BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />Enqrneer Final Report
<br />Flood Zone Certil.
<br />FINAL E-?n4 0-c_,t:
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />OWNER BUILDER DELCATATION
<br />I lrri, .lfrm u .r |EMlry dl lElury rhri I u cr.q, tuft rh. G)nrrkJo^ ti.ns k* ttr rh. ldb*D3 E.$. lS.. tu-1l.rr
<br />,ltrrEs {rl P,oli\ru GiL) /by Cr, or Cdnr, vhrh EluG . Fd t, (on!er. .ltq. !qmt- &tul[n or EI-r e,
<br />(rudurc, Fu lo rrr Esum., !lv, ,.1+Gi $. 'mlrur r,r soch,Em! t, ,lL. !€md n.!.8.' rhd lr or nE ! ln!trrn !u$.d
<br />b rh. pmvri,N o, rlE Conrk(r'r Lt.i$d tle (Chil'tcr 9, C mmncin! qilh S.(li,'n ?(DO ot Ditisnt :l or rh. Aori&s $d
<br />P$r.rsbnr ('dL) ,{ th.r h. d r& ! cr.n$ rtftnom.nl llE har! ntr E.lLs.J.rcqi,n ArytpLrbnorsdrDnT0ll tbymyl
<br />.n9lt.nr n)r . Fmr tut FB rh. qrlit"i tr . Lrv FMx, or n'r n,. rhrn nv. hu lEd d.lhs ( t5m)
<br />l. .s ouEr of lh. J,n,I.ny. or ny chpk y..s wirh rrsc! 6 lh.ir sk r!n[Ens$on. * l do tE e*t !r] th. ,rlw ( a'l
<br />dslj.rl or oficrn l( sL lsa TO.r4- AutEs mJ Pnn6srtr Crk Ttx Conr*ld.. Lr.n€ f.w dB mr .ntiy to { orE ot
<br />rh.F'Fny vhr holu.q !rF)KIs!'n. [l *b 6 skh srt hmsltdr tFr.l,or rlNuehh!,t tr. om.q,,.rFr.
<br />trl)vl].d rh.r slch ml,nEEnrr n mr ,rcdal n offcr.rl fo sL. 11, h,9t6, rt huilin! or urqnirrnr n $U qrhh om }!a
<br />ol $ny'Lrr4 rtE olre. Bu[r.r *il] lvE rlt htr&o o, FovDe ih, lr Lr slE !n d bui! or lqmE lh. tnrqly lir tE |rrFe oI
<br />l, ir.wErotrh. |n'Fily, rn.tlurvcly.onrr'.luB wirh li!.h\cJ cohtu(,u tt conirulr rlE F,Fd lsc. ?04t.liu\m$
<br />ul lhrslr,n Col.: 'l'h( Conte(r's t-'(. \. trw J,rr nn .ptly t, an oqn r ol pNFn y *hl) hu il ,l or impnk! rhcrcon.
<br />rtul w,i, o.hr lt, skh F0FB vnh. Codr{ronn ll.n6l Fruni n! rh. G, rrid r tx.M tlq)
<br />_I rmc$mpt unLr Scdion-, B. & P.c, lq $n EN,n,
<br />l).b Or|Ir
<br />la8f,E8li:clrurENtalxl!
<br />DECLAEAIP!
<br />I hcrchy rlttm hJs Fnahy.fIrrFryorc or rh. nnk,e!,3 Jdldrri,ns:
<br />_l hrE In will nhrrtr r C-.n'fr.r. or CoEnr b Scrln@ lq k to' .l'qf,Mrr,n. a F,v{al for try S(r6n l?m .l E
<br />l$or (irL, for Ihc FrfomRc oflh. hrt lq Bnah rlE Fmir n isudl
<br /> l h& r l will tuoum k,1.6' .orFN{xr lgrtu , & E1w.J by Sdlm -1?u) of llE L,txs Gic. tu rrE Ffol1rs. o(
<br />rh. k*t rtr *hrh
<br />'hs Fm' ! !rEl. My wt6 ct'ds.ErF. Ell:N..16 rd r,lly.umlFr e:
<br />N,,"*", ltLbJqCtl lA lt _E pcr:t0 ?l
<br />ell.cnrly rh,r in rrr pcnnrElc ol rlr *orl tnr *h(h rh6 Jrrmn $ rsu.d, I rh.llnor.ntby oy lf,ron in rn, Mrcr
<br />{,21btirom (hFr ro rh. s,rlGi ($nFn{ts. Lur.lc.llfom, aDl{rrh.i I st$ul.l ,^qoft subF! brtr
<br />q|l*cr.on{Ererinrl^rv [nt o{Selhn.lnxlol rrE l2nn C,rL. ! rrEll.l(ffhuh uon0ly vtrh rhi. F$vsinr
<br />WARNINC: !a urc r, s.ur vodc6 conFnr,oon.ovcr,E. ,\ ntrlNwtul, ,nd shau sub<t u.nl'l,,rr n) onhllFD[i.r od
<br />qvil lnrr un nr oF hunJrcJ rhouqd Jolld; (SltD.ux,), n alJnkrn h rrE .o{ ol compcnslur. ,LN3c\ {! rm!i.1.,1 |,tr rh.
<br />lih,Ork. [lurd rd (xny \ krr
<br />LI
<br />[r!!r&u!!^
<br />I h.nhyr,lnhu,rLr Fnrlry (r Frjury rh:r I !n<rl ud.r F'hu ol (tuFs 9 (.rlrllrfro8 wnh Sdbn 1llJ, or DFrhn l
<br />ol r,'.lrLtrNr r n l,r!'1.\{o,r\ (i ..drlnrylr.tr\.!rlllllltrrRlclk\r
<br />CrO .+936'3c)
<br />sru.J (S.<. .r{lrr. civ. c )
<br />AIILICANLDICI4BAI!]B
<br />Ilrd'y imtrBlcr lrcnrlryol p.rluryon. rl (h. f.lhw[3d.!l.r.L trs:
<br />D.ml{i P.rmr}AllEsor r{tr Earx,n lni.al Rqul,ri,ns fink.r}. Pad6)
<br />(.!rtr.J l.rr., ol Nor'lir[r
<br />Z{l (d,ry rhd rll lar.r.l E8!hr$N ESdrB rstErr.t rcm)y, r. mr lpd.d,lc lo rhtr t'ojdr
<br />Zl..nrlyrhJrIhry.krJrh^aml'.rrtrrfir{rr.ifu(ln!h)\r l"rnuriflF(,,r&r.Iirr.!n,.onrlywhrllcyrnl(irtry
<br />dnlmrn(.r rn'l Srarc liw\ r.Lx4 ro hu iLh8 .onitud ()n. ul h.r.hylurhtrrc rcltc{nrrrvc! Ilhr\ CrryrBlContrryrrctrr( u0,nrh.
<br />rh)vc mnrr)mJ lxoF-ny ll, n\nc(r$npu
<br />*,. t ln lz,I I
<br />W
<br />.,.., oi:T\ PJta"?Lrc-. GeNcoA -
|