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BUILDING- INSPECTOR RECORD <br />SITE.WORK ID/SIG COMMENTS OWNER BUII,DER DELCARA'NON <br />I hsdry ellim und( F.!hy of !.rJury rhll I m.r.m lmn' Ihc ('onr.rcn 6' I-i.d* ll* aorrh. follo*in8 rcMa (Sa.70l1.5 <br />Il i66s and Pa,r6i.Jn (it.) Any ('ny or counr]" shich r.nun6 a pdnn r. .oBrtucl. alt6. improv.. &oolisrf,! rqqn &y <br />srflrttr.. Fiorr) ns iriuan.., dlso ratrn6 rh..Fplknnr fn.u(h Fnil ro 6k5 sign.d sr.rmt rhd heorsh.6licded pu@rll <br />ro rh! I'o\ijoN ot rh. ( ontrlcroir I 'c.nFd lrtr (( hryrs 9. Comno.in! $irh sdrion 7000 of Division 1 of lhc BNinss rnd <br />Pn,l6ronr( otl.) o. rh.' h.orrh. Ls.rcmfl rh6.nomMd rh. hss lor lh. oll.s.d donplion Any violal6norsdri.6T0rl5 br.ny <br />ifirr'.anrroraFm,ir.uhj<krh..pt](rnrbrc'vilplaahyornormor.thMfiv.hu.dr.ddollm(1500) <br />l. s o$nd ofrh. IroFnt, or my 6rplo)€6 e ilh *rs6 tr lh.t sl. comF&lioo. trilldo ltE solt ad th. dtud. i nor <br />inrsrLd oroft(cd lor sl.(Sd 7Or4- BurinBs ud ltll6riori ('od. I hc Codracloi! l-ko* tlN $6 nor rmly lo m otr ns of <br />rn rn'I.d, sh' tlildr n in{ro16 rhsqh. 6nn *h) 1106 3u.h *.rt hins.lf or h6dr or rhmu3fi fis or h6 o*r dplo}.6 <br />|,.\ kt.rl rh.r ruch imFr'ldr r. m! inrdddl or 0116.] lor $l. ll llrsa6. fi. hriuiq or rq!\.lmt is $ld *nhin nnc )@ <br />ofconpkion, rh. (nn6 &ir:kt tr ill hr\ c lh. hiddr orFo\ins lh, h. or 5h. dil ml hlilll or impror c rhc FlFry aor ih. FrIFs of <br />l. o\rn6 orrh. F)p.nv. d rrclu',v.h c(nr.dmg tr ilh lic65.d co r&1of ro rrdtud rh. Fojd (S( 7(]la- A{si,K <br />aFl h,ishn ('od. th. ('onlrdroi3 l-ic6s. l-.\ do6 mr.rDlv to $orns otproFly $ho huilds or imp'oy6 rhdmn. <br />,nd qho ('nr,!crr lor.uch I'li.tlr rnh ! Conrftdo(n l,cds.d ruBusrn ro rh. conrr&1ois Li..e ti$ ) <br />I Mr.\.n'pr undcr SNlknr <br />Drr. ornd <br />ulaliEa5:(l)uffls .Uo.N <br />DEUAAAIPB <br />I hsch\ nmnn u.dd lnih\ of rEru^ o.cotrh. ttnhrrn! d(lsr'n,ns <br />I hA. rd e rl I Minr.i. . cdific.r. of CoMr to s.lf-IftuE for $ ort6 mnrtrsdior. s D.o\ i(H tor b) S<ihn !70o of rh. <br />l*or c.da lor rh. Ff(,lrr@. of rh. { orr f6. shth rh. Fni B i<u!d <br />I td. iftl sill mrinr.h s.*6 conFEdhn iM6mc. s r.qlrcd h 56l ion I7OO .t llE lihor Co&. lor rh. pafollm. oa <br />ln ${rt for trnthlhi!Fmn a isr.d Mr$GI6 mmFdion iEfficffi!dInlryrubs ft: <br />I cd,fy rhn o rh. FloimN.lrh. {orr for $ hi(h rhis Fmn n iisEl I sldl mr 6pLy ry Fsn if, uy meF <br />$ a k! tl!tr 3rij.\! h llE tr 6'omFsbn bqs of (.lifomir id ler thn il I iruld tE oft eb<r to rlF <br />eo 6'.omFurs.FnvirioBoIsdhnlTmolrlEllbor(od..ltEll.fonh{nhamplr'*nhoDrF.\i3ioB <br />os. ii unlsstul, ud rhdl tubjtr u oqJh)q h ciniMl Fmiis ad <br />.r lin6 !p ro orc h!.&.d <br />'ho <br />irhn ro rh. cosr ot conFBtion. &nq!6 a Forij.d aor rh. <br />Sdpn:rl)'76 olrt titFr (irlc <br />!11-!.!4.!10.] <br />I hc.lr rm u.d.r !.uly of <br />isu.n (SG 1097,(-ir c ) <br />rhd lh-. 6 r oldrud irn LflltrR .asy lor lh. rErotu. ol !h. * or{ fo. s hah rhn Fhi i! <br />AITLI(AtsLDISJAAIIA! <br />I h.d, .trf,n u.d6 F..h, or Fj!r) .B of rh. folh*in! d..ldrioN <br />Dnmhnn ftun3 Aib<nd Noria(dni F<kdl R.gul{ioa (Inl..l0. Pd6) <br />Rqui(d ld16olf{iiftnnn <br />I .dift rhd rh. f.ld.lr.rohrFB Eeedi.* atEror rmnrale. nor rpf,li.6k ro rh6 preJ.(1 <br />lnd I h!r. rod rht 4r,lk nn rri nrl. rtul rh. !b.r c infomdhn is cord I +rc ro .onply $hh rll (-ny and Counry <br />udSrd.lisarldin* ro hlitl'nF cotrocrirn. od 6.arhi.Cnt and Counrr ro 6t( upon ln <br />pn.d pmlEny aor Np.d'on <br />*1 <br />,Q';J;;L(t*{* <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing 7/n /O sD;tvlh<$ <br />Shear Wall <br />Framing <br />lnsulation/Ene tgy <br />D rywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL <br />Notes, Remarks, Etc. <br />DATE <br />Irra\i( <br />I\_tl <br />I <br />Pool Fence <br />I <br />I <br />*114:1 Y'1 f/.nk-<\ao^ <br />Certificate of Occupancv -t