BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIA BUTLDER DALCAXATION
<br />I IEE+, rrrm orb. parlly oI Frrry lhr I m .rcqi fron rlr Coffi6 titB trw for ttE folbail{ E D. 15...7011.,
<br />Businrs aBl Prcf.sion cod.): An, Ciry or Crunry *hth dquircs ! Frmit to consttocr, slq. irPrcw. &mli\h or EFtr ..,
<br />rhmr. Fir ro irt nliJIE. .Ls BiuiB rlE .p9licor fo. *l' Fmir ro liL r siAEd ed.nEd rh, lr o. tE b lir6.rl p@!r
<br />ro lh. FovBions or tlE ConE&lors l-k.nrd L.w (Chlpi.r 9, Co@.fti.s wirh Srtion 7000 of Divhion J ofllE Busims aid
<br />Pmr.sbns Cod. ) q lhr lE d {E i! cr.hd lndEtron .rn th b..t ror rtE .lk8.d .r.rprhn. A., vblrrio. ot s<riin 7Ol I 5 b, u,'
<br />.mli.rnr for ' Fnn $br.crr rh. lpplictnr to a civil p.mlry or nor mE lh.r fiv. hundrd dolles ISl00).
<br />-I.
<br />rs owmr or rh. r'oFny, 6r m, cr{lloyer wilh wa34 .r llEtr sh dtrFnslion, v .b dE m* t rl dE dtu ir bi
<br />i, crd.d o.ofr.rd ror sk (Sa rlx4, 6BiFs.rd Ptof.sbd G)d.: IIE Co aror'! Li!tr* hu &r!,tor arly to uo*Er or
<br />rtE F fiy elb ttrildr d i,rFB ilE@ rn *b dG uh Krt hinrlf or lEr-llo. rhmuSn hn d h.r oytr.rp5r!6.
<br />lliovitLd rhal reh ihrf,,wm r @ mt idcrLd or or6d for sb Ir. h,*w, tL t ildins q iqrumnl i! sld silhh om td
<br />of Mlihd^ ft of,ft! auilb wiu h.E rt hldar ofFvinsll. lE or rlE dn d hrg d inprcE dE FF!, tor dE Fipoi ol
<br />_1. !ro*Erofth€ Fordy, !m.x.lusiwlyNnrkring wnh lccnsn co E-r(,F ro connrud tlE pmlect (sa. 7044, Buflrc$
<br />i,n Mriir Cur. Th. conrBror'. Lic.nE t w doc! mr q'rly lo uo*E ofrrlrEny who Irilds or if,preE. rh.r6...nd uho s.ldt fd rkh tmr.k *nh. Conrrdo(n lEncd pulrur ro rlE Conrdol. lr.nr trw)
<br />l.nr.r.mpr ui&r sdrion
<br />D.t. Ox,r_ _wonKF ico PrNt;T0N
<br />DESI.ASA:IEN
<br />I lErcny lmrm lndcr Fnrh, ol tEIry or or rlE 10110*68 dcLhri,.r:
<br />Jll h.E 6,n qill minrM r C.nrrr{. orc6ndi ro S.lf ln@ lm rrt6 otrqEndhc s l,ovil.n lor by S{rion
<br />L/hor Codc, iur rh. p.aom. nr rhc *o* xr l hrh rlF rEr tirnsu.d
<br />fr r',* ,* *,rr *'n.in *o*.s conFnrlri.n iniuEm., s rlquiEd by s.crion r?OO of rh. I-rbo. Cod.. [o, rhc Fr
<br />rlE wt rd shrh rhn Fmil ir ir$ql My rrt6 @rFdbn Butm ffi !d polry mn$.r m
<br />c"*, bu\ r,,-,",,*@qB - _;:OBloalz (
<br />-l
<br />ccnify rfirl in rhc p.rrormmc of rrE *orl tor vhth thn Frnn i! n$cd.l firll ml empl.'y rny n mn in rny mnmr
<br />{, d io ttoe .!nrd lo rlE qrt6'orp.Mbn lr*s ol crlilmn. .,!d .!E thi ir I sbuB heom rf.l ro trE
<br />worlcr conyEdur,onImvirb of Sc.rion l70o of rlE trtxtr C.d.. I $nll. fonnwirh .orqly wnh rhos pmvi.io.r.
<br />WAiNINC: FrituE ro ffi krl6 orgcner6n o6s. i! unh*tu|. .rn nrl subFl e .rpbF b aituiMl FrlB.d
<br />cMl fi..s up lo oE hundrcn rhousnd ddlls (tl0o.0o0). in lddirio. ro rhc cosr of consc nrion. d.m8.! .! ,rovn.d for rlE
<br />;:"(;ii.fi;T''*Ug,Mlc.^
<br />Dncl rn^arrrN
<br />I lEEt y rltum uds IEElty ol F pry rh, I .n li!.t d uLld Fovithn of Ch.rre I ronEai.g wirh &db. 7@Or o, Divilbn l
<br />ol lllc Bulincs rnd PDf.sio.r Cod.. orl m, li..orc is in tull foR! n d crrftr
<br />,r"r, Cq
<br />C ZC,'Il- \
<br />l+rN Nurr.,:
<br />.*"-'* JD\^ ^
<br />roEoSr&$\6.'^o
<br />qIINIAIJ:IIA!,IEBIIIIiIIiEICI
<br />I hrEby alfrn und.r Fn.h, or r.irury rh.t lh.r is . onsRrion 5ndiry r8.my for rlE Fn rlm. ol
<br />'lE
<br />vrl n, rhf,h rh( Fni !
<br />issucn tss 3ur7. cir. c.)
<br />I )mhvrlln,lndcr |xulryol
<br />afll L!.!ir.DEg.itrua!
<br />otrc oirhc lhll.,r'ins d.cl[urn,ns:
<br />l)cmnrnn ltrmn\ Asbc{os )n Fnl.hlRcluLrx,ns (T l. J1), PdO
<br />l;,,,;,"."^r.fr,rllrc rrflr$L n, rhtrl('Jl!-l
<br />a. t.o|N I rBN ro on l, *nh lll Cny.d Colnr,
<br />,tr(l,nri(c\ rnJ srxr. lr'*\'.hr'n8 r rcIrcsdrliv.s orlnr Cil, md Cou.tyt,.nrd uFn rtE
<br />dt,r. nrnho'x ptr,Fnr rnr
<br />Y'-e,"-\e-"",.1y tr!z-1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/VenYlnsulalion tl
<br />Roof Sheathing 7-1-7,)>Jr{-l\tl .rl,(E F.zh
<br />Shear Wall v t7 hNi#J-s rJ{2;.1U.
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />FINAL a-l+Lt Er{f1+L
<br />Certiticate ol Occu an cy
<br />Notes, Remarks Etc.
<br />SLAB Floor
<br />Ext./lnt. Lath
<br />Brown Coal
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