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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.(,WNER BUII,DER DEIT RATI()N
<br />I h6*r rrm on Lr Fdty of Fjury lhd I a cratrpl iom rh. Coffirro6' Lt.G ta tJr rh. lblh*il8 6,. (S< 70.1 I 5
<br />Bailrd &d Pmfdh. Co&): Atry Cily or Cou y whi.h r.qlir6 r ldnit to 6dncl, .h., inFltc, &mlirh or l4.i ay
<br />rrudu.. Fi, r. it! i.udq .lo r.quic rlE Aplt&r for ruh Fnn to iiL. risn.d indtE rhd lE or tE ir lic6.d pldrr
<br />'o
<br />rh. FlviiioE of rlE Co rrrmi l,icnxd L.r (Cn Ed 9, C.nltlldng *nh Serio. 7lx)o of oivnio. I of rlE BdilB -dPDlsb Co&)drlla lEollE r 6.nF lhddioh dd rlE tBir for th. dks.d d@Bion Any viol4hn of SElior ?01I 5 bysy
<br />.pplic! for . Fini 3ubjan! lh. +plk!,{ ro ! .iril p.uhy ot rcl tur. rhr! fi\. hud..d &lltr {1100)
<br />l. .r .s6 of rtc pr.Fty. d my dplqq wnh $.96 a rh.i. $k onFBdbtr $ill it' 0E $qt .!d rlt rffi@ ir mr
<br />inrdrldl orofi6.d f.r el. (sc 7044. B$ird dd arofdhB C.&r TIE (-ofrrroir LilE t $ dr6norTplyroeomaol
<br />rh. tmFry wtr hil& or flFmE IIEEG Ed sh.k6 i(n " t hiB.laor hd*lf.r rhmllh hn n hd om drplotB
<br />proridal rh, ruch inFG6n. G Dl i or<Ld orotu for nE Ir. b*Gr. rlE bo'ldilB or in!.ssi.d b ild uihh ffi !C
<br />olc.nlpldi'tr rtE ovrq a{i\a6 vill h.w rlr hnk' or Fovi,E fi. h. d irE dd d Urild ( in?$tt 0E FoFry ii( tlt FrF& o,
<br />l. NnMs of rh. p$Frr, m dclrivcl, conrrdin8 wnh li.oed colnGron h @dto t E Fold {Sc 704,4, BaiB
<br />rn Psasir cod.: th. conrtubrt Lic6s l-iq, dc nor .pply ro d orrd o lrroFnr *lb t il.k or inpsrd rhs6n.Dd uho contocls tor rucn proj.dr fih. (-onrr6onr) 1i..6!d Fllrfu rorh.coffiq! Ltdg t u)
<br />I m .r.m9r uodd S€lion
<br />!!xf,[4130!tfj!tarJa!
<br />DECIJAAIIA!
<br />I lEt 6y tmm undd Flhy ot Fjuav on. ot th. folh\$in8 diELdbB:
<br />Ih!\.atd*illmi ain a C.nilicll. otcolffil ro sdr-lBuc aor $0116'cooFBdiotr s F!\itdforb)srrio.i7m.frh.
<br />lrbo, C.d., ior lh. IElotrMc. of rh. *ort 6r "nkh 'h. Fnn i! su.d
<br />I ll.v. id $ ill minriin sor[d (onFE li6! rGu,!nc.. 6 r.q!i(d by S<rhn t70o of rh. bhor Cod., f.r rlE Ffoffi. ol
<br />ll'c *ork for $ni.h rhir Fmn ii ir$c.t M, worlo' .odFBrrn Eurtuc 6ir .d policy.uhbcr e
<br />. AG *,qaA c,+J 1^)guV4)c-,e
<br />.,,,,,,*, ,PL4c tlX5f 60'+3 vf,, f.o
<br />I (oria, lhrl itr th. pdto,tutc of thc work lor which this pd i! ii nru.( I3h.ll mt nd.y.n, F$. i.dy.uffi
<br />s B lo b<!tr $brt to lh. wort6' comF,saion bu orcrlifomia od is6 tha if t .nouE tEcoE tubjGt to tlE
<br />wdd conFt lirnF.visioEof Sdior 1700ofth. tltior ('o<l( I.t ll. lo(h$nh .onply *nh tb- FDr-itioc$ARNING: F.ilu. ro sm *.116 .onFtsnrn co\6l*. G u ful. lrd shrll iubJ.d x ophla h diniol FElis dri.n fin6 up ki oR hu.dr.d tbur..d Jollu (1100,0(Xr). m rcn, drMsd a Forij.d for rh.:::WJE:
<br />ADCIASAIIO!
<br />I h6.b, .ltd uds Fdlt oI Fjurr lhtl I u ljcqL!.d undd FDviiion ot (1+16 9 (@mmftin8 wnh sdi.n 7m) ol D^ is.n .l
<br />ol lh. BusiB rn Pmfdio6 Co&, ,!d m, ltnE ir h tull for. rd.lld!
<br />!-", h , $-c,ro
<br />,,,,.. r"/zsf ro
<br />30 q{
<br />< *,-"-)(.
<br />tq!ffaua|o!,IE!lrlc.&g[!(I
<br />I *-ra trm unla Fulry of Frory lh{
<br />'n6.
<br />a! a connrud6n Lndhr lsfty ror lh. Ffolrrld. ot rh. qqt 6r *tih rhi, FEa i
<br />isu.{ (s( 10e7. civ c ,
<br />ASIU(AII,DDCIJAAIIO!
<br />I Eurq ,fro unds pcnally of Fjury o.. .a rh€ aollo*in! &rl&r' i,.3
<br />I,.mhhn P.mill-kb6tor NdifKdion Fo.t6.l R.gulr!ion! (InL I0, re!6)
<br />Rdlut.d lnld of Notiilo{hn
<br />M
<br />I .drifr rh,l rh. Ldd, EsuLrioG ,rsmlns sb.rt6 r6noc.l .r. nor q4'licahi€ b rht Fojd.
<br />.oriI rhd I h6c rsd thit lprlk.lio. !d hLnndod ts&rd Irgrc roomdy \ h rll ('ny .nd ( ounD
<br />ordituNB !.d Sr.lc l,rs rcliil{r ro hildinl .urh.ru. r.tn.dsri\6 .f ihi3
<br />atF\. nEiir..J rmFd! rir rapdhn
<br />.\ppli...l or Aa6l Sign.lrr.
<br />r*i- -..tp.rnt), ?<A(*x /"LLi-
<br />"':;i;J;r/,q
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />Itt,A/\^ 1)\
<br />FINAL lllt4tat \in4,u[.ltaYK )
<br />Certificate of Occu an
<br />Noles, Remarks, Elc
<br />--'
<br />COMMENTS
<br />Erection Pads
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