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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,I'ER DETtrCARATION <br />I h6Cq .rlim u.d6 pcu[y or !'6jury th.r I m d.mpt 6.s th. ConrE loE Lic@ L.w lorlh. follo*ins i.&i (S-.70]t l <br />aurn< ud Prof*i.in ('o&) Ary C'ly or Cordy whih 'quc . Foi to otr{.rd. .td. irFoE .Lmli or l4., oy <br />3ro.itr., Fi.r lo il] i!ue., .tro ..qrn6 fi. ?plicer tor sch pdmh ro fr! . ligmd nn.dElli thlr tI or tt. ir l!cq!.d plNE <br />to tt!. FDvsDG of rh. Contrrlor! LEar.d Ir* (CnrFs 9. CotMdin3 *ilh S€lbn 7000 ol Diti.bn I ol th. tlsil4 .rd <br />PrcfaioN (od.) or rh! h. d ltE ir amF rlE.fron &d llE h6i! aor lh..lLs.d qanFb.. A.y rioldion of Sdnn 7011.5 by !!Y <br />.pplic&t for . p6f,n subj6l3 lh. .pplicur ro . cilil p.Mhy o aen Eor. rhr liv. hu.dr.d doll6 ($50i)) <br />I, s o(c of th. protErr, or my dplotB $nh w.g6 G th.n sk mmp.ddion, vil & lnc "qt di dE nnl1w b ml <br />iddi.d or oltu d lor d. (Sa 7044. Bui,B ud Prof*io Co&: TrEcoturl 'rLtqgL.w(t)6mlspdyto&olcof <br />rh.FFr, rtb tlilit tr fiqo!6 dEEr rn vb d6 ldr *Dlt hielf or lEEltot lhNugh h! d lE om arpbt6, <br />Fovidcd rh.t ru.h mprolddE @rcr inrald.d or olIcqi 615L.ll how.g, E hrUq or irp.oE ir 5ld wirli! orc rd <br />otonplibtr ilE (x@ B{il& wil lsw tlE hrtdr ofFtrwg di lE s.lE dt Nl Udd ot mFDE lh FFt,6. tlE F4o!. ot <br />L 6 ou€ of $. FrFry. e dclBir.ly conrdi,rs $ nh [cd!.d .oirIrro6 ro @dnd rlE FF (sd ?044, EEi6 <br />!d Eriiii Co&: Th. (-onrato Li.6. L!* dc nor lpply i. o o{E ofFopsry wbo build! or 'nprov6lh66n.ed sn .o r{l! tor ruch Fljds vnh ! Codrero(3) li.6s.d p6d io rh. CoMrrolr LtN l,w). <br />lm crcDpl unds sdr(,n .B & P.c fo.rhi!..son <br />!48f,!8!:(AMfErSArrA!DIOJAAIIA! <br />I n(.b, rrtrh un.tq Fdr) olFrury oc ofrh. folloshS d.cLr.rioE <br />I he. rd s-ill Eid.nr. Cdifsr. of CoMr b s.lf-lM 6r q,l6 onoolibr a Fovid.d fo, by s<rh 1700 oiilE <br />L.bd codc for rhc Ffo,tffi. of rh. s,t for *tEt rl8 Fmt it su.d <br />I h.vc rnd q ill @dllrin *.rta .omp.,ebn r6uk.. s Equi6l t y Sal$n ]'700 of !h. li!., Co& for ilE Ffolllr,G of <br />lh. wod fo. which rhi! p6mil i5 isu.d My wod(6 comFNalion iBurMcc 6id ad ,nlic, numbd d. <br />I cdiry rh, in rh. Ffo,rffi. of rlE rorl f.r rhich thir FEn i eu.d. I thrll ml oploy my F$n ir u/nffi <br />$ sro t@m sti.tr ro rlE *ur6'@oFBiion L*. of Crliaomia Dd.Br tht if I tbuld baod $bdl lo l,t <br />wrl6' snpo$lionl)6ruio6 of Sdior 1700 of rh.ldo. Cod., I J l. fonhwilh 6mpty *nh llEs ProvilioB. <br />WAR]IING Fdha b s@ *ort6 6,qardio. ov.ds. it uh*tu1 .!d rh.ll tobJ<r a drpL,F ro ainiMl !6.Ib..dcril 6G up ro om hu'xlr.d rhusd &lld (tl00.0n0), in .ddnion ro lh. .oi ol.orp.dion. dar.g6 B p$vikd fd llt <br />setiof, 1076 oath. L.h.r Codq iir66l !d dromr's 16. <br />UCE!ffDIqIIXACIOE <br />DPCIJSAIIA! <br />I hslt y .ftm und6 pc.rhy oa Fjury iha I m lic.nr.d und6 Frvtion olch.Plq 9 (.ohM.ins wnh sd6. 7000) of oirilDn l <br />ot rlE BlltltB r'd Prcf6ioG Cda al dy ltqe ir in full foR,rd.lfal. <br />COIIIAI]CIIA!.IEdDIIGIGENCI <br />I h6!t'.lfm u,rtr Frlgof Finylhr dE ir.@rdmdir bni,rB.ady fddEFioillB. of tlEsrt 6t inlllilFnt i <br />isucd (56 309'r, Cir. C.). <br />L. btN.ft --- <br />Altl.r(Arcllrcl4Saro! <br />I lErbr ttrrnu bFEh) of Frurr orof llE aolb$rr drlan5d <br />tl.mlr6n tr6mhl^sb6ro! Nohfidion F.d6rl Rcluhiod (In,. 40. Pd6) <br />R.q!iEn Ld'a olll(rindion <br />I cd'fy rhr rlE f.dd rl r.suhrF6 r.sdry .$an.r ,qftrd e d +lsbL lo rhs FliEl. <br />,? I .arb rh., I 16.6d rht +pl{dion.rd rrdc lhd rhc !bov. rfoMhn B cond I .sc to comrly <br />.Id Counly lo olE uDor dEordrft6 lld S!.rc U* EldtrB ro hrildr.S .odddio <br />rbot. n6rFn€d rcFrv ro, E .d,I @@s6 <br />nOOr*, * ^"-rtn-r"*/ L4/, <br />ulhotu. r.FerdN6 of ihis Chy <br />-W;+€+_+4,<\^,, r zf n/r( <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Enerqy <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 />Engineer Final Report <br />Flood Zone Certif . <br />FINAL /48/r/ .! <br />Certificate of Occupancy <br />Notes, Remarks, Etc