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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathing
<br />Shear Wall ...- l /- ^
<br />Framing lHfls!/W
<br />lnsulation/Energy 1r//,;a'z &llrtt;Z'l nt[
<br />Drywall 7,/1r/,. *o ---t-4 r'-
<br />--bd,/i'l'Ext./lnt. Lath 7/zt/Zp
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Heq.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />FINAL frht/Y)n 'ktr
<br />Certilicate of Occupancy l' -/
<br />Notes, Remarks, Etc.
<br />--)
<br />OWNB IUILI'E8 DFIOIIAfi
<br />'NI tEEb, "r,h trnd.r p.&lry ol F iury lhn I m crctrpr t6 ,E ConhdoB Lacns L.v for rh. folhvirS n$n ls(7031.t
<br />susimii .,n Pf,,lstiln Cod.) Any Ciry or Cody *hth,quiB r rEmn n, .lnrtur, ,rs. inptutc. .hmlirh or qrtr My
<br />tum, Fu b nr asl[N, rLo Eqr6 rh. rtplirn lor trh |Emn r, fiL r r'8n d srr.lmr rnd lr o. n! i li6d Ffiri{r
<br />ro rhc tevi ,nr orrh. conr..rors Ltcn$d lrw (ch.rl.r 9. aonnmh8 wilh Sdlion 7mO ot Divhion I of rlE Bori&$ ed
<br />Pmf.sDns CrxL, or rld lE d rlE ! .r.qr ttftiim.rn rlE hri! for rlr .lL8<n .ro4'rin Any vadhtbn olS<rb.7oll J brry
<br />r,)l,licdl ror r lEni obirk rlr lpr i.ot ro r civil FMxt6f n'i mElhm fiv. hundr.d dolla. (SJl]o).
<br />-1.
<br />a. ow ol rL pNF.lr. d n, drt!l,F. *dh *.t6 a rlElt -L o[FB.rnr *ill d, 0t k l rn i rErc i! d
<br />frdr&{ .r or.rd rr sL (Sa ,(x!, 3u.i6! rnd Prof6rk B Cd.: TIE Coitn iqt LiB. tre &B d {ply io rn mr or
<br />rlE FtrFny shl hildr u. irpre. tlE6^.rn vlb &x, shh hiB.llor lE*lf d t,IFUBh hi. d h.t own.nPhy..!,
<br />FoliLd thd ch irFoEad G d irftLd d o6rqt lor rl lf, lEw, dr llildir G tqr)Esr i! nld rahi. c Fr
<br />ofs,qrLrioo 0. o',*r Auild.. *iU llE tlE hrih. of F*i.g rhn lr or .lE dn d t[iB m inprm t E FoFry fd llE IirFE ol
<br />-1.
<br />rtoBEof rlr F,rrdry, .m cxchriwly .o rldins *'rh lienrn c6.rrdoB n,.tdru.r rh. F$Fr (Se.7014.6urE$
<br />In Eoisi. Cd.: TIE Conrr-rols LiccnF Lt* der mr .I,ply ro & o**r of prop..t y whd bliut or inprow. rlEr6n.
<br />rnd *ho sdd! tu *n FDFt edn r Coffionn li!tr<n pulld ro rh. Cotusir Li.re Lrw)
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<br />.h.Enlpl und.r SElbn .a &PC rorih(Ersn
<br />D.r. ()wmr
<br />WOlXrqS' c^olrrulrslrrt w
<br />llclJaArrllli
<br />I ltrchy 3,fiDnunJcr lEntrlr, of FrJury orcorrlr ft,llosnt dehr!!ions.
<br />_l hrE rn rrll rtIti. r Cdif.{. of C(llq' b s.lf'lnJm fr wt6 anpcNrid. a Folij.rl n byscrbn ]7@ o, ttE
<br />Libor Cod., fot rh. pdfomn. 6l E m.t for *lkh rh. F !r ir i.sucd.
<br />I h.r.nl wrll ridx. ert6 mnrEnsrbn imr.Nc- .r rqrircd b, sdrhn l7@ o( rlE lrtxi cd}. fd tlE rE lm of
<br />rhe xnl ror whicn rhh llmir h iisEd My wcksJ on{Ensrion insu6n.. .oir 4n FIay numhd e:
<br />' 5(f{-
<br />-o< I z.r lzt
<br />-lc.nilrlh.l
<br />inrh. rErf.rmrc of lh. e for whth lhir FrhI G nsucd, I rull mt .n{'hy my F6on in uy mnE
<br />vi .r ro h.r.m st*{ ro ilE srrt6 onFNrin hB of C.lifomr .,!d {E ur il I rhrg h.(or {nFl to llr
<br />$rt6' oqENrhn povnioB of Sa1i{ lTrD of rlE L.try Cod.. I ddl n nwnn @n{rl, *ith rhE pNvrmr
<br />WARNINC' liilft ro s@ wk6 coqrnr.rio. or.f,gc ir un|wtul, .,xl shrll subFr an dnploFr lo snnirl FEI.ivil liEs ry ro oc huidEd rh.{ed {rrur l!l(D,mrr. in rldnir to ln. d oroqEn{tion rLmrcr o prorJlaca
<br />S(rion lt0r6 of rh. lrlrr Cod., inrdn lrn i]bmy'r fe.
<br />'".,' o+lu.z I k
<br />llll.lil&lllQ!
<br />I tRhy .fm unjd Foky or Flury rhr I .h liBsd u'rl6 FsrirD. of Chrp!6 9 (onftrin! w{h Sdb. 7mr or Ditilb. l
<br />.r r& Bu.iN$ anrl PDfcsionr C6.t . .Jn m,la.M i. i. tuU foE ,rn dYel
<br />B r.ien\c Numh.r , lO GcSiS
<br />ri-lculu
<br />rutuxllslllrN.LElDlliti-Acttrcl
<br />I tEEh, rmrm oni.r Fnlliy or Frrrry rhn rha! ir r d,nrtu.bn L.dint l3.ry r,r rhc FrrtrlM. .I lh. wdk for *hth lhs Fni n
<br />issud(se 1097, civ c )
<br />AITLISNLIECLASA:UO!
<br />I hod'y.rmunL. F hyofrE|,ryo*.fllE folLsiry &{Lnriorr
<br />Dcmliti.n PcrmirA E$G N({ificarion Feddrl R.suLl ions (Tilb tO, P3n6}
<br />R.quiFn rr(d of t*riadsn
<br />_l .dr,f, rh, th. f.n nl EBulriirn. E8ardinS arlBkx r.mvrl {. nn fflad,L to lhs ||n rar
<br />I .d if, $nr I hrh Ead rhis rflrli.hon uri $rr. rhar thc rt v. rnfonBlidr ( orcd. I llra ro con{'ly wiln cI Cny rnd Counry
<br />od&Eri !d Shrc L.*r ELriry ro t'oildq .m{uriotr r,n ls.-l'y lnnrn. qrcE rrir! ot rhir ciry aJd (tu.iy
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<br />drd !Ir). tlr
<br />r'.*ir* n".. r,.in*X f,int' 4.cu
<br />*"'Q{sUt.t
<br />AlPiiEZi
<br />J,
<br />4
<br />Bev.0B-07-2015
<br />COMMENTS
<br />Subf loor/VenVlnsulation
<br />P,r.r) N,n,rr, -qrl?la:;G
<br />.tnE mnrnRJ ln'rdy ln r.Fdhn
<br />n-U*, * ^r-, ar-**F
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