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<br />BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor^/enUl nsulation
<br />Roof Sheathing
<br />Framinq
<br />ln sulation/E ne roy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t4u0t fir-$,0-fUht c 5\s<
<br />FINAL rur'?^'/i$>h6\.
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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<br />()\\\t.R ltt .Dt.R Dtl { \R\l lo\I
<br />I hd.by amm un& p<r,lty of pdjury lh.l I m .!flpl frso lh. Conrtrdoo Licctr.. Llw fot rh. followinS llmn 116.?01 I 5
<br />u6ins !n Pr.l6En (od.) Ar, Cny or cody r'hkh Eqoi6 . Fhi 16 odM. .hE. ,t9.ove &lblih or Ep., oy
<br />slrudw, ptur lo it! i$@c.. aLo rcqutB th. lp!li.&t for 3uch Frtul o filc. ri8i.n ddffil lhil lE or {E i! li.d!.d plruan
<br />ro rlE FrtioB of lh. Co dd r LE.n!.d l.* {cll4r6 9, CoIffids *[h S<hd 7uJ0 of Dirnbo 3 ol rlE BailE Dd
<br />lofBri.ns Cod€) or rhll Ir or sh. i! .rqn9l th.cftom ud thc bdis for lh. tll.*al doFion. Any viohion oasclion 701 L5 bv mv
<br />rlplic.n for ! rEn'r qh6t rlr loplicd b ..ivil Frl} of ml tur.lh! li!. hunH doUB ($t@)
<br />l.sowolllEFordl),qnyonpkt€*nh$.866rlEnrkcotrFldi.trnldotlE*vt-dllE!fitEctmt
<br />mro'd.d or ofrd.d 16 ql. (Se.7044. BuitE ed trot6ird Co& Th. Codr.crd i t.i6E lr* d.c d +plv lo 6 o*c of
<br />rh.FlFq rtD boil&or i.rpro6tlEe( sd who &ElurrE& hidclaor hd*lf or llFUBh hn hd om qD9ld)6.
<br />116\idal rhd s.h hFo\gEuGer -raddolE d 6.5l..1( ho*tr t builditB s itrsoiqc! !$ld aihiroE !a
<br />olcomptniri. df Oqc B{il.it wil hlrc th. h!&r oltiou.s dt h. or d!. dn mt hrild or inplt $. FDFIy aor Lh. F4oe of
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<br />s NE of rh. FlFry. u sclBn ly .otusri.s snh hc.Md co,rdlo ro codrud tlE Fo,.d (S< 7044. nBlB
<br />drd F,lkd Co&: TL. Conlrrdoi! Licce l.* do6 ml @ply lo D.*nd of Fol,sly *'ho bil& ot irptDv6 thq@fl.
<br />Nd who conr l! for Mh Foic.t3 wirh r Comrsro(s) li..Ml puMl lo lh. Conl[ctn ! tic* Lav)
<br />I m.rmd und.r Sdrion . B & PC torthE 160r
<br />D.t.: Oini
<br />laarf8lcoMfrllAuq!![c,4aaIQB
<br />I hd.br amrn unds p.nahy of pdjury on. of dE follo*iry deb4u.B
<br />I hlvc ad will mi un . Cdifsl. of CoMr ro Sclf-lnsc lot Hrlst @mP..stior, s FDvi(H for b, S-lior l7O0 onh.
<br />t bor ('o&. f rlEFfGlffi. of rh.ert hr r'lth th. Fnn b ia&d.
<br />I h.r. .rd s ill tui.hi. workdt .onFftliion inuec. 6 r.quird b, sdtion lTor otln lrbor cod.. for lh. pqfol:1e. of
<br />i! isEl My vsl6' cotrpcrdirn rm. .uir lrl Inlq numtE r.
<br />o3
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<br />cqlify rhd in lh. Ffolr@c.oflh. $orl aor whi.hlhir Fmn ir isrucd.l dBx nor dPl.y e, F$n i. e, nmE
<br />$ s N b<{E 3uber lo llE $on6 NsFEiion Ls! of C.riforna .d +E tht rf I 3hould h<.8 $ti< b tL
<br />woltqJ conF&rion povtiod o f S.dio, 1700 ol lhc Lltd Codc I CdL fonhwilh comply wilh lhoi FovtioB
<br />WARNING: F.ilur. ro s@ $sl6 ompdtaion ov6+. L unLuful ald lrull ruhJd d arphF ro @n d FEti6 .rd
<br />('nFurion. ddnlsd 6 pionJdr fnr rh..tril ,in6 up to on. fiun&.d lhousfrl tbll6 (ll(x),0oo), r tdttrion nr lhc co3l
<br />6rdd snd.ndr.v r fc
<br />I hfta,y rllm uqLr Frhy of FJuy lhn I d li€lr.d 8lc F!\ilbn of (lrFs 9 (on]llBi.g *nh
<br />cl d'L/.f rn. Busins ud P,ofsios ( od.. t d ny licm. it if, luu fore ,nd .lldr
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<br />CONS f,UCTION I ENNING A(;fNCY
<br />I ha.t-v arm m&r Fdl, of FJuy illr ths! it . o,tsrucibi l6diis .8*y for li. Ff(fu. oarlE snt hr trr*h rhi Fmi ir
<br />isu.d {sd 109?, civ. c.)
<br />AIIII(AILDTOJAAITO!
<br />I lEdy !f-. u.ds p.nahy of Fjury orc of llE tollowins d.rki.tio.s
<br />l).mlnion P.tnr-Arbdd Ndi6di,n r.&i R.rulal iod (Tnk .r0. Pd6)
<br />-R.qun.d
<br />l.(s orN{ aralb.
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<br />.dify rha rh. f.d.r.l r.3ulalioB r.stdinr sbdlos r@ov,ls. nol lr,plicabl. ro rht Phja:1
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<br />I dJmN6 drd srd. I .*! (b ra r.
<br />nnr i!.ord I aSrero cotrrply $[h all( ir, and (irunlv
<br />EF6di'v6 o r rh! Cny r.d Couxy lo al6 urFn dE
<br />.hrE mnriof,.n prorEny tor rjl(!6n
<br />,\ppli..or o. A3ftl Sitnrlur..X ettcv4)
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<br />Shear Wall =
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