|
BUILDING- INSPECTOH RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET AUILDER DELC RATION
<br />I h.rcb, omrn und.. Foslry or p.rFry Ih,! I m .r.qrl liom lhc (.nlrmton l-a.nE Lrw aor rhc tollowi.S Er*'( (s& 70l l 5
<br />Bu\in.{ trnd Phf.si,n Cod.) Any Cit} or Counry shth rcllir.r ! Fmn ro connrud. alts, rnv'fl'w, &ml(h .r E ctr $y
<br />\relu.. ritr io it! BtulN, rI$ EquiE\ rtE.prrl. r fo, su.h Fmr ro nk r rl3Ed ni.rnr ihd lr or slE ir li{in<d nqtu
<br />ro rrr FrvnioN or t,E Conrr-rq. l-irnan L.s (Chrflq 9. conmrin8 snh SdrFn ,0d oa Drvnbn I ol E Bu.ims n d
<br />PDfcs.i'n\ C.rL ) or rlhr h. or rh. i1 .rc,pr rh.r.tom .nl $. tEsis tu rlE .llq.d .r.rPli,r. Any vi,larion of Sdri,n 701 I 5 by r.,
<br />ar,Fli.rn( ror x p.rnnt suhteis lnc !F li(rnr lo . civ il p.nolry of mr mrc rhd fivc hrndrcd d.um {$ltD).
<br />_1, .r owM or rlt rftFny, d m, .tr9bFs wtrh *red ar llEt st @dpc{srlior wtll di dE *,* !d 0E sridm ( r,
<br />ir.ftLd d oficEd lor rl tS6 704,1, B6iB.fl| Profdlbn! Cott : TtE Colrrdr'r LirM trw &E d qdy to u orE of
<br />rtE pn,Fn, wl$ huildr d i'tmE Ea!nghodE(hsrthiKlf or lEBl,or tlturh hi! d lE os.,pbF.
<br />Dnvncd rhlr tuh inpFt*n! a br ircrn d or otu ror ah. ll r$wE.lrE tliBin3 d inrrcwGd n $E wi'hin orc ,w
<br />ot.otrpttiotr dE Owkr Buil,.r wiu hlE llE twdcn of Fuvint tha h. 6t rtu dU mt ttiB ot inF.E lh. pmFty for ltE puFr of
<br />_1. u ovE, oarh. F rEry. drkhrirl, co'rdhl sdh la.n .d..tudoR kr NnlrnEi rlt trcr..l (56 70.14, BEES
<br />.,n hlk3in Co&: Th. Co.rftlor'r l-icne trs dat ml ry[ly l{, u orE ofproFfly *h. boildr or impbE lrEron.
<br />an'l Dho onrerr aor \!.h l'ojcdr wnh ! Coomfldn,lictr*d pu(@ rorlE Conrdorr Lic.nE li*).
<br />I rtr,.rcmpt u.J.r S(ri(,n
<br />Drt. orffi
<br />woR(rrr,i' caltPr,ar\^TroN
<br />IIEII.ASAIII}N
<br />I h.Ehy rflirn undd ,EMlt, of pcrjury onc or th. folloqin8 &{b'8l bn{
<br />_lh.E!n$illtui i! r C.nrrrrr. ol C6Nnt h sdr.IBw lc wl6 ontr.dion. .s FDvild for by S<rioi :uco of rlr
<br />trtu (in . fd rh. IErinllrre of rh. *qt aor ,hi.h rlE lEnn ir iilEd
<br />,/L I hrvc und * rll ruintlin ,nrt.r' (omncNarFtr in\urrn! ci as EqliEd by se.ion l7{D oi rh. L3htr Crodc, lor lh. pc.{ormtre or
<br />iF *"d nr*hkhrhn n m'r it ndd My "o,kda tun{rnd.n mlurd..ffi rn Fl., numtH e
<br />c-.,, 9l4k core. :x5 lr,rr, --
<br />-,r,"rn,.*,, lgqqlo?'ao
<br />-
<br />---E*r*,, lL l4
<br />_l aniry rh,r in rlE tBrormm of th. wor* tu whah
<br />'hn
<br />pcrnn ir nrEd. I nlll nn c,r|llo, d, Fr$o at my narr
<br />s B ro tt.or subFd lo rlE vut6r onFmsrirn Ls! of Cdromi., rid rsr rh, if I dbuld t or.utFr to ltE
<br />mrrn o,p.Nti'n FrvnioBof Sdthn 37molllt UE Coi,., t arlL rdnw hd ply witn 'lnc Flvtbnr
<br />WARNINC FaituE lo sr workqi cory.nulbn .r,wds. ir unL*luL .id .hrll eubFi .n crrphFr ro ainiml p.mhis .,n
<br />.ivil lin.$ up to orc hufldEn rholsond dollor (lloo,fln). in addirio. t' lh..osl of.omFnsrlion. doE8c5 ar [ovtcd for llE
<br />S(r tr,n :l(rrb .I rh. l,lnr C.d. intrr{ .d xromv t rft!
<br />;", ;-l:li-- ^**,,*4 e
<br />LICBSED-CQNIXI'CIUf,
<br />IECIdSAII'A
<br />I h.Eh, lf,nmundcr pcMlryofpcrjur! rhd I sm liensl undd I'oviiionolChspr( 9 (d'nmncinS wilh Sdbn ?(J00) olDivisior l
<br />of rlx Asi*li rJld Pnrf.$irB Cod., an n, li..n{ r in tuI roE .,n dl€l
<br />, ..,..,.,,.. c-7t
<br />,,,,," 7-l-21
<br />qs( 6q?.r''-\7
<br />galElau{;IlQNlEllllNc-acErcr
<br />I rErhr.fftrmund.r Fnrhrof Frjury lhi tlE ir r onslruclion ldrli.S rs.Ny for rlE Fflffic of llE mrl for whah fin Fnl ii
<br />nsoc{ {Ssc 1097, Civ C,)
<br />kid.ar AddB:
<br />-
<br />axtlllllNl!&qaBAuo!
<br />I hdrhyrtrmuod.r pcn'ly orF iuy or of tlEfollowinS &<limlionr]
<br />Dcml l,n P.rmn!A.tslos |lorifxlrbn knl Rc8lLlioN Onk .r0. Pd6r
<br />-RdtuiEd
<br />t trcr ol fkr,fdir
<br />l.cnilythd lhc LdcrJl rcsulariotrr rcludina a\hcll ! rcmMl d. ton rprliabL t,
<br />'hn tmtccl
<br />_I.srify rt! I lEw od rha! +plt rb. dl r. th{ rtE rtDE rford$n is colN l .pE lo otrr'lt *ih.ll Ciry xx, Couly
<br />odntu.r !d Sr{. r,wr EhhB
<br />'6
<br />bildi.8 onfuatr rn EEb, urlnrt rcE*trtriB of fiir Cn, rrd Co$ry ro drs rpon ilr
<br />,;;;...,,"...:l;,.,,,"*v''ru
<br />,.emtr,.(Hn.Dntr, : fucl /111*,!
<br />O,r/'-z.(-tl
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Boof Sheathinq 7-tz-zr ffi12 rl*ro..r:iJcar t eFr 0r
<br />Shear Wall ,.'<1.
<br />Framino
<br />lnsulatron/Energy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL '7 /z't/.i JKB?,)
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />Set Backs
<br />UFER Ground
<br />Subf loor/VenVlnsulation
|