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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DI:T,CARATION <br />I hscb .mm unds DsEhy ofDdiury rhar I an crmpr ftom lh. comrtdor' l-ice l.{ ln rhc folkr*fu r*,n (sc 70:rl5 <br />Ilcin6r n d Prolshn ('o&): Any Ciry or Colnry *trh r.quir6 a IEnn to coNtrucl, rlrs. imro\q (hr.r$h r qsn e) <br />rurlE(F$lort! ni@c.. .lso rdturd rh. arplicd for strch pdnir r. fik r si8nqj sldod lhn lE or it 6 li.6&n tlUMr <br />lo rhc Fovi,onr nl rtr ( ontdt' s tic.nscd L.* lch!fl( 9, Comnoci+ shh serion 7m0 of Dnirion :l ot lhc Bls,nRr Md <br />PNlsion! ( od.) or rhrt lE or 3h. i. .ranfl lnEcfrom !d lh! h6it for rh. rlksdt .raj* ion An! viola! on otseinn 70 1 5 hr lny <br />t!fl(.n! tuiFm rubJds lhc .ppliret lo ! cn il pdslty ol @r mr. rhM nr. hundrd dolbr (1500) <br />l. B o*E ofrh. FrFry. or dy dn lo)c $ilt *o*6 6 rh.ir $L onFEdio,! qill & dE *dt r,'d dE tBi@. hr <br />ddxtal or.fliild fm d. (Sa 704,r, BsilB 6d Prot6b6 Cod. TrE Conraoa.liru l.g {h6 nor +ply i., otrE oI <br />rh.Flpsiy rlF t!i(hn nrlmrs rha@ d $h. r,cs+ Ert hiMlf or ha*llor lrmu*h hit M lE o*! @!10)6- <br />F.\idcd rhn uch qmvlErle mr iidi.d doEEd 6r sL l[ ho$€. rtE hrd.thg m flrt.v.lrd t$B rihbox s <br />.lurPke tlE o'rE Burb BII l[E dE Umt6 ofFrrir* rh, h. or tE dA d hild or itrFron llE F !d, Gtr rlE F,F* ol <br />l. d osE olrh. FlF r, m.iclNr.lycotudms "nh kaa.d.odr&G ro otu llE Im,dl (sa 7(ll,l.ll{all6 <br />.,n ft 6rncod. Th.contko,. L'cerl*dc@r @l!ro eo*ndolproFdret blild! o. imFo!6 rhdon. <br />ud nb oliEr' tor $ch Foixlt*th ! Co.nrrlo(3| ltoE<d FjEM ro rlE ColnlLlor! Lw l&) <br />I dnc\cmfl u Lr Sdxr <br />llaa5!8,i:lolltErs ra! <br />DECIdAAUA! <br />I h<.hy !,li.m lndd Falt' orFluD. om oltlE lolhwms d<lsdio6 <br />I h.\. ,n s ill drnrno a cdifi.d. of coMr ro s.ll-t6m for $ Drkc- ..mrEB.lnn, a Eorirj.d fd hy S6ln,n l\?L{r of rh. <br />llhr (-o<L. for rh. Froll11m. o f rhc *olt for *tih $. Fdi is i$u.<t <br />I h!!. lnd will m.inl.i. *0116 cotnFMio. iNrMq 6 r.itun.d by Sd ion 1700 of th. L,lFr ( od., trn lh. psf.m'c. ol <br />rh. *orl tor wnrh lhi! Ftir n sEd My sorl6 o'Ipssslior iMec tris {xt poli.y numb6 tcl <br />t*,. <br />\",.,^** <br />Nht+z odt <br />?/? 6r)- (* \u'G tt/:oy't <br />I (cnirylhar inrh.dtdn$c.of ih.sDrt ior *hi.hrhis pdnir is issu.J,l shallnot mpkrr inv lEnrn i.0nynr ncr <br />R, ar 1,, tE(m. Nhj(i lo lhc uo*61 composd rcn lass of Cllifomn. Md a{c thlr ir I shJlld h.{omc sbjel r, rh. <br />so'ksa.o'nportlienprovsionsolSdrcnSTu)oflhcl,aborCodqlshall.fonhwirhcofrflywnhrhotl,ov'3i,,nr <br />\'vALNlN(; Ii lur. lo su. wor[6 comFnsalion .ovdu. is rnl.wiul. dd shallsuhjct tr oDloyn l. mnnn(l |Euh6 d <br />.tr'l fincs u,, lo on. hun'ki thousnd dollds (t100.0&). in addilion to thr cost olconpd*lt'tr. dar![6 i! pnr(ld lar lhc <br />ser'oo 1076 orrhc lit{r Codc. intfte d dlonE, s fG <br />/,Y.4/t 1-'*-()e <br />r)r( I \R\lx)\ <br />I hehy.mm undd FdU olFrrr. rhd I @ li.sa.d u.d6 Fo\rioi olChlpr6 9 (.o6Mc'.s sirh s.11krn TuxD ollhi.ion ! <br />ol rh. IINN Md PmtNoB Cod.. rd my licoE s b tull forc s'd cfld. <br />,2*" <br />\-" <br />I 7)/ 7 *f/f/tt/ r h,.",,.",.. f,olp,fr*ott,*-J [a*Jr <br />qqltralclla!'IEN.ullllqElc} <br />I noEr* .lImr ufll6 FrElty of Fi'r, 'hd <br />rlE. i! ! 6dMbn lardirts .3dy tor th. pdf.ll'e€ of llE rorl for shrh 'hi rEr, i! <br />s!.d (sa 109r, (-ir (_ I <br />AITUCAXLIICIJEAIIO! <br />I H'y rrlm on& Fn.hf or Fjur, oR of $. rolbr i.s &.1&n btu: <br />Dnftrl rn Pmil''Altd6 Nolificrlrcn fqbd Rquh'iw(TnL.l0. Pd6) <br />R.quEd lttl6of lhifKdnn <br />l.drtyrhd rh. fcidrl r.3uldrioB .+..d,ns 6b6ros rm\,1&c nor.ppla.bl. ro <br />'h! <br />pqcl <br />l.diryrhd lh.rcr€drh!!9pl'c!honErdtt,lcthal \e intumihon is,tr$ I Ur.!t, onrl) tr [h all ('r] rnJ ( .trtrrr <br />orrlrrnc6 {nd Srirc lnss rchr'n3 rt) <br />rlln c mrl (,ncd f opd r- ln i6ra_l <br />i n.'.r ".,rr-r srr".r"*V <br />\*.n*-..rn.r,rr, U <br />hrrnc r.I'6orarn6 of rh'r (ir) Md ltunlr <br />o Len* 4 <br />,rrr"3/t <br />/o ls 's <br />';/-; <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads w u tq <br />UFER Ground //s ryfr 'A:flrSLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framin g <br />lnsu lation/Energy <br />Drpvall <br />Ext./lnt. Lath <br />Brown Coat <br />lrla so n (y <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL -6n //h'\'i>a LF ni4fd <br />Certificate of Occu pancy <br />Notes, Remarks, Etc.