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BUILDII'IG. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.boMMENTS (,WN ER BU I I-DER I'I]I,('AIIATION
<br />I h6.by imm und6 p...lly or Fl0ry rhal I m dmt)l nom rh. (nntrdou' l.t.e tl* 4.. rh. &llo$in8 rffin (Sd ror 11
<br />BBfB ud PrerRrFn Cod.l Ai) C'lr or (oudy rhrh r.qu!6 r Fnl kr oNrucl. rlts. irwova &,mliih or ..r!r M\
<br />nru.1ur. |nhrl. nr ieod(r, also r.lurd rhc r9r,l'cer lor n(hFdi ro nEa3'sncdndonor rhr, h.orrh. ir hc-cd nuFtrdl
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<br />rh. Fir6h6 of ilE (i,ntil.ar l.i<dsd lls (Chrri( 9. Commfflns *irh S6ti,r 7Cn0 oa DiyBt. :l o, rlE t B'nN Ml
<br />rrersio Cod.) or rh,l h.or sh. ndmF tkrom rnd rh. h6n for ih. dLs.d.rdpioi Anvrioldbnofsdi.nT0ll 5h).n!
<br />applic6nlaor!p<nnsubjdslh.applic!.lro.cirillcnrlr,ofnornor.rh lir. hun&.d 6lld ( 1500)
<br />l. 6 0$16 ofihc F.Fny. or m),.mploy6 *nh s+6 a rh.n $L $mp.neton, \rlldo ttE *ort ud rh. rhxrd ( Mr
<br />datd r orIE.d nr sk (Sc 70.11. Burl'Bl ed fr!f66a (.& llk Coflrd.ai l...e lr{ r,.'6 d {?l} ro tr otrffi of
<br />rhr tropdy *no t!il& o. nrFo!6llEsn, dy-l wh) dBkh \oll h'mr.lf or h4lf orthnush hir or h( o*n drl.)t(
<br />ro\ rLd rh.' 3u.h inrm\ffi! ft mi lnddql r olEcl tu. sh Il. lFtr6E. rlE hildrR m sFrdffi 6 $b $ ih'n onc t6
<br />.f..npld rtr rlE Ou n6 llitb nill h.E rtE hrdar oaFolins rhd h. .r Jr dd m' triu .r irtlfr\. rh. FtrFir lor rh. Bqr3 or
<br />l. B.*n6ofrh. trotdy, m crclNiEly cotuad(s *hh lrcm.i.onrNoBto codrud rlE pmjd (56 7044, AN'i6
<br />rnd hnrirh (ild. T1. ('o.lrxlor r l-'cru trs d.6 mr .ppl, ro oynd of FoFd) {ho bo,l&or mr6-rhd6..
<br />lnd who Nnt6d. for s.h Fojd! w'rh r (tlnrlclo(r) licoEd puBi6r ro thc (onr.acror's l-icd. l,i*J
<br />I 0.lcmrr undn Sc(lnrn
<br />I hscb) amm u.dcr p..rl'yor olrh. i,l[,xqr dNlarark]n1
<br />I hir. dd * ill nirnr!'. 6 ( qlilxil. ol Cotrd kr s.lf-lcuE fi, * ork6' LonFErr.. a Fo\ dnl aor s(t6n t70oorrh.
<br />L.bo, cdL. aor rh.Ffotu. orrh. *b fo.shthrn Fnd i! isu.rl
<br />I r r,o'. ."a " ,lt .",n,!,n " 0r\6 (nmrENr k{ rBute., f,r rqurtd lt s.<r i.. iTOJ .f rh. Lhor (td.- for rh. Ffolrre. ot
<br />rh. $crl r.r $hEhrhB Fmir i! sd V, (.116'(.mFlq'rn'^ru'tut.r.n'. in<l Frtr y nu'nt{ d.
<br />l.dilt rhd '. rh. p6ao@Nc ofrh. qort lor uhkh rhis Fmi itr i$al l.h.ll mt 6pl'y rn! Fmn h mt mdffi
<br />$ lo trmft subjdr k, th. *n.[d comp.r*irn lrs ot Cllifomu. dd lsr thd il I rhould b.(ore lubd lo tlE
<br />uo*6' otrp.r!.rion For ilioB of Sdhn ! 7m of rh. lrh6r Codc, I lhrll- follh$ nt coid) tr nh rhots Fo\irh6
<br />WARNING: Fi'lu. ro B@ mrl6 conpi{lon cov.r.s. i! unl.vlul. nd rhrll llhjer M nplord to dihiml paEhid d
<br />cnil fin6 tp n 6R hunddd rhousnd dolld (ot.omp.Nr... &ru*6 .s rro\&d tu rh.
<br />S(tion :r(116 oirh.l ah! (.Jc
<br />'nr-.3t turi
<br />I hcf, .rm und6 Foalry df FJUry thd I m li..rxi unds I'!,l r){connfti.s \irh sdin 7uD).aDnBion I
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<br />u6iR rnJ PDtsirnr Co&- ol m! lt.M i! n tull aor.. sn.
<br />CAISIBII(IIONIIIDIIC.AGIICI
<br />I hschy a,Im urd6 F$hyof lx juD. lhx th6. i!,.odruc!irn kndin8 rsay lor Ihc rdnrlruc. of th.rork for shichIhir Fnit k
<br />'s.d (Sd l0)7, Crv c )
<br />AIILI1SNIDES.A8^Iq!
<br />I IEu]* .rlm und6 r6.hr of Fjur! or .l rh! rou{tr Ds dc(l&!t ir.t
<br />l)oolirion Pamit*A$6ror Not'n.dhn l;cd6d R.cuLliB (rnt.l0. Pdn6)
<br />Rqutcd l.lin olNoli6carhn
<br />or lEm\.| r. mt @lr.bL h lha Frt<
<br />lE rto\r inltrtuhtr ir (n!.t I .grc 16 @opry *nh .ll Cn! rnd Countr
<br />tukl hd.by .urhori,. rqr6d6r1r6 o f rht ( ir v ind (i
<br />1*
<br />tfiot, lU t7 //
<br />Set Backs \
<br />Forms/Steel/Holdowns
<br />Erection Pads ,l.t,a \^1\
<br />UFER Ground )
<br />SLAB Floor 7
<br />SubfloorA/enVlnsulation (
<br />Roof Sheathin /rl &
<br />Shear Wall rl
<br />Framing /.8 t
<br />lnsulation/Ene rgy
<br />D itg
<br />zEil.Mt. tajl S tsArz n Ju4.a3+
<br />'Bi5wn-foat dt.<'le -96?
<br />[,4ason rY
<br />Pool Fence
<br />T-Bar
<br />l[4dicap Req
<br />Dep11!y Final Report
<br />En gineer Final Report
<br />Flood Zone Certif
<br />FINAL z 1?-/9 t I
<br />Certificate of Occu pancy
<br />Notes, Remarks , Etc, t
<br />hvL
<br />I I
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<br />I /V"\-,-
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