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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS O\f NER BUII-I)I]R DET,CARAIION
<br />I hr.br amm u.d6 paally ot rdjur,t lhat L .rmpt lmm rh. (..t{ron' t,icft. Ir* io. rh. foln,wins r.&sn (Sd irll i
<br />Bur'.6! ad Pror*ion Codc): Any C y or (indy shkh r.{otrB a pqni lo coBlrud, rltE, iry'rcvr. &nolith or qstr anr
<br />hdu.. Fir lo nr i!sle., .&l EquiG rh. {rlE r for uch tErnn ro fiL. ,SEd srrmr rh, rE or rh. ! li.os.d NMd
<br />lo rh. ForiehB or'lE Conrxhr'r l-ic..s.d l,s ((tuFd $, (-oDnfti.8 q h Sdion TGxr otDivnhn:l ollhc lturr* Md
<br />P$fdnr.s Cod.) o, rhd lE or !h. !.rofl rhacliom Md rh. h.rit lo.lhc alkr.{ qopliu Any violarior ofs<Ir.70:rl I bj- .nv
<br />.prlicant lor r pdnrir .ubtdts rh. .frlimi lo d .iv il ,@lly o I noi morc rhM fiv. hu.dr.d dollm (t50o)
<br />l. a n$E of rh. F.F!r'. or mt aiglotc with *rs6 a ih.' nl. @nFdn( *iU rh lrr tr t md rlt rdm i! mr
<br />iioiLd or oFcc{ rr eL lsa 7o,r.r. Bulind xd Pina6io6 (-o<L TlE Codrdr.r Lktr l,r &6 ml qrb to u oqE.l
<br />It FrFry who b.il& or irp.s\6 dEo.. ,n wlr &6 tu h \nrt hinlcll or helaor thmush hir o hc o\n mploy.6.
<br />pNvd.n lhd such iorroEGB e n inralql o, olH trtr !lc. Il hou,6s. rh. hlildDs or n{mvoE L sld wih'i nn. \w
<br />of.lri,ktio( lE (nr6 Blitis rill h.\r tlE hlr&r ofFolirB tht lE or si. dii mt boild or ntro\! lh. F0IEI! toi tlE ptq* or
<br />I. * o* nq orrh. t'npqry. m.rclulv.l) contrxnl srrh [(6.n cofimroB n] coNrurt th. Foj.cl tsd 7Gl.l. B$nBr
<br />.d t\r)fsionCod. lh.('onthchr's Li...sc la\r doc not rppryn, Mowtrd.fFrop.nywhd hrlldsor impn\,6intr(in.
<br />.nd \ho coddct for such For.di qirh 3 ( i'ntrloi, lico*i I'u6m! kr rh. ('o r..1nar I 'cG lx\l
<br />ld.ro und( Sdion
<br />D.k Oxn..:
<br />\1 ()RXERS', (lrMPiNSA I tON
<br />DE('I AEllION
<br />I h6(b) amm unJs r-Eh] of FJtrn on.otrh. (nkrr in! d<(lirdo6
<br />I har. a'd *ill msmrsin a Ccn r liorc of Co(dr ro Sclf-lsui. r(tr sork6 .onrEnslion. 6 rrc\ idcd nr b, sdion 1?01) ol rh!
<br />t htr ( Gle aor lhc rEfommc o I lh. wort for whtfi rfi. Finir a isu.d
<br />I hrE.,!d *ill m'd.i. sorld' .o,DFMb. iBllfu.. a Equird b' sdri,n 1700 ofrh. l,tbr co&. lor rh. pafollffi. of
<br />'h<
<br />s!* rs $nih rhilrmh i sr*d M, *m}'! 6mFuh. 'M(mrn Dolt\ numlE e
<br />c*- ' htrz:r./.r?L) Ztr/c77
<br />e,t*1,,**'1. ILL rq'i/ cD/o/ ..pr<' /)'4/ 4/?
<br />I c.nirylh in th.Ffol nc.of lh. *o* n)r *hi.h rhi3 rEmn B isr.d,I rh.ll mr dpht.ny p.Mr in lnyme.6
<br />$ a ro b.coe ubjcr ro rhc mrt6 cotrI9.nsl ion lsws of Califomi!. 4d asr tllal il I should tEo@ subcr ro tlE
<br />"nrld snFuxon I,oBioE ot sdlon :!?00 otrhc t bor ( .d.. I rlEll. fonhsirh omplt *'rh rnoe ForuirN
<br />WARIvIN(;: FaluR t. s@ $.116' .omFMmn .orr+r s u.lN l. r.d sh.ll sbi{ u dplord ro {miMl Ftrl'6 d
<br />nd.d rhrG.d (hl16 ttloo.m)). ,n add(ii rn, drh.36 a Foril.il lor rh.
<br />inrdd.nd drorhi fG
<br />ond.r FnnhlotFjrvrhd lu lrcmed undd Fo\aion ( 9(connnoc'nt \ hSdk,n7(xrl).llr\trk,n 1
<br />ol' rh. Ilusin6s tu.i lh,ldn)ns( (fdc. dd my licrnsc s d iull tur( l.lldr
<br />/t L%3
<br />)*
<br />I ^e* !,lm mda F nt ol Frur_ rh, rlEc ! . cddndi6. Ltrlos +trr fM rh. Ffollffi. .f rh.
<br />isu.n (sr 1097. ('* c.)
<br />kl"r%nt
<br />IITII(ANLDECIAEAIIO!
<br />I hftl, allm u.dc rEslry ol pojury on. ol rh. lolkrsins d< lud nrns
<br />DcmhM Par r^rf6rc Norrfifllhn td..!l R.luhioB(Irl.40, PM6)
<br />R.quir.d Ldr6 .l l.*ri6dr.
<br />I cslii lhll lh. Ln6alrcsulario.s Eradins Glrslos Gnoraltr. nor q,pli..hlc to lhis n(i&1
<br />fr ,,^n,,n,I ttr\ . '.&l rh6 rfrlrdir. dt bn 6c.n.d I rAre tu .omt l! tr rh
<br />ln.r.prffildn6.f rhs ( n!Md(d( ljsrBldinsro tnrldfS
<br />atx,vc molion.nnmt ny td Nl'dnn
<br />'rpplicrnl or ,1pml sirn.lur€
<br />tPmll( rrn.lprl.I): L
<br />a/r/z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation A
<br />Roof Sheathi ng ?2s/rt t;'71
<br />Shear Wall
<br />.H
<br />Framing
<br />Dryvvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ?/2,1 /t+ 5 Yan t-era 15i
<br />Certificate of Occu an
<br />Notes, Remarks, Etc.
<br />DATE
<br />lnsulation/Energy
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