Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS O\INEII BUTLDER DELCARA ION <br />I h6eby aflimr undcr pdah, of lajury lhd I m creurfl lrom iE Conltadoa' Li.ens. La* aot rhe follo*i.s lleh (S( 7011 5 <br />BNin6s ed ProlNion Cod€): Any Cily or Counry whi.h r.qtrn6 a p6Fit !o .oGttud alt6. improve. dmolish or rcPair ev <br />ntuduc Drior ro ns isuec.. al$ r.quns th. applicant for su.h p€mi lo 61. a sisn d sulmol rhal hc Dr siE is liccNcd pduel <br />ro rh. prcvilioB ofrfic Conta.roas Liccnsd Law (chaPie 9. Conrmcncins snh Seclion 7000 of Oivisiod I ofthe Busind dd <br />PmLsions Codc) or rhar h. or sh. is crempl tbq.fion ed rh. hsis for rh. allcrd crmanrn. Any violation orSdion 7011.5 bv aov <br />appli.d aor a pmn subj(rs lhe appli.@[o a .i!il pcnolty of not morc lh& fiv. huftlrcd dollad ($500) <br />-1. <br />a ow.d ofrh. lroF.dy. or ny mplo)e6 wilh rvas6 s rh.t $lc comp€.snion. {ill d. th. Nort ed thc slfldu. k mr <br />inr@ddl or olld.d for slc (56 7044. Bcin6 ed P:oldioc Code: Thc ( onrrsctu s Licdse I !w &G not apPlv lo d oMe of <br />fi. Dmpsly who hildt or inpovs th6on. {d who do6 such rvor! nim.lf or h6dl or rhFush his or hd o$r dplor.6, <br />prorid.d thal such ihFor'aftr s @ nol hlsdcd o' ollGed lor sk l( how6'6. lh. hildios or inprormrt is $ld within on. vw <br />ofco'npl.{r., rh. Om* Buil:ld will haE rtc hrd6 ofrrovi.s $n h. or shc did nol tuild ot imFow rhc FnlEr, for tlE pu,I1 * ol <br />-1. <br />as oMn of lhc prepgry. d .xc,6i!cly .ontadin8 wilh licosd (rkrtou lo conslrucl ln! Folal (SE ?044, B6ins <br />d h!ftsion Codc: Thc co.lr.ctoae Licms€ L.$ doe nor apply ro an ownd oapropcny {ho builds or improve rhdon. <br />&d \fid connncb for such Irojets wnh a codmclo(s) licoscd pursuIn lo Oe ( ontraclois Li.c6c Ins) <br />-l <br />m .xenpr rdq Sdion-, g & P.C. lor rhis reMn <br />lla8trlB!:qoulllsArlo! <br />D&CTABAIIAB <br />I hdeby 6mm und6 Dcnahy ofpajury on oflh. follovin3 d{ldalioa: <br />I halc ed vill mainlai" 6 Cqriar.al. olcoomr lo S€ll-lNurc aor rcrlcc coopdltrion, s pmvid.d for bv Serion 1700 oalhc <br />kbor Cod., lor rhc p6fomoc. olln wotl aor wltich thc p-tnit it isudl. <br />-l havc&dwill toai ain wort.(' codp.Bario, iBuian c. s r.quned by Sc.r ion lToo ollhc Labor Codc lot th. p6ion@c. of <br />rhc sort fo. which lhi. FnDil ir is.d. My woltsl .o,np6aliob iGurdcc !d( and policv numbq d.: <br />I cdify rhar in lfie rE formm.c otlhe \vorl lor Nhich lhis p@il is issued.l shnllao' dnplor anv psrcn in anv mmd <br />s s kr b€emc subj(r b rh€ wo!t6 .onp.1Earion ld*s of calilomi.. d asrce thar ifIshould bccom. subidl tothc <br />wo*6.{npenerionlmvisionsolS.dion37l]oorlh.ljtirCode.Isltrll.ronh*nhconrPlyNitnlhoEpmvtions. <br />WARNINC Foilur.lo suc rork6 .o,npdsarion covqas€ s unlasful. md shall sub.j{l d @plorcr lo snni.al lc.ati6 and <br />cnil [.cs trp ro on. hundEd lhoMd iiollm ($I(]0.()O0), in addilion lo rh. coi olconp.6ario.. danasG a pt'"in'\a ror 'h' <br />S€crion.1076 olrh. tjbor Codc. inttr6l &d alrom.y! lB.q'-ez <br />DECLASArq! <br />I h@by artrm ondd p6.hy of p.rjury rhd I m Uccnsed undd provision of Cnafld 9 (onnmcin! snh S..lb. 7000) of Division 3 <br />of rhc A6io* dd Piol*sioN Code, md By lic6c i. in aull aorcc dd €ftdl. <br />*",4)--/8-- / F ve7 <br />CONSTRT CTION LENNING A(:FNCV <br />I hqeby amm undd p.nahy of pEjury rhar lhdc is t omrrudiotr lddios ord.y aor lhe pe{om&c. oarh. "orl lor uhi.h rhi! Fmn b <br />isstr.d (S(.1097, Civ C) <br />Lnde, r Addrs <br />- <br />APPI ICANT NFCT ARATION <br />I hdaSy amm ondd p4.hy olpsjlry on. ofth.lollowins dalmliont: <br />Dcnolirion P@nns-AslEros Notificalion F.d.ral R.Sulatiom (Inb 40. Pan6) <br />-Requted <br />Lana ol Nolincoli.n <br />-, <br />cd i8 rhar lh. f.dr.l r.sul.tio6 resadiry sbGros @or.l s. nor spplicabl. to rhis projet <br />I cdify rhar I have ldd rhii applicarion od slalc lhal lhcabvc infonn.tion iscotr.d.I agc lo complv Nih all Cilv d Counlv <br />odhancB and Sral. t !B alahe ro buildins colgrucliol\ dd hdcby aurhorn! reF6.ddi!6 oirhis Cnv dd Colntv lo dl6 upon lh. <br />":*I--JJ^tr^iii\)@r, /e0( - nu" /o't8 -z <br />Perfliie .rne (p.lnO: <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />SubfloorVenUl nsulation I <br />Roof Sheathing /o/zv/tf .#{l ) <br />Shear Wall <br />Framinq <br />ln s u latio n/Enerq y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Ivlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />I / <br />FINAL /o/zilr, <br />"*bCertificate of Occupancy 7:7 v <br />Notes, Remarks, Etc <br />SITE.WORK <br />Flood Zone Certif. <br />I