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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNEf, BUILDER DELCARATION
<br />I h.Eby.ntm undd IEMhy or p€rjury rh.l I u.rcry'l fm rtr (-onir*t r' l-itn< ti} r.r lh.lollowinl Ervrn lss 70.115
<br />Br\iBs lnd Prnfcsshn Cod.r An! Cir, nr Cood, $hih (axm\ r rmi !o 6n{tu1. .lrd. i,t ovr. .kmliih or E?.n !n,
<br />ntu !m, I,hr r0 nr irrum.. ils Rqun r ilf, ,l)pltd tur ikh Frnir n, tL . .kmd {rlcrnl th.l h. or rlt k li...td puroanr
<br />ro rlt tmlniN of llr Contrxrq r l,iansil L.* (Clqrcr 9. Comrrint sirh Sftii,n 7(ll) of trvirx,n 3 of rlE BlriNs dnd
<br />Ima.(irni (idc) or rhat h. or rrF i. .r.n{r rh.ft,n,D ml rrF h\ir ror lrE rlke.rl .rcml'lion ny vioLlionoaSccrni 7i).11 5 byrny
<br />rpJr*rnr r{, r F,nr rubFk 'lE rp,'li..nr ftrtc!!rlp.nrtyorrr mE fit. nvc hudEd dollr{ (llr)
<br />_1. 11 o*E ol rtr F,Fnr, (, my.'qrt,F< w h *,8.r I rlxr $k NnlEMrrn. *ill do rlE *r't t n iE rdrr i\ rr,F
<br />inrcd.d ur olttrcd lor $h ( s(.r04a. Busims and ltDtu$b.. Cnle fhc Codracroi r l-ic.n{ Lnw do.r nor lnnly r, !n owNr ol
<br />rtr Fqrnv *ln f ilr\ 6 itrFo6 rltlm drl *l!, d.- ri rn* hinElro, n rylf or rnn,olh hn r, tn otr'...rlll'Fr-
<br />Fovidcd rhlr such in{r.md\ E n iddd ofiEFl for sk li lbe.w. rlr t iHinN or inFnkEnl i< sH *irhin ok Fir
<br />orsnfhri,trrtE()\N.au.rvillrErcrlEhrftrotFlvinSrhdlrn{EdiimrhildnrtmrrttFrFnyrd'rEIrrFEof
<br />-1.
<br />8 ormr .l rh. I'rI'.ny. o .rclurivc ly .anrrd ins \ nh lirncd .o'itulod ii' .ondo.r rlE F,F1 ( Ss ,0r1. BKES
<br />tr l lblialhn C.'d.: Th. Conr E-loa ! Li..n€ ke del nor {plr l. rn orncr ol niop.n y who builds or imlnta rhcrdrt,
<br />.nd r.tn & ftlt frr (Nh Im,.d( *irh r ConrLlrro li6€n luruni k, rlF (idrard i l-ia* liEl
<br />-l
<br />!m.r.mrt u.d.r **lbn
<br />!I}Bf,!II5:SDTSBTAI,IA!
<br />DECr {n,{Tl()n
<br />I lErch, alltn untlcr Full).lFJUDom ol rh. nnk'*ins d..Urrrir\
<br />-'cniar.rc o,(i'n-n' ro S<lf l6uE rq Hrr6' 6r(tuirn. a Fvi.n tu hy Ssrir.l7ur or rrt
<br />:. .ftlE work nr which rh. !'.rmi! is irxucd
<br />xDtl trilr nLtrnrr$ r,,1.'\' Ltrn|irNr,tr'
<br />'W'YNfryiE*--;;'i,-;Z?/.b-
<br />r.il l' trhitr rhi$.rmir a t\Lrl l\rt "orl.r.".5*.r'e @zit-s,;;_ruzz
<br />-lrcnilyrhll
<br />th. p.rf.rroNcol rh{ *ork it *hich rhisFnnir tr r$.d,I sh(llmr!n{'k)y rny Frqr irr rnymanftt
<br />$ a n, h.(!r $bFd n, rlr sdt6a $qr.sri,n hrr of Calrnrni., !d .3@ rl! ill rtIUH lNo'E rubFr !orlE
<br />*orkc^' onnpcnqr ion phri\n,nr or S(r rn l7( or rh. I nhor (i!t . I rhlll. hdhsirh omnly sirh rtnr pbvthnl
<br />1tr,| rirr. trf ro ooc htrtr(l,.(l rh,u'nl d!,'i."|'/tz/D*-'i
<br />'tuI- .nd rh.ll hjer rn oploFr io qihiul F [i\ rid
<br />ro rh. sn oror[rn{rirn. d.dici !r I'orik for rlx
<br />I]EC|AEAI0N
<br />I tftby ,rtrm uBr.. Fmlry .r Fru.y lh.l I m lirrrd und.r F ririon ol (lDr s 9 (dmftftin3 sdh sdr)n 7flID ol l)iri\i,. :l
<br />nt rnc Bxnm$add Pnfcrsi(,nr C.d., rJld hyli..nr i: in tull f(trft !n! cfisr
<br />,4-_,
<br />,'"'" Vl/ta bUZ
<br />I lxE+y rmrfl undcr Jf,trrx) ol pcrjury ! hd rh.r. tr r oNi :rir tnding lBcry rd rlr Ff,{mm ot
<br />'lE
<br />s{rl t, *hth rh'r Fni 6
<br />i1 .d rs*. rll97 civ c r
<br />AIE.I1;AALIEII.AIAIIO!
<br />I hci$y alimr u&lcr pcnohy ol Frju,y otu ol rh. rblbwins &rht{io."
<br />I)cn,l m. P.rm[r.A.hcikx N rarcllr'tr li&.!l Rc8uhrons ( tnt {r. Pat6)
<br />Rlrtur txrr( ol NoharitDn
<br />L.il Elnlrthni Ellrlin8 r\tt{o\ Efrlvrl m n, .0plr.bl ro lhr pmFl
<br />rtub. n.otu l .gE ki omlly *ilh .U Cn, c,ri (i nry
<br />urhni/. rctn{ r.\.frln( C[y lni (,,unrJ_ n, cnrc' uFr rlr
<br />-//;ra:"
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u latio n/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />/t a1
<br />FINAL -?/,ubtr).6141
<br />Cert iticate of occupancffi
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />T-Bar
<br />Flood Zone Certif .
<br />,///722
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