|
BUILDING. INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUtI,DEN DELCAI'ATION
<br />I h.Etr.lfrn ud6 FMlry.l tE pry rh.t I n.rqr 6ln ilE Gdr&kE Lr6. t *turlI(ollpryE.qr(S..mll5
<br />BGrlr .d r\ol.rsDr C*k) Any C'r,1, Cirdy whrh rquG . tEfu k con{Mr. d. n{mE. &m sh d EFn &,
<br />rlod!rc, ri,r 'o
<br />lr! iisuuc., llar rcqlucr rh€ rmllrtrl for ruch rmi' h liL ! s[md rt@ rhn lE d {r ! lic.trsJ n@.nl
<br />b rh. Fovishnr ol rtE Conrra(nrt I-iLrniJ trw (Chsl'r.r 9, Comturn! lnh Sftrkln ?UXl .t Oivisir. I tri rlr llu N$ sd
<br />Pml|.snn. CqLr t* th.l lr d llE s .r.n{i lhd.lnD ,n rlE lr3! for lrE .lhc.l .r.q'r$n An, vr .lid ol Sar.n ,ol I J by .ny
<br />.lrlidrrd.tEmnsbFkrh..mirrnrbr(rv'!FElr,of.ornftlhrr,v.hudFddolLB(t5o0).
<br />_1. .! owB o( rtr FlFny, ,, ny cnphF! s h *r3cs .! rh.s e,k .onlinrdion. *o Jd (lr *,rk .nl rh rME i! dn
<br />dr rl ,*olLrcJ n* sL rsd 70,14. Irlrrs lrl I'nllissN ciil.r Ttr (idr-kr'r lr.ns lr! l}6 Ri.firy r. s.*,8 ot
<br />rh.FrFn, *tr,t[ k or i'qn,6 rlER'n. r *b s h srt fim{lf or h.Ml, or rlFr8h hn r ts oq.m0t,yel,
<br />provkld, rhal ruch mF'Em rN ,l nroJo.l.rnr.Fl n]r {b ll h}xw( rlE rxiLlin8 u n{natunr t s rl vih otr.,!a
<br />oI$n{'Lrh.,UrOrftrBu.rw hr{ rlr hd.n ol tft,yiry Lhi lr or rrr drl n, t!fi r rFr{ th. FDIdy lin tlE IErJr * of
<br />_l. Aowtr.rol rhcF,tdt- s .rclr v.ly ro.krd nl wirh l'..nkJ conLrr,^ b (rrndd rb. ImF{t (S.c 7(x,4, Busmr
<br />rd linssrr Cd. 'I h. Contr&ror s l-(.nr tr* d,rr tur .t{'ly nr .n dD..r of l'n,tEn y wtu bu.0! or rmt!'v.! rh.rcon,
<br />anJ rh, !ad,r( lu ruh ImF-k rlh. G' o.n,l{,lxcnrJ ,[^ud k, rM G!"rf,nr'! Lx.n( b*r
<br />I rr.(n0lunJ.r Sc.rM
<br />]IASf,EBE.S1UTfIBIAIIqN
<br />PECLASAUI,E
<br />I tu(hy rlrtrm utulcr Fulry or FJU') oft of rh. tnlL,rng d(l$.ri)nrl
<br />_l hrw rd w,ll m,mo I Cid fr.r. ot C,,Mnr t, S.lf-lniuE tur R)d6' $mJx.s.r kr. .r F,vd.J nn by Sdlim :l?(X) or rh.
<br />btx, Cr'r1., ntr rh. Il.rlirlmn( or rh. wo* l(tr whrh rh. l.m t^sual.
<br />I hrv..,ll *,U morro krl6 or{,.Bl.n oruft., rs ,qurcrl by SdDn l7m of r L.htr Cal., tu rlE Fdrmr of
<br />rh. s,r rtx whih lhr Frmr B Bul. My vod.6 Nn{Enrrk rnsur.hc ilffi., Frr, rumbd N:
<br />.,"", .51 AfE(or+pgaJtar.roa S&3rreadsr Fudb
<br />-*u-. r/+/qnr,
<br />S.!rr,' l(n.-rrl{ LJtlr (1\l! i q.{.'
<br />*.,'lLlll,at O g/.-
<br />'u.,, *- ltAl
<br />r.rIr r!r:rr t or*ir(rirrr
<br />DECIASAIIO!
<br />I h.Ehy .,lirm u,rLr Fnrlly ol D.rJUry lhrl I rh licnBj un b F)tlhn ol Ch,prs e ( mmhr w h Sd i'n 7000) ol rr'vann l
<br />ol rtr t usiE$ ul Pn,f.$tr'or Cqlc, ul my la.n( t in tull n'R! {n cflirr
<br />(OIIII!!:DOU.INDINC.ACEX.CI
<br />, tErhy ,l lirm unlc. tEMltynl IE luryrhrl rh.rc s. on{derr'. Lnlhr!t.Ly li'tthFnomr..trlE u ntr*hrhrtNIm !
<br />APPI ICA]YT DECL TATION
<br />I Ht rnio uBLr FMx, of Fqu.y or of th. tulh*tr8 rt llrnlr,nr:
<br />tcml,rDn PtrtureAtlEnor trfEdm Folcr.l tqat r$nr (T lc 4O. Pd6)
<br />_R.q!ft d L(oot Notifi crtnh
<br />_l cnrry rld rlI rsj.r.l EllLtbN Erdu! .nrra Efrrv.l E m{ r|I?lsb,. ro rh! FFr.
<br />l{tl sr,ry rtur I hrk Ei.l ,hu 'pplur5n at rr!'c r hd rh arnk iraomrnrn ir corur. I .!c ro cor{iy wnh .[ Cny rnr counry
<br />,riliMBrr.rn Sr.r.l,u El,!d 'ol{iljhrlont@ru rn lEEb, rhqir. rFldrtB orihir Ciry.d Cd.r, ro drd upor rrr
<br />rtr,k nhrx'kJ !n'Fd, for tuFli,n lirF,{s
<br />,\u,li. lor,\x. lSi(nslun K o
<br />Set Backs
<br />FormsiSleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loor/VenVln su lat ion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />>.
<br />FINAL tThlu -tbc-,(a,
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />I (nfy rh.! o rtt ltrturNr. of rh. *ork liJ. *hih rhr Frmtr r !skd. I rh.ll B{.rg{,y rny IE $n r.ny 'MErv' { i, IRUE ruhFr k, r|l. *ilsi ll'rqrnsrln L*r of Crlromil rii .3N tl':r f I *tr)u$ l.Loft hFr k'lltq)rt6i on'Fnslr,n pmvN$.. ot Sdi'n lru ol rrF L.h, Onc. I sEll, ftf h*irh $,r|,ly *irh rh.r Foyr&ns
<br />WARNINC: l, urc lo sur. wortcrs (nnpcnslxon cov.ru. rs unlawt!|, Md shrll $hF!r ar cnflorrr ro (nni,al tEDLis.nrlciv lnEr un li] oB huBiEn rhrusBl !.lla {tru,.(t,or. h rllirb. ro rlr (osr ol NnFnsron. J.mr.! .! Itrot!.n lor rlE
<br />r\sucJrsd r0)7. Cr C )
<br />llndcr\ Nrm:
<br />,,",", 14jlzoz
|