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SITE.WORK DATE rD/srG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsu lation/Energ y <br />Drywall <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 />FIood Zone Certif. <br />A <br />FINAL +-21-A [.t/r]t) <br />Certificate of Occu n <br />Notes, Remarks, Etc. <br />I <br />OwNER BUILDER DEt aAnATION <br />uBld Fdy of Fjury rhr I a d6!pr 6oE rlE Co'rr.l6 Lxo* tr* h, tb. follo*i.8 larn lsd ml I 5 <br />ProfBDn Co<L): Any C y or Comy *nkh rcqlE ! Fnn ro 6NM. rha. inprcve daNlirh or lF.r dy <br />to irs is!oe., so r.qlic rh. @t'li.ur for !!.h Fnn ro filc!risrcd $arddr thdh.o,Jt i li.d'!.d prr'@r <br />or UE Coauabii La.ru.d Lrs (Chrga 9. Colm*ine wifi Selion ,0oo of Drnion I of llE BlsilB &d <br />r th! lE n ir ir dmF rlE.nom !d rlE hci tor lh. rlLs.d .ioFion AnyriohrDnofs..r..70ll5 byuy <br />pdnitlubJdrirh..ppli..nrroacivilp.nahyolnolmo..rhtrfie.hlndr.ddolln(t500) <br />ol llE p.!Fry. d ny dphlE * nh q.s6 s tlE $L ohF6dr,( ril tb Erdt rn ft tuEi! d <br />fiaal aor sL (s- 7cr4, B6in6 dd Pr.f6ioB cod.: Tt ( onrrstoir Lic@ L* &16 6r eply ro & o*G ot <br />lD ltuil& oi inlr.rB ln6n. dd *ho d.6 srt wn& hims.lfor h@lf.r thrcuBh hi! or h6 om mpLr.6. <br />$ch mp.ll€lEu e ml ida'd.d or o,Is.d fq * lf. }{B!. tL b'ld,is d i,r$*ad . 5ld qnhin oE r& <br />irE ()sG eiH. *in bn dE h,rl. ofFDring r lEoriE did mr hrild mitrsrElh. FrFry 6rft Frpoiot <br />otrtE FoFry. u crcluir.ly coln'*r nls *irh h.€!.d codrdc ro mtu tlE Flid (Sa. ?O44. lt!i6 <br />Cod.: Ih. Comdor3 Lic.e bw do6 er lpply ro d o*na of FoFly *'ln b{ild. or inForB th6@o. <br />mni6cl. for su.h Flj.ds sith. conrrcio(s) li.6!sj & rh.Codr.do.r l-icftc l.wl. <br />I <br />un& FBlryof Frury oc of rh. <br />* iU B'rlrin . ('qr,tr,lc ol a.ns' ro s.lf.lBuE Lr !uL6 comFdioc a F]lid.d tor br S6lion 17m of th. <br />for llE Ff(fu. 6rrh. *o ror *trh rlE Fm B su.n <br />will rMinllin *orle coop.,Ealion iM&cq a r.quii.d hy Sdrion 1700 of lh. trbor Codc. aor th. pcfol:rrN. of <br />*h.h fiB pdnit ar is.d Mt *ortd @nlpaEtii. iIM..air !n poky mbq e <br />rhrt in rh. pdaolMDc. of th. work for which thie rErmit is,su.d,l sh.ll nol oploylnyprson in dy msnd <br />d lulier ro th. m,Ld .odFad ion l'*! oa Califomi& .-l +r rnd if I ltFuld b..om subjal lo th. <br />6. FB.a of sdFn l7m ol rh. L,to. Qxle I tdl, fontsnh onply *nh rlDr Fo\BioB <br />f&lur. ro su. !0116 comFqnn o\@J. n uhr rnd rldl $blet o dploF to qimu.l Fdi6 ri <br />lo on€ hundrd lhousd doll6lsl(1r.000), in liid <br />ofih.lrhrrCde iard <br />DL-t_!81!l!.!! <br />u,id FrIy.fFiu.y rhr I d licqE d urda Fovirion of c1r4rs I (onljr4rnr eih Sccb. 70m)of Dirirbn l <br />md PmfdioB Cod., rnd my li..@ ir i, ,ull forc. arvl.ffdr <br />COXIIBUCITQBI,IIDIIGIGE!(I <br />un'js Frall, o I p..jury rhd rh6c ir . consrru.l ion Lnding drd.y aor rhc tdfoltMc. of llE rorl for r hilh th6 rE i t <br />1097, Civ C.) <br />TUIUCAXfIIiCIJBAIIO! <br />und6 Dalhy of p€jury orc ot lh. lollor i.s dc.hr.r io6 <br />P@nlArtdot Norilic.t b. f.ddll l{q.uln ioN ( I nl. .10. Pd6) <br />t rhd rhc adrdal r.suhrioB Ess.iiiS 6b6'os r.mr.l &c rut {'plf,ant ro lh6 FoJ<(1 <br />th.l I hav..ad rha applaaln)n ed sl.r.r $. aho( infotud. ir coEal I rSrE to comply wnh dI Cny ud Couory <br />Srd. Iisr Elrus ro b{ildtng <br />4zrlzeA <br />CORD <br />Erection Pads <br />BUILDING. INSPECTOR RI <br />oarnB Cn! ud ( o@ry t' o16 uri)o l&