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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNI'N BUILDER DEI,(ARATION <br />I lE tr .rm ui<b lErXy of FJUry thd I m adF 6DF rlr Cofttl6' l-i..e l,s lor ih. blbf,hg lan (sd r0rl 5 <br />BGin6 .!d Proadhn C.&) Any Cny or (-ood, *hah r.quic r Fni 'o <br />6dM. q. inFDre ddmlih or qlr Di <br />3lruclc. Fnr io it! isue. &o Equir6 rlE <br />'lplE <br />for sh Fni ro 6k. rtEd nndEll thr tE or 3lr a ltdsd F efi <br />lo rlE FrvirioB of tlE co.rdoa! Li.a!.d u* (( hrt,d 9. Coffii.8 shh Sdb. 7m of Dnition ! orllE &!ina rnd <br />PrefBnN Cod.) or lhd lE or sh. ir smDr lhs.nom od lh. bdt tor llE dkscd Bdrrlnn Any vblabn ofs.dbn 70ll 5 ty !(t <br />rpllr.nr fot ! p6in rubj*1s rh. rpplicor r. . c'v il p.Ehy o f rcr moa $& 6v. hunrlr.d doll&t (1500) <br />l. B oRr6 oflh.ImFdy. or my.mployr6 *ilh w.{6 &! rhcir $1. comp. dhn.*illdofi.sorkd'dth.slddrcnn, <br />inldd.d or olIEcd for s]c (56.?0.1.1. Bulind ud ProfdioB aod. TIE Cofticlo.! I ic* li*,&6 nor lpply h &o*hd.f <br />rh. rr.Fly $lx' tnil& o npm!6 rlE6n, d slkl d(6 ikh wd him.lf or h*lf or r[mu!h hir orh6 orn mDloy6, <br />F.rvlai rl .uch mFrtur ft 6r iddr&l or ollqld lor sl lt trtrad. rlE tr .lrg or urymr.trd n $E { irhin nk \w <br />or.orpldrr rtr()\rF tt{'lb snl hr\! rt hr|.n ofF.\!'{ rhr lEorCEdilm! t ldor ir{:ot! rh. FoFry tu' rllFrlnror <br />I. a osc oflrE Fopat}, d c:(lar.l' conrxrn{ tr nh li.aEd co.rrr6 h odrrud rtE Flr.tr (S( 7Or-4, &nrnd <br />..d .toE o.! co{. Ttc cof,Eroi3 Lic.u llw &6 mr .ppl, <br />'o <br />E osra orFopdry tr h boiE! o. inpovB rh6e.. <br />sd e h. o,fird! fo, ruci FDixr3 *nh a (tl|nBro(!) ltaE <l F6u&! lo rh. ( ..nrroi! l-i<@ h*) <br />I M.r.n,rr un&i Sctnr. <br />uaf,Kl:a:t.carlfEllAlla! <br />Dllcr.ABArlo! <br />I hd.by.mrm unds F.n.lrr of tdjury o..ofrhc 6lk,\mS &clrmno6: <br />I h.v. id s <br />'ll dinr.b. Cdifrnc otcoer h SdflErc 6r N.t6 codFlrEn. . Fo\i.d lor by sdi,. r7m.lrh. <br />L.hr Co& for l,E Ffffi otllE wi nr *ttt th. Fni b isxd. <br />I h,r. .nd $ rll m.' .in r ort6 comFB.r6. iBu.rq a cquir.t by s<hn l7(r0 .f ilE lib.r Co&. ,or llE pqfolMft. of <br />ih. esrt for *hrn rha! Fmn is isld M, * td' .omFrBdio. iNufu. cMi6 &j rolkr nu,nbr n. <br />lc6r'! thd inrh€ p.rfomffic ol llE u orl ,or u <br />$ a ro tltft ob<d r. rh. s!n6 @dFar.nn <br />*oltd .omFslnn F!\B06 of Sd.n t?o.J ol <br />$AtNlNc tiilur. ro tr trvl6 onpndn) <br />cnil n.6 up r. om huRk d ihous.rd (l.)lla3 tll0 <br />hkhrhirFon is isu.d. l.ldl m! dFloyuyF$n indy@6 <br />Ln! ot C.litomii. rd rsG $r if I rlFuld b<om $qd <br />'o <br />rlE <br />rli L.bor Co& I slbl. nfhnh @6dy u hh rlFi F.rnioaL..ov..e. a u.Ltrfill dlt Jdl -qd e dpkr!€ lo aiEin l Frlts.,'d <br />ro.0l'0r. n rddnio. ro rh. (d of (omFd'on, d.rEs6 u Fn\d.d rnr rlE'Yq&l=codc. mr6d afrl dhnr] <br />70 2t <br />t rt r nsrf t o.F ii,fiTo trpr:(l Atl"\'r()N <br />I ha.h, amfln trhdr p.nahy o f pdjury rhar I m licdraj und6 F.lnion of( haprd 9 (.ommnci.g wnh S<lion ,000) oI l)n isidn l <br />ot rh. BuriB d! PmfdioN Cod.. arl m, licN n in tull for. !d.trrl <br />b <br />ir \zoI zqn <br />(a!$aucra!r!!Dl!Glct!l} <br />I hehy rltrm u.d6 Fmny o f F ury rhd th6. i!. codMio.lcndi!8 l8dcy for th. Faomffi. of lh. lork turshf,hrh! FEn . <br />issu.l (sd 1097.civ c ) <br />afrugrlDEgJaaua.li <br />I hsd, .fm un& rBltr orD6jur] ot otltl tollos '.8 &(lalltrE <br />D.hohon PdmnlArtdG Ndilicdion t.nall R.*!h irN tTtL ,l0. Pd6) <br />R.autrd I drsofNd'ficdon <br />,.drrtrhd <br />'h. <br />tndd r.*ul.riDN Etedin! atsrB rtu\61e. nor sppli.dhl. n\ rhn piri..r <br />lcsrrI rld I hlvrrftdrhisapplic.rion.ndr!t.lhd rh.dh!v. intomarion k Lordr lis.anrcomplyrvnhallCiryand(\'unry <br />ordi@c6 od Srar.l,$s Eldir{ to hrildinr .otrfi'c1Fn.h6.by oulhoriz. rcpl 6otil rvB ollhB ( ily ud ( ounry ro r(6 upon thc <br />abo\.mark'n.n pmlxny for iBpdion <br />Appli..nl or,t16l shnrlur.-" t\\zolu11 <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln sulation/Energy <br />D rywall <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 Lfi /[t Lwc,.of* <1 <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />I <br />Erection Pads <br />I <br />I <br />I