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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILOER I'f, I,('ARATION
<br />I nd.tt lrrn und., Full) ot p6ju! rhn I m .rmpr 6.m rh. (ndraloR li@ t s for llE rolbu 'n3 @n (s< r0l I 5
<br />BGin6s .,n Prof*sn co&): An! cn, or ( oud! *hth '.qutrB ! Fni b .odtud, ,l'd. 'n,,ov( d.mlish or rFn r.\
<br />nruc1r.. Fr h ns Nffi.. .Eo r.'pr6
<br />'h.
<br />q'plkar for 3u(h Fnr kr 6k ! si3..d irhd rhd lE or dE t licaEd rruRd
<br />lo ln l(* irions of tlE conlr*ror3 l.ic6s.n llw l(lBBa 9, ftnmd(inl| wnh sdio. 7000 ol l)s ision I of lfi. ausinN .nd
<br />Prol*ion! (!rdr) orrhlt h.o sh. n.!mO lhF.from ud rlE t8n for rh. sll.r.n.rdprion Aiy violarionols.din 70ll 5lry.n!
<br />applic6nr ror6tdd( 3ubjdsrh. amlicanr xr !.ivilpcn.hyofnot flrtr.rhan lir. hundrcd doll&t(ltoo)
<br />lCa{. a o*F of rh. FoFly, or my.mrh}6 $ilh was6 6 rfi.ir xrL.omFsnhr. qill do rlr slt rn iE rrlx1r E mr
<br />inl.BLj orofidld for sL (Sd 7044. t]6iB ed Prol6tr6 C.& IlE(iiddofs Liel,$ &E frn +pl)'otrosffi.frh.FnFy r h rxikl or irsarE ltEe rn sh dE $-l' *on hio*ll or hcslf o, lhFUBh hit tr hs o*n -tpl6)d.
<br />Fovd.d rtd sch nF\gds r d na'.t d notu lor sJ. It h{6s, rlE toild,E d inynnffi ir $E rnfinr w \U
<br />oro,rtkiin. rlE osE &riLld rill hAr rlE hdqr ofForiE rhi rEorrtE dri ti hnld d nriFr. th. FrFrt tu E F,Fe ol
<br />' I.6ntrnsolrh.F.pd). m.rcutn.D fl,ntrsm! $ h ltrd!..it.nr.do6r.conmd rh.Frd (\d ?Ol.l, ErBin6s
<br />rnd PhLann ( od.: Th.Coordoa! l-ir.ni.l-.w dod nor aprlyh do$nrotpropqlywho build! or inprorc!lh6drn,
<br />ud who conlrdr aor sBh Flj.cls "iIfi.
<br />( o trto(s) licd!.d pud@[o rh.( o r.cto.! l-i.@ lrs).
<br />ItQ - --l ".a- s*,i"" .B &Pc turhi!,@n
<br />0,.r. . O \,o - }o r1o-,- )ti !1il ,fu+ 1h A
<br />!qa5E85:aOUE!5ArO!
<br />DESJAAIIA!
<br />I h6.t y .mm urd6 Fdty olFjury orc o,lh. rolb$ uu &.brd ioB
<br />X2 I hav. ad *ill mi ii. a Cdificlr. o t O'u6r kr Sclf-lEur. for $0116! $mp.rN.rion, s ,Nvid.n lor by Sdion 11700 o I rh.
<br />tihor ('.{e aor lhc p<fo,:Mc. of lh. *od for which rh. pdDil i i!.!.i
<br />lClI irv. od will tuinrdin rorkd conFB.r$n iBuffi.. 6 r.qot.n br Sdhn I7oO otfi. L.hr ( o&. tor rh. Ffollffi. or
<br />rlE "orr lf *hah lha ldrn a isFd M) *{Id mnFEii,n iBud. ceir !d polt}. numtE r.
<br />l!( r ..r'ry rmr ,n rt. por,,*nc. ol rh. *ork tu r hich rhis lfmir r isnEd,I sh.ll nol mplor.nt n non in !n) m ns
<br />$ atu t!$nr subi<r ro rh. *o*dJ .ofrp.noinr. hws ofColitomi0. ad a{6 rhd irl should h€od. iubj(r n' th.
<br />*o*d c.hrnlurionlmvirioru.f sdn'n l7c$oarh.llbor Codc.l rlDll.fonh$irh conplr {irhtho* provilioni
<br />WARNIN(; l.lrltrrc ro se sorl6 .\mrEuion .orm*. i rnla(tu1. sd shsll lobjd d mpl.r6 t. aininll p.mtk d
<br />cnil lin6 up et o.. hun&€d
<br />'housni
<br />&116 (llL$.ooo). i. eun$n ro rh. .c! of .omFMion. d!rs36 a provid.d for rh.
<br />Sdi]. 1076 of rh.l,hr Cod.. miqd &d dk'nE s lc
<br />2.0 |/apprtonr,L
<br />DECIASAUA!
<br />I hfthy.mm und6 p.n ltyoaFjuryrhd Ln li.6sd udr thrihn ni( hrpd 9 (conm6(ns *ih Sdirn ?uO) ofDnisn'n I
<br />of rh. Duiind tud Pmf*nrnr Cod., tud dy h.Ge is in full tor( sd .lI(r
<br />toltrBlcDotLEuurclcE!(l
<br />I h6.br lmm und6 Fnlny of Frjury 'hd
<br />rhc. i! r coietucib. Lnd,.s ,1o., for rh. Faorr11mc of r h. sort tur $nicfi rhn Fnir i
<br />i$u.d(s(. 1097, civ c.).
<br />att|.lcaNl"otclJSAltq!
<br />I holtr rm onld Fn.h) of Fjur! otr of llE folloq in8 d6lr x$
<br />Ilml 6n Pdmni-Alb6ros Norifi.dion F.d.t.l Rc8nbiio6 (Tnl. {0. P!l6)
<br />R.rtut.d l-drd olNdift arion
<br />I csllfy rhil rh. fqjsal r+ulrxoro EA lin8 BtBios rmoull E. not rprli(ahL to tht pFjd
<br />(9!.d,6 rhd I h.( 6d rhts ar?lk.rhn ,n nar. lhd ih. aln\. mronMrk,n s c(Er.r I arG ro.onp\ s irh.lr cn)
<br />'nd
<br />(tunr)
<br />o.diMfr6 md sh. ll*. rdri,B r. h,itin! .oNM.tr et h..t) !u nd. r.F.6tn6 olrhk ('ht 6rd ('ounir to 6ls upon tlr
<br />rb.1.6rar{ FrFn} for irEdi rrlr6;;;;.;;;"-t /r^) cL h U"^ o.,. - o ) - ( o.2ao
<br />pdhc mm. rp.tn,), )! r!1- ; l^ CLaOO l<aiO
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing ,i/3t//7 rllU//tr-9
<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 />FINAL 'dtz/r7 lttU/R|FY/Itlit//eoilt"L
<br />Certificate of Occupan cy
<br />Notes, Remarks, Etc.ai
<br />I
<br />I
<br />I
<br />Flood Zone Certif .
<br />I
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