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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE IDiSIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drylvall <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 x/io/n t ->4 -tErv '6-6 <br />Certificate of Occuparicy <br />Notes, Remarks, Etc <br />O\A'N ER BU II.I'ER Df,t.('ANATIoN <br />I hdarq 6mm und6 I'odlly of rsjury lh.l I M .r.mpl tmrn lhc CoorradoB l ttu. tr$ lor rh. nnbwin8 r.e$n (s.( 701 1 5 <br />trB'ncs nrl Prof*ion Ccl.) An) (irror(ounry$hihr.qund.Fni ro.oldrud. !hd. inro\e d.htlGh r rqEr ai <br />ittudurc, Fir to iri isuec.. nl$ r.{ut6 rh. .tplkdnl for su.h lEmil b filc ! srln.d { n.16l lhar lt oi .h. k li(ns.d pusan' <br />ro rh. ForsirE orllE Conlrrror! L(o*d l.s ((ll4rr 'r. Comdd.inB $nh Sdn'n 10(ro of l)ivtion I oflh. BGiiN tnd <br />Pmf6nB ( od.) oi rhat h. or 3hc i!.rmfl rhftfrcm and rh.l8ir for rh. llLuai crmptnrn. Any vrltl'onof+.rirn 7olI J nr nn, <br />lppho aor , Fri tuhjd. rh. .r!rlir!.r ro ! r'vil Felir'ol mr mr. tne lir. hundr.n doUur {t5u)) <br />l. a 0*6 otuh. FoFry. or m! dphr6 wnh s6s6 a rh.n xn. comFnrdi'n. ll & tlEn'nlidlh. sn(i4 ar dn <br />ddrLd d ofi.r.d lor xL tsa.?Orl. Buin6 ed ftofssN Co& Thc Conr-roai Ltcd Ltr i!.6 d aplr h e o{E .r <br />rh. Flpgry who hlit!.r inpnv6 th@n, d sho do6 sr.h *slt himr.lf .rlErlf or lhNush hi! or hs o$t cmploy.B. <br />Foril.d rhd wh inp.oraEr! & mt iddrd.d G olH f.r $l. lf. no*6(. rlE hrildi{ q iqr qd !sld trihi.m16 <br />oa.dl9Lrin thc osru aniB- $ill hr\r rlt h,rla! 6f Fo\irB rhi lI or si. dil ml hrild or irq!\r $. prDrEir nn ilF FnpoE oa <br />L s own6 of r h. F.Id!. m .Kl$ivcly contracrin* qnh ncilcn conr,ocroE ro ensrod rh. Frjar (s( ,ol.l. lrurinGs <br />atd lhk inC.& thc(ontxr.r3 L(oF l!* d6 r'l qTlr. t' mosndollioFnr trho buildsol impro\6rhFFn. <br />dnd *ho.odrid!fdriuchli.ldswnh.(odEdn(Olitm1.t-lruR@rtlh.(i].nractoislrs.lN) <br />I m.r@fr u.dd Sdb. <br />tll)altElt5:caufEllAll0! <br />EECI/IAIAd <br />I hscby .flirm unda pqElrr. ot rEiuD oE or rh. rolbr ins &{l[arr6 <br />I h!\c,! *ill m,nr.'n ! Cd'lrd. orCongr ro Sclt lNr. for mrtd's,rFMFn. a F.\ilal lor uL sdn,n !]tx, otlh. <br />tah). ( oda ro. rh. FfomM. o f rhc $ ork lor whicn rh. Fmn i su.d <br />I h.!. .Bl q ill m.rnlain $o,k6' conp<Mr{a iEUr.(q 6 (qun.d b} sd hn I7fir ol rlE L.bor ( .&- ,o, rh. F ft.lfutu. 6f <br />rh. $ork lq vhich rhis Fri i! dtucl My qo&d c.rnpaer io. ireurd.. .ei6 dd Bnicr nu'rb6 e. <br />I cdi6 th{ in rlE Frorur orlb. trlrl ror trhsh thE Fm n su.rt I sh,ll mr mplo} !.r Fen in.n} nuE <br />$ 6 ro h<.nc slbjdl t6 ih. mtt6 .omFd bn hwr of ( .lifomi., ed l8R rhlr il I lhould htrom. Nbj<l <br />'o <br />rh. <br />*orla.o,rFBdionFbBioBoaSdionl7firofrh.Lthx(_odeICEll.tonhtrnhmmrlytr''lhlhoiI'DrtioE <br />$ARNTNC: F.ilur. to su. $srl6 comFuio. orsls. b unl.stul. !.d .h!ll 3ubjd M @pkrtr ro tmin.l IEEhG a.d <br />ciril nn6 up ro on. hundrdl rhorsrd d.ll6\1100.000t. i! !dd0n'n lo rh..on of..dp.neriotr &no*6 .r pro\id.d ror lh. <br />S(!.n 1076.frh( l"tr (.&. rn6.r Dd .( <br />I ha+, .llrm uR!.. FEht of Flur) th, I ion of (lqrd e(onn*inr {nh Sdi.n 70tu} orDtrFNn I <br />ol rh. aaind rnd Pr.l(rion! (bd.. irv.l trry ok s ln n'llnY.. ud clf(t <br />b <br />L I l:l ll ui Llru l( ( I _.LLar l _I L1 ( <br />I tsct y alr[n lqjd FBlry o f FJuq rhd I <br />issu.d(S( 10e7.( iv. C I <br />lflt,.e +o.l lo. rlE Dqro!1Mc. oarn *o ror trnth rhi! Fmi 6 <br />Attl.t(adfD!:(lJSdlt0ti <br />I h*t, aflmr und6 ,...1'y o t Fruq orc ol lh. fullo$ hB &{ld!l ionl <br />D.mohion fmnlAsb6b3 Noricllirn t.dsrl Rc3lldhns (Ink.r0. Pin6) <br />nnd(i\ nr\ r, drc trrr{rh. <br />rLl l1 <br />*,. 'n'r l. I :J 4,.1 <br />**Nudb6 tOOi4ig{ <br />4 znzz'l -,Ytl r^ttczlttpplicrnr or tidr \ir4rrun ! <br />," u*x*"r,y(. ,.J, t-l---- <br />I <br />Subf loor/VenUl nsulation <br />I <br />I <br />I