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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BtII-DEN DEL( I'ATIOII
<br />I n6rh.rrnord rEElr) orFrurr thi Im€idr, from lh. Coir&1o6 l-kelrs n lh. f.llo$mt r@n lS<7or|5
<br />BlsinBs snd Pnlsion ( od.) Any Cily or counrv whi.h r.qun6 r lEmt lo co.rrucl. .h6. inDiove d.,nolih or qEn iit
<br />rMU., Ftu 'o
<br />iri is@c.. .h. r.qun6 rh. {rli.et lo. $cfi Fnnh ro liL r s,sn d sri.fur rh, rE or lrk ir liccnr<d I'oMd .t, rh. IsJvnrtu of rh. Cdnrrd'3 Licakn h* Ichrp{a s, (\nm.ncing *ilh S(rion 7(Xb of l)'rtirn r .frh. I}urind .nd
<br />l'lof6n'ns cod.) .r rhrr h. or sh. ie cr.npr ths.lion sd th. b.sis fn th. rlLs.d ddfl . A.y eioL'b.ofsaihn 7rrrl5 h\ .ny
<br />qrhcal tor ! Fmn rubrRls llE +'plicrnl ro t .n 'l poahr of nol d,c rhd lir. hotu!.d &ila ttrm)
<br />fu* . * * r* *-!. o, nyGmph\6 niri $186 s rhcn r)k comFsr'oi. qill& rh. $$d dn rr rBle a mr
<br />doda, or ofl.EJ foriktsE 7ol{. &BtrB ed Pr.fNk B Co& Ih.cddacro'! l-kd lltr dr6ndFFlvloino\fr ol
<br />'h. rmFdy sho ttuil&.r impi.v6 rh(arn, md wlh &'6 sr(h $6* him!.lrnr h.Mltor lhmu*h his or hd o*n.mDloy6.
<br />rorid.d rh;t such ihF\EIfu '. mi ddi.d.r ofisql for qL l( trs-d, rh. tniu'nS !r rIro\ffi is $tl sihi. od !w
<br />.fcorpku E (xF ltutl& srlll6rc rh. turldr otp.!\nE lhd lE or {E d'd Ft hrH $ in r.r. rh. FiF!} nn nr lrrFrof
<br />L osFoflh.Fopslv. .!dcn.lv codr&rmE n nh I'cml codrtuloR r. oNtud rll tmld (s( 7(rll. tld'6s
<br />6nd Pn,f(rin(i\t. Ih.(iJnrmctoir Li(.ns. L.tr do6 nor.rplth o$nnoip(.pcaysho huildror ifrptuvcarh.r.on.
<br />.nd trh..odrniforrucnrmjcrir h ! ('onrralorls) lf,ms.d lrun@i h rh. (tntdoir l-tc l,tr )
<br />1 ,"r. \1,"1!(r \flr, {'
<br />,,","(,t/'t'(.,'',.., )(
<br />I h-.b) ! mm undn Fnalr) 6i tqurt ok .f rh. lolkJ$ in* &(lmt i,6
<br />Ihr\.d*!ll@'.'n.Cdif(d.ol(onsrioS.lf-I6u,.fd$rtr|tr-..mF.dio..s,niddltuhtS(l{nr7r)O.lrh.
<br />lrtnr (iyL- for rh. Ffolrld. of rlE \.rl lor *hi.h rh. Fn( a Kru.d
<br />I hr\. ind s ill mi.trr *0116 c.mFMion iNEr.. 6 r.q!r.d br .(<l io. r 7(,(l olln hb (td.. for rh. Fa.nlfficof
<br />rh. "s.l for *hrh rhk Fmtr is is,r.d. M, $o 6 ehFMron rNultr. cdi.r rd,oli.) nlmtE t
<br />I.dia) inlt m rh. prforIlmc olth. trort for $hi.h rhr Fnn R Lssucd. I shlll ftn @0loy dy ,ttun in.ny m.nF
<br />$ E ro lEconc rubjcr ro rh. wod(6' comn .sdi6n hws ot( ilifomia. dna .116 rhd ia I {FulJ tE oru rubjel lo th.
<br />{orld odFst6. pd sioB ot sdio. r 7m of rh. kbo. cod.. I rlEll. fodhshh $npl._ * irh rtn- po s$B
<br />\l,rt\ll(; l'a'llr. to \-orc \ro,lss c. ll{nsnrk.n co\dr(c r unh\f"1. nnl rubjd dt'kD6 ro rnminrlFst6 !trd
<br />.tr,1 litrc\ 0p r, '!r htrn(l'd rh.uL,ntl lh^ ($lolr.{ri{rl. tr' atlJ rnr n.df..rn nsrion. dnmalcs is p(rkld fir (h.'""u 76.t'h. l.tu ('o!.. '.r(.sr rntl alore'i rG
<br />-, r- l7
<br />IE(]ASdIIAXIhs.bylrm unds Fully of Fjurv rhd I m lic(sd un{s lro\tion ol( 16 s q (.dmdcin8 *irh sdirn ?lxD) ollhishn r
<br />o, th. AdilB ..d Pr.fdirB Co&. !n mr lKaE ir tr tull foic. ad cll(r
<br />CON$AUCI1AN.LEU'INqjIiE!(I
<br />I 6l imm un&r Fnlht of FruD rhd thd. ir. odtudi)n Lndn! r{trr tor rhc Ff.drM. of rhc\trt hr {nth rhi. rnnir .
<br />*ru.d {s< :1097, (iv. C )
<br />APPI ICAN f Df('I ILTIloN
<br />I hd!6.v rfim undd r.nrlrv orpolrry on. ofrh. foll,,u in3 d<lararions
<br />l)dtuhrni Pmirs Aib.rror tiorifi.lrion f.il(.|R.*ul.r{ns ( tirl..l0, Pd6l
<br />lhc f.d6alr.gul. k)ns r.{r 'n! nrkrosrdn.ralruc n.r rml'crbl.n) rh'rt.rd!
<br />cdilr rhd I n r.rad rh6.prlrsrion dn i.rc rhd $.rhr. infomdion 6 con.d l.arahmmp\ \ ith rtl ( irr_.to|( ou.r\
<br />ordnlncd .nd sr.r.lr\stehnnr ro hlildinr drl h6.by.trrhorn. r.rr€glali!6 ollhis ( (r .nd ( ounry r. drd ulr,n rh.
<br />,h\'. m6r[n.n Pl('tsrv (tr
<br />'nspri!i,,i ,,.,,?'tt-r 7.\t,t'li.inr rr \*cnr sil rrtrrr
<br />*--a*.r-",,nr,, !=aerl z;4. {?t-,.r-,,u2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/Ve nVln s u lation
<br />Roof Sheathing
<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 />FINAL r-27-lg J)c,glL. erv
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />I
<br />I I
<br />I
<br />t
<br />Flood Zone Certif.
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