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BUILDING- INSPECTOR RECORD
<br />c IIIENTSSITE-WORK DATE ID/SIG.OtI?JER AUILDEf, DET-CAN fl ON
<br />I ha*y .rm urdd FdrY ol Frury rli I d d.oi nln rlE Coln,.d6 Lt.eLa6rrltfolklwirl,.e.lsa?01It
<br />Buinds ind Prot4ion cod.) Ary city o, couny *hrh rcqun6 . Ff,'r to conntu.l. .ia. mForr, &odnh or n+.tr iMy
<br />tud6q Fiir 'o
<br />tu i!.ltmc. .to 'q!iB llE .Cplt@l aor $.h F it io 6L r rbn d {rdrml lhr lE or JE ir lkoEAl Frrld,
<br />to rlE Fosio6 of rlE Conrald-! Liccfi.d Lrw (Ch.B6 9. Comdus ynh Sdiro 70@ of Diuiiiotr I ol rlE ttrli'B nd
<br />Pbf.siotu Co&) or rnd h. or rh. s .rd$ th6cftom rid thc b$! for fi. .ll.scd .roFion Any violrlion oas.dion 70.! L5 by uy
<br />.ppli.d lor. Fnh $bj-l! th. rlplkrt lo r.iril FEh! of mr mE the fiv. huidrd doll6 (i500)
<br />-1,
<br />a omd ofth. rroFry. or my dplo)6 wirh w!s6 a lh.t $lc onFldion. will do 6c *ut ! $. rnl.lE i! (n
<br />inrcd.d d olfq.d ftr dc (Sa ?04-1, Bci6 ed PEfdi.B ('o&: T1r CoIlncl( r Lt@ L.$ &6 ml +ply lo n o*E of
<br />lh. FlFiy r ho tlitl n inFlE llE@ !'d *b d6 $n rul hirelf or lEdror llErsb hn d hd o*..mpbrq
<br />Fovidcd rhd !u.h inFo!68 ! e mr im6t d d o,$*d tr sdc ,r, lE*e. tE &rldin* or inv.ov.lld i! FE wnhir m. y@
<br />otdrpki4 rlr OrG B{ildd *ill [.G ttE h!&i of Fows lhr lE o. ih. dd d toild or ilF.nE dE FoFy for tlE F FEof
<br />L a ocM of in FiFry. m d.luidy coddinB *hh li..N.d .onrdoB to onrrud llE Fojer (Sd 701-4. &!rB
<br />an Pbbin Co<L: 'I r'. codrdolt La.e t^ do€ hr !p0ly ro e os"6 of F.F! *ho txildi.r inFord rtg@n.
<br />lnd who onttu! for such Flj<rl wnh. Comclo(r) lic.nsaj p6d xr th.conrrdoai Lt.B Llv)
<br />I d.rdF urLr sdion .A&PC tufiilran
<br />}AAf,!84:{AUIENAT$Illcldlar]o!
<br />I hd.by aflifln utdd poulry of pcjory on. offic rdllo*in8 d6ln.rioB:
<br />-l
<br />h.v. in u'ill ditlr.in r Ccnifrc{. otcoMr ro S.lf.l6@ fu wtdr' mp.utiol\ s Fovii.d lor b] Salnn 1700 of tlE
<br />Llbor Cod< for lh. pgfotu. of lhc wort lor trtkh thc Dqrnil n isucd.
<br />I h^. &d will mrirl.in *dldr c.mFEdh. iEffi.. 6 r.qui.Gd t, tHion u0( of tlE t hor ( o&- toi $. Ffor,le. or
<br />th. wort for which ihi! Fn n isu.d. M, *dkar .omp@rlion iNu.m. trid snd policy nuhba rc:
<br />.l pt€z.t a*,u 7u A4A4 Dt_-
<br />,,,,,,",- 4? .96 - 6? / - q:+I
<br />_l.difyrn in rh. p6fo@.c. oarh. *orl aor whkh rhr pf6il r! Bu.( I sndl nor mplo, lDy F!.n in !.y rund
<br />$ u ro beoN .uqat to tlE trslta cotrlFEnF. bB of Califomq Dd r8E rhd f I slsuld bco@ sbjel ro 0E
<br />{! d onqEEdbnForir66ofscr6n lTmotdE l.tb. Co&,I df,ll tunhwnh otr'ply wnh lk& FDriirG
<br />WARNINC: I.drlorc r! Kuc s(rk6 $hpqlexon Nrdrf,.ful. ud 3h!ll $bjdl o oplotd ro ominnl porhie s'l
<br />cnil n.6 !p !o onc h$dr.d thous &lLE (tl00.(J(x]), in iofl ro rlE co, of co"rFqrio
<br />SNo. !c'7o.f rh. |jb, (c.L- nrad.nd
<br />".,.. P/t4/tg
<br />^
<br />TTLqJErtLA
<br />I h6cby rrlrh uid6 pquXy ot p6juy thd I m !Gs.d undd ,ro6'on olchrplq I (omtrile *ilh Sdli.n ?000) of Divnio. l
<br />of llE BuiE !d ftofdioB Co&, -d Ey lro* ir o lull lore !n.rrl2nI ?ZZ
<br />D.,. rl1iEVi *^,6 T
<br />I ha.t, orm ud6 FDlly of Fjury lhd lhs. !r . conlrruclh! lsdills ,sny tu llj. D6hr@c. of rhc $nL loi *tih lhi! Ftn it
<br />is.d (Sd. 1097. Cit c )
<br />L.n,lfl s \rm.
<br />af&l{;ABl.I)!clJaart0!
<br />I halbr .ltm o..d Fi.xr oa Fjury oE of th. follo*in! ddLr.r.B:
<br />D.flDlirion Pdnrc.AttBro! Noriliorion F.d6.l R.ErLrrN (Tirl. 40, P.n6)
<br />-Rdt!i,!d
<br />t!r6 olNdif..hn
<br />-I
<br />cqr't rtn tlE fcdqal r.suL1io6 r.sidi.s Btd r@rd &. @r rp0li.,bk t' rhn F.i{
<br />I.d1'l\ rl'.[ ll \r'cxdrlnsit)f
<br />'c.r
<br />o srrr.rldfi(al c ntunndr n iscotrd l aare ll, conply w'lh all (
<br />'ryand
<br />(i,unry
<br />ordirft6,k! sr . b*s Ehina """),,,,")))7;-"-rbov. trE{.n d F.F y fo.
<br />AppliLrn( or Aidr skn.lu cZ*zaA
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation-
<br />Roof Sheathins 74-tfl-4,/tq a\4(
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<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 />l
<br />FINAL d4ulr^ffi 167r/
<br />Certificate of Occupancy r- 7.f I
<br />marks
<br />F lt ),a
<br />t lvr' , ,,,v--\, \J
<br />Etc.
<br />- ,[.la tt rt{,et 9c-e -
<br />I
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