Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'IION <br />I ha.b, amm undd p.nalty ol pdjury lhar I e .i@p aro,n rhe Cooltadoa' Li..ns. Lzs for rhc aollowins rcMn (S.i 7011 5 <br />ANin6s and Pmfasion Code): A.y Ciry oi counl! $hich reqtrirs a ptn.ir lo coBro.r, .h6. imlrove. ddolirh ur [!-{tr any <br />srrudure pror lo irs i$ud.c. rls. r.quir6 thc applicd lor such pemn ro filc t siEned slatmcnr lhar h. or slE is licscd pufiuml <br />ro rh. prcvisions oflk Corracror's Lic.nscd lls (cbaPtd 9. Comnc.cinr rvirh Secrio. 7000 of Divhnrn I olrh. B,rinR\ '..1 <br />l'rc f6sio,s Cod.) or rh hcorsh.is cre'npt lhq.6omddlhchdG lorrhc all.!.n.rmplion Anyv'olalio.olsclion70115 bvanv <br />amlicam aorap.mit subjetslhc applica lo.civilpen,lrlofnot morcilm 6v€ hundred dollas ($s00) <br />I.6 ower oflhc prcpsrr'. or ry €nlploy6 sith sa!6 6lhen sk.om!.nsalion, Nilldo rhe work axl rhcindr n dn <br />iddrtel or ollEed aor sle (SE 7C',1,1. Businds tud Profsions Cod.: The contsclois Licensc ljw dd6 nol.pplvro m o\Tr or <br />th€ F3p.ny *ho boil& or irnprcvelha@o, ad who do6 suc[ lod innsclfoi h.Mlforrhroush his or hr o*n .nrPloves. <br />providcd rhrl such imrovtuds m nor intstsl or ofidqi tor ek ll h.tr6c, ih. buildins or t.prov@ar is sld wilhin une )@ <br />oaconpletiotr fi. o*nd Buildg will havc rhc hrdo of FDri.s rhd he or she did ml hild or ifrpro!. d. plopdy aor lh. purF* of <br />l.6owns ofrhc popsrr. @ .xclBively contoclhs wilh lic.,*d.o radou to coNtru.1lh. Fojd (Se. 7044 BEinB <br />dd Polbsin Cod.r Th. Co.rraclors LiccBc Law do6 not applyro Mosnd ofprop.n, wlD builG or improvd th.on, <br />and Nho coflrEcls for Nchpojels $ilt rCodtuo{s) lic€nred puBodl to lh. Conlructoas Licd. hv). <br />I m exehpt uodcr Serion-. B & P.C. lo. fib r6on <br />D.te Orncri <br />loa[E&rl:autENl !a!qEc!4!{llo! <br />I lH€by alTimr unds Fnalry ol pclur) oncolthe lollowins drlrarbns: <br />I ha!€ dd NiU mamuin a Cetlincare of CoEat to Self- lNure ror workcB comr€nstun 6 lrovided for b, SNtion 1700 orlhc <br />bb.r Grd€. for lh€ lsfomecc of th. $rt for whict rh. pdmn is iss&d <br />-lha\candwillnainrai. <br />workers co,npensarion iEuBnce, s req,n.dbySdion3700orlhebbor(od€.forthcpdaomanc.of <br />Lo I'l6I <br />I cdify lh.r itr rhe rElomaoc.oarhc worl aor whicn rhis pdmil is issued. I shall nol mPloy 3ny p.tso. i. any,nmncr <br />$ s lo beconc subt(l ro rhe wor*6 co'npqsalion laws of Califomia, ed .8@ lhat if I should b..om. stbj4l lo lhc <br />\eort6'conF@rioipovi.ioGofSdionlT00olth€tiborCod.,Ishtll,lonhwithcomplywilhlhosprovisio6 <br />WARNING: Failure ro sue Rork6 .onrpdts.rion covd.sc i5 l. r{l shall subj(l d onployr to dinriml poahis dd <br />civil tnes up Io onc hundrcd rhoNmd dollaB (l n$rion. dtunags 6l,rovid€d hr fi. <br />SNlion 1076 otrhc lih.r (tde. <br />I]Il.].t!tara] <br />I h@by aflim undd D.n.hy of Fjury lhal I m licoscd uda Fvision ofcnaplq s (coorndcing wnh S.clion 7000) drDirhi'n 1 <br />ol thc 8Ein6s d Prol*ioN cod.. ed try licms is in full lorcc and .fiel <br />",bfiz 701 <br />o <br />!12!ir!t![a_urtul!oae]r1r <br />, h6€by afirm und$ p.nalty ol pdjury lhal lh6c is a coinrudio. Lndr8 aSdcy to! rhc Pdfom&c. oarh. qork aor *hich rtG F.nnh b <br />isu.d (Sd. l(r97. Cir. C.) <br />AIE.ICANI.DIiCI,ASAIIA! <br />I heey aJtm u.d$ pmahy of p.rjury one oflb. followins ddldarionsl <br />D€mlirion Pmirs-Asb6ros Noti6calion Fed6nl R€3ulalions (Tnl. 40. Pa16) <br />-Requted <br />tf, tl( of Nolirication <br />-l <br />.dlily rhd rh. Lds.l rcsulal io6 r.rdins db6ros ranov.l m noi applEablc to lhis ro.rd <br />I cdiay rhar I hove ,ead lhis appl <br />.rdin.nc6 md Srat. Lars rclal4 ro <br />inlonnalion is..rd. I alre to comDly $ilh allCny and ('ounry <br />h6eby adhorize qresdhtivB ollhs Ciry dd countyto dl6 ua'n rh. <br />a6.ve mornJn.d piopd, ior u+4/l <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq r^,c{- 'rlzdta 'Mtt*t" <br />ln su latio n/E ne rq y lY 0 t <br />Drywall ;l9a m LAttt€,./'Z 2) <br />Ext./lnt. Lath UJ <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />In\ <br />FINAL K-K-l"t ) Nt-.jl0t <br />Certificate of Occu anc <br />Notes, Remarks, Etg. <br />L <br />Forms/Sleel/Holdowns <br />Brown Coat <br />"1r"{. <br />L.nJd ! Adds <br />-