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BUILDING- INSPECTOR RECORD
<br />Sre-wrcRr DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />SLAB Floor
<br />Subf Ioor/VenVlnsulation
<br />Bool Sheathing
<br />Shear Wall
<br />ngFrami
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonr v
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />D eputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif Atuubl+ ttLb-tL 1-13" lol *"Wr0)
<br />\_/,.,
<br />FINAL 9-/1. /1 \^.V.l(d,
<br />Certilicate ol O ccupancy
<br />Notes Remarks Etc
<br />OWNEf, BTITLDET I'EITA TATION
<br />I lrrt'y rrrn ! .i FBhy.,f Frry ra',I I dd.n+ fmh rL Collrrrn Lidc U* fo, rlE folbsin8 E{,i {s..1).11.5
<br />aurn.rr lnl Ptur.ssion cod.): Any Ciry or Cou.ry *hich quncr ! tfmn ro d,nirud. ihd. inprov., .kmlnh o. ETtrn .ny
<br />\rndr- Frr h ilr ii.tl.E..ls EquiEr rlr +rli.d lor trh trm' h 6L. rtBn ucdn' rhx lE or.lE is literl puq/r
<br />ro rlE I'ovsi{,h or 'lt Conrftrois Lir.*n L* {Chrfl( 9. (immki.8 rirh se'hn 7m) ol Divisbn I oflE BuiiE( rd
<br />Ptr,tc$ions('d.)orrhrrlrordEhcxcr{'rrlErcfromlnJrh.n6sirforrn.llcecd.i.n{,ri'n Anyviohtionol'Serb.7O3l5bylny
<br />{,Ilk r for. Fmir ahFr. rh. q,pli..nl ro . ciril p.uny of Dl m,. th.tr fir. tldrdd'll[r(!1n)
<br />l. rt o*rr ot rL F)Fny. or my cr{'hFcr lirh wl8cl ri rlEn $L dryr.sri,.- *ill do rlE wml ud {. nn.l@ n mr
<br />idftLd nor.r.d fd qL (Sd 7Ol.{. ahiEs rld Phlltb6 Cd. Th. (bdrdd t Lift trw dri d {rly to., owE ol
<br />rh.Iln,Im, *no }!ill3 or iqmB llEErn. rn *b &B uh urt him{lt or lErcll or rhn,urn fi or nc. owi cn{,bFs,
<br />pnvid.d rhlr rkh inqhmnk m mr id.n& oi offrrd ror qlc lt hos€, rtl l(ihiry or iqfrkft hld wirhin f,m ]Edrr,I|)lri,( llE ol*Er Buibr ,i0 hrE lfi. hd6 ol lnrvi.g lL h. or {E dil mt b'ld d inrmE tlE lr+qry r{r ItE lfurFn or
<br />l. !r or Er of ilx Flriy. an rrrh\kly r{'rrrriry r irt lL!n<n .o rarmnrn,nntur th F,Fd lsd T(}l-1. Auvr$
<br />rl h)ts\m Codc lh.(i'nrru.loi{ I-i..nsc Lrwd€r r{.pt'ryh !n own.. or pnrFny }h. hurltlior imprEr't.rcon.
<br />{trd sth conrh.r\ ld ruch pn,F.h *irh ! (ilnrturi r r lic..{d l)l^u brh.(lfu*rtr i Lkcns tlw)
<br />ldncrcnll'ruftld S.dirn
<br />D.r. lrrD.
<br />llBf,li8s-.9&tfEdtarq!
<br />IIECIJBAIIO!
<br />I lErcq.rrm undd Fmh! or Frry oE ofrlr nrb*i.8 ddln{n.r:
<br />-l
<br />hav. ot qill flinhin i C.nifi.{t. olCon{nrro S.lf lnsurc i, workds $nrprn{i{'n..{ rrcvid.d for by Sccrhn 1700oatlE
<br />tlltr (-.'d., n rhr FfotuN ol rL krl fd *hth rlr Fni i n\!cd
<br />_l hrv. and willroinhin sorkcr' rotr{rnsdi,n insur!fr.c, ar Equicd hyScctionlT00{':^::wffiE:* n n un*"- !n F
<br />^*r@
<br />n,hc Lltxtr (itrlc. lnrrhc p.rltrtutur.l
<br />-l
<br />.cnify rh.l in rlr Flor m oa lhc vorl (r rtah
<br />'hn D.,mn is i..u.d. I rhlll mr .rrhy $y rs$ . o h.tm {bF.r io !h. kdda .orqE.d i,. hn oI Cllifomia. rnl r3e rhi rf I ilbult r..oc iuti<t lo rlr
<br />sorlG conlP.ngrnrn prcvisn,n(olS(riln ]7fi).frh. titnr C{rt..l slEll, rr)nhsirh comnl, sirh rh){ fmvnions
<br />WARNING: liiluE i, dls *1116'omrEndhn ond8. r unh*ful. dn .hrll sl'F1 u dr{lbF, ro 6iim, tml6 .nd
<br />!n' rn'c\ uF ri trf, htrqLcil rho
<br />s-,-, x,76d,# r.,k,/r'.,L -
<br />".,.,417//7t/
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<br />Hffr.n"
<br />con,Fnehoh. drm8cr 8 Jln*r,.J r., rh.
<br />!tLll!r{ \!l!f
<br />I rEFh, lrrm udcr Funy ol tE jur, rnd I !m lirnEd ud.r |niiri.n ol Ct{,ra I lo,lrrinr ,nh Sdi,. 7m), nr Diviri,n .l
<br />of rlt BuriErs adl Pn,fe$hns Codc, .,n my li..ns n in rull tur un .ndp rsl
<br />COIi.STRUL-N(N LFAInING AGFNL.I'
<br />I h.Ehy smrn (ndcr FHlryofp.rjnryridr rhcrc t 0 mnrrrucrion tndinl !3cNy fu ih. F{omm. ntrhc sork for whrh rhis Fnrn i
<br />hcBl(sa !r)7. cir c )
<br />aPPi rcA|Yrrxci anlTroN
<br />I hlttr' .trm undcr rE..t y of Frlury om of rlr nnkuinr dc(L.!r i,ns
<br />D.frn(bn P.rnik.A{h.{6 NMfi..rbn F.d.r.l Rcguluri.nr lT[1.,t0, Pr 6)
<br />R.quiRrt tr(6 of t{difdi,.
<br />-lccniryrhr
<br />llEr!dc.!lr.Eub'ion\ E8rdiry !sh.nr. rcnrul 0r. ftn unDlicrhh t,'hispnrj.rr
<br />ordituir.t Srrr. lj* \ rcLr i',! n)\ rurhtr/. rctrcYr rt\.\ nr rhil(nEr ioEn rrnp.nv fn inr
<br />r\ppli(.r or Alml Sirn{lun
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<br />ffit ;l[i*--
<br />UFER Ground
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