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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER D'I-CARATION
<br />I hd.by .[m u.dq Fdry .f Fiury lhn I M cr.mp{ 6Dn lh. ConrtudoE Ltffi Llv for lh. lollowsg !!&n (s< ?Ol?t-
<br />&!in* .,n ftoldion ( od.)r An, City or Cou y !,hich Eq!i6 . p6s! t6 cdlintud, dtd, imFotq damlirh or rpd s,
<br />tru.r@. Fv b n! il'l.e rlo EquG rlr +9lier for sh Foi to 6k . rigEd fldrd lhr lE or lhc i lrdtd Frrd
<br />ro ilE FrilioB of tu Cotu-toi Licor.d L.e (CtuFa 9, Co@trins *nh Scrr. ?000 of Divbio. I of llE &Eilg ed
<br />P@ldi6ni Cod.l o. rh,r lE o. dE ! .r.mF thE I'on Md th. bdit for dE .lLs.d ddFim Any violttion 6ls.dio. 701 L5 b, .n,
<br />.pllicur for ! pomn rubj*t! rh. !!pli{nr ro . civil p.6ty of ,or moE rho fiB hun&.d dolle {1500)
<br />-1.
<br />6 o*c oarh. FFrr'. d nt d!plo)6 vnh w{6 s lh.! sk cohFEr{E *il do ItE $dt rd lrE JldG ir d
<br />iddrLd or otu ltr d. (Sa. 704rt. Al!6 &d .lrrdirB Co& TIE Cor.r.toar Lt@ r^'rba ml pply lo & o*E of
<br />rh. loFly who bildr or irprcE ltEa& sd who &E scl w* triroGllor hd*lf or lhmuah hn or hr om mplott6,
<br />provd.n rhrr s.h imFovdMB@mr iirsd.d uofidEd lorsL.lr, h.*ds. rlE triBiis or lrqD\d6r ir $ld wihi. o.. rq
<br />oaonpkia tlE o'ffi Auilds rill h.rt th. hr&r ,fFDue dd lE d ih. dil Fl blild or iryDE 0E FFq hr llE FrDox of
<br />_ l. d otr@ ot rh. tmpdy, m .rcldrv.ly .onod inS wnh li.cE d contdB ro .odrucl lh. poFcl (S( 7044. BNinB
<br />dd h!tu6in Cod.: Th. Contc€tor'3 l,icdsc Law do6 nol appl, r,, 6 owi6 ol pmFly sho build! or ihprovd lh6on.
<br />sd *ho onn&l! ld ruh Frrar' *in. C.nh6(r) lkardl puErn lo rt CodrElor's Li.ou L6*)
<br />_l e.rdp undd seion
<br />D.r.: ornd
<br />woRI(airs conrPf,NsaTloN
<br />DECIJSAIIq!
<br />! hd.ty rmm urdd !.uht ol Fj!r' oE oI lh. follo* o3 &cl&d 6B
<br />I hrv. sld will f,lintnn r CEritc.r. of CoBdrr ro S.lllNuE ld {dtd .onpa!d$n, a Fvid.d for by Seri.n lr00 o f th.
<br />L!!or Cdl.. tor $c pafolrucc o t lh. erl for $,l'th th. Fnil i! isu.d.
<br />[ill 'nru wolt6 mmFM r.q!tr.d b] sdb.17flr.lrh. L.Etr Co&. krr rlrFfM.of
<br />uhxlrh! &ni . qr.d Mr *tld sEEston r.'Jft. ffi dl Flrr .umtE r.:g*+< F.rnJ
<br />/;:'.,,,,,,", go ?'{tsl - zoLo ,!!(1 1o.5.zoz-o
<br />-l.ariryrh.r 'nrh. Ffolm. oafi. worr fm which lhG Fn ! su.{ I Jdlnor anplo, !.t Fson ineyImnd
<br />e a to b.lDnc auqel lo lh. wrl6'conpds.lioi l.R! of C.Ifomi!, od .gc rhrl if I thould b.com. lubjcl lo llE
<br />*0lt6.o"{EB!IionFriri.EofSElbnlT00oflh.lllorCod..ldull.lonhwnhomplywhnlhxFovtrs
<br />wARl\lNG: Fsilr ro ru rqtd @trFlrhn d,rd.e. L uL*tuL rd idl abrar & diDloF lo q6rd FEri. .d
<br />i.r. drusd B Ftrd.d for tlr
<br />I fidlb, rnmunda F yof Fju.y rhr I d !L!B.d ulid Fowb. of clr4rc aioffios rilh S.db! 7000) ofDiylioi l
<br />of rhc BoinB ud PNa..rioc Cod.. !d ny licdc n in tuU foN &d .,Id.
<br />c3\
<br />tz-1-t1
<br />1tYr.zz
<br />oc-
<br />I hdt, .rrE uda FrXy of Fjury old llE! i! . odtudirtr laditl. .gdy lor
<br />ku.d(Sa 1097. Civ C.).
<br />t ndd t N@c
<br />Ff(nrre. olrh. sorl fr)r $nEh rhii Fri !
<br />dITII(AILDECIdEAIIA
<br />I hd!b, ltrm undr pc.!lr, ol Fju,y ooc ollh. follovinB dchd ion!:
<br />Damhtun Pmns.Arb6roJ Norili..rior r,.d@l R.suLrDN lT L,10, P!16)
<br />Rei!ftd klnof iJot6<r..
<br />I cdily (hd lh. lddrl rcguhn N Eredins atElos rmovtl E. fo,l applictbl. ro lhis ptoJdl.
<br />I cdit rhr I h!v. rad rhn .pplr.rFr d er.l. rhn !h. .bov. inf.tuion 6 cold I {r I
<br />ordinh6.,rl Sbr. l.*! cld,s ro b'!d'irr codntudm.hat6r.u,Dtu. EFcd.l'v6 ot
<br />rh!. mdlirn.d p.lrdy for Ep.n
<br />/Z^pplionr or A* I SlsDrrr.
<br />\-i,* n... rp"in,t,(
<br />Mn (,nd\ n' d d qrrrlr
<br />rz.t. t1
<br />Set Backs t \-
<br />Forms/Steel/Holdowns !
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathing lzln-tr\FlpdL 4.X"L
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL )zl h,1 Dkt)/16L *t4
<br />Certificate of Occupancy
<br />Notep, flemarks, Etc
<br />l+ll 1 A €L-
<br />I
<br />cnil [n6 up ro oc hurxH rhoed dolbr (llm.06). in
<br />Sdrrcn 1076 ofrh. t.trr Cod., i!rr66r rd dioftyi 16
<br />x1.., _(L-+$
<br />,(..*
<br />\.,."1
<br />ft
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