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BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNIIt BUllr]:tt Dlil.calaT(]N
<br />I EEb, .fm unt r o.ehy ol p.rpry rhx I m .r.npi tom rh. Cotu16' l&E tru for lh. fDldvirS E ei {S.. ?O! I .5
<br />It6iEi rd Pltrf.sirn Co&): A.y Cty G Cony whrh EquiE . Fin r. mNrkl ,la. irrpr.\r, &mlish o. cp.n rny '
<br />nerE. p.r{ h i! i!,lle. rlo EquEr 'll.pplid lo. lxt Fml ro 61. 'kr:d r.nqr rhi E e {. ! lilrBl pr'd
<br />ro ih. pmvi.i.E.frlE Conreror's Li..n$d I* (Chtpc.9. C.mrurin, *irh S6rh.7llD of l)ivitbi , ofrlE EuiEa.nd
<br />Pbft.liod Co.l.) or rhtt ll or sh. B .r.npi rh.Efr.m dl rh. i,art for rl! !Lt.d .r.trrd Do Ary vi.lrb! ol Sdbn 701 I 5 by u,
<br />.p!li.r ro. ! Fmn $bf.r! rh. .ptlk!.t ro o ovil FMty or mr .rE rhtn 6v. huidEd d.lllr (t500).
<br />_1. B nrBr nr 6. tmFny. r ny ar{'loF.r }th v.!.r a rh., eL mnFMir)n. vil d. rh. srt ,il rh. {'rIE i' d
<br />idarlql or oll.Ed t sL is*.n}t4, BunEs .rd PDraiioB Cql.r Trr C.rrr(ol. Licne L* &E mr .p?1, ro m owE oI
<br />rrE F{{ir err h,iltr ( !+.tr6 'lEq rd *ho d6 rdr {.rt tilMr q lErla q rliDt8h tit or lE os.t?l,oFr,
<br />pnlvir,.d thl rkh rqiEEe E d i,rdn d nolldrd r et li h.kE. tlE b{iEq(i,Flwd iisidwihnft )d
<br />of lonpLtirq rh ()wEr Buitkr hll hrE rlE hlhL. ol p.E9IB rl{ h. or lll dU mr h{iu d if,Ior tlE ,.wory nx dE pl,FE of
<br />_1. u\ o*mr orrh. !$!dry. d.rch$Ely odBrin! *irh liersl odd6 h sn<41 lh. p.DFl ise. 7lX1. aurih
<br />.d PrnF{ri, Cul. th. Co.tnd.r'r l.E.ns. t v dB r{ .rply ro u .vE oI I'EIEny *b buildr or inprcv.r rh.6(
<br />.ril rtF dd, fn uh F Fr dh. Codtudlr) lic.n<d rirtd ro E Cdr5dr Li!* Lrr)
<br />-l
<br />!m.rcnfl u,rl.r S.ct
<br />lvq8f,u!5-gltultala:u()x
<br />DECIAIAIIA!
<br />I t-.hy .ntn u.&r IEMhy ol nsiu.y oE ol th. knbri.t &.L.r!6
<br />_l h.k !d will millritr!C.nfer! bicoE ro S.r-lduc tor u,l6 N.rp.d,,r a Folddl for by S{rbr 1700 of r&
<br />bbor Corle fd rlE Ffffi or rlE wt rr qhrh rlE Fmr B sad
<br />_l hrv. rM w'll nndam rolk.s .rn{f,Brrtr,n i'nurunr. r\ rqlir.t b, S(r B,n :t'70o of rh. tilrtr (ixl., for rrE Frf(mur. ol
<br />rh. *.dntr*hrhrhn p.r r N irxhl My*ortdi n)qxrirn ,Nu'.ncc ef, '.! ell{lry numlEr !.
<br />-l
<br />enify thd in rh. p.norM. of th. *ort ,or *hrh lhi! Frnir i! !r@d, I rhru en .npLry My Fon ir ay lll.M
<br />s ! ro lElrd rtt l to rlr *dI6 @nlrdhn Ls ol cllifohir, rnd r8N rh{ ir I rh.uB b...m rubpa b i.
<br />ei6 NnFMion FlrtlN of Snli'n l?@ ol rlE brs Oqt., I tdl. todh*ah $npt, ri.h rlo. Flvtm.
<br />WAINNC: F.ilur. r. $.@ wt E @r+(Ni! oms. ir ln!*tul !d id rubFd e apbF b awd FrtB.d
<br />civil liB op b orc hudrr.d rhour.rd d.ll.6 (3|rr).Ut ). in lddnr. .o rh. .6{ of con{.Brion. drnt.t ! p.ovi,.d fo. tlE
<br />sdrb. 1016 of rlr ulu Cin , -rd !d r'my! f..r.
<br />UCBTEI&EIB6C!,)8
<br />D[C|j8AItrXt
<br />t hcrby .flirh lndd ,Emhy or r.rjury rhr I rE licrd u,n r tmvaim of ChrFa 9 lc.md*i^8 wirh sdb. 7(m) nr Dnnb. l
<br />ot ri. Aur*$ rid Prcf.sion. Cod. ul ny,r.$. il h tuU tuE rd.fr.d
<br />corErrllqlo!.t t!pltcl!i!!.q
<br />I h.Eby uilm urd.r FMlty of tr.rju.y thd tha. n r @Nddi." ltrltu !g.ry for rtr FfD'fu. oI rlE rut fi, whih rhB Fmi !
<br />i.sEd rs€ 1)97, crv c ).
<br />AIIIICAILDECIdEAIIO!
<br />I lE6r.trm un d D.nry of Drir.y m ol rh blbrina .l6Lnrh.':
<br />D.Dti,. P.flireA$..or lldifEdbr Fardrl l.ruLrin (TdL,l0, Pd6)
<br />RauiGl L.!ra ol Ndiftro
<br />I cdili rh.r itE liJ.r.l rcgubrlrB Eguling $tsrx EnDv.l e d q!,li.bL n, rhi! pn,Fr
<br />-l
<br />(d'fy ri, t h.€ Frl rh$ q?lr.! D. sn {rE rh.r rh. .bovc infomlion n $c1. I rsr ro L!rr{I, w{h .ll Ciry ntld Coonry
<br />udiD .r {rl srr. lr*, Elrr{ r. t! dha .o|lfurDtr Dl lE .t y uhtri4 RFsnrrE ol rlu Cr, .id cou , ro dd upon rlE
<br />lhvc m bn.i pDpcny lor irop.dn,i purF*r
<br />ArCUdd 6r ,lt6i Slrr@:- Ihl.:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08-0/'2015
<br />ll.r._
<br />Lrrd.fr A.!-r.
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