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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILI'EA DTLCATrlrlON
<br />I lrrcB ffrm und.r !.n Iy of p.rp! oul I 6.&nV fto6 E Cdftrm tiar t p id llE folbwiu at. (S.(.'t!]ls
<br />Buimrs .td Prcfirsbn Cqh): Any Cny or Con{y which Elurci ! Fmir lo sNlMl. 3X.i nqnotc. &mlish ( EFrsy
<br />firim. rn t ilr isus.. alo,EqtlB th !9plad fd sh Fnl to fiL. rLi.d nratd th lE or lrE it li8rd Flr$.r
<br />h rt trvi\i,n: of rlr C6.r.dq . Liri*d llw (Cqr.r 9. ConftNi.8 *ilh Scti)n 7Om d Oivisbn ! ot llE 8ui!ar.,i
<br />PEfc(b.r Con ) r rlrl lE a $. n.rqr llEEnon.,n rlE b.!i fr rh. nLlEd r&r!.in. Ary vbLlbn of S(1nr 7011 5 ny u,
<br />tpplicafl fo, . Fnir {bjetr rh. {'olicdr ro ! ovi I FMI', of fl,r mE lhe fivc hundRd dolld{ (tim).
<br />-1,
<br />.s opE olrlE ImFny, or my rmpkryr! wilh,rsq B llEL sL onqrnstion. will {b [E wck 8,Id llr llILrE i! hr
<br />id6lr.d o. ofi.rd lor rL (Sd.ril4.a. AudEs.d Pmf6rilN C.d.: Th. Gxrdd\ tig& b*.tE d.!oly to & otu of
<br />,ErFIEny *lDt it! or itp6q rlE6(.rd who ttxr flct *orr hnGclfor h.Elf or rnDu8h hi or h.r own.iFloycB.
<br />,mvlLd lhl sEh irrFEE'r! c lbl hait d doni,.d lor rl l( lDrE,llE tlildi'I tr iqttqilr i ioid *tn(tr )E
<br />ol6rt lria tlE OwE Buils *i[ hE UE hd.n or ENr8 rh. lr or .h dn d hrin or irpmE dE lroFr, for tlt puPoe of
<br />_l, 6 oes ol r,E popdry, m.r.!.iwly..drdh! firh lir.rn orrriF ro $.r.lnat tlE FDF (9< ro4a, hr!6
<br />ltd PltraEsii C L: TIE Co r-!or. l-i!trr t r dds mr +!ly ro x owF ol proFrly *ho build. or idtbwr ih.mn.
<br />lnd who conr.&rt rtr $ch Fol.{ri *nh r C.dr-rodn lirnrd Fl,sd lo llt Conrrtu! Lift t *)
<br />,rrr, 1l utg*&X*zogl2nla
<br />ASqTBAIJIIU
<br />I tErcby 2llir6 un&r FMny orFrry on ofrlr fo[orin! dELdioB:
<br />_-l h.r sn will mi,{d, r Cdir.r. orcongr ro S.r-lnse f( uit6 @n!..Erbtr E Fovid.d fd bt Sdirn Jroo ol tlE
<br />L.bo. Cdj.. fd tlr F o.rltN orrh sn for ghit rh. Fni n isEd
<br />_l h.E.,r, wilr midrir slt.s $nrEnrrhn iNr.Ec, $ rdtu"rd b, serDn l7m or thc t bor Co&. tor rlE poaorttjrd of
<br />rlrc rorl ior *hth lhi! n mir it isrcd My $at6 @n+.ndbn iMnm uiLr rd Pol-y nontE E,
<br />_l .cnify rh.r in rh. F,fortur. oI rtE *orl ror whah thir Frmi n Brkd, I {Ell Dr .Bloy uy Flm in ry n F
<br />$ r ro b6com $t .t ro llE v rtdr orFr hn Lwr o,C.lifomi. en !*rd rh, ifl slrrH h.or s,bFl lollE
<br />md($ snlEtrqrionpmvnhB ofserion l?0l)otrlE L,bd C!&,I slDll.lonh rh oq,iy *ilh rlE l,ovilioc
<br />wARMNc: rrihE ro @ wr.R oqr.dirn mrElsc i9 uflhrtuL rn anrl bFr r drpbyd ro dihinllFn li6.rd
<br />.ivil ,_'Er qr ro om hundEd lhousnd &'llffi (lloo.UD). h rddnb. ro ttE or or.o,tENrioc d,EXs! c Foeitn fot rh.
<br />Sation 1076 of rh tjrq C.dc. i .Ei rii ty !)"V^&t ,Ty,:rs,,,.'71d.1_lo*0 A.a-^-
<br />DEI;IISAIIOB
<br />I lrftby.mmud.r FMxy of Frury fid I im lirnsn undd rroviii.n of Chaprd I ($n@n.m8 wirh Sclbn ?O(I]) of Divni,..t
<br />.r rlr Btrirli lnd Phrcsi,nr cod.. d ny lr.M n ir ful foN lti.lId
<br />clxi.tlallquQN.LElDllili-acf ll
<br />I rErby rlim udLr FDxy of lEiury fi, rlEr ir . onrrudi.n Lndi,s ry.rt fd llt Ffl],lft. 01lh. *ort for vrtkh this Fri i
<br />to.d (s&.1097, civ. c )
<br />AI2I.IIINLDEIIJ8aIIOB
<br />I lE$yofrimrundcr Fnuhy ofFrjury oN ol rh. i,lt,win8 deLnri,ni
<br />O.m,liril,n P..d!Art n,nNdraEdn,n l.ik rl Rc3ul&th,tr\(TirL.lO.Prd6)
<br />_RqoiEl tr rof |{riad..
<br />-l
<br />drity ln.r di hdcnl EluLlm r.8{din8 artlrfi Emv.t E (, {t t.t t lo lnir !hFr.
<br />-I
<br />.dify tlEI I lrw E d rhn rpplirtio. rn uc rhar th inw infonflirn a ffi. I .8r b orply *ilh .ll Cly .nd Coury
<br />odiorcr !d Strt' k*r El,riE ro boalding coo{MrioE .d lErch, ru'lDE EpErtr4itB of rhn Cry .n C.un'y ro dr, i+on lll
<br />rtbE ']dnrd mdv lr idDn m ":'
<br />^---, - ^-,,W ry-g ^, ilog1 lPlo
<br />".^,-*,*\-3,4 S &44 <o\:30.d ) Tt r4 . 9
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Roof Sheathino 7//7/?o 11fiuat?t [21r)
<br />Shear Wall I UI
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./1nl. Lath
<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 />I -....\FINAL ?F7A,lQp 'to9./
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />Rev.08-07 2015
<br />Subf loor/VenVlnsulation
<br />Lai.ri AddE
<br />-
<br />I
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