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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNER DU!LDER DEI,(}NATION
<br />I rrhby .nqn u.dd pcn lry or D.rFry rh, I m er.r9r ftoh rh. Coi{Rctor' Ltos lre lor rtE rolbuns dqrn (S.c ?0ll 5
<br />Bu(in.rr rd Pmrerbn C{n ) Ant Cn! o, cMry Bhah .cquiB . Fd b MrM, .hd, !r{'mrc. &mlrih d EFf dy
<br />riN@ Frro dr irw!, rh. rqoiB ilr +did fdrkhFd b nk..i8h.d nrc@r rld h.or lrE b lt.&n Flitl
<br />ro th. Fritbn of tlE Cmrdd\ Liq<d ll* (Ch+r. 9, ConnriiS *an Sdiio. 7@ or Divnbn I 6l rlr Burias !n
<br />PDLsions Cod. t or rld lr n rh. as .x.nFr rh.r.rbn r.d rlE h(ir for rlE dk8.d .r.q{nn. Any vioLriin of Sdirn 701I 5 by My
<br />rpplhr ror r t6nir flblrk rtt +tli.Dr kr.cililFdhyorft't mErftu fivc hrndrd &llor (1500)
<br />-l.
<br />e osEor E Fotdt, d my.Er0hFi wlrh r.t6.r rlEtr $l o,FMirn. w 1(l)OEEi.rn EtuGrm'
<br />idfrkr or ofi.Ed ld sL (Se 7or4, auw.. ind Ptrf6ra6N Co.h TIE Coffdd s Lk.n. t w.ra E{ aFly ro 4 owEr of
<br />rh. l,mFdy *to builsor ir{mt! th.rn r qho d{Et uh wrt hiNlf or h.elf or ltmu8h ni, G hn own.i{,lo}r.!.
<br />povilcd tlur $ch im{rcer.rr ercl i arLd noffdd for {h l( hos.G, E boltug or i4mwnl n sLl wthi. m )er
<br />ol mnI,lli\ dt O*B B'ilk *i[ hE lrE hntn or FrrS dr lE n {E d n l hii! M ilvrw dE FqEr, fn dE F,ID: of
<br />_1,6owrcrolrnc pmlr.ny. rmcrctusiEl, lonr.diry wnh [...$d co.r.dou ro &drud rlE pmrat (Sa. 7{x4. auiEr{n t B\in Codc: Th. OrnrErols Lk.nrc L.v dG. ml +,rly ro !. owE ot !rcFny wh) buildr or inlpmrcr lhra,n.
<br />lnd sho $nrrls for sh F$jdrs Bnh. Co.rrdln lEn*d plllunr ro
<br />'lE
<br />q,nr.d r tnM L.w)
<br />-l
<br />m.rrDr utdcr Sarbn- E. & Pc. fo rhir E sr
<br />D.r.: o*D.
<br />woru(rrlr, coMpnslTroN
<br />D!(;IIAAIIIJtr
<br />I rErby .mm unb, Fnly or Fn!, or of rh. f{,lt $in8 (hLrrrbnt
<br />I hxr drt sill roinrrh ! Crn ilEarc orcrtrEnr ro Srlf l nurc ld *o,lcn $tr{Enqj i('n. !s Fovidcd ,o. l,y Sdirn .1700 ol thc
<br />litxtr C{iL. fir rrr F"fomN. of rlE m* rtl whii llE Ism is issEd
<br />A:mr*;;l mdri. hrLR oqEnsrri,n iNue.. r rcqui,ld byS<ri,.l7(r) otrL Lrx, QxL, fd tlE Frrtrm of
<br />h lhis pciinir N r\!.d Myqn.
<br />l2..,1.rc"g
<br />w \re\S1 .. E-r/orlze"t
<br />,.cnify lhrl ir rh. FrfoirEd. ofth. work ror ehkh rhit trrf,lr is G3kd. I shlll d.npriy.ny I' son in my @M
<br />{, .! ro lB* strd ro Ii qit6'onrEni.lion hv! oa Ctlifomi.. .,n {r tlul ill rlsuld bccoc lubFl lo llr
<br />vrtm con{lBr-,n !bvirk'6.t sdbn 17@ orrh. L,rv c.d. l aEu, fdh*irh 6n!ly *irh rlbr provtis
<br />wAXnlNG: rribE lo .@ wtcB @nposri,n orni. ie unLxful. rn slEll iulrFr o dipk'F t qini l FEIB.,rl
<br />civil fiei W kr od hundEn rhousld d.Um (31@.Om). h rddni,i ro rhc cod ot conp.nsriotr lltms.i a rovil.d ao. rlE
<br />):, 1.d{'jI"H:il-l"S*
<br />LICEN TN CONTNAC'TOR
<br />DEClJEdIlo!
<br />I Lrcl,yrmmldcr r.tulryol Frju.y rhd I !'n liccncd uidcr Drovthn of Cnanr6 9 (co.mftiu wirh S6rbn 70m) orDivisio..l
<br />ol 0E BuriE.r .tn ProfNionr Cod.. rnl mv li..e t in 6ill lor un da-l
<br />"*.,,. rrD 9
<br />^,. TIi-o6 ,,'",
<br />lo3qqq\
<br />WAUTtrU
<br />CIrNTIAUCIION.LEDIIG.AGE!}
<br />I rrrby amrnr xdcr Fndly ol Frjnry ihd rhe is d .o.nrudi,n LndoS ae.ry lor rrE Frtumm ol rh. worl for whih $is Frmir i!
<br />nlEd (sd..109?, civ. c ).
<br />AELI{:IINLDEIJdSAIIA
<br />I hq&y.trmr u,i.r F dry oa rErrry oE of ll! follorin! &.L,trbnr
<br />txmlirior r.rnri-Asb6r6 Norifrarion F.ddrl R.3lLrbnr (TirL 40, &n6)
<br />RcrtuiRl l.rlcr of Mrili(d!i,n
<br />f I!!n t,hr, h rilcdlrcFUL i,r\toF,u','nrJ{rJ,r'.'r{Jlrcn{qrllirhkn,,ln,|I,ir'
<br />\J..rry,n., ,"r.,-uru. {rr,rtr ,{,.,frr n. r rhJ, rtr rrr, rrrre b.onrrysnh ir ((ylnd(i,unry
<br />',;ltrsk(s rx, \Lr. ljw\ rcLriru i, hurl rns(L"Nrrucrr,n. rlh.rcbyadh.u(rcrcwruitu\ofrhnCir,rndCoutrryk'. crurnrrh.'h*'ltrnhtu'r'i'Fn,rdx(f'IEi\l- -,,1'!7ryo
<br />P.m,i,Fnrn.'pr,n,: Ti'r N 03Q.rS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Flnal Report
<br />Engineer Final Beport
<br />FINAL 7ft4b t4"9)
<br />Certilicate ol Occu n
<br />Rev. 0B 07-2015
<br />DATE
<br />Set Backs
<br />T-Bar
<br />Flood Zone Certil.
<br />Notes, Remarks, Etc.
<br />I
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