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dS{JILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OlINER BLII,DEI' DEL('ARA NON
<br />I hcrcby Jflntr' utrdcr pcnalry nI p.rrur) rhar I m.(mpl frcm$c Contn loa-Liccnsc L.q for lhc lollowinB rcasn 1scc70:11.5
<br />su\incs ud Proltsion Cn'lcr Any Cir) or Counry which rcrluircs 0 pcmil ro conFIdcl. lllcr. improlc. dcmlkh or Epalr any
<br />erudurc. Pr6rro ( (umc, ako rcqu 'rc hr rgplranr for su.h Frnir ro fih a ri8tr.d enrcmnr lhnt h. or shc n liccns.n lunuanl '
<br />to !hr fru\ni,'n\ of rhc Conhcroi\ Licend tj* tChtrprq 9- Commncing *irh S..lion 7O(r of Divilio. I or rh. Bn\in.$ trnd
<br />L\ofc$ionsCoddorrhrrlEor(ltrisci.mn'rh.rcft,{nrndlhch,shror'h.ellcsdcicnTlion.AnyviolatirnofScclionToJl5bydny
<br />apr!'t8nr ror aFllir \ubi(h lhc lnrlrcrtrt to a!pillrcnrlrvrfmr mnR rhan fi\c hundrcdd,,lldr{l50nr
<br />ff . ^ .",*,,r,* n-*"y. r'ny.mnrorrr\! h l aacs us rhctr a,rc con,Fner ion. wdr do rh. edk 8Ir rlr srmrm i\ nor
<br />int cd or oficrcd for sk ( Se ?044. Busincss rnd Pn,acscions C,dcr Thc ConkNror's Li..ns ljw docs trot rpply ro !n own.r of
<br />rhc pmpcrl, uho huildsor in{m6lhcmn. Md who des sEh po* hnmclfor hcrsllor lhnuch hh ornqown c@loyccs,
<br />pmvidcd rhll such inJmEnrnrs @ frr inrcnld m ofidql for slc Il lx,*cwr, rlE t{iBnr8 or irlmErEnr is sh uirhin om F{
<br />ofconrphlion. rh.Owncr Aurlr sillhr\r tlE hdrdcn ofpfl,rihg rL, h.dish.did nor build or inlllm\t th. tmFrty lor rh. puqnc ol
<br />L rso(ncrofrhc lropcdr. r'ncxclu\ivcl!.u ri.ht with li.cn*d .oftr.r.r s ro cotr{ru.r rnc fmr&r (Scc 704,1. Aur.c$
<br />!d l',ntcsi,n Conc thcConlrocroisl-iccnscLarvd.csnorlmlrrorn.uncrofprop.nywhobuildso.imptr'vcsrhcrcon,
<br />rnd shi, .o.rhrh r.r such ttuF{s snh n Conh.k'(n liccnsd porurnr
<br />1iD.r"z./zz (,x.(/'/
<br />t)tl l \k,r rr)N
<br />I hc'.hy rllnnufd.' p.trrlryrr n.rtLryom.l rl[ nn],)$nrgdc.lx'ri,^
<br />l hdvco willnuinrsinsCcnifrar.ofc.isc i,Scllln rc for workcr' crnrrrnsdiotr. rs t,ovdctl for by Sel ion ITUJ of rhc
<br />t:htr Codc, ro rhc pcrlomaicc oilhc *ork lu which lhc lrrmi is n\ucd
<br />lhiuc r0d srll.rri'nri'r work.ra.. rt* sdnnr iisrranc.. \ rqur.d $J-Sc.rdr:17(x)ofrhc t]horCodc. iorrhc ncrnnranccol
<br />rh. *ork f(r {hth rhi\ Fnnir i\ nsusl Mt sork.ra .o'npcnsrtn,n ihtrr cc.rtricrdl fxni.y Nn$cr dcl
<br />{g (niiy rhri in rhc Ndn mmc or rhc {o'k ior vhi.h rhn p$mir t issucd. I shall nor cmrby any pero! in any muncr
<br />$ N ro lEcom su6j€ct ro rhc workcn compensal ion laws ol Crlilomia. lnd lg@ rha! il I sholld tEcoe sxbFi ro rhc
<br />solkcrs co'np.nslrion pDvhions olSccrion lT0Oofrhc Latn Codc- l $ill tunhwirh co,nply sirhr,x,r pruvisn,n.
<br />WAIINNG: Failurc ro wxrc work.tr onpcn\arn,n .ovcagc is unhwtul, ,nd sh.U subjdl ar cDrlo)q lo ain nol |Etr0ltics rnd
<br />.ivil lnrc\ ut) k) o c huidrcd rhousrtrd dollx^ (slu).Ux)). in nddirirni n) rlrc con dnmscs !s pro\idcd rbr rhc
<br />Y::;:;A/;{::^,X,,,,/-\..-.-
<br />LMNSIiDlOtit&{qlla
<br />DEELItsIIjOI
<br />I h.Rhyannflundcr pcnalr! or r.rjury rhar I rn lion*n xturd pr.vist,n orChll)rn 9 (snnrErcinS wirh Scdi,n 70(()) ofDivnion 3
<br />or ihc Bu\iies and Porcsion\ Codc.,nd nry licensc is in lullhrcc {n cff.cr
<br />D,".'*."*
<br />CANEIBIJqIIANIEIDTIIiJIIjISI
<br />Ihrfthyrffii, ! crpcnahyofpcrjrryrharihcrchaconitu.ri,nrLndi'rgr8.kynnrhc!.donnM.coflhcworkl'orwhichrhis0cnntk
<br />irucd(Scc :109?- Civ C.)
<br />AITLIIANLDECLdIAII9II
<br />I hcm6y dllm uDncr p.N li, ol li.rj!r) onc or rhc lollowing dc. hfirn r
<br />l)cnr)liln,n fcnnils Asbcnos Nolificrlnnr ftdc.rl Rcrululion\ (-l illc 40. I'ma,
<br />l{.qtrt.(l l,crr.r.l Noliri.rrio
<br />"E*.*
<br />ily rh.r rhc rcdcrnl rcBul,rion\ mgadrB asbc{os nnBvdldc n.r lpplic$lc lo rhis pmjccl
<br />rhar lhlvc rmd rhis !pplic(nnr rd srurc rh{r rhc ahrvu rrr i\.,,trccr I xgR ni roDI,lt $irh rll Ciy dtrd ( ({n !
<br />odinnn.cs od Sr!ic liss rchring ro building con(rucri{r
<br />dborc nrmnmcd [opcny lor nsFrr
<br />i{ppli$nl or As€ot sirn"l
<br />(rtmirr unrtlpanrr:ffi
<br />"';'"ii'*"''"
<br />Set Backs
<br />Erection Pads
<br />Subf loor/Vent/l nsulation
<br />Boof Sheathing
<br />Shear Wall
<br />Framing o,r pla 19Giw Ntz >)
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL I,M 7b)
<br />Certif icate ol Occu I I I a-Tpancy
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />UFEFI Ground
<br />SLAB Floor
<br />Brown Coat
<br />It/asonry
<br />Flood Zone Ceftif .
<br />wilQ.(t
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