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EUILDING- INSPECTOH HECORD
<br />DATE ID/SIG.COMMENTS owNur 8!lLDl.:ll DEI-CARA',r',rON
<br />I hcrehy rmnn u .! ,renrhy ., Frrury that I an .rrnjr fnm ri. c.nhcnm Li.nr tie f(tr rh. n,lh*inl r.a!, rs.. 70l l 5
<br />Aorin.$ .nd Pr'r.s1i.n Cule) ny Ciry o, Counry $iich cquirc( r I). mi( r, con{tocr. alr.i imlln&, d.m)lkh.r t.Fr .ny
<br />{rucrur., prhrro ir\ i\sun.c., rho Rquir\ rh. apnlica nn such Fnnir !, fil.r si8i..l \hr.m.r rh.r h..rsh. is licenkd pur\uant
<br />urhep^)vrion(.I$.C.ntrer.a\l,ic.n$dl-ow(Chi.r9.(i,nm.ncing*irhS.ctionTlXi)r)fDirish.:lofrh.Busin.sind
<br />Pn,f.si')n1 Cod.) or ihar h. r !h. i!cr.nU rh.ri.m,nd rlE basi\ Lr rhc all.C.J .r.'ipti,n Any viohrionofS.ori,,nTo:11.5 hy iiy
<br />apflic.dforrFnnit\uhj.ctrh.,ft!icantbacivilFnrhyolnotnErbanfi!.hun,trd{l.llnr(t50O)
<br />I. rs .wnc of ihe lmrlE(y. nry.mlk'tc.\ wi(h w!9.1 {! rh.k s'L .o,nFnqr ion. Billdo thc eorl a,rl rlt reim h n.r
<br />inr. l.d orofi.rednnsal.(S(7rl14,Aorik$rndlto|siDnsCod.: l'h.Orft..n,sl-k.nkLz*do.snnrapplyh.nowD..of
<br />rh.pmptny uh)hilds in!'mrsrh.6n, iJxl who do.s o.h snk him\?!for h.^.lf.r rhDu8hhi,tr h.r.wn.nIloy..r.
<br />pnrvided rh \uch impnrvcftnh r. nor inr.nd.n or,)fi.r.d ntr qk Il h,$.\!r, rh. toruiu or nlmv.md is sld winin om Fr
<br />ofNnriL(ion,(h.Oan&auiu.rw,llh{v.rh.hud.nofpturin3rhdh.orsh.di.ln hoill oi inpEE lnr pNp.ny n $.,rorr&of
<br />L a\.wn.rofrh. nnll'.ny, am.x![Eiv.lyronkacringtrirn liren\.d .oikeln r) cdNnr h. pn|€r lS.. To.ll, Bu\iks
<br />rfll PnFs\i)n Cnd.: Th. Cont&nn'r Li.cn\. Law or\ nor llnply n) m .*n.t .t pol'.ny wlh huilds imtm!.' rh.'.ni.
<br />ind wh!, cdnrikr\nn such tnJp(r qirh r (irnrm!i(9 lic.nstl N^urtrr brn Contrcroi\ l.i.ns. Las)
<br />.wats$jtsstraulldsA].Ig!
<br />DltctdBAua!
<br />I h.rehy rlfi rnr und.r Fnrlry of perrury on. of th. fi nL,)wins d.clardion\:
<br />-lh{vci
<br />qill' inrlii!C.nirrrr..f(}n*nrt's.lf-li1ur.for*ork.R d)mrEn\arion,at pbvidalf.r hySeco..:r7(rrotrh.
<br />tihor atxl., fr rhc n rnr'ronc. {r r,r so ntrwhichrh. p.irhir k nnr.d
<br />lhaveand$ill'to'inrainsork. comp.n\ iJn in$r.nc.,i{ requnc hy S4xon :lrlx) .f rh. hhor CDd., fn th. FfitrhMce of
<br />rh. work lorshjchrhisl,.Bnir i\ i\s.d My*ort.n conrpeNmbn itrntraic..aricrmlFnicrnumh.raE,,4. tt Itff,'r.nta ln,, /a
<br />tl 68'l 85E50--.lLExpiEs 'l/J///v
<br />l..nify rhat in rh. l.ri,trmaic. DIrh. rorl for which rht n.irn( rs issuc(. I (nallnor.mpky anrIl.ron in aiy ninn.t
<br />s $o h..om lubi.ct tu ih. wo*rLcomp.i$rii lies olCrlifomi., rn,ll3fte rhd ifl ltx)utlb..o* sub].d n)rh.
<br />*orkd( .rf,rp.nrdnr pnrvni'Jis of SernJn l7(Xl of rh. Llhtr Cod.. I G.ll, lon h*irh snply wirh ino- nnvkion\.
<br />WAANnG: Failur. u k.ur. M,r r comp.neti,,n cov.nse t unlavtul. and shill subj.cr an crq'brr i. diminal p.nalri.s and
<br />.tr'l fincs un rn iin. huftlRl rhlrqnJ J,'lliB{'tld'.rii'r^ .ddiri.n o ih. co{ .f comp..sarion, dimag.\ as pmvid.l rr rh.
<br />d.E( rn.r ah,rL! \ k./
<br />,i,' t !: ; -"H' -
<br />^*ff .7-, : r^ '!.,<4 @E-ny,4.- Lll.l\slJrl!)al-BA(loB
<br />DECI.A!6I'IIIN
<br />I h.Eby dlfirh uid.r p.ixlry of perjury rtu I.m ltlisal ud.r ,nuvision .l Chaflq 9 (c.mEncing eiln S.dion 7(tD).fDivniDi 3
<br />of rh. Busifts and Pn,f.rshii Cod., I my lic.n* n in full f(tr . andeff..(.
<br />t36 )a)2.1
<br />gB AUCUAIJ,I'NJIA.NiENCI
<br />I n aby srfirrund., Fn.ty ot F.jury ih, I h.E is a.onnrudi,,n k.Jin! ag.m, f,tr ln. !.firmsn...frlE srl fo, shich$n Frmir is
<br />isu.d (S(. .1097. Civ. C.).
<br />l.cnilirhrrlkfetterr,.-sulrrhD(r.!mhisr!h.(hr.N^ilr(n,i{1,1'!JN.i,rhtrpn,.
<br />-lr.nifyrh
<br />I har. r. lrhirnpf i')n{ndn.i.rh rh.rh)veinntrtrsrhn!d.n.cr lsgrrbcomplyanhrllCiryiidC.lnry
<br />ord,nanc.\ rnd srar.l_rws Elarins i.t'r.s.nr,iv.sof rhi\ Ciryand Counryro.nr.r uF)i rh.
<br />rtx)v. mnridrd pn)rcny f!tr
<br />A,Dlic{ orAgonSiEn.tur(7
<br />a2L E"-d,//<
<br />- A-r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Rool Sheathinq '2-L-17 k.wIil wF-#Fy_
<br />Shear Wall
<br />Framing
<br />Insu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />t nn -.. .rl c, A
<br />FINAL nl'<\-Zo 1,,/N )\v +r'c:
<br />Certiticate ol Occupancy I t
<br />Notes, Remarks, Etc
<br />00,I I
<br />tt.Y<4L
<br />/_\
<br />11 Al l2 --.t
<br />t (J
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<br />Y t<r r q
<br />Dti ah n-1-#- A7
<br />Flev 08"07 2015
<br />SITE-WOBK
<br />lam.xemfl trnd.r Section .B & PC.linrhi\ rc.()n
<br />D.re OxNr
<br />AITUIANLIIICIANA]TON
<br />I lrRhy dnm under p.nalry ofneiuryon. ofrh. nnh$iiE d.clffalions:
<br />Den,lit'on P.mnr$A\h.{osNorificarn'nf.deral R+u rrnrn\lT(l..lr). frnh)
<br />R.qr,ft d lrtrer rrNorifi..ri()n
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