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BUILDING. INSPECTOB RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNII BUILDER DELCTiRATION
<br />I rrEhy rftrn lndcr Fn lly of Firry rhd I 6.rcnfl iom Ii Coffirdon' Lk.nc tiv for llE folbvha ra!$n lseroll.5'
<br />Busiftrr u'd Prbf*bn c.<L): Any ciry or cMry *hth Eqoe. . Fni ro ffid. 6. lrFor, &tuti.! G EFi uy
<br />{d@FBbhs trum.. dso EqliB rL qdi.n for*hFfl ro 6L r rirrd .trEr lhr lEor rll ir lis!.d Frrd
<br />ro r,E FvtbB of tlE Conuxrm! Li!.Ed Lr* (Oqri6 9. Conft(i.8 wrh S< on 7m of Divirbr I of llE BsiBs .rd
<br />ttoacrsionr C.dc) or rhrl h. or slE i\ .&iFr tllEfmm a j rh. bdt ror rh. rlbgcd .rchplior Any vhhion of Serbn 701L5 b, lny
<br />lppltd ror ! Fmi whJdx rlt {'!li.sr i. . civil Fu!, of tur mE tho nv. hun lEd d.llu (1J00).
<br />__1. !r osrr or rlE FoFry, q m, df loF3 wlh *.86 ar ilEt il odp.Mnn. ui[ &r th qn .n dE irurE b d
<br />inr6!&d d orcrcd for slc (Sa.704a. AunBr ud Pbr6iitN C.rt. TIE Oddolt Lias L.* &E! ml q'gly t, u o*tr o,
<br />ItE pmFny *l$ huildq o. ir{,nEs tlEon .nd who d* Mh krt hiN.lf or tEmrr o hmu8h hii q nd o,n.nl,loy.B.
<br />pmrii.d rh, trh irrE!@nE e d rrart d orotu rd eL la lrtrE, tlE tlaldinr or ltT.DEd'r i. sld wahin c tc
<br />ofonpLrntr dE OrE adi.r sil hE rrE hlrdd of F*!e l{ r. d tE .,n d hi! d ir+.(E dE FlFry tr dt FIFE of
<br />-1.
<br />$ o*nd of ilrc poFny. dd e&hsivcly co.kdin8 wnh [enEn conlrlcloR to rcNltur th. ptu]sl (56. 71x4. auiifts
<br />[n EDEaqn Codc: Tn Conrr*roir Li.n* LlwiiE. or +tlyro !no*Er olpmFnyrlF h{ildr or it!'r'rct! rh66..
<br />.d yt crnr:.ri rd st FDirt ,iln . C-lrrrr{iin lirn*n lllrd b E C. rrfu r tj.m L,*)
<br />-l
<br />m .En,, urir, S-r ior
<br />]TTBf,!BIi:g!T'IBIA!IA
<br />0Ecuaarl(}!
<br />I tlaby lliim o.d.r FBlry or Fiury oE of tlr followin8 dElrdh.r
<br />I hrE rn witl mi,{ri, I CdifE!. of Concnr to S.lalM fd vmts .onE tldbn. a F.virH rd hy S(lbn 1700 of lh.
<br />Lki C-d.. f( rlE Fflllm of rtE trn Id ,hit! tlE F il it iKld
<br />I h.r rnd wrll ruinlritr *orkcrr conF.trrlrnin iBurrrc, ar rstlr.d by serbn 1?&r of th. lrtl, Co&. fM llt IE f.Ir*---c or
<br />rtf, w* nn *nich rhii ncmir i\ hnrcd My wdlc^ Lurlfnsri.n in(uBnc..ffiar &n lDlty numls m:
<br />_ErIiE.:
<br />_l c.nify rlll in tlE Frfofu. of rlE hrt fo( wh.h rhi! pdn! lr sEn I irdl ml .q,hy &y FM. in rn, tuE
<br />o B lo !6e $rirr lo llt Bflt6 6.pcMi[ LB of ClIifomj. an .ar tn.| U I {i{ld hcor .ubF:l ro tlt
<br />wtd o"tEdir Fovitis of S6rir lToof rn l,lorCod..l arU tuirh*iD@.dy w!,' tlD-Fovtin
<br />WAnNINC: F.itE ro qe E 6 orF".'rb, o@!E i! urLrtuL .d .hll sbill .. .lPloF [, onii..l pdulii ..d
<br />(ivil fiftt up ro orc hlndrd rhousld &llus (lloo.om), h rddnbn lo th. on of mrlE qlion d!tru3.r ar Fovid.d f.r rlt
<br />sd.n 1016 0l rlE t-&r cnd., inr.d.rd {my\ ls . , .2
<br />,.,. ?-d-zo ^*-. ;/. /Zr-
<br />acl8lqcqdlxAqaB
<br />DECI.AIAIIO!
<br />I h.Eby .lIm urkr FElry oI Frlly $d I u lEm.d urncr FDvnbn of Chlpld 9 ld.mtlB *nh Sdi,n 7m)l of Divisi.n l
<br />ol rlE ButiEs !n Pt!f.ri,6 Cod.. !d dy lile ir h tull i6r !n.ft(
<br />-,,,*,, *.tf4z_t 4-,%-
<br />lollilSllqrlN.LMllAc-A.clrtscr
<br />I h.nby rrlirm udcr IEBlry o, tErjury d lhm n r .ondtuclion Ldins '8try fttr rrE Frlorrurc ol llE work ii'r ntih lhn lEmil k
<br />ir{rd rsd I}9?. civ c )
<br />AEIISTNLIESJIAIIOB
<br />I h6d'y r,Im uBLr po.L y o, Frury ox ol rlr ,olk*in3 ddl,Ii,nr
<br />D.nDlilion P.rmnlAsbc(N Notifalrhn lrdril Rcruld bn! (Tirk .10, Pd6)
<br />R.qu,En Gllcr or fhfrrbn
<br />_I dity rhir rh. Mnl EBULric E8adi,3 r;lErid Emv.l e !n {pli,bh k'
<br />'ni!
<br />prcFr
<br />-l
<br />calif, rh.r I tuw r.d lhir lppli.lion .rn ral. lh.l dE rtnvc inroir.bn i,s cortn I .!rc ro 6nply wilh .ll Cily tnd Couly
<br />ddiErer .,n 96r. bs ELri'r ro t ildins.qerrb( .r{ lEr.b,.ulsrie EF.EriiEr ofdn Cly nn Couniy to ora '4.nrh.trw 'lhrrY'.n mdY ffl idi.n dltx.
<br />n*r-,- ^, i"n-,*' €)?4-,-,, 2-6"2 r>
<br />".^r**,*,u,- o/, Lt r7(7e trt/4h--
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Boof Sheathinq
<br />Shear Wall /n
<br />Framinq 7-11'Zt
<br />lnsulation/Energy qw)
<br />Drywall PdLi-d n |€D 1-lq-7-0 v ltifitl
<br />Ext./lnt. Lath u\-./
<br />Brown Coat
<br />Masonry
<br />Pool Fence /r\
<br />T-Bar K-h-tu v.w-t{)
<br />Handicap Req
<br />Deputy Final Beport
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />lU/FINAL xhllb.i)t +^^ .a/.
<br />Notes Remarks Etc
<br />-nllfitn
<br />^
<br />Certiticate ot Occupancv I U\
<br />A
<br />I
<br />Rev. 08.07-2015
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