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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE rD/slG.COMMENTS OWNET IUILDES DELCARATION <br />I lrdty tnEn udt r FElry or F iury ln.l I o .r,rlpl tom rh. O,nrrEr6 Lhnr taw for l}l lolhsiry EMn (Se.'tolr.l <br />Busin$r ud Prorcssbn Cod.) Any Cny or Counly whi.h r.qurs ! Fnil lo otrnru.l, rlls. iqrot, &mlith or EFn uy <br />.tkre. Fi' |o i! arliffi. rr$ Eq(iB rlr {rpli.dr lor Gn Fnn 'o <br />nL, rig,Ed sd.fttrr rhr lt or ilE h lkrr<d pulsd <br />lo rlE Frvisions ol lll Conlr&lor'r Li.rf,Ed Lr* (Ch.ptct 9. Collmrciu wilh Sdlion 70@ of Divirion , ol llt Buifts .nd <br />Ptuf.$irns Codc) or thrt lE n {E n .r.trpr rhqrfrom !d llE b.in fdr rL .lbgcd .r.rui,. A.yvir&b.orsdb. toll.t by..y <br />+pli! ror i Fmir $bFB rtE rtplkdr t' r.iral p.Ex y ot mr mE thd uv. hundEd doll[s (15001. <br />-1. <br />.r owEr of <br />'lE Flrdy. d ny.r{,lolE3 wnh *186 r lh.t sl onlEn ion. willrl, dr wt .d dE rErc n mr <br />i c.rt d or oficEd fo, slc (Se.70r4. Bliirc( ed PrDf.sioB Cnd., Tlt Cnd.&roas Liinc Lrw .b.r mr .pply rb i .wB or <br />rlE rqsiy wh hi&L or qmB tlEq'n .d wn, d6 st qrt hi.Elf o. lEelf or rhuu3h tt or ls o,n cnplotr.r. <br />povlLdth.r such imrroEr.R N m! ht Lddolf.r.d torsh.lt, t$wB. tlE b{Jdr8 or iqmEmnr iiBwirhmum rd <br />oftun?Erbn. rtE OwE Bd.r, H! hE ttr hnb orForirg dr lE d {l dd mr toill d i"V.oE rrE FoFry 6. 0E Fr!o:.f <br />_1. a o*mr of rlE FlFry, u.Elurircly onrr&rina wirh lk.nen onr&roE lo coNtrucr rlE Forc.r (Sa. 7044, Buircs <br />.nt Pi!ft.sbn Co<L TlE CotrrB'or'r Li..nr Lr*.rE! Er rrpl,to oow6 6rFrFn, *ho b{ilds or impmE! F6.. <br />"nd wtn L!'rErt ftr sh FlFrt $$ t Cod...rrls) liarra purulr lo tlr Conllaru r Ltcn* L{w) <br />_l n.&mpr !i&.S€r6n_, B &P.C fo.Onr$r <br />Iht. ____ ow.__ <br />u0af,Els:glltrEtiArlll! <br />DEqIJTAIA! <br />I lEEby rfrrB undc. F.aI, ol rdiry onc of $c rolbwins d.clar.r ion:: <br />-l <br />hlw .rl will tuinlri. r C.n if..rr of Coeir lo S.lgtuuri for *qlqi ohptnrdion, !i tmvidcd f6, by s..rio. l7(n or rli <br />t bo! Codq fr dE pdfolrru. 6f tt e rd *nih d. psnn i isrn <br />-l h,E rd *ill minr.in worl6 @rIFMrhn itruec, u Equicn b, S.<rio.17@ 6lrh r,nor C..lc. rd rlF Ffm. ot <br />E wr f whih lnn Fmir Lr iqrd My *ort6 smFMhn i ure. fftr rd poliy nun$.r ac: <br />crrir SM fi4r'"a'41 'l <br />Looooo /l\6 b / tr lul <br />-l <br />c.niryrb.r mrh.,E lormNolrlE url ld shah rhr Fron N bsBd,I.h.ll mr.rybytn,Fmn in.n,tMBr <br />$ 6 b k{om :rbFr ro tlE worter enp.nslrion l,wr 6f Calirohi,, 6d csr. rhll ir I shlld lr<oft .!bFr ro ilE <br />s*6' mmFnErio. pmvtbn! olsdirn l7m6f $. titd Cod.. I rh . rdhwlh onply *trh rlD: Ftrrkirnr <br />WARNIN(! F.ilurc k, sm srt ( con{xtrdion &rm8 ir unlrwtul. r.d $0ll subFl & cq,k,}!r ro sini,.l F hEs r.d <br />c,vil 6ncs ut io ok hudEd rhrus.rl dolhrs (tl(l,m), <br />'n dttililn (N or oqEn{rioa d.fl8ls .t pnrvlH for r}E <br />Sftlion 1016 of rh. trhor Codc, dr.rcd fd dbmy \ <br />b{"'l al <br />TECI'BAIION <br />I hcrh, rrlom undc, F.rlty 6f p.rFy rhd I Ed licn*d und., tftvnio. orChrfld 9(@mmEinE wrh Sdirn 7m)) oforvir.n l <br />of llE Burifr3r .'xl PrefdrbB Crnc. .,rl ny lttr is h tull foE .,n ..tGr <br />L <br />Fr <br />6t o otL <br />blt,r' <br />colsrBllgnoN.LEdDAtiitiElcr <br />I h.Fht alr]rn oni.r FMlryorpcrjury rhnr rh.( ir r snrru.rion Lnd'ng.Actry ntr rlE Frlnrnuroc oI rhc wort !i)r whth rhis tEmi! s <br />h(&n (se. 1097. ci! c ). <br />L.i.Lir N.ft: <br />- <br />AEILII]AXI.DECIdSI.UO! <br />I had,, .rm u,ic, F.rx, 6f Fr,lry o* oa dr follrwiq .L.Lflion.: <br />thmlihn Pcrmlrr.Asbdtos Norifi.{ion l{dc l Rc8ul,rinre ( lirk,l0. P!n6) <br />_Roqxtcd Lrrier na fJoiiruii,. <br />-r <br />ccnily ln E lcn ,rl qlldbns E8.rdin3 6h.nos rcmv.l o. trol {plianb r0 rhir prujccr <br />I cdify rhd I h.w E.d rhnq,pli i)r lrl nrr.rhi E $.s i.forrdirn .llft1 I .aE to.oDrl,ly*ilhrll Ciryrnd Colnry <br />onhnrkcs urtd Srutc li*s rlaring b t{ rld <br />.lbrt mnrrrftrl <br />'lmFdy <br />r(, iftFdion <br />lpplitrnt or.\s.nt Slxuh,r <br />!'r e uncrpn ):+14 <br />rrlsnlrir. ol lhis Cry .rn Count ro 016 won tlE <br />-^.4!!4 <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Rool Sheathinq <br />Shear Wall a?) <br />Framinq dro/).r fftuttu6,7D/ <br />lnsulation/Enerqy <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 />Ir .a//2Tlt Dtrila ,&r4 <br />Certilicate of Occupancy -I <br />( <br />Notes, Remarks, Etc <br />Erection Pads <br />Subf loor/VenUlnsulation <br />Flood Zone Certif . <br />FINAL