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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/slG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA/enUlnsulation
<br />Roof Sheathing
<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 Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />trATI](E U
<br />FINAL r c.D tl UIJ
<br />Gertificate of Occupancy SAMo 8-43, 290, ss6, 667
<br />Notes, Remarks, Etc.
<br />om6-Build.r D.cldi@
<br />I he!/ .mm uda padty of pcjury rh{ I in qdB forn lh. C6lt'r.td.' Li.dc L!* rd rnc followi.r B6 G.c.701 1.5 Burin6t
<br />ed Pmf4a@ C.d.)i Atry Ciry d cdnly *hi.f cqun6 ! Fdir io .oaE!ct, .ll.r, iip.oE! d.mlnh o. cp.j. ey tlrudk, Fid ro ir'
<br />itr@e,.lh EqridrhctPplidt fdttd Fm to tilc r.iSncd firandr rt'.r [. d th. ir li6r.d punusi lo lh. Foeitiont oa rh.
<br />Ooitrtd'' Li6.d rr (ChSrF 9, Cqffiins f,ill S.<rid 7000 6f Did.i6 ! of d€ Buin< 6d Pm{di6 Codc) d rh.r h. tr
<br />rh! t .,.npr $@fM &d dr. tsi! 16 lh. .ll.r!d afrpdo .An, 1iol.tim of s..ti@ 703 L5 by ey lpplicat fo. . p.on rubj*E il.
<br />pplioi io . cilil pddty of n tle tM fiE lM(H dolla (tr@).
<br />_1. ! (Md of rh. FlDdry, d ny cDployca ,irh ,.86 ! .hcir sl. cdp@!.liorr witl do th. rGk ed Ih. ruciur. ir nor inrdd.d
<br />d olt4d t6 r.l. ( S.c.?Oar, BailB hd PofBioru Codc It. Caur.td'r Lic.e te do6 nd .??ly to & .m{ of lh. prcr.ny
<br />,ho bqildt or ioI.oc lioBr, {d who do6 ,en rdt hi@,f 6 hadf 6 th@d hir n hq om .mplorc+ ,rcviiLd ,,.r hch
<br />inprorffir N nol inlad.d n ofi.ftd f6 t.la If, howM, $. buildln8 or ihprDrmat i! rold wnhi. oi. year of complcdon, $.
<br />Om6-Build.r ?ill hE tlE horilcn of prcviq trr h. or rh6 nor boild d ioD.ov. fd rh. Durpd. of il.).
<br />_I, E 0*16 of {16 !..rdt . e q.lsiv.l, cqGr.rins,1lll tiqrcd 6Ekrd ro 63rtsr $r Fojcr ( Sc..,0,!a, Buin6 bd
<br />&lfaion C.dc lxc Cdtturd'3 Ucac tre .loa ior !p9ly b 6 omd of pr.paty *ho buildr d inprcvd thd.oo , .rd who
<br />.oitacli fd ruch proj..t *irh . ContrGulr) lim.d PtR@t ro dr. Cdt *ror'3 U..ns tiw.).
<br />_l e .rcfrpt u&' &crior
<br />TQBXEII.COIIEdIAIION.DECI.A8AIIQN
<br />I h@!,.tfift ur{t . p.ndty orFjur,6. of $. foll@ir!.hclmrid:
<br />_t t.w 6d,iU min..h. Cdtioi. of Cd@t io SdflilG f6 wdt6'.6Fd.ri6, s Flvid.n rd by s.dio !7oo ord.
<br />rrld Cod., f6lhc F frhn c orlhe rqt fcslict th. Fmn i! iilctl
<br />_l h.vc Nd will hrindn rdi(6' @n pa tion itutu@. a r.quird by Sdion 3?00 of lhc L$or Codc! atr fic p..fm6& of lh.
<br />*dt fd vhid $i! pnit it is.{,' My *d6' c@Ftr.ri@ iMc. @id E.l polic, rMba u.;
<br />Policy Numba:_Erpici:
<br />:"-"ffi.ffi,ffi#;
<br />fr Or. n@&!d dolla {5100) rla)
<br />qhich thL pann i! isu.d,I rh.ll
<br />of Cilif6ni{ bd lAE thlr it
<br />cooF ri@ provitid of 3700 of d.l$d Codc,I rndl, lorrhwith
<br />//- o
<br />rr ur. ro ,..ft w6td' Mpor.rioh
<br />lin6 u, io 4 hui&ld t6rd <tdh (l10o,000),in d.tid6 lo lt. @! ol.6pdd6. d,E$t a Fovid.d fd ih. Sccrio 10?6 of
<br />tu lrha Cod.. incEr md rllm.yt f6.
<br />LICTNSED COII|TRACTORS DECLANATION
<br />I hftb, amft unrla p.nllq ofpdjlr, $ l m li@rd mrLr pmviid of chlprd 9 (
<br />$. BNi,or xd lrofdri Cod., Dd w lic4. ir itr full fm. ..d .f..t
<br />-11- o
<br />I hd*, .fiim lndr p.adry orFjury tllll $d i! r @n r.!cti@ lodirs .rEcy fd ilE
<br />to.d (Se. 3097, Civ. c.).
<br />of rhc wdt ld ehich rhn p.mn n
<br />AIPLIC^NTS DTCI,ARATION
<br />Ddiolirid Pmib-Arbdor No.i6..ti6 !.d.rl Rcad.ti@ (lid. /O. Pii 6)
<br />_ Rlquitld L.i.r ofNodlicnio'r
<br />cnv
<br />rbovc mdrio..d pmp.rty fn intP.ctid purpd4.
<br />a
<br />4-r(-ob
<br />Set Backs
<br />L-,!.r', A.[4*'_
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