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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE rD/slG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />S u bfl oorA/enUl ns ulation <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 Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate <br />I <br />FINAL <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />om6-Buildr D6lmtim <br />I hcrcby rfiim unda paslty of pajury thrl I m cxmpt fm thc Contrmlort' Lic4c L{w ftr fic following Bm (tcc,?o3 I.5 Bsins <br />md Prcfsio Co&): Ary Cig tr Comty which rtquim r pcmit to cqrmrt, al-tcr, improvq &mlish or rcpair uy rfuctwc, Fior ro itriffi, rbo rcquiE thc lpplimt fd tuct p6mir b lilc ili8trrd rlltamt lhlr hctr tltr ir limod Frrut to thc FoviriN of rhc <br />Cotrrcis'r Licacd Iry (Chryta g, Conmdnj *ith Scaim 7O0O of Divirim 3 of rhq Buins md Prcfsiw Codc) or rhrt hc d <br />rho ir cxcrnp thcfm Ed thc bab fa ttc dlcgcd amptim .Any violerioo of Sccdo 7031.5 by my lpplist f6 I p.mir rubj*r thc <br />sppliut !o r civil porlty of trot m thu Iirc hundrcd dollm (t500). <br />_L B m6 of lhc Fopqty, q ily stploya rith wrgo u thcir rolc conpouetiol will do thc wqk ud the lructuc ir oor inrodcd <br />ff offcrcd f6 ttlc ( 56.7044, Buinc$ and Profcrsim Codq Thc Cotrtnctot'r Lienrc Lrw do6 nd spply !o rn owncr of thc prcpc1y <br />who buil& tr inFoE thou, Dd *ho dc nrt wck hirelf c hoclf a thmgh hir c ha m mployccg [rcyidcd rhrr $ch <br />improvcmartt m not intmdcd tr otfcrcd fa ,rlc. If, hoycva, thc building r improvmt ir rold within mc yu of complctioq $c <br />OwM-Buildr wiu harc tho tordo of FpvinS lhar hc q tho trot build q imporc fq rhc purpqc of tsl€). <br />_I, u omcr of thc ptopcrty, m cclulvcly mtr*ting wlrh limcd mtrctm to cottruct thc projcct ( Scc. ?044, Butitrs sd <br />Profdim Cods Thc Cmtncts'r Ucqrc lrw doa na apply to m mcr of popaty who buildr c imprcro thm , md who <br />cmtset! for ruch projcctt with r ConErcts(r) limcd puBumt to thc Cmtrrttr's Lictrc L8w.). <br />-I <br />m dmpt ud6 Sctiil <br />-8. <br />lE P.C fq rhir tW. <br />Dstc: <br />WORXERS COIVOENSATON Nf CLARATION <br />I heby aftim mdq pcaltty of pqjrry os of thc follwing delntim: <br />_Iharcmdwillmintrinrcqtific.Gofcffit!oSclf-IEEf6wo(td'cmpquarioqa trovidcdforbyS6ri63?OOofrtr <br />Labq Codc, fr 6c psfm of thcrort fnwhlch thcpmir it i$ucd <br />hrvc md will roitrtlin wq*o'rquircd by Scctlo3Too of thc Lsbor Codc, fc rhc pefmme of rhcirume micr ud policy nmbe m:work for I <br />Policy c 0b <br />(Thir rctim nced not pcmit ir fr Onc clc) <br />_l crti! that in Ihc paformure of thc wqt fq which thb pamil <br />bcmc lubjet to thc wtrt@ ' cmpcBrrion lrm of Cdifmia, and <br />i3 isua4I rhdl rd rn my m&o6s a to <br />rhsr ifl thc wqkcs' <br />cmpsretim of oftltc laba <br />WARNING: Frllre io rm wq*o' cmpontim ir ulawful, ud rhall tubjet e mploycr to simiaal pcarhis rnd civil <br />tina uptomchun&cdthrunddollc (SI00,000),in ldditim to 6c srofmpanratim, dan4c u prcvidcd fqthcsccrio 3076 of <br />6c Lrbc Codc intaBr Dd &mcy't fccr. <br />LICENSED CONT'TACTORII DECINRATION <br />I bscby rmm uidr pa[lty of pajuy thet I m limcd mdr provirim of Chapr 9 (mocing with Smtlo ?000) of Divirim 3 of <br />6c BGin6 0d Cod.,ud lrry licmlc it itr full fq@ ed offel <br />b 7 <br />Liccorc <br />I hmby rfiim undc pdrslty of Fjury <br />it$cd (SG. 3097, Civ, C). <br />I lmding agacy for thc pcrfmc of thc wfik fa which rhir pcmir ig <br />ladlr'tN,m: <br />Ladcr', Addu: <br />APPLTCAN?S DECLARATION <br />Dmliti@ Pmll!-Atbqtc Notificrtim Fcdcral Rcaulrrio$ (Titlc 40, Put 6) <br />_ Rcquircd Lclt{ ofNoriliotim <br />_I cqrify lhlt thc fcd6d rcruhtim rcgldin8 Bb6r6 moEl e nor rppliqblc !o Uir projtrr <br />Zlr*,t*$rt I hrvc rqd thir rD,pliqdo sd ilrt!with rll City Dd Counryordinn€ ud stttc lo otcr upon thc <br />rboYc <br />Applisttr <br />IPcrmincc nmc <br />0b <br />Da.,. { <br />l,))z <v1) <br />I