|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.GOMMENTS Ohd-Build.r D€l.,.ri6
<br />t h.Ety rfliE und6 Fulry of pdjury dln I d Grmpl fch th. ConEt.t6' Licfu. r8 fd ih. foll ing l..s GE 7Ol L5 Busindt
<br />sd PDfBrie Cod.): Aiy Cit, ( C@ y qhich rquiB . p@t to @nru.( dr6. imprcv., d.mli.h or Ep.n my rE!.r!r.i Fior ro ir!
<br />ir'uc, dD rcqutd fi. +p,i.d fd ru.I Fhir lo 6!. r risn d nrl.tMt rhrt h. d rh. ir lim&n puB@r ro rh. Fovirio ofrh.
<br />C6trrd'r Li.!tu n rn (O!+i6 9, Cffiina *ith S.cti6 ?O0o of Divilio ! of lt. Buin-t $d Prcf4id Cod.) q $.1 h. s
<br />rhc i,.rm rndfmh ed rh. bai, fd rh. dlc8cd ddnprid .Any viol.rid of S..rid 7031.5 by 6y rpplic-l fd r p.mn rulj+a $.
<br />lppti@r ro ..ivi! Frlty ot n.'r ffi tt8 fiE hrlded doll.n (t500).
<br />_I, s omd ofrh. FlFrr, d ny 6,Dloyd,nh,.ss d rh.ir !ol. ffip6'edon. *ill d,o th. rork Dd th. rltucroE t nor im.rd.d
<br />c. ofidrd 16 .r!! ( sc ?o,r,t. Bqird ed Prcfai@ Codc: Th. CdE .td't Li6G tre do6 n . lpply to & om( of th. Fopciry
<br />who buil& q ilnproc rn6, ed *,ho .bd te! wdt hi@lf d hddf d rhusn hn or hd M dploy.4, Fovi&d rh.l tuch
<br />improv.n. r .rc iot iir6d.d or ofl.,ld ra.,.lc If, hwdlr, Oc hildin8 or inpdamar ir rold widlin or.,.rr of conDl.rim, $c
<br />Osa-Build.r *iU h.v.0e hd.n ofpro nB6 h. drh. nor build d imFov. fd lt. Flrp6. oaral.),
<br />_I, B ohd of {r. Fordlr. n qclsiv.!, c6n* ry wi6 tieN.d 6E dd ro cdtirud 6c Fojcl ( S.c. ,oar. Buirgr ud
<br />ProlBid c.dc: Th. Cdr&la'3 Uc.e trw do.r nor .p?1, to h .Mlf of Fo'p.rry *ho blild! c inFovd Iho4 , {d *ho
<br />c@mcB ftr sd proj.d *nh r CdlrsIo(, limkd PIdoer to dE CmElctoa3 LicdBc Lrw.)
<br />_I un .r.mpa llld.r Sedi6
<br />WORI(ERS COMDEiISATION DICLAEATION
<br />I n@b, .lfim unda pdrdty of F jur, 6. of ihc follwinS dcdhiiN:
<br />_l h.vc ad *ill h.itrr.i. ! Cdrifiq& of Corai 10 S.l BuE ad wo.t6' ffiF{.rioni B prcvi.Ld fd by scrio 3700 ol!h.
<br />L.bor Co&, ld th. p.rfmcc of lll. *sk forpnicn lh. pmit ir i$ed.
<br />_l h.rc md eill minl.in rata' conrpq!.iia iroUme. s EqoiEd by S*rion 3700 of ft. rrbor Cod.. fd rhc p.rf@e@ of thc
<br />Mrt for *hich thn Fan i! l,!.d. My rrLd' .olnFr*iid i,lt!lm@ oEi.r ud polic, numbcr G:
<br />wAf,.NING| r.ile io
<br />'C.@
<br />*o*d' cmpoqtia @vhg. ir !ili{tu|, sd rhdl tubjd e hploya ro dininrl pdrlri.r .rd civil
<br />iir6 up t6 h. hu&.d l[oled dolla (t 100,000),in r.ldidd ro 6. 6r of cmFntjo. damgB s Fovi.t d f6 lh. SGai6 10?6 of
<br />dc L.bd CodG, intqBl xd .tt6nrrt fB.
<br />LrcFrsEDcoNTrtr{cnoRxiDEct r{lTroN
<br />I h@by .mm unda padg of pnjury lhd I m li@rcd m<kr p6vi!i6 of Ch.t6 9 (cdhdcins wirh sct,o ?ooo) or Divhio 3 ol
<br />ln. Buind xd P6f6nd Cod.. ed hy ,id. ir in full .ft. rd .lf.s,
<br />AIIIJC'I{IS.DECI,AAAtrON
<br />Dc@liti6 Pml6-A.bdt6 Notiliqd6 F.d!r.t RcB .tiN G . 4g Pdt 6)
<br />_ R.qujEd Laid ofNodfi.rtioi,
<br />_I c.niry otii O. f.d6rl Erdllid, Ersdira 6b+l6 moad e nor .ppliobl. lo $it p6j..i
<br />_ I 6iiry fill I hrv. tad ln! .p0lic.d6 $d ini. thr. 6. .bow irfd riq ir corBt I !88 ro cmply *ft dl City $d C.u y
<br />ddin!6 sil Si.rG L.B rcldin8 b boildi!! cdnu.ii6, ed hdby &rhdir rpE@rrrivd of thi! Ciry ud Co{it, lo ht, upon $.
<br />lborc mtio.d prcp.rty fd intp.clid pfpdd.
<br />-/: :)v 6
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oor^/ent/l nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report EYl,I Elrl-r
<br />Flood Zone Certificate
<br />FEB O I 2019
<br />FINAL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />Pool Fence
<br />Polic, Nhhr_&p'r.r: _(Iti! Bri@ r.cd !d b. .mpl.t d if rh. pnrit L fd oE hurhd dolld (llc{) dld)
<br />_I c.iiry dt{ ii ltt. p.ffd c. of dE worL fcr *hid tl t panlt i! i!u64 I rtdl n.. cnploy 8, pd!6 in my tun.i ro s to
<br />bcc.hc abj6t ro O. ruto ' conFn rd6 lrrr ofc.lif6i., 6d rlrE ih.t ifl rh@ld tedft rubjEt ro rh. e!*m'
<br />cnpa!.1i6 Foyiri ot Scdio 3700 ofthc lrba Cod., I rh.ll, foniri$ Ganply with 0i6c Fbviriooa.
<br />on" lf -.zz ,4 ^,,,r*,.
<br />--4-
<br />-
<br />Lie . Cld:_ Licde Nun$.r
<br />-.--
<br />o,, .1--t:7 ,/ c_,_,_ { _
<br />(.ONSTRUCrION I ENDTNG GENCY
<br />I hm!, rim 6d6 padry olp6jury rllll d@ i, . c!'ndcd6 ladinr .ss,c, fd lhc Frfolill@ of rh. wqt f6 whi.h rhi' Fht h
<br />Lsd (se. !047, Cis C.)
<br />-------r-----
<br />f--+-
<br />F
<br />f- l
|