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BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII.DER DEL(' BATION I h@by rllrn u.da pdrlry of pqlu,l rhd I m .r.mpr fnrn rhc CodridoB Lkftc l-is nr lhâ‚¬ n'llnr iry r ae'n (Sd 703 1 .5 U6in6! ..d Profdion ao&) An, Cil) or County $hich r<rrt6 a Frnil to conslrud. alls. impror., ddfrnlsn N rcFr D, 3itucru.. Frtr kt irs iBue.. d$ r.qutr6 rh. q,glaer lor iurh Fn hnLisirn lr.!mr rhd lEor rhc ir liravd pslur ro rh. For6hE ofrh. Cotu&rois Licc.!.n ks (Cturr6 9. ( omcmos nnh sdrirn 7(lj0 of Dnirbn r of rh. tGins od Proldionr Co&) or lhrr rr d tlE !.ro rhd.frm nid rh. r*6lor rh. nkf.d.(mflioi An! riol.rirnors.crx,hT0ll J byD, lpplic. Ior . Fmii rubjdr th. ipplicdnl lo.civilpcnihlolnor mor.lh8n fivchundr.ddoller(1500) .. l- a otr F olllE prnrErry. or my mpkrld s ilh sry6 ai lh.n e'k conlp.a{ i).. sill d. rll s o.I .[l llE sln(@ is ml i.tni.d or 0,16<l tor sk (sc 7oll, B{riB od Eolsioc c.& Trr (i,ntdors Lttr l,w.16 ml {'dr h orE ot th. Fnrd) trlF tioil& or inyr.\6 tlson-, trrbdEn.htro hnelr or hdtltor thN.th h'r or hd .tr n . IpL,! 6, roviLd rhd sch inF.v.6! d. mr iddrjcj or o,Iqd ror sk lt hoq. E. rtE h,ild'ns n i llo\ffir ir $ll t nhin onc tt ofcomphn,n, llE o*n6 lluilld will h.r! lh. trr&n of pro\ in8 rhd h. or sllc d'ti ml t{ild o' nnro\. lhc F)t'.ny tu rh. ltqx* of l. so$Eof rh. FoFlr. m d.l6n.b .onrrrrinS $nh hc.n*d codrrcrodro co'*rud rrE rroi.tr (sd 7(N{.1}6rn6 ,d fto6sr Co&: T1'. ( onlrEloi3 l-rc.e l.I d(E ml qrl) lo o otrnc .f F.Fn! $ho blids or nnpi.r6lhson. sd *ho oMds for su.h Fojd! snh. Cofficlo(r li..nEj pu6@ t' lhc Conlr.dor'! l-tdâ‚¬ lis) ! en.r.npr undd SR1trni l).r. Of,n.r t!!ahrtr5]!)!E!!-ti ra] ut(.Lr.8Al!a! I hcrcby nfiirn trnrls pdr l!.l rsiuryonc.l rl'cfoll$\irr n(hilons I h.!. ,rl will roi.r.h . ('d ifrar. or (-onh ro Sdr.l6ar. fm $olt6t comFsaion. 6 For d.d nx bl s.dn'n 1 7m of th. tthor Cod.. ld rh. Ffo,lr@. olrlE $ ort fr r hkh rh. tEmd i! iq.d Ihav.lhdqillnaintir$ort6 comr..slli(tn insur!n(.. !! rcttutrâ‚¬{l N sNrn,n lt?($otlh.l.ih)r (ink, n, rhcpdn)nnMc.oa lhc sork fo. which lhis r.flnii is isucd. My workEi con{,..eln,n lnsurancc ctrnio.nd E,licy trtr h.roc: l.dlifrrhar i.rh.p6fnn@.of lh. s.rt for shi.hlhL I'dmn is isuln. lshallnol6npn') anypqson ir drrmnnd s B lo b.(om !obi..r lo rh. wo*d' comF$rion t.*r {r (-rlifomia lnd r*G lh.l iI I di'uld lt(uE $bid k' rh. rrrtd omFNrion F\bbB of Sdh.17mof rh. r,b. (.d.,I isll, r.nhrilhcomplt snh rh.F rFvnan WARNING F.iluE ro sE. *nt6'enFlihn or6.e. 6 lnL$ful ,nd !r!ll subFi .n mpbtt b simi.dl IElb !n cnil fin6 ur1!o on. hundr.J thaund dolld (oo.ux)). in iddilreo ro rh. .ost of..mlEn$hon. Llam*6 B pro\id.d f lh. sL{ion 1076 ofrhc l{Ln ( ici.. inrndr IhRbyrmrmudsFnlryoipsjur)lhnI!mncdEd!nd6rrovtsnrnol(harr69lconnd.,nr$irhsdrir1t{OroaDtrisEn1 of lh. Ilulin* &d Pml6i.nr aod., .!d rny licos. is in lull nrc. dd cftccl I h.cb lrrm !id6 FEh) or pcjury ! isucd (s< .!047, Cir C ) lrnd6'3N.m. lddrn[ a*ft! for rh. Fri,lrrrm. df rh.sorl tu rhkhrhirFhi t AIIII(ANLDECJISAIIOI I hddy lrrm lndd Fn r, o l Fjury on. of rn. lollowing d(ler ions D.molirrn PomireAsb6lorNorificalion li.{6rl R.gularion!(lill.40. Pan6) R.qun.d L.(a.fNdrtudbn I cd ify rnd rh. f.d6d r.3utd ioN rcr&J'ne 6b6bs rmor al rc nor ryplNablc l. lh* pflrd in.r.rharrrrlr\. tr,ffnnrltrli 'r({r!\r ldprrr)..nt\\\irl'ill('rrrd(in,nry aur[,.r.Fsraii\6o,rhn('itrond(ounrr-hdroutb.ltr /- )a 6t<z4.ez- t7 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing z\\("\ \1 ,( rtu"tr ( rq No-,' q\copA }.o"Vr* *I&!. Shear Wall 0 Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Reporl Engineer Final Report Flood Zone Certif I FINAL -v2/zy//f '#2.1, Certificate of Occupancy c_/ Notes, Remarks, Etc. D.t.r_ I I I I I I