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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNAR BI]ILDIiR DEI-CARA ION <br />I her.by afm uodd p.nahy oi pdiury rhrl I dn €xdDpl 6on1 rhe C'onlnclo6 License lrw for rh€ follolviis t.@n (t( 7011 5 <br />BNin6s a l Profeion Codc) Any ( il, or Counly which requit$ . lsmit lo coNrtucr, ahd. nnprova donolish or i'!€t dv <br />srrucluc prbr ro tu isue... also r.qoit6 thc @pli.d lor suoh p.mit lo filc a sirn.d slttsd lhal h. or sn b lictred pusrd <br />ro rhc prorisions olrhc Conrracloas Lic€nsed Lrw (clDpld 9. CoDn@cin8 with Sdion 7000 ol Division I ofth' Businas d <br />Pror€si.ns codc) or lhal he or thl is er.,npl rh6.arom and ln. h€lis aor th. allcr.d cxqnFion Atrvriolarionofserion?0lll t bl f, <br />applic.nl for a r6iil subjdbrhe applica ro acivilpcn.hyotnor mo.erhe fi\.nundr.ddolld3($500) <br />-1, <br />6 osoq o I the snpory, or mt enploy6 virh Nas6 o rh.[ $le comp.nerion will do lhc $o& ed rh€ stelue t nor <br />inlsd<l or olttr€d lor elc 15(.?0.14. Busind dd Prcf6io6 Code The aontraclor's l,ics. ti{ do6 nol arplv ro an 'Mr or <br />rh€ pmlEiy who hilds or imprc!6 $aotr dd tr ho do6 such \roi( hims.ll or h*lf or thror8h hG or ho oM cmplovc6. <br />provii.n rn r such n Fdvmts sc mr inlodql or onatd tu ele lf. how6a. the huildins or iflp.or.rhl i! eld $ nhin on. }!d <br />of complelnnl Ih€ Ownr Buil,:Li will navc ft budd ofPotins rhd hc ot shc did nor build or impro\ c lnc litrFrv for rhc pur1DF of <br />l. 6 om6 ol th. pr.peny. m qcluiv.ly .ontactins wnh licded coobaclon lo codrl4c( lh. pojel {Scc. ?044. &trinRr <br />md Aolission Codc: 'r,. cott.clols Lic6c t-6w do6 nol apPly ro doMd ofproP€nv who buildsor Lnprov6 ths'on. <br />and *ho .onh.ls for such rroj{G sith . Contrrto(!) licqs.d pu6uot lo lhe Conlradoas Lkos llw) <br />-l <br />an ercmpt under Sdio.-. B & P C aorlhB r.en. <br />Drte: - Own€r. <br />IVOR(ORS' COMPENSATION <br />a[9484!:la! <br />I hseby amfln undB poalry oit6jury one oathc follo$ins d(ld.l ions: <br />-l <br />hN. ed will nainlain a Ccnifictt. of Co6ol lo Selt'lN@ lor rwkdt enPens0lion, 6 prcvid.d lot bv Sstion 1700 o f thc <br />Labor C.d.. fo. fi. pEfonn c€ olrhc *ott for s'hich lh. pqnl $ isucd. <br />-lh.v.andsillmainrai.qorkeGcomFNalioni6!ra6.e.sr.lunedbySNriotrl?0Oollh.LlborCod..lorlh'pdr'nn'nc'orrh. worl for which rhis pnil is isluct My workeu co'tpcGation insutucc cdnd d policv nu'nbo e€l <br />Policy Numb.r <br />-Iirptres: <br />lceniryrhat inrh.pdlonnanccorlhcsorl for which rhis pcrni h lstr.d.l shallnor dnplot.n, pcrson i'an, mmncr <br />e 6 lo b6ome subj$l !o lh. sork6 co,npqsar dn l6ss of Califomi.. sd asm thal if I should b..omc subjd ro rh. <br />sol*ds' composalioo prcvirioN ol S.dion l70O oarh. tibor aodc. I thau. aonhwiih comPlv *irn rhos ProvGio6 <br />WARNING, idilurc ro su. workcu .omp6$rioo covqast G unl.sful. ud shall subjel an oq,lovd ro dimirrl FElti6 dd <br />civil li.6 up ro on hundrc{t rhoMd dollm ($100,000), in .ddil co'nrcn$r(,n, da rres 6 prtnidLn ilt lh€ <br />s&rion 1076 ofrhc Labo, Cdd., inl.rd dandtncv'3 as <br />L7 (8 <br />DECIAAAIIA! <br />I hd.ny .mn. undd pentlly ol pdjury lhal Ln licds.d uodq Ftvnion of Chapts 9 (ctfurcnci.8 with Sccliod 7000) or Division ll <br />or lh. Busin6 od Proleios Cod., dd my lic.M is in lull force md Er(l <br />un Qz-r74< <br />'t+rO <br />CONSTRT]C'NOIt LENDINC AGFNCY <br />I hcrchy amrn u q pc.ahy ol pdjury rtal rhse is a coistuclbn k dins agdcy lor Ihe psfoiJmc. oflh€ rvo.k lor *hich this p6'nil is <br />$su.d(s<. 1097, Civ. C.) <br />L.nd.r s:,J.m. <br />- <br />AIIIICANLDEII.A8AIII}T <br />I bolbyr]ln onddpoally ofpdjlty on.ollhc fouo{ing delmlions <br />Dnolirioo Pdnils-Asb6tos Norincarion r'€dsal R€gularion! (I nlc 40, Ian6) <br />-Rcquiral <br />rnlB olNolifi clrion <br />-l <br />cdiryrhat lhc fdloal t.EutarioB Esedints AlEtos roordl d. nor applicablek\ rhis projer. <br />rhar I h,vc r{d rhis.pplicalio, a,! srate lhal IheatFvcinaomation is coftd I aBrelocomplv*irhallCnvand Counlr- <br />odinancd &d Sral. kws rcbtiru lo <br />ab.v. mtrlio.cd prcp.ny aor insp€ci <br />.uthorn! rqrGmrarn 6 orlnis Cny <br />,1pplicrnt or Cetrl SiAn!1trr. <br />4l \) <br />\\/2"/D <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Energy <br />Drwvall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />FINAL t\to\ rfl I'llltt fiot) <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />S