|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lv'lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />,t _ .rlat 4\bft{rq /
<br />Certilicate ol Occupancy t
<br />Notes, Remarks, Etc
<br />+
<br />owNEr aullrin D]:lalLaTl{)N
<br />I llEby dfm ud.. FNhy of FrJUry rhc I m .&trpr froo rll coders Li.N t w lor rtl lollo*irr Een (S*.7011.J
<br />tlulin.si In PmfB i C.dcl: Any Ciry dr OEry *hhh Fqun.* r !Em! h c.n{d, rlrd. ir{mrc, d.mlirh or Ep.n uy
<br />nBduE, Fio! n, iir is!ua!. rto rquiEr rl! +tlisr ror su.h p.m
<br />'o
<br />fiL . stE{ ird.mnr thd l' or dE i lic.^Ed p@d
<br />i. rh.Imvti.u ol r Cont*ror'r l-ir.Ed lrq ((l'. r9. GrllwEing vnh S.dhn ?(rrr.f llivi.k'.I otr& ltuiE. ed
<br />Pmf.sss CdLr 6 rtr lror1ll itcrrfr Er.n E.rn rlE 5uB lin rE rllq.d.rcn+bn. Anyv.ldhnolsdin7011.5byrny
<br />tPplf,a.r fd r Fm rbFB rlE .!?lt!d 16 ! (,vil pcNly oI mr mr. !h& fiw hddttd dollr., (t3t))
<br />_1, 8 .*8. .f ih. F)Fdv, n my .i!i.)r6 *.h *.!.. a rrE, hk conFdh4 will d, dr Hri .rn rli rdm n ri
<br />ddrti orofi.ral rr rb(SE.7Oql, Bu!'E( rnn Prut sions CoL: Th. ( o h1n!L*n!lr*UBdeplyb!oeErof
<br />rh.InlIEny v,I' hi!! o. ir{rcBnBa uDl vt Errnkrthinlrlf oraE&lf o,rrmuthhnult om.n$|.}t!t,
<br />pr.vid.d rhrt .uch rqFEEnBed hknLd ft.fctrd fir sL. lli l,*.q. iE b{ildru dr irpoEE n n$cwihqoE )E!
<br />or$npLrioa r}l o*rs Euiut qil! hlE rb tlrLn olFDviq rhd lEr,E 'l!l E tuiU or dvDt l,E FtFty,M rh. Fr!.€.r
<br />l. a 6lc ol rlE F!F!r. m .rluiv.ly $ddina *irh l.sBl r!d816 ro cwrr!.r tlt FFr (sa. 7044, BaiEs
<br />,n Pro&sio.Crl. TrE Coddq r L&.r bv &E d.p?ly tu u oyB olFoFf,, alb b.tldr d m+ot! rhdatr
<br />r.d *rr o dt ld t(h F.FB vi'h . C.dtrr.(, liln<d Fll\a ro rll cddd,l titN lr*1.
<br />-l
<br />rn.ren'rr u rl.r S.cr
<br />uaaxcBt_(!}IlfrdtAtra!
<br />DECI.d8A! T
<br />I lr,.hy.tnounds Fndy olFru,y Dr.l rrE fi,lbsu3 d..t $^
<br />_l hlE.rn will mjd.in r cdif.ir. olcornr ro s.lt-IBUE f,r sltd L$qE-i,G .r FDviLd td bysdbn !76 ol rlE
<br />t ru Cod., td rh. tentrnl.N dtor eqt d,nih 'lr t6in i ia$.d
<br />_l hr* rnd will ninrrih hrk R .on{Eatri,n inilhtu.. r! r.{u!rd 6y Sd ion l?0O of rlx lihor Cod., f* rh. tdfomB. of
<br />Frn,n ir ir$d. M, qtrtdr d,nIENr6i iBurr. ffi .rn lDlty NnlEi *
<br />_l c.niiyrhrr inrtt rE.forde of rh. work tor *hih rhi! a.rmit ii hu.{, I rhrll mt.q,by rny p.tron ir ry Mtrq
<br />$ * ro b..im ruhF.r io rtE *od.d 6nl,.Mrio. Lps ol Califomir. url ogEc thd if I .tsuld ltcor sbjel ro rlE
<br />mA6 conqrurs pmvili.rd ot S4rion l?00 of rh. Lhn Od.. I irll, ldhwnh .lrply *ilh ftor pDBio6.
<br />WAININC F.il,E ro .!* ynl6 aiFBni,i oEn8. i' u.Lrtul rn :hrl ruhi( e dlptr)rr ro Eirno] FrrE !n
<br />(ryil liB up ro oE hurr..d tru..d dolLr (tlm.ul}r. !r rdd.nn to rlE 6r or 6ntEdi.n. d!836 6 Fovn.d ld rh.
<br />-16)o
<br />DECLAIATI0N
<br />I hcEl'y ifiirm uid.r F.dry of p.rjury rhd Lm |i...'.d u.d.r prnri.r .i Cirprd 9 (oh'EBin8 with S.dion ,0Oo) dl l)ivkhn 3
<br />ol .h. ButrEs\ rii PmLsioB Cod. r mv k.n( n m tu[ for ,ri.lf.d
<br />6 rt?br
<br />,trrr,t 1-lC -)o
<br />CONIIBICIIIINIDIDIIGIIfACI
<br />I ifthy llTm ui&r FNliy ol p.riry rhd rtm ! . uNMs hnrnU rt By ttr th. pqtlm o, r,t srr tu vhih rhit Fd it
<br />nsrd rsd 1r? c'r c )
<br />AIELICANLDECIAMIIAB
<br />I h.*ynfmu ld Fnrhy of p..jury oE of rh. rulbwin8 ddldron!
<br />tunbrt6n PmnrA.b.(o. tldifdioi FaL,.l iquLrbn. fink &, Pd6)
<br />-R.quiErl
<br />ldtd ol t(llnrio.
<br />_l ldiry rh, rlt a.iqrl GlrLdE E!!,il'nr attsrd Emvll e n 4lrl.rbL ro .hi! pn,Fr.
<br />)(l cdilyrh.r I hrw ud rhn rppli..rioh !d d.rh.r rh..boE mtomrior dold I lsr roconqly*irh rllciry. (tJunr,
<br />'tr,lnrD..\ rtr'l sirr. l.r!i (lllnu b huildtrir h.r.hy.urhtr'rr.pr* r.Lv.!of rhnCny.rdCou yb.DrquF,nrh.
<br />fit!( ftnrnrkd Ill'txnv nn
<br />,{ppli..nl orArol Sir i 9-t / -t.
<br />IIIIIIIIIII
<br />IIIIII
<br />lt
<br />Rev.08'07-2015
<br />Subf loor/VenVlnsulation
<br />FINAL
<br />. 1/'ttt1/Ao
|