|
BUILDING- INSPECTOB RECORD
<br />DATE ID/SIG.COMMENTS OwNER BUll-DER l)El,CARr\TION
<br />I hcdhy affinn undcr nrky ofF4ury rhd Iamcxcmpr from rh. G,nrrcrtrr LiNnsc trq lorlhc trbwi.E !cr$n (Scc70.115
<br />Ausirclr ! Prolilsn CGlc) Any Cily or Coutrry whi(h r.qutcs i I).r rir h coD\lrucl. allcr. nnpmlt. &-nni+ nr rct,'n Jry
<br />$rucrur.. prior lo ns issuancc, aho rcquircs rhc JU,li.snl tu such pcnnilb nE a ligfud ddcntnr rh,r r.or shc n licctrsd Puruonr
<br />h rhc [orhions olthc Connadols l-icctrscd tiw (Clufrcr 9. Comnrcncin[ wirh Sccli.n 7O{x] of Dilhn,n I or rhc Bustr.rs md
<br />PdlsioisCodc)orrh hcorrhe t cxcmpr rhclc{roar lnd rh.t{sis rq rh! rllq.d .rcnlnrn,n nyrrtdridrofSc.lion?0ll5byany
<br />rprlicrnr ior{ pcrnrir subjeclsrhc arplicanr ro aci!ilpcnalrroinot nnncrhrn firc huMrcdd ll.n(S50o).
<br />I.nr oan.rorrrFtn,rx y. or m! cnploFcs wth *ngcs ,i rh.n bh .onD.trsrnnr. will do lhc *ort ud rhc {dm $ nor
<br />idcodcJ or ollcrcd lor $k (5(.70.14. Busincss ntrd Pn i$nn$ Codc: l'hc On rrctn \ l-iccnsd l iw di,.s n.r ,mly to an owrcr of
<br />rhcnmFny who huikl\ or imnro\rs drdn. n'd wk' d(u \rh n, hnnrr.rhcrclforrhtuuBhhGorhcrowocmployccs.
<br />l)rovid.d thar such imprNrnrnhmtrn inh cdorolllrcdirsak lt- howcvcr. rhc huiHin8 or imprulcmnr is s,ld wirhirunc
<br />'inrolconl,'lction. thcoqmr auildcr *ill h{rc ltf, hurdcn.l fi{)vir8 lln h! or shc did xn i{ild or inlk,ec rhc B)trn, for rhc purtEs of
<br />_l. r\o*ncror rhc nn,pcrry. anrcxclu\irlrconrracrins wirh li.ctr*d contr.t)^ h .onnnrcr lh. l)n)iccr(Scc ?04,{. Bu!trcs
<br />iRl Pn'fdsirnrG)d.:ThcContrcror\LicctrscLnwdocstrorr|dylortr.sncr.lpn,pcny*hol,uildsorn pi(,vcs rhcrco..
<br />and sho contra.rs ior such IDjc.r\ *nh a Contrctn(, li..nrd pu^ua t, rhc Conhttr s Lrctrs Liw)
<br />I rcx..rnr undf Sftrion .4.&PC.f(trrhhrcrn,n.
<br />Drl. o*ner:
<br />w(|RxFRi CrlntPr,-NSAl-rON
<br />DDIIA&IIAN
<br />I hcrcbyillir rutrd!' ftrtrrlryoltcrjuryoncolrhcl.ll,rEir8dc.lIarnnN
<br />lhrlc rnd sill nrrn rinr(tn'li(rrcofCo \cnr t) Srlaltr{trr ritrsorkcr{.o rricisrlior n\ lriri(lca tr hySccrttr.lTlX)rlrhc
<br />ulxtr CoJ.. rnr rhc nrrlonnrn.. Dfrh. suli f(tr shich rhc Fnnir is i$u.J
<br />I lrnkn nl\il rxirixir \frl.rr.!rnD. Nrri(rr trruran c, rs rcquid bySc.ln,n l7 ).lrhclriitrCod.,furrhc$rlonn0Ncoi
<br />rhc qork tor qhic[ rhis D.nnir is ksucn. Mywot c.m,rcn\{Fr in{nn.rcxricrrfrlr)lirynun,b$dc
<br />-lccnilyrhll
<br />inrh.p.rtonnrnccorlhc trk lar whi.h rh lrnir i\ i\\u.,l.l nrllior.\royotry t{6on rrny trnnmr
<br />r) r\ n) lron{ \uhr(rr, rlr tro,k.'\lnssul Crlilor[r. rtrd iArcrtur i,I\houlJ h.c.n,c strhjccrt,rlr
<br />w.*cF c.nr!.nsrnr fmvisions o{scdion 17t[ ofrhc ljha Codc.l$nll- l'onhwirh comply *irh rhos F)visnrns
<br />WARNIN(; fiilurc k' scurc wo*c^ onDctr\ i.n ..vcriAc is trnlnwtul. rnd shall subl.cr rn cnDlor.' i' n irl |{ rlrf,s nnd
<br />civil litrcs up lo onc huturcd rhourann dolhr\ l$r(xxr). ir rdJirio, n, th. con ol cun,ncn\rrnni. drnrlc\ x! tr,vid.d lnr r1r
<br />Sc.ri(,.10?6.lrhc Lrhr C.xl.- inicrc{ rnd
<br />7/, 6,/ / )
<br />l.2MnBr!-lIO!
<br />I h.frh! 3ffidrnd.r nLMLryof |[ri$y rhrt I l'( *-d undrr Inn ^nnr
<br />ol Chrud 9 (.omNking u il! Sccri,n, 7(XX)J of Dir r\ trni :l
<br />oi rh.llu\i',.$ rn,lttot \\nnNCo,l.. MJ ,y licrnr ls in fL'||lntu!rrllllc(r
<br />/oo xN*
<br />,)?12611)
<br />I hcnhy,ronundcr llmlryofpcrjurythar rhcrc isr.o.struclbh lcndin8 aScncy lorrhcp.rtoflnln(olrhcuork ior whichthis I). nir is
<br />hsucd (SE :1097, Civ. C.)
<br />AEUCANfDLCLAXAUgN
<br />I hctr{,y alrmr undq Fnalty ol rcrju.y onc ol rhc lollowi.B dshr bn\l
<br />DcnBlirior PcnnilsAsb.(os Notificdio. Ijcdcftl Rcguldiotrs (Tnlc 4,0. Pani)
<br />RcquircJ Lc(cr of Norifi .di,n
<br />I ccnilyrhd lhc fcdcml rc8ulatiotrs rcA{dirB !sbcslos rcnn,val c nor lPrlicrhlc ki rhis pn,j$r
<br />I (niry rhrrlhf\c r.al rhi\Jppli.arn,Jxlnrr.rhrrrlrJnr. rntdnr(ri n..'rc.t liliN ro..orflywlrh rllCirlrnd CoLtry
<br />.,ho\. ntr 'oF, n'.r!nr ,or nr,,y!,',,)y,
<br />^pph. ^, ^q"nr
<br />\isturuft, -,/
<br />Pem,n.nrnr.,,,nn,: f J.'J lr E-1,^,f/z4tl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEFI Ground
<br />Subf loorvenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framin g
<br />lnsu lation/Energy
<br />DJYwall
<br />.E I a.2r -/9,-//clz??t)
<br />€-rown Coat
<br />Ivlason rY
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL lt-,'/8 \(/ela$ <-y!
<br />Certif icate of Occupancy
<br />Notes Re marks, Etc
<br />SITE-WORK
<br />1
<br />kndcis Nlmc
<br />-
<br />SLAB Floor
|