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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,WNER BUI I,DER OTL('AI{ATION
<br />I hq.hy !m.m ond6 Fmx, oa pdjury
<br />'hr'
<br />I m .x.npr iium rh. Conlrldn* l.ic.G I's lu th. f.llotr'ns r@$n(sd7l)r|5
<br />auiindr tnd liolsion ('Gj.) Any Cily or (-o!niy shich rqut6 r Fmi k! .odi d, rhd, imprelq .i olirh or rqw MJ
<br />srtud@ Fnr lo nr Butr . .ko rotun6 lh. .ppltel lor ruch rEmi to 6L i si[..d stdml rhd hc or nE ir lic.nrd ru&d
<br />lo lh. ForsrE of tlE ('o rxror3 ticdld l,$ (clqrn 9. ( o,llll1ftin8 tr dh s..tir. 70dr .f Di\th. 1 df rlE Bnrndr r.d
<br />Pma6oni ( 6d.) or lh.r & o 3hc ! clopl lh(.6on sxj rlE tEi6 for
<br />'lE
<br />alLldj .\mFion AnJ riohrh.ofsd$n70!15 b! .n)
<br />.rplic.i' fir , pniil sul,jdl. rh. lpplicanr ro ! .rvil pcMtly of nor mr. rhan fir G hun&.d doll&! (1500).
<br />l, 6 osE of llE Fop6ry, or m) mphtc wnh $rg6 a rh.r $lc c.rr.Bdnn. sill & rhc yql rd rh. rdm b mr
<br />id.irt d o. o,Isld to. t l. lsc 7Or4. 866 !d PmfdFN (-o& Tn (tnrFdittGl,$ &cNtlr rk!&o$Foa
<br />lh. FoFly *ho hil& m iqF\B IIEEC in *tu do6 qh $* hi@ll6r lE*lf or ihnuAh hB d hd o*n fiphyG.
<br />F.vd.d rhd .u.h idFuEi6r! c @r ddbl or ofiasl for rL lf. rre-r. r tlildiq-! o. 'qr.tffi L $k r ihin orc 16
<br />of mnrpkhn. rh. (\c tllildd will h6E rrE hmldl of poviq lha lE or sh. dil ml tuiE or i,Fo\r th. plrFy for llE purFE of
<br />l. a ostr oarh. FsF), m .r.lBiv.l, conrr.iins u irh l c.n<d codncroR to llnrrud rlE For.ci (S< '70.1{. &!!B
<br />lrd h!6r.(-or,.: ft. Co.kr-loir Lic6* l-,$ do€ m' qrl) ro oy F of F.Fn, r rr, l,'ldr or mprord rnd6..
<br />.id *h. n)dtu3 ad N.h FnFtsnhr ( odr.donrt lic6!.d rrBrud to rh. Contnctor! I rc.u l.B)
<br />I m.r.mfl 0ndd sdri.n
<br />\llaJ$45:!!UffNSArI0r
<br />O!;0.A8.IIIAX
<br />I h6.b! amnn unds p.naliyof Frr, o..ofrh.lollosirg d(ltudiore
<br />I ha. alt u,ll @inr.in ! ('dific,lc or( ongr ro Sclf.lFor. for $0*6 mmn(Mhn. s rnr ij.d aor ti! SdNn !r(x) of rh.
<br />hbor (ir!, ror ln !df(nr]lu. of lrE ro rn rnkh rh. rEni 6 is.n
<br />I ha\.6.d srllm.imrin sorld'c.dp.tudnn 'Nu,ar.. reun.d b S(rn,n I7(x)otrh. Lih.r CodG. turh. n(romu...f
<br />lhc *orl htr $nkh rhis Fnnr ir is0al My *ork6 c.nPlnxlion insurancc citrif udrFli.y n hha {e
<br />I cdilyrhdr rn rlt Ff(trnrancc of lh. work liy which lhis txmir is ilsod,lshdllnor drFkrr dny p.Mn in trny mdnn6
<br />$ alo tE orn. subidr k' rh.sorl6 c.mr.nsxon lars or( aifomia. and asre thal ilI sbuld tEroft suttel to lrE
<br />tro*d NmFn$rirn Fr\ ak\6 ofs..rn n !70ootth.Ilhtr (i\j.,I Crll. f.dh{irh ompl} qirn rbrDm\inB
<br />*ARNINC f.ilu..lo su. Nod6 omFM$n .ordt. E unla{ful. erl {u,l iubFr d oph}n b m,ml FMl6 ,nd
<br />.nrl fin6 up l. oG hun&.d lnouenil d.lld (lloo,ouj).
<br />'n 6ddnr. ro rh. 01 of.omFrsrion, d.nss6 sr Forrl.rl for rh.
<br />Lahtr ( {x1., 'nrs.sr ud iln,nEy s tc
<br />I hdtt{.Irrm un<r, p.tunt of FJu.y rhn I d I'Grs.d urds I'o\ishn of(taflq 9{omm6.int tr h Sdrn ruxr}orDtris{'n I
<br />or
<br />'h.
<br />Borin* sd P.of6niN Cod.. od ny lic.M i. if, full fn . dd .rTrr
<br />,", u/z?l,z
<br />I bdrbt rrm u,'d.r Frn, 6f Fjxry rhd rhc u . odrrudnn kd!ts ,S*r for llE F ffi. of rh sut i{ $nih lni Fnr 6
<br />isrd ts( 1097. civ. c ,
<br />ArftltajlulliclJ84tllr!
<br />I hddy rrm !rd6 rEltr of Fju.y oE or rh. folL$ in8 d..lernon.:
<br />D.molilion PsmirlAsb.$or Norifi.arion fRldal R.sulalio (I 8,r0. P!nd)
<br />R.rund hrd oal'{.ria{dirn
<br />I cdrf\ rh, !n ftddrl r.BuldioB F8nin!. *b.i.i r.frnrl-. rcr qrpl'crhL ro th6 r,nJ<rl
<br />l.diryrhtrrIl-6\€readlhsBpPh.arionrunl{d.tharthcahtr.'itundnrnB.o(dlnlEt)c.n,pl}$ihall( tind('otr ()
<br />rdina.c6 and Srar.ljus r.ldrr.3 ro boildin8 conslrudio.. dd hd.lrv.urhori/. rqisdrarn6.lihi ( irr dd (i)unr) r, ore ut,nrrk
<br />H:::"ffi.::.:''Wb4l,
<br />,,c.ni,(nrn{i*in,): ty'tc/tq.z t-U',y''ff -" b/n//7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/Ve nUln s u latio n
<br />Roof Sheathing
<br />Shear Wall
<br />lnsulation/Energy
<br />Dryvvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL /n-1o-l'l -JJ.Sa r-A)
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc.
<br />Framinq
<br />I
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