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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS 0\\\t R Ir( ILL| Rl|trr \R\lli)\
<br />I lrEby.rm !n&r FExy ol Fr'lry rhd I m.k,+ fm llE Cql'-rm Liu. Us ror E ro&trt la,r (Sd.toll.J
<br />ABmr. .d PtDfcsbn C.d.t, tu, Cn, or Couny *l,ih rauid . F ro (rNd. d. !rp.!E &mli! q r.F uy
<br />rrErE rir b di tllre, .lso Equ6 rlE .tplE.,r for sh Fdn ro nt . .i ,!d iicnd Od lE ot it ii ldtr!.d |rE r
<br />h rh. Fov6sB of dE Cdnfrd ! L6ed uw (c,'4'ld 9, Con@dinS *rh s€iit. ?m of Divibn I or lll Bulitr. rn
<br />PDf.shn! Cod.) or rllr h. d lrr s .r.iv! rhdrtn .,n rlx b.sa for lrE .ll8.J .r.r+i,n. Any viitrrbn 6f serb. '701 I 5 by Dy
<br />.,, k. f.tr . F6ii sbirrs l,E rr?lker ro r civil Frh, ot rEr mE fi.r tiv. hu,ir.d dollnr (ljm).
<br />l. $ osr! .f thc FotEny, or my cmtloF.s wirh wlscs !\ thcn q)h .rnnFn{ri{)n, willd, rlE md ed tlE slrulR ir rn
<br />i'ncnL{ o. ofic,rd loi eL ( Se.7()14, aurin.s md ProfcsrbN Cod.: $c Conlrucr,tr r t,tcntc lj* do.c mr qtfly tu dn .wEr of
<br />rhcIn'Idy *In hnilds or Lryr)wt rlEEr dl eh, dds ssh wd( hnn*llor hch.llnr rhNu3h hn n h.r ovn cnqrl.'y.6,
<br />pfuvidql thrr xuch trqrclm smdnid. ldi.rolTddl for slc ll. tnftE, th. t{illmg q inImwnr i\ sB *lnin (m ]Er
<br />ofla',rfi.thtr rhc O*N, Builtr *ill hrw th hn&n of Jmrvre dd lr or rlE 'ld n{ h{rld {i in{mrc ltE lrrEly ttr llt pnrll,r of
<br />l. r or E or dE FoFry. m.r.hBiEry Nrtuin! with litNcd (,rr-16 io ordr&r rL F.Fr (s... 7(x4. SlGs
<br />.d Ftassi C.i.: Th. c.rrdor'r Litn* b* ddr ml +Fly b D o*Er o, FoFn, rno h(ald! u inpmwr rlE@..
<br />.d *tF o,flct fd rh FoFdr * h. Cddd.(.) li:nrd porrd h tlE Cond r Litd Lr*).
<br />__l .m .r.mF und.. Sdri(
<br />lhle
<br />.naBtrI.El-larlflj8s Ia!
<br />Dr:cld&u!t!
<br />I lx'.ht rlln' u dc' |t rlrt.l Nrtrryor ur rlt n)l[iw A d(lrnri,ns
<br />I bw rn *ill mirlti. . C.n ia(d. olonEnr ro Sclf-lnsm f( *Drlaa on!.ndbn. a FoviLd ln 6y Sc'ion 17(x) of rlE
<br />liv Cod., forrtE Ilrrm olrlE r r ror {hah llE lsrnil i isqEn
<br />-lh.Ernsillri .inhn R orudqii'n aNonN. a ftqut d hy Sdi,n l7d) ol tlE L,bq C.&. fdrl.EFfffiot
<br />rlE urt lG *hth lnit Frnn ir i.ud M, wrk6 orpcdbn in$ffi. sir !n poliy dtrid e:
<br />-l
<br />(n ily th.r i. thc ltrtummc ol lhc rort rd whih rhn pcrmi, i\ i\xr.d I \hrll nur .ipb, .ny Fmn in lny nMnc.
<br />v' ns k' 1E{oDE suhjccr ro rrr wrkcri coritrh$rioi h*rorCalifom'r, od !{rc lhrl ifl shuld bccom,ubj$r r,) ir
<br />soltcr' .oqrn.arihn pmslirn, oa S..! ion .l?tD or lh. lf,hor Cod., I stull n)nhwnh nrflrply wilh rlhs novi\ionr
<br />WARNIN(; Fsilurc ro s.urc snki\'(ni\en$li[ ovcmsc i{ u.la*aul. r l rull ruhF tn drph}d ro nimircl FMllar 0nd
<br />.'vrl fiEi ut ri om hutuEn lhu{un dnk{ itl(n.O(r)). in !ddnii,. h rtt co< or coqxnqri.tr d.rm3.r rs Fovirai nr llE
<br />s6rio..1076 oartr Lr Cod.. rr.fr{,'rl mmy s r*.
<br />D.t : Alrlol:
<br />r rcF sp crni6ia'r6i
<br />DECIjAAIIIId
<br />I lEaby r,Im und.. Fnsty of Frr, rh.r I d liurd !ir}6 Frviiio. of Ort{d 9 (6nmmin! wnn Salion 7d)) o, Ditiii,n 3
<br />or rh. Bums rn PmrKio.! Cod.. .,n my liN i! h tul tore !d cfr<r
<br />gNsrSucutlirEDt$i.A{igrgr
<br />I h.Eby.rm uiidq Fn lry or Frrlry rhi rrE! i. r ftnrn rbn lcdhs ts.Ey tu llr Fn'trrec of ilE *dl for rt*h ths IEtu ir
<br />no.n lse .1097. civ c ).
<br />APPLICANT NECI {RATT(IN
<br />I H,y rnim und.r pqEhy of F.jury orc ol rh. loltr*iry dc.l,ri'ions:
<br />D.n$lirkrn Pcrmirl^st stos No{ilicilion l.nd Rcsuhrions lTirlc 40. Prn6)
<br />-RcquiEd
<br />Lcrrs of NdiaKdii.
<br />-
<br />I ccn iry r h{ rlE f.dcnl rcsrl.r iotrr Esrdi.s !+Erro\ rcfr'vrl e n, i$'lf,rl,lc b lhi. pmFl
<br />-l
<br />dily d I IEE rc.d ini3 .pplEti,n !n r.|. rh,t ln. .h,k hrd,dirn ! ffi. I l8r lo @nt,l, *nh dl Cay .i!d Cou.ry
<br />qdinrN3.,n s|,lc t ws chri.t b blildra ffi.(.,n hdd,,.!rlD.i&qrcErdi6 olrhj. Ciy!n Cor yroal6+o.dE
<br />ttor cnrin d ptopdry l( itr$eri,o pqFa
<br />tppli(rr or Asdl SiaElor
<br />I'.mitenrnrrpn ):
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation A,
<br />Roof Sheathino .f.t? iX gAtA 7t{
<br />Shear Wall
<br />Framino
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lv'lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />FINAL
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />l.tev.08-07-2015
<br />tt
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