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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\!NT:R AUILDf, R DEI,CARATION
<br />I h6.qq afim und( pcmhy o l rEjury lhal I d .icmpl fmm lnc (i,ddc1o6 l.Ed. Lw lor rh. nnhwi6* raq,n ( Sd 7(rl l I
<br />Iki.Erjd fiofsEn ((t) A.J ( ity or Coud) rhah r.qutr6 ! Fm, b odtud. .h6. inF.re doollh or Ep.tr u)
<br />srtudm. Fsr tu irr isoM., .k rcqln6 rn rpdEd aor s(h Finn !o 6L . r8r.d eiml lh, lE or sh. ir n.dkn FNei
<br />rd rh. r.\ nn G o f lh. ( onrrrdor's l-'c.isd Ir$ (( hafls 9, ( omn.ftins $ h s(tion Tuxl or Di! l:o n :r of lh. Jrosindi dnd
<br />Pnllmn,G( od.lorrh.l h.Drrh. ir.knrnt lhRiooMd rh. biiir ao. rh. rll.sdl .rdnfltun Any viokri.n ol S<t$. 70r I 5 by.nv
<br />rrrlrc! for . rE nn $bj(B rlE !p?I,(rnl lo.cirilpdllyotd{ Rr.lhs Ii\ c tundr.{ Arll6 ($5txr )
<br />L s ownd of ih. FoFnr, or my mplorG e h wrg6 s rhd sk @nFMion. qill& llr "qt drj llt nr*r@. s 'lidort d oroltdci aorel.(Se 7044,lturirs od Pr.t*ioB ( od.: Tn. Co r&lort t-icd* li*' do6 nor t,Iiy lo m .*nd of
<br />rh. FrFrl *'lF bikk or iqftrBltEo.. r'd srr dE *h unl h,elf o. h6rrlor rhmuah hs or h( osn mpk'\ c6-
<br />Foudcd lh.l t!(h inFlrsEn. e Er iioi.d d olidql 6r et lf. hn-s. rtE tril(nrB d 'rstr\rFi ir f,,l. $nhs oE )a
<br />ofmnpkior tlE (xffi B{itia $ill he! rh. hntor ofFovnE lhc lE or st dil d,t lxJd or !'Pran lh. FnFi, 6r tlE FrB,x or
<br />l, .r o\E of lh.Imrsl\. m a.lu{!!l! colnrdnl* *Ih I'cis.{t collrh.6 h..lfud rlr rmFl (S( 1014. !6,Fs
<br />rnJ PtuEsi{(_d. Ih. ( onrdo.s l. iror. ti$ dG frr dppl! t' o$.6 of p.oFn} tr tn truikB .r tmpror d rh66n.
<br />ud eho ('lnnds ro uch I'oj(1s * h a Conirxlo(, licftBi ,u6uir ro rhr Coiridd ,r l.i.e I rs )
<br />I m.r.mF und6 Sd[n
<br />Drr. (,'nd
<br />woRxFRs ('o[rFFN3 rl(rN
<br />DIiCIAXAI]A!
<br />I h(.1\.mrmundc. pd'lhr,pqjun.ncorihclolhtrtl!* d6lsd(B
<br />I hdv. Ed * ill n.inrrin d a.niakdlc of ( iinsl ro s.ll- lBur. f \ort6 conFsdion. d Fo\id.rl lor hys<rio. r70Oofih.
<br />l,h, c.d., for ih. p6l6mm.. oaih. "od tu *hkh rh. tdnil i! isu.d
<br />I h!r. lnd trnl n.inr$ *0116'coFFEarnn 'Bunft.. s rF]urtd by s<rFn:r7lrc ofrrE lior ( on . for ilE Ffoffi o,
<br />lh. \LI ls *'lnch rhE pg-n a sr.d V) f, nrtd' cchlt@nn 'Nu'Mc( tu 'd dtd Fl'c) numbcr i.
<br />,-" eai;{-t tt,a-T'.a-t Co
<br />,",,,,,,^n 4b8(!e t(qo-/ ,rpn6 la-)l- / 7
<br />l.ditrhd in rh. pdtorn1tr. oI rh. worl aor whi.h rhis Fmn i $u.d.l irllro! 6ploy ey FF. in.nl nMm
<br />v' 6 h barE tubcl lo rh. N*6 snrEEiion h$t of C.lifomia Ud lsN rhlr if I rhould t .om st di to llE
<br />*ort6' 6hFdi.n F.r uioE ofSdFn 1700 oflh. l.bor (nl.. I tult ldhlnh 6npl) *nh rhd* rnnilio6
<br />WARNINC Fiilur. ro su. trorld .onpoadirn cov6r*. . unh*nrl Md nr subjd u dplqs to qinin.l Fahir d
<br />rtr'l lincs ut nr.ne hund'.,1 rhdusand dolles (ll00.o((r)
<br />SRrk,n 10?6 of rh. I!h,r (ir!..'nrdd aiJ dom\'s 16
<br />trnr kr rlr (on ol ni ion. d ni!6 as p'f\trlcd fd rl'r
<br />d-sq- t7
<br />DlclINAIlo!
<br />I hnor{ arm ui& Fuxt ol Fjurt ihd I m ll.q!.d undd For irior of(tuI{6 s (onffims silh S.dnn 7000) df lririlir. ll
<br />ol lh. BuilB Ed Prof6ioE Co&. &rl d, la.@ E n' tull fo^! ed.fi<tc3f
<br />I
<br />coNs'rRUcTloN l r{Dlric ^cr\(1I h(tl{ s,Im un&r FEt) oa FjuD ltd lh6c tr olErudnr bdnE.sft) f.r
<br />'h. Ffol1le. of rh. $!.t for \h.h'hE IEmn 5
<br />rssu.i (s( l()97.ciY ( )
<br />APPI I('AN'I' OF(I ARA'II()N
<br />I hdlt r allm und.r Frh' of tEju ,.^ oB ol rh. follo\ rs d..Lrd rn:
<br />Dcfrnn6r P6m'iiAsb.skrs Nolificrrx,n r-dc,al RquLrFn! (T(1. 10. Pan6)
<br />RouiEd l-drd of Norifi'-dtun
<br />1Z t.o,,b,t',,* t"aoo,,.auk5N cs'dms 6tdo'lmtd&Gmr 'p9l<'bk r. rh!FFrA
<br />-,/L I (d'6 rh6rI h.\. redlhBilplicin n mJ n{. rhd rh. !bov. inn,marion Ls.on..r. I lrr ro mmply *ilh ,ll Ciry a.d ( ounry
<br />-ordM6mdSrd.t^!EI!ilrrohlrldhsc.6rud'o(!dhs.lrytdhorn.r.Fennn6.lrtirCny!dCou,ro016uPonih.
<br />ihr. ,6f.hl rr 'td\ { ,
<br />'n
<br />.rppricrn, or.\so, \isnr,u,.> N4+4-[ -{
<br />p.mi,Nr.m.rprtn,,: KDrl r<p( C_L.r5
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUl nsulation
<br />Roof Sheathing {/'vr+ t t)1r.(.<,111
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />FINAL 1/'fl1 I 9.Tjd1 tgl 7{
<br />Certificate of Occu an
<br />Notes, Remarks, Etc.
<br />I
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