|
SITE.WORK DATE ID/SIG.COMMENTS OWNf, N BUILDER DEI,('ATLITION
<br />I h<*t .mm und6 pqulry oaFjuiy rhd I m .rdpl 6on lh. Contrdra Uc.nr uq for lh. tollowrg ren (Sd 7011 5
<br />BBins .fij Proteion cctL): Any ( hy or Courly which r.qun6 t Fmi to connrud, tld. ihProve &ttDlilh oi Ep.n ev
<br />ih(i6c. Fn. ro n3 illlec tto r.qut6llE {9li.&l lor sh Fnnir lo 6lc t !ig&d nrml $i l! or dE . lkdlGl pNlr
<br />b rlE Frviths of dE ('onlrrir! LEcn*a L.v ((luFa 0, coffius wnh Satiot 7000 of Diririon I of lh. aails od
<br />PrufBioN G&) or thll lE or r,r i! 66np Uc.too !i dr t tis for llE .llcs.d qaDFion Any rioLriu of Sdion ,0! I t bv ev
<br />.lplicanr for ! pcrnn subjftu rh. lpplicul to . civil p.n.h y of tut noE rh fiv. hun&.d doluts ($5Cr0)
<br />-1.
<br />s os6.f fi. FoFiy, or aydploFd *tn *.36 6 tlrt $L onF6ibi. wil & tlE *si ]n d! $tr(iE i d
<br />indld.d or olt .d fm st (56.70&. auli,B md PDfsioB Cod. Th. (od.r.rd! Ixav l^ d,6 @r Prr' ro i o*d of
<br />rh.FoFiy sl$ bikh or irnFsE EEI.n rb dE rtn mtt hiMlf oi hs*lror rl[oorn hn n ls om qwlrr6.
<br />rrovi(H lhll ruch EF.vqlEfu E ml iddltt d orotu it $L lL h.*.4,lt biuine or imFim' i! Fld wnhin oR rd
<br />ofcomphiotr lh. O*ro Buil& wiu h.!. E hrda of Fovin{ hlr h. or th. drd mt hild or np.lvc lh. F!Fl, for tlE Fl FBoa
<br />-1.
<br />Bo*G of oE p.Dpdlr, 6 qcluit.l, @lnrrlins unh li.dE d (offioE lo @dM tlE Ftld (ric 70rl. 86'r
<br />.d Itot in Co&r Th. Contrctolr Li.d. L.v do6 not t plt ro d om( of propdy r ho blildr or inprov6 thdo..
<br />r.d *ho.onr6dsforruchproj.ftwnh.(t,rtuD(,licdcdpuButlolhc(onlr.cloi!Li.dclrw)
<br />I m .rdd udd Sdion . tl & P C fo. rhE l6on
<br />lr.r.r (nnd:
<br />llats5l$:(ougiarArla!
<br />D&CTAEAII!
<br />I hq.ny amrn unild Frliv ol psjurr orc oflh. roll)r'Dr d(le.tioB
<br />-t
<br />nN !d ritt @id.in. C.nifrr. of conE lo sclt'lM adwtsr'Mp6.ri,\ s tmviLd tor !t scibn !?m ofth'
<br />t hor Code for rlE pqfol]ffic oarh. wrl atr *tich lh. Fhn it isu.d.
<br />2!t ta'. ua ",tt o@ru -rlo omFs.lDn lnsec. 6 Equn.d b, sElion l7m ofrh. L5bor co&, 61 rh. Ffoffi of
<br />' rlE wt td shEb fii! FDi . *id My Ela' 6mp@.Er ullll.E orit -d Flry !@bq c
<br />c€*J(€rl.-
<br />,',,.,",,'., P\q 2{a,e1636 o,
<br />-l
<br />c6rit rh.l 'ntlt Ffolffi. of th. *oil lo, u'hEh lha Fmn 6 is!.( I slalt er @phv u, Fsn 6 ev .jlllE
<br />$ s to hc.m rubd lo lt srrd NmFMion Lx! of C.lifomi4 tnd .8r lhn ill {suld b<oE !bi.!' ro llE
<br />worla mmF&lion prDrilioN of S.dion lT0O of lh. Llh)r Codc. l th.ll. lonhwith codply wirh thor povitioB
<br />WARNINC !-ailur. lo su. mrt6' @'nFBriion .ovdt!. b mhtrtul, dd Ctsll tubid u aPlorn ro dininal Frhis ed
<br />ciril find up ro oe honld lhousad doll&! (tloo,0fil. i. .ddnioo lo lh. con oa.omFrslrion. rlrn gd a pmril'd ror rlE
<br />Sdrbn 1076 of$. bhor ( o.l. ! qcn rnd.ndE
<br />,,",1 /r<-Jt 1 ^,0,,-
<br />I 6y.llm undd Flty of Fiuy lnr I o liG!.d lrld Fltiion of Ch.gG 9 t@ffi'rg f,in Sdrb. ?m0) of t vi.bn l
<br />ot rlE BuiB.nd P,DfG..ioB Co&. rn Ey ltoe ir in lult fore rn dlcl
<br />a (O. C4{z
<br />a lrr[rt tu)tc)tAt2- VtA
<br />(aN[ra!c1rarr;!Dl!9lcE!(r
<br />I h6cbl. lmnn und4. Fn,h, oI p€iury rhd rhs. i5 a conrfldi'n k din8 .sd.y lor lhc FlomMc. of rhc n.rr aDr s hi(n lhis F,ril ir
<br />ae.n (SG !0q7, Cn. C.)
<br />L.ndd ! N.mr
<br />-
<br />l,cnd.i! Addrs
<br />-6IIIIIAILOECIJAAIIAE
<br />I h.ny .lIm u*r6 F.hy of Fjury oE or llE rotbu i.3 d.(lrd i.,n.
<br />D.moltion Pdmils-Asbqloi Notinc{ion F.dml R.8ublir (TnL{0, Frn6)
<br />-R.nun.d
<br />Ldls oa lknifi.dio.
<br />-l
<br />cdrh rhi lh. f..t(rl rcBuldioN Es.di.s s!d6 rlmitl e mr q'''!rctbL lo rhi FoJ.d
<br />E,.-u,rlr lha\cr..rl rlEappl'(ahon 'wlsir.rharrh.rltxc inlonnir'on Nrordr IdU€locomPly\Yirhtll('ilvand(irunrv
<br />orJinan 6 d Std. t N!,.!rins ro t{
<br />!tF\. Mtiondl proFrt fd lsp.don
<br />au Mi2. r.p..di iv6 ol fii! aily od aounly lo dld ulD. fi.
<br />,rpplicrnr or 'rsdt SiBnrrtrrr
<br />,!rni,$n*,r,rn): Jttu"t NeuqeN
<br />,t^r"4rr/,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/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 />Handrcap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL l/</tc M-n -
<br />Certificate of Occupancy " t '/
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />--------T------
|