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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE (,I[ N}:I' BUtI,DER DE!('ARA'fION
<br />I n6*'y dnirm u.dn p6!hy ollo.Nry thrl I m.\onpl ntrm lh. (i,nirocl.R Licmr ljtr lor lhc nnb$irlr rm$n(sd7011s
<br />Buli.N anl Prof*ion Cod.l Anr Cht or ('ornrr { hi(h r.rtun6 i Fnir r. snrrucl. !h6. imnror!. do .lirh .r r.!or ut
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<br />b rhl ttovLnrG ol llE Contocrorr l-ic.n!.{ lis {('h6prr s, ( o,nmd(nrr trnh S.dion 70txr of l)nision 1 .arh. llusin.s itd
<br />Pr.f*ioro ( o&) or rhn lr or !h. B !r@rr rhc.fion snd rh. l6L for rh. .lLr.d Gt.rprion Ai) yhhrhn of s.nrn 7or I t h u,-
<br />tpplirnt for . Fmt subjct! rh. lPpli.er ro . cir il p6alr, ol nor oor. rhd Iir. hunLr.d dollrs (t5fi))
<br />r. d .$m of rh. FFnt. or nr 6phr6 rnh ri{6 d rh.ir el. NmrEndFn. rilt do ir {ort Erj llE rnd{. r mr
<br />'nrdkl o, o r(cd for el. I sd 704r, BEind! and rhf*n\6! t'.d.: , h. conr.doii Lr6.. L.$ .h6 hor afl,lr ro trn .\ nG ol
<br />!h. Frrrdt tr t6 trikl! or iqro! 6 rlEdtr nrl r ho &E sch *r* himklf 6r hcrlfnr rhmulh hr or 16 o( n .'nnkrj.6.
<br />Plovvi.d lhrl uct mrrc\6d! e Bn nd'd.d o ofird for $L ll lF{6a. r,E tturull{ or myrordn ir $U \nhm nrc yw
<br />ofcomtkion, Ih. oM6 Btrildd sill hr!. th. trrdd or ro\in! thd h. or rhc did r,t hnld or inFo\r !h. ForEty li, rh. pu'Fe of
<br />l. a os tr6 oarh. Inol6y. ,n .rcluiiv.ly tunk.cr ir! sd h I'c.ns.d lrta(oh b mnn' ur r h. lni(r ls& Tlir']. lr si'trs
<br />arxi Diftsrn Cod. Ih.(nnr&rorr I icor I !u do6 not.prl! r. sotr.a [pr.nd] ul!, buitd]o, nnp'.r6 rhs.'n.
<br />ad sho codElr for slrh l'oidrshh. ('.dtulo(r li.d*d 3M! i{' rhr (irnrid.as l.(.& l.{)
<br />I m.r.'nF uftld S(rhn
<br />I hr.by afinr und.r p..ahy olp6j
<br />Ihd\.ald\illtu'nr.i.r(.n,lK'i.of(tlrlnrSclf-lBu'ctur0116.,nFlqrkrn,aslrorrd.lif{rb}S(tunrrlfuolrhc
<br />bhir (od..lorrh.Faomoh-'cof th. *uk turshich rhcFh[ 6 iriocj
<br />lhlvcond$rllnr.inrri.sork6(onp.raronirura.c..f,ircqutrdbysRrtr,nlTooolrh.rahor(id..I{,rh.p.r(nrd..of
<br />rr. *orl tu tr hi:h rh6 Fnnir i! is$.j Mr $ 0116 .o'np-M io. iBurm.. .,ni6 ad rrli.r nuhb.r tu.
<br />lc.nirylnat in lh. Faorlffic olrh. $orl lor$hkhlnirFmn i. i*o.n.l sh,ll B! mpkJr 6nt F$n in..r mdE$ a ro b.<.m sut ar io rh. trortfi @nF!.r6n htrr of( llifomi4 ud lSr th, 'fI3h.ukl rE or rlt <r ro rtE
<br />wd6 cornFNlion pmvilioBoisdion 1r0oofrh. trirr (.d.,I Jsll, lodh*nh ..nl,]ly wirh rh)s UorisioN\r,lRlll(; Iia'lur. h ku. \orksr ..npe3nFn !16rrr. $ trnli(a nEll ruhFr M mrn \6 ro ominnl FuhE ird
<br />cnn nn6 up ro on. hu.&.d rhoushd &'ll8 (tloo.lxx)). r. lddn cot of .omFM'ior, doMs6 d rto d.d fo, !h.
<br />Sc.rk{ 1076 ofi)t I rrrr(i\tt. intq6r f,ndn ,
<br />I hd.ht amnn unJd lE.lry.fpdtur!tnild |,.!tM of ('h.,id c l.ommftrn! $rh sdion
<br />.f rh. Btrri.(s ind tll.r6rdn1(-il.
<br />(a!flau(Ilolrl:NDtrc-lulrll
<br />I hd.by lrrm on 16 pdrhy o f pdju4 rh, rh6. i. r osrud i'i lqd6r dgn) aor rh. Ffomd. ot rh. { o{ ntr q hich rhis Fni i
<br />isu.J lS< :1017, Cn C )
<br />AfIU(AIiLDECIIf,AIjaI
<br />I h.dry ilEm unds fq.hy oflqjury onc oflhc folloqing &(l.r!rion!:
<br />D.,mlilion Pmns- sb6rd Notificdi.n F.ndll R.!uh!tunr (r kJo, PM6)
<br />R.qun d lnr(of Norificltior
<br />I cdil!rhd rhc L,ldal '.!uhrr rg&d'hr NtEsrB ron.\ alrc n.r lllplrrl'Lhlhrs pqAl
<br />n rrl rd. thr rh. atrr. infonruti.n a (.tu I !{re n, snd) (nh Jl ( ir\ rBl ( oMy
<br />trrn. and h..byaulmrn 'qiMrah6.f rhuC'r! Md (
<br />;;1fi-
<br />1
<br />(\AA
<br />Set Backs 1
<br />Forms/Steel/Holdowns
<br />Erection Pads .p
<br />UFER Ground 't,[1 .tD211u-A
<br />SLAB Floor )o t-:'-
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing D.5.*,a)
<br />Shear Wall 311-t7 X'P&)L,,'
<br />Framing E
<br />ln sulatio n/Energ y Y.WlA
<br />all 9i.tt$fr,
<br />E /lnt. Lath 9-r-/1 Y.rtfiltl
<br />b'r6wn Coat LI
<br />J 3")D,\z/:r)
<br />Pool Fence I
<br />T-Bar
<br />Handica p Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A\
<br />FINAL Y-\\\t)l
<br />Certificate of Occupancy UT
<br />rD/src. I CoMMENTS
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<br />I ,JZ-11-r
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<br />5it'l'
<br />Notes, Remarks, Etc.
<br />L'(.6.Numhd
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