BUILDING- INSPECTOH RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNB AUILDER DEL(- II^TX'I
<br />I lEEb, rlirn uid.r p.n lly of Fr|lry ttEl I m *q,l lmm llE Cdir-rrn Liw t * aor ln. folb,ni @n (S.crol l.5
<br />BEims !n Pmf.sirr C.d.): A.y Ciry or C-o! , Itth EquiB . Fmi ro crNnrr. 116. itrplw. d.mllt d rqrn x,
<br />tuE Fn to r inure..lto EquiE rlr.pDli..,rr for tEh Fntll ro lik. liFrd nrffr 0lr lE or {r i li.!i-d Frsun
<br />ro rlE Flvisii,B or tE Codr..rtr r l-irr:d L.q (Cn ds 9. Cotlmmir! *nh Stlir. 7m of Divibn I of E BuliEs !$
<br />Pror*rb.! C.+ ) d th.t lE d tlE i! c&npr rtE 600 .nl ttE b.ri! lo. trE dkg.d u.!prio.. Ary vioLtnf, of S..lir 70] I 5 b, D!
<br />applka for r Fmn sbFls rlE .Flt ro r civil p.dr, of n mr tur fiv. hu.d(d d.ll6 (l5m).
<br />,3! * o*E of rlr rFFdy, r nt cnq,hFr *irh *.,s B iltt 5L 6'r{EMbn. win (t, llE wrL !d tlE *Eiw k d
<br />inrod.d olYcrEd td rt (5€.7014. BliEs ]n Prafdrb6 Cod. TIE Colad t LilnE Ue ri,.i mr +!ly ro a oeE of
<br />$.FbFny wli. t ilrkd !r!.ffi s6^ &d sho dG rdr wt [iNrd tEellq llwl8h ti] {r lE! oM crqloyct.
<br />prcvij.d fill sh idFlEEn$ E.d ir.n Ld troffc,.d for r].. lr, lbltG, tlr t{tldbg d irFrowGd !' iH rlhi. c )d
<br />of corDlrior tlr (xtr Bui|nd *iI |!E t|l htda ol rrwitB rl{ lE or aE dij mr hitd or irlrcw dr FtrFiy fq tE FrF- 6f
<br />-1,
<br />!. owH of r,E FoFry, u.rcuirly..rrn ring *irh k en ort!.loR 16 connM rrE ptujd {S.. ?oL, ButiK
<br />.hd ffisn Cod.: Th. Co.rdol3 LirnE L.s .LE. mr .p!ly ro u oumr of l,roF.r, who huil& o, idilNEr rhd@n,
<br />rnd rtn on tlr rm tuh Fj.tt wath r Codrdo,lt lt Md purrurl
<br />'o
<br />!h. C.drdnlt LirM tiv).
<br />-l
<br />m.E qr !id.r S6lt
<br />!r)SsEBLr!xlta$Il1)!
<br />DESJAAIIO!
<br />I lErcby rffimud.r Fulry ol rErjury oE ofllE loll,winx dalarurhn!
<br />-l h.w .,n ,ill mitr.h . C.rrirE!. ol Condr ro S.lI lntsr fttr mrt6 snp.nldiotr. .s FDeii.d tn by Salion l7q) of llE
<br />lrrr Cod.. fd tlE Ffm oI lt v I fG phkn fi. Fhn n isu.d.
<br />I hIE.,n *ill id.ir vortd .onp.Nrirn in rB.. c rquu.d by S6'nn ]nro olrlE t bd Cod., d tlE Fftu of
<br />rlE uf,t lm whth lhn Frhi n L$ucd. My *rts conpctrqrbn in$lmc cuir ard Fliy tuotr !.:
<br />2,.-r.-"ictrr
<br />dC O Ll b-t oO i--\-))
<br />- _l drfy thd in rlr Fitdljrft orrh. so.l fM rhFh rh,! p.rnn t irsu.4 I rlEll mr.f,ploy.ny Frs i. ey lmd
<br />$ I b lEs. sbhd b dE wrrd Ls,pctrsdion Lpr of Cninrmi.. ud l3r thrr if I rlrtuU liioG ilbF ro tL
<br />x,td' oqEnsrion Ftrvti.B ollsrhn lT00 of rlE L3lrtr Co.t . l {ull. ronh,nh ondy Birh rrrf F,vi.iB.$AININC Fribr ro sM krt E c.,{xndiin srn8. k unhw6rl, .rn sh.ll $hFr rn .nphF l. simiml FElii.tn.Ml fimr $ b oE hlnlnd rrbuld dour6 (slm,frD). in ddirion to rlE.osr ol$nFnsrior d.mr.! B Fryii.n fq iE
<br />S.d ion tor6 of tlt Llbor Cd.. inlctn .id dEEy . f6.;--eia6i- :: ":;:'E * i6..^dlg\r{d!4
<br />trrlta@lloNrtaqlaa
<br />DECIJSATQ!
<br />I h.Eby .rlm und.r FEly of Frjury rhd I mr li.a..d u.d6 p(,vnion ol CttFa 9 (offih8 *irh Sdb. 7O@) of Divi*'n ll
<br />of rlE B!\i6r rd PrDfBiJB Cdl..Jd n, li.e ir i. tull rom !d.fier.
<br />Lian.cr.s 6 * (3\6Ll
<br />,,.,. t/Ila!
<br />C,,IXSIATqIIXLLEDIEGIGECI
<br />I ltrhy rron od.r Fnalr, or Fr]!ry lh, 'rrft ir ! onrMnI l.n i.3 .3.ry nn E F,fo.rrm. o, rtE krk tor whi.h ihi! Fdi k
<br />irqri {s6 .r0)7, civ. c )
<br />E@II7\ULOAII.ABAtrO!
<br />I hdttry.ffm !.d.r F.lr, of poif! oE ol tlr Llbwiry d..Lrd hnr:
<br />Domlirx'n P.rmire.A3t .rd Ndin.dion FdJorl R.gtLtb.r (Tnb &, P.n6)
<br />RcqliEi tdd or t{rif..in
<br />-l
<br />ccniry rhd rlx tdfn E$Lri6n ESrdi.g .!h.{d mEl N tr, q?lt bL lo 6n Fnirl
<br />& cdily rhlr I lEk Eld rin a,rrli.rrion ]n r.rc rher dE .h,r infoirtirn !. ffi. I {E l,o otl{,ly wilh rll cn, rnd counl,
<br />odln4t! snd sri.Ir!.Eh'!g'ot rldmS onfub^ rn lEE6y rrlffir EF.r.,r.rirr of rhjr Clr, r.d Couniy to dra lFn rtr
<br />rhoh rnrhftd noF ry rd h{rd..ArD.B
<br />^-,-,-^-,*-*{lKi=+qfgfsr[- -,. (l ] i r I
<br />ft r(Mmrprrn,r ul'.'..tic 6\ \'"r\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing a/L v4+e 7
<br />lnsulation/Energy I I
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coal
<br />lr,4aso n ry
<br />Pool Fence I I
<br />T-Bar V DfYryz -t /-l
<br />Handicap Fleq I
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 20 4
<br />Certificate ol Occupancy I
<br />Notes, Remarks, Etq.
<br />D'7I ,ta -)
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<br />Bev.0B-07-2015
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