|
BUILDING- INSPECTOR RECOHD
<br />SITE.WORK DATE ID/SIG.OWNl]II BTItt,DIIR I}EI-CARAl'ION
<br />I hcrch, llltD undq pcnrlry of l).riury rhir I !n crun,t, frod rhc Co rldqr l-ic.n\c ti* tu rhc tull,trinB rc.s. (Scc 70.115
<br />llusinc\s nnd Pnfc$n,n Codc) Atry Cily or Cor ry *hi.[ rcquircs i Pcrn'ir k, .on{ru.l. rllcr- inProlc dcmlish or rul)Jn any
<br />{dcrur.. Dri,trt, irs hnrum.. rls, rcqrnc\ rhcanflicrnr i), such lcrnirti filc n li3ncd $alctmnr rhar hcorshe t lircn\cd lunumr
<br />n, lhc n.ovi\ion\ ot rlt Cotrrridois Liccn\cd lrtr (Chr/c' 9. Conn.cncing *irh S..riotr 7(Xx) .l Divi\i{,r I of rh' Btrsincs rnl
<br />rmli.rnrturaFrnrirsubjccrsrhc,mlicrnrto.civilPcmlry.lnorm(Jrurhnniivchundrr doll 6(1500)
<br />-1.
<br />rs o$nforrhc piol)(ny. o! mycnDl,,tccs wnh *ag.c $ rhcir solc cory,.nsrn,r. willdo tu sorl a.d rhc stnrlurc i\ nor
<br />i cndcd or olIcEd Ir slc lsc ?Oll, Busik$ and Pmttsions Cdlc: Ih. c(,nhclu s Litcisc Lw docs nol iml, t, r oNtrcr ol
<br />rhcptuIcny *h btrilds or nnpmv.( rhc@n.:uld sh) dm\ skh trolk hinrclior h.$clf.r rhron8h iis o, hcr o$..nv'lorecs.
<br />Dr)ltlcd rh such imtii,hnrnk r! not mcn cd orollamd fitr srlc li howvcr. rhc 6uildin! or in{,Ntrmnr i\ sold siihi".ic k tr
<br />of.omtlclinr.lhcOwncr Boikh wiLl hNt rhe tudcn olrolin! rhai hc or shc did frn hild or i'nlrov! thc pmFnv tr rlf, Nltr4 of
<br />I. rsoEncrollhc lro!.ny. mrcxclu\ivclyconrndinr wnh lic.nscd.ontacu{n) connnd ltr lnorcl (scc 704-1.,1u'in'\\
<br />Jnd t'irttssnn Codc: Thc Co.rrucroi\ I i..n\c Law d($ n.rrDFly l. nnosnd of proicny who huild\ or imProrrs lhcr$n.
<br />rfd qho conlrucls ior \kh Pn,l..* wirh n Conh'ci.(s) liccn\cd runumr to rhc Grtunckr's Liccnsc lns)
<br />I Mr cxcmpr undcrS..rt .B &PC litrrhisrervn,
<br />rv(ll{xERs' conIPrNsATnrN
<br />u[l!ax.[uui
<br />I hcrcbyrInnutr'lcr p.nrlryof pcr}tryoncolrhcIdlowingdL{lnrrri tt
<br />lrttx, (l)d.. lnr rlr.t.rlornHNc ol rhc *ork larslrrh lhc |xnnir i\ i\$d{l
<br />rlr r.rk rwl,ichrl,is pcnrir is islu.d M y *orkc' e .olnt^_n\Jrii i'r$nrNc.rrl.rnid |l,|i.! rumhcr c
<br />6 alt tA)t^r, t> lr\rt - 9 9Lfcto t €-ol :g:OAIr\fnc.ot/ot / tQ'',*.,*,-n- 76 -7- t
<br />I.cniitrhrri.lhcncrli)rnNrc,,frhcworklorqhichlhi\0cmirtri(sucd.Istullnorcilnoy,ryP.rorinr,trmNr
<br />$ N b hcom \,i,ld t, rhc sorkcn comp.trsrrion h{s ol Califonria. ann +,.. rhar il I \hould hccom {rhl.d brlr
<br />$orlc6 mDrprn\iri(,npn,vi\ionsoiSccrian:l70Oofrh.trhtrC.dc.lshill.tunh{ h.onrPlv*irhrhosPr.vinon{
<br />WARNIN(; I l', r h \.ctrr. \o'l('\ (,m'l,qrr(,
<br />'
<br />(,!.'r!!is unlnstul, rn d,all \ubjccr rtr uUoycr t, Gi'trirril |EDrlri.s rnd
<br />.ivil fincs ut lo otu hundrcd thousand dollr( (S|O0.O0O), i 'u: ''-"'--Sccriur.1076 ofrh.lrbr C.dc. irlcrc{ and rnormy \ la$
<br />,,.,,., L-"1- 'b
<br />I h.rhy ,tufltrtr,|$ rcnr[volprrjuryrhrr I n li.c {rl pm!i\n, .l Ch.rrcr g lconntuknrs $ilh S.cri, TIXX))ofl)i\lsn,n.r
<br />.i rhc llu\inc$ nnd Pnnc\li,rN (inlc rnd n,y li.c sc i{ if li,llhr.c rndcll.((
<br />cjq
<br />6 -2t- t6 <'a.rrlle,<- fn,/*
<br />(IINS'I'RI]C'IIoN I FNDINC A(;ENCY
<br />Ih.tohynffirmt cr pcnrlry.ft^_rjtr! rhd ihcre n r.r,n{tcri,r htdir3 rEcmy f{n rhc NIldrufc ofrhc work in s[i'h rhn p'nn[ ir
<br />i\{cd lscc :1097.Cn a)
<br />API'LICANT NF(]t ARATION
<br />lhcdry 0mrnundcr Ntralry orE rjur, onc olthc rbllowirg dccl,arnN
<br />l)cDmlirn)tr Pc nir(AstE{os Norificarn,n Fcdcnl RcAul!rion\ l'lirl..lr). Pnn6)
<br />RcquiEd t tlcroI Norifidi(,'
<br />I ccnify rhnr , h.vc rcld Ihi\ aprli.rr nnriion n corecr I rgd ro conrrly wirh rll ciry iM counr y
<br />onli'nnc.\ rrd Srn.l-rN\ nlinU nl rurhorizcrcnrcenurn$ofrhhCiryandCoutrlylocnlsut'.nrhc
<br />xhivc nr.nriitrrd |'oNay t,, iN
<br />/1DDlirstri o. AB.nl Si,ttulnr€
<br />,J12lJ s cant€l 0
<br />,,,,," C-z( -te
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subtloor/VenVl nsulation "/,Rool Sheathinq 7'lt Y
<br />Shear Wall UV
<br />Framing \
<br />lnsu lation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />1-Y1 V ) . t--tw
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />'t lr rg ta,l*-t ro
<br />,4.
<br />COMMENTS
<br />L- [1
<br />FINAL
<br />-l rl I t/t-!6,;*- n^l I
<br />l.cnllylhar rhc li,l.ralrcruli[i,)trsrcS n! (t(orr.itr*rlirc n.r rP,,lic]hl. k, rhll pmi..l
<br />fT
|