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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OTI NEf, BUIIl)ER DEL(' RATION
<br />I hscby imrm undd Fnshy ol Frlury tha t d .rdfl fr.m rh. Codr&1oE l,ic.* t.{ Ior rh. followl.3 r@n (S( 70ll t
<br />Buir6! uxj Prof66n ( ci.) Ary Cny o, Cou, y ufitrn Equr6 a Foit lo codrucl. all6, hp.or.. &n aih or q€n sv
<br />3rEdu( F.r ro nr isueq rlr, Glir6 rh. lpplier fDr su.h Fd h 6L . .tsnai sdG6r rhd tE or .l'. i! lrdE d po,$d
<br />lo rh. FovaioN olrhc C.trrE lof! Liccn!.d ks (Cb!I,t6 9. (immcn(ior u h s.crion 7000 ot Divsion I ofrh. Burind anrl
<br />PNr*ira Co<lcl or r&l tE o rlE B d@F llE God ard rh. b6n r.r rlE .lksai dd,Fhi Any r i.l ion olsd$n 701 I 5 b) .n!
<br />applka for a pdnn subj(li thc rrplicanr ro a.iv' I pc@hy o fnot tur. rhan 6r. hundr.ai &rlld ( 1500)
<br />l. 6 otrE orrh. Fop.ny. d m, dl,h)6 rnh sr*6 a lh.n $L onFsFn. ril d, llE *rtt,n llE s\rl@ i! r{
<br />inrod or oltacd ror el. (s- 7or4, B,!i.a d Prole(N Codq Tn. (i'nr6croi! Lic@ t * &6 nor 6,ply to d oqrd of
<br />rlEFoFty q'lE biLh o, i,rp.oE tlEEa rd sb dc uh *ort hiNlt or h€vlr or tlmu3h hi! u lE osn .f,pbr6.
<br />rrtniLd thd iu(h imF.rffi c d iddr:Ld n olrsrd ii sl. ll lb*6o. tlE t rrCrB d inFNdld ir $ld $nnin m r@
<br />ol con9lrio.. rh. osna Blildr will h.E ttF hr<tn of F.vios rhd rE or 3h. drd d tur.l or mFoE th. FrFty 6r tlE purp.c of
<br />L aown6oflh. ForEry. m.(l$iv.ly.onl.!din8 with lic.ru.d co rodo6 x' lntrdrucr rh. roj(r {sr 7044, aErdi
<br />,d hlasn Cod. fh.( o r&lors Li.a*t $drBht !pp:) ro dotrnqof FoFr! rho b{'l& or inpro\drh6@o.
<br />ud rk) co r{5 aor !!ch Foj.dsvnh. Codr.donr lE.N.d p6u!,
<br />'o
<br />th. ( onrrrroi! k.r h*}
<br />I m .rdpr un&r S(0on
<br />D.rc Ormr
<br />$oRxrrLs' conlPEfis{noN
<br />TECIAAAIIO!Ihd.by.miinund.rFn t of Frur, on. ofrfic tollo*iry dal,,lrioN
<br />I hav. dr1*nIindirt.in. CdtiaEaic of(b.st r' s.lf.lNUrc tu wo 6' comrffiirn. s Drovid fo, by 56r tr . lTLYl ol$.
<br />trtsr C6&, fo, lh. rEI(,ir11.re oarh! {$r for $tah rh. Fnn B Bu.d
<br />Ih.reand sillnrrinlah "ortrs .omrEnstionn$urin(..6.(tw.dl,_sdur100oIlhclihrCod.,ntrrh.rEln mi.!ol
<br />t\. qn'L nr trlrh rF6 r<Nr a Nsu.i ltl\ { rlqr !cn'n rMign n.u, \c(u'fl{JFltrtnl'nlnr.
<br />,^.. fttl(,)o"J [r."s tc-J.tr / /
<br />,,,,rruur<', LSLcooc{ C1 ' ,,.-,oa. I t*l 1&
<br />I cdrrfy rhrr in rlE Ffolrr@..tth. ro* for *hih rhE Frrr B isu.d.l ddlm' oryh! r! Fsn h ey ffi
<br />s s ro b..oft robjei to rh. mrt6'.onFsbn hB orcdbfomia, sd ur rhd ral nrut b.roft subjcl
<br />'o
<br />rh.
<br />N*6' comFn l ion p.oririoB of Sclirn t70O of th. lltior Cod., I sldl ronhwlh complv *'nh rh,s Fo\irirro
<br />$ARNINC fnluE ro m. *wt6 6,p6... 6ra.s. ! uL$ful, dn ]dl $bFl m 6pbF lo (l1!:@l FEl6 tnd
<br />.Nrl nnB up u on. nu.dr.n rhoo$nd dolltrs ($lu).O00), r "'1'." :
<br />.orr olcomr.Nt'on. datusd 6 trnida, fur 'h.Sar ion 1076 of rh. l,h.r (ir.lc Drq.c ud .rtom, i ac
<br />Crrucl8sE(atllA(raa
<br />DEcldaarlq!
<br />I hGby ,flim und6 psulry of Ftury lhll I M li.tu d und6 FovBnr, of ( hapr6 0 {coinhd.inrr *nh Sdion 701v'r) of Dr Bn'n I
<br />o, rh. tlosiK lrl PmaBitE ('o&, .n ny la* ! u full foK !n.lI.(.
<br />Etr
<br />% sl-r)Lc,n,b.s oNg
<br />CONS'TRUC'IION I I'NDIN(: AG}:I\CY
<br />I hqltr'.lIm osl.r FiEhy olFruD lhi ltrq.6. erEtuclDn l.njins asdy aor rh. Fr(ffi. of tlE $ort ,or trhi.fi rtu FDi 6
<br />isu.J (sd .1097,(_i! c )
<br />dIII,I(ANLDI.lIAAAIIA!
<br />I hodyltfmundq Fralry ofpgJury o..6llh. folbwi.s &cl& tutu
<br />Dsmlnion P@{}Asbda Norli.dion fak:l i.SulaioB (Idl. {0. Pd6,
<br />R.quEl Lald of fdr,Ecdbn
<br />I csl rfy lhd lh. lcildll rcsulolioE r.s6dins 6b6lor rdnoval uG nol asrlicabl. lo $a pnj41
<br />+ I (dit rhd I h.'. Ed rh6appli(diondrtnar.rhdrh..t r.m6tum.Bcorel I 6src ro m,inly s(h ill Cny nnd ( ('u )&'l,Ur6.hl shr.lrB rcl,r,U ro tuld'.x (odfudnl\ ad h@t r.urhrn. EF6c.l!liv6 of this (-ily&d Coul] ro dr6 qDn rlr
<br />ab\c n6tirEn p.on n) f.. mp.clFn
<br />Arplldn( or Asdr slsnrr ur. !4
<br />Pemllft n,me(prlnll: )(\J:ur\.",oE-o-D
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<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 C/zt//9 ,,"(.LZ w? ,/
<br />Certificate of Occu :pancy
<br />Notes, Remarks, Etc
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<br />II
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<br />I I
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<br />II
<br />,.,., OB - o) . l1 L
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