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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulation
<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 Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate F '.:p!RF
<br />F -120 l9
<br />FINAL
<br />Certiflcate of Occupancy SAlvIV
<br />Notes, Remarks, Etc.
<br />Omr-Build.. Del6!ion
<br />I h.Et, .flim undd pailty ol pGjury lhar I d .rdpi fo8 ln. coitdo6' Li.aG Lr* lor rh. follo*in8 (aon G(.'701 I t Eurinat
<br />ud Pmfqiq Co&)r Aiy Cny d C@ity phich EquiB . pcmir ro .o!tucr, !ll.r, iip.ov., dholhh or rcpdr &y .lfu.rurc, prior to ia
<br />nt6c., ilto EqliE 6. .lpliol ad tucn Fmit !o fi1. . ti8..d lr.Enar $1 h. d rh. ir li.6,.rl puduMr ro th. pbvirio8 of fi.
<br />cdmcl ! Lha&d r- (ChrBi q Cdntucins ,ith Seri@ ?000 of Divirio ! of tG Bdii.$ nd Prcrdlidr CodO or rhd h. or
<br />rh. i, .r.r,pi lhclflw id |h. hait fd lh. nl.8.d d6' @ .Any eiol.tion of s.ctlo^ ,0! I 5 by my lprlicDt 16r . pnn rubj.cB th?
<br />.pplitut io r civil podty of not ocr thm liv. hmdr.d doll8 (troo)
<br />_1, N Md ol tn. ,r6p.rry, e o, @ploy.6 with w!86 a rh.ir tolc @hr.nodon. *ill do rh. *o* rnd lh. xtucruE ir nor inr..d.d
<br />d olLnd f6 ,!1. ( 5(70a4, Buicr od Prcfarid Codq Thc C6ricrd! Li.dr. Lw dar nor .pply ro & o*n.r of d. pDp.'ly
<br />*ho b!il& or idprcvo fi.lM, md who &d !6n edt I tudad nd.lf c rhrcu8n hh n hn own.hploye!, p.ovid.d th ruch
<br />imrrovmdl! e not inhd.d or oflfrd for ,t1.. Il, how.B, th. blildiiE d iDprovdcir h lold wnhin oic ycr of complcrioi, rhc
<br />Owns-Build{ willhrv. rh. blrd6 ofpturina ttit h. d rh. nor buil.lor impror for rn. rlrpor. ofil.)
<br />*1, ! omd ol ln. p.op.r9, e .r.lqiv.l, 6tr*tins rnh lienr..l 6hcrd ro cmltud th. proj.d ( S... 70.4, Bcin6t ud
<br />Proft$if, Cod.: ftc Coil! ctor't Lic. . L.w &t' not.Fly to m wM ofrop.ny who blildr d idprovB th6ei , dd who
<br />co.t'clt for ruch prcjccr ei$ . Corh&G(, licd.d pu lor ro th. Cor&ro.'3 Licns. L.* )
<br />_l m.r.hpr und.r s.criq-8. & P.C. fn $ir r.aon.
<br />l{Oll(lls coMlfr\tsATloN nEcl rmTIoN
<br />I h.r?by .mm u.d.r Fr.lty of Fju., 6. of thr aollryi.s ddmis!:
<br />_l h!v. hd will hiLl.h r C.nifioE of C arioS.l noc fo. pdt d' cohp..$tion, d prcridcd fo! by S&tion 3 7oo of lh.
<br />Llbo Codc, fd rh. P.'fdfu.. of lh. *dt for *hich $. D.mit t isr.d.
<br />_l h.v. rnd *ill mint.in wdtm' cmp.nttrid i utue,a r.quiEd by S.crior 3700 ofde Ltbd Cod., fdlhc r.rfm6nc. ofdc
<br />work ls *bich Iht pmil ir itlu.d My wo.kd'cdpdtlrion i utuc. chicr dd polic, numb.r.r.l
<br />b. @md.r.d il rhc Fnit i fd On. nun&.d dolla {t t 0o} d l.s)
<br />of dt. wort for which lhi! pmn L iru.d, I nploy uy p6ro. in any
<br />hBof C.lifohi!, lnd lgrc. rh.r
<br />lh. L.bo, Cod.,l rhrll, fodr*i
<br />*oil.u' codp$r.tion covds.
<br />hun{k .l lhourbd dollo (1100,0m),in iddiion to
<br />inrnd dd.nom.y! f....
<br />I hd.by lllim utdd p..ity ofpdjury $it I o ltdlcd undd p6vi3i6 of
<br />th. Buri.d Md Prca-ri6! Cod.. Ddhy licor. n an full fd.. xd cf.ct
<br />Ch.prr 9 (comm.^.ing wnh S.ction 7000)
<br />of pdjury rhir rh'. t . cohnrudion p.rfm!n..of Ih. wdk lorwhicl rhir p.mn h
<br />, civ c)
<br />A}PLIC N?S DECLAqATON
<br />D6olili6 ?mlti"Arbd6 Noiifiqdm F.ddl R.Bul.dod (Til,. r0, Prl 6)
<br />_ lcquicd Lns olNoilicdid
<br />-2r{^^ ^, oo^r.p.tr6r rc8dm8
<br />a l c.niry rhr I hrE ad
<br />'nl!
<br />rroldrid od I lgr4 tocohply wnb dl
<br />(dio6c€ mdst!r.k* EIninS rotlildjiS
<br />rbovc Mrioi.d prcp.*y for iDrp..tiq )<-
<br />IT
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