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BUILDING- INSPECTOR RECORD <br />ID/SIG.COMMENTSSITE.WORK DATE <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Rool Sheathin <br />Shear Wall <br />Framin <br />allD <br />Ext./lnt. Lath <br />Brown Coat <br />Mason <br />Pool Fence <br />Handica Re <br />De Final R ortu <br />En ineer Final Re orl <br />Flood Zone Certif <br />FINAL <br />Certificate of Occu anc <br />Notes Remarks, Etc <br />()\\ \liR Irt ll l)l'lll l)l l.( \lt \ llt)\ <br />I h.rchy .lirm undcr pcmlly of p..jury rhd I m cxemll fn,i rk (]onrrack,\, Liccnsc llw fir rhc folk'sin! 'c'$n <br />(S" ?011 5 <br />Ilusincss and Pn,rc\siotr Cmtc) Any Ciry or Cornr, *hich rcquncs I lfmir ro conqtu'r. 'hs invrov"hmlth ur m|!n inv <br />s(rucrur..priorloihisrudncc.aho!cq!tc\rhc{flic,trlti,r\uchr.mrirronhusigncdslarcnE rhalhcorshchlienscdrunumr <br />b rh. Provi\i.ns orlhc Conlllckn\ Liccnsd Las (ChaPrct e. Comft(in8 qilir S'crirtr 7(xxr of Djvirbn I of 'h' <br />Bnsin's rnd <br />pmlts;i.is codc) or thar hershc hcxcmfl thcdrionatrdlhchnsn nrlhc oltcscd crcnr iotr.Anrli.lariotrorsftriotrT0ll5byriy <br />upplica for r lcrnril stbjccBrhc at'I)lica ro acivil,rcoanrofnor rmrclho! fivc hundrcddouar ($500) <br />-1. <br />!s os..r or rhc pn,If,ny. rr nry cmploles sirh w.8cs !s rhcn erh conrNn$rnrn will do the {o* dxl lhc slturm is mr <br />intnddl or ofcrcd l- srb ( ae ?O]-il. Brsi.cs .nd Prcn$bnr Codc l hc Cofi(ktr s Liccn\c uw docs nor apllv ro ar o*]tr ur <br />rhcomFy sfio tnilds or in{mn\ lh.ren.orn nho dm\ \rh m.* hnnsclaDr hcNllor rhnuth nis or hcr usn cnrPkrvtcs' <br />p.,vi.td rUr suctr nnDrorem h m Nl inrcndsl or .fiircd for sh. lU h,*ctr. lhc hui|i{ ur inr0rorctunr is sd wnhin onc }qr <br />;f coq,lcri,r, rtE ow;r Buiklo *ill haE rhc 6urd.n or J,tuvnrs rtur h. or shc dkt mr hoill or in{mrc rhc Imp'nv r'or rhe Il0 Ir'{ 'l <br />-l. <br />rs o*ncr of rh. pmPcny- afr .r.lusitly conrracri'rg sirh li.cnscd cont&ros io dnrrncl rh' Droj'lr ( S" 7Ul.l' 8usrcs <br />*r pn,rssir Coac: ir,. contrt, s Li..ns. Lsq docs not lrPly tu,D orncr olPro,Env sho huilds or inrPov* thcicon' <br />and Nho conh.( tur such ptutth wilh o ConrEbd n lklrrcd luBur r ro I hc Conrrcrois Liccnsc Lrw ) <br />I trmcxcnrlr lidcr Scct <br />uaSrEBslgDlIINs llo! <br />I)LILAN.{UQN <br />I hcBhyxlft utrdcrterrlrtorrYjuryoncolrh.tulk'!$sdcclmri{tr'\: <br />Ihavcflrltrillnuimrr!Ccnifi.{cofCon{nrlosclfln\nr.lor$olkcrsomtlcn\lrion.a\pmvidcdturbyScclion:lT0Oolrhc <br />uhr Codc. for rhu pcrfoflmmcolrhe *ork lnr shi.h lnelefl.ir i\ Nrrcd <br />lhatclndwillnDiiinsodaconrrn$lioninsutun.c,rsrcqui,cdhvSccrionlT(nollhcLrhrrConclorlhc!'rhrnnmcor <br />lhc work for*hah rhh Pcrmil isis\udl. Mysorkcr'co rr.nsrlion in\urai( cmicr a'xl Iblicy'umhcr r'l <br />Catricr:- <br />l'loli.r_N! $rr:- <br />l.cniri rhrr i'i rhc Nr rbruDct orr <br />-ErPtcs <br />lcrmir is irsuM. I shrll nor cnrn.yrtr! n.^od n rny n'rni.! <br />v, r\hh.ro r srhi$i rorh. sorkcri con'Nnsrr n'n hws ol Cllif(nir, rtrd (grs rhr ifl _i!aukl hcc.trE \uhjc.r t)rlr <br />\yorler\ .onlP.trsirionpnrisio \olSs(irnr:l70(lof rhclahtrCod.. I rhrll. tua nrpl:/ {irhrho{ |[ivisiin <br />IVARNIN(; lxilrc !o \c\m- trorlt.ri.o,ion .o!.n'sc n rtrlrsli,ll subl.rr ri cnrlorr h dirinrltcntrXtus rnd <br />rlr(N)rriri tri ,kk ir,!r i, r drirgcs r\ prolnlcd l.r rh. <br />t15 l,l(l:NsI,:II (l)Nl RA( rlrR <br />Dr.Clrllulllll <br />I lr'.li!ill,rrfLl.rl[ lr!', ).' ,thd I rm liccnrd lidcr flovi\ion.f(lh{'rcr 9lconnftNira wirh Scdnn 7(xL ofDrvi:iot l <br />,n r[.I]u\i'rr$ rtrd l",,li$( \ ( ,r1.. lnry lir( \( | f rtrllntr!.. Lcll..! <br />a L-Y rI <br />I h.tohy rllin urdcr r(nrliy.lFrjur, <br />i\\ucd(Sc.. :1097.Civ C ) <br />flcri{,r tn in8 rgcnrt ntrrhc |Erlnnn Ncofrh.qo'k l whi.hrh\ |{nnir i\ <br />t ndci\ Addics <br />- <br />APPI ICA N-T DT(ILAR'IT( IN <br />IltRh,llfllrhu crI.MX!ol!.rjuryoncof lh.nnkr$irgdedsxti' r' <br />l)cft,lirion Pc nils.Arhc(os Ndrificrriotr lrcdctrl R.!trlalion\ (Tirl.'10. I\na, <br />_Rcquircd Ldrc! oi Norifi .iliotr <br />no\ r. n^ Lr. norxtfl.rh. n)rln\ In)lNr <br />rbn ncodr.r I rBrE ro Lrntly <br />nir reprc\cm,! ircs olrhh CirY <br />Drt€:a-ttrq+*y <br />ond c,,udy t/o ( uFrrtr <br />!tl,r <br />Erection Pads <br />Subf loor/VenVl nsulation <br />lnsulation/Enerqy <br />T-Bar <br />n.-q/ft/ry ."q// <br />Lxtr,h.NJnf, <br />-