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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DET-(-ARATION
<br />I hscl,v Dllirn' unds lo6Iry.l pdjury rhd I Er .r.mpr frn'n rh. ( o.rraclo(' l-ic.N. lrs n r rhc aollowins r@rn ls{ 76rl ItlNndr Md rn,f6sio. ( od.) Ant ( ny or ( ounly *hirh rcqutc r Fn lo codtucl, tlra, i,rpro\ .. dsnolnh m ,qt tui
<br />srtudd., Fi'r kr ds isurc.. .tro r.qun6 th. rpplicet tor sucfi p.rmr ro 61. r 3i8n d sid.lml lh,l lE or sh. ir li..N.n pumei
<br />r. rhc rLrllsrE ofrhc (inhdor ! Lrc.nrd l.r lcll'p!6iJ, ('omnmcifls snh S<'i6. 7000 of oirision I ofth. BBinB od
<br />Proldrn\n. (td. ) or rhd h. or !h. i .tanpl lhc.froln a.d lhc tEs6 for lhc tll.lcd .rdFiof,. Any r iohl ion of S.dirn 70! I 5 hy My
<br />lpplict nr . Fnn! runrdl! rhc .pphc..r ld a cn rl F&lr, df nor rhdr. rhs liv. hun&.d doll-s (ttoo)
<br />-t.sorEofrh.FoFny.6ny@l,ht6$nh$+66
<br />rn Fk omrdsrior n:ll do rlEedl adlh.rnIl@ a tur
<br />d.ilcd or ollaal f.r nL {Sd 70&. Auin6 &d ProfsilB Co<t TIE Co ..ld t LkG t * (I)6 nol +ply lo o o$ffi oa
<br />ihc F,Fry stb hil& & in{ror6 !lEd, ,rl *lb 6B *i $o* hirela o, lE*lf or rlhnah hir ot ha ou n @plo)€E
<br />rrovd.d thd s.h inl'orsEl! 6 mr irci.d orotu f.r $L l( lh*6s, E hliBlB or iisuqcn 6 sld \ihi. oN !a
<br />ot.o.!)ldirl\ $. ou E Buil& rill llrr iE h!rb' orFotllg dli lE s tE dd d tdt or in+.ov. lh. p'oFy tf, dE F,Fc of
<br />-l.
<br />so*nsoIth.F.FU, m.r.ldr.lt .onr&1in! trnh li(.s.d (.ftxioBlo odd rlr Fnjd (s* rort. Bulilr
<br />!n Pruasinco& I fi. ( onln.ro.. r Li.d$ t,s dE ml lal,lr lo o orna oaFoFiI (ho b{ilds or idprord rhaon.
<br />Dd \tF sirra:li td ich thF3 $ h. (ndftorlr l..d.n puEurr to trE cdndd'r Ltdg br,
<br />lrn.ronln u o s-rk'n
<br />\\{)Rht R\'( (,\l ll \\ \ lL{\
<br />DECl4SdrlA!
<br />I ls.t, aflim u.ds Fu!) oa Fjurt oe oathc folbs ins d<hrd Fc:
<br />I hlrc drl "rll mrnrM ! C6i'lE.r.of (-dMr ro s.lf lEurr fd qvldr co p.nerion, e Forrd.d aor h, S€'ion 1?00 ofrh.
<br />l,htr (-o.L, for rh. Ffolrm. o t lt slt forrhi.hrh.Fnn. e.d
<br />-l hal c r l n rll nrmr!'n wo*.r. (.mFMrhn isur.ft., s r.qut.d b) S<lion 1700 .frlE L.hor Cod., for lh. p6folrie. .l
<br />trE so'\ (trtrhrhrhBFn . edL Mtwt .o6trMFn iNrmc cffi ari Flty nunbr r.:
<br />I cdrD th rrh.p..tun'lNcofrh.\ork linshichlhipsnr sdu.n.l shallnol mploJ any F$. i. ey mond
<br />r! stu hcomc iub|(r k' rh.$0116 com!.ftdn'n hws of(-!lilomia. ud ssre rhd ilI sbuld t*om. subicr (J rh.
<br />$d*6c co$l.nsri,n roliin d of Sdnrn l7(x)otlh.l,tnr ( odc.lrbll. fodn*nh comply wilh Ihoeprovi!tuB
<br />WARNTNC |oilurc ki *-ur. $0rl.6 comtHrdrion .ord.t. is unlavlul. ed slullrubjd an dploya to aiminal psqhid Md
<br />civil lin6 !p h one htrftlrcd lhoutud dollr6 IIlu),000). in iddili.n ro lhc cosl oacomp.neltun, ddna86 s p(,vid.d ior rhc
<br />Sarioo 1076 otrhc lrLu (nd.. rnr66l and anorn.l ! fd
<br />Appli$nll
<br />IICIIT.EILCA.NISACI]BDto48Allu!
<br />I hscby 6rftr unds lEilr, olFrjurr lh.l I m licctr<n und6 pm\ ision ofCh!fla 9 (coflbdcin8 wilh SEIion 7000) oaDnision ll
<br />oi rh.lturmRs Md l'^rfsroN ( od.. dd nyl'cs! Br tull tucc ail.fld.
<br />(])tirBl]crl()ll.};ll)lltiAcElill
<br />I h6.ht rmn undd !EEh\.f Flur,\ lhd lhs. i3 ! Nniruclin kqlmr r!dr_ lor rhc Ftolruc. oarh. (or[ for (hicn rh$ IE ni .
<br />is!.d (s< 1097, Ci! C)
<br />ATIIICAILDISJEAIIO!
<br />I hdtn) .lrm u.dd tE.lt! ol Fj6 .E of rh. rolbu
<br />'ns
<br />&.lJ,lFs:
<br />I)ce)ln$n PsonlA3lErG Notfidon F.dall R.*ubl6B (lilk r0, P!n6)
<br />R.1tur.J l.dr6., t{drlia$n
<br />-l
<br />cdr fr rhd rlE f.d.r.l r.suliln6 csrdins drEhr rd(rd a. mi +plt.bL lo lht pmiitr
<br />I .d'1, |llr I h.!. 'at rhi .pdk.rion tn rr. $! rh. !b.\. htomlnFn n .od!d I .8ra ro comply u iit lll Cny !n cou.\
<br />o.ditw6.,r<t srd.l^: Eld!{ ro t[rBus conrBlDr rd hs.l4 !'Ih'rn r.F6drne oafiis Cny,!d CodD ro 6rd uDo. tlE
<br />rhr. ltErk,n d rnD<n' n{ 4{6'0r FrFRqr
<br />(,,n-ro.,rr-rst-r,*l-' t'
<br />fr-rr- -..rpa,rr, f,fff LLD ?<*",lnkt r-l)ffi
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l 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 /r -tt -/ r oart? /5>
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />I
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