BUILOING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />ttFINAL6-t\-1n
<br />Cerlif icate ol Occu an
<br />Notes, Bemarks, Etc
<br />-',
<br />OWN'R AUILDET D[I-C IIATION
<br />I lErchy.ffirm!id.r Fn.hy r rrrliry rh.r I m.r.mfl ftrm rh. (odndo( Li.nr l,* r.tr rlE,ollowii! Eror (S(.?0:ll5
<br />BuiiE$ rnl Pr f.sion Cd.): A.y Ciiy or Cdnry which rquirs r F,mir n, cDnn .r. rt.r, imtmt. &mlnh or rruir any
<br />(todr..r n,ir kruN.. rlv' Glli. ll .ppli.d a.r rrh Frd n, lik . qEd nr.m.r rhl h. or rh. it lk.r€d nurs!
<br />b rlE FrvrDnr df r G)ddtri LEn<d Lr ((18F6 9. C.mEftrit urh Sernn 7finrt,Divnhn ll.f rlr Buriks.nd
<br />Pmfsrr'$ Cd.rorth.r Lr {r n.!.nti rh.r.ftn!n rh. h.sit forilr dkr.d.r.f,in. AnrtbLthrolSdnnToll5I\y y
<br />!I,|rlk' ntr.t!.dsutFrr r rp0lirnr r. I ov, p.uly nr d mr. rh.n fik hurn.td dnlllt I llrn,.
<br />L ar oln.rnfrh. porEny, or my.mnhr!.s wih err.\ ir rrEt q)l..mFn\dirn. rilldo r,E work nl
<br />i.id. or lf.r.d Id st rsr 7(Ir4. Bunk( liJ li,r.(i)nt Cdr 'l h (idrr.!r ( Lk.n< I ie d$ nnr qlnly tr d owEr .f
<br />rh. r'n)tdy *h, tu,kir r inF,wr rlE6n rn *h, rl,H q$ s h'lrrullor lrrclf or $n,u3h fN,r tE oyn.r{lhr..!,
<br />Ir.vi.LJ(hduh rqh\ftdr e r{ in.nldl or,)lt.{ ir eL lf.h,Eq ftluld'n8(rFElld rs rih.,rFr
<br />orsiph(in rlr ()*F Aullk u hE tlE hnlo o,F*i't l]n liorOEdrl rr l!finrrFn!0k F,Fnyfiyrl! F F(of
<br />_1. !\ o*n.r or rh. nroFny. !m .!r l$iv.lr" contkr 'n! Birh li..n*d . nr R] ^ r, drnrud r lr roFr (S.c ?(r4.l Burik$
<br />a l Pll)tr\s)n(b'1.: Th.Conti.tr'r l-ic.ns.l.iBd!'.\ fln aFrlyh rnn*n.rolpnrp.nyufio huikl\or impnv.rrh.(un.
<br />anrl *h, r dnc(Itru.hnn!,.di* h'(l)dRrnd\Itk.n<dN6ud!)rh.(iJ r-rr'tLNn*tjo)
<br />l2m.km|{ rrtt r Sari
<br />}r1raf,}.Bultuu.lIAllaa!tl!$allu!
<br />I h.r.hr rlrntr' trf,,1.r ,l€ft! rl!r r,[try nft.frh. irirl!'s'n8 (l.didilrn\
<br />_l h.E il vrll E!d.h i C.nfrr..rcoid ro S.llnor I k tdr'drqtuhn.I F,vrld fttr b, S.drn l7(n ol rlE
<br />lrH Cd..ltr rh Fnilllre in r *,t fd rhah rE Fnr n t(r.d
<br />-l hlF lnd llroinrain yo . utrrJ hts(ri,nl7(r)urrlr llhn(-,{.. Lrrh. Fnrmm.oi
<br />rh. knt t(n*h(hrhir D.rmi( n,r\u.d My*0*6 dnt .{rkrn 'n\uhtur.!nr.r nndFriyrtrmh? m
<br />(.,"", r u tJtQcjZ. ltg all, il.,c (-({-7tr-m tl
<br />I rddr rtN 'nrlt n.ntrm . f rrE *o* itr rhrhrhr p.rm{ r\ N1!.1.Ilhirtfrn.n!'tryrnyF.oi inrnvrtunrr
<br />$ .rn) h..Dm.uhr.i b6. soltdi(,mr.ndk,n l"*\ or(ilinnn'a. mr rrr. rhd iI! rkrkl h.(oft uhjd brlI
<br />wofk.F onlIl.n$r ion lln'vi\iotrr nf sdhn :17rx) nl rh.Itrhtr cql..I (hrll. f,frhstrhoryrry rnh (h)r pmvilnrn(
<br />waRNlN(; fintrE (, r.uE hnl.d omn nsrion o)v.rry. n trnu*tul. xftl \hrll suhBr rn ry.r ro dih,ntrl Im'[i\ rnd
<br />ciln ,ln.r rp !) DE hudkl rh{etol d{ll-! Itlrrr.rrrrr. in :ddii,n r' ilr ..{ of c.trIr r)n. drroi.ldr'lr)!kl.d ntr rll':::;";l;;Pfif
<br />IIIITJSAIION
<br />I h.Et'y rmh undq rEn.lry Dln rju.y rhc I rm lianGl und.r Fovni,i.l(hlrd 9 (omfttuii8 qirh S.dbn 7(Xl)) olDivnbn lr
<br />ol th. aurirr. .nd P!Df.$i,.t ( qL. {n mt li.n{ ir h tull foE rn dEd
<br />s77 fi C5/756q
<br />t4,i /ro, P <-:
<br />c0lslf,qqlll!..EdllNti-aliacr
<br />I ltr.h, .rrn un&. D.rty of Fp.y rhc rlEn it r $nrMbi l.:niry {.ry lor rlr Ffimr. ot rlr wl [r rfiri rhii Fd i
<br />nq*d rsd lrT.ciY c r
<br />artutA[Lt]fctlaalltt!
<br />I hd.t, rn m ldLl,Enatt o( Flury oE of dE n,ll!rh! J.ck'xnnr:
<br />D.mrr.n P.mln A\b.rnr Ndifkd i,n F.d.nlR.rulditn! tlirL 4). Prn6r
<br />-R.{uirn
<br />ldr.rolNrirtft'.
<br />I cd'ry rhd rh. tu.nlE8ul,rlnl E8rdrnt Ntx(u\,.mrvalrE ni qlllliuhk n, rhii lrnFr
<br />HS-l;*;:rl*;.rplr k'n rd q!r?rhr ih..h rw inftdr..dd I {16r(!({q yeah.llClyrnCrud}
<br />ffiydht.t,redft!ofrhrClyrnCd y ro d6 qrn rlr
<br />fir. ftnstrn.dF,rnytu inrBrnn
<br />Appli.onr or Ar$( si*n.lure
<br />n^r* -*,on^,, y.- Pr'fm C,fip.larrt
<br />Ofi r/'?0)7
<br />]ar |l
<br />lxtrd.i\ A 'lr.\
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
<br />A.
<br />llev 08-07 201
|