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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall I <br />Framing tit^,ilfrt <br />lnsu lation/E ne rgy 1 tr\'lt+{fli!1" <br />Drywall 1 ).tH+,fr|ltt <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence 1l <br />T-Bar ll?ttltt a <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />I I <br />FINAL <br />Notes Remarks, Etc. <br />oWNf,RBUILDER DEII'ARAII0N <br />I hdlt'y afrm und.r Fdh, of FluD rhd I m .rmpl lion rh. ( onlrdon l.Effi lr$ ld rh. foll$\ m[ r*'i lS< TOil t <br />BBhd d Prof*nn Cd.) Aiv (iiJ or (i'unr) trti(h rcqun6 ! FnIr r. coNl,ud, rlrs. i'rForq ddnolieh or r.r!r ,nr <br />{ruclw. Fbrb n. isffi., . r.qu!6 rh.,rt!li@i rorsh Fnn h likrr'sn d {d.!6r rhi h.orrh.6lKdsJ Fdd <br />ro rh. FD\tioB ol rrE Co' .rro.! I '(n .d hu ((lu,r6 9. Conmftins trih Sdhn 70/.,(r or Dnisior I ot rh. Itur'rc!*Gd <br />Prtrfdiom con ) 6r rhrt lr or lrr ir .rmF rhn.6om &d rh. h6. lor rh. !lk*.d .to,flxr Anr \ irhrtur ots.<ri.70:rl t l,q.,! <br />.ppli.&r forsFm sbjecln q'rl$nr to rcnillr..h) ofmr mr.rhM liL. huftlr.r!dollds(t500) <br />l.a osna of ih. tr.Fdy, {y rvantl,i\6\ h\ax6aqrhsra,lccortcn$rion.s,tld,rh.rdldndrh.stnrir.nft! <br />mldxH or oll6.d for $1. ( S( 7l),1.1. BulinBs lnd Profdiorc Cod! I lE (i nrrrn'r I i.m* I .$ d.6 mr aml) r. .n or n6 ol <br />rh. Ftpdy \rtF ttrild! or in{r\6lhs$tr inl Nb &,6 sch *ort hirrscll o, h6clror lh({rh hir or h6 o\en eDI,lo\c6. <br />p.ovid.dlh such inro!amliEnol inrdd.d.rolIdcn for el. IIho\6d.rh.lrrldiuor irtrpr01drc B$ $irlrir n.)s <br />ot compl.lion, lh. o*'nd Inrirld s ill ha\. rh. htrJn ol pmvinr rhd k or sh< did nor laitl or nwo1. rh. rmpd! loi rlt !u,Tr& of <br />l. a ow.s ofth. lroFnr, m.\ch!n.! contrding wnh lrd*d.odddoBk' n,nniud rh. roj(r ls{ Ttil{.IIhrnRr <br />tit PtolsinCod. Ih.(onlrrtor'r ! 'cdr I sq d.6 not Eplyr. M otrn6 olr.rElt trho blilds or impror6lhca'n. <br />rnd trho.odft!torru.hFolds*irh!(idrdd(i)lknB.dpu,sunthih.(i,,,.ror!lrcla$) <br />I .\cmfl undr SfrrN. <br />llrr. Oind <br />uoRl(ERs'(aarP!: sArron <br />DICIJAAUA! <br />I hd."rl rmm un.l6 Frx) of lEJUry on. .l rh. nn [r* Dr d(l{atioN <br />Ih.!.r.dsilldlinrlin.Cldilic i oa( onmr ro s.lr-lNurc lor *o' 16 coop<n$rnrn. 6 For idcd ror by s(rirn l',00 orrh. <br />libot Cod.. aor lhc Ffome. of lh. *ork tor which lh. parnil b isu.d. <br />I h.v. .nd will Dlinllin wortq! co'b!.a ion iBurancc. B r.qutcd by Sd nr l7l)l) ol rhc lrt{tr Cod.. ror rh. psn,tuc. of <br />'h.mrklor{!i.hrhLFhI!'rna!Mrs,trlcr'(mFslFn'ntu,anc.cM'(indFnr}numbqd..-- S{e, s!:,rt ( <br />.r",*,.o JaD(bo)7 5- ,,","?d?47 <br />l..niry th,i in rh. Frnlflk..f rlr $o for {hkh rhL Fnn i! is6l. l !h!ll frn opltD r) F$n in my manm <br />$ 6 to b.coft $ti.n ro rL qlrt4' NnF*ion L$ s or ('.lifomia .nd iR rh. if I 3hou! tEo'E sut d ro rlr$odd frDFsrion Frriri,B (f S6ri.n ]7&of rh. L.&r Cd..I tElt.l(mhn h.omplr r hrlsrFtr\is6N <br />WARIIING: F ilu. h ku. uuld omradi.r. ord4c ir unLnlut dd rh.ll sbFr e dnpldF ro qiflid Fsri, .Dd <br />cnil fin6 0p ro on. hundkn rhotrs&l <br />Sdion 1076 ofrh. trt (G!..ir c6r <br />.1..tr'l-r$rn'n. danr!6 ns t)f\klal fo' rh. <br />I hRby am'D undE poalry oI p..,ur! r(!l <br />or rh€ Busin6.nd t,ordknB co.1. md <br />I &.lico${ unds ro\isio. ol( hi 6 e(onnn6rnl3\ilhS(lion 701)l]] otl)iriion:l <br />a,v li.ai. i( i. 6n1 r .. ml .lT^ r <br />t?988te4lt' <br />I hdtt y lmm urdd Fnilty o t Fjun 'hd <br />lt!. ir . <br />Eru.d (sE 10s7, ci! c) <br />lnds ! Nrn.: <br />ion kndinB isft\ ld rh.lEftrnrR.of !h.\ort for trhicnrhitEnir ir <br /> PPLICAN'IDf,CI 4TLI'IION <br />I hod,y amn. unds p6.hy oft'djury on. oflh.lollosin! dftlar.riinr: <br />l).Eohion Pmne^ll€r.. Norincdnln r.Jdrl R+ulalions (1i11..10. P!rl6l <br />Rcqut.d li'ft of N(*,for$n <br />I cslit'h,lh. a.d6!l..8uLrx'N rcrddin8 BtEsros rmo\,1d. fr, .t'Fl'(ihk kr rns rojd <br />. infotuhn ic6d l.arab.omplv trirhlll( ir) afrl( oury <br />.tn .!llFn,c r.'lmln^B orlh8 (''l\ &d Counl\ to olq qft tlE <br />*Z/- <br />a - r-1)',)- / / <br />rMEil <br />-I <br />1 7h\t* <br />I <br />Certificate of Occupancy , ' ,