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SITE.WORK DATE tD/stG.OwlI[T BUILDER DEl,('A I TION
<br />I h6.{'y .ltm o.dd Frty of p6iuy rl}n I a qdn filB rlE Cofir.c16' LrGc Llw fo, 0E rolheirs l6n (Sd 70ll.J
<br />Buind ]rd Prot6bn Cod.) An, Chy or C'oufly whth r.qui6 ! Ffrir ro .oinod. .nd. inFo*, &@lirh or Np.r u,
<br />rucl@. Fhr lo il3 icr@cq .!o Eqtn6 th. !ppli.&l for ruch FDr ro fiL . ri8md 3i.md thd lE or !b. n [c6!hj F s!,
<br />lo lhc pravniod of tlE aont rclu! Lic.n&d taw (Ch!pl6 9, Comocing *illl Setion 7000 of Dili.ion 3 ofilE Bui,B &d
<br />Profdiont Co&) q rh.r lE or .h. ir q.nd thqc{Em xd rh. bdir for rh. .lkgql dd ioi. Any vhltrion olsclion 70i L, b} uy
<br />.r?lkdt ao. i Fnn Nbirl! tlE .ppli.! lo . ciril FEny olmr mr. ths fiv. hn&.d &lbs {tt00)
<br />l. 6 osE ofrlE Fopqrt, or 6t oplorG f,th w.36 c tlEU sL onpdirotr sill &, ,r *6t .! ft nndc . ix
<br />i!ld'&l or ofi6.d aor sL (Sa.7044, BuilEs xd Pnrf*i6E Co<L Tlr ( odr.cld r Lk@ r,* d6 m' ely to s ow of
<br />th. FoFly *h. hil& or n{Fq dE6[ &d wh. &E sh Nrt hiDklr or h€*lror rhrcush hir o. h6 o*r 6plorc,
<br />provid.d lhll luch improvsEl! rc ml inls'dcd o oataol i,r xl.. lf. lEwM, ttE &ildins or irlpmvans ir $ld wnhin onc )@
<br />of.otrpki'tr ltE (N,6 ts{ilb will t w tlE h(ln of F.ring thi lE or !h. did d hlild or irp.lE dE FoFry 6r th. Frpor of
<br />_1. B orE ot rh. FDFry. e dctulnlt cod-!!* * iri lkael .odr&6 ro od.ucr rL p..F tsa. 7OrJ. &E!E
<br />!!d EoEqi cod. Tn. Co.ltuor'r Lt.e kw d6 mr ,pply ro d o$c olFoFry *lh b{'ldi or impmtG lb-6n,ad *l$ .on,*r3 lor.uch Fojdl! r nh. Coin io(r) liGsd pul!@ ro rlE ( olntdorr Liw lr!)
<br />I m cr.npt ondd Serior_, B. & P.C. for thn Ee).
<br />Drr.: 0*16:lt!a[t&1](altfI!tAllu!
<br />IECIdSAIIA!
<br />I hd.t'y rmm un kr pad, of Frury oE ot rh. rolbu os dehr,lira:
<br />I h!!. drl *rll maiman ! ( d rfrd. ofcolM! ro sd r-l Bur. ror workar conr!.nsrio., a FD!'dal r,tr by sdior 1700 or rh.
<br />tjbo! (i ( lor rh. pofoi@.. of lhc worl aor vhich th. poflir ie isucd
<br />-lh.v.udrillm.i.irEo*.t.omFMbniNur4qarcq@alb)S<rioi!7moftb.r.bor(-o&.aordrFfolrffi.ofllt *ort fm shtfi lni FBi it is!d. M, w(t6 6mFBIb. iM. nir rn loky nuDbq n
<br />_l c.nif, lhrr in th. Ffolrlec olrh. wo.k lor what lhis pqmir is isru.<! I $!ll nor oploy dy Fen in ey n@r
<br />$ a lo baom tuqd lo ttr *!d6 mnFsion lrB of Cdifomia .d r8G thd il I nEuld beoB st,Fl lo tlE*!rt6 mr{EEdiorFovirioE ofsdion l70OofrlE t td coda I idl nnh*nh ompry wnn rhor FoyitirB.wAtNI G: F.il',c lo .fu. "dt6 oilFlrdiotr covalsc i uLptuL dd 3h.ll 3utit d onphF to .mi!.IFal6 !d
<br />cnil ao6 sp ro oc hun&.d rh.urld &lla (tl00,0OO). in.ddnbn ro th. cor of comFB.rior'. d.r[s6 a Fov'd.d for rll
<br />I CoiL, Drad ed.norEy r rc
<br />Drt", \ Z o 4-?-..-
<br />trlCIa&\IIO!
<br />I hady dTm ur& Friy or F,tr! thr I e li.aE d Er,q Fvirb. of(tuprr 9 (6Mi,g *nn S<b. 7000) ol Divniotr l
<br />of E EBiE .d PrcfdbB Cod., -d o, lidE a in tult fo@ .d cfi*t
<br />t2 t:l.z 4L".2
<br />CAIIIaXCIIA!.IENDING.AGIIiCI
<br />I h.r.bt .rrm undd Fant o f Fjur.- rhc thd. a . oleruLl Fn lddi.B rsdy ror rlE Ffo'I'aa--_G of rh. Nil lor *'hih thn Fn'r !
<br />isu.d (S(. :Lq?. Civ C.).
<br />l-end{ ! ddr6
<br />AfIIJ(AtrI.DICIJAAIIO!
<br />I hn*t .&i u'r& F lXy ot pdru,y oE of llE follo* rs {tdlaaioB:
<br />Dcnohnrn P6mn3-Ast nG Norificrriof, F.ddl R.Sutrirn! (Tirl.40, Prn6)
<br />-R.qutcd
<br />Ldrs oiNoli[..li.o
<br />I .qtly rh.l rh. fordrl r.subrirN Essdi.s atE{o! rm,ul sc nol 4'pl(rbl. ro rtis FDi.ll
<br />-l
<br />cd'O th. I h.( rdl rha .pplf,.rhn in en. rhd th..trr. irfornulion 6 .otr.( I rsEro ongl) wnh.ll CiyDd(.oudy
<br />ordiM6 lnl sId. L.*s Ehi,B io bli ri2. EFerdir6 of lhB Cnr.d o
<br />.boe. mdron d FoFny ror
<br />Appli.rnl rr A*{ rSl* .rur.
<br />l .1".-i,.-_.rp.,n,r,,la1enS 1lq t )
<br />t2
<br />'ru1,2-
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing fL/)4./i't +{"\1?!(
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL IZ/,t-(/,'.c.U\K
<br />Notes Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />T-Bar
<br />Flood Zone Certif.
<br />Certificate of Occupancy
<br />I
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