SITE.WORK DATE ID/SIG.COMMENTS OIVNI]R BTIII,I)EII DF,I-('ARATI('N
<br />Ih.nhyafltmu cr !.nrlry ,,l r^-rltrry rhrr I !m c\cnDl h n rhc Conrid)^ I.r..\c Itrw ntr rhc finL)wrni r.ie)n rsc( 70:11.1
<br />Itu{ne$ ,rl Pn 'l.$in, C,dc) An! ( y or ( ,rnry whr h rcqu tr$ I llrm b .on(fld. alro. hpor., & ,lrh or (nr( Me
<br />druLnn.. nrrtri!) n\ NruaR.,.lv' r.quucirh( +flr. ntr \u(hlImnrt' tik. ll3NJ nrr.nrir rhi lror nr r lrcn{J En\u r
<br />t' rh Fnrx,n\ ol rlr conkknr,! I r.a{J lf,w r(hlorcr 9. (!'nrmRrn3 *[h serDn')lrx) o! Drv6r). \ dl rlr llunNt .ntl
<br />Prcl.s!)ns C,rl|)orrhir h..rrh tr crnfl rtukrrrmrnJ rhl hNr Irtr rlk rlLt.il.(n{*tr)n Anyvifir!,nrn\I.rrrn70.rl shylny
<br />itrtl(atrrr,trrr^-riurrunjcckrh. rnpIcrnr t,,.rvrlfcnrlty l nor nxnrrhrn I'v. hu*]r.Jnolliis lSJOtr)
<br />L t! o*m, oi rh. F,Fny. { hy.rlohF.! *[h wr36.\ ilrtr qtL !-'r{Enerrr. s'],J' rh **t lrl ir qturw. nn
<br />m.nLJ or off.ftJ l,r eE lsd 7Ol,{. Burers lrl h{.sr'.r (irL: Tlr Ctrdrarda r L.c.* Lp lj(r. Rr {" ! r, .n sr'mr .l
<br />rh. F'p.ny *b tn Jror irlrn'Et rltRn rnl *hlJ(r\j^-.hH,lt hmscll o, h.r.ll or rhn'uSh hr or h.r o*n .mnt,,T.\,
<br />Dnrrd.d rh{ such mpmwftd\m n ntnh,l or ollcBl ttr t.k ll. hJwcver, rlr ho diry .r f{'nMmd n a udhh.r ru
<br />ol $i{kr!tr rlr o*mr Bu&t * h.E llt tuLn.l ln,!in! rh, tF or dr Jri tn'U or 'n!h'F rlt an,Fny tnr rh fl4r,r or
<br />l..r!,trn.rollh. tr,'Nnv. rar.r(ttr'rrly.!tr r.(r rr *itr tknr\.'t!!n[rrnr\n)Lon{nnr rtr Itr!|}-(r rS.. rx] ntr!k$
<br />$1x, $nhrr\ i,tr su.h lr,l.d \ w hr(i rr!nr!\r l'!rtr\.n tunmr r' nx.(nntr&nr \ I '(.nw-lr'!l
<br />I rn.r.hfl !ftLr $(rrrn Y
<br />rlf)RKulis (1)\,t !:\s\ I t0tuM.IB-lM
<br />I h..6y.rltn und.r txMlt nr Fr,!n om orr&\t'$ms iLrlurr,.{
<br />I hrv( {rl w,llnLUnrrrrC.nLl'((.ol Con\.nrh Scll-ln\tre 1,tr w rkcrr !oDn nurh!r..r1 lr,'vdcd nrhyScrt$n n'([)ol rlf,
<br />L rtr(ixlc.l1rrlf, p.rlormrn.colrl[*odi,truhklrlh.ncnn N^{rd
<br />I h.r .d prll frrnr.'n k'rtdl'.onFnr i'i
<br />'nrur:N.. .\ Grur.1l hv S-r nn l7tr) or rlE ulrtr Orj., lnr rh Frfi,Brc ol
<br />rlE hftf rhrhthr lEtu 6 6Gl My wdt..' d,tr{Eolr in m<uler.xxr rn [[l.y nuhtEr e
<br />Itc rlyrhrnrh.I['tnunL.orrh.*orkl(tr*h(hrh'\Ii.rourrrsRl.I\h,'lln.rrn oritrtpc.trrrtrynrnN'
<br />q'r\(,lrronr.i'tt(\ri)rhcwo*.r.c.mt.n\[trDlxe\!n(rl'to,fl.rnJrtr.crl rrll\h l,lh..oft{rht(rn)rtu
<br />*ud(,\ o,nlF-.n\rintr, pn)\,\r)n\ or sc.ron ?(r)rhcIirir(!xl. Inrll.l!rrhq h(otr rtr hrln&.I)l,n\rh
<br />r\ \R\l\r: r., rLtrt r, \(r n. \ {rt In !r*rB!. I uhh$lul. I ihrll uhFr u.nq,h!q n' lrul Fplrs.nJrd nnd up n,.B hudr.d ihrqr llrrr.rlf,r), o rJ,lii,n t, rh. L,!a or.o,r{insrn,n drtu!.\ r\ Ilro\rd, r!tr rh
<br />s(![r \0i(,n r|n r.,rtrc(ilc trtr.rfn ',2
<br />LltIIsfilr])}.la !_Iaruf!l"I&!!lofIhcnhtrlrnmunl.rFnxlr!orf.rtrtrhJrIrnI'LrtrlJu'kt.yIn,,$iror(]l'fl.r,r(onr'trntqdhS.dr rlxx)rolI),rtrifl \
<br />dl rlr In'!n.\\itr(llrol.$(nr (nn.. Jrl n,y h..rn r1o l!llnrL. itr,l.ll.d
<br />cONrTRLcll(r\ t D\_Dl:!(; A(:a\Cl
<br />I lN6! lrrtrm ul.rtrn!lr)olt*rj(!!rturrh.ir.trr(onntu.ri'n5nl'n3r3.ftrl,nrh.Ird,trnrn.orrht*orki,trf,hxhrhrFflnrL\
<br />r\\'.n rs.r iln7. (i! (' I
<br />AFPt ICAN]' DI-('I ARATI(IN
<br />I lrtl|v rrlnn,uDd(' tf,tr,,lrv rl I{'rry otr. o, rl[ l,'ll,'srg n.( ['rrr\:
<br />u.nrrlir)n It rnnr\ A\s.(.\ Nor1rtrjn r rial.iJl Rfrtrlrh)n\ r l l. Jo PJn6)
<br />Rr!l!'rd lrx(r rr N,i irh'n
<br />IL(n,lril rrh. n\l$rlkBUl.in,n\ rtrnnt rnr{!a d}*.'lr( &r rtDlr.,Uf h, rhr |)!!f.( r
<br />I LonrPl\ rih rll( 'i! iBl (itrdr
<br />rhF C y.nd (in'nryl0 cnr.r uli,nrh
<br />7/ot/tq
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/Vent/lnsu lation
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Deputy Final Report
<br />Engineer Final R eport
<br />4
<br />FINAL z,/ro /td --,-+b4,i)7 - 7-'V
<br />Notes Remarks Etc
<br />BUILDING. INSPECTOR RECORD
<br />SLAB Floor
<br />Rool Sheathinq
<br />Handicap Req.
<br />Flood Zone Certil.
<br />Certif icate of Occupancy
<br />Ihlc:
<br />Drr.
<br />-
<br />( onrnctor
|