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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS Oma-aoildn Deldio
<br />I hcFb .flim unds pa.lty ofpdjlr, $.t I m dfrF fm lhc C@fid6' Licorc Llw for lh. folloei.s rcao. Gm ?03 I t Durii.s
<br />ad Poldrid C.d.): Aiy Clry o. Couity rhich rlqulrt, r p.mir io conrhcL dr.r, iDprov., ddolirh or Eplk ey rl'!.uf, t iM ro i!!
<br />i!Mc., .bo Eqlid rlE .qtli6r fd &d pnn ro nl. . .i!n.d n t.fr6r rtd b. or rhc n li63G<l pudlMr ro rh. prwitioB of th.
<br />CdnEldr Lic6r.d l, (Or9la ,, CorlM.ini *ith s..rid ,o0o of Divirid 3 of th. Burindr dd Prcfdi6r coa.) or rh{ h. d
<br />3h. n .r6D( rhdftn bd lh. bln fr th. .ll.s.d ddplid ,Any "iolrtion of S.crld ,0, I J by sy !p!l icut aor ! p.mn .!bj..it tl'.
<br />lpplicd lo r cilil pcndty ol not ,ror. $$ tivc hundrcd dolla, (lJoo).
<br />_1, ! oM6 of tt. Flp€rty, d d, mPloyd wiii wrt6 { rh.ir ,ol. @hpat.rion, will do fi! work lnd rh. nru.M. h not intcndcd
<br />d offdd 16 rllc ( S.c 70,1,r, Buiar ed irof.$ioE Cod.: Th. C6hdor'r Licai kw dod .d apply to m own.r oa rh. prop.ny
<br />who blil<ti o. inFov.r rh.l6, hd who dd leh *dk hi@.lf or hd.lf o rhro!8h hi! o. ta own hpl6r..t, p.ovid.d rhat iuch
<br />ihptovmdE & nor lnt nd.d d offer.d fc. 'tl.. l( hop.G. rhc blildii8 or imprcvmr i! rold si$i. onc ,or or conpl?rio., rh.
<br />Om.GBuildt will li!v. th. blrdd of trorina lirr h. q . nd blild or impdv. ad $. p!Ac. ol ril.).
<br />_I,!6{ndof d. pbp.nr, m .i.lqivcly .onr..rins wnn lie.,.d @nr.cr6 ro conntud.h. proj..r ( S... 10,44, Burin.$ ed
<br />Prci.$i6 Codq Th. C!.$rctd! Lic4c Llw ds not lprly io { ena or p.opcrty who blilds o. imprcv.! rhrco , 6d who
<br />coitr$ fq ruch proj.cr wnh. Coor&b(r lhd.d puBu&t ro rh. cMttutoar Liccnr Liv )
<br />_l m.xcmpruidf sdioo-B &P.C. fd ihi! E{on
<br />WORXXRS COMPT\SATION DrCL^RAATON
<br />I h6.by i0im und6 p.,.ity oap.rjury o. oa lh. followi.B d.clmridr.
<br />_l h.v. sd will mrird. r Cdi6cri. of Co!6t ro Sclf-lnru.. ad ports' comF.dio., s tmvid.d fo. b, S.dion r?00 oflh.
<br />Llbd Cod., ftr rh. p.rfo.h&.. or rh. volt for qhich $G pmn n h!u.d.
<br />_lhiv.Md*illmi.in*dt6'cdnp..ri6iNtue,ar.quind!yS.crion3700oflh.L.borCod.,fdrh.p.rfm.nc.oalh.
<br />wsk rtr which rbt pmi! i, itr!.d. My w(l6'@mp.nr.i6 if,rurac. c6i.r ed poli.y numb.r.r.
<br />Poliq Nmb( Expircr:
<br />Ghn 'crim n.d.d b.66pl.r.d lrth. pmir it fd or. hun&cd doll6 {!i0o} dl.s)
<br />of th. wolt t6 which thi! pftn n nru.4 I lhdl ior
<br />hB ofC.lifohia rnd sgr.c thli ifl
<br />!.bor Cod., I rhlll. fonhwnh
<br />WARNING
<br />doll6 (t lO0,O00).i. .ddido. ro $.
<br />LICf, NSED CONTRACTORS DECLARATION
<br />I hfrb, .mm uod,n p.illty ofpdjury rhl I o liqlcd u.dn polnio of chrpid 9 (
<br />lh. Bu!in6, &d Prcadjdr Cod., hd ny,i.at. b in full foE..nd.tt .l,
<br />pdjury rh.t tn6. i' rco.ntudion ofrh. *ork forwhich rni p.mrir ir
<br />, Civ. C)
<br />APPLICA{f 'S DTCLARAT'ION
<br />Dmditim lml!-A!bBr6 Noiilicltid Fcddl R.!ul iou (Tn1.40, PM 6)
<br />_ P.quicd rrnd ofNoilic.tior
<br />lbor hnrioi.d Prcpcny ftr inrpccrion pu.p.id.!,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorl/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate E::ptn :n
<br />FEB-I 20t9
<br />FINAL
<br />Certificate of Occu n cv
<br />Notes, Remarks, Etc.
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