|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNDR AUILDER DELCARATION
<br />I h(ct', lftm undd psElly ol psjury lhd I m crm0 iiom lh. ConlrEcloE Lt.@ t * aor $. follo*in8 .a$n (S( 70:rl 5
<br />RBin6t &d P.ot*n n Codc), Any Cny !r Couny shich rdtunB r p6mn ro cadtud, rftG. impiore .laml6h or E !n ey
<br />srtudu., ,ntr !. ir. is@.q .lro rcqut6 rh..p!li.r! to.3u.h Fnn b fib r si8ncd sldoot lhsl tE or shc B lic4r.d pued!
<br />ro rhc rntrirtuN oftlE (i'nt6loa! Lico!.d llu,((lupld I, Conmcmins unh S*lio. 700{) oaDitilion I ofrh. lrurinN dnd
<br />Prol6ionr (i\k) or rh,l h. or .lr 6 .rmF rhr.hon ed lh. baii f.r tn alh8.d .tmption. Anl violdion of S.d irr 701 I 5 h) lny
<br />rppli(d for . p6nt 3ubj.d! lh. lr,pliclnl lo ! .iril p.Mtr .f not morc lho fir. hutr&.d doll6 ($m)
<br />l. B Ne ofrh. FnFry. or ht dipbc wirh urE6 s rhci. el. conpaudiotr $ do,Ef,ut-dllErnflEi!mt
<br />iddial d ofid.d f.. $l. (Sc 704,1, Bci6 !d PrcfsioB Cod.: Th. Corturm s Ltw L3r &re r, +rly ro u otrG .a
<br />rh. FsFry s'rs hil& u !ts!r€ ltd@ trd sh dG un Nrt nuelf or h€slf 6r tlnbugh hi! or hd osr mplo)6.
<br />ForiLd rh! Mh mFogffi e d n.i.n c ofirsl f.r r.l. If. ho$6q. rlE hiEnB or i'lFusErt i! bld vahiI,* !a
<br />otcqebno dE O*E Buildd *i[ hE llt hnb' otFovilB lh. lE d th. d'd @l hnld c i,qov. $. FoFry for
<br />'lE F,FE oa
<br />l. 6 o$n olrlE FrFt. m (c16.!.lr.otudinr hnh h..rB.n.otuioB ro otu tlE F!j.d (S< ?Otr, &66
<br />lrn hlLsft Co<lG Th. ( onlElort l.rog l.r &6 rcl .rrly lo d o*ns of FoFly *lh boildr or improl6 rhsan.
<br />sd *lkt od*t nr $ch t'.Fr. *nh r coffidlr,laEEn pllltd
<br />'o
<br />th.Corrr..ro.! LIGE !rr)
<br />I m.tdF u..Li S.<kn
<br />ItoBlilSa.caltfEularlo!
<br />DICIAaAI]A!
<br />I hd.hy .mfr undi poalry of pdrur" om ofrlE forlol ins &cld,rioB
<br />I niv. .rl *,ll tui.rD . Ca'...l. olcoer ro s.lf l6ur. ld *o*a' comp6ni,o, d Fo\ii.d for br Scliln 17(rO oa tlE
<br />lrlq Co<b. ts rlr Ffo'ffi of th. *ort fr rtih rlE Fhn a sucd
<br />I ha\. .nd * 'll harrAr *1,t6 .omFud ion nruhr.. 8 rqlur.d q( salion :u0O of rh. Labor Coda tu lnc p6fo.rm.c of
<br />rh. \o ldts hth !h6 Fq'i ! ar6l I'! *mrd' .omFs,un 'Burn. !n6 d FllK) numbq r.,*- l'laA{'L,'d A;*#- .fi'*
<br />,',.,u,Nd,n,r UaatE*qrteslO \pir6 3' t -tt
<br />I cdifr rhzt in rhclEfonntr. orlh. work for whi.h rhh p.mn is issu.d. I shnllrcl oploy uy rq$o i. a., mMnd
<br />s arobdoturub<ltorh.Mdd compslnn'n b*3o|Califomu. d ,sd rhd if I 3hould b.(om. bjrttorh.
<br />wodEJ .oul'aMrion rDvsioB of s.d ion 1700 of lh. I ltnr Cod.. I Jell. aonhwnh comdy whh rhor pr.visioN
<br />wARNlNc: I ur. u BU. *orld omta$rbn .ord!. ir unlaplul, d shall subjal u dpn'y6 xr odmal Fuhi. ,hd(i!il lin.s trp kr oh. hundrql rhoosnd dolltrr (lloo.ur). i6 ion u rhc.ost olcomp.roaln,n. da'n{€s a !n)vid.d lnr rlk
<br />Sdlion 1076 olrhc l.hr ( G1.. inrqd ud dhmcr's lc8'3o'i'r
<br />I hmty.nirfl uhdc toux, oi Fdlurt rhd I m lrot il Iro\iihn ol( hapt6 e (conmtrin8 with S..lion ?000) ot lr\ aun l
<br />fl rh. hN,cia ltolii\n,ns (i,d.. tr d r) h(os tr m flllfitrc md.fr..r
<br />AJ2-3o t-7
<br />L ,@q?*a
<br /><)-()
<br />Ibd rt.rm uflld Fn lrt olpqury lhd th@ t t mdrudion kndir8 rg*r. for rh. Ffo.rlr&. otrh. so.k fttr \hkh rh! tffn i!
<br />isu.d (s6 1097. civ c)
<br />atrLl(A.tlDlicta8Alla!
<br />I hdd, .ff'm ui<ld Flry of p6,lry oG of rlE tullou rs &chrn ioo3:
<br />t,(tmhiln Pofing&bdot Mxilicn ior t.dd.l R.rll{ioB (l nL 40, Pal6 )
<br />RquEd l!lEotUorfi.tin
<br />odCoudy'o or. qrn rlE
<br />€4o..ta
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />FINAL
<br />Notes Remarks, Etc.
<br />Esrn'u dtBo! rtu\ ,l er tur qrltabL ro fiir rioj.ti
<br />Aprllonr or ,\s6r shn.(u.e
<br />P$mirft n. n. tpnnO:9t -. /4ru>
<br />I
<br />I
<br />Flood Zone Certif.
<br />Certificate of Occupancv
<br />^^ e*.6?n
|