BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE lD/SlCa t. CoMMENTS {,r\rRBlllrrkDII( \R \ r lr)\
<br />I rE.t', ,rm !n&r Fuh of F!ry rhd I e d@ri tum llE Cod..doR' I t.e l,u lor llE flnb*i,Is E9-n (sd rUr\t
<br />IrGr(l ind Profsio. (.d.,: A., (ily or (.udt $hkh r.qotr6 a Fmi ro drdruct..hd. i.grore ddnolth or E En u)
<br />rlnrcluc. pflor 16 ir. i!ruM(c. !ls. r.qut6 rh. .P?licur for su.h lithil x' nl. ! srn.d .la6l li!! lt ot sb. n licd3.d poNmt
<br />!. tlE F$niom or llt (-onrelo.t I icd-d t.* I(tuFr 9. (!mdmi.8 qnh S6ltu. 7(x[ of Diriti]n I of rh' ttdi,B md
<br />Protshn! Co<t ) or ihd lE or slE u .\.mF tlE fmn ..d lh. h6ir for ilE .lLs.d soFhn An) virl,lion o'S'(1nn 701 I 5 ltv mv
<br />Bpph(s for a pdinil subj<rr lhc lFnli.ul t, icivilp..!hyofnor mor.ltM liv. hunJr.d dolld!(5500)
<br />1. 6 o*E olrh. ploFnt, G n, opkttq *hh s.B6 s rhcn 5k @nPdEiioi triI d. tlE $dt td rE indE: d
<br />idad.d or Dltd.d a; ;h l ac.7o44, B6ind tnd Pr.l&ioB Coi.: Th. (tnlra.loi! l-i.e l,w &6 ml t Pl! lo d olrG of
<br />rh. FDIH, $ ho tlil(h or iniftr€ rhaoun sh dG *t Mn nin*ll or hdsl, or tlmu8h hi! or lE o*r dpbtc.
<br />Fovd.d rhd s.h inrp.olffi c d iddr!.n n ofidd ftr d. lt ln$6q. rlE hoild,E q in!.o\srEr it $B *itm m ld
<br />;IconpLrnn. (lt (xns Buikla *i!t hlE ttE bunJ- of FovilB tld tE or rhc dd mt tDild or inqrct! E F$Ftv ror rrE Frp.x or
<br />l, 6 .'r.6 oa th. Fop.d!, m .tclBn.l, conra.rins tr nn licdLd co.'lndon tu odrud rli Fid (S( ?Olr, It6trKr
<br />ind hrl6si'. cod. Th. (i'nrrxlor't I -(.6.. lrw do6 Rx q,plr- ro m owna oll,ruP.iv *ho build! or io ovdlh66n,
<br />lid {l$ codrd3 lor !u(h Frdr $ nfi ! ( onrd.n n licds.{ tlGu.rl l. rh. (nnrFoit I t.e I N )
<br />I a .\.r und.r Sshon li & l't l,rrhN,Li\!n
<br />D.t. O.rE
<br />u onxrqs' t rtrr PiNs{rroN
<br />DECI.dSAITO!
<br />I h6d\ ,mrm un.t r D.tullr ol Fiuh_ om or rh. rolhn ms .k l,rtrirB
<br />I h.v. dd *ill ,uinrii. n ( dlifi.tr. of (n!dl lo s.ll lnsur. ntr s orksi limpddbn. N FovidcJ n, bv s(rnrn 1700 of rh'
<br />l,tFr ( i{&. ro. rht Ff.llr]tr. of rh. $ort for r hich rh. Fn 6 su.d
<br />l7rro oflk lrhr (ird., for lh. Ffomm. of
<br />,...,.,.,,,,,; {72 tf 0"lr
<br />I (alityrhll in |fi.Fn hanccorlhcworr r(t $hi.hrhk psmir is i.str.J.I shsll n.r .mPnrv .nv psron
<br />'nanv 'n n'r
<br />yt ar nr h(qrft rut d ro rh.xo*d c.n{ffirion lttrr of Crlif.mi6. Md +r rhd rf I dFuld lE(m shidr !' llE
<br />ronhsnh.ompl! $ilh llbr F.\ iioB
<br />.uht r M 6pnD6 to frmml Fuhir t.J
<br />.a cnmFMtion. .,!ros6 B Frorid.d ld rh.
<br />,l(rnnn.trrtr,r \ lr S.(ion ?lrixrr il)r\,!.tr II hrehy.mm undd p.nilryoapdl,try rhni I en liccn!<l uidd lt.rision ot( hdfl6
<br />ot lh. lturiEr n d PFfdFG ( od., ii mY lte G In rull fo!c. d .nkl
<br />r,.cis.('riss ' c 31*" Pfl p/ 11 *,@--flyrnada EmFtn{
<br />(altlau](IlatrIlxDl[GlcE!(I
<br />! hEb, dflim und.r Fntk, of pqjuD lha rh@ t ! codruclioi |.dii8 tg6cr lot rh. Ffomuct oflhc so* Li ulich
<br />'hn Fnil i
<br />is.d (s( 109?, Civ. (.1
<br />l6dd'r Nm.
<br />APPI I('ANT DECL{I,{TION
<br />I hdl,, llfm uidrr rBrllt ot F j!ry onc o, rh. lolLq in! d..ltil i.rs'
<br />t).mt iri P.mni-Ast stor Ndirohn F.d(.! RcsuldFB ( ri k 10. P tl
<br />It.,ttrtrcJ I dr0 .lNlrLll.xlittri
<br />I c6litfiar rh. fal6dr.suldirB r.s,tdin! 6ts.tlr rntr.l . not qEltal,h tt rhk [re|.<l
<br />rmiir 6 cffi l.cIclo onpl' $ilh tI cnt.d (i.udr
<br />.ornoi@ E!.srnir6 . t rht Ct) !n Coudt lo 616 upo. lrE
<br />/a Gorci^
<br />,,-'oY/tz./rt
<br />Set Backs iI
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq ?IJ '//r/ f.q (.f,lL /ry
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />F|NAL /o/ 1/ 1"1 I-2.'TIL /c/
<br />Certificate of u n
<br />Notes, Remarks, Etc
<br />Sflre F-d4nP r
<br />,!,{'6 rt/t7 /r | .
<br />.nil lin6 up k' on. huhdr.d tnoosd dotl6
<br />I cd,6 lhd I h.\.,.el rh(
<br />odn6(6.nd Sr.r. l!tr! c\ni,E
<br />a
<br />T
<br />Flood Zone Certif.
|