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BUILDING- INSPECTOR RECORD <br />DATE tD/srG.COMMENTS OWN I]R BUII,DI]R I}EI-CAR TTON <br />I hcr€by a,nnn undtr p6alr, of p..jury lhal I dn elc'npt frcm rh. Conkacro6 Lic.nse L^v tor rh.lollo*ins teMn (Sc70315 <br />aucidBs dd Proasion Codc): Any Cily ot Coonl, siich rcqun6 a Frmh ro sNrucL alr6, nnProrc, donolish or !.Pair t.y <br />srtucru€, Fior ro irs is!e., .lso icquns lhc stplicant for such rEnn lo 6le a si8n.d {.landl lhal h. or shc b lic6s.d pu6uel <br />ro rh. l'ovisioN ofrhe Conr.lcrois Li..n*d L^v (chafla 9, Comnen inr rvilh Sdion 7000 of oivision I ollhc tlusins dd <br />PrcfNions Cod.) or lh6r h€ or stc b .redfl thdcliom and the bdis lot lhc all+ol cxonpiion. Any violation of Sdio. 701 I 5 by m, <br />applica tudptmnsubjE8th€ applicant to ac'vilp€naltyof.or mote tha. fivc hundred dolls { t500 ) <br />l. .s ovtrs of the [op.ny. or ey emrloyc rvilh wage s lh.ir $le .!'nposation, Nlll d. rh. rvort ad fie strudue is not <br />iarfli.d or ors€d iu el. (Sd 7044. Brsi.s md PloasioN Cod.: Ihc cdnlhdols Lic.e tiw dos nol ol8ly ro d o*nr of <br />rhe prlp€ny who builds or inpdv6 rhsdn. sl *ho do6 such u(lt hims.lfor hcsllor rhmu3h his or ha orvn oploy.d <br />prorid.i rhar such Lhlrolqdrs & mI intodd u ofIr.d ror eL li lN*h-6. rhc buildin* or imroEt.l i! eld within on. )a r <br />ot co,npkion. th. O*Tr BuikLr will h!rc $. htrdm of lrolin8 rhal he or shc did nol hrild or idp$v. lne FDPqry for lh. pulDs ot <br />I. 6 osnr ol the p.o!sly. &.exclusiv.lyconkacrinS wnh lic.c.d conlreloulo coa<tud th. pmjdt (S4 7041. Bsms <br />dd h$fBion cod.: l hc Conrracrois Liccnsc La* do6 not applyro ano*nd ofproD€ny*ho builds 6i nnprov6 rhden. <br />and who Nntadi hr such pslda \Li'h a contrado(, lte.s.d pu6uMt lo rh. Conlraclois Li.4s l.av) <br />I mercmpt uodcr S{rion-. B &PC lorlhis.e6on <br />Dare: onrcrl <br />1!OATEBS1(O!I[})NSA1]II!lrcr aAllo! <br />I hdcby.fi n. utrdd pcnalyof prtuD-,oncof rh. aollo\inlr d.clfiartnr <br />lhav€ d $ ill oainuin a c.difi.are of coNcnl lo self- lNure lor $orleB conrp.n$iion,6 ttoiid.n for byseclion ]TL\J oarh. <br />tIbor Cod.. for rh€ prfomu.. ollh. *orl lor $ni.h rhe pdnn is isucd. <br />-l <br />harc aod witl nai.rai. lorkeis cohpsalion iNurance, 5 rcqutud by Sdrion .1700 oflh€ l{bor Codc. ror lh. pdfonre.. of <br />rlio \.'[ 6, *h'rhrltsN' rir is issu.d. My wor*c6' comFoslion i cdid &d policy nun,ber ae <br />L5()1(r,A ll <br />l.dliaylhar in rte p€.fomance ollhe *or\ lor which lhh pcnnir is issu€d. I shsll not €'npby an, p6on in any manns <br />s 6 b bcro'nc $bj<t ro rlE sorkds onpmeriod la\es ol'Califomia. ud asd thd il I druld b..omc srbjsl lo the <br />\vorkss comp€nsalionprovisioBolSorio.lT00ofrlELatrCodelshall.tonhwirhcofrllrwhhlho*pmvisnrns. <br />IVARNINC: Failurc ro sEu. \ork4 conDasarion covqasc i3 unla\rlnL and shall subjd an 6Ploy.r r. di inal rdraltts ad <br />.i!il nn6 trp to on. hundcd lhous d doll6 {5100,000). in addit of c.n,Pens.rion. d.nr8.s <br />Scrion 1076 ofrhc Labor Codc. iotq6ldda omcyt liB <br />x,,",I I <br />I h6€by altm unds p..nlly oapdjury fial I an licoed unds plolisiotr oi Chaprd 9 ( co,nDocins \vnh S..lio. 70oo) of Division l <br />oa lh€ Ausins md Prcf*ioE Codc, ed mylicN is in full fotcc d cft6l <br />cao " ZT{Lo <br />,"," N /t s/ l6 <br />(.!ll!tll!!I!AfuiJDnl;n!i!;l(f <br />I hftby afliirn undd Fnah,\, of Frjury lhal lnoc & a connrudiod knding asocy lor lhc psfolrMc. of rho <br />issu.d (Sec. 1097, Cir. C.). <br />AfIUCA!LD[O.6AAI|!]N <br />I lH$ry allEn undtr D€nalry ofp€rjur, o.. oarh.lollo*ina ddldrtions <br />D.,nohion Penrne^sb6los Noiificalion F.ddl R.sulalions (Tnt 40, Pd16) <br />R.qut.n Ldr.r of Notifi calion <br />-l <br />c6r ifv lhal the lcdqal E[uLrioN esardi.g sbdros rdnolal {e nol arplicablc to rhii pojer <br />I.dify ihai I h,vc rod rhis ipplic.tion md siare that rhc ahr\€ inrom,rioi isconar.I ase to conply \rnh.llairr and Counl) <br />ordi.anc* rd srdc b\$rel.lin-! 1o buildins coNrrucrion, dd hd.byaurhoriz.rcpr* alircsofrltisCnyandcooniyrocnrtruponlhe <br />abolc nmln n.d prepdy fo, i'r3psrion plrr.s6 <br />Applicntrt or ,\Eort Sigtrrlrrr .$ts/tR <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathinq <br />Framinq <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Itlason ry <br />Pool Fence <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />FINAL t/t{ )4 .r/'}-o'. <br />Certificate of Occupancy I -.J I_-/ <br />Notes, Remarks, Etc. <br />SITE-WORK <br />Shear Wall <br />T-Bar <br />L.nd.r s Adds: <br />- <br />fhv\,4 <br />---_1--- <br />I