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BUILDING. INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />6-171"1
<br />Forms/Steeli Holdowns (-E
<br />Erection Pads
<br />Sublloor/VenVl nsulation^A
<br />Roof Sheathinq ('{lY g-_ttv-11 -V7l-11 it#N-boK
<br />7-Jt''l"l xv#a
<br />Framing {-t?-t\)#Sk{
<br />lnsu latio n/E nergy g-2t11 I.vlx$,
<br />Drywall 7*74-l\
<br />fi).ltnt. t-atir rqf-1-Zb-l\g-7s- 11 *,VNi)
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 1-6-74
<br />Certificate ol Occu nc
<br />Noles, Remarks EtC.
<br />OWNET BUTLDET DELCARATION
<br />I h.rtry allirm utr].r FHlry ol Frlury th.r I m cr.mpr nlm rlE (i)nln.hn' LEnr lrw fttr rh. folhura E e'n (S<..loJl I
<br />IruriK $l Prnclro Cal.): Any C'ry D. Cotrnry *h'ch EquB a |trd (, .on{ru.i. .lrs. u.p.ok. &nnnh or FF, my
<br />{Mr!E, Fni k, n\ !r!rM,.ln' Rqumr rh. ll,nlklnr l tr rNh Frmi b riL. \krd {d.mnt rh.t rEot rlE 61.!nsJ lreln
<br />k' rh. ltrrni'ir ol rh. Cdnrn (r\ l-r.nsd br (ChzF.r 9. (omf,mir! e(h Serln 70(lO ol Drvrni I orrh. Au.iErs.ei
<br />t\in $bns C,,J.) or rh.r h. or rlE !.r.nlt)r rh.r.lirm !i rh. h.!F nn r& .r!s.n 4.r!rx'n .^., vrhrin of Selnn ,0.1I 5 l,y rn,
<br />lpplElnr tur Fdnr rubFrsrh. rlilf,znr b r ov 'l FMIi y ol nn ftft thln lrvc hundrdi 'lollr! (tloo).
<br />_1. 8 o*rr of itl FlFny, d r, .rrl,oF.r *dh w!8.. .. rh.r q)lc o'hFruirn, w'I Jt' th. rut .,n llE {trdF ! B
<br />urcd.l dolicEJ nx r!(Se 7lxa, BurEs ]xl ltolntnni ct c: Th. Conr.kroi r L(n€ LrP dtr rul r0rly ro u o*frt of
<br />th. F{6y *h' h{llk ( iqreE tlttutr !n *ho &B *h s* hrmiclt or i.Rll or rhbueh hs tr lEr own ctPloy..r.
<br />Folrtal rhri rkh dr!frM!e nx daldl .fi.Gri ntr $L lthrkEirlrt{ ihs u rpNrrcd Ri!wfibm Fa
<br />orqrq .re lh. OwEr Bull,!.r HI h.E lhc h'nktr orFDEu th.l lr or tlx,.lrl or hi! d in! 'E dE Fotdy fix tlE Frlrl.ol
<br />-1.
<br />.r o*Er o{ r hc nn,p.rir, rh .rrlurr.l, codturh8 *{h lK.n<rl (.dr-rs l. (r'n{Bl rh. Fl*!r (S( ior,r, BBft$
<br />rrd h\rr..rr, G&r Th. Conkrtx \ Lr.nr bw de. n .pfly b u orF of FoFny rk! horlJr or npreEr thcrco..
<br />rnd *h, c nr k lq $.h pn*ck *nb r cl,dBb(n lr.nel N^ud (' rtE Codtur," t l,ilns l,*)
<br />_l cicmpr ud.rs(lxr_, B & PC nrrhn E $n
<br />!ll8tsE8C-CA!rEE!.)A.IlO!
<br />DECLAIATION
<br />I tur.by 1lltrn unncr F.Mlry (lFtlui! oft ol rlt l,nl,*d8 J..hr:tn'n\l
<br />-l
<br />Uvc srl *tU tudu r C.nrlirr. or G'n-n! ro S.lf-InsuE fd qrtcn .omlEnnlxm. .! ttovll.d lor by S€rrn t1(X, o1 llE
<br />ti{ (irj.. lq llr F.inlla! ol rlE *nl tu *tf,h rlr Fmr s Fsu.J
<br />I hn!. .ftj wrll mrd.rn wort.r .onpcnllnoa rn\uruh-'.. ar rcquKJ lly S(rDn !7(1, ol rh. I jlrtr C,x].. ,tn rlt FrllJlmtu. ot
<br />rh. H ntrlh.hrhK Fmi s trsu.n My worl..' ro,p.n\$on m.urne l5Er.,n Fnry nlmrrr (:
<br />l,(n(yN!nrh.r:_
<br />_l(n4rh, Di& Fnnlfut orrlr work li* uhrhrhnFrmn n sru.J
<br />$ rs to h..rm rut el t, llr xf,ts'ltrrfEnrn $n L*! ot C.hlomu- .,n .g
<br />lftn rmpl'y rny pcFon 0r.ynr.ncr
<br />'l I \knrLl lr-.onr n'h|cr k,rlr
<br />qr$n I'ov6rr! ol Salon l?m ol rlr Utrx C.Jc. I
<br />tuE ro E-.e h .E d,Flxnrrrr $vcn!. r\ u.l
<br />h $nfly * hrh'rrr vr0ns
<br />hrll suhrcr .n cn{,l,y.r t, rrjtjel ttEls md
<br />r hurn.J rhnnrnJ 'lollr rll(ll(xxx ,n '{ of uotrvEns.ll,n. J@3c! .( 0nrvrl.J lnr rlE
<br />I h.tr'l't nlhnr ui(1., Fnrlrlor Iirlury rhr I rn, l'..tr:al un'lcr lllr^hi nl('lrttt rs rnh S.rr$n 70n) .l Dlvrnn !
<br />ol th. Buw$.fi1 I'm,ar{,N CoL. rrl ny li.nE ! h ln[ nftt ul.l
<br />CONSTRTI("TION t FNDI\(i AGENCI'
<br />I h(r$y rlirmnft].r Fmliy ol lxrFry rhr rtrR ir..onnRl[n Lndn8 ascfty ntr rh. F.lotuE-'c orrh. wo.k ntr whrh rhr Itrr i
<br />r{u.J rs.c Urr, a,r ( r
<br />ATELICAALDECI"AEATA!
<br />I H'y dim ud.. p.nrrt ol tErflr, uF or rh. rdlownS d&bror.nr:
<br />l)cnnnn,n P.rm $AstEslos Nor/trirnn ljc!..rl Rqrl4 ioN l]'.k (,. P.n6r
<br />-Rcqur.al
<br />LI.r ol Ndftd$i
<br />IcMrryrh rh.l.Jcrdl rc3uhr.nr rg,J'n8 a\h.dorrfr,rrlrrc fr{.1'?1..6k lorhr pmFr
<br />_l (cd',y rhrr I hrv. Er rh6.tlllh{rr.nl d.rc '.1(nndtrrr(.m1r lrsNr,('nDlv*dhrll('ryrrkl(h nr!
<br />onlm ..\ MJ Srd. lr*r Eullg r,r ho lhl ((auihtrrc rqrcrnuhli ol rh6 (ilyad C
<br />rh,v( h-nrxnr(l F,pcn! nr nyt(rir d
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Shear Wall
<br />s.,rtffi\
<br />S*c]loat iaVczo
<br />\.IVU-V
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