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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\INET BIJILDEN DEITARATION
<br />I ha.t, ,ltm unld Flny of Frury thi I e a.n!i fmm llE Coffrlo6' l.iog l-w f..
<br />'lE
<br />fouo"i4 t6)n (S€ 'r0l I t
<br />Irui.6 &d Profshn Co<L): Any C'ry or Couiny trhrh r.qun6 . Fmi ro oiirud. !Xs, rqrovc. darolilh or r.t n sy
<br />ntuduq FDr ro nt B!@c., &o E{uiE th. rppli.st for 3r.h Fmit to fiL ! 3rsncd srd@al lhll h. o. shc i5 licaEd PUEU!,
<br />ro th. FovirioN oa lh. Contrrtd! l-i.d!.d Lrw (Oqn6 t, Com*ing wnfi Setion 7000 oI lrvlon I of th. lidind and
<br />Prol6ioc Co&)or fir lE r JE b a6lF fid.Gondn r bGir for llE dkrd GrstFiot rst \i6Lri.nofsclb.?0!l.t bt u)
<br />.Cpli.d tu . pmi $qd E rlpltr lo ! ciuil pduhy or ml @r. th,, fiv. nui&.d dolls (1500).
<br />l. s o*m of tfi. EoDdty. q my mpbr6 silh qrc6 6 th.ir bL omFsion, $iU (t, rE wdt dt dE tuE i! mr
<br />inrqd.d or olldqi for sL (sc 7044, Bcins ud PmfdhB cod.: l]c conlrldd r l.ic@ h* do6 ml arply to o]E ol
<br />th. Dopdy wtu h & or i,nI.lE lhoor adwb do6 sh mrt hin*lf or hd*lfot thrcu8h hn o. hB own.oploy.6,
<br />Foy'd.d rh{ .!.h inFNal'fu @ mt inld!.!.d or olEcl for s]. If- hou6s, ltE lxildins or in!.r'rm! is 5ld witnh on. !a
<br />orcotelain! is (XG &rildr $ill h.w dE h,i. .arsH$ fii lE or dE dn d h,ld @ rqot. lh. FoFry 6r iE FIFE or
<br />I. s o$M ol th. FrFly. m .rclu'v.ly .odrErnu * ir h ticd!.d.o!lri<ro6 ro .o.sd rh. ,mral (Sa 7044,46dB
<br />dn RDf,s.nn Cod.:'nic Codrxtor's1-(d. tiw.106 nor.pply ro o*nd ofprop<ny*ho buil&or imprcvdrfi(on.
<br />and who ont6.l! fo. .h [i!l..ls wnh. ConlBlorlr) lnsMd puauer lo rh.('dntt.tors l,i.d!.1,w).
<br />I @.roF undd s€rio.
<br />D.r. ot.d
<br />woR,(rq.yaoMihi: Troil
<br />D&CIIAAIIO!
<br />I h@by altm uida p.irlty of pajury on. of th. aollo*ing delrrioB:
<br />I h.v. rd *ill oln.nr ! CsrifE{. of Colgt b S.lf-lf,s. for wrl6 otrrFldiol! 6 Fwid.d for b, Sdbn ]700 of th.
<br />L.bc Codq for d. Ffffi olrlE @l lor *titr rlE F n ir ia.d
<br />I h.rr.!rd *all oitntin *orta .omF!!bn itlsllls4 6 Equir.d by Sclon l?00 of iE t b('. Coda aor rlE Ff(ffi. of
<br />L,/ttd <
<br />3 -/ -\y
<br />I cdit rh,
<br />'n
<br />rh. Ffolffic of rh. srrt fd uhrh rhs Fnn i! (!.4 I .h!ll mr mplot ey FUn in dt. nmE
<br />s s ro b..!m suat ro rlt wd6' onFltion b", ol( rlifomia ud !8r rhd il l slFull tt od. lubid io tlE
<br />mrt6' emposlion pNvnios ols.aion I70o of th. lrtbr C.d.. I slEll, todhwnh comply *nh thos povuioB
<br />wARxrNC F_rilurc ro su. w.rk6' comFMior mvGdsc ir unla{tul. od ,hall subjei m mplo}6 ro sihi.ol Felti! ad
<br />rivil nn6 up b nft nundrEd rhoMd doll6 (llLt'.lxml. h lddil ro rh..dd of.om!.Nrnn. &mqt6 s p(nid.{ tur lhc
<br />sdiob 1076 of!h. l,t r C.dc ints.n ud slloE-- e fG*ea ^rt
<br />I lreby altunundo lr(niltyollErdyrhn!, uh lidkltrn,l(o I ('haDr6 e lcommoc'4 wilh sdion 70()0) ot lln isn,n l
<br />of ltu a6in6 ud PmfdioN Cod.. ,n my k.@ B i. ltrll aot . di.lldr
<br />,rt" g-E.3o.t1
<br />c0lsrBllTlq!.tEllacacr;dc
<br />I holby ,ftm u!d* FuXy o r Fjury tU tba. i . odMioo lddils 4dy aor lh. pcfolrj4. of rlE wrt tu uttt lh6 Ff,d i3
<br />isu.d (Sc. 1097. Civ. C )
<br />AttucatrLDfcl.8A]lo!
<br />I hcdt.en un& Fdy o,Fjur, oE of th. follor in3 tk ld.lioNl
<br />Dqmhioo P6nr'Alt.e6 t{.lif6r.n F.da.l Rquhtbnr (ThL 40. PM6)
<br />Rcquncd llls of Mrifkdion
<br />.d Co6iy ro dd uFon rlE
<br />32q'/-7
<br />I cd i[ r hd rh. f.d6dl r.suld FN rcs6dins &tEL 3 ,o.r E] ,. d +rl'L lhk ro rhE pr.id
<br />l-i[&L,o,n, , *. -0,* rrprk.,nn nd (d.,h',h. 'rn\. 'nromdnn 6(,nd r !s*n Nm,]
<br />f(rrd,lw- 'nd sr..I.lr Fldrr ro h'L,ur .otlhdiotr ,rr ha.bl drnru.,.F*ndtr6 oI'hs ( i)
<br />!to\. lErKn d E Fly ror BDcd6. !t a.d
<br />I ::;:*-::--" Wla".^* r/4",* -"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />EXPIREU
<br />qE
<br />SAMC
<br />/ootqSq
<br />UFER Ground I
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