|
BUILDING- INSPECTOB RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWN&T EUII-I}I'-N DEI,CAIIATION
<br />I rEEb, rm ud.r F.llly ol Friry rlt' I m.r.qr 6!m rrE ct'datod' Li,u Lr* tq d! rolbs&, El$ (Sa.701r.5
<br />Buircr! .,n Prefd-r Co&): Any Ciry or C@dy whafi EquiE . Fd r. onrnd. .lrc. idprcG d.mlah d .l?.t ay
<br />snErr,Firbir ittlllE..!o 'r+B tli +pli$ fd stn ldd ro 6lr ltEd fi..d 'lli lE or tr ! lia,!.d pu'd
<br />r. rlE !.DBrn .l r Cffin', l,i..m.d hv (ch.Fd 9, C.llftEi.! vih Sdih ?m) of Divnbn I of rL Bairs rn
<br />P$f.sDaCod.)6 lhr Ir m!& i.rnF rha!fioB.d r b... torllE rlLr.d darFia Aly vbLrinorsdb! 70,1.5 by&y
<br />.pplind f.. . pcmir rbjetr rh. .!?ltrd b . civil ,.El y ol dr tuE rh.n fiE !rr!r.d d.lhr. (t50)
<br />fl, . .*-, "r ,r. p"'9-,". - my a|pbl6 rih r.t6 s rlEi $k @npdd-4 sil .rd tb xrt rn tlt rmc r d
<br />iratl r olrqql (r rl. I Sa 1oaa. A6is rd PhE rirE Cod- TIE Cdrdd r Li{* llr &- d +plt b n olc ol
<br />.ll FqEry srD hri!! q -lFtrE tlEq -d sb d6 rdr ydt hllrf q Er[ d rh.Dlfh hir q ii om.rl+lo]d.
<br />Forit d !d ut uEnEEdr & d n.d *.Itu r.r il.lt,lr[!E. di hrildi{ a tq@,!td ! $! dba@ rqor.qlpkla tlE olIE B{i!r *n llE dr h/al6 ofFovrE d. lE q CE Jil tul br! r itttFsE lh. FbFly ta lrt Frrot o{
<br />-1,
<br />6 owF ol rrE F,tslr, .m .k&rv.ly oddha *{h ri.lBal dda ro .nnrrd rh. Foirl (Se. 7oaa, Buritg
<br />tdl hDaalncod.: Th. Coddor'r LE..!. t * d.E mr lPpl, ro a oeE ol protm, *ho htidr or rpowt ih#)tr
<br />rnd vls .odrs! lo. ch FFB *nh r co'rBc(:) lirG.i ,{l\@ ro rtE c.drdM r Lale trw)
<br />,,,,. ?-2_? -2c,2-
<br />DECLAIIION
<br />I h.r.by aflnmundcr lEmhyofpdjuryon. ofrtu lalloqi.B d..LrdhN
<br />-l
<br />h!v. ulr srll nridu . C.n irr. of CoDcor b S.I NUE for *orlna {n+.rdirn, .r FtrviLt d tu by ser io. lm ol rh
<br />t r,Gld.,f rM ldl*nIfl o{rh. rdl fM rhi.nrlE !..mir ir n:!.n.
<br />_l lrv. trl liu N6ru strLd co.r{EMrr. ir.unE, 6 EquiEi by S{ri.n !?@ of r& Lh.r cod., for rll prfolr:ft. of
<br />rtE *nl fr shrh rh$ r.mn n 6rhl. My snt6 @qEMion iBure trir rDl pli.y nlrrE, d:
<br />A -,,, ,- , ,* o.* ol rlr mrt fq eh{h lnu Fd B s,.d, I Jdl d t,+by 4y F-. h et ltllr
<br />L rr. ltor slir.cr r.rlt riyt6'6rFds her of C.l'kllu rn rtE rhr 'l I rlruU t or obrd ro rlt
<br />m.t6' .!,ncndE. FoviioF of S.no lm of 0E t !o. co&, I dEIl rdhalh 6n+1, *rh rlc pB@.
<br />WAIITINC: Frilrr. ro tu Et ' mnlalEn dEr!. i! unLrtuL id 'rdl nbF &.lipbF ro arEd prE .!d
<br />.'ul riEt un r. oE hodad rtsuqnd .hlLr (tlr .(rtr.in, d.mr.r .r D.nYt.d fo. rlt
<br />S-ran 1076 o, $. trtri On&. idm. .d ,riwy r
<br />$.t'25')^.2 \
<br />^
<br />DSC|jSAIIIA
<br />I h.Eby .lfrm u.dd F ty.rFjur, rhr I.m lie.rd u'icr F.vnbnolor{ra9(omllltri.i qi$ Sdi.7(D) orDivir.r I
<br />ol rll Bumrt r i Pm&liuD Cod.,.rn my li.ns i! n tuU loc ul.lfd.
<br />Drrt (onki.l
<br />colslalcuoBrEauNclcElct
<br />I lxEb, dfan' ord., p.M!, ut pr.!ry th, rhd il r otuirrn bndi.8 r8.ry fo ll pafoffi. ol rll wrl 6r *'lli.h lhi Fhii ir
<br />nru.d (S(. :11)9r. Crr C )
<br />ATTICITtr.DECIdTAIION
<br />I hq*, .trm u[l, ,a.t, of pdIrr, @ of d. tolt'aio! d.chdrirBl
<br />tumrir.. Psmi'}Arh.is NdfEdion F.Ad.l R.rlldix O...l0. Pi6)
<br />R.olrat Ltr6ol tlordib.
<br />_l .6ify rlu ih. tila.jEauhrin Easdin! sb.ror Emvd & d +dinbl b thi' tDiri
<br />[1r-r, * , "* - ,t, +d-.r.n !n r.h rhd rtr rbE intonrrb. i (qBi. I {E ro ontly vrt .x cr, r.d c4 ,odmr$ lrl sr.r. u*r Ftt ro hrUnu (ffi!r.( &l lEEby .drEiE EF!5riE ol ir C.y .d Ct ur, to dd +on tll
<br />rhr. mnri)fral nn)n dy hx
<br />)t ,*,.y' -29 ' t.oas
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Nilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL /o/a/tzo ,.1&w-/I
<br />Certilicate of Occu
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
|