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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DTT Df, LCAfiAIIOiI
<br />I hd.b .frm ueld Fuht of Fiuq lhi I e.r6F fro'r rh. ( odr(l6 lk.clr* 16rrh.r.lb$qr@.lsdn)rl5
<br />Il6ins lid Prof6$n ('od.l Any (''ry or ( ou.t) whi.h r.qur6 ! rEmir Io.oNrrud,.hd, inFo\.. &nolnh or EIqn dy
<br />$tu.luc. Fior 'o,rs i$u.nc.. rbo ..qun6 rh. applicer for surh Frfrir h lil. r si8n.d i.lmot lhar & ur .h. i! [.c.d p uuanr
<br />to lh. FovisioN otin (o ractor's Licds.il liw ichdDrd 9, (bmm.ncing $nh seiion 7000 ofDirishn:r ollhc trusin6\ ind
<br />Prndrion. cod.) .r rhd h. or sh. n .rm rhd.fmm md !h. h.!n f.r rlE alksdj.r6rl'hon Any\iru{x,n.lsdi1n70]lah.nt
<br />qrh...r aor. Frnr tlhlds th. llflica lo.dfrlp.Mh\ot 'r,nn.rhd 61. hund,cd dullmitloo)
<br />**o*Foarh. Flrxd\,.r m!" mpLr€ *nh *aX6a rh6r $L$mFnsdbr. { drrlE*ntEdrh.rndmnft!
<br />or olrd.d for sl.lsc 7orr. Boins and ProfNirN ( o,j.r lhc Cotrlrxltr 3l.rle l.!* do6 ior E[,lr ro M osK or
<br />rh( Ix.tsiy rh. hil& or im[r.r6 th.rdn, Md trbdcsuch*o* hif,r.lf or h6sl t or lhrourh hb or h( o\n .mpl,').6.
<br />ttrov idc'l lhal such irqr.vtrls E mr 'd6ddt or oIH for sl. lf, ho$Rd. (h. hildinx or ifrrio\ dmr i! 3,ld ( ilhin nn. )tr
<br />oa(omrtlhn.llEotrE Buitb qrll har.lr. tu.lg' orFosns dn h.orrrEddmr hl'ld.r 'i4nr tu FlFrt f rtE pu4rsoa
<br />l, s o$F olrh. rmpsry. m dclatrdt .o'nr*! inr. virh l'.d6.d codr..t6 ro.odnd rlE Ftrirl (Sr ?Orl. t}6tr6
<br />.Jrl ftntsio Crt.: 1 h. contkioi! l-'c6r ur d6 mr ipply b oo$ndotroFn! trho brilds or mrrt\6 rhdon.
<br />dnd sho contruds n rn Eoj.cls vrlhs (ontEclons)t0rsuMr k,rh.( rnrra.u s I (dic I itr)
<br />I n.rmpl und6 seri('n
<br />%",r/ ts aol ft*
<br />I hd.b ifiirfl !n { FT.lr\.fpslun rn.flrh. nnL\rin! ddlsr
<br />I h.\ c a.d $ill nrinllh a (-.nificalc o I CoBol to Sclfinru,( ntr $or[s- ..nrp.nd nrn, a Foid.d lor ht s(lion 1700 of rh.
<br />I rhr ('.ni aor
<br />'h. Frfolimc. of lh. tr o* ror shich rh. Fhi ir nrudl
<br />I h.r. !d u'ill m!id.( *ortd' .6nFGdFn iMft.. 6 r.1uE.d
<br />"rL
<br />Sdhn l7(xr orrlE L.bor Co&. for rh. Froll1m. of
<br />!h. sort fu *nih lh. Fnnn ar ib.d M, *.{td' 6mFd ir. rE$e <dir tn Flkr_ numb.r ft
<br />.of lh. trorl f.r trtichlhB Fn'l s i$u.(L I sLll tun drlo) e) F$n in tn! mt.E
<br />t*$ ro llE trrltd omFnd rn Ltr3 of crl'L6e rd +m rhr il I .lirull tEom {bar lo r&
<br />tr .16' comp.dr o. proruioN ol s..r rn l7(xj.lrh. t bd(
<br />WARNINC: F ilur. r. <u. *od6'comFMnn cor6.{.
<br />.ivrl nn6 up r. oi. htrndr.n thouend rlollas (1100,000), in
<br />S(hon 1076 of rh. lrbr Cod.. i.r6d .nd .trorrEy s fc.
<br />{rL- I +rll. fonh\nh c.mp[ {nhrlFrpm!$or
<br />t9.d lhall snhjcr b flpl.)d ro mmml FmhE 6nd
<br />cosr ol comp.Nno.. drmxd ir prorid.d tu th.
<br />"",,c1 12
<br />I hs.t) lttm unds Follry ofFjur.! ih.r I d h.6a.rl un.ld Frntun.f E 9{commins $ h S.<!r,n 7000} olD$irion I
<br />of rh. Busi.d md I'lof*nrB Cod.. d nry l'(ds. is in fullnn..E .fr(l
<br />(l)! f,lcllotl,luutctc[!(I
<br />I hrchy amrm unds r.nnh\ of p6jui rhar rhd. ir a conntudn n kndins.*dc! fo! thc pcn)mrancc oflh. $ork itr $hth rhis Fnrir n
<br />isu.n (S( 1097. ( n (-)
<br />APPLICAN DT('I AXATION
<br />I hdltt allnn u.da ,oil y of tdjury on. o{ th. folL*i.B dd ldd n'ns:
<br />l).molitFn Pmirs-ArlErrot Norifi cal'on }ndil R.sulari.n! (Iirl..l0, Pd6|
<br />R.qur.d tdla ol N{,ri[rdn
<br />I rdriry rhn rh. fuLr'l r.EularioG r+rdinE alEror r.ml rl ,. .or qDlicohL nr t hir pnjcl
<br />I hr\. 'r nlrh'\ itplirx(str xtr,l nln.tr,ln'n,,in'n's.on(r liBrehcon,nl\\irh,ll( rrid(ortrr\
<br />ir.l i\r,.l i',Snr hu,lJtru a'd h-chr atrrhrn.rcfltsrdi\6 flrnt ( ilr and (in,nrr ro drc trF rh.
<br />.h\. morirn.n proFnr tu iBrEdion
<br />'\tDli.rnl nr,\rrnl Sirn{trrr
<br />/,/4 <=// er-..'
<br />4go zo,t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground t
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<br />Ext./lnt. Lath
<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 />1
<br />FINAL 7/,,/t1 <ufl-ab
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />)
<br />Subf loor/VenUl nsulation
<br />''4---
<br />Lic.M NumLq
<br />'2'r --J
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