|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS OWNER AUII-DER DEII'ARATION
<br />I hdqr! lfrm unda Futr of Frrury 'ld I m .rdF fNm rh. Codrd6' LEG l.* for lh. foll6$i.8 rK). (S< ?0r I 5
<br />ausind r.d Profdio. Cd.lc) Any Cily or (lunly rtich rcqtrirB a Fr lo cofllltun, tlrd, improE 'j olnh o, r.ptn My
<br />slrudu4 rmr b irs Mq &r r.qun6 th..rglEer fu tKh Fir t' ,k a sis.al il.lrmr rht lE or lrE a L(du.d purlld
<br />ro !h. FovsnB of th. Contdloa! Lt6!.d lr* {( hsptd e, (om.ncins wilh S.clion 7000 of Dvisio. ofrh< Bulinc ind
<br />Prordion! Co&)or th^ h. or slE it dmrr rhddrom. t,E b6i for tlE dLr.d.topthn Ar) \iohionof sdi.n?0lll Jbret
<br />.mlicsn! nr 5 p6nn rubjds rh. .lpliclnr ro ! civil p.mlly of.or norc lhe fiv. hun lr.d dolle! (i500)
<br />l, s otrG otth. Flpory, d n, dn hr6 wilh wss6 s lrsn sL com!.Nlrion. will dr lh. f,ort &td lhc nnde i! no! '
<br />iddri.d or oltdal for $l {Sc.70+4. B$iK &d amfdioN Cqk Tli Conrrr!6 i LtaE t^ do6 mr qlPly lo u o\E of
<br />rhc F.p6ry utn hrl& or inpNv6 thson art who di6 tuch N* himi.laor h.elf or lhroush hn or hE otrn dpl,o) c,
<br />FovrLd rh.r $(h ing.o\6jEa E d ddxLd dolk fd $l I( ho6s. rlr hildl{ or lrso\uFr nbB *ihin ox td
<br />of.$trpldi.r! trr ns{a Buildq will hav.
<br />'lE
<br />hfd- ot FDring tht lE or nE dn d hllB or m!.o\! tn. FoFry for rh. FrF& or
<br />l. 6 otrE otrht,mpstr, d.tclatr.ly codidns *ith tk.s.d.onudoF io r.L{ru( ltE rnrj.Tl (SE 701.4. }]lumd
<br />ed Rrtus.n (bd.r I h. Cont.clois I 'c.M I i$ &6 nol srply lo 6 oq'n( of prolm) r h. burldt or Bp.o! 6 rh66,n.
<br />&d sh. onr&l: ror such Frj.(s*nh a (n dod3) lkaE n puBMl to th. (nr ru.loast'c.Mlr$)
<br />I m.rd,l rdd selion
<br />t!9xK!85:(aufrdsartllJarci.alarlo!
<br />I hs.b, .mm unda Fd, or Fju!- .( ot rb! lolr.r dB ikl&nira
<br />I hsr. rn I rll mdlnr ! Cqr,tur. or Co6dt !o scl! ltuur. ror rrk6' .omFs.lion. s Forils.l tor by S€r 'o. l?00 o l''hc
<br />bhtr Co.la for rh. rEfolruc. o f lhc snt for *hth lh€ psEn ! ilsu.n
<br />t h!v. and *ill mlroriin u ort6 .onFGdhn iM@.c 6 .rituirdt b, sd Fn !70O oI rlE l,bor ( od.. n th. Ffo,MC ol
<br />lrE sorl foi uhth rhi! Fnir i irqcd Mv {orltd Nm!.ariion iBUN. cMiE $d policy.uBbd e:
<br />PolicyNuhb6 lrpirdl
<br />I cdl'fythn i. fi.,cforun .oarh.worl for *hichrhbpsmtr n isu.d.lst.llrct oploy!.yF$. in m, mdE
<br />$ B to tr.6tu $b,6r ro
<br />'lE
<br />ro.t6'strrFsrhr L$! of Cdifomi& ud tse lhn ill snrld &.om subra-l to rh.
<br />mrt6' comp@iion ForiiioB of S.d ion !700 of rhc l,tn Cod., I Cull. tunn" nh .omrry wih tlbs For lnB
<br />WARNINC FrtuE ro cdc Nrl6 o6F$rhn Nvdrsc t uLqtuL !d rhdl $bJ.d d dr'plols k, ainin rEEhir Md
<br />c'v,l fin6 up ro on. hurtu rhdrund dolls (t100,000), i. x$nFn ro th. ccl ofcomFBdrol! drnss6 s provii.d for rlE
<br />sdFn ruraor rh. trhs (ide 6rcd $d dhlh t ft6 1 -)/,/,2-, f-i4-17 ^,,*,,,, lr-?2,r,- //L/{22
<br />' ' r rcErrsli t'ort nrcr on ,//AESASAIIO! 7
<br />I hd.by rrm un& Fn lryof Fjuy lhr I o lic€E d urxl6 F!\i'ion of(luFd e (omffiin8 Nnh Scli.n 7O0Ol olDncion I
<br />of rn BBinB Md Pmf hnrCo&, ad m,lic@ is in lull [or.. Ed .,TEl
<br />"." 6 24-t1
<br />r r)\\rRl ( r()\ | t \ lll]!!!!l \l_I
<br />I hd@rr .llm udd Fdry ol prjlr! lhd thac n r .otrrtuctbn krdin8 ssmy for lhc pafo,1M.. o f rh. $ o fjr whithlhn Fmil ir
<br />su.d (sa 1097.civ. c )
<br />AIILI(ANLDECLdAAIIO!
<br />I hd!b,,trmun& F h, oa Fjur) oe of lh. folhwins &r lr.trcB
<br />DnDkin Pmil'-A.b6ro. Norilic.rn,. lardll Rqul, ioE (l nt 40. P3n6)
<br />R.qui'rtl I cnf ff Norli.ahtr
<br />I c€lity Ihsl th. LJodlr.strllxo{r r.Eod,n! al6i(r ronov{le. nor ry/ic.hl. ro
<br />'h$
<br />p!,rar
<br />I cdifylhd I Mlcmd r[isapplicat(,tradnar.thalrl'.au'vc lnn)man.n 6 corrir l.xrctr.omrltenhalliil] aad aotr rr
<br />io( rd lE.by rurbor'! (F6.ddiv6 of this Cily ed Couty lo dtd uf,n rh.onl,:tr6 di \rr. L\: EEir{ ro boildin* ("rdrucl
<br />a\*cm6h"ftnpmp.nyf 16*$(:Ei .
<br />^ppridnror
<br />A.dr slrurun.
<br />f*Pm,rRn.r.rprrfl,: J)€tatt,,
<br />v1JLklq/t/-7 -"g-ZL-t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 />Flood Zone Certif.
<br />FINAL /o/r{/t-t .,14-6i
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />I DATE tD/StG.
<br />I
<br />I
<br />I
<br />I I
<br />Subf loor/VenVlnsulation
<br />tt
<br />I
<br />I
<br />I
<br />I
<br />I
<br />| . t,l
|