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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER B!II,DER DET,('ARATION
<br />I hq.tryamrmu d p.nolty oa pojllv lhll I dn.r.npt 6oin lh. conlh.bN l-i.G.li$ for rh.loll()$in8 rce. (s( 70115
<br />Bu'i63 dnd Protdkrn Cod.l Any Cily or ( rMty q hich r.it!r6 . F.ri' ro consltud, .lrd, nnFo\ (. &rclnh or r.Fn ut
<br />{tudur Fn 'o
<br />nr BJie.- ,lo r.qun6 lh. .a,f1lxdt for $ch Fnn b fik ! ltn d nnmr rha lE or rlr ! licd.d poBdr
<br />lo lh.
<br />'loLnioB
<br />olrlr conrr*ior! Lic6s.d lj$ {(-hrprd e. (innmftr8 $rh sftriJ. 7000 olDir[hn I ofrn Brrna Md
<br />PmlNnrns Codcl or lh.l hcor sh. ir.tmpr lh(cfiom and rh. barB for rh. dl.!.d.rmBn,n Ai, rioldionolSN'ion 70115 by,ny
<br />appli(tnl for . p<m rubj.ftlh. lrFlicst lo acililr.nshyofhor ftr.thM 6!. hundr.d dolldrs(t500).
<br />l, 6 orE of'lE FoFny, m m\ onplotG *irh $rs6 a rh.r $L &nFaa$a sill do Eudl nt lla rMr. i! d
<br />iddiql or oftsd for sk (Sc.704,1, BlsitB ud frrfsioa (i . Tn (-odrdois tt@ Ii$ doB m! {'p! lo d osF of
<br />rh. FnIEry trh. hii[b or inpnivd rhdEtr dd \ lh .tE su.h *nrl him3.lf or hm.lf.r Ihhuth hiJ or hs o$n mnlor6.
<br />Fov iddi r hd .uch i.tF.GGnr & d htdd.d .' ollq.d lor $L l li hoq oE, rlE t ildrs or inF$vsE! ii $ld * irhin on. ]d
<br />or cmpLl ioG llE (xrE B{il& will h.\! tlE hrrl.n .fF.rr! rhr lE or Cf, dil nn tlild or trr{ro!. th. F!F) lor llE Fl F* of
<br />l- a o$nd ol rh. pror,61y. m crcl$rv.ly conlrid inr s nh licdral coffr.kns h coNlrud r h. Ix(r.(1 (Sd 7lN.l. B6r6s
<br />ud ft$fdbn Con. t h. Contr.rktr r Lic.ns. La* dod nor applr kr d o{.d o f B)pcd} \rho btrilds or nnpr o\ 6 r h6$h.
<br />rnd {ho conlEd3lor uch F().dt {irh r ( onrrdo(n li.ann puMr lo th.( o, racroa! I 'coE l.atr )
<br />,,",:-{t.iI'i1 otrn(.:
<br />DESJ.EAIIA!
<br />I hq$y ilfim undd Flty of Frur.v oE of
<br />'lE
<br />folloq Ee d.d.r.rioN
<br />I hdyc ed $ill @inron a Cdiftar. of Co.lol ro Sclll BUrc lor $rk6r' coDpotsnion, d tt6\ idrd fo. by S<rion :t7(xr o f th.
<br />1,1x, cod., hr llE Flotu. of $. urrt for *hich th. Fhn i inu.d
<br />I h.\..td *ill md!i. Forl6 .oml.dhn ierM( a ..rtut.d h sds. 17(x) olrlE l,lu Co&. L. rh. Ffoffi. ot
<br />th. $nrl rm whth rhir Fnn t irEl My oo.Id comFBdion iN@.6rii dd Fli.y nunb.r &.:
<br />I ccnirylhd in th. Ftomdc. oflh. sork tN trhich rhis pdlnn i! issu.J, I rhdll nor 6npn,y.ny p.Bon in 0n) msnd
<br />$ a ro b.(or rubjd ro rh. vo*d omFMr ion h*s of Caliromio. ed lsG lhar il I should h.(om. subrcr $ rh.
<br />".rtd comFnsr irn p.orBio$ o, S.dFn I7(xr oa rh. I itu ( o&. I iEll. fonh$ nh ontlv tr irh rtn. prcv6rr6
<br />WARNINC: F,ilu.
<br />'o
<br />ra. *ort6 mnpndi$ srds. u uihutul. d Jsll tubid m dillorn '. sini.rl Fmli6 ad
<br />ciril lin6 up ro oG hundr.d inouqnd doll,6 (ll0o.mo).
<br />'n rdiirn ro rk..d of .onFmro.. d,,ut6 d pro\id.n tu rh.
<br />S(ri,r :rtr76 of rh. lnhi. ( od., lnrdd Md i
<br />ums+-or--r onrmFiF F- DEglaalax\-,,
<br />I'rdlal u.Jh F'{Bh nnl (l6nrd q((o'.'Mrnr s hSdnn txrU).llr\irnn I
<br />i..@ i! in tull nnc. rnd.fi<r
<br />I hd.bt lmrn tndd FnahrolFjuryrhd lm
<br />ol lh.ltusind mtl PtufBion! (id..6d my I
<br />Ca!$f,uLralt.LElDN(i.Aril!(l
<br />I H), rrm m&r Fdi, .f Fjury rhd tha. i ! onstocrirn llndds reftr for rlE pGf.l1fu.. of th. $r,t Lr trnkh !h! Fni i!
<br />su.d (s6. 1097, c iv. c.)
<br />lrrtrcall.uEtr salla!
<br />I hadr .llf,n u.d( |E.lltt of Fj!ry on. oa rhc folk)s ing d<ld [n!.
<br />Dnnhrion Pmnl^rbdrot NolifE.rion Fcds.l R.8uh6nJ I I rt.r0, Pd6t
<br />R.qun.d l.rts oa f,rotifiolion
<br />I .dify rh.r rhc fd.rrl rc8uhtuN Egrdins sllsros rom\ d u. nor qTl'c0blc r, rhls Ix(,iel
<br />I cdrty
<br />'hd
<br />I h6. 'ad 'ht
<br />rt'?lk.rFn arl nrr. rhd rh. rhr\. rnfor ndi.n s codd I !3.ah conlplr tr (h.ll(-ilv and ( ou.rJ_
<br />odiuftB ud Sl.l. t,.*r Eh in8 ro h ildi.s corqrud hn. ri h(q- .!!n ri,. rqxmlrtn6.rlhis ( ny and ( ount) lo ols l't'tr llE
<br />abort rnmrioncdln)IEnr aor instdri('n N.poss
<br />Appll..nl or.\!dr shn.lurc
<br />Q.4tu"
<br />,",. zia% I tz
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason (y
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />n
<br />FINAL f,/2./tt -vWt
<br />Certificate of Occupa ncy
<br />Notes Remarks, Etc.
<br />",,,, \la(ltl
<br />Lic.tu.Numbd
<br />I I
<br />I I
<br />Erection Pads
<br />I I
<br />I I
<br />I
<br />I
<br />I
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