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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorAy'enUlnsulation
<br />Roof Sheathi
<br />Shear Wall
<br />Framin
<br />lnsulation/Ene
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handi uirements
<br />De Final Re rt
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />FINAL
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />OiM-Builda Dcclsnim
<br />I ha$y rfflm lndr pa.lty of Fjuf,, lhn I a q6!?i fm !h! CooErrat' Lid. L.* fd th. foll@ins Bd (te.rol l. J Bsi.!.r
<br />6d Prcfoie C.d.): Ary City 6 Co6ty ,hid nqdr6 . pGnit to colitu t, dtd, ihr.ovc <lamlith ( Ep.ir lty rou.t4, Fin to iu
<br />i3,!lt@,.!o rquiE dE.pplior fd tuc! Fmit to 61. riSn d mrddr lnnhcarn ir li.d.d pql!@r to rn. FovlrioB of lhc
<br />C6drdd,t U6rd rx (C!4t6 9, C..lftrin8 rirh s.cld 7000 of Dilirid 3 of 6c Buind !d lrof4id C.dc) * rh.r h. d
<br />. it qngr ihet$ri -<l dE b-n f6 6! dl.8.d dan d6 .^ry yiollid of S..non ?0r l.5 by my .pplicst fd . pc6n rubje! fi.
<br />lpglimt b . .iail Fdty ofm. trnt 0M ltvt huniH dolLd (1100).
<br />WORI<Ef,S COMIEIISATON NECI
<br />^iATIONI hs.by .flim undd p6dty ofpcjury 6. ofth. aollsi.g deldrieJ:
<br />_I htE ed *ill m.lirln. C6tlll6r. of Cffit lo Sdf-Ir!6 aor *ortd' ffiFlrrioi, a Fovid.d for by S.dim 37OO ofth.
<br />Llbor C.do, fd inc pafoiMc. of rh. rat for whict lhc pmit ir nru.d.
<br />_I hrv. ed will trdDrrin wdt l'' cdlrd.rim irwle, a Equitld !y S.cdon 3700 of th. L.bc Cod., fs $c p<rfomue oa tn.m* for whi.ll thir pmil L Isuld My rsta' cfip.d.rio ittt1fuc. dia od poli.y nonbo !c:
<br />Iollcy Nutrlc EIpt6: _(n , Gdo, n .d nor b. coipld.d lf 6. Fmh L fi O.. h6&!d &llD {tloo) 6 l<)
<br />_Icdiry,lrli!dtcFfdll..oft,L*oltfa*hidlhLFrh,ritinrc4Irhdl!daqlo,sr,!.rtcainxyher.ltosob.c{r!.!bj.6 to U. i..tar '.odpqtalioo l.rr ofcrliforni.. ed ryE U.l lfl del.l t corE &lj6r to lh. eo*..r'
<br />.crp@r.d6 Folino, ofsccd.. 3700 of thc Lbd Cod., I indl, fdripith ldnply rili ric Fovilioot.
<br />vARNING; F.lluG ro dq dt6' .enpa{tion @wn8. Ir mhwtul, ud rh.ll rubj.a o dplortr ro qimii.l p6!rri6 ed civil
<br />linB op ro 6. hutr(H lhouad doll4 (l100,000),in .ddid6 ro th! .on of.dpd.ri6. d&nr86 .r proeid.n fc 0t. S.cdon !0?6 of
<br />$. L$6 Codc, intffir rd dm.r! f.€.
<br />t tcfNsrn aoNIR el1oRr rrEcLAR Tlont
<br />I tqtU, .mm udc porlty of Fj.ry $1 I t n li@Gd tad6 Fovirid of Ot$d 9 (fficins *ith Setiq ?0oO) of Divilio 3 of
<br />t[. Boiid ed Preldid Cod!, &d ny liE!. h h full foe rd dlrr
<br />U*O-,_Li€eN!nb6
<br />cotsrtucftoN Lt D caGENcv
<br />I hd.ty .ilim u!& p6dty ofDsJury {fl $@ i3 . on itucion ladins .sacy rq 6. ,qfolll.e of th. *dl ta ehich thi. phir it
<br />hrud (s... 3097, CIL C.).
<br />artuc^llT's nE.l atta]noN
<br />Lrqtlolirio ?mt6-A,b.n . N..lfiddo r.dad lcsrl.ri@ Gid. /o,1116)
<br />_ R!q!ir.d lrt6 otl{odfotin
<br />_l carit lln rh. f.d6rl qdtd@ Erldin8 abdor tmEl E ror .r,pliobl. .o rht prDje,i
<br />_ I stify $rt I he rd th! qli.rd6 6d tr.G drr dG .to* hfnnaiq i. drer t q@ ro .qrply rirh .ll Ciry bd Cenr,
<br />ddinr'c€ rrl Sta. L.B r!l.d'8 io buildinr .@!.uci6, ad h6by orlsi.. n?rqaurivB of rtir Ciry . l C.$q ro mrd !p6 rh.
<br />$ow lEddd Fq.(t, fa lrrFci@ FrrpdB.
<br />irirl
<br />rEill FEtfHr]t*r,ilEEilE
<br />Ext./lnt. Lath
<br />_La oma of th. Ft?aty, d n, al?loye *iti **6 a $Gir tolc dnF!.dd\ {ill <lo drc rdk arl th. fflde i,or i .rd.d
<br />d ol[6.d f6 rl. ( Se.?0,!1, B6lft.r.vl trofcai Co& TlEC6tr*ld! LicaE l* do€ not.pDly tos o*Gof thc !@pdry
<br />pho b!il& 6 ialFrc rho@, 6d wlD dod rdr r6.t hiElf 6 h@tf d rnBr8t hir d h6 om anptoyq, poi&d tn sh
<br />imFbytlllc ! rl. noi int nd.d or olf.'d fn rd.. tf, howlvir, dE hlildins or rrprwrEt b rold wittii oa. y.r of .mpl.rion, $.
<br />orn6-Build.. will htE llo b[do ofFwi.r thll hG 6 ihc ror b{ild 6 inForc f6 drc puTs. of rl.).
<br />-L
<br />s oms of lh. FoFt . h q.lsiv.ly co.Grdns wlrh li@.d sE*if, ro 6trod $. Fojd ( se. ?s.. ;rin6 Dd
<br />Prof.riott cod.: ftc CdEr.ror! Ucd. L.w do€ ioi qply to m o,rcr of Fopat, *l,o buil6 a in @v.! to@ , Dd 'hoconEd!fdtrch Foj..l,pilhrCortrcor(r) lie .dF6antodlcCdlr*lo.'3Ucdch*.).
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<br />m ad u,.t . sdb6 4g. a r.C. f* U,l, ,--.
<br />,/za.' ,*.
<br />DATE
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