|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEA IU[DIN DEL('ARATION
<br />I h.rb, rrlis undq pcnrhy ol n rr!ry lhar I m.rcft'l,l INn lh. Conrrtu)s' l-kn( trw ldt lh. loll,,s! E&,n {S.( 7011.5 I
<br />Ilu!nc\\ dn Prutu1 , c,rL) Any C y or Counr, whrh r.quEr r Fh{ t. drnrlNlr, alrd, rmpnrvc, d.mllh dr Rnrir lny ^ndcuc, Frr' ir! nt'lc...t$ F$ftr rlE +il.{r fd ruh Fmi b lihtr{rn (imr rh.t h. {r!l6<n Jlu\d.
<br />t, (h. l'n,vM,ns ol rlE Conrn.l0 r l,EncJ l,* ich4.r 9, Co'lmRh3 wirh Sariri 7(Xl) or DivtrDn I of rlt Eurir. .Ilr
<br />Pn,rcinnr Cd.)drn i lEi*srE f .r.q trEElnm ..'j thc hrnr n, rh. rua.rl .rcq'lpn. Anr ei'hrDn or Selu T0.l l 5 hv rnv
<br />r&lf,inr h, r Fmr !!hi.\B ilE lptlluni h r.rilp.ulr,of n frft lh.. rrlc tuftldl Jr'Ut. tsJfl))
<br />t,.\ owxi ol rl* |n'Fny, o, my.mrhF.r w'rh *!!$ r rh.r $k omtEn{tk'n. wrlld' r,E nri c,n rlr (816 s ,
<br />d.flldi or of.r..l fd ql (Sa.?0{4. Bu.n\r Irl Pirrdbn. GiL: Tlr (tmxrd'. l-.n. trv drEi nr .I?lv b d .wr ol
<br />rh.F'Fny *l$b ds,, ir{mB th.N[,4] *hl drt tuh ufi hrmEl, or &r{laor ttmulh h! or h.r oM.r$bv..t,
<br />,rovrldl rhr rBh urFokcd! 4 n. ddL{ G.r.rql nr rt lf. nrrw, rlE tr h3 n urFrEtud !r $Ll * hh oft J8
<br />ot corltlhrrn r,i Oer, Au Lrp'[hrElLhsL.o,FUvi,Brhclrtf,rlEllllrrlxirli,ltlnF F FltEty nrlll FrFEdr
<br />l. !\ o*ncr ol thc !ftrFnt. m crcluriY.l, uonlr&i n3 *!h lktn*d ddrtt,'u ro Lu<tur rlt l$!j.{ (5d:! 704'r. EBB!
<br />.il PirrdqrcitLr Thc Conr&roi'! Ltr.nr.lr* Jes R rPpl,tuuowo(olrnrFnywt burldr or rmrhKi lh.rd'n.
<br />..d *h (rrBr! tu iuh F i.rr e h . 6.h'rD(o lrrnBi F{6d ro rlr Conlai, ! Lj..na Liw).
<br />l.n.rcmF urkr Sdr -.8 aPC turrh( R.n'.
<br />woru(rRs couraNsArlolt
<br />ItECt ASAUq!
<br />I h...hy nlltrmutui( Fnrk, rl lHjlr, ok Dl rh. nnl)*h! ll(ldrr0n\:
<br />-l
<br />havc!d*rll unrr,rCcnirrr.ol Conr n, S.lrlnsurt n, wdrkcr' c.nr{Ensr$n, r! In)vtLd ktr ty Sc.i$i l7(x) nl rlF
<br />trhr(ir.l. tmih.Ffolr's.or'h. *t[t nr *h.hrhc Fm ! rqkJ
<br />- l h'v. rnJ w'll slnr.,n w.rlcF Com|tnrall'n mlu,tuc. rr rcqurd hy S(r o. .17u0 f rh. t2hor (i .. rtn rh. JErfom-. ol
<br />rh. *,rl n{ phrhrhstEm,l s sstl My worlm' cor{tndsn mruru..rmr rnFlhy nuflIlEr F:
<br />P( ky Nrnh.r:-ErP@r:
<br />-
<br />-l
<br />!.nilirh4 nrh. FrturmB.otrh. *ork nr*hrh rhrFrm r FrkJ, I th:ll n .fith, ..y F.$n r !n, nqEr
<br />s' .r tr h.aom luhr.l l,' rh. *o*.K' u)t{us.ton l.$ ot C.hnmE, rfti ,8N ih, f I d$uld t8om suh).d t(' llr
<br />B1116' omrEnsr.n pNvNrrhr {r sd rrn lTGr or rh. lirn Cd.. I {$ll, ldh*rh !iq'|, rih rhot ,n,vrxr
<br />WARNING F{lrft h rcM wtrkc .oqxnd{n ov.E!. Lr u.hstul..d rh.ll \ohitr i.irpltF.1,, suniEl |rnl6 ri
<br />ov'l irn.\ trp r, om htrnt J ilx{tridl Jolhn rllrxr(Xxr, id(l
<br />SNur .l07lt ol r h. hho. C-dL, inl.Er anl drfty ! l&t
<br />l).r.:_ Appliul
<br />DECIISAIIO!
<br />I h.rhy .fltm unlr Fuly ol IFrjtry rhd I s lcncrl u[l.r Fmvtrrn ol (-irFd , (LrmmBu! * i Sdrnn 7(,@) ol D'!n$n I
<br />of rtF aurms .rn Pmh$bn! GrL. lrl my I..nt r h tull foR! Dl.fid
<br />,,t".,"rr,', al/L q'7'3?{b
<br />CONSTRTI(.TION LI'IiI'INC A(;ENCY
<br />I h.nhfrlfumuntd Fnrlry.l p.rjuryrhrrih.rc^:.rnnnkrrrn L 13r3.B) lfi rk Ft,mrtt. ol rh. *trk l'trwhrchihf Fmn s
<br />rqEd(Se ll097,Civ C )
<br />L.nrc.r N.m:
<br />-
<br /> PPI ICANT DECLAIAArcN
<br />Iho,rltinud.rFMhy.f Frrr.yorolrlr,olbs'ntd.(hr.rrrr:
<br />lrcm i'n PcrBn$Aili(o\ !{r'lri.rnn lt&r.l R.!!ld$n! (Ink {0. Pd6l
<br />RcquFJ lrn.rol M{[f,arr'n
<br />I (dJy rhlr th. fclcrrl rclulsrr)N RlriJrnS $h.nor rm,vrl.rc Bn
<br />"llf,ahk
<br />t' lhr lmiccr
<br />l!.n,lvrhr I lLr.r.rd rhr !I plrrk,,[] {rr.rhi ilrrlr,!. Iryet,.onPlywirhrU(iry,,Cotrnr!
<br />.nlui'r.! rnJ srdc bu\ rldh3 io hu'[lrn!
<br />W;Y*^"'*'rrhic
<br />v "d counrvro'ni6 uponr,"
<br />!h,v. nr !'mn pn'|Icny tu o\F*r(m
<br />ADolnrnl or Ardl SirMlur
<br />I.mll( Eft rlrl ):
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />ln su lation/Energ y
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil A
<br />netr(,{J- JbW L-tr-t1 xu-$\
<br />FINAL 5-1r- /?
<br />Certif icate ol Occu nc
<br />Notes, Remarks, Etc
<br />T-Bar
<br />Yi\
<br />X-W1d
<br />n) rh. ro{ ol ronp.tr\,rr}n. ddmr8.\ rs pruv'd. l'tr rh.
<br />c4^/-
<br />lhl.r- (oni*lor
<br />Drr.
<br />-
|