|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OIYNER BUILDER DELCAR TION
<br />I rtrct'y .rrh und.r FMn, ol Frry rh. I m .&nl'l 6on tlE Co'r.-16 t!te L.* for tlr foltrwuu r$n (se Tol l 5
<br />alrirlr !n Profcsbn Cod.): Any Cn, or ClMy vnah GgriG . pdd ro 6dnar. .h6, trq,mE d.mllo o, EFi 3y
<br />!hle.Firronr illll,ft.rt EquiB rL tfiiirr fG sh Fmn io 61. r!8rn rl,lm rh.r lE or dE i lirrsd Fd+r
<br />ro rL FDvnb of dE ConlEls 3 Litnsn t,s (ChF.r 9. ComEin, wnh Sdrion 7m ot Divirirn I or iE BuriFs rd
<br />PbLsb.. Cod.) o th.r lE u rlE n .r.rpr rtddmm rd rlE b.!n for rlE nLi.d .r.qrbn Any vi.'hrijn of Sd6n T0l l 5 by rny
<br />lpllkrd lor r Fmn $bFk rtE .pplt..t ro . .itil pcMhy of mt mE th.n nh hu.rlEd doll$ (i500).
<br />_1. r\ nwns olrh. roFdy, (, nry.'hpk,yB wirn wl8cs o\ rhcn $b conll.n\!'ion, *illdo th. wk 0d th. stBlN n n
<br />i' c l.d or olltrcd ihr Ek (Ss 7O+r. Bu(inc$ ond Protisbns Cod. Th. Conr ttr\ l-iGn* lnw ddg mr rrnly r(' sn oeEr ol
<br />rhcInlrny sno huilds or iq,arEs Iho!)n. dd rh) d6 suh k)* himsclror h.r{llor rhn,*h hn or hcr o*ncmpli,yc.r,
<br />ln)vi(l.d 'h!r
<br />su.h in{mEftnk e dn i.r.niGi orofilEn forel€.lt h'EEr.rE hriliry nr i"{mrqE n$ldwilhirnmrrd
<br />or co,{lcinn. th. (rmr Auir:L, urll hlE rlr bnrcn of pmunB rh, tE or s}F dd nn trild or t t,n,k !h. I'oF y tu r,a F!F,E ol
<br />-1,
<br />( owE. of rrE Fqdr. d .rcluritcl, snl'diI3 vnh &rtrt6d rodr-6 ro d,nnd rrr tmF (Sa. 7o{. auruB
<br />.d Eo{.f,.imCod.: Tn ConIBb Lr.n( tr* do6 mr +?ly ro s o*ftr orFoFny who t'lilds or ihrDEr lhdB,n.
<br />r.d *lI, 6fids lq *h rFj.r1t *ith. Clnrrr-|ono lisF.d FrNd b'lE CodBl \ LtcE L.s).
<br />I rncr.n u.d.r Sfttio._
<br />,..,-06-2311
<br />B &PC tordtuon.
<br />< LN-j"lM-cr
<br />raxlititrs:(oul}:Istra!
<br />DIrg,lt-&1I0!
<br />I h.rrhy rrfiirn unds pcnlllyolpsiuryrm urrhc n,l),rwin! d&lrnrirnil
<br />-l
<br />Mv. n will @i.hin , C.nif.rl. or Cotrenr ro S.lll.ruE for rcrk6 mn{EN h.. I Frcvil.d for by Seri)n l7m rr rlE
<br />llrfi CdL, for rh rl.f{)lrrEd of IE q,n lm *hth
<br />',E
<br />tE.mn b isEd
<br />_l h.w rnd will Nimri, wo*6 .onp.Nri,n iffi.. s 'quiEd b, S<rion l?m oarl. ri'or C.d.. fq rlr Frrdrrc o,
<br />tlE port ld vhich rhi. Fsn n i.o.4 My wtdi onFreri,n itslllur ffi. rn poEy mn$G E:
<br />PolicyNumticr.
<br />-l
<br />ccnriy rhrr 6 rh. p.rrormn.c or rh. "arl r1r which rhn pcrmir ir ir$cd. I \holloor.qloy an, p.6on in.ny nurcr
<br />v, $ t, t d,oE xlt'rcl lo rtu rorksl coorF.rd nln hws of Calitorni!, and {88. thsr rf I shuld tE om subj.u ro rlf,
<br />*orkc.' co'nFnsll ion DmvhiDnc ol'Seclnr l?([ ol lh. titrr Ccl., , shlll. hnhwnh .onDly unh thE pmvtions
<br />W^INING: litrilurc ro sa. *ort n'.onEnsdion ovcm8e ir utrllwtu], und rhlll $bFr e cnpbytr lo dinind IEElr.s i.d
<br />.Ml lin.r up ro .tu hu.dr.d rhousod doll.F (S1m.000), in addirn,n r. tlE c.( .r comFnerion. dm8.s ar rovdcn lnr rh.
<br />s..r{ r(176 0r rh. titxtr codc. orcrcn md r .my r lils
<br />L -L\9 c,t-t -.,w
<br />Lt(m!r_(a.Ir3.J!taB
<br />DEtt l&lItui
<br />I l:rby .rrn un br p.Elry ol FFry rhr| I m lir!.d ui&r Fvisbn of ClElxd 9 (offiint *th Sdrbn l@0, of Oiviri,n I
<br />ot rlr BuriBr .rd ttotBi,B Cod., .,n ny L..trE ir in tull for .d .ltdr
<br />,:o!!:If,lcuol1tEuDlNc-acllqt
<br />I imny rrrn undd pcMlty of FrJury ih! lIEr ai r od{iarbi bndiig .8*, r.n rh. Fl(,|rrIE ot rlr wrk for wnEh lni rEmi ir
<br />ir*En (sd 1097. civ c)
<br />ttn&r'. Ni.E
<br />AIPI.KAXLDECI.ABAIIII!
<br />lllr$y,turu, d p.n,lry drp.4ury o'f, o, rh. hllownrs J(hrario.l
<br />l).nr,lirnr Pcnnir$Asb.ros Noillc i(,n ltdsrl RLBtrltriion\ (Trlc,i0, lbn6)
<br />R.qri, la(crotNotifrarbn
<br />_l c.n iiy rh.r rhc fc&ral r.8lhrirns Reddin! !\h.sbs rmrlal d n"rl irhhrrrhi{pDJ.{r
<br />_l cd ily rhd I lEw Ed rnir .ppli<.rrr tt nlk rhi rh. rti,E i.foldio. b .(),d I rsE ro @mply anh .I Cn, ind cl'unry
<br />rdiMLB .rn n& Llws EhruB ro h{i5i4 .oMMiotr !i hdr}y ruuo,iz EF*nldiB or lhil Ciry {d Cdnry ro cnld opon dt
<br />t a,^lduw
<br />S A}.IDY
<br />-, {n - L\ -7--l
<br />.boE En'.Ed F.Fny t6 iB,!c.rro. rqtrxs
<br />Aprllot d A16l SiaDtur.._
<br />P.mit( Em (Drln0D
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing 7.r*2t -,srEf .{Lz
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 7-1-t -?i 7 a(v? .l 7-
<br />Certilicate ol Occu pancy
<br />Notes, Remarks, Etc.
<br />DATE
|