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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O1{N[R AUILDET DIK-ARATION
<br />I hdrt, amm ond6 p6ahy of Flury rhd I m .\mp{ tln lh. ( onlrEcloR lI.B l.$ lor lh. fdlo$inB len (sc 70l l 5
<br />litlttr #,?i,': :[Tj',1":"';]:it'#'l;Tl j"T;ff, nil jus']::ili et: fl""::*Try
<br />r. rh. Flv6irB ofrh. ( o'nrd r l.t6s.d Iru ((-luFd 9. comndi.s r h Sdbn 7000 of Dirbion I of rh
<br />PhldioN Co&) o, th,t tE d rls i!.ranF ilEcion,xl th. bGir f.t rh. llksd BoiFio. Anr vrhlFnors.db. T0rl 5 b ey
<br />rprlicld for ! Finn iubicir lh. .rplicul lo r $ il FElly of mr frE rhM fir. hund.n d.rllm tl50o)
<br />L d oM6 olrh. rr$Fnr. or m, mglorB sirl sra6 6 thor snc .onF&rhn, *ill d. tu *qt !'d E rf,rrE. i ml
<br />ddrj.d or o,tdGj ror 0L {Sc 7ou. BGiB Md Prola.i.N cod. Tn. (hn-loi! ti(N Llw &E ml {,Fly ro u osF or
<br />rh. Frtdr e tr boil{ tr inp..ls rlEbtr rd Ih &E ext qo* hinulr or hd*lf or rthueh nit ( hd om opht€.
<br />Fovd.d rhn s(h idrR\rGr. e d irdiH ( otiEd t r sL lf. h.*ar. rrE trildlB irporffi i! sld rilth @
<br />'tofcurpldie tlE o$E BriBa \1! h.E llE hldor ofFoilB rha & or iE dd d boild o rqo1. ln. FtFi, ftx tlE FrFt oa
<br />L d 0*6 of rh. Fopdt, m.r.l[ir.ly co,-n8 snh [caql nri6doE ro mnntud rlF Fljel (Sd 70{,1, &6!8
<br />rn Probin Codc: l1E Cotrrr*roi! l-i..c lil &6 mr ,ppl) r. & os E oaFFnt s ho boikt! or inpmrG rtaon.
<br />od $ho 6ddr td ro.n rFi.<! $hh. codd.(r) lkdE d,i6uan torlECod.i.roas l.t.el,s)
<br />I i r\. rl{ tr (lr' \c(r(rr
<br />l).r. lhn.r
<br />\t(rrl(uis' ( ottPtnsartor
<br />E;Cl"l&uqr
<br />Ih6cb amin u.&i Fnah) oaFrrD.n. ofrh. f,,ll,trnl3 &(l oti,trr
<br />I har. ed will m.iit.in a (cnificrr. of CotgI to S.lf-l.surc fo. mrlsi $npser tr'n. 6 Fovid.i lor hy sdnrn :1700 of rh.
<br />lln Codi fo.
<br />'h. Ffolll1m. of
<br />'h.
<br />sort tu whkh !h. tgmh ii Lslcd
<br />I h!\.. q
<br />'ll tu,.l.in rodo .omrE6.li,n rBrn.. a r.quucn br sdiin ll7(ro of
<br />'h.
<br />bb.r ( o&. lor rlE Ff(lffi. ol
<br />rh. urrt fq { hrh rru psn ! eGl M, $ntd' onFdbn ierR. reir rn F)lE} nunhd a.
<br />,*,* '€*c nolf
<br />Pol'.t.lNumba: t li\piB i
<br />jlf(diry rhd in rh. FGfomlN. or rh. *orr ror *hth rhis Fn ir suad t 3h!ll nn ddo' d, Fk. 'n.n) meF
<br />5 d ro tidbft 3ubjdt ro lhc \ 0116' comrasion b*r 6f CalifomE, 6d lgR lhrl r f I Jh.lld b.(or sbj6l to lh.
<br />w.ltos' .onldd io. pmlilioN of sa'rion 1700 of lh. l.hor Cod.. I Jull, fonhwilh omplt {ilh lhos ,troirnrB
<br />l4AltNlNC ll.ihr. to suc sorl6'coftpoisli$ cor6ts. u unlr\tu|, tnd shrll ut'ta' 6 dpluF k, aifrinllFuhi6 ind
<br />cnll flE up ro oE nurdlrd rhrus.d &lhR lll0{.00o). in rddiion ro rhc or ol.onqtuion. d,rsB B Fo\ir.d f llE
<br />sdibn 1016 .f rh. t,hy Cod. inidd rd dtllrr r tc
<br />,,,,,, 11@11[1lt- oppro,,
<br />DECIJaAUA!
<br />I hd*y nlm u*ld Frny 6l Frury ih, I m li!!.d u,xl6 FrnEn ot (1414 9 i Nnlffids " h sdilD 70q)l:fDnith.l
<br />ol rh. BruiE .d ttof<66 ('o&. tn fry lie a n tul forrc !d.,Icl
<br />calilall(Im!.r[lDlMilcEl(r
<br />I hdcby ^rm undn tEmhy o f tdjury Ihal lha. i!. NNrudion Lndins.socy lorlh.Ffomoc. orrh.*.rk lor shichrhi pdmit ie
<br />irlucdlsE 1097.( r (')
<br />APPLI('ANT DDCI.ARAIION
<br />I hldry rnm unld Falr, of ,rju\. ok of
<br />'h.
<br />folLs inB dcLnt n'o!
<br />lkmlniJ.Pmd..tutdotNdili.dan F.&nl R.8lldhns11 L,ro. Prd6)
<br />Rdtun.d I dt6 of fk'lifi!_di.
<br />I .aify thd rhc f6kr.l qluld ioB r.8Edin8 stElios roovil u. nol i,plicablc r. rht pmj6l
<br />/.4 ,^,,7 r*, o,.,n rn ! rdt.rhn !d {n. rh, rhc.tor. 'nr6tM nn 6 cMa1 l.8lcro ohpry snh.lr ( ny rnd (-ounr}
<br />o.d@N6 &d Sri.lrtrr Ehing to tn'LnnA frdMn4 , .dhrrin rcF6and tr 6 o, rra Cn, drd Cod' h ord qr,n tlr
<br />rh\. NmrrRJ tI,,Fi\ l.r 'n\lnrr)n l)urF)*--/ /rr-^u k{nr or^sur sirnrrure )'
<br />u*.u**..,rn.,, 1,(. J a)fo l,lcr"r^ndZ_
<br />.rb-zz- t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation A
<br />Roof Sheathing I
<br />A \a "rl A-h,u,I Ftl.l'.' LIFY
<br />Shear Wall
<br />Framing
<br />ln su lation/E neroy
<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 />/n\
<br />FINAL t\.-tq-tl \w101
<br />Certificate of Occu n
<br />1
<br />-n
<br />l..trsu(li$, B
<br />"""- 10." z-/7 '**, *'o*;r1td oJ-Z.QJ-
<br />ciltnnr\ F/- 1-/-
<br />Notes, Remarks, Etc.
<br />la -1J- [z rl / Ndd\.
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