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BUILDING- INSPECTOR RECORD
<br />DATE COMMENTS Owl\EI BUILDER DELI]ARATION
<br />I hd.t, .llm uid.r F ahy of Frjury lh.l I m dcmpt tod fi. Conrr1o6 Li.lM Lw aor tlE follosinB lt&n (Se ?03 I .tr
<br />Bch6r .d Profdion Co<L): Any C y or C@ny *!hh rcquiE . Fnn lo olrrud. !X6, inFoE &mlirh or l!,.r oy
<br />,N.1Ee Fi{ro il] irl]uq.bo r.qucrlE +did fd s.h Fhi lo fik.3's..d ltdqEl rllrltoriEnI.-!.d F un
<br />ro $. FoltioE of tE ConLdc.r l-rcN.d tt* (ch!,rd 9. Coilllrring wit S<btr ?000 ot Drrlbn 1 oldt Bq"B ed
<br />hrr6nE C.&) or thd lE d dE i! a6pr rhs!6om !i rlE t $ for th. dh.d ddFbi An, ri,hri.n of Sclbn ,01L5 by uy.
<br />apDlicinr for ! pdmi 3lbjcG lh. .pDlicul lo ! civ il p.n.hy ol ml mot lhM fivc hlidtcd dollc (Jt00)
<br />L s ow ofrlE FtrFny, or ny dtplolG unh r'.s6 s llEr $L tonFBrbn, riU (i| rh. sqt d dt lurdE ir d
<br />iddrrod o, otra.d f.r $L (S< 704.1, BotB ad ftDfeiE Cod.. TIE (bm-ln ! Ltq* t * doa d +Ply lo u orE of
<br />!h. Flrdy who hnl(l or inFr€ thdar !d *tb drE *h mrl hielf or lEElrot llmush hn d ha om mpt t6.
<br />tDvid.d rhar ru.h inF.mrs e mt inrod.d orolI6.d 6r slc l[hoffi, t]E hoild'ir or itrpovqGn asld*rhoon.ta
<br />ofsllpldion. tlE O"G Buil4, wi,l h!v. lhc htr&. oaFlvii8 dld h. or *c dA ml hild ot inptoE lh. F!Ft, for dE purPoE ol
<br />-
<br />1. s NE of rlE r.qEi), s qd6r.l, coffir's f,trh lKdE d.o rrloE lo o^rtud iE FDir (SG 70,14, &!llr
<br />rd PDIBi Cod. T1. cotrrdor! I i.m Llv &,6 rcl tpply ro e ownd oaFoFry et boird! ot iiFots tha@A
<br />sDd who contle|, for luch F!jd! *nh ! CoMo(, lic.N.d puEurll lo thc Conr.dor'! LEas t,*).
<br />I s .rdF uixLr s*r6n
<br />Oind
<br />toif,tts:calltatArra!
<br />DECI.AMIIA!
<br />I h6.U.mm u.tld Filhrof pajuryon.oarh. follouin8 daleoliod:
<br />-l
<br />h.!. !'d $ill mii.in r Cdifkd. of CoErl ro SdllM 6r wt6 6rqc{io^ s FlviLd tor by S6lbr 1700 of lh.
<br />Li[c Codq tor th. Froll1*. of dE wl 6r whth llE Fnn ir is.d.
<br />I havc ind will mlinr.in work6 .onF.dst'on isuM.., s ..qut n hr sdl ion lT00 oa ln. L.bor Cod.. lor th. pafonhuc. oa
<br />th. u orl for whth rhir lqmn is is.d My ssl6- omrEMion iEurm. tris !d Flry .uobc ,.
<br />PolklNumbq. .Erpn6. -
<br />Zi"-,ry,r,, .,r" poro*. oarh. wort for rhkh rhir Fnn u sr&( I duI er @pby Dy F$n i. ay tuE-s 6rohfror$bdrorlrwo 6 oEp@iEr IM oI C.lifomi^ .rd {G ln, if I tlDuld h@d EbJa! lo llt
<br />srro' orp@.rb! FlltioE ofsdbn l7O0 otdE lrbo. Cod4 I r[.lL t 'ltu olrpt wnh d'o- FlribG
<br />wARNlrG: Fntu,.lo sr. *ortm .omFMion N\dB. is unL*tul. od .u6Fd o mplold ro rinind FEhis rd
<br />cnri fin6 up kr f c hundr.! rhousann dolla6 (tl(o.0(xD. in .ddiltun h t of .o6!.Nrion, d Eg6 a provrl.d tor lhc
<br />Sdron 1076 olrhc ldbr Co&, inrd.n Md dromcy s lc
<br />I h@by.mirn und6 p.mlry o f p6j!ry rhar I u licos.d uod6 Fovision otChlPta I (@nrMcins snh sdion 70001ofDivnion 3
<br />ol rh. &si!B,nd Ptuld6N Co&, ul my liccM n in tull for. &d.flt!
<br />,** rr* F z-? 6
<br />D,," oL/ o 6/ Z A (o ,ri(,ur
<br />AIETCINLDICTdBAIIO!
<br />I hdrb, lfnn uodE parlty of Fjur) oE o I lhc foilowFs d< lrtrionl
<br />ItlDhnn lairl5-Arbdo! Norifi.dio. Fctldd R.auhlioN finb 40, Pin6)
<br />Rorun.d L.rld of Norlfi.ibn
<br />I cqliry lh6r thc icdqal rcsularoB rcsedi.s abdros rmoval e. not
<br />'pplicabL
<br />lo lhs ptuJd.
<br />1I .diry lhd I rEv. Ed rnr Tdrrion rn nd. rhi * maotuhnt.ffi. I.srroondy$nh.llCiylrlC.unit
<br />odll@6 Md sl{. L.$! ElrrB lo trildi.3 co hd.b, Mhod! rcFe r€ of lhn Cny &d Coud, io da W6n tlE
<br />aborc nErirr€d Fnpdry for Bp6rio. p,Fs
<br />.{pnlic{nl or Arml sis rl
<br />cl / t'l €t4a4d..a-
<br />t',1" az /d(,/ zo
<br />Set Backs
<br />Forms/Steel/Holdowns I
<br />Erection Pads 22//4 .'rtl/
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<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 />I \i
<br />FINAL bzvtTn 0a ,q5L
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />SITE-WORK rD/srG.
<br />.1, & I'C rorrh6 '6Y)n
<br />^,,,62/ 06/ 2D
<br />CONSTRTJCTION I FIIDIIIG AGENCA
<br />I hs.B .mm uldd Fully oI pGjury Ind lh6. ! . odoction todnu .Stry for lh. Ffollr@. of rh. mrl 6r *tth lh6 Fhn !
<br />iso.d (Sa :1097.Civ. C ).
<br />4./d
<br />Drywall
<br />Ext./lnt. Lath
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