Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />SITE.WORK ID/SIG.COMMENTS OWNER BUILDER DEL('AR 'lION <br />I hqch, amiin und6 p.n.lty of psliry lhar I d c\cnpl Eon rhe contacroB' Li.a!. IjN for rhc follo\int r.Mn (sec ?O:11 5 <br />Busin*s ,nd Prca6si.n codc) Any ( ny or Cornt, ( hich r.qut$ . Fmil lo conslrucl. all6. imprcv.. doolish fr rqEtr an! <br />srnrcturc. plirr to its issuMc€. also rcqun6 thc apDl'cant for su(h p6mn ro frl.asisn.d st.tmd rhar h.or sn. n licmscd nusuanl <br />torhcFovisionsofrhc(-ontacto.sLicc.sedtw(Ch,ptdq.(o,nmcncinsNirhSccldn7000olrrnhb.:rofrhcBusndso.d <br />Pmlcsions Codc)orrhat h.or sh€ N.r.mpl lhrdiom and lh.lxiis ror lhc all+.d.xdprion Ad! \ioldionof Sdion 70!l 5 hyany <br />applicanraorapdhnsubjdsth.rmli.a6lloa.i!ilpmrhyofnormorcrhdlirchundreddoll slt5O0) <br />l. d .Nnd oflh. FoFny. o! mycmplo'G $iih *ag6 6 their $lc comp<6ahon. \ill do th. {or! md rhe sinlltMe is nor <br />inttrd.d or ofiEcd fo! slc (56.?04{. 8u$n6s 6d Pror6sions Cod€ Th. ( o.ttctn-s Li.6* LaN dod not oppl) lo an o\ nr or <br />rhe F.pdy \ho hil.ts or ifrtmld rh6an. md qho do6 $.h $nl( hnnsclior hsselfor lhrou3h ht or hs oun.nploy.6. <br />pro! id.d rhal slch inpro\ oncnls ,. mr i.rdd.d or ofidld for el. lf. ho$dd. rh. tnildi4 or imps\ mhl is end \rnhin onc t.-r <br />orcompki.n. th. o*nd Btrildd $ill havc lh€ turdo olprcvins lhr h. or sh. did nor l,ild or iqmr. rh. |lrDtd! fot rh. RrFr* of <br />l.6oNn6oilhetrepgry. r crclusNcly contraclina {ilh licqs.d contadou tu .onsitud rlE l1oi( ls( 7011. hNn6s <br />tud Prft.snn Codc The Conta.ror-s Li.mse Lr* d.d n.t apnl! ro e own6 ol prolEny $ho buikls or i'nnn)v.s rhcrmn. <br />and \rho c.nra.c lor such proj.ds Nirh a Co.n mlo(s) licds.d puBuant tolhe Conta.rois Licor. La{ ) <br />I e ere'npl undcr S€cri{,n <br />Drre orn€r <br />\r oRxIRi' c6lliiriNsa rroN <br />D[gdSdIlQT <br />I hs.by am,mundd p.nallr of psiurr oneofthe aolkNinx d(leaxoB: <br />Ih,!.anlwillmaimainaC.nific.rcofconsoiroSclt-lsurefo!ro 6s .omrBreri.n, d Folid.d for b' Salion l7C(] of rhe <br />Iihor Code lor rtu prfomr.cc o I rh. soi( lor *hi.h rh. Fftn n isu.J <br />Ih.v..nd$illmdinriintro.ucomp.nsalioninsurance,sr.qtrircdhrs€cri.nrT00olrh.l2borcod..forrhepqlomr ccol <br />lh. sork for shicfi this pmnil is issu.d My *ortm conrp."s{ion iNurancc carid od poli.} nurLq ac <br />I cdilyrhar in th. pdloirnan(. oirh. qork lor \hich this pmnil is issu.d. I shall.o( mploy an' lB'son in any mdn( <br />e m to b{o,n srbjd <br />'o <br />th€ *ork6 comrEsrion la\$ or Caliromia. &d +e {htt il l should b.(omc suhjtd k, lh. <br />qortds conD6s0rionprevisionsofS.(lFnlT00oih.llborCodc.lshnll.a.dh$ilh.omplysiihthosplovisFns <br />WARNINC FailuE (o sur. \ork6 .omp.Mrio. ..r6aE. is onl.$ful. and shall subj{l a oployr ro rimi.al Penaltis aod <br />ovil fin6 np ro on. hundr.d rhoGdnd dollffi ($100,000), in addnion lo th. cost ofcompcnexon. darn&scs a pro\id€d lnr lhc <br />sRfnn lUr0.,frhc l,htrc,,tl. inrd6radddr.m) s <br />AD <br />D&CUAAIIO! <br />I hdeby amnn und6 paalty of p€.jury tha I @ ltd$cd undd tovttun ofchaptd qlcolnmdcins $ilh S.<lion 7L\r) olDnision l <br />ol rh. aci.dr and PioaNio.s Code. and my licdsc is in full iorce md .ff.cl <br />, *"*",,,tr( a. r e a> I 5 ae/c, . <br />CONS'IRUCI'ION LENDING ACI]NCI' <br />I hftby amdn undd Fnany oa pdjury ihd lh6c is a connruclion l€ndin! asd.) nx rh. pelonbmc. oithc sork ror shi.hrhis p6nir i3 <br />issu.d(Sc 109?, Ci! C ). <br />APPI IC NT DF(:LARAl'ION <br />I hoiry atrm unds p.nalty ofpdjdry on. olrh. follosinB ddltuariotrs: <br />D.molition Pmils-Asb.stos Norincain,n F.ddal Rcsuhiio.s (T l.40, Pon6) <br />R.qutcd ldrcr olNolifr .artun <br />I.dlirr- rlid rh. rcndd rcSularions Es dins dbeslosrdnoralarenfrafpliGhl.b rhisll.i&l <br />I c€niayrhar I harcrqd rhis applicarion d srar€ rhar rh..hr\ c ini.marion is cord. I a8ra lo comply sirh all ciry <br />ordinmcB md Siar. tnH r€hrils lo buildins conslruclioG ud h@by 6urhori2c r.prMlarir6 oflhis Cityand Counlr ro drd uP.n lh. <br />":*LIYtrLWW-. zrs ,l, *" t/2a/4. <br />Pemlle nrmc (p.inl,: <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing 4/C /i7 5. T,'aa*{n {.,<, <br />Shear Wall -t <br />Framing <br />ln s u la tio n/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />il^ ^- <br />Certificate of Occupancy i-r 7v, <br />Notes, Remarks, Etc <br />DATE <br />.B &P( aor rhh reaqnr <br />Brown Coat <br />FINAL 7/tzt/t7