|
DATE ID/SIG.COMMET.ITS oWNEN BUII-DFI DBLCAR TION
<br />I lEEbr.mrn !fti.r FE[y .,r pqlry lh.l I m Gr.,rtt tmm lh. (i,nrndo^ Li!.- b* ror rlE follo*h8 E.q'n (Sa 71,]l 5
<br />Buincs !d Pmfirrio. A'd.) An, Ciry or Cou y whi.h r.quir.r r Fml lo o'Nrrucl- irr. an!'bv., &mlish or Fn ol
<br />{di!E. Fi, to iti niuN, ik E!!i6 rh..pt krd lor .kh Ffli ro nE. srB'd {r.mr r}d lE or {E ir li!trEd prrtlr
<br />ro rhe nmlirnrnr of rlt Conrr!.roii l-ianr.d l-6w r(nlprcr 9. CommRins *ilh Srli.n 7O(n ot Divirion I ol lh. Busim$ .,(l
<br />Prrr.si,n! ('rxL) d rh,r h. n.lE ir.r.np. rtRfn.n.d rlr hris tn ilr llLsd.r.qrbn Anyvioldionofs.<ibn70ll J btmy
<br />.ppli..d ro.{Fmil ruhiTk !h. +fli(.nr r.' icivill'.uhyolmr m,.rhu nv. h!.dFd d.llts ( 35ml
<br />-1,
<br />I o*F of rtr FlFnr, ir my.npk'Fr *nh *r8.s st lh.n $k $rF.di,n. wiu do rtE wn.rn lh..l.EiE ir ff
<br />n.flh olofi.tcd for sL (56,O1,1- Burifts lnd PFrcrsionr ( d. rh. Codtddt Lirn{ lr* d(a h' .O,y r. .n owmr or
<br />rh. lfrIEdy *h) trildr nr iqr,B rhcmn..rn *h &- uh qfi hnnr.lf or lsylf or rhtuuBh hir d h.r oon.rq'hya\-
<br />p.ori!.J ihrr kh intrnftnrr m n, ndd.n, otr-El td {ll l( h,ul€. tlE l[rDo3 d irIrcFrnl i. stl wahin o* Fr
<br />of.onr'lction. rlt OvEr Build., *ill hlE ilt lnnlch ol pmvi.g rlhr lr or ih. drl , t ll o. infrcE llE In,Fny Lr ilr poqhs o(
<br />L n\oqhcrolrhc t",'l{nr-. n rcr.lrtrir.ly('trocrirs *irn lic.nql.o ra.k,R k, (n(rud rlI fml..r rSs 71r,44- Ausinc$
<br />:tr dG! mr.mlt ro.no\'rcr.f I'.IEny *hn build! or imllnrts thd(n.Id A!6{sir Co.L T}. C{,.rrroa! l-k.n* I
<br />rnd who (ddrr sh lror$ *nhr Crfislrnrr ti.nEn l[rlid k' rrE O,ft'm . LirnE LrB)
<br />B &PC for rhir E.ar._l !'..rcmfl u'ns 56ri'r
<br />D.le O'n.r n{rll(rf,s c(iirP}\aaTroN
<br />D!:llASAIlXt
<br />Ihcr.hy trfilrnundcr trMlly f FJury om ot rh. foll,,s in8 d,i-brlri'nr
<br />I hrvc nM will nutrr"in. (cdrficdrcofCon{ t, Scllln\u,.lin Io'kcn .,'mlltn{nri,rn. !\ t'rovld.d hr hySecrnn,.r?(X)olrhc
<br />lihn (irk, nn rh. Fnntutu. ofrh. *n* l( shf,hrlk Fnnt i\ iitq\l
<br />l hhvc.nd will nui rin{orl.racomrEnsllii'trir\unrmc-u!rEqurcdbySdrionll(x)ollhctilltrCodc.forih.Pdfomnd.of
<br />rlE sr{kfor shrh rhi. rE nir it irqrn M}wrl6 onllEnerin ifiurlft df,i, nl rhlty numhd r.:
<br />-l.cdily
<br />rh.! in rlr pcrlorfrr. o,rh. torl rii f,hih rhB Frmir n ir.El.l (h.ll d{.ri'l't rny Fq,. in..y f,UEr
<br />v, N r, tr$m rubFi tu rlF wurks(..mF.rarion hrr ofalliforni!. lnd lsR rhdr if I rltuul h(om {bFl ro rh.
<br />*orroi orqEnethr pmvni'.( oI Scibtr :lr(x) or rlE L.hn (ixt . I nElL fidh*nh $nnly unh lbE t'mfii,n\
<br />WARNINC Fdilur. h @ *nrt(cr'or{xfldio. olor. k u.l$tu|. rd rhsll rul,Fll !n dI,by.r ro aimimr Fmlir
<br />civil fincs ul h or hundEd rhoutlnd dollrn (tl(xl,(rn), in ddirnr r. rhc..n of con{rnrrlnrn. d!@8.r a1 Pn,}idcd ntr iif
<br />sNr, rlr?n
<br />'n rhc lihi Gilu 'nrc,.{ rftl, tr{E\'\ rr\
<br />'",", 7- 5' l?,*,,"";;\,H*"
<br />D[g.r3duaN
<br />I h.fhy amrn und.r Fn.hy or prruy lhal I !m lianqlu Lr Imviri'tr nf Chxprr 9 (.onmE nr8 wirh Sarir ?(xx rr o, Divtion .l
<br />ot th. Ir rirs !'i P.rf.ri.nr Cdk. rn m! lrmr r in tull fME d.ffN
<br />t-i!n\c ct * /' //\
<br />^ 7- L-4
<br />q-,5:o7"Luzg-
<br />-l,Bn{
<br />Nrmh.r
<br />,."*,.,{ a*l
<br />r.lllsltucu0!.lJlDl8ti-acENal
<br />I lEEhy ffln udcr Fuhy o, Frlry rhn dFr. n , .inrtu nn hnlinS .8!ry for llt Frrrtu*d oI 'h wr ltr Dhah lhn Fmir it
<br />iriucd(sc .1091, civ c.)
<br />AEILIIAILI]EII.AAA,IIIIN
<br />I hod,, .fm unLr Fulry .l n rrury om of rlE fink *inr d.cLrri ilnr
<br />o.n,lrion P.nnirlArlEnos Noliric.lion F.dcnl Rcsuhlionr l'rnb 4{). tdn6,
<br />-R.q!".d
<br />t.ncr ol f&rifr.linn
<br />- l ri,r) rhi rrr lAlcrl EruLr nn. Ep.ilrns.+(n'((mrrl'( mr q{ rrhk hrhr Pnr|ctr.
<br />LE^Iy fitt th,,crconlhnanrliari,n !d {rrc rhxrrh. !h,k inri(Nlion t mrcd Lsr l. corply sirh dlr cily 0od counlyrilrifi N dd Srd. llr. Ehtry ro ho'U'n! .odMr,tr rd rEEhy llthtrt. rcFcFddiEr olltt Cary.td c.u yro.nrduPndr
<br />;:.::Jil:-'V:'Z c> -< - ,t1lr.t. / ..2 ,(
<br />1,1&.Zz*/4cv
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL telTrll4 >kfiM .*Y-(
<br />Certiticate ot Occupancy IT
<br />Notes, Bemarks, Etc
<br />tolco q 0 c€5 *CL
<br />- ^ BUILDING. INSPECTOR RECORD
<br />SITE-WORK
<br />t.rid s AdlEs
<br />-
<br />Erection Pads
<br />Pool Fence
<br />I
|