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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEf, BUILDET Df, II'ANATION
<br />I H,! .mm uidq p6.ny of Fju.y lhr I M crdpl tom llE ( od,rdoB Li.nE L.* for th. followrl8 l!&n {S€ 701I t
<br />Bsin6r lnd Pr.lBsion Cod.) A.y Cily or Counly *h,ch r.qui6 t lEnil to .on3rucl. !h6, iaproiq dmolth or r!?.a sy
<br />jru(ue Fior ro itt asue.. .!o r.qlt6 rh. .pglkol tor su(h lcmn $ fik a 3ryi.d tlrl.lMl lld lr ot th€ i lics&d pre.r!
<br />ro rlE FovirbB oa tlE Conlrkd r Li..tr!.d lr* ((iq(a 9. ComtrinE sn,' S..lhn 7000 of Drvitio, I ofrh. Bui,B &d
<br />Prnl6bc ('o<t.,, ihd lE d.lE L ad4r th6.6on rd rlE tGt fo,lti tltscd aqqrbn. Any viohiou of Sarb. 70:ll t try oy
<br />.pplicur lor . Fnn rubj.r,ll rh. lpplker lo ..avilFrh, olmr m.. rhD fiv. hr&cd {bll6 (tt@l
<br />-1,
<br />s o6n ol rhc ,roFry. or m, .mplorG wilh w.g6 s lh.ir sl. conFn nion, will do lh. worl ard llE *tur@ B n.l
<br />inrot d o. oltd.d for sL (Sa.?044, AsiB 6.j frcf*ioB Cod.: Thc aonlr..lor't l-i.d. t w {116 ool {Dl, ro u oMd of
<br />tl! Fqdy wb hilrh d iq.r€ tlElE !d wtn &s sh *orl hiMlr or hd*lror thmoSh hi! ot lE o*! a+lor€,
<br />FoviLd rhd run l|lp.oEErt E dx ddd.d dollsrd 6r xL lf. hosM. tlE hlildll s in+oqd ir $ld wihh m
<br />'aof.orpkrstrttE ()llE aui.la * h.E 0E h!dd' orForilB lhd E o. tE dn d hri! G ttrm\! lh. FrFr, tu E FIFE of
<br />-1.
<br />c own6 o f th€ Fopsry, u .rclciv.ly contddi.g wnh li..Nal conln(1o6 lo silltolI
<br />'rE Fojd (s( ?0.14. B6ins
<br />,rn hDa{ion co!. Ih. Conrr.croar l-ic.B t,* &'6 @r ap?|, rd o 0*.6 o t FoF! y who b{il{t! or 6po\ 6 rhao..
<br />ud *ho co.nftt td $.h FoFs $nh !coM.,ll,lids.d podur lo lh.cdr.dr ! LLae L*)
<br />-l
<br />a. .rmF unds Scrion
<br />D.r.: orn.r:
<br />]}lrffEn,t:aaufIlsarla!D!qJAADq!
<br />I lE.6t .mm u.d.r F dt, ol FJu,y oE of lh. tolhs !u &.brn ra
<br />-l
<br />h,k !:d $ill roint.i, r Cqrifrn. orcoMl l(' Sdr-lMc roi ktldt @nlporrion, B FDvid.d aor
<br />"r"
<br />Sdhn l?m of tlE
<br />Lsbor Codc. frr rh. pdfolM. o I lhc mrt for *hich lh. pqrn is isu.d
<br />I hanantl*ill msi sin woltd .o6p.Ntion iNurMc., s ..qund hr Sation .U(]O ot dE t bo. Cod.. for lh. Ffolllrm. of
<br />rlr s orl lor shah lhn Fhn E eed My "ular' comFMion iBW. cei, tn Fol(y nuobd t.:
<br />-I
<br />.arity rhri h rh. F6lr:u. of lt wort atr which lts psmil ! su.d, I idl ml drI'loy ey posn in o, lM
<br />$ s ro b<od 3uti*r ro rlr vdtd @nF6.bn l!$r of C.lifomr. .rd 4r lhi if I Jruld h6o@ $bicl to lh.
<br />r! 6 coE d!.lion FDvirbB ol seiio. 1700 of tlE Ldor Co<14 I filL tonhwilh conply with dr- F.ritir6
<br />WARNIN(; IdlG ro Gr. qr 6 omFs.h,n .o\6a3c foL &d sldl sob€l u ophrq ro ainin l Frtis ."d
<br />civil nn6 up n, on. hunr,r.d lhouland dollm {llo0.o00). 'n
<br />()n t) rh. coi oi con,n 'Lenon.i' ('.{ rddrrnmv r l.i1
<br />7 o
<br />ull.a&ur.a
<br />I hs.t y allrm und6 FuIy of Ftury rhd I ffi licdAi undd pmv6K.of Cirplo 9 (cumffiing $ ilh S6in. 70oo) of Dilisio. !
<br />ol lhc lrosh6s sd P.ofsnns (td., dd ny li.dr. ir in lull for.. el .rdr
<br />@ (7?7t3el_
<br />l;tr![IBlJIfIO!'lllldGIGEB(r
<br />I @ aflrn u.&r FBXy or paju.y rhd rlE. b ..ldddbn lddos lcdy lor rh. tEfttuc of ln *orl6r ullih rnn Fma ir
<br />AIIIJCANI"DECIIEAIIO!
<br />I hd6, .r!b u.dd ,a.nt ofFjury oE ol tlE 6lh*i!E &rlrrrb6
<br />t Gnblir ion Potirl^rhdd l,lorifi.lion FcdE l R.guhioB (Tnl. 40, Prn6 )
<br />-Rcquir.d
<br />trfl6 of Norificdion
<br />-l
<br />cdary rh, rh. fcdr,l Gtul4bc ESedins slEsnE mor.l s. ml 4plitbk b rhir Foi.rr
<br />I .dr,fy rhd I 16.6d fiir qttrcrlFn nd. lhd rlr ibo\. 6ro.d!n t corrEt I .srd lo @,q,lt $ nn.I Ci) dld Counly
<br />ordm.6 lri srrr. t *i r.lnnl3
<br />'o
<br />hli
<br />{hrvc nolion.d pn'p.ny lor iNtErio.
<br />\ppli.ul or,\sFi Signrturc
<br />/t4n<.
<br />'::,',""";;F;;;"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenYlnsulation ,
<br />Roof Sheathing /0/zz,/*fu7la>z 7 /to ,--
<br />Shear Wall LI
<br />Framing
<br />lns 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 ilhthl- t a.niflil ./rt>
<br />Certificate of Occupancy - t ol 1/
<br />NoteF, RFmarks, Etc
<br />t/nii- Aut-n I hna,rlt,t>-'\-z \) '\v.v..vw
<br />ilra/./y u/GTul-/tu
<br />ii$.d (Sa 1007. Civ. C ).
<br />L.dn'! N.n.
<br />-
<br />tl
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