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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI 0t,Ilr€X DEIr(lR TION
<br />I ltEby a,irn unt r FMhy .r FrFry lhd I u.rcf,pl iiom rlt Co r-t6 LF* t w ror rll folt *h8 lEsn (54.7011.5'
<br />BNin.s ad Pmfcari,n Cqj.) Ary Cir, or CD!r, ehah rctuiB . Imir lo mNIur, .ld, idtprow. &mlilh d RFtr My
<br />tueFirbn! i!m,.ls EquG rlE.,,t'lirr d rEh Fftt 'o
<br />f'l..iri.d rlr.Ml lb lid {t i ltlrd FNII
<br />r. rrr Fovi\hns of rlE Cont .rols Litnsd L.q (Ch+!n 9, C..@Bing *nh Sdlion 7000 of Diviri,n I ot llt BuliEs od
<br />Pref.$i,ni Cod.).r tlrr lE or JE ir.&n+ rlEtfimrd rlr b.!ir lor E nLsd.rdrdh. Any viollbn ofsatitn 70:l L5 b, Ey
<br />.n'|..n for . pdnjr $birb t ! r'',lkrr 16 i.ivil p. Iyof mt IInlhD6w hutnr.d dollr. lt5&).
<br />_1, s owE, ol rlE FlFny, d my .i{ltr)r.! sirh r.16 G rlEir sb @(p.Mi,tr. *ill .b dE e ,l &n d. cldE i ml
<br />inrdn.d oro[.i.d for.r.lsd]u4. a!ri6..,i PEl6.b6 Cod.r TIE Ctud ! titr t *6.,Elq?lybudEof
<br />rt pDFny *ho trikn o. idlrlr rrEstr rd wlb d6 s1l m* hirul,i, h.Blf d rhmu8hhi n hd o!. cq,loy6.
<br />Drcvxi.d rh.r *h ltlr.wtu e d irdLd d o&,.d lor rL lt lI*8, 0t trilirB d i!+.offi i! toB wthin m Fr
<br />olsir'ldiia r,!0$6 Builjd riu ltE dEhr*.otF nBdirE iE dn 'd toi! r rs* [. Fr,pcry to i]. F,DotoI
<br />L$oqEol E F,!.nt. mcrcl]riEl, cotdhr ,nh kcnr.d.dd6 k, mldM llE FtrF (Sd 7().1,1, BuuK
<br />.o.l [to&ri, Cod.: Th. ConrEroa. Liens. hw dmr ml $Illylo &osftrofpmFnywho buildr o hpmws lh.rmn.
<br />s *lF o'Erd! nr sn tfritlt wirh rcodonn lbnrd pulsu ro rh comdd r Lirne trw)
<br />I dr.rc {, uid.r SLino
<br />D.l. O@.
<br />wdnxrqi, courotsrlor
<br />DEI]IIEAIII)B
<br />I llEht !ffi.m unl6 FEhy o( tEJUry {E of 'h.l lhul,l8 &rlu.lhtrs
<br />_l hrE nd sill mi.rrin ! C.nifEd. of Con:rr !o ScU IM k *0*6 orFB{ic'n. a FlviLd fr by Sdlb.l7m of dE
<br />Lrb, Co&. rd tlE Ftolrlre oldE Hlt rd rni:h th. Frn it isrd.
<br />-l E !d eill midrin srLc smFNrioo Is[t.. s rquiEd by Sdrbn.]700 oarlE L.hn Cod.. fr rlr Frftu 6l
<br />rh sxt fr *hit r[, prnd n isbd My $dtd. oniEndhn BlllK ffir .n rD[., nurbd ft
<br />-l
<br />ediry rrrt ii rh. F.fdmN ol rlE s ror *ttat lli! p.rhl ! iicd. I rhll mr.it,bytn,Fls in&yruF
<br />s *rotEsB tFrr ro tlE wt* .inlErl.rio. hws or Cllifomr ]'d {r lh.l ia, rhuB tt{ofr iuhjc.l ro ilE
<br />xbrl6 otrg.Mion provnioN of S.<iotr lTm of rlE t hq Cal. l irll tonh*nh onply witn rh6- povnions.
<br />t{^rulllNc: FiiluE to @ u{.t6 mdT.tr-li'n m6a. 6 u.Lrtul, rn .hrll bFr o cqftF r, aind F{a! rn
<br />civil fiEs up ro oE hudEn lk'usdn iblld (llm.oor), h .ddirbn ro th. orr .f.on!Ensrn,n, d.m8!r G l,.vid.d tor llE
<br />Ser.n 10?6 ol rlE Linor Cod., irrcEr nd .rrfty ! ,c
<br />D!l.r Appldtl:
<br />t ,rcrnsro coltr*_--'ttt
<br />IIICI4SIIIIB
<br />I lErcbyontr'nundcr Fnrllyol,xrrurylhd I m li.urn ! io F,virion or chap'd
<br />ot Or auriBt &d ProLsio.r Cod., an my lt.rc i! itr tull f.N ud cfidr
<br />t (6MEin8 witn Sdrion 70O) or Diviri'n
<br />LitNCLs LkrM Nu$hd
<br />Dit.: cdt to.
<br />g)!tslatlcEllB.rEDlltil{iEdta
<br />I lENty s,Ilm u.rl€r rEulry ol Fljxry rtut rtEr is r onrrudbn L.dir8 lFEy for llE lEdnrnffi of ltE *orL ror vrhth lhir Frmi ir
<br />nqrd (sa .1097, cir c )
<br />t i.. r Adl*:
<br />-
<br />alSLlgANLDErCtlSAIlO!
<br />I hsd,rtrmunl.r Fnily.rFruryoEor E folbwini &rlrnli,nr:
<br />Dcmlirbn P.rnits-Ash.n6 Nori6c.lion lcda.l R.Subrirni (Tirl,l0. Pd6)
<br />_R.quir.d rdb ol t{difrdnn
<br />_l Grity rnn ft adlnl rtuhriml ESedinB r$.nm rcmld I n .fi idrL lo llir ptu}r
<br />-I
<br />csr ily thot I h!* rcrd rlir rpplt rinn rrd 3lll. thar lhc rbv. i,forfllbn is omcl I aBre ro .onPl, enh .ll Cty .id Cobrl
<br />ddirn .rn sLE rir. EhlB r. b.ildin! .drr8rb( rn had, {rh.ri4 ,r?.r.driB ol rhi Cny .,n C.ur, lo 6ra qEn tL
<br />rt Em irrrd FrFny fr inrparbn Frlos.
<br />{pllhol or A16l stDluE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Shealhino
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />FINAL 7.n-r/z/UlC./t? *t'6da
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08 U7-2015
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