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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.OWNER AUILDl;R DIiII'ARTITION
<br />I hn b, arft unld FdU of Fjur- rh, I m.rdir n$m rhc C.d6d.R Lit.G tr* f.r ih. follorrn8 rc{q]n (S(.r0ll5 '
<br />ABi.63 dd Proasiotr Cod.): hy Cny or (ounry *hi.h Frton6 . Fmn ro mNlM. .ll(. introrc &,nol6h or rqrt uy
<br />tuds.. Fitr ro hr Lw., .to rcqunG rlx +ltd for srh Fmn ro frk ! irgElj 3rdml thd lE or ilr ir I'cdred pueq,
<br />ro th. Fovisiod olrlr Co rrcroi3 Liccnr.d Lr* {Ch!fla 9. (irnn.n in-l wnh 5<l io. 7firo .f Diri.i. n 1 of thc B4ins od
<br />ProashB Co&) or ihd lEo.nE ir.rmpr oE.n.m !x, rh. b6s for (h. .lk$cd .r6r,lhn Aq ri,hthrors.cinn 70!l I by.ry
<br />lpplicet for {Enh $bj6ti lh. q'plic.nt lo E cNil pollty ot nol morcthM firc hundr.d dou&!(tt00)
<br />l.!ouMofrlEFoFir,.rnrmplot€$dhq6866rnt$komp.nuD.,trill<hllEqld&drltddrin
<br />inrdd.d or offold lor r.lc (Sc 7044, B6iB ed ftnldioB Co&: T1. co.ierm'r l.ic.M l.* dE ml q'ply lo m.$ns of
<br />tlr FrFry {ho boill n insDr6llEE( rrd *'L &i6 st sen hilMlr or h6*lro, rhmlah hi. or h.r o*n anplo) c.
<br />Fovi&d rhll 3kh isFlrEEt e d idci<t d or otuld 6r $]. lt how66, rh. hliHitB or imr$vmdl is a,U wlh,. o.. y@
<br />ofcompldb( l,E OsE B{il& will l[w tlE hrdar orFllils rllc l! or {E dii mr U,'ld or in$..r dE tmFry for ft FiFt of
<br />l. BouEotllEFlFly. u .rclBiv.ly colnrslils * ilh lrcs!.d conrdoB ro codM
<br />'rE Fojd {Sft 7or4. tt$!6
<br />!,rl PDtsih cod.: Thc Co.kdo.s Lici!. Lrr do6 nor ,Frly ro m o$ nE of roFly pho build! or improv6 lh.@n,
<br />snd who conta.r! for such p.oj.rrs wnh ! Conhdonr) lkGsdj prdMr ro tLC.,nraro! Lkry l,s)
<br />I dncrcnrpl undd s(ron
<br />D.t.: ornE
<br />woR(r'irs- aonriiNsarror.ip!{:lJaauo!
<br />I hrcbr rflim unds Fuly o, pqjury on. otlnc loll()sin8 dtlaalioG:
<br />I hlr. rn $ rll minrlin . cdirEtr. of ('ons! ro S.lr-lNurc for q o*sr' comFsatn.. d Fo\ id.n lor b) Scrion 17LU o f lh.
<br />l.abor (nde aor
<br />'h.
<br />pdfollMcc o alh. worl for wfii.h lh. pdmil i! i$u.d
<br />Ih!\.rndf,illmai .m worlB mm!.Nir ion iBunncc. N r.{uircd by Sar ion 1700 oi rh. lih.r ( od., fot th. Fa.roc. oa
<br />lh. vork tor uhah lti! Fmi n is.d My * 0.16 smp.,srhr Burtr. cMd ad Fnk, nunb.t e.
<br />,-",*At'td *-,-es.l €mf GVft, ftWfu lTAtr r o
<br />",*,,,,.0-['J,4.,1s,q-4 <: l\q\eR r,p,* o / *o l- z 7
<br />Icd,tlhll inllEpdloru colrhc$ork forrnrhrn'rFn t ntucr.I lrdlnor dnp!,t.nt pdson inlnymM.6
<br />$ a ro b..on. su6j<r ro rh. wortd c.np.ndion l^". of( .lifomi{ a,l .3r
<br />'h.l
<br />ifl ll$uld b.comc !u}id n' rh.
<br />*0*6' comFErhn [r!vii,6 of S..lion lro(j .a llr tjh, Cod.. I tEll. ronhr nh complt. r rlh rtbi Fo$n)ns
<br />WARNINC: Fllurc ro su. uond snFs.mn covdg. '3 unhwarl. Md rh!0 $nid M oplo}f lo 6imrn.l rEahiB ud
<br />civil lir6 !p ro oe hundr.d rhousd dolld (Jl(x).000). in addnion k' rh...i of .omFM'iDtr &ro86 B pror .d ror ll:
<br />SElion 1076 ofllE Lltu C.& uldB t d rrol'E- r f6
<br />I > -t-z;lZAt<ra Ara ie<-
<br />u(EtiID-caNr! (Iof,
<br />DIOJf,AIIO!
<br />I hsrbr !,Im !.&r Fully of FJury lht I e li.set udrd Fo\.nn.r(]l!Fd 9lsmrMcihs trhh sdion 70Oo) or l)n iion 1
<br />ol rh.lrurilB Md Fmfdionr Cod.,.nd my licds n in tulllor..&d.tr(t
<br />,,**",r^, f})
<br />",," 12-1 :1a,.",,,",,,, LrL' H CagT&<,cto-tr (o
<br />(.ONSIIIUCTION LENDING ACENCY
<br />I h@by .rm un& FrXy o f Fjury lht rlE. i3 ! codrudb. ldri!ts lstry lor rh. Fldtr'a. ot thc sorr irr $ hkh ihi Fnir i!
<br />i!u.d (s< 1097, Ci! c).
<br />ATSIICA!,fDIOJAAIION
<br />I h.rby rltm udd Frtt of Frjury oE of rh. aollor '.8 &rL,r' ir.e
<br />D.moliri'n Pma$A3b6roi Nori6.{ion F.ddrl Rcsll iotu lTnL 40. Par6)
<br />R.qu(ql Ldrd of fk{r6.rion
<br />I cslify lhd r lE f.dcnl rcrub! ioN Erddrry 6b6iB rafrn !l r. mr lpf,lrahlc ro lhs ptr,j.(
<br />I cqlifyrh& I h.!. r6d thb qDlkdio. an r .rht rh..b.!. inforndu n c6cl Irslct comrly\nhtll(ii)anacounU
<br />ordiMM6 !.d St .I^! r.hirs ro hi'ldins codrucrhr sd ffiy lurhop. r.Fsndir6 of rhir ( tyodCotr ,ro 6rr upon th.
<br />iho!. motnn.d pmr.n) li{ rNFg*Tdffi--------...-
<br />noorr-",.,o" ,ru,.',ol/i4l-1 ) D.,,UL-]-/<
<br />Pmrr,E.rpr,no: 24,0.'B ia tV 4 ,r€ Z
<br />Set Backs I
<br />Forms/Steel/Holdowns Ul/(7 -r,N./l
<br />Erection Pads }-J T'
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing y/2//7 /n///,//
<br />lnsulation/Energy /.tlttlrt VA{</l
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />H andicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
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<br />FINAL f /nnlto zf4-or,1
<br />Certificate ol occupancy -/T
<br />Notes, Remarks, Etc i)
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<br />COMMENTS
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