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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OWNEI TUTLDEI DETARATION
<br />I hatt', rfim un& poltrr ot F]ury rh, I 6 u6pt &no thc CoflrErm Li..M Llw for lh. hllowrg 'u.n (56.7031',
<br />BBhB dd Prol6lion Cod.), Any Cny or Cody *hih r.quiB. Fna lo odro(1 .h6. ltprovq daDlhb or E ., e,
<br />ntu<lcc Fs lo ir! i!.lsq &. EqlliE rlt ippli.ut for lucn Fi't lo frlG ! iisicd srdoEl $d tE or !,E i! licd.d pEud
<br />lo rh. FrvnioE of dr Contrdoir Li.B.d Lrw {Ch.,r6 9. ComdinB wnh S€16tr ?0OO oI Dirilbn I of llt BUo6 &d
<br />Prol6ns Cod.) tnd lt or shc n dd9r rlE.io6 sd thc h.in for tfi! dl.8dj ddFion. Ary vol.liot ol S6lirn 701I 5 by Dy .
<br />rprlicel lo, . F6i $bj6l! UE .ppl(.m ro . .ivrl FEhy of ml mrc $& li!. nu'xlE<l dolla (1500)
<br />l. s orE oilti FoFlJ-, o, ny 6pbt€ vnh ".s6 & (hd sL ompdsbr * 6 lh.wdt dtlEtueEd
<br />ddi.d or oifd.d aor sl. ( sa 704t. Buird ud ltlfd@s ( oda Th. ( odtdor! l.icog llw &E tur t991, t r.w of
<br />rh.FrFy *tr hil&.r nr+.or6 tlEa rn $ts dE sh uxt nlell nt lE*lr o. rl[oush hit a lE o$ 6pht6,
<br />Fovdcd rhd $ch irFwls d mr irldrd.d m ofdd tu sL l( howd, tlt bui!,bS or rqlttdl h $ld wnhii oft }t.r
<br />.f.odrplde tlr OwE BuiBd vin tEt ft. hrdar of Forlllg U. h. @ ft dn @r hild n iEFoE th FoPaty foi dE F,ro.c of
<br />Eou,n6o,rhcpmrEry. m.r.lusiv.ly.ont&1m8 *(h b.ahl conrrudou to coNlrucl u. p6lal ts( xxl. tlGi,B
<br />.d Arnsn Cod.: Tn. Conlr*rorr l.kN lr* &6 mr.gplylo & o*nd olFoFr rlD boil& ot iEprcr6lhs@n.
<br />lnd qto o rr$ fo. tu.h prords vnh, co 6do(3) lic.or.d ptrRMl lo thc Co rador'! Lic4 t w)
<br />I nrvc rd will mintdn. Cdlifrcr. olcoBan ro sdf-lce fn enl4 onpdEdioll & Fovi,.{ b, b, s6ri6n 1700 oailt
<br />l,tr C.dq 6r th. Ffollll4. o r d. $.* for stih lh. FDn ! su.d,
<br />- I h.vc r"rl $rll m.'.rM *0116' (onp.rExon iEu,m.. s r.qui.d b' Sction l7m of lh. ljbor Code for lhc psfo.fue o,
<br />rh. *$l f.! *hirh rhn p.mit L! Ls.rt My wort6 @BFlrion iBllre sit rd polia ruEba !c
<br />I.6rilyrl in rh. Fforurc.{lrhc worl ln *hahino Ff,it n iqEd,I i.ll Dl opLy &y p6$. in &} nfuc
<br />tu 6 ro b.coE $b.n to rh. hrt6'.orpcdir. l,*: of Qlifomia !d tErl|r if I ihould btoo. tubjet ro th.
<br />*o 6l comrEssrror provnnB of Sdio, :1700 oa rh. t4or (oda I ltdL tudnwih lfidy *'nh $ot FDlir.B
<br />\rARllNc: Fnlur. ro sft srrt6 onFMmn ovdrg. ! unLstul. dd dl 3ubrd o apl.F ro 6ihin.l FEhis &d
<br />cpil lin6 up to o.. hund..d rhorsd ddl$ (t1m.000). ih rldnion lo lh..on of.onP.c.ri.]tr d,n+6 a Fltid.d for t,E
<br />sdrion 1076 ofrh.ldv
<br />J
<br />I h6.lry nmm und6 pqElry ot p€jury rh{ I @ licakn u.dd of Ch4nc 9 (onrJler.* sirn Sdhn 7000) oaDivrion l
<br />of rh. Bui,6 di PFfdioB CdL, ,n my hcte B in tull forc.,i.frfr!
<br />CONST,.U(-TION I '\DING ACENC1
<br />I h..ir llIm urdd Fulty ol pdjur, lhtl rhac ! . oBrtuct6n kndinS .gac, for lhc psrolr@c. of lh. worl aor *fiich lhn Fnn i!
<br />Ls.d (Se. !097, Cir. c.)
<br />L.r& r Nm
<br />ATTU(ATLDECIdBAIIA!
<br />I hrtbr'.trm !n& Frny ol Fruy oE of llE folklwing drl,.lrB
<br />Dqmlnion Pdni.Arbdot NorirEllion F€d6.1 ReuhIioN (Tnb 40. P.n6)
<br />R.qun.d Ldr< of NotilelDn
<br />I cd ri rU! fi. t da.l '.suhlEB
<br />ieannE 6tdor lgmv.l e d +plirbk to lh! proret
<br />ffii t *, .^^i. rDDlEdbn nxl rr. rhd tlE ltovc into'iioa n .ddr t rrE ro @npty wft dl cn, .id ('ou!*,
<br />rurhor,. r.F6.ddiv6 ol
<br />UL/:4 ^./
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq A.
<br />Shear Wall 5-n-v k&ta\Framing t)o'l;5-2-8-v -YJIdd
<br />lnsulation/Ene VJilXAY
<br />Drywall 6-z-zo "*w0l
<br />Ext./lnt. Lath
<br />Brown Coat
<br />'ll
<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
<br />A\
<br />6)q-Z)\-uiAd\
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />,!,/rJ 2k t wa4<..".A,Lf a4L /\
<br />1g \,/414
<br />DATE
<br />I m.(mDr undd sdrnn V i, & Pc rn 4. r6an
<br />".,:, 7[b/]o,zX*J/<*-J:,t-t--' \rua&iEl5:-caulldlalxl!
<br />DECIASAIIO!
<br />I ha.by dmrh undd pd[lly olpajul,_ oE 64lh. folloei.* d..ldrioN
<br />I rc@ NuEbsu\()
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