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BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNES BUILDER DEL(IR TION
<br />I lEElry.rrn un&r Fflry of Firy [d I d crl4r fom rlE CorrrdB tj.re tr* tm rli tollosrr lt&n (S...70]l J
<br />B6itu:r ad PEfciiior C!d.)r Any Cny or Cou , wnth EquiB . ttrnl lo @nner, .ls. intimE, &mlirh d irFn {y
<br />rtMc Fr lo il! LtruE. .Lro EquiB rlE +di.,r fd *n Fmi' b 6L . lran d lrrcnE $d lE or {t i lirnid FErr
<br />lo th. Fovirions of tlE ContIrd 3 Li..nrn b* (Ct9rd 9. C.ttEmint rnh Salnn 70@ of Divirbn I of rlf, BGiErsJd
<br />PtDf.$ion. Cd.) d Uur lt ( it n.r.r+ rffilm rd rli b.!ir tor rli dltcd cidr9rhi An, vbLrbn ofsanb.70.l L5 by uy
<br />rppli..d lor . Fmr sbFB E rp?lad
<br />'o
<br />. civil p.Ehy of mr mr lh& 6v. hu,nr6d dotlm I$m)
<br />-1.
<br />B o*E of lh. FDr.n,, q ny .npl,F. *ilt *.3B n lhcn Db on+.n!rirn. wiU d' t ! Et rn rtl ffi ir d
<br />inrqidl or oif.r.d for eL (Sd ?0,14. Bolirc$ &d Prof.$ioN Cd.: llt Coirr.cror'. Li.dr lr* dc. ml r!?1, lo x rwmr ot
<br />rlE Frrdy vtnhitlrbsBdEm.d*bdEsnm [ilMru lr&lf d thhulh hir c IEr on.nptrr.<
<br />pfl'vad thd slch imFnwnl! @ ml dc.d.d orof.Erl fn eh. lt l[ME dE hlildhS or inpoEm n$h*ilhinN,ar
<br />of trplxin dE O*E arilb *ill lrr tlt hit ofF &thrlEo,{rdndhli!sh+.NdEFopalyr dE F4.iof
<br />_1. i .wE or llt FDrdy. a .r.brircly .rMin, Mh liu.d offi(A b 6nrM
<br />'rE F$F {Sc.. 7ol.l, BuliB
<br />.rd Msi{ Cod. Th. C..tr.rolt Lic..s L.a des er el|Plr ro uswEr or proF,ry sho builds or ihpbt.r rh.en.
<br />.nd *lF onrIr]rt fm sh Fljdlr with r Co rrrrl3) lilEn r{tud r. rlE Codrxrs r Lifr L.*)
<br />_l d.&mF ur&r Sdrn, .B &PC rdihb rsn
<br />worr(Eis cot\tPEl{sanoN
<br />IICIJIAtrO!
<br />I lmb rafm ud.r Fulr, DaFrry oE orft followiru &ch[iio6
<br />IhrFrnlpillmidrhdCdifri.ofc nrnr t, S.laln\h k *o 6a conFnd$n, rr Frrll.d ror bySeri.n:!7Cn.frlE
<br />I itrn Onc. fitr rrr ltrfo,nEncc ol itr *oi
<br />'l,
<br />whth rnc plrmil n i\\u6j
<br />/l hrE..d will mi rr Hrldr' sqEnsrb, imrd., !r rquiro, by Sdrion 37m ol rtE t lx Co<!. fm r,E Frf(,mE of
<br />tlE mrt for whtn lhn Fmil n ii,r.d. My srkm' .of,p..r.ri,n in$nE cfar .d pol-y nurlEr E
<br />*^
<br /><1 oatu ()4(
<br />_l..nify d i. trE Frformr. ofrh. mrt for rlrrh rhn Fmn t ir.u.d. , rlEll ml c,{,loy r.y Fs in uy m.F
<br />s' $ l. ksr sbFt lo llE wnr6 onFnslion h*s of C.lifoni& 3,rd {r tlul ir I rbuu b<nft.lnF r. tlE
<br />s$.t6 orp.N'i,i t,trlilbB oa s<rir ]7tD of rlE Irfi cod.. I ilrll [nhrio 6n9ly wiit rln. pmviiiof,r
<br />WARNING: Fnlur. lo ft@ s,ldl conp.Nlb mm8. n unL*tuI. rd rhll sublrl x 6l,10rr lo oiniEl F lts !n
<br />cril nEs rt ro oB nu,rrEd rlsus&d &'ll.R {lrm,m), o .rdnbn h o( ol co.E Erha d.m!.r .! I'ovi&d tu llr
<br />sr.ri()n 1076r,rrt[ l]htr(ndc. i, .rc{ J rr(tr,ry \ r.cs
<br />,".,0?- l\'1921 noo,-*
<br />Dr.l l\l{Ttor!
<br />I tEEhy dirm udd FEIy of F.jury lh.l I .m lim.d u.& Fovilion of Clrplg 9 (ollrrinS eilh Sarbn l0(I)) o, Divirion l
<br />ot rlE Bunfts ud Plbf$ios C6d.. !d ny lt.B B i, tull foE.rn.lfet
<br />-{qk L{(,}
<br />r,","$|- ll lo16 .^,*,"-fuDtl)
<br />raN,uxu{jur]NrENDllri.A{ill(I
<br />I llrchy rlltn, u,ncr FMhI of F rnrr rh, rlm t r ll,.rrucri,n hniin[ qcNy l(r llr Fftmwc of r *dl rr, qhah rh^ Fmr 6
<br />a{.d iscc l{,97. ( '! C I
<br />APPI IC I\IT NTCLATT^AION
<br />I hod,y rtrm !ndc, F"!h y of pslury om of rh. folhri4 drhnrionr:
<br />D.mlnbn P.rnis-AO..rc tadiar{nn tur.l R.,uLri... (Tirl 1l0. Pd6r
<br />_&.quircd 1.n., ot Ndifr,lln
<br />-l
<br />*nify rhd rhc fcdcal EslhrioN rqudinr u4.tlos rctuvll e Dr +?lt h k' thir pftrlr.
<br />Llccniry Ltor I tEk Esd rtns lprrl\&nn,Jd nsrc rhlrrhc ahrk infomrior h o.rft]. I .BB ro 6n{,ly eirh nl Ciy.nd Counry
<br />rlim..d Sdc t $ EhiA ro b0 di.!.ifun( !n lErtby.!}nriz. RFld.riE offiit Cn,.,n Cou yro616uF! r
<br />ltnw rniioEd nmr-ny ffl hrarbn nupoc ,
<br />^**-, - ^o^r
<br />ra-,"n aM4-
<br />-r--o*r*^r, Da n, g I r/t" n O<,
<br />o?, I )!
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />.{n)
<br />FINAL il?tl1e 'ltr{N.4?;.F/
<br />Certilicate ol Occupancy )I
<br />Notes, Remarks, Etc
<br />Rev.08'07.2015
<br />oi-l<- 1.o}(
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