BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oor/VenUlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framin
<br />lnsulation/En
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />FINAL
<br />Certlflcate of Occupancy
<br />Notes, Remarks, Etc.
<br />Om6-Bdld6 Ddled@
<br />I hdby .ftim rids pddty ofFjury lh.t I m .r.hF fm l|l. CoiErlo' Lic.e ltw r( lh. foUdii8 r.{@ Ga.?o, t.J Burin6'
<br />ed Profdid Co<L)r Aly City dcourty rl .f llquilEs. patnit 6.orrfi.!.lid, inFovs.Lftolirh o Ep.ir ey rtuciu.. Fior ro nr
<br />i''le.,.l$ E+iE tt .t li@i fdr.n pmh io fil. ..isn.d.danat filr h. d rhG t lic6&{ pau&t io lllc Foviti@ of thc
<br />Coii..r'! Uca.d rr (Cbsla q cdffidni sirh S..ria ?000 of Diririd , or ! Bai,B ed lmraiB cod.) o rhrr h. a
<br />rt ir ddngr rhdiom ild $. t t fa dE.Icr.d qaptio.An, viol.ri@ of Sc.rl6 70! LJ !y ey 4pli@t fc. Fmn.!bjc.rt tn.
<br />epliclnt to r cieil p6.lt, of od 'E! ilM liE ho&d dollrr (3500).
<br />_I, n oma of lhc Flpdty, dh, crplor€ inh *.s6 s rhat hl. dnpdrlid\ *ill do rn 6t od d. in.r@ h nol inrad.d
<br />cr o|Ia.d a6 .d. ( S6.70,L, Duio6 !d Prcfai@ C.dq Tk cdl'rdd! Licd. te dod no. ryly lo e ohd ol t. propdty
<br />rho buald. 6 in't ec rioa, ed rh6 d6 r*l *qt hi@lf 6 t6df a $Mg! hir c I'r om cmpl6ys, Fovid.d $.r $ct
<br />inlormau e nol irtadd ( olf.rld ld de. It nwffi, lt. huildiis d impwffit it 6ld withis or. y{ of conpldio4 r,t.
<br />Omn-AuikL*ill he dE torda of Fovii8 tlIl hc d !h6 er build d imFoE fd th. p!?c. o{il.),
<br />_1, s ffi of lh. Fo!€ty. h dclulv.ly cdlE!.rha wilh li@.d 6Ed6 b cethct th. ,.oj.ct ( S.c. 70aa, Brrina rd
<br />rofcsrior Cod.: TIlc Conrrddt UCCM lrl do6 ror .ppl, ro E oi,6 of FoFty ito b{il& d impoE tt6M , ed who
<br />co r&l! fd tuch prcjc.r, willl . Conh&to(r) liffi.d p6et to th. Cotretor! Licc,r. riw ).
<br />_l m qdpl und.r s.clio
<br />-8.
<br />& ?.c. f6 rh'! B@.
<br />D.e Ome
<br />WORKERSCOMPENSATTONTTECI EATION
<br />I h.rcby !flim hdd p.ndt, of F Jur, @. of Ltc follwins delmiiN:
<br />_r hrv. ed qjll mu.r.i..Cqdfc& of Coi@t to S.lfiBuc t6 e6rd'.@Fnrd@, a Folid.rl f6 by sdrion lroo or$.
<br />Llbor C.d., fd 6. ,crfdE!e.. oflh! *o.l fn il cn 0E p.mit ii i!o!4
<br />_l liec .nd vill tuinllin wa*d' conrpolrtio iru'rtnc!, a equirld ty S..ri@ fTOo ofti. L!bo. Cod., fd $c Fifdhrne of rh.*qt for which llir P?mil it in!.d My *dkcu' cmp@dio i,ltlfre @ir ed poliq nwhs G:
<br />Polic, Numb.r:_!rptB:
<br />Gin ftd6 tl.d io( b. .oiTl.ild lf6. Fnnt i. fr OE Uo<tld &lla l3loo) q ls)
<br />_f cerit iul ii lhc p.r((irrft. of Ii. ?o* fc enad ili! Plttnit ir inuc4 I rh.ll !d rqloy .nI p.noo io ey n.'lr€ o s tobe.3n,ubj.dt6$o*atar'calp.,',rtial.rrofc.lif6ni.,edrsrE$aifll$l.lbc.orB&bj6tiodcwqtln'
<br />.apattdo F"vlriot of S.cri6 !700 of tn. Lb.. Co.L, I ddl, fdtbrith cdnply tyili 0to.. FovhioB.
<br />WARNING. F.iht! lo rc@ rortEt' corDportio @varc i! ulmtul, Dd rldl .u!.,Gc e dployd io dinillll porld.! rld civillird!pro6.hodrdtL rd ddl6 (3100,000),in .ddirid io rtc .on ofc@p6!ni@, ders€ s providcd fd $c s..ri@ 3076 of
<br />d. Lrbc CodG, itrr.rBr Dd .tdn.r! f6.
<br />I,ICINIEO.GANIBACIqES.DECI.AS !
<br />I h*ry rnn undr p6drl of Fjrry thx I D li6..d ad.r Flvirioo of Cl'rpta 9 (@.in8 wi$ SEri6 ?ooo) ol Diviid I of
<br />ltl. Bqird r.l Prefdi@ Cod., ad ny li.a& Ir l, fuu foq md .flc!
<br />coNglttucT IoN LhdtllYc acfNca
<br />I hcby rilim sd.' p.ndry of Fjuy 1l,.I dtG ir . ccstn.da! ladiDr {s'c, fa ntc pdoffi of th. d fd ehict $ir FDit i!
<br />Itt*d (s.c. !00r, Civ. c').
<br />L.trd.r'r A(BE|. _
<br />AIPI,ICA]Y?S DECI AXr{TION
<br />DqlElitio P@lt .Albal. Ndlfrcri{ r.d6ll lcsuhnw Gid. aq Pll O
<br />_ R.qliEd llnc ofNodticrid
<br />_I ccniry thd lnc f.d6.l cFl.lid c8rdin8 ah€td @vrl e rd .Fpliqblc to rhit proj..l
<br />_ I 6lify $.a t hrE.ad lhi. .!Cliod6 6d rnr.lh.! th. .bow infqtI.rio n qG[ I .Sc lo Gmlly ri$ dl Ciry rrd Cs y
<br />6dim€ ed $r. hu ElGrt 1o boil.lh8 c@trBrid,, sd hab, .udEiz! ,!p.86[riE of ltth Ciry &d Cout, ro 6td rp6 th.
<br />rtoE tBd6d prcpcty fd tn F.dd pupod.
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<br />Liemcls: LiGBNmtq
<br />I DATE
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