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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loorA/enUlnsulation \ <br />Roof Sheathing L?-2-tt-)cW1 'v <br />Shear Wall <br />Framinq <br />ln s u lation/Energ y <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 /-3-/1 ,1). {v.1, r 'vy) <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />OWNER BUILDER DELCAR TION <br />I hq.!, .rm ui& pdDI, ol Fr!.y tl! I m aGnF nin lh. Codnddl Li..e le fot ih. lblhf,ins r.&, (S( 701 I 5 <br />Buins .d Prolsbn Cod.) A,y Cily or County which r.qur6 ! Fmi to codrud. !lE, inFoe ddmliih or nFn at <br />trrucl@. Fiot to irr Bu!N. .lo r.qui6 rh. +pli, for rucn Fhn lo fiL r ris..d .rdorEn lhr h. or d'c i licoE d ,,urtdr <br />b llI Dmriri,B of E Conrfcls! LienEd L.* (Chlptd 9. ('onmo.in8 with Salirn 70OO of Daviiio. ] ol th. Buias ed <br />Prcfdiotu Co&) or rhlr L or !h. ir .r@F thr.lto6 rxl lh. b.sir lor rh. dk*.d .rorprion An) liolxitn of Salion '70! I 5 bt &, <br />@li.d for r Fnh .ubiER tlE aplicrd to i .iril p.Ety of nol doE rh.n nr. huMlrrd dollu { l50O) <br />l. E osE ot rh. FoDarr. 6 Ey ooL,y6 trnh *.86 B lh.ir 5k conrpaBnioi. "ill do dE wo* dd th. slnrl@ a @' <br />iirdd.d or oft6.d for el.156 704,1, &!itE ed Prof6ioE Codc Th. Codncld s Lk<s l* dB rcl {gry to D o$G of <br />rlE p.oFly rtDt il,h or up.oE ln.oo.'d rh. dc sh Nt hirulf or lE$lf or lnreush hb or hi o*tmploy6. <br />provilcd thd !u.h inFo\ffit cn inlai.d.rotu tiEsl..l( l$6q, rlr buiBrt d nrFoiffi irild wilb o( \C <br />orconpLi.{ dE 0!16 Builda $il her dE hnld ofForr'{ lr lE or J'c dd ml trild or inpr.w 0E FlFry tor lh. F!?o* or <br />-1. <br />so*nd.f th.lropcly. m scl[iv.lyco rrl'nr silh ltos.d oidoE ro m6tud llr FoF (S<.7ol-{.Itt6r6 <br />un hoki- Co& Thc ( o.k&u'r Lic@ tr* &B nor .pply b x oqq of Fnp.ny who bnildr or inpro!6ln6dn. <br />od rho c.ntd3lor su.h Fq.ar "nhr Coddln{3) I'cs!.d pu.ufl to rlE CDnl[.lq ! Ltc* Lr$) <br />_l Mcrnr unds Sdrmn <br />D.rc Orn.r <br />\totlilllrli'(otlItNsat loN <br />Illigaaauo! <br />I hd.h\ am'nundd rErlrt.lrEiur on..lrh. hlLN rJNLUtrhoN <br />-t <br />hrv. ad *iU oim.i. . adifrr. of Co,gl t. S.lf-tBu. for mrldt onrP..olion, s I'ovidd for by sclFn )7m of rh. <br />Llbor Code fo. rhc Fforljm. of ilE wo.l aor "ti.h tlE Fmn ir i!u.d <br />-t hav. lnd sill mlintiin work.B conp.dalion iBurdq B r.qrt.il b Sdhn 17(l) oalhl l.thr Co<k. lor tlE Fft{lrltrc of <br />ttE *orl fM whkh fii! FDn ir is!d. My *ul4 Nmpouabn iem.. cdi6 rd Folky numhq &., <br />Irnird: <br />-lc.ni&rh.ri.rlrFfolmofd.worttnshichlhiFnnni$u.d.IJdlmranpl.y,Fsni.&yn@6h s tD ti.om. iubiEi io lt wod(6'dnpsMion L* of C.lifofti^ .rd +E rhd if I ltbuld hcoft ot*$ ro tll <br />h 6 onFsb. FovtbB of SEiir! l70O of llE lrtbr Code I !h.lL fanhwilh comply *ilh tnoe pDvnnrs <br />\IARNINC: hilur. ro s@ @rtd o6po!ni6. corqrs. i! mL$tul sd rh.ll ,ubrcl & oplots to oinid FEri. tnd <br />.i!il liE up ro oE hutxt d rhouerd dollr. (ll00.Oo0), b rddni.n lo lh. cor ol conFslion. rldE86 s ,rovid.d lor lh. <br />Sdion 10?6 oflh. kt r Co{j., i.rdd ud.ndyEy r fB <br />D.r.r_ ApD[ ( <br />ul[lsErolraacraa <br />D&CIJSAIIAN <br />I h6!b' ,ltd u.<ts F.drt ol Fj!.y thi I m licqu.d un&r Fovilioi olcn dd e G.mcins wnh S61iJn 7000) of DivLi.n l <br />of rh. Buio6 ed PrlemB cod., .nd m, lic6s is in full forcc Eld .,161 <br />lalsIalJglolLlllDlxli-acEri(r <br />Ikv.fLru j.r Frhy orFJury rh, dE. i! t odrudhn Lndill*,{ocy t$ lh. From.n.. of llE sorl tu r'hich rhk ltfr( . <br />itrr!.d (s( 1097, civ c.). <br />L6d( , A.lts <br />AIS.TCA.SL.DECIJS{IIA! <br />I hntb, rrm ufrl6 F.llry ot r<jury oE ot rh. hllo* inB ddhrltioB: <br />l).nohFn PmnnArtBror t{otific.lion F.d6!l R.BuLliiE (l nL {0, Pti6) <br />R.!u .n Ldid.rNdificfun <br />-l <br />cd'ry rhar rh. f.rldl r.gul.rioB E8edi.g 6tEB rmor.l d. mr q,pl'.rbh n) rha! FtF <br />-l <br />cstiry thd I h.vc rod th! .p?ltalioi td tl!t. lhd rhc ,b.y. infolfuhn i .on (l t .s,r lo Nftply { in .ll Cily .rn Counly <br />odim6 rd Slllc LiB Ehiry to hrildilg .o,lb4riotr id ha.ny rLhori,. ,.F&rdird of thir Cn, ed Counly lo alo uF. ilE <br />.b.v. m@lion.d pmpdt for iNp..lion FrrFs <br />Appli[nr or Ag l Si$.trrt <br />II <br />tt