|
SITE-WORK DATE ID/SIG.COMMENTS OWNET IUTLDET DELCANANON
<br />I h.rdy rllim ud.r FDxy ,lI FJU.} lhll I m .r.q'l dtrn llr Coirr-r6 LtttrE Lrt tu rl! tnldwin! Ee'n (l{ a)J l.,
<br />nllirc$ u Prufcsion C,ric): An, Ciry or Counr, whi(t r.n rs a Fror rr dndrud. rlr.r, imlln'E, d.m.l6h or FIrtr dy
<br />{e'm, F, b irr 6 .Lr, .Iso mquR. rrE .I'rlrd n reh Fmr r. 6L. nrEJ (.rcEnt rt r ,t or {r ! l{.n*J |tr .,x
<br />(, rlx FrvBnnr ol rlE Conr8rfr r L&nrn ll* (Clul'l( 9. ConftBrns *rh Sdri,i I) or Drv,tbn ] ol rh. BurEs .nd
<br />Pda$n,N CoJc) or rh,r Ii or !n 6 c&npr rlfthrn ril rhc h.rr ror rh. rll.8cJ .r.hpltun. Ary vn,Lrn,n or SdiD 70.! L5 by rny
<br />rlplti ntr r tEmr obi\x tlE rlltrlkrnr ro . civ'l FMhy of B,r m'c th{ fiv. hunlnd rlou,,s l!ru))
<br />_1, a5 own.r ol rlr poFny, o. 6y .nDlorr.r w h wr!.r ,r rh.! eL .onrlEos.tro., wil do rhc wort erl llE nrlE a ml
<br />irrdrial or ol'.Etl n, &l. (5r 7041, BBih. n PrrrdssB CuL: Ttr Codr..!r! Laa( lir &xr Li qri, b u owFr ol
<br />rh. FIdy wtn tx t r urF E rtcluE lrl *tn dF uh qrt hrm*ll r,lErelr.r ttDDlh hr (r tE ovn.olloy6.
<br />pn'vdcd lh.r rkh hFoffinli e
<br />'r
<br />idcn dl or dI6i for sL lli heB, Llr hJ.h8 d mltNmd ir etl'l w,lhr w Fe
<br />ol co.r{'ldr'( rii (rH Bu[.,!a will hr* tlE rrfrLn oI Frvse ttq lE or lrE d! mt tu'! s qmE llE F)tEly tu rlE FqrE oI
<br />L ai owBr ortrE IDFiy. rnckruriEly (lnlrelhr wrh llcn$l drrrrrs kr ontur rtE FrFl (SR. ,o44, BulBs
<br />.rn Pro.d.m C6.i.: Th. Conrr-roit l-..trE I:* ttB tur {,ply ro o*d or Flln, wh, tlt l! d mFoE! IIEGE
<br />.nd *h, .$ n.1sto.*hFoFrrnh.G{ frlrtrlr lEnsrl puEu.,rr ro r& Ci'drrror'! LiiM tr*).
<br />-l m.r.n9r uBLt S..r$n .D aPC ntrfilR.on
<br />]!IBf,E8!:CAUTETAIII!
<br />DlCIl8ArXl!
<br />I hcrcby rltumuntlcr pcnllty oi pcrJury orc ofrh.,,,llowur d(ld'rklnsl
<br />-lh.Etn*
<br />m tn. C.nifut( of Cornr ro S.lr-lnse r( @tqr m.'S.dia ! Fbvrrd ror b,SelM J?m or E
<br />titrr Crtlc, rr iE rsf{)|l:le! of lh. Nrk lG $tah tlE Ftur n 6nEJ
<br />_l h.E.d *'ll uurru k)tt6 .onFtreru @rd.. s ErtllrJ lt, setnn r7m or rrE L.br Cq]., fttr l& Fni{llIB. ol
<br />rlE *qt fd *hrl rt! Fm r i$Ej. My hrlft .nnlmdx,n nsrm. .rff .,n l-hy NmtEr E:
<br />_lirJ'trcs:
<br />_l d,ry rh.r h rrF FI NB! sttrE wort lr wn.h rhR Fml a Bqd. I nrll rr .mttry s, Frr 6 rn, nsrr
<br />h !s ro b.om iuhJcr ro rhc krrldi (arhpcn.srrdn hwr ofc'liromtr, rntl r8r lh,l II shrull tE or $bFrl t,,llE
<br />*o 6 eor{)..nr.n t,llrihs ol s&1$n lrfri ol rlE Lntr Gi., I rlDll. rqlh&rh (rnol, wln ttnE F)vitbnr
<br />WARNING: ti uE b sm qrl.r' lsnqE.r.lbr drrE3. ! lnL*tuL ml {dl srbF! m. priy.r ro sr nd FtI6 lrl
<br />!'v lincs up ro ort hunlBl rhouru,j .tollsr (i100,m0). in d'l nn nr rh. $i or co,{xBrriof,. d.d8cs .! Fova.! ln lh.
<br />Sdton .1076 of ilE l,hq Cnla. iorcrcrr d .ooftr'r lti
<br />LTCEIL$D.CI'NI8AI:IIBpEcltaar$i
<br />I h.Eby.l,ununlcr 0.ulryor FrJury rhrr I !m ll.nal trnLr Frfixln ol Cirprd 9 (o|1mL18 wnh Sdkr 7(Xxl) nl DMID !
<br />I rhc ltu\irs anJ Pruli(rxNct ., rnl Dr lEcn\c,\ inlnu ktr(tdJrl.ll(r.
<br />l.N.s.(ldsr_
<br />D.l.
<br />-
<br />Coiltrlor
<br />-
<br />gl!$f,uroxLrdDl!{ilcEdq
<br />I h.Eby tOnm ud.r FMlty ol IE lury rhd ttft s . .lNlrudDn llnnr .3s, i)r rlE Frr,ll1mi rn $. wnt fttr xG4h thl. Ftu 6
<br />N cd(S.. .1097. Civ C.).
<br />ATELIqANLDICIJSAIIOX
<br />, hod,y .liim unlcr Fn.ll, ol ltrjur, oB ol rlt tulb*inf d.clJ.r !,8:
<br />D.mhr$n P.rd$A.b.no. tldfr.r$. FALhl R.!!Li.ns rTx L ,!O, Pd6)
<br />_Rcquft 'l L.llcrol fh,ldiulion
<br />I (nrlyrhar rh. ,!{c.rl L'8ulalDn\ rcedrn3 a\hcio\ r.m)valIc n, q'nh'hk n, rhtr th,rl1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />tl --@Rool Sheathing t.o.x lrytfr wa)
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />FINAL t'ft'zl htu//b,[6tn
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECOBD
<br />L.d.r'santlr.:-
<br />I Ld,ry fi.r I hr rcrl lhit .mlidpn !n tr.rc tn.t tlE rb.r 6romri'. E cond I rld ro orply uh .U Cry .d C'uly
<br />odoLq .,rl Sd. UH Ehrry ro ttr[ln8 colmdiotr !n lErcby n hM EIrc* .116 ol rlu! C'ry lrl Colrry io .nrc '4rr rli
<br />rblc mnrirEd I'niFny ro. irrlEctEn purpoke.
<br />Applol d AAal Sti.aun
<br />-
<br />olt :-
<br />Subf loor/VenUl nsulation
<br />Brown Coat
|