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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulatio n/E ne rg y
<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 />I
<br />iz.lkl,raiFINAL+ltil14')/2, )
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />OWNER BUILDEf, DE-CAf,ATION .I lE.l, .frm u.dd Funy or Fiury rl'd I m a.q nom ilE Com.Clm Lt.a Lls lor lh. tollowin3 Bbn (Sa.?011 ,
<br />l,6in6! ed Preftsrion Cod.) Ary Ciry o, Counry wnich rcquic ! p6on ro c.nnru( .116. inpov., &nolth or EFar r.,
<br />tu^(iG Fnr '. "! *r.@. .lio rc+G th. +ltcrd for Mh Fd to lil.. lieEl elaE lnr lE or JE it ltd.d AriDr
<br />ro rhc povi3iod of tlE Conr..rdi Lic.nEd t w (ch4rs 9. Comcirs $th S..rio. 70m of Dirtiotr I of llE BuilE ad
<br />Prcfdio6 Codc) or rllll h. or !h. is d.arF thqcfrom 6d th. bqrn for ih. .l,.g.d cxdFion. Any viohrior ol Sdb" 701 I 5 by my
<br />4pli.mr lor . pamn sbixrs llE .p?lkd lo r .ivil pdht of mr mE lhs fiv. hu!&cd &,lle! (1500).
<br />Luowotrh.FrFry.ndydplo,6wirhwas6a[Et&lGcohraldion,eiudorlEso.dtEdurEiel
<br />IrdrLd d offald 6r nb (56 70aa, BuilB ad Protu oG Cod.: Tll Cdri.Glq t LiEE L.w &6 'd l?ly lo , o"G of
<br />th. FiFiy wb hil(l or i,qD€ tlEBr id vlD dG *n h* hitu.lf or lE*lr or lEoush ht r hd o$n mplora
<br />prorid.d rhll .uch imFovce$ e ml idcid.d n ofiiEd lor sr. I r. t E.. lh. tlilding or inp.olml i sb *niitr on. )@
<br />of qlplie 0E olm h,itb siu h.\t tlE h!&n of FlEr rtd lr or iE dd ot trld 6 ing.r lh. FFy 6.
<br />'lE F4!r of
<br />-1.
<br />Bosc.f rlE FoFry. u scnlre.l'.off-lits *nh lic@.d co'lrrr6 b R)tu rlE FeiGl (Sd 704,1. 8r!!B
<br />drd Pn*sinftd.: Tt. Co n.loar Licro L.w d6 mr .r?ly ro downs of Fop<ny *'no hil&or impro!6rn6on.
<br />&d who .. .e$ fo, ,uch Foj{rf wirh ! co.brao{, lra!.d plad tu th. (or.1,rc1d! Li.dc ljw).
<br />l cron, und. ht'on .8 & P(' fu rh6 r.e,n --" tlwS/z.tq ,,".* (. eZV/L'0r,td*,nl)aluBslQnlfErsaut !
<br />DlcraSallo!
<br />I t6ct l lllm undq FuXy of Fjur, or or th. tolhs'4 &clednB
<br />-l
<br />h.v€ {'d Eill mlinuin s Cd ifrcal€ of Co66r to Sclt- lBu,. for workdr comFnorion, B tNvid.n for by Sdio! 17(x)of lh.
<br />Ir&r Con . lor rh. Ff(nlffi. of llE unrt lor $nict fic Fi a ia!.d
<br />, h.v.rndsillm0intri. work.rt comp.Ealion iBu6nc., s rotuir.dbys(rion1700ofrh.l,bor(od..aorrn pdn'nn c.ot
<br />llE uul t( \hth thie Fmn i i$.d My *ortd, .otr'rRtdion iMe..rn6 tn Fk! numhr r.
<br />_l cd',ry ih!' ir rlt Ffo,,j,.N ol rh. sorl for shi.h rhL Fmh n irs.d. l ihlll n dphy u' pqer r oydd6
<br />$ B ro tEom lobj.d to E wr6'comF6ibn Lu! of C.lifomi!- !d rsE lhi 'f
<br />I slbuld rEoft.!lr.d
<br />'o 'lEsorl6 ompd.rioo pmvirioB of S.oion l?00 ot rn Lrhtr Co&.I rhall. fonh rh onpl, *nt rhor pmvi5ioN.
<br />WARNINC: Fulu. 16 Fe hrla' mmFuir. 6\a+. it uL$'tu1. id sh.ll wbj.{l e oi'pk F lo omi..l FrtiB ud
<br />$il li6 up fu oft huii<tld rhoGdi d.rlkr lllm.ooo), in lddnrn io rlE cor or iol!d&,.s6aFritdturlE
<br />sd ), 1076.irtu lrhY (.d. n 6d sd
<br />t P-.ta-l14
<br />!!clt8alro!
<br />I bqd,y .,Im uidd Futy of Fiury rh, I m li..rEi unld Fvtbn of Cll.Fa 9 (sffi'rE r nh Saii.n 70m) of On tbn 1
<br />ol rlE Duind ud PDt6io6 Co&. lrl ny li..e ts in full lor.c at.ltdr
<br />COIIIAISTIIIJISBq.AGE&qI
<br />I hd.by .l[m un<k F.rty ot Fjury th, rfid. ir . odtu.lb. ladrB rady for dt pdfonlec of lh. mrt 6r *tth lnb Fsn ir
<br />isu.d (SE. 1097. Civ C ).
<br /> DPI I('ANT NECI AlI{TION
<br />I hdrl,y.rftm uBld Frh, ofpdrury oE or E tollowir8 &rlrnbB
<br />Dq@lilh. P@n! Asb.rd r,J.ricdion I'.d6.1 R.!uh!ionr(Tirl.40. Pd6l
<br />R.<|un.d Idrooat*ii6dn.
<br />-
<br />I .diry rhar r h. f.ldrl rcsuhr mN r.srdinx ariBro. rdovrl &. m' 0rplirdbl. k, rhi pqal
<br />-l
<br />cdrf) $d I hor rdd rhb .p9ldlio. ri ed. rhd tlE !h)v. irf.mdion n coGl. I .sra lo omdy snh llt Cn, a.d ( .uit
<br />ordiMc6 ud Sul. tra tlt.itrs ro hrildiis co.3rN.r io.. .nd hddr, lothort. r.F6q .liv6 of lhis Ciy ed C.unry lo ar6 opon tlE
<br />r[z*lzat1
<br />Flood Zone Certif.t-
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