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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEII]ARAIION
<br />I tactv lmr u.da Fdy ot FJuD rhd I m qaF too rh. CodrEioE Licd Llv loi dE folbst'g lfrn (Se ?Ol I t
<br />Duind .rn irofBhn Cod.): Aly Cny or Cody whkh Equic r Fnn lo olrnto( .tq, iDFovc, daDlirh ot q.it -y
<br />rn.1uc Firro tu i!sll4( &. rc+n6rh.+lt,'r,oruhFonlo nL.,'8ncd ltqtd ftr lEot tt !lta!.d F rrr
<br />lo tlE FDwir ol dE Cofi&!{! La6!.d lrw (Ct!!ls 9, CotffiDs enh SelD. ?0m of Division I of rlE BUuB Dd
<br />Pbf{i6s Co&) or rhlr lE or ltE ir crd$ ths.fioB .!d $. b6ir for ttc .il.8dl adBiotr. Any riolnion olsalDn 70} I 5 by uy
<br />.p?licd lor r Fhir lubqri rhc qipliqnl ro r cililpduX, of @r mE tha 6r. huflH doltd (tt00).
<br />-.I.s o*F olrlr Foparr. d my6trpL!6 r'nhw.s6! llEn Dh orpq8 bG*Odo E*ut tn rslrlE it ml
<br />dorLd or olI6.d aor sL l Sc.?cr,l4. Burins ed Pi'fdioM cod. Tn. Conlrtroa! ti.Es I.w th6 nor q,ply to 6 om6 or
<br />rrE strrdy *ho h,il! or FsoE tlE6.. id wh. rks (ll wlt hinElaor hqElror tl! ush hir M hd o*r .oPh)@
<br />provid.d th !n.h mFb\€rfuEmr ilor&loroflatd lotulc.l( h.rra€. tlE hriudB.r itrprc\EEl !ddwihnoN)a
<br />of.onpkb( tlE olffi BoiLta sin lEr 0r hr(h otFotrB dd lE c slE drd d hild or irqut lh. FoFry for E FrF*ot
<br />L s NE orrh. Flpdit, @.rcl6".lr.oddir8 snh lEoE d od*i6 k, oltlnd rlE F.F (Sd 7olt. &Ei,E
<br />!d Phtsbn Co&: Th. Conkrctor's Liccrsc l,!w do6 nol lpplylo M oend of proFrly *ho build! ot inproed lho@n.
<br />sd who otrnd, lor o.h F!j<r! vnn r Cor..-r.(3) lkaE d purslr lo rlE Co'Ir-loit Ltae L.*)
<br />,l D..o.pr undd s<rhn
<br />\aorxf,xs colllpFlsaTl(rN
<br />DES4AAIIO!
<br />I hq.!.v !,[m uidd Fuh, of Fjw! oft of lh. folhq'ms d..L,.lio6'
<br />_l hiv. !d *ill mi.ui, . Cdilrar. oaconsr lo S.lf-lNurc for wrd oapoE lion. a Frvli.d aor by Sdion 1700 of th.
<br />l.tor Codc fr, fic F(o,]rl.e ofot r$rt f@ *nkh
<br />'h. Fnn ir iso.d.
<br />d.t.lr.nd \ rll m.du !0*6 omFMDn uM.. 6 dquircd try Sdb.l?00 of rlE L.tor Co&. tor fi. Ffoi,ll,d ot
<br />iE srL for *hEhrh!Fnn b isEd M) worl6 of,p.BdDn rnlllmcc ffi rn policy nurb6 re
<br />,*n, Aaenl *<
<br />- ,
<br />Por,.,Nuhbd Lgr!-t/1\AL 6-1)
<br />. I cdiry fi ( rh. Ffolr!@. ofrh. sorl fc $hah rhn Fni ! ecd. I lrrll mr snph,.ny Fen in &y ttt.le
<br />s 6 lo b.anft 3oq< ro (h. E!rt6' con'FEn'o. hE of C.lifomi^ md +r thd if I nsuB beom $bj6t ro tlE
<br />*odd' comlENthn pmvi't N of S.dion ]7m ot rh. t bor Coda I JiL fonhwilh comply wnn lh. provirioN
<br />$aRNlNC: fntuE to s@ srt6'@mFdion ov6.*. ir unhv6rl. !d rhtll sbj<i o dnploF
<br />'o
<br />ainir.l FEls.d
<br />civil lin6 up ro on. hun&.d thoMd d.lld l!100,000), in odlnhtr kr lhc con oa comFrlion. dam.36 6 provil.d for lh.
<br />S.crrn :1076 of rh. t bor (i)de d6d .rd d'.rrEv ! fc
<br />lL-tc-( ?C
<br />DECI3AAIIAI
<br />I hqlby .tfm uidd Fd!! of Fjury ltd I 6 li€E d @<b F!y.io. of (1l4rt c (offiug rnh Serbn 70oo) of Dilkion l
<br />ot rhc oGnB !i Potdios Cod.. id my licru i! h tull forcc ad.ll.d
<br />/5 o l t6')
<br />colilallcrlaNrEdpM-{Glacr
<br />I na6, llrm undq Fr.ty of poiury lhc thc i t @lnndion ladn s .s@y for lh. Ffolllj.R of lll $!tt 6r *tict lhi Fnr i!
<br />is.d (Se !09?, Civ C.).
<br />l6n iNrm
<br />ATIUCAILDICII8AIIO!
<br />I ho6! lfnn u.d( t .alty of paJUry oG of in. aollowin3 rLrlmt ions
<br />D.@hbn Pmny^rbd6 N'rrficaion F.dd.l Rcsulditm (Tnt 40. Pd6)
<br />R.quirql tit6 oatJolifu cion
<br />- I Gri0 rh, rh. f.d,n!l rceuldbB Esrdins shdtor romval rc @t rrpli.abl. b rh! pmr..l
<br />I cdli&th.r I hav. rcad rhB arpncartun dd sr,!.rhd rh. ahrvc inhrmslion Ls corc( I d{r( b .ohdy wilh lll Cilt and ('ounty
<br />.dN 6 avl srar. L.ss rchuq lo tu,ldr3 ii horl,! .rlrhrut rqerrir6 of rh! Chy .d coury lo 6ta upon lt
<br />alr\c nE mi.(l roltn] in iFpdrr,n (-
<br />eppriolr o. ,rror st-1,*. -f
<br />p.okeEr.rprtr,r ?r4.-f 12 1k-4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enVl nsulation
<br />Roof Sheathing 1z lL7 q D*rfiot-*n
<br />Shear Wall
<br />Framinq
<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 />FINAL
<br />Certificate of Occupancy
<br />Notep, Rpmarks, Etc
<br />lq d d'( /l.r I
<br />lt I
<br />Flood Zone Certif.
<br />t1,
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