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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS O$NER BtU I-DER DEL('AI(ATIOAi I h...tt .frm u.d6 F..hy ol Fpry- rhd I n .rmln rmm rh. Cofudo6' l-E.e l!tr lot lh. n,lhtrin+ rmn lsd 70!l 5 lrusins lrrl ltol*'on Codc) Any ( t or cou r $hkh r.qut6 . Fni ro .onirucl. !116, inn o\., de.olilh ot tqw uj_ {tuc1uqFnront i*omc.. als. t.lunBIh.applicanl for nrhFflilk, nE. $8ncd sldoor lhdn orsh.nhcesal luntr l ro lh. ForisnrN ofrh. Co.rtub'r l-i..nrd kw ((-haprd e. (-omndciis I'lh s.non 7(xD.f l)niion 1 ofthc liunnd3 and Pmfdi.B (t d.) or rh.t lE or sh. ir .r.mpt lh6.6on !fli lh. txB ror lh. ,lks.rt .rmFion An) r it)htFtr ol S.nirn 70rl 1b tn! iriplta to.6t<mnrblcGrh. qdrcul r. ! ci$l Fuhy of mr m.. rho fi1. hun&.d dotLA I tJlx)r l, 6 o*E orih. Fotd:-, d n, mtLrc q ith $.16.r rhcr $k omFl!.tkr. $ill {h rlr $o.t EId lhc qr[irc 6 ft{ rddrLd or o lf6.n nn sk I Sa 70t,1, llBind and lhrRri,'tu Cod. Th. conurkr'r l-iccN I iu dod .o! srply to m o\n( of th.F)rdy *ho h,il& or inlio!6 rhsa'n. dd $1'o do6 ru$ s.rl himklfor hell.t thmuth hh or h( om.nFloy.6. pftn dd ths! itrIh mlror.!1ds m R id..&l oroftr.tl for sL lt lF*6s, rh. trildin3 or improLml i! sld $ ihin un. tft of conpldi'tr rh. I \F ltuil& *ill h.\r rrr h,ridr ol lh\!in* rM h. o. slE dd dn h'ld or nr+o\. fi. FoFtt tu tlE llrFa ol L s os nq o{ rh. F.pd!. tun .r(lu$.ly co.rdin* tr ( h l'..N.d codrdo'! nr rodtud llE Ford I s( 7olr, IrBmRs and PFtosFn( odr lhrConkacroar l.r.n!r L6tr &6 nor 'l)plr ro dosnc oflirop.rly{ho btrnd.or inDro\6rhd6m. dnd who conkn.r for strch r.ojdr wilh fl Conlrado( s) li.dr.n puEuMl kr I h. ( tntraclois l.icdE l.a\') I m.rm und6 Sdion vaalus5l(aut[llAllo.N[ltg.aaallar I lE.6y.mnn ond6 F..hyolrctltr) o.. ol rhc follo$m8 ddlatrioG I ha\. drl sill ruimlin a C.nilic5t. o I Congl lo srla lrur. for *Drld .onFMior. s Fovid.d aot lrq sfttion 1ro0 o r rh. l$or Co<,.. nr rh. Ffol:1tr. of rh. *o for rtah rh. Fmn i auqj I h.rc.nd eill n.irl!'n sorl6 c.nFsinn '6u',r.. 6 r<luird b SarFn 11700 of llE 1,h., (-od., fot 'h. pdrolrllmc of rhc *orl fo q'hrh rht psnn a s&d My Bo.kd- NmFMion iBuffi. cmq ti Fli.y numhn r. l.dia! rhd rn rh.IElolM.{rrfi. }orl tor ufirh rhs Fmn ! su.n. I tlull ml 6rph) d) F$. in tn\ mMm rt 6 ro b6oE $hJ.(l rI rh. s1lrl6'()nFerion l.{. of (-.l"omia Md lsE 'h, rf I slFlld tt<oiE b<llollt r0*6 comEnsr'on tmyn$m of sdion !700olrh. LLn Cod..I Curl. fonhlirh snpl, qirh rh.F provision! \ryARNIN(;: failur. tu su. wort6 cornp.roalion .ov6a$ is unla$rul. .nd rhtll subjel in o,lkrtd ro dnnin.l Frhi6 and .nil fin6 up b on. hundr.d iholsd d.Um {t100.000). u .ddnion t' !h. .o3r oi conp.neri.n- drmald ds lroridcd nn rhc sdrio. rn76 of rh. tthor Cod.. inrq6r &d,uonEy i rd LICEISEDIONIA6(fABDr(liBAIla! I h6.5y am6 ud( p.nahl olprlury thit I am licc$cd unds Fovstrn ofl hitrd 9lcommorins rilh S.dnn 7000) nfon*rn:r .f Ihc Buiind d ltore(nrCod.. md nyli.e n h lullfora.dcfl(r caBsIaiJ(IIoNrENDldli-&GEI(I I hsct'y slfm u.{rd FDlry of Frrury lh! rlE. k. codelion lodiis rs*t lor rh. Ffoller of rh. *uk tur *hrh rh6 Fni b ilsFd ts( 1097.civ c ) L6ib'3 N!ft Atru( NtDEgdSauQ! I Eq'+rJthu ln F.hr of Fjor' oE oalh. follosrns d..Ldh : I).mhF. P.m'l' A.td6 Notfkdhn r.nd,l R.3uL'hNIInE.r0. P!n6) R.qun.d I dln of Ndifrdbn I.diryrhd r& i.ddalresultrr,onsr.srd'i! islBro{ n o\(ldctr.r rrli.ihlc li, rhx prt)jnr I.dif} lhl Ihs. @drhi.rdrctlFn s'd id.lhd rrE,hnc infomdhn is $tral Lgrek' con0l) trdh.llC'l! md ( o! r ,trtlned rnd srr. l.B EhrrB ro tlitlns co'Brucl[r dn h6.l'r ruh.rt. r.F...rndn6 ot lhs Cn! ttd Codt r. 616 qFn lrE itx)\. moreD.{ pn,Fn\ nt rBF<rxrn ^ppli..nr or ^rdr srRn.rure )i P"ry 'Y\--L..- P.rmr,e n.me,prrn.: r' {llvtL--{,,)fun-,.r,'lnll Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathing Shear Wall Framing ln s u lation/Energ y Drywa ll Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL ll-z-lJ I r-V.t[\ Certificate of Occupancy \_7 I I I I Notes, Remarks, Etc.