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BUILDING. INSPECTOR BECOBD
<br />SITE-WOHK DATE COMMENTS OWNER BUILDET DEL(}TATION
<br />I ta6by .afr6 lntd F&liy or ndiurr lh{ I d .r.nfr lim llE CdmdoR Li!.* L.e i)r rh. followin8 r.en (Ss.7oll5
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<br />nndw. Fis lo ils irllre. is Equi6llE +r,ltanl for ruch Fmn b it. liamd dtr.m.l lh.t lt or slE i lknFd pumd
<br />io rlt FlvisioB of dt Cmn&( r Lira!.d trw (C1I86 q Conftxiry vlh Sdlbn ,m of Divirbr I of tlE BlliEs rn
<br />Prof.f,rbnr C.tc) d rlrl lE d dr is .rcnv obfrcn ltn di b.rn ro, r,r rlLSd .roryri{. Ant viohrbn of S.crbn loJ L5 by sy
<br />Tpli.6r aor ! IEnir rblrl! llt oIl txl lo. civilF llrorml mE the fiv. hudEd dollat (1500).
<br />l, as owEr .f rrE F.Fny, or ny .mployllr wnh r.8er rh.ir $h ornp.nsrido. will &, rlE udk ,rt lh. slrlrl@ ii d{
<br />iildd.d r ofl.,ld fd qlc (Sa IX{ auriEr! !d ProfBilN Cod. TIE Cdrrddi Li* L.* &s,Dr .Iply b u owr of
<br />'rE F,tdy *tn hirr. tr n+.ffi r,EGa .d *tb d(a sh k t ha@lt d lEElld ttNud ha! 6 hd own.n!ior6.
<br />pmvirral rh.l s.h in{n,@GGdi.d.doroficndlor.lc.lahoftE,0EtoiLtiry*irprDlmntirsldelhirmFr
<br />.f$,t,hbtrdEOeBBdEdwilllErtEblr*nolF,tilrlEd,rEdddhriBdqmE0EFolEr,f EFFEo,
<br />L as o*E o( rlE fmFnr. .n.r.rliEly.odr.ii.! rirh licnrn.odra.lc ro dndnf,l rlE rr,ei tsd 7ota, ao.iE\{rr Enfi$id Cdlc: Thc Co.rrror\ Lianrc &* des nor lPtlyr. uowmr of ImFny qno builds or inr,ror! rh.rar
<br />rd *ts &di.rtlG uh rmirr. rnh. Co r-ror$) lii €dl[lrd rotlECoffi r tift trw,.
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<br />Drl.: Om.r
<br />.uoBaE&tcougxslru!
<br />DESJAAIO!
<br />I h.rcby 0mrm urls IEMXyofFj!ryo.c ofrlE tnk,win! d(U'Nrn,nl
<br />_ -l h.k and *ill roinhin ! C.nirE G ol aonsr ro S.lf.lntE fd Dr*da oqEn.nkJn, a Fovid.d t bySchnlnnofdE
<br />L,lry Coilc. ftr lli Ffultlrc of lh. Hrt lfr whah ltE Fmii k nru.d.
<br />I hr\r rfrl will mrinr 'n w.rl.h .o\f,n\rnnn ,n\!rrrc, r\ requffJ h, S..r in, .17m .l r hc utxr Gd., lff rhc p.dnnruEc of
<br />rtu rod ft, shrh(hsF.mn n tr\ucd il!rt,t!T! (rlf,nsrii'n 'n\uruE-..mr ul Inl.) ntr'nlti .
<br />c*r, -( A
<br />3-6 1,
<br />_l ftdiry ur in tlE tt,ft,ffrc orrli eit tu $at rhn Frnt i i(rd.l nil mr oq oy&, Ftq in &y lsE
<br />s s to tE6tr .ubF o rlr uolkqr dlrlxner i6n hei 6f Crlifooia. dt rsr lljd if I sn ukr h6om 3ubt l ro rh.qrl6' otrFNri,n Firtiom of Sda'n lrff)of lh. t b.r Cod., I ldL ldhwi'n 6n9ly rih 'lEr FovninrllAf,NlNC: F irurc ro s E workn orqEn{thn (,cis. k]jlpi* lrllilnn
<br />c'il fiffs up h nk h0'xhd rhrqri
<br />T,*KSdirn.!1176 ofili Lnr, Cod.. mlcrcsl
<br />2..o.:zolo
<br />I tfrby rrrm u.d.r Fr& of Frry lld I m linid u!r& FDvilirn of Ctqr6 I (olltlrfttu dh S<ri,. .'fln) of Divnirn !
<br />ol llE BuliB! rd Pmr.sion. Co&. !n my [ccM n in tull foc.,n.fiet.
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<br />lo -)c> - 2O
<br />I 6y.ltm urdd Fdy of F,rury tlt! rlE h. @nrrElir! ln tlu.!.ry fd rh Frdlrc oliE s(t hr rfth rhii,6nn b
<br />io.d (Se. lO9?. Civ. C.)
<br />L.n&r'! Addr-:
<br />-
<br />AIIIII]INLDECI.AIAIIO!
<br />I hod,,.trmu .r FE[y olFruryoE of rh. foltr*rn8 ddLnlio.r
<br />D.mlirh. Pcrmnr'Ast rlG NolifEdi.n tu r.l R4ulj b.i (Tith ,10, Pd6)
<br />-R.qrir.d
<br />tdl.r ol l*rifdih
<br />I cd ify ihd rh. f.dthl n8lhrirn\ r8x{i4 f,d.{,x ftn'rd d nn qrlic$k h rhii pnrFr
<br />_l cdiry rhd I tuvc rld rhi! 3r,plicsrn,tr sd (!t. rhrl tlE atnvc inaonuriri n coRcr.l asc ro conFly*irt aU Cirys lCoutrtyddrlB .il SE . b$r rbrirt ro bildin! co.rMb( rn h.E,6y rdlbri8 ,iiftddiB or lnir Ciry .rn Coury ro cnr( qnn rlE
<br />.h*x ftnrk,kd F,Ircny nr '.qrcr
<br />Ifi
<br />-. lo -!a -2D
<br />Set Backs
<br />Forms/Steel/Holdowns lt 7V (..1/o&vs1
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing IL to
<br />lnsulation/Energy
<br />P+y!yall/Ext.llnt. Lath I Dffi\r
<br />Bfown 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 />I
<br />FINAL \i'I
<br />Certilicate ol Occu pancy
<br />Notes , Remarks, Etc.
<br />Rev.0B.07-2015
<br />ID/SIG.
<br />D**trt
<br />-Ld
<br />i>Pr*r
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