Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION <br />I hdeby rrm ,nda p.r.lly oi peljury thd I an crnpl f(n rhe Co"lraclom l-ic.ns. l-aw for lh. rolbwi"S rNn (56 701 I 5 <br />B6in6s and Profsion Code): Aiy Cnt or Comly which requts a Fmir lo coBrtu.l. 8l{d. improvq denolish or rQAn oy <br />.tru.tu.. alior ro its iasudrc.. d$ r€quir6 ihc applicol lor such pmil ro file , sisd.d slttcmdl lhat h€ or she B li.aeed lur$ei <br />lo lh. Eovisions of$€ Conlractor! Liccnscd k* (ChaptE 9. Conmencins $ith Sarioo 7000 of Divhion I olrhe BusinB od <br />Pot6ions cod.) or rhor hcorshctcx€lnpl lhq.Lon dd lh. b6sis forrh.all+€d er.mdio. Any lioldio. ol sdion 701I 5byany <br />applicanttorop.mitsubjarsrhcapplicrnrro.civilp.nah!ofnolmor€rh fi\e hundr.d dolldt ($500). <br />-1. <br />6 o*ncr olthc popcny. or ny .nployc vilfi waE6 6 thct ol. corPetuarion, Nill do tn $ork dd thc slruclu. is mt <br />i od.d or.ud.d aor el. (36 7044, Buin* dd hof6ioB Cod.: Tn Conlrsclois LicN L.w dodnol tpplylo tnosrd of <br />lhc p.opcny pho hilds or ioip.ov6 d866. md *ho doc au.h wo* nnMlf or herll or rhrough his or hd oM.mPloyc- <br />proridol rhar soch isproEnnts m nol inlsdcd or orsai ao' s!€. Ir, howdd. thc buildi.B or nnr,offit is eB wnhin on. ,d <br />oacompldion. lh. os'nd Builld will luvc lnc hldd ofFovirs lh.d h. or sh. did mr hrild o. iq,.\t thc p.opoly ror lh. ptrrlo$ or <br />L s oMd oathc pmp6ry. d €xclusiv.ly .oflracrin! *nh lcensol conlracloN ro cotrntucl lhe preid (Sa. 7044. &aDs <br />dd Pr.i$ion code: Ttc Contm.lois Licos. tiw do6 not applylo eo*nd ofpropdy who builG or iol,,ov6lhdon, <br />snd who conldds ror su.h Foj.ds*nh. Conhclo(s) Iic6s.d pu6wt rolh. conta.tois Li..M ljw) <br />I m cre'.pt undr Sdl <br />]La!trE8f-c9luEllarlll! <br />DECIAAAUA! <br />I hq.by affin. undd lo.lty or pdjury on. ot rh€ fouowing ddla?tiotu <br />-lhavc <br />dd$ill ntsi nn a Cdiiicar. olcoMt lo S.ltunsre aor work.B' cdnPenslrion, s pmvid.d for by Sslion 1700 o f lh. <br />L.bor CGle for lfi€ p€lolfucc of tc sorl aot whi.h rh. tmnit is isucd <br />-l <br />havc and vill oainrain solkcG ca.DsMiion irerEncc. s r.qutcd by Sdion l7c[ of thc tibor Codc. f$ lh. Flomdc€ of <br />* hich rhi! p@il is isuol. My sortdi conrp€Nl ion iNuruce cmi6 dd p.li.y .umbd c <br />\-L.-JCa-td &z--- <br />I c€nifyrhal inih.p.rfonnanc€orlh.work (r $hi.hthis p6mn is issued.l shall not cmrloy an! !.rson in inym M <br />s 6 ro b€comc rubjar lo rh. md{d' cornpsslion lares ofcalifomia. and d{@ rh,l ia l dDuld b..ome subjd( lo rh. <br />* ork6j coDlE qrtrn ptultioB ol SErio. 1700 of thc Lsbr Codc. I shrll, lonhwilh .o ply rviih lhos lrolsions <br />WARNING: Irailurc ro scrc *,orksJ compeNrion coveag. is unlaslul. and shall subjEl d .:.plolq ro oiminal psati6 and <br />cilil li.es up ro onc hundr€d rlDusd doll!6 (lloo,om). in .ddilion to thc .on oI.omp.Nrion. ddnasd d prcvided for rlt <br />.1016 ofthc Labor Cone. n(d6r tud,nonEy! <br />oL.^---r.riiNlT-.u <rrvmac rcas- \l <br />D.ECI,AEAIIO! <br />I hd.b, artrm u.d6 Fnalty oipsjury lnal I d licots d unde Folision ol Chaplg 9 (comoci.g $ ith Sc.lion '7000) oa Division .1 <br />oa rhc Busind ed Pof<ios Codc. dd my licm. is in full forcc ed cffcl <br />k)b-\\ I <br />colilalcuolJ.[Nllllc-dclixcr <br />I hcrcby alltrm undq perallyof Frju'r-'rhd lhq. i. a coBrtudion lddins as cy for lhe pdfomMc. of lhc wo,k ror *iich rhis pdrit is <br />issued(s-. 1097,civ. c ). <br />AI&TCANLDES,AAAI,PN <br />I h6c!, ofim undd pdrlry of p.rlory o.c oathe followina dElamlions: <br />D€,nolirio. Ps,nirs-Asb6los Nolifi cdion Fedeml ReSularions Oille 40. Pan6) <br />R€qun.d L.rls of Norificalion <br />-l <br />.6rit lhar th. a.ddal legulalioN rcgddins 6b6los .flolal dc nor aPplicable to rnis prqsl <br />l.diarrhat I hav. read lfin applicarion ed sulc rhai rh.,hov. inaonnalion iscotr.d.I alre ro.o,nplywnh allCilyand Coury <br />ordina.cs ud Srar. tiws El.rins lo buildi.s .oGrtuclion. and lueby author ize qr$nariv6 oflnis Cnyed County lo dl( uPon t. <br />Prr. -o,D,cd p-pdy ro, i <br />I Applicrnl or Agol Slgnaruft <br />ne..ite(prlno: la z, --z r^ c la,Q <br />u"" ( , Za-16 <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVlnsulatiol -Roof Sheathing fh+f It*t ?L\ Who4.r <br />Shear Wall +ErFraminq Qt <br />lnsulation/Energy <br />Drpvall <br />Ext./lnt. Lath <br />Brown Coat <br />lvlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif. <br />I <br />FINAL /z-/te//,y' <br />I L/Certificate of Occupancy <br />Notes, Remarks, Etc <br />J e ,r( i'z <br />6te.oe. nrY al*ot- 0tz? 'fo y0n*0€t l&{r.,a <L i4{.-r' <br />t/,ry <br />Forms/Steel/Holdowns <br />zyL c-t \ <br />I <br />n r,a <br />--1.\-,t.tci <br />( t -r-z;' t ?, "*r.*r". f\p.€ T Deces <br />L. '.le'', Ad,r6r. <br />- <br />----+--- <br />It-----+---- <br />tt