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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />_1. ! o'd of rl.t FFdr. or my crpt')rq *nn srs6.r rlEn Fk i'niddbn, *ill &, dE wdt !d lh. dMe i E
<br />i .n&l orolT.Ed lM {h tsd.7044, BuliEr! rnd Prof.3i.,.s Gd.: Th. Conrebl! Ltc.- Lr* &f,! mr +plr ro r.*Er of
<br />rlE F.tdy *l$ hriur or inFU6 rlEotr !n llb d.B *tl qrt him€f or hrlf o' rlmugh hn d h. ou.rptrs.
<br />prri.lcd rhll ruch in+lfuftnk n d, inrci&d dofland fu. sh ll fu)wcw. rh. toitliry or rpturd is Fld *irtin nnc
<br />'t{orcqpLr4 llE GrF Buildd *ill IEE dE hln r olFoving drl lEdllrdn d hild n inqnt ErrFryf dEF FEof
<br />-1.
<br />i\ o$kr ol llE rnspcn y- !m $cluliv.ly .ontachns *ilh lilrnql conra.tn\ (, .on{tu.r rtr F)ii (S$ 7or.r. 8us'r*
<br />i l Phf,\rih(ixl. Th. Conkkttr rl-rcn\. L-.s J(ri {.mlyk' o*ftr .l Fn'pcn! rho t'uild{ or inpn' Ltr !h.rd,n.
<br />t.d *ho drrBlt fm rsh In)J.c|r *'ih.o)ntEdonn lirnEd po'
<br />;:-D/iAB,-
<br />I hcEh, amrn uNl$ r.ntrlry o{ t'djury oft or rh. rolk
<br />I h$. afil r ill mdrin r C.n rrrrr. ur c(r*.r h Sclf t niuR f(tr $orl6a d,n{Endnn. $ Fxild for hy Sfthrn l7(l) of rh.
<br />titxr C(t, ld rtu [x.Io'rlm of rh. nrk li, ehi.h rh. Fnii n hiucJ
<br />-l h!rc "d sillminrsir *ork.6 con{Ens.lion in\oEmc.6 rcqun d 6,Sdnrn.u00 o, rrE l$or C,iL, hr Ih. FrfornEmc of
<br />lit unt for rhat rtir Fmit it ir*d Mr e{rts or{tB.li,n iNur.N oni, !d Flty.un*Er e
<br />-l
<br />ccnifyrhd in rlE r.dnrmRr of ln vort hn vhEh rhir pcnrir ir i\ru.al., \tullior.tlnb!lnt Fr\D irlnymnmr
<br />g, N k) la,c ruhFr t, rh. $'rldi i,n1Envrirn El\ ol C'alifonrir. r,rl4E rhir il I shrld tE oN \ul,rcl t, rlr
<br />*nlk.r.on{f,n$il,npn,enions.lSccrionlT{X)ofrh.tihrGrl..lO!ll.tunhwirh.onltllywilhrlr.Epfl,vnn,ns
<br />ItARNING l.lrlurc r| s-urc tr,trt.^ lr,mFneri cor
<br />.rvil fiNs u|] 1,, oN hunnreil lhou\rnn Jolltrr ($l(x).rxr
<br />selirn 107{ orh.lrtltr(iilc mrLrci !,rl,trormr'\ lN\
<br />ll tutFr an 6rnrrF. k! rnltmlFnhB td
<br />ol.onr{d$rr . (link!e\ n\ rrorde(l n{ rh.
<br />r>lKttg
<br />I lrEby rrtrn u.dfl FMlty of F,iury lhd I .m lirnrcd urrd F yirion ofcn!fls 9 lonm( i.r eirh sdnn Im) of oivFrn :]
<br />oI rh Aurims tud PtuL(krni ( .&, .d mt lic.n( h ir tull r.re .rn .ff(t
<br />l;Il&uf,ugrJBrEaDlNoltildltr
<br />I h.6by imrm undd FmliyofFrruryrhd ltxE h r oNlrucri,n hndrS o8c y for rh. Il.norBmc ol rtc sorl for *hi.h rht Fnrir (
<br />iru.d (JsL :kr97. Cit C )
<br />APPI IC l{T DTCLATT{TI(}II
<br />I hort'y Jrnn uBlo Fndr, of F,rury oF of
<br />'tE
<br />tolh*'in8 &rhd bns
<br />D.mliri'. P.rfrk A$.s&is Nollicllion tu ..1 RcSulrrbnrlT l. a0.Irun6l
<br />-RcquiEd
<br />I. crolt{orifieri,n
<br />,l..'rl}rrrtr rh( r.(ldrlrctul, trtr\'r!n1tr,!J\h\knrerxtr,,l,tr.n,iq,Jiltr)hl.n)rhaI,(I..i
<br />I.cn'lr_rh{r I ha\T rad thr i!plf,sri,,n ord .r rhd rtE sh)k irrornEri('n i..orer I ur ro otrlI'ly *irh rll cn, rId Grlnr!
<br />odrMR.r rrn Srdr. Lws Ehrine I lEEhy {urhtriz. rcl'.cnlaiv.! ofr
<br />rtirr nEtrrx,Bt pmFnrf(tr 'h\
<br />*tutoYilc
<br />^*,',"""-t"Jii);"*
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />6 z-2 2Z<.)€.2.J (,Zb I
<br />Certificate ot Occu pancy
<br />Notes, Bemarks, Etc
<br />DATE
<br />Brown Coat
<br />FINAL
<br />OI{NER BUILDER DELCARATION
<br />I lEr.t'y ilrm un&r FMlly of Friry rtul I E .r.r!, fhm llr Codrdon Lirnc L.w Lr llE following Ersn lsa '7ol I J
<br />Autinflr lrd Prof6rior Cdc) Ary Cily or Cdil, *hrh EquiEs t IEnn lo mnrnd. .hs. in{^w. &mlkh 6t ItF dy
<br />nBie. Fi, b irr iarlB.. .ls rcauiEr tlE q,plk r lor sh Fmi !o 6L . risrd rld.m
<br />'hrr
<br />h or rn i\ li.rnkd pum.n
<br />ro rlE Irrvisirt ol tlE Con'tubas Lensn Ue (Cll.pk L ComNinB uith S6lion 7m of Divisiotr I orrh. Eu{m$ rnd
<br />Pn cshc Cql) or rh.t li r nE i!.t trFr rlEEftom &n rlE tj.rir for !,E .lL8.d .r.nprirn. A., viibri,n ol S.dbn ,01I J b,.ny
<br />rppli..n'forrFmirsbFkrh..pplk..rror.ivil,xMlryorftrmErhofir.l'un&.ndollu<(aJlJO)
<br />I
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