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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNttR BUllruR DEt,(:rlta,{TroN
<br />I h.cby lffrm und.r p.nilry of p.rju.y rh.r I m.rip( frlm rlE (bd roF-Li.rM L* for rhc follo*inr Elen(Sd7011.5
<br />B!rin.$ d Prordnn Codc): A.y Ciry.r C.unv wh{h rcquii! r Frm r.6.{tocr, .lrd, impr.v.. .kmlBh.. EFtr ey
<br />snuchE. Drs h iB is!E. rta) EquiE! t& |Ilt'liaur lor roch rEmir b frL r siSEd d.rd rhd lE or .lr i lE trrd plm.n
<br />ro ilr Fnvtioe.filE Conreror't l,tcn*d lr, (Chtt{..9. C.lWEi.i wirh Serhn ?flx, of Diviinn I6l rh. 3oi43 rnd
<br />PiDfBtirn! Cod.) or thi lE oi nE 6 .x.n!i rtEtlrrn ril rlE hd! fttr rlE rlL8.d .Entrr,n tu, vuLtrn oI S.dion 7011.5 5, rn,
<br />.ppli.ad ror r Fmir subF.B rlE .prli...r ro ! civil p.Mhy ol bi mrc rlE. lir. turlEd dolh^ ($1rr).
<br />_,. a .lrr oI rlE FnFry. d m,.ntk'F.r *irh,{.. & rh.t oL orr.dsr. s[ d, E Hrt,n rE rMc iidalal .6.E1rq qt (S<.71x,a. Bu'lg ul PiDad.ioB ('od.: TIE Codrdor'r Li..nB L*tlB d.oDtyio uoluol
<br />rrE rr4dty *lD kild! n ur{loB tllla.n wb d6 sn *,l hiruf or Irrlfo. rt@urh hit q l,. oM..Vlrrt .,
<br />F.tn.d rh.r Mh inpotmdr& fl h.iddlnotlftd ftr!.t lL lFcq. EnriEi,t itrt.l]md ir o! wihnd ]dol.orphia ill Oru Boilr vin h.E lE hnl.. o, FDri! tL h. a .tt drl 'i b{iB d in!.bt tlE FF, ld dE Frpo* oa
<br />_1, u o*E of $. FrFrr, 6 .KLtirl, oddint ,ih lr.trGl codturn h !s.M rtE FoFi (S<. ?O4,1. Eu6
<br />rn ED&irncod. TIE co.rErd r Li..nr Lw &!r d rrtly h uosE dlpmFry *ho buillr q !'proB ilEd[
<br />sd *th oddt tn trh FoirB rih t Cdftr.(r) lrcN.d Frl@ b rli C.ffid! L!!e Lrl.
<br />I tr(by .mrn !nd.t Fdlr ol ,sp., oE ol rlE linl,sint &.Lrr rB
<br />-l
<br />h.E rd rrll mi'i.i,'. Cdird. of Cffi io S.!-lM ii Erd onFd-lt 8 FviL\d 60r b, sdiB rro0 oltlE
<br />tiho. Cdd.. fd rlE Cdrqm.trlE rdi ld *hi.[ rtl F r ! i$ad
<br />_l h.E.rn *i Di&ir crrl6 @trp.Brbi 8ulu., .r r.ruird t, SalE! ,7m ol tll l,6d Coi!.Io h. p-fttle of
<br />rlE vnl fr vhrh thn F.d u Eql My unt6! &qEdD. rlure tG 8l InlE, tud, &:
<br />I di8 rhd i. rlr F.fqlrc olttE vct r( eh.h rh! F.mi n EE! I drll d riplo, uy Frrn in, lME
<br />F r ro t or $bFr ro 1l! *td @hF rirn L$ of C.lifomi.. !d {fr rhr il Llruld b...8 uhis b rlE
<br />Edi6! @rp.NrpnpDsDBofsdlnl?@olt&LllrO!..l idl. fdfieih!$tply*irhtt .pEBm.
<br />IIAINNC: FliniE b @ qf,tB @qpdDn oErt. ! lnL d rn rh.l rutjd m dVbF 'o ctnu Frri,.r!d
<br />civil 6fts up ro oE hudE rhoo..d doll6 (Jlllr.(l(r,. n dddr. i. rlE coqrtrqrim, d.'q.. ! provilcd fd tll
<br />L
<br />I h.Eby tllirm lndd ,.Mtr, of patury ih, I .m lien .d !.d.. Ftrvsnrn nf Ch.I'r6 9 (o'rrminr sirh Sdi!. 7flr) .l l)ivirbi l
<br />of rlt Bu:iEs dd Pni.si.tu CGL. (d oy l-.ns ir in tul n]c dI .tY.d.
<br />Lic.tr(Cl.$: l,ic.6c Nuhh(t
<br />Conr ror'-
<br />cl)lir3t<oNrDralNli.d( !!r
<br />I h.ehy aflirnruM.r p.nllry of p.dL'ry rh! rlm s r.o{n'(rDn L'kli"g,!.ry ntrrtu Frfornu,* nlrhl rorl Lr *hi.h rhs Fmxr i!
<br />ksu.d (Sc..:lo9?, Cir C.).
<br />AIII.IIANLDESAEAtrO!
<br />I hatnry ltfm und.r D.n.hy ol F.lury on. ol rh. lolbvm8 d.eln'io.!:
<br />D.mlnio. P.mirl^sb.no! Ndirtr..i,n F.d..rl l.suLrii,n" finb 40, Pd6)
<br />-R.qun
<br />d L,lr.r or Ndfrdion
<br />-l
<br />cdiay ihi tlE f.&.rl rt3ulrr6N EgnJing (l:(o1 Em)v m r rptlr$L n, ihn ptuFLr
<br />_l.d'irtrIh.rc(.jth6.pplirii,nui{d.tlIlrlr.hov.'nlodidinc(frrIttEro$nplyurhrUCi,.riC@,.nlorB6.nd Std. Lrws E!rn3 rurn3 (.d{rurtn! rd l.Ehy.urlrru. rF€{inkl orrlur C ynl Coutrr, b 4id uF)n rh.
<br />!hor. m.rbEd preFny fff :
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />FINAL /il 0l /r.,a*t ,1614r\
<br />Certif icate ol Occupancv '''' ' I-'-{ 'V
<br />Notes, Remarks, Etc.
<br />Rev.08-07-2015
<br />trr!d.a! AddFs'
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<br />Forms/Steel/Holdowns
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