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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE rg/srG..COMMENTS OWNER AUILDER DELCARATION <br />I hd.!y lilm undd FEhj_ of Fjury lh, I o dmF nDm rlE Codrdo. tkff l,s aor rlE follo{i.B rdr (s( 70r l J <br />&Ei!6s &d Proftsion Co<h) Any Cilr_ or Coudy uhkh r.qun6 r pqnl lo stdrud. !!8. imFore &tmluh or qrn e) <br />lrtuclE., Fioi ro ir3 i*um.., &. rcquiB rh. @plac! tor suh rErmn ro il. 3 sisr.d n.r6Mt rhd h. or 3h. i! licascd puddr <br />ro lh. Fo\nioG ol rtE ( ootGlm r Licmrd l,s (Ch.pr6 9. (-omntrin3 $rh Sathn ,000 ol lr\ision I ol rh. Bs'ns and <br />Prnf*ioN ( od.) or ihd rr d.lr ir .ro$ rhnrtun -n rh. b..ir .or rlE r,ks.d dm,,ion Ai' rbhionof sdbn 70!r i q( rnt <br />lpplicd for . Fmn sbj.ns rh. tpplicel ro r ci1il F lryofnor mo(lho fir. hun&.n .blla I lJ00) <br />l, 6 onE olrh. rmrErr'. or sr nnlloyG tr nn trrs6 6 rhcn y'k mmF!to.- srll& rrt uql &d rlt rru1@ ir n{ <br />i drLd orolldld n eb{sa 7(x.1. 81,B od Prol6nB Cd. Ih.Codr*1o.! l.{.M k$ {ridrcl 4'rl} ro .\ffiof <br />ln. pr.rdr (h. blil.h or i@mr6llE6n. dn \rho rh6 s.h $.d hims.lfor hd$lfor rhNurh his or h6 otrr omlo)6. <br />pmrid.d rhd .uch inrruffiB m m( inrad.l .r oflilql for sk la hos'aE, llF hiklint or itrpr.\dkr is v,Ll n ihin onc !w <br />.f.orptiiotr llr Osn6 t\j'lb sill hr\! rh. hda orFoEE rhd lE o Cr dd mr hriU or inqn\. irE FFD tor rh. F,Fr of <br />l. s ou'.d offi. Fopsly, o.rclNiv.ly conrr.ding *nh li.ft.d.onrkoB ro coNrud llE Pr.jd (S( 7or4.lr!!ir6 <br />!n Piolsn Co& Th. Co r&r.a. Li.@ L!tr &6 mr !!l,l) ro e osd .lFoFty $ho tiuilds or impro\6 rh6a,n. <br />Bd wh. odd! fr ikt FoFl! *nh r (no'Mo(., lk.E d p{BM o rh. Co rdc 3 Li.* L.w) <br />lancr.nr und6 Sdion <br />lr.t. Ornd <br />woRt<[[s' ft r[rPfns^irdir <br />Drcua rto! <br />I ndcb lmtm!..1d Fmlr) of Frlrl orcof rh. aollotrm8 &.1,d.6 <br />I hsv. and wil I m.inrtun a ( d ilic{r. of Conrmr to s.ll-l Bur. litr sork6 RJmrcM nr, B lmv .d for h, s(rion r7(r) oflhr <br />lrhor Coda rd rh. pdfotll@. of rh. { o lor $ti.h rh. Fni ir su.d <br />I h![ lnd $ill miinr.rn q ortqi c.mr4.lion iBut.k., s r.qur.d by Strrion 1700 ot lh. Li]r{ ( od.. ro. rh. Ft.me. ol <br />lfi. *ork for whicfi lhi!pmil is is.d. Myworl6 msn<Mion iNordc..Mi6ud Flicynumbs er <br />l.dirylnd turlE Fto.rj@.orrh.$.* ror*hihrhBFrd is s.4l rh.llN othr..r tEen r int mdF <br />$ a lo b..om. 3uuct ro rh. *!*6' comFMio. h*. o I califomi.. md !3r lhal if I sholld b..or sulrcr lo rrE <br />*o 4 comrEstion pmvGioN ot Scclior l?o0 ollhc l jbor Codc. l dDll. fon hsilh comDly qilh lhor prcvi.ionr <br />WARNIN(; F.iift $ *m *.*6 6nFdh. ovars. t unh*tu|. od sh.! ebd d atht6 ro ainiMl Fni6 ud <br />.nil li.c u0 to ok hu L.d rlrrusnn &lla {lloo.rxD,, in.ddnirn u rh.r ormnFNrrn. d.nrg6 a Fo\ ij.d for rh. <br />Sdron 1076 dfrh. tlhtr Cod., rnrdd and nftJrrc_v ! 16 <br />I hd.hy llrm undE rEDhyorFjuq $a I e lidKj undd rrcvsion ol(1upr6I ($'n.mcitrs vnh sdnn 7(x)0) of l)nirion l <br />of lh. BulB axl Pr.t6nB ( o&. -n E, lr@ 6 m tull tor* ,n rlI<l <br />q 411tt"c <br />D.(. G -'11- r'\ <br />COTIIXUCIIAd.LIdDIIIC-6CEICI <br />I hdrby .116 un<td p@lry oa Fjury thd rhac n ! .odnrrDn tqdins rsd) lor rh. FaollMc. ol rh. sorl ir \ hich lht Fmn . <br />i.ru.r, (S< 1097. Civ. ( ) <br />ATIII(ANLDICIjSAIIA! <br />I hEi'y afm undn Fnlty o f Fru' r_ oe .l rh. lolbs h8 &<t&rr Fro <br />Dcmohion Pmir$Arbdd Norific,rion Fhdal RcguhrFn! (Tir1.,10, Pd6) <br />R.quftd l!6 ol t{difdi.. <br />I c61ily rhot lfic LJdal rqukrn ns rc3iudin* sh.stos rmm\.1d,. nor amli(nlilc to r[n I'rojEr <br />I cdiry rhd I h!\ c r.*l lhis qrlfltion sn s.t.lhd tlE or. infotui.r u c@al I rara l. coryl! trnh lll (ilt ,nd ( uunr) <br />ord'nancG ud Sral. tru rclaliry lo buildiry c.trlrud <br />ltrrvc mdtun.d pmrcly for iNp(lion purBrK <br />a'!6 otrhE ( iry ed Counry ro drd uf)nrlE <br />,tpnri..nl or,lratskn.lure /-(h,;,rklr,rl b:11:t <br />Set Backs a {5t <br />Forms/Steel/Holdowns 7 7,1+:1y <br />Erection Pads 1)*,/r <br />g/ <br />UFER Ground t t4 t 11 <br />SLAB Floor A .1)t1 ti <br />Subf loor/VenVlnsulation o l1/t+[/4tl. <br />Roof Sheathing it n rl <br />Shear Wall t+A il ':yt <br />Framing I 1l B EI <br />lnsulation/Energy I <br />I 'k/ <br />FA ;91 <br />Drywall tu \r'/ <br />f;$llnt. Latn I 14 l?rt/!7Yt <br />Brown Coat <br />Itrlasonry <br />Pool Fence <br />T-Bar <br />Handica p Req <br />De puty Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL tl li I Mvl,Ufr+.7Zl <br />Certificate of 0ccu pancy <br />Notes, Remarks, Etc. <br />4,,,., (.- t1-,'1 <br />,{/iV <br />I <br />I <br />I <br />I <br />I <br />I I <br />I <br />I