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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Rool Sheathing <br />Shear Wall <br />Framino <br />lnsulation/Eneroy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req \ <br />Deputy Final Beport <br />Enqineer Final Report <br />Flood Zone Certif <br />FINAL K*I-IK NMTG <br />Certiticate ot Occu anc <br />Notes, Remarks, Etc <br />OWNER BUII,DI:R DEI,C RT{TIoN <br />I hcrchy rlirN u'rlcr Fnnlry (n Frtury rhar I.mcrt rfr ftu rh. conr&tr{ Licco{ lr* tr rhc,nlr,s'n8 rcoy,n (s.r 7oll5 <br />t,u\ines rftl ltor'e$b. Co{c): An) Ciry nr Counry shich r.qute\ r Frnrir ti connd(, .rr.r, nnpi(,vc, rkmninr , Nt tr ry <br />ntu.rurc. prin nr i( i$urn.c. rl{ 6qun.s rht ntpltrnr tur ruch trmirto lllc d siSmd stotcnEnt rhd tror \hc i\ licrn{d llr{anr <br />h rhc lmvnion\ ol lh. Conrrlcktr s LiccnEd Li{ lCh!flcr q. Comrmn.ins $irh s.cri,n, 7l(x) or D'vr(,n :l oI lhc lru{nc* rnil <br />Itrtcsi,'n\ Cq.lc) or lhrl hcor\hc n crcmpr rhcrclinm Md rhc hn\i\ fttrrhrrlklcd.rcmpri(n Anyviohrn)n.lSL{li!rTlrll 5 hy nny <br />lppticanr t uFrnrir \ut'Jc.h rh. amlirani h xcivill}cn,lrr_oInoi m'drhan I'v. hud.cd dollrN(i1(x}, <br />-1. <br />!\ on-ncr.frhe pmtEny- or ny cnploya\ *irh wl8cs a( rhet e,h ( Fn\rri,).. $illd. itl rolk rd rh. {Bl@ s ft,| <br />i,nc i.rl orolI.EJ for sk (Se 7O],1. Busim$and Pmfc*n,nr C,rLr T]rCnnrkl.i\ Li:.trc liw(kE noi q'rly nt owkro! <br />Itc pnll.iy wt, triB{ or iqrers 1116.. ald wh. {l{f,s sEh wd hins.lf.r h.r*lro. rhn'u8h htr or h.r nun.mpl,iy..s. <br />pn,vrl.d (tur u.h in{k*tmnr\ e mr intoi.d ordT(d tur eL. Il tFrcvc.. ttr tllllin3 m iqnrwrni ir y,I] $ hm nft F:u <br />ol.oq'lcti'n, rh. ()*mi Bui&, *ill h:tr rh. htden orF.vin3 rhd lr or sh. drl ft ttriu or r{mE ih. FotEly for th I'{rFE ol <br />_1. d\ n$rr ol ihc lrnrldt. m .r.lo\iv.ly .odaciin! *irh lirn{d .ontNt,F n, .on(rud rh. Fn,Fl (Sa 7lru. Ilunms\ <br />ad lbli\*m Cul. Th. C'onrrlol s Lic.nr tj* dfts mr rpfl, ro an.wnq of prrFcny rl$ bu ilds o npnr!.\ rh.rn'n. <br />lnd who co.ttrx for \Nh lFr.tl\ *n h a C.nrtrbn { I ltctr{d pn^lEr k, rlr conk&l.r'( L.tn< tis I <br />-l.ndcmnl <br />und.r Sfrrion-. A &PC nnrhirrcN,n <br />llll€ ()rEr <br />rlrSli[xt1lr.r]tElnu&rDTSJ&IIA] <br />I h.,!.hv rlriroun!l.r Iirtulrr of p(rlurJ oR ofrhi n)l[,q 'n! lldlrBrxrr <br />I hltr urn l ill Minrrh t Cdifr.tc of C.nrnr ro S.ll- ln rc fm trorls' omlxnsri,tr.:. F,viddr ft, byi,n*innJrlx)of rrE <br />lltin GrJ.. fr ilx Ff-lrm ofrh. sor* for rtth !h. |Ermd ir 6rEd <br />-l <br />ha\caBl *ill nDintrin *ortcF' coryEn$rirn insunrc. as r.nuinn 6vS€!i,n:17(X)of tlE bhrC,xh. f,n llE li'{n'lrrc ol <br />IIm, r n*J ltt, *ortca !!)f{Ensix,n r atu.trtl lrn lrllEy nu a/*"-l-i" <br />xrr.r"y'2.cnilyrhai rnrh. F formmorrhsortf $hrh rhir Frm n is\hrl. l ihall n{ cnllhy rny f.mn in .ny rnrr <br />Lws ot Calif.mir. rd 4N lhn f I {r,uu ltLoE.urFLr h rlF <br />!lE trhor Cnd.. I rlnll. lffli$irt orqrl, *trh rho- pmftbnr <br />'n o\!r+c tr unh*ful. 'd \hall sbjdr r. mtbrs u aimMl rru!.! url <br />xl. ](D- i" .ddnnn ro rlr con ol conrlE.ati4 drme.! rt l,ovil.i lor ilr <br />qr 8 n, trroft \uhj.al r. rlr *ort6'onyEnd ion <br />s,*6i r)nlxnqrln nmvisb.s olS(hn 17mol <br />wAtNlNC li'lurc h c_uc soltds or{En\.th <br />.Nrl nm\ up <br />'o <br />om hudrcn rhouend dolb^ lal( <br />'.;:'iidfii;;; L?,. Qqae-N8 .\. LIIEASE) C(INTRA("TOR <br />DE(lraaulr! <br />I h.Rh! Jr,nm dtoid FMht utFrury rh.r I!m LlTned ud.r F.vhhn ofCilprd 9(commftins f, h S.!rr)n 7(Ix, ol D\^rr l <br />of rhc ltu\im$.nd Pn,lcs\n'nr C*lc. ud n) licn{ n in t0ll (tr.{ il.fl.\r <br />K: <br />AB 8GS.3 <br />o 5-3 | -?-s+ ...'*,.. olimAriS Gs-po{,{ <br />C!}ISIBI1:IIIJTiITNI)ING.{GENIT <br />I hrftby altnfr xnl$ Fnalry ofn rrury rh.t rhcrc i\ r.on{rucriJn hrdin8 !3cmy lor lh. flcrfonmmc orrh. rork 1,, trh.h rhn Irrnrr s <br />isucn rSN .lo9?. Civ C I <br />AIIIIIAILI,UiCLIBAIIIIN <br />I lla$t alfimun,lrr prn!lry rlIcrrury om of rhc r{,1k,$in! drclrrxri{trN <br />l)cor,lrrn ltcr nr\ A\t1\r\l..(lrrJl k.!u irk,N r I trld ,11r. l)rnnr <br />R.qundl l.nrrofNori <br />rcsddirB asb.nor rcnn'vrl r. nd,fpli.nhlc r,, rni\rn'Fd <br />lcdr'lyrhd I hrrc r.id rhs rc rlnrnurrni\ror..r Ir!a{n,.onrply$irIrll(-iryin(l(-flrory <br />f ',li'r,ur..\ 1 J Sii. l.rtr\ rc iurhoriTc cnrrs.nr3(ivc\ ofrhn ( n, rrl(i'unryr' utrrcr trFB rlE <br />li <br />f+nnir,t utr( rlrint):Enrt A,4rJ <br />-,"lor-4o+pr? <br />COMMENTS <br />?-l-"-otb