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SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />/n\
<br />FINAL t-7r-z
<br />Certilicate ol Occu nc
<br />Notes, Remarks, Etc
<br />OWNEN BULDER DELCARATION
<br />I tErcb, .frrm undF FMlry of pcrJ!.y lhar I m cr.rpt fton llE conlr.ctoF LtcnE L!* tor
<br />'IE
<br />rollosi.8 e$r(s.c701!.5 'BoliEs rnd Pretci6n C.d.) Ant Ciiy or Coudy lntn Equn.. r Frnd ro .\Nur, .id. irproE. d.mlitt q r.Fn r,
<br />nllfu. Fi' lo ilr i$uN. als Eaui6 rn rpplt.n for trh Fmil lo 6L . rqi.d rrr.IFr rtd lt ot iE i! liliErl lEqrr
<br />!o rh. F vnions of tlE Conll-lo r l i.nEd Ll* (CruF* 9. C.nmEinS *dh Sslion 7(lli of Di{rbn ,r o( ilE Ru(81. .nd
<br />Prof.shn! clldc) or rhrr h. or {8 is crcrli rrrrcfi.n and lhr be$ lor lhc sl h8.d . rcrq,l i.n Any vbhra,n ol S.crion r0lLl hy.ny
<br />npplaa.r ror . Fmn obFlr rtr rF?lk&r ro r civil pcmlr, of ei @E rh, r"rv. hu r.n nolhr iS500)
<br />_I. I o*E of rlE FrFny. d niy Gf,phJe! qhh *u6 8 tlEn ib o,{Hrbn. ril dr llt 6t rn UE r'8tc i! rlr
<br />intsi.d o ofi.Ed tor d. (sd.70,14 lBiBs .,i Prsf6sioN Codc TIE Cort.dor'r LiB* t,e tlocs mr q,!ly h e @F o,
<br />rhc noFny wtD lrildr or r{,mE! rlEtu( lld *tn d,s rBrr M* himrclf o. lEtull o' $ruth hh r h.t .Pn.rq'lo)td.
<br />prcvid.! rd rkt itr{tuwnL ft er ir.rlal d6liird lorsl..lt lnww, th hriuin! or in!.lrffi n sld eahinw yw
<br />of orpl.tin rl! Owd Bdrra *i[ lrE dE hd6 or FlvirB rll lt r tE dn nr bqi! d bp.tr lll F!Fr, 6. lll F4o- ol
<br />wolI(ERs c(rMPEl{s{noN
<br />DECIJSAIIII!
<br />I lrrchy rfim und.r FMlry.f Frrury oE .r llE nnhwhg ddl&iranr
<br />I hlE .,n will dirrri! r C.nifr.r. oa Co.rnr n! S.lt ls@ rd mrt6 6qEn$rion, B Ftrvild ror b, Sali,. 3m0 or dE
<br />rid Crn . rd dE Fl.m of r qil fs *nin ll' Frn i i*D.d.
<br />#hrE dnd*ill mlinrsin mrkr'omFn$iion ins!Er...t rq!rcd hy Sdnn:r7l]O ol lL l$or c.d.. lttr rh. Ffmrnc of
<br />uo lor *hich rhn Fflnir ir n$d My wMk.h nnryf,nslion imummccmtr ud l.lt, nxmhr m:
<br />..-", - -'mflt LoM?Dn5FrrpLJ I tPct' i*tt>
<br />Iq28olTlLt zt
<br />-I
<br />enir, ttu i.llE Fraolrrm olllE eo.k for *hth rhir p.rmir i! L$u.4 I nrl ml.tPbt.ny FR]. id y nqE
<br />o .i h tErtr sbitl ro iti Bdt6 dqEdb. Lw! olcnifonia drd.aE lhr il I rnouu bc<or siF lo llE
<br />h*6' dinFBrbn F$virioB oi Sdbn lrq) of llE L.bq C.d.. I trdL hhslh onply wnn D. PDvni@
<br />WARNINC laituE lo icw *rLn .ui..s.ri6n ovm8. i. u.bwtuL rnd rhll trbj.rl u oryhF ro aininn r lis &n
<br />.ivil fincs u, ro otrc hundEn rhoosd .Irh* ( cD,(xrl), in .ddnnrn h tlE con of coq)cnqrion. dm8.t u Fovilcd lor l,E
<br />Sc.rbn 1076of rtr t r,(rld.inrcr.n.nl.llmy.fs
<br />I {b q
<br />^p,rd,utl;$Jalrl!)Ir&ll]!x
<br />D}]CLI&IIA!
<br />.,-"*"r*, E Lidn* Numbcr 31844 t
<br />u f rlzo ( M,.r1or |aFQOtrl t L0l'.,@tc{U"cJ La4--
<br />CONSTnU(]T|(N t r'\DlN(: l(iFNC!
<br />I h.6by rlltm ud.r Fndlryof Frju., rhl rlEr n r oorMrion hndrnq.8.Ny hr !,E F nrliuc ort worl r(, rti.h rhi.,Ermi is
<br />l.'xl.i\ An&c\\:
<br />AITIJQTNIIECI.aSAIIO!
<br />I h5d, lmm unrkr Fns l', or lsrlrt om ol0E rolb*ins .k(l,u.r n,n\
<br />Dcmlirii, r!trni!! Asb.rl.s Noliiddion Ldcral Rc8ubrioN ('Iillc40, Pd6)
<br />-R.1uiEn
<br />Lnrcr ot llrifrrbn
<br />I I (d,r, rh!' rh. rcd.rl E8lErihr EBlrdhF ro.{n! t cm\ rr $. mr sn t.bk t. thl! pn,iql
<br />i rhd I rEw Ed thn dppla.tion sd talc lhd 0E it v. iitornri,n i{ oRtl. I .8r
<br />.d Sr.r. t *r ELri'E ro b{ildinB cl)lfurstr rd lEitr'y .(lsria EF.cdriti o
<br />ri,Ed FoFny nr inqErion 4i4
<br />Adtl^'Ll^ 6r.^lJ
<br />r'.onply*irh dl( 'r! and G{.rt
<br />frhF Cnralrl (_(,unrv lo drs uFrn tlr
<br />*ttf r fr.>
<br />trffat
<br />Rev. 08-07-2015
<br />BUILDING- INSPECTOR RECORD
<br />DATE
<br />Forms/Steel/Holdowns
<br />Shear Wall
<br />Ext./lnt. Lath
<br />-1.
<br />a osffi of th. I,mFny, M .rctuliEl, conhcrirS wnh Uen€d o.lrdoR to .oNrdcl rlE ttuiit (Se. 7044, BBiEs
<br />.d Er,ssi{ Co(k: Th. Conu-ld! Liens Lr* d.B rcl rrDly lo o owE! ol prcFny wl'. brlkj! or in'Iht.lhaE..
<br />.rd sho @n rt d qh Fri<* dn r c.rrrrlsl', liGEd ,rtuir ro rlr corffirt tiw L.r).
<br />I m.r.M und.r Sarnn , A. & P.C. lor lh6 H$n
<br />D.r.: Owr
<br />AC'-T
<br />I tmby .lTrn und.. FuIy of Fjlry rhd I m lis.d utrld Flvition of Ch.pts I (onm&B wnh Selr. ,0O) of Ditthn l
<br />or rlE Au.iEs lrl ProLsbN Cd.. rd my ltG n in tull i.N d .ffd
<br />to.d (sd. .!09?. civ. c.I
<br />tr.&fi N.D:
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