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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall /^\
<br />Framing 59-l't xu-ltd
<br />lnsulation/Energy
<br />Drywall <-t'f"t"t YWt)
<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 />/rr\
<br />FINAL '7 -15-l"t 5
<br />Certificate of Occupancy v \a:7
<br />Notes, Remarks, Etc
<br />--P
<br />gN&D,
<br />BUILDING. INSPECTOR REGORD
<br />OWNER BUILDER DUI{AR TI{,N
<br />, ndtby .rm o.&1 Fulry of pdJury rnd I m amB non lh. (0!'rl..16 l-'.or l* tu llE follo*in8 ,!e. (S( 701L,
<br />tsuinBr s,n P.ofdlhtr Cod.)r Any Cily or Couiy *hth r.q@ . Fnit 'o codNd. rhq. i4.ove daelnh or q.ir
<br />!tu(@ F, ro
<br />"!
<br />slsc !h. r.q!n6 6..?plko! lor $ch Fnn ro 6L ! i(..d idtur thd lt or dr i! li.qEd
<br />ro lhc lroviiioN oft& Co.lretor r l-ic.nEd llw (Ch.rla 9, Commacinri f,ith Salion 70(x) olDnnio. I ofrlE BriE Dd
<br />Pr.fdDN Cod.) d rhd lE.r lh. ir qd'l th-dron sd tn. tEL ftr llE .lLs.d d@FF. Any viol{ ioD of SdFn 70ll , by uy
<br />applicrnr for d FDir rubjd! rh. drplic&r ro . civrl p.nalty of not dorc rhe fiv. hundr.! dollar (lJoO)
<br />-1,
<br />s ow orrh. l'.Ftr. or my mpnr)6 *nh slgd 6 thcn sE compsEllion. willdr tlt "orl !d tlE rrulR i! ml
<br />inr6&l orolt6dj fm eL (Sa.704r. BuiB 6d PrDl*ilN Cod. ]lE (odr.ld r LiG trs dB d'l4ply to 6 off ol
<br />llE p(btidy *l$ hll& n 6g!rs rlEEa rd wtn &E sn *!& fiFrdror hdvlf or rhmu8i h! or nG oE mPlo)6.
<br />pR vidcd rhrl rucli inFoEEc e mt hEd.dorofird 6r sl l[ hs6s. tll hrildq d imFo\ocr i. sld *ihh w ]{
<br />of<orplrii4 tlE O$G B{iE6 wilt htE llr h!d.' ofFltlB lli !E s di dil ful hdd or i,r4.oE ttE I,rFy ht llE FrF* of
<br />-t.
<br />6onEof rh. FoFr), @.:.lBi!clt contrsing $irh licd.d .onk&1oE lo sicrucl lh. Etjdl (s(. ?o44, BBi.6
<br />dn A!tu ix Cod.. 1hc Conrrrcror'! Lic@ L.s d.6 mr .p?lt ro s ou,E of Fopdy *ho blilds or m9|i!6 lh6@n.
<br />.nd $ho orndr tc $ct Fljerr * n. Codr*lo(ll ItoE d prdu&n ro dE Conrr.lc ! Lt@ t!*).
<br />I m clnF ulxla Saiion
<br />lpt5E8lrl;qulEEtAlla!lEcla8Alral
<br />I lE.b! .rm undd pdrll, of Fjury oe or tb. follov[g &.lr.tna:
<br />1** - *U, *t-
<br />"
<br />a-ifrd. of (btqt ro S4lallMc for wt6i @np.n..rid. s Fe\iLd tor bt sdirn t7m olllE
<br />t tEr Code fd lh. Ffotrecc of lh. ert h. *{i.h rh. FDn i i!.u.d,
<br />-l
<br />hrv..nd *rll midiir so*.i co,p.dbn ilMNe s Equn.d by Sc1rcu 17@ of thc l$or cod., ao. th. Ffomdc of
<br />lh. work for whrh thi! p6mil i! isudj. My wortm .omDasdion iNurM. c.rE !r1 Flt, nnnbr t
<br />'ty rh.t r tl! Fb'rjr*. of thc tro f.r *nth rhi! Fmn t ir$.d- I $.ll 'l @ttry lny Fen in iy meEnh E ro hcoo. rubjci ro th. m 6'ompsBrion bx ofc.lifomi4 r.d !s6 lhn rf I lhuH b..otr subjd lo llE
<br />"ula.omFdbnFDrirhEofsarhn1700ofrlEL.td(odeItdLflnh*irhonpltrnh'b*For'i'ioBWARNINC: ttiluE ro ru. s*d nnFsltio. Nv@sc ir oLeauL sd shdl ubjd e dplolq $ aimiral Frni6 ud
<br />civil fin6 up lo oE huid.d llbuurd &[G ltlm.om), in ddhio. b rlE o, ot conFrE tni. dtn+6 c Fo*l.d for tlE
<br />Sarion 1076 orrE Llbo, Co<lc, ni6.r od.tmy r 16.z/s//1 t*-1.--
<br />IECIASAIJq!
<br />I My .llm ondd Frny o f Fjury thn I I li€E d udE provi.ion of ChtFo 9 (comaci,8 snfi Sc.lhn 7000) of Dirnion I
<br />oI rh. oaind r.d I'rDaBioN Cod.. rn ny ttdE L h tuU foE rn.fi..l
<br />I ?q7 /3 /zl./r1,.^'*..*7*za
<br />rorsrtljclloxrElltlG-ac[ltr
<br />I h6.by .rm untl6 p.nlly o f Fjury lha fi6c is ! onntu.lioi k{dog 4n.y tor lh. lqfotu. ollhc so tu shi.h rhis lEnil it
<br />isu.d (sd 1097.Ci! C I
<br />AIILICAILIESIAAIIII!
<br />I h.dy atrm und6 Fnllty of Fjuy oc ol tlt fouo*i.s &.h.rriJa,
<br />Domlaio. Pmng^rhdd tlo'ifkrbn F.dqd Rc8uldiod lTnl.40. Ptn6)
<br />R.qun.d hrq of tlori6.rnr
<br />-L(dib
<br />lhd !rF l.dErl EguL,tB r.sid,U ab6td r@\d r. d Tplrttl. 'o 'hir Frjd
<br />)Zl cdrb {hr I h,. 6,i rh! $elr.lbr !d ,d. du th. .boE ufonnda'n ir .oFEl. I lsrc lo onlply vith rI cn, .!d (tu!q
<br />odiM6 .rd Sld. l^! d.iI ro hildioe @luo<rir( rn ha.q di.riz EsEdriE of lhn Ciy dd Cou.ly lo .rs won dE
<br />'l!\. nr 'rrLll]l,,r*n.1,tr iB
<br />rppricrn,or \Eo, \isn,uR y ?a*'jP''-<.--
<br />l'mn( nr n'c ,r,in, ':
<br />y! fa u t- -6EboY4
<br />,/r/o
<br />Erection Pads
<br />Flood Zone Certif.
<br />-l
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