\
<br />BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNl:R AUILDER OEL('AtrAIION
<br />I h6.bt arrn uidd p..rl!! of rrjrt 'hd
<br />I m .rmpr turm rh. Conrdo6 l-h.e hw for lh. folnrwin8 rca$n J Sd 70l l 5
<br />Itsin6t un Prcl*sn Co&) An) C r or (-oud) trh(h rcqlt6. Fnn r. coldM..116. mp.o\., & 'Iafi.. qt 6y
<br />rrtu.rur., Fi,, ro tu 6u&.., ato rqutrG rh. +plrd fr such Fmn h fiI. r lsn d iddnr rhd h. or rh. is li.med po, $sr -
<br />to th. ForB.B oa llE Conksx{ 3 l,iros.d l:r ((1BB( 9. Comrffiiry udh Salon 7O0O of Dn'nni I of ih. aunnd d
<br />P,olNi6 (od.)orrhal h.!r!h. nqon rnrlfron Md rh. ba3s tu rhc dLrdl .rmpriod A.,vhhrionofsdk,n7011.5br.n,
<br />4,phcd lo, . Fmn $bj.t1! llE opplral lo . dr il ndhy ol mr nrr. rh& fir. hun&d &llE tt50o)
<br />I. s osn6 olrh. Fitdr. or ny mphlG $nh s+6 s rhcir $k co.rFebn. $illdo tlE $sl ai rralEis d,
<br />n6rl.d or ofi6.d atr sl. (!i€ 7 il. BNinB ed PNTsFB Ccl. rh.(o.nr-hitl-ic@l,s&6@tqrtyheoh6or
<br />rh. F rsry Nfio toil& or uiFlv6lhqErn. a,rl sho dE $ch f,lrt hnMllor h6.lfor lh,oush his o. h6 osroDlol.c6.
<br />Fovdal rh.r s.h urFoEld c mt iioxhl oroltu tu sl. l( hos6(. rtl lxiuil{.r @F.ErEn B nld s.hm o* !6
<br />of comtldion, ltE Osnd BuiBE Mll havc thc hlda of rrqrs rht h. or sh. di{i d hnB or i,qr.v. lh. popdy ror rh. IlrF,s ol'
<br />l. a o*N .l lh€ Fnpalv. m .rclu\iEly contrel hl *irh licakl conlracloE r,' coNrucl rh. ,rojd lS(' 7011. ,IEilK
<br />r.d Ilbisn Cod. th.(ontkor s l.'c@ Ii*dlEe .pp\ io e6*id.fr,oFllr$ho buildior impro\6ihdNn.
<br />ud uho cotnr_.ls ior tucn pr.j61s wirh a (!nhcn)(s) li(6scd DUEMI to th. Co r&ror!Lic.Nljsl
<br />I Mr cx.npl und6 S(lion
<br />lQA6f,Ali-talrtEls flo!DttIJS rt(llt
<br />I hqchy ani,n undd p6.lryoirglury on. ofrh.fotlosr! d(lmli,n,:
<br />In rcdrluill,Mr dn ! Cd rncrt.. r ( onsr ro s.la-lBur. tur worl6 co,nFdn'n. G Fovd.d aor h, S(non 1?00 o l th.
<br />Ithor Qrd.. tu th. Frof,Mc. d r th. s.ll for {nth rh. Fhir i! i$x.n
<br />I h!r. 6.d will n.i.lti. sa,td .o,np<N! 'o. Burdcq a r.qun.d by S<r ion l7(ro .f th. Llbr (nd., for rh. !6aollM.. ol
<br />rh. rut for $hth rhn pqmn i! is*d My sdrtd' comFrr.n iel&? rd6 di polt! numb.r r.:: 1^k$\{-
<br />,,,,,*.* .-'4])rjf1t.1 ,,; - afzclo-
<br />I.orit thlr in rh. pqlo,r@cc of $. worL tu wbich lht psnir n nlucd. I !h!U.or onploy &, p6$n in ry mmn
<br />$ a u bdom $brd to th. so 6 onpodion Lqs of(xifomE an+Rrh. if I.hould h.rom sbd h'lr
<br />worla' .omFso! ion pmilionr of Sa-lion l7m of lh. bbor Cod.. I sh0ll, lonfi* h comply wilh thoE povsroN.
<br />wARNIN(i f-.ilur. ro s@ *art6' codFlnior e\slsc i3 unbstul. &d !h.rl .ubJdr d @910)6 !o aimi.,l Frri6 rnd
<br />.i!i n.6 u0 ro o@ hu.<tic<t rhousnd dolld (5lcn,{xlo}, ii ard ion ro rh..dr of .omp.Mtion, d,n[36 a Eo!id.{ aor rh.
<br />sdrio. 1076 ofth.lrbor (bd.. hrdr, ad donry\ lc
<br />2' loc
<br />DICId8AIION
<br />I h@by .firm undd pdEl', of Fjury thr I m liccl8 d !flk Foliio. of(tuprc 9 tdrnDdiu s ilt S..iD, 70q, ot Dn itrh l
<br />of rh. Bums @d Pt fBrB ( o&, drd m, li(oe n d full for.. dn.fi..r
<br />f3
<br />o
<br />b
<br />5 -2 I .*,.^.,A A(ilc-
<br />caNflxuquatrrElDllti.AcE!(a
<br />I *-r* Im urdd Fdt) Df Fjury rhd ridc i! . NtudFn lddiry +*y for rh. Ffolle. ot
<br />'lE
<br />rolt 6r qtl.h rhi! Frtrir ir
<br />ilrucd (36 .r0r)7, Crv. C.)
<br />Ladq ! Nm.
<br />atfuc trLorgdaalto!
<br />I h.6r.fu. !nd6 Frh).aFJ!!_ oft otrh. .ollo$in8 &.l6arnrn!:
<br />I)dnohion Pmia-Asb6hi Norincdion F.dqll R+ul,i o.r (Thl. ,10, Pdl,)
<br />R<uir.n Idre of Norifi .dion
<br />- l (dr'l) rhd rhc fd.ilrquLrEB rqErtrnr 6b.rL.tro.\dloc aorq'Fl'Lrhk ro ths proJRl
<br />0f.a
<br />'
<br />rr rr'a r r,,,. ,*a rr'"
<br />"pr.'ron
<br />d,a sr.r. rhd rh. .h,\. inn,mdNn 6 .ond r '$e k, compr) w h orr (iry lnd ( \,unry
<br />oidina.6 md srrt.ljssrl8lineb t[ildin8 codrudnh. di nd.b, !urh.
<br />,lt,r.6rnr..n r,orEny ao. BrE(o. OrrE
<br />.r;ati..n o..tR-r sis.rrr* 1L
<br />I'{mild ntmr {prirl): F o Ai,,
<br />ivB oflhis Ciry Brd ( ounly l. ots upon llE
<br />D*. ,3 z.1rt-.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathing w ;/:u ,:Ya.,e/nr*
<br />Shear Wall
<br />Framing pfr74 5//,/tt t,')-t,Zt;";)*
<br />lnsulation/Energy
<br />Drywall e7n //.^ ,.*,Y LE7A7
<br />Ext./lnt. Lath qR 4 S Oa7L -sh'gBrown Coat
<br />t{tsqry SCSZ.#1-A Lt 'cl< s,'lc:L(Ztlr?
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ?/zs,4t 9\ rb
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />I
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