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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OW EN BUILDER DET{ARATIOII
<br />I hd.!.v .[m u.dF lqrnt of Fjdy thd I m dmd nim lh. Co'rrdoE Lto* Lr* lor lh. filbvhS lt&. (Se 7011 5
<br />BGind !d Profsion ('od.): An, City or aounly which rqut6 a pa,nn lo conntucl. o. improvq &rcliuh or le.n uy
<br />3itucru., Fi,r ro ir! isus.., .&. Eqrtd rhc lppltu' lor ru.h Ftnn lo nL i qn d trn@d 6d lE or .lE ! li.dsd plruE
<br />lo rh. FDvaioN ol ,i (bnrr-roi! L.ocl tre (Chrpr6 e, ('onllrl*ir8 vnh Sd{n ,0@ or DivitD" l! oa llE B@i6 ed
<br />Prolsi.N Cod.) d rhd lE n llE i! dmpr rlE6o, ud rhc b6ir to, th..lhs.d aolqioi A.yvbllbnolsdbD 70!l J b.v uy
<br />4rhcer tor. FEn sbidr! rh. rl?lic&r ln i.i!il p<on, of mt mrc rh& nE huftnol &ilLE (lJoO)
<br />L s oM6 of th. FoFy, or my mplorE wirh wis6 a rhd $L onFB.rion, willd., llE *dt ard llE inxrr b ml
<br />inrod.d or otld.d f.i &lc (56 7&4, a6ina Md Pr.asioN cod.: Tlc Co rdoir l,icde Liw &6 er @ply ro d ow oa
<br />rh. FrFty *lE hil&.r mFo6 rhffitr nd *ho dE iah s.,l hitrlf or h6*lf o. llrcwt tL or hq oM 6ploy6.
<br />Fovllai rni sh imFD\€ffi @ d n.!.Ld q otutd 6r sL. ll lb*w, llE h| d!t or ngsqEr ir sld einh m tt
<br />ol.drplde tlE ol*E D{ill6 triI h.w rli hrl6 ofFori'B th. E d dr drd or hdd or imFDE tlr FoFy 6. tlE FIIE ot
<br />_ l- d own ofl& l(,pdy, @ d.luii!.ly cotu..rin8 with licd.d conk cloR lo oGtruc1 lh. proj.( (Sd. 7044. BE,@
<br />dnd ProE lEn Cod. Th.ConrrEbar Licd.liwdo6 ml r!9ly ro mo*naofr.oparysho boil&o. iftpmvdlt6on,
<br />and *ho co rrl' fd ru.h FDFr!$nh. cod*lo(,l(as.d plllld io th.Conrrlois Lic@ L.*).
<br />! m donpi ulds S<lbn
<br />trof,K!8f(aul[lsAll0!
<br />D&CldEArIA!
<br />I hd.b, .mm unrif Fnahy of Frury oE ol lhc follorins drLrrlnrN
<br />I lw. !d will ofi.]. . Cdifd. of Co.E ro S.lf-IBU. fd vcl6 @rpqEi,r! 6 F!\ i,.d lor b, serion !7m of rlE
<br />lrt$ (odc. ad thc FforlE. of ilE h* l *nah lh. Fnn ir iBU.d.
<br />,- ! h.!t !.d s ill maint.i. worl6 codpcGlt.n iBumc., s r.rt!tr d by Salion ll7ct) ot th€ Ubor Cod.. for lh. pcfome. of
<br />rhc *ork for whkh rhit psnl is isu.d My woll6 cooFqrion iNr c. ffir.d Flicy nunb6 &.:
<br />I c.niry $al in thc Ffo.mlnc€ of th. f,otk for whi.h $a pdni is BU.d. I 3h.ll Mn mploy ey Fmn in .ny ftsnq
<br />e 6 lo b.6m. ,ubiet lo rh. *0116' .omFN.li,n las ofc.lif.nia ud .sr thr it I rhould htoft .ubjc' to tlE
<br />*6rt(@ 6sFdid. F.vsioB oasdio. l?00 of th. ltbor Code l rldl fodh*nh o'r+ly wnh tho. FndrirB.
<br />nAnNlNC t.iluE ro !fu. rqld oiFld.o orsr3c i lnL*tul !n rh.ll rbF x apbF lo ainir.l Fulb i,xl
<br />c. nn6 up ro oE hun&ttl thoMi &lld (tlm,om). r.&lnion b th. cor or omp.Elioc d&us6 6 Fo\i.d lor rlE
<br />Sdion 1076 ofrh. Liho, C.d.. i 6d.nd dor.r'3fc.
<br />IICTNSELrcNIXACIOA
<br />DECI4AAIIOI
<br />I hGdry .rm udd Frlry ol Fjury tl! I M li6!.d u.da F.ur i]on orch.Fd 9 (Nlllljai.e * nh sdi.n ,m0) of Dr ition l
<br />ol rh.llBin< oid P,oldl,B co&, ii my lkae L ir hill ,oR od.ffd
<br />l-i.ctrE Numbd
<br />calsrBLlolQl(.LflDllc-AcEl(r
<br />I h@by dmrn u.&r Fn6lr, oIFjurr thd !lE. t! conslrud$n lndms lsocy tor rh. Ffom (. olIh."$rk for wnrh tha Fdi !
<br />irsu.d {s< 1097.Civ. C )
<br />Lnd6 r N!m.:
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<br />AfIUTANLDESJf,AI]AX
<br />I nd!ry.nEtrunda F.rlr, oipdjury onc ofIhc ttnhwirB d4le ion3:
<br />D.noliFn Pff n!-Arb6ro3 Noriicdio. FaLr.l R.grldio (Tirl. 40, Prn6)
<br />R.qlrcd tnld oI Nodf,ld
<br />I cdi6 lhd rhc tolsd r.slLlioB r.ardrns Bb6ro! roovd a. Rn .Iglr.bL ro lhE proj.d
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<br />I cdriry rha I hsv. rad lhi rpplic.lio. r,rl id. lhd $. sbov. inlonnd ion is c6Bl. I .src lo onpl, wnh .fl Cn, ad County
<br />ordls6.nd $.r. t s dalB ro hddog.orufl.tioE {d hc.t! dlE&i rq6aiiiv6 of lh!' Cty d Coulylo atE Won tlE
<br />.boy. nErnn d F!Fr, for ilE dior p{rDd4
<br />^ppli.rrr
<br />or
<br />^!ml
<br />stn.rur.
<br />Set Backs I lD
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />Insulation/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.
<br />I
<br />FINAL t0lzgln DAOP vL*g1
<br />Certificate of Occupancy JI
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
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