|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS (,WNER BL'ILl)ET DEII'ARATION
<br />I Hr rrm un& Flhy of FJuy thd I 6 a@F &oo di Cd,.dm li..E L* artlE folhstg lan tsemll,
<br />B6ind &d Prcf*ion Cod.): Any Cily or Coultly whkh rcq{uB a tEnn lo orrtud. 1116. inpmE &mlah or rq.n ny
<br />nanr.. prit lo il! isue. .lo rcsric lh. +plkel for $.h Fmn to 6L . riSn d iraEl thd tE o & i li(!s.d Frxrd
<br />ro llE ForilioN of rlE ConEEldi Lc6rd L.$ (Ch.pid 9. Cotlllffiog wnh S<rt'. 70@ of Diririoo I of lh. Buind od
<br />Pml6ionr Cod.) or thal h. or rnc i! .rmpl rfia.tum ud lh. ba.i! ao. th. dL8.d .r6Fio. A.y viohrion of Sdion r0l l 5 by.ny
<br />.prli.d f.r a Fmi $bjck dE .p9li@l ro . ciril p. !yotDr @Erhd fiv. hu.rH drtle! {$m)
<br />l. a oM6 oarh. FFnr. or ny nplotG *nh f,.s6 a th.ir $lc Ndr.6dion, *ill do rhc worl d $. niE@ s mr
<br />ltdxt d G ofiGrd for sL lSE.70r,1. Builr ed PrcfaioB Co& Th. ( o,rElor'r Lk.M Llw do€ nol Tply lo 6 olG or
<br />EFiFry slE hiil& d lrvDE dEla rn *ho ds odr s,l hilEll or lErlf or lhrcu8h hi or lE or! 6do)6,
<br />rtuliicd rhlt ruch imrevqEi. G @r iriEnaj oro,H t'. u]. la. lrEq. dE bu'Ung d inlir6En 6 rU *ihin oft Jd
<br />ofcotrlPkb( th. O$E Brilda will hrE lh. hda oaFovirB thd h. or ilE dil ml toiu m inqrw d. FoFr, 6r tlE purpo.. ot
<br />-1.
<br />a owE oalfi. Fopary. m .rcluriv.ly .onlrdiry wnh li.md .odr..roE to co.rtNd llE FlFl (56 7044, BNnB
<br />.d Plrl$i Cdd. Tr!. conrrrdd t Lk.u t * d6 mr ipply ro 6 oIG orFoFdy *h. hildr or ioptovd th6on.
<br />dd rfio o rrl] fd $ct FDj.r$ *nh r ('olf!do(i) licdBdl FlllM 'olt
<br />( o.l[crd ! l-taE L!w).
<br />lrn.r(mDr unrld ScrF. .lr &P( i,vrh6r.-,n
<br />,,,,, /z/l/t'/ o"*. K //^,
<br />I , \tot{kERs ('onlPFrsar(rN
<br />DU('uq^r ar
<br />InRbyamrfl u.dd Fn lryolFloryoEofrh. foln]*in8.k ldarioB
<br />-l
<br />h.r. rn Gll minbh. Cdifsr. of Co.gi ro s.ll-l.le lir uuts! cmFnrrirn. d FiriLd for by Scri,n 1700 otth.
<br />t bd CdL, ad th. Ffo]lffi. of rh. $rl fM *fith rlE Fnh i isu.d
<br />_l hsr &xl vill tullrlin *o.lnt .ooFu.rxD EUEe E r.quiEd tr Serhn 1700 of tL t bor ( o<t. lor tlE Ffl)llla..1
<br />'lE
<br />$vl f rtxh th! Fhn i iqrd My wnk6r onpdrFn 'n3llltr. cs6 dd polrcy nmbq G:
<br />-l.diry
<br />rhd
<br />'n
<br />lh. Ffolrlrft. of rlE $ort tc whrh rhis Fmn ir is.d.l stdl mr aploy ut Fsn in e] llw
<br />$ B to bNdc aut ct ro rhc *orta' conpdBarn ks ofcllilomi!, &d .s6 thr il I 3hould heoft rubjet
<br />'o
<br />th.
<br />$.rt6 onFsrion Fnvthc of Sa]1bn .!70o of th. ldor Codc I 316U, tonhwnh.ontry s{h rhos FDrnhBwAtnNC Fnbr. b sE. mrl6' o,p.Mion orcre. ir 6hqtuL al3hnl $bi< o @pbra lo ainir.l F.lb rd
<br />cnil fin6 up to om hui&d lhoLud doll6 (tloo,filo), i. ddnio. n, rh. c.r of .omFMion. dirugd 6 provdql for lh.
<br />Sdrion 10?6 ofrh.lnlnr(i* inr6d and 4-*-
<br />r rr-rrsru r oninrr rrrn/lrr(r rtt\r(r\
<br />I hdtty lrm uidd Frhy orFjury rhn I e licqE d und6 F.\irbr of (].!pls e t@ffiins wnh Salbn 70001 of DoBio, l
<br />ol llE BBind ed ProadioN Code rd hy lic4. ir in full tuc a,i.ftct.
<br />(qllIAllIIOlIllDNCIG!!.cI
<br />I ha!$y .,rm odd Friy of Frury $a rhc b . otrgtudb. ladi.s eay aor $. Fhll'l.re of rlE *qt tu st*h lllil Fni il
<br />i$u.d (s( !09?, civ c.).
<br />AIIUCA]TIDECIJXAII(A
<br />I hoq iIIm unds Frshy of psjury oic of lh. loUowins {k(leltionrl
<br />I).blhh. Pofinr-Atbdc NolirEdb. F.d6!l RqlLthB (TrL.l0. Psl6)
<br />R.qurcd lrr6 of Norr6cnbn
<br />-l
<br />cs! it $r rh. f.dsn r.auhiod tlgrdlB abdor lffirn e mr .rplt.hk to i! FoF.
<br />21 .diry rhi I h!v. od rna @l. rio. !d {d. rid dE .boy. i.tonndnn it .@81 I !.c to onlpry wnh rll cry $d ('ou,ry
<br />ndi,e6 !d Sid. ts! Eirrg to b{ildi.g @rsMbq ad 6, n nori4 rlt sriiB oiihis Cny Ed Couty lo qnd l4or dt
<br />'l'{r 'nflnr ,.J frL,tr ) l,r trFfalin, |IrF,16 /4
<br />\pp',otrr m udr 'hu'm X ,/ / *
<br />rr,ri,ftnrnr.{prrn,r:11 /-fe. LA 4'*r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />/.-..\
<br />FINAL 7-l'{4Y x,Ylal)
<br />Certificate of Occu an
<br />Notes Re marks, Etc.
<br />Pool Fence
|