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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE rD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns t> ,,t(/) ''1 'ti :-|)
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framin I /H r,ix*SihA^
<br />ln sulation/E ne rgy
<br />Drylvall I
<br />Ext./lnt. Lath t/tt/rt .&ut y't//t .-ffi('r/ l)/,,1/t
<br />Brown Coat 'iq/k g'N Mait *d "/tr /,* :< -iv \or4raffnr 9aX4t W trtc 1*t,iv-tilt
<br />Pool Fence
<br />T-Bar
<br />Handicap R
<br />De ut Final Re ort
<br />rtEnineer Final Re
<br />Flood Zone Certif
<br />FINAL 7-9^t'i /L. z )
<br />Certificate of Occu pancy
<br />Note , Remarks
<br />t
<br />c
<br />nal_z__
<br />II
<br />O\.YNER BIJII-DIR DSITARATION
<br />I hdBr{ .mm u.dii F.hy of pcrjlry lhal I m .r.mpl fn'm lhc (o r&1ou Lt6E liw tor th. folhrinr ra$n ls( TOtl 5
<br />It\ind dd Profdsn Cod.) A$ Cny ., (i\udy rhih r.qu'6. Fhi k\ oNtu( !hd. 'mFor.. .kiml6h or 'qut M\
<br />srncrrc Fhr ro its issulncc. lle r.qun6
<br />'h.
<br />aprnad lo. ruch p.mi ro nk r tBn d ndml rn lE or ,E i, licd6.d Frd
<br />lo lt rm\6K6.f 'lE
<br />C.dr'ors l,ic6kd li$ ((nirrs 9, ( onmocin8 {ilh S.dion 7000 of Divtn,n r oarh. BBin*.nd
<br />Ptufa6.r c6d() or rhrr lE d !,r ir .r6,i rhdcton ej th. tc6 foi rh. .lks.n ctsnprioi A,) x&r n. or S..1n 70 r 1.5 q_ anr
<br />.rplic.nr for 0 rmir rubj(Brh. arpliranr lo !.nilp.tulrr. ofoot fr,crhd 6r. hur&.d dollJr I t500).
<br />I. .r .}e ofrh. reFny. or 61 6th!6 s,nfi \.*6 s rrEt $k otrrEsaion. * &rlEtrc.trdltEi'rdcsmr
<br />'ddrd<l oroff6.d f sktS- 7O{4, a6ind ud kof6ion! Cod.: Tt. c.nt&1oir li.@l,sd.6nol rpnlyr.uosEoa
<br />th. FlF! wt toiLlor irprDt6 E@ inelr. doa *h f,alt hirellor harllor rlmu8h h! o. hd o$r mph)6.
<br />Foviddi rhr! ruch iEFlrtuB e Er inrdt t d orofiqqj 6r rk ll h$6s.lh. hiildirs or llpGdcr i bld *nhin @ lw
<br />ofmrtkia tlE OUE B{ildc
<br />"iX
<br />he! rlr hr&i of Foi,{ $a lE or lE dd hl tlild d ,,e.oc $. r&Fty li, rlE FrF$ ol
<br />l. .r owE of lh. FFly, m adBn ry.od.alint rith l'.oa.d.od 106rn 6dtud rlE tmF (s< 7o{{. e6N
<br />& Aolsft Cod.: I nc Conlft-lor t Licdsc l-.s, do6 not .r,Dly lo M owns of nropgly s'ho buildr or improv6 llE6n.
<br />.nd *,ho codtur aor 3!.h FoFr! r'nh . condo(i) lto6.d pn6{dr ro rh. (ndndoa3 Lr:du t&l
<br />.uaatrta5:(autftsAllar
<br />DECI,A.BAIIO!
<br />I hd.h].mrdund. tduh) ofn-JUD o..ofrh. tollt trrn*drlaratN6
<br />,hrr.rnuilltu'nrlin!Cd,f(.ico{(oIMrroS.ltlEUrfortrlll6cohtBs.rFn.sFrnrj.iforqqS.dtun17(Xrofrh.
<br />hhtr Cod., f{r lh. pstud4. oa rlE r orl tor *iich rh. rETil ir iso.{
<br />l hav. ad n ill m.inlrh uortd .omp.nq'il. itue.. 6 r.qun d b s..r5n :r'70o of rh. t bor ('o&. lor rlE Flrmm. nf
<br />'h! sod rm trhifi lni Fh n Bud. My worke .omFn dion inrrMc..Mi6 !d Flict nunh€ e
<br />l..nirylhd in rh. FfolrM(.6f lhc tro* tq *hxh ln'r p.rnil s ii$.d. I Jrtlml dght u) F$n m any nam(
<br />s a lo tEom 3!t'rdr b rh. "srl6 onpaldr.n hs* ol Califori!. od rs6 rhll il I ibuld tE.m. sbjdt to lh.
<br />s.rl6'ftmrEMio.t,biriB.asdr.lT00olrh<trlvC.d..l16ll.fnh*nhond)$illth*FnLri.tu
<br />WARNING f-.ilur. l. su. s,orkd' comFltdion cov.B8. ir onh*Iul. .nd slEll 3uhin m anphvr h aimml Ftrii6 ind
<br />.ril lu6 up lo oE nu,'.d lhousrd
<br />s(rk,n 1076 {rthc l.hr Cod.. inlcrcl
<br />,(xD, rn kMiNn h rlE coi ofcomF.s'mn. dim.ld $ rrorid.d lor rhc
<br />A- z.a+MAN CCN)7
<br />I hd.6, dnm u.d.r p.nrkynf psJury rh.r I d liranl un&r Fririon oa('h.fl< a (mmnEinr rirh scrb. Tom) orDr '.irr I
<br />of rh.IIGIB rnl PrnfBnB corL, dd dy ltG s in full rorcc rd.rrl
<br />." 1t:
<br />D,$
<br />L\:297+s Ir 7s
<br />E"t'A uo U A
<br />(oluf,ucllaluElDldc-&cfl(r
<br />I hdt6y lrm und.r Fuly o f Frur)- rl,a r hFc B . .on{dciDn lcodns asocy aor rh. rEfomincc orlh. wrr aor {ni.h rhi! tEnn i
<br />iriud lS(. 3097. ('iv C I
<br />ATIUCAXUIECIJAdJIO!
<br />I hqlby al"m undd p.nah y oa rrjury on. o I ilE folLs in8 &{ bari.ni
<br />l)cfrn ion Pmi'eA.b6ros N.rili.,rion F.ddll R.ru l.tionr ( I nl. 40. P.no )
<br />R.quirrd Idrd of Notf $rrn
<br />I (61,ly lhd rh. r.d6!l rqrulal nrN G*adins ^rlBl(\ rdnor.l d. nd qnlic.hk lo rhis prcF1
<br />n.r. lhd rh..r$\. infonnihn n.otrd I rgr- !..ontlr" * ih.ll Ci\ xv] ('otr.r)
<br />.trrh.ri,. r.r'6ardnd oirh'r ( [r ntul (i\mr] t,6rd trtr,n rh.
<br />u>D pe14An ^.,t\-1<!-24V
<br />Erection Pads
<br />rpp ..nr orAror shn.rur. 7u
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