BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OM6,B0'ldn Deletion
<br />I h@by rffim u.dq pd{ty of pdjur, tur I e GrfrE tm $. Confur@' Li.d!. Llw for (h. folloviig rcaoi GE r0l I 5 Buiiidi
<br />od PEfatid Cod.), ary Ciry d Courry phich EquiB r pmt ro .o!tnd, !lr.r, imp.ov., dcnoliih or cpiir ey !t!crm, prior ro itsi.'Me, .ts Eqli 6 rhc .pplior fd tudt Fhn io fiI. r riF.d tut dr th{ n. or rh. n lic6r.d puBlMr ro lh. provilio.. 6f tn.
<br />C6r*rd! Li.6t d rr (ci+i.r 9, Cdtucini ,i$ S*rio ?ooo of Deitid I of rh. Bulin6t sd Pmasidr Cod.) o rhr h. *
<br />th. it .xhpt rhd.fffi bd rh. bal. fd rhc dl.s.d d.ftplj@ .Any aiol.rion oa s.c on ,03 I J by e, rprltor ao! . pmn lubj.dr rh.
<br />.ppli@r ro . cidl p.nrlty of id hot. ln$ fivc hBdtld dolld (lr0o).
<br />_1, ! Mn of rh. F.'p.fiy, d, dnplord ,i,i w.gd N rhciruol. ffiporllioo, rill do dr wol lnd rh. itu tm ir .or int..d.d
<br />6 otIncd f6 .!1. ( S.c 701a, B!ri@ hd Prefadd Cod.: ft. C@hctd! Licarc kw d@ .or lpply ro u ownd or rh. prc!.nyqhobuil&orihF.afi.l6,sdwhodor,tEhwo*hi.lf6n6df6rhtuthhi.dtrdicmplor..r,p6vid6drh{ruch
<br />improryfiiE e nor inthdcd or oll.rtd fci rtl.. r, nopcE, rh. blildliB or inprcv.lMi n rcld wi in d.,..r oacohpl.don. rhc
<br />OMd.Buikld *ill h!v. rhc blrdd of pding th{ h. d rh. nd build or inprov. fr dE puQ6. ot rl.).
<br />_1, ! dn.r of .h. pmFn , 6 qcl{lv.l,.dtrdina ?irh lie.r.d 6tu@ ro codrtu.t rh. p.oj.ct ( S.c, ,0{a. Buind Mzl
<br />Pmf.ni6C.dqTn.Co.E&1d'rLic.L.w.lo.roorrrply!oe@naofp.a.nywhoblildrdihprcv.rrh6.on,ed*ho
<br />.dE!.r f8 ruch ploj4E *irh r co Edq(, lic .d pudur ro rh. cdrturo.r Lico!. Lrw.)
<br />_I 6 .r.mpr undcr Se on .B & P.C. fd $h rdoi
<br />Dat.: OMdl
<br />WORKENS COM'ENSATION DECI ARATION
<br />I hccby .llin u.d.r pcr.lg of p6i!r, 6c ol th. aollsin8 d*ldridrl
<br />_l h!v. ud will m.inbjn. Cdificd. of Cd6t ro S.lflnrurc aor work.6 cohF.! ioh, s pnovid.d aoi by S.don rToooirh.
<br />Llbor Codc, fd $. ,.rf@c. of lh. wnt fd whth ih. !.tun i! irru.d
<br />_lh.rcMdpillmi .in *d&6t cnp.i..ti@ iNunne, a rcquir.d by S*tloi ,7Oo of rh. Lrbd Cod.. ld lh. p.rfm.n.. of $.Mlt f.r *hi.h hir pnt n isBd. My qdtd' mp.nr @ iBumc. crric, ud polic, numbcr !r.l
<br />iolic, Nuhbd:_Erpn 3
<br />(Thn ,.crj6 n..d nor b. cmpld.d ia th. p.mn i! fo. On. hun&cd dolls {t I oo ) or l.$)
<br />--11"*,,,rh in $. Ffmo.. of dE *dt for *hi.[ tht pmn
<br />et to rho wo*d ' .dp.irxion lM ofc.lifomia lnd
<br />cohp.Blion p6vni6, ofS..rio 3700 of$. Llbd Cortc, I rh.ll, fonnwirh
<br />2-2-c1-6L
<br />WAXNINC: I.iluE lo ,ftur rdl.d' chpartion .ovdg. k ro dinii!l pcnlhi.s rnd civil
<br />lln.r !D ro onc bundrcd thoaed dolls (l100,000),in a provid.d fd th. S.dion !0?6 of
<br />rhc kbd Codc, im6d &.1 anmry ! f.B
<br />LICrrtsip coNrl"{cToRs DEcLARttroN
<br />I hd.by lmB undd pm.lty ol p.rjury lhrt I h licdr.d und.r provirio. of Chapt.r 9 (cmm.nc
<br />th.Bu!i.6r sd Pbf6i@ Cod., &d hy li.a,. t in fullam. md offar.
<br />od, )-74-obt\
<br />Ih.E y.nim urdd panlty ofpnjury $ rhRi!r.@nodio
<br />ir!u.d(S6 lo9r,Civ c.)
<br />APPLICANT'S Df CLANATION
<br />D6dition ?.mll!-Arbdrq Noilj.ld6 F.d.6l R.sll.tioN (Tnl.40, Pm6)
<br />_Pcquircd t nq ofNo{ific ion
<br />I cdi,r, ih.! d. a.d l Etul.'i6. rerah'
<br />ja l cmily rh.r I hrk rd $ir sdiqdm ed Il8G ro.ohply *nh dl Ciiy.nd Counry
<br />ordif,&.6 &d Strt L.E Ehlin! lo boildi vdoarhn Cny ud Counry Io.nrcr upon rh.
<br />lbovc ndlion.d prop.!t, for
<br />-zc/-o4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />SubfloorA/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<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 tsAT'I {Etl
<br />f r-r't ;I.-t,lJ
<br />6AMC 8.43, 2 )0, 550. 887
<br />99{!f!cate of Occupancy
<br />Notes, Remarks, Etc
<br />UFER Ground
<br />FINAL
<br />_t_
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