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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OW,IEA BUlt-DEt DEITCARATION
<br />I hd.hy .lfm und{ Frny of Frury 0,i I r sdF 6oE lh. cdrd6- ficar t.$ for rla follo*inB mn ts.c. rol L5
<br />Burifld ord Proadion Co&): Any Cily or Cooly shrh rcquir6 a p6nil ro 6drud. .llr, inprovc ddnolish .r tt?.tr d,
<br />rNdEe Fnr ro ilJ illeq .bo Eqic rh.?plcln lor sh FDn ro 6k. riCtEd rimr rhd lr or $. b lt.c.i ptrn4r
<br />to rh. Forirhd ol rlE Conr,*td! LGnr.d L.u (cll4rd 9, ( offiis wn,! Sc.rion 7000 of Divtbn ! or G. 6drI6 ad
<br />Pmr€sioo! Codc) or thar tt or rh. i! .rmpl th@&on d rh. b.!! aor lh. .ll.s.d ddplion Any liohrkr of S*ibn 70115 by x,
<br />.ppkd tu . Fni sbj6l! r,E .rpli.&l ro . civil Fohy olmr mG th& fiv. hsid.d d.llr! (ltm)
<br />-l.sow.dofrh.Fopdlt,orfty.mdolEwithws|6Bih.t$1.mmrEtudion-will&lh.wo..dth.nB1@Lmlind,:Ld d ofr6.d f.r sk (56 7044. BdilB sd Prof<6d Cdt Tn Co,'lr.cl( ! Lk* l,* d6 nor 49ry ro x osc of
<br />th.FsFry sho hrili d inFoE 0Eq,! .i sh. d66 8l' *st huell or rEsrlor ll@ush his or rE 6*n drslo)c,
<br />Fovd.d rh.t iu.h inln.lons ! @ ml inlsxLd or ofisEl for sL. lf, ,rwoq, [E ulildrg n inpmvar.! i! nld wnhD o.. ,a
<br />ol c@pldi( 0! 0'16 B{ildd sill h.w tlE hldar of FD\ing tl| lE or Cr .lil ml hild or lqFt llE FsFry tlt rhc FIFE of
<br />-1,
<br />6 o*G ofrh. FrFrr. m.r.hBi!.ly.o rdin! *ilh lic.nEd conrrddlo @dnar rlE,mF 156. 704t, Bui6
<br />.,n hlkin Co&: t hc Conr*rd-r l,k.e ll* <bd R @9ly16ooend6fF.Fn'ut buil& oi inpror6 rhdon.
<br />and qto off..1! for iuch Fbld! wnh a Codndo(r) li.a!.d puR@ lo llE conlr.dda! l-tce lrw).
<br />-t
<br />6 dd$ ukb Scrnn-. B & P C lor rhir laE.
<br />D.t. Or.d
<br />ll8ru8s:glllfErisflIar
<br />lllrc.rJEAIlQ!
<br />I h(.h, amrm undq FMlryofpdluryon.oflh. nnLrsin* d4laitnrN
<br />lh.rcdn tr'U lrrre!( dlifr.rcolcolFr ro s.lf-lmr.fd *!*dr conF$toq s Ford.ii tu LrsdbnlT(x)olrn
<br />lihtr Codc. tur lh. p€n',@cc of lh. \ orl lor * hich rhc psn ir sucd
<br />I h,r..nd N ill mint.in u*d' conp6.Iirn iEur., 6 rcruir.d !y ki,n:1700 orth. l.boi ( o&. for rh. FfLffi. of
<br />lfi€ work tor which thn psnir n isu.d M, wortd .oopdatio. iNLEc. cMid ud policy nuhba &.
<br />PolicyNdbd:-
<br />-l
<br />cdirylhar i, th. p6fo,rucc of lh. wort fo, which lhn Fnn n nsucd.I3h,ll.or 6phy 8ny Fsn h lnynun6
<br />$ s to b(om subjdr ro rl* wrd @oFldiln b*! of ('rlrfomia sd.*E lnd ill itould b<oc $lFr to th.
<br />Ertd' anqEE rion Fovni'6.lsdio. r7m of d: t dr Code I dEll ffih*nh Qn9ly *th b- I,lviriB
<br />WARNIN(; l.jlu. h Eu. mlt6' omFsdion cov6ts. n uih*'tu1. .nd.l!ll subjd M dttloyc lo oioi.d F!ni. rd
<br />cilil tu6 up lo oE hun&qi thousd dolle! (tl0O.0O0). itr tddirion lo rh. co3 of comFd.lior dd46 a ptovil.d fot $.
<br />scrD. 1076 oflhc Irtn Co& hr6d rd.nqr.y . f6
<br />--------.-
<br />DECldaAuO!
<br />I t@by lrtrn lndd FEly of Fjury rh.r I o lic.Eal undd r*ovnhn of (-h!plc 9 (omdci.s { nh s.sir. 7m0} or Division I
<br />of rlE BcitB rnd Pbftsrh6 Cod., {d m} licc i o tull lora id.lfd
<br />-," 3 t1 -"^d
<br />CONSTRU('TION I T1\nIN(: AGFII(-Y
<br />I h!iq{ afiirm ond6 FEly of Fqjur.. rhd ths. ir 6 coilrurlior loilins as4, for th. Ffollrltr. ol th. *orl 6r shi<h rhir F,nil ii
<br />isu.d {se 1097. ctr (-)
<br />AtflltSNlDfc[aaarlll!
<br />I holrr .rrh u.di Fnrh y ol Fju,.^ om of 'n nnbwins &(lsdr{Bl
<br />D.frniri.n l'dmirs- ttr.los Norincarion F.da.l R.!nh nra (TnL 40. Pan6)
<br />-l.quq,
<br />ttx6 of Ndiftdm
<br />-l
<br />cGlify lhd lh. tulcr.l ..slhioro Ern[ns db6!o3 '@\'d e. mr {'t E.!k u rhis p.or.(
<br />I Gdify rhd I h.v. rcad lnir rFlrlical ion srd sld. thal lhc it!v. inLmdrco ts condr I 6grd ro .omply *nh nll ( ily 6nd (iJunr,
<br />ordimft6 r.d sr.r. bsr Elrls to boillins cordtu lhc rrl hq.tD iurhoo. r.Fantir6 ofrhlt Cily.nd Cool, ro drd upot r
<br />atr\c '6rnn.rl pn,p.n\ nt
<br />Appll.r,l o. Ardr Shn.l
<br />lr.-u*-.",,.rr,
<br />{ra1r7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall ,'P)
<br />Framing )/t{/,rl 7t',t1"r4dr)
<br />lnsulation/Energy 6 )
<br />Drywall )ltElt4 TM finetc'
<br />Ext./lnt. Lath v
<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 />FINAL qlphea ?vv.ru,:-z>-\
<br />tl UICertificate of Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
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