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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNM BUILDER DELCARATION
<br />I ls$y dlrn un kr FMxy or Firy d I m .rc,Fr rrm .lr Cdt-lc Liu: t * rs tlE lolbehS lasn {Sd Toll ,
<br />Botitusr rn PFfclrion Cod.) Any Cily tr Counry qhth EquiB . Fnn lo ru{ul. .hs, itr!rch. d.mfisn or EFn uy
<br />rlrB1E Fir to il' irtllre, .lto E+iEr llE +t{i.n an $h Fmi ro nb . !ti.d !r.r.BiI rb lE u tE ir lirn d Fr'E
<br />lo llE Fov$inns of tlE Conlmlor's Lt.n*d Llq (clq,ld 9. C,nmrcin3 rilh Sathn 70O of Diviltn I otth. BusiE* Ed
<br />PhrcslB C.d.) d rt t lE ( ilE t cr.trlr thdtli.o !d rlE b..i ad rlE .lLsd crdgin An, vi,Lrb. ols..li{ 701I t b, uy
<br />lptlic!fl for s FnI sbjcls llE .pl,lkdl lo ! .irrl I,.B[y ol mr mE lhu livc hu En dolhs (t500)
<br />-1.
<br />8 o*Er or lt. FoFny. or my cnploycr *irh *a8.t ts llEn et omFNrlion. will & lL *dt !d lh srElc ir ml
<br />iddld.d d o,t Gd f sl. (Sr ?044, BunB .,xl Pror6.iB Cod.: TIE Cddd 3 Lit@ tiu &Es ml @ly ro o o*E 6f
<br />rL reFn, wln htild or inF(c thasE .!n wh doc. trh qrr hi6.lt n tE*lr or lhrellh his n rEr o*n rmploFd.
<br />pruvii.d ih, *h Itlmmtu e Ln i&i.d roffg.d ft, rL.ll lbw. E tliBi,, d iq&trd i! $B wtni. @ Frord,r!!rb( tu OryF Bui&r will hE ft hd.. of Frrins tL lt o llr dn d hn! d -p.w tlE Fltdy fm tlE F,por or
<br />_1. u o*E of rlE ,mrEry, o.xcirtiEly co rsrirS qirh li.d*d co.tr.doF ro on(rud rlE Foj.rr (Sd. ?Or4, BNES
<br />.rn htr*sin Cod. Th. (t dor'3 Lk..- trw dB mr .r?r, ro osE or l,oFdy who hiklr d itr{lmw. rh.M(
<br />lnd wlD snhck for Nch F!j.{. eirh. conrddk) lidnsd pu.Mr b rtu cr r&bar l,i.cnk rrs).
<br />I rn'.\rn't{ unn., S(!n'
<br />^,.J L-]Gg q.1, \J al O 4n--
<br />![CIJIA.II!}N
<br />I hcrbyrltinhrnl.r lxn rt nf FrJlry om .l tlt fi,|l,*irg dNhruri'n\
<br />I hrE srrl *ill trnnrh r C.nif..r.ofcoos nr S.lf lnslr fd *ortda .onttnsdhn. 8 tftvitd fd h, S(r irn :1700 of r lE
<br />t,titr ad., n, rti tEftrnrN of rlE kri fd $hi.n 0r Frnr ir lud
<br />_l h.w .d will dinrin mrt.n 6np.Nri,n iBUrN, a Etu!.d hy sdbn l7m orilE trb.tr C.d, f rlE Flm ol
<br />thc woll ld which thn Fmil n ir!u.d. My wmk n coqE.{io. in tft..Mir lrrl IEli, nun$d e
<br />&n'.yNunbd._Ernir!
<br />I ccnrfyrhd ii
<br />'lE Frfordm. ol$. s ror whahrh6 JUnn r. Bsu.n.I !h!llmr.npbyrny prm. manymn6
<br />y, .s lo b.<m {br<l to lh.,trt6 drqcnsrlbn Lrr of Crlifomn ud.ar lh.l ir I n&E Ecor nnFl l.' llr
<br />e.rlm onlEM'i,n poralk E of S.<rid l70O 6r llr l,hd C6<1, I tdl. r.dh*irh orrl, vth rhor pmviriorl
<br />WARNINC: liiluE to sE qrtcA onp.Mr,.6wB. ir uLwtul. .d rldl subFr D 6t,hF
<br />'o
<br />dihid FDtix.rd.ivil fir. q, ro oE hu,nEd 'lnugi dolliB (llm.m), r ..ldni.n to ttF .or of..rp.nrriotr tllrt.s .! Fotii.d fm ttE
<br />sftnon.rlT6nlrtr Lrhn (.d..rrcEn ord dtdEy \ fe\ I
<br />-o*,,. ?-7 - pslo^,u*,,D( /14r^y t. t'.r/- t lcENsr;n coNrl(A(rul v
<br />DECIiAA.UU!
<br />rzrf o(L
<br />I
<br />I lEtby rrm u8L. Frly of Frrury Or t d li6rd uidd Fovnni or Chlprd g (dffiitg *tt Sdli,n TclD) oa DMrio. l
<br />or lh. Blsifti. Md Pilf.irio Cod.. i,n my li.nr h D tuU loe !n .lTct.
<br />I0NEIAI]qI(I{IIIDIIG.AGE(CI
<br />I h.rb, lrm utdn Fn.lry ot Frrury rhd rlE t! . on!eli,. lddhS .e.ry 16 rh. Fforltjie of llE wl &r eith rhii pdn n
<br />irud {sa. 1097. civ c )
<br />AIII.I!]dNI.DECIJTAIII]d
<br />I H'y.trmun&r rE hyof,cr[yoEolrlr rolbwinr &(h,.'Fn1
<br />txmliri.n P.mils-A{b.(or Ndii..rion Fcdml R.guhri,ns lTirk .10, Pd6)
<br />Rc,tuncd I anrr ol Nor'll.i(tr,
<br />-l
<br />.cn ify lnd D. dcrl rcsrlht ionr EE rdin3 lthcsros rcm,vll sc n,l .firlicuNc lo lht !nrd.
<br />4AU6ry*.,"*,*,nr ipnl*rhnnalrl d.!.rhd lrf, dtrv. inrormiion d.o i I aEE ro strply wrh tll cir, in.r (:oury
<br />ardniNr !n Slxc L.*r ELliry !o hlrldh8 c.hqM5tr .d h.Eby .ulnrin ,EIEmLliE! of lhi3 Cil y ud Coulry lo 616 utsn tlE
<br />rnoE nmriomn pmFny rd m+cl.n IEpo<
<br />^*-, * ^-,*,** t4 htl n, yle 7,,y" a o q
<br />".^,-*,*",,* tlt.+yl'e T.lt stt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor I
<br />Subf loor/VenVlnsulation / n .'2 y'ztt n,&f)
<br />Roof Sheathino "(//
<br />Shear Wall lit
<br />Framing / / t:.>/1 !-k t(.
<br />lnsulation/Energy zl72,LI ,+v/ I
<br />Drywall '4 /',,. -/n$4,
<br />Ext./lnt. Lath )i/'tt'.=,1'.;&il/.i
<br />Brown Coat 't-/p/[,,|,-}ei<t, \/ dAb-t -{/Q/a h*t'l
<br />Ir,4ason ry I
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 7hh", [r{-hrc
<br />Certilicate ol Occupancy I I
<br />Notes, Remarks, Etc I
<br />-)
<br />Rev 0B-07-2015
<br />Flood Zone Certif.
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