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BUILDING. INSPECTOR RECORD <br />C->14L <br />-5Ll <br />FINAL <br />SITE-WORK DATE ID/SIG.COMMENTS OWNf, R BUILDEi DETT RAIION <br />I lE€q lrm un.ld F.!ny of p6jury thn I m .rmF ftlm rh. ConlncloB l-ic.nr bw aor ih. followiDs r@n (fd 701 I J <br />Bui.dr dd Prof6n'i Codc): Any City or Counry whkh r.qut6 . p6nn to oNtruc1. dr6. ihprcve &mlbh or rp.t ey <br />srtu.'ue Fior <br />'o <br />r'! isle., .rh rrqlic lb. fplian for s.h Fnn ro 6k r r'gn d i:rqEr rhd lE or 3lr a l.aB d Frnrn <br />lo llE Flvtbc of dE ConEald r LE.n!.d t^ ((luFd 9. coMng *ih s6rio. Im of Dr6b. I of 'lx &sitB od, <br />Pftfdioc Co&) c lh.l lr n nE i .rcnpl lha.6!n ad tlE b8i! for tlE dh.d .r@Fir. Ary lioltlirn of S..li,! 701 I 5 by &y <br />.ppli.d for a Fnir .ubr*t rh. .pplac&r lo . ovrl psElry of rcr doa lh.n liv. hundr.d doller (1J00) <br />_1. 6 o\!E of rh. FDFry. a n, arplorG *ith vis6 a th.n rh onpau.ioL enl & 0E $(t in 0E tue i Dt <br />in.i.d d otu d f.r rl. (Sa.7ora, E6ils e.l kblBbB C6d. Tr'. Cdrcld r ti@ l,$ rL€ d +tly b r orE or <br />dr FnFry who hrib d id{r.\q $d6! &d rtE dE ud' En ni,rlf q lE*lf o. rl'Dlrh [n d hd orr nnpk'}e <br />FoviLd thd ruct inpmlqEi! e ml i'idr,.d orolH 6r rl ll now. dE tr dilq or irp.sqEil i sld yinii oE rt <br />ofotr'pkion tlE ()wn6 &ild6 will h!v. ttE hrla oaFvins tld h. or 3lE dil ml hrld or irsDrc rh. FoFty 6r ltE purros oa <br />-1, <br />B ffi of r,E FoFrt. h acluiv.ly coffiiry wnh liuE d .odmoR b ordDd dE F!j.<l (Sc 7O+.|, h.iE <br />.id PEa'd Codc: Th. Conlr.dol! La<.@ L!* do6 tur eoly ro o oY@ of FoFry wh. 6oil& d mFo6 riasn. <br />and who contrt for ruch Foj..lr wnh ! CorirEo(r) licsu.d puEulr ro th. C ombcldl Li.@ lrw). <br />_l @ .i@F u.(b Serio(_. B. & P.C. for $i rtetr <br />D.t. 0r.6 <br />!!t&$8s:gl!,I!!tArq! <br />IECIdEAIIA! <br />I hd.by amm undq F6lry ol pdjury orc oflh. fouoq,ins d.rlrdlnrN <br />-l <br />h.v. rn $ill midlh . CElifrd. olcoMr ro Sdf-lM 6r Blt6 @mp.n l'@a lmvid.d 6r brserbn 170n otth. <br />Lrtor Co&. fr tlE Ffffi. oldE *.rt ad v,hah tlE Fnn ir isu.d <br />_lMv.andrvilltrF,nrnrn*ork.rrcomtensalu,'nsuran...dreqrtr.dhvS(li,,nl7lroorth(l-alxn(ixt,nrnrtdfonnan.c.i <br />rh.*o'Lfor$hi.hllEFmilLrsKlMy$ortas.unp.nsnrn'NurM..c roxiFn'c\oumb.r. <br />Poli.y Nunrbs lirp <br />l.diry d in thc Faolr:r*. otdr $ort aor *hth rhB Fs n i$u.d- l drll mr a@loy&, rE$n ineylM <br />$ 6 ro t<!r $B6r to rh. slld'onp@rion hs! of C.lifomi., r,n cd rhr il I {bu!t bcoc oli(rr ro tlE <br />*6116 odpaslnr Im\i!io6 .l Setion l7m of rh. I t ,Ell. afih"nh Nmpl' *nh oFr FDririoB <br />WARNINC. lrailur. m su. *o!t6 compdMnrn ful. Md sluu rubjd M opn,F to mtul FEts.nd <br />civil fin6 up to onc hu (n,. ddnar.s a lnrilrd lor rhc <br />D[glaauoti <br />I hmby lltm u.dd p6dry o lp.rjury rhd I d lic6,.d und6 pmliliofl ol Chatnd 9 (comhdci.s wirh sc.rion 7000) oa Divtion :l <br />of rh. Bailla Md Fi!66sioN C.&. dd Dy lk@ i! in 6rll fo(. !n.fi..1. <br />I <br />coiltl&quau.LE![tlqrc[!(I <br />I hcdy .trm ulda Fdly o lFjury rh, rls. ir . @nrrudih latdnl .sdy for rlE Ffollle. of $. Frt 6r etih rhii Fhi it <br />tiu.d(SE 3097, Civ. C ). <br />AIEU{:AILDECIdAAIIA! <br />I hddy.&n uidd F.ly of Fjuy oEof rn aolloei.8 d..k lioN <br />Domlilio. P6nia"A!b.a6 t{oriardbn F.d6rl ncluldioc (Tirk 40. P.n6) <br />Rcquir.d tald of Nori6.ii,. <br />-l.dify <br />rhrr Ih. lqlddl r+uhtn)atEb dnoldB not q,pliclbk k' thi Fojdt <br />-l.drfr <br />rht I h.r. E<l rhis <br />abovc ndxoncd popcny for <br />Appli.im or g.n! SiB iturc <br />rsE ro @!d) r nh ,x Cny &d co0lt' <br />tr 6 or <br />'h! <br />ci y rn co'd, b <br />Y +o. lh. <br />-"w+llb <br />Set Backs l/31,1 5t\*tr <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor ilzr/to 4ztr?z*i^-- /y'Ar-r-Jhz <br />Subfloor/VenUl nsulation .vd_ <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Ene rgy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence 4lzllol ,2/rt1 <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />Certificate of Occupancy <br />teF, Remarks, Etc. <br />o <br />L.rn r'. A<lda <br />ordrj1u6 drd Srarc lj$s ELrila <br />=