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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIVNER BI]I t,DER D EI,('ANA'fION
<br />I HD .fl"m uft,.r pqul) of Frrurv lhn I n .!mF non lh. ( r'lnEim l.i.N l.tr tor lh. follor;* rd$. (sn 701I t
<br />Itains .,i Pro[Bion cdL) 4., ( ny or (i'u'ny *hth r.qui.6 r Fhi ro snrtud. .hd. ihl,6lq &nhli]h or kFn Mj
<br />srructuq prnrro irr isuocq ole r.qun6lh. arFli.d lor 3u.h pcmr ro 6l.i rqn.d slrtmml lhdl hcorsh. i licm$J purstr!"i
<br />ro lh. thsoN of
<br />'lE
<br />Contdors l-ica!.d t $ {ch'Fd 9, commftinr rnh sdion 7m0 ol l)nision 1 of rh. trurins d
<br />t\or6Fns Cod.) or thd lE or Jt a .imrr tlEr.from sd rhc l,Gis fo rE Jh.n cidrplFn Any rirhrn of s.d bn 70rI5 t} ,nl
<br />rFpl(.nrLr r p6nir iubj(rrrh. appli.ihr ro !crvilp.n.lryofnor norcrhd nrc hund.! ddlles(l50ol
<br />l.6 ouE of
<br />'lE FoFrr. or my cnrhlc s h ruB 6 rh.ir ik Ff,p.EnFn. *ill ll'
<br />'lE
<br />*qi rd lL lrrEr@ i! d{
<br />nrdial n' 6lfd.il r.r $k (s6 7fi-1, Bun6 ad Eol<r'oc C.<k: 'I1E Conttlois L(.e t& dr,6.oi epl, !6 m osffi oa
<br />lhc Flpqry who hikl or inFovB lhsd,a dd q lh do6 Mh hlt himrlf or hsrlf or lhrul8h ht or h6 om .mplo,6.
<br />Folirod rhd si impro\ffi d mr dait d dolldrd for sb I( hN6r. rh. tlildiE or inqrM 6 $Ll \ihin oF ra
<br />oaoirplritn, $. (}{6 Birildd *ill liE rlE hrda orFori'{ rht tr r CE dn nn hiB d dq.r. llr FoFr, t" rh. FrIm ol
<br />I. a otrm olrh. t'nF!t", m a.ldtr.lt tudr(iqr \ nh I'cqc6l .odrr.ro6 r. sdtu.t rh. FF (sd tor{,86!s
<br />rld A!tu.nCo&: Tnc Co.ltrloii I (ce l.N d6 nor.IPlyro o of,nd ofFop.ny wno b{rld! or inprord rh66.-
<br />.nd who .ofrtui fo. ch ,roj41r *irh r codr,.ro(.) li.ned puBumr ro rh. contrdnir Li.d. l,w).
<br />I m.rmDr und.i SdNn
<br />l).re Osner
<br />la&il;a:r:roilf[Nsarl!.lrrts,af,iula!
<br />I hr.b) rflii'n un!6 rBflllyol tFjuryon.ofih. nrllnrmr ddlraln)ns
<br />I n E rd * ill ein'rh . C6rifi.1..r CoE ro S.lf-lME 6. mrt6 mnFEiDn. a Ford.d for by S<(nn !7m ot$.
<br />lltor Co<L. tor lh. pdfollrl.re o f lh. sorl fd *nkh th. Fni i isu.d
<br />Ih8r..nl*'illm!. &n*o 6' coFr@lion iBu.trG. 6 r.qut d ta S€l Fn 1700 of rh. tibor ( od., for lh. Ff.tuc. of
<br />rrE Nrt for lnth rh! FDn ! i$-r My \'6t6 snFsrhn iBom. ffE d Flrt nudrE e:
<br />(.mid \Sgt{ae> r.A:;ar,t9 ;EN! (e
<br />r,n,.) Numh6: ' q!rQeQT''\34G. r.p,a '9] fovlPo
<br />l.di!!h, 'nrhcFfolruacof ilE*.rl f.r *hichrhr pqmn n su.d.l !h,ll mr mrlo! a.! pdi. in !n! maE
<br />r a l. t<om ubd to rlE solt6 &,nrEdhn h{s of(.]'fomia .rd 4r 'h! irl i.utd t6oD. lbid h llE
<br />*0116' $mFrll io. preril'oN ots.cl ion I700 of lhc L.lttr ( od.- I {611. tonh*nh conply s ilh lhoE I'rc$6i3wARNlNc Failur. ro su. rrrl6 mmFsnin .ora.s. i. onlr*tuI. md !h.ll slbjal d dplo)q ro omin.l rmlE itrd
<br />.tril n6 up lo oE hu.&.d rhou$d 'lolln (11(x).000
<br />sdtirn 10?6 ofth< hbor Cod.. itrl66r Dd .norEy ! fc.
<br />). 'n dlirtr ro llE coe of conp.Mion.
<br />,.," - tt i4 J r"
<br />DECIdSAUOX
<br />I hd.6,dmm undd pdahy olr.rjury rh l m lic4r.d und6 pro\ isio. ofchq'ro 9 (cohnociig wirh Sdrion 7000) of Divhion !
<br />ot lh. 8BIB ud Prcf*i.E Co&. !n my fi<e B h full foR. nl.lId
<br />- {<-rJ,
<br />\t /%trr
<br />r i.G. Nuhr- ' I 9,5 11 q61
<br />I tE*,y dtim u&r p.nah, ol Fjury lhn lbq. ! ! colrru(l ion bdin3 lsdy for lh. Ffolrffi. of lhc *orl hr "tti.h rhB tEmir ir
<br />i$ucd (Se !09r, Civ. C.)
<br />AftLIC NLIIECLISIIIA!
<br />I ho!t, ali'n unds poah) ofrEjury on. oflh. foll('*,inr d(lnaiions:
<br />Itml'rion Pmirs.Asb.sor \orificdirn F.dd.l R+uldionr (I 1.,10. Pd6,
<br />Rqtrrc,l l..td oiNonfi.ihn
<br />I cd!., rhd r h. Lrta.l r.Sut tiiN Egedins atlnc r@\ !l d. .or rfel.abl. ro thi. pF).n
<br />lcdt,ar,' rh{ t h.v. rdd IhN {prli.arnn, Md srirerhd rh.dh,yc rntundk,. is (ond I r8re ro compl, !irh lll(il! and (inrntr
<br />.drunc6.nd Shr. |.tr: ELrrns ro hrldm3 coneruiirtr {*l h6.tr- au l ud Cou.l\ io ol. ulno
<br />'tEats\. nEhEd FoFn! for cFdion
<br />^t,t,lic.nl.r.\Eenl
<br />Sitnatur.
<br />"--r.*.,-",n.t,,, X "id )y;as.
<br />,.". \[ l-.ltt-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing W 'b/i1 I Nni;-'rv ti
<br />lnsulation/Energy
<br />Drywall nn tl I c-Lrtrat ,{
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Leputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL \TV ;it+> h lLl,{.f't) ?<{
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc
<br />-+
<br />I
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