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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 />SLAB Floor
<br />Subf loori VenVlnsu lation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />ln su lat ion/ E n erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL 7l/4|?t D*t bg
<br />Certiticate of Occupancy
<br />Notes Remarks, Etc.
<br />OWNER BUILDEN DELCARATION
<br />I trEhy rttum udcr pctuliy 6r p.rjury ur I m.r.q,r rmfr rl.. Co,itu16 Li..€ Llr lo. dE rou,*h6 ron ls...7oll.5
<br />BusiE$ .,n Protc.r6n Cod.r Ary ciry .r Counr, shi.h r.quiEs { rE tur h @Nitui. .Xs, i,proE. <hmlth or E .r Dy
<br />3lntrG. Fir ro irs islldc. .Iro Equn$ rlE {,olksr for.uh Fmi b nh r si8md dd.mm rhd rE or {E B le.€n Fn{.dlo E F)vieo"s ol rrE Co.r*b\ Li.D*d tiw (Ch.l d 9, Coru.ebs wirh Sdio. ?00o 6f Oirision -l of rlE Bu.iEs rrd
<br />Prurcsrions C.d.) tr lh.l lt or rl: i. cr.,q llEriom &i llE baris (tr ltE llL8.d .x.,{,'n,n. Any viohr mn of Sdi,n 'rol I 5 by $,
<br />lFplft ro.. Frmir slbFrt tlE r@lk. ro..ivilFolr,or mr. rha lir hudEd &lles (ttD)
<br />-1,
<br />$ owE orrrE txDFny, d ny.trloloJ.li *nh *.36 B rlE $l oqHr.lion. *ill &' rh *nl &d rlE {rEt@ i mt
<br />inr.rddl o. dfiftd ror Ek (56.7(}14, Bu.iBr .rd Pml*bm Gd.: A,E cddn r LirM Le do.! d +ply ro e owrr or
<br />lh€ rmFny urs ttrildr iq'mB dEa ]n sh. da r.t rGi hinclfor hcelaor tlnud hir a lE. o{.nphyc.s.
<br />[ovid.d rhrt !u.h inpm\{r,fi G mt id.rxLd d ofidld for .]. li tbkE, rlr t r!!C d illlEhen ! $E ,fhin oE Fr
<br />oaco'q,Lrbn. tlE O,rct Buildd *ill h.w lll hrd.n ofF i,B0dtrd.lEdi!mrt ild G r|!Dr tlE F,Fty 6r dE FrrDf, or
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<br />l. as o*mr or rhc lroFny. rn cr.btivcl, conrd ins *ir h lt.nsd conrrt(r n, conrrB-r rlE rmit (Ss 70.14. B6m\s
<br />Jrl fitrlNrnrCod.:'Ihe ConBru r t,rccnlc t.rw d,r\lb brildr d illpmE. rh.ron
<br />.n,l whn cunrEr\lor\u'hF,Fd($ h r CodRronL,
<br />I fl cxcnu undd Sc.rn,n
<br />I hcr.trr,ltrmxnd.rFNlryorll.rlurv.tr..rrhel,,th,*rng c(lrJrr)n\
<br />_t h,w !d will tui.tAin r Ccnif(rrc ol ConEnt ro S.la lnlur. lor wrsi drn{EN'rn. $ FrviLd for by 5rr bn l7m of E
<br />L.lq Od., for lh. I,c orrumc olllE rc& rr vhich th. tBnn 6 lsBd
<br />_l hrv. .nd will tuinroin Mrlcu cor{rns{iirn insnnmc, !r eqrr.rl by SNro.11700of rl[ Lrln C.d.. for rlt FrfolrrEfi. of
<br />il! wol fi, *ti.h lhi rEm,l 6 irsu.d My *ork B con{Erarion r..!hK camr !n polhy nun$.r e
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<br />adif, rhar in rlE Frformftc orrh. worl r whthrhtF,mi G nt!.d,I $aU n(r .nqrhr rn, F snin.nymnFs a ro b6cnr itFr ro rlE B,ts odpcnrrhn Lur of Crlrfomi!, ud r8r thd rl I rhou[ t <om obF ro rll
<br />rd6{ drn9.nsrion Fovnidnr ot S€1i,n l7O0.r rtt Lln, (
<br />WARNINC F.iluE lo RW mrt mrpcnsili'n 6tml
<br />civrl nrcr W lo oE hudid lhous dolLr (stu),(xD), i
<br />Ss'ior :11176 of rlE L.hr C.d., i .E{ .d dbfty r ikr
<br />d oploFnh aimlnil llmka !d
<br />nqrion, dmtc. N pRrvAcd fn rlE
<br />I EL,rb, arlnm tr.Jo lifulrtof prrJury rhar I rnr l(rtr\l F[virion olChplc.9 (omrrcin8 *ith S€rbn ?0(xr) olDNhnn.]
<br />of rhc Busirc$ enrl Pmrc&sx,n! Codc, .!n m, li.cns n in rull roN .,n clf&r
<br />Co ..clor
<br />COI\STIUCTION I T]IDING (:FIICY
<br />I lEEby .aitd unds FElry .f ,E ,l!ry $n fiar n . otr(Mtion bdi4 l3cEy ro. tlt lErfornEtr. ol llE wrk f.r *hrh
<br />'hn Froi ir
<br />nsEd (sE -nr7. civ c.r.
<br />i\hr(os rcf,r,vrl Jr. norq,pliJbh kr rht prrFlr
<br />I ccnifrrhar I hivc rcftlrhtr rytltriirn clrer I qF to@nr,ly*irhrllCirysnd counry
<br />onlmrncc\ J Srrtc lrss ihr oarhi! Cily.nl Cnunly ro cnts utrln tlE
<br />att,v. nEtrriomd rn,Ixny
<br />,\pplirnnr or,rrur \irnarrn -,,, c/.r/-,
<br />I
<br />AITLICANfIIICIJBAIIO
<br />l lht .rlm lds Fn,hy of F,flry orc ol t& folh*int dslulrions:
<br />l).nnhti,'. P$m[sAsh.{or NorifEarhn l*L6l R.EuLrimr (Iirlc.l0. Pd6)
<br />-R.qun.n
<br />krrs o, Nrir'rdrixr
<br />UFER Ground
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