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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/VenUlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulation/Energy <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 />lrr\\)l^D\FINAL 2-t'A <br />Certificate of Occu anc <br />Notes, Remarks, Etc. <br />I <br />"",1 <br />_l <br />()$\t.R It tLtrrRt,l t( \R \ r l(,\ <br />unds Funy ol Fjur, fi4 Im.r€n ftom rh. (\,nr.clois l,rccns. l,w hr lhc lolbwos..en (sc 70:ll5 <br />Prorsion Codc) Any Cnt or Coldt shth rquiG . Fir lo odM, tr6. itE olc &eli.h or l9.n my <br />ro nr ile@cq rlo r.qun6 th..rolicel lor such p6mn ro fi1.. siBn.d 3rdddr lha & or dE is licNd plm&lr <br />of rlE (orr&rd r tE..r.d t * (Oryra 9, Conmd'.s *nh sdhn 7000 of Dnilion I of rrE BEii6 md <br />'od€)orlhar h. o. !h. ie ampl thEcfroh d lhc b.!! forlh. llLg.d.rmplion An, v$Llio.ofs.<lhn 70115 bv lnv <br />. Fmn $brc8 rh. lpFlkdl lo r cirn pa.lly of mr mr. fie liv. hun<L.<l dollts (tsOJ) <br />olrh. FotElt. d nr dnplor6 *nfi *'186 s $cn $E 6mFd 6.. *iU do llE sdt &d dE rrudE ir r{ <br />olIa.d for sl. (S{ 7014. t}Bi.* od Profsio Codc'l1E ConrEld r La.M t * &6 nol {rly lo 6 o"G of <br />$ lD bikh r rq!\ 6 tlEFc . *io &E trh qlt hitulf .r helaor rtmuSl' hir or hs o*t.rrphtG <br />$.h mFnrtrfrr E mr indxLd or ofisql tu 5l. l[ tn*66, ttE btrrldnB or itlFlEEn 6 sld $nhn oE )r <br />rtE (\E lluiltd *il h.E th. hrd6 of D.!! in* fit tl or lrE dd Nr tDild or r{ro$ fi. Impary ir th. ,,,p.x of <br />olrlr Fqd). e.rcluiEly.odr-h! qnh li(c.d Fftrl6 ro oldhr.i rlE F$j.{ (lic ?O,r, &6is <br />Cod.r Th.conlr.rloir t-i.dr. Lrw do6 ml.prlyto u oshd otFop.ny*to blild! o. 6PmvB rh6@n, <br />co@1s fd ssh p.q..r. r nh . Codr-ronr, lanB.d FlEd ro lh. ('odr.d,,'s lj.c l.*1 <br />u!'& S6rbo-. a & P.C for thi! lo$. <br />Orn6: <br />I&OAAItrI:.(OIITEN'AII9X <br />DECLAEAuqt <br />u.d.. Fuhr of Fjur.^ DE oalL lou.* s &.L.rioB <br />*.ill tui.rrin r Cdiardc of CoMl lo s.lt'lM. tor $vt6. cong.norn n, 6 Flvid.d for by Selhn 17Oo o f lhc <br />ror rhc Fn,lrm. o f th. *ort frtr f,hah rh. ,qmn u EsGl <br />Bill n.iDrrr &d(nr- .odF!.rio. !Mft.. 6 Equn d br Sqlion l7m of rlE l,t'o. Code fot tlE Ffollra. oa <br />r shich rhisp.dil ! Bnal Mywo*s. comrd,alnrn ireur&c. ced sdPlicyru'nbs u. <br />A-Jeleu-s <br />Voz <br />rhd 'n lh. tEforuB.olth. sorl fot whih lhit Fhn i ecj. I stdl ml dplo) lnl F$. o ry InE <br />suhi4r ro lh. sorld $nFliaiod la*. .fcrlifomia ud !*r lha il I 3huld bcomc eubj.Tl ro lh. <br />bn Foriii66 olsdion !700 or rlE l:tG Cod., LlulL fdhwhh conDly *it $or rrDtind <br />;: Failor. ro su. wort6 snF&ltn cord.g. i! sl$ful. ud ih.ll suhjd( n dPloy6 to aim'tl FEhi! Md <br />up ro oE hurdrcd llF@rl dolls (tlm.mr). b ..Bnion ro lh. .oi ot.o,rFMion. .LNs6 a Fovid.d tor,lr <br />unds p.6alryolFdjury rhd I dn licctre€d ol( [{ir.r a (crnn cn! ! sih Sdk)n 70lJi)) oll)'\Nnr r <br />ed frefsrB Cod., nt my liN ir in qj <br />\V <br />rmm un&r F!I) oa Frlur) rhd llE! s . ord reftt for rh. pstolrre. o I rhc $ l forshichlhirFmn 6 <br />axrll(AlrDEcl.ilaAual <br />![im u.ds Fnah, ol pd]ury orc orrhc rolh$F! ddl,rlr$.r <br />n P@ir!-Asb6los Norifrdb, t.ddl Rc*lldirE ('l'11.,10. Pd6) <br />iiy rhar rh. Ldsll r.sulart'ff ESaJihs &!b6tos rmoval e. ooi ,rtli.tbl. !o lhB ptord <br />!rn,n ud nalc lha $. ibovc infonrdion E cot .d. I !rr( ro cohplyf,nh.llCiU ind ( ounlv <br />id ha.'r .dlFriz r.F.srd n 6 of ' <br />CraG nr-, <br />h,rCr\ 6rd(i)unr! nr ord urrn rlr <br />*,. r'lr,.l)ta <br />CORDBUILDING- INSPECTOR <br />Set Backs <br />;;dql't <br />ii\Er