|
BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framino ,'(/7b/t6 :,1'4,15
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL l-q"u s"!Iull
<br />Certilicate of Occu pancy
<br />Notes Remarks, Etc.
<br />o\rNt,:R Iitr[,r)trR t,ti,c.\ R,r Ix)r.'
<br />I hcrcny aftinn undcr Foalry {,1p.rjury rhar I m erc rpr iror rhc Co ra.bn Licctr\c Ltrw ror rhr rolldvine'rcr$n lsc.7.0ll5
<br />Bu\in.\\ rnd Proli$ion Cod.) ny Ciry .r Counly shi.h rrqutc\ a Fnnir b c.trrrfl.t. rlt.r. nnprovc. dcmolth or rnair uy
<br />(rucrurc, prhrb ir\ isuan c. llso rcqrnes rhcnpplnanr ror \u.hFnnn ro c a sicmd {i'.n*nl rhxrhcorshc is lic.n$d runxMr
<br />i) thr pmvi\i.is olnf, Co.trcitr s l-i.cisc.t Inw r(hrflcr r). Co nncmnrS wilh Sc.rnr 7(X)0 ol Divnion I ot lhc Ausincs ud
<br />Pmfc$i.ns 6dc) or Ihrr hc or {hc h crenrpr rhcrclio aMrhc h.\n ln. thcnllc8cdqcmprion Anyliohrionols.cri,)n70ll5by. y
<br />rfplicarr lor rpcfl.ir subjmt rhc applicrnr x' rcirill.nrlryolnor nnmrhri ivr hundid dollds($500)
<br />I.N.smrorrhcnmFny,orn1yctr oyr.\ sirh $rA$asrhcir q,lc conDctrrirol. Rillao lhc$.rk und rhc ntuhh n R
<br />i' cRt.{l orollcrcd li,r lllc (Sm ?0,$.I}usincs xnd t'r.nsiinN Codc lhcCofirctr's t-i..tr\c ltrw docs noriffly rornosncroi
<br />rhc,'rricny who builds or i"{'n'rcs rh.ren. inl trho d€snrch q.* [nnsclforhcrcll or rhroush hn or ncr osn cry k,t.cs,
<br />nn)vilcd rhli s!.h inroR)!.ftnk n frr inrcndcd u oncRrl ftr {L ll ho*clcr. rh. trildiis ornnpn)vcntnri\ *,!d wi,hi'!otrc ycJr
<br />.l .o llLr i.i, rh. O$icr BuiUd will hdv. rh. htr ci of provin8 rhlr hr or \hc did n.r htrild or irnp(^c rhc fF[r-ny h! rlE purpo$ oi
<br />l. as ow'f,' ol rhc rn'p.n y, ,n cx.hsivcly .onrrd in! * irh licc'sJ coika.n,( r. on{fl.r rh. poirl (Scc 701-1. Bs'm$
<br />ml frDi$sion Codc lhcConlmcrolst.iccnscl-awdocsnoromlyroano*nerofpmpcny*hohuih\orinTro\6rhcrcon,
<br />rtrd wh. conta.. ft, suchp(&ch wirhr GJnrtuctds) liccDscd lursumr k,rhcContnckn'e Liccnsc Low).
<br />l n,crcDrJn unJ.r Sc.ri,r .ll &l)('ln'!h'srorntrr
<br />DBlc ()n.r.
<br />]TABtrE8S:!!}!IENIA.I]ON
<br />DICLAtrAIION
<br />I hcohr.ffir und.r r.nahyolp.rjuryonc ofrhc followmg dc.lrnrioN:
<br />Ihnv. duilltrii' dnrC-.nifi.dcofCo \ctrrt,Sclrli\urct(rrork$r.o.rFn\.riotr.r\ providcn hr 6ySccri{,,:17(x}or rh.
<br />r9trG
<br />,'r,*,*
<br />nll. iff rhc t.rlbnmncc ofrhc $.rk lnr qhi.h rh. |rtnni i\ n\ur.t
<br />ond will 'nri(,in eork.r' .o$t{trsari0 insuran.c. ns rcqutud by Scclion l?m of lnc Lrtxtr Codc, lnr rh. rdloin!'n.c .l
<br />nqWA
<br />I.c'rifyrh.r n,rhc nrrlor rrcc.l rhc work f(tr rh'chrhislkn n is n\ucd,I shrll ror cnlnkiy any i'cs.n ir uy DrtrDcr
<br />s N ro tEonr subAr h rhc *.r kcn' c.nD.ns ion 1N'\ ol Crlloarir. and asrccihxr iII sh'uld hccom \uhicrr brlk
<br />$.rkcr\ comNn.dion prcvishns ofS(rion l7(x)oirh. titxn Codc. r \hrll. hnh{irh comply *irh rho\c pn,visions
<br />co\.n'gc i\ hhqtul. al \lrll \trbjccr cnDk)ycr r, ri'ni'rxLncn,'lri.s rnn
<br />tltzll$
<br />'rxl)r in iri()n b rhc .os iif.omp.os.rion d.m8cs 3\ rnrvidcd nr rha
<br />l)l(l,\l{\rl()\
<br />Ihcrcby!tlirouMcr'1nnlryofncrjurylh lan,lien{\lundqfnvi\i,trrofChrnrcr9(.onnrr.nr8aih S..fdtr 7(xxr) oil)iri\io .l
<br />ol rhc ltusimssard PnncsiorsCodc. and 'nyli.cn* n in iullnncc !trlcllicr
<br />I hc'chy rln oMcr |.nrlrt or Nrury rh.r
<br />issucd rsc. ll)4? Civ C I
<br />N..ondru.iiotr lc,rnirB.gcncv ior
<br />'hc
<br />pcrionumcc otrh.*o f{,r(hi.hrhtrFnnr N
<br />A.EIUIANTDEI;I,AXAII,Q!
<br />lhnhy imudcr pctrtrhy olp.rjrry oic ofrhc r.lkrring dc.lararn,ns:
<br />l)cmlinnr Pcmils Ashtsros Norificorn,n l:cdc(l Rcrnlarions ( l irlc 4r). Prd6)
<br />-Rcqutcd
<br />l.lreroiNoiifrrri(m
<br />rh.r rhc f.t.ftl rcEuhlions rcgarding arhc{os .cnmul ar c mr rlplicrblc h rhis l)ft+cr
<br />!.on{fl.rion, r' h-rcby uurhorir rqrcscDhlilcs oilhh Cily ond Counryh cnrdr r},'rrr
<br />LOLI)
<br />Erection Pads
<br />Pool Fence
|