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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE OlI N EI AUILDER Df,!,CARATION
<br />I hd+t rrm Ed6 Funl ol palu,y tl6 I d 6anF fiom tb. Co rrldt LK.e Lss for lh. fouo*ns .6rn (S< 701 I t
<br />Buin6 !d Prof6ion Co<t) Ary Cny or Counry r'fith r.qun6 ! Frr ro @dM. .ha, inFoE damli+ or q.r xy
<br />tltocrdc, Fior ro irs isue., .bo r.quiE rnc @dt@l for u.h Fmn to fik t tig,Ed irdml lhd h. or Ct b li.q8 d F@irr
<br />to th. provisioB ottlE Conlr..!o.r Lic.n!.d L{w lchipr( 9. Cofrnd.inB wi$ Serion 7000 of Divition I oflh. BNin* dd
<br />PDf*ioN Co<!.) o, rhar lE or $. ! .rdpl lha.6on od th. hEi aor lhc dl.g.d .rmprion. Any violdion of Seion 701 I t b, u,
<br />.rpli.or for . Fmn sbj6r3 tlr applicsr to . ciril p.Mhy of mr mE lhe liv. h!ft1,.d &lld (1500)
<br />_1.6 o{cofr,rF!FU.ds) atrplor€$nh,+66rh.i sk comFdir( tr d.ln.rqt rd t E !id@ it hl
<br />id.i.d olIs.d fm xL (Sc 7Ol.{. BolilB ed FmfsrB Co& TIE cod,.ddt Lr6B bw &6 d @ly lo o ow of
<br />rh. FnFr, *h. boikld ngnv6 EEI rn wb &s uh ulrt tiEr,aor lE*llor rh.uah hB d lE om 6ph!c,
<br />Fo*Ld rhd tu h mFEnded hEi.d Molr6al n {L ll ho*6d, ttE hlildlu q ilqor€6, B$U whhinoft }s
<br />ol cotrpki,r rtE o,^nd ltllikjq *ill h.!r tlE birdcn of ,toos rh| lE or sh. did ml hild or inqo\r dE FrFry lot llE Fjpos of
<br />-1.
<br />ao*cotrh.FlFry, M.rcl6ir.lyoll6d I *nh lic.6.n.odd6 ro oBru.r rlE Foj.( (56.7Ou, &!td
<br />in Eohir Cod.: TlE Conrr..rd , Lk.@ L.w dE d .pply ro s ou,nd olFopdry $ h. b{il& .r imFoE rhs@n,
<br />md trho otc..lr ftir sh Ftrj6.t*ith. Con,ah(r l(dB.d F,td r.rlE (orrrcln ! ti@ lr$)
<br />I 0 c\opl unds Sd
<br />D.t. orn.r:
<br />woRr(r'Rs, ('orl|PENsAlioN
<br />DECB8Arul!
<br />I h6.ny lrm ud6 p.Ehy ot rEJUr,- o@ or0r tullotr 4 &<ldio6:
<br />-l
<br />h.r. rd trill ui! th. Cdiif.a. of Coen ro S.lt lMc fd Hldi omp.urisl c FlviLd ,or br Sdbn 17@ of lrE
<br />r,hr Codq tor th. Ff.lrrl4. of lh. *qt for *nih lhc Ftrn a is.d
<br />_ I hrv. .nd will nrinhin wo*.tr .omFsrion iBu.rn.., s r.qunai by Sd ion 1700 of lh. L,bor Cod.. fot th. Ffol:lffi. of
<br />rh. wo for which rhn p6nn n ir&ql. My uork(t comFssrion iBuruc. criq dd pohcy .unb6 a.:
<br />.,,- olJ (r C...^1 (o
<br />AlCw n+91+tA Ir Lotg
<br />_l cd,ry'hn in llE Ffolrra. otrh. *orl fq shah lhir Frtrn Lr iae.d, I lhrll Fl otrploy &y Frn in any n:ffi
<br />s' d !o tr.om 3uqd ro th. mrt6 onpssdior Ls6 of Cdifomia. !d lsc lhd it I 3lbuld b<om. 3!hix' to tlE
<br />world'comFBlionprovnioNofS{lionlT0oolln.l,toiCod..lsnlllfonhwithcomplywnhllxl*risvnioE
<br />WARNINC: Failu. ro su. e6rkm omro$li1n c.v6.!. i! mb*.trI. Md !h!ll subjEl u oplor6 rc cimin.l Ftrhi€ ed
<br />c'r'l nn6 up ro on. hundrcl rhoMd
<br />sdrd. 1076 dfih. Lirtr (ixL ,ddd
<br />u(IlitDrgi]lu(llla
<br />IlLUrl&U.lr}
<br />I halt y lrm r.ds Frly of Fjury thd I m licslsl umk p.Dvtion of Chlpld 9 l@.jlrffinB *nh s<!i.n 7000) ol Dvi3hn l
<br />ol lh. BBilB dd PNl6!io6 ( od., a{ 6, li..@ a i. alll aor.. dd .ll6t.
<br />elo 6z^\fqC
<br />toetta ;#l,,r q5 V, ,< D., <r^*"r.<flS:t
<br />co!sr&J(Itl!.r!!Dact{i!!(r
<br />I heb, ,Itm undd !.n.lry of pdj!ry lhll rhe i! d $dtu lion Lodiig lgacy fo. th. Ffolfuc. of lh. $or[ aor st*h tht Fnn b
<br />isu.d (Sa. 1097. Civ. C ).
<br />A?IIJI;AEI.DECIJAAII9!
<br />I hdttt dtm undd pdrxy of Fjury oc of rh. tollo*irr dcludioB:
<br />D.nblition P@tu-Asb6tor Nolificllbr F.dml R.guldioN (TnE40, Pan6)
<br />-R.quiEd
<br />Ldi6olttotiftiion
<br />I cdiry lh! rlE Ldd.l rcllldbB qrdine aldor lft!.1 r. d sp|t.br. t6 rhii FoF
<br />-l
<br />cdiry tllr I ls. r-d rhi! .rpl.dioa -d r.l. lh, th. !bov. inforruiln i! .old I .gr ro onPly wilh .ll City ttd Coudy
<br />,aJh.n(6sd \r c l.q! El,'I{ r, hJJmr coNru,rn> uxi hq.b! aurhonT. r.ti.srlh6 oflhi (jtr ud (iru.rr ro dtd nltrntlf:il:--I''I,-:*Yffi/'/L ;; lttzttrt
<br />";":...;;;"; r ' ,a,; i,,z'r.n2,,.1,.,,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL lplqt ltQ -t b7ilRn 'lze )
<br />Certificate of Occupancy t ur
<br />Notes, Remarks, Etc.
<br />ID/SIG.COMMENTS
<br />-,. ,\of Lglts
<br />Lridd . Ad.lE:
<br />I
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