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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS o\\NraR Bt ll DUR Dt.l.(.\ll,\I lo\ <br />! hcrcby .mrm undo pdalry olr,djury lha I d .x.mpl nod lhc Conlrldos l-'cen!e Llw for rhc rouowin! r6n (Se.?011.5 <br />Busin6s dd Prolsion Codc): Aoy City or Counly trhi€h re9un6 a psr,t lo .onntu( ahs. nnprcre d€molish or repan dy r <br />srtucrR, prior ro ne isu c€. also r.qun6 lh€ applictul lir such pcmn lo filc a sisflcd $alondl lhal h. or sh. i! lic@en pGMl <br />lo rh. r1olistn6 of rh. Contradoir l,ic.ns.d Law ((.llaptq 9. Commcncior wilh S<lion 7000 ol oivisioa I orlhc Bdircs 4d <br />ft ofsions Codel or rh.l hc o. shc G excopl rhdcioh dd lh€ bais lirr Oe all+sl exEnptbn. Atry violation oasftrh. 701 L5 by any <br />applicanl tor 0 p.mil subjcrsrhe al,plicmrroacivilpoohyolnor,noreth live hundrcd doud ($500) <br />-1, <br />a ownd o f thc propeny. or nry cmployG * nh $ as6 d lhen eL.o,npdeioo. Nitl dr rh€ lork a $. ntuc'u. is ml <br />intdxled or ofidcd tor elelsr.7044. Busines dd Prol*io6 Codc Thc (onlEcloas Licdsc lis do6 oot arpl, to u o"rsot <br />llr pmpsly sho builds or i'np@r6 thmn. dd wno dG such *od( hibs.lf or hCcltor throush hi. oi hd ow. .mploy€6. <br />provid€d rhd str.h imFolsrcrns 5. nor inlod.d or olTq€d for Bl. lf. ho\'6 6. Lh. buildina .r inDroErsl is sld wiihin .nt Ja <br />ofcohpldion. Eownd alibs rvillhave lh€ turdo olpre ns lha hc or sh. did mr toild or imt ow fi. pDpqly ror th. pdpoe oa <br />l. 6 owdof the prDp6ly. @ erclusi*ly contading wir[ lico$d conlrrcloElo corslrd rh. ptoid (s4.704.1. Uus'ner <br />&d l\Dr*nn Cod. Th. Contilclol r Licd* LaN do6 nol apply to o*,( o apropdy eho builds or inprov€ rhd on, <br />and rho contEls lor such rhj<b Nnh a co.hdo(s) li.med poBwr to lhe contacrois Li.N ljw). <br />-l <br />d .x.no undd S6rion-. B. & P.C. for lhis r.&. <br />Dite OrnE: <br />!l)!35!8s:ll)rlrEllr!ll9! <br />uEclrla l!a! <br />I h6c6, afltm undcr penalryofpcjtrryon. olihc Ii,llLNirrs d(laraliors: <br />-t <br />navc sd vill n&i.rain . Cdificrtc of Consd to S.ll- 16urc for $orkft' conP.nelion, s Fovided tor by S<rion 1700 o f th. <br />L.bor Code. for rhc psfomM..ol$. woa for whichlhe pdmn is issued. <br />,l hflve !!d srll hadain ro*ec .omp.nsalion insumncc. 6 re{utcd byscction 700 ollh€ Labo! Code. for rlE pdfodnmccol <br />rhc vort lor *hich rhis pmnn b isu.d. My vorkdt compdsalion insurac. cmid ond policy numbd ee: <br />Policy Nunbdr-ExpiBl <br />-l <br />coriayrhar i. rhe pofoflMnce ollh€ Nork lor *hich lh$ pcdil is issocd. I shall ml onfloy any pden in.ny natrner <br />e 6 to b.(o,ne subjdl lo lhc sort6 c.np.Bdn'n hss o f califomi.. dd as,E lhal if I should h..om. sbisl to lh. <br />woItm'compssariooprovisioNofs&lionlT00oflhcLaborCodc.lshall,lonhrvnhcomplr\virhrhosprovisions. <br />wARNlNc: :;ailurc ro su. rvolkm conpqsarion cov@rr i5 u.lasful. Md shall subjd m dPlora to dimin.l p6ahi6 dd <br />cieil fin6 up ro on hundGd lhouMd doll6 {5100.000), in addnion Io rhe con oacomp.@rio.. dma86 s prorid.d aor rh. <br />S(tion 1076oathcL.bo!Cod€. inter6r &d.xorn.y s lc <br />Drk: _ Applionr,- <br />uc[Nlg)-caullAcra8 <br />DECIJAAIIOT <br />I h.Eby.llm otuld perltyolpsjurylhar I at licdsl undd Foririo. ofChaprs 0 (cotndci.S wnh Sdtion 7000) olDirisio..l <br />of rhe Busins md ProlsioE Code. ad my liccc is in lull [or.. dd.llsl. <br />coNll8lJcuQrfl[NDllclcElcr <br />I hr.by aflim undd rEnally of p.rju.y thd rhdc is ! .oNtuclkrn Lndios ascncy aot rh. po loMc. olth€ trorl aor *hi.h this FDil i3 <br />issu.d (se 1097. civ a.) <br />ATTI(:I.NLDICI,AAAIIO! <br />llEtbyafiinnuod€r psrlry olp€rj0r, onc of(h. followin8 d(ldotions: <br />Demohion Prmils-Asb6los Nol'licalion F.d@l ReBularions (Tnle 40. Pan6) <br />Rcqun.d L€tt6 o I Nolificalion <br />-l <br />cdiry lhd lhc i.dcral rgulaiions rcsardins 6b6los .aoval sc nor aptlic,bl. lo rhis Prejd <br />I cdil, thd I hrv. rad rhis.ppltation and slar€ rhal rhc ahove i.aomali.n is corct. I asr€ lo cofrply sirh .ll Cily aod Counly <br />ordinances Md sral€ La{s rcl.tins lo building conntudioi, anJ hd.b, dutholizc Gpr6atBlir6 .f rhis Cirydd Counly to €ntd upon rhc <br />ak)v€ roriondl poted, for itrpEtion puraB6. <br />Arplicrnt o. Agcnr Signal re <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />S u bf loor/Ve nV ln s u latio n <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />lvlasonry <br />Pool Fence <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />FINAL <br />Gertificate of Occupancy <br />Notes, Remarks, Etc. <br />.-.aFD <br />T-Bar <br />Flood Zone Certif.