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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.OWNEX EUILDER DEI.CATATION
<br />I lEr.hy linm u .r F..!y or Frjury th, I o.r.r{i frum rh. G,,rEft*' I-r..t trw Ltr lh. rhlb*in3 Rron (se7011.5
<br />Busn.\\ .nl PRre(n,n c,rlc) Any C , or Couniy whrh rcquftt I l.mn !o con(ru.t, .lrq. i4mrE. &frrnh or EFr My
<br />(tuk, Ffi k! r nru.L!, .lo rqoi6 rlt rrpl.mr ktr skh JEm( ro liL . rlsrJ nrr.ftnr rhd rE or {E n litnBl ONd
<br />t, rh. pnrvEn'ns of rtI Conr*tr'. LEnGI liw lch.pl.r 9. Ci,ofttu'ne unh Ser$. ?(ID of ttttrr'n I of rh. B!nm$ ud
<br />Pnn.iir. CriL) d rh.r rE n dx ! .\.hfl rhd.fn'n rirl rtr h$8 tar rrE .lls.J .(mFi,n Any viLrbn.rsel!.70ll5byuy
<br />.rplEanrntr.ncmir\ubj(krhc.pphcrnrk,rcrvrlrcn.[yolfrnmnrhui!.hunlRtdolls(t5m).
<br />,, as owmiollh. poFny, orny.htk)f.r wirh rrtc..r thcr sk {m0.ns.rln, *d, tl! rtE n*l.ti rhc {Brm 6 n,
<br />d. .n.rofl.rdturqk(Sc.ro4,l,BuliEsmrPn'ltn$NCirL:'Ih.Cod.tnr'tLi..etrqddrR{.Pplyn,io**ror
<br />ih. F)Fdt wh!l lr lrInBrh.ca.rn *rF J.6 lBll$rt h'nr.lf or h.ffll orit6'u!i hn d Lr o*n.rirby*r.
<br />pr vtlol lh.r su(h lt{nxftdr ( n d.Bldl oroll'.r.J nx e! li h)wi rlE t{ doB or ntmEmd i\ { tl wirhu dk Jtt
<br />or(ht Lrr^ rh. opEr Bu Lr qll h.E rlE hnr.r or pFtu! rld lE d \ll drl nx t![l $ uqmk 0r rn dry nxllt F FEd
<br />1,,!owmrolrhc pn,I).ny. rm.rchr'rcly. rd u,3 wlh lNnscJ .onhdo6 n, ()nnnr.r rtF pn*.r (Sc. 7044. Busnr*
<br />al t\'(xrm (iiL: 1h. Conkanx'5 l-k.n< lrw .l,{r n .B,ly ro .h o*mr .f pfl,txdt uli) h!ru( .. inlllnri rh.rd,n.
<br />anJ who (,nki.rsntrru.hpn,l.crr wrlh.(i,nk.l,,nr) ltrcnatll)uron.r t,rh.(i'nka.r(tr s LLln{c ljw)
<br />I anrrcmpr uhl.r S(r('
<br />lulxf,lEs-rautINsArro!
<br />DEC!I8AIIq!
<br />I [rchy r,lrn undcr Fmlryot trqury dn I lhc hll]wu8 Je..lurrk'n\
<br />I hrvc an l wrll nu,nrrin a C.n 'li(ar.
<br />nl coned t' Scll.l trrur. ntr *trkcr' .ohlcnq nn. as Ftvi!.d tat hy Scd tr,n :17(l(, ol th.
<br />I:hr Cdi.. for rh. IEii,|lllB! ol i h. rv* ktr *t r h rlr Fmr n nrEJ
<br />-l
<br />h:N rl r,ll m'drr *ort n .or{'.or.r nn r.urrR.. 15 r.luftrl by Sar nn .l7Ul ol rh. l,hor Cuh, ntr lh. Fdiru:. of
<br />rh. wtrk for whrh rhs Fm( rs trn81. My e,rr6' .l,mltnsdrn rnsurrtuc ffrcr rnl lxrf,y numts {.:
<br />Poh, Nunrlrcr
<br />-
<br />-lrcn'lyrhri
<br />mrh.frlormn.df rhc *od ntr *hrh ihtr Frm tr,!\u.J,I rh.ll mr .B{,hv .ny Frq,n 'n.ny lMrr
<br />e' s kr h.<rm subFlr ro th. w(nl.^ co.{xnsrrnrh hwr of C.hforn6. .nd !3N rhrr,l I \h'uLl lEcoft ruhi.r t,rll
<br />u'.*.r' (.rryxnek'. pmrnrnr ol s(rx)n l7(m ol r lE bh, c(ric. I tlull nf,h*ih coq)ly *nh rhnt ,nrrnxmr
<br />WARNIN(; h'lur. !' rurc w'rkcri comn n\arrr !r,vcr,3c '\ unhwltl. .nrl {hrll suhFcr rn mpk,rcr (i' ffnd FDhic\ rnd
<br />m! ut b om hudEJ rnDe &nh^d.rqc( r. Foi!.J tq rlr
<br />Z8
<br />u r:r F vsir orCh!fl.r 9(omrEhS *ith Sdr,n 7000) ol l)rvtrim.r
<br />ol rh. Burik\.nd Pn)L(on\(iiic. a hyl(.n(sslu nRcrn.llc.r
<br />I h.rhy:,rtrn undo Fnrlryor Frjury r Ldmr !!.Ny au rlE Ffolrrec of rh. H)rt fo, f,trh rhB Fmn !
<br />A\L(LlrS(\ rrnr C'v ( )
<br />AI?IICANI.DECIAEAII{I!
<br />I hfttl timurLr lEnalryotFrrlry om ofrh. folt'em3 &tl!d.ns:
<br />D.ndiH,n P.rm :Arh.no. Nohl(ari,n Fdl.rrl R.guLr[nr (1'rl. ilo. Prn6)
<br />_R.quft d I.n.r of |{r!,i.lDn
<br />3.rdm! .rtEno( r.Rn rl r mr .l't ..hL i!' rhN I'n,Fr
<br />rrn (r. rh.r rlr.h,rc mfomr,n tr (rn(l I.atc N (r'rply *ah lll CryIl Coudy
<br />.tr r\ olrhr ( iv rkl(in dv r).trr.' trtr rlr
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<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 />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL ohz/rs BrL( lo I
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Forms/Steel/Holdowns
<br />I h.Eby rlrtm ufti.r p.nahyorlxr,t.y rh.t l.m
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