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SITE.WORK
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Ene rg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />i,4a so n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />.A
<br />FINAL 62110 /--{--?.-,veABlo41/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />()\\ \t R lrt rl.Dt li l)tl.( ,rR r I l(r\
<br />I h6.,1' rrtuin uftld FnalD oI FiuD_ rhd t n doF froi rh. (nnrrdoB Li(.E l:s aor lh. follosinrt ras. (SR ?0ll J
<br />ButriEs ,n Profdhn Cod.) Any Cily or Couniy *hEh r.quiG r Fmi ro (odtud, .ha. anproie .hmlieh o. EIntr o!
<br />srruciu.. I'u ro r suM., .t!o r.qut6 th. s tet foi luch Fnn ro 6k a itftil ndffil ltll h. or sh. b li.ms.d tuBd'
<br />ro !h. rmrihB otllE Conirxlf'l Lkd3.d trs ((1.F4 9. ( olnnldcra wih s<hdn Tu]{r of Dnn'on I olrlE lrdilld md
<br />t\of*his Cd.) or rh,t h..i !h. Lr.r.nfl rhdcliom ud lhc bds r$ rh. .lLg.rt .rmplhn Any riohlF.olsdrn 70ll 5 q( int
<br />.pdi.. fo, r Fmrn subj(u lt. l,rrlicul l. ,.iril I'.dht of nor mr. rns fi\. hudad dolld3 ( t500)
<br />l. s otrF of lh. FoFnt, .r m, mpkrr€ w h w46 N tt.n $k .omFMbn- \ill do E qn tn rlE tnlaF i. mr
<br />ncn d M ofis.{ f.r sk (sa 7044, B8ind sd Pr.fshE ( o& 'l-h. Codd 't I iGB tls &B mr .pttl} lo i. oq.d ol
<br />rh. FnrEry sh. tuil& or oFr'!€ rh6ar in sh &E sh rqt ti@ll.t lEelf oi llm!8h ht or hF o*, oplny6.
<br />provid.d rhsr pch mFnrqEd! cd iddrlqj dotuuj ntst.lf. h*46, $G trildins or inF$cndr ir sld *ihin.m )u
<br />oa.or{,d6tr ilE o.rE Buildd srll h\r ll! htr(b of Fnrine ih, h. or sh. dil mt torld or inFort dE [mF!y tor llE tuIE .f
<br />l. G o$ nq orrh. Fatdry, m .rchsiv.ly conlrditrs s il h l(qn d co rdoR to cor*dcl tlE preJ..r (Sd 7o4n. Surnd
<br />dnd h$&sir ( .& t h. ( onl.rlor'r Li.u l.ttr do6 m! ,Frly ro M oN ns o f roFrv wlk) l,uildt or inp.ov6 lh6@r
<br />ed stF o'rtEG ror sch Fnl<t3 $nh . ftffiorlr) hcard Du@{ 'o
<br />rh. ( odrdor3 Lt* l,uJ
<br />I rtr, c\citr ' n,ls S.ru,
<br />Drr. ()ind
<br />$ oRxF.Rs' ( o[t PLtisair(tN
<br />alioJxallo!
<br />I h6.iy rrlirm und- p.nilt\.lnalu,].nc.lrh. (lk'tr'ry d(l{!ri,n3
<br />Ihrv.lrrsill im.in. cdrfrd. ofcoEdn lo S.lr'lrut fd tro 6'clmFMn,rs rofld.rl for btSRIio.17(xl oarh.
<br />t,hn Cdq lor rh. Fflme..f rh. No* for rl'ich th. pqi 6 isu.d
<br />I hr\.and srll mrinr.in workd codp.(di.n i@6ft., r r.qon6d b! SElhn r?00ollh.lihorcod..lorllEpsn,r@..oI
<br />rh. *orl( Lr whrh thi! Fmil ie ist d My *dl4 @mFsio. fturkc cmir dd pnli.y nmtF dc
<br />,^* ' C'p47> I^> to
<br />,r,rr \,nrhcr, {a'LW$0a91 ',,0,*
<br />' !: \:\E
<br />I cdit$d rrlEFtunrft.of th.ro for$hichlnispqn B B!u.d.l.hill dn plol. lny Dq$i in tnt mmF
<br />F sk'tE$m. bdrorfic*o d onFldm. h*r.fc,llomia lld !*r ltll ial {Fu! b.<om sbicl lorlE
<br />$irl6' mmFMr6n pmvnioE of St(rFn 1700 of th. l.t{ (-dL. I d!ll. fofrnqnh sipl} *nh rlbs pmvti.N
<br />WAiNINC: Failu,c lo su. $Mla on{EGrnn N!.r.rr. i unt.r'tul. d $all 3ubi.u u d.plo)s lo @in l Fmti! lrj
<br />civl lin6 up ro or hu*h.n lh.Nnd &'116 (ll
<br />sNrk)n 1076 otrh. trt Cod.. i.t6d ud.troe
<br />i. lddnbn h rh..d of comrENrtun. dtnq.d a pro\ii.d nr lhc
<br />0 -tq-
<br />I lErcq_.ffm undF rErlrt of Firrr rhd I m licaql uods F6\s.n ol(-h,fla g{connwi.s \nh sa1irn,0(N)) otDtrF otr lr
<br />of rh. U6ms ud P'of6.N Q'd., tn m, lte i i. ,ull foN tn.fi.d
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<br />t rcnr. Clis
<br />D.r. ---t0-lQ-tr
<br />Q?trr1,
<br />04 U.lzn [4 o" ri^)
<br />coisr{ucIloN LFrlDlNc acliNcv
<br />I h.rtD.rm uflrs ltull} of FJUry rhd rha. B. oNructior t dux tstut lor rh. pcfollffi. otlh. sltl tu qtkh rhit Fni i!
<br />i3sal {sd :r0)7, Civ. C )
<br />I -rlE'! Nm.
<br />A[t.tgAELDECL6lArlO!
<br />I ho*y .fim undr palhy or F jnry oB of lh. lolhwiq &.|&.lhB
<br />O.mliri.n Pmnt-Asb.n6 llorilic b. Fcd.6l R.auld io.. (Tirl. ,10. Id6l
<br />R6qrn.d kri6 of ticrinclrir
<br />I ..d! ift rh,l rh. lcd6d r.8ublbE Esidis 6t6roi '!m\d @ m' rpplic.bL lo rhi! pm)..r
<br />I corii rh,l I h6< @d rht .pplkd ion .rd rl.l. thn llE .h* infonn bn i.nr6l I .eE lo.oiq,lt snh lll chy &d Coun'v
<br />.'(lnrn.6 rnJ srarc li\\rrldn! n' hurldor r.FMrdtr6 olrhls Cil! int ('ounry ro ard trlr. rht
<br />:::ffi:,)1Lils,/
<br />(/-/ii
<br />DATE IID/SIG. I COMMENTS
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<br />SubfloorA/enUlnsulation I
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