|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loorNenUlnsulation
<br />?71et*'Roof Sheathing ///,f//,f
<br />'
<br />'tz---,-'
<br />Shear Wall
<br />ngFrami
<br />ln sulation/E nerg y
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Ha ndicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />.&4/2/hh{1
<br />Certificate of Occupancy ,1 )
<br />Notes, Remarks, Etc
<br />l,l/ t
<br />.'74 a/?L.14
<br />A-
<br />OWNER BUILDER DELCARATION
<br />I hftby !,Iue undd Fidry of pdjurJ rhd I d q.dpr from th. ao.lr.clo6' Lic.N. L& for fi. aollowll{ l@n (Sa.tr)11.5
<br />B!!in6r ,rl Proft!.ion C.d.) An, Chy or Coody trhi.h E{un6 r p6En lo coNlrud. a. hwvc <Lmtirh o, It,.a oy
<br />rltuclw, Fior ro il! isu44 .bo ro+i6 tlr.p?li.&t lor rkh FDr ro 6L r sisn d sdffil lhd lt or !t** l(a!.d pledlr
<br />lo 0E FovnoB of lE Conred r tienad L.w {clupr6 9, Co@ftio! *ifi S6do. ?0Oo of Diri.ion I of rlE Buil6 ed
<br />PNfcsioN (o&) or rh.r lE o. in i! cr@pl tha.6oo .d rh. b6i! for ilE a[.8ci .rdibn Ary vioLliod ors..rbn 70] L5 by oy
<br />.ppli.d fo. . Fmn $bjd th. .prlk.nt to . .ivil p.dhy of ml mr. lhtr fivc hutr&cd {t'lte! (1500).
<br />_1, G o*G of rlE FoFny, or h, @dota wdh $.s6 6 rEt $!. onFMioE sil dr EwmlrndErrurci Nl
<br />iddrd.d or or6.n for rl. (Sa. 1044, A6iB Ed Pmft.sioB Cod.: TIE cdi.rM . Lic@ lrn &6 nor 4ply ro x osG of
<br />rlE FiFrr wtn hrild d inv66 dsq !n *h. 116 kh *ut hirelf or hdrlfo. thmuSh h! or lE orr dqlo)6.
<br />Forddl rhd sfi oFDlllEt re d ilirn d q o,Ed 6. r]. lf. tb*.!, OE hrilding or inFlll€ld ii $ld wnhin om )r
<br />ofcof,Tldi.a tlE OrM Suilda ri[ llE tli hr&r of Forir{ d. lE or JE dij ml hlu c inseE dE FFty ht dE F,Fc of
<br />-1,
<br />s o*G of r,E FrFi). 6 B.lBNdy conralins vnr lrrE d.olrdo6 ro 6.fud ilE FDi( (Sc ,u4. &8!r
<br />Erd PloE im Cod. Tnc C@r.*roar l,t.e tr* do6 d @ly ro d osnE of Flpqry rho buil& or idprov6 rno@(
<br />rnd *ho .odfi3 f6 3*h F*!l. {th . ('on &:ro(t, la6.d Fllsid io rlE Co rr.rd.. Lk@ bw).
<br />-l
<br />u q@F un<b Sarbo-, B & PC.lo,fial@tr
<br />D.r. orc
<br />.uof,l$8s:(0n,lf8lall(l!
<br />DEC|4AAI]O!
<br />I hq.bv lmm uidd pqulry of Do]ury oc ofllr folbs iru &cl&cirB
<br />-l
<br />hrr. d'd *rll rinre r Cdr6c1. otcon5r lo S.lf-lng. t r wlqt mFuri,\ c Fofd fo, !y Sdirn !?00 offi.
<br />Lbor ( od.. fs thc Ffolrft. orth. wrt ts rtkh lhc FEn t isr4
<br />_l h,v..nd rill nrinr. wortdr comFMs. iaunNq a ,a$ir.d by sdion l7m of rh. t bor Code foi llE Ff{)l]rlec or
<br />tlr uort( for $h.h rhn p.ntr( ir i{r.d M, wnta @mpard6d inMe. cis -d policy.unb6 r.:
<br />-l
<br />ccnily rh.r in th. Flotuc. ot0E *'orr tor whah lnt p6mn i. i$u.d I sh.ll mi dploy &y F$n i. ey nm6
<br />$ a to b.<om. tuudi b th. *orld' conpdsdion Lw! of Glifomh. ud .3E thd if I 3hould h.comc lubjd lo llE
<br />wo €l comp€Ntnrn pmlirioB of S.rtion l70O of $c lrt r Co&, I dall, fonhwith cooply wnh lhr pforntB
<br />wARNtN(;: tirlur. ro Bu. w (d' onpaBltt'n c.v6rc. ii uilNtul, od 3h.ll subjd e @rloF lo oimiral FEhi! ed
<br />.tr, ti k.\ tr| n) om l,trtr(t,r(t ihrtrsntrJ dotLn,! t$l 6 ddirtJn ro rh. .or of comFsrion. don.8.s 6 pruvid.d for lhc
<br />s..rk,, 1o7..1 rl'. | .'lf' ( .Jr. tr .'6rrnLl c*:=o'-<<-
<br />DECIdIAIIO!
<br />I h@by .mrm lndd psrlty oaFjory thn I m lic.Ncd und6 Fovirior of Cha9la I rcoffihs vnh Sc<rhn 70m) ol Dirtion 1
<br />of rhc BBin< od PDast'N Cod., .rd my lk.M ii in tull fore rd.1161.
<br />/ c7 1/ 72
<br />o"" /o- 7/-/?
<br />laallallcualJ.ElDldclc[Ncx
<br />I hdrt'y rrrn u& Frlty ol F)ury $n llEG ir . otdNclion ladlE .edy tu tlE ,cfo,lj4. of tlt $ort tu $tth lhi Fml il
<br />isu.n (sd 1097. ci! a)
<br />AISLIC/AILIECUaAIIO!
<br />I hd6' .lEr oi& Da.ty of ,aiuy or ol rh. foL'witrs &l[nbN:
<br />Ddmhion Pmh+Albdd faolifrllbr F.danl f,.auhioE {Tnt..O. Pal6)
<br />-R.quiEd
<br />llll6 ol Uorifi.rion
<br />-l
<br />csl't lhi th. t ddrl r.sul,t e6 FgrdxB rsbdrG r6m\ .l e d +plklbL ro (his Foin
<br />-l.drftrhdIha.ralrhi!qlPladhnrn,.r.rhdfi..hr\.'.fotu6nacor.clIasrrlootr'plyrnhtllCdy.dcomr,odil[m6 .nd srd.l,u.
<br />$ov. nHrF..d protEry
<br />ro b{ildins mErudbtr !,n lE br.urtrrn GFsidir€ of thir Cnyri Cod! ro drd r$)n 0E
<br /> ppli..nr or ardr shn.i0r.n*,J2.3/-/?
<br />7 C.E4f< a
<br />I
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Ext./lnt. Lath
<br />FINAL
<br />U
|