|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI AUN-DER DELCARATION
<br />I lrcrchy llrtm trndcr F-nahy,,f Frjory rh{ I m crcmfl ln,m lhc O, r&b^'Lr.hs. trw hr rh. n)l!)wn8,c,v,. (S{'r0.ll5
<br />Bu!nc\\ r Ptufc\(i'n (iilc) Any C y or Counry *hrn r.qutr i , Irrnln ro con{r.I. llrcr. oP v.. &frnrh nr _l.r/.ny
<br />(ru(trK.Irrtrlo is rrurkc.,ho rcqurc\rhcamlKdr lirr ruchFm b,jlc r srsncd dlr.Enr rhlrlr.r rhc tr ltr.n{J I'[\,i
<br />t, rh. F)vrk)n( of lh. (i)nkruntr r l,Ecn\Gl llw (Chapr.r 9. CDmfttuin-s wilh SNron TlXl() ol D'vtr'o. I .l th. Ijuqm$ ud
<br />,'nnc(r,ns CirL) or rhar lr or rh. r cx.hpt rh.rclitrm anrt ih. ha$ lbr rhc alk8.d ct.mPrio. AnyvoLli'no, S..rrrn70ll ll hy.hy
<br />rnflrlnr ld 1t'.m srht.lsrh. appltrrll t' rcrv'lpcMlryol nor n,rclha nvc huftjrd Joll r(15(xl)
<br />-l.,\oemiolrh.rot[ny,ormychployas*ilhwiscs.rrlErw,kLtmlE.srrbn.wldoltEut(urrltnturm6a{dcnhl orolt El fitr {lc (S\.'.?0a4, Bu\in.s uJ Pn,r.s ,ns CGlc: Th. Conr.rltri l-i!tr- Lr* Ltxr mr.FPlylo s owmr ol
<br />rh. InrFny *hl h. dr or mtFrEr ilFE)n. .nl *h' &Et sEh x,rt hims.ll or h.r*lf o. ttNulh hF or hcr .*n .mpk'y..r,
<br />nn,vdclrhlr ru.h mlrlrkrdrtn dcnid.t or d,f.Erl t(tr $L.Ir. h.NE. rh l[firy or in{}r'tmnr s$!*ihroe,tr
<br />.r lnglrir rh. o*rr Blillr wi! h.E rl* hnl ol pn*us rhd rE or slr drl mr ho l or ul{rrw rtr ,,sl6y rM llr |{.F,s .l
<br />l,.rowmrol rhc poFny. rm.ktulv.ly.!dhdop rrh l,cc.!ol cdnlh-ro b Lrndtur rtE p.tFr 156.70,1,1, BurNs
<br />tJ Pnnsrtr C(rlr: Th. (i,dr&ktr r LE.ns. L.* !riE! mr lpply ro d osncr of lrotEny wh) hurl!\ or mprok\ !h.rdtn,
<br />.nd wlrr d,rtBlr nr suh ltrFt w h r Comturonr) Ir.trQ, pu6Ml !r tlE Codrek'r tltn* t2w)
<br />! dcrcn'r uds S(A & PC nnrhsrcrhn
<br />lvaBtrE8s3olltErs l!
<br />DECIJXAIIqA
<br />I hcrhy.llrmu c, pcultyol Fr,uryok ol rh nruowu! rkrb.li,nr
<br />I h.n rn *rll drnru . C.n 'ff,d. of con*nr t! s.ll-lnru( fd B116 d,n{EE hr ( nn vrLd litr hy Ser $n }?m ot rh.
<br />Lrh, Cd., nr lh. p..llm! of rM s,rt fd *n(h $. Fmr i5 6su.rl.
<br />_lhrwrdsrllBr.h*ortcF'.or'ocrnrpnnsraE-'c-IEquiftlbyS&ri,n.!?(DorrltLlt,cdL,fdih.|Fri,lrlErol
<br />rh. k'rt nlr uh.h rhF tEml ! rsqhl M' eql6 $nlp.Nrb. rsu|*. trir.nl IElt, dhln E:
<br />Pol.v Nur$.r:
<br />-Erpcs:
<br />thl.
<br />-
<br />ADr[ol:LI(jF'tffi
<br />IECLaEAIIOE
<br />I ,lE6y .lfrn unlcr Fdhy ol Frrury rh.r I u litnarl nLr rtrv6s" ol Ch4rq 9 (!nlftr"* *.h S&rrn ,O00l ol Drrrt l
<br />or ln. Bu\ms, Pruf.$nm Ccl...rn hy lI..E 6 6 tuU lod {n cffer
<br />CONSTRUC'TION I h_DTNG GENC}'
<br />I h.Ehy .lrrm ud.r Fulry ol Friury rh, rtE Ls . $nrMr.n LBlh! ascBy ror rrE Frrolria. of rlr h.t n rt(h rh6 Ftu 6
<br />n(kJ(SG- 1097. C,v C ).
<br />APPLICAI\T DFCT-ARATION
<br />I lEr'i)y allm uBLr fEhill y ol FrIr, om of rh. fouo*rA dfrLr.rirns:
<br />O.nnnk,n P.rmn$A(tBtor flr lcal!,r lrcJ.al Rclrlrnnr (Til. t0, P.n6)
<br />_R.quftd lrtrcr ol fl,ll..don
<br />I (d'ayrhi rh. llJ.Blr8lhfurnr eldJm3.<hcd.srcn)vrlrc n,rfltrahk o rhis,)n,rcr
<br />I (.d vrh, Ihrv. r.drhtr (,omply w(h allC y rnJ CounrY
<br />uilmlk.r $J St1l. tjws rlaruu I'ofrh$ Cny rnd C.u.ryr,.ni.r trF,nrL
<br />rh,vc nrntotud ln,ll.ny n)r mr
<br />Appli.{nl {r AEcnl Sirtr.l
<br />r C/\
<br />r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />-r'-
<br />FINAL R lrl t,),,UUt4/IU
<br />Certif icate of Occupancy I L-/
<br />Notes, Remarks. Etc.
<br />-l
<br />.!nrl, rh, rn rh. IErao,rre. of rlE hrt ftf, ehrh rhr Fmr r !s$!.1. I lhrx mr €npl'ry uy FMn u uy nffi
<br />r' $ t' lhrft lubF[o rlr qrtm'LsrFrnbn h*t of C.l'fomi. nrl .8R rh,
<br />'f
<br />I sho{lt b.oc alhid
<br />'o
<br />dE
<br />hrLd' Lrn .nqrs. pRrvlm.f Seiir.!?00.f rh. L.rq Caj.. I dErL rdh*th Luply vrh li r FovlDni
<br />WARNING FntuE h se wrt 6 6rryt ndsn ..w+. ! unLwn|l td rt ll bj.ir o .nFhF lo dmni FEr- . i
<br />.rvrl fmt u, ro od hunrnd rhouqd dollr (!lm.(tl)). u rrlaon .o rrE or or con .Msn. d.dltr a provdd.l ftr rlE
<br />Sarx,n 1076 ol rrE lid Cd., d.Er .ri illmy r fer.
<br />l).r. _ (-onrftlor
<br />UFER Ground
<br />Exl./lnt. Lath
|