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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation ../X-,Roof Sheathing t /< /ta
<br />Shear Wall t
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />IL---)
<br />FINAL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />OWNtrR'UII,DER DEI,('ARATION
<br />I i6.t'y .rm lndd FMly of pcJury lh, I m dmpr 6!m rh. ftnt..lsa Lcc.s hw for $. hlk'viis r@. (sc 701 L
<br />B6ind and Eoleior Co<t ) Aiy Cny or Cou y whi.h r.quG i Fmi 'o odM. .ltc. inprove dqmlirh or re.n dy
<br />dtu.r@. Fi,r ro 'ir iwq rlo EqriE tlE +li.&r lor ikt Frd ro 6k. rbn d nnmr $i li o. iIE ir li.6.d FrJd
<br />ro rlt FolEiod of rl! ConE&rdi Li@.r.d Lr* (CluFd 9, Coffiir8 srh Sdion ?0m olDivnhn I of rh. &Bi!6 .nd
<br />PmfBbB Cod.) o. rhd lE n slE i! ddqr tha!6lm .,i llE bGt for llE tlk*.d dq,Fio. Ary vi,ldirn of S.di). 701I 5 b, {y
<br />$pli(sr ao. tFmn ebr6B lh. +pli l lo . civil Fn ft, of ml mr. tha liv. hu(tql doll-! {t5m)
<br />-1,!o{Gofrh.FoFry.nmy.ophlcenhe+6-rlEtekcomFElnn.*r!dotlE*dIedrEtMmit6l! orLd n olt6d fm eL (Sa.704.r. B{sir &d ftar6nB Cod. ThG coilr.dd t l.a.G t w &6 d +9ly lo a ow ot
<br />llE FiFr, $ ho hr'kh n inso€ tlEoa rd who dG (tr mrt hilEl, or hcxlr or lhFush hi d lE oqr 4ph)q
<br />Foudcd rh.l sn iiFor6d. ft @t iddiLd o,olldql hr rl I( hov6s. rlE h'ltlB n irsBoGr a $ld *ini m rd
<br />of .onplrin rlE (xG BuiU6 vil hlE $. hrdo oaF!$t tL lr or llr dil mr hdd or ir4.o$ 'lj. FrFy 6r lrE F po*ot
<br />l, 6 o$n6 of rhc ltllcrx s.icl6nrly conr{lhx *nh li.6s6l cod &1o6 n .{ddd rh. Ftrjd (S<. ?Or.r. tt6rd
<br />! l l\rks.n(i& Thc Contrdoai Li.ru bq dG n rrlf'|, h uos.a ofI,on n] trho bul.ts or imp.ovethqon,
<br />nnd wto conr,icrs to iuch Fojcl! * h a CodtEcto(, lrouql !,uRMrro lhc ( onrr.cl,n r l-ic* l,*)
<br />lrn.r.nrpl und6sdlion ,A&l.( litr thB (&,n
<br />l).rc ox..r
<br />tloBlr!&u(autrltdll9!
<br />lll:gASarIltB
<br />I hd.hl a lljr rn utrdd pcmlly of psjury on. of rhr follos ing d(lenrionr
<br />I h.r. .,rl *ill minr.in ! C.rrifEal€ of Consl to Sclf- lBUt. for *lnlar comp.nd ion. s Fo\ id.d lor br Sdi,I l7O0 of rh.
<br />lrhrr ( odc. lor rlr Ff(,ljlm. of rt $o aor "tich rh. p6tri! ir so.n
<br />I h,v. rxl f,ill minr.in *o*.ra conp.BdKn iBuru., 6 raur.d b' s<rtn 17m otth. kbor Co&. tor llE Ffotu of
<br />lh. f,orl ttr whth rhn Fnn a isEd My s@I6 ooFEiior iM4..&ir nl B)ltt.!nbd e
<br />Poli(! Numt!-tiitr6
<br />-l
<br />cd'ry rhll in rhc Frolr]a. of th. $ort lor *hah thB Fm ii ie.n.I rh.ll d d,hy u!. F$tinotmm$ s ro harm st dr to rh. "o 6'ooFErion L$!or(.lifomia. !d lsE thi ilI rlbuld b..om $t*(
<br />'o
<br />llE
<br />*irr6' .onFdion FnvilioE of S€lhs ]?m ol0E 1$or Co<lc I ddl fonhuin 6mplt q nh lh.r F!\iibE.
<br />WARNINC FoluE ro s@ rerl6' onpqsdbo Nr6,s! s unLutu!. . .h.ll stiFl u ophF lo oimi.tl Fdtis sd
<br />cril lifl6 up to o* hudrcd lhoGed dolb! It100.000,, ii lddnNn tu rh. (or of coipc@rrotr &.us6 a Foid.d lor rh.
<br />DlCBtAllo!
<br />I hd.by amrr undc pc.sh, olpdjury lh,l I m lir6s.n ond6 trovictun ol( h.plq 9 (conn@cins *i'h sNion 7000)olDirision I
<br />of rh. Uosinds d Prcfsn,NCodc. ud mylicds is in full hnc a.d.Ild
<br />c0lslalglo!.ljrDtllilcrlcl
<br />I hdltr .Irm urll' Frhy of Fjury rhi tnd! b ! o6tu<ri6 ldrlitlg .r*y for l,E Ffmt of lh. \ut 6r snih rhit p-ni il
<br />iqr.d(ac lo9r, Civ C.)
<br />AIILI(AXI.IECBMIII]!
<br />I noi') .fm unds rE!h) ol Fjnry oc oa lh. lollo* ins &Ll&d n\.s
<br />l)qfriltion P6mnt-AebBlos Norificdio. tcd6!! R.suhr io6 I I 'rl.
<br />.10. Pd6l
<br />-Rctunaj
<br />llltsof Nditur!
<br />I Ldil, rhd rh. ldml r.8d,,rioB E$edin3 6b6G lfrriln. nor 4,rlicahlc tu rhB pFr.<l
<br />lLdrrythd I hav.r.adthGapplicalionodslat.thal lh.ohrv.,nton arion ir.ordt l0F!(tocomrlysnhaUC y.Dd(r,unly
<br />ordiMn.s ud sr.rc l,.wsElatiuro
<br />abv. trrdrNn.d piop.ny lor iftpc.l
<br />Appll.r.l or,^a6l shnilur.:
<br />olrhis ( rrv orl ( otrnry ro rntLr qx,n rhc
<br />e/-71
<br />",," t?- /3t/V
<br />II
<br />Pool Fence
<br />/ /,/z//)'.'wy9 t//\(rl'n 1r'?6 ol rh.l.bo C,d., dr.d md rnon t ! fG t Ir).*- ^rr"-^' x fZ y'/
<br />r rcFNsin coN rR{t'l olt
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