhor Cdq 6r t,l FfolrlE. ol tlE mrt for *nth $. Fni ! Blca
<br />I h.v. ud wiu nainllin *!d6 .oopc6.rion iNrM.. s Eqrtcd by 56l otr 1700 ollh. trhor cod.. for fi. FlolM. or
<br />fi. Nrt lor which fiir pGin i! &r.d My F.lo omFuiof, 'BUm ffi ad Flr, nmbd c
<br />. l.sr'ryrhdinrlEFf.lllw.oarh.ilrtrushanlhnFiasi$ad.I.lullft{4rloy&!F$ni.uy@F
<br />s G ro bccoft rubjer ro rhc s*d' cosp.Btlrn L*a of ( .lifomn. ud ,gG thn if I 3huld bcoD. tlbial
<br />'o
<br />llE
<br />*0116 coEFs,rion Foriri.B of Sdi.. lT0o olllE blu Co&, l iull. fonh*th.omplr wnh dFr F.ritioE
<br />wARllNc l..,lur. b su. qvl6 $mFsnFn cot6rs.6ploF lo oniml FBri6 &i
<br />'.n, d,s8d a !.ovidGl for th..nil nnd up to o,. h!r&.d tnoG&d dolle (llm.ooo). i. t n
<br />L.trtr Cod.. irqd d ilorE 'i fc
<br />DEClJSAIqd
<br />I ho6y lnm unda Fn ltr olFlury tfir I m hca'!.d od.r Fovniotr of ch+r6 9 ($mtr'ns * irh S41io! 7000) of Dirrlion .!
<br />of rh. BuilE di Pr.f*ioB ( on , .n my ltd 6 h tull loc td.ltar
<br />CONSTRUCT!ON LINDIIIG,l(:ENCY
<br />I hs.$y tfrm un.ld F..lr, of Fju.y lh.l lh@ ir d cotrrrudbi lddiir i{n, for th. Ffoll1rs. of llE *!rk hr shth tl'a Fmi .
<br />ir .d (Sr 309?,Cir C.)
<br />Affuc dfDEcl4Sa.rlll!
<br />I horby rJfm lidd F rhy of Fjlrr orc of fi. follo$ln8 tk(lmlDB:
<br />*molition Pdnll3-Altcro! Notificdion r'.d.al R.Suhriont (Tnk 40. Par6)
<br />R.quEd lrlt6ofNoif{dbn
<br />I cd ify rhd rh. lalaal r.luhrtuB Esudins sb.sros rcnoval d. nor !ppl'(d$|. tu rhis ,n'l.d
<br />I corift rhd I h3v. rdd thi! appli..!
<br />6.dior6 d sr.r. t!$. Ehin* io ttr
<br />!bor. mdrron.d polmy lor
<br />'6p6rion
<br />rppr,o.r o. nr-r srrn.rr. K
<br />ion is.dn&1 l.srelo corply( hdll( (yindcfunr,
<br />rurb.i& r.F6din6 otlhn Ciy&d Couh-' ro drd upoo E
<br />^,.*/z/aufPmhc*.r,r,nu Wrl@:t+l q''"'{;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing ?,b4-+q
<br />Shear Wall I
<br />Framrnq 7 ,) ps.E 7
<br />lnsulation/Enerqy
<br />Drwvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />rl
<br />FINAL t?-.?t wg-.w
<br />Certificate of Occupancy ll
<br />Notes, Remarks, Etc
<br />)"
|