BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OwllEf, AUILI'ET DEI-CAX TION
<br />t lE.by .rm unds p6rly oI pdiury rlln t m dd,r fros rh. codrdm' Lic.B tr* for E tolt,wns rrin (sa?ol|5
<br />B!$.8 r.d Prof<ioi Co&): AD, Cny or Cou,ry *hth rcquiE r Fnn to otrrNcl, .llq. ihFova dielEh ot E!.n ey
<br />,ME Fi,r to il! sffi. &o r.+iE lh. +?ltDl tor .Eh F[n lo 6L . !t!.d na. .tn fit lE or Jr b li.d!.d F r*r
<br />lo rhc p{ovilioB of $. Co.lr.cte ! Lic.nEd tlw IChlFa 9, ConmacinS with Salion 7000 of Divtion I of rhc BNilB md
<br />Ptufdbs Cod.) d rhr IE d Jr it d.4l thcfr.n .d rlE bGL for rlE dls.d ddFion Ary ri .ri,. ofscrbn 701 I t by ay
<br />lFplic&r for ! FDn sbj*I! rh. lpglicdn b . civil p.ulry of mr tuE $d liv. hui&.d dolla (15@).
<br />-1.s
<br />o*E ofth. FoFrt. Dr.nplor6 *in x.g6 s rlEn $L omF6rioa * &,l,E*tltnrEinEr@id
<br />it ad.d or ott6ld for Elc (Sa.?044, Bui.d ud Prcf6iod Cod.: Th. conkrdoit l-ic.@ I.w d.6 nor lpply lo u ow ot
<br />tlE FiFU *ho hild! 6 iq6€ tlE@ rn srb .t6 $n s& hilBlaor hdvlf or thush hi, ( lE os @d6rB.
<br />ForiLd thd $ct irqoffi e d iiqi.d dofi.d 6r sl. lL hos6s. tt hr dlB d lr9rh_aGr b sld *ihn tr,s
<br />ofomrla6r! rlE O*oE &ilb vitl h!v. ilE h{da oaFoviry rhn h. or rlE did ml trit or inprovc ln. repqi, lor dE pltpor oa
<br />l. d om6 of rh. rmpary, m ci.luivcly conrra.ri,B wirh li.4.d co'Ir..1o6 ro onfud rlE Foj.tr (Sa. ?044. B6ird
<br />rnd Abtsii. Co& 'l h. C6ntdoi! Lk@ tr* &E mr @lr ro s osE otFoFry s rs buiu. or iiFoE rh66..
<br />&d who cod,Ilr for such F!j6b wnh ! Co,nrab(t lros.d F6@ ro ih. Codrcld r Lt.E L!*)
<br />_I6.xmfl ui& S<rirn ,B &PC forrha r5rrn
<br />lrrr.: ornd
<br />lQ8f,E8$.CqufldlArQl
<br />DECINNATTON
<br />I h6.t).ilm ui(b !dd, of Flory oE ot$.folhql.e rliL.rrird:
<br />-l
<br />h.v. url *ill einllin . ( dific.lc ot CoMr {o sllllMu,c for worldt conrpcnrrion, .r pDrid.n lor t y Sarn n u00 ol rh.
<br />L.tv Code lu th. Ff()ffi of tlE wil for *nih rtE Fni u is.d
<br />I h!!. md qill n.inlrin wo*.rr colnpdltiotr iEurlncc, c r.qui.d by S..l io. 17OJ of rh. tjhor (bdc. fot th. pslorrrec of
<br />rh. $!rl lor snih lhi FE i! is*d Mylrytd cffi 8l Flq nunhd !€:
<br />S ie r
<br />Policy Nuobq:_Expn6:
<br />-l
<br />dit lhd in t,E psfotrm of lh. *ort for shEh lhn pdsn B u!.i. I sllll mr oPlo, ey F$n in 6y meF
<br />o s ro b..om. rubJdl lo th. elr6 @npalaion las of C.lifomia, ed aSra lhd rt I dtr'uti t6ooc subjGl rc (ht
<br />s*6'obFsllio.ForticolsEio.lT0oofrlEttttr('odaldElLftrlh$htotrpllvthtlbtFo!ti6a.
<br />WARNINC: F.ilN lo Eu. wrt6' om9.aldnu m!s!s. ii 6Lr'tu1. e<t !h.ll rubid o ado)< ro aimi.6l Fulit dn
<br />civil lins up to oc hud.dj rhou$d dolld (ll0o,0o0). in rddnio. ro rh. co! of.omp<slion. ds,us6 a p.ovid.d for rhc
<br />SErirn 10?6 ofrh. trlr' Cdc ridd ..d d Ey!rd
<br />DECIjAAIIoI
<br />I hdd,y.rlm unb pdty of FJury rh, I e lic!.d u.ds Flitio. of atupld 9 (oMins lh S.<rion 7000)oaDivilhd l
<br />of rlE BuitB erl PE[66B Co&. dn iy l.dE . i. tull toc rt.fid
<br />6 fr7s; rs3-4:1L .-'-"-)f
<br />COITISIICIIIIII,IJdDBG.6GEdCI
<br />I tab, rrm u.da Frny of Fiu.y $n fia. i . mdNdbn ladiry lsdy tor lh. Fft'irre. ol$. mrl tor *tth lhit FEa i
<br />inu.d (se 1097. civ. c )
<br />artucallaeclAlAlllt!
<br />I hd*, |rm unld Frn, or Fjury oE ol lh. follosir8 d..lecl io6
<br />D.mlition Pm'reA.b6to! Norific,rion F.do.l R.gul ioN (Ink40, Pan6)
<br />-R.quiEd
<br />l.dld ot f.tori6.ib.
<br />-l
<br />.dit fir rlE f.d.nl r.suLrirB Esedins ab6r6 @rrl e. ml .pdirbL b thir FoFt
<br />-l
<br />.diry thn I hrE €d rhie rpplic.Iion nd nd.lia th. dov. i,fonMl ion ir cotrdt I !*rc lo odply *nn.I Cn, ad Coury
<br />ndl@6 rnd s!n. b{ r.lila ro brrldq coMrbG !d lE.b dlFr Ererr'u6 .f lh! Cn, od C6d}
<br />'o
<br />da
<br />'4on
<br />lh.
<br />rb.v. m6oor.d DoEnr ro, B6ra o*as-l-^ /-;*;".*,#;x'u- -,.,3r_il-t?
<br />Pmr,n@.rpnr,I L luThru,t kr,:-l*./
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing blillu'at)
<br />lns u lation/E nerg y la 0\
<br />Drywall *fi lb,
<br />Ext./lnt. Lath
<br />ltilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL q+ra 6112)
<br />Certificate of Occupancy cr \
<br />Notes, Remarks, Etc
<br />{
<br />c/.t/tq .)
<br />Brown Coat
<br />-",j3:2J:-l'1
<br />L,!d6'r Nm. _
<br />r!nd't A(b6.
<br />----T---
|