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BUILDING. INSPECTOR,RECORD
<br />COMMENTSSITE.WORK DATE tD/stG.O$nd tllrldd D.clulbn
<br />I h.Ghy trfirm unds p.dliy ofpdjury lh.r I!m q.mpt aorm rh. Co.rdoc l,rc.m.lrw aorth.follo*rn!r..son(se 701I5llusn6!
<br />lid Pr o lssion Cod.) Any Cily or Counly wh'ch r.quir6 r pimh 16 .omrtu 1, rhd, rnprov.. d.nolilh or r.r!r uy srdcrurc. prior kr its
<br />BruE., .Go r.qur6 rh. .Dpli.mr r.r 3u.h Fnir to nlc . lBmd n.r.nnl thll h. or th. t liccMd plRud ro rlE prerir'os or th.
<br />contrdoi! L'c.nrd l.* lch.pra e, (-omm.mms wnfi scrren 7oi)0 orD,f'ron l orrh.8c'n6r.nd P,oa-tbB Cod.) o, rh.r h. or
<br />lhc E .r.mpl rlEciiom .tld th. b.!6 ror rhc rlL8.d .r.mpr nn Ant ! sLl irn of Sat Nn 70! I 5 bt m! 4lnlrlnr aorr p6n rubjc$ rh.
<br />tI!''n..m ro ! c^rl p<ul!y of m' mr. rh.n n\. hu.d..d dollb tl10O)
<br />I. a o*nd of rhc Uop.ny. or m, cmpkrt.6 w h sr!6 .s rh.ir rn. .onD.6$r Nn. * ill do rh. *orl itul rh. nturfu. r nfr rnr..d.d
<br />or olT.r.d forel.I sd 7044, Bunn6rrnd lt,olsrDne(od. ll'.(i.hcrorsl-'..nr.l.r*do..nDr.ptlyb.n.qn..olrh.ptuD.dy
<br />wh. buildsor imprclB rh...on. ud trt6do6s*h wort h'n3.1t., h.elf or rhrouSh hu or h.r ovn .mploy.6, prcrid.d rhlt !!.h
<br />'m,,ov(bol! rr. nrl inr.nd.d or ofid.d lor gL l f, lbs.rd. rh. brndinr or inpo.m.fl a $ld tr
<br />'tnm
<br />.rc v.u oaconpld i,n, llE(h6.Buildd *rllbr\. ih. hrd.n rrpr.\,.g rh.r h. or sh. mr horld or imprcr. tu rh. rr.Dok ofnk)
<br />l. d o*F olllE tnTrny. !m.(lostr.l),(.nrrdins uith l'..i!.d co.r&!oB t' (,6rM rh. Fojsr I S.c 7lll!. Bs'n6iDd
<br />Proacsn.Cod. lh.Contrdois Lr.nrlrwdo6 nor ippiy ro rn ow*, of propdy *hr bu'lds o. rmp.or- rh.roi...d *ho
<br />contlct for 3uch pmr.cB qirh. coitr.ro(s) hc..s.d purur.r toih. (ontrdor'! l.'c.nt. trw )
<br />l.r c\.npr und( Sern.
<br />lloRl(ERS (',OMPENSA',nON DE(-l 4RA',UON
<br />I h.,.b) amrm und.r ncmhy orp.rjurv on. rrrh. rollowins d.(llrirk)ns
<br />I hr\. ud * ill Minr.in r Cdir,..r. or (.ocdr ro 5.lrl Nor. for h.k.6 con,p.Mr Dr G pro!'d.d lo, by sd6n r?0o ol rh.
<br />I :I$r (-od., tor rh. Fftr|flr.c of rh. *rt lor $nrh th. F m s isu.d
<br />1' "r. "r *,, -,*.. *-,
<br />/tr4,1ror qhf,h rhB nonnr tr,su.J l\ trr'1.'1'!omBn{rbn 'ourrn(.cin'd e,tDohrl
<br />,,",,, fin^rrrv - 6Prd")
<br />i;:i:'x:Y:."("Kkm?-?*?2".,,,..,,,*i;ii::,
<br />rrt ljhor ( on . ro, tll. Ffo,.Enc. orrlE
<br />lrr/{
<br />I (.rlify rnd in rh. p6fomm. ofrh. *ort ror {hth th6 Fm( B su.d.l eh.ll nor.mploy iny p.rloo m.n} m!nn6 io G ro
<br />t .rn.3ubrer ro rh. krk.r'onprnsr.n lru! ofC!ifor.tr, .nd .8,6 rh€r rallnoukl b..om. brer rorh. wo,k.R'
<br />:::-;\ft';/;')f l rlk Libor(idc. I n,rl. l!rr
<br />.nd rh.ll rubJdi.n.mpl6ys ro dimrml p. lii6.id.nrl
<br />lin6 up lo oN nlndrcd ll$urd dolla (l I u).o(x)),in tdditrn r. rh. .on or.ooF6r 6n, drds6 e p,orkl.i, ror rh. S€rnn 1076 ol!h.lrt' c6d., m!.r6! rndr(oGyt t6
<br />LICf NSED CON'fI'A('TORS DIiCI ARA ION
<br />I h6.b).flim u(t.r F h) olFjory rhlt I m hcc.*d undd p.ori.i.n of Ch3pt6 q (.omm.n.ins *nhSdtr{ 70@)ofDtr'tnn of
<br />rh. Au,'B rnd Pr.l6!pB Cod...nd m! lrc.B B h tulltdr. rnd.fid
<br />SV.Voc r'07 "rto t'.n*o- [-
<br />(a!flBltcllQttrEtpuclc!!(r
<br />I h..lry rrm udd p. hyof Fjlry ihl rh... n r codtu.ri.n L,xl63.gftr ror rh. p6fomE. of tlE udt forwhthrhn p.mn n
<br />iru.d {!i. 1097,Cir ( )
<br />ATPLICATETECTAAAUq!lxfrn irn Pmnr-Arb.ios Notinc.' ior Fcddrl Reulrio lTnLilo, Pm6)
<br />R.quir.d hrn olNorifiorion
<br />l..nliyrhd rh. lid.ml r.*uhrions r.x d'nseb.ios r.mnrrl,r. tror rppl'cnbl.r0 rhtr Fi.cr
<br />ffi*,:,hdr. r.ad rhk$,rlicitr,n d \tflcl (m[lion isLon.cr I {r..rocoDply sirh lll Ciry rnd (irunrt
<br />luthrn.E r*nr.ltrBoflhBCrJ.ndCounryro.nr(!A)nrh.
<br />rtr\c m..!o..d prop.nt for i6p..l
<br />/-
<br />t.. rr.. m-. rr,, rr F /2?a1 6,-*o ?
<br />Sel Backs A
<br />Forms/Steel/Holdowns r-t7-t7 Y,WJT/6/l 1,w!ry69au
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsul A
<br />Roof Sheathing tIx/LT 5-il")7 x.r#*t
<br />Shear Wall g-t"tZ "Y,W1X)
<br />Framing s-tB- t1-\56"W
<br />lnsulation/Energy
<br />D.rywall --1
<br />titltnt. l-atn s"ll-)7 v.l-At)"9J[tP(, /ru iru"od
<br />Brown Coat U\J
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL g,/t-l'/ -J),5>l-,'rg
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />"f -l J yrb c5Ll , Lz.P J &oK,0
<br />L CrrL Pt ltn C c
<br />M iWP5llPermrt-lnspeclLo.orm\aurld'n9'lcp€.lon Record doc 03 31 06
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