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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation ,lr
<br />-Roof Sheathing bll,tlrl li1\rI 4 )
<br />Shear Wall \.---,
<br />Framing
<br />lns u latio n/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<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 ? ;w*Letu <{
<br />Certificate of Occu n
<br />Notes , Eemarks, Etc
<br />ra I \I
<br />)\vrl
<br />OlTNER BTIILD}:i DEI.(-A R,{I(}N
<br />I lE.b lrm uBld Fulr of Flur, lhd I m qmra Foo rlE Codr&rd6 l.i@ I^ aor ilE fLrllo{ na rar'i (sd 7011 !
<br />Dusin6s Md Protdion ( od.): Any ('iry or ft,ud) whi.h r<Ftr6 a p6mn to c.nirud. !h6- imFov., &i..ltn oi rcrEt al
<br />ntudr.. Fnr ro iri isllm., rls. r.quic rlE irDlter f.r s!$ rErn h nL i nsn.ij sdmr rhd lE or 3h€ t licdr.! puB r
<br />ro rh. F.\!FG ol rtE Conldbf! l.icdlal I.s (ou,ra e, (.m.fti.3 $th sarion 7(xD or DtrBirn ! .r
<br />'h.
<br />Bdrns rnd
<br />l'ftJrdsi.N cod.) or rhai h. or sh. b.r.mpt lhdcfrom md th. baltr tor lhc alk*.d.rdt ri.n Anyviol6rionofscclhn 70.1 1 5 by tnv
<br />.rrlicanr lor!Foir subdrlhr rttltar r. r (n il Fsk, ol to mr.rho lir. hundr.d &llr! (t5(r))
<br />l. s ornd of th. prrFnt, or my .mploy6 tr nh r ir6 s lhctr sl..ortdstron, lrill d. rh€ str* 'j ltE slu1d. it n{
<br />mldxlcj or o06.d aor sL (Sc 7Ol{, EuriB dd Pn'fBn'tu ( ql. Th. (intrdoi. LicN tjr d,6 ool lrph r. e o{ nd ol
<br />rh.rmFt) *h.hlik nForc rlEnc rn tr lb &E Mh $.rI hin*lf o. h6rlI or llB,uth hi or h< o$. mrhv6.
<br />pnn id.d rnll 3uch imFor d,Ens & nn i dtt d or olIqqt aor qk ll ln*- d. rh. trlkiins or rnfnoldmr is sH tr irhin .n. \tr
<br />of mnpkr irtr th. o$ffi lrlilds nill hlr c IrE hrL,6 or Fo\ins rhd tE or rh. dd mr ruild or inqr.v. nE rn)rsly for Ih. purrrE oa
<br />l. s 0*6 of rhc pnrpdy. m .rclNiv.ly co Bd in8 sirh lica..d conrr&los ro consocr rrE trejet (s( ?044. BsinRs
<br />!,n hlkir Codc thcCo,rlor'rl.ic.el.!$dGrcl,mlr. roEorndolF.Fn!trhotrildrorihpro\dlhd!,n,
<br />d *lr. 6drel. fo. sh Fq.ds *nh. (tdrdo(r) lic.B.d p{llrM ro llE ( oln,adm'3 I tde Ir$)
<br />I m.ronpl unLld S<'tr,o
<br />D.r. Oin.r
<br />\,!oR(rns.i (,ilPENsaiioN
<br />DECIJAAIUI
<br />I hscby aflirm lnijs pqlltr o f palury oft of rh. nnh$in! &.ld.rhB
<br />I har. .tn u ill minr6n . Cslifr . orc.n5r r. sclf'ler! for $rk6- oturEMi,n. 6 !.ovi.hl lor h s(rion !ru) .f rh.
<br />l,bor Co&. f th. psfl]lllffi.of rh. *o* tur shich lh. rqnn 6Bu.d
<br />I h.\t .nd u'ill E.'nl'i. u o*d' ..nFBdir iMr.mr. 6 rrqut.d b.r sal hn r 700 orri. I jbor ( bd.. Lr rht pdaonmc ol
<br />th. *ort for qli.h rha Fni ir is.d rrl, sortd' onFdio. iBff. r.!E !n poli.y nudb. &
<br />- I c6r,[ rh.r b rh. Ftorlll'N of lhc trorl fd tr hi.h rhn Fmn E ir$.d I slull ml ftp{'r. u) Fen in &) .uE
<br />s, s io ldon &bjd to !h. *.lt6'omFstlion h$a of Cdifohia dd lsr lhn irl {suld tEom. lobjd ro llE
<br />*dld' (nt@sr io. pmd.tuG of Sdion I?flr oflh. t bor ( Gli I slEll. lonh* nh odply wirh rh.* tlmlisnr6
<br />$ARNINC FriluE h sw Krtd' ooFsiion flnaB. B unkutuL rnd thdl 3ut*( m @phrd l. qini&J Fuh6,.d
<br />.nil fin6 op ro on. nlRlr.d lhouend &'lla (00,u(D). in aldnirn k rh. .o3r of cohFNrio., d.mss6 ri For d.n aor rh.
<br />sdli.n 1176.frh. rinr ( i)d. rr6d "=JuRn (u+,ri
<br />l,l( t.\sltD ( ()NIR ( toR
<br />r,r ( r. \rllL!!l\
<br />I h6.nr.rlm uftls Fuh' orFjuD I undd Fov6ion of (tu9ls e(omnld'n3 wlh s.ni,n 7u)0) oll)11iiion r
<br />oi rh.llL'itusr i l\oli\{.ns ( .11.. trfd tr,} I'r.nsc
<br />'s 'n frllnnr. md.ll..r
<br />L-3(\clffi)jt
<br />Gt7/t1 fur.foc4.Agr'*{N$\t-lr,"{i,\
<br />G.r+
<br />I H,) lmm unds rEDx) oIFJUr) !h,
<br />Eru.d (s( 109?.(\v. c )
<br />tudhn Lndins rsftr for lh. p6folrw. of rh. *ul tu trnkh rnn Fm,l !
<br />afftl(atll)liclJ&ulQr
<br />I hdaiy
<br />^mm
<br />md6 t6al', ofr6jur) on. ofth. follouin8 dcls.lions:
<br />Itmh'or Pm'l+A!b6k'! Noiin.di'n F.d6.l R.!,ld[6 (r dk.l0.,'ai6)
<br />Ratu(d LcrrE oa Norifi.dion
<br />. lrd'ft yr rtr r.ddllrcBukrk'G R&d'n* BbciN,m.!lerer {'r,l(.bk!. rhi pro,.d
<br />tAt-,rrll(rr'"'.*a'r'".ppl'.dnndn!r(rhdrh.rtn\.mbtun'na!.ondl.BrdloonpDqirhtll(\r'.nd(tunr]-Mrn\sl'd S'd'.1lsa GLIB ro burH'is (.drudn( !d lE h idrFd. r.F.ddtrG nrrhB ctrr!d('.unr\ ro rd qtn rh.ilffi;flilffi(*] Gx tO ^.blJln'"-}i( Jtl.^.-. L,I-rovco
<br />Forms/Steel/Holdowns
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