|
SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsu lal ion/E n erq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FJpod Zone^Cp6if. ,I I \_,\)rl.,rv l4'ffi lt (vll tl*-tolTllt l)Vdt/t UUaor
<br />tl t,
<br />FINAL a
<br />Certif icate of Occu ncy I I
<br />Notes, Remarks, Etc
<br />I
<br />OWNIJR DTIII,DER DI:T,('ARAfION
<br />mutr.r|r liy olFqtr.y rhrr I a'nd. fl |flnn rh. (j,nrr.r.r' Lf,c r. liw for rhc nrk,win8 rcr{,n (Scc.7oll.t
<br />Pnnrsi(,n (d.): Any airy or Coutrry *hkh rcquir(\ r Fnnil x' c.n{ru.I. rs. in{'iok. Llcdrnh or qun ,
<br />to irr ir'1ec. rl$ (arinr rlE {rlidr for *h Fmi o liL. si8Ed nd.r.t rnd h. or tE ir lGn-d ,u$!r
<br />o( rlE Conir-rqt l-tcnEd t s {(-lq{.r 9, Comrmt *nh sdrbn 7(fi of Drnion I of llr Au.iE$ .d
<br />) or rhlr lE or slE i! .r.mpr trEr.rrom .,n rlE b6sii ro lE rlh.d cr.q,li'n. An, vi'hrir or Sdti,i 701 I 5 by D,
<br />i rcfln( \uhrurlrh. irDlrmr r' r(i!rltrnrlryolnor xtr. rhrn ln. hutr,l'.d{lolLr^ l\5rx)J
<br />o,rtE In,Flr, m.r.htirllr.oMir8 p h latrcrl (odtu6 ro oMrl rlE lFrel tsc 704,{. &trr|B
<br />Coa.: Thc Conr8ror'r Liane Lis d6 d,l .pll, ro a 0,6 or proFdy wlb build. or rrrpmEr thcBr.
<br />.o R.h ntr ru.h pmj.cu wrh . ConrBcn4 n lacnsd nurlurnrlolhcConlr0.u \ Lic.n{ bw)
<br />lIl.)trli.tllli:CQllfEN]lll!)li
<br />IrICLA&IIIAJ
<br />n,Dn!1.' Jknrlrtof I.!rrtr'y,tr'.,,1 rh. lnl[)\r!,1..]rnr(nr
<br />will rorntdin qorkcr' conDcnsatiotr insurrncc, !s rcqutql hy S(r io. .)7110 of I h. tjbl, (idc, rr, rhc p..Lrmncc of
<br />whth rht llcnr is icsuol My *ork B' $nFnstk n i.s ruxc c-utr di B,liy numb., d.r
<br />in r,t Frtornl.@ otrh. wort r.r shah rhir pcrni ir h.Ed. I slEllml crll,loy iny rEen h.ny tuEr
<br />qbFr b rtr vql6 .!dF.{ior L$ of C.lifomn. !d.rr ln.' i,I rrbuld hdom sbF ro rlE
<br />Nrion pmyiebB of S.crbn 1700 of tlE LEi C.xL. I ihrll fdb*nh 6rply pirh lho: txlviroN
<br />faiturc n' su. turlni corfEosri,n cov.ngc L unb*rul rnd shlu rul'J.rr u.rrpl'Fr ro simiEl FBhF .rn
<br />ro otu hundrcd rholsd dollds (!loO,lXXD. in addirion ki rh. cosr ol.n llf,nsrlion. &rug.r .! provtd.{ tor rlE
<br />of rh. uh, Gri.. inrcr$ rnd dromy s fcr
<br />--
<br />-
<br />Arrtot:'' rrcursm corruc-rtrr= _
<br />IECIATAIIIIB
<br />und.r pcnalryofFrjury thrr I am li&ncn und.r pmvisi'i olCh.trd 9 (co,n'En.i68 virh S(lirn 7000) orDlvision 3
<br />ss.d ltof.$ioN Cad.. !n my lic.n{ Lr r tuU foc {n cnEr
<br />coruag(Ir}trBlu[iacENla
<br />ft uniLr lEulry ol p.rJury lhd th6. il ! (,trrlnriirn Lndi.s !s.m, for rtt Ffol:ffi. or E *dt ror whth rhlr Fmr ir
<br />AIIIIIANLDLCI./IATUqN
<br />utrdcr $tuXy orpcrjury orE ol lh. Iolldwing dah.liion\
<br />g.rnii\ Arh.do!Ndifi.rri'n l,crlcral RcSrbrx,ni(Tirklu), I'dO
<br />1)hi rh.l(ll,rxlrrgx rrtr,\ '.!rrJi'rgr\lx{ovr tr'vrlrr.r, rTit)Lr$lc n, rIA pr,rc.r
<br />I h.w Etd rhn .ppli.dnn !n sErc lhd rlr .tDE inlodi'n t cm1 I rsd ro on9l, *irh rI Cny rd G,un,
<br />slrr. bur Ehri,ts ro tnililin8 rotuio( an lErcby lull i! rcF.edn&r of rhir Ci!, .,'d Cod, to .hrd upon E
<br />p6Fd, r(, f rF.r.n,,urB)rs.
<br />CORDBUILDING. INSPECTOR R
<br />EillllJatlT7rlil,?Qe,E
<br />II
<br />Erection Pads
<br />T-Bar
<br />h of rlr rm|Eny, n m) crnhyas wnh *ts.i r! rlr! v,k $'mrttrrdnn. r'll.r, rrr * I!n uErlMk tr r
<br />)fr.Fd ro -hrso 7rrr,r. Bu.rs,i PhlIi\nnt C6d. Tlr coffi('\ Ir.n{ trr dcr n,.pply ro u orF ol
<br />l*ln t! lrNrqrc6drc{.nrlndsqtx hiNll or h.mlr!, rhmulh h ,. }d r*n .trpl'yr6,
<br />l,kh mn",mdift dc'r&lnolkfi,*h lL tnM. rh.lxrldrnl or rtrFxEnr !$ld *ihnor FU
<br />I fic Osm Bu ds wrll h.t ltr tud.r nl'I'nvinx tlu tt ur +r diLi mr h'ld or urptDh Lh. pn,Fny lor Llr Nrlr't o,
<br />Ih.EIe'llduru.Cdirrr.oacor lo Sclf ln*rdwr6 onpcndb(.i Fovih lor by S..lbn l?@ oflh.
<br />r.u.* cdr* ,* r-r.* or rrr rqt ro, whrh rlr psmr tr irru.d
<br />t!rl..! !.t6
|