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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/$q.COMMENTS
<br />Set Backs 7-21n,9L,t\dF :1
<br />FormsiSteel/Holdowns \7t
<br />Erection Pads
<br />J
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />/r\\
<br />FINAL t-l\-?l \
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />/>
<br />r0J'l-
<br />-24 t
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<br />OWNER BUILDET DEL(IRAT'I(N{
<br />I ffiy l'th ud.r Fr,lr, or F.,lry dLr I d .r.npl 6nn LIE C.nltu6' Lirtrs tre lor llE fol,owhS len (Sc.7oll 5
<br />Burircsr ad Pmfc$i.n C{ic): An, Ciry or Coudy *hkh rquiEs r Fn', ro onntu1, .16, in9.or, &mlilh q EFn Dy
<br />rtutu. Fi,ro ar. isule..ts EqliB rlr +da.d ro uh Fni ro nh..'8..d nr.ird th.l lEor sh. t lirtr$d Fltld
<br />ro rlE F.vili,ns.l dE Cmrrld ! Li&nr.d Lw (Ch,prd 9. C.mftin8 vlh Sdlion ?000 of Diririon I of llr BuriEs r.l
<br />Prutcsi,ns Cd.) or tni h.oriL t.&trfl l|lEnom rd rlr l$i for rL .ll*cd.ianFa.n Aa, viJl{iJ. or sdirn 7o.l I 5 bt &,
<br />4plicd for . p.nn obirk rlt .lplixr ro . ciil D.Ehy of mr mE rha fi!. ho'nEd doll&t {S5Lr0)
<br />_1,a osErofrh.F)Fnr.qny. plorrd *nh *.s6 u rlEn nb.on!Enr.ri,n. siu dr d.rql.n 0. st6w b D'
<br />ituiLd or.rY6.d for + (Sd.?04.r, BGiEs sd Prcf.]sbB Co& TIE Conrruclols LtctrE llq &Es mr 0r9ly ro m ol*r ot
<br />trE pmdy wts builh or intmr: rrE6tr $d srbd6iun wl nic.lt6 llElf rllDudha. d lE om.n!l'Fs.
<br />Flvd.n rid trh ,iqDEft'r! e 'd nord qo6.Ed 6. r]. lt lDrEG. tlt tlildine or irriur'{ ir bld wthin m Folo'rt'Lri6r. UEOuEr Buiud wi[ hE llr bGd..orFbvinS trorilEdildlliBdilllr@ E FrFry rn DE FlFror
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<br />L a! o*E or rhc FUrEny. am.xctriElyco' rn:1'n3 $nh l.rnsn o' 1116 io @irrixr llE rrF't (56 70.r,1. AciEs
<br />.d F!&sn C.dc: -rE Conrrrlu ! Lt nk ue &r! mt inply lo & ovs or proFny wlE bulldi or idproEs lhc@rlnd *ho conll!.ts tu luch F,F! wilh a C.delo(t) liensn ,u'!ui lo rl. Conrrl-.! LirM t w)
<br />_l m .rcm,r ud.r Serion_. B & P.C. n* Ih( E.sn
<br />D.1.. Or*t wonxrr* crriurrrsrnortt
<br />DECI.AAAI1|I!
<br />I tErch, 'iirmunder Fndlry 6t trrjury .m 6f rlE folhwin8 d.tl[dione:
<br />,_ I h,E I'd wnl mi,Il.in i GnifEar. ol CoM.r ro S.lf-ln$E tur *ortdr' onlEnsrion, ts rmvi.n fo. by Sari[ l'ro0 .f rlE
<br />Lrbn Cod.. ror lL F.f(,mre of llE wi fc rnid ilE Fmr a is,.d
<br />_.1 hrr Md wilr dinllin trrl6 ri,{EB.ri,. iGuE.. r ,quhd b, S<ii,.lm) or rlE t hor C.&, rd rll Ffdllle 6t
<br />rlr k t ftr whih rhir Frrld i! ire&d. My rdt6 @trpcntii,o ilrtrN *j., rn Flay .uhbd e:
<br />Pini.,Nunbd:_
<br />-ErPiE!
<br />-_l ..nify rhlr rn ih. I.rl()lmE. orilE ftrl for *hih rhn Fmi ir i'o.n I rllrll d.npbr.ny Fs in $y lmE
<br />$ G lo b6ar sbFl lo llE q,id'onlEndirn Lpr of C.lifomn. !d.aE thl if I slmld bcoE iutFl lo tlr
<br />*.rL6l .nrtE6.rion tDvnidB .f s.crh. l'm of rhc liEl C6d.. I aull tdrhwnh oiirdy eitt it s tDvi.iim.
<br />*ARNINC F.iluE lo sE wk6 snp.dEn oEr8! i. !.L*tu|. .d rhll $t'Fl .n dBbF b aimind rErlir.rn
<br />.nn fiEr !p lo oB hudEd rhousn {blLB (Sr(l).o(E). in rddition b d. cor ot corpcn{lion. drms.! 6 Foviicd ln tlE
<br />s6rn,n 1076 of r,r libor C.d., inr.En .,n dilmy r lc.
<br />D.L: __
<br />I h.Elty.Itm !'d.t Frlly of Frury
<br />oa llE BuiiE(.!n PrDGsioE Cod.
<br />Appllc.nl:ur!$uxa}:I&l(ltxlniclJxalo!
<br />rhrt I Jn l'(inal u'rlfl rnntrx)no, (]Enra9
<br />rl Dllt.r{ tr in lullk,(r cllNr
<br />l6ltllrBin8 rirh S<lirn 7U)) of Divdr
<br />{]oBtrauql1l)ulElDlMiAliElcr
<br />I M'y .,irm unilcr FMhy of lErrrry lhtr llEr ir t on{tuctioi L.dins r!.ry ftr rlF F()lM. r)f lh. wo,l for which thir rEnn i!
<br />nsd lsa.309?. Civ C.)
<br />L.d.r'r Nrm
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<br />I nd.r" Adrits.
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<br />AIITJCANLTEqI.AM]IA!
<br />I ffi, iltm utui.. p.n.hy of Fru.y om ol rlE lolhvrng &.hntk,nr:
<br />D.drlir.n P.rd+Art (c l*rlfrdbn Rrldrl R.guhhni (T k ao. P.n6)
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<br />L.quiad lrlr., or &iirrdaon
<br />_ l .cn ilv rhxr r h. aeJml (guLrn,n\ n! d'n8 n\ar{orrcmrrldc n q'!'l(Jbh t) Ihr pn,Fr
<br />I rdirvrhd I ha\. Erdrhis udll(oidrlX*.'",rj srr" r,*r.lr,,a iot,u'ns.,
<br />l}E lhrk rnlomrk)n B Nrr..1. I rsE ro drtrDly ,'rh .ll Ci y ind Cour,
<br />( .rn hcEby.nhorn qrldtu'ri of rhir Cny $i G)unry lo 6rs u|[n lrE
<br />"",., La4eqa
<br />II
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<br />Ilev.0B-07'2015
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