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EUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER EUILDER DEITARAIION
<br />I h6.b lmm ui&r rEulry ol pdjury rhrl I m dmpr tom rlE ( onrr.don Li.@ kw tor $. folbwin! la$n (!id 701L5
<br />aslIB !d Profdn. Cod.)r Art Ci, or C@dy whtn r.quir6 . Fni ro @6M. a, nqrcve daEli'n or qi! d,
<br />lEucrm, Fe ro ilt iw. ilo EquE rn +plicd tor trh Fin to nb . 3E .d .rdEn rh, lE or dE i! lkd!.d Fllld
<br />to rh. FovirioB of rh. Conlr&r6 ! Lic.nEd Llw (Cllrpr6 9. Comtrirg wirfi S<1ion 7OO0 of Divtion 3 ol rhc BGirs 4d
<br />PFfdhd Cod.) or rhd lt G rh. i! ddfl rhadrcm sd tlE b.n tu $. alb.d ddnFion Any viohrion of Sdbn 7011.5 b, oy
<br />+plimr lor r Fon objdr E .pplid b ..ivil p.{hy 016r mr. lh- fiv. nuDdal.l'lLn (iJm)
<br />-1.
<br />a osnd ofrhc Fopdly, or my @plo,€ wilh w.s6 a th.n eE onp..!aio.. "ill & fi. $6rt rnd lh. rixtE it nol
<br />i drLd oroE6.n 6r sk (Sd.7044. Bui6 ud PrcfsioN co{. n'.Codr.drrLiLeg1,*dBrcr+?lyrooo\^@df
<br />rh.FrFry wlb iliLl or inqlt€ EE^ -d *lb dE Eh {rrl hrMlf or lE*|, o. rEou8fi ha or lE om dpk'}6,
<br />F!\ ij.d fi.r sh ErlrqrEr, ft 6r n.id.d q ofiild fq rl. l( h.*6s, tlE bililnt d nFsqd i! $ld witn oG rd
<br />oaconpb iotr llE (nr6 Buil& will lfw tlE hmh ofFNmg tld lE or JE dn d hild or itrFlw dE Fqffy tur lh. FnFc of
<br />l. ! orc orrh. FlFrt. u dclBiv.ly oddha $nh li..6.n o 1116 ro mldrud rlE Fojer tsd 70l,l.It!116
<br />nn Alisih Cod. nEconr.cro.. Li.@. Lrw do6.or appl' ro @o*ndolFoFiykho buildror impmvBlhsoq
<br />ad sho @t rr.ls aor sch Fljets Bnh ! ConrBlo(r) liccns.d puullr to lh. ( onlr.dor r Li.ffi lrw)
<br />-l
<br />m.r6pr uda Scdion-, B &PC forlha@n
<br />l).tcr O*n.r:
<br />\\'oRi aRs' coll PINaA I lor
<br />llEgd&r.lgt!
<br />I hs.$) rmrm unds lqaht of FJu+ .n. ol rh. folhUnt ddlrarntr
<br />lhi\.nd\rll rni,.Norl.rrcomp.nsrhoninstrrtr...,Lsr.(ttrtr(lhrS(r(ir?ooolrhrl.t{r(nn..fotrh.lEn,nnu.cor
<br />(. r', ,Lt i
<br />mrta comF.dion ie6c. @ir rd policy nunbcr r.
<br />c,k-
<br />^",,.,
<br />oa
<br />.,,.*,/lcOt372tcoo /-/1
<br />_l cd'6 rhd
<br />'n
<br />r,r. Ffo,rrB. of th. wo'l for *hEh rhn Fnn d Bu.d I rhlll mr mptD m' Fern i! ey nrilc
<br />F B tD beom rutFr ro rlE srt6'onpqdion hqJ ofcllifomia &d lsr lhn rtl srFuld li.oc.ul!e' to rh.
<br />qork6 mmp<Nd nrn FmvtioB ols(rion I700 of rh. I i&n Code I ihll. fon hrnh &ntly $irh rtFe FbdlioB.
<br />$ARNING Failur. $ sd. uo 6' conr.Mion .or6ar. ir unl,*aul. . sh.ll subjd u dplolq lo
<br />IECIAIAIIO!
<br />I h6$y lrm uffld Fnahy of pojury thll I d licss.d urds Fovirion of Chlpl6 9 (@nDd.r8 $ nh s<lion 7000) of Dn isioD l
<br />of $. BcirB od Pr6l6io6 Co&, dd my lkdg ii in tull for.. a,i .rdr
<br />t;ct0
<br />t/rat 7?7t77
<br />2-L- 1L
<br />CONSTRU("TION LIi I\DING ACi-NCt
<br />I h.r.ny imrn utui6 penahy of pdjury thd lhq. ie a conrlrucl hn Lndils !roc) lor lh. Fn,run c ol rh. *orl for qhi.h I hG p.rni' i
<br />isd (s< 1097, (-,r c )
<br />AIIIIIAIIIECIIAAIIO!
<br />I hady !flm unda Frahy oI pqjury oE ot lhc tollo* ins d.cl{at ionr
<br />t>mlirhn Pmn!-Ash6ros Norilic.lion F.&nl R.8uLlb6 tTnh 10. Pan6)
<br />-R.qun.d
<br />Iirc of tldi6db"
<br />-l
<br />cElit thar rh. tsi@l r.rul,rioB ,.*&d'n! abdot ,omr !l @ nor @rliibk b rhir t,ojd
<br />-l
<br />cd rfr rhd I hr\. rad rht {lr,lf,.r Kn ,n rd. thd rn !tn\. '.tu.rldKn i3 !n Lsc ro snlPrv u dh i[ cn,. Coun'r
<br />ordin.ncG md Slar. LNs rclaling sint6 of rl ! Cny !d Coulylo q'16 uFon lL
<br />-^*
<br />/- )1'11ltrL.nari.n d pNt'.ny for i
<br />.\ppli..nr or Ag6r Sitn.l
<br />,*('o ir( nutr.(r'i' ):?.,L<C"xl{
<br />Set Backs
<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 />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />\
<br />-l
<br />hav. ed will ruint.in . Cdificd. of CoMl ro S.ll'lNrc for *dl6a .6.lp.nsli6n. a Foridcd fo. by Sation 1700 of lh.
<br />L.hG C.da ftr rh. Ffollra. ot lL wt for st'th rh. Fnk a isEl
<br />alz4ta 1 :ttvtu1fi-,P)
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