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BUILDING- INSPECTOH RECORD
<br />SITE.WORK DATE ID/SIG.COIIiIMENTS oWNER BIIII,DER DIII-CANATT)N ..'
<br />I lEE y rntm ur.kr Furh or FFry rhd I m cr.q'r amn rli ( odr*r.E litrc liw ro. rrE follo*h! rc.s. is.lrru r l r
<br />B$iE\! nd ftofF\irn C,rL, Any Cry o. Ci{ y *hxh rquirc3 . Fml lo onrMr. 1116, n{mE. .kmrkh or EFn uv
<br />nfl.llrc, nrirtr kr il! issush-'.. dro rcquiEs rh. {nDlicanr ti,r {uchl{nnirt, iL! \i3n.d slrrcrn! rh }Eorrlrnliccn!.d Pumldr
<br />kr rh. ln,v(rm .l rh. Conrmrtr i l.t.n{d lrs (CntFd e. C.mErii3 eih S.rthn ?(m oa l)ilirttn I oI lh Burirs r'd
<br />Pml, rlr,nr Cnd.) or lni lr q rrE ii.tcq, trxt ton rd rlE t!si. nn rh .lkS.rl.tmiibn An, vr,hrhnorScdion?0.r15 bv.nv
<br />upflicrnrtuapcrnirr!br..rrrh..lplic.nrl.a.irilpcmlryorhormtr.rhrnfi{chutdtddollastSS{x))
<br />I. r\ ovffi ol rhc rmFny. rr ny cqrliF. *{h r4fl .r rlEit $L .on{Endirn. r'ill (l' rrt rrrl .rn ln. {lfu is r,
<br />dc H or.ltu rd sL (s( 7044. BuiiB\ lnd t'ror6(hn. Cdl. Th. Co rrlir'r l-itn< tl* dE\ r{ q,llv ro.n.rBr ol
<br />rh. ImrEny *h' trild\ or nr{rl,B th.c'n. qxl *h, &B kh $rrt hinrcllo, h.r€lfor rhm!8h hk or hcr o*n cnttlortc'.
<br />Ixorikn rh.t rsh 6tFEird! 4 d i .d.n d.ftrcd ntr q! lt h,*t1tr. rlE hiBitS d fitmEftd i! rfi *nth iE ).r
<br />of.rxr?lrirn llE(xF Boih.r uill hE Etxd.norrFri'rsrrdlrM{Ednr tlild q drE ttE FIEIv f{tllElEIr,.or
<br />1..\ o*tur.rrh. FlEny. ,m cr.lu{trlv.ontfi rn3 qih lNnhl(.ntrdm\ r' $n(ur tlE FoAr rsd 7(}r'1. Bunms
<br />! Pn(rlnnC,xl. The Cont&!.il I -E.n\e l$ J{E\ mr lPnlJ_ k, rnosn., nl nnrFdytrkl burlk.t imprn.rrhcRrn.
<br />trnd who cofiel\ anr {'ch roJcrt r sirh t Cortr(trlr, li.coBl nut\urnr () rhc ( onlrn ttr s l.kn{ ljw )
<br />wo (i - / -zozo
<br />S..ri()n \1176ol rh.Irhtr(_(x1.. tr crc{inland'N \f.r\
<br />?'"'/1 ^*,-"
<br />I tf,Ehy.fiLm un&r FMllrof Frirry lh.r I d litnrd undd |ilrnion of Ch!fld 0 (ommrin3 eirh sdhn TIID) ofDivilion:1
<br />rl r,E BuiBi !i Pi.f6irn C.d<. rn ny licnt ir in tull toR .d.irst
<br />,"".-r"^*,,'9f ? {by'
<br />cuiErBucuLlNlEutulc-atildla
<br />I h.rchy rlfirn uft]cr rEMliy or pcrjury lhll lhcE n a onsrturion kndinS rscrcy ror rh. tknor.Em orllE eorr nn shtn rhn IE mi i3
<br />iiu.it lS.. Il97.Civ C )
<br />lrndc, r Nrft
<br /> PPLICAITT DT('I In-ATT(IN
<br />I hdr*ry rnim umlc, ,,c.!lry ol Frrury ot oflh. r,nh*in8 n€hrarii,ni
<br />l)cmlirrn P..mr.Arb6i N(niforbn tu.rl R.3!Lr rfi l Tilt {r, P'n6r
<br />tl.,t trcJ l.rr(r ol N'i(i(rrn
<br />rlEr rh. lin lE8lhrbnr E3.rdin3 r{rsroi (nr,!alrm dn !t ,liuhh b rha tmF
<br />ilyrhrrll crc&llii!rt'pltrrinr n {rr. rh.r rh(.ltrc inli)n'urxnr a.ntr.cr lugret,conlPlywirhlll(iryrnJ(flunrv
<br />dnifrl6.rn sr.r. trws Ehri.! k, t{illr.! c.Ntu1ior .trl hcr-t!} thrn..(F.enni\s or i
<br />ltr'rc runrx,nrl Fn,tEny lm 'nrF<lio.
<br />lpli0nt rr.\*.nl SiFmlum )A
<br />t^tt*^^,Oa^t'ffi etw
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Bool Sheathino
<br />Shear Wall
<br />Framinq 9/rc./.ts Itdr1 lo)
<br />Insulation/Energy
<br />Drywall thq lrc btf /,ol
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar plqiltt 1 T.i^LoZ i?rb )
<br />Handicap Req.Ll-\l I
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />-....-\
<br />FINAL dulca -!*.....,tgr(ttD./
<br />Certif icate ot Occupancy I 'u-\<..,.
<br />Notes, Remarks, Etc
<br />-,
<br />_l m.r.rp unr.r S<rh.-. a & P C. for rti E$n
<br />hr. ()tFr
<br />llrSSsELl!&@sAIIlNIECIJIAIII]
<br />I hcrcby oalirn und.r Fn.ll, .I lsjury om ot rhc iirlh*ing d.chmlhns
<br />-l
<br />llE id witl mid.in. Ccnifr.lc of Con<r ro s.r.InruE fd wttcr' onFMi,.. .s Fwi.n for l, s.dbn]?m or rlE
<br />L,tsr ( odc. for lh. F.tl)lr1m. of tlE vfft fm *hih,rh. Fnii k hru.d
<br />-lhxE.d*illmj rin *rl$ oqFetin inonr.,.. cqun.n h, Sdrbn lTmorllr L.norCo&. td. rrr Ffolt*. ol
<br />rhr wt f( vhih fik p.mn ir irrcd My $ortd on{m..lhn in$rBt it t'd Flty tunllr *:
<br />?3 72 24
<br />-l
<br />anilr rh.r in rlt Fr.rmr..l trE *ryt rd ehih rhn Frm, n i$ui. I 'hrll h'.lrtlhv rnv Fisn in !., nuEr
<br />$ ar k' lrom {tr< lo ln soiica d,rlxdiis hvr of (ililonE, dd r8ftfi.lif I rh.uld lrdrm subF.t l{'rl!
<br />w*6a.nmFns.rionpmriionr.fSdrio.l?(nnllncL.h,Codc,lrh.ll.lonhsilhonllysfihrthtpmvishn!
<br />WARNINC F.illr !o Rm wtrk 6' mq.otililn d*tht. ir unLwftl. lrn rhrll 6Fl m .n{'loF h 6imin l Futi\ un
<br />civil fimr !p ro ot hurdi.n rhour.,n dolhF (!lm.mr. rn .ddirir. h rlE orl ot sqrNli.G d.rtsli rr pl rd'd lor rlI
<br />,,,"...,,.,.. ' B
<br />,'"'e F/e/11
<br />Forms/Steel/Holdowns
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