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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNB BUILDSR DEI,C,INATION
<br />I lrdby !lir6 u.d.r Fi.lty of ,Eriry 0!r I 6 .rn!, tn ft. Cnd6 tiw l,w for llE follo*ht lteo lsd 70],.5
<br />Buriks !n Pmr6rto. Co&)r Ant Cny or Cd t rntn EquiEs . Fnr b cotrner. !!d. iipeE. d.mlirh d EF! sy
<br />trrde Fir lo irt i$u.d, d.o ,r{uia rlt ryda.,t ,or .uch Frmir lo fiI,.. siSn d rlrl.cnl llll lr or rlt i liar=d F,ia,
<br />rd rh. Fviii,ns of ilE Conrrloas Liccocd Llr (Chlprd 9, ConmEing Bih Sali,n ?m of Divni,. 3 of lh. SlrilB rxl
<br />Prcr.sirn. Co<L) d rld lE r dE is .r.q,r tlE!trm .d rlE hsir ac rh. .lLrd crsrrrh. An, virhrbn otsdri,n 7011 5 b, ey
<br />rppli..n ,or r Ftu' rbFr. E rp?lkDr b . .ivil FEhy of ml mE the liv. hudEd dollrt 1S5m).
<br />-,.
<br />rs ourcr ollh. Flrrny, or my.q)loyGr *irh *rs6 r lhcii Dk @'q.Nion. q[ d,IE xlt.,n ft ffE i!
<br />'Dli di.d ofi.r.d fr sl. (Sc.ro4.l. SuriEs .,n ftsfNB crn TlE Co' .rrd! Lia* L8 rrd.r mr qt'll, b m owmr or
<br />rlE Fpdr, Btn biLl d r+rle dEEtr &d who &d qrn s* hirell or lEBlf or tmu8h tis G hd om.rgloyG.
<br />povidcd fi.r rucn inFl\wnls e dn id.dLd q olYn€d fm qb If. hME, rh. tliuiis oi i'rtEEGll !' 5a *.rlh m Jd
<br />otsnpLrirtr 0r O*E BuiB.. will lrk dr htd.r or Fvi E thr lE d rrr iln d tliB d in+r.w trE Frrdry fd rrE FrF. ol
<br />--l, osownn orrhc lreFrry. rn.x.briEly.otudi.8 *nh Urtrin.Glrrro6 b @,rrBl E pmFl (9..7044. Buirn
<br />!d PidarnnCnt:TIECo.rErofrLi..nrLrdrEmr.JtlyrouolFofllmFny*hoblild!orihloErrh.r@n.
<br />rnd trh conkrrs for \uch F,Fr\ $ h a arnrdons) liu{d puhudnr h rhc (t nr0crn r
<br />l6m.km|, ui&r S6.-ti
<br />4t//tq|-DEII.AETIIIJN
<br />I lErcby slnnn uRlcr FmhyolFrruryonc oltlI nnhwiry d,i lsorion\
<br />-I
<br />h.r.!n *illEn'l.b r C.niar.rc ofcotrrnr k,S.lals@ ld s (a.o.Vxtu ri.,r, d Ftvi|d lor by SB'ion ]7Oo of fi.
<br />tid OrL. for llE Frforn!re oftlE wolt tor whih lh. Frmi n is.{.d
<br />_l n r !'n $,lltui,nrn $ur.F o.linubr i6uhr., a Eqlir.d bySerbn l7m olrlE Lrhor Cod., nn llE rErfomEEc of
<br />rh. qrl lr whih rhis l.rmir i. ilMl M, wrk.u .otrf.n$tion insumr. corir lrn lllty nunns m:
<br />Poli<, Nu$er:-
<br />_l..nify Er i.
<br />'lE Frrorme or rh. m.t fir enih rhis Frmi i! islcd. I shll ml otphyuy F.sn in oy MM
<br />{ ab b.sm $bj.{l to lh. wks. omFNlion bqrof Colifomir, arn '3r $1irl ilhuld b.tot $!.<r io
<br />'lEwork6! consEMrhn rori\iotrt 6f Sd'ri{ l?(n 6r ft Lrrd C.dr, L,EIL ronhslh d,ndy wd rlnr pnvtiB
<br />WARNIN(; rriruE to sm *nI6 oqEnob, mEfr s unb*tul n,n dBI subFr m drl,hr. io dini&l F.rrir .nd-"rfe., . n *,*a r., o. .
<br />tr2->
<br />.nil fiEs up ro oE hlndEn lbusd &,116 lSlll).fiD). in oddiri(h, rh( con .r.oqkn\ar
<br />Y:yf,qL:fr ^-*,, -)(
<br />DfcuSarxl!
<br />I lErcby rlTm ud.r FEly ol Frrr.y lhn I m lisrcd und.r ,,ornio. of Ch.prs 9 (cotrfteins riih Stri,n 70O) or Ditisido .,
<br />oa r,E Aun*$ rd Prorcsiom Corl, .!tt my li.nG ir in lull tur .,n .fid
<br />LltM CLs:-LitM N!r$.r:
<br />D.r., (] r.rrr
<br />(;I)!.tBrcuoNLElatiJiEq
<br />I hc,sby .,nm udcr Fulry ol'Dcrju, rhd rhei n ! Nnrodion lc,rlin8 rg.Ey lor
<br />'h. FnorlErr of $. *rrt fo. ,hkh rhi Ftrn i!
<br />h$cd (Ss.1097, Civ C I
<br />TIIIANLIECIJSAIII]N
<br />I hdrrr, lrm !d.t Ftult, of Frry oE of llt rolbME .krL,rIio.s
<br />ttmltri'n ltrnir.Ath6G NdifE.rir k .l R4uLrioE (TirL 40, Pdi6)
<br />-Rqurcd
<br />txtrc. of NrrfElbn
<br />-l
<br />d ify lhd llE [n d rcEtbtionr Errdna !6cnor rcn,v,l rt nn tiDlrdbl. t, rhis Jm]dr
<br />-l..nily
<br />ltd IhwE.drhi+rlt ti,n rd 3.t rhd dr .loE ir ondr$ tqEd IrsEb6,Vly rhdlCryrdC.uly
<br />difllB rn Su. L.*! ELrilt lo bo'ldins ctu4Briotr rn lanhy rdhr+ EpllsEft! of ths C y ud Clunry ro.nlE ulotr tlE
<br />rtrE rm-md nmdv rd n.E Dn l:ll s./t I I
<br />^*-,-^-',"-*"ffi - zyhyy'l"2D
<br />Pm,,cm,p.,x' 4s4Esg -leEEL
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUl nsulation I
<br />I
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./1n1. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL 7ll7l2o2n -F-.^t"-A-rA-/
<br />Certificate of Occupancy \) \ \-/-
<br />Notes, Remarks, Etc
<br />Rev 0B-07-2015
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />II
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