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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.GOMMENTS ()$ \t:R B( .t)t.R Dt I ( \RUl()\
<br />I hd.b ,mm und6 p.ndhy of Fjury lhal I M .r.nDl fm,n lh. Codra.loR Ltmr lrw fot rh. lollow,ns r.&ri{ ( sd 70l r 5
<br />8sin6 .,'d Prof6i). Codc) Any Cry or ( oun! shrch r.qunB t Fmir ro codrud. .hs. inp.ov., &mlirh ot kFn dt
<br />srtuduc. Frn ro n! is6cc, !ls' r.qur6 rh.4pli.d aor 3uch Fmn b lil. ! rir.n d rld@dt lhd lE or srE t lrcftaj puei,n
<br />ki rhc FolilioB olrlE (tnt&to.s Licosd liw (Ch!r,r6 9. Codmo.in! $nh sclion 7000 of DirLrn I !arh. Burind a.d
<br />rroadiorr Co&l or rhat lE or rh. c qdF fidrnom lri rlE t6ir tu ilE dL*.d crdnl,lm Any vnil ion ol salirn 701 I J b) uy
<br />q,phcanr tor . p.mil subtErs rh. rppliret to d rivil p.nalty of not mrc lhd fi r. hundr.d ddll$ ( 1500).
<br />l, 6 osc of rh. FoFny, or dy elPhr6 w h *!sB s th.r $l..omFdion, $'ill(tr tlE f,di !d llE rntlr. k ml
<br />i.lqi.d o. ollGoj fo. * (sd 70a4, alilB ed PmfdioN ('o&] Tnc CodEioi! l-tdg ti* d.6 noi Tply lo e o* r.a
<br />rlE FrFry wL buil& u irFerEtlE@ &n trb &arxn rn hinrl,o. h6elf or thrcu3h hit d lE oq,6rhyG.
<br />pmvittrd rh.r su.h inp.n\lHk E mt ids(bl oroffsql tor slc l( how.. rlE hiBrns or in'Fovsdn B sld si'hin onc t@
<br />or.onpldin! tlE (xc thildd *il h.E tlE hrrb' oap.o\il{ lhi h. or 3lE dd et hnu d in+.or. $. proFly 6r llE Fnlln oa
<br />l,6.*ffi ofrlE FoFrx n crclBn.ly codrElin8 u''th licc.d comaion to a)dM rh. Folcl {S( 70t1. ttB,B
<br />std hotu irn Cod. 'I i. ( onlsroa! l-(dsc I -rw do6 mr rrpl, to e o$ ra olp.oFly sh. buildr or inprov6 lhdotr.
<br />ed *ho 6dd! to. such F0jall *irh s Coitndon, lt.rd pur{d ki rh. codEld r t-ic.M li*)
<br />ln.\.m ondft s(ri.n
<br />D.t.: Ornd:
<br />WORXERS' CO IPf ItSA'I'ION
<br />o[claSallax
<br />I h6.6, trmm unrt r FnihyoaFluryon. ollhc rolbf,rnr d(h.aliotr!:
<br />I h!\. lrl Hll mind. r Cd'lEd. of CoBar b S€lr-l@,c ntr s0116' lrimFqrtr E Firrl.d ror b) s6r(,n l'7(0 of rh.
<br />l,lrr Co.j( lor lh. pdfonm.. o f lh. sorl for which th€ pqDil i isrn.
<br />I h0\. .nd r ill n.inrrm worl6 coEFsnlrn iNunn.., ir r.quEd by sd Kn 17110 oflh. ljtrr ( o&. for rh. tsfomtncc or
<br />lh. wo.t aor which thn D.rnit ii e.d My porld comri6Bdion i6urm. ceir .,rl polty !unb< d.
<br />CMF,
<br />Pon.rNumba: Erpr6:
<br />I cdit thd in tlE FfotM. ol$c *orl fd *tah thii Fiil '. ist .L l JEIIR{ snphy ey F$n i. M, nUE
<br />e B ro bcoD. rubel ro rh. *ort6 sf,Fndnrn hs of C.lifomL ud lse lhd rf I ilbuld h<om sbid to lh.
<br />".*d' omFurbn Frririo6 of Sdi.n l7(l of lh. Lbor Codq I {dl. lodh$ nh c.trtply wilh tlFr ptlr it,oG
<br />WARNINO F.il6 ro s@ $t"td @mFdiJn $\6rtsc 6 ul8tuL !d {d! objdl , @0hF r. ainrul FEhE !d
<br />c'v,l n..s up ro o.. hunilcd rhousd doud (1100.000).
<br />s.non 3076 otrnc t2utr cod.. ini.d $.1d(\q-i IG
<br />addnion b rhc (st or.odnolernn. d ni*.r as rovid.d ntr lhc
<br />t.1".4 /r-/7
<br />DECI.6MI]AN
<br />I haby .mrm ud6 FEltr oa pqjuo'lhi I M li.uEj un<lE FDyirrn .rch,r{s 9 (.!tlll'Ea--_-ins *nh Scri. 7tu0 ) o f Dn iJion I
<br />of rhc BBilB.rl ftrfsioE (od.. sn my [.c L! in tull lo'cc drl.lfdr
<br />I hortylmmu s pcnrlly of Fjury rhd $c. i5 t o(lrtuCli.n Lndin! aSdcy for 1fi. pdfotu . of lh. srt for which thn psnil n
<br />is!.d (Sd 1097, ait C)
<br />I qlro's NM.'
<br />arru(A fDl(uaalra!
<br />I hdltry.fim onJd p.n.hy ofpcjury oru oflh. tollowins d6hr'ltns
<br />I,.tulnirn Pn'l'.A!b..ro! Norirrd ion l'cd€!.| R.SultrioN ( I nL 40. P!n6 )
<br />R.qunar L.lrd of Ndincalion
<br />I cd iry $ar Ih. fcddll rcsulll'oa Esadrr aberos rmov.l e. nor lppli.rbl. lo lhB pFi..r.
<br />I.ditrhd I h,\. ral rha q,plicdion a'd sl!t.lhd lh. .b.r.
<br />'nfoml,
<br />io, n.tu I.gcr.mndysnh! C ,tnd(iunre
<br />ordin!.6 dJ Sl.l.lt$ Ehlnla lo hiildi.e codruclion. d h6.b!-!urh.@ EFsuN6 olrhts ar) md ('nunD ro dis opon th.
<br />.h\c MrnEd pNpdy rc Nperrn fu< , , .A,,6 ^sd'sktririq!
<br />(:--)..e C-;J.---_. ^,, C' / >'/7
<br />P.mher.m.,pr,nn: !-),-2 (,lzz 7</2-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing (fi1/!1 ,TY.tlt-4.r 5<(
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL .1/ten + 9.Dt 5lLuu KX
<br />Certificate of Occupan'cy '-
<br />Notes, Remarks, Etc.
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