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<br />BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE IDISIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing 1'/t3,t/q z{R I'a
<br />Shear Wall
<br />Framing
<br />ln s u lation/E nerg y
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Qq:uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />l 7*q tl -t l-n f/-Ji</o tf
<br />Certilicate of Oc'cu pancy
<br />-)
<br />0WNEX BUILI'ER DET,CARATION
<br />I rEEq r,rrm und.r FMlr! o, ,.rirry !h{ I n.rcr{,r ,i,n rk (i'nr&r.^ Lr.n( tiw for 'lt lnlh*h(sgr rsrT'lll {
<br />Eutinc$ 0d ProLrrhn ( rtj.) Any ( ir r or Coudy *h. h r.rtum! ! Fd ro odM lhd 'ntfrr., d.ri.lnh ot EFt0 .n'
<br />dtocruc. ri,rlo irt nrurm.. rho,equn.\ rh.lpt'laani lor \!chlErml n' fihd sisn.d at trnr rhd !x or sh. ir liccn{n pw$rrr
<br />h th. fNv*bnr ol rh. Qrtdr ! LRnrn Lu ((-lunr6 9. (irnmrine u[rr ^*rhtr 7Ul] of l)ivisi,n :l of !h. Butifts td
<br />P&rcsn,nt Codc) o, lhol tr or rh. icrcmpl llErclromafrl lhct!{s fo. rh. llksc.l cr.nlri,n Any vhLrionorsdi,n 70!I I hylnt
<br />rtlilkan! tu r Fmn \uhj.{!i rh. lppli..nr k' r civ il 0. h,ofn fr)r rh.n llrc hu.dr.d d.llrr (Ss(Xl)
<br />_1. F n*rr .r rlE pn,rEfly, or my ci{'hy.er uirh *rr$ &! rh.n e! cotr!f,.!0r io.. uill do rtF wot an llE (nrtR ir ml
<br />d.nldl d offdd rd rE (Sd 7fi.{. auriBr.rld PNf.r.ix Cod. Th. CdRt t l.ffi tr* &Er ml ql''ly ro rn o*F ot
<br />rh.poFny wlrhitltorinrmBlhsFq!nrh)dEuhs' niN.lf.r lrrclf ot rlfDurn nb d ltr 6sn .npbFn,puiLi tbr rah nqmw.G e mr i*.nd.d.. otrlrEd rd dc ll hrtrB,llE tritlinA or intiowrnt ir $ld wiliin m Frordrrlltt& E 0'*6 auitr wi[ hE rlE hrd.n of pftri.t rhd lr or dr dn mr boiE d irtrrE dE FsIEry ftr rrE ,llrr or
<br />_1. riowEolrlE t'r,Fdy. !m.rcturEly codrxrna wdh lias,.o d6roodrur rlEFFr 156 7oru. a6i'c
<br />rhd Pn,tr\rin Crxl., Th. Cont&ror'. l-ic.6. L,e du! oor !pn!y ro !. o*n* orprop.ny ellr tuild. or iml'oEr lh.@n.
<br />md slx' dr'turn, uh rmr<rt *irh r (tddonn lirncd 0{,rud b E Co.r6l( r Lirn€ l,e)
<br />I rm.rrnu u cr S..ri,n
<br />Irrl. O*n!r
<br />laxf,!85:rauENra.lla!lrtrl.ABrlloti
<br />I l(R.hy rlliI ur,ler r^-nrlryol tNjLtryonu olrhr lall()*nrs d..lnrru\
<br />_l hrv. m, *rllminrlin. C.difElr. nfCon€nr ro S.r.ln$rc nn qtrkdr..
<br />lior (n . fo l*,,.rfor m. oI llF eork for whkh rlk pc.nf i\ i.su.d
<br />al h,vc lnd $illminllii*".tm .onFn*ri,n in\o'.N..r Eluir.d h, scr
<br />rlr hrt r shrhrhF f{mir it a{rd M} *orkB' fl,rr*.srxr in\urdmrd
<br />c*rr e3]ale-Ervrd
<br />^,..,",,*, . \31-1-1 0'5
<br />n+.r6lirn. E lroij.d aor by Sdrbn
<br />i,i .l?(l) ofrlE lilx, Co&. lor tlE F
<br />i.. .,n Flky numhr e
<br />,* roll|A
<br />l..n!fyrhrr rntllFiform c orrh. ro.k r(, rh.hrhnFrn t tr\u.d.I rMll cmfli,y .ny ncr$tr itr itry mnmr
<br />v' a r) h.com \ubj(r ro rhc r o*6i r'tr'Itn{ll i()n htra of Cllifomi!. lnd lsm
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<br />i, I fi,uu tEorE hFr t,rh.
<br />soAG $n{x sii,n pmvni,m of S(ri,n .l?(x) of rhc l lhr Cdc, l {h:ll, tudhwirh $ntl, wirh rhx rmvhions.
<br />n .npk'F ro oinitul FElir aJd
<br />cpil 6n.r ut r. oft hxndrcn rhousoRl dolld lsl0o,uxl). h .ddirirn h fi.-lio.. d!m8.. rr p,otiH [in rlE
<br />5di$:r(17601rh. bhr(dk, inrcrcn 6d lnonEy \ Li\0'wzlulictulllNfirlal-I&rLtll
<br />ITI,IIAA,ITOI
<br />IIINII&]IIT}TIADIBT.ATiEAqI
<br />I n r$y lrtrn und.r Fn.lry oI Frrury rhd llE is.mnnrudb. bnlinS.rrB'y for rlt FtlGdre of l,r $nl for $ha.h rhi.Itml ir
<br />tsEd (s(. l(l)?. civ c.t.
<br />lrftL.'r A&!ci\
<br />APPI ICANT DEII AIL{IION
<br />I hdltry rfrm ldcr Fflhy ol FFry oE oa rh. follrwi.8 d.<l&ri{.
<br />D.n,lirhn Pdmirl Arn {or Norificlrio. F.d.rilR.guhrions tTirlc 40, Prn6)
<br />Rqurdl |rtr.. or *rifr.ti.n
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<br />.cnify rh, rlE f.&dl rc3uklb.r EardD3 a*rnoi E.rxlr e Bn {,plaat'L n' rhr ImFd
<br />-Xl-,ry,r,r l r',,. *.,r ,r'^ .nplrdln lri {rr. rhd rh.rh,\c inri,nEr{r r.orRl I +rckr..mply*irh lllciry,ndCounrt
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<br />SLAB Floor
<br />Ext./lnt. Lath
<br />FINAL
<br />Notes, Remarks, Etc.
<br />.l pprr*nr'X-
<br />I h.Ehy trllinno.dr pculryotFrjur, lhar I m li(nsai undcr Im!hi,n, of( h! cr9r.omnrkingwnhSdbnTuxrl.fl)ivnn'n.r
<br />ol rlr BuriE( rnl Pn)fdrifiCod., mlm' l-.na. i( t. fullfde dn dldl
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