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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE I S
<br />Set Backs \
<br />COMMENTS
<br />Forms/Steel/Holdowns \d\y'-^
<br />Erection Pads rv.n/s 4.t'\\(v
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing 'J-a l'r 1 BcZ)
<br />Shear Wall 7-2{-,1 /Z<'21
<br />Framing / /- ,D -, r'r,,h.--'tF.
<br />lnsulation/Energy 7 c, Il tnl
<br />Drpvall
<br />Ext./lnt. Lath a. r- 't lQ Aa^
<br />Brown Coat ?/F-L 4
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />A,vi'k-l-FINAL ilzlt 4;t,.)
<br />Certificate of Occupancy I I t t '/ I
<br />Notes, Remarks, Etc.
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<br />OWNER BUILDEA DEII R TION
<br />I hq.b, llrm und6 Frlt, of pdllry tl'rl I @ .i@fl toD $c Conl[dm Uc$. bq for rlE lolkwi4 rat. (SE70ll J
<br />Auin6 !n Prcfdirtr Cod.) Aly Cny or CNlry \t'ah EquiB r F!.n ro @'riru.!, .Xq. ioFo\q dablih or l+.! a,
<br />lhl1uq Fi.r
<br />'o
<br />,r i!t@c., .t r.qliE tb. appli.d lor 3u.h Fnit ro 61. ! !iB..d indor lhn lE or lhc ! licoEld Fmel
<br />ro rlE Fovirt'B of dE ( o.EId! Lic .d Lr* ((luf,d 9. CoMine *nh Scrio. 7m ol Dirilion I of thc B6its ed
<br />Pmf6ioN CodG) o, thlr lE or rh. ! qnp( rMon dd rhc b6t lor En!.gcd.r@Fion Any vioLrio. of sdirn 7011.5 b,!y
<br />+pli.er tor . Fmil !t crs th. .tplicst lo . ciril Frnt o f mr mE lnr fiv. hun&.d &,lLB (1J00)
<br />:1. s ow orrh< F!Fl), or rydpbr€ urh *!s6 s rh.d ok c.mFuthtr {rU d. rlE wt rxl Llr fildE 6 mr
<br />idcld.n d 6ffa.d for st (Sc 7044. B6ir &d Prsftsi,B Cdl. Tlr ( o,{rErd'. liw L.* doc ibr lpry b & o"c or
<br />lh. tn'Fry wto hlil6 or iryroG thadr ad who <h6 *h w.t him.lf or h@lf or 0voulh his or h6 om drloyE.
<br />Ford.d thd $.h tnF\d'Ea c mr dc'd.d d ofR tn 6. eL l[ h.r(s. r hlildrB or dpmtlEi i' Dld wtti. @ )<
<br />ofconpkiol! tlE o*G &d& sil hlE tlE h,rh oaFoms thd lE or !lI. dA mt hild or iIr.!r. d'. FlFty fttr rlt FrF* or
<br />l. so*ndofth.Fop-ry, e.xcluiv€lyconirldins wnh liccr*{ co ncroR ro coMtucl rlt tr.j.d (S4 ?04!.8r6md
<br />.,n Aoke Co<t Th. ( onrdor'r l-i.@ lr* d.c mr laf l) ro M o*nd orFDFry sho t ild! or i-pmvd rhn@n.
<br />ud *ho ontrrls for ruch Fojcrr wnh . (btnEcro(, ltd.d ,!6@r ro lh. co.rrdd'r LicM L*).
<br />-l
<br />d crmlr u!d6 S.crioi-. B. & P.C. fDr rh6 rre.t-3t-aq "*"-V <24- 54-\ll8tit85<lllltEArArra!
<br />DECIJIAIIO!
<br />I lE.tt .mm und6 Fdy ol FJU,y o* ollh. folli$ ing &rhrrioB:
<br />-l
<br />h&triuillmi @ . Cdifd. of Co@{ to s.lf-lM fd qutdr @q6erd. s FDrid.d tor by Sers l7m of rlE
<br />L.b(r Codc. lor rh. Ffolfuc. of rh. {olt fo, phi.h rhc p6nn i! issucd
<br />_l h.r. .nd *i,l n!i.r.i. wo*(r comFc.rirf, iNrm., s Eqlrcd Er Sdion ]7ul orlh. Iib.r Co&. lot th. Ffollffi. or
<br />th. *ort ao. shth lht Fmi i! Lu.d My vqk6l mmFErion iNuru. ui6 !d polq nuobr o.:
<br />Pon.y Numb.r'-Hrptr6:
<br />-
<br />all.sr'b lhd tr rlE Ffotu. otrh. srt ro *hrhrhrpqin s isu<I l.hill m' aphy Dy Fsn i.uynffi
<br />$ d !o b..om. 3ubid to lh. wod6' .onFdnior liM ofcrlifomia &d lsd rhd i, I ihould t .om. lubjd io rh.
<br />so.t6'otr'FEdbDFlliriEofssrb!l?00ofr,ELr!(Co&lslrllffih*ih@nprywnhdhrFovi'ioB.
<br />WARNIN(;: failur. ro EE mrtd onFreion cov@!. ir unLwful. Md $6ll iubjEl tu @ploF io qimlEl Frti.. lnl
<br />cnil ab6 up ro oR hu,dr.d tlblgd &,ll[! (t100.000). i. ddn6n h th. on of.ooFD.riotr dmr8d a Fo\il.d 6r lh.
<br />serkrn 10?6 of'h. Latm Co&. in'rd ud.ft,r.y r 16
<br />\:L)7'tj_4--
<br />DlCltlAIIO!
<br />I lF.tyrttmlndd F hyotFJE,rhn Io [.sE d u*jd p.ovi]hn of Clqiq 9 tcomnErins $ith Sdnn 70m)of On irion l
<br />of lh. B6iB erl Pr.l*68 Cod.. rn s, lke t i. full for{. ad.lT.(l.
<br />saltrauclrl)Irlr:BDllc-acElq
<br />I hqcby rmm und6 FEnt oI pdlury rhi rlEc b ! cordMio. lordts ir.ft, tu rhc Faomm. ot th. md toi *hkh rh! Fnil ii
<br />is.d (sc. 10e7. ci!. c.)L.i& tNm _
<br />AIIIJ(AILDICIISAIIO!
<br />I ho*y arm und6 F .lr, of p.rjury onc ol rlE lollosins ddhrd ioru,
<br />D.dhb. Pofing&hd6 Norifrlb! Fcdd.l R.8ddbro (Tillc t!0, Pdr6)
<br />-Rcqun.d
<br />L6t6 of Mtifi.rioo
<br />f I corty fiat rh. f.d6.l Gsul.rioN ESEdi.g sbdo! 6ov.l u. ml +phclblc lo lh! Fojdl
<br />y' .diay lhri I h.!. Ed thi! rFli.alion !d rld. lnd ih. !bov. in fom.lion i3 coErl I isr€ lo smply wnh .II cny &d Counly
<br />odiM6 rrd Srir. t^: ElIi!. lo hildrg onr,lrrio( trd h6.Uy lurhodt (Feiriv6 olfii! cnt Dd Cou.ly lo olq upon llE
<br />.bov. 6ron d popdi, for icr<lion pl,po..1:;::;:;;::WZ-z-- ,a-- _ ,h,. -t-",i -t,
<br />P.-ta*t tDdnt-*{*1b +} d}
<br />UFER Ground
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