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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE IDiSIG.COMME''.lTS
<br />Set Backs 3-2-/(kI.)t^
<br />Forms/Steel/Holdowns ,-2>-ly 7.vlla\
<br />Erection Pads \J
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq Ll_z7"tt WV4A
<br />Shear Wall (i->7./t x.v-/rt)
<br />Framin + -e -lY ) rH
<br />ln su latio n/E nergy '"1' j't - 1Y XtlA
<br />Drywall ;-7 - iY tl
<br />Ext./lnt. Lath 5 7*(y \.wm*h.wlffBrown Coat b-5-Lv5-t\1y *,wil
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FINAL {1416 fn^""NI-,n,/
<br />Certiricate ol Occupancy I
<br />IU
<br />Notes Remarks Etc
<br />-z't-4n/
<br />OITNLR AIlILDEN l}l:l,CAT TIOI\
<br />I h.rcby aflirn und.r Fnalr,,'l Frlury rhd I !n.r.'nr fiorr tlE (tntreb^ Lirnf, li* t,, r& folli,$in8 icK,n (&i7r1l5
<br />Burincs rftl thlcson Cod.) Any Ciiy or O'unly shi.h requtc\ r lrrnir k' d'n\lru.r, rlr.r, impr.v., n.nrnhh .r Rn{n uny
<br />{rudurc. Dri, n, ir! isumc. ul$ rcquircs rhc vplnnni itr s .h Fmirt, fikd {i8rcJ {urcnrnl lh.l lEor \h. i\ lier.,l p;Au,ir
<br />k, rh. ,ltuvi\x,nr of rlr Conrkttr ( l.i..n{i L* l(- flcr 9- ComrNkin{ r'ilh Sccri,n Tllt) ot Dilli,n I ol tk autirc\i lnd
<br />Pr,rcisi,r\ (irk) or ihrr tr or rlE n crcrq{ rlrrcarom,n rlE lErn nr rh( rlks.rl crc'rllrxm Ant rrihrrrnorSdbn r0]I t tt] tnt
<br />rmlarnr ntr { Fnrl (lhrtls llE lprii(lnr lo r .n rl p.Mlry of mr mtr. rhln fi\ c hunlrcd tloll{\ 155{Xl)
<br />l. ar osftr ur rh. nmicnt, or ny.mtlorrcs wirh waBcr rr rhcn \,. N'npcnsri.n. *ill(k' ih. wnrt aJd rrr nMm I R{
<br />inrcfrlcn o, oll.r.d ntr qb ( Sr 7l H.r. Buircss lod lh'li!\in\ Cdlc 'l'hr (ihtractr \ Lkcn\c liw docs n.l amly lo an o$ns ol
<br />rhr I'.Fny *h, hrilJ\ or iqr(trB rhdur, aid $h, *$ uh usrl hinr.l{( hcr€la.r rhrou3i tn m hcr or. rdtk,r"c.r.
<br />,rovkl.{ rhr rkh 'ryrntmd\r. rn de .rirofmnfors! ll h,urr-. th.t{iH'n3 or rtioEmd F!)Ur hu'nFr
<br />ol!1rq,ldi'n. rh ()*rc. Aulk r l lE$ llE hrdT ol |fov,,B rrr.r tr or dt Jil nr ta,ll (t 'rl!u\t rtr pnlrnt n, fi. F4$c or
<br />l. rsoBNr"l rtu nn,Ii.ny. rr u.lu\icly cont&li',r *irh licctr*rl .rtrrkk)^ b coninr.r rla tr.l.d lS.. llrl4.lnNres
<br />rrrl tlt t$iD('rlc lhrC.nkr.Lr's l.irrD\. 1-r$ ,k,rixr ryplyr) inutr c.l[op.nvrho huild\or in,[o\c\ rh$con,
<br />lnd trh) .fnk(snn rkhlrolr(rtr[haOntr.r.r,$r li.cncJ p!^rltr hrhc(-l,ntrrn'\ l t.n{ Lttr)
<br />z/zo/t
<br />ulrtlull!]r
<br />I h.rchy rfitn unln ,.Mlry ot nslurl-. oN of rh. filll'r int {lNhnt i,ns
<br />I h.rc dl snl mrnr.in . Ccn iaxlt. oa C.nrnr h Scll lnrur (u *orl(( onqEn€ri,n. 8 Frvd.n r hySsrnn.l7il)olrlt
<br />t jhtr cod., ftr rh. Frrorum. rl rhc work for whf,h
<br />'if, Fmn ir is\Nd
<br />I hlrr .nJ q rll trrintoin *orkcr( (omncns,in i',\ur!tr(c. as rcqunc(l hy SNr i(,n l7([ ',l rht I ih]r ( odc. l[ rhc Irrfororc ol
<br />rtk *ork i, $hahrh$ pcmir ic nur, ,rly sorksa dnqrnernn insur,'rr .nrrr ,il Frl.t.u.$.r ac
<br />-E{!iE
<br />I ccnrry rh.r rtr rh. |lcrlornuBr nrrtu vork for with rlti p.mir n nr.d, I dull mr.q,hymy Fsn in.ny ronrur
<br />w' xrol\nB\uhFr rorlI*o oi fl,fl!tuio. Lrt orcdirmi, rn ..r $.1 if I rlbrd t .!d obrd o rh.
<br />$ orksr' sqr.nqrx,n pnr nirn\ nl sd b. l7m of rlE us Cod., I {rll. fdin*i[ ond, rah .lDr Frvkhr
<br />WARNINC l urluE r,, sm R .^' on+.Nrir. oE !. k unlwtu1. .d .lEll sbF 6.iphF ro (lrljel FEhs lft,
<br />civil linc\ up x'.8 hundd rhousfrt douur l$Ifi).finr. in ddn.n lo lll sl of otr{EMlhn, drdS.r ri tmvid.d (tr rh.
<br />S$rion 1076or rnc lilnrC,xi.. i.idr{ rnil atooy i r..r
<br />,^"," z/zo/tt-
<br />,, DECI'f,AIIA
<br />I h.rbylrfir lnln FMlry.f F,Nr) rh{ I.m lNn<n und.r FDlilhn ol(lEprd 9
<br />ol rtu Au\imr\rtr Pmf.sn,nr ( rdc.8xl mv lircnE i! in tull foR dtn dtTl
<br />Seli)nTlxxrr orDilntrD I
<br />c()Ns'rRUcTI(rN I ar\Dlrtc aGt icv
<br />I h.rht dfln lnld IEndry ol Frrlry thlr r hs. t ! d'n(rud io. Lndh8 rF(fty ror rrE ,Erlormtu. .f rh. *ort lbr whth rhn F ni ir
<br />nsBdisN ro,)7. ci! c I
<br />l.ild . N.ft
<br />-
<br />AIELIgILDTCIJMIIAd
<br />I lr:*ry {tinn u ndc, |Enlxy ol rEr|ttry oE .f rh. n'lt'N in: d.tbn! i,.'
<br />l).m,lni,n P.rn ! Aih.<o! Ndrrrdr,. FdralRquLr$nr rTnE $. P!n6)
<br />_Rcqrn d,r crol Norff,,ri.,n
<br />! &n'frrlurrh. fcdcrdrtullri(, \ nlttrJrne r\h nu\ rcnFvll rr. ui nmlf,rhL n, rhn fhjrcr
<br />I rdiry rhi I h.rr Esl rhii !n ladrion rn shrc rh,r rlt ltrryc inn,mri,i n .olN I lEe !' $tr{,ly *ilh rll ( ir y rd Coun!,
<br />,nllE^-cs.nl Sr.r.l:*\ EqiitE |(' huillns condu!pn. {d trby!r'hn',. hlrc*ddi\r\ nlrhr Cilylnd (:ounryro cnrd ulr,n rh.ffi:;il::#
<br />P.mXFEE'erli'r:
<br />7
<br />2/z,>/.tt
<br />lrt?.ffl
<br />Subf loor/VenVl nsulation
<br />-\+4f
<br />-lolasDn{{l- (
<br />Flood Zone Certif .
<br />I r0crenrpr u.tl{ Sali'n
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