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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE OWNEN AU I LDl:I DEL('AR TION <br />I h6d^ lmm un& Fuhv of Fj!., lhn I m saqi fmo l,E Co'nrrio6' Lf,le lrg for rhc folh{nB Er$n ISa ,lrrl 5 <br />BEin63 sd Prof*ron (o&): Aiy C y or (oulny s,tich r.qutr6 a Fnt r. <oNtud. !n6, inFole d.ml6h or rqntr oy <br />nrudr( riorkr a i$usr.. rlso ratun6 r& q'plk&l fDr su.h Fnit ro lil. s stnal lrdrffir lhol h. o. 3hc 6 li.ded pu6udr <br />ro rh. Frisirtri ol th. ( 6nkdor'3 l.karn lr* lcrqrd 9. ( ommmrn! *irh S€rhn 7(Do of D\ir6n ! of lh. BsmBr rnd <br />Prcfeln'B Co&)or thlr lE or n'. s crmpi lh.r.fiom. lh. b.t! ao. rh..!Ls.d crorrFn Anyrrlrhnofsdb.r0:lr 5h!.nt <br />raplira.r fo..pff subjeh rh. dp!li..mro.civil!'.6ilryoanor.br.thrnfi!.hun.n.{dollst(150() <br />l. $ o$F ofrh. ForErr. or n) mplo'6 rnh srr6 s rtEr sk ow(aaiotr silld. rlt rrt rld ErMR!mr <br />i dd.d or olTs.d tor sL (s( 7044. BBinB dd PinlBr6 Cde T1. (ndr!.roir l-tos. t s do6 n l @ly to o o$nd ol <br />th.In,rEly *ts hril.! or inpilr6 rtEEtr !d *h. &E uh *nrt him.lf .r h6.llo, rhmuh hir o. h6 o*'n dplold, <br />F.\ d.n lhd s(h urq$tffi ftd darhl nolH ft, ek ll ho*68, llF brure n iFlltrd ir $ld {ihn N )a <br />ofenlpkDtr tlt()tr6 ttuildd silll[rr tlE hdtorofFovIc thi Lorsh. drl d 6 l o. i"p.oE rh. FoFr) lGtlEF p(Eof <br />l. .r o$ffi.lrh. F.tdy, 6 6cl6iv.ly conmdin3 s rh lic.N.n (od816 ro codrud llE FJ.cl lsa 7Or{, 86IB <br />o.d hlknnCod.:l'h.(onlrkn'il,ic@i.l..wd.6nollprlylodo*isofpropdiy*hobuild!o npro!6rhaen. <br />rnd sho onh<r! aor !!.h Frj.rlr*hh. ( o 6do'1.) li.ds.n|lur@t r.lh. Co rErois l].ru trsl <br />I m.rdF lndd Sdhn <br />!()nlifa!:(l)lttENtallot!ui(l,AlalJo! <br />I hs.h\ afinn und6 p6allyof Fjuryoncofthcfollos'nt d€l.rili,,ns <br />I ha\. &d trrll,Minre ! Csl,ficn.orco* lo s.lr'lBur. fM tro*s:'LomFMrn, d I,n\xk fo. b) sd!rn lrm of <br />'nLat r ('o&.lor lh.p6fom ccoflh.sorl nn Ehich lh. Fnnn i! isu.d. <br />I h,r.lndNrllna' nn *0116'.omrEliEn !Bur!r..5 rqurcd b scrion l7mof rhc l.tr)r Cod., for rlE D6fo.tMc. oI <br />rh. $ort lor {hkh rhn pGnn a io.d Mv ".116 .on4b9iFn ' urm. rmir dn Flicy.ombd E.: <br />I c.n6lt t rn lh. Fnrnrtr. oal,E }orl l( shrfirhiFn( i su.d.l aBIlrr snr,h!.nt F$. 'n i.! lMF <br />$ 6h h..o@ 3ubdr ro rh. sorl6 Nmp.Mmn lr". of Calif.mi&.nd +R rhd itI should tE.m. suhFl lo llt <br />worl6 comFrerhn ,,ovilioG ofs.<rion lTmofth.lrlnr (ndc,lJsll. fonhwilh comply withlhoE pmviio6. <br />\I'ARNING: l.itur. ro su. \!116 snFndio. vds. i! unla|tul. ud rlull ruh,.d s oployn l. qiniml FEkis t.d <br />ctr'l fi.6 up h.m hufti€d rhour.d &,U (tloo.0ur), in addnion lo lh.6l.omFsrmn. d,,Es6 s D.otil.d for rh. <br />( oJ. rnrdd drnomdt rc <br />70 <br />I hdct'l. lmm und6 Frll!. otp6ju,y lr'd I m hGFi uD<lq Fort{'n.f (rufl6 c ($mffiint $ h S.dsn ?0 1) of DrBio. I <br />of rlE BaiK md ProaerFB Co&, r'd E, lr@ 6 <br />'n <br />tull to.a d.frd <br />1",""" <br />'"ir b <br />\zolzon <br />r0 b <br />CqIIIBIJ(]JOIIIIDJA$ICIICI <br />I hdh, ailtrm ond6 Fnnlry .l psjory rh.l lhd. t r oNtu.iion LndinS rstry for lh. FfolrMc ol th. s o,r tur q hi.h !hi! ponn i! <br />isu.<! (S( :1097. Cn ( , <br />AIPII(ANfDECIAEAII9! <br />I h,rtr.rmu Lr Fn.h) olFjury oa.lrh. f.lloqins &!ladhns <br />tXrhl'rion Po(!&b6t,. Notifi<d.n F.d.r!l R.guhrx,c (Tiil! 10, Pd6) <br />R<lrn.d l!rd of Ndifkdhn <br />lcdrt lhd rh. L{d.lrcBulalo$ E3ddq ab6!* rmoval!,. noral,pncablc l,' rhs tmj.t <br />I csr 'f rhd I h.\ c @d rhB lp?lrllnn &d nrr. rhd rtE !t{v. inromdirn Li .otrd L*ro r. Nmplj" $ irt rll Cil r lnd Counr\ <br />onlinan(6 tnd Srrr.l.*. EtdrlE b trrld'n8 .odrucr !n @ rdhorn. ,qr6dd r\ 6 of rhr ( r'r &J ('ounl) l. als u[n. lh. <br />ntr\ c rndlional p,oldy a,Y msD€chon <br />Appli..nl or,ttdl Signt <br />urt, <br />,"," tllzolull <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />U FER Ground <br />SLAB Floor <br />Subf loorNenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln s u lation/Energ y <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 L/i /lK S -*t UFTitQ< <br />Certificate of Occu pancy <br />Notes, Remarks, Etc. <br />ID/SIG. I COMMENTS <br />I <br />I <br />I <br />I <br />I