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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oor^/enVlnsulation <br />Roof Sheathin <br />Shear Wall <br />Framing <br />lnsulation/Ene <br />all <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 <br />FINAL <br />Certificate of Occu SAMC 843, 290, 556, 667 <br />Notes, Remarks, Etc. <br />Om6-Build.' D.dfniol <br />t heb, .flim 6d6 p6dly otFjlry th.l I m q6F fm th. cdn&to' Lic.e t8 fd lllc folldii8 Bd Ge.7o, 1.5 BBina <br />dd Prcfdiotr Co<L). AIy Clt/ n CMty rhitt EquiB . pmil to .6ttu.l, .11 ., inprov., d.mlbh or tp.i. uy rf!.ruE, Fid to ii!tMc., .&o ,lquiB rb. .!rlic&, fd ro.i Fnn b fb . ri8!.d rbloat .hll h. { th. n lcat d p{6et ro 6. FwirioB of l,l. <br />C6ndr't Li.sn d L3 (C!!tr6 9, CcElkila,ith S.di6 ?o0o of Divti ! ofdE Bqi.d sd Pbf6id Cod.) d in.r h. c <br />rh. ir.,.mpr th6.fhdd th.boi. fd lh..ll.r!d ef,|plion .Any viol.lion ofS.cd 7O3l,5 hr/ oy lppli.sl fd. p6rn rubjeu rh. <br />rpplicrt to r .i{l p€ulty of nd Eo.r rn||l fvt hudr.d dolbr (5500). <br />_L s om( of lt. Fr'p<ty, dsy drployed *illl ma6 B $Glr tolc omraN.lidr ylll do ti. wot sd O. nrlcrE iIor inr.ndcd <br />6 o06!d (a El. ( s4.roaa. BaitE id lref6ioit Cada Tt. CdlJxrd" li6n L.w &,.. nd r?!l, toa o$6of tn. Fopdry <br />who bdl& 6 InFo€ rhct@, xd wto <bd sn r!.t l relf a h*lf a thMlh ni! d t6 M dlPloyc€, previ&d out .h <br />imFltqiolr cno.i 6.bd d otf@d f6 rd.. r, horcv.f, th. hildin8 or irnprovaEi i',old *iorii oo. ycrr of.ohpldiot! rh. <br />OwM-Builda rill hrs tt. hrd.r ofFwi.a thd h. q !h. nor toild 6 imFDE fa dE FlrF.. o{ r.l.). <br />_I, a omd oa6. F.Fty. s a.lulv.ly .dlrrdilr rirh lid.d 6nr1d to corl.lrcl tn. Foj6l ( S... ?Oar. Buin6 ed <br />Prcf6lioi Codc Th. ColttrcL.! U.ts. bw dc nor .pply ro 6 omd ot propdry *ho buil.b a inprovd rhcq , ed who <br />conE .u for ruch proje|t *irh . Conh..to(, li..B.d FJrust ro O. C@rrlo* UcdG t&.). <br />_I m cxcop uidd scti6 <br />-8. <br />& P.C. fc. tl'i! tun. <br />WOiI<ERS COMPF\SATION DTCI {R TION <br />I ho.ty imm unda Ftu ry ofpdjury 6. ofdr. foilwi.s dele.1i6j <br />_I he &d will nd.ii! ! Cadfol. of ClHr ro S.lf-Ir.E f6 mitdt 6rF!.lioq s Flrid.d fd by S6ii6 3?oO of d!. <br />Llbor C.d., fd lh. p6fdtMc. of dr.wdt for*hich tic pmit i. ke.d <br />_l h.v. ..d riU ndrl.in pdtcnt cqrFNnio iNwue, a Eqsir.d bt S.ctid 3700 of rl'c L.bor Cod., fo rh. p.rfotfune of $.*dt for whid ltir p6nit i! irr.d My rd*.B' cmFlllin i,'tl6e @ig ed polic, nunbq @; <br />(Illir cd@ n .d iot b. coripla.d lf ll. Fnit b fd OI. lM&!d &ll.n lt l0o) q Is) <br />_l calif, d[l i. 0r. Ffmsc! of dt. ?o* 16 rhid ink Frnil h iru.4 Lt.ll Ed anploy llt p6m h Dy mrff.r o .. ro <br />bc.!m obj.c lo O. {od(d ' 6[w.ti6 lM ofc.lifornl., ..d .sE ln.r lfl dFlld b.cohc sbj61 !o dE wdrd' <br />.dnparrioo FlvLior ofsccid 3700 of6. L.b.. Cod., Lnd[ fortirirt cdply pit tho.c Forbionr.. <br />WARNING. r.lhr. io ,..e *dtct' coordtetio @1a8. k 6h*tu1, 6d thdl r$jer r. @doyd ro clmir.l F !lri6 ud civil <br />6n6 up ro d. hM<b.d thd&d dollo (tl&,oooxn ..ldido !o it. cd of .@pa!r.rid! d.m8a a pDvi.Ld fr t. s..ri6 ,016 ot <br />lhc l$d Codc, inr.rB! ed dto.n.r! fd <br />TJCENSI:D CONTA^C'rORS nFCI-ARif ronl <br />I h@by lmm und6Pcolr, ofpijuy $ Lrn li.d.d $.ld provnior of qtrPicr 9 (.olwndrB *ilh S.di@ ?o0o) of Divtioi ! of <br />d'. BBind rd lrcfditu CdL, ed nry li@!c ir b fuu fd@ rad .ff..r- <br />coNsfrtucTroN LlNrthlc lctNcv <br />I tatb,.mm '!td6 <br />pqt lt, of pdj'ry $n ttta ir. onddi<,ladirr.s6cy fa rh. Ffdrsre of lh. rat fa rtich lt ! F !t it <br />lgsd (S... 3097, Ctv, C.). <br />APPLICAI{T'S DICI,Ai T'ION <br />D<rcliri@ ?mls'A.b6to No.itiqd{ Fcd.nl R.rulrriod Gidc .0, Psr 6) <br />_ RlqlnEd rrl.. olNodic.iid <br />_l c.df, 611 ln. f.d6.l Er{Lda, E a6rs o!€|6 ffil G ,ot rrpliou. ro 6ir p.oj@i <br />_ I cqtify $..1hr. ratllnlt fdiqdd 6d itr. ![l dE.hos infdmtiq tu 6rrr I.Br.. ro c@pty si ! rll Cit ed Co$ryddi.a€ {d St{. L.B El.un8 ro boildirB .@E*ti@, sd h@b, &lhdie Eprsamivd or rttu Ciry .d Coulr, ro ala uFor $. <br />rborc mndd FW..ty fr i Fcti6 p!rpo.6. <br />/ <br />IiEG <br />I <br />I <br />Uca. Clar: Uc*. Nunb.. <br />o,c, <--;)//n Z( c^r,a*. <br />)/ru L . ;- <br />f------r----- <br />tt <br />I <br />---t= <br />I