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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />tE-^^! /o1 <br />Framinq <br />ln s u la tio n/Energ y <br />Drywall <br />Ext./lnt. Lath <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 M,ral?t <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />o--l\ @rr<- rar- ?oa€\ e...€t {ri'ev(}rrJk DE Tb ?q%r> <br />L^^r- h<."+ 7o,. <br />^tAr.{-r <br />rr- !o blzo A€f.t *.t tr Ls'F.r- <br />d 6r d &'5ru\P lo3 <br />OWNER BUII.DER DEI,('A&ATION <br />I h6.br amm u&r Falry o f Fjury rhar I ai crmfl fiod rhc conlrrloB l.tdr uw lor rh. folLrinS raliln (s( 701 1 5 <br />ac,n6 ad Eofar. Cod.,: Anr Cn, or (idt sh'.h r.Aun6 , Fmn ro .odd. ahd. mFoE &Bnirh or ED.r |n! <br />slMu., Fd b tu isw.. .lv, Eqln6 rh. +dkd lor $.h Fnnn ro filc . sisEd rdffi rh. lE or ttE . l(na.d li arnn <br />ro ih. FornioB ol rh. (-onrdoi! r-i.osd lrs (ChlFa 9. comnftinr $ih s.dhn 7m0 ol l)ivision I of rh. ti6i.K M.' <br />h{fcnionsCod.)orlhdlh.orsh.it.ropllhcctomddlhctEsirlorlhcoll.scdcldrrriioo Aly vioLnon of s.dion ?011{ lii my <br />+plic.d ror a Fni' lrbjftB rhc .ppkdr r. . .ir il p.qh y of rct mr. rhm fi!. h!.&.d &lbr I1500) <br />. l. s o*E oath. rmrEry. or dy dplo'6 *nh s.*6 d rfict sk ompolnioq *iU &, rlr *sl an dE nnrlE i! d <br />inlodal orolIa.n f.rsl.(S< 704,4, B6ina.nd ft.&iiioB cod.: T1. (bnrdor! l-i.ffi.t wd6ml.!plylouo\ns.f <br />rh. FnFlt *ho hl d or inFo€ rh-6tr ni s h. do6 kh *rn hin*ll o. hdslf or rhouah hi. or tr o*n oployc. <br />Frvi&rl ihd e.h inrm\qrEfi c ri idod.d (otu fol rl. l[ h.rss.ltE bildlr o, rii'6EEi nrld tihh m ]a <br />oloi{lkin rlE (xM Builrd erll lEr. dE h,&. of Fr{e lhr rEd tr dii d hild or Bp.D\r r ImtEry lr rlE FrFEor <br />l,6oeffioflh. FoFly. m.rcluliv.lr.o rr.1in8 tnh lic.rs.d odrlos lo coBlrucl llE F.j.Tl (Sa.70.u. AslB <br />.ri PFb& Cod.: rt Co'n,rlo Lro! l.r doB rn @il! ro D o\ c oaFolEnr *to tr'ld! 6r iDpmr- 'h6o..6d $ho 6irdr for Mh Fii(. sirh. ( oddo(r) lra!.d pol!6 to 'h.Codrxld ! l-i@ l$1 <br />I am.!nl, un!6 Selion / .n*,,,,,*,**, <br />V *k;,[,kr/;'v/ <br />/ \ q Dr-( l $a^lroN,Jr"r,h.\'+,rdr-r"{. <br />thk /o-/r-/ 7 <br />I h6chy ilnm unds Fuhy olp6juw <br />I h,rc snd u ill mlDrrn r (.('1f,r. orcon6r ro Sdr'ldur. t r s.lrd @dFshn. e Frdal Lr <br />":L <br />se!hn 17(n.f rh. <br />l.abor ( ii.. ror rhc Ffo,l]lftc ot rh. wn fy *nah $c p6rrn i! isu.d <br />I tuv. !d will ruid.in *orld coErEBnion iBure., .i r.quir6j b! S<rir 17tx) of lh. Iihor Cod.. fd di. Ff@*. of <br />lh. ro f.r $hkh rhir pqrn ir is,.d My sdt6 @rp.dirn imr.m ffir rd polry nuntEr c: <br />I Gn't) rlul r rh. p6rod&( of rh. worl for *hich rhi! rtrhir t i!ru.d.l shillnor dploy !n, Fr$b i.,n, nsc <br />$ a to tE{orr. ruqd ro th. wortdj compad ion hw! of(.alifDmia ed +re $.t if I rhould b..ofl lubjdt lo lh. <br />$!rtd .omFerion F.vtioN ol Sdion l?0o of rlE t trr (-oda I Jdl, f.nr$'nh .omply wilh 'hor <br />pro\th6 <br />$ARNUT(; t.ilur. o <@ *!rld'oEFEnDn m\6.r. ! u.L!rul. rd *,ll ruir.d D @pbya ro oin l Frl6 &d <br />(n'l i,n6 up ra cE tuBld rhousd .lollm,/ltllr0,firr. m .dd Fn n. !h. (.r ol (onFqrdi, d, s6 6 pr <br />'nrdsi rnd r/na ( 16;"-" '" '""'-\K,,-7 -./,--., 6*./ <br />/a\ L$4ls].rl (o!(/R ctoR <br />/ \ r/ Df( t-{R rruN <br />I h6(h) flmrnrunJ(n lryorpsJu rh.l I m l'\.d unn6 rllittun ol Cnlplg 9 (co'nddcinr w h se.ti'n 70001 na Divir$n r <br />of rh. Ir6rn6 ,x! PNfd.N (i'd., dn hr l.e L in nnl r.(? ii.fid! <br />Liccns. Nunrkr _ <br />/0 -/2-19 <br />calilaJl(Ilau,ElDlAc_aclti(I <br />I harlrt rflnn u.dd Fulrt ol tEln' r_ rhar rhd. is d .ddru.rirn k din! .se! for rh. FaolIMc. of rh. sorl f (httlha rEmi b <br />N.d lS( 1097, (ir ( , <br />affuIjall.DEgixalla! <br />I ,rys.fti.n und( Ia.ht oapdjury ok of <br />'h.lollo*i,8 drlmrions: <br />D.nr,litun Pcmir!- rlEro. Norill.'lio. F.dd.l R.suldioB (lirl. 40. Prn6) <br />Rdlur<n krrq.ltldifdrin <br />.8rc ro Fmply wih rI Cny.ld Cou ! <br />ilB of lhn Cny .,n Co@ly lo dIa '{n lL <br />D",, /d- /)- /7 <br />5ea <br />ID/SIG. <br />E-oplsleetls <br />Shear Wall <br />Brown Coat