|
BUILOING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUIIJ)UR DELC ,N fl ON
<br />I h.rh, amrm !n&r FMh, ol I'.rl!ry rhlr I u.rc,r{ tum irE C. rd.n' Lirnr Lrw for r,r lolrtwinS €q'. ( S.c ro:} l 5
<br />Bucin.( id Pnfcsmn Cujc) Aiy Ciry or Coury *hth rcquirc( c Fni l{r o.{Mr, dlrd. in{nov.. d.mliih n, EFi, rny
<br />(Mua Fnrlo ilr nru.N. rk rqoi6 r,r +prarnr tor.khFtu h liL. lktd nd.mn' lhdltnt ir li.ttd t,{rd
<br />ro th. pfttthnr of rh. (tnti.nr r l-a.n€d li* i(ll!nr., 9. Cn,mfrinS *ilh Sdlion 7(xx, of D,vnion .l oI tlt Busitr! ind
<br />Pmf.srbn{ CnL) tr rh.rlr or nr ir cr.rpi rtftIron 1rl rlr h.ns fo. rlt llkr.n.i.nirir. Any rbLrhn ol S.(l i.n 701,5 hyrn,
<br />rrflk$r rd. |Emi suhFijlE ap0lE.nr lo r ovilFMhyolr mft rttd rit. hundt.n dolls. ( S5mr
<br />-1.r(osEorrlEFFny..rny.npli!!r..uirh*rFi.rrlEtr$lcsr!tnd6..f,rdotlEw.,nlltiNmin,inrqxkd o olTcrd f.. rk tsd 7l!.1. BxiE* rnd Prot $hF C.dc It A,.rd.is l-icns l.w d8. tul ,lrly ro n o*ffi ol
<br />rh.tnFny u'hl tnildi (tr inI',nB rto6n {n who drB uh h hinn.lfor h.tclfor rtmush hh o. rEr own.n{,lorc.t,
<br />ttroviLrt rhrr ru-fi ihl'rrwdt c Br dnLd d .ndr{ fd rb lf. tr'r!!. rtI tuiBtrI. tr intrmld ir $1, *rht iE P'
<br />ofLndI,Lri,n, rlr O*er auitlr witt tuw ttr hrdcn ofFoving lhd lE.r rlt dit dn hoitl n infnr! rlF lrlFny fr lh. tlrlD*tf
<br />l. rrnwnd orrh. Fn,p.ny,.mcxclugv.ly conrBcrins *irh licn*d .onta.kF l,' conslNcl rtE Imjdr (sE 7(x.1, BulEs
<br />.rn lllDb<rim (idc In. Contturor'r l-t.ne lrp da mi rnDlv t. u .*Er of l'rolEn y r h. t'uildr or ir{rcv. lkrmn,
<br />rnd *lN Fnrrxir fr oct Fl'F{r. *nh r C.ddt la litnrd plned rn rh. (tnrrtr'! l-i.n* trrr'
<br />-l
<br />r0crcnl un&r S€rhn
<br />1!!8Ii[&t:(aJMrrIAX
<br />l)Ii(IA&AIgN
<br />I hcrc[r!lltrfrtrMcr |{m]r\ ol t'irjury,trf, or rtu tulL,strrN d(hrrrnrn
<br />I h!!. .rn *ill roinr.in r C.nrf.rt. ol Co.rnr ro S.lr lhslE 1,, *..kdr dnP.r{rion, ( F,vikd fo. by Sdion ll7{o of rlE
<br />lior (tn . for rlE p.rntr,tEe oflhc srl fd $hth !h. rqnl n hru.d
<br />I hlvc lnd {ill mlinrnin workcr' .o rp..\srtr'n in\uhkr. !r t.qun.d hySdrtr.lTIi)olrh.lnhoraodc. nnrh. Frfor*-..r
<br />rh. *o nn *hi.h lhnlErmit ir irnEl M! worl6' d)mFnilr i r inlurrmcclr.l a,rl tnlh! nlmh.r s.:
<br />,'*., \5IAtc Fut,ni:,
<br />".,-,"","- Pd|. ?o I 7''t a A -a q 2/z:3r-t
<br />I rdiry rh.t
<br />'n
<br />rh.lErrn.mr'. oarh. *o.l r,n qhih rht F,m n niu.n. I \h.ll Fr .rq*'y int Frvr in !n, nuE.
<br />w, s r' tEom rur+Tr h rll k,rI6J .oqE.\.rit'n bwr ofcrlrro.niL !d rsr rhd ir I +suld tE or subFi ro t
<br />*orkcr' sqin\d bn pbirirn! .f Ser ir lr(Xr ol rhc I itn, (ir].- I {qll, f,'d heirh mmnly * irh rho$ povirion(
<br />.ivil 6.cr up ro oE hundEd lhoBrnd:{f,pt:"
<br />snp.n!.rir. i'6!. r unlruful. ,rl rluil rlhFr !n dr{'rtF b miBl FBIF .nd
<br />uarnnp.nu'nn,9 3.r n nnrd.d ro, rrt
<br />? / )egE?
<br />tr,.,"ir.l!!:r-','l
<br />DIIIISAIII!
<br />I hcEhy oafrmlndcr Ftulryur F,jury rhd I afl licnsl undq lmvisi,n orChdpr.r 9 (commmins *ilh S.cthn TlxxJ) of l)ivision l
<br />ol tlr BuiiF(.rrl h',csbnt CdL, in ny lid{ t n tull r.N.,Id.lfu--l
<br />Y)CFrtq .#.{2U/4/-;
<br />C(INTTXUCTION I F'TI'IN(: A(:FNCV
<br />I IErh, rlrmund.r Fohy.l FrFry rhd dE t.oNdiridin!.8.EylorllErErf(l,Bdorrliwlr rtihrniFnt it
<br />i.\kd rse 1097. civ c l.
<br />Lrd.ar NaE
<br />lrtrJci\ Ad ,.s
<br />AtfLllAlr.llEgaSalratr
<br />I Hi! rnidu lcr Fn{h) olrxUury om of rlt n,li'tr irr8 c-!r bt'
<br />l)am'l'rnu Pcrmik A\trior N rficori,n rqtril Rqn l.rNn1 il tr l. .l1). Irin6 )
<br />_R.quird lrrrsof Mrilf,!rnn
<br />l(Mifyrhnrltf, Ied.rrlr.!ulnliotr\ n garJn,! r\h!{o\r. krnlnrco"rrppli. Fn,rhi\PnictI
<br />l..nnyrh'rlh:\.r. rhr itplicooui ilrl nltcrhd rhc rh,yc intun i,)n r.nr&1 la3Rr,)d,mply$irhnll(-iryind(-ou.ty
<br />rd'nJ,kc. lnJ Srrrc lf,"5 'rhrnrn, hui('ry c, r!ru.r
<br />Jh^c n.flimar nn,Fn\ nr m.&,!D. nmF,*. /
<br />noorn-, * ^* rrn-,*Kr, ,'L.f./
<br />"" n**-,,,n^t Z 1
<br />nn n hcrh) Nrh'Z rcF.en,orn$ nr thnciyrdc.u.'yrn.nrn uFn |tr//, /2vs _ -
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsu lation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E ne rg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />7F|NAL / L/4//1 Pz >fi( /4?
<br />Certiticate ot dcc'tpancy-
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />4
|