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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE rD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor^/enUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Energy <br />Drywall <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />FINAL <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />r)\\\r.x rrl ll r)rrlr,)1.1.( \R \ ll()N <br />I hd.tt rttm undE Fntlry of pcjury lld I m qdF tln rh. Coir*16 Ltae L^' for th. followi.S lun (Sd.?01I J <br />ABi,s rn ftof*nn Co&) Ary C'ry o. C{u!y *hth nrquir6 r Frd ro cdtu.r. rid. rry.o!.. {bdlab ot q., ay <br />nDduq Fr ro rr3 i'.lsq .bo ..qun6 $. lpplEot aor $ct Fnn b nL . ri8i.d fl6El thr lE or !& i! licq!.d F rrr <br />lo lh. pmvilioN of ttE Conradoi! l,tdr.d lr* ((n.F6 9, Comoci.g sith Sd'io. 7000 of Divnnrn I otlh. BBitB od <br />Pof*ioN ('od.) d rlul h. or sh. ir .r.mpl th6.fro. od th. barL for llt .lls.d daFion Art violdion oasElbn 70.! L, by uy <br />rlplEut fo. ! Fnn $bi6r! th. .prltrn lo i oslFqlyof @r mE lh- liv. hu"& dotlu3 {t500) <br />,. s own6 oarh. F.Fry. or ny mplo)€ wnn *.s6 6 thd el. conFlilon. $ill & rlE *dl !d fi. rrEiE i! mt <br />'nlo{,.d .. oifs.<t for $lc ( se 7044. Dcin6 ed I'tlasioN c.d. Th. Co 6.loi. Lic@ hw {rta hot gPly ro u .md oa <br />rhc Fopdry vrs hd& or 6!..€ tlEbtr !d whl dE *h art hiBlf o. h.rlf or lteud hn tr lE os .npbt6. <br />Fnvidal rh, kh mFollEE E rDr irrqi.d d ollsld 6. sl. ![ I'068, rlE hoildlr o r+oEEr ir rB *ntin w )r <br />of.urpldiE rlE o'rc tt{ilda *ill hd! llE hnna ofFuins 0li ,E or dE .ln @l hild tr inp.!rc dE Eopdty 6r rlE FrD6. ot <br />l. s o*€ ofd. Fltdy, m dclurEly codr*les rnh li(.d.d co'nrrroB b 6tu E Folel (S€ ?044, &5.n6 <br />md hrksr Co&: T1r Cb!,r-tor'3 l-i.@ trs' d.6 mr .r?1, r. e owrd orFoFly s'ho b{'ld. o. inpo6 rhd@^ <br />sd who o d3 li, s.h Frid! *nfi ! Contdo(3) licq!.d !u.@r to ln. Co.r6.loir ticaE t w) <br />I o.(d,, u.& sdrbn <br />uastrEBll:olttEdtArra! <br />DECLA IIATION <br />I ha.ny rrtrn und6 Frhy ot Flur' oN otlh. tolhsnlg d.(l&n $re <br />I n r..d wrlt roinrM. C6r!aE.!. olCoE6t ro S.lllBUE td srl6-omFMhn, a FDriLd lor b, S€lion !700 of th. <br />llb.r Coda lor rh. FfollMc. o a{h. s$d lor *hth th. pchi i nlu.d. <br />I h&r ]xl *rll tuinr.n *'ortd coiF6abn ier@e s ratumn b s.dhn 1700 ollh. t bor Co&. for rh. Ftolrje. of <br />rh. *vI ts *h.h rhir Fsi t isld My mrl6 o,pd.bn iMe. di, td poli.y ndb6 G <br />MA/-V\1AA ruAL+w\t\t L<O4u )la lr'/ <br />l ..niry rhrt in ln Fforffi. orlh. worl for which lhis Fn r suqi, I !h!ll .or mploy rny p.&rn rn try mens <br />s s io h..on 3uqd lo rh. erL6 conFBdon la*r of ('.lifomia. ed asr lh,l ia l slnuld lEoft subjd lo trE <br />n!ll6 cootielior Fr irio Bofs..rio.l7mofrh.t t r co&. I slEll. fonh* nh onplr * nb rhos <br />$ARNINC fulu. h sv. wrt6' onFMion F!6.s. ! uh*tuI. ,nd 3lt ll tubjel <br />.nil ar6 up '. oG honrnd rh.lsnd &rl!6 (ll0O.0OO). itr <br />1 <br />d&*6 a p.oLd.n for rh. <br />( od.. intdBr d altomcrt f6 <br />11 <br />I h6.by arfln und.r parlty of Fjury lh6l I m lica*n unds olChr,t6 9 (commtrhB wnh Sdion 7000)ofDivnion l <br />ot rh. AutiB dd PErdi66 Codc. nrl ftr li.e is h tlll foE. ti.fla]l <br />0ro <br />l< lr'. <br />4?2>Va2 <br />.JL V\Urv1t <r\42- <br />co!fltrl(;IroM,llDllcacsrq <br />I h6rb, fim ud6 Fdry ot Fjury rh,l rhdc i! ! cotrrocrbi lqdms s8acy aor llE Ff(nlMc. ol $. wrl 6r * hrh rh& Fna a <br />isuld (Sc 1097. Ci C) <br />L<r& r \!( <br />AIIIJ(ANLDECIIEAIIO! <br />I hd*t .,fm und6 pa.hy of pdjory onc of th. folh*'nr d.clulleu: <br />I)cnol'rion Panit*Alb€lo! Noiifiorion t.d6al Rqul.lioro lf ill.40, Pel6) <br />Rcquird Lnl6 of NorifEibn <br />I cqlif} rhd rh. fo.ldal ..sul,rionr Ersdins stEsros rooral d. .ol ar'Iilr.bl. ro fii lsid <br />t cclr8 rhd I hdc rad rnB arrlr.rnn 8r e . rhd th. abo!. info I r$c k' 6nj9ry wih rU Cn, rnd (tMy <br />ordnamG a.d SIrrc tr! E\r <br />'e <br />to bu,116 of thB cn,.dcodl ro arc upon rh. <br />.tirc tn6t0n.rl lropcny for <br />a\ <br />*raElL <br />Ext./lnt. Lath <br />t <br />)v /