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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE <br />-1. <br />s dE of fi. FoFiy, or my ddo)6 *'nh $!s6 6 llE! sL orvcriotr $il do llr $.iI !n dE eldc i! rbl <br />ftold.n d ofiqld for r.L (Sa 7014, BuiB dn ProfBio6 Co&: Tt ( o.n,.d('r Lt@ trs &,6 @l ?ply 'o <br />m orc of <br />lh. popd, wl$ hil& N itr'FovBlhoEr &d who d(E ucn w* hid.lf or h*lfor rhbu8n hi! or hs om oploycq <br />Forilcd rhrr rNh ihF\ffi n d ddn d doiidsl aor xl. If.lsr-E. dr hil]i* 6 iqFrqer it $E srhi. m Jd <br />of mntkir( E OrB efiId *itl Ln dr hrib orForitE $, h. d dE dn d hild r np..$ lh. FlFty 6r <br />'lE F,tor of <br />_L e osffi .f dE F.Fr. m ddundy .odr*rh8 snh licded co'rr*roR ro o.nN.l ri. FoF (s6 704.1, 8606 <br />ud Eotsin Gd. 'l hc conl..ctol! l-icd. l-.w .L6 nor .pply to r o*rd of rropoly who huilds or imprcvd rhaNn. <br />ed qtE @trrll! f( st Foirl vnh ! (trirabnr) lid6.d p{l!d ro rh. Codr..rr't Lt@ t v) <br />:rF]t1 <br />I h(.b, smrm und6 r,6!hy .f rGjury o* of th. tollotr ng &(!r rN <br />-l <br />hL -d *ill @id.ir. Cdiifrn. of CoM'r lo S.lt-ltu.6r wL6' onrFnaid. B Flrii.d for hy Sdnn l7c() olrlr <br />ubot cod., for rh. Ffoll1@. of tlE *ort for which rlE Fhil i isu.d. <br />I h.r...d will minr.in *o*.t codFE lDr i@rmc 6 rcqun.d b, s..rbn !700 of tlE l.bor Cod.. for rlt Ffm of <br />thc wort for which thi,t Fni n B!,od My Mrtd!' conFadion iaffi. cei6 !d policy nunb6 a.: <br />Polic! Ndbq <br />- <br />I cdiryrhlt in rhc Ffomirc. olrhc worl for which thB pon is i3!o.rl I rh.U not dploy..y Floi in sy mffi <br />F a to b<oft $qet ro rlE "ort6 snFEdan Lr. of Cllifomia rd 4rE lhd ill tthuB tEom ebjdl lo lrE <br />*orld coqEsn6. Fo\irioE ofsd ion lT(D ol rlE l ltG ( od.. l rtll, f.nh*hh 6rply vhh rhos I'eYirhc <br />WARNINC: liailurc to sur. *orkd .omFEt <br />ci\il li,6 uP ro.( hund.d rh.Ls,xl &116 (i .ova*. Lr rnla*ful, ud rhlll iub€l d dllorq ro ainin.lia [is <br />of Nrip.dn4 d,n 86 6 Fo\il.d ror <br />Sdrk)n 1076 orrh.lihn <br />o <br />! ( I \lt\lI)l <br />I hdtlr lIIm uo&r Frn, of FjrEy thr I u liurd ur& Fortiou of (1!.?16 9 {onlffiing *nh ScIit. 7({)) ol DNitio. 1 <br />of th. B6iB dd Pbfdb6 Codc. cld s, lrc64 i! t! tull lore !d.IIEI <br />grlllalglo!.LElulc-acEd(r <br />I hq.ty lttuh undd Fnlhy oa Fjory rld th.. n ! cotdru.tion Lndins lsd} fo, th. Ffolffi. of rh. worl ft" " hrh lh! Fnr 6 <br />isldl tsc.l$'7. civ c.). <br />AEITCANLDECI.dBAIIII! <br />I hs.t ' .frn !i<td Fn.hy of FFry oE of rlE follou in8 d6LrdioN <br />D.frolirion Pmils-Alh6ros Noufidio( F.dsll R.guld ioB (Ihl. 40, P.n6) <br />-R.qun.d <br />ldl6 of tlor'tum <br />I rsli! rhd rh. ftddal r.tlhlio6 ,!*Edinx at6lor t!m\ rl e. nd tppliclh. lo rhir pojc.l <br />_l coiilylhar I hav. rdd rhts lpplicdn,n rnd rd.th(ilr\( trr nlr.n '\(!tr'!r1 I <br />ed Coury ro drd l4.n rlEiE !n lEq! rurr$rvc r.F@nn.rdmr6 Md srd. Il{rr.ldrr ro +i <br />.bo,c na'Fncj Fmpd) rn nrTan <br />^ppdur <br />or <br />^rdr <br />slror.E lr__ <br />tcmrte anc Oanl: ,/l/Du<-1ha"- <br />tf zt lr7 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathino <br />Shear Wall <br />Framing <br />ln s u lation/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL )/i//4 */loa-t tr).-- <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />ID/SIG.COMMENTS <br />Brown Coat <br />Ol ET SUILDET DEIIARATION <br />I h-.t'!.inm uid.r Fshy of Fjur' rhd I o qnB 6on iE Co rd6 Li..d r4 6r th. followiry i.eo (sd701It <br />8uii6r drd Prol4ioi Cod.): Aly Cny 6r Co@tt shtt r.qliB r pdBi t. cordtucl. .!6, n+ro{q danoliit or EFtr d, <br />ffiEe Fi, 'o <br />ii iw. .&o r.{'riB rlE pli(er for *h Fnn io nL . .!e!.d {.6Et rhr lE or d. i! li6.d Fdor <br />ro rhc Fo6trB of tlE Co rEld.' LK.nsd Llw (Ctuprd 9. Comcins *nl S<rhn 7000 of Divnion I .r ih. BuriB dd <br />PmldioB Cort ) or rhr h. or nE i! dcftpt th6.noB ed ttr h.rn for tlE rlk8.d amiion. Any viohlio! olsclb. ?01 I t by E, <br />.pplicur tor . Fnn i!U..r3 rh. rp?li.r lo . cn il p.sty olNi mr. rh.D 6v. tun<H &116 (15@) <br />L.flid'. Adid _ <br />I