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SITE-WORK DATE ID/SIG.-!'MMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground I
<br />SLAB Floor ,?4/J.r4 *fi)
<br />SubfloorA/enUlnsulation 1
<br />Roof Sheathing
<br />Shear Wall ,1
<br />Framing </rt,.&,.r7)
<br />lnsulation/Ene
<br />Drylvall i/iq //i Mq,-;
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonr
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Re port
<br />rtEnineer Final Re
<br />Flood Zone Certif
<br />L.y*\)FINAL z/ts/ti 4)
<br />Certificate of Occu pancy / 7 ,\-tvt/U
<br />Notes, Remarks Etc
<br />O\{'NER BUILDER DETTCARATION
<br />I h6.b, .mrn uidd FEhy or p.rjury rhrr I d .rflpt frcm rh. ( onrr.croB l rc l,q ro, thc nnh*ins r6sn lS<70!l5
<br />BBind Md Profdi'. ( o&) Art airt or (-oud, tr hrh r.{utr6 ! pnn. ro codtud. .nd, mFovi &iml6h s EIln u\
<br />slruclue rrior to rs is6c.. ds. r€qun6 ln .0plicsl lor skh !.flnil ro fik d sisn.d rdmd rhrt lE or sh. b licaEd pu6@t . '
<br />ro rh. For6i)6 oa$. (-onr(rd r l.rcdid Lrtr (Ch.r'r6 9. aomtrrns s(fi scrri 7000 ot Di\lion 1 ofrh. adindi rnn
<br />Pnf*ion! ('od.) .r lhd lEotrh. ir.r.mpt lhd.frnm and rhc h.!* for rh. all.sdl.rmprion Anyri.llri.nolsdt'n1011 J hy.nv
<br />,p?li.!ol(r,Fnilsutdrlhcqrl,curro.ci\ilp.rh!olmrmr.rtrfi\.t!.&.d&'ller(1500)
<br />l.sotrEorlh.FoFny,mmydphr6rnh*u66rh.tbkomp.dion.{iU&tlErrl{dllErde6m'
<br />darLd or o,fd.d for sE (S{ 7(!{. BBinB od ProfdioN Cod. I1!. Codrlclor! Lk* Lu &B nol 4r?ly lo .n o\ ns of
<br />th. rFFl) sh tlilds or nqmv6llE6n. rn s hd drE cf,h w,l h'elaor lE*lf or rtfiuah hn or hd o*n .ry'loy€,
<br />pr.! rLd rh,r ruch urp.olsEtu E ml iidrlql or olErd rd $l. l[ t *66. rrE hlnrrB ( iqr.\ffi a $tl *ihin om ]6ofro'IpLl('rttE(hq6ltlitjq*illlur!lh.htrddrofpft'vrsrhirEorJrddnorhildori4ro\.rh.t,Fryro,rtrt\[p.ror
<br />l. 6 N F or rh. teFty, dr crclWir.ly mnrr.dins s nh licqE d od.eroE !o oldMi rlE Foi.rr (sa. 7olr. &6,6
<br />a,ri t'bf6.mCo.!. Ih.cont..ior! Licns LrN do6 L, rp?|,r. &ow.d olFopdrytrho bundsor 'mpr.r6 rh6on,
<br />M.l $h' cddr.ds tor 3uch Foj.rti qlh . Co, .*loi n lkd!.d !{ru.,n ro ih. ft r[lr'sLt.NI.\)
<br />r r .\(trr|i un !i srdilr .lr & P(- forlhis req,n
<br />D.r. Orn.r
<br />\r'onxrRs ( airPrNi^ floN
<br />Dfct 6&ula!
<br />I hrchy amm unds tor.llyol p<jury on. fllhe nrlhring ddlritiotrc
<br />I har.udu,ill mainl.rn . ( .nitlcil. otcolFl h Scll-lnsur. an qo 6 c.mFnsdio.. N Forid.d for hysdnln 17(xrnirh.
<br />Iihor Co,je for rh. Fforllltr. oarh. $r.t lor trnkh ih. Fnn i! su.ri
<br />lhavc. lnill'nainr.'nnr 6c.mpcnqrionrB!r..c.-ar.\tutr.Jb\SNFn17(Dotrh.lil{r(o'j..forrlEpdf.mrr.of
<br />ih. \o nr tr h'.fi rhR ,Erni E andl Mt \ ortsr' .omp<f,dFn iEuram. rurd dri B'l'cy numhq r.
<br />,.,- r [\5<e1 t*5
<br />0,,,,.,"-.,-,(19Ftq]. 2ol') ,..",,- 3 -1 -! $
<br />l.diryrh, in rh. Ffo'rur. olrlr eorl ld unil rtn Fr'l i. su.d. I sl.ller dnph) rv F$n in r,) . F
<br />s slo tE$m. rubid to rlE so 6 <omp.Mi.n ls:ofcrlifomia ind*Rrhd if| sh.ld b.rom. shi6' t'
<br />'hc*,ort6 comFul k n tmririoB of S..l io. lT00 ot lh. L,t r ( oda l itrll. fonhwnh complv w n lhor tmrnioEuARNlr(: FahE l. tw wrl6' @6FEdnr Nr.r.r. ir urLstul. r.d ndl sbi.rl e oph)s lo dimind po{l6 &n
<br />civil nn6 up ro on. hundrcd rhoed dolla^ (5100.m0|. in addnioi ro lh. cosr ot comFE ior, dlrus6 d prnrid.d lor rh.
<br />Sdx,n:1076 ofrh. ti.r CNi(. 'nrdd rnd_\?
<br />!,Il_L !tul!(tl
<br />I hqd,) .llrh ufrla pc..hr o, Fjur) rhd I hcdE n lndd Fr\ii'n olcnqrs q lcomnftrnx nnh Sdnn 7400,.f|)nrFr r
<br />or lh. lnFin6s sd PofdioN(o&.dd n!licmk b 'n lull nr.. r.lIdr
<br />k.trlc{,ss : hDr,c W-Lo-17
<br />lo Z*LLz-
<br />ralirBtLrradltlDldc-Act!(r
<br />I h@try rmm undd F.ht ol Frjory rhn 'h6.
<br />n . o.ntudion Lnding rgn, for rh. Ffnrljle. of rh. $dl &1r eii(n rh! rEni t
<br />isu.d (s( 1097,civ ( )
<br />tft|.l.( [LIECIttrAIlA!
<br />I had, tff'm uds porhy of Fjury onc ot rh. followins d.(ls!l ions
<br />Dcmhior Pm s-A3tErG Norrlic.rsn t.d6!lRCIILIF {1 1..10. Pd6)
<br />R.qund L.llq ol MriiftdEn
<br />I .drit rh, rh. fdidrl r.ruhtnr6 E*tdine al$r.. rdo\ sl &. nn q,t'lf,rbk k' rht JnoJd!
<br />lcqlii rhd I hrvc ranl thb lrplkdion d r.l.'hd ih. drr. inf.mrnrn L cotr.d I.*iaro comply snh rll ( h) &d Counlr
<br />odium6 a.d Sr.t. l$! Ebr'tB
<br />'o
<br />h di.8 rordtudstr an h.r.t, rdls.iz. r.F.shn 6 o f
<br />'hir
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<br />-(lqrqe Qc\bo*cr
<br />-i uro e7
<br />hA
<br />DING- INSPECTOR RECORD
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