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BTJILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ()lrNt,tR 8u[,t)t:R DIn-(,1R,l I l(rN
<br />I hcrchy rtftnr undcr Ocnally of PcrJUry rhdr I rn crcnrpl itoal rhc (1inrrucro6 l-icir bs lnrlhc follosi'rs rcrson rst'70:ll5
<br />Busnrs ,nd Prolcssn,i G)dc) Atry Cily or Grnry ahi.h rcquirc\ ! t rmir tu connnrcl- rlrcr, i'qrrovc. denmli\h 'r RNir riP
<br />{rucrurc- rrior ro ir\ nsu.trc. r\o rcqoncsrhc dlplicnnr lo. such pcnnirb lilc t \iSncd {dcnrtrr rhar hc or shc ( li'cnr Pu6urnr
<br />to rhc nmvisions ol r)f, Cotrrrrdoi\ l,iccnscd ltrw lch{rer 9. Cotrnki.irrg wnh Sc.rii,n 70{[ .r Division 3 ot rhc Bu\in'ss 8nd
<br />l,dt\si{n\Codc) orrhaltEorshe ircrcn9l rhcrcliomffd lhc h"\is lor thcnllc8cdcrt Dri.n Anvvi{narionofS.clionT0.ll5hvrnv
<br />appliu!trrtui rFanir suhJcclsrhc rpt'I,. r to aciviltcnllryolnor rorc lhm nvc hundrcd dollns (S5O/,r)
<br />L xs osn$ ol rhc roFny. or ny cnfloycc\ *irh w,g.s ns I hct elc comP.ni.r ion- *ill do rtF wrk .ri thc slodm I : 'xiinrcd.d o' orTc6d ror sh lS(.?U4, Busimsr dnd Pmlcssions (:odd: Th. Ct,nrodoi\ I-kcn* trts dcs nor tpPly b 0n 'Nncr of
<br />rhc ptutmy sho builds or in{'mv.s lhcmn- ud sln) dms su.h trnrk hinrscllor h.rscltor rhmuBh hh or h.r.qncmpli'vccs
<br />purvidcJ rlrr such inDoremnrs d hr imcndcd or ofrcrcd ,or ssh li howclcr. lic hoildiiS or ilirmKatnr is srld wirhin onc )Er
<br />;fcon!)lctioh- rhcOwncr suildcr willtavc rrE budcn of tmvins $d h€.r sh. did s'l rl{iu or ir4x)E rhc pDpdt ror rh' puqnx or
<br />l. rro*kr Dllh. pmpcdy. uictlusivclyconrracrins wnh li..nscd $ rrfusro conslruct ltt Dnri{ (Scc. ?0'4. Bunm:s
<br />,nd t\ofsshocl.:ThcConliocror'sl-i..nscLawdo.snotflPnlyror ostrctofProF ywho huildsot infrovcsrhcr@n.
<br />rnd who.onlBcrsLtsuchJ,ojccr$ilhaconrEcttrh)li"nscdNsunrt'rhcconlrlcror'sl-i'cistaw)
<br />lr rcklll])rutrtu S.crirn, .ll &l!( lnr[\r.rnnr
<br />()wn'r
<br />TOAtrE&::.COMuiNIAIION
<br />IIICLABAUAN
<br />I hcrcby rlli.rund.r pcnalry ofpcrlDryonc olrhc tulk^vtrtS dccid,rrion\
<br />lhrvcondwillminlainaCcdiaf,olcofConsenrr.s.lflnsurcfor$orlc6.omlrnsrion.!sProvid.dfor$vS<iionlTlnorrh'
<br />Llhor C.dc. rttr rhc t'cdorurcc ol rhc wor* lor whi.h lhc pc,n i\ hrucd.
<br />I hrv. !trd willruinraio workcr{ co nD..rul ion inrui,rE..,s rcqutcd hy sccrion 1700 o{ih. trbot Codc for lhc p'rrornBn'c of
<br />rh. w.rk for which rhn pcnnir is ilsucn. My workss oopcnsdn,n insu,atu. .ani$ exl Flicv .o,nbcr m:
<br />lccnili rhrr inrrr p.rfonEmc (,rrhc s.r* I.r qhichrhis pcrmii h isucd.l shall not cnrllovaov
<br />v' N ro b.conr sutjccr b rh. workcr onrncn\dion hws ofC.lifornir. ud +rcc rhat ill dmuld b.tonE
<br />work$( comp.nBr ion povi\iotr\ oI Sccrion .lT{$ of rhc tibor (ldc. l dull fo hwilh conrrly s irh rhos frrvi\i'ns
<br />W RNINGT irilurc ro $cu!. *orku^ c.iDtntari.n .orcra3. is tnliqful. and shall subict ur cnDlov.r ro rin nal llclrlii'r 'itlcivil finds ur ro onc hundrcd rhousrnd dolla^ (S|0O.OO0). in a'ldirn kr rhc co{ ofconP.nsarn)n. drn$3cs s\ lrovAd 'nr
<br />rht
<br />sc,,'nnlo7;olrh.Lrt{rc,{lrrinr.rc{$dirro,r)\lic\ \
<br />Da,e: - tjs lA ^np,,*"', X\ Dafr-\., l l. LlcrrNstip cr |N rR_A troRI I DIO.ABAIII.IN
<br />Ithirch],,lfirmd cr lcnalrr;lncrlur) thJr I Jn l'!cnq,lundcr pi{,rhiotr ol Chanrcr 9 (.onnncncing sirh s"riotr 70(x)) ofDivi\bn:l
<br />of rhc lru\inc$ rnd Pofc$ionsC.dc. tlad ,y li.cnsc i\ in tull6rcc urd clT$r
<br />ro (D 9Ot
<br />..,*"*F btr
<br />CoNSTRIIC'I'I(IN I FNDINC /TCFN(]Y
<br />I hcr.by dmfln undcr p.nalr, or p.rjuiy lhll rhcrc is a co (d.rioo lcndins qcn.y rd thc Pcrlormn.. ofrhc $ork tor which lhis Fnnil h
<br />APPLIC NT DNCLARATION
<br />I tslhy rnim undcr pcnollyolp. jur, om ofrhc follo$ins d(lraiio.s
<br />Dcnnlirron Pcrn,ir\ AstEsns Norificarion Fcdchl Rc8trl{ions ('lirlc4}. Pan6)
<br />-Rcqutcd
<br />lx(.r orNorilicarion
<br />I (cnil.vth l h.vc rcadihn appli.rrtr, dkl {Ic rhrr rh. xhk trronnrrion hcotr..r I rSr.tl.conlllysnhillCiryandcoutrrv
<br />,tr 1 rn..\ xnll Sr3r. l r\\ e'lNirA k)
<br />rho\c rc tr)krlfr,tryry tur i"\fc.r
<br />Y-\l,l,lirtrnr r Atenr \ittr.!"n ,
<br />huiunr! con{rucrnnr. rfrt hc rizc rcDrc*nhrivcs ollhn Ciryand Colnr
<br />""^n*"".",rn.,,,K. t#-
<br />Set Backs
<br />Forms/Steel/Holdowns *rl-.I .,
<br />2t D l'u{\-\-a)I
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq 4 ti fu ^\ra,.f.')
<br />D
<br />Shear Wall I {IALAJX /t)
<br />Framinq ItDn 'ia U"*,€,tA)
<br />lnsu lation/Enerqy t-dfr-vE*S @\
<br />Drywall tq 5L dK'v Ytplzil.q ttt{ev>)
<br />Ext./lnt. Lath 41rr(:'(tT 'rx6tA ,)I $
<br />Brown Coat L)r
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Fleport
<br />Cc,rtvfoCv T 1 IIK (-Vfywr4//4 7.6)
<br />I =_--
<br />FINAL ,t (\l44l"X ")Certiticate ol Occupancy I u r \--,-
<br />No1es, Remarks, Etc.
<br />-+
<br />Ereclion Pads
<br />Subf loor/VenVl nsu lation
<br />Pool Fence
<br />Flood Zone Certif .
<br />ll]
<br />hsucd (Scc. 3097, Civ. C.).
<br />I .nd.r'c Nnrm
<br />L!trJr'.4,|\hr-
<br />I ccnilyrhor rhc lcdfal r.gxl4liotrs rsiudin! a1h sbs rcftrrd (c tror +plicihlc lo rhi\ Pnu..r
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