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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS o\I,NER BUII-I}ER D':I,('AR TION
<br />Ihddt,mmun&rFmlr)ofFlurtrhdIn.r@Ftmrh.(-.drd6Ltcrl.sfsrhtfolh$rgrdn(Sdtorl!
<br />B$h6! dl ProasFn Ca&l A.t ('n) .r ( ouit shkh rcqutr6 ! Fni h .odtud. .hd. rmFor€. t.tFlnh or qstr &\
<br />slrucrw. Fu ro 'r! Brue.. .l$ r.q{n6 rh. qpli.d aor iuct Ff,( h nk. tis..d sdcr6t lhd lE or {t 6 lk.treil poedd
<br />b rh. ri.vik'nr .f rlE Conrtrroas l-'.d!di L* {ch.Od 9, (.nmd(ha *nh Sdrio. 7000 of Di\Bnr. I ol lh. Bu'id i.d
<br />Potsons ( ul.) o. rhlr n or3h. i!.r.mfl thd.f.omMdlh. b6ir nn ttu alLscd .rdpl ion Antliol0lFools..tion70115 hydny
<br />applicad for a ps,nir luhidte lh. aDplic.nl lo,civilp.nlhyolnol horcrhdn liv. hundr.d dollus ($5@l
<br />l. B osffi of rh. p.o!dry, or ny dphye *iih *ts6 6 !h.ir ek omlEnsloo. *iU & tlE *-Ld tlr rrErr it ft{
<br />itndrjcl or ofid.d to sk (s- 7ol.l. Brri6 md Pmf6ioB Cad. Tll. ( ofr$.rt Lrre l,u &6 rcl *9ty ro & o$ffi ol
<br />rh.Frfd!) !t t il& or !ts!r6llEEnJn *ho dE nthunt hirullor lEEltor threush hi!.r rE om.iphtc
<br />Fold.drld kh lrFlrElrBrd ddi.d otu fttr et( ll lr)*-r, ih. h(ildr{ c in{r.ErEr ir sld rihs w !6
<br />olco,plrio( rtE (xrE Builtd "iI lf,E tlE hrdar olp.oli,B dt lE m {r dd lbl hlild o. !w!w tlE FDFry ftr r,E F D(Eot
<br />L di o" nd oith. FotEny. m.rclun\.ly c.nlra.iinEsirh li(.n*J.o r&roE ro codrrud
<br />'
<br />h. FoiRl (sd 7tr4J. Busmdr
<br />ed lhrEsi{'n ( odr th. Conlicl(tr's l.ir.nr. L.* do6 noi apply h an osno of proFat who buildr or nnpror.s rhdon.
<br />and \rho (rrBds lu such rrcjds sith . ( onhclo(s) licos!.j purkdd n)lh.(-onlleif s I icmr.l.Nl
<br />I Mr.rdfr und6 Srrio.
<br />D.t. lr.n6
<br />$oRxr-Rj ( otrPf,rs^ ol\
<br />Df(l.a8alla!
<br />I h6.h\ .find utrdd Fn.lly olp.ruD on..rrh. rdlo$ ms dtlt.ri.N
<br />I hav. d *,ll mrinrri. a Cd ilicat. of CoN6l lo Scla'lBu,.lor work6' .omFBalion, d FnUd.! for 6, s.dion.17C)0 ollh.
<br />tibor (-odc. for rh. I,6lotuc. o I th. sort for whirt th. pani b i$u.d
<br />I h.v. !.d $nl mlinrain wod6 comtlc@rirn iNBm., c r.qlrdl h! Sdnn l7m ofrh. lih.r (t&, for lh. Ffol1M.. or
<br />rh. (nI t . "hrh thB Fn 6 ua6d v! trqLd' omFMhn 'Nre. cl,rE nd polr, numrq r.,*- .7'*o-l< (u'*"1
<br />,;",...* - -l4tot{d - voe -.J/-t-tt
<br />l.slrlyrhar m rh. Flotmn .oarh. wort lor *hknriis pqnil is ir3ucd, I shall not drploy rn, Fion i. m, nmnd
<br />er s t' h(on .ubi*t to thc world $mpqlalFn |tws of Ctlifomi.. Md tsr lhal if I slbuld h..om. sbJal lo lhc
<br />s! 6'coryarsthnpmvnirNofsalhnlT00orrh.bbor(od.,rthdl.aonhsnhodl,lywnhifioEProGiod
<br />wAnNlNC Fiilw ro <@ *ort6 NnFnrdirn orru. i! u.Lstul, od sh,ll $bjcl D nPhy! lo oiniftl FDhi: Md
<br />b o* hundr.d rhouqrd &nl[i ltl(xl.Ooil
<br />'n
<br />rdd ion k, th. cd olmnF@rtrlh. Jih.sd a Pr.vid.ri ntr rfi.
<br />sdon r0t6 olrh. llb Code h'66r.nd t (o^. Ggt^* ll=l=\1 U {t-
<br />LlllNM l2:!r&r!ra-B
<br />DE( t_rR\ I toi
<br />Ih6a,|*dilirmundop.n,ofpdlurylhrtIdrhcss.dund6F (hn.r1'h.Fta e (c"mno!'ns si'h sdi.n'u(O) nrl)'Ltion I
<br />n, rh.ltErn6s lnd Pmrs'.nr c.d.. e,l
<br />'ny
<br />l'(tu. ir in tulllirainj.lTRr
<br />t.*rr*--'C-59
<br />D.,. {t-l=1rt
<br />af'7h t6
<br />qa u+ViEs.v e,.,
<br />(arsralcl1olrEBDaglcEN(]
<br />I hRby .rrn und6 FElry ol p.rjury tha! rh6. ir t .odtudi,n Lndins .stry ror lh. Ffffi. or rfic work for *tah rhitr Fmi u
<br />isu.d (sd :l097.crv c) .
<br />L.nJo e Nrn'.
<br />aftllcaNl.l)frlJa^Ila!
<br />I hd!t, .trm u.d6 F h y ot FJUr) or of rh. folhNins rk hrrioB
<br />D.rml[$. P(m[r-Artdos NolrfEdrn ].dstrl R.aubiir.s (Tnk 40, Pd6)
<br />R.rt!tr.r1 1..1r6 of Noliftdhn
<br />I csiii lhir rl'c t€doal rcruhrbB qrEdinE 6b€losrduil . trolqDlnahl.ro this projer
<br />. inlomdion !.!f,.( I .srr rd comrl v \{hrll('n} !d ('ounr)
<br />) drl ( .unry lo 6lq trIi a rtE
<br />tlt-J1
<br />.urbnz. r.Ir6qndi\ 6 of rh'r ( ir
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenUl nsulation
<br />Roof Sheathing t\l I art an+ \'(
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />[\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL ((L1\11 aw(ff)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />Ext./lnt. Lath
<br />I
<br />I
<br />I
<br />",4
<br />I.or'l\ r[ lrrn. r.id rhr
<br />ord'me6.nd Sr.r.lr{!
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