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SITE.WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />Subf loor/VenVl nsulation lill llngRoof Sheathi 7 bi{t-4n P(a ,*Pr) <br />Shear Wall r'I <-h '51l*,*, .,21( <br />Framing <br />lnsulation/Energy <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 It/'t /'l 1'Dt*,4U 1{5 <br />Cert ificate of Occupancy <br />Notes, Remarks, Etc. <br />OlINTJR BIIILDI]R DI'LCARAl'ION <br />I hcreby affirm under p.nrlty ol pglury lhat I m c(cmpl iiom th. Co raclon l-icEoe l-as lor rh. lollosins rcaq,n ls( 70ll 5 <br />Btrsin*s and P(f<rion Cod.) Any City or C.u y trhich r.qut6 a tann ro ...ntuci. ah6. nnprola dGnolish or-?efli <br />(rucntre priorr. ns isu ce- ol$ rcqun6 ihc rpplicMr ior sucn rnnii lo 61. a sisncd sraheor rhar hc or shc ii li.osdl tu' <br />IrelessionsCodc)orlhal neorsh. n€\cmpr rhdcliommd the b.s6 for lhc allcs.d .ronplion Anyvnnd'.nofSdrion70:rls <br />appli(a.rtuap.f,hnsubje$th.al,ph.a.rroac'vilp.nahyorno"nor.rhnnnr.hui&.ddoll s($5001 <br />h rh€ InivGio.s.frh. conta.ro.s Lic.ns.d L.$ (c'haprr 9. co,nm.n.in! trnh S.crion ?000 of Dilision I orlhc B <br />l.D €\empl underSslNn <br />o,o,* 6'7o-l <br />l.flif) rhrr in rhc pofomaic.oarhr$.rk itrNhichrhsp.nrn is issu.d.l shall nor .mploy .n! ps$n in.nynrann.r <br />s, 6rob<oD.s'bjd to <br />'h. <br />$ o! [m' comp.ns.rion lawsofCalifomia a8rce rhar ir I should b.com. subrdr ro rh. <br />$ork6' conD.nstionpro\isio6ofS.clion]TOOorlh.lah)rCod€.1 <br />l. 6 oMtr ol thc proD.ny. or my cmployG $ilh vag6 s th.ir ele coDp6aton, rrll d. rh. \r.* md rh. slM$. is mt <br />inroddl or ollocd for el. (Se 704,1. 86i.6 dd Proi6sio.s Cod.: Tn. Conhrctor s Licos. bw do6 nol ipply Io an 0*16 of <br />lhc pNFly \rho ti'il(G or impror6 rhs@n. sd who do6 slch \Lo* hims.llo. hdElforrhmugh his or hnorn mplor.6 <br />providcd rhar such inpre\ noc e ml inhd.d o! or6rd for sle I I ho$ 6'6. thc tlildina or inForEMl t $ld s'ithin .n. \tr <br />ol.onddir( rh. Ov.d Buildd $ ill h,vc ft. hrlcn olrovins rha h. or sh. did ,ror build o. nq,ovc thc FoFty for lh€ purros or <br />L a ou nd olrnc prcpdy. dnelclusnc!co racriq qnh li.oscd conracroB ro connrud ih. Iroj{t (sr 7044. BG'nN <br />and Aifdsirn Cod. 1h.Gr.t,croast-ic.nscL,Rdo6ndrdlplyro o$ns ofpropd!, trho buildsor improrcs rhssn. <br />a rvho coitEcG ror such pror.ct Nnh a Conhdo(s) licascd puslant ro rh. ConrB.loi. t-rds. Las ) <br />l)rr€ osnrr:roaKlasllIfliNs -t!!)rUESnIAlllJ! <br />I hoeb! amrm0trdd l)(aalryolnd 0r).ne.frhelollo$rn*ldl altns <br />rz'I h .ed\illmamhmranrfirar.ofcomnrros.lf-lBur.lorsorl6 comFnslion. s lro d€d lo bys(rio.1700ofrh./Qb.r ( od., tu rh. pcfnmr(. clrh. qn'l lcr {h(h rh. t6ntr F str.J <br />I hai c .nd sill mainlain worl6 comp.Balion iNurance. s rcqun€d by Sdro. 11700 orlh€ I abor Cod., a.r rh. !dfomd.. of <br />lhc s,ork for uhich rnis D.nnil is issu.d. My u,ort6 comp.6d ion insurmcc cui6 od rDlry numbd a. <br />c*;., ar{(€ €O,J> <br />eaxrr," * CtZl 43 OO 8,) <br />y6 to orinnl p.n!hi6 andWARNINC: Failur. r. Rr. \orkds .onpmeri.n..!dag{ Ls ur <br />.iil lin6 up ro o.. hundrcd rnousand dolld {1100.000), in addil <br />inrddddaiiorc) s 16 <br />males as lnd€J for rhr <br />/o <br />Io K <br />112V <br />I hr€b) afiinn undd p.na tyolpgjurylhal I dn licosrl undc' Forni d 9 (oinnh.r! \irh seloi 700{)ol l)Nhion l <br />ol lhc lruslnsand Prel6sionsCod.. a.d mr liccnF is in lullrorcc <br />12/--{C-r 7qtrInr-r--- <br />I hsrby rtfirm undr Falry o f pfjury lhal rhd. is . .o.no.r$n kndhg <br />issucdlS( 1097. Civ. C ) <br />AITIICANLDEI]dIAU(I! <br />I hq.tr.lfim undr p€nahy ofpcrjuq on. oflhc followins d(lmlions <br />D.moltrion P.rm+^sb6rcc \.nncdion I.ddal R.Frldion\ r I r1..10. Puii5, <br />1R.qtrr.d L.lid of Nd'6calnn <br />D <br />lor ihclEloflnanc.ofrhcro* for\hrhlhxFm t <br />I.d1Ll\ 11 1 rl,. fuJorl,r!trlxhf nic!asb.sr6 rmo\al e. nor artlicabl. ro ihis prej(r <br />I cnil rhd I h.\c rad rhis appli.arion <br />ordir.nc6 atrd Srare LaNs rclatiq ro hrildi.r <br />abo\. nBlioncd pmpolr for iNpcdion DU <br />,{lplic.nl .r A8enl Signilu <br />P.rmilft mn'.lprinl):I oS <br />I agre ro cooply Nirh all cirya.d co my <br />dtr6f,lrhtra ) Md Cou )roaidrxpon <br />to lzzltTtu", I t <br />UFER Ground <br />BUILDING. INSPECTOR RECORD