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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET EUILDET DTLOTR TION
<br />I h*by r,lm ud.r Frxy ol Fpry rhd I m .r.,p{ nm rlt Cdi.rm' Liw L., for U. folbwbs .a&n lsd.7ol I 5
<br />Bsin.s !n Pmlcishn Cd.): Any Ciry or Count, *hth rquiB . Fma ro @.nnEr. rh6, arplw, &mlirh d EF, xy
<br />tueFirioi$ iM. rko ESriB rh +pft.n lor trh Fmi lo 6l r rtrEd x&mr rtulEddrila.aEd pr {r,
<br />io ttE FDvhi,o.. of tlE Cnnln ld r Lhn*d t w (Cnrrrd 9. ConreminS Eilh kirn 70@ of Divilbn I ol llE BBirn rn
<br />M$bnr Cod., r rh.r lE d tE i! cErpr rhadiqn.rn 0E 6.rir fo dE rlLr.d .rorprir A,y virLlih of Sdhn 7011.5 6y oy
<br />+nli..nl nx r Fmn sbjdl' trE ipllitur to r civil p.rly ol mr Im rhd fiv. horH &,Ud, (t5@)
<br />-.1.
<br />a\ oqEr of rlE rn,rEnr, m m, rnpkryEr,ilh wrrs u rlEn sl @dFndi,n. siu & rtE rdt.Id dt rffi ir mr
<br />i,rdrd.n q ofi.En fu xL (Sa.70{4. AunEs .rd Pmf6rioB Cod. TIE ConE-lml Ltu* L.{ drE! mr !,ply ro s owNr ot
<br />ilr FoFty wlh h,ildr d in!rcB llEbtr .rn sb .kB Ell wt h'lElt n lIclf d tl[Duai hL G lE otr.!r+bF6
<br />prcvij.d ttrr st iqFEEtl! e d ir.id.d $oo.rd fn $l l( trN.q. 0t huildinl or r!ftEr.r i. lold *thi! ft ,6
<br />ofcmpl.1ia tli Osrr Boilds,ill llE rll htt dr ofFrrw! 0. b or st dn d hiu or iqr*. rtE F.Fry tor tlE FlForor
<br />-L
<br />as oqrcr ol rtu Impcry. m.rchsiwly co'nr..im8 wirh liccnsn co' r!.loN ro Ntr{ drlEpmFr(Se 7O+4, Busar
<br />rd Msb Cd.: Th. C.dErol. Lhnc trw do.r mr .rply lo .n owmr of pmF.ly *h. huildi or itrlpbtd lhcr@n,and who conhcB for sh FDj.dr rnh r C.n'Ek,(.) lr.N.d l,olwnt to rlE C.nrJld r Litr L.*)
<br />-l
<br />h .Edpr ui&r S6tbq-, B. lt P.C 6. rti !qen.
<br />IX. OG
<br />lll8[ESLliAUIBSArtg!DIIIJIAIII}N
<br />I h.rcby 0rnm und.r F..liy of pcrrury orc of rlE nrh$ry d<i-lrarbn\:
<br />_l h.w rd pill nidri.. C.nir.{..1congr r. s.lf.ln3e ro wtd 6nF.!.rb( r lrcvil.d 6. brs6ri..l7@ of rlr
<br />t d Cdd.. f( rh. pqfIll1lrc ot rl. hn ao, whirr rh. FnI i! it$.{.
<br />fl hrw snd will mhhin v,kcs .onFnsarion idiurdflr, &. Equftt hy SErnn l?t[ of rlE L.b.r C.d.. lor rh. Itrartud of
<br />tlE *0.t fr, whih fin F .\rnp.noio. hruEm ffar .rl poltY
<br />-l
<br />ccnifylh r in dE F fomr. of rlE wrt tr ehah rhir IE.nn i! isu.d.l rhrll m'.trphy iny llrbn if, ul naE
<br />b r! 16 b(dE {bir ro rE wrs 6n+.ndb. hsr ol Crlifom{ !n rSR thd rl n$U t cor rlbirr rollt
<br />rcrt6'.onp.MlhnpmvnbtrolS.dbnST0oofrtut hr Co<L, l tull. fonhwith @ndy ,nh ilE pmvili,.r
<br />wAf,ltING !r,tr ro rte k t6 6n+.ndi.rn m6F
<br />\'v'l fimr uf r..m hundEl rhou{ dolLrr itlm.oor, r
<br />S.cri,. :1076 o, rlr lJs Cod.- hrcnq !n rllqry i d
<br />r m slE'loF h ainirl rEExir &n
<br />cotrrE.sli4 d',Es.r r FoviLd for lh.
<br />l -le -Qt
<br />D&I:IA8AIIO!
<br />I ,trct y drrn un Lr FMxy ol Ftl y ttu I n LGsd un& Fovthn of Ch.pra 9 (o.lrth8 with Sdrbn 70@) oa Divtaon l
<br />or rL BuiEri rid PNrcsiod! Co&, od f,y li.c@ ir in tuU roB !n.,Id'.
<br />c31
<br />7-le- ar -::
<br />coNsTquc-Tl(r{ I r\DINc ]r(:E'tcY
<br />I h.Eby sflim udcr Fnrlty of Fr,lry rhd lhdt ir ! o.nnr on hndi.8 .gfty lor rlt Ffol1rm of rlE mrt lor rtan lhi! Fnl ir
<br />n*d (sd Ir97 civ c t
<br />AItu:/tNLDgCIJadPA
<br />I h!l.t rrm und.. Frh, of pdrr.y or of llE folbwing &chr.l6f,!:
<br />Dcehion P.rhn.-Arhdr6i Norifrdiln F.ddrt R.8trlrbn. Onl. 1(), P.r6)
<br />-Plquid
<br />Ldrsof *rifidbi
<br />lal .cni, lhr dr td.rl EBUldiE Er3nin! .*.es mv.r e mr .r?lt.bE ro rh6 pEF
<br />k I c.nify fi.r I h.E E d rhc +di,b. !n {.rc rh.l dr .br oromrirn t 6trEr I rgE lo d,nply wnn dl Cny &d Cou.ly
<br />.nlinnn.r\ r'rl Srrrr Itr*\ rli,nA k, b!,lJing .oinfrri,lFE6y .drbM EF.slrriE! of rffi Chy ud Colnly lo dr6 Won llE
<br />.lnE BnrixEn prDF1, fir iryrnion rErBs
<br />\riplirnd r \xmr \ixmhr?
<br />".".,u*'-.",r.u,,, f{y'/l ahr ,,"," 7-lc- 21
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq 8-to-z,E(!aPr{1
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL 3-lr. -zr t l4i.. v,
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 0B 07 2015
<br />Formsi Steel/Holdowns
<br />UFER Ground
<br />Lsrd.r! Ad.tsr
<br />-
<br />t4
<br />t---+--
<br />=rrF
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<br />I
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