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SITE-WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. 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 .4n <-0-r V -*r2l LC-'i<v
<br />ttt-2o5 -24FINALY,ZEZI
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />-+
<br />i--,a.r J
<br />,_t.
<br />OWNM BUILDER DEI,(,{RATIoN
<br />n uBl.r Fn.Iy nt Fr,'lry rhd I s dc'rr'r iiom rlE Condm Li6E t * for llr rolbwhg Ev,n (S.r 70l l 1
<br />PmL.rbn Cod.): Any Ciry or CNr, ,hi.h EauiB . Fd ro M{nd. .16, nproE. &mlitt m EFn uy
<br />ro irr L*!ft., .t$ ErtliB rh. lpdir tu iEh !.mi lo nt r ri8Ed st.tuI rllt tt 6r rh ir lir..d ,rarur
<br />N ol rtl Conmcrol! Licn!.d t w (Cnlprcr 9, Conmrins whh S(ri.n 70fl, ot D,tkion I ol ilE Bu.iBs od
<br />) or rhd rs or dE t .r.q,r liRrmn.rn lh. bris lu rlE dlq.d cr.qi in A., virLlb.ofsdlir.70itl5 by ry
<br />rmil obFr! llr .l'tlt:r ro..ivil FMxy.r d mE th{ fi r. hld,Ed dollar 135@)
<br />rolrlf, Fo|rny,ornryc fk,y(c\sihwr[r\r\rlrrv,l' o rFnn(LD. eill ' rlrro rh*ituhN rI
<br />lor EL (Sa.7(l4.l Burir.s .od Ftrr63hB Co&: Th. C.tudm r Liss t q d..r nn rFl, lo d o*ftr of
<br />tlrlh r iprr6 ttE@ .rd pho dE uh wrl hilef q lwl, d irNllll ht d lEr o*. .nploy6,
<br />sxh in{n,mdt @ d id.nH d ofr6l rr qh l( hME rlE l!rE!'g d rFftd k $U *tnin (ft )r,
<br />rtE OwEr Bu ,.r qrll h.E tlE hrd.n of Ftrvh8 rh,r E .r nE dij ri r{i! or trlllftw rtE Imldy rr rrE p{'I[s of
<br />of dE FrTFlr, M.rcliElr.adrdin8 snh li!.scd.flrd6 L,.rNru<i rlE FFI (S( ,Orl, SrEir
<br />Cod. Thc Co.rchr'r Liftn.. trw dca mr {ply ro an .qEr of tmFny *lD builds or i6pNE ln.rmn,
<br />(r rr.trl,tr\uchlr,rcr\wirhr(in runnr\,l'(nsrdtu'{rrtrrrorhc(.rnri.k{ rlrr.tr{lr$r
<br />unlcr sarion-. ll & P C ftr rntr rr$n
<br />la88g8!:squlEuranlaDEIIIAAIII]!
<br />u.d.r ,EMl'y or Frry om ol rlE folbwi,E ddLntbn!
<br />willtrLri' ri',oC.nifi.rrc.l(in,{nrhScll lNUrctur*'rk.h .onrrn{ dLdr tr.vidL\t,'trhyS.cri'n.17(irolrhr
<br />for llE IEi(,1N ., rhc eql lr *tri'h tlk Frir i i$!.d
<br />vill mi.r.r. workns $f,p.nshn ilMlBc. !r Elun.d by S(i i,n lrm or ih. lrb.r Cod.. ld lrE Fdnnm. of
<br />whah lhn Frmil i! i\sucd M,con{f,trsri,,n 'n\urrn(cM Urlllnky numh.r dcr
<br />9 ar'f
<br />hrl i. rlE FtuN 6r dr mrt rd rhah rh8 pcrmir r i}rE{ I .lEll mr .tq'by .ny Fls in ry nsa
<br />shFr h rtE qrt6 otrv.ni.lbn h* of C.lifomn. dd rsG th.! ir I ilhuld lE or subF< lo rlt
<br />r(n, pmviion\ orScdbn:l7I)olrhd tihtr CoJ.,I $rlL tbnhllth drnply *nh lho$ pn,rirn,n
<br />F.jluE k, sE Rrlcu sryEnrolion @El3c k !nL*t!l. &n {dl $bj.r' s d,pr,td b dinid Fflnix..d
<br />ro oE hudEd fi,uqn &,ll-.ltloo.{lr). in rdr nn ro rlt .oi or iE d!r8!! a Fovih tor l,E
<br />of rlE litrr G,&, inr.Fr rrn .n{rftr'. rd
<br />l+/tl lzt no,u*,,!A- LrL/,
<br />UCIIIIJLCONIIAIIAB
<br />DTITJAAIIII!
<br />udd Fmlry or F Jlry lh.l I .h lisrn ufld6 Foti\i.n ot ClEprd I i.omrinS eirh Sarnn 70O) ol tlvision l
<br />ies md lttnf.sirns G(k. dd 6y l*.M n in tull for.rn cDEl
<br />E.(ro
<br />t I / zl ,*'*,",1A L^-/ ,
<br />raNsrxJ]ljul)tirlNrllctlilNtr
<br />ud., EnrllyofFUUry rhi rluc h {.on{tu.ri)n LndirS 08orr lir rh. Fclotrurc. rl'rhc sork tr *hih rhis Frmi is
<br />,TPPI IC,IIYI DECI {ILITI(JI
<br />ufldcr trnrlryor I'!,ltrrvolrolrlt filh$ i',t ,l$llrrrknr
<br />P.rnnlA$.(os Mniiclri'n rtd...l R.3u ld i{'nr ( l irL 40. P&n6r
<br />lhdr rhc ,cdrhl r.8!br trN 6! rlir! tribc(olrcni'vdlrrc ft, aj?li(tr$k r, rhi\Fn,j(rr
<br />I lEw E d rhir .l'f lirrrn lrn n!r. rhrr rlr lhrE innnlli.n i onBr I .!N ro d,ipl, *{h .ll Ciy .trl (lrsr,
<br />Statc tiwt Eloril{ ro hoildiry conrtuiio,r h.,ctiy rurEtrn El'.€nrrri6 ol lhn Cily !d O,unt, ro dra uFn th.
<br />ncd tR,pcny r- inrFLlr,n putnEs
<br />,on"u' \ LA1 1 l\pa TL.^-
<br />CORD
<br />-
<br />BUILDING- INSPECTOR R
<br />Rev.08 07-2015
<br />COMMENTS
<br />ILC.ts
<br />I,,'h.y N,a{r
<br />4k44
<br />' 4 Zq11 ?Z .,r',.',. l/"ta/>(
<br />L.d.r'.lm
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