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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DArE rq/srG.COMMENTS OWNEI BUILDER Dl:I-('ARA ION
<br />I hd.h .rrn lnld Fslry oa pqrury thsl I m .ldF fr.m lh. (irnlracloE' LicN ljs tor lh. follorins r.en lsd 10r I 5
<br />Brsin6r and lrof6sion Cdj.) Any City or ('ounry which r.qun6 ! ps ( ro cotr{rucl, !hd, i6l,kJre d.nolLh or rct{t in!.
<br />3rru.r@. Fi{ ro n! !slm.. !k rq!n6 rh.4?lior tor ach Fni ro 6k r ric..d rd.ffi rhd lr or slE it lica!.d FlBaln
<br />ro rfiG ForbioN of rlr Contrkrols 1,rctr.d liw t(lldFd e, (onmm.in-r rirh Sdion 7O{D ofDrrrrcn 1 ofrh. I}urin* ind
<br />PrerNioN Cod.) or rhd lE or rh. n.topl lhs.fton md th. hGk for rh. alks.d B6nrrF. Anv virldio. of sdi\n r0! l 5 hv Mt
<br />.pthtur f.r rFn ruhj(k!h. appl(mr ro.o\rrl.Mh!ofmr frn.rh6 n\. ho j.!tldollrstl5ool
<br />l. E ouF otlh. FDFly, ( ny .iplotB e nh $ rs6 6 rh.n $k corl9iaih( tr ill th tlE $dI ftl llE rrB1E i! flrl
<br />i,nar&l or oiIard fM sL {Sc 7O&. asiK ud Pmfsio6 (ird. Ih. co doii l.k.M l,w dE ml Trly lo D.*G oI
<br />rhc pn'Ftv *'ho hrildt or impnlB rlEol\,n wrn <hB sh $mt hi.B.lf .r helf or rhmu8h hn or hn ovr .mployc.
<br />Ford.d fid ruct iop.lrErdr E d ncd.d.rolk nr $k l[ h.s6d, rrE hlildne d llp 6s'dn E nld *nhin "k €
<br />ofon'pldioc Eo$ffi hrt!6 *illh!\. E hda otFo\rt thi lEorrlEdidml hild.r irForc fi. FFD fttllE FrF*ol
<br />l. d o{@ of rh. Fopdt, m .rclo.iv.ly conrdi.s Nnh lionE n (.drdo^ ro coBrucl rtE t .i.( {S< 7(I.14. B6'6q
<br />lxl P$tosin ( od. Tfi. Conrrsroi! I i..orc liu d,6 nor qDly ro D o*ns of rroFry * ho huild! .r improrB th6(n.
<br />md $ho coturri fn $.h Frj.t3 $nh ! (-odrdon.) kaa.d pnd ro!h.Codrkm 3 LkG litr )
<br />I s.rdF 0nd6 Srthn
<br />lroBltEB aut!!,tallQ!
<br />oEcta8auq!
<br />I ha.b, 5fi n. und6 Fnnlry{lFjuryorcof rhc tolh\iry d(lBlrionr
<br />IhdrGsrj$illmd.i..('dirrc.r.ol(nnqrroS.ll.lBor.fo.n0,16.onFMFn.dForddjnrb)sdrsnr7u,ofrh.
<br />ljtrrr c.d., for th. rEaomMc. o f lh. tro fo.shi.h rh. pand n is!.d
<br />XI h,.c.",l "rllmdnc- ""116'(. npsBdnn '6u,!xc.6 r.qurcnbrs(rnnl7(xrorrh.lrt r (i&. fo, rh. p6(lmmc of
<br />rhasorthr$\'ch,hrn(mrr'rsqdiV)\o'ld'tunrFnerhtn'N,'mc..an.drndF,ltrtntr1b6d.
<br />(../
<br />ly' (a,t\ )-^) to
<br />'aq6uJ901,-2\1 Erpi,6 t-}.tS
<br />l.dify rhal in rh. trfornrn..olrh. worl for qhich rhh Fnn is i$u.d, I sh.ll nol mploy.ny pcnon in lny men6
<br />s ahb.<.m bFr ro rlE $.tt6 otrrFMrn Lu! of Crlifomia i.d {E rhd ,rl rfould t<oft sbjrir ro rlE
<br />*0116' corlpffit ion pmvirirni oa Sdion I700 or rlE llbor ( ode I rh.lt. fonh*ith.otplr_ $ h rhos porisionr
<br />WARNING Faihni ro su. *ortd .omr.rdion (nd+. ir unb\tuI. xd shdl runj.{ r dph}( to oimiMl r,@hb lnd
<br />dil li6 up ro om hu.dcn r,bu$.d d.rllx. (t100,0(lo). in *ldhh. r. rlE c.n ofcomFBtlior &nus6 s Fo\a.d a.r rh.
<br />Sdnrn 1076 ol rh. lrhr Co.L, int6a d
<br />-,. f- to ' ,'l
<br />^
<br />,1 cft
<br />r,irtrNr,n rrrr r tl,r?.t ox
<br />utu"l&luar
<br />I @ lltrn ond6 FBh) of FJury lhd I e licqsl !nd6 F.rirrn of Ch!fl6 9 (conrnB'ns trirh s..inn ]m0) of lhi6n 1
<br />of rh. auins dd Prof*ions Cod.. rdny li.m. ir in fullnrcMd.tfct
<br />0 441@ef-(o- (-t .-"*.. I cr
<br />(,ONSTRUCTI(IN LENNING A(;ENCI
<br />I h*hy amrm u.dd IEnally o f pdjur! rhar lhs. L! o conrrudn,n kndins ryocy for rh. triomMc. ofrh. {orl ntr shirh lhis ran{ 6
<br />isu.d {s( 1n7.(i\ ( )
<br />I dd6 s \m(
<br />A.ITUCAILIIECIAAtrIIuN
<br />I Errr! alrm unih ,cnalry .l Flury ok of rhc follor ms d.rl'hr 'o.sD.m.lilion l6mils-Ash6lGNolilicFlion F.dsal R.lulalionsII 1.,10. Pfi6)
<br />R.1tutrql I drd of Nor'fi .rrnn
<br />I cd ily rhd rn. ldLi.l r.sulnhB r.[e'irnl ab.rt! rm\ .l d. frn dcplf,ihL ro rh6 rr.].n
<br />I csritrhd I ha\. r..d thi! rr,9lidr n&du .thiirhcatF\.rlotutunircotrd I i8ra l. romply u i'h all ( ilyud (i'unr\
<br />diE(6 a.d srltc l,{ tr rclr !{ ro t!ild'.r .oinrudx\( rd @ aurh'm r.F6ddr 6 o f
<br />'hB
<br />Cn) r.d CounD lo d'( urrr rrt
<br />trborc Mrnn.J prc!.ny lo llre" nurr-ss.
<br />.rprn-a*ar-rsh-ru* ts. Cb t th" 7-Ot)
<br />P.mkrr.n.rprino: ChrV 4ryhu(
<br />Set Backs t irt t N 31
<br />Forms/Steel/Holdowns ?.l9 fi it\11
<br />Erection Pads 8 IY [v 1r+
<br />UFER Ground I lLl fr Ml]54
<br />SLAB Floor t1 (\4
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing /1
<br />Shear Wall It /P/
<br />Framin s /t
<br />ln s u la tio n/Energ y t 73i)
<br />9rywall //7/
<br />€p.rtnt Larn ilt
<br />Erown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Reporl
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I I
<br />FINAL
<br />'
<br />tt/,tw_ICertificate of Occu pancy
<br />Notes , Remarks, Etc
<br />r1
<br />I
<br />t')t'14
<br />t',3L1
<br />tli^t1/1
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