BUILDING- INSPECTOH RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsu latio n/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />Ir
<br />FINAL 8 7
<br />Certiricate ol Occupancy
<br />Notes, Remarks, Etc
<br />OITNDR BUII,DER DELC{TATION
<br />t rEr.h, lrfirh undcr pcnau y ol |l.rtury $:r I o .icnir ln,m rh. O)nhdon Ltcn* b* tur rlE lolhwm8 s$n (fe 70.11 5
<br />8unn.\! ,n Pn,rcsnn C .r Atry Ciry or C u y qfiEh Equn.s r Fnnil l{, lTnslMl. !lr(, ioorov., d.fr'lish or EFtr ury
<br />idcrrc, mn nr irs k\urft c, r1$ Equidr rlt dl)I]hlnl for ruch Frnir t' fiL i sieN, {dcnEtrl rnll h.or slE n lkcn*d N6!ul
<br />ro rh. lnrvnhns of rrr Conrr..ro Li.cn!.d lf,w rchnp'cr 9, Cof,mfrin8 wilh S6tion Trxn ol'l)iviiion I of rh. lrusirc$ md
<br />P^,rc$r,N(irdclo.rhd hcoriE n.rcnFr rtscfrotr'. i rlE hasn lor lh( rllqcd qmpri.n Any viohrb. or sc.rir 70.11 5 ht my
<br />qBli&d Lr ! |Em subFl h. .pDlkdr b . ovrl p.ulry of mr nDE rho nrc hun&en dolhF ( tlln,
<br />-1.
<br />r .q.rr otrrrc Folrny. rn nr! .nulolE\ tr irh *!S$ ,\ lhrt $L NnrlEns,x,n. trill lt, rlr sttl url rtE sMft ( t,
<br />rnrdddl dolltr.J rd $k rsd Tt[i. Au\ift$,ml th,fdsion\ Co.L rlc (ix rdd.i\ Ltcnr Lrs drs n srrry b .wftr or
<br />rh.InIEnt trh, tdild\ or i[nn'ks rtr*n\ dwho ,f,\\u.h*n hnn\llr or lkMlf or thmuth hr\ or hs own cn{,loyc.\.
<br />frovtcd Ihur ruch i'ryrovoxirlr nn intRld or nlls d lff slc lr, h,wchr. rlr htriuin! or irrrn,v.md h $kt wihh on. ,qr
<br />or.nnd.rul thc Ovmr Buiklcr sillh'v! rh. hulctr otlln,lir8 rhr hc or rhc drl fr hriu or 'ry'r,h lrt lnrFiy rui rlE purFi{.r
<br />-1.
<br />NoNErorrh.,mlr.ly, m.ichrirclyco rNiry w'rh liccned $nrrrl,F tr odrud
<br />'h nFier Is.<. To4L aurGi\
<br />atul ftul6\in Co&: Thc Cd rrttr\ Lrccnsc h*dG( ! .pnly to 5n o*N .l I'roFn y *nl r'u'ldr or impBts lh.ron,
<br />and *no..nhr{rorsrnln)j.ctssithrCodftk,n\)lN.*dl)r.sudn'tlEC.nlEcroislrcns!iw,
<br />_l trn.rrnu u.d.r SLrrii
<br />T8f,E8LSEIIENIAIITN
<br />DECLASAI!!.N
<br />I h.rct'y trfllan uftlq Fn,hy or Frjury oE ol llE rinh$r8 &rls.! io.r
<br />I hrE Mti will nEinrrin ! (tn itiErc ofconrnt k' Scll.ltrsurc lo wortcs conqxnsdion, r\ tB,rd.d lf by sN! i'n 37m or rh.
<br />hh, Gxld, lor rh. IErfdmrcc of rhc $od( ror whi.h rh. Il.mit h issu.n
<br />d*;Ud *ill minhin *orkcri c.trlEnsrlion inror.a.. L\ rqun.n ny sRl ir l7m or
<br />'rE
<br />uh)r Culc. fd thc FnmuE. of
<br />!ll {rloi ()qrndiJn in\!ER. ( i.r.,n Ibliy numbd e
<br />lo"\",
<br />I {f'rrrl inrlic lErl!,nlrrc ,rl lhc $rk ntr rhf,hrhhlrrmir i\ i\\uc,l.I\ llnor. Dk,yrny F^on ihnnttu tr,J
<br />s sl,' t{(mr n$JNl h rlx *(rkh .oqf,nsrir h*\ of Clhfo stul r*N rhd rf I slFuld lE{om iuhJco ro rlr
<br />*dl6 $qEtrerion tmvBi'nr ol S.d bn :l7(t) of rlE l ilF O
<br />!tr'l rir\ un ri om hunJrJ rh,urJs-',.- r,,r,l,.r'n r.,r,",1,r. *'.*.
<br />,,",.J//5Jat
<br />Bcs ar Fovrld nn dE .
<br />I lrahy .llnm udcr ncflalry ol rErrtrry rhd I a n or OE!6 9l.onrENn! *rt Sarion Itt,) orDrvtion l
<br />Ll V
<br />I lrr$r_ irlirnrnal.r Irnrlrl.l trru,t rh, rhcr. n x.'i rsc'rrlirrhc!.d.nr$x. "l r[c trorr nn rhrhrhtrFnir r
<br />AELTI;ANLDEgIIBAIIQ!
<br />I Lnr'ydlil lmt r p$ax, otFrjuryom orrh. rrru',$'.8 deLrerhn\:
<br />D.nrliri( ltnnirx Ashc(os N.riliclrhn Fedcrrl Rcglhxors llirL rl{), Pidt)
<br />Rr.lutcd klr$ of Norilrubn
<br />I .drfy r h.r rhc fcdchl r8l!|linr qrdinr $lx\lo\ rcmyal.r. rx lr't)l$nk b fiir pn,Fr
<br />rM! 'n lhrc inlonurir 6!,trcd laser
<br />,lppli.xnl ar llml Si8ml
<br />l.mild n n.rtrinlt:
<br />uI; "tp(
<br />ZIO?ArlZii.ill
<br />Rev.0B-07-2015
<br />(c"\e;#-
<br />nrud lsc. lly)7. Civ. C )
<br />trtrdc, \ Nrnr
<br />/Y)
<br />Forms/Steeli Holdowns
<br />I
<br />I
<br />SLAB Floor
|