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SITE-WORK DATE ID/SIG.COMMENTS <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 />Framinq <br />lnsulation/Enerqy <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 />Engineer Final Report <br />Flood Zone Certif <br />/'/,tl <br />FINAL ,/p/a/w3 <br />Certificate of Occupancy t 't <br />Notes, Remarks, Etc. <br />,",",J: <br />OWNER BUILDER DELCARATION <br />pa,hy of p.rlury rnd I an doF nom rhc CodrdoR LEc@ trs 46, ih. aollowinS ra$n (Sc 7031 J <br />Cod.) tuy Cirr o, Couny uhrh ..q!c , Fni to codtuct. !Xs, iftFov. &eliil' o. qt' &y <br />Bumq .!o cq!"6 th. lp?licrr for $.h FDi to 6k . ti3'Ed ndtul rhr lE ot !h. a I'ca.d F,!d <br />ttE CoDrreroas Liccnrd lrw (Chrpra 9, Conmo.inE wirh Sdiion 7000 of Divilion I ofth. Bsod ud <br />or rhll lE or ih. u danl,l rhdciom r.d rh. b.rL for tlE .lle.d dardDn. An, r iolr&n of S<lbn 701 I t bt a, <br />h ubjd th. dpplir.nr ro ! .iril pdhy of mr mE fie 6y. hundrld doll6 (l5m) <br />h. FDFry. u hy oplotB *nh {is6 6 rh.r bL ompdiios *iU & dE wt ad tlE in6E b d <br />lor 3,1. (Sc.7o44. ABi.d ed ProfsioB Co<lc Th. Co'nrr|oa! kq& L.* &6 nor .pply b u o*n6 of <br />or usoE oE@lr !n who LLE k-h *nd hirelf or haElf or ltNur] hn or lE ow dnpbr6, <br />imF!ffi Gd nroi.d or otu!.j irr s.l. l( ho6q, dE lnilliB d "'!.--".:rd it $ll "ito oE td <br />ll]ildd Hll ha( $. htrddr of Fovin8 $n h. or slE dn ol tlild or ih['ov. lhc FlFry for dE F,Fr of <br />h. FoFdy, m d.hsrv.ly contrdins {nh licalql co'rrreloE ro andtu( ttr F.jd (Se. 7044. &!i,6 <br />Ir. Co sloas Li. . hw d,6 nor +plt ro s olra olFoFry sho b{'kh or inFov6 tn6@n. <br />rm iuch pmFs qnh a Conrdo(r, lrasri Fll:@ i. rh. coMoir Lt@ L&) <br />_.8 &PC for <br />r,r r!!r!t L!!r\ <br />on. oflhc follo*ins dalgalioN <br />lroi.rh . CdifEd. orcoMr h Scla-lEe fm $!116 @nFer(n. a Flvikn 6r b, Sdbn 1700 oatlE <br />pqfolr@.. olrh. *od for whi.h rh. pdmn is 6su.d. <br />n.inim world .onp.E lion '6ufu.. a Grur.d !y SEro.]7m of rlE L.bor Cod., lor rh. Ffoffi. of <br />lhb p.flnit is isu.d. My wo.kd conpnts,lion tuua.. carid ed policy nunb.r rc: <br />rhcpdfomnccollt *ork aor which lhn pdn G nluni,I sh,llmr dnploy..y F$n in uy meng <br />16 rtE *dt6' 6mFErio. l$! of cltifomia an Br rht if I nbuld haoe ebr<l lo tlE <br />pr.vbioBofsdion J70Oofth. t bm Co&,I adl fonhunh codgly wnh dbc provirioB. <br />ro su. $ut6 cohpq$lion covoisc i! uoL*ful. dd .hrll $bjer m dpl.y6 lo ainiNl Fuhi: od <br />oE hu*lrd rhusd dou6 {tlm.ooo), 'n <br />rddnEn h rlr cor oa co.r!.M'on. rh,r[36 E FrriLd tor llE <br />L5hn Cod., inl6Bl.nd drorE, s *;1 ffizyrzc2 <br />r rt rkstu t oern"t ftrtr 7'.t,l(t r{{rt trr\ <br />rhr I n Lcs!.d uxl6 FvBo. of cluFc a (comirS *ilh Sdbo 7m0)oaDnsion l <br />anl my licm* n in full lorc. tud cflel <br />COIiIAII]I{I!.IEEDINGJCIdCI <br />p.ndlry o f Fjury rhd d6. ir . oNrruclion Ln&B lsdcy for I hc pdfolfu.. of th. *ort 6r *hth lhis Fmn u <br />7. Cir (') <br />APPLICANT NECLAXATION <br />pd.h,of Flury oE oarlE,olL$inj d.(lrdioB <br />*Asb6rosNorncarion l.dddl R.subtbns{rnE40. Pd6) <br />rh. f.dd.l EgulaioN r.8sdi,B stEr6 @v.l uc.or +pl.rbk 'o <br />lnn Frir <br />l h,vc r.sd rhis apnlication md star. rhd rhc shrlc intomaln,n is (od(1 , atre lo conply wilh ull Cily a lCounly <br />L.*! Eliill lo toilrs coirodio{ .d h6cby riho.ia rcF6.Miv6 o f $a Cny ad Coudy lo 6lq l4on 0r <br />-g U ooal!.", 9t-41 <br />BUILDING- INSPECTOR RE I' <br />,. <br />Set Backs <br />?-