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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BIJILDER Df, L(AR TION
<br />I ha.n, .ltm ui& Frhy of pqjury th, I o donpt from llk codddr' trctr ll\ ror rh< folh*ms losn (s€ ?Oil ,
<br />86'lB a,'d ProfsEn ( o<l.): Any Cny or (-oudy $tin Eqot6 ! pdni b 6dtu(i. rtd, imFove .ldmlilll or EF My
<br />sttuduc Fir to irs isle.. 3to rcquir6 ric lpplicst for u.h p.mil to fr|. ! Igi.d nlrmar rn l h. or !h. i lico!.d pumn n
<br />lo th. FlviiioB oa tlE Conlrlcld.' l-ienr.d t,s (cl[pra 9. ComftinB wirh Sdion ?0m of Divlion I ol ih. B6itB ed
<br />Pbf*nG Co&) d $.r lE q Jr n d.flpi rlEcfron !d rlE t6i tor rh. dLs.d dsrBion A,), rbldb. of Sdn. 70:l I t by &y
<br />!p?li.. for d Fmh robjatrhc appli.or ro ! civil Fuhy of nor mr. rhe liv. hu.<r.d dolla (1500)
<br />-1.
<br />! o*E olllE FtrF r. c hy .nplo)6 *nh s.!d 6 rh.n $l .ompddio( *iI & E *rt rd dE rdE i Dr
<br />i oi.d o.or6.d fd $L lsd.?Or{. BciB ed PlDfdbB Cod. Ti. Codr.crd ! Li@ L.* d6 mr pply b e o*E of
<br />lhc lrqEly who hil& m imFtrv6 thd!4 axl who dod Mh sd( him.lf or h@lf or rhr.ugh hi. or h6 om .mployd.
<br />preliLd rh,r.u.h ihFolqGtu& er -nqi.do.otual t'rsl.l( tn*!6- rh. hrildtrs o, "tF.ltqEr n$EwirhrrE)d
<br />of6oddn'! rti OrE B.lUs *r[ h.v. ltE hlddr ofFllr8 tl6 lE r tE dil Dl hjl] or ilFotr dE FlFry tu it Frpc or
<br />_1, ao{Gofrh. FoFrr, m cr.lErcly cor(r*ru4 trnh li.qEql co.rrrd.r ro Nirr.1 rrE F.j.t1 (Sc 7()'l,.. BdiB
<br />&n Etrksi- Cod. TIE Conlrr.ror'! tk@ t.e d.6 @t @lt 16 a o"nd of FoFiI *ho hlikl or inFov6lh-on,
<br />&d who corrruls for ruch p.nj..r! wnh a Co ncro(!) lka*d lllEuln h rh. Codi.cld'3 LicN t,v).
<br />_l tun.roF undc sd
<br />D.t. ()*n.r
<br />\toR(r R\' aonrf r NaA lloN
<br />ll(Lr&UtQr
<br />I h.1.h\ afhr trnd6 p<nxlt) .f Fju^ .n. o h hc li,llNlnS (lalua!..s
<br />_t hrv. a.d s ill di,{.in i Cdiff,.rc otcoer lo S.l Nuc tor wld o p.n.riol! 6 p.ovd.d for by sdio. ]700 olOE
<br />t lor Co<lc hr lhc Ffre ordt rql f( *tth llE Fnn it isu.d.
<br />I h!v.andwillnainlain worl.rr' comFNdion iNUr!B., B r.qut d brSerhn 1700ofth. tibo. ( od.. for lh. pqfom c.of
<br />lh. \ort for rhih lhn Fdn i iaeerl My wk6r mnFMion iNu,m. cei6 an Flicy n!mb6 ic:
<br />J--u.- L
<br />c43o3 t s'7 q
<br />_l cdiryrhd in lh. Flomec of rhc wort for vhi.h rhi! Fn rr nlucd.I.h!ll.or o!lo, s, p6on in.n,m6n6
<br />F alo baomc Wlolh.solt6 omFB.lirn l$r of Qlifomia xd.ar thi if I nnuB bdom. rubjdl lollE
<br />*trrtd' onFdbn FortioBollEb. 1700of th. Lirr code I tlf,ll. fnhsth omply qhtllD- Fo\irFE
<br />\TARNING: f-liluE lo cwc srt6' @mFEdnr mvdts. is uLwtul. tnd idl 3ubj.{l u dthF lo (m,tl FlhE t d
<br />civil fin.r ur! b on. hudEd rho@d dollm (S100.0C&). in addition ro lhc.on of coorcNrion, da,@s6 a provid.i lor th.
<br />S<rrn 1076 ofrh.llb (o<lei 66r udiddrEy ! fG
<br />D.|., t 2-1(-\( te
<br />DECIJAAIIIT!
<br />I bo!6, ,ll@ undd ,a.ny of paiury rhi I e li6.d u,xla Foviri'i of Ct{p(s 9 {coffiii€ rnh Scrbn 7m) ot Dn tb. r
<br />ot fi. Buind Dd PrcfdioB Cod.. dd ny lic* is in fuu fore 8rl.,IEl.
<br />'-2-
<br />I rft. Cl&s. \2 Li.@ Numt t 4: zz gldl
<br />u.r" 1z-/r2lr $ .-"*., 'p4,n.-1- (.:.*.r:-.s:*-r rc +
<br />co! a!cu0Nt[dDl!clo!!.q
<br />I hqlt,y llIm !fl16 Fr!h, ofFjlry lhr dE ir. odtudiof, k ding rg*y for tfi. Ffolrffi. of lh. Eut for whahl,rn Fnil i
<br />aa.d (s< 1097, Civ. C )
<br />AIII.TIANfDIIIJSAITA!
<br />I h.dt.tEft u.ds Fuh ) ot Fjur) oE of lh. follos ins &.lq.lioN
<br />D.tuhnh PmnlAsh6ror Nolificdion tcdcal R.BuhirN (Tnk.$. Pd6)
<br />-R.qun.d
<br />t!16 of Noliff,dion
<br />I cdrry rhlr rh. Ld6.l r.3uhdB r.ssdiry abdos r6nov.l r. mi lppltrrbl. ro rhn I,oF
<br />-l
<br />cdiry rhd I h.v. raj lhn ir?lk.rbn ed rd. rhn $. .tFr. infodi.n i. .ord I l3c ro 6mplt *nh 6ll Cit Md Counry
<br />ordiffi6 !i $d. l^: Ellit ro hrildtrB codtu<rioo &n hd4 ldlbriz r.tr6ddn 6 ol rhi! ( n, !d Counrr ro dr6 l{on dE
<br />ilt\. r6rtr)i.J F,pcny ntr NFdi,)n NrEa6
<br />^pprionr
<br />or^sdr sis rur. l'\ .\(€
<br />P$mrr* n.me (Drrnr: N.\ .w- g
<br />\ 2-l t>l t >
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL I tl7'tlr91i -*t )
<br />Certificate of Occupancy TTT
<br />I
<br />Notes, Remarks , Etc
<br />Erection Pads
<br />Masonry
<br />T-Bar
<br />Flood Zone Certif.
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