BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OT,VN ER ItU I I,DDR DEI,CARATION
<br />I had, 6mrn u.di p.nahy oa pdjury rh'l I d .r.dfl f(h rh. (.nr&bu' Li.@ ljw for rh. follosiq r6)n lsc 7011.s
<br />lrulin6r Md Prof*ion Codc) Any (ily or county shich r.qunB 0 Fmril lo s.srrucl. alts, nnprore d6(nish or ,.rRt ,
<br />rtruduq [rulo irs isumc. al'o,.qune rhc Ephc l for soch F nil to fi|. a sisn.d srarmor lhd h. or shc i. li.as.d ,uRuor
<br />h lh€ FovilioB ofthc Conlrrloli Li.nkd L.w (chrl'rd 9. (omn.ncinr wirh S€clion 7000 olDivisior I ofth€ Busin.ss ard
<br />l'm fsu,n! ftd.) or thd h. o. sh. ir .rcmpl rhscliom ud rh. bsis lor th. allcr.d .rdprioo. Any rolarion o f sdion 701 I 5 by .nt
<br />appli.l,ll tu . p6ni subj(6 thc appli.mr ro r civ il p.@hy . f nor dDr. rhe 61. hondr.d dollds ($500)
<br />l. .r o$ nd of lh. FoFny. or my .nph)6 *i$ wrg6 d th.i $1. comp<aalion. rill & llE wct an llE dntl@ is mr
<br />inrsrlcd or olId.d for s]. {sd.?O1.1. Buhe &d PmadioB co<k Tt co ncroar l-a.N L.w &6 rcr @ply ro e ow.d of
<br />rn. FrFry wh tuil& or rpols 'lEatr &i wlb &6 i(h klt hims.lf or h*lf or rnmu3h hii or fi6 osn dployc-
<br />Fovid.n thli 3u.h idFrEEd! E m' id6dal or olS*l tu, sl. l[ ho@6. rh. hrddnB oi nnFottliM ii $ld wihin .* !d
<br />oroq dhr th. ()*16 Buildd will h.E llE hrdd' of p.ov"B thi lE or !h. did ml hild or iDFow lhl FoFry lor $c F4os ol
<br />l. N o$ E o f tlE Fopary, m .r.luerv.l, cotnr&1Ds qith licdu.d cod.mrm ro oIgrud rh. Eojer (Sa. 704,1, tt6ilB
<br />lid Pm(sin ( od.: I'h. Contdo Ltff lrs rL6 mr q,ply ro m o*nd of pbpdy *ho boild! or ihprov6 thq6n.
<br />r.d *ho co'i6cl3 fu iuch Foj.tr. wnh r Co,nat(r lkaE d pi6un bdECo.'nacroar Lace tt*)
<br />I M crdpl undo Sdion
<br />D.r. Oi..r
<br />Il,Elil:axaurrrsa.rl9!Dl(J,lsAIlA!
<br />I h(.hl rlln'. un1l6 pqun).fFJuc.n. ofrh. finhtr mr &.larnriitri
<br />I h!v. rn *ill dinl'in. Cdrf$r. o[Co,g:r ro SdlleE lor tro.t6 comF66bn. a Fotid.d lor Ur Seib.l7m olrlE
<br />L.bor Coda ls tlE Ffolrl4. otllE srt 6r *nkh rlE Frn b iBu.d.
<br />I h.\. .td u ill moi lin $ ort6 conp.clr6n iM!x€. s r.quGl b} Selior 1?@ ol lh. l,bor Co&. lo. llE Ffo'rr@c of
<br />)6 comFMrn iBur .(M6dipolicy numb< r.
<br />I cdr'ry dul in rlr F r,rt].e otrl* *ort for *tEt rhit Fmn L isEL l {dl Dr dnpkiy 6y Fen in oy llllm
<br />$ B ro bEoE ob,er to 'lr $o 6'of,pddion LB of C.lifomi^ dld rec th, if I nbuB h6or sbd lo llE
<br />wrt6' otrFdbn FovtiE of Sdio. 17m of rlE t h, Codc I Crll. ldhwnh @mplt *nh rlIE Flrisioc
<br />$AANING: r.n'r. ro tu @td onp@.i'n ovsrsc i uhstul. rd ihrll stixr d dnpLF ro diniBi FEri6 rd
<br />.iril 6G !p to oc hulrt d rioln d dolld (tloo.ooot, r.dd0rn ro rh. @ ol6dFddio., .bme6 E Fo\n.n for ilE
<br />Sdb. 1076ofih. hlor Cod< ord< dd ndB)'r f6 I
<br />-,. *-V:"tl no^,. W /l
<br />Lrcf {sFll(mmx{cToRpFci R^Tror
<br />I nalty .r&r ui& p6dy of pdjur, lh, I @ krd.d udd Folitio! of cnrprq 9 (@nl]rEriig trii Seti,o 7000) ol Divtf n l
<br />of rL BuitE Dd PFr6i:d Co&, rn ny la@ ii n tuI aorc -d G,Ir1
<br />R
<br />L--2 ,E??17
<br />?-gzt t'7
<br />I hatby rfm urla Fdy olFiury lhn llEr !' r (tfubr lddrB t8dy tor lh. FfulEc oallE wl tu *tltt lhi! F!tr4 a
<br />isEd (Sc 1097. Civ C )
<br />AITIrcAtrLDEO.AAAIIO!
<br />I hodry ilrm !n& pq.hy of Fjrry oE ol llE lolb* ins dcl{ bn3
<br />D.ftnn ion foIirg^rhcrB Nol'frdion [.dd!l R.3ula'ioB ( I nE 40. l.n6)
<br />RGturcrl I !i l6 of Nol'fr!lir
<br />r I cdit rhr rhl tuarl rqlld$B Es&!n* abdos 'mordle. Er 4plElt k 'o
<br />rh. Fojal
<br />{/\rtri rhd I tuk Ed rh6.eprkdEn rd (d. rhd rh..hr\. i..otu$n 6.olH I +E ro ompry wnh.I cny.nd counry
<br />I ordll:ffi6 lrd srrr. tis ddtrB ro tIJduU (olgrrl,ol\ nd hdctly adts.t EF6.rnii!6 ofthn Cn, ard Comr,ro ord rpo. $.
<br />.bov. Mhn <l Fordt) Ior 6p.crn6 p!'ro3 ,:;;;;;;:;"''--'M-//:. n._ ,?"s,,-rv
<br />t ! >+4 144!1,'r:Pmlrcdm.rDrl,ll, Ul
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />-DlywaltExt./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 />FINAL
<br />Certif icate of Occu pancy
<br />Remarks, Etc
<br />5Er
<br />oo0
<br />t 1-/a
<br />'wn
<br />I
<br />I
<br />I
<br />I
<br />Flood Zone Certif.
<br />I
<br />Notes,
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