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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNI]N AUILDER DtrLC RAI'ION <br />I ha.hy amd undr p6ahy oa pdjury rhd I @ acdfl 6on rh. contad.6 Li.s. Ij\! aor rh. followinS raen (Str 701 1 5 <br />Dusin€ss md Prof6sion Cod.): Any Ciry or Counly whi.h !.quirs . p6nn ro con$rucr. ahd. improve. ddolish ur ;I,r iny <br />srruclur.. prior ro its isuec.. also !.qnn6 lhc applicMr fo! suci p6mir lo lile a siBn.d $at6or rhar hc or sh. is licms.d punuml <br />lo rh. prelisions of rh€ Contacroas r-icdsed lrw (Chaflr 9. Conm.ncing vith Scciion 7000 of Dirision I ollhc Ausin.$ and <br />P$amsions Codc) or rhd hcorsh. is.rmg rhd.ftom Md rh. tqi. for rhc all.lcd .rmption. nyviol.lion otSednn 70ll.t byany <br />applicanlaoraporitsubjatslhc.pplicaniloacnilpenalryolnotmorcihafllirehun&.ddollus($500). <br />l. s orn€. ollhclr peiy. or my.,nployc wilh \.s6 d th.ir el. compdsotion. Il {,o thc rvorl od lh. $rudd. is n.r <br />imG dl or ofr.d io elc (Sd 7044, Busi.* .hd Proasios Cod., Th. Conha.tois Lic@ ljv do6 nol applt lo d otrG or <br />dr.Fop6ry r ho hilds or impm\ 6lh@n. a.d who do6 such wo* hiosclf or hcrlf or rhroulh hii oi hd own cmplore6. <br />pro! idcd th.r such imriorffia 6. m! i,ro&l or onald lor ek I[ hos 66. rh. h]ildin3 o. nnprc\ ffir is $ld Nirhin "ne rEr <br />ol cofrplcrion. rhc Ownd Bu'klc *rll ha\. $. hrdo ofprovins tha hc oi .hc did @t hrild or i,npre!. lh. Impcl! for lhc pur?o* oa <br />l. a o$ro ofrh. tropdy, m.xclosi!.I, conracrins wirh li.m.d .onr.do6 ro consiod lh€ roj.cl (56 7044, B6mN <br />ald Pokrbn Codc: 'rhc Conlrdois l-iccnse Lav do6 nol o0ply ro an o*.r o apropcny {ho huilds or inprcves$16.. <br />.nd Nho .o.lr c aor sucn projds wirh d Conrraclo(s) li..ns.d prBum b <br />'h. <br />Contnclois l-icGc Larv). <br />I dn er€,nO 0ndd S(rion <br />DECI,ABAIIA! <br />I h.r.b),mnn und.r !6ah, ofrdjuryo.coflhc lollo*ing decld.tiore:1 <br />I hav. dd will minlain a C.n incar. of Co6dr ro sclr lnrurc tor work6 .ohp.Mtio.. B p/oridcd lor by Sd ion l?00 oa lhe <br />t bor Cod€. fo,lh€ p6fomnc. orl& $rk aor s hich lhe pmn b isucd <br />l havc and *illmaintoin M!k6 comp€nsarion iNtrranc..6 r<iuned byScclion l?00orlh.l-ahrCod., nrrh.pdfonninc.ol <br />rh€ rvolk tor which this pmril is isued. My work6 comp.nsdion iNurecc cdir dd Flicy numhd tu : <br />I cenily(har inrhep.rlirmanc.olrh.*ork lor shich rhB p€nhir is istr.d. Ishallnor onployanypdson inanrrnalncr <br />s N to b.com. subjer io ric Eo,I6' comp.Nl ion laws of aalifomia. od asre ihal if I should h€comc subid b rh€ <br />wo.k6s'conpcnsalionprcvisionsofSeclionl?00olthel,aborCodc.lshrllronhwilhcomdy$ithlho*pmvisio.s <br />\VARNINGT lrailur. ro sec \0116 .onpcnarid. covda!! ir u.la\lul, dd shall sobjd an dnployd ro qinrinal p6all6 and <br />civil nnes up ro onc huodr.d lhoGand dollm ($100.000), in.ddnion ro tlE cosl olconD..salion. damases as prcvid€d lor lh. <br />sRhon 1076 olrhr bbor Codq imsd &d <br />l)l( 1..\t\llo\ <br />I hs€by.flinn und6 p.nahyoipsjuryrhar I d licdsd undr lrolision ofChaprs 9 (.o,n,nacin8 wilh Sdion 7000) olUivision l <br />oa lhc llNi.6ed Prcfsions Codc. ard mylico* is in lull fo,cc ad cftEl <br />LicmcclN: Lic.BeNunrbg <br />ATTLII}NIDEqdAAIIOtr <br />I hq!t! ofm undd Fn.hy of pajury onc oflhc follosins d(lsalions: <br />D.,nohion Pdnns^sbctos Norifi.arion Faldal R+ularions (rik40, Pan6) <br />Rcquted Ldld of Nolifi calion <br />I cdily <br />'har <br />rh. adlarl rcBulaiions rcBrding ab€st* €moval -c nor applicablc lo lhis prjed <br />I cdiryrhat I haY|adrhG icarionddstar.rharrh.at{r. inn,mari.n b..r.\' IaNero.ornplr$iihillCilyand(in'ity <br />brildins .ons1tucrion, ed h6.by aurhort. rqr6mtdiv6 ofihis City.nd Counlyto 016 urron Ihc <br />ahn c <br />'ncnrmned <br />propent lor <br />Alpli.rnl.r^(c iSi8,t2 //z r,",- I <br />Set Backs \I <br />.1 lQ to t ll|'fi <br />Erection Pads /"- f^ <br />UFER Ground 7 <br />SLAB Floor <br />Subf loor/VenVlnsulalion <br />Roof Sheathing ;t.-,i-/<tV *.o t ,> 6D) <br />Shear Wall <br />Fram ing /4-Y.; r--) <br />lnsulation/Energy J-t 4\:i/ <br />Drywall ta-1-fi /Z-4_za <br />Ex?tnt. t-atn (e:)il ra \r9 bEnT <br />Brown Coat / 47.t9 2<V)log4q s-tA41 L<* <br />lvlason ry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />FINAL zr'e -zd ?-,- ts t , e ttjs Z) <br />Certificate of Occupancy <br />Notes Remarks, Etc <br />l ll 1 lh{.o^. f t^rfl'1 \rI te^it Jce <br />"A\o <br />Flood Zone Certif . <br />. -/ B & Pc rorrh"reason;Wzzz- <br />!{oaKEBs', Ca,UAENtAllO!",,",t7 - lt- tt <br />o^.,' \t- r lt 17 <br />CONSTRUCTION LENDING ACENCY <br />I hdeSy aftrm undE p€nahy of psjury lna lhq€ is a otrllruclion kndinE asdcy lot lhc Ftomd.. olrhe work aor $hich lhis p6tnn is <br />isu.d (S{.1097. Civ. C.) <br />t< r Tt +t't