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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns I 0"1tu
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing (o '7a
<br />lnsu latio n/ E nergy
<br />rDrvwall I'
<br />Elllnt. Lalh L u
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />rl I I
<br />FINAL t lo >tkwx1
<br />Certif icate of Occupancy I
<br />Notes, Remarks. Etc.
<br />OWNAI'UII,DER DEITAIAII(N
<br />I n.Ebr.rtn u lr p.dlry ot p.riry tur I o cr.rpr non llE Cffi.d6 Li6E L.P for tlE tolbvh8 Estr (Sd.mll.5
<br />B6i6! .rd PrDL.&o Cod.): Ary Cil, s C.u, y whi.h FquiB . Fmi lo coi!.nrl. 116 i,p.oE &mlilh or EFn uy
<br />lrrucrE I'ffi ro irr nare,.!o rquiB rlE.9pli.!r lbr rBt F mr ro tL r liBn d n.l.IFr rlj l! d ii ir lidnd FIBur
<br />r. th. Illvilio6 ot 0E Coi*r*r( ! Liro*d t r lcn+ld 9. CollEEi.t *ith Selbf, 70m of Diviri,n I of rlt BBiBr ..d
<br />Prc&sions Gd.) or rhrr lE or rn ir rx.q, rlrfim!!n r hi ftr lL.lL!.d.!qltli{ Any !bliri'. ol Sdi,n ,01l.t b, r,
<br />rltlt. lor r Fmil oblrs llE rprltd to ..ivilFBlty of ml mE lhe fiE hldtr! d Lfu 11500)
<br />l. rs owmr ol llE Fsrrny, r m, .q,b}tct *ilh *.96 ai llEn Fl emFN.tion, ril (tl IE wi rn tll srdE b Fl
<br />i di.d or o,I:id rtr.1. (Se.7o4a. Bunmrs.,rd PrDfBrFN Cod.r TIE C&rE rq! Litu t i da Dl .!ply lo & o*mr oI
<br />l,EFoFn, *tn hiikt m rqrl6 0E!dr nn *ho d6 sh s* nirelf tr tEell or thmu8! hi! c lE 06.nploy6.
<br />rmvilcd th!' luch inln)ffir Gd ndil.d Go&!d fq rl ll l@.€. rlE hriUinr ( iqffin k 5n ratir m Fr
<br />of $nDLlio( uE OwEr Buitj.. win LE dE h,&n of p.lila d! lE d rlE dn d hild m inpoE dt lt lry for dE FrFf, of
<br />_L rs o{N .t rlE pmFnt. m .r.bswlt .onr!d'n8 wnn lan.d corrrr:rd ro otr{nd rlE Ftrirl (Sa ,044. Aulrs
<br />&d [io&si. Gdc: Thc C.nrrlor'r Lienlc rjw dft. mr ,ppl, tr d owE ol I'oF.l y rho boildr or aDprov.s tn.B,n,
<br />.nd *tD odr-rr lm sh Flj.rtr *nh . C.nr,rrorlr) lklnsn ll.uln h rtE c{ddd r tirE L.v).
<br />_l.n.r.mpi und.r S(t
<br />.ua8EE8S:Sr&t8EltArIaX
<br />DECIISAIIIT!
<br />I lEEhy rmirn und.r Fnahy ol Fjury om of rlE tolh*ll3 drl.Irr iont:
<br />t hr€ ald will mi.r.r ! C.nifEd. ofc.nEnr ro S.lf lnfr t( wlda snFn.rion, t! Imvid.d fr tySdirn lnro of rlE
<br />rlkr C.d.. lor rlr FfornIE. ol
<br />'tE
<br />wlt for qnih rrr tErnir k i$u.d
<br />_l h.E rd r ill ni rin w.*rB con{En.lrio. iBunE., ai Equrti h, Sdl.n :l7m of 0r l rlbr cnL, for rh. ,'.rfl,lr1ft. o(
<br />rrE rdt rd Bhth rhi p.mil h is$.d. My wclsl onp.irlion ir$ELr cui, rd rDli, nonirt. e
<br />".*, , CA S/exc n*d
<br />7pq t-t <?3_z -) I
<br />-l
<br />.cnify rhd in inc FrfmmEc d, rh. w* aor $thh rhi! Frmi ir is!.d, I rhrll ml .'rFhy .ny FR,n h My tuq.
<br />$ 6rotr6m$bF 'ortE*!rt. '6nIEn io. L*s ot Ctlifomi. .!n lar rh.t iaI {5!ld lhoft.ubFd rortE
<br />wrt6 o'rFMionrmvniodof S..ri('.]700 orrh. t lrrC.&,I cE[ nnhpirh mnpl, *ith tlre Fmvti.N
<br />I{ARNIN(; Frilur. ro de **kc6 ..qxndidr Nr r rn onPl,ihr h lrtrn rll{trrlr.\.n
<br />.Ml fiEi urt ft! oE hundEJ rlsuui dnh^ (llm.oq)
<br />sdrn 1076 of rtr lrbr cnd.. mr,ti .,t urm;lrrco
<br />o",.- /o:2a..D^f"E
<br />I r.mbyrmflnud.r lEnrkyol FUu.y rhr , a'r F)vnbo of ( lurr6 9 (.onmn.'.8 wirh Sdrn ,crrr or Divirion -r
<br />or rh. Bu'iBr .nd Prolcsi.ns cod., .,n my ft.G is
<br />'n
<br />6rll f.N .,n cfr6r
<br />13
<br />:7aJo..s,s .-,/^
<br />lt)r,:1Xl!lll]|LlAun1i.llif,J.r
<br />t h..$y r,Im u,ncr FEh, ot Frilr, 0u rhG. L r ontutirn laldhg .r.ry for ilE Frf(ffi of lli rdl aDr *'hth rhir Fn! &
<br />issd (Se Ir97. Civ C )
<br />dIILICANIDEC!.A8AIIN
<br />t hdttry .trm ud.t Fnohy or FJury oE o, tlr i)lb*ins &d6rb.rl
<br />Itmlttn Pumtl A{r{d NdilE.ri'. F.dd.l R.lohrn'nr (titk,10, Prn6)
<br />-R.quir.d
<br />Ldl.r nf lkifrri,.
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<br />cdify rhll
<br />'lE
<br />tu nlqlLrionr q.diry rdxno! E n wlm n, nl,tli({hk ro rh(,roFl
<br />I drty lhd I hrc rad rhn q?lmrbn .,n r.r rh.I dE .t E ina{,r,lrlbn ir 6Ed I igd b onply wirh lll City !d Counry
<br />sdiMrEx r Shrc Lrwt Ehri,s ro tuildinscontftri,tr {ld lH.t'yxrtDe r.Fcsnl.lrE. ofthit Cn,&d C.r yrddrduFno.
<br />.hoE rnrbEn pmFny tu
<br />,\fl,licul or Asdl SsMlt -la-s^-=s-o
<br />a
<br />.INTT'fiJ
<br />Rev.0B 07-2015
<br />)r -+3
<br />IL
<br />T-Bar
<br />+@
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