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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNt-I' BUII-DER DELCAR TION
<br />i hocb! iltim uadd pdslr) dlp{rr$, ihir I @ .r.mg fNm rhc (i,nllEdou Ltrds. Iiw lor rh. tullowin! r@n (lid 70lll 5
<br />Ilus'nd ,rl Profsrn (_o&): Any Cnr or Counry $hah r.qun6 . Fmn io .odtu.r- !lrs. inFore &tRnish or .qat u!,,
<br />rnduc, I,mr ro iri sl!N.. !6. Grur6 rh. rpd(d lor 3urh Fnn b 6L r 3i8n !j srml fin L or dE i! hcs6.d ,!tud
<br />h rhr pft'vilioB.rth. Conrrrlors l.icflrd Law (('haptq 9, Co6f,..ci.r *nh s(rnrn 7(Ir(r oaDrvhion I ofrh€ IJ$inB d
<br />Pd*irnr CoJ., or rh.l rr or ih. i!.rdr, rhddrom lrl !h. t6ir tu !h..lk*c{ ddFi,tr An} riol,rFnolsdbn 70r I 5 6, u)'
<br />qJf lrc&l n, a p6ni srblers rh. rppli.lm ro r crr il pmhy o a nor frtr. thd nr. hu.dFl tk'lrdr ($5m)
<br />L s o{nd ortlE FDp.nr, or my oph}6 *nh srr6 d r,rn $b,!mFdr., ril d} tlE $at aj d* rBrE. br
<br />Fra{kd nr orId.n ror $k (Sd.7O44, BNilB -d ltofdi.B Co{tc. l1l. Codr&rois l-i.e Irw d.6 not tppl, ro e 0*!6 oa
<br />rh. FDpdry $ h' hil{b or inFo\€ rlsEE 6id *ho d(6 uh *orl h,tu.lror h*116. rhreush hir or hd oh mdo}!6.
<br />Forld.d lh.t $.h mForffits & m( irsit d q oord ts !,l. lf. tn*oq. rlE hoi!,re n ltp.orqEr a sld *i$b oE )6
<br />oacotrrphnn. llE OtrE Drildd hl, h!* rh. hrrln of FNins rh, lE o. srE dd ml huild or mp.o\r
<br />'IG
<br />FnFty tor tlE F[po* oa
<br />L N onM of rh. Protsly. m .rclu3rr.ly .onlrlcl hs silh !.6ed contocroG ro .odtud th. Foid (SE 70,14, B6hs
<br />dri l,rotsi.. Co&: Tnc ( onrrrrorl Licor. L.* d1l6 tur arply l!, { ownd ofproFny who b{rlds or inplov6 rhaon,
<br />ed trl$ co ral. for 3uh FoJ..B {irh. ( oMo(s) lkdB.n Fotlld lo 'L C. rtloa! Laog lr*l
<br />l6.rcnF undd s<non
<br />D.r. onncr
<br />woRriERs co[tPa\s^ floN
<br />IE(IJAAIIIN
<br />I h..hy annm utuld FEht nf p<rjoD oE o I rh. foln,s ms tlcrlurFE
<br />I h.!. ,rl \ Jl roin@ . Cdrfr.r. ot (ir@r h s(ll'lNur. ro s.a6' .omtaurn. a Fovilal fo. by S<1En tllooftrE
<br />ljrff Corl., fd rh. p6fomM.. of rn *ort fin shi.hlhcp6nir s isu.d
<br />firt1, tr* *" "^ ^*.. ", ,16 (,,mp.6.,'on 'Bu,rE.. 8 r.nutr.J b) sdbon lr(n orrh. t.bo, Grt.. nn rh. Frmmr or'\{Y$arl^*(rhrhrh$pcrnr'iNu6lv}q",16'.,.mrm\n,n'n.u,d...rEtnti,r'lr!nL'nbds!.-
<br />, n-Iteg i-/?frAe,/ hrlz74a16 *o ,
<br />\.,,.,..'* uc./ 06531 erx? ,,"*o3/or/ 2sLa'tl
<br />I c.nify rhat in lh. p.rlonnlncc ot rhc *otk lor shi.h lhis Frmn is issu.n. I shallnoi oploy lny Fen i. any mehd
<br />$ B ro tELoe {lrci ro rh< *0116 (nFG.lion Ls ot(_!lifomi!. Md .sr lh, if I 3hduld b<otr .uqfti b th.
<br />y6 to sininal toinis Md
<br />roda ..r,{tuixri Fiv6io6of sd6n 1r0o.f th. t h, C.d..I Jdl. ionntr]lhcodpl}}
<br />WARNIN(; Failu.c ro surc *orl€R'conrp€nsdi{rn cov6all. 6 unhwful. ed shall
<br />.ivil lin6 !p rn oR hufllrd rhour&j d.lla (lloo.(x)o
<br />(i{c. im6cr dd diorE} t
<br />4"2+Dl;(l..!a{ra!
<br />I hs.b .ilm und.t FEly ot FjuD- rhd I h l.dsd urkl6 Fo!6Fn .aClEFs e lon.ffirs rilh S.db. 7000 ) df Dt ish. l
<br />ol th. aEms Md ProfNnN Cod.. d'd D' lK.B ts in rull ao.G lrl.rcr
<br />tu!!]\r nL ( r r()\ r r \!]L)!L!!L\! l
<br />Fulr, sl Fju' r. rht rha. 6 a c drudr). tftllu +dr tor lh.
<br />i6.u.d (Sa 1097. Civ. C )lndd r Nm..
<br />aftlltall.DEcL68all0!
<br />I hd*', sfm u.<Lr rio.ty of p6ju) oE or rhc follo$ h8 &.|-dion!
<br />D.rmliDn Pmns- rbdror Ndilicdron ldiarl RcsuhlioB{rilk r0. Pm6)
<br />R.quutd lnrd oa rlolrftdion
<br />n.r rppi.lbk tu rhaprqel
<br />,l) wdh ill (-ny a.d ( .unr,
<br />Cny turJ coutrrt lo d 60potrllr
<br />af)ZErn'n d roFn)- tlr iNpe,
<br />-lfpnrrnt or Asot Slsdturc
<br />!'rmrit( nrnt (prn ):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />tL
<br />FINAL A//i/.2 7 L!4 :tz/ )
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />I
<br />I
<br />./1 /p
<br />l1/2p
<br />I
<br />I hiv. r6d rnii dppl'..rk!. xrl $dcrnd rh. lh)r. hl
<br />JtrJSrnr I n\s rrlrtr)! h l)urldii! .ntrshtrnn)n. tu l].rch\
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