|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns 82s',&)lLc 2,1
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ?-zr-ze lL Lts il? u> -2'J
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />a-z)cr-f c /zz-<-
<br />a-,/\
<br />6
<br />OW'NER DI,IILDEi D'LCATATIOI!
<br />I ha.tr rifm ui<16 Fun, of Frut lhr I m q.nti toE tlr Corrrxlor' Lica* L* for $c folLuinS lten (Sa'oll i
<br />Bcind .rd Pmf6ion Cod.): Any Ciry or Coudy *hi.n rcqur6 ! pqid ro ..Ertuc( dG, ihFove dahlln or E .r ut
<br />eNdueFiortonr is!m., i&. r.qui6 rlE @lEul for sh Fni to 6k. ristEd ilrac{ thr h. o, CE it lk@.d F t!!
<br />ro th. Fo\666 olrE Coffid! t.tdu.d L.w (Cn4rd 9. Co6din! sin sdion ?m0 of Divnion i of lhc &!i!B &d
<br />PmrsbN Co&) n lb h. d nE b dmF thGdon !d th. b6!' ro' th. nq.d adFiotr. Arv viobion otsdbi 70ll I by ay
<br />arplicet tor s pdnit subjdr rh. .pllicer to . .ivrl pcMhy 016r mr. ths fivG hur&cd doll6 (1500).
<br />I s osG of rh. FlFiy. ot hy @plolE wnh wrs6 a llEr $1. @mFnraion. will do $.vo* dn $. ldlxrft i! 'Elinrori.d .r o0q.d hr uk (Sc 7044, aui.6 rd PrcfdioB Co{k TIE Codrtdd r LtG4 t&-&6.or Tdy to e olG of
<br />th. FiF! *h. toil& inp.lE dEq -d wir dG un Nri huelaor h6*lf or
<br />'hmu8h
<br />hn or ha oM hPloy6.
<br />Fovilcd rhd $ch i6Frro&u! e b' idoa.d nofio.d fo. -L If. h.wd. E hlildii* or in'prsEE l ! sld vanin 64 )q
<br />ofcotrphb( rlE O*G Britb wil h.E tlr hrdn olFDvlt thr lr or rIE dil d tui]d d irylE th. FDFy 61 0t F!F* of
<br />l, s ow ofllE pmpdy. d acluircly corr-iilc *ni ladB d cotdoB to odrud llE FDixl (56. ?O!1. &alB
<br />.id Aolsis Co& Th. Conbsror t Li.ft. &e 116 ml rr?ly lo e own6 ol lropdly *ho buildr d improv6 lh6@1
<br />.nd who (omcrs for $cn Frjart w]lh. Conriclortr) l.6u.d p{6M ro fi. Codrd 'r Lrag l,*)
<br />I m.rol', unds Saran-
<br />-
<br />,B &Pc for rhi. r€er.
<br />()ind
<br />aoariE&I]JDuErt llalpD0r]&ulQr
<br />I hd.t y rt[m und6 pduly oaFjuy oic oath. aollo*tr'g &.|-rlioN:
<br />,(-t u,".Id *itt *io,.l'. catifi.d. of coBar ro sdt-l@ ror pstd otr FBrior B FlviJ.d aor by s.diotr l?00 oarh.
<br />&hor Cod4 aor th. Faotucc of Ih. @ll for which rh. Fmt ! N!.d.
<br />tah.'r.!d sill6.irr.i. worr6 .ooFNlh. iMe., s r.qurcd by Sdioo lTOo of ih. t bor Cod., for lh. p6fol1fuc. of
<br />rhc eorl td *hich $! Fnn n ie.d My wo 6 oEFsdior illlilfu. (eiq .d Flt, Mbc r.:
<br />c* 6TFTE F.r"'$
<br />ro,i.!.N*bd: tf !E-((a"L1.- u,* lz,foGf?o>o-
<br />kGatly rhn in tlr rgloarc oao. wort ad shih ifin Fnn ii is,.( Lull el ontt y oy Fs. ir Dy mlllE
<br />s . to b<.8 $l,jer ro lrE srl6'of,paEdion Ls of cdifon4 ud !8G td irl r,Euld b6o* rubldr ro rlt
<br />*ori6.omFqlionprcvisioBofsalionl70Oofth.LltdCo&,IJull.6nh*fiotqlywnhfio.FDvirirB
<br />WAnnlNG: F.iluE h sc wtd .onEdlrDa @6.9. b uLstuL ad tuI {bral d dnplorq io 6i6in l FutE rd
<br />.Ml 616 up ro o* huxL.d rhou&rd &'lldr (1100.000). ir .ddnion to th. con ol codp.elion. d!ug6 6 FDvid..t tu llE
<br />S$rion 10?6 olihc Labor Code mrd6i !d dionEy-s fG.
<br />C{- - to - -2-afu n N
<br />u(}:liulcaIl&rclaaDt(Lt&\ll!)r
<br />I heby irm unds p.tuly of pdjury rh{ I d kq8.d @dd po!6{n of Ch.FE 9 (otffi!,S *
<br />'lh
<br />Salbn ?000) of Dlvnbn l
<br />of rhc 86'B dd Pref*io6 Co&. rn D, k@ ir b tull lor rd .lt .r
<br />4tic.B. r lai q C5
<br />rrrr. Dt.- (O - 2<JLt c-,-"- dNq?: -(-oxSruora r 5St- /ll^-
<br />colil8lcllotrLrEDNclc!!.q
<br />I hc.br rIIm uda paDlry oip.Dury tlul rhq. s i onntudbn k dilB .gfty fd llE pafotu. of $c *qr tu $ti.h rh! FDi it
<br />,c'.tl,sa lmr.N at ,lr\
<br />Lo,aol,tl* I{ rE\\
<br />radcrAdda - t++e--
<br />arll,lcAdlDEct aSaIIo!
<br />I hdrby!&!,u.dd p6!hy ofFj!ry orc ofth. followiq &.I&.tr l
<br />D.mhion Pdh'A!b.36 Norfori,. F.d6.l ReuLtioB (TnL 40. P.n6)
<br />R.qudd ttrt6 ol Noriiccbn
<br />14 ccriry $a rIE rcd*.j ,B,lllioN r{rrlirs sbdo @ov.l oc tor .p?l,cftL ro ths FnFd.
<br />fr "a,6, rt'a t t *,a rho edsr.n -d 3td. rh! [E.,tFv. infonMrbn L coEdl I ixtc lo @n9ly eilh dl Cn, ud Cou,tly
<br />o.dim sd Sl.r. rru Ehlulg to brildiis .ointu.riol! !d n cb, .r,llDriE EFBqnri€ ollhi. chy ,'d cody lo da '4o. tlE
<br />4Dtli(Nnt or \r.nl Shn.t!r.
<br />rr,.r-Er..t t-+,r i-
<br />OA- lo'?.2\)
<br />ID/SIG.
<br />?.19 ntr
<br />ltrr\ . mdlnacj prp<n, nn Gtdk,n
|