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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DELCAR TION
<br />I b6!Uy rrm undd Fnrhy ot Fjur) i'r I a saqi ion tlt Co'rr.da Lt.e ll* aor $c followidg l@n (sa n]l I t
<br />B6in* s,!d Prcfdion Co<l.): Aly C{y or Coody *hih r.qun6 . F,na to otrrtud. fts. inPmvc dmlah or rr'.tr, u,
<br />,uciE Fior ro il! i!rus.. rlro Bqun6 th..,pli.sl for rEh pgftit lo liL t 3iSf,.d ndffil lhn lE o. lhc i! lkaE d p{dud
<br />to tll FDvirioB of rlE Conrddi Lk n!.d t s (Cn+a 9, Coffiins *nh 5..16. 7mo of Dirnbn I of llE aGire rd
<br />ProfBion! Codc) or rhlr tE or rh. i! d.mF tlEdroE ed lh. b6n foi lhc .l!r.d .rdFhn. Any lnhDo oas<lion 701L5 bv uv
<br />qlpli.ul for r FDit rubjal! rh. +Dlic&r ro . civil pc lry of.or mEinr fivc hutxlr.d <bUB (1500)
<br />-1.
<br />6 o$c olrhc Fopat,. d my cmphrE pnh *as6 s thd $lc comFuion. will & llE wcl td E 3Mw i ml
<br />ids'.!.d or or6.d tor sl. (SE 704,1. &uir< &d frcfdi.N Cod. Tt Codncror', t-ic@ lrw d.6 nol 4ply lo e omd ol
<br />ttE FoFt, *lb h d d ir4 06 tlEln .n *i.E dG si w.t hncllor lEslf or tlllush hi! q hq om dlpbyG
<br />proyi{,.d lhd uch inFett6l! e 6t -rdi.d or.itttd f.r sl I( iEEE.ltE hrildiB d iqnEE i rld silhh oE td
<br />of conplaiotr ttE Om6 B{it(b will h!!! l,E buda ofFrrtu ud lE or dE dil nol h&l or inpr.\. th. p.oF1y fot llt FnFr ol
<br />l. sow6otth.Fopsly, M dclNie.lyconr.ding wilh liccrEd conln lon io coNtud ltE PmjEl {S{.70{4. &!ms
<br />rn Rolsin Co&: Th. Conrrtclq . l,ic@ lrw &16 br @ly to m o*E of FoFly tr ho hild. or imPmtB lha@Il.
<br />s! sho oin ! tq *h FojEi3 ,nn . Coddon3) ltqsd I[E{.n b rtE Codr.clm r ti@ U*)
<br />I m.rdpr und6 S6rion-, U &PC fulha rd)n
<br />D.l. ortr6:
<br />!l)8f,E8r9)}rII!lAuq!
<br />DECI6EAIIO!
<br />I ffiy .mrm unda Fdty of Fjur, om of th. folowdB d..l,tdioB
<br />-l
<br />hsrc drt * iU inlrin. cqtifd. of Colgl lo S.l!lBU. Ior edk6' omFulion, B ForiLd for b, Sdlion I7m ot$.
<br />#;aor llE Ff(n'ft. of rhc qo ftr strh rh. Fhh ir isu.d
<br />w!*.. .osFcdbn i@ce B rcqun.n b, sdion l 7@ otlt'c l.bor co&. lor llE Frolrr@. of
<br />ion iMrtr ceir &rl Fla, numb.r t
<br />c ,
<br />-l
<br />cqrit rh.r in rtE FfolIrW of ttE f,ort t( r'hth r'n Fir s dtral I iEll mt ophy uy Frr ir ay IuF
<br />s s to baoru rub,.t1 to lh. *dt6 onpddbi l&. of Glifomia ud tsc rhd ill ,huU hcom {titr b lh.
<br />wortqj co'np<Mtion provnn m of Sdon 1700oflhc lshrr Adc,lildl.nhwith comply qilh lh.e prori.iotrr
<br />ys to wuut FtrhE rrd
<br />.trir 6.6 !p ro oB h!,xt d rhored {tolla! (Jl@.0o0,, i. tllnbn rtlms6 a FoYit.n fDr th.
<br />sLrri,rn :1076 ofrh.l0lrr Codc. rnts6r nnd ..,K
<br />I hd.6r'lllm un& Fui, of Fjury thd I m 6 9 (mnffi'ns r nh salioD 70ur) of Dtr lnn l
<br />oa th. 6ci,B md Prct*iB Codc. rd my Iic.u i! in tull forcc dn crkt
<br />?85"L3
<br />,.r./!Y-
<br />I hd!t-! rfm udd Frly of Frury $r dE ir. @dru.ib. lqrlj,le.sdy for lh. Ft(ffi. of rlE ssl tot s
<br />AfIIJQ$LDECIJsAIIO!
<br />I hclby rtrm u.d6 Fi.hy of pojury on. of fi. follovhg d<ltraioBl
<br />Dqmhioo P@nr.A.b<no! Ndificdion F.dd.l R.suLrbN (TnG 40. Pd6)
<br />-R.q!rcd
<br />tdrd of |rdi6cni.f,
<br />I .dit lh, iE f.do-.| r.subrioB Ee8lrrB stdG rom!.| 3. tul +d6bL ro
<br />'hi! Forn
<br />-lcqlifylhll
<br />I h.\. rdd lhi! .pplicartrn ad thlr rh..tnvc inLtuion ir mret I lsrd kr.odtly wnh.ll C'ly a.d Courr
<br />frhnc y .d Coutn) ro 6na uF)n tlEo.d!1N6 3d Sld. tr*! Ekry ro
<br />.b\. mdnorud pmt ny lor ;,,,/a- a/-4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enVlnsulation
<br />Roof Sheathing ohb/fi /rttttn /fr--
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 />FINAL tt/,//r*A4blA '/t
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />WARNING: r.ib. ro su. q!tl6 otrrFErDn o\-!*. i! ult*
<br />isu.d (Sc. lt097. C'v. C )
<br />l.trddr No. _
<br />L..dr'r A&Ls'
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