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SITE.WORK ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing It tot I tt/lnd) /
<br />Shear Wall \-,/
<br />Framing
<br />lnsulatron/Energy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />\z1t t1 /L,qfi,
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />OWNUR B!ILI}I]R DI:II' R-{1'ION
<br />I h(cby arm und6 ptrlty ol pGjury rn r I m .rmpr 6.n lh. ( ontr.clo^ l-'c.n* l-d! tulnc aolkrwiry n
<br />auin6s rnd Proasion Cod.): Any Ciry or Counry *h'ch raluird r Frhi ro $dtu!1, rnc, nhrov., Llano
<br />srdclre, Fior lo i's isuMc., rlr. r.+n6 th. ardi.d for iuch tBmi! ro fiI. . r(ftd rkrffil th.l lE or !h. i
<br />6 th. FovisioN ofllE Conk..roa! Li*h*d liw lch.pl6 9. Comm.nci.t *irh ssr'o. 7o0o.r Dirntun I of
<br />kofdions aod.) or ihd h. or sh. n .r.mq rhd.nom Md rh. ben lDr rh. .lk1.n .rmFion A., viohrn'n oasal
<br />applicdltorrFmitsubjalsthc.pllicanttoa.ivilp..alrroftunmr.tneliv.hundr.dd.lle!(t5ll(,)
<br />-1,
<br />a osr6 of lh. FlFly. or my mplolE sith $.$6 s ih.ir $1. onFrdion. will & llE $o dniEnnxl@!B,
<br />idnd.d or oftd.d for s& (Sd.7O44, Aci,B ud Fi.fdi.E Code 'llE codndr'! t-'cG tr* d6 mr q,tlrt to u o{G of
<br />$c FoFry wlb t!it! o. inpoE ttEEr !i r nD &E sh *nrl hiro.lf or hsslf o. rhFUBh hi! or hs om mthy6,
<br />provid.a rhd such inF.GEs @ d ir6i.d ( offacd 6r sl lt h's68, dE ltuildi,E or imp. nE, 6 $ld *ihin om !r
<br />otcorpkio( lh. O^E &ril& qil lEir tlE hr&r ofFoii,B ilE lE or dE did ml tlild m ltqor! lh. FoFry ft, t FlFe of
<br />-1,
<br />a o*rq otllE rrD?sly. D dclGivcly conlrrl in3 r nt lic.c<d conl.alou ro cordn r |lE |ioj.cl (sr 7D14, t}srlE
<br />.,i Profsir co&: Th. ConldDi! Lk@. ti$ &B tur lpply ro m d*nd of lroFn' $t blil.Ir or inpmr6ln6on.
<br />d *ho onrrtls hr e.h Foj.tli *irh. Comdto(3|l.qB.d p{Mn ro ih. (-odr.dr, r l-rdEl,q)
<br />_l m .roF un& Sdion_. B & i C lor rhir 't&n
<br />D.t. Oin6
<br />traatrlal:(alrtlll/ul9!ll[(IdaArIa!
<br />I h6.!y rllm u.dn Faxr of pGJUt- oft of lh frlhrins &clu FN
<br />_l h,i! nd *'ill @iaui!. Cdifr{.oacoen ro S.lt'l6G f( wld MlFNri,n. ! Fovid.d lor by sdion lrq) orrlE
<br />t Id Cod.. for $. Ffo,lrt,e of rlt wrl fr *tih rlt Fnn i' ist d
<br />I h!\c sd sill m.i,n!i, *od6t coarFcdion iMm.. B r.q!,.d b, sdhn 17m of rh. I.bor Cul.- for rh. Flolj1e. oa
<br />lh. rml fs $hth fiii Fnn t isEl My wkd omFdnn 'Bu,e. sir a'd p(l(y numtF e.
<br />-l
<br />Griry oul in ft. Ffolrrl.e of lh. uort ru *hih thn Fnir u isEI I trEllk{ onprdt.., F$n in ey nuE
<br />$ sloheom tid ro tlE s!rt6 orqdurhn LN ofc.lifomi{ ird '3R lh, if I druld b(or stixr lo ltt
<br />Nrt6 omFdion Firi.ir6 of Sali'n 1700of rlE t t (oda I tldl lmlhwilh mnply wnt llbi FovnNG
<br />WARNING: F.ilc lo G@ sorld onFqnion Nr'6.s. ! o,!*tu|. rd slElt .utr<r m apblc ro aini[l Edi6 !d
<br />cnil as6 up to oG hudr.d rt'o..arl aoto ltroo.oaU o raanio. ro rh..d of .oDFMh". a.-s- - p.""tr-,h.
<br />Sdio.1076 of tlrt bor ('od., idclt rd.ndr.y'r lG
<br />_ Apr[arr:_-, .._Utli!$l.Llrrltatrllt
<br />DICTdAAIA!l,E$y.lrmond.r Frly oaFjury Od I m licdl!.d !ftb Forthn of ( h.,rq e (onllMcins $nh S<lntr ru00) olDivirh.l
<br />of UE B6iIB ad PDf..rioa Cod.. nr, fty li.@ i! in tull fod rd cfi..r
<br />Ltde Chs:_
<br />(ariuliu&lrluualiai[!(.l
<br />I heby afilm undr rsnalty of p.rjur) rhar rhsc is a coBtnrrion Ladms nsocy ntr rh. Fnnrnln.r oirM rorl tu trhr.h rhi rsnrii it
<br />Bsu.d (S( lo'r7.civ ( )
<br />Affl,lIAtrLDIrl,AIAITIJA
<br />lMyarnn und.r D.nalty olD.riury on. ollhc loll$vin8 dccle0tions
<br />l).molilio. Pmns-Ash.sid Nolincdion r.d60l RcSololions { I nE 40, PanU)
<br />-R.qut
<br />d LrltsotNotificarion
<br />I .dity thd lh. f.dd.l r.lubtioB Etdrdins ab6k8 roovrl *. n.r it'dirdhl. kr lhi nNjd
<br />-l
<br />cdiry rh.r I hlv€ rad thG applicarion &d shr. rh.r rh. atr\. infomarion n corer. I !{ra ro complt sirh.ll ( n, rnd ( ounrt
<br />ordinec6 ud Srarc l,*s rchri.s ro b{ildi.s coNrucrtrn. a,rl ha.by ourhrir,. rctr6drdtr d ,)f rh. ( iiy Md ('ounlylo al6 uF,n llr
<br />!bov. morion.d pmFnt tor iNFdion pupoid
<br />.\ppli$nl or Ag6t Signilure
<br />DATE
<br />lenJe' ! J-h6.
<br />Set Backs
<br />a
<br />FINAL
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