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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,III{EI SUILDEI DELCIN TTON
<br />I h.(hy rrlrn ni.L. FDli, ot Friry $r I m.rnPl tm llE CsErrm Lide L:s lot E aollowirS lgs (Sd.7oil.l
<br />Buii6. rn Pmf6bn Co&) An, Cn, or Cq!I, ttah Equia . F i to (\NM. .rd, irFow. d.mlnn c EFn uy
<br />i.de Firro n! i!w. rto EtuiE rlE.9?lt n fo. *hFmn lo nL. ri8rEd m.,r.d rhrhdiEillRid F,rEl
<br />io rli FovabN ol tlE Cdldd! Lirn(d trw (Chqrd 9, C.nEfti.s wah kio, 7m oa Divti.,n I ol d'. BBiEs .rd
<br />Prd*bB C.d.) d rlrr lE q CE i! Gr.q,r rtdtfism rn rlE bGb fd tlE.lLgd crdtprin Ary vi'lrtih ofs.rlb.'70! L5 b, uy
<br />.rplt.!r for. pdnl $hFri tlt rrplas o r orilFEhy of mt mE lh4 6v. hudtld &rll-r lt m)
<br />-1.
<br />.r .rrr or rh. rsFny, ff my .r{rlorr.. *irh rtg6 s rhn $b @q.n\.li,n. *iU dr rlt wdt( t n ,E orl1w i! mr
<br />i.roidl orolr.Ed ror sL (Se'7(x4, BriiBr d ltDrdshB Co&: Tlt C.Mdol. Lffis L* {tB br lrrly rD o o*B or
<br />rh.IrlFny *tE tuits q iqreB tlErtr .d *hr d*\ Mh s* hirolf d h.mlf n. tlfiru3h ht r h.t o*tr .rpk yffi,
<br />r vidcd rhd tuch irymlm rmd nr.rlcd orofl.(d ror nL l( kMs. rtEtxiBq M 'nrmwln ir 5ld *ltin w Fr
<br />ofcoftplcliotr [E OwFr Buihd sillh.!c iE tudcn Dr fmvhg dEr lE ot slr dd d hrih or n{nrE tlE pn qry for ltE purpos of
<br />I. fi owffi ortlE FotEny. !m.xclulivcly.onttu1hs *ilh lkcnqn contuon k, $dtu1 rrr F'F (Sc ,0,14. gusEs
<br />.rd M{rincdL Tnc Co.tdktr i Li..nr. tredc.ml ..,Plyto ano*E ofnn)IEn, eth hurldr.r impmv.s lh.ran.
<br />and uho .nnrr.ch for trt rmFli,irh r C.mdonr, l.incd pllld ro rrE C.drdff r ljc.e lje)
<br />_l M.knq u.,.r sdii.-. 6 a PC. fdlhiru$n
<br />D.t. ow
<br />ul)lf,E&r-cln6rBsArladDECII8IIIIE
<br />I hft6y rfrm uftLr FMIy of tsiry oE ol dE ro&,$Ig &ELr.li'G:
<br />/ I hrE !n r 'll flitu. Ccn'ltic olcoEnr ln Sclf l.iE fa wts enrf,.dbn. s FlviLi lu t'y Seri,n lt(x) oritr
<br />/ t-6. cdL. 16r rrE pdlm of'lr !o* lm *hth rlr Fmr n n\Ed
<br />/l ** "* *r, *... *rt B or{relnn ,Burm., as r.qui'Ed by s€rbn l?m or rh. Lrbo, co&. 16, rlt pdrrilj@c 6r
<br />\rhc w for *hrh rhn Fmir n ndcd M, w(ko..o'qEMrDn insul'mcuEr 3,n lDlty nudhd m.
<br />c*",7urrch 4-e.i.oa
<br />u^',r r*,*, V li-y'7 5 t7 t2 6 'l -ze,z I
<br />I anily rllr in tlE p.rfor B! olrlr hrl tr whih rht Fml is Lek(t" I .ldl mr.f,rhy.n, Fen o dy MF
<br />o .r lo t <1* {bi\1 id rE Erd srqsndirn L* of C.lifomi. !d {c thd ir I fi{ld lE<.G tnFr b rlE
<br />Md6 orp.Nrirn FDEbB ol Sdrir ]tu of dE tlLr C.d., I {rl[ rdlt*tt oq{y *ih rL: ptlviriB
<br />WARNINC: F.i!c ro rG wls' @rqEndaon $mg! ir uLwtuL !d ndl $bFl r oinloF b oii.n Furir.tdcni fiEr q' ro oE notdEd r,'o!{d d,U{. ltl(Il,m), i. .ddni,. b llE .d of orFarri,,r drf,8.. a F.viLd ror tll
<br />salbr 1076 of rh. ti.. C6d., i.r@r .ri rltry r fs
<br />t .,,, /o 'zg' 20Z6
<br />UEEBIEDIjaBIIACBIB
<br />DECIJXAIIO!
<br />I lrEhy llrrm u rd Fnilr, olF+ry thd lsm b..nGt ui&r F$vnbn of clllpls 9 (co.ftBinS si'h Sdl6n 70O) of Division3
<br />ol lh. Ausincs lnd Pmtc$ioos Cod., *d ty li..d\. is in tull r.R on.fel
<br />c39 iu z v t /_eti
<br />O "28- ZoZt' ,*r*r".Ves nE E$try
<br />sNslrucl1t,lt&DaclcldlJIh.Eby.rtmlil.FoxyolFitrythrrlErnron,u<li6Lldinti!w,fd{EFro.lmo,tl!wrforrlihlh6Fniir
<br />ir*d lS<. 1097. Civ. C.).l,nk r NE
<br />-
<br />AEIICI\NLDIICI,AB{IIO!
<br />I hodry lnim und.r pcn{hy ol psjury ot of Lh. nnbeinB dehlar.ns:
<br />Dcmlirhn Pcrmils-Ash.sros Norificltbn licdsrl Rqnldi,ns {TirL 40. Ps6)
<br />-Rcquird
<br />Lrtcr of Ndificdbn
<br />l..n'lythrrrhclcdrtulEgxlnrtr'n\rllrdnlla\t !o!rcnIvJluN mrrplli.atL h rhtr fn,Ii
<br />H,,r,rfy rh.l I h.E rcld lti q'plilrr i)n rn {{i. rhd I I .!r ra $npry wnh Cay rnd C.Eiyiikr or
<br />'hir
<br />cny Id Coutrly lo als
<br />'4on
<br />tlli and Sbr. tr*s Ehtn{ ro butui., .lfuBlba
<br />ltDw EnrbEn llorEly f( nsBlni pflftr
<br />'\pplirmr or,\E6i SiaMloF
<br />".,,",,-*,**rlt4ql:j AN;;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation (l
<br />Rool Sheathinq Eklt'Vl )r,tlt-l1^l
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />)Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />FINAL ?-\A\'I1 VkVft/t
<br />Certilicate ol Occupancy \l
<br />Notes, Remarks, Etc
<br />Rev 0n-07-2015
<br />SLAB Floor
<br />*lo !8:4?<t
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