|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNER BUILD':R DELCANATl('N
<br />I hd.tt .rtrm und.r Fndhy of |ErJu., thd I m .rdB nrn rh. Coitdo^ l-f,re tiB htr rh. fotloBrs r..si (S( 70ll l 5
<br />tlusins intl Pn)f6ion Cod.): ny Cilr or ( ou , shich r.rtun6 a Fnil to cotrnrucl, !h(. im[ro\t. ddnolah or tpan dny
<br />srrudue Fin ro tu isluc, *. rcqutG rh. q'rli<&r for 3uch pcmir ro fik ! rsn d rld@dr rh.l h. nr !h. ir li.4r.d prtum!
<br />ro rh. FtrriFB ol F Conrtori Lk6..d L$ {(11416 e, (imtrin8 $ni srrion 7(xro of Dtision I.rrh< BuslKi lnd
<br />frcf.srrN (irL) or rhal lE or rlE s qdnpl l,E.fiom &n rh. l(B fo. th. rlk*.d .rmnion A.) \mLlFnotsnrxm 70.r I t bt ,nf
<br />,/, .p?l'.ad lfl . Fm {uhjdrrrh( +!l'..nlo.itr'lrqrlr).l mrm.'.rh n!.hun&.ddolla\(trrxi,ea
<br />lI-l.{ d .$.d ,,l rh. rR,rfi). ' 'n, dpht6 *nh qrX6 s rhd rL r.mrtuk'n, $'lld. rhc {trt ErI OE dtulu. 6 B{
<br />i di.d n oiY..l aor sL (se 70.14, BciB sd Prof6r6 (.d. ft. co.rdoit Lk@ llq rIE m! it!l]_ lo u otr'F of
<br />rh. FDqr, tr tr tlil(l or rF)t6 iE@r ,n q tF &6 sh trnrl hin*lf or lEElro, rhmush hL o h6 osn odorc.
<br />F.r id.!, thd uch nFo\.lldr E d irorlal n oliml lor nL ll tb$6d. ilE t!'ktu{ or inFoffi b nld q rh'n .rc )w
<br />.f mmphtun. itE ()ln6 ttlildG sill h!\r tlE hr.tdr .f Foens rhi h. o. sh. dil En trild or rpro\. fi. FoFq nr tnc I,urF& of
<br />l. a o$'E ol th. FoFlv. $cr.lBir.lycodminB qnh I'ccnrn contrdoRh Lndrud rlE prcj.ct (S( 7Or4. 1t!m6
<br />,n hot$$ ( o<t Th.Comr*roii Lico* lr*'d(6 mr.n yroeorFotFordry*hoboild!orinpr.r6rhddn.
<br />od $ho .od88 fd ru(h F)F3 *nh. (ind.(3) li6!.d Ftrld ro rlE (nfl dd-3 Liru trq)
<br />I anc\.nrpr utrd6 SNln)n v"*+:v"/ -**ft,^"r,,r*t*<;,,"4-o-(?
<br />I h6.by ailirn ondd p6!hy otFJUq- on. o,lhe nnhqiry 'j(l,dk,N
<br />Ih!\c,nsillroinlrind(dincll.of(oMr1oS.la.lN!r.lur$Mt6 (ompaeihn. a Eovd.d lor b! saxor urxJotrh.
<br />L.bor Co<h. fM rhc Ffolrlk. olrh. *ot fo. uhkh rh. Fmd i! i..u.d
<br />I IEE and $'ll mlintlin tr o.L6 comp.Mrnn iBUftq a r.qlnd b Sd k'n I700 otlh. I nhor ao&, ro' rh. pnn,l:@c. or
<br />ln. w.k lor phth lhir psnit ir isu.d My {0116 smFnsnn iNumc. cui6 d policy nunb6 a.:
<br />I c.niryrhd in rh. pdLman.. of rh. *orl hr shi.h rhir pdmir t isu.n.l.h.ll.or mployaiyF6on in iny Dann6
<br />$ &s lo bcLoh. 3objel !o !h. wo*d' compcn bn h{s oa( .lifomi., ud ,gr lnd ii t should iE om. subjEl lo ltE
<br />un.t6' ornFlt lion ForitioN of Sdlion 17(xr o f lh. t tn ( o.!.. I shll. fonhq ilt .onply $' n lhor p.o\isnrE
<br />. B unhtrfuL nl rhtlr sbjc! M mprotf ro mml FEli6.ftl(nil 6n6 up r. om hundrai rh.end &lle (t100.0m), in .ddihn ro of .onFMion. d!!Eg6 L! Ford.d aor rlE
<br />Sdion l(176.fth. t{bor ('oj., ml6cn a.d du.rE) s
<br />!t!1!-!!r \l11^
<br />I he.h'.rftrn und.r FUX!.f FJUD $r l m l'(qsd u(Lr F)\ smn.l (lln 69(mml11min!* h Sdion rU)tr)ofDtrisiJ. t
<br />or th. B6,K.ad PmfBnE Codr. ad my l'(@ 6 in tull tora {t .tIal
<br />calllaucuaNrrdDrxcac!!(I
<br />I hcby.fm und.. Fn lryof Frur, th, rhd! i. @drudhi l6din!.Btrt for rh.Ffolrlre..f th.f,o* for qhicn lhn rEron i
<br />6u.d (s< !097. C'r. C )
<br />Aff|.ltalfltligJaaua!
<br />I hdby .trh un&r Fnalr) .l Fru, r- oG of rh. lolhs'na d6lrJ ion3
<br />Dqmlinon Pmils-Asb6lor Nolilic.l ioo F.d6.l Rcgllal bB (1 irl. .10. Pan6)
<br />R.quir.d ltils of Nolifi cslion
<br />I .d,ft rhn rh. f<dr.l EdllriFd Esndu{. atEnG r@\!l d. mr 4rl&bk b
<br />'hit FoF
<br />l.dialrhdrhs.Edrhndpplkdionaxjst'.rhd(h.atnl.rnfDtuD.i!roFRl I.grRroc.mplywi'n.!l(ltli lCounq
<br />ortlim.csann sr.k lr$sr.l.!iix t, hoildi.*.o n. aid hd.6,,urh..n. rqn6oldn6 oIrh$ ('ny n.d ( ount, n, ml6 ulrin lhc
<br />v.ndron.rt prol<n! nn iNra--j
<br />^,?-6-(=Vprll..nr or ,la6r Shor
<br />\ l'.,nilft nrm.lp.inr):C,<)ItaZ-
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Erown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t/
<br />FINAL /'- 2l- / ).Jdu>u
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />1-\
<br />DATE ID/SIG.
<br />K*.,2-o:tz
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />I
<br />I
<br />I
<br />I
|