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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS O\ NER BUILDEN DEI,('ARATION
<br />I hd.t'y arm undd p6ah) of Fjuq lhd I d .rnF Iron lh. ( oln'&ro6' 1.ffi I^ lot rh. folhwin! r.mn (^* 7(r!l 5
<br />Ildin6 ,nd P'or6$n ('od.l An, (-nt o. Coud) rnih r.qun6 . tdfii k, odrud. .lra, iryrovc. rtnotsh ,' ,5-" r'$
<br />vdclE FUrons ilsltr., 5l!. rcqut6 ltc 4pltul for 3!d Fhir xr lilc ! tisn.d ndml lhal lE o, sh. c l'.or.j lil,'dtrdr
<br />ro th. Fovj!6N otrh. CdnrEcror'! l-i.dad llw (Cfi!fld 9. (oon..ci.g wnh Sdion ?01)0 ot Drvisnrr I oalh. DLj.6r.nd
<br />&otRrio.r (id.l or rhar E or slr 6.imF rhn.6on Md th. b.sir tu !h. !lk!.d.roFFn n) \nbtFnors<ri,n 7orl5 b.n!
<br />.rph(.d lor.Fn ebjdsrhc.prlKsllo!.ivilp. hvolml ft{.lhd nr. hund,ld doll6 i t5fi})
<br />L a .Mr orrh. FrtEdy, or n, mtlol6 whh s.s6 &r rhcir $k <onFMio., rill&) ihc Rmt &d llE rElG n Nr
<br />ddxj.d m oll6d aor sk (SE 7l]1, BuitB od Pr.l6hE cod. TIE Codrslm r I tEE ljr d.6 or 4plr. ro d otrffi ol
<br />rh.F\FD \ lr hrill or i,r{hr6 rhdotr ild *h. &B *n *!rL hiB.lf or hdelfor rhn)olh hi! or n6 o"n mphrc6.
<br />rrovid.d rhd 3uch imlrovmB @ mr inraklal or.lfftd ft{ sL ll h6$66. rh. tlildint or r+..!lffi ir sU }nih,ft rB
<br />ofmnpkF( tlE ( )rffi 8{ild.r $ lhr tlE hrrla.f Fn\r* dri h. or dE dil mr hl'|tl or irpro* 0E FoFr" lor tlE pt I[r of
<br />l. a o$E of rh. FrFry. m .rcl6r'.ly.odr{n{ $nh k.ru.d coddoB to co'drucl rh. F,F-r (S( 7(lr,l, tl6i6
<br />{d ltrrlB$ Cod. l hc Cont.ioor! l-ico* l.}' doB oor 4ply ro u os.F o I FopdU *ho burld! or nnpro\ * rh6$n,
<br />0tu1 sho co.raa1! fo. !u.h tmlds shh r (t'dB(o(, li.6*d puRrd ro th. Conridoar l.ic.G lns )
<br />I o.rdF u.dd sdrirn
<br />lrof,liEf,s:(atltl AtAIIa!
<br />DICIAAAIIA!
<br />, hqcby aanmund6 Fuh) olporuD oEofln folhtr,ns &cb,6li)N
<br />I h.vc sd wr ll nainrlin a ( dlrfi.ar. oa(on6lto S.la-lnsurc lor $orld comraBd i,)n, a Fn\ id.n fo. b] S< n. r 7& o f
<br />'n.l,tv Codq for !h. ps{offi. orlh. r6n ft, triah lh. Frnn B is.{
<br />I hav. a.d will mainiain worl6' c.mFmrt ion iEur.n... s r.qut.d hy sE ion l?00 of lh.l.bor ( od.. rrtr lhi FtulM.. of
<br />lh. $dt lor $hth ih6 p6nn k isEl My sortd conFdhn 'Burftc 6ir a'd F{E) .unb6 E
<br />Poli(," Numbq: Exrir6
<br />I cdit rh.l r rh. Ffolmtr. o,llE wort lq shih ttis Fnn i Bu.d. I l,i.ll rcl drqk y .tr) Fen in.nt mdE
<br />$ 6 k, hq.ft eB<r to rh. qqla'srlEuiioi laur of C.lifoni! Dd +c lhd if I rholE bdom sti..l lo llE
<br />rortd cohF!.lior provitioN of sdion lT00 6l rh. Llttlr ( odc l !h.tl. lonhwnh comply whh rhoE proenioE.
<br />wARNlNc Fliluc r Bd. "uld smFBdFi co6.g. t u.L*tul dd Jdl $bF a aq'hF lo snin l Frli.. od
<br />rn'l fih6 up kr o.. hufti.d rh)ue(l d(nla (lloo,tfi)
<br />S&rnJn $76 ofrh.lrl r('dl. mrdd anJaiiom.lt fc
<br />). i. 'ddnbn r. rh. roi ot
<br />Dfgladlto!
<br />I ho.6! .rm u.& FMltr oaFjq- t,'! I m lic.rsj un& Firirhn.actugls 9l.onMins rilh s$16.7m(r) of Dirisio.l
<br />of th. BusiB lxt Ptuf6io6 cod., arl mr" lic.G t in tull fmc. ed cild
<br />z/r/t t
<br />co!$a.u(r.lllNtlluN$lcENs
<br />I hdlby amfln u.d.r Fnrlty or pslur_! rhar thc. n r cotrgruclbn kndinr .s6cy tor rh. pqtomuc. or rh. *nI lir $nrch rhs Fnn ir
<br />$u.d(sd r0e7.( 'r (-)
<br />I .d6'r N6r
<br />ATTII(ANIDICIJEAIIA!
<br />I Eura 6fm undd rsllrr of FJuy o.. olrh. folhtrins ddluarnn3
<br />D.mlilion fmiG-Asb.sror Norificdrion l-.doal Rquhn'ns (Tika0. Pano)
<br />R.qun.d I dl6 ot l'i{'lifrd('tr
<br />I.dtfyrhir rh. tdldrl rcluLrio6 nrrdr^r 6t.!os160\rl . ft, afi,lic.bk ro rn6 r,oj.al
<br />lcsl1t rlmt I ha\cr.ndrhKanphcartun md{arcrhar rh(trh)\. 'nlnnnihon
<br />scor&r Ii!r(ro(onrply$rhrll(1)and(\nr'\
<br />ordh.nc6 dSul. l.ntrsrcLxltl3ro hrld,r8 r.F6.ddn 6 o a lnk ( n) Md ('ounD lo din q$n ltr
<br />rb.\. @ltun d FoFn, ior
<br />,\pDli.inl or,\30lshnnt rr "^."
<br />-z/4rz
<br />Set Backs t
<br />Forms/Steel/Holdowns (j /<rln 5 )6.l.ri!tx(
<br />Erection Pads )
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulation /
<br />Roof Sheathin
<br />Shear Wall {
<br />@vk,'alau&s
<br />Framing ?X<--,- 44 '-iktb X/iz/c*;.a A<r{.c}orJ
<br />lnsulation/Ene
<br />all
<br />Ir. : 'k
<br />b1 ar
<br />R, efl aS
<br />%o
<br />(exi)tnt. Lath pN.4 Afrot li +-'*n -av o\*f LA<|I n) h)17 t-ra)
<br />E-rown Coat ??.n; 4il,1{<hdt /t/i,,,? ,,D 'A^ dL ir'tac2,rt,U\
<br />Mason ry 'r, (PA:,*t * t4n|Zt- tt t-r.,
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ')lLa ,lt\ 1Yr Lu4i6
<br />ertif icate of Occup-niy'Tc
<br />Notes, Remarks, Etc
<br />DATE
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<br />7/z/ Lz
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<br />ADhQr5\Zb uA<t-,it
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