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EUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI-CAf, T()Ii <br />I lE b) .llm undE pcat, ot pdrury lh! I m datrF tDn rlE Codrd.E lid& tt* lor $. followilC .@n (Sd 7011 t <br />B6ind rrd arotBion Codc) Ary Cily or Corfly whi.h r.qliE . Fftn lo .odtoct .td. 6Fovc danotth or l.'.tr my <br />strucru.. Fior $ ir! isum.q .tr. r.qun6 lh. applic&l for ruch p6n lo filc i nscd titlddl thn lE or J'c t licctrscd pmul <br />tu rh€ F.vitnrN of ttr Contreroa! Lic.i..d tlw {Cluflq 9, Com6cin8 wilh Selion 7000 of Divi.ion I of fi. aqi6 rd <br />PrclBios Cod.) or rhd h. or !h. ir (.nF th<.6o8 &d lh. t6n br lh. .lhr.d 64Fion An, violrion ot Sctior 70115 by 6y <br />.rpli.qr for r IEhn $bels lhc .pf'l'c&l lo . .ivil pduty of mr mE ihi fiv. huidtd dolls {1500) <br />l. s lwd 6arh. Fpqlr. d ny .mplot6 *nh *.s6 s d.n $L codF!r.[ *ill 6 ilE *rtt nd tu ddr ii d a <br />iddial or.fis.d toi slc (Sa 7orl. Dqin6 &d Pmfdhm cod. TIE Codr(oir l-i.oe tw <tG mr 4pl, 'o <br />& o$nd of <br />th. FoFry *i. bild. or inp.D6 tlEail &i wh6 d.6 Mh sll him*ll or hdlf or ltrush hi. or h6 off mPlo]@. <br />prolid.d lhd tu.h isForqErtu ft ml htdrLd orolH f.r !.].. l[ how6. tlE ttildin8 or irqrswt i! sld within otu ]s <br />ofomddbG rlE Ow.q BuiBs wiI har ttE hrdo olFouB thi lEG!t did d hild m itrqDE lhc FFl, tJr dE Frpo*of <br />I. s o\ E or rL FoFD', d Grchlr.ly .offiirB wdh lEd*d condoE rr' llldnd rrE Fitl (sd. 7or4. BGiB <br />md Piolsin ( o&: T1E Conrftroi! l-tdc Llw &,6 mr .9ply ro e o9@ oaFoF! y *lb tuildr or inprcG lnc@r <br />Md who 6ndc13 lor su.h ,oJ&1i *ith . Cor .&ro(!} liau.d pBu.,n ro rt (tirslor'3 Ltog tr*) <br />I m.r.mpr unds S€tion .B&PCfDrthircM. <br />lla85lllu:oMtEs rla!DpcaSallo! <br />I h6.ry .mm u& FuXy otpglurl 61 6ltlr 6lbr i.3 .L(Lr.!i,Bl <br />I n v.,rl will roint.in o C.nificrr.of Coogr lo S.la-lBlB for *ork6 mmlosrnrtr, d itovd.d tu by Seriof, 1700 oIrh. <br />lrhor Cd., aor lh. pdfonnuc. oi lh. ed lor which lh. p6on . isu.d <br />-l hlw lnd will dnl', *ort(d .onF@tion ilffiq s EqundbySdion.]700oarh.t h.r co&. fot lh. Psfollw.or <br />. *D* hr rhi.h lnit F6n s ie.d My wl6 cmFEinr i6ue. (,rc ,n Flk, nmhc E.'Jt{ti D6r <br />rna,\u,h1 Qz eAlz6374 sy'r/.t <br />I cqiift thd in rh. FfolMc..arhc sort lor shEh rhn Fnil t e3uq{ I lhall not 6ploy oy Fsn io &y malE <br />$ 6 b bEom $b6r ro t& wrta onFsion l,$. of Cdifomir dd {r lhn rr I lhould b6oc !!d to tlE <br />rcltd onFsnion ForilDB of s.dio. l7m of lh. t tbr Codc l slDll. tclh*'nh onl9Dr $ nh b. Fovi'hE. <br />WARNING l.rlor. io s. wl6 onFacbr cot6.g. <br />(nil nnd up r'... hundrcd rhnu{nd &lL8It100.0001. in <br />.h,l! $bFr D olphF lo ouual FlhE $d <br />of mmpcBtion. d046 a Ford.d ror th. <br />Drl r \ r l llltl <br />I horty lllm u,ld6 Fulry ol FJu, rhr I E lcr.d ur& Friion ot cl!.pla I l@MirB snh Sdbn ,0m) of Divithn l <br />oa lh. 8!!!B &d PEfdi'E Co&. tn n, ftC@ t i. tull loN tn.lId fi/=28 <br />co! trustotrlEdD&crqllct <br />I hd.by.Irmr ld F Jiiy of Frru, lhd lho. B, @'tntuClDi lddins ie*, tu rh. Ffolffi of tlE *o.l. b. *tEn Oit Fni b <br />asurd (S{.109?, Civ. C ) <br />Affu(A L0l]clJl^r10! <br />I hddrv rJrm u.& Ffty of Frur, oE of th. folbwiq d.rlr.roa: <br />Dsmlnion fd'1..4.b616 Norii.dio. Fqrarl R.3uldo.r (TnE 40. P.n6) <br />R.qut.d ldtd olNoxfr caraon <br />I .drfy r hd !h. f.da6l r.s!hl[6 ,.s!dn r &tE os rdor.l e m' {rlit.bk h thL Foi.rl <br />I corrry rhr I hr\r rad rhi! .!pltdsr.nnd.thdllE.trE'nforn n. ucff t .3Eroorplysnh.llC(y.ndCouD..,. <br />ordiMft6 md srd. llqs Eldiry l. tu iolr sn hq.tt .uth.M EF6.d'v6 otlni C( y rnd Comrt ro da upon rlE <br />.boe. hdri.n.d p6Fny for <br />L A/A -" 4n4. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />LJFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />I <br />FINAL 6/tr/n v tLKk w/ <br />Certificate of Occup5ncy L/ <br />Notes, Remarks, Etc <br />,.icmkc,f,{r' eqc <br />Dr,.: A-1eki <br />Pool Fence