|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNE,R BUTLDER DE!'ARAArcN
<br />I ha.tr lrrn uid< Frrt) ot p.rju) rhi I s ac,$ from tlE Co,nddoR' L..G ll* for llt follo*r8 ra,n (S.. ',0! I 5
<br />Bsitr< ,rj Profaio. Cod.): Any Cny or Courry ufiicfi r(qun6 . lEn! ro sdrud, .hc. ihProve &itulith or (Fn ay
<br />slru.rd. For to n! (r!&cc. dlo rcquir6lh. rpglicdt for ruch Fnil ro lih ! r'gicd n.ro6l lhd lt or dE i! licos.d FBsl .
<br />ro rh. FovnioN of rh. Conrtld r t-ic.n!.d Llw ((lurr6 9. CoM.eng wnh Setion ?(xxr of Divnion I of rh. BBi.g ud
<br />PDfGioE (od.) or rhi L o..lE ir 6arF tia.6on.d rlE t sii for lh. llkBcd ddnF6. An, viol,rio. ofs*rion 70lr I 5 b,&,
<br />lppko! for . Fnit subjdr llE .pglird to . .ivil Flny ot ml @r. rhD fit. tun&.d &llE (tt00)
<br />l. 6 onE otrh. ForEry..r my oplorG wnh ".s6 6 rh.n $t $nFliiotr *i[do E*nttndErnrr@.el
<br />irrdxLd oro(rcd for sL lse.7o44, A6iK Md ProfdioN Code 'D. ('ot r.cln 3 Li.tr Lw (tE rcl tpgly ro M 0$,6 of
<br />rh. poD*ly wh) buil& or impn,s rnson. rd stn do6 ech Mn himr.lfor h6.llot rrFush hii or ha oM.nployc.
<br />pmliLd rhd ru(h imp.o\qEl! e ml idqd.d orolH for sL lf.ltB6, rh. toildin* or itrqt'Ed ir 5t wihin... )€
<br />oforpkie tlro$G BuiEa *ill lEr!dEhrls'oaFDvitts lhd h.6rrh. dil mt hrild i,tFu!lh. FDFr, nt drFrF*of
<br />l. 6.$E of rlE rroDslv. d.rcluirct codr.16s $dh li.ded.odraloR to odrud rIE tsFl (sd 7o+r, !618
<br />ud h.tss ( od. Th. Conl.rcnn t Licw t,w &6 not !r?ly to d ov.. o f It Fny wlf,' buildt or inprov6 lhdarn.
<br />md uho ontrlc1s for3uch rmj<k wnh a ContEcb(!)lic.E n puBud lo lhc Cont.ddir l.icG. Lw).
<br />.lLq8f,!8S:.CqUf!N,tArO!D&SABAIq!
<br />I hscty afiid lidr p6riy of Fjtrry on.oath. following d(lsdiou:
<br />-l
<br />h.v..rd sill roid.i,. Cdificd.of CoMl lo Sdl'lEe lo, l6ldt ompaslion, s Flr id.d ror bt Sdbn 17{xr ofllE
<br />Lsls Cod.. fq tu Ffo.lta. o f rh. *o for *nkh lh. FEh i as.d
<br />-l h.r. rnd $ ill d.firin *oltd! comrdaion imrm., ! r.qur.d b sdbn 1700 otlh.lllor Co&. for rh. Ff(ffi. of
<br />lhc rqt fr shah th6 Fmn i! irecl My workd' onFErior iBua. .mid md Policy numb.r e:
<br />-l.ariry
<br />rhn in rh. Ffolrjlm. rfrh. *orl for shrhrhir pcnn B $u.d, LEll ml dplo,.ny Fe. it M, nuE
<br />$ 6 ro bcoft 3lbia:{ lo th. *o,Iq' comD.t6dion bs ol Califomn. ud {r thd if I 3lbuld b..om. 3ubj.d k, rlE
<br />"$.t6 conp.NtionporBirNof Scnion l7@ ofrhc trbor code IslEll,lonhwilh cooply virhrhr Pmvilio6
<br />WARNIN(i tjrilE ro su. krrl6 oEpdu€lion svms€ is unhsful, Md sntllsobjd e 4ploF to oininrl F Li! ed
<br />t, om h6d.d lhousd dolls ltlul,(xx)), in addnion k' !h. con olonp.ulion- d!t4d a lrolid.d tor lh.
<br />I heby lmnn lnds poally of FJ
<br />ol rh. Busina rd ProfsioB ('
<br />D[(].4.8 llj!
<br />u,l rhrt l r.l,( wl triJo to\isit{.ll hq,rs 9lc. nno'rtr'F \\i| s.criN 7ol)o).1 l)'!isntn l
<br />o&, ed my lico\. i! in full lor..8rt.lT(r
<br />V)I ."5\q
<br />\0 4r C""r..",".(
<br />cQlilaltcuod.LElDl! i[!l}
<br />I borq irnn und6 F.dy ol Fjor' ilr llE E t oinnKlbn lndins.strr. Lr th. Ff(llrrac olrlE mrl hr *hi(h this FEi a
<br />is{.d (s€ 1u97- Cn. C )
<br />AITUIAALIECI3AAIIQ!
<br />I hott! !trnn ub pd,h) ot Ftlry oE of $. follor h3 &.latl.d
<br />Dsnoh$tr Pm }&!Gro! Ndilicxion F.n6.l Rquldhc (ThL J0, Prno)
<br />-R.quncd
<br />llirq of Ndi6ctrion
<br />! cdify thd rh€ ftd.Bl r.subt'oB q&nins NtBka rm\.1 e. ml 4rolEabl. lo thB pi.jd
<br />-l
<br />cdr't rlui I h!\r c.n rhir rpplkd
<br />oditlN6 rd Sl.r. lr*! eltnB h hr
<br />lbor. IMri.nal pmpcry td iBp.(lbnK
<br />Appltonl or Ar.nl sls..ruE I
<br />Pmilc u!.lprl,O:_
<br />iln *l rd. 'hl rlE .to!. 'ntonnnr'n
<br />6 .md I rSre lr
<br />ildi.g .odrudsE rd ffir lurtDru. r.Fsrdn 6 o f
<br />o onplt unh rll ( dt lrl (-oo y
<br />:.\ii#K
<br />Set Backs /r - -f.
<br />Forms/Sleel/Holdowns /<.a c)o
<br />Erection Pads ,a/
<br />UFER Ground -w
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing Y-/z/n 5L*1
<br />Shear Wall L/njq 5\fi6
<br />Framing t/514 )18't
<br />lnsulation/Energy 5Y<-t
<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 />M.I|ffiuQI'.).tY;,,ut \t/z*/r ),)'6n
<br />FINAL 7/?-,7//q tl^tt/7 D
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />",/./?
<br />t/1'14
|