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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\*N8R AUII.DER DETTARATIoN
<br />I h<.b arfirn undd Fndty of pdjury rhd I m qmpi ttum ih. cod.dn6' l.aru bs fo.
<br />'h.
<br />fouosns rNr tsc.Tlrll !
<br />l]win6! &i Pr.f6hn (idc) An) Cnr or (-oudr *htt Equir6 r FE. ro col!rucl- !id. i,rFov., .bnolth or r.'f,n mt
<br />ntoduc FDr
<br />'o 'l' 6uft., .li. r.qurd rh. ,gtlamr ror Nch lsmn ro 61. a rlsn.d tlrlmd rtd h. or c i! li.m*d pucudn
<br />ro th. rmviJ.N .f lhc Conl.oclo' t l,icdEd lls (Cr,!pl6 9. CoEhdinr snh sdon 70oo of Dntion I of lh. Buri.d .nd
<br />ProfBnd ( o&l o' rh.r lE 6 {E ir adF thd.iro6 .!d !h< balb tu !h. rlke.d .roFion Any vioLlior oi Sdion 70lr I t by ry
<br />q'plkrdnn.FniNbj<lsin.ppli.rnilor.ivill)mhyofnotmor.rh.nfiv.hun.!.ddollm(1500)
<br />l. s o$ffi of rh. troFny, or f,y mph!€ *ith *lsB s llEir $L.on9.slion. *ill&, $. soll dd rlt rrl,nu. i nor
<br />intodqj or ofl6.d tor el. (Sc 70,i4. BN'iB od Prlklnd Co{. T}. coddo.s I-kN rl$ dB d !p?l} ro e.rE or
<br />rlE p.irdy q lrr b{il..h or ,!F.!\6llEo.. rn q lF dc rf,h tr!.l hitMll.r h6Eltor ttFuh hn or h6 o*n dvlo!€,
<br />pro\il.drhd.u.h nnFor66b mmr intdtd.d dofI6.d fi' et l( h']ds, !h. trrldre or m$rorffi bsld$ihnon.\w
<br />of.ontkxrtr rtE OeE B!'ldd riu lf,lr rlE hrdn of Fo\irB rhi lE or :rE drl tui tuld or nq'.* Ih. FF! ii,r rh. FrF * .f
<br />I. 6 ouc ot rh. rFFry, m .r.l6iv.ly .odrrd ins r irn licdr.d .dn'radou b .oncrud th. trojd (Sd 70d.1, &rin6t
<br />!.d PDfts$n (bd. Th. ( ontrcror'B Lrr.ns. Iis dr( .or +plr ro M os n6 .f p.oncly $ no bu ild! or iopro\ 6 rhs6n.
<br />'nd trr$.o rxt tm s.h Foi.\ri*nh. ( odr'crorl3) 1.!!.d Fnd ro rhr ( onrdoi! l]c@ Irw)
<br />I m.rmpr unda Seron a ,( P a f.r rfi. r.ten
<br />D.1.. ()rrd
<br />WORXDITS'.OMPFNSAI|ON
<br />DEIUiAIIA!
<br />I h6.t') lmm und6 FEnv ol rEjur) oE ofrh. follo$ ir8 rklr.l hB
<br />I h,r.,n s'll trinrlin r ('diard.otCoMr ro s.ll-lBE tor {ortd' comrENlio.. B Imlij.d fot bysrltr,n17(norrh.
<br />lrln Code aor
<br />'hc
<br />p6lolr@.. of thc w.rl for \,${h $c rsin ir su.rl
<br />I h!r. &d sill ruinttin u od6 .oErEnr.lion ireur.n... s rquird b! Sdlion l7(r0 of th. I ibor Cod., for lh. raf.m.ncc ol
<br />lhc slli tuuhrchlhirr.mil B e.d My sorkd onFlsion iBu.M. cyE rd rFkr ruEbq d
<br />l.diry lhd in rlt pdfo@ft.oaih. sorl aor uhih rhn rdhn n (q .d, I lnrll noi mploy mt pmn in lny 'rMrss a lo bc.om. suqd ro th. r{116 6frp6Mhn h*. of (-.lif.mn. ..d .8r
<br />'hd
<br />rf I nFuB hdo'E {bdl ro rlF
<br />sorl6'omFMionF.\tnreofSElbn17moafi.L.&rCodelnullfonhtr'ilhcomply*irhllt'*FornrN
<br />WARNING: Flilu. ro sr. sork6 .onFBnion covr.Ac i @1.\'tu1, ald 3h.ll iubJ.d e mploF ro ainiBl FubE ."d
<br />cNil 6.6 up i6 or hunnld lhound &'llB {ll0o.0o0l. o.ddnio. to th..dl of .omFErion. d.n s6 6 rro\id.d ir lh.
<br />co{r. inl(d and dtom.v s le
<br />7.0
<br />lt! LL!r!1lllL\
<br />I hftby !,nm uod( pctrllly o f pEJ!ry lhd I m ltrsa.{ uodq Fovisrtr ofChaprd 9 (6nmd.i.8 *nh sdio. T(]{rl oIDtrirrer r
<br />of rh. BBin6 d Prof6$G ('odc, rd my lte 6 i. lull lora:n drd
<br />*^ I\lzo1
<br />b
<br />70t1
<br />)0 )
<br />Cq!$AICIOnIEIDIIG.ASINI}
<br />I h6.h,.frm u.da F nyof F!u4 th, tlEr ir. codn crion L.dirS.8tr' for lh. Ffotrffi. of th. unrk lor "ti.h rht IEnn i
<br />i$.{ (sE. 10r)7. ( iv. ( )
<br />AIIII(ANL.AESAEAIIO!
<br />I hsd'y irm unds p€Mlly o t FrJury onc or r& touosrnB &cla.liotu
<br />D.nolirnn P6mnlArb6l8 Norrficlrbn t.dc.l Rqlldnns I I ilc.l0. Prn6)
<br />Rapt€tl l!rd ol Ndrncd.n
<br />l..tlr-lharrl'.rlalrar.!trhrtrinrrclnnl'ngarh.sl,u'nho\rli,.n.riml'. l.n,rhFPn')dr
<br />lcclili rld t hn\cr.idihtanrrlrark{ardslircrh rhcrl$crnn)nn.rilrne.trd lrlrer.(onrpl!([h.rJ'nri\6inJ\rr.lrq\'.Lr'.Fr,L!.Ilnr,,.n{,trd1,n.+ihdA\,ir,h{r'.r.rr*nrdr6.rrh^t{\,!ndr
<br />rl,lc m.n'r.ktl fnts\ L1 ,n ,
<br />.rpp,(.n,orrso,shn,ur. 1-ik-- ,'.,.. ll
<br />P.rni,Fn.m.,pr,.,,: N4h${ t+h\iffa
<br />t'
<br />lzolwn
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Dgputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 'l///l,t 5.\,/4 fc<\rK
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc.
<br />I
<br />Forms/Steel/Holdowns
<br />I
<br />I
<br />I
<br />lnsulation/Energy
<br />I
<br />I
<br />I
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