|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Root Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Fjnal Beport
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />ll
<br />FINAL d-/
<br />Certilicate oI Occupancy t
<br />Notes, Remarks, Etc
<br />OIINER BTJILDEX DELCATAT()N
<br />I lEr.t'y rlrrm !i<tr Fodr, Dt rEr,lry thl I d crc'rlor tb6 rtE coddoB Ltq* t r for llE fo&sn8 tu (&{ 701 I 5
<br />Buim3. nn Pmfdsn Co&), tuy Cir, or Cd!r, vnrh '!q!iB i Fnn ro otr{n&r. .h6, trlqrorc. &mtsn m EFtr or
<br />rmrui pri)r ro il! irsulN. .rso EqliB tlr.pdtd for.Eh Frn lo tu. t'Sn d nrflE rlu h. o. {! ir licnid turdr
<br />ro rtE Fvhb.r ol rrr Cdrdd'. Lqen lle (Cn+r.r 9, Conmrinr whh SEri.i ?0@ ol Divlion 3 of rh. BBirs rnd
<br />Prer.$i.nr CdL) m rhd lEddE i!.er$ rffiom.tn dE b.!i rq E dl*trl cEqiiq Any vblrDnofsdi,n r0ll rbymy
<br />dpplk.nr ror ! Frmn $bjets dE .mlicsl lo. civil p. hy or nor mE fi.r 6r. nundEn (hl{i (15@}
<br />-1.
<br />!s ourcr ol th. ForEn y, or my.mploy*r *nh *rr.! s rh.n g'l. .nn+.Mbtr wiu do Eu,t!ndEofui! mr
<br />iddi.d oroffcEd firrk(Sd ?0a4, Borirc$..d PrDG3.DN Co&: Th. Coikd .LkMslawdEsmt+plyl{, o*mrot
<br />rh. r ,,.ny whl tlil1r m in!ft,B tlEr( un *bdG Bh hd hi@Ud h.Elrd rhN,h hi. a h.r orn.q oF-,
<br />llotldt rhd.ah i,!.omnrr e mt id.ri.d d ofi.rd rm rE. ,f. lw.w. lL txiBini or inFftmfl i! sU withir @ )br
<br />nf.lrlfbriotr rt! Oe8 Blilrl, wiu h.r dr hiki of prDv,! dEr l! d {r drd d ho& d ilvirm dE F(Fry ftr lE FIFE or
<br />-t.
<br />!so'rcrofrh. IrlDcny. ancx.nNivrlycotrrr&1in8 uirh liccnrd conrrdon t, cobrM rtE F j.ir ls... 7ua. arnr(
<br />rfil h,6..qncdk th.ch.rBrorrLa.nel.pdlsfr{{Tl,ro o*N ol ttroFny $h' t'uild\ or in rnvcr rhcrqnt,
<br />3nd *ho c\,itdck rrtr s!.h I'fl,,cd r eirh a G,nhhdt ) Ii.lnsd pu,Mn' to r lE C. r&1MtlirreL.s)
<br />I n.r.nrpr {n&. SNltrr
<br />lvoRKtilis' conlPlr{s TloN
<br />ll!(t.a&ula!
<br />Ihr.h) rlltrnru ( Fmllyolpcrru']om olrh( lnll,*'nB drhmrotr\
<br />-l h.w .,n will mhrlin r C.nifE cofcons |o Srlr l6u. tor eorl6 tunp.$rli'n, I F.vij.n for by Salbn l?00 ol llE
<br />t hor ('.d.. f, tlE p6flm ofllE rst fr *tth llE Fnn i! nru.d
<br />_l hrk.rl will mid.in s&.6 drp..orirn imnr.. a Eiumi by Sdi,tr l?m of lh.lrho, Co&. aq rrE Frfo'rre. or
<br />Ih. w.rk ror whi.h thk lErmil is i,nEl. My rdl6r' $.r{Ereri'. in$tu. n.d Fli.y nlnlrd e
<br />crnr ' 6Y9 fleFwau L
<br />lrl'yr C?\ SA oO lo,l.zoz,n
<br />I c.nify rlEr in rlE pc.forrr of rlE qrt for .tltn rhn Fftt i! iBr{ I drll mi .ir?hy rny IEmn in uy mnE
<br />$ 8 n, tt o@ fli').cr !.
<br />'lE
<br />w.rl6 .oqxnqrirn lx*s olcdilomi. .d .88
<br />'hc
<br />if I dmh tEom nlErl lo th
<br />srt6 FqENrirn l,revi.irB of Sdhn ll00 ot E trtxr Cdc. I dttl, ,onhwilt onply eirh lho* psvismr.
<br />WARNINC: Fsilurc to €uE *iik c orp.nsrbn co6g. i3 unLrtuL tun {rll subFl & dr?hF L qiniMl psrlier.,n
<br />ciil fiE. uI' lo orc fiu'dEn lhlqd &'ltF (Slm,o@). in .ddni,n to llf .d ol coqEnsriotr d.m8s ur Fsvftn fc, rh.
<br />Sdion]076.arlE t $ GiL. d.En rd l,ty . fc.
<br />o.n, '1- l"7o7n>
<br />^*. ?!2r*r.r e.Scr.a
<br />IICINTED. TNIEACIABnpcr tf,lrtoN
<br />I tEEr,y rnnu l.r Fh,lry or tx4ury rh, I un lr$nsl u d pnrvision ofolrrs c (omEmi.r wilh Sdrrn ?uI), or Do,ri,n I
<br />of
<br />'lE
<br />BuriBl.,n Pmrcsi,s Cod.. ud m,lt.ft tr in ru roN.,n.firr.
<br />9 ,Jf;44.'vtv
<br />u^" . 1. l.'uzo ,-,** >(
<br />APPLIC{I\"T D''CI 4X,AITON
<br />I hod'y.rm uid.r Fi.rty ol Fjury oE or llE folhwinS .k{hd ion!:
<br />D.mliri,n P.rm(r Ashc(d NdiaEri,n rrdf,l &4ul,lbnr (Tn!.t0, P.n6)
<br />Rqumd l..ncrof N(rifrarin,
<br />-l
<br />.diry $d llE 6..11 Esrtlllim E rdina r{E:io. l.frvrl .r. mr gila.bL b lhi! p,ojci
<br />G&.rlry rru r u.t qa rrrn .prtd+ rid i.l. rhn llx .r.r inrootio. i. old. I r8E !o mtrply $irh .tl ciy snd ci,,ury
<br />odmN{ {d sLr. L!e! rLrrg ro bui ns.oNtdi.(.rd lEr.by.nnoriE r.srErri6 of rhir Ciry.tn C.u.y !o mtd 'po. tlE
<br />lr[r Mr'oi.d l,.Fry rd hs<rt" llf*' I -
<br />^*-,*^r-,.*r*,X
<br />l t '' Yh
<br />-
<br />D.b , 1' l' 1'2'
<br />,...u.*,,nnu,-L-@.hl (totrr.o
<br />-
<br />'/a
<br />lflflZnlD'r-E
<br />Bev.08.07 2015
<br />loltrEugrlllluarAlilcElg
<br />I trEby tffmr lnld FEliy of F JUry rhr 0EE is . on<elbn tfllhr !8cr, lm llE Ffotlm of rlE k r fn, r,ni.h thr Fmn i!
<br />"nkd (sd 1097. civ c.).
<br />UFER Ground
|