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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNFI BUILDEI DEI,I('AR TION
<br />I hd*, .lrm u.dd Flhy of pqjury thc I m 66pl 600 ilE Codftlm L..a Llw for llE folloviq 16). (s< 7011 5
<br />BGitrd !n Pmfsb. Cd.l Aly Cn, or CBn, whtt r.qui6 . FEi lo ongnrd. !X6, !,pio( (bnnih or EFi o,
<br />lrlucIe Fir
<br />'o 'r! ieec .Lo EqlriG tlE Tglit for sh Frd lo Rl.3is'i.d lrtocr rnd E or rlE ii lrr6.d prlld
<br />ro rlE FovirioE oa E C6nr,rrd r LtaEd bo (ct+q 9. ( offiin8 win Sdbn 7mO or Ditirb! I ol $. &!nB &d
<br />ProfsioN C.&) or fin lE d tE ir d.Ep( rt'a6oo !n dE hGi for rlE .lLs.d sorqion Ary ri,idb. of Sdnrr0!1, brt
<br />rp?lirnr for . Fnn qbl6l! lL pglf,!,'r to r civil pdhy or mr mr rl& lir. hud,r.d doll&! (t50o)
<br />l. s osE ofrh. Fopdrr, or my dployB vnh wr!6 d th.ir Dk comFE rbn. {ill & lh. qi( nd tlt nial4 i m!
<br />iied.d or olIod ror !.i. ( se 7014. BBitB od Pror*io6 Cq,.: T11. Conlr.cidi LkN bw &6 not .rDly lo u oI n6 of
<br />rh.I'lFiy *ho trild! or n'pr.v6 dE@l\ altd who &,6 ruch Mll hitu.lror h.Mlaor ihmugh hB or hd oM oDloyB.
<br />prolid.n thd 3u.h imFovdE r e ml iftdd.d o.olIel tu sL ll kiw6. tlE hildiry or nFrvffi' !,51d wihin on. )ar
<br />of.omgtrion. rlE (rnd Buil& will h.r th. hrdn of Fors thd lE or !h. d( Nl buld or inpmrc tn. FtrFry tu. 0t puros ol
<br />_1, a nrG of rhc thFry, e d.lundy coofufs $dh li.cE ,.l .odrdo6 ro oldru.l rlr FOdr {56 7o,l{. adjt6
<br />!n Fotsih ( od. Th. Co r.cror'. Lic6* Llv &'6 mr .rel) ro d 0*,6 otFoDdly who hrildi or inprorg rh6on,
<br />@d *,b @'ndrr i, qch F!j.tl3 rnh r Co,rraro(i) lrd!.d p{r.@r rodEConrdq't Lid L!*)
<br />-l
<br />d .rmF ulxls S6i
<br />!4f,f,lls:(olt[llliAllaE
<br />Il;ClJSAIlq!
<br />I lE b, 6rtrn un&r Fslry ol pqury orc oaih. rolbuos <k h6rn,6:
<br />-l
<br />hlvc srl s rll mrndn a C6r ili$t. ol CoBdr ro S.lr' lNU,c ftr wo,k.6' onlP..&lion, a Fovidal aor b, Sdio! 1700 of lh.
<br />l.bor Codc. for th. pafomuc. oI lh. uort for whici th. psftil i! isu.d
<br />I M!.rnd willmri .in M,k.rr compssarion iBu6nc., I Equn.d by S.clion 17C{ ol lh. libor ('od.. lor rh. Ff.lrl14. of
<br />comF.lrnb. i6{re. ceit &d Fl4 numtF s.
<br />.a.H
<br />_l cd,ry rhd in rh. Flo,rj@. of rh. M't lor *h.h rh6 Fnd ir irqa,. I ildl mr onploy r! pdrn in xr meF
<br />$ a ro barE $bin b 0E *r.t6' odpadt'. l,s. .a(-.lifomia !n +c oli if I shuld h.coft rutitl h rrt
<br />Rorld.omFNhnFDtirhBofSdlhnl?mofih.ri.r(-odeIrhll.fonfiwhfisnply*hhlhsp.ortFB
<br />WARNIN(; FdluE lo su. sirl6'comrGsrion &n6!s. ! unb*'aul. '.d lhdl subjdt d l.lnhmi l Fuhi6
<br />n ro rfi..on of.onp@r.ivil finB W l(' onc hudr.d lnousd doll&s (t100.fi{,). in
<br />\
<br />IISJIAITAB
<br />I hddt arlm uadd Fuit, of Frju, ih.i I M licE d unrld Fo\ nio. of ( h+la 9 I coffiins wilh Sc(ion 70flr) of Di!
<br />ol rhc ll6i.d..d Pml|sio6 ( o&, &d my lr* ! h full forc. en df<r qbq0q
<br />:::ci,
<br />C\D q
<br />oT.0a_*_4 rte\ LDhr
<br />caliralq.u8.lJB[tlGtcEdr1
<br />I h6rb, rm !*16 p6dty of pGjury rhd (hs. ir r odtudi.n ldding lsdy for lhc Ffortl]4c of lhc wtt tr stkh rhn Fitrn b
<br />i$uol {s( 1097,civ ( ).
<br />L.nd.f! Addr<
<br />AIILICAtrI.DECIJSAIIO!
<br />I halby.en udd pqdy 6l FJUry oE of tb. folhshg deLdiB:
<br />DnElnbn Pmne^rt tq Norifani]n F.darl R.luldiB (Tik.l0. Pd6)
<br />-R.q!ircd
<br />tt(6 oll.ldi6dbn
<br />rhd I h^. r..d rnB lpplkorion,n *d. ihi lh. rtb\c inrorM[n ircord.I sgIa ro compt*nhill( ny rnd co@'y
<br />oidi.an.6 ed sr.'.1.$! Ehta ro buildin8
<br />aho!. m6rh..rl l)nrpdry L. iBpdio 0)q)B
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Shealhing
<br />Shear Wall
<br />Framing
<br />lnsulatio n/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL //7/ lq -'m..u/)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Pool Fence
<br />-l
<br />c6lit l,'d rlE r.{srl r.suLrEB reddi.3 .st6lo! .d,v.l u. rx pplatbh lo lhi For€r
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