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SITE.WORK DATE ID/SIG.COMMENTS OWNf, R BUILDER DET,CARA TON
<br />I h6.11 i,Im onld Frny of FFry tld , m .ranF n n rh. Conrr-16 LtG l,s for rlE tollo*u€ r.&n lsd 70! l 5
<br />A$in6s .d ftorBio. Cod.): Any Ciry or (061, whkh r.q!n6 a Fmil lo cordN.1. .n6. mFott, dcnoltn or rcFtr d,
<br />rrrud@ Fnr b ir! iw.. .le rcquiG rlE .!!la&r ft)r sh ,qn h frL , 4rd lridml rhr lE or rh. b l@a<d poll@
<br />ro rh. Fovirio6 6f rE conr{ror't Licord tlw ((1EF6 e, ( omcns wirh Sccrion 7000 of Divnion I of rh. Bcind and
<br />tDfd6B Co&) or $ll lE { {E a .!dF rlE.fron !d llE h6u for rlr ill.rcd .roprFn An, rirldiotr or Sdi.n ,0r I 5 hr x!
<br />.pphcul lor rFhil iubjdr.rh. irgli.et ro !.ivilpdlhyof.or micrhe n!. fiun&.d doue! (1500).
<br />I. B ownd of rh. FDFny, or m, mpkrr@ wilh tra!6 a rh.ir $L.anpcMior, will &r lh. wort dd tE nnal@ a ml
<br />srdrd.d fr ofis.d fd EL (Sa 70,{r. Bui6 sd PtsfsoE Cod. TlE Codr-rd . lic.G t s &6 mr +?ly ro m osE of
<br />rhcFrFr, wlh hrikL or inFers lhdatr Dd trt$ do6 Mh EA h'tr.|ior h.ellor thooSh hi3 or ha oM cmployd,
<br />FoviLd lh.lsch irqleodreditdr!.dmotu dforsL llt 6q. E hrilji,E or itrEo€Er bsldsiiiroEFr
<br />oaconpkio( dE (xE lhil& will h.\r dr hrda! o,r,!t!B fit lro.ltE dn o' hr!! or lt{rcE $. Frpsry for rr. F FEot
<br />l. s oq E of rn pr.Fry. o .rcbn.ly coorEcli.s tr nh licqsd coirrrcroB r. .oe.1
<br />'h. Fjd (sd 7041, lluit6
<br />.,ld Ptutsih Co&: Th. conkdorr Lic.e t,{ dE mr.ppl} ro x o*nq of Fopd, *ho blild! or hprord thcar.
<br />&d u,l$ corr,.ds fitr such Foj<1s wnh . Conralo(s) li.ots d pd@! ro rh. Contdoru Li(@ l,s).
<br />I !n.ronpr u.dd Seriod
<br />D.r. ormr
<br />woR{it$ aontPlrli{Ttolt
<br />DEOASAII!'!
<br />I h6.t^ .mm urd6 ldrhy of rEiuN oE oflh. follon inr ddlEllnE
<br />I h.r. !i $ ill minllh . Califrlt oac.Mr ro s.lfJBur. an $orld $mFsd nn. B ,rcrrdcd for h) sd ion :r 7fi) oarh.
<br />tlbo. code h. rhc Ffoll'ltr. oaih. wrt fn *trh rhc Fmn 6 su.d
<br />I h.\. .*l $ ill mi .in $ o 6 comFrBllion rBurMG. s r.{uiEd br Sd ion :1700 of lh. Lln r (-o&, for lh. pdrollMa .l
<br />'h.
<br />snrk for shkhrhb tmil ! is.d. M\ s'orl6' comBMnn Nu.Nc c.F; ud A'lt, numbo ,.(m , Hr,/0,/ G*l+ f,-,,,*^*-
<br />puhclNunh<r ' !buE*EL?r?9 Erprc , 7'1'!{
<br />-lcaiiry thlr i. thc Flolrje. ofrh. uo.k lor sh'ch lh'! r.rf, ts $u.d.Iih.llnol mploy.nyF$n in&ynmns
<br />$ a
<br />'o
<br />b.6ft $bid h th. w.t6 oDp.dhn L{i of ( alifolu.rd 4r ftd rf I nsuB h<oE $t*rt lo rh.
<br />N*d compsr$tiontmvilioN ofSdtun l?00ofrh€ t bor aod.. I slEll. lonhwilh conply $irhrhoe,6vnioa
<br />WARNING Flluc ro Bc sdld onpdBdi)..ordrr. a u.L$tu|. !n sldl sbrd a drpt F to aiEulFulE rnd
<br />.ii, lin6 up ro.n. hundr.d rhousrnd d.ll6 (1100,(xxl), in add h rlr.osi .i.on,p.Barn)n. ama!.s as B,vi'l.J for rh.
<br />s<r$n 1076 oa rh. bh)r ( ci.. inrad drd &.lB'r lG
<br />I hadiy.tfm und.r pdElyorFjurylh,I d li€!.d ed.r F! iion olclllFs 9 (s,ffions wnh Sdli,n 70(x)) of Dirnhn i
<br />.a lhc adilB !i Pmf6ioN Code rd my li.@ ir i. tull for( rd.ird
<br />rrcmccus-l b
<br />,,,. - {-5,t-r-z
<br />/ oorT 7
<br />c-,-.- )l
<br />I hs!b,! llrm ulxls Fulry ot Fju,, d,i rh6. i' ! oinBlioi ldd6g .sdt hr rll Ff@r of rlE qo* 6r \trh lh6 Fnr .
<br />isucd (S<. 1097. Ci!. C )
<br />ArturaNfD[cldSaua!
<br />I hod'y !trqn undq p6ahy ol FJUry onc oflhc louowins ddlmlnrN:
<br />D.mln6n P6mnlAsb6rd Nurific.!ion [.d.$lRc*uldhro (1 k.r0, Pd6)
<br />R.qun.rl Ldra of Ndifdan
<br />, I . d 'h th, r hG 1616 sl
<br />'
<br />quhr rN Fredr$ lsthr vFn,.\ rl r. ft{ s,'Fl'!,bk r, I hu r.,.d
<br />ffi-r',*, "'.,-,n6 'mlr.rf,lnarl qd.rhd rh..br. rnr,rmdkrn s(otrd I larr lo.ompl) trIhlll( )ind(ou.r)
<br />\^lmd(6 mJ srd.l:{1Rhl'qr ro r{rhmx !*stodrn, dd h6.5) ourh)n2. rqr€ghrrvd oflhr Cny ud (nunryh drq ul$nrh.
<br />!h|. nFtnnal F.n6l\ l.r trE dr,n
<br />')a\F
<br />^ppri(.n,o,^sdr\krruE X ,ffi^- ,r,, a t'?n 'a,.-u*-..,,.n,,,X U 5\^,- l4t,t5
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<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 />I
<br />;,}
<br />BUILDING. INSPECTOR RECORD
<br />I & I,(' r'('r r h( r.rv)n
<br />Drr.: ' (')"^',
<br />I I
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<br />Erection Pads I
<br />I
<br />I I
<br />I I
<br />I
<br />I
<br />I I
<br />I I
<br />I I
<br />I
<br />I
<br />I
<br />I
<br />I
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