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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNgf, BUII-DER DEI-CARATl(,N
<br />I Hly rfrm ud.r lrully o, Itrittr, rhd I n.r.irpt fn'n rh. Cl)ntrdtm LaiR l.w fitr rh. lolbsinS E.$r 1S..70.]l 5
<br />BurrFs &d Protcsion Cd.): a.y Cny or Coud, whih rcquir r Fmr ro o tr. 'hd. i,q'ruE &m,lth or tFi {v
<br />dtucrur., l*nrlo irl issurN. !ls] requiG rlE rpnlklni l ruch lEmit lo fik'li3ftd iul.nEnl lhllrEorrh. n lEncd nur$Mr
<br />x, ltc fl,ririons or l't conrturd\ t-itn.n L,* (ch.rrd 9 conmEins *iri s<iion 7(xI) of Divaion I ol rh' Buriks rEl
<br />h,r.rsiont (-.d.) or rhll lE ( 3lE $.r.q, rlEi.hom.d rlE h.rit n, ft ik*d.r.nghn Ary liolii,n or Sd.n io.l l l hFnv
<br />optlicrnr ror ! rE.n sbFrB rh. .pplaonl lo a civil p.rully of mr ntrc rhtn fiv. hundGd dollsr ( ttfi))
<br />-1,
<br />6 o*E of lhc ,.rx.dy. d dy .nphlEs wilh s.as .r lh.it s'l. dnlEnrdrn wil d, r,r ,sl {n dr rrEiE i d
<br />n ci.d .r olts.n t rL (Sd ?044. BuiiErr lnd Profc*b.i C{ik: Tlr C.dr.dq . tjent t w dE ml .Ppl, ro r orEr ol
<br />rh.prrFny *l[ tuildr or inthB ttrK,n, crrt wts .hEs Mn w* hnsclr or h.r*lf or ihmu8h hh d h.i ovn .r{'loy.6.
<br />p.oyilal rh.r *h lr$owmdr e ml i dri.d dotu lir q! ll rbBE- rtE tlildiry u urv.oErd ir $ll saho (E Fr
<br />or.onpHnllto'f,dBuilbtiultElEhlrliorFoulB0r1lE(tltdnnituibdiqmE0rFtFytrr E F,IIEnf
<br />-1.
<br />rs oeEr of rh. F,rdy, m.r.turiEly o dra *irt lrcnYi.odrd6 b qrtrslnrl rt FoF ls6 '71!4. Bniim<
<br />rd PrDa(in Cod. TlE Conrrrroar Lk.n* tr* .lo.i mt rmly ro !n o*kr or FoFny vh, tDildr or inpftiEr rh.G'i
<br />and eh. coe.h ro. .h rrcirli qirh r C.dBclo(r) lk..scd punlrnt lo rh. (-onrmk rLt.nsL,w)
<br />_l ricr.dF uftLr scrbn _.8 &PC for rhtr rc.a,n
<br />l)ute ()rner
<br />$rll{xfrl{ c(\t PF-r\s,rTx )N
<br />!l;g.a&rlt]l
<br />I hfchyrlltr r un,ler $n!lly ol tuJury otu ol rh. n,l['sm3 (l..hrirnN
<br />I hlE an will minrin. C.nir..r. orconmi h s.ll.l6uE ld rtrtd oqrMio.. .r Fovi.n ror bY Sdion.]'lfl) oarlE
<br />Lrlw C.d., ld r Frlm ofih. kfi rd rhth rh. IErrri n h{.n
<br />-l
<br />h.rc &d will tuirrrin srts'mqrnslhn inime,I ftquiEn b, S6rir lTmollll lthor ('od.. tor rrr IEfmB! ol
<br />rlt *qt nn *hth rhir Fmir r isrd My turt6 otr .d.n iNlre fftr.d F l.t Nmhq e
<br />l..nify rhrr in th. JErfordr. nf rlx eork fi, tha_h rhir rrrnil i\ i(\ucd.l {htll mt ctq,br ry lER,n,n Mt nurcr
<br />o at to tExr \utFcr !o rlr Hrt6'mryEn\nir hw\ of ( thfomn. ltrl .aN rhn i I rbuld tEom suhFr r. rtr
<br />$o.k6 (np.n{r bn lmvirhN of on..-rion l7m ot I h. tlh, cd.. I {rll. fortn*irh onPly wnn rbr tmvnr h
<br />WAININ(;r I;rilur. r,, s-ur slntcr{ .rnrr'.r\rix{r co\.',rpr i\ unlrqhl. kl \lrLll \uh}.i rn . ovrr ir).ir nnrlFr lrr\ lnrl
<br />.iv,l fift. up lo oE hurdRn itlouedl dolLB l(x).0(x)r. 'n r'lJirxr n' rlx co\r nf rcn{f,n$bo., drnES.r 3\ Irr^dd nn rh.
<br />AL€J^ MDLo ct a-c{l(5(P,
<br />llt!L\&\[af
<br />I h.Ehy.flnm undn Fmllyof pcrjury lhd I rn li..nsl unds Ftvnirn ol Chulrd 9lNnuEncins *irh sccrion 7(t(r) orDivkn)n 1
<br />of rhc Buri6. lrl Pmlcsionr Cod., rn m, l..nc is in tull foE lri .fidr
<br />t,..',."(1,.. C,O D
<br />r).r.: \q:!'!9 -Lic.nr
<br />Nun'tt
<br />-
<br />9gllL5
<br />,". B'rT ,LAtr Frl^/f(
<br />!!$rBIr.-rI Lr:u)!,J,L}!I
<br />I rEnby .lrrm unds FBhy or Frlry rhrl i
<br />n{ed (Sd. 1097.Civ. C )
<br />$..lnsuri'n End,nS trg.my ntr rh.Isnrmft. of tlE *ol ntr ehah rhh Ffri n
<br />L.nd.t 3 Nft:
<br />-l
<br />ftn'ryr!4 rlE rGLrl EsllllDn
<br />,.s,,1,**-,,."*,*,
<br />-ti,.m, surr"*..ui,'ii"t,i
<br />.t-* */.,i 1'-1.ny r- ,.p*r."
<br />r (tddinS Blt.r.r r.mrul e di .ritli. ,k h rhh tmj.tr
<br />ii,dnd{ r.rhlt thc uhrt int'rn i,'nt.ond1.IaX!*tr.orrlyw(hlll(ir}lnd(i{rnry
<br />ldinS con{Ndiin. urj lErcby rlrl tc E,r.cnlltiv$ ol this Ciry .nd Counry ro ..rd oF,n rlI
<br />\Dpliron! nr,\!$l \ill,,rltrru ,rt t' *od
<br />AI-C)A^/DA, C vnillta5ay
<br />ta')-.t9
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />FINAL tduvlr{fi *-,-otl,"r)Certilicate ol Occupancy t \lI
<br />Notes, Remarks, Etc
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />T-Bar
<br />lo'2.19
<br />APPI ICA\ f NT'('I ARATIO\
<br />lLrtry Mi uniler |En(llyor n(rjury otrc ufrhc f,,lL)* inB ,lc.lffd nnr
<br />l)cm'l'ri,n Pfinrir!A\trnos N.tlicari)n Irdctul R+ullrr{tr { lrrlc {). l'rd6r
<br />RcqtrR{ trtr., ol Nd'li,irr
<br />I
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