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BUILDING- INSPECTOR RECORO
<br />SITE-WORK DATE ID/SIG.COMMENTS OIINER Bt'ILDDR Df, LA'ARATION
<br />I h6.t! srm lnds FlXy of Fju'r- rha I o ddfl 6om rlE Co'n6<1o6 LtG k* aor lh. fotlowirs rd,n (Sc 70l l.t
<br />U$inc &d Prof*ion Co&): ,{., Cny or Counly *h(h rqon6 a pannn n, coNlruct. dt6, imprcvc, &r,olBh o, rsir uy.
<br />nru<ru., Fi,r lo ir! i!.w...to rctuiG rhc +dkmi for !u.h Fmil to fil. ! risEd narml lhll tE or sh. i li.osd putsd
<br />ro rh. FrvtioB of ll! Conl.rroi3 l.i..!!.d L!* (Ch{i6 9. Comftin8 *nh Sdion r0oo or Drvis6! I ot lh. Ddin* dd
<br />n fdioN Co&) or $r lE or srE i! ddl{ ordcnom ri rlE b..ir for tlE dksd .rolplion tuy r $Lrion of sd$. 701 1 t br -,r.-.rpli(d for a FnI tubjd3 dE .p?lksl lo . ciuilFshy otml mrc lha lir. hundcd &,lld (1500)
<br />l. s owd otrhc rrlFry, or 6y cdpkryc wnh wat6 s rh.i $L onp6Mhn, wiu (I) ih. knt d $E nrulc i r{
<br />idoktdl or ofd.d fd sl. (sc 7044, uuit6 ud Pr.fdi.B Cod.: Tn. (\nlE lor'r LjcN ljw do6 nor apply ro osnd ol
<br />th. I(,IEly who hlilA or ngo6 rhdd. td *ho dE Mh *o* hi6.lf o. h.Mlf or rhrcu8h hir or ls os 6plo).6.
<br />rrnv*lal rhr $ch imFoEtEr! e ml darLd orotu tu r]. lt ho*6E. rli h'ld,E o it4.oe@r i! sld uiltn rr )t
<br />ot snpldio'! r,. O*E tllilta rdl ln! 0E h,rh 6f Fr'nS rlr lE d tr .lil d hild n inForr ttE F4dty &" tlt F,FE ot
<br />L 6 o"n6 ol lh. Impcny. m cr.lusivcly cool,acrirs wilh licoEd .onlrlcron n, $dtud 'lr Fq* {Sd 7044, ltu,n63
<br />.rd ttDfsin Cod. I h. Co.trcror3 t-i(.n!. ti* do6 .or apgly ro d osn6 o f rropqly who bu ilG o, mprc!.! rhdon.
<br />.nd sho odd! for i!.h Fojdr *nh ! Codrrro(s) li.ds.d pors.,n lo rh. ( oddors Li.ro liw)
<br />I m.rmF unld sdhn
<br />l).r. ()nncr
<br />vQ.Bli}jar(aufErt rat
<br />DISAAAfIa!
<br />I h6.}lr rmm unJ.r Fnjhr ofpdtur) on. ol'rh. follo(n$ ddl.vnuoN
<br />I fi.r. erl *1ll minlli. r Cdifrd. of('o.sr ro s.ll-lerc ld $0116 smFd6n. 6 Fovd.r! lor b strii. !7(xr of rlE
<br />l.tr,r Co<le for th. Ffolrr@. of lh. $ dn fM $tth rh. Fmh i! isu.d
<br />I h0rc a.d srll inanrdin work6 conrp.Narion rBu!an... cr r.lutredhySertrin:l70oofrh.la&tr(bd..lorlh.IEnnluu.r
<br />rh. s forshirh rhnFmi t isu6j MUrrlc oh,-- hod,-u"tr t+r*
<br />*r,., ^,.o,!Ar+ !O 6C 4 Ll
<br />T1 iBumc di6 xld polky.untd r.:
<br />oa-t7- lB
<br />I.diry rhll in rh. p6for@c. of rh. worl aor *ni.h rhir pdmir n isodl. l shlll nol dploy!n, Fen in rny nidnB
<br />$ 6 to b..o@ st <r ro th. world NmFrEdiotr Lu of C.lifomia ! .sr firr il I shoud bqoo. kbrd lo llE
<br />h d @nFsrion pr.rilioB of salion 17@of $. Llln ({ic I tull fontsnfi @dp'r! * ni thoe Ft\ tbB
<br />$Atnlic: F.ilurc lo sm s!rt6' .onpqEaion Nvs.s. B uhwtrl. 6d .h,ll rbir m odoyq
<br />'o
<br />aihind Furs ard
<br />chil nn6 up ro oE hon&.d thoE.d thlld (t100.000). i. dlnion ro lt!..n ol Lo,rFMror .LD86 $ r,ro\'<lcd aor dE
<br />sdtun.1076 of'hc Ilhn ('ode inr66r ud rt,nEy s lG .l)
<br />ll;ctl8Arlo!
<br />I hd$r .frm un r Fdry ol Fjury rhd I n liGs.d u..lq For iion orour.d 9 (6ffir.s *dh lidDn 7sJ0) ot Itn sn. .r
<br />.f rhc B6ilB &d ttnf6sB corL. di my k.M n i. alll fora {'d cfid
<br />D P,C f6&6
<br />-".og. crf r.} (oirr,(,or rx Lf,r^ril.r. U.Ltlc+*>
<br />CANIAUCIIAN.LfdIIIC.AGI!(I
<br />I hd.by amm u.dd tbahyofpqjury th.r lh6. na conslru.lbn lodin! axdcy aorih. pdfonnd(. olrh. rotk lir nhi(h rhis !6nir b
<br />&u.n (sft 1097,('ir ( )
<br />APPLICANr NFCLARATION
<br />I ha!b, dlm uid6,6.hy oapajury orc oflh. followinu {k lqslioNl
<br />lxdl bn Pmnl^ib.nc Noriardio. r'dk l R.gulrli'ro 1I nk 40. Pd6l
<br />R.qui,rj Lll16orMrf'.r6n
<br />I cqliay th.t rh. Ld6!l r.euhtioE r.sodins 6b6lo! rtrov.l e not ar4liclhl. b rhi! poF
<br />3 t .-n, ,,,, t t"'. ,-a ,no rDpl(.r
<br />'un
<br />.ld rd. r h, $. ibovc i.aodio. b coER1. I rsE lo onply wilh lll Ciry ind ('ourt
<br />Gdltud dd Srsl. L.u! ,&trB ro hi d'ne ..nsdrtr rd h(.h, dhort r.F6diiG of lin ( ny d Comry ro ors uFr dE
<br />ftor. mrion d FlFry fd i,qqrirn tr F6I
<br />Aprr...rorasdrsriuur.:* -[9,^g5^
<br />q ,." b&. ci,F
<br />p.mr,( Dn.(pr,.,,: A Jv \_^- \
<br />I
<br />Forms/Steel/Holdowns b)q It h /l^tfiT){ ra (
<br />Erection Pads (Erltpt"r" d-,r*; l,s*.5t'sn4 (;\ -.1-.
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing (A)
<br />lnsulation/Energy
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Ce(if .
<br />FINAL r(m\], \\A
<br />Certificate of Occupancy I
<br />l\otes, Remarks, Etc
<br />tt I I
<br />l rl il
<br />Wo .k -.-t.rtt- rt, 1fh r;a"*\.'
<br />\
<br />0 (
<br />u
<br />-)D
<br />I
<br />qD.,., ,ot.- 6?, [J
<br />Set Backs
<br />UFER Ground
<br />I
<br />Drywall
<br />I
<br />I
<br />I I
<br />I .Mrt
<br />Ji!
<br />)/trJl ,4) -
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