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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BU I T-DER DEL('ARATX'N I hd.ty r,tun undd p6.lr, of pdjury thil I m cr.npl lmrn th. (n r&106 Lic.e liq' lor th. folloving rc&n (Sc.7olrl5 trurinN erj Protdon Cod.) Any Cil) or cou,ny *nkh r.qutr6 ! Fmir ro ..dtud. and. inp.olq .krml6h 3r rF.n uy odd., Fi.r b G iloec .h. (glriE rlE .pplter for o(h Ffr ro lih ! sSEd tlrmr rhr lE or {E a licaBd F,rer ro rh. rmrtiod ol tlE Cotrrtrloi. Lto!.d Lrw (Cn fld 0. Co@dcinr unh S*lhn 70m of Divlrion ! of th. B6iB od hnd.ions Cod.)or thlt l^a or 3h. b.r.mF rha.from ed rhc t iis aor rh. !ll.s.d crmplion. Ary violltion ofsc(tr'i 701I t by &y apnli.lnr lor a Fntrir subj6r! rlE applicur to ! .iril rEMhy o I nor oorc lna l]\ . hx.Lli.d dolld (t50o) l. ^r osM of rlr FoFdr. n ny anpbrG $nh $!s6 a rh.n $k..mFEd6n. sill& llE s{* -d IIE snrlG. mr i"tddol or olT6.d lor sL (Sa 704.1. BusiB ed ftofsioB Cod. 'ln. (il'nn rorr l-i.M L,* &6 nor rpply i' m ow of rh. FlF.iy *ho hil& or nnp.lq tnson. Md sho &6 uch @rl him!.ltor h@lror rhrculh h[ or hd o*n.mploy6, lrorx|i rhr' s<h mFramrrmd i addl nolk nr nl ll ts6d, tlI hilli.lg or irsrxqB'l ie$ld *nhmoN !6. o, oryLiD( rlE (\E B{ilds sill h.\r rlr h,&, of EovrB thi rr d Jr dd Nt hnld tr ngDrt dE FsFlv tu llE Frpoc oa l. f,r .w6d olrlE Fopory, M .rdNiedy .nnretins firh li..n-d coilrdoE lo roBrru.l ilE pmj(l {S€. 70,1,1. lt6in6 !,i l'bk inco& I h. Cont6dor'3 Li.d. l,{ d6 nol lDoly lo & o* na of I,orEny * ho buitdt ot idptoE lhdotr ed *ho onrar lor o.h F!j.\r3 *nh! ftdr.ro(!) tt6!.d Fdud b rh.codrarort LitE lj{) lx ir\.'n|r tr ,1.' Sr.1otr l).r. Orrd r!.8[ra5:(arfrl-5,l.ItarDrgd.lillrr! Ihdch! amr trnd.! pdalr) .1Frrrry onc olric nnb\nr! d(lrarurl In!\canq,illrui !h. ( atir{ . oICoBlr to S.ia-lE@ td @k6 o,q.rMh.. d FviLd aor b} S.(ion 1700 of lh. trt{! (-od.. lor rh. FfolIB. orllE trvt fm etth llE pann b is.d I hnrc ,nd * ill nrainuin * orl(d' .o6FB.'nr ituurn(.. ai r.qutd bt Sd tun 1700 of Ih. I ihtr Code foi th. Fromnc. of rhc tr ork for r hi(h rhis p@n i iq.i My $.rkd' snl.Barion icuranc. cui6 dn lrlicy numbd c. I (diry ihd in rlE Ffoffi. of tlE sod r.r rhth fiir Fhn it i$Gl I sldl ml a!9hy .nt Fb. in .iy me6 $ c lo t<or .ub6r ro rh. rut6' orpddpn lrtrr of ( rlifomi^ dd rsrc $d rf I lrblld h6om s1*{ b 'L10116' comFurion pn\ ijod o f s.di{ir t?(}0 ot thc l.bor Code I !h!l!. finhw h dmtl, wilh 'hos pslnioN W LNING: Fdlor. ro ffi. *0116' o,rpd.iio. covag. b unhwa!|, ud $.ll rubrd u dploF lo diilMl pallis et .nil nn6 up ro.E hu,xH rhoran {hI6 (llm.om). in.dlnhr h rh. cor ot coip.tBdioi, dar.s6 6 Fo\id.d f6r rhc !dh. 1176 of rlE l,bor Cod.. i,rdd arl dGEy s f6 Drl.: ._-_... _ tppli nl:_ ucElllDraNrla(Ioa DEOAEAIIA! I hd$t.rm u.& Fn lryof Flury rhd I m litrB.d ur& Forihn of ( lulis 9ic.ffiiry qirh sGlion 7lxxl) of Dn BNn ! of rhc u*iIB pd PmfBiod (-od., an m, lk.M i! in alll foc,i.lTcr (atsrBtjlJlatL[ Dllli_&cEx(I t h<.lD rrm u r. Full! of FJur,lhd lh6. .. t oErBl.n lordDs.sfr) Lr rrE FlolM..ftlE ssrt Lr shah rhi! Fh, . i*ru.d (sd 109t, cn. c ) I .ndo .r \M. AITUIASLDECI.AMIAd I h6ltlr .f,im unn6 F6lrt of Fjury o.. oI th. follosin8 d..l,.lions D.nbl{ion Pdnir}tut6t6 Noliirrion kn6i R.*uld.n I rnt t0. l'd6) Rcqtrtr.J Idr( olNotificdnn I cgl 'ry rhar rh. r6r(al r.rtrhr trr6 rc;{din$ nrtFshr Gr\ .l e. ior {rli.abld. drir projdr I cdtiS thi I tur. idd th! rF rlr.lion !d lrrlc lhd lh..trr c infoMio. tcord I rsrdro smpl) {nhrll('n!..d(tr j, oldinrNs sd Srlt.lrs Ghrins ro hild'ns .onnrudio( dd h<.{,, iurhrE E?r6dr iy6 oathir ( irted Cornlrl.6t6 utFn rn .1[( molio*d phrd, aor iNFlion purBrB \0pli..ni or \*dr sl*n.rrm Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif rl I FINAL Yltl l?o DfrYX'I Certificate of Occupancy I Notes, Remarks, Etc. Erection Pads