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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.Omd-Buildd Delmrion
<br />I hftby rflim unds p..dty ofFjur, th I h dnF fm fi. CdEr.tdr' Lic6!. Llw ld rhc followiog r.toi G*.703 I 5 Blti.st
<br />dd Pref<i@ Cod.): Any City d Cohry *hich EquiB . phn ro @ i!.! !lrc., imrrov., dholkh o. Eptir My iruclo.., Pnq lo iu
<br />itluc., .ls Eqlid rh. .Drli6t fc rEIl Fnn !o 6lc . tiSncd 3r.r.lEt th4 h. d !h. i, Iid.d pmur .o lh. Fovitiott of $c
<br />C6EE|6''Llcd.dt (Ct+ra 9, cdffiin! wirh scti6 ?ooo ot Divirim 3 oath. BuilB 6<l !rcfai@ Cod.) q ttl.t hc 6
<br />$. i. q.ft?t th@ftqn rd tI. tci. fd lhc .ll.&d.rcdpti6 ,A.y viol.rro of S.cll6 ?0! L5 by sy .PPlidl fo. Fnn bjdt dt
<br />lprlier lo. civilp6.lty of rot m! lhu 6E hdtlt d doll6 (1500).
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<br />s (m6 of $. Flpdly, arn, drloyd ?nn w.8q ! rn ir blc dnFlrlit! will do tn. tdk md ln. $rudur. it nor inha.d
<br />; ofi.€d ra rtc ( sc.?oar. BBin t !d8rof6lioiu C.dq Th. Cdrr.ror! Licas. Ls.lo. r.Pply to u omr of lhc Flp.ny
<br />rho bdl& d inrFo€ rlad, m<t who doc dr ro* hitulf d ha.lt d lhtu8h hit c hd om 6Plor..n Fevi&d lhlt sct
<br />inprDvmu s! nor inradcd d oflcEd fd ida tf, howffi, ln. hildiig or inpmv.m6t it told withi. on. y.!. of cooplcdon, $.
<br />Omd-Buildn will hrE tha b{rdo oa prwin! t[.] lr. or rhc nor b{ild d imFeE fd t. PurPd. of nl.).
<br />-I,
<br />! @n6 of lt. p..p.n .6 dcltdv.ly 6rr-ih! *irh lieG.d 6tad b dlnsct th. Fojdt ( se 7o4tl, Btrird s.l
<br />Profdio Cod.: I1rc Codnrdr.'r U.4c trq .Ld nor lpply !o s om6 of For-ty ?no buil.lt d inPrcts fiffi , ed vho
<br />conlr cn fd 3u.I projlcE *nh r Cont&to(r) lic4.d p{6@l ro th. ConE&ld! Li.dc Llw )
<br />I m dme sdd Sdim .B e P.C fd dn Bon
<br />WORKERS COMIENSATTON DECI-^iATION
<br />I h@by .mm undd p6nry of Fjury ac of th. follwios d*lmtimt:
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<br />hr6 &d iillndld!. Cai8qt ofcor6!tos.lfiuuE f6 rdta'c@Fn.lion, s !rcvi.hd fo b, sdti6 1700 of6.
<br />I.lbd Cod., fd lh. Ffatrlr!.. of th. i!* fq?hich lh. pfri n ie.4
<br />_lh!rced ll mi.l.in wd*d' @rpd.ii@ iouue, a cquir.d tySdtion 3700ofll. Lrbor Cod., fq lhcpqfmtneoflh.
<br />*o* fd whid thir Fnil ir i''ud. My *qi6' cdFMdo i!t!lm@ @i4 ed poli., numtr @:
<br />PdidNnhhr E,Di€
<br />Onn Gdd n .d io. bc @nDl.&d tf llc Flnit ir fd On. hod.d dolla {l lco) d ld)
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<br />c6rif, t lll in ltc Ffmrne of $c *dt f6 ehi.t lhi! Fmil i! isuod, I rh.tl .ol anrloy .ny pcBm in liy nmnd so a to
<br />b..mc aubid ro O. dtd ' cdrpgt,tridl hs of Crliforni. md .816 $.t if I rhould t@oirc tlbjccr ro the sdtc6'
<br />conFnrldon prcvitid of Sc.lier 3700 of dl. kb.r Cod., I thrll, fodh*id cmply wilh $d. Provi!io'!..
<br />WARNING: rrile io l.ffi *dt6r' cmFr.liod @rcn& i! ulrPtul, hd !h.ll .lbjel o mploF io cimiMl p<itlri6 ind .ivil
<br />lin6 !D ro 6c hu(H rtNrd doll6 (l100,000),in .ddiri6 ro ,rc ol of c6p@llr@, rllurq s FDvid.d fd rh. sdlion 1076 of
<br />$. Lrbc Codc int €r md rnmcrt f6
<br />UCINIED.GONIBACIOEI.DECI,AEAUqtr
<br />I hfrby .mm sn&r pclrlry of Fjory itlt I m li.d.d un.lci Fovitid of Ch.pld 9 (c@.ins snh scti6 ?000) or Divitio r of
<br />rh. Bsind -<l !tof@i@ Cod., rd nty li6G i! ln aull fcE bd .ttct
<br />Llc.e CIE:- U@s N.ntd
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<br />.ONSfRUC'TO Lf,'{DiNGAGENCY
<br />I h.rcly.fiim und6p.[lty of Fjury th.,lhe ir r cdtrlctidl6dir8.8 c, f6 th.Frlru.of c wc.t rd which rhb p.mir h
<br />ittwd (se. 3097, Civ. c.)
<br />AIPLICAN-rS DECLAXATION
<br />Dqmlirid ?mtt$Atb61G No.ifierid F.d.nl R.lul.tid (TidG 40. P{r 6)
<br />_ Rcqliild k$E ofNodliod@
<br />_I c.niry 6d in. f.dqrl ,!i!rnid rqndin, ahsl.. llli'Ml @ nor .pplioblc to d'it prcjet
<br />_ I 6tify $.1 I trv. €d $k .Ddiqtls sd rtic rhll lnc rboE i.fqDniq n .6!cr I €fr to c6Dl, ri$ dl Ciry ed C@ ,
<br />odimB Dd sr.i. Lm El.&8 ro h{ildin8 coNlrucrio, rrd i@by &rhdie r?G6t1iv6 ot rht City ..! C.$ly lo d|' uFn lh.
<br />rloE lmrioncd F!?.rty fa in p.cd@ F pd..
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<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorlr'enUlnsulation
<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 EYDTI lEt\
<br />Engineer Final Report
<br />Flood Zone Certificate FFR N Lntq
<br />SAML; 6.43. Z ,u, 009, 657
<br />FINAL
<br />Certiflcate of Occupancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />o*,.(-zz.'{c-n-*.V.-
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