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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEI,('ARATION
<br />I ha.by imrm undq Fully ol Frjury thn I en .tmpr 6om rh. Conl,!cr.6 l,i(oE liq lir rh. follosirt re. (^* ?0rr 5
<br />llsrBs .,n Proad6. ('ci.) A.t (-h! .r (tud! *hah r.qun6 . Fnnn ro c.ddd, ah6. imlroq &nFluh or nrEr m)
<br />rrM(., Irrnh ns Buffiq !t$ Equr6 rh. dr'rli.d 4., tuch Fnit to 61. . s(n d sddcir rhd lE or 3t 6 li.+qn I)JNtun
<br />'o
<br />rhc lnnirki.s of rh. (_onreroir l-i.d!.d li* (('har,id 9. ( onm.n.$s enh sdi.n 7000 of Divisio. ofth.lrBin6s ond
<br />rmftsions ( od.) or rh,l ,E or sh. L omp{ rha.frlm ..d rr. t{rn for rlE dl+.d .rmFrion Anr rn,blionofsclirn 70rI5 hy !ny.
<br />q'pllcd roi r rEmh $tj<B tlE .Crli.an' !o . ilt'.Mhr".f m' mErhE fi\. hufllraj.,.llsi (rJm).
<br />L s o\ n6 of th. Folrny. or mr ontlorc vnh s.s6 s rh.ir sL .omlmdion. $ill& th.(o md rh.rnrlEis mt
<br />'d6d.d or ors.d for EL {sd.7044. lturin* ud ltofsioN ( {d.: I n. (-o,nr&1o.r I 'c@ Iis dE nol aml} h d 0\16 of
<br />rh. Fopd! sth trirt or ui{ror6 ,Eotr tn { b AE kh $i* him*lf or h.ell.r
<br />'nr.uBh
<br />in d hs ou n mlhrG-
<br />Fn dtd rhd 3uch iml'!\ffiftnn drhl r olH for qL la lr.tr6!. rh.lx'kni* o. inlnffi 6 $ld tr thin @ !6
<br />ofconpki)n, th.()$n6lrlilda trillh.r. rtE hrd6 ofEom! rhn h.orshc dij mt hrikj inF.v. th. rioFt, fin lrt purlr*.f
<br />I, a otrB or'h. FoF). m.rch$.b rod.dr,B tr hh lr.n-d codNo6 ro coNod rh. rFJ.rl (S€ ?O$. 8.136
<br />mi Pblsnn(bd.:'lh. ( o.kek!'r l-ic@ I rn do6 mr rr'?ly lo u otrnd.frrnFdt qho b{nd! nr imprn\6 rh66n,
<br />ond who .onlmcl3 for r!.h Foj.dr wilh . conklclorls) li(a*d porswi
<br />'o
<br />lh. ( onlr.clo.s Licm. I ial.
<br />I e.rmfl unL. sdrn
<br />llir.: (rnrcr
<br />NORKffS ( O[riFr\SA ON
<br />D[gif,arat
<br />I hd.$ am'n lndci p.nih! ofFru^ orcofln nnh\ mB &rl-dioB
<br />I haw m! will nsint.in 0 C.nifi(ir. of (oro6t k' S.ltunntr. nrr wortd conpds.t i,'n. 6 ,revid€d for by ssl oi I7(x) o I I hc
<br />lrbor C6&. fn ih. Flolrm. o f rh. {o& for \ti(h rh. p6nn . is.d
<br />I h.r c .nd s ill nanrlln * ort6 compq$thn mu.rftq s
<br />'
<br />dtund ia sd i.. 11(n ol rh. l,n t ( od., lor ltc pdf.mfr. ol
<br />rh. $ork ror whichlhispmil is isd My*orldi conposrln,n iBurer. cFin a,rj Ellry numbs m:(,I-L.
<br />l taaeio 10 44//z
<br />I (difrrhd i.'h.Ffor,m..f rh.$orl fd "hkhrh( Fmn ir isual.l !h!llR{ nplor r.! FMn i.!n! nenq
<br />n B ro tem st*r' k' rlE s!lt6'strp.r!.rn bq! of (ilifomia o.d Rr lhd ,rl lrbuB h(or tut*tr h llE
<br />I ortc' smpssl ion prcrn'o6 .ts.d ion .uO( of rhc titr, ('o&. I snall fonhw h .ompl! s irh lk'* ,,!\ n'oB
<br />WARNING r_rilu. r. KU. wort6' comFqrio. covd+. i. unl.*tu|, Md shall rubjd M mdolq lo fliminal Ftrhi! rnd
<br />cnil liE up ro om hd.dr.n lhnlsd &000),
<br />'n
<br />lddnion io rh..oi ofcomp.elnr, &ns36 !r p.orid.J tor rh.
<br />S(rkrn 1016.{rh. hb.
<br />Soh '1,
<br />t hd.tD afilm uqrE Fuh,.f Fjur\ rhd I o li.ds.d un& FrRnn or( hErd 9 (conrmins snh sdhn rIxD)of DIrFn !
<br />{r lhc BN'nes and fnif<io6 Codc, ud my li(6s is in full forcc a cfral
<br />. .) -ll^.n\crli\\ L -)
<br />(
<br />/ /t ,/ / /| / ., I I /
<br />a r7*o
<br />t h6.by aru n und6 Fn.h y .f p<jurr lhlr
<br />h.u.dtsd 1097,C,v C,
<br />lmdinsdS6cr_ f rn.p{lomucc.l rh.\orlt litr \rh'.hrhBFrmir ii
<br />.Irl.l(ANllll'(lJtrlla!
<br />, Ht afmutulq rF h
<br />'
<br />.l Fjur on. ol rh. rolhtr,ns !(lurr nns:
<br />llclnolition l'6mirs-Asb.sr(B NolincalNn Fcdsal Rqulslions ( lirl.40.l'an6)
<br />R.qun<aj tnrq oa:\]ln'a(nrn
<br />I cdilrrh!' ln. fqLr.lr.lulaloN r.8ddins abGro! rdovale..ol rptlicrbk ro r hs rmjd.
<br />,Ln, ,/ *. ,., ** "-l.d nn !n rd. thd rh. at$r. ,nrotuFn s coF.(l llscroco,mly$'h6ll(-iy,ndcou.ryodM\*t srd. L!{r EL !E ro hrld'ns c.dtudstr id hd.ty adhout r!!.6ddn 6 or thi! (-n} an Counlr. ro 616 uFn th.
<br />.bor. m9,h0.d p6Fn! fi{ 'NFdhn F{po* , / _/
<br />rppulu^lmlssoom lrb,Sftba l"zptia< -', 76//7
<br />"-nq,y'*, s-&aslia @,'+)(-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathing q/i[) z^ i-,-nlz1u $(
<br />Shear Wall T---r-
<br />Fram in g
<br />lns u la tron/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Nilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De Final Re rt
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL +n %li| ..Ya t-l?ftl \6$
<br />fCertificate of Occu pancy
<br />Remarks Etc
<br />Il.k,-/ // 21 v,ta1Z
<br />I
<br />Notes,
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