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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OWNER BUIt,DER DI't.CARATION
<br />I hq.t y lrm ud.r pd,hr.' .f Fjur_ lhd I m qmF non llE Codsrod l k* l,$ for lh. folL*rns E lirn (s.i 70lr l !-
<br />Bsm6i .,t ProfBbn (ild.) Any ( iy o, Couny sh(h r.qui6 t Fsn ro codrud, !16. ml,olc do8riih o, Er.n Mi
<br />dd.ru., Fior r. ns isuec.. .Ls rcqutr6 th. lp?licor for such Fnir ro lil. i riln.n sl&l@al rhtr rE or 3h. t lic.n*d pursul
<br />l. lh. F$rsioc ol rE cont&tm 3 Lt.tEd Lr* lch.pla I, Commtrms rnh Sdhn 7o0O ot l)rvili,n ll of dE tl"rinai rn.t
<br />Prof*rn! Cod.) or rh,t lE r 3tE a ddF lhd.nom t d rh. hdts tu rh€ llks.n croFFn Aiy YitLrionolsdion 1,rl J b, !n\
<br />dDphca ror t pcrnn iubjclr rh. tprli.lnt lo ddvilP.mlryofnot mrclho liv. hundrcd dolles I lJlro)
<br />Vl.6.trEofrh.rrcF!!.dmlmnh'6sihq+66rh.r$hcompcdir $ l&'rlEtrdI!idrrME!n{
<br />rron d orof-.d Li eL {sd.701,1, th.rn6 md P^rlsoN Cod. tn conm<roas ticaE l,$ thd ml 4,pl} r. d otrnd or
<br />ih. pmrsly wtr hikt or in{I vB rhsnn ad *rs &)6 s.h w* hirocl, or hdklr or rhro!8h hh .r hd own cmrloyd.
<br />p.ovitcd rhr $h dFDl61d3 e ml lndi.d oro,Isd t r el. I( rb*6s. rlE tlildrB or inssnEr ir $Ll r rhn oE !a
<br />ofotrpldnG rlE (nG &it& rill hr\. rh. hrdn .f Forrg rld lr or nE dn ml hrild .r nv.ort th. FtrFi, for rtE F,Ir& ol
<br />l,B0$6ofrh.FoF,m6.16rclrcodrfinssnhltraEd(in.!o6t,(!turlEFF(Sc 7on. B6i.d
<br />!d PrDliir Cod. In. Conr,&loi! l-i.o3. Lrs dod .or tml, to s osra oa FopEly *ho bull& or inprot6 lhE(,n.
<br />ard {ho 6. n(r for !o.h projq]l! wilh a CoilEto(s} li(68 d puEudi to rh. (bnlra.loir Li.ru l,w)
<br />,,,:-;[tifi;
<br />)(
<br />,anPCforrh6r.en
<br />D[gdadlQ!
<br />Ih6cby tron trnd( Fnallyol
<br />I h.\.!n $ill minron ! ('.nrtE!r.olcoen lo S.lr lBur. for \o 6-NrrF6rren.6 F!\r.!.|for h, sdion rTtroorlh.
<br />lrbr (\dq aor rh. FIommc. oalh. wort tor $hirh lh. Fsn n iBucil
<br />I h.r( lni *ill m.inl.u world @op.Mio. iMr*c. 6 r.qund by lj€lEn 1700 of rh. b'). ('ode tu th. Ffolrrln. ol
<br />rh. *vt for rtih tnn Fi n isEl M, $0116 onFdrn i,uuc. wE tn polKy.omtE ,c
<br />I.dr'ry ur i. rh. Fforrmc of rlE $orl for *iah rhs Fnn n e.d.I rh.ll ml dploy uv Fsn In uy mmM
<br />$ s ro b.rom sut <(1 ro rhc trorrd .ontEdibn 6"s .f ( .lifomia !d lgr lhi if I 3lbuld beom rubrd h rlE
<br />wo*6' compo$rion pmvitio{ of Sdlon l70O daih. Lh). Cod.. I ildl, fonh{iln mrply *nh rhos pmvistuN.
<br />WARNINC Frlur. ro Bm sorl6' compaslli'n m\de. is ubwtuL ol thdl sotljet s drk lq lo antin Fihi6 ,
<br />.tri nn6 up ro oE h!.dral !hr. &thE (llm.ooo). r ldd [n l. rh. cor oa conF6lrion. &n sG d Fordd nn rlE
<br />!.l!![rlu!-r!
<br />I hs.6! d,ltD unds rE all, orFjury I m licdlal rtuld Dro\itun olCh.Oq 9 (comf,dcins *trh Selirn 7(xro)orDn'si6n r
<br />ol ih. ttBilld ind Phfskrc Co.lc. lri n) tEN is E full loc rd.lld
<br />qolrla!.lcrax.rftDrlc-ac[l(l
<br />I hftby amd undd tE lry oa polu.y Ihdl lhm is r cotrnrudir. lcndins .gfty tu rh. FfomDc. ollh. "!rl i,r {h.h rhs lEnir 6
<br />n$.d (S( 1097. Civ C.).
<br />I.n&-! Nm.
<br />AIII(ANLDEq4SAIIA!
<br />I h.dy drm undd Fnalry ol pqjury o.c ot tb. folhuins ddLsriin.:
<br />Doeln ri Pm lAsbcr.t Norifrcd hr l.dstl R.BUlalnN ( 1 n k {. Ptn6,
<br />R.tuir.d Ldrd oa Notifiolion
<br />I cd'8 rhd rh. fql(d rqruLloB rcsddi.s ilh6tor r.m\d E. nor +plElbk lo lli! DrcF
<br />I "*n, ,",,/*'. ,*,no *r**
<br />.nltre\rx!6r,k l,*: rldlllt r. h,
<br />"h"" -6x r.'Fi' i..,*pdbn
<br />Applio'i or Asdl skn.lurc
<br />irn dld sl.rc r h, th. rh'r. infonndn'n ir .016r I .trc ro contlr sili Ell ( iry dtul ( ounry
<br />rl.linr codMhtr rd h(.!.v.ultnri4 q,.ddtr 6 or rhir ( il! !d Cou rro
<br />B/
<br />"-"T{'._Pa r.rru7
<br />\4 ),2-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 't /i1 illT > r)P ix:71-t 'o
<br />Certificate of Occupancy ./
<br />Notes, Remarks, Etc
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