|
O*ffi.8!ildn D.(lr[lion
<br />I lEr.by rm,n und.. p.Eny ol Frury th.l I .m .r.npt form tlE Conk..ro,t' t.E..e tr* lo. fi. folh*'ns ia.n {G 70, I t &!in6}
<br />&d Pma63bn Crrd.l Any Cny or ( oudy *hich r.qut6. Fmn ro oBrtud, .lrd, impr6rc- {k@lat or EFn ry tlMuc. Fin b ru
<br />n!.*c. .l5o ..qu6 llE lppliotrt for Nch Fm ro uL . riSn d .r@^l thrt h. or th. i! li.ed p6ut lo tn. pFrnhN oarh.
<br />('onrrdois l-rc.nr.n r,.w (ch.prde. comni.nc'hs wnhsFt'on T0ooorl)'vr@n l oath.8unn6rlnd Proa6r'.8 Cod.) or rh,r h. or'
<br />3h. ir.r.nDl th6.6om Id th. b.ri! lor lhc .ll.s.d .r.npl6n Any $l.lionof S.clion 70:ll 5 by My.pplicrnr for t pnrn tubjd rh.
<br />.prlid.r r. . .iv,l p.rhy of @r mr. rh.r filc hu.(tu dolr.n ( iJ00)
<br />l. G owffi ol rh. pNp.dy- or m, .mployd *irh {rsn h rh.n $k conp.tulD( } I do th. I ort rnd rh. nrudu. n mt inlqd.d
<br />or olIlr.d lorsl.( sd 704.. BB'nBr ind Prca.ino cod. Th.co.k.croa! l-,c.n..I-.* do- rcr.pply t...o*nd ofih. pmp.ny
<br />who buil& o. inprorg thE6., md wh. do6 ruch uork hi@lf or heltorthrouSn hir or hd o*n.mployrr. provillcd rhll tuch
<br />impor.molt rc ml i.n.fll.d m ofiq.d fo. sl. ll ho*M, rlI b{ildi,aor inpro!.6.d n nB *nh'. oc y.r of conplaion. rh.
<br />OFE-Bxildn * ill h.vc rh. b!d.. 6t po\ i.s lh.l h. d rh. M h,ild or inpro\t for rh. p!rF* of ek)
<br />l.uowndofrh.prop.ny. !m .rcluriv.ly .onrrdin! *ilh lic.ed .ont ddo6 to coNtrucl th. prcj(r ( s< 704,4, Buin.$ &d
<br />Proa.srionCod. Th. Cont&rois l.'..n!. Lr* do6 not.Dply ro.n ownd of prorEny who b!rld! or impmrct th..6i...d wh.
<br />conttcb for !r.h pol.crt * h.Conlrcro(n h...rn plRunr ro rlE Conrrdo, ! Lrc.nE lr*,
<br />I m.r.mpr unds Sdk'n
<br />v. rnd *' ll tu,n!.r sorl(. omp.Brb. 'NUnE,.t r.qor.d by SdEi I7m of rh. l.bo, Cod., for rlE o.rfor n..otrlE
<br />laaf,talcautEtsAr!0!-0lclJ8all0!
<br />lhq.lry loim undE p.uhy olFjur, oE orrh. aolh*i4d(LlrfE
<br />I h.vc.id will nri.r.io ! C.ni6.rk ofCoE.nr ro S.lf-ln!u,. aor *0r[.6' .ompcMr
<br />'dn.
<br />.r prov'd.d r.r hy sdron r?00ofrh.
<br />l:tor C.d.. forln Flolmm.of !n emt for*hichth.Fmn n b.(d
<br />*o,r ror *,fi(h rhlFlh( u 'su.d My *o,k6'@mD.n{r6. 'nruErc..mEmd(,nid /Y,^(4 t ",-* 2-Ul c htuLrg2a 9aq /
<br />C
<br />I
<br />ordrrftd ind sr.r.lrtrs r.ldin! h hoild
<br />!n.mplor( n).runml,).Mlr's rnd ctr,l
<br />t inlomdn. n cord I.are lo.omply qnh rll Cny tnd Cod,
<br />!uth.,nt rcP6.nliliv.! o f lhir Cny Dd
<br />/(Thn rdion r.it nor b..ompl.r.d 'rlh! Fm n for (rE hundr.d doll6 itl(x)lorks)
<br />I c.dify th.l in rlEFfotmE.of rh.*ort ror*hichrhir p..nir 6 isurd.l.h.U mr
<br />lic uD r; ox hu,!.H $outrd 6.1118 (t I m,om),i! ddnbn to tlE
<br />'h.l,bor Cod., mr.r6! .nd rnom., i fd
<br />coe ett6-npautlnn. Armsc s Fov'd.d tor rlE Srcron 1076 of
<br />u(lllELCqNrXAggXr.0ESuSArQX
<br />I lF.ny .,lid undd p.ohy of Frry lhd I e ltdB.d unad Frvnion or CnlDrd 9 (6mmftin, *nh s.d6. 7000) .l DrvbDn I ot
<br />lh. A6'B .!n PmadirB Cod.. t i my licm L 'r tull 6r. llll .lTd
<br />o 7-
<br />(]zl!!l!!Jr)\ r.r:Nr)rr(:.r_!i!IL!
<br />ofp..Joryrhrt rhd. ir r.oBttu.iirn kDdinS iJ.ry for rh. pd.lrun..olrh.
<br />L-/o / {. ,,.",,,"", PL
<br />n'u.d(sd 1097. ( '\ ( )
<br />l..nd. ! Nrm.
<br />Aftuca&Il-DrctdaAr&!l}ml'rhn P.mil'.Arb6rs Ndili..ri.n F.dol R.ruLrirB { T( L 40. Pm 6)
<br />Rrqun.d tnid ol Norin..'ion
<br />I c.nifyrh.r rh. r.dq.lr.eulltFE r.audins Bb.sios rmr.l r. nor.ppli.!bl. {o rht pi.jftr
<br />l!.n't rtur l h,\. r.ad rh'i.rn
<br />/I
<br />SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/Ene rgy
<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 />tfuiit4* I {t*t ,+/ey'lf
<br />FINAL l/tt/t<=F-fu )nv6/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />5r sp@non Fm!\Buildn9-lntp..lion Roco.d doc 03 31 06
<br />a-2 c
<br />BUILDING. INSPECTOR RECORD
<br />ID/SIG.
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorfuenUlnsul.
<br />-#1h-.
|