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BUILDING. INSPECTOR RECORD
<br />SITE.WORK COMMENTS Oh6-Buildcr D6l6ri6
<br />t h.Eb, .f,irin undd p.nrlry ofFjury $.t L.n q.nlpr f@ $G Cdll'r.rf,' Licar. Lrw lq rhc aollo*ii8 rcaon Gc. l0l I t BurinBi
<br />6d PofBrio Cod.), .{iy Ciry 6 Cooity which Equi€ r pmir to c6rEucr, .lr.r, ihprov., d.holilh o. @.i. &y
<br />'rtuctuR,
<br />prid ro iB
<br />it'Mc, .lto EquiE rh. lPp,i@t f6 scl Fmir lo lil. . rigncd n{6al th h. o, th. ir lienr.d ,uBuMt to (h. povlrio.r of dc
<br />C6n cior! Llcq!.d lr (Ch4l6 9, Cdffidni ini Sdi6 ?000 of Divirio 3 of th. Burii4i sd Prcf6ri6r cod.) o. rh.I h. d
<br />thc ir .i.n?i thn tn rd lh. bait fr 6. .lli.d ddr?lid .Any viol on of S.crlon 70, L by uy lprlicet for . pftn rubj.cr rn.
<br />lpplisr ro . .ivil pdrlty of id h6 6tn livc hu.d.d dollr'' (lJoo).
<br />_1, E Md of rhc Pr!?.ry, d ny mploy.. wnh w.td s rh.ir ,ol. cohpo$ri.n, *ill do fi. work hd rhc ,n.tur. i! not inba.d
<br />c olI6.d fd ,!1. { Scc '7044, Burin6, ed PEfllrion! Cod.i Th. Conhcld'r Lic.irc L.w do.t oot apply to u own.r ol lhc pop.ny
<br />wto huildr d imForc.lhcl@, Ddwhod6 r*h eork hitu.lfd he.lf d rhrouSh hi. ortd o*n.nploy..r, p.ovid.d lhr tuch
<br />inFolfiit! a nor intedcd d ofld.d 16 nl.. Ii no*.e6, rh. buildln8 n idpovm.nl i! rold wnhin d. y.* oacompl.lioi, rh.
<br />Oqnq-Blildd will hlvc rhc burda of previnS d.! h. o. rh. .or blild or imp.ov. lor $c pue6. o{ nl.)
<br />_1, s *ns of lnc prcp.n , m.xclulv.l, cdhcrin, whh lied.d @trrcr6 ro conntud ih. roj<t ( S..,70aa, Suinq $d
<br />Pml.ttion Co.lc Tt. Cont clor'! Litd. L!* d6 ior lpply lo e wn6 of p{opary *ho build! d ihptuv* rhd.@ , sd *ho
<br />conrrcr fd Nch ploj.clt rnh . Conlreror(, lic4.d poauut ro dc Cdr&roii Lk6k L.* ).
<br />_l m.r.hpl und.rsdris .8. & P.C. fc$h Eaon
<br />On(
<br />WOru(xRI COM'FNS4TTON DECL^RATION
<br />I h.r.b, .flim und.r p.ndq oaFjur/ 6. ol th. loll*inB del.lionr:
<br />-Ih!v.6dwillnri.r.h.C.ni6ocolc6!6rtoSdr.lducfGedtd'omF.li,sprevidcdforbyS.ciio.rToooarh.Llbor Cod., fn rlc p.rfcfuc. of dE {dk fd *hi.t rhe p.mn l. i!ru.d.
<br />_I h.vc $d *ill idndr rdtd' .dp.d.ti6 ituurecq B Equircd !, Smdoi !700 of lhc L.bor Cod.. for rh. p.rfomlnc. of rh.
<br />rcrk fd *hi.[ rhir p@n ir inu.d. My wdtn' @mFnrd6 infficc cmi.r &d policy numb.r .r.
<br />Polic, Nmbs:_Eipt.s
<br />(Thtr rx 6 nftd nor b. cmpld.d
<br />'r
<br />rh. pmtr ir ld On. hlndr.d doll4 (! t
<br />ZI c.niry fi!' in lh. p6rmuc. of th. wd* rd wfi'ci $tr pffiir ir is!u.d. I
<br />b..m. rlbj.cr b rh. wotc6 ' coo?.E.lio hqr of Cllifomiq !.d !8r.. ln.r if
<br />3700 ofrh. L.bor Cod., I !h!ll, aonh{
<br />lo roE wo*6' @mpnilldon covm*.
<br />lin.! up ro oc hundr.d lhouled dolld (l100,000),i. .ddino. to rh. cori conD.nrli6. dh.EBd provid.d forrh.S.c on1016 of
<br />lhc Lobor Cod., intctedatom.y s f.6
<br />LICENSIN CONIRACTORS D..L"AR TION
<br />I h4b,.mm un Lr p6.19 of Fjlry $.r I h licdr.d undq pNvnio ofCh!fld 9 Gohi.ncins wirh s.crion ?000) orDivirid I of
<br />lhc Butincr. ed Prcf4tionr Co&, &d fry li6r. i! in full forc. !.d .f.ct
<br />I hhb, .ffim undr Fnrlq of pajlry ${ rndc it . cfinrucdd l6.lins rs6cy ftr th. prlmrmc oa th. *dt f6 *hich rhn p.tuit ir
<br />ln@d (Scc. !097, Civ. C.).
<br />AP}I ICANT'S DECL RATION
<br />D.molitior Phill-Albald Noiifiodd F.d.d R.Bul*iod (Titlc,l0, Pln 6)
<br />_ R.quir.d t n4 ofNoiilicltio
<br />ab6r6 rnovd e rot !ppli..bl. to rht prcj.d
<br />irffir I lBG ro compl, qnh lllCiry md Counry
<br />€rrdal.til.! ofthi! Ciiy rd County ro.nrd upon lh.
<br />!bov. Mrio..d prcp.ny ld
<br />?
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate EXP IRED
<br />rEtr I fUIJ
<br />FINAL SAMC 8-43.290. 556. 6(1
<br />Certiflcate of Occupanc v
<br />Notes, Remarks, Etc
<br />DATE ID/SIG.
<br />Shear Wall
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