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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS 01\ NER BUII-DER DEL(-Af,ATON
<br />I h6d, nrm lndr Fbhy .f Frjur! rhd I m dmrr aNm rh. C.dr-l6 l r@ l& tor rlE nnb$nB r@n ls< 7lr1l !
<br />B6in6s 6Bl P.ol6bn Cod.) n) ( d, or Coudy rh.h r.qutr6 t Fni ro toNtud. 5h6, improt.. darclsh or rqsn dr
<br />nrucnEi rrFr h ns Bruecq rlr, r.qur6 ih. rppli.d aoi tu.n Frmir lo 61. . !(n.d ndd@r thr! rE or .hr L"licds.d nrRtrMt
<br />lo th. Irovnbn. oflfic Conrlcr..r l,ico*d Iis (('h.fln 9, (iJmm.n.ing sith S.clion 7000 ot l)'vhmtr.1 oflh. Bsin.s.id
<br />PDldNnr ( orlc) or rh.t h. or sh. n d.mfl rhdGom od rh. lqrii lor rh. dl.!.d .roplioa. Any rn d ion ol Scdin 70 r I 5 l\ iny
<br />!n,lic!.r f( ! Fo( 3ubjcl3 rh. ,r,phcrm ro r .i\ il Frh ! of mr mrc fi6 6r . hun<lcd dolld ( t5001
<br />I. s otrffi olrh. rroDcn!. ( nv cril,hr6 trrh srtt6 - rh.tr snc.omFMnn, $ l & dE *st oj r,t lnrrft a mi
<br />mold.d or oat(.d tor ek ls< 701,1, llusrc ed ProadioN (ii.: It aonrd.i! I t.N li\ dq d qPlr
<br />'o
<br />M o\E.l
<br />rh. ror6y $hr ttul,:h or in 106 rlEon. sd qh d6 ui trn* h'6.1t dr hdkrlor rhou3h hir or ha otr'n cmplor_cd.
<br />p'ovid.d rld iu.h imFovffir! e ftn inrdxLd or ollad! f sk lf. ho*aq- llE hilliqr or inFovffir B r]ld triihin oi. )d
<br />ofcorrplcrnB rlE()$n6 Buitb willh!v. rh. hida6flr.ri4r rhd h. orsh. dil nor l ld or imrrcE th. r{,IEi} for . p{4skof
<br />l.6owofrrFF.Frt,mdclNrv.ly.onrdhswnhlK.!Edcodrxtdtu.ddfudtlEFnFlri(,o.lr.EE!6
<br />lrd Arkrn ( od. Thr Cont*roa. l-'(.e ll* d(E mr @lt r. s o*n6 oalmp<ny *lb b{'l& or mFor6 rh6on.
<br />.rn rho (onds fd rut Fol.11r r i a Coddlo(,lrded plFd bih.(-odr.cloa3 Lk@ l,*l
<br />! $c\cnr utr&r Serion
<br />D.re Orn.r \roRirlls coilPflaArr()N
<br />Dl(].laallor
<br />I h6.i.r lmm on&r Fsll) of FJury oE ofrh. follotr rD* .t\tlr.rx,B:
<br />I h.t. irvl s rll minrlin . C6rilKrtc ot ( oler r. srlt ldu,. ror $ork6- $nrttu ion. 6 Fo\ id.J lu b.t s.crin :17(l) .l rhr
<br />kbor ( orlc. lor lhc rEfo,mc. of lh. soll lor {hich lhc p6nil n isu.d
<br />I hiv. DJ will nrintlin *o d comrsslt io. iBunn ., B Gtun.l 6t ser nrn !?00 ol lhc L!ta{ Cod.. lor rh. pdfomM(. .f
<br />,"-" - tL |.rl \ \\ a\l \l!./$a GJQ J,r4,-.- /,-f/q6urE*4Tqrtc i -7 - /-/y
<br />l.difrlhlr in rh. pdf.rrom. oflhc *ork aor rhich lnn nsrit ir issuqi, t lhtll frn mpl.r rnr raNn in.ny msnd
<br />$ 6 to tBrmc rhjrr to th. *.dd .nq,.d ion la(! of (_.lifomia dd tsE thd ir I rhoutd b.tom. lubjftr t. rh.
<br />rlltd comF8.r b. Fornioro .f Sd hn lTm.f th. l ltE ( o&. l rEll. h,lhtr dh snplt s hh 'hs t'irieh6
<br />sbFt d dDlors lo @nul FEhis ,.d
<br />cnrl nn6 u0 !o oE hundr.d lh'Nnd d.lld itloo,tx l, 'i dnsn ro rh.ol.oqEmlion. &ds6 r ri.!A.J aM rlr
<br />Sdiion 1076.f rt.llForCod. mr6d rnd d.lr6i l€
<br />on ,-;1 - 24"! 7 noo,,-*
<br />DECIdTAIIA!
<br />I hotl,, lnm u .' Funt of Flury rhd I m li..G.d u..ls F!\ kbn of d 9ld,i1l1@i4 cdh sdnn ?00O) oID^Eion I
<br />ol rh< Bur'B an ProaBid co<t- id 6l l(e 6 ir flll foN.n.ITd
<br />E oo7?
<br />7 -77-t'7 (in,ndm *-
<br />t hott y .|Ih ur& F.ty o f Frury rhr rlE! i . odM[. L.dns .sfty for dt Fl{rlrrEc of rlE rvt 6t utkh lh! Fin i!
<br />is!.d (Sc !0c7. Civ C )
<br />APPLI('AI'I' DECI-IIXATION
<br />I hod^ trh undd paux!.l of Frot ok ol llE ftllor in! d..L,n ioB
<br />D.mhsn P.mn!-Arb.sq Nor'lic.rKn l'qtnl R.sud$. (Id|.,10. Pd6,
<br />R.qural I nrq olNotfr carr.
<br />,\ppli.* ,. [" sis,it,r. ts
<br />r'"-,i,,*,-""(p,i,rl, t(
<br />lsrero conpl\ tr(h dll( l rd ( otrnh
<br />tr6 orrh$ ( ) M!cotrnrr ro dr. uFrnrh.
<br />n, , 11 4$t7
<br />llLwb
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing M.i/t? >. i\D t\L;ntg$
<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 Occu an
<br />Notes Remarks, Etc
<br />-+
<br />DATE
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<br />Forms/Steel/Holdowns
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<br />l0/L<l t 5. b;:> Lr.rz, *!t
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