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BUILDING. INSPECTOR RECORD
<br />SITE.WORK tD/stG.COMMENTS OWNER BUIt,DER DELC RAIION
<br />I he.cby amr uad6 poall, of D€,jury rh6r I an exenpr Enm Ih. Conridn6' Lrcensc La( Lr rhc tolhqrg lei$n (S(.70J1.5
<br />Busi.6s an<t Prof*'on Cod.): AnyCnyor Couni, Nhi.h r.!un6 a p.nnn ro consrrucr..lt6, irnpro\.. &nolish rIqrtrmy
<br />slrudue. prior ro irs is!uec.. rbo r.qun6 lhc applicer for soch Ff,nh ro filc a sign d srddnd rhal he or shc d licdr.d puu@r
<br />ro the Fovisions olrh. Conrlacrois l-ic.6cd Las (Chaplr 'r. Con,n.n.ins Nilh S(tion ?000 ol Division I of rhe trtrsinss Md
<br />ProfBioN Cod.) oi rhar he or sh. is cremg thacfon ed rh. hab for th. .ll.s.d .\onprbn. Any violation ol Se(1nrn 70ll I 5 by sy
<br />applicel tor ap6nn srbjelslh€ applicnnl lo acililpemh! olnol nmr€lh li1. hundr.d dollrs ($50o)
<br />I. a ovnd olrh. prcpcly, or my.nrplor€e \vilh wale a\ thcn sob cohpoErion, \vi1ldo lhe *!* ud lhe srrudu! 6 nor
<br />inlq'd.d or 0,16.<l aor sl€ (Sa 704,1. Bu.i.B dd rtofsioE Cod. Th. Conrraclois I icd$ Las do6 .or amly Io an o*n6 of
<br />lh. popqly Nho br ds or inFoc tnsotr md who do6 str.h slk hinscla or hasellor rhrcugh ht or hs o\r. .to01o).6.
<br />prolid.d lhd srch intnoffiots ft nol inloded ff oreed aor eL. l[ hoNds. rhe hildin* or i,qrormml L5 $ld rvithin one y@
<br />ol compLlion. lh€ O"nd t !ild6 tr ill havc U€ bud.! ol p0 ing thll hc or she dil d hrild or nnFo\t dr pmpol, for lh. purFr* of
<br />I. a owns oath. propdy. M .x.lusiv.l, contrdin! wnh lic.N.d conrmclou ro co.stu.l rh. projst (Sd ?04t, B6'n6
<br />a.d hol*ion Codc:'rhc Contradois Liccns. Law do6 ool apply to an osr( olpropgly Nno builds dr inrro\s rh6.on.
<br />dd *h. .onth(s aor srh prcjets wirh a Co.tmro(s) licGcd ptrRudt to rh. Conr.cioas Liccnsc La\v).
<br />I ncrchpr rndd Sction . a. & P C. for this re on
<br />Ohner
<br />tloa(ElLcaurENsall(1!ulc!48 rlll!
<br />I h6cby attinn uod6 l,salty ol p6ju, r- o.e of rhc fdb*ins ddldaxoN
<br />Ihar.a \rill mointrin a Ccnific.t. ofCoIMr ro S.li'l6urc fo. lvork6i corrp.ru.rion, s pr.ldcdlorbySdio.1700ofrhc
<br />t b.r (-od.. lor rhc pdrom.nc. o arne *ork lor rtich rhc pdnn is irsx.d
<br />a4lavc and Nill mainlain Nork6 coqicBalion insuEncc. s cquncd by Selion 17(JO of rh. L.b.r Cod., lor lhc
<br />',oaofrmcc
<br />ot
<br />rh. wo* ror *hich lhis pdil i! isued My $0116 conpselion iBurancc cMid s'd Dolicy numbd e.:
<br />cona 'E -f-na--<,- ew!4
<br />+o++ta+- <-.69=!.4
<br />, "*r, *, . *. *r$,i"?fr k,F..?"n *o *,,, '.
<br />.**. , "n,, ,", -,o.rzonr:*l.l ," "3ff,"L-]e a to bccom€ $rbjNl to lh€ wo.t6' comp€Nl ion laq s ofc.lifomia. and asc inal if I shoold rro,& suhjccr to rh.
<br />*ork6' NmpcNl ion p,olisions of Scction 1700 {h hc L-abor Codq t shall. lonhrvilh con'ply Nilh rhos. lnn bi.
<br />WARNINCT Failuc ro su. {orld .ompdelion .o\@9. is unlaNaul. tud shall suhjal onplo}6 to ainin.l tnFftks anC.
<br />.nll nn6 up ro onc hun&ed rhausand dollm ($100.0001, in addiri(m kr rhe cosr conD€n*b.. danr!8cs as povidcd lor lh.
<br />76 olrhc Labor Cod.. inrer6l ed auom.y s f6.
<br />e-t 9- lb
<br />llclaldllox
<br />I hcEby .,Im unds p.mlty o I Frju.y l&l I d liceEd ufld6 provision of Chapt6 s (o,nnH.inr $ith Ssrion 7000) ol Dn ision I
<br />of
<br />'h.
<br />BusinsMd Prof*ioN Cod.. od mvhc6* is in tLll torc.d clTal,6 bFrqq
<br />.,-,""*".,"",, -i2=lP-D.,e: L-+aLAb-ti-lt-yJ\ cc- P...n-, q*l
<br />I h.Eby ritm @dd poahy o f Frjlr, rha rh6. it . coGrtucrion Lndins asdcy lor rh. pdaonMc. of rh. $ork aor $Ii.h lhil F6it is
<br />isu.d (sd. 1097, civ c.).
<br />L.ndd s Ndc:
<br />AEU(ANIDIiCLABAUq!
<br />I hd!b, a,finn trndr p.aahy ofpdjur, onc otthe lbllo*in-! d(ltralionsl
<br />Ddnolilion P.rmns-Asbctos Nolifi carion rtddol R.guldrions (Tnl. 40, Pai6)
<br />R.qun.d kns o t Nolilicalion
<br />I cdily thal rhc redsalrclularions esddins Nh6tos roDualarc mt applicablc to rhis [oj.cr
<br />l..nilyrhd I har. r.ad rhBappli.ariontrdstar.rhatrheah\€ intunnahon Ls corNI l0sreto (nntll *irl iLl( ir\ .i(l(itrnr)
<br />oidinan.6 and Srar€ h\ys relarins ro buildins consrru rcpl$eDlaln.sollhh ( n] d C.unD k, .ntr upon the
<br />ato(c nEtion.d prcp.ny for
<br />vurad-
<br />t- {3-(t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL l.tt'r,r"14-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />Subf loor/VenVl nsulation
<br />Pool Fence
<br />C
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