|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS oWN ER BtJ II,DER T'EI,('ARATIoN
<br />I hd.t) .frrn und6 rcn.lly of Fjur_ rh, I h .r.npr ltud rhc (bdr..1o6 l iL@. l.* for lh. follor ins rasn (s( ?(rl l 5
<br />Bdhs .,n Prolsnn ( od.,: AtJ (-ir v or (i'unt tr hrh r.qun6 . Fni lo codtud !n6. inF.\!. tldtrolkn or rqd m\
<br />srruduq Fx, to irs i<ue.. .&o EqutrG lh. q,rraor for such Fhn h nL . risnal nrffil rhti lE or rlE i5 lrcda.d p(tuid
<br />nr r[. Fovlrions of rh. (irnl,a(roir Lictual l,s (Ch.Os 9, Conm.n.inS $irh s.cri6n 7m0 of Divutun r .f rh' &'iin's i'd
<br />h)fshnr (-od.) or rhll rt or sh. ! .rmpr lh.t.aoB ed rhc hdir f.. ric llLs.d n@Fion An, vnhlrn ofsdi'.7{)rI 5 ljv an!
<br />.rlr'lrlnr for ! Fmn tuhj(rs rh. 4rlicrnl to . (tr il Fuh t of mr mt. lhe 61 c hun&.d &llst ( !50o)
<br />L d osnd oath. FoFny. or my.,nplot6 sirh w.*6 N rh.ir sn..omr.s.ln,n. willd. rh. "mI dd th. ttu r@ ii frrl
<br />ddrLd oro|I6.d for.lG{sc 704,1. t}Bi,6 dd Eor*i{'B ao& In.Co r..ruisl-k*Itr&6nd4fl'-to6r0$'6'f
<br />rh. F.Fi! \nr hoil& or Eg!\6 ttE6tr ji tr is dE sh ullt hi'Mla or lE*lt or rtmuah hii or lE o\n alpht6-
<br />Forid.d rhd tu(h mF*odi! rc mr darLl orolH tu .k lf, lris66. ttE t!'ldinE or inqnrsE n $B wihn oE rw
<br />;IcompLron.lh. OMd thildg *illh.w tlE hrdo ofFmvins lhd h.or rh. dil mt hild or inFo!. ih. P'npclv lor lt Fl4r* of
<br />l.6o$ffi ofrh. F.r'.ny. da.l$i!.lt c.nk!.ib8 tr hl'.as.d.ontt<io6lo.odtudrh.F.irl(s<-70$ Bolrffi
<br />&d hotusn. c.d. 1 h. ( irntr.clo s l,icot. Llw doa nol .I4,ly lo 6 os .d o f propcnv sho build. or improlcs 1h66..
<br />.nd *ho onrsl! for ffh Fnjds wnh. (irnl6do(n lads.n NlleI lo lh. ( ontrdc't I ic@ l,rl
<br />I m.ldrlt und6 sdd..B & P a.IorrhE r.&n
<br />u.,"t ro/ ? /rt *J,fury
<br />I hftby amm und6 r,6tlly ofpojury on. oflhc fou.wins d<lutriotr!
<br />Ihacnn*rllmi rin. Cstt .!. otcolgl lo S.lf'ln3@ for $$.16 mhFsdio.. 6 Forij.d for tt sdhn uoo olllE
<br />l.Ur Co<tc tu rh. Ffm or lhc srt for stkh dE Fnn it i$4d
<br />I h.r..nd *rll @inrrin wortd codpnB.lion i6r4.. s Equt d b,Serion 1?00 otlh. hbot CorL for lhc pofi'lMc. of
<br />llE *ort rn $hit rhi! Fnil t isEd. M, mrta oftFErion iBurG. cait td polt! numba e.
<br />Icdiryrhd inrn FnIruN.nf th. $ork tu lhah lnB Fmn is nruc( t dullnor dplot rnv p.,$. m.nv mmnd
<br />$ s lo b.(om. sutidr ro r h. worl6 onFstion la{ .f ( .lifomia dd tsG th.l if I should h.om. llbjel lo lhc
<br />Nd6 comFer6n I'nrBioB of S..lE. lTm.t th. t trt Codc l.lBll. fnhrnh conply e iih tlEe Ftrr ihc
<br />wARNlNc [!ilur. ro $J. $n!6 ompqEibn corane. i lnLqtuL dn ln,I eUGl e onghF b aimiBl FulE ml
<br />rnil fins trr nr onc hundr.n rlk),end dol
<br />s(tion 1076 ollhr tlhtr ( od4 inrnc( ed
<br />.m0), m .ddnio. ro rhc cor of conp<Ml'o.. drm+d 6 Fo$d.d for rh.
<br />o liccnst o,]d rrc\ilnn ol c16F6 9 (co@inB *iih sdr$n 7000 ) of on ishn 1I h6.by lmrin u*16 Fuliy of pcjury I
<br />of rhc auriEi rnd P,ofcf 6 (-.d., -d h, lr.c iin full f.rc an.fi<r
<br />(.ONSIRf,tTION LF'IDIII(; ACD'I(\
<br />I hd.6! arrm u.ds Fsltr of Fj!ry rhd lhdc . , sldrudiof, laldins 'sftt ntr $. Fftu. of rh. $ o.l hr { fi.lt lht pdini a
<br />iisudl(s< ILD?, Ci! (-)
<br />APPLICANr DE('I-Af,ATION
<br />I hc!6r'rtrntr unrl6 Flrly ofFrury om ofth. follo*ins d(l& ioN
<br />D.nolnion PmneArt dG Notifi.dion Fcdd.l Rl8ultlioN (TnL40 P.n6)
<br />R.q!n.d Lara olt*iiftdDn
<br />I cdiry rhd rh. f.dsll r.*uhlhrt Egrding sb6lor t@!,1 u. nor 4pliclbk lo rhn F.jal.
<br />I .6li! thd I lEr. Ed ltE lrdi.lbn td r . $r lhc rtnc intornihn B . Er I 4rE l. otr{ v $irhrll Cnv .!n ( o@r,
<br />ndin.rc rA Sra. r""r ntel,'e io blildins ol.*.lbl! tn id.ta dnoriE r.r.*drir6 ol lhs Cilv nld Coutv lo ar6 l4on rlE
<br />.tr.\c mdrhnal nroD.a\ ltr i
<br />,\ppli..nr.r \tdrShn.l agru.^-
<br />k,N,a., Et6utl? A
<br />," /t /r7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />U FER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<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 />Final Report
<br />Flood Zone Certif.
<br />FINAL 5-//-/6 J)c{oL (vr)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />I
<br />I
<br />I
|