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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNrI BUILDER DEL(]AR TION
<br />I h6.U .mrm u.d.r F.hy oa pdjry rhar I m .i@r,r lion rh. ( ont..c1oE l.ic.M Llw for lfic followini t.sn (Sr 70! l 5
<br />Bca.< .!d hofsion (od.) Ary Cily or CNdy whkh r.quiB r Fmi to .odtu t, .hq. iiFov.. d@lih or l9.n &,
<br />ftduqFrrrotu isll,e..lo EqliB rlr llpli! tustFnirro 6L.ri8n drrdld rhr lE.r tE it lhduod Fr$.n
<br />io fi. FolBbB of 0r (n.rl.ls i Lio!.d t *. (tFd 9. coffii.8 *nh sqr6. 7@0 of Di\nDo I ol0E &!i!B md
<br />Pofdh8 (nd.) or lhd lE or 3h. i. .rmpr rhdcftoh ed $c b.!is for thc .lLs.d adrprion Any violdion olsdion 70.1 M,, .n,
<br />ap?li.er aor a Fnn $bd! rh. rpplicrnr ro ! civ il p.n!lr, ol.or mor. rhrn fi!. hundr.d d.lh6 (tt00).nilr< l!s n*F oa'h. F!Fn). or m) mph)6 r h{ry66rh.tr$l.sE?drnr.unl&tlEurttrnrlErME!d
<br />d.,rt d or.,rsrd for -lc I S6.r(Nr. Buin6 ed Pmasirs ('odi Tlk ('ofr..roai LtoE tls &,6 mt +ply lo d o*E or
<br />lh. FtrFly wno hiildror imFov6 rhdE[ ard wlki do6tu.h q) hid!.lf or h*lr dr rhrcuat hir or hq o$. .Drloy6,
<br />rrovid.rl lhd iu.h inFovafu & ml nnqd.d r olIE d 6r sL lt tn$6q, rlE tlildiis m in{roldM i! $ld $i'hin o.. 16of.orgkrn'! ttEO*E Builda will llt EhrdoofFo\iell!.lto.!&dnorhluornFtrwd.FoFrytultrF,FEof
<br />I. ao$nd ofrh. pr$qty. m.r.luiir.ly.o d.rins e nfi lic(N.d €onrreloE ro tutrrrud rlE pmj(r 156. 7044. ncin6
<br />txr P'!isi{Co&:1tc ( onlrelorr l,ic6s. Lr* do6 nor apgly kJ M osnd olpropdy *ho build! or iml,ov6 rh6on.
<br />ed $lb etu! fo. e.h Foi<ri trah. C.lllrrro(!) ltd!.d pu!.n r. rlE (ndr*r.is LiG t N)
<br />I dn.t.mpr u.d. S.drn
<br />,,,,,"1/^6-/ g
<br />I hddl imrn !.&t Fndh! olFjrr. o( rrth. tollotros dctmltirN
<br />I hdvc dxl sill minr.i. ! Cdin..r. of coMl h s.lllEurc for rorl4 comp<alrio.. N Fovid.d lor by Sdion l7(xl otrnc
<br />l,bu ('o&. fM rh. Frm. of rlE trort lo. shrh rlE Fnn ir n!.d
<br />Ih.andtr'llmai.umq{rt6!conrFnerionrnn.n..,er.rtun.nbsdrn)nI7morrh.llhrCod.,fintkrEromnc.ot
<br />rh. $rk ror*h'ch ths pc ir 6 isudj M,*o dr'.dmporiation imuran.cclrid ddfslicyntrmlE &.1
<br />2, caritv rhn in rh. Frormrm. orrh. worl aor sni.h ihB lGiir s Lsqt I !h, mr nproy dy ,sen in dy nr!!F$ a b tE om $bFr lo rh. s!*d' ohpcBtrion L*! of C.lifomia .nd +F rhd if I nbuld hdoc $lirr ro rlr\o d s,pcrqrion rrclbi8 of S6tb, l7m orrlE L.t r Cd4 I Cull. tdh*dh omdt f,nh rh* FrnhB
<br />WARNINC: tr.ilurc ro su. rort@' ompdEdDn covdaec L 6bs tul, & nuu iubj.{ a aphtw lo ainiEl Flhb .d
<br />.r'l fin.\ (t, n).nc lrtrr(i.(l llrotrsnnd JolLr's ($ll)o.i)r{r). in dtun.8d os ro\id.n for th.
<br />sclion 11076of rh. trh, ( onq i.r6d !,i xro,E* r ld
<br />I tebl rmnnundd pdih, of Fjurr rhsi l o hcqE d FrsNn rf( h.rr6 e (irmmmcrn! urh Sd{n'r,(tu, ofl)rLnh\. r
<br />of rlk t !.iEs rnd Prot6irB Co&, nl ny lire it in ful! f.ra ,n dId
<br />COIIIAIC]IONIENDIAIi.ACE!(I
<br />I hd!t? iltum lnds Fn lly of p€J!r,lt l lh6c i!..onrtudon Lndins isfty for rh. pgfotu. of tlE sork ('r trtich tht Fni i!
<br />isu.d (Sd 109r. Cn ( )
<br />A'PI ICANI DE('I- XATION
<br />, h.dr llfm und6 F..h, or Fjo, r. oG ol rhc lolhshs d.clad i,B
<br />Dcmohion Pmn$Arbdlor Norificdi.n Fii,@l Rcsulrlionsll ill.40, Pin6)
<br />R.qun d l.116ofNo ardion
<br />I col
<br />'
<br />ly rhd dE f.dq !l r.sul.xo6 r.srdrns slE rot r.m\ il G d .pplk,hL ro rhir p$ld
<br />/,*'s*l"llr;r":l:htr.ppli(ari,6tuxlsmtrh rh.rhr\. n,,.,nrrk,n 's(o'rdr ll3r.!h(.tr,Iil!\ h.ll('r)and(iu \
<br />hl,!g ro h(rldhr.odtud$n. &,1 MlIn6 ohh't(',1' &d ( ounlr lo ala !F. thc
<br />!h\c tmiioft{ Fop.n} fr iBF<
<br />\fplicntrl r .\A.trr SiA rrnrr tL--^-t\,r,," //- /:-L /V4 DA(e/o 7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Framin s
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />fylasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />I IF|NAL /)l r" lll m talo,t
<br />Certificate of Occupan
<br />Notes, RemarkF ,,tlc. 7 ^I
<br />6-/q
<br />Shear Wall
<br />Ext./lnt. Lath
<br />Flood Zone Certif.
<br />'"/J (,
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