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BUILDING. INSPECTOR RECORD <br />SITE-WORK COMMENTS OWNER BUII-DER Dfi I,CAfo1 ]ION <br />I ns.b ,ll[h undq FDxy .l Fru+ rht I n .rmd 6on tlE (bdr&lo6 l trEE lrtr for llE ldlour3 rden (n! 701, 5 <br />Bus'ns ad Pror*nrn Cd,.) Ant (-ny n (\u y *h(h r.qur6 r Fni h $ddrud, rtrG. 'nqrn\c dan.li+.r r.trtr &) <br />srtudur.. prior ro i'r i$uM.., also r.rtun6 th. rmli.Mr n{ 3uch p6ni ro nL . ns..d $.r6d rhal h. or sh. k licdr.d potu vr <br />r. rh. IllririoB of trE (-onrr&ro.s I ic6s.d ks' (Ch,r4d 0, (onmocirs trirh Sdn. 7OO0 ol l)irtFn r o( rh. Burira antj <br />Pn,ferKJtu Co& ) or rlln lr or rlE x .rdF rhF.frem sd rh. tG! ror r h. llkt.rt .tflFx,n Ary \rlriionorsd$.70!r ! b\ rn\ <br />aprlir! for r Fmh subldr ihc .rpliclhl ro r ilp.ulri"ofnor mor.rhd filc hun&.n dollEs(lJm). <br />l. a osa of rh. FnFn\. or mt mplolc $nh w.86 ! Eir 5L.6nqxMion, sill <b in sflt rn {E rMc i mr <br />ltndxlcd or 0IIEGJ fd $L tS€.?O4!, BcinB ed Pr.fdioc co& Tlr Cof,ratr s L(@ L.$ do6 .ol {,plr. r. d otrF oi <br />th. I,$rd, sho tnit& or impmvd rhdEn, ,n who d.6 r .h k* hio..lf or hdklf or th^iuAh hi or h6 om cmdot6. <br />provi&d rh, luch inpr.vnHk e n iddd.d ofidei f.r $]. ll r.s6q, rh. h dins 6r inF.mr i! sB *nhin om !6 <br />ot.onpki(E 0r (hB ttuil& qitt h.rr tlE h,J6 of p.o\itB ihi lE .r tE dil d tliu c rq.w dr F$FD- ft{ llE p,rE of <br />l, f,ro{ftofrh. Foltny. m .r.l$i!.h .odmdin* uih li.ord.o r.clm ro.odtu( rrE pr.Fd ISc 7oa.l. &sir6 <br />ad ft.tsir ('o& Thc ( odrri.. r I i(6* l-.{ d.6 mr @lt ro D own6 of rroFnt u ho b{ildr or imp$6 thdh( <br />Md *ho m r*rs lor u.h Fj{'! snh r Coddclo(s) l(6E d IIrIlut to rh. ( onrnc1.a. Lic@ lrw) <br />I dn .rml, ulLi sdn,n ,B &PC for ihir r.&rn <br />D.r. Orno <br />woRl(1-rlst-ontpr'\s{r roN <br />ulsaSaua! <br />I hd.l,! rmm u.dd Fuh r of FIuo .F ofrh. (nh\ m! d<b'd ioN <br />Ih!\.&d{illroinrrin.cdia(,r.of(o.srrosdrl6ueturorld'onpaMion,aFordaiaorbySation:r](xroIth. <br />rlt$(odcf rh.Ffolrrlft. of !h.(.ltlor{hkhrh. Fnd s lgrd <br />I har c an'l trill mainlah worl6 .omp.N6t ion insurafl.c. s r<trt.d by S(l tun ]7tr(r of lhr ljbor ( od.- for lh. psronnrn(. or <br />rh. uo,l atr tr hNh lhis FEn E is.i My $0116 comrEMion iNrffi..mK dd l{rl{v rumh< e. <br />I cdify rhr! in lh. Frfoirnan cof'h. worl tu *hich rht Fn[ 6 dsu.d, I !h.ll.or drloy Dy Fion in.ny mMnc <br />$ B ro baoru uhrd lo llE sorl6' compcnunrn bwr oa( .lifomi!, ud 33r lhd it I lh,uld b.(oru $bjd lo rh. <br />trsrtd.omFEllDnFo\iti,BotSda6.l?00oftlEl.&rC.d..Iiull.t(f,htrnh&nplttrnhltiiForBiiN <br />r*ARNINC tulu.. ro kE $!116 omFnsion 6\@r. i. unL{tuI. !,rj shlll rut'Fr u nrrhrd !o siFnEl FFii6 and <br />.r'l fin6 np lo on iundrql lhousnd doll.a (1100.(xj0l <br />ffi';ff:'i.n <br />damaa6 !' pruv'd'd in'ih' <br />Sdton \076of rh.libor(ixl..!nr6.{md.t <br />u-",,x- t-7 <br />l rt t\\twn r-R\r rok <br />t)t('t-rR\ I t(r\ <br />I hsd, lmmu la D.Dht ol Frurr rhd I o lE rEd u,i.r Fo\.nn of Ch.r{d I (coEffi'n3 silh s.dion 7( 01orl,rrtrKr.r <br />or th. 8$i6 d Pmldriod (.d., ad my k.@ n in ftrll for.. tud.lT(r <br />lii4'!i'g - n "i$K <br />(.(TNSIRUCI'ION I rNDING AGENCY <br />I hslbt srrrft un&. Fnlhy of p<jurl rhd lh6. n . coldrudi.n k drt .stry for lh. p6folr@a of rh. qnrr fr.r *'ilih lhk Fnn i! <br />BU.n {!i€. 109r, Cn. c ) <br />AIIII(ATLDICI/AAIIAT <br />Ihd t dlm u.d6 p.ntrh y of F[JUD-' ot oa ih. tull{$ i.r &(ls.l hnr <br />Dsnol,iFn P6n'rlAstElor Norific.r[n Frdslt ReuLrk'nr (tikr{r, Pd6) <br />Rqur.d I (crof Nor'li.ari()n <br />Icdrb rhd rn f.d6il rquldrFns rcredrnr ch6rosimo\.I&. n.! dppn(ihlc ro lhs Fqd <br />I cdib rhll I h!v. r.ad thn rpglf,rr <br />odmk6 rnd Srrr. tr$3 clrmg to t-r <br />rhd th. ill,E infomdF B..r.cl.l aarctommply s(hallC \dd(o nrr <br />,d hE b rurh'D! r.F.ddn6 of rhi(iy i.d C.unrr ro mid iFn rh. <br />ab\r mdtun.n pnr.n! tu mpdn, <br />\trplicitrr or \s{r sisnal r(7 /t'fl <br />Set Backs <br />Forms/Steel/Holdowns <br />Erectron Pads <br />UFER Ground <br />Subfloor/Venulnsulation / <br />Roof Sheathing rn Ut? UDz *lZn+k 5 <br />Shear Wall --T <br />Frami ng <br />lnsulation/Energy <br />Drylvall <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 lDfil ? 5 tu-u '=ir <1 <br />Certificate of Occu pancy <br />Notes Remarks Etc <br />DATE ID/SIG. <br />SLAB Floor <br />Flood Zone Certif.