BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNn BUILDB Dglrrtl^Iolr
<br />I ttrl'r .rrm ud.r rEtuly of Frpry Ur I d .r.npr tom rlt Conlr.dou tia€ Lr* ror llE folr,sh8 rqsn ls.c 7031.5
<br />aN,n.s. dn Pmr.*ir)n Cod.): Any ciry o. Counry vhrh EquRs . lEmn h oNtnd. rh6. FI,mw. rbmli\h d qri' &y
<br />trndm. Iri, ro il. ntis!. rt5 rrrtia rh. +plr r Lr rkh r.mr b 6k r ldEd srd.nEir rLt lt or dt ! lt nin Frad
<br />ro rhc FDvki'.! of tlr (ofir|r'r I,t..<n lj* (Crqrd 9. ConmEhe lrh S(trtr 70(D nf Divl\nn I ol ric Bo5ifts ed
<br />PDfc$ioN Cod.) or th!! lE or sh. ii.r.,{ rtE.fn,n.,n rh. h.si ror rlE olkt n crmFbn. Any viohbn of sdD. 70J I t b, my
<br />rppla!.r lor . Fmn sbr6lr rlE .I?lr. lo r civil FrIy ot rcr ruk rh{ fivc hundEd rrolkr llrlD)
<br />_1. d Nrr orr,r ptutdy, or my.nq)krFs wnh w.8a d rh.n sb oqEn-sr wi[ dr tlr rui Jn dE dtiE i! rcr
<br />idli.d oroffcrld ary d.lsd.nx4 ani6 ]n PrDa<ri,a Co.L TlE C.{lBtur'r Li6. llw drs ml {rly l.r & o*rcr ol
<br />llEFDFly whot ild.or !n mEs rltMtr &i eln d6 sch hrt hitulf q tEelf d lhFulh hir d rE o*n.i?loFd,
<br />l'mvik rhar iEh nlln,EmB E d -r.n Ld roftfln ftr rL lr.llM, l,l hildir r irrmqtd ir pld wilin * F.
<br />ofotrptriotr rlE ovE Adls *i[ hrE dE nlnor of Frwil8 rh.l h. or nE dil d tnild or utfr& 0! pqEr, tu 0. pwF,:of
<br />-ld.erpr
<br />uiL Sdbi-, B. A P.C. torlhil@n
<br />D.t. oiE.
<br />TAf,f,E&I-!AMI'NSAII!'N
<br />TEIIJIAIION
<br />I trr.h, rmrm udlcr Ff,nr, of FJor, or of rh. f.llowin8 dd hrd nrN
<br />I h.E.d vilr Bd.in r Cdirrr. of CoE b Sclr.lN@ fc *!116 @,rEnrdbn. $ Fvihdf(b,sdihnI7mor!h.
<br />Llhr C&r.. fd llr Fno.mft. ot tlE m* for whih {h. pdmlt ir issucl.
<br />_l ME rn rill mrdir wort ^ lnqENdi('n iBurorq $ r.lui(d by S*rio,l70o o, th. Ltx, Co&, f th. FrffrmE ol
<br />th. wo ror whih lhn pcmi n nsi.d My *(ks oqE.{lnn insnr . css .nd F)lay nut'rE c
<br />_l dify rlrr ir rlE FfnmN oa rlE srt ,c yll.h $n Fn, t n{.n. I lh.ll id crpk,y ry Frm in ry nfind
<br />F rs to tr.oE sbi{ to rl! rrkdr .onp.nqrion l,er ot Cllifomn. .rn otE ih.' il I lhuld t cor ub,.{l lo tlr
<br />e$*6 otrFMb.Foviri,Bof S.dir 3rmof llE t to. C{d..1{ElL fqlnvnh@qlr *ilndr* tovili{
<br />WARNINC: F.iluE lo s@ wt s otrtENlir cosrs. i! unltrtuL .,i .hrll subFi M oiloLFr ro sisid Fmni! rt
<br />€ivil fin.r up to orc hundEd llDuud &lh'r (tlm.0(!), h .ddnion ro r,E co{ olorFMrbtr drmls ( FoviLd for llr
<br />Sdrirn 1Or5 orrlt Lrtfi C.,&- i .kc rrn nlmv . f6
<br />D.L: Ap9Io[
<br />r rcENsnp cir^fu a"n;i- - -
<br />DEqI./UAIIOB
<br />I hodry .lim udc. Fn lr, of Frt ry rlll I m livr..d un Lr Fsviiir,. ol Lhplc I (olnrmin8 with Setiotr 7(xD) of Divist n l
<br />ol llE BuriEri &d Prnf.sio.s Co&, rn my ,iccre t in tull lDd .rd .,fdr
<br />-l,renr
<br />Nunt
<br />g)lllalicEo .l&Dtdc.atiEtqr
<br />I trEby rtfrn unLr Fulry or priury rhd dm n r onrru.lion Lnding a3.fty lor lhc rEnorl'Mc or rlE wn* fo. *t!th rhir Ff,i !
<br />n{.d (Scc ,l0)7, Civ C )
<br />AIILICANLIECI,ASAIITI!
<br />I hdrr,y 6trm un&r Fnlhy ol FI,y oB of rrE folr,Eint &chdhnt.
<br />fllmhrtdn ftrnhrAlb6rd t{orifrdirn tud.l R.Bulrions iTirk r(). P.n6r
<br />-R.quird
<br />L.llc, ol t*rifrdnn
<br />-l
<br />.crr ily rnrr rh. r.inrl r.slhtions r.a.rdha .\t$ftx r.mvrl d. b! lpplnbL ro rhir prsF
<br />_l ..nify th.r I hrk Md rhi! +pli.rthn {t dI. rhd rh. rt w i.fombn d 6n <. I .tE lo onDl, rnh .ll Cn} .nd Coul,
<br />ornio(B.rn SLr. t $ EIri{ b hildjrE co.rndioG !n hdcby.lrhori& ttF.drlitJ or lhit Ciry.td C.unl,lo 6rd
<br />'+on
<br />0r
<br />.loE rnrioEd rFIEry t itrS..rb.,Epda.
<br />Apolicft or Ae6l stEluF
<br />Pdnllnlw(prirr):
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />ft/aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL g+-2_d K-C rS u'e/4o3 v-47
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Elc
<br />Bev.08'07-2015
<br />Ext./lnt. Lath
<br />_1, a o*E ol rlx pmldy, am .rchlivcly co ftrinS enh li..n*d coftr.cioF lo mBlru.]i dE FoFi (S<{ 7Ou, aurir
<br />!'!d P,tr..sin C!d.: Th. Comahir Lens tr* &B hr +!gly io D ovF of F.r.rry who hoikls or irlprow! lls6n.
<br />rid *lD snl.Ers tu *h Fninr vi$ . Contrrro,lo littr€d purrd i. th. C.lldor'r Lt M L.w).
<br />kBr.r't Ad.hrr.
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