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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BIIILDI:R DE'('AR"A'NoN
<br />I hdq rrm !.d.r Fnah) or p<ouo rhd I m clmF 6!n lh. Co'i,rhn l r.G h* for rh. aollo$[3 r@n (Se 70\i 5
<br />Itusin6s r*l Prof*iiotr Cod.) Any Cil, or ( oudy shich rcqu,c 6 Fmn 'o .o.nNd, ah6. imtrov.. &nolnh or rcplt any
<br />qrru.iu.. Fxy ro nr (ue.. ak rd]ur6 !h. q,rlkMt 161 3u.h Fni ro 61. . !i8n.d nnm6t thd lE or th. n li..!.d putud
<br />ro rk Frtiri.B of tlt Contsloar I 'cos.rl l,r (('lurr( 9. ( {mdtu'ns \nh sdio. 7m0 of Dni,io. r oa $. BwLs ed
<br />Pm[6sion.(odc)orrhErh.orrhcie.r.mgrh6.nom d rh. bsir ltn rh. !l!.8.d .\mptnrn AnyvnlalrcndlsdnnT0.ll5bt.ny
<br />.Il ncd ao. r Fmn sbjrlr lh. rrrlicdl lo r civ rl ,.ull y of mr mE lhd 6vt hunrlr.d dolla I lsml
<br />1.6 o*ncr oarh. Inrrp.nr-, dr n!.,nplor6 wnh wrgd s rh.tr $1. comFddnri. rnl do rhc sorl rd rh. sMw n Rn
<br />iddxt d or ofi(cd for $lG (!{. 70rI. AusiB! ind Pmf6rioN ( od. Th. ( onr.dor! Lk.@ l^r (h6 mr q'Flv lo u .r 6 or
<br />rh. r'!Ft $ ho t!l& or mFo\ 6 trrrF( rnd tr rn &6,xn *nlt hiN.rf o. hs*ll or llroll8n nit .r hs orr oplorc.
<br />povid.d rhd loch nnFovEmt & nol inldd<l or otraq.l fo. eL l( hotr -s- llE trildins dt imgrov.mt t sld N irhin n. tft
<br />oltunpldm rh.6n6 arilt uill h.\. rlE trr ld of Fnu\s lh. lE or slE dd mr t ld or iilh\t th. FoF v f.r rlE I!'r{For
<br />l. B otrB of th. Fopqr), n cr.lur tr .\ ..nir,.d!s tr''th licdld codrdoBro 6dEd llE Fri.( (Sc 7(x,1, &B16
<br />dr! Ii.ism co& In. Conlkoi! t-i.o3.l,q'&d mr rrpL lo e o*n6 olrroFly trho bu'ldr or iopm!6 rfi(o..
<br />rnd wh. codndr for such Fojdi3 wnh a ( ont6.ro(, licdrd rn6@r ro
<br />'h.
<br />( odrdoi. Licc* L.w).
<br />I ffi.rm ud6 Sdx,o
<br />tlof,f,tx5_(o!.t8EstArjox
<br />DECI.ASA]IQN
<br />I h6.$y aflinn und6 pcn.hy .l pErury onc orlhc tolloshs dcldi' ions
<br />lhav.,rlsrllmhlri!!(difioi.ofCoddrros.ltl6u.it*odar'comFrdion.sFo\dcdrort]}sdionr7(x).frh.
<br />l,hn Codc. tu th. ,6aomm. of th. so* for *hl.h rhc pann i i*u.d
<br />I hav. .nJ tr ,ll mr'nbi. *0116' (omp.N bn rBU.k., 6 r.q!n.d by Sdnn r 7(r0 ol rlE lltxtr cod.. aor rh. p.rfulmm. of
<br />rh. *ort for *hi.h rhn pdmn ! isual My $ orld- compdsrion insuoc. clFiE on Dolicy nunbo tu.
<br />c-* ?]4lP<--lat$r
<br />,",,., ",.0.:g, itl = I1
<br />) ljs Eullci5LL
<br />,.rl A 2 Lta
<br />I c.niryrh.t h rh. p.rf6rmnc. ofrh. *orl lor whth rhR Fnrn is i$u.t!. I shlll.ol mrloy any r..$n i tnynd6
<br />g' d 16 b..om rubd h tlk r. 6' (omFMion L olcrlifomia lrd !r.r lh,l if I shluld b<om subjd t. rh.
<br />so*6 onFldhn Fo$hs ol Sdiod 1700 of tlr ltbor CGL. I tull. lodnsnh onlply sirh rrb* pro\ti'B
<br />$aRNtN(: ria,!ur. r, rcu. \r.rla\, comlnsron o.\drr.! unl,\rtuI...d shall subi(r M d.ployq ro Fm'n.l ndqii.*,nd
<br />ctr'l fin6 uI ro oE fiund.n lhoand dolld: (tloo,lxxD. i ihr cd ofcomFn$tion. dm.36 a pr.\ id.d ior rh.
<br />Sdren 11076 olrh.l.h)rCd.. 'nrdd 'nd(t l-l'/_
<br />DECIJSAIJA!
<br />I hRby ailrm und6 podty otrajuD- lh.l I m lrcsE d unds Foviiioo.l( h,prd c (.ommtrirg silfi S.dion 7000).tI)nri.n:l
<br />ol lh. BGitE md kolNB Cod., nd nr lr@ . n full forc -d.(lcl
<br />\Zol"I
<br />C)
<br />"I.L
<br />(a!flf,lrc[o LEdllx(ilc[ltr
<br />I hdd,y .trm und( Fuxy of Fjury rhd tnq. i. . 6dD.rio. kn re lsacy lo. th. pqtonMc. of ll'. mrt Lr
<br />"
<br />hi(h rhir Fmi' t
<br />!!o.d {s6 1007. c'r cl.
<br />6IELI(ANLD}:OIf,AIIO!
<br />I h.rb, afm uid.r Fndly oa Fqjur] oE of llE lollo*'.3 dchnr F6:
<br />Dnoliion Pmil!-ArtBl.! Notiicltion F.ds.l Reuhl bns (1 nL 40. Prn6)
<br />R.q!trGj lnro.rftn'turlnn
<br />I cdifr rhd rh.ldidd r+uLrio6 r.srdinr 6t6k'Iffi!.1i. not qrlicahl( h lhrs lxoj.Tr
<br />lc61,ayrharlh.vcrodrhlrnpfli.arnnmdsr.r.rharrh.atsv.inlomari(ni6cor(l lagrarocomplysithdll('irr and( ounry
<br />orJiMft6 Md Srar. tr$i EhnrB ro boildne Ddir! rd lErq\ rdlF u. r.rf,.s(i'l n6ofrhicirrmd('ornrylo6taursnrlr
<br />.h!. nmr.ad proFny for
<br />I 'li.rnr nr rrmr \ir {rurr
<br />wW4 YICr.l,Ytts ^E,zyla
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing toltolfi vul14
<br />Shear Wall
<br />Framing
<br />ln sula tio n/E ne rg y
<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 />,z'-^
<br />FINAL n/A//- .ffi'A am{ "7d/
<br />Notes, Remarks, Etc
<br />(.-'
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<br />Certificate of Occupancy
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