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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE OWNER BUILDER DEL('Af, IroN
<br />I hqdry ifim on& po[lly of p.rjur, thn I m ciarlr Eom ih ('o r-oE' Lk@ lt* lor lh. tolloui.e .@. (s- 7011 5
<br />B$,,s rn Pr.adion Cod.) Ant ( n/ .r coudy *fikh r.quic . FEil lo codrucl. .116. inFov.. rkrmlith or r.Idr ay
<br />*rulE., FU lo ils isllEe rl5 r.qoE lh. {glic! for kh pdnn lo nL. sisn d ndcmr rh, lr or 5h. i licdE d p{rnar
<br />b fi. FovtioB of dE Codrdoa! tkd!.d L.w (4LF6 9, Com*'rrr tr nh S.drn 7000 of Divi.ion I ol !h. tlltird rd
<br />PEldbE Co&) or rtd lE q !r! E d6pr rrcdrem sd rl! bda aor tlr .lEa.n .rdPl.i any \ioldhn or Sdn. Toll5 ty uy
<br />rt'plic.d ror . Fnit 3ubl.$ rh. .r'pli.d lo . .i!il Fun) of mr mr. lha nrc hu(i.d {k'Ud (5t00)
<br />l, 6 os nd of rh. FoFiJ_. o, 'rr cmrhrc silh r'.16 a lhcr qn. c.mFrdR'n. * rll dr lh. $dk drd fic nMs. r ftn
<br />inrdlir orotr6.d f.reE(s( 7ol,l, Ilurin< ,nd PrnfBirN ctd.: rh.(bntr oir I icdE l,n'(h6nol Ep\ r.anom6.f
<br />rh. popdy sh. hil{ts or imEor 6 thdq'n, Md *ho dBs'ch\o himsclr or h6s.ll or rhtuurh hr or hd o\rn .nDlov.6.
<br />prcvid.dlhalsuchitnFnvddkd.,iddddioroffsalforskIIhotr64.rh.[rildintorirnplovdrEnlissldqirhinoicd
<br />ofcompLlion.lh. O"n6lluil,.ld sillhr!.llE hrd6 otprclins thd hc orsh. dd nol luild or l' ov. rh. pmpcly for lhc pu'aE or
<br />l. sosnsoalhc Fopdly- d.r.l6ir.ty codEclins *nh li.da.d contr&1dB
<br />'o
<br />.oddcl rh. Foj.(l (Sa. ?O+1, Bts.6
<br />.,n PEisin cod. Th. ( ont&roi. l-icdr t v d6 mr rp?ly to d o*ns o t roFd y $ho bdld. or inPlo\ 6 rhdFn,
<br />.nd u'ho stn.lcri for 3ut Foj.ar! *nh. ConE.l!(3) lana.d F dbrlr(o rd..rLa.*L$)
<br />I M .rdpI rn&r 56l bn
<br />$rJaaEEst(ouf[Ntara!
<br />DIC'-A8AIIQX
<br />I tscby amm unds pculr) of FJID oo. of rh. aollos in* d..h6i66
<br />I h$. di s ill mimain a ( din..r. of ( ongt ro S.lf-lreuE tor s.rkd .onpdMr on, $ pmritt d for b, Sarir), llTl() ol lt
<br />lrhtr Coie aor th. prfonnm. o f rh. *o* for shich rh. Frnn b isoc'l
<br />t h!v. .nd will mrint.in eorl6 conpd.rirn iBudnc., s r.qund b, S<lion 1700 of r h. l-alDr (ndc. for thc pdfofr1e. of
<br />lh. work for *tu.h lhi p6nil ir as.d My rort6 conFtudion idurm. .oi6 !d IDlk, numbd 6.
<br />a?ol(r Numbd I rntrBl-z ec_ 1l cdrrylhd ir rlE Ffoffi.f llk *orl tu *hthlhn Fnn ! iqa! I rh.ll mr ophy u! Fet in o, nm6
<br />s 6 ro b6!m !t*$ to tlE m.ld .onpcMii. h*! of Cdifomi !n +G thr it I dFuU b6oft lutin i.
<br />'lE*nrl6' o.Vdsron FolirirE ol Sdn 17Cr0 .l rlE bhor Cod.. I ddl. lonr$th Fid) snh llx& FblitbB
<br />WARNINC: t.ilu. lo su. *!.t6' odFtiiro @v6!s. n unb*tul .d 3h!ll sbj.s x 6ph!E lo oEtul FdE &d
<br />cNrl l-rn6 !p ro orc hun&al lhousDd &llG (il()o-()Oo). in addii .l comFNtion. dams6 a po d.il for rh.
<br />Lbo. ('odr. i.ro.( !.d dlorEy's fc
<br />'1
<br />t_l( F,\sulr ( t)N I R,!(lu8
<br />!!t(_! B!!!!!!
<br />I hftby arm undd pdalry of poi$r lh.l I srn li.osd undd prlvtion or('h!pl6 q lcomnr(in! *nh sdnrn ?0Lr0l ofl)rvision I
<br />of rh. BNrnBr ud Partdn,N (i .. rxl nrv licdr. is in aull aorl. dd .lfd
<br />6"
<br />3Ltll?-5
<br />z/ a4 /1 ,o,'ooo, Ca.tFt1l (',-yt #x.zltq,, (.rf
<br />(AIj!If,ICIjaIIEUTIBCI(iII(I
<br />I hqlby .rm u'&r Fulry of Fjury lhd rht. a a elutu.ln. ta,rg +trt (, lh. Fn lrffi. oa Oc trorl frtr s h{n
<br />'h6 Fha it
<br />ns.d (sa im7. ci! a I
<br />a.tttl(:aNfD[gJaa-ua!
<br />I rEri'y aJIm u.dd I'.nar y ol tEjur t .nc o{ rh. tolbtr in! d(hrar ions
<br />D.n(l ion Ptuns A3h6ra Norifi.arn,n lrctldal R.*uldions (Iikr0,ldi6l
<br />R.rtun.d LnrG df N,{'f(d rin
<br />I .d,ft rhd rh. fnL6l r.suldr)s E!,dins Gn6rm rmr !l u. n.l r ll{.h|. (, I hB on'Fd
<br />I cdii rhd I h.\. r..d rhir lmlE 'odidftd dd Srarc t^s rcldil\8 ro hui
<br />infoon rrn ir.ond I isRt'.omd! trnhallCi! ! l(budy
<br />rdlsD.r.F<rdr6 of!hi! cn, dd coun\ r. dlo 'rpo. E
<br />a '. 6rion d F.Fd' ld inrFdio.
<br />Applic.nr orA8arSlSn.rurt
<br />>t',^,,,2/r/tz
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing r1 r1 ra/,t'
<br />lnsulation/Energy Ll )t l1 rtJ b4,
<br />Drpvall llt:tfl fi^l t4
<br />Ext./lnt. Lath t7 fil 4v1
<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
<br />Certificate of Occu
<br />Notes Remarks Etc
<br />ID/SIG. I COMMENTS
<br />Erection Pads
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