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BUILDING- INSPECTOR RECORO <br />SITE.WORK DATE ID/SIG.OWNER BUILDER DEL('ARATION <br />n hr.br lmm !nd6 p6r[y ol Fju.y rhn I m .r.mF fr.m rh. GnrdoR LrcG tA to. rh. foll'triru l.mn lsa 7rr!1.5 <br />t!dn6. rn l,rofs.n Cod.) Any C y or ( ou \ u'hEh r.quu6 a Fmr lo mn!tud. ilrq. nnrr.\c. &inoliih or r.?.r'.!r <br />sltudu,e Fior $ nr neuecc, atlo r.!un6 lh. er,lkd for 3n(h Fmn ro lil. . !8..d srd.ffir rhd lE or ihc 6 lrccGal ,uNd <br />ro rn Fnbio6 of rlE ('onrdm ! l-i.63.d l.* ((nrrr6 9. conmmrS snh Sdirn 70I)0 ol Dnirirn ! of th. Buri..s rnd <br />PnrNFns Cod.) o. ttul h. or 3h. n .rmDr ths.6om ud th. hais nn ltu sllq.d dmpl i.r. Any riol.lion of Scd nn 70ll I 5 h) sn! <br />appl(Ml for ! Fh'r 3ubrdr rh. .rplt.nr lo ! dv 'l pnlhy o f mr Dor. rhd lir. hund.n doller (1500 | <br />l. s oMs oflh. proFny. or m, mrlo}c $nh ".s6 a rhlir skomFMion. $lll& 'll f,cl dd rlE rnrlE ir n{ <br />darld, m.Od.d forsk(S<?0l., Bxr'lB ed P.naBioB ('od. IlE( ontri..! La.@ lr\r d,6 nor ,pply !o M.sndot <br />lh. rmrEl, who hrilth or i,qr.v6 rn6r( d sho rh6 sch Nlt h'm.lf o. h*lf or rhrou3h hh or iE.$n mplD6, <br />,rovid.n rhar $ch 'nrm\ffii e mi dqd.d o, on*d tur d. la huns- lh. hritiu{ or inl,o\qrEd n $l] \'irhi. orc \w <br />olconpkrE lh.(\F tluilds will ha!.lhc h!&n ofprouns 116 h. o..Jr dil ft, hlitj or nFro\. dE !mFr) tu lrt prrF'* ol <br />L G.*@ ofth. FoFty, @.r.ldn.ly codi..r'nr *nh licd!.d conrrcrrE ro flndrud tlE F.F ls( 7014. Udrc <br />,'d r\obelhCo& !1'c(o.l.rcl.rr Licds l,u do6 mr rrrlyto d.an6ofFoFnywho boildror improvBrhq6n. <br />lnd *ho ..dtur f.r ru.h !'DFs wnh r codr.do(r) lils.d FI:ld to rh. (-ofrdor'. l-i.e b$ ) <br />I dncrcnr u 16 S(non <br />D.r. ()ntrd <br />\!oR|(FRS (On'FENSAIION <br />Dlrglx^r(l! <br />I hq.b] a mrn und6 psEh] ot psrrn om o ft h. nnbr irr &rld8l ins <br />Ih.r.rnsillmin'.ir5('dir{d..acoMrhs.lrIBu(tdsort6'$f,Fsrr,atmlid.dfirhtsdlionl7(nolrh. <br />t t r Co{a tu rh. FfomM.. ofrhc *rrt( fr *hrh lhc psmn i Eu.d <br />I h3v. md will mrinllin *0r[6 compdB.lion insurn... 8 Equn.d r,r( Sd! ion 1700 of <br />'h. <br />L.br Cod.. for ln Ffom c. of <br />thc swl fo. uhth <br />'h6 <br />p.mn 6 isr.d My N.l6 6nlEM{n iMft..rrirui D.lkt numtE r. <br />I cd'fyrhd in rlr rdaorturc of rh.*o* ror *hahrni! l. nn R islcd.l slullNr dpbvrnt Fen in.n\ ruFe s t' tEom shii tu !h. r.116 .omF$dhn ll!. of ( rlifnmia &d.gft lhd if I $ould !aom. $bj6l h lh. <br />uo*sl comFdsilro. rovnoN of Sal ion r 70O of rh. lrirr C.il.. I <br />\\ARitlit(; Ij.'|trr. fu sur. \orl(l c. rr-Ld <br />to <br />I hdhy lffrm urjs rFllly of pqrury rhsl I dn licctrs.d !nd6 provtion olctios 9 <br />or rh. Aurins ed PmfdrB aod., dt mJ lk.* ! in tull forc.,n dld lNmmtr,n* <br />*irh sdn" 7qr.D orrr,'*M I <br />1",I"'i'o\ <br />eAu <br />L1+rz ( <br />L.Z <br />\ <br />qa!srarql0!.t!!u!GAc!!.Cr <br />I lE.t'y rl|im un<l.r Fdly.l FJrr.v lhr llE L.oNrudnr hdins rstry tor lh. DqlorllM€ of lh.sork tur"nichlnirr6nh n <br />isrucd 156. 1097. Civ. ( ). <br />AIIUIANLDICJJAAIISX <br />I h6d,' .flrn ur& pcluh, of Fjur' oE oa <br />'h. <br />folloN in8 &rlsi h.r <br />lx,mlniof, P@n*A3tr$os Noiili.ar irn li{dal Rcsllltion! (T[1..10, Pan6, <br />Rcqut d Lnr6olNorricliirn <br />I c.n i^ thal rn fdsd EruLrioB r.lddiry ertEeos rmo\ rl ir. n l ltT'lic.hlc to lhts pNlBl <br />ordrnoncBandSldc L.ss <br />rn. nhrtun.droFnr <br />App$onl or A16l ShMtu <br />P.mhFr.d.tpnrU: <br />lo FT; <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulalion <br />Roof Sheathin s <br />Shear Wall <br />Framing <br />lns u lation/Energy <br />Ext./lnt. Lath <br />Brown Coat <br />Mason ry <br />Pool Fence <br />T-Bar <br />tlandicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />FINAL /a -/lh s.Da t*z**l <br />Certificate of Occu an <br />Notes, Remarks Etc <br />I COMMENTS <br />1)\-A^) <br />w b&P <br />Sel Backs I <br />I I <br />I <br />I <br />I <br />I <br />QII/vall <br />I <br />I <br />I <br />I <br />I <br />I I