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DATE rD/sr(I
<br />Set Backs -?otl r
<br />Forms/Steeli Holdowns tl-Za't,
<br />BUILDING- INSPECTOR RECORD
<br />Erection Pads U;.
<br />/L\\
<br />UFER Ground iscr -2t )Mla)v
<br />SLAB Floor
<br />Sublloor/VenVlnsu lation -\Roof Sheathing
<br />"t
<br />Framinq 2'134'-I y.vm.
<br />lnsu lation/Enerqy .y.x{ffi
<br />wall 2-2$i1 VtP/M2-.1X/lnt. Lath
<br />B-rown Coat v 3-t, -l-,I W.W,TA I
<br />filesumy Sarans<,t'r "9*t x,\Flil
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil /^\
<br />4,f;Y ?tts\ )fi!)4\+\-rr/b Y\
<br />FINAL
<br />Certiticate ol Occu nc
<br />Notes, Remarks, ftg v
<br />[o'*2t'[{: u o t 64-t'l e K t ! /2*'
<br />\
<br />OWNER AUILDER DELCAI TION
<br />I tErcby sfrrm uBt r FMrty (,r Frur,lhd I D cx.npt lmn rlE CoddoF Lirn€ llw nnrl. folh,wds E;. (sdra.rl,
<br />Sosiftrs .tu Prolcrtion Cd.): Any Ciry or County $hth EluiEr ! Frml k, on{tuI, rhd. irllruE. &mli(h or Epan !t
<br />srsrE- Fi, |o nr nssrc. !!s rqliG rlr sppltur for sh Fnor ro lik r i'rrd {n.mnr ihr l. or nE k lRned NFi } '
<br />lo llE FoyirbN or E Conk-kr r l-!!nEd t s ((lq,rd 9. C.nftrins *irh S(ri., 7qx, or Diiirir I or rrE Burims rnd
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<br />+pltrm for. Fmn tuhF ll .pti(.d lo. ovil FMhy of mr mE fis riv. hudr.d dolll[. (t5d))
<br />&r. * "**. * ,* *,-y, or oy .dqik F. * ah w+.! a\ rhci' $r. oqrdifl. f, ill dr rlE wt .,n th. innr n ml
<br />inrdrld or oncErl for .L ( Sd 7044. 8u.iBt m.i Pnlisi,nr C!d. Tlr Co raloir Lirn- l.r {tEs mr {'dy ro D orar .l
<br />rtE ,,Dlxny eb h'rdr or iqmB rllE$. in wtr, d.s r-n s himslr o. h.r*|, or rhmuSh hB (tr h.r o*n .rmbFs.
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<br />of @q,biotr llE O*E BuildE *ill h.E r,t hnrt n of Fnw's thc lr o ili dii br rriU d inln,E
<br />'lE I'n,fdy fn iE Fqm of
<br />eLr
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<br />,,Y L/o.,-.arL^) 4.LW("""/b -/t- 2dtt
<br />1!.!.lBlil:8,1i3!.Dlt[]ilrlo!llfg.,lIIIIIAI
<br />I hrhy altirn und( lcultvofF Jury or ol rh. krk'$mg d.rLtrix,N
<br />-l
<br />h.E.!d rillBinrli. rC.nif.rrc of C{e ro S.lr-lts@ ror krtd 6,+.ddirn. a Ftrvit6l tu by S6lbn 17@ of llt
<br />L{&r Cod.. an lrE Ff.iffi o, rlt *nt nr $'hth . Fnil b iien
<br />I h.\t .rd Brll Ei.r.i. *or}6a.onFnob. iBurmq 8 r.quircd by Sarirn lrln oa rlt L.t'or Cd.. for rlE Ffm ot
<br />rtE mrl fm whkh rhk Fmr k erd My wdt6 otrtEdb. iNrreffir.rn |-liy nuntd e:
<br />,lt/Zgl {nify rhlr in rhc ncnnrBNc orrh. *o* f{tr wlri(h rhtr pcrnir n,\sucd. I \hull tror.rnnl(!y rny n ^o. in,ny 'nanicrs .s ro h(sm rubjdr t, rh! *.rlcr( mnrFn{.t i(6 hws oI Cslifornia. and lgB rhai il I !h'uU h.$m httrroIhc
<br />sorkcn..trrtrtrinunpn,rAi()n\olSc.ri,n:17(x)olrhcL.t Oxlc.l shlll. bnhwiihomdysirh rho{F)viri N
<br />WARNINC: lilillre nr sur. sorlc ( ,txi\sri,n coldragc is nnl,wful, dnd rhall \uhi(l r cn9lorcr ro rininrl Fnrlris md
<br />.ivil 6nc\ up t, onc hondr.rl rhsalli] olln\ ($|(D.(XXJ), in rddni,rn b rh..{\l dl .ons_nqri,,n. d!rN3c\ tr! pn)vihd fd rhc
<br />s..ron r{r76orh.lilitr (irn.. n 0c(rn(lnrrtr,(J- \ r.r\
<br />\<,,,,/o-/5- zo t s'O4<tb<r-
<br />DECIJAAIII'!
<br />.mrmu.i.r FflIyoftE Jrny ln I n lnlnan und.r Fllniotr of Cbfld 9ld,mnlflrry s hS.dnn70(x)rotDilnhn1
<br />ift$ t Pnrr.(.nr (-r .. .,i rnr l..ne 6 in 6ill foR arn cfid
<br />I i(n* Numtir
<br />raluf,rquQNIrurNilt;llll
<br />I tEEh, lmm ud.r rEmlry or F,Jlry !h.! rt E h r on{ddir. r:ndi.8 r!.fty nr rh Frfor N ol li. knt tr *hih rhir Fnir ir
<br />nsu.d(S( t097,Civ. a )
<br />L.ndcis Addrc$
<br />AfELllANLDEsrraAIrcN
<br />I hort, atrm undc! F.!li, of F4ury or of rh. f(,lk,wm8 ddl&tknr
<br />Dcmlithn P.rmilr-ArtE{ot f&n'ff,lr io. Itd.rrl Rrluhr io.r iTirk 40. Pd6r
<br />-Rcquircn
<br />L.llcr ol MiilErlu
<br />_l .dif, Oll rlE tu&rn E8llrriB E8!din8 ah6B Emtd R d .pda.bL ro lht FnFr
<br />Z.l5d'1, rld I trE E d rhr tnrlr.l nn rd nlc rhd rlE .noE inromrrb. i. (],Gr I.,r roo,t,ly*dh.ll Cnt dd Cotfly
<br />ordiDffi ud Sl.rc t x Enil| to h{iuin, @n*t.rin rn lEd,,.dlbdt FF*nldi6 ol lhir Ciry tln Cout , ro dd up6. dE
<br />Jhr( nrnrr,tuJ ti,rlinr l,{ r\Ft ri 't,u,trji!
<br />a\pprrd rs.h, \hndur /24o4/r;,u.e'-ffi-
<br />1" u**,*,nn^,,fl4t/ Fl tyy tV o d a ft
<br />SITE-WORK COMMENTS
<br />2-7-11
<br />Shear Wall
<br />T-Bar
<br />1-q "\'1 t).",rLY
<br />-l-r\osncrolrhcF,tf,nr.,n.rr[^n.ly.otrtrr]nE*ihli.cn{,l.otrtr.itr\k,..trnfl'.rrlrtr,'jL.r(Scc
<br />Tlr!.lnaN\\
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<br />/^,,,g4t dtr
<br />lil-7-tk
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