|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDEN DEI,CAN ION
<br />I rEEby .frm uniGl Fnrlry of Fr!.y $.1 I d.rctr?t 6n rlE Cond.n' Ltd* trw for llE aollorhS l@n (S€c.rO3l.J
<br />Busirc$ r,n PDf.sio. Cod.): An, Cn, or Cout, ehan mquiB ! Fni io s1|tl. !bd, it toE rLmli.h or EFn oy
<br />rtM@ Fir ro itr irslre, rle EauiB rlE .pplilr li,i en Fmi 'o
<br />,ik . rilEd (&tEr 116l li or ti i! lirtrrd F tu{
<br />ro E Foviri.B of lll ContrEl$'s Lt.n$d L.r (Cn+|d 9. ComEirS wnh Sclion 70O of Divni,n 3 of lh. B!iE$ ud
<br />Pmf.stioN Codc)d tld lid rlE n.rrn$ rlErii r!n rE t-rir lor llE dl.sld cr.n!ri{ An,vbhtb.ofsclbnT0ll.SbyEy
<br />.ppla. for ! Fnir $bidr rlE .pf'lksr ro r civil FMhy ot tur DE rhe liv. hudrd dollrt lt500).
<br />_1.I o*F o,rL FoFnr. ( my.rploJ6r *th s.!6.i tlEir sl. on+.Ndbn. *iU&0r* l.r!d Er,fu!d
<br />dd!.Ld r off.Ed fr sL lsd 7ol{. BuiEa3 .nd Pbfdrirt C.rd.: TIE Coddd r Li@ Llr dB br .gpl, b o mr ot
<br />rlE FoFny uho hild c ir+.w tlEq rd wb dE $h *rt hitulf d lEmlf d rlEuah hit r ir .6 .rPt y.a
<br />p.oviLd th, *h i,+.otElldre d ddi.d Gofid lr sb lt hffi..l!r!iu!t or irTlmrr ie rld *ltnl c F,
<br />ot(fflllia ,E OrB Bui]dd sil Lw dE hd.n ol FrvilB thr rE * lrE dil d h,iB d iqmE dE FFy 6t dE FqE of
<br />-1.
<br />* ow or irF F.Fy, m.kllnrdy .ddi.s pnt t€trrd cGrrriod h 6dM rlE FtrF (Sd. 7lXt. BciB
<br />!n Pharii. C.d.: TIE C..rEroa. Lirn* L.r &E. ml rpply ro d owd ol FoFny *lb builk m iflpoEr llEror
<br />ud wts 6ffis fd uh Folcdr vnh . c.ddoi, limrd p!@n b rlE coffi 3 ler f.*)
<br />I rn.&Eor !n&! Serb.-. A a PC.l 'i! Eun
<br />Ir.t.: Ow wot(rll\' c(lMtr'lsalloN
<br />DICIdSAIIIN
<br />I lEEhy .lfirn uDds rEmlry ol rE1lry orc of ih. roln)wirg ddhrd ioni
<br />IhaE n *ill roinr'in s C.n ifrarc ol Consir h s.lr.ln\uE itr s.*ctr (ui{En\d i,n, ar F*id.d for bt serion 3110 uf rh.
<br />tat r Gdq lor th. psfornBrcc ot lh. volt 4., whih rh. Fn n Nucd
<br />_t h{rc nd *ill minra,n rork r' .omlEN{iofl itr\ur.Ec. !r rcrtut J by S..r inr :17(x) of rh. Labor Co&. for lhc Pcrformtrc of
<br />rh. work inr whhh rhis pcrmir k kswl. My*mk. lrnq.n\al ion nNrurc. cari.r &n nolay trunrbcrae:
<br />c**,,L4h k (^,.^ ?n^<^1,',,. 1uv*{znac( fu^clqt 6't'1 ( I
<br />_l c.nity rh.r h'h. Frr.tDft. orrh. trrr lor qhhhthn Frni' it nrEd.l rhrll 6r .i?Ly .ny p.t$n iruynUF
<br />5 .i lo h.or $$r.l to llt q*sl srrErs'i.i Lk orclliromi...d {G rha if I rlnuld bccor sbjE to dE
<br />wrtd 6np.Miio. p6visir6 or sdio. l?m ol dE L.txtr Cod.. I atlL tdh*ih 6n{ , w n tb. Fovnint
<br />WARNINO: F.ilrE ro tu wk6 6nFrd-,n a,m,. ir unL*tu1 .,ri {dl lobFr u q4loF ro 6ioi.d Frris id
<br />civil fiE! q, ro om n!'d,tn rb!..,n d{,lbr (ll(I).fior. in idnio. lo tlE .o. of .onp.Nri,tr db,rr.s a FDvi.!.n 6t dr
<br />s.<b. 1076 of irE t-6r co&. inrNtl.rn rrrBy r f6 7
<br />o.,,. D1:lS:lctt ^-"*,, )d :r'-V^uttxlr, crnfinrc-Tor.-'/- DEl;lllarlj
<br />I rEE-rl, rJIm ud.i FMly or FrJiny ln, I ii'imr.d u.& Foltion ol Clt rid 9 i6tlmrn! uirh Sclbn 70@) of DiYni,n l
<br />of ltE BusiEs r,d PnfBiB Cod.. !n n, li.cE n in tu ror.,n dlal
<br />LenYcL( 1341-y*:l.,4, --bl-'T ''
<br />Dd. b1 -t t-7a7' c^,-,-Y(2:,t 4fi-
<br />c.n<n1''rtir*nr*c ^,,r,.rrrItEby.rImu.rFnrlryorFquryrhrrlEEfi@NrElionlddinars.t,fdrlEFft rjrmoftlEwtforwhihlntFnilir
<br />n\udr!ise roq?. cn c )
<br />arllllilNr-lltsg.a8ruu!
<br />I hrty 3lttm t ndcr pcnrhy olpsjuryonc ol rlt lnlk,qnrt d(ldn[trnl\
<br />I)cmolirDn Pcr.rir\ Ashcios N rli.rrk Fcdcn,l licXtrl kr\( lirL Jlr.11tr161
<br />-Reqtrncd
<br />k(crof Noriff, ri.n
<br />lrcnilylh rhc itdcnlrcrlL i,'tr\ rulrnl'tr9 r\hf,{o\rr hlrlnrcrx ul)l]lf,rhlc t' rhn tx'Frr
<br />i.n n d'ld t rpa ro.o.rply *irh all Ciryond Cnunry
<br />trtc rcIrEsrariEr orrhu Cirydnd C.udry 16 6rd xrbn
<br />'rE
<br />n, O?- t9'-Z.z'
<br />l.enilyrhll I h!!c Er'j lhn mnlirlhn !,n cl!r. rhi rh.
<br />odhdN'cr Jrd S,!rc Li* ! rhriry ro h'lJinr t ,{{nrqtr rrrlklqhv.urh
<br />.hr. nEnrmnooldy lr hrlrdritr pung*r ' /
<br />^*u*, * ^" in^*.#-,-l- // /'
<br />P.mirrm,pritr,,, Z5 rtq. bt", P?
<br />Sel Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq l/tr,/zt *t44a
<br />Shear Wall
<br />Framing
<br />lns u lation/En eroy
<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 Certil
<br />FINAL 7/bh,l-,t-*-
<br />Certilicate ol Occu nc
<br />Notes, Remarks, Elc
<br />Rev.08.07-2015
<br />Formsi Steel/Holdowns
<br />UFER Ground
<br />-e'l,lc,,
<br />-3-:-fu:-j4.L
<br />=
|