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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNIR BUILDEf, DEITAXATK)N <br />I hsct, rilim u.d.r Flhy or p6llry lhd I m .rmp{ n h rh. Co r.ct6 L'c..r le hr ln ftrllo*irs ,!&n (Sq 70ll , <br />Buind .d lrof6i,n Co&) Ary Ciry or (ouny whth EqsiE ! Fn! ro @dE.l, .ld, unF.vq &mlih or rqr uy <br />lrrudu.. F$r ro r isuu.e.!o r.quir6lh. rppli l aor sucfi p6nir lo frI.isisn d rr ddt rhl E or rh. b licdEcd Pussl <br />ro rh. Firli,s of $. Co.ll*lri l-'@nt d t * (.l!4ia 9, CoMtr'ns ]nh Sai6n 70@ of Dirnb. I ol rh. adiE' ed <br />PrefdioB Cod.) or th.r lE or dE i! ddpr rhd.&on ind th. bGi4 for rlr .lk8.d a@Fim Any viobthn olsdrion 7011 LJ !y uy <br />rptli.ad lor ! pdni $bjd! lh. .ppli@r to . ciril p.n lr, of .or mE the fir. hudEd dolla {tJ00). <br />l. B oFn6 olrh. ,6Fny. or fty cdplo,6 wirh urs6 & rhor el. c.mFMhn, *ill do lh. *orl dd lhc inxrw ! tun <br />idci.d c.ltEldf sL tsa.7o4,l. Bui6 &d PrctdioB ( od. TIE ( od[.rd'r trN I^.-. do6 d Ply b e osE.f <br />lhc l'DFrr- who hild! or inrpro€ ilEatr id rls ihE sh slt hnN.lf or tE$lf or $eurh hii or ha om .mplors, <br />pr.\ i,ar rhar ruch imrm\qffi c ml ncd.d orolEld fr'r rl. lf. ho*.€. ttE t iEi4 or itrp.sdEr it D! *nhn G <br />'dof@,pLrio( tlE oli{n ei$a vill h!v. 0r htr&, of F!\iB ,i lE or slE dil ml hrild or mForc lh. FlFtt tb. dE Frpo. of <br />_1. soMdolrh.F.pqty, m.xclurircl, co r.ctins u'rh licft.d cooircloB ro .o.etud rh. Fnjd (sd 70.14, B6itB <br />id Prslsin Co<b: 1'h. contdo. r Lk.e llr dc mr .ptl, to 6 os E o f FoFrr q'lb b{ild! or 6F$ra rh6$.. <br />md who co.rr..lr fn ruch projdl! wnh ! Coirrsclo(, ltd8ql InE6r ro rhc codr.cldi l-icm. l,w). <br />I m .r.mpr un&r Sc.lion-. B. & P ( . fo, rhis G&n <br />lLr.: Or.d: <br />$oRl(FXS{iOltPENSA.rOI <br />IECIdEAIIA! <br />I h6.br rmd uoda ,,@!Xy oapqlory on. oath! aolro*in! 4.lo.rh6: <br />_l lrv. &d witl ruinr@ ! catincd. of ('oBor ro s.lal Bor. fo. wu.lGi conrp.n€ton. s Foldcd for by s{rion i 7(n or ln. <br />l,bor (odc. f6 rlE Faolllec o f rh. trqt for rnth 0E Fsn . is.d <br />_r h.r. !,i *ill m!inr.'. Brtd. corIPsdion iElllrm( s Eqot.d b! S<lor l70O of lh.1dff Co&. ror th. Ffomec of <br />rh. $ork aor shi.h rhi! pdmit is <br />f14-blD <br />-l <br />c.nit rhd <br />'n <br />rlE Ffo'rrllG of rlr s* fr shrh thi Fnn ir i$Ed I3hall mr oplo! uy F$n u a) nlM <br />$ a tu tEom. $qd lo lh. "0116' conFrE li.n hws of C.lifomia ud lrrc lhal 'l I lh.uld bcuE .ubjd lo llE <br />sirl6 6mFsri'. Foy6irB ol S.dion lT(xJ ofth€ L.bor ( ode I tlEll fonh*nh ohpl! \ nh tos FotniiE. <br />WARNINC Fsilu. xr su. *old' cooFsiion .o\6rs. n unh*a!I. .ni ih,ll sbjd & 6pLF lo oinnn l tEEhid s.l <br />o,FBlioi. dro.s6 c F.viL.d lor rh.cn'l inB up ra onc hundql rhousd d.ll6 (tlu',ooot, <br />SdtEn 1076 ofrh. L&rr Cda i.!ad .rd.tilffi r f6 <br />in .dddkJn t, 'h. .or or <br />- )^ <br />llclrrallo! <br />I lmby.Irtrm un.Lr Frolty o a psjuy lhsl I m liccE d unda l[ovilhn ofchlrlo 9 (.omDd.in8 *nh Selion TOOU)ofDivilp.3 <br />of rh. BBmd ud PmldhB Cod., ald mt laft B in tull tue !d cfirl. <br />IJ /l-tnL- /t/ t -*r|" t-5 40870 <br />-24 4 LT ."",-n-(0,: y? 9,7 "/ 2,*, or r,C <br />ca!uauc!o!.rEdDl!(;-ac8!(r <br />I hdrt, IEn !nd6 Frhy of Fju.y lti llEc it. N'Eru.lion todts rs4t lor rrE Ft(ru. of fi. sorl i\r trnih rhn Foa 6 <br />isu.d (sc 1097. civ c) <br />ATIIIIAILIIESISAIII! <br />I hddr ifnr u s p.nlhyolpqjury o,c otlhc follo*inB <kclsllioG: <br />D.nbftion P@n}ktB NorilEd ion Fcja.l R.8oh hB ( 1 i! lc 1(1, P!n6 ) <br />-R.q!i,sj <br />L!r6 ot ]^.toliftri- <br />-l <br />cdr't thrc rh. fntdll EglhrioB r.s.rding 6b6ro. laer !l e. noi eplk.bk 'o <br />ihir pmF. <br />/A.di$thd ttui,6,tih! eFlr.ron,xl {d.rhd rh!rbo\c inronn i.n bcotr..r I .*c to oiDly with ltl cnr md ('onnry <br />idue6 &d sfl. t.s di4 ro br'Hin8 @drucl.( rn horh drbriz r.Ferrtr 6 of rlu! ( d, rn Codry <br />'o <br />orc utrrn rlE <br />!h.v. nauon.d pmp.n, for iBpdioney:iB /./. // <br />App c.n,orAso,s,rr,u. fX-4 I Tdlzt ^',' /-A./'20 f <br />P.mkdun.rrrr ): W <;d-. ld L,c,n et-oa <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Irrla sonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />/ <br />FINAL 6-$-l x\44r\hr.a.,,t l 114ll4 c,'/ <br />Certificate of Occu nc <br />Notes, Remarks, Etc. <br />.-? <br />Set Backs