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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG,COMMENTS OWNER BUILDER DEI,CARATI <br />I hdeb, .m!n undd p.nalry ol psjuly lhal I m .rcnlpi 6o,n th€ Cooraclou' <br />Lloilms <br />Law ro' thc rono*.g r@n (se.r$l t <br />Busin6s dd Proaesion Codc) Any Cny or Comty *hich r.quiG a pqflir o coNttud alt6. itopiovi dsnolish or qEn ev <br />$tucrur.. Fior lo ils issuece atso r.quns lhc applicet aor such p.rmit ro 6L. siBned slaldnd rhal h. or shc ts licft'd PEUmI <br />ro rh. pro!6ios ot$€ Contaclo.s Lic.nsed La* (Chapra 9. Commcins *ilh Smion 7000 ofDilirio.I oflh' BGi'd d <br />Pof6sioE code) or rhal hc o, sh. is.xcnpt lhdclion od lhc basi! aor thc alLr.d .roPlion An, violarionofs..lion70115 bv a'v <br />rppli.er tor a p.mir subjcls lh. applicd to a civil pcn.hy o a nol nDr. the fiv. hund,.d dollas (t500) <br />-1, <br />s o$nd of lh. propqly, or E! mplorc wirh tr ase s rh.n $E onFeriotr will do lht wo* ard th. rtul@ t n'r <br />iMd.d c olI6.d b; s6L (Sd.?044. BBinB od Pmfsio6 Code T]e Conlraclors l-ictu. lls do6 nol a9pl, to u ouncr of <br />th.p6pdy {ho buikls or ii,lno!6 th@n. ud whond6 such $lt hinscll ot hds.lf or throush his oi h6 own cmplov€6. <br />p.o,id€d rbar su.h inlrovftnls m mr idad.d or olI6td for ele lt hotrq_6, th. tuiding or inpmr@nl G sld {ihin on. t@ <br />;fcompldb( rhc O*rd Buil& vill ha!. $. hirdd ofp.ovins rhd h. oi sh. did mr hrild or i,nprov. thc popctv 6. E pu.Fsor <br />-t, <br />d oMcr of th. pm!61y. o qcluiv.ly contr.ctins wnh Iccocd contraclots lo .oMcl th. projed (S*. 7044. B.rinB <br />dd hlf6ion codc:ih; conractois Lic€nsc LEw do.s nor apply ro o oMd.fprcpelv who blilds or imprcv6lhdmn. <br />and who .onMs for such p.ojds {nn . Co mclo(s) lic€$.d pu6Ml lolh. Coniftctols Lics. trw) <br />I an exonpr u.dd S€dion-, B. & P.C aor lhis r6on <br />UqEf,EES:CQIAtENSAUONpEcLa.BAM! <br />I n€reby sfijm undo p6all, otpEjury onc oathc aollowins dcl{.iiorol <br />I hav. ad will minrain a C.niaratc oaconsl to S€lf-lNur€ lor sort.rs @n9.n$tion 6 Prolidcd ao, bv Sclion 1700 o f th' <br />ktor Cod€. ror lhc pdfommc. oalhc e& for *hicb lh. psmn t isuol. <br />-l h.!c dd will msinlain Mrt.s comPesalion iEutuc.. 6 r.quned bv S..rion 1?OO ol lhc Llbor Cod.. for lhc Fr'mrce ol <br />rhc worh for Nhich rlis pdn is irsu€d M! wurtd 6h.satio.(--.x.-\iNurancecaris dd Flicy numbd tuc <br />L!J\A <br />C IU <br />I cenifuihar in rhe pcraonna.ce orrlrc \orl rLtr \vhi.h r[is lErn,it ,s 1ssu.{ I nrall nor onll.! rny l]e6.n rn dn} mannc' <br />e trs lu bc{.rne subi.tr b lhc\ork6 comp.nsl io. las of Caliaomia. md as6 lhar if I slould bcconc arq.d to lhc <br />\vort6 coon netion pmvisions of Scd ion ]TOO olrhc Lrbor Co&.1slDll, fonh\ilh.omply withthoepmvisioN. <br />WARNING: Ir.ilurc lo *cuc \vor{os' comp@sd ion coredlc is unlawtul. md sh.ll s <br />io';slo*,it_t upro q t"o..-cins wirh S.<ri.n ?000) of Dir <br />oa th. Busincs ed Prof6ions Codc. od dy lic.N is h lull forcc and .lIdr <br />I eOl <br />le.dins aso.t for thc p6fomdc. o t th. \coi( lor which lhis psnit b <br />issucd (56.3097, Civ. C.). <br />L€nd.arN.n. <br />LenJe' sAddr6: <br />ATTIICANLIECIAMI]Otr <br />I lE$rafimundd pdahyotpsjDryo.c ofthc follo{ins dal alions: <br />D.,noliiion Pdnirs'Asbestos Notificalion ftdoal R.eulalions ( l'ille 40, Pan6) <br />-Rcqtrn.d <br />llltd olNoincdion <br />I cdit rhd lhc f€dml rcrularions r+6d <br />I clniryl\ar lhavr r.td rhk is corccr I.grelo colnply Nirh allCilyaod Coumy <br />o.dinancG dd Sr.rc bss !.hlinr lo rqxddrdilB olrhls Cny dd <br />atsre nEntiond prop€ny lot rtr \s <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />S u bf loor/Ve nU ln s u latio n <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulationi Energy <br />Drpvall <br />Ext./lnt. Lath <br />Brown Coat <br />h/ason ry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL 2 /zt, /c -"lxt-tt ) <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />Forms/Steel/Holdowns <br />C <br />L rg <br />!trdd p€.ahy o l Frirry rhat Ihse <br />CV01w1ry q <br />t--T