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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNAR BUILDER OEL(ANATloN
<br />I lxr.t'r rrm unds pouX) of FiJ,y rh, I n amn 6.m llr Codddt Lic6! t w for l,t hllo{iB ,aln (Se 7031 5
<br />ANrr6r &!d Profd'on Co<h): Ary Cn, or Coudy *'hich r.qut6 . pdinir ro odrucl. tld. it'Irolc damlirt or ,r,.n ot
<br />!1ru.ru., prbr ro irs i.@.. .Lo r.quir6 lhc Splicdl ror s.h !q,nn b frk t rlgn d llaldd !h, lE or nE i licd!.d pGud
<br />b rh. Frv6ioB old. Co' rdr'r Li6sd t s (cl!pl6 9. CotMding rnh Sdhtr,000 of DYiiio.I oadE Bui:r &d
<br />Pbf*ioB (ii,.) or $d lE or rh. i! smpl th66on ed llt bGi! ht tlE .llc8.d crdtplion. A.y fi.l4ion of Salbn 70] I 5 !r* av
<br />applicor aor d pnni rubjEl! th. agpli.ur lo a .ivil pmhy oa mr morc lho livc hudrcd doll$ (1500)
<br />-1,
<br />6 o*G of rhc FFry. or ny dplo'6 rah wts6 ! rlEt $L o,4dBrEn, wiu do dE xrl .n E ntuift . d
<br />inrdrLd or orscd for r.l. {56 ?044. Ruind {d Pmf6ioN CodG: Tnc Conlr&loii Lic.E Lrw &,6 frl .PPlv lo e oqc of
<br />th. FrFy wrb hrilt m itrp.lv6tis@i\ tnf,b d€ sn rc hi,Elf or hd*llor thmoBh hit tr lE om @pbr6.
<br />provid.d lhd Mh imFotoEl! c d ndr,.d d otu 6t sL ll how. lll h,irEB ot iqs€i.d i! nld vihn d tc
<br />ofsmpl,bll. i,E0l,16 &ildc vi! lnEft hrdoi oaFDvitB Ir lE or t& dn ml hrild or inFlE tlE FoFy lbr dE Frpo* oa
<br />l. s oqE of lh. FDrnry, o acl6nrry co mins $nh lt6!.d coddoB to otfucl ll! FDJ€r (sc r04t B!Jt6
<br />r,!d PrD*si.n Co&: Tt. Conrrclor r l.icdi. l-!* do6 mr +pl, to 4 oM6 of proFny eho buildt or inprov6 thson
<br />xd e lb codr6! ld ech Fjrs wnh r Cortr*lo(r) lt6E d F6!d ro rlE Cotrtuld . Licag t *)
<br />-l
<br />e .rdfl undc Setion-. B. & P C. lor th! 16r
<br />Irrr. orE
<br />]lllStrEl5:(aUlEUlrIIqBDE(IJSAIIq!
<br />I hs.h' .mm unds Futy ol Fjury oE of ih. folh*ing {klaaioN
<br />-l
<br />hrv. dn will ruintlil . Cdlif@rc ofcot$t ro S.la-lNuE aor wlldt' comP.Nlion. s FDvidel for by Serio. I700 o t lhc
<br />l.bo. Co{., tor th. Ffffi. of tlE 6rI aor *trrh 6c Fnn ir isu.d.
<br />t h.vc rnd $ill m&inrlin mrl6i conFd.lion iNumc. s r.quncd by sd bn 1 700 ol lh. 1,b4, Cod. aor tlE Flotr]r,e of
<br />rh. work tor *hi.h thi Fnir ir ic!.d My wortd compqE lioo iButuc. eEi.r.rd Flicy nlnbd a.
<br />PolicyNunt-: ExPn6
<br />-l
<br />cdrifyrhar i.lhc Ffol]rrtr. orlhc wo* fo. shichth! pdn ( nru.n,, rh.U ool drloylnyFsn in.nvhend
<br />$ s to bdom subjel lo lh. wd6 (omFo5dion ItB of (.lifohia, sd rsd in, ial Jruld b..orc ebjdl lo ttE
<br />$nrld onFs6n Fotthd of S.den l70o of th. Ir&f, Codc I t&ll- ,onhwnh 6np! snh rb- provib6
<br />IIARNINC Failu.lo !.<@ *srt6 onFsrion @r'6!sc a unbs'tuI .fl1 dEll tubiel u dphyE ro aimin l Futb !i
<br />civil fm., up ro o.. hon&.! rhoMd dolls (I|OO,OOO), i, .ddiio. ro lh. con of .on!E6tio.. d,rogd B Previd.d for rh.
<br />,rrr,lO14
<br />ibor codq mr6cn u<l.nn6jr ac
<br />FranL e
<br />IECIjSAIION
<br />I h66y amrn und.. rEuXy of p.rJury rnd I m liGu.d un& FDrnion ofch,Fa s (onlffiins snh sdbn 70@) of D'vaion.r
<br />oa th. Bui,B $tl PotdioN Cod., sd oy li.@ ir i. tull foE..In.,Ld
<br />to-2u\-)Z l Jcz$ae2_
<br />c0!E[8Ilcnq!.l8!DINGAGf!CT
<br />I rE tt rlfm urdd Fltly oI Fjury thr rlE. i! r @dtucibn ladls .scy lor ilE Floffi or lL *ql 6r rtih lht Fna i
<br />i!!u.d (sc 1097. ci!. c.).
<br />ATIIJI]T.SLDEqJAAIII]!
<br />I hd$r rni.n und6 psohy ofrdju.y on. offi. followins ddlsdionll
<br />Damlnion Pmng^lbdro! Nor'frarion fcda.l R.g&rioB (Tnk 40. Pu6)
<br />R.qun.d t ldofNodficdEn
<br />-l
<br />dit llld tt f.d6tl rtrrllir6 EXrdi$ ltald lmld e rul .rtlr.h. to ftit FoFl
<br />-l
<br />c.niry $.1 I tBw Ed lhi! lpplicslion ,td $d. lh.rr 0E ibov. infoMion n cor*i. I isrE ro cospl, wilh .ll Cit, &d Coul,
<br />sdi!.l$.od $d. t E Glitr ro hriHry core*ibtr in lE !y.!$oriz E .Efln6 ofthi. cir, td Cou*,lo dlra l4onllE
<br />ih.r. Mrhn.d Dropdly tor ErfrrD. pt,p(rs
<br />^pp{turorA16rshm,cn f- EiO
<br />Pmllen.r.(pri ):
<br />eV V".nit (>,,," 1P -2H-\fi
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing r//-t//)-i 7,'Mt )k2
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lrla so n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL il llth r ',rnmfY l4.r
<br />Certificate of Occupancy 'l' I
<br />Notes, Remarks, Etc.
<br />Flood Zone Certif .
<br />vqrr
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