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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.oWNER DTIII,T'ER I)I:I,CARATIoN
<br />I herchy rfi m undcr o.ntrlry of rcrjry r har I d cxc'npr fn,m rhc Gf ikr.ro^ t-k.N L,s f,tr rh. folbwing rcr$tr ( Se. 70:l l 5
<br />au\iic$ nnd Prncsion C.Jc): Any Ciry or (oun'y which rclunclr pcrnir lo cnn{rucl- lllcr. iDprovc. dcmohh or rcnJn Jny
<br />(ni.lurc. prior r' (s s\unmc. rlso r.qurc\ rh. fdi.xnr in \uch p.dlr b lihr \i8ied snrcmcnr rhll hcor shc h li.c \cd Nr\u nr
<br />t, rhc rn,vi\nnN .l rhc Coirraciois l,icenscd Llw (Cnrprcr 9, Conn,crcirs silh Sccltu 7m0 oi Divnion I ol rh. Bu\inc$ dnd
<br />PmicisionsC:.dc)orrharh.orsh.n.x.'nprrlFrcriomandrnchari\fffrhcrllcgcJcrcrtrion Anyvi,,hrn,nofS(ri.i70.ll 5htrtry
<br />rppliqnl tur rrcnnirsublcch lhc rp!licrnl to n.ivilpcnrlryol'n, nnftrhan livc hundrcd dotlars($5(X)
<br />-1.
<br />!s owncr .l lh. !iJr.ny, (tr ny cmpbJr.s wirh *a8cs !\ tlrtn vn com!.n\arion. silldo rh. {uk arxl rlt iturm n iur
<br />inrcndcd or oficrcd for elc (Scc 704,r. Btrsinc$ ond ft.fc$n,ns coJc Th. cont..ror's Li..trsc ljw do.s tror dp,rly ro.n osncr ol
<br />rhcrx,lcat who hilds or i',!r,rs rhcrc,n. and qho des such M hlmsclfor hcscllorlhn'ushhisor hqosncmrloycc\.
<br />providcd rhar such ilnpovcnr.h arcmt intcMcn or off.rd Lr elr ll. k'wc{r. rh. huilli'rB or irqrohrEnr t s,kl wnhin onc !r-
<br />ofcotrgLlhn.ltE Ownfi Buik]* stl hvc rhc burdc oatminArhd hcor\hedid 'x hxiki or n port rh. tmFny for rl'. purth* of
<br />_1. $ o$nq oI rhc tmpcny. 0m cx.nNivcly coN..rine snh |i..tr{d .oia,.irn r rr .otrsd.t rhc pn,c.r ( scc 7014. Bu.im.\
<br />md Pn{cssbnCo{tc-rhcci,nlracro.sl.iccnscL{adoc(nor0fplyrornouncrolfropcrlyshohuild\orimarxrsrhcrco!-
<br />rnd uh. corlru.(lnr nrh Dojccrrwi{hr ,ir cknl,lietr\cd tr^trrtrr tr, rlfu ConkMkn \ l-iccfsc l-r*)
<br />-l
<br />amcxcmpr utrdcr S.crio
<br />^-\-LL,.rX
<br />Ihav.a'dwillnEi ain a Ccnilrcarc otConsc rr.SclrlNurcforworkcri.onDtnsali{r.As pmvntdiorhyScrionl?(x)olrhc
<br />tntxtrGnle. rqrh.pcrlo unccof lhc *uk lor which rhclcmit is k cd.
<br />rhc $ork lar \ehr.[ rlris |Enni i\ i$ucd My Norkr^ roi,trtr\rri,)n nrtrrrncc cinir"l'cy tr! rhcr rc:
<br />-l.cnifylh.l
<br />ir thl pcrforonncc ol rhc snrk fir whichrhi\ Nnnir i1i\sucd.l $rilnnr c rnlotant |En.n ir rrynrnncr
<br />$ dt r, b.com \uhJccr ro thc {rrker compcnern,n h$s oiCalifornir. trnd rlrcc rhrr ifl \hould hcconrc sulrjccr k, rlt
<br />wo&cr ..nrt \arn,n !rt,virioisofSccri(n,.lTmorrhc litxn C.xlc.l shrll.Ionhsirh comply rirh rln,{ pn'!i\nnF
<br />\IARNINC lrailurc lo scuc sorkcs .onlEnsrri,r.o Br i\ r h*llrl. x \hrll lrht .r rtr.n!r")tr ri dimir{l rrlric\ r
<br />ciril lnrs up lo onc hutrirql lhousaod doll06 (Sl0O ,ddirion to rhc co( ol.onD.nsatn r. drmxcs !s pmv cd r'orthc
<br />scdi( 1076 0frhr l:thin ({tr|c. nrc,.(tr(lar
<br />',,,,"
<br />-'1 ?-G K
<br />I h.rchynllrrrftlcr |ttrilryol j,crjryrh l ifr li.(i{.1 ioiorChifls9lc.nnncrcirE wirhSccliotr?(x)0)ol l)ivhion.l
<br />.1 rhc l]r\irc\\ rtrd Pn)tu$trn\Codc. n mr li.ctr\c i\ in,nllturr rnilrlfccr
<br />Dnre'
<br />taNirtrlclt()llLt:lD.lNc-dtiE !r
<br />i\\u.d (s.c :t097. ( iv c )
<br />AIELICAIIDEILABAIION
<br />I )rnby nllnnnndcr tfnrlrt ol Frjury.nc of$c foln,sinA Jcclrrdn,rl
<br />O.trDliion Pcflntr Asb.ndr Norifi.rrn F.dchl Rcgrlari,,ns (firl.4). Pnn6)
<br />Rcqtrrcd Lcrrc' of Nunricirion
<br />-l.cnifylhal
<br />rhclcdcrilrcSulalions rcBddirB r(hnosr. rvrlffctrorrtlli.rhLtorhi\proJc.t
<br />1..'i'frrhrr lh$c r.rd rh\lir)r$dsr.t€ lhd lhcahivc rnrom iorisc.rc.l.Il8rccloconulywnhsllCnyxnd(-oury
<br />onhnricc\ nnd srric I r*smL inS r il{ling.on(ru.rion- a lrrchyrdhoriTcrcprcscn!divs.trhisCiryrndCortrryro.nrcrunonrhc
<br />rbvc nrnri{ cd I[)D.ny lbr i'
<br />,\|)nli(rnl or At.nl Sitnrlir
<br />AA/€,
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Rool Sheathin s
<br />Shear Wall
<br />Framing toltbhq'T\qavq '^l:7 1r)
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath tphbltc'li zfu{()&/f,>)
<br />Brown Coat \r\
<br />[,4 aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Qgputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 4t., I tq 'lMrw,6 jvr)
<br />Certilicate ol Occu n
<br />COMMENTS
<br />Forms/Sleel/Holdowns
<br />SLAB Floor
<br />Notes, Remarks, Etc.
<br />I hcrcht rlln r uidcr reDrlry.l rujurv om oithc hlk,sirr (lcc[dnns
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