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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS I hatbl anir undn p.nalty of pdjrry Ihar I m .rcmfl fiom $. Conldao6 Li..N rjw lor the follo*in8 r.en (56.?011.5 <br />aushds and Profosion Code): Any Ciry or Cou y Nhich i.!ut6 a p6nit to conslruct. al6, imDrovc, d.r.olish or redr dy <br />slrudurc. pnor lo irs istrdcc, als. i.quir6 rh. applicel lor such p.mit Io fil€ a sisncd stalddl lhal h. or shc n liceNd pusumt <br />ro lh. rrovisioos ofth€ Cootradors Lic.6*d L4 (Chaptd 9. Com.ncins wilh Selion 7000 orDivtion I oarh. a8inB ol <br />Ptui.snDs Code) o.lhar h. o. she is .rmpl lns.6on &d lh. b6ir fo! lhc sllesed cxmflion Anylioldio,ofS..lion?0:ll.5bymy. <br />applta lor a remil subjdrs th. .ppli.r toacivilpcnahyotnolmoreth&fivchuidro.ldollds($500) <br />I. 6 c\nd otlh€ FoFny. or my nployc warh wag6 a fi.t $1. .omp@Dn. will do th. wt ad ll* ltruiE i6 rcl <br />intaldcd or orocl for sl. (SE.?044. Rusin$ md Pmfeio$ Code Tnc Cotuador's Lic@ ljw doe not apply lo o o*E or <br />rh. p,".^Fly who bril.G or mprcvBlh@n. od sno do6 $.h sork hnns.lf or hnscllo.lhrc4h his o. to ou.mployc6, <br />provid.d thal such inproleMs ae mr iflaid.l oi ofi6.d ror sL. lf. howdq, thc buillins or introvqEr a $ld withi, ot. ,qt <br />cfeopLlicd rhc Ownd Builds wi! hsv. th. hrkn ofpmving lhd h€ or shc did et build ot inp.ov. $. FDFIy lor th. puFo* ol <br />l, N o$n.r o f lh. prcpdly, an cxcluiv.ly conl8ci ins E ilt licded cofta.ro6 ro co.fud rh. Fojal (56 7044, Bbins <br />d EDIsu Codc Th.Co r&roas Licmc bw do6 nor .pply Io m ownd o f p.opdly $ho builds or inprclG rhdon. <br />rnd *ho co.hds aor socfi projcrs with a ConlEcro(, licds.d puB@r !o rh. Conl6cloas Licm. L.w). <br />I mcidnpl und6 Serion U &P(- i.rrhk,6on. <br />Drle: <br />1!AnK!8S:(O!!8r!lrulQB <br />DECIAAAUA! <br />I heEby amrm undcr r.nahyolprju)-on. orlh. followin! deldarioB <br />Ihav.rdsillnEinlsinaaolificar.oacol$tbSelrl.surcaor*oi(6.omp.Balion.s prcvid.d for byScclion 1700 oalhc <br />t bor codc, for rh. pcaom&cc of ltc wort fu $tich lhc pdrit is su.d <br />!t mvcard -rltnalnrain worhs' .omlcBarioh nEu cc, s r.qut.d by S6lion ITOO of rh. Llbt Cod., ror lhe p6fo,1mc. of <br />pnir n i$u.d Mr *0116'.oDp.Mio <br />+.1""J 1.. t n imurdcc c isodpolicynudbd tue: <br />//o t <br />zl d eGAA/- A, ez-E//3/Zo <br />I..dilyihar h lhc p.rfoi,nrm€ oflh. work aor whlch lh$ p.rmil is ssucd.I shrllnor anploy any pd$n in any mmns <br />s 6 to Bome suhjtrl ro rhc work6' complBation laws o f Califomi.. Md as@ lhat if I should b.cohc aubjdt ro rh. <br />trortC' conpcnetioo povDioB of Serion 1700 oarhc tjbor cod.. I sh.ll, lorhwiih comply *'irh lho* gmvirio6 <br />$ARNlNc: Failur. Io su. worlds' coDpasation covmsc is unla$ful, dd sholl sobjd m oployd to oi,ninal p€rhi6 trd <br />civil finc up ro otr. hu.drcd lhoused dollm (!100.000). in addiliJn lo lhe cosl o|corpcnsarion. dama!€s 6 provided lor th€ <br />Serion 1076 ollh.hboraod.. mls6t ed dlomcy s 16 <br />'t tl-Z^ /t *--S-) <br />rrtffiotbni ffin- -zZlDEct ^RAttoNl'.n!.d und6 Folsrn ol chaptd , G ommo.'n! s hsdion 7000)otDnA'on r <br />icose ir i. lull lor.e ml.lT€cr <br />I hmby amrin uidd pdahy o I Frjnry rl'at I m <br />of rhc lrusrnss a.d Prof6sioN Codc, dd Ey I <br />,/o 371 <br />I h@by ,ftrn nndr penaky o f psjury rhal th6c is a <br />6sued (S*. 1097, Civ C.). <br />lor thc pelommce of thc wolk lor "tich lhis p6mn t <br />,.. <br />ATII.ICANLOEEI.A8AIION <br />I h6Ebyaltunuidr p.nalty ofFjuryon of tb. fouowiq del@lions: <br />D.oolilioo Pmns,A3bd6 Noti6c,rion F.dMl R.$ulalions (Titl.40. Pdr6) <br />-R.luircdlatdofNofifrcatbn . <br />I .diry 6al rhc fcdml r.auiotions Esa.dins sbBror rdoval e ,ol rppli.abL b rti! pmj..l. <br />-N cdify lhal I hr!. @d rh6 appliqrion md 3rar. rhd tnc shov. infom.lion t cotrd. I agc lo conply wilh aI Cily ed Couty <br />ordi@c6 ed Slale t vs Ehrnu lo blilding coNru.lioE dd h(cby adhod- nFc$rdiG oalhis cny md coutylo als upon ln. <br />abov. qrioned pFp.ny lor iispalio. <br />^ppli.rnr <br />o. Agcnl SigasIur.c) <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulation/Eneroy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Reporl <br />Engineer Final Repqrt <br />Flood Zone Cefff., l-*,Wfar *ffitIl9)hr 3-?.w)Uca{\a4r-[I <br />FINAL 7-2.2{t01)D&rlh,hb[ <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />/'-) <br />{uq) <br />a".*" a,*, 13 <br />:/e <br />C