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BTJILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS
<br />' t .\,a,/rr6)Set Backs c{,irt,'Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA,/enVlnsul.
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />E(./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 />Ar^
<br />FINAL 9lb/ rz [,/rrr)
<br />Certifi cate of Occupancy //
<br />Notes, Remarks, Etc.
<br />OrM-Builda Dehntiot
<br />I hq.by rffin unde pdlty of pdju.y dDt I m en t fod !ll. Co.E doD' Lim6l,w for rh. followinS rdon G47031.5 Buinq
<br />rd Prof6.iotr Co&)r Ary Ciry or Coqry $tich rcqutd . psmit to @dLud, rllg ihproE. d.Eothh or Eplt .ny 3lt!.or.. pri6r to ilt
<br />nrunc., tLo r.q!ir6 rh. .rFlist for ,!.h d6ir to 61. r ri8n d r|rraMr tllr h. o, !h. it liiBld pununt !o dD p.ovirioB of ih.
<br />Cof,rricbar LieB.d hw (Cluplr 9, Cosm.Eing eilh S..rioo 7000 orDivirion ! of di. Au.ind lid Pof6.io6 Cod.) or l}lrr h. or
<br />th. ir cxlhfl 6.r.liom md thc brth for th. rll.s.d q.opion Aiy violnion of S..tioi 703 L5 by uy tppliod for i pctnit tublc.B tlo
<br />rtplioot ro . .ivil p.rlry of mt tur. tlu 6v. huidr.d dolL,! (i50o).
<br />_I.e o*i.' of dE Eopo.ty, or oy.opby@ whl Ega E th.t rcl.6np.elio4 e'u do tn.6rL.nd th. tm.te i5 not i .nd.d
<br />o! ors.d f6, -!. ( sa7014, BrLs ..d ProL$ioG Coda Tho C.arror'l Lic d. L.w dod er .pply ro a oss ol th. ,ropary
<br />*ho b{ildr ot 6proc lrE6q .rd wh. .166 .un wort his.lf or t@lf o, tkor8t hit o. hs M !mp,oyd, provid.d th.l tu.ll
<br />ihprovd.ntt rrc mt in$Ddcd or ofrs.d for ,rla I( howcq, $. building or imporc@G.l t rold withi! onc ,t.r of coEplction, rhr
<br />Oha.auiBr eill b.w tll. bu'd@ of Fovins rhrt h. d rh. rcl hoild or i6ptov. fo, ll!. pupo.o or nL).
<br />_I. $ oEG of d:! p@paty. .6 *oluiEly @ r.ajs! wirt li4scd @lxncron ro @Bl,ud rlE Foj.,r (Sa 701d Buind r.d
<br />Prctdion Codc Th. ConE aoar Li@. I:w d€ ml .pply to D o*B of prcpcty pho bdld! o. inPrcE .!-6. . .nd who
<br />con!.d fo. ruch p.oj.c. wnl r Conrr.lodt) lim.d pulud to dE coitr(ro/3 Li6.. Lrv.).
<br />_l m e;opr u'iq S.<lio! B. & ?.C" fo. lii! Botr
<br />EA&KEESIqEBAAITAN-DEEIdBANAN
<br />I hE.by 'Frm unda p.d!y ofpojuy on ofthr r.Uowils d@L6rioir:
<br />_l hw.&d pill ildn. C.rlifietoofcott.Dllo S.fJ!r.ur. for srkdr'@hpcB.lb\ u provil.d for by Selio! 3700 ofrh!
<br />L,bor Codc fo, ti. paford.c. of lh. tu* for *hich llE p.mn i. !'tu.4
<br />_I h.v. ud will Dintrin wdrlsr' @mr.eion i unn ., s r.qlircd by S@rior it700 of tn bbor C&k lor tn. psfor n@ ofthc
<br />wortfor which$i5 pdDir i3 6u.d My wo.kda ampldrdfi i uAie6ic.tid policy numba.rcl
<br />PolicyNumb.r. Expir6
<br />(Thii.dion'*n iot b. @hpldcd if llEp.mit i! fo. Oe hundrcd doller {$l0o} or 16)
<br />_l cdtify th.t i. ln. p.dormM of thc wo,k for which $n pa6h n bru.d, I shrll oor mploy .., p.u6 in .iy tMnd ro a !o
<br />b.q6c rubjo.t to th. worL6 ' 6mp.N.tion hwt of Crlifo..n, .nd .sr.6 thlt ifl lhould bc@6. 3ubj*l to tll. vortat
<br />@60.n$!ioi provsroE olS.don 3700 oltl. LrtEr Cod.,3h!ll, fonlwith @nply wirh thos p.ovisioi!.
<br />7,9 t
<br />WARNINGT F.ilur. ro !a!r. sorld' comp.E.rio, 6vsr8.u,LstuL &d 3hrllrubjel6 @plorq ro 6inin l r.Elti6 rnd.ivil
<br />fii. up to or. huidr.d thourid dollu (lloO,OOo),in rddhbi to tnc @n of 6mp.natbl\ &tr!9., u provid.d for rlE S@lion 3076 of
<br />rh. t bor Cod., inrcrd rnn .tum.y r fd.
<br />ucEN!&-calaacraBlllcr BAuo!
<br />I h.rcby.mrn und6 p. hyofp4jlrytlErIelie.duidsplolnbtofchrpld9(6fth.icingwnhS@don7000)ofDivi5ionIol
<br />$o Aqi.s.nd P.olqrior Cod., rnd ny lied. n in 6lll ao,@ rnd.tra
<br />o".6I/b / ZotT
<br />I h.r.by.6im unds p.nrlty ofr.rjury lhd tns.lh. p*forDneof6. *orl lor which !ii! pqm ir
<br />!'$.d (s@ 1097, civ. c ).
<br />AIBIICANTITDECLASAIIqE
<br />Dctrblition Pqtnil!-1{,bator Notdicrrion F.d.'d ltsolrtioo, (IirL 10, P.n 5)
<br />_ R.qd.d Latd of Nolifiqlioi
<br />_I enil, rhrl tt Ldan r.aulrtioN r.{qling ahqtor r.@hl.r. not rprljdbL to dfi proj.cr.
<br />_ I .cniry rh.r I lw. r..d
<br />',\i,
<br />.Fpliclion .nd tl.G rnrl rh. .bow irforErioi ir codc.l. I .gre to coDply wilh .U Ciry lid Couly
<br />ordituoq Md Shr. bwt r.l in8 ro buildinS 6Bt uclioq !d h.r.by.lrhodu r?r6.nr!tiw3 ofthi. City.nd Cou y ro.nrq upon rh6
<br />rbov. mdtioEd propaly
<br />tZ-
<br />I
<br />ladd r Ait.kd: _
<br />I
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