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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Enerqy <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 />Engineer Final Report <br />FINAL lt/iLtl Y ,\kn <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />OIvNER BUILDEI DEl,aatatloN <br />I bdrtt ,lrm ondd FrXy or Fiu,y thi I n qolet toD {E Co'rr..1dt' Lk.M r4 6r E tolbwds .a'tr (sc7oll.J <br />UGI,B .,n Pmt6ion Co<r.)r An, cny or c(8y stih Equir6 . pdini ro @dtud. tt6, in ro\t daEl6t or t9.r -v' <br />rlru.lEq Fs lo il! ist@. .Lo E$iB lh. +Pli! for sh Fod ro 6L t liln.d riandr rh, lE or tlE i li6.d pr8rrd <br />ro rlE ForirioN of tlE Conrdd t L@r.d L.e (ClEpia 9, CoMfta.8 *it Sdli,n 7000 of Divnion ! of E Bsi,B !d <br />ProLi!68 Cod.)o.rhd lEorrlE i dcnF rhodroned rh. b6i for in dL8.d qdFion Ary vhldio.oas..tior 70ll.5 bv uv <br />.ppli..nr f6r . pcmn 3ubjel! rh. rpplt&l lo . civil p..rnt of.ol mE lha fivc huttnl doUrB (lJoO). <br />L s omd ol rh. F.pdry. or my .mploF6 wilh wag6 s lh.ir sl. cdmFnr.lion. wil do tlE *o* !d th. tlru.lE b rn <br />ifld'd.d or 6r6.d for !.L (Sa 704.4. Buina od PrcfBioB Cod.: TIE (oilr.clo.'t Lros ttt' th6 nol rptlr lo o o$G of <br />0E FtrFty *tn bilb 6r n4.ot6 dEs( a'd wtr &E rEt w.t hirelloi h*lf or ltmwh ha d lE o*n dnplots- <br />ForiLd rh.r kn itrgorEEd! G d idqi.d tr.i*rd 6r -l.. l( host rlt tlildil8 m rI.ltq.d ii $ld sihn oE )s <br />ofonpllbtr E (xE BuiB6 wi! l6!t rlE hrdn olF oe d{ lEm {Edi, t't hildo. ir4.!E dE FlFry l,iEF,Frof <br />t. s o*ffi oarlr FoFly. @ GrchliEly.odrd,B sith lic.*d codrr16lo 6dM th. FoF (sc 70{'1. &!!B <br />nd hrkn Co<t : Tt. Conrdcroar l,icw lrw &'6 el .rrpl, to x o{'nq of proFly *h. hil& o. imP.ov6 $ceL <br />sd slx' NirE ls tor Mh FDjdr wnn. ( oddorls) licqB.d pumd td rh. Co Ecrd!Lt6qti*, <br />I m.r.nDr u.dd sdno. . B & PC (orlhlt.Mn <br />Drt. Ornd <br />}ABtrIBS:IAMIEIIAUq!pEct 6Ealxt! <br />I ffira lmm und, Funy ol Frur! oE of th. lollo*iis d..Lr.ti)E <br />-l <br />h&. rn ri Mi,*!b . Cdtf.lc of (tlEt b S.lf-ltrc for wlo' @mFnt rioq s Fovir.d fd b, sctbD l7m ohlr <br />t hd Code lor dE FfffiG of tlE wl fo. rtrh rh. Fnn i is.d <br />-l <br />hlrc .nl Eill d!i.tai. mrt6r conp.N.lior iBumc, s aqun.d b, sdion l7O0 oalhr tibor co&. lor lh. Ffolll@. of <br />rhc wort tor whth thi' Ixfiit i! is!.d My *0116- conPo5nion iNurec ffit td polay tumb6 u. <br />Ahv n)qLIB\C ?\ttq <br />l.diry fid i. lh. Frolrllm. ol E sorl f shkh ltn Fnn 6 ar.d. lllrll ml aplo, uy F$n in.n' nE <br />$ s b baw $hct b llE NrI6'NnDqude. l's: of Cllifonia rn *E Or il Lbuld tcor $bd ro ilE <br />k 6 omFsrionFlli3ir6of s..thn 170oofth. t bor Cd( I JulL fonlsih omrt Ent l,Di Fo\ilioN <br />WARNING: lail@ lo s@ mlt6 onFEiion orE cc a u.[$tu|. .d lll.ll $tjd e dploF lo sinind FEIi. dn <br />ciril 6n6 up lo on. hu.&€d thoBld <br />SNitun 1076ollh. lzbor('ode i .r.n <br />d.ll6 {lloo.ono). 'n aldn$n n, th. con ol io.. d.trls6 a prolxl.d ao. ih. <br />r)r,ri l0' <br />l.2LLLtArUQ) <br />I h6cty .ffm u.dc poaliy of Fruty lhr I e li6s.d ondd F.vtion of Clrytq 9 (o.llrEqg u nh Sdion 7l)@) 6r Divkk'n 1 <br />of rlE BEilB r"d PtofiioN Cod.. !d ny lae i b tull tuc ti cflul <br />b I otlqv <br />P*gfutct AG( <br />I!)!iTAUC!IIN.LIj!Dr$ j jql:!c! <br />I hd.b, imnn onds p.oshy .l tqjury rhd rh6. t . coNlruclirn k dias isd.y for th. pdfomdcc of rh. wotl lirr which lhit pdnil i <br />i$.d (sr :1097, Civ. C ) <br />ATIIICAILDECIJIAIIT,I! <br />I harl,y i,En unla FBhy of Fiury oE of th. fo owi.S &(ljd io.3 <br />D.nolirD. P6nn3-A3hdor Nol incd ion r.d<il R.sul$ion (Til!..10.l!n6l <br />-Ra{un.d <br />l.ttaoaNoli6c6lion <br />I cdtify lhd llE f.dsd rqtuhtioB r.sdins sb6los roovlluc ool {pli..bl. to lhis pmjrl <br />ftrl cd'ry tfin I h.( Md inir .ppltlrior !d n.lc lh, lh.infotuhn i cor6! l.sEro onp! wnh.I ( ().nd cody <br />dlrrtu r.Fertir6 of rhn Cny od Courry lo ots upon tlEordnu(6 d Sur.lr{. Eki,B h lrl dirt coldru.lio^ <br />lo'la \ g, <br />I COMMENTS <br />Flood Zone Certif. <br />.i< <br />: