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I
<br />BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COM.MENTS OWNER BUILDER Df,LCAR TION
<br />I hclbt irr6 uids Frhy of FJury rhn I m a@F tun rh. ('odr.dor' Lke l,w for 0E lolld'at3 rc&rh lsa.?01 L5
<br />tllsins !d Ptofoior Cod.)r Any Cny or Cou.ty which ..qunB . p<,nir ro co(rM. .nq. ine.ovey'orclirh or 't!.i xt
<br />,ME4 Fir to ir! is*.. rLo rcqun6
<br />'h.
<br />tpplkar aor ruct Fhil lo frL . ria*d rroc lhr lE or l. i ltqyd l,!6(r
<br />rc $. F.vi!io6 of rlE confrld-! Li.o!.d t * ((1rF6 9, coMin3 s nh sdiln 7000 of Di$hn 1 of rlE 66ind .nd
<br />Pmfsiou Cod.) or rhlt lE oi $. i! ddpr rlE.liDn &d llt b..i! for rlt .lks.d do,rprbn A.r \ ioldFn of Sdb.',q1, Lt, r,
<br />lpplE.d f.r . Ff,n rubjat rh. r,,plic!.' ro r cir il Fnlry .f mr mr. rhs liv. hudrcd &,lks (1500).
<br />62,, * o*-.n***y. o' oi-' dnphyG virh {is6 s rlEn 5E onFldFr! si,l & rlE $dI rrtrlr.dG 6 d
<br />i drLd orotu for sL lsc.7044, BNi@ Md PrnlBiB Corh nk abddm r l,tG te dE d e?ry r. m o*nd.f
<br />lh. FDFry who h!il& or irsDv6 rtE@ d wlb d(Erh gul hiMlf o, h6*lro,lhrush hi. lEi o*n anPlor6.
<br />Drold.n $!i 3ucn in,rDvorEdr e rcr inrod.d ootu i, sL lf. ho*tc. rE t!'ldirB d trrp. tlld L nld *ihii m tr
<br />olsnplahn. ih. O*{a au&k wiu h&. tu htrda olFDwB ltr h. tE dil ml hild m irp.lE ln. FoFry 6r lL F rr ot
<br />L B osffi ofin Fopary. u dclNir.ly conlrrriry enh lk.!s.d co rrror ro.ordo.r rE Fj.ri (sc 7o{, Bcffi
<br />.nd
<br />'rolsir
<br />Codc Tn. Conklcroir l-i..@ llw d.6 mr q?ly ro a o$ nd o f Fopdrv llr hildr or inprtrr 6 lh6Fn.
<br />!.d ph. mdhd! for such Foj.ns wirh. Co.rrs.ro(!) lkasd puErdd ro rh.Co'rrrrn 3LtdB l^l
<br />lm.r.m ndd Sdrhn
<br />6-)3 - ti ,,".".y
<br />!EC|d8AIA!
<br />I Fq* rrm ur& Frlty of pqury onc of rh. folbwils &rLnrioB:
<br />I h.v..n*ill hrlh . CdifEllc !r( oter ro S.lf-lBUr. aor *orl6t co6pnEdio.. ! FDlit d for b, S<lhn l?00 of lh.
<br />l,kr Co<h for r,E Fforllm. of llE m* td "tri.fi lh. Fnil ir iBu.d
<br />I h.r..!d sill miir.in *ofi6 comFB i.niEWNeB rquirat bySdihn !7fti of lh.ljr'or Co&, for lh. Ffotu. of
<br />tlE *dt ad rtth rlt FDi i! isrd Mt *oil6' cooF,Edion iNurucc cMi6 .,rd Flicy numb6 nl
<br />PolicyNunba Drrn 3
<br />frlI .diry rh.' h rh. Frolrlft. ofrh. *o* fd $'hi.h rhis Fhir ii isu.d. I rl l nol orpl.y e, F$n in &y lllllE
<br />. a lo b.$m $ti.cr ro rh. Nrt6 @ipqElrion lM of C!lif.m'!, ud isc rhd if I nbuld beoE sut*( to tlE
<br />\ od6 onpdrhr Fovilh6 of serion lT0O olrh. l.bor Cod., l !r!I. fonhwi$ comply wirh rt s Fn\ irioE
<br />wAnxlNG: F.il'4 ro B@ wta omFdio. <\!os. s u.L$tu|. ud i[ll sub].d s dph)€ to odtul FuhE,nd
<br />cnil 6.6 up ro oE hu.&.d tlFu{i &llm (tlm.c0o,. i. rddnion i. th..o!l of comFNlio( &tus6 a F.\i.!.n 6r rtr
<br />sdtio. 1076 ofrlE rrh, ( odc in'.d drl
<br />D,'.. . 6_22 - tr a
<br />c
<br />DECIASAI]O!
<br />I h@b! anm u.d.r Full, of Fjur) tht I m licqEl un d Fnr irion ol CfirFa 9 (enmdcins vllh S.dbn '7000) oa l)n ishn ll
<br />ol rh. BsiB ad Pml6.aoB Cod., &i n, ltG& i t. tull torc ed.lr<r
<br />calslal]CrlaNl.EtDllc-&cEx(r
<br />I hatty aflim ud6 FMlry olFiuD'rh.l rlE i..on!rudn. l.td,s 4ft) tor rlt Fao111@. of rh. tro tu$nrhrhnFrhir i!
<br />hsu.nisk :1097.( iv C )
<br />AIILISAILDEqJAAII9!
<br />I l'.rtr .trrn uodd pdr.t, of p..l!.y oG ot rlE lbllo*iir d€lrn io6
<br />I,.nohion P.mn!- sb6los Nolifi.r ion rcdqll Rcsuhl ioN {'rnk 40. Par6)
<br />R.qu@d htd of &iin nion
<br />I cdify rhd rlE f.dd.l Esular ioB EeadinB at6kJ3 rtu\ rl &. rei @lilbk ro rhi! FtrF
<br />BPI cdrir, rhd I h!* rdd rhu rpll'cdio. &d $rr. rhsr rh..b.r. orornidbn i!.ond I t{cto onply s htr(dylndcouniy
<br />ordiEftB d Srn. trq: EEri!ts ro hrildine co lrrudior a'd ho.hy.urh.rt. rcF<rlna.flht ( ilt,!d Co!'rl) lo 6rd qnn rtE
<br />ihrr mdrrn,.{ nr p.nl fo' d
<br />\DDU..,, or,r.d, skn.!ur. Y ft.^''-
<br />"-r* -..,rn.,, .lt f,t't "'-?
<br />q''"-l
<br />\a(L
<br />n . 6.- 23- lV
<br />Set Backs
<br />Forms/Steel/Holdowns 7
<br />Erection Pads (tn lll Tli '4ltv "4ulSLAB Floor )I
<br />Subfloor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />A
<br />.ll6h.tafc,B Oo,49-2-t3-J1 Sr;\{L)lr - /t,/
<br />FINAL il$r)flu $144tlW 'tt 50
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />-)
<br />UFER Ground 4U
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
<br />utr I / \r/
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