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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII.DF.R DELCARATION
<br />I rErlly .mnr !d.r rEMhy 6r Fri,ry thd I D.r.qn ,Nn rlr (t.lrs6 L-.n< br Ls tlE folb*i,8 El$n ls.c tu]l 5
<br />Busincs lnd holi*hn Codc) Atry c , or counry wh(h rcquirc! ! F,nir ro $n{Mt alrcr- inPn,v. &r'lich rFd ;,
<br />{eru.. Frr b 13 iarulc, rLa, FquiB ih. l''liicul f rkh Fnir ro ul . risrn {d.m rnd lE o. 3lE s lat.srl lllNrr
<br />6 rhc lt{thnr of dE (i'nl.rrr'! Lktncd llr lClEJ,t( 9- Conmrin8 rilt Sccri,i 7un or Drrrbn I or rrr Burim* 'nd
<br />Pmfcssions Codc) or rhar tr or sh. is.rcn{'l lh.rcroni ard rh4 h{$ ftt rhc !ll.s.d.rmrrion Anv vl'hrion or Sdhn Trrl I 5 h, dv
<br />rrplica.r ft, a F@t rubFE rlr {rlt.nr t, t .it,l p.Mhy or n o,r rh.n fiv. hunnr.d dolLri (lt{x),
<br />L $ owftr of rh. InrFny, or my .mrlolEs wilh wlso .r rh.i. *'k omPcnerion. will &i th. *ort ud lh. nnd@ t mr
<br />idcid.d r ofi.En td q,.lse. rota. SuriFund PiordibN Cdc: IIE Codrd,'r LirM tr* &a d.a'plv h u oqrr or
<br />rh. p$l{dy *h, h!it& r anpr.6 tlEqr lri *tn &6*h w himEl,or lEMlf.r llFu3h hi\ tr h.r own.ipk,'tcr.
<br />pbvihd rhlr rkh imrNErd: e ml hl.fli.d ot oftc..n for dc. lt hr*.w. ilt hrildin8 ot rrnftmd h $b virhin or Jt{
<br />"t o,q'Uin o. rx- a,ilo sill hE ll! bo.rL. ol Fout lhd lE , rlE dil xl hild m iqeE tlE FrEry f.r rrE Fqr or
<br />l. ri of,Er ol rhc FFny, d.r.tusiEly co Elha * h lft.r{ (ont-io. ro on{d rlE Fot{l lse 7044. BunFs
<br />rn PrDt*in Cixl. Thc conrftlois Lkcnr Lls dc. hr rP0ly lo rn 6*Et ol F!Fd, wb bnildr oi imProti rh.r('n.
<br />rnd wh. Nnrrrrs (n such pnlJ.cG wirh r Conr hns) liLrtscJ PuBMI to rlE Conha.tor. l-iccn$ l!w)
<br />_! m .rcmp' und.r Sd ioi-
<br />thl.:
<br />.8 I l (- l(n rha '(i\tr'
<br />It oR(${\' c(rM Pilsral(lN
<br />ITEII.AXAIIO!
<br />I lEEhy lftirn ulrl!r lrulryoIfrrpryom oI rh. folkrsmS d..barr'n\
<br />-l
<br />huvc ud * ill tuinrrin , Ccd ilicatc ol (.on*nr I' S.lf lnsurc (tr workcn .on{xn\ nrn. !r Eovid.d ttr hv S(rbn 17(rrorrh'
<br />Itrtrr c(t.. fm rlr Ffornm.l th. rvl a{t *hih r& Fnnl a nrucd
<br />-lhalc
<br />snd willmoinfuin workcri cohnctrslrotr inluron.c. !s Rlrir.d bySccrnn.lTurnfrhc libor(idc- t rhc rclfdnromc ol
<br />rh. s'rl rm *hah rhir JEmil t i!.id My sortdi ods..$rnn in.!rnB! (gtr nn tnky numlE, sc
<br />r'v,,, Fventy' /cJ/
<br />x\,-D"; 76ooo/s ?/t/e/ *,*. '/y' /?
<br />-Lz1d(y 'hd
<br />i.th.F,r,trmRrnath.*o r,r * h.h thi p.rnir i\ irrFd.I rlqll n .m{,hv rnv pcR'n i. rnv nsm
<br />y: $ t, ksm.ubFcr to rh. *qlm oqx.db. t $ oI (ilifomia lld +r lh.l if I rlbuu tEcor uhj.lr r(i rlI
<br />so,kBa .omp.nror io. F$vkbfl. .f s.cr ion l?00 ol lhc L3ho, Co<tc. I {ull. nrn h*irh smpl, * irh rhot Povhk,n{
<br />WARNINCT F.iluE to ie k,kdj oryEnsci,n 6@8G i. unb*nrl &! ihilr tuhi{l , diFlovtr i. aimiBl IfrhLx 'rl.flil iEr up h .E luidnn rhuerld dolLr (tlfil,ffi)). rn .ddir$o ro rlE Nr ol cotrtENrion drm3lt rt ptuvikrl for lhc
<br />s(rEn 1076 "lrn( bh{ ('odc, hrcr.{ d nImtrrN( 7r',
<br />V-", ZlaZf ^*^,.-br l{tr{llf,p coNTr,{c_rl,R
<br />oEqlxAIIo!
<br />I lEEby rllEn unlc. Dcnnry of Fr,lry rld I m litni.d uftt {mviron of Cr!fld 9 (onrNin8 *nh Sdion 7un) 6f l)iv$hn '!
<br />or rhc Busim$ rnd Ptur.{sirni c.d.. o,i my ltcn* i! i. rull ioEc Nd cltdj
<br />\r*.",,,. I(t. z7a,t7(
<br />Lnrn\eN.mrE, A/S'fZb
<br />f,a C .6sac.
<br />clllslf,ul;uQtr.LEDl.AcEdcr
<br />I kEhr rtlrm und.r IEMllyof p.rjory rhd rlEE is ! mnnGrbn Lhdin! rS.Ny tor rh. Fnmrre of rlr Mrk f.r whth rhn lEmi ii
<br />i\cu.nrs& ltl97. ci c )
<br />t .d.r'( Ntft
<br />ItrulJrNuErl^a la!
<br />n rhc r'n[,tr'ng,lr(l.nrrtrr
<br />.tldrl R.tulnrtr n r I rn llr |r h)
<br />rdi'rgn\lti'^r(n',vrlr,. n,t {'t,l' hl, t) I
<br />.8r ro @d91, *th rllCnylnd ctunry
<br />ivcs olrhir Cirt.nd Co!.ryro.nrd ut,n lh
<br />*,a111/1
<br />rl {.rcrl rhcfirc rturftnh,n^.omd I
<br />.o0{n'rrntr,. mlh.,.r,r.tr horn. '.t)rc\. rrr
<br />c,.l t
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathino
<br />Shear Wall I
<br />Framinq 7h{lH /h *tlt )
<br />ln s u lation/E nergy tl- t I 7
<br />Drywall 7/ao/tfl -.v,A'tfr -)
<br />Ext./lnt. Lalh \-_) r I
<br />Brown Coat
<br />lt/asonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL I
<br />Notes marks, Elc
<br />al
<br />t
<br />T-Bar
<br />.-ffit
<br />Certiticate ol Occupancv
<br />lraLfl Adt {r
<br />I
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