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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.O\INER BUII,DER DEt,CAiATloN
<br />I hcreh} amn. undci pcnalryolFrjury 'hd I on crcnr[ lilnr rhc a.nrracrnl l.iccnsc tiB ror rhc loilosins rcas,n (sec70.]li
<br />Bulnhs nnl Pr(,fcssi(,n C.d.): ny Cn, dr Counry {hi.h r.qutu\ r lf,nnir tr condd.r. alrcr, improlc, dcnn,lnh ,tr ruNn rn)
<br />\lnr.ruru, fiorlo irs isturo.c. lho rcquncs rhc {pli.dhr ntr su.hlrnnn io hlcd n8trcd sntcmnr rh hcor shc is liccnscd Nnui .
<br />t) rhc pmlisions of rh Cotrrracttr'\ l,iccnsc.l ljw (Chapter 9. Commcn.irg wilh Sc.in,n 7()(D of Oilirid .l ofrh. Bu\in.$ rtrd
<br />Prolcssio.s Cod.) .r rhar hc .r \hc i\ cxc !n rhcrdf.o( a rhchr\is lnrrhcrllcB dcrlnrtrnr Anyliohrn,nolsccrirT(r:ll 5hyitrr'
<br />Jpfli.anl lornrcnnir \uhjccrsthc rpplicitrr to icivil0cnrlryornor nxrc thnn rivc hundrcddoll.n(S5Ol))
<br />l. as o$n r ofrh. pnrFny. or n1y cntk,)r.i wirh sr!c\ as rhcn w,[ con,,$\arion, *illdo rh. s(rk drl lh. dtu1uru h ml
<br />i'rrd.d or o,i!r.d n)r eL (Scc 7(rl,l, Bu\ircss and Prolcsiotrs CoJc Thc Cortricktr ( Licctrs Liw doc\ trol {ply ro rnowtrrr ol
<br />rhc lmncdy *h. hoild\ o, i,r1r({r\ rh.Erl ml whl d,f,\ \uch q.li hnn\cll or lrrrll ur rhn gh hn or hd oqtr.rtloyccs,
<br />pmvidrd lh.r such NU ovctr.nrs.rc rl, inrcndcd or oltrtod tur wrlc ll, ho*c\rr.rh. tnnklnB.r inlPnMnrnr ii r,kl qirhirorE )rrt
<br />ofcomdcl.tr, rh. Owmr Buil'L. willhivc rh. brdcn ofpnrvit rEd ht or shc diJ nor huiH or inlpm!. rh. tmpcny f{, rhc lurll,\c ol
<br />_1. r\ owncrofrhc prclcny..ncxclusivclyconrrddnre silh li..nsd rodrrhns r'.onirucr rlf, pmlccr (SLr.7(}4-l. Bu\ir'cs
<br />! t lt{rssil C.dc l'hcContr.ktr'sl-iccnscLowrl,csnorrDplynrrnowncrol'pro!.nyshobuild\ornnpro!.\rhcrcon.(nd qho contracrsfor srch prorcls wirh r Cotrtrctr(s) liccn* tursuMr iJrhcCirnr..itr s t.iccnse Lrs)
<br />I o'ncxc'n.r "nA.r S.ciion
<br />]YAAKE&IJ:oMIENSA]IAN
<br />D}:CLA.EAIION
<br />I hcrcby rflirnr und$ mnrhy oiNnuryo.c ol rlf blk)sinE Jrlnnln)n\
<br />-l
<br />hrvc nnd qill rMir dn , Ccn ilicarc of Cotr*nr t, Sclf lnsure fff aork. - .omr.nqridr, ,r pr('vid.d tur hy SNnon 17u) of lhc
<br />L{hr Cdlc. $r thc NrfomMcc ollhc w.rk f(tr qhich rh. p.dir G i\socd
<br />rlt wo ntr sh'chrhis n{nnir i\ i$ud lvl}, *.rkc^ conlF-'srri,,n iDsrrrNc crricrr lniry iui,hcr rr'')Ze
<br />I.cnitirhar i.ihc tf,rioirun.c oirhcw.rk tu sh(h rhisfc' rir a s{rcd. I \h.ll tror c ll]l.y rtry Nrotr in rny n$nncr
<br />v' NrotEcom \uhjd ro lhc wor[cs compcn$lion li$solCrlifornin. r0d .3Nrh il l shoukt hcco,m suhicr t rh.
<br />s.rkcrs conrpctrsirion Dmvisions otScdion:l7l)Ool rhc Lrtq C.de.I\1tr11. Ldh\irn conrply uirh rhoe pn,vhions
<br />WARNIN(;: Frihrc t' \rcur. sorkrr compcnsari.n corcn8c i\ unlr(iul. antl \hrll \!hjc.r m cn1Pk,tcr n, d'niMl FDrht\ rtrd
<br />.,vil fin.s up n, one hrndrcd rhorsrnd dol[6lsloo-ofiD. in rldiii{r k, rhc ron orco Fn\rrnn! d]'nalc\ 's ftuvidcd lor rh.
<br />Srrrnr :1076 ol rhc Lhtr Codc. idcron nrlrrtn'{y \ lir\
<br />,,,., c/ t+ f /V oun,.-',u-
<br />Itr!L18[!I!J!
<br />I hcreby dftm undcr lcnohyofp.,jurylhrr I no lieBd u.d$ lrouirnfl ol Chrflcr I (comflrcnci'r! *ith S(rion 7000) orDivnbn.l
<br />of rhc Ausftss .nd PmLsnon\ Codc. .nd nry lkcns n in firll tur& ld ciTc.r
<br />B r: Z7 e,
<br />IANiIf,I]qUONIENDAC.AGI!(I
<br />I h.ehy 0rirfl undcr Fnrlryofp.rjurylhal ll$c is n.on(d.ri'n hnding n8cncy for lhc n rfonrntra ofrhc work n, which rhi\ Frmi n
<br />hsu.dls.c 1097.Civ C )
<br />lf,ndcis Nam:
<br />-
<br />llPLl(ANLI)EcL BiIUQI
<br />IllrhyrflinnuMcr|f, alr:"rf p.,Juryo'rof rhctullrwingdc.lrrrti(rx
<br />Dcnx,lirion Pci,ni( Asbcdn\ Nor'fi.arion tredcral Rc3rlariotr\ flirlc.l(r. Pan6)
<br />Rcqun.d ldlcr of Noriiicariu
<br />-Lkr'lyrhdrhl.'J-al'.8ulrtrr\rrrd'ner.h\t^'.'itrlL^'n'{xft.rrhlcr,rhrIrr
<br />?. \'J."n, *, , t'" ** *\ ,nrri.r,it,n Jd n c ,hn ihc lrsvc n,,onm,nn s coft. r rsre h.onpr, s h n, L1,y rtrd coun(y
<br />\,rdinrn!cs.tr'J qrJ,r ljssrc]JltrEni hu'l,i,n!$n{ru.L ',mnh.rchtruilntrizcrdprcsctrhfv.sofrhhCiryandC.unryr.cnlcr!!onrlErholc nf,nlincd nn'pcnl lnr i'r\tcdii,n nuT{'sc\
<br />,\pdicnnt or \xrnl sixnnk,n:X 7 t-fr)Prmile nanE(prini)r *
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lal ion/E n erg y
<br />D rywall
<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 />Flood Zone Certif .
<br />FINAL 4lJ:1laTa,q$,6);z). f - u-lCertif icate ol Occqpancy
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />UFER Ground
<br />Sublloor/Vent/l nsulation
<br />^4/L+Llg c.,r*a*,r--
<br />""'.,619y'1&
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