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SITE.WORK DATE COMMENTS Omn-Eui1d6 D..lr im
<br />I h4by imm unda pd.lry ofprjury lh l 6 .xdpi lom th. cont cbn' Licd!. Llv lor rh. followi.g '.aon krc.rol I 5 Busiisr
<br />ud lDf$io Cod.): Aiy Ciry d Counry ehich cqunB. phit ro cdrtuct,.hcr, ihprov., dholirh or Epat u, rtrudlE, Fio. to iriiM.., rho EadB $. .f,pli r ad rEh p@n ro f l. . ri8n rI rcn6t 6.r h. d rhc i! Iicnr.d ,u6uMt ro lh. protnionr of rh.
<br />Cdrr*rdt Li.6nd r* (Cll!?rd I, Cmdnr anh Scd6 7000 of Diririoi I of rh. Burii6, ud Pbf.rliont cod.) or rir( n. d
<br />$. it a.mrt rnftf@ dd n\. bBi. fd t. nlca.d cr6pti6 .4., violii@ ol S.dion ?01I.5 by &y .ppli.dt for . p.mn lubj.cB rh.
<br />rpplicu! to r civil parlty of nd mrc thM ,lvc h!i&.d dolla (1100).
<br />_1, ! omd of $. F!?..ry. or n, dpl.,r.d *irh w.sB s $.i. rol. conpo i@, will do dc aork ird $. !hclu!. ir nor ini?nd.d
<br />d oild.d fd slc ( S.c.?04a, Duri. 6d lrofdritu Cod.: Tfi. Cdr,tcrd! Lic..re Lre d6 .or qlply ro M own.r of $c prcp.ny
<br />*ho buil& or ihproB ilffi, hd wh6 &.t $n rdt hiB.lt ( ho.lf6 $rcuth hi d ha *n 6plor.d, prcrid.d th{ Nct
<br />inpmvdds .r! not inr6d.d cr o$.Bd fd nl. lf, h*.v6, rh. buildii8 or irprovhdr n rold wthin on. y.!r of cohpl.rion, rhc
<br />Ownn-Buildn will hivc ln. burd.n ofprcvint $(n. o h. not build d improv. for th. puQor. ofral.)
<br />_I, a @..r of th. p6?.rty, 6 a.luiv.ly c6turin8 wirh li4d.rt Mmd6 ro .dttrucl thc proj..r ( S.c. ?o&, Blinqi &d
<br />Prcf.eid cod. Ix. Cdtrr.ror! Licdc Llw &d not rpply 10 e *M olpropltry *to blildr or inp.ovB rhd@i , ed *ho
<br />.oit eB for !!ch pol+u *nn ! connrcto(,lie.rd puBumr ro th. conrdcrorr Licds. L.w )
<br />_l 6 .t.hpl und6 S.cli6
<br />-8.
<br />& P C rq $ir @6..
<br />D.rs Om.rl
<br />\?ORKT[I COMPf NSA'NON DECL {ATTON
<br />I td.b, lmm !nd.r p.ndry of pdjory m. of rh. lollnin! d*lEtie'
<br />_l n!v. ud willn.iihin. C.nilic.l. of Cdtot i6 Sal urc lor workd' comp.n!.rion, s pblid.daorb,S.ciion!7ooofrh?
<br />L.bor @., fq th. p.rfdlMcc of Oc wqk f6 which rh. p.mii n i't!.d
<br />_l h!v. ud {ill minr.tn dk6 ' conp..!.rld in uru@i s Equir.d by S..lioi 3700 of $. L.bor Cod., 16r th. p.rfmancc of lhc
<br />wod( for which lhir pmil ir i$u.d. My q6td' cmp.ierid i umc. cEi.r sd policy numbd rc:
<br />Z* *^ n,^.
<br />E-l-. *L*r o rr.
<br />b. c6pla.d if rh.Fnitn fm On. nui&.n dolla {tl0o) 61.$)
<br />pdtmde of dE edk fn *hi.h lbl! p.rhit it
<br />'tt!.d,
<br />I lhall
<br />wdld ' .ohpdlli@ I.u ofC.lifomiA.dd !B.c. th.t il
<br />.ohp. llion ptuviti@, ofsedo lr00 ofrhc l$d Cod.,l ih.ll,lonhwith
<br />>-24-o
<br />WAnNING F ilurc lo r&oE *ort6' cmparrioo covd!. k
<br />Iind tp io d. hundd lt@xd doua (l100,000),ii rddnion to
<br />th. L.bd Cod., i.i6r 6d rnficl,3 lc.r.
<br />, d@86 a p?ovid.d for rh. S..rioh 10'16 of
<br />L'CENSf,D
<br />'ONTTAC?ORS
<br />DECI {RAfION
<br />I hdbr rflim ud6 p..rlry of Fjur, $ l m li.6!.d uidr prcvnid orch.prd e G@n.^ci.8 wirh S..rion ?ooo) of
<br />It.B!!in., Md P.ofi,ionr CotL, ud iy lic.n!. n in full fd....d.ficr
<br />L-'24-o
<br />I hft6y rffim undf p6{ry of p6j!ry rh.i !n6. L i conrudion
<br />ir!Ed(S.. 309r, Civ. C.).
<br />p.raorunc. of lh. qnk f8 qhich rhn p.mil h
<br />APll TCANT'S Df,CI dTAl'tON
<br />Dndnion P.dl!-A$dlq Norifiqid F.d.6lR.sul ioN (Thl. a0, Pd 6)
<br />Rduicd Ld.r.f Ndindri.n
<br />_2t*,t-,t,,t.
<br />- l.mify rha I h
<br />f.df,l E8!hd@3 rc8lrdins sbs@
<br />to.omply wilh ill Cit md County
<br />ordinscB ud Srn Lrwr Elni.810 ofrhit Cny Dd Co0nrr roc dupo. rh.
<br />-24-4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Fioor
<br />SubfloorA/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate llXPlE IBP
<br />rFI'I: I ..U IJ
<br />FINAL t tAMo B-1s, tgi ), 556. 6tl7
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECORD
<br />tD/stG.
<br />UFER Ground
<br />Pool Fence
<br />t _l
<br />I
<br />I
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