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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE IDiSIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Roof Sheathin s <br />Shear Wall <br />Framing lh/2// /.Nh 0\\,, <br />P*wvt*-lnsulation/Energy l/.L/rk urv4 <br />PrillDlrtDrylvall7(lA/r'lfn,/ <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 />./ | <br />FINAL <br />Certificate of Occu pancy <br />Notes Remarks, Etc. <br />OWNER BUtT,DER DEI,( RAIION <br />I hsrb trm undd pd , of pcjlry thll I m .rmF fmm th. Conxlclotr Lic..r ljw for lnc follo*ins r.&. (se 701 I ! <br />Bsird !,n ProlNon Co<lf Any Ciry or Cou'ny {hkh ..qun6 ! rEni to s,!tuci. .lrd, irnFo(.tkmlirh or qEn ey <br />dnrdue Firlo il! isle., llo rqi6 rlr +gla&r fortwnF6nro 6krien d$66i lhr lIor $. i li(qEd FrrEr <br />ro th. F.vbioN o, rlE Conlrr.i('t Le$.d L.r (CtuFd 9, Comlffiins *nh Sdion 7001) of DlrilFo I of lhc adi6 Dd <br />PDlBions Cod.) or rhar lE or rh. is crmpr rhq.fion ud tt. b6i, for rh. dLs.d q@ri,o. A.y !iol{io. of Sdion ?0l l J by ey <br />rrt,lic&i for ! pqmi llbjcrs rh. .Fplicmr lo r dvil p.mhy o f not mor. rno fiv. hundrd dollm {1500) <br />l. a o*E 6lth. FrFrr, d mt onpbrc *nh *red a rh.ir $k ompadion. r'i! .L tlE $st rd llt *ud@ a F <br />uno!.d mofiod fm slc (Sc 7044. BBiB &d Elf6ioN ( od. TIE codr.du s tr6e le d.a mr qr9]r to aolGot <br />rh. I'qary who tuil& o. nnFlv6 dEa., dn wlb r!.6 Mh sd hilMla or hd*lf or thmqh his m h6 o*n arpLyc. <br />Fovid.d lh,r .u.h ihFovoMb @ &t inrqial or odald 6, sl. l[ ho6q, ttE hrildine o. imFdm' i sld whhi. .n. ]qr <br />ofmnplabtr dE o*E B{ilb wiu h!r! dE hrdd' ofForlS dr ,E or Jr <td mr hild or i4hr. lh. FFry 6r dE F,!os ol <br />-1. <br />s owr olrh. Fopqry, d.xclGivcly.ornr.dos *nh licqsd codr&16 to odtud <br />'lE Fojd (S( ,044, BsDd <br />r"d iilkim Cot.: r h. Cdnrr.clor'! Liccnrc Law doB not.pply lo &owno ol propdly who build! o. iht'rov6lhodn, <br />sd *ho co.u-'31o. sh Frcls *th. cofurlo(!) li.a!.d Fr4ad ki rh. (onhcl( r Licou t,w) <br />_l m .r@F ud.r Sdi) <br />]tq85llsrQAtlE$ArgrT}jOIBAIla! <br />I lE*, rltm ond.r F.h) of FjE' .* or rh. lollo$ iry &rLrdioc: <br />I lEv. dd will mrinlrin . ( dlrarc0t. of colsfir ro S.lf-lMur. tu pork6r' (nlPoqrk'n, 6 Drovid.d tn by Sc.lion l?ffJ ol rh. <br />l,lor ( od., fd rh. Flol1M.c oath. *o fr{hihrn Fnn n iscn <br />I h.t. !trd r rtl s.inr!i. wdl.rt ompqulion iMlue s r.rtui,ld Ir S6lFn l70O oallE l,nor (t,(l.. for tlE Fillrlm of <br />rh. vo rq whi.h lhir Fnn a isld My s f,' comFu.lior iosll]e..air nd Flk, inmbd a. <br />Polrf N@h.:-ElpG <br />I cdirythd in lh. p<fomnc. of lh. wort for *hich lhL pdnit L! iru.d,I sh.ll Dol mphy my p.rvr rn any me.6 <br />$ B ro brotu ubier b lh. E*6 odFlnhn Lq3 bI('difomia. d.sE rh, ial rlFuld beom. rubjct lo tlE <br />srt6 onrpdu{ion For 6irN of!q&. l7m ofrh. lrdr Coda I CEil. fdhi irt mnply rhh rh.- Foritba. <br />IVARNUIC t lur. ro s. r.ort6' @mpoErior orals. ir uh*tuI. rd ndl sbjal d 6npr,F io aim,El podtis ai <br />cnn fin6 up nr oE hundql lho@d &,llc (tl00.0oo). h lddilrn lo rh. con iotr &rus6 s Forid.d lor llE <br />mt@sl dd. oiEy s lc <br />l.ltura!Ull) <br />I h@by amm unds pqr.lr, of pqjq thd I e licdsl unda tmvaio. or(n.Fd 9 (comMcin8 wilh Sdlion 7000)of Divnion l <br />of lh. BBin* dd Pma6sirN ( od.. ad my la.M is in tull forc ad cftd. <br />Li.ru Cl,s,-Lt.@ NuEb- <br />S/a/aaz ?,.",,.".", x <br />( ()\\lRl ( ll()\ l r \lrl\(i \(:t:\(\ <br />I hr.t y alrm u.dd p.ialry o f pqjury thd lhE. ir ! odrudion knding !3acy for llt Ffolr:wc of lh. *!rl for wnu fi! pann b <br />i.ru.d (56 1097. ( iv C.) <br />AITTI(AILDECIAIAIIO! <br />I hdq .trm undd FEny of pdrury oE ol tlE ,ollo*hr &(lrdioc <br />l)smliiio. P.mnr-a3b6rd Noriicdio. F.d6rl R.!ul,' ioN (I nE 40. Prr6l <br />-R.quind,rlt6 <br />of NolilEolion <br />-l <br />carit rh.I rhc fdr6.l r.suLrDE r+rlllns 6b6tor rtur.l & ml afir.abL to rh! FoF <br />lL6rifyrhd I h.\. rod rhn rppl{d 'o. &rl fir! rhd rh..hr\. <br />' <br />dllra ro eBdy *Ih.ll Ciry&d (lunly <br />ordindhcG$d srar. h*s Elatinlr to buildinn codtu.'ion.ond <br />abov. natio..d pmFny for inrp<l <br />Arrlo.i o. A16l StMlur O <br />uazEtD:$ar') <br />Subf loor/VenUl nsulation <br />Flood Zone Certif. <br />-::;46;