BUILOING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET EUILDB T'ELCATATIONT
<br />I h.Eby !rf.m und6 rEn lly of Frry rtE I e .r.q, nm rh Cddm Lir* Ltq for rlE ,olbwnS l6tn lse.?tll.J
<br />Bsin.$ rd PDfBsior Codc)i A.y Cny or Coury "llth EquiEr . tffi,r ro o.rur. rlr.. i"pmE. &mlirl' or cFr m,
<br />rlnhurc, Fir i6 ir3 iriuu.. llm FqliEs rlE !,plird fo, sh Frmir ro liL r rilr.d srd.m lh.r l!.r itE ir lien-d plllar
<br />ro tlt FDri.bB or tlE Conlrdtr r l-atnsd llr (Ouord 9, C.nmriis vith Sdrbn 70@ of Diviib. I of ft BuiE! ed
<br />Mcs,u Cod.)d i lE cdE ir crnprllEt6D6.d rtE b.ri to, rlr dL!.n.krp(i,.. Any vi,Llbn orsdrbn loll.J by ay
<br />.pplid ror r Fnr obrer. rlr .l'lt4r ro ..itil pc hyo,nor mE thd n!. tudEd &,ltr! (15@).
<br />-1.
<br />$ o!fl ofrh. FoFny,.. my.nlploFs wirh w.!6 a rrhn $,. $nqEnerion, sil dd rlr rst $d dE tuE n r
<br />imc.& .r oo'.rdi fd eh (s( 7o4t, Bo.incs od Pn,a.si,N Cod.: Thc Codndoa. Lhns lrv d{.. mr ifi,I, ro u oskr or
<br />rh. I'oFny *ts trilds or inFo6 rltEr rrn *tn dcr ffh sd hiN.lr or MRlf or rhnlBh hlr r h.. own.qlkrtttt,
<br />Fotit d ihd rNh imFomnriE d rrq'd.d 6ortu tusl.l( h,EB. tlE biliry o. irFtrrtd i. sid *tnh d rwof@qi.iin rlr O*E Bui!6 villIEE tlE hrL of ,ruin3 thr lEc!& dn d tliE c iqmE tlE Fwry fG tL Flpolof
<br />l,rso*'xrulih.polf,ny,n.rrirsi!.ly.onr!.rrgrnhli.rnEilcontr&rorx,.onnfldiltpn'rd!iS<.7r*1,A*irs
<br />trnd lt ix\i. (iilc the C.nrrur,tr x l-i.cns l-3u doc\ nol aorly lo sn owEr o, proFn y *hr h! ild\ o. idrovc\ I h.G,n,
<br />lnd *hu nn,nctsrorsudrnmirhwnhaC.nrNon,liccnrdpu u. n' rhe ContDcM r I j(ctrc kw).
<br />_l d.&rur uilt Sdb._, A & PC fqrhirE.$nalal2e,**$lzqrz aL.-t<::z. 7YL, ]I!'8f,E85:C!IIIBSAITON
<br />IECtraAIlo!
<br />I lf,rchy rrrtrn' undfl trtrrlry,n t{'r,trt ri.nfr)r l,,Ll.w ng J!ilxrxri(,n
<br />I h.E !n *ill mi,r.in r C.nilE .ofc@ b S.r-ln'e fd *rrt6 s,FMbtr a Fotild fr bySdri,n r?00otllE
<br />tn . C.da i, llE FldrrE of rlr wt rd ,thn r Fr, i i.$cd
<br />,l hlE rn rill mifl.i, srr6 orFrsrion imEr., rs r.qu,.d bt s<'.. lnD oI rh. tiu Cod., ftr rrE Frflm ol
<br />rlt ed ror whth this Fmil ir iso.d. My *dt6' sqr.dion in$llE cir rd polay .uhlE s.:
<br />I (niay thrt i. rlE Flormm rll rhc rbrt fd whahrhr Fmi ir isu.J. I dEU mr.flploy.ny Fl.s i..ny lmE
<br />$ I b 66.c sbi{t h rli *ctsr @tr}cNrion b*r oaqlfodb. rn<! asr rtd if I 3lnuu b.cod fl6Fl b rli
<br />wol*ss mqrNsrion povnioN ofsdrion l70oorlh. t hor@.I tull, tunhwith ondy wnh lhoE pEvkion..
<br />WAnNlllG: Eilurc ld se EL* eqrnstion Lnvflsc i5 unL*tu|. ud sn,ll ohj.ct m nplorlr b ainidl Fnxii and
<br />.ivil liB q! k, or hundEd rlbusn &||R (llm.UD). in {ddnbn |o 0t .d of .onFn.rir[ dmsct a Fdvidcj 6, r|l
<br />Sdb. .!0?6 ol r,r t-tir cod.. mrEd .,i rnrEyt rs
<br />^,- ll4llo ^*o*tfupwztAurza ful-frcENsrp co^IrRlcron I I
<br />DEqIJSAIIO!
<br />I tEEby arnn ufll.r F@lryorF,jxry ih{ I.n licdrcd undd prDvirion of Ctuprd 9(onft(irs wirh sdiin 7(m) of Dirkbnl
<br />of llr ButiEr ud Profcasions Co&. 3,n my licE n h flll foN .,n cfial
<br />colttlf,q{:ltNLEDlNi-AtiEll
<br />I H)y rrm lLLr Foxy or F,,llry ihr rrEr i: . onlrnrli,n lndiB {.ry lf dx p6r6.tlre of r,r eui tor rhti rhis Fd i
<br />r$.d (se lo9r, civ. c ).
<br />aI2ll{:/rNLlECIlSAlA
<br />I hs.l".trn !'!d.r Frt y of Frur, oE of rlE aollo*in! .l.tLdionr.
<br />D.mlnbn ErEilr ArrEns Norifrdi.n tu6.1 RcruLrbnr (Tirlc $. Prn6)
<br />-RquiEn
<br />ta1l.rof Nolific{rion
<br />_l ..nify rnd rft tu El E8!lu'ioa! qldin8 rirE(tr cmv.l ft d .onl.rtL ro
<br />'hi!
<br />pmFr
<br />-l
<br />dily d{ I h.{ E d rhis +rlnr.n .,!d fir. rhr rtE rbw infod b. ts ffi. I .8r h o'q'ly wnn .I Cat .tn Cou.y
<br />ordiMNt !n Shr. L!*r ELIilB ro hildirB .o[(Mh( rn lEEby Mhrn EFrd.riE. ol rhn Cny .d Coudy ro drs orDn llr
<br />.l$v. mnr[Ed pmldy lr mrp.rtFn InrIM.
<br />^*o,-,", "" rrt^")NLoU 4 Alt'
<br />"..-,-*,r9, 0lrirr, h:,1-.oc-q
<br />, VL,<'
<br />u;n:?,-,, lblza
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T'Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />\
<br />FINAL '1/41 L/ /v*YA/
<br />Certifica te of OccupanCyl '
<br />Notes, Remarks, Etc
<br />Rev. 08-07-2015
<br />T
<br />t.ftn( (-|.tr\ I '.cn\.Nunff,r
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