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BUILDING. INSPECTOR RECORD
<br />SITE-WORK OATE ID/SIG.COMMENTS OWNET BUILDER DEL{ AI(ATION
<br />'I h6.!y .ITm ud6 po6ty of Fjuy tha I m dcn9l fr.m lh. Co r.croE Li.ar Lrs for th. follueiB t@n tss 7011 5
<br />Bsind !d Prcfdion Co{tG): Any Ciry or Coudy *hich rcq@6 . patnir lo 6ljru.1. !16. iDpove damli!fi or r4.n ey
<br />lEu.rwc Fu ro (3 it!l4.. .&. rquiE llE +pli-t tu rEh FDi lo fr!. i'8,Ed drdE llln lr or iE i li.q!.d F,rd
<br />b rh. Ftrviti,B ol tlr Co rdn r LEn*d t w (Cn4(a 9, Com*ins wnh Ser6. 7000 of Dvitbn I ol llE BdilB rd '
<br />ftof4pd Co<!G) d 0 h.orih. ir am!( lhq.6om.d llE t3ir for tL.lkscd adrrr6n An, rioliionolsdion 70ll Jbroy
<br />rr?litrr aou Fmn $bje1! rh. rpglic&r to ! civil pouhy ot@t @r. tho fiv. fiuodr.d &ll$ (1500)
<br />I. s o*E oflk rftrdtr, or o, @phtc with w.A6 N rh.n sb onFldio[ *iI & th. *. ."d lL n,Bl@ ir d
<br />i,ic'd.d or o,Iq.d f6 sl (Sa 7044, Bsir ed PDfdioB Co& Tt aodr.dn s Lke L.w dE ml .pdy ro & of,E of
<br />rlEF0FD *ho hril& r iqo\6 dEdr &d *'ID dE ndr *ut hi6.lr ot hcelfo. llmusll h! s ho om .nplo,6.
<br />Fovit d lh.r tuh inp..\tu & d idoi.d G otu ti it. lt h6€€, E ttildrE - inryo\sld ir bU vihn om )t
<br />ofconphir( rh. o*E Buildd wil hlE rlE hrt
<br />'
<br />ofFovrs rh, lt or ih. dd mt toild or hFlE tE FoFry ft,r trE F,Fot of
<br />L s ow of rlE FoFrr. d d.tuiElt co,tdin8 s nh liNG.d conrrloE lo o.E^.t tlE F!{ (Sc ?0,1t, DGi6
<br />ed Pbten Co<L: rh. (onr.r.r6 t l,ic.e t * &B mr lpply ro a oloq of FoFry rto toildr or 6p&r6 lnaon.
<br />ed *ho Ndc$ lq *h Foj.{i wnh. coMo(r, liq!.d F)jsd h lh.cdr.clr'r Lae L.w).
<br />-l
<br />6 .rdpr odd S.db.-, B. & P.C. for lhir l6.n
<br />D.t.: 0'16:
<br />rllBlEss:(aJf[NtAta!lllgJaaflg!
<br />I hr.bt amrm undd Fnilitofpsjuryoncolrh. fdlowin3 ddLv.tidff:
<br />-l
<br />h.v. rd will mid.b. Cdifd. of CoE@l Io S.il-|tu. fd wtdl onpaglion. s FlviLd lor by Selion 1700 of llE
<br />t!to. Codq fc rlE Ff(ffi of ln. "ort 6r *bii rlE FDi i iEed
<br />-l haE anl tr ill nai.i!i. soil.B conpd.thn iEurtu.c. B r.quir.d bt scr ion l7O0 ot rh. L.bor Co&. fo, lh. Ffm. ot
<br />uTa
<br />t6! co'nDNliofl idurancc .ei6 &d B)liry numbd a.
<br />F,
<br />(.ro, ^,.0..
<br />lq b9t /7
<br />_l cdilr rhar in rh. pdtunEc.oalhc rorl lor Nhich lhr no.it B I lhallnol drdoyan,p6son inan|n ns
<br />$ d ro bcoft ruh to rh. wrt6' @np6!rrn bu of c.lifomir Dd arc thi if I thould bcod. $tid lo llE
<br />$nI6' onFdbrFDrtioEof Seron 1700of lh. btr Cod4I Jdl, tnihwnh @oply rlh tlE FortioEw^lnlxc, tulm ro s@ *dt6' onFsion cor6.sc i ulNtuL .ii rnd lbar e dpb)n lo aimii,l Frtit in
<br />(iril 6nd !p
<br />'o
<br />on. hlt}rd lhousdrl dolLr (t100,0fl1).'n *idnio. h rh. cor of comFNlh( <loflsd a prDtiidl for l,E
<br />(D."'3 n
<br />I hdlby rrm u.d6 Frlty of Fju.y ti I m li.c.d unda FDation of Chpld 9 (onll1@og with Sdbn 7000) ol Dvi.i,. l
<br />oa $. Auiind ed Pruf*ioN Cod.,.rd ny lic@ i! in tull fo@ dn.,Iar.
<br />X*
<br />D(,".
<br />c3q 6"r
<br />1 ),"."*-,c l,vl",L rrt./^9eu1
<br />colE[8ug:u]IttEdDrBiiicEdcr
<br />I hady .rIm un& po.ty of p6iury $r r,E L . 6dMir ladtru .sdy 6r llt FfM. of tlE rst 6r *'Itith fiir Fri ir
<br />i.er.d (S<. 109?. Civ C.).
<br />AIIIJ(AtrLDESIAAIX}d
<br />I hEOy atrm urd6 pcslry of pajuty o.. oa tht lollo*in8 d.<l&.lbnt:
<br />D.molition PdmiteArbctG Norifi carion !-.Jd.l Rcgnlarion! (TilL 40, Pd6)
<br />R.qunal tar6ollhiftdbn
<br />-l
<br />cqr'ty ttd ttE ldrdil r.UuhrioN E8idi.! .*dos lmld s. ml 4plrcrbl. to ihb t .i.t-l
<br />I hrv. rod $n lrplicdn,n ul !rar.lhar rh. !kr. i.foldion
<br />or. lj*r Ebtha to hrilding
<br />[^***,-**,,n-'
<br />I
<br />P.rmr'e mm. renr":Gr>
<br />n con*r. I lsE ro .orlpl, wnh rll cny .nd Cou.ly
<br />,qsflPa ol!h! c y rd coury lo arc upon dE
<br />,-*:/2,/efen1:,;_
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUlnsulation
<br />Roof Sheathinq 4/21/4 7d ,4)
<br />Shear Wall JI
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL rlzlu fii b)
<br />I ICertificate of Occupancy I
<br />Notes, Remarks, Etc
<br />)
<br />Ext./lnt. Lath
<br />L.ndE ! Ntm.
<br />'fulterr4
<br />I
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