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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS o\ NEn a!tLDl:R Dt:L(-/\&{T()N
<br />I hddry !flim und6 poally ol pdjury lhal I m .\dn0 ftom th. ('ont.doB l,i(ov l as lor tn. nnh* ins ..N,n ( s6 70.r 1 5
<br />B*in6r md Ptuli*non a.d.): Any ( iry ur Couniy $hrh r.qutro a r'.mn h cohrrtu.r, alrs, nnror., ddolirh rr rqEir m!
<br />sltuclur.. rrFr h ir3 soe., 6llr raFt6 th. qltJl'.d lor su(h Fnn ro fik . 3r$.d ttddd rhd lE or sh. t liracn puMrd
<br />tr rh. F.\6io6 ol rlr ('o.krr( s l.r.ns.n L.l l(Xqir 9, Comifti^B u h Sdrk. r00O.l DiriFn I ofrh.lturm6r ind
<br />hor*x,n! Cod€ I or ,h!r lE or dE B .rmri
<br />'lscfr.m.nd
<br />rh. tB! tu rh. !lk8.d .\dpl ktn Anl \nhliotrofs.n$n iorl 5 b) anr
<br />affr'..nr ror a F.mil luhrerslh. iprli.lnr ro ac^n p6!hyorml nw.rhu fi\chun.trd doll.d{t5lxi)
<br />l.6ouEofrh.rroFnr.ormtm0h!c$irh$636arh.irrn.(ompc.*6n.rill&rtlE$o drjlh.du-lu.6B!
<br />'dolld orofi6.d l[ elc (S<.7Or4. Ituri6 ed ftorN{B Co& In.Colnrrrorr l.(o* t,\ d,6 mr.prl! t, d 'sk.frlE F)Fn!. *tntlo l o mFotB iE.E d tr tF &E sh sn.i hnn<lf or h<Elf or rhmugh h'r .r hd orn dph)6.
<br />rmrklal rhal su.h imF.\ffi Eft ndrlol nolErd for sk rl lhs66. rh( hnumr or mFordE neBtrnn'n n.!a
<br />.t$mpkion $c (*\ns Ru'lra trill h&n rh. hnlr of ovins rh, IE or ilr d'd d hild or inqn vr rh. rNFry (r rh. pq$k oa
<br />L a.w of rlE rrr'rd,, m.rcl[nr! codrd h8 $nh lt6E n .odrkm ro codtud rlr tmFl {Sa 704r.06i,K
<br />,nd Atrki6 Cork l lt ( o.lrtor'r l-rc6E L.* &E nor lpplj- (, e.uE of lroFlr_ n ho bu'ldr or mproc rh6dn.
<br />.nd sho omd! for lucn Fnidr s nt r codrdo(3) lic6!.{ pu6ar to rh. (id,.do.s Lkm€ liu )
<br />I m.ldnpr lnds s(rt.
<br />D.r. ()'n.r
<br />\l0llttRsi( otlt't\sarIoN
<br />DICIAIAIII]!
<br />I ho.h\ rflnm und{ tE' ky of IF ln } on. o rlhc ldl$\ 'ry d(lariri'n,\
<br />I hlvc d s'll Emrlh ! C..rrfior. of C.Mr r. s.lr- lMr. for so.LG mnrElnIn. a F!\ rlqj t\r eq s(r6n 1700 o t rhc
<br />Ijtx! (irde f rlEFfolrllm.of rh($oit for {nkh rh. FEi k su.n
<br />lha\.and\rlln,ainl.'n *ork6' con,l].nel nn nrtrrrncc. s r.lutd hyS(rnn r?lr0 olrh.l ntxn (,x1.,16rrh.t ltnnrii..ol
<br />rhc qdrl fir*hrh rhis lEnnil is nsud Mv$ork6 c.'n,Ensrion iNurnn(cceE dllr,l'.! nu'nhir rc
<br />I ccnify thd in th. F.fornrN. ofth€ $o* for (hi.h rhis Fmir is i$u.d. I st.ll not orDloy an! rEron in ary 'nann6$ 6 k' [.r.ft luhj..l ro rh. * nn6i comFB.rFr hu i ot Cal,rom6. rnd 4c rld ,f , nriuld h.r.ft $hrdr k! rlE
<br />$.rld conqtuhi tr ni6ofsqrhn I7mofrhc l*nr Cod., I slstl, fonh$ h ()mpl! \ th rh'*,ro\ 6ioB
<br />uAtNlNC lailur. n, <8. sort6 cooFsn. cov@3r s lnLtrful dd 3ndl rubr.d u dpl.F 6 snn'ml FlBlrB and
<br />!h. cos! o{ rrmp.@hon. .t nisd a ,,rN id.tl for rh.ZL.rLl lin.\ trp n) .a.1,o rd rhotr\iD(l Jolla( (tl(xr.r)lir). ,n dirtr
<br />S.1r o 1076ofrh.lrlrn (id.. 'nr.r$rdd a orrc)'s1.6
<br />o.'., 4- (?:t
<br />D!CIJtr{IIA!
<br />I ha.h, amm unJd p6Ehy of pajory lhd I m li.men undd Fo$on of('hapld e (om'rmcinS qith scclion 70(x))otl)r\sion !
<br />of rhc I]$iBr Md Pma*ioN cDd., nrl my lrok i! i. aull ror.. tut.lId
<br />r."*" ct* P
<br />u"" 1-t?-1l
<br />/ao
<br />I ffi! lttm un& Fnlhy of DsJlry lhi ltE! E ! olErudb. Lndns .{ocy lor rh. pdfotuc. orlh( $ql li'r rn(h rhlr Fni n
<br />isso.n (se 1097.( i! c )
<br />aItLlq6!L[Eg,68 I]A!
<br />Itorl,y.rnn u.dc p.i.hyoapdjury on. oflh. aollowinS d*lfdbn!:
<br />D.n,lrnon P.mtu Arh. rG Norin(lrhn t.d6rl R.Sul,(,ne(Tirl.40. ter6)
<br />R.qur.d Ldrd dl uti'fdh.
<br />, cdiry rhal thc laJ6al rqularir)ns r.Strdinr rsh.sN rono\a|fl. nor iptlicablc t' ihN Imt{l
<br />l.dif\ rh, I hrtcrcdrhr amlicnnr lrr
<br />.rd,mks rnd Slal. I i{ ! Gld
<br />'nA
<br />ro hu,ldm! c,
<br />! rrh. rfu rt-\c rnl,m,rrkr tr I4rft ro (nnpl\ sirh nllC \ inl (i{'nr\
<br />trdofrhtr (,i) ind( ount\ t. dr- trNnrh.
<br />ah.\ . ,Imr nn.d poFn ! n, Dspd
<br />Appll$nl or Ag€nl Sllnriurc
<br />^J,'-
<br />.,,. f-t7- /7
<br />arL.7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />flaming
<br />lnsu lation/Ene 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 />FINAL ll-ao-n Y.W1(\)
<br />Certificate of Occu \Jpancy
<br />Remarks, Etc.
<br />s7@ 7
<br />I
<br />I
<br />Notes,
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