BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns (1n-za fLc
<br />Erection Pads
<br />shta)
<br />UFER Ground
<br />Subfloor/VenVlnsulation
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Frarning
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />R-8-t gt') eoos € Ztl?ND
<br />Pool Fence
<br />Mason Ttrn
<br />i-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL q49-P IrLc 't N€.rzrz, '2r7
<br />Certificate of Occupancy
<br />,
<br />Notes R
<br />7
<br />arks Etc
<br />or-,9/
<br />L-\./ (
<br />OWNER BUILDEN DEII'AN TION
<br />I hs.l,, .rftrm undd Fuht or Fjury rh, I m d.n 'l frcm lh. Cofi-16 !i.de tr* aor
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<br />folh$int ren {S6.rcl lr
<br />Buin6r on! Proldion aod.) Any Ciy or Courny whi.h r.quiB . Fnn ro .odtucl. ah6, rhprolc, datuliln o. l.p.a u-,
<br />*udu( Fr t. nr i!!l4.. .lo 6qunB rh. r9pltxr for sh Fsil to frL. t{,.d rffil lhe h. or ,E i lta!.d F.s{,
<br />ro r,E FDvitbd of tlE Cdbdcr Ltrr!.d LlE (Ch.na L CoIlffiaoe $nh scrFr ?0@ of Dililbn , oallr tlsiB &d
<br />Ptufdrcro Cod.) or lhlt h. or 3& ( a@fl rha.6om Md Ih. brn for fi. .llcScd .xmplion. Ary vioLtion of Sdio. 701 I 5 !y t,y
<br />t4pli.s| for . Fnh sbj<t rh. .rrli@r ro r ciril FEny oa ml ME lh.n nv. tu.&cd &Jllt! (1t00).
<br />l. u ownd ot rh. prorEry. nr oy oplolc wnh w!s6 s rhci. ,1. compa!.lion, will &, lh. wfi .rd Enr*r@i mr
<br />dd'&, or ordtd fo. nL lsa.7o44, BllrllB ed PmasioG ('odc TIE ( ofidm ! Liog Lr! do6 mt 9pl, to d ow oa
<br />rhc FFi) u rF hih d ngo\q rhda !n * ho d€ sh hrt hi,Mlaor hclf o. rlmu3h hn or lE o*n qIplo,6.
<br />provd.il th tuct ihp.lrqE !e mr inrad.dtrofird 6r * l( lbtrlc. rlEtlildirB or inpd.lrd i! Dld *i'hinoE ra
<br />.f.ontldbo. cE o*!d lluild.r *in hlE dr hlda ofFlvirB fir lE or !h. dil ml hild or itlFovc 6c FDFry for lh. FrpoE of
<br />l. B o*na of rh. Fopdy, e .xclNivcly codra.lin* uith lK.N.d coilradot ro oBrrull rrE F.jcl (S{ 7044, &s!.s
<br />.rd ltD&or, ( Dd. fh. Co.rrsroi! l.rtu tls &c ml rr?lr ro o o*.a otFoF!, $ho tdild! or i-prc6lhd@r
<br />dd ulD olnr&l3 fo(uch Fq€i! wnb. conrdons)lt.,EI Fr6d lo lh.CoturlG r Lt@ l^J.
<br />- I dr.&nt, udd S.(tDn
<br />Dir.: Own.r _woRr(Iili ( diitiNa^iii)fr
<br />DESJAAIIA!
<br />I hd.ty lftm undd Fuh, of Fjurt on. ol
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<br />aollo$ inB dc.b.lioB
<br />/4 U* a *irr -i"-. c-ifs.r. orcoE d lo Sdf-lEG &r rortd @,'paErbr ! Fovi<Ld for b, setioo lToO ortlE
<br />L.h* co& rd rlE Ffdrlld ot th. *qI to. *tah $c Fen a 6!.n
<br />,,u!l-hr. sd wilr n.n .in worl6 conp.ulhl ieruc d
<br />'b(
<br />wt for whah rhi! Fnn i! aaEd M) qortd onD@r
<br />c* 3faJrE .f^NA
<br />rcquir.d br S6tbi 17m ortlt rlbor Cod.,lorlt FflMof
<br />bn iclrc .ab nd !.!ry Imb? c
<br />9\\a4bztq tz/ea]ruza
<br />Olai d rry fi, h rh. Ffotu. of rhc a,t for $i{h thn Fnn L! itq.d. I slull ml aph} &y Fsn ir &y njrlG
<br />$ arobco@st*<1lolh.*{ a'omFldion bu! oacdif.mi4 .nl {rlh, 'tl $ould b6oG$bj.!| lo d.
<br />worl6' ..rFBdion prcvi!,oE ofs61'od I700 ol rh. L,bor Cdc I rlEll, forrhwilh oBply with lhos proaioB.
<br />W RNING: F.ilr. b cR mrl6' ompaEeio. mv6u. ir uhwtul. ird tlrll obJel o mpLF to sini..l Frta. $d
<br />6il arK !p ro oE hun&.d rhou!&d &lLB lIl0O,0(0), u lddnnn ro 0r..r ol.onp.Mion. &r!a6 a FwiLd
<br />salion 1076 ofrh.Lot rCodc.inr(.nod onEyilc
<br />o* o_!2_1lQ_1)a$1() t .{,a-r,
<br />D[CBtAIlq!
<br />I hqlt' .lIrn uDds Fdy of Fiuy d! I m h.dr.d uda F!viri,. of cl!4G 9 (@trltjai!3 *nh S.dbn 7m0) of DivLbD ]
<br />of rlE B6iB rd nofBbG co<L. ad mr ltoq b in tull foM,n.fiar.
<br />Lk':echs: \-)
<br />or, oL^ - lo ^2-b2!) cont-.to,,--- lU!<!.4q tGr!I4t\q!
<br />coNllaucuau!ENDlllilc!!(a
<br />I h6ltt .Irm ui&r Frhy o aFru.y th, llE. b . @ldrucr bn ladlg ,sdy for fi. FfolM. of
<br />'h.
<br />sul lor *tih lhb Fni ir
<br />is.dlS(. 1097. Civ. C.)
<br />t6ddt Nm.N/4
<br />N/A-
<br />AIIIJCAUI.TIqJAAI]A!
<br />I todry.fEbui&r Fn.Xy ofFiu.y oN of E aollo*ing &.lIdioN
<br />&mohior P6m[saelBrot Norii]. io. Folall Rcluhl ioB (InL 40, Psn6)
<br />_ Rcqui!.d trll6 ofllo.in ,riD
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<br />"otry da tu r"aod ..s,LrioE tlBrd,ls slBot tEfu!.j G @l ?plt bl. ro rhn FDixl.
<br />UALEdiry rh,l I lr". rad th6 .prli..rio. dn nllc thi rhc !!.w in6mriof, ir (Grd. I +c ro conply *tt .ll Ciy Bld Couly
<br />ordituB ard srlrc L.u cldrB ro L{i .odtudiotr Erd fidcby erlDrie qr6ollliyd o f thts Ciry &d Colnry to 6's upon lh.
<br />.b.\. mdlhncd ,rlFly for
<br />,\0plionr or
<br />^rdr
<br />shn.rsre
<br />"^rr*or rtlnnO, !/1M tr ".,,,e!e--TD:-4O
<br />COMMENTS
<br />Fiood Zone Certif .
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