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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />Subf loor/VenVl nsulation <br />sRoof Sheathin <br />Shear Wall <br />Framing <br />lns u lation/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Pool Fence <br />T-Bar <br />Handica Req <br />Deputy Final Re port <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL iltl/zt' <br />Certificat€ of Occupa ncy / <br />Noles Remarks Etc. <br />OWNER BTJILDER DEL(-AIATION <br />I hqtt,y .fm ui& p6.lly ol Fjuy lh! I n Gxoq inn th. ( otu.do l-'c.nr. kw for thc tollowirs lNn (Sc ml I J <br />ANind ,n Proa4'o. Co<L,: Aoy Cny o. Couny whth r.q!t6 r Fnr ro 6dod. dr6. inFoE dd@lbh or *Fir ey <br />nnrlue prnr lo ir3 islla., .to EqdB rhc lDliui for uh F to 6L r iis6i nntut lhr lE onlE i lkq!.d plmd <br />to lh. Flvitiod ol tlE ContnclG r Lic.nkd L!* (Ch!r'lc 9. ( ommocins *ilh Sdtion 7000 of DivLio. I of tlE BBil6 od <br />EorBDtu Codc) or rhd lE or JE L .xmF 'ha.nin rd rh. b.!n hr rh. rlks.d adinoi Any ioldi,n ot S<lFr 70115 by &y <br />rrplrcri lor. Fmn oudr3 rlE .tpltrd lo ! cir il FEhy olmr mE rh., fiv. hudrcd &llrr {tJm) <br />-1.&iowofln.Fop.nr.ornympbrGwtrh*.86a <br />Er$konEdErM.*'ll&rdEsslid.nnliGBd <br />idqld.d d ott6.d tn sl. (Sd 7Or4. Buir ed PrtrfdbG (.d.: Tll!< ('o,rndm s U(qE t!$ do6 bt eplr ro u om6 ol <br />th. FlFry *ho toil&or inp.o!6 E6,! ed *ho d6 uh slrt himrlf or h6!.llor rlmlBh hn or hd om mplolE. <br />rtu\xlqi rhn uch ulFDffiEdn rHdotuldbr{t ll hou(6.llr hild,,B d ursovdEr L bld *itlfi m }rofolpldia llE (nM SoiLb *iI hlE tlE hrfttn ofr.ovins ih! & or JE drj mt bild or i'nprov. fi. FDFiy 6r tlE prFor oa <br />-1, <br />s016olrh. rrerory. m.rclBnrlyco Elh8wiih licolal.o.tEdoN b conhd rh. Fo]<i (Sc. 7(}.l4. tl6dB <br />ald E!k{i Co.!. 1n. Conr..do. t l-i..4 t w <t(E ml @rly to s o}E orFoFtv r lF trild! ot inpror6 thso( <br />ed "ho ollrd! tq tuhFDj.(3*irh ! Coilrrro(s) lta!.n pll,ur to rh. ( otrrr.1di l-i.dg L!w). <br />I m.rmF uda ssrb._. B & P (' for th! re! <br />D.t.: O*nn: <br />uoru<rrs- t.oltprlsrrrol <br />D!!;ldSarltlB <br />I Eela .mm uEb Frlr! or p6jur} oE ot rlE follor i.! r!.cl-d n6 <br />-l <br />hlvc ttl ull dirlain ! C.nifEa. of CoiEn b S.lf.l6U.6r wln' onFdior\ 6 Fovi,.d lor !,v Sdbn ]7@ oadE <br />t lu Co& fd llE Ffffi. of llE ssl for stkh rh. pdoil h iqol <br />_l hA..rn *ill@i|!in *ortdr cohFudi,n iMx., s Eqon d b' Sdion l7(xr of th.lib Co&. for th. Flil:re.ofrh. {o tu *hiLh rhE rE nil it iaqdt My *orld3 comFMion iBuruc.c8i6 a policynumb6 r. <br />Z o <br />_l ccniryrhlr in rh. pdrollr:m. olrhc *ork for*hrhrhBFrn ! Nuai.l rull dn d,ploy.ny F$n in uy mM$ a ro b<o@ 3utirl lo lh. wlt6' @trpqErbn L$s .rcdifohia od .gE $d if I slbold heoc rotid <br />'o <br />llE <br />vr 6 ooFs.rion trovnioG of Sdhn l7O0ofth.lrbor( od..I sh.ll, fonhwnfi 6ndy wnh rhoE proriioB <br />ITARNING: lnluE io su. mrtd 6mFdio. or6!s. . unhstuL ad lrdl elitl & dpbF to ciniol Fdb !d <br />cnjl fu6 up ro oE huryH rhoBli .lolld (t100,00o,, i, .ddiion ro tn. .6n of comr..slio.. dM!36 d p.ovd.d for rh. <br />r( <br />nrqd dnd !tror6-' ', fd <br /><--).-.Z,z-u-inaFnaorrR^olltR <br />- <br />prcr axrrr0( Vc El u.dd Fo.Lren.f (nadd c lrnjl6('nd snh sqrDn 7tro0, ol Dr8..l <br /># 6h tullaoN.n.lTa'. <br />I h@br amm undd po.hrofFjlrrrhd I m li <br />of rh. BGinB ud Prot6o6 ('o<|., ,rd dy k <br />to , tqTa <br />CO!$AIIIII'II.EIIIIIIGAGENCI <br />I hs.hy arm und,r Fnah, of pdju.y rhn fiac n . co.lttu tiro hdns !gd.y for th. D6fomd.. ofltE wi for *ikh tha FEi !isEl (sfr loo7,crr ( ) <br />AIIIICAILDECIJAAIIO! <br />I hdtby rtrm undE p6.hy ot Fi'Ey oft of fi. 6lbei.8 &.ledi6 <br />Ilmlhbn Porie^rtdor Ndifdb. f.&..1 R.8rhi,N (TiL 40, Par6) <br />-R.quid <br />L.rlq of |idiftihn <br />I cd i! rnd rhc fd6rl r.sul.liotu EBsd'ns atGror romvEl s. mr lpplrlbL ro rhR proF. <br />-lrdifyrhdIh.rc6dthie+pli.dionrd <br />dcrhnltEat v. rliornll{n is cordr Ia$crocomply*ithillCny..d(tury <br />o,nindN6 sd srd. I N chii,E ro tuildi.s co.nry.lbl! E d hd.r,y .lntb@ ,.Fdn!rn6 o rrhn Cny a'd Co@ry b dra uFn dr <br />.hr. n6rion d F!p.n! ror i!+<iion <br />Appli..nl o. &dl stgn.loE <br />J <br />,t lr/rl' <br />lu@i <br />Set Backs <br />SLAB Floor <br />Masonry