|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor 'z -L1- tq
<br />Subf loorA/enVlnsulation
<br />Roof Sheathing 'L//7,tq -ubt,7 f/lq *t ."ctv<- u,/rr:v,Shear Wall i-&i 6./, 5t-4aza1-,/
<br />Framing Lht/t1 -"b'uh
<br />lnsulation/Energy 4r/za ->t-mm-*<= /,r7. €az-an /caOrzt-
<br />Drywall eart- uk
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />}-rn/.t "L
<br />FINAL Vlle /to lrn)
<br />Certificate of Occu nc
<br />Noles, Remarks,_ Etc ,6\UL 'u--Gnn"{rgz
<br />t-,/t-J 1r:Z
<br />n
<br />AC lolk v
<br />(
<br />OWNEN BUIDER DEI]CARATION
<br />I lE l, .llm u& paEI, oa Fr]ury rld I m aop( &!n E Cdr.dm' Lrc@ hw ror rlE lollo*iDg E}on (s< 7oi:t
<br />Euind .!d Profsior CqL) Ary Cny ot C.lnry whkh r.qun6 r rEnn lo oldrud. .nq. imFoE d.rcBh or lE.r ey
<br />ittuturc Fbr lo il' iguu.c. .t Eq!n6 O. appltul aor iuch Fmn lo fi|. . 3in d $d.'Mr rhr lE or dE ! lica&d Frylr
<br />ro rh. fovilions of ln. Conficroa! Liccn*d I.w (('h.prs 9, Conmocing *ith Sdrion 7000 of Divilion ] oflh. BBiIB md
<br />PofBbN Cod.) o. rh!! lE or rh. it qopl Odcnon rnd rhc berh for rh. llle.d d@ltiof, A.t viol,rio. of Sdion 701I5 b, uy
<br />rpplicul for r Fnil $bj6E rlE +pli.ur lo . civi I Frhy of @t mE 'hr nr. hurdr.d dolhs (1J00).
<br />I
<br />_1, 6 NE ollh. FFry. r my a,pkrr6 *Ih $rs6 6 dEn $k $dF!dhn. rril rb tlE *qi rn |lE irur@ ! rcr
<br />idalal orofid.d fd *(S< 7o{a. E,nF. dd hlf6sBco&: Tn ('orlrdd'r Li@ t^ d66 d @1, to s osEor
<br />ilt FFly nrr hril{l m i'qD\- tlEq !d sts dE sh wt himlf or hclf or llmuxi hi! or h6 ou dtpby6,
<br />Fovid.d thd ruct ihp.orqEr! & m' inldrLd d.fi..d 6r sl. If. to*6q. rlE tnildi,B d i,rp.wald a sld fitnb m yw
<br />ofmnt'l6io.. th. ow.d Builld will hlE dE hrd.r olFotins rhd hc o. !h. drd Dl hild or i,rFrv. fi. Fopqly 6r lh. prFo.. or
<br />(4-.* rt* r"*rr. u.r.lun.ly @drds8 *nh fi..G.d.oftdoB ro o,tut rll Fsj.ct (sa 7ua, &!i!B
<br />!i noa6i$ Cod., Tn. co.ndoa3 Lic@ L.$ &6 mr lp9ly ro d os nn of FlFry rho b{ild! dr ihpm!6 thd6..
<br />Dd *ho o'rrxG fq u,r Fq.nr wnh. Coln&.nr) ltd!.d pulld io lh.Co rdd'.1toel.*).
<br />{r,^,',""")iY}l)V',)6-
<br />l]Eq|.daalllt!
<br />I lEcb, rmm @ds p6.iry oltE Ury ok of E folkN ls &.bdhN
<br />_I h.E rtd *ill ner&. C.niftr.6f Coogr ro S.lf.lNE ld *orld. (mp6Elioi\ a FrvlLd 6r by Sdbn l?00 orlh.
<br />t bor Codq for rlr Ffffi or rlE sll foi *fith 0r Fnh i! e.d
<br />I h!!..nd*ill mlinr.in Eoll.rr .om!.B!tio. iroordncc. s r<un J b, sdti.n 1700ofth. L,bot Cod., tor lh. pdfotucc or
<br />!h.qorkaorwhichfii!pmninisu.d.Mywork4.onp.NdioniNursc.cdidr.dpolicynlmhaR:
<br />-l.difyrh,'
<br />inrh. Fto,m.oarn wo* lor ehrhrhBFn n Ls!.d,I ltdlml oploy &y p6ar in.nr .l.le
<br />s { ro l8om.346r ro rh. {.116 o,q@c$n h*. orcdifomia, md.gE rhd ill dEuld ir.om lobr6t lo llE
<br />wo 6'comFslionpr.virioNofsdionlT0oofrh.trborCodel!h!ll.fonhwithcomply*ilhlhEp'ovnioB
<br />WARNINC: Flilur.lo suc *!rt6' comFEdioi mvdg. is unLf,tul. Md rhrll subitl M nplot( lo oienal Frlrk dd
<br />cnil linB up ro o.c hu(nrd lhousd doll6 (Sl(x).ooo). in lddnnn ro th. con of con{a&ioi\ d&{s6 a Fori{o] n rh.
<br />(iYi. mrdd md.trffi--- i fB
<br />-x*I Z (q
<br />IICIjTAIIO!
<br />I lEEby.mm und6 p6dly of Fjuy lhd I m I'c6s6l unttd Frviirn ofchlrrq I (commtrins Inn SdEn 7l)@) ofDivilen l
<br />ol rh. Burin6 ed Pmldioro (nd.. ad ny licd. i! io tull ao@ Md.ftdr
<br />Liw Nunbd
<br />coailf,lJ(Iroal,ElDtNi-6ri[ltr
<br />I h.rcby rrtrft u.d6 lEndltyolFju.yrhal ih6. i!..dNlru(ion l.ndi.g rU ry for lh. pcfolrM(c of lh. wort for *tich ltn rqmit is
<br />i.su..l (s( 1097. ci! c)
<br />Lorld r dd6:
<br />-
<br />A.EIII(TULDTCLAAAITA!
<br />I hqd,} ![]m und6 D.r.lty o I ndiry of,. of rh. folk'*rn,r d(ldar ions
<br />l)cnNlirhn Pcrnirs-Asberos Notilicrtion !-.d6rl R.{uhbns (Iitlc 40. Pon.}
<br />-i.!!tr.d
<br />l.llq ot Ndifi cdion
<br />, Ldiat rh, dE Gda.l r.g!h'h6 ,!ei{i!s .b<io. rm\.1 e mr +9lribk b fiir FoF
<br />ff.a'ry rr'o r r.,.."1 rrr. lrtlrdnn rd r. rh, rlr rbo\. baoturn 6 cma1. I lgE lo roriTrl, * h.lr ( , t d Counly
<br />-odiMc6 sd Strr. t wr Eldfl8 ro building colfuion, .,ld hftby aurlbriz r.F6ddir6 of thlt Cny ud Couly lo dlq upon ltE
<br />iluc trr.nrrnrd pn)Itn) tu' m\Itr{r('n
<br />I I.Appli.i r or,{qor Sie rturc
<br />r.*i,.* ".-" rp.i.o, 5 ^ otlr:,,.
<br />I U Irq
<br />Forms/Steel/Holdowns
<br />--l<-"n
<br />,1 ,/d/,
<br />,)' -/'
<br />A"ln
<br />t 0I Q
<br />4/t'
<br />I
|