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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS O\A NEN AUILDER DEI-(- RATION
<br />I h(cq" aftm unds pqulry olFjury rhd I m.impl lroh lh. Contr*lo6 Lic.M tiw lor lhc tolloBins rd). (sd 70.rI5
<br />aBindr drl Proaeion ('odc), A.y cny.i Coudy wh'ch rcqunB a psnir ro co.![d. aho. idrrov.. drolirh nr EFn e)
<br />srtudr. Fbrb n! ilMe.lo Equr6lh..!plio! lo.s(hFmnb 6k.si8nnrrmd th, Lor dr k lictnr.d p{lx@
<br />ro rh. F.rlioc 6f rlE c.ddor,. l.i.o!.d t u lcrlFd 9. Comdrs $nh s.n.. ?ooo.f btr.$na ogh. liNrt6 sd
<br />PrordirN Cod.) or 0d lE or nE ir .tmIi rh.rJros sij rh. tGii fttr !h. dl€g.d .taia{ion nt rioklon;rsdrion 70r I S t, an)
<br />apFl'cml tor a Fnil subj.ds th. lr,plicdl h a cn il p.uhy of not mrc lhu lir€ hundE{ doll&s ( 1500)
<br />Lao$GofilEFoFry.orm,mphrGwnh$.s6Bih.t$L.onFsioreil&tlEqdtdndEsfflEi!d
<br />urqiql ft ofiad for rL (Sa.70,1,1, BuuB ed trofBioN Co.L: llE Coftxlc r li.* l.s dE ml *dy ro e o*c oa
<br />th.soFi, $tD hoild r inv!6 dEEE rd r ho &6 sn *wt huMlf or h6*lf or rlNu8h hi! or hs o*n 6lplo}6,
<br />F.vd.d rh! srh nrqnr@ri G nn doid.d or.fuld fnr el If, hN'6s. rlE hiElu or opro.ld i! sB wnhi, oE )d
<br />ofcotrpldioi. llE OEn6 Buildg will h.w th. h[d6 orFovins lhd lE or dE dij ml hild or inl'lv. lh. pNpdy tur lh. Frtbs of
<br />l. ao*Goarh.FoFrr, m dclBi!.ly.onr&1iry $ nh kds.n tudrarou
<br />'o
<br />odtu.l rlE FoF Isd 7Oll. tsclB
<br />,n hol,.ir Co&r Tn. Cootr-rq r L(.@ L.s, do6 mr .pDly ro e o*n6 of propsry * ho build! o, opfrr6 thd6n.
<br />md who 6dd.lor$(hF.FBwnhrCo tuo(3) Ii.oldi pnBurr brh.Codrdorr Li.@ lr*)
<br />I n.rdF !,& Serion ll & P( turhlr@n
<br />EOAf,ff,tLCAUIl!,tArIO!
<br />DICIAtrATA!
<br />I h6.by amrm und6 po.hy oaFjury .rc otlhc lolloqinS d*ld ion.
<br />Ih.v.tdwillEi.b.Cdif.d.ofco@nros.l 6@fduqtd 6mp@rio( a F.vid.d lor !yS.dion lrlx) ofrh.
<br />Illd Cod., fr rh. pcftuc of lhc sit 6r *nat $. Fnn i isld
<br />I h3!. lnd will n.i.r!i. wort6' .omp<Nrion nruran(c, a r.qur.n h, s<t io. r7m .l rh. Ilbor (l)il., for Ih. FfthrM(c oa
<br />lhc work for which lhi! p6nir i! iqEl My *orka- .onFraion iNdrd.. .mir n .l F1lty .unbr e.
<br />lc.nifrth{ inrh.pd6,M.of rh. oorl f6r *h'.h rhi! Fn'r ir i$ua!.1lhall frr mploy dy F$n b my meK
<br />e Blo b.com sut*rl k' th. tr!*6'c.mpdEcion Lsr of Cdifomia lri *r lllr ir I tnou&i b..om $t*tl lo rrE
<br />Nrt6 otrrFsniotr pio\BioB of SelEn ! 7@ of rh. llt.r Codc I !h.ll, fontrnfi .onply * nh lhos Fo$baW RNING Foh( ro s@ *!rL6' {mFEnirn mvqls. n unbsful. .nd 3hrll rub,..r o rrploF io aiBind FrlB ud
<br />.Ml lin6 up ro oft hu.drcd thous.d dolla (lloo,UD), r addirFn x,lhc co$ of.omFNtiotr &m!!6 s provd.d nn th.
<br />S.(ru' ri)j() ol rh. lxhtr (ndc od rnd
<br />I
<br />, hscti,nlln'nund6t{Trht.lpsJr\ ll'{ l n irs(r.r( hnpl<9(co'nflro.'n!s hS<lxr.7000)nf l)!rs.n:1
<br />ot lh. IINins &ti PtufsioN ( od., rd mr licN ir in lull for.c dy.l .fIer
<br />Li..*c,N: Cr-)D,,. :]"'tr+1 tq
<br />I hdd', .rfm un& padly ol Frury 0Ir I
<br />isu.d (Sa. lO97. Cir. C )t6ds s Noc
<br />,d'dii* *dy for lh. Ff(ffi. of llE nlrl lor u hd rh! Fnn n
<br />APPI I('ANTDECI AITATION
<br />I hoi,y amm und6 pcnally of pcrjury on. .l lhc lollos inr &Lld.!tuns
<br />D.ftolirtrrn Pdmns-Ashdor Notinc.lion la.ldll R.BUId iom (Tn E {0, I'an6)
<br />Raruroi tdr6ofM{aknih
<br />I cglrfy thar rh. fdlfal l.3uLtioE r.rrdins 6lErR rd.oval rc nor aDhcablc to
<br />'hB FroJ.cr
<br />Fdd rhis lppli.rim en nar. rhr rh. rb.r. intondNn 6 cotrd I r*rd ro ohply$nh.[ Cny&d (ilnlr
<br />i!6of rhn Cny&d Coul) lo otq uF,r rlEru-*"'l L<.*-^- \Ml\t1,-
<br />a{:1,1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL W't/t+ t"'N in.L,,iu Ct
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc.
<br />DATE I ID/SIG.
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