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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OW!{ER BUILDER DET R TION
<br />I h6d,y .lrm ulxls pdrny of Frury thr I 6 eralF tD6 rh. Coflrsr@ Li.qE Lry for llr folloriB ifun (Sc.7011.5
<br />Bsi,B !d Proa<b. C.d.) A.! cny or codt shth EqliE r Fn lo @'dr.t .la. @p.ovc ddrcl.h o. Ep.r x,
<br />nB1@ Fiorro iB igeq.14 cquE rlE.ppliar fo.uhFd ro 6L i !i8..d ridl $r lEortE i lilE d p!$Ir
<br />to rh. F.\.i3ird of tt ConErld r Ltc.r.d L.w {Ch.pr6 9, Comfths *nh Sdlbo 7000 of Dirnbn I of th. &BiB ard
<br />PmlsioN Cod.) or rhlr lE or 3lE i! sdpr thd.6on ..d rh. b6a! for rlE dlcgcd qdFiof,. Any viol{b. of Sdion 701 L5 b, &y
<br />6ppl'cdr lor ! Fnn 3ubjsr thc rppli.a ro.civilp@h,of .ol morci,u fiv. hun&d doll6(1500).
<br />L B o\ffi oalhc FoFry. or my mployg with w.g6 6 th.n &E @mpaBaion. ein d6 dr. sul dxl dE rrudr ir Dr
<br />ilroi.d ( oFdld for !.lc (ss 7ora. BEi!6 n d Frof-.6N CoJ. Th. Corftloa! Lkgu L.w dG tul .Cpt lo & olG of
<br />iE FoFly who hil(l q i'rslr€ lhdb( -d *no dc sh sd hnMlf or lErlf or ilEru3h hn or lE ou q!pbr6,
<br />ForxL<l rhc ru.n in4.D\ErEgemt hdi.d dotutd tude l[ h.w. dE t!'ldlns or !rr.!6EI ir.ld *ihj, G ra
<br />of otrPkio[ rlE O*c E tra * Irr Ehrdd oaFovios r,.lE aElla d hilds i,q.!w tlE FlFry 5.lh.F],F..of
<br />I, 6 0*6 ofrlE FoFry. m .kl6ir.lr .onrrdiq gnh ltaB.d conr*l6 ro @!tsru.r tlE F.F (SG. 7Ol4, SunB
<br />drd Protu m Co&: Tlc Conllrrorr l-ic@ lr* do6 mr .!plr ro 6 owrc olFoFry *ho buil& o. nnpov6 fid@n.
<br />!.d *ho lodl* tor 3uch F.j61! with . Cor Ecro(r) ltd!.d p!6Nr lo lh. Cofrdor'r Li.@ L!*)
<br />lenci.nr unddSdbn
<br />2-2-\
<br />utlLttstltg)
<br />I l6qr.L .rm undd pouny of FJu, r_ oE ol thc
<br />-lh!v.!nwiudi r'l. CdtifEd. of Coen lo Sdal6@ f rqld of,psqion. s Fovit d lor b, S€rior l70o ofrh.
<br />lllu ('od.. fd rh. FfM. of llt srt fu whtn lhc pann i is!.d
<br />I h.rc and $iu maiotai. w.d6 conlqs.ti.n iauu.., 6 rcitlnci b sdl ion 1700 oirhc hbo. Gd., for lh. pqfo.ruc. of
<br />lh. work lor which ths pdoit i! sual My*ork6 conp@srion iBurm.ffid ed polty numb6 uc:
<br />I cdit rh! i. rh. pcfolrrffic orrh. trtrt fs whth $n Fn B (q.{ I lhll @r dlrlo, Dy Fsn in oy t@
<br />s a lo b.or stirr ro llE snd onp6db, hs! of Cdif6mia ild +r rht if I tuutC haor otixl lo rE
<br />wrt6' @npqBdbo pro6io6 ols<1bn l70O of th. r,!d C.de Ml. fontunh 6Ep, wnh lhoi FDEia.
<br />WARIIINC F.ilu. b w wrtd' omD.Baion @vd!s. a uL*tu|. .ld t dl $tir M aploF ro 6imi..l Frrir d'd
<br />riil ntr6 up ro on hundr.d th{LMd do
<br />Sfrri.n 1076 ofrh.lltff Cod.. ddBi dd
<br />on, -'l ^l0^Z-ot_-\ t
<br />6 ldd n\. ro ih. .d of .omFMrion. ddr*6 a Fovid.d tor lt
<br />ur& FBi.n o, (tlprs 9 (otrltEins *'nh Sd.n 7000) of Divilb. l
<br />of iE 06ilB dn PFled Co&, .n ny lade a i. tuI fo@ in .rd
<br />La& r AddB:
<br />-
<br />A8&ICABLDECIJAAIIq!
<br />I hdiy .trrn uidn p@.lry of Fjury o.. oa rh. follo*i,g d..lsdioE:
<br />D.molnion PmnrAsb6ro! Norifi.lrion rd@l RceulniioN Gnl. 40, P.n6)
<br />--Rcq,ilcd l,ln of r,bdfKdio.
<br />I cariry rh, th. f.dd.l r.guLlbE Egsdins lb.dor ,Ercv.l d &r ir9lr.!L ro thi! Forer.
<br />,iztd,trh,, ha.Edth!?pls.o!n r.0(rt .t!Ei.loldirir. nd.I r8Ero@mplywirhru cny.nrc:ocdy
<br />i,odM Ed sllc LiB Ehq ro bldds (olirucr@ .d bat5, rrhod. EFe,ri€ of rhit cny .n cord, lo .dd
<br />'+oo
<br />lh.
<br />.!o!. l6rh*d FoFry fot
<br />Afplkrnt or Agdl Signrr 7'zo t 't1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />Flood Zone Certif.
<br />FINAL V€8'zr -cr5,lz aa5Y2r1
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.I ha.by .rm u'xlr Fuly ol pqury rhc I @
<br />catuaiJcuorrllDl!.clcElcr
<br />I hdlby lafm @d6 ,arlty of pqjury thd rha. B ! odrudion k dinS .rtr, for th. Ffolrr1ec of lhc *o* b. whicn tnn pasir i
<br />isu.d (Ss 1097. Civ. C.).
<br />f..& i NM.'
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