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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER DUILDER DEITAR TIOii I hdctr .Ifm u.dq Frlry of pdJury 6a I m danDr ili rlt C6frar6 l-a@ t!* Ior rh. follosiry ra.t tt( tull.t Bcr{ dn Pr.l6io. Cod.)r Any Cn' o. Cordt ehkh r.qric. Fnn lo co'Erud. .na. ir9rorc dtolbh or ,tp.tr er rM@ Fitr to irt i!lld.. lLo rc+n6 rh. +r'li.xr lor 3uct Fiur b fL. .tsftd qndrEn rhi h. or iE ir licoej FEd ro rlE F.v!b6 of rlE Co.rrdo.i Li..a!.d t * t(tucra 9. Coffiin8 *nh S..rion ?0O0 ol t iyn6o I ol ilE BuilB od FmfBhN Co&) or rhd lE or nE ir amPl llE.from Md rh. bdk tor lhc .lks6l.tdptioi Any riohlio. of Sdion 7011 J by !., 5pplicml lor . FDil rubjcl! lh. .r?licul lo . civ il 0.nrhy o f ml mrc thd liv. hui&.d &ll4 (1500). l, a oMd olrh. pdpdry, or oy coplorG wirh wisB s rhci eL @f,poerion. sill rh E sort ad llE rlruclE ie fr, imdiLl or olt rcd Lr !d. {Se ?044, BBind &d t}oasioN co&: Th. Conrr.cloar l-icre liw &'6 rcl rpgly to M o"nd of tlr FtrFiy wrb tlikl or urpov6 tlE@lr lrn [h &E *h $nd hiN.laor hmllor rtmuah hn or lE o*r.m9loy6. proritcd lh.l qch i.FDrqE ! G 6t -nad.d oIH ld sl. lt hos@, ttr txlldng or inrFo\d6 it $ld *nhin oE )a ofcof,plti\ tlr(){E Buitla * hlr iE h,rl6.fF.lrg drr lE d{E dn 6l hrild oi nnFDE 0E FoF'r- 6r tlE F,FEof l. s orE of rlE FsFr!. d.rlsndy codr.(lns shh li(aE d cotudm ro sldru(l rlE rmFr (56 7orr, ttdl6 &d Aoas6('o&'I'h.Conrrrror'!Lr.MlrsdEmr.gr,rlrodo*.aoapmFnyr'hohoildsorihpro!6lhs@n. ed $ lb co rar for $.h Fojds unh. Coddio(, lk.B.d prE@ ro ll! ('o,r'&ioai l.n.e tl*) I n ucmpl und.r S..lion D.r. Orn.r 1l]lBlir:&r:(arlrEtt IIax DIOJSAIIQ! I h(.bi rfinn undG Fnrh).fpcjurl orc ofrh. (nn'"l|'|l 'l(lJa'n N I hL.d $nl rut.in. Cqriftd. of Q'@tr ro Sdf-l!u. fo. Nrts orpadioc s FlriLd lor b, S<.lio. 17m of rh. L.td Code fq E Ffclrc of rlr wt fon *txh rh. p- n . i$,.d I h.E rnd *'U ui.rrin *0116- comFsrioi ,NurftG. 6 r.quied by sdh.l7m olllE t bor Co&. for th. Ffon,e. ol rlE ert for *'hrh rha! p66a ii isrd My $!.ta- .omFa{ion iMftr. .ei6 nl polty numb6 r.: I cdit thr in tlE Ffoffic of th. worl for *hEh thi! Frhn ir issE( I sldl ft oph, e, Fi. in uy mmd e 6 ro bcoc ltirr ro 'tE ssrd' omFqion bs olc.lifomia ui .ar thd if I JDUId b..om st*lr lo llE *ort6 onqEd io. F.virt'E ofsdir. l700 of rlE rlt.. (_odc l irll frlhsth onlply * nh lh- Foriroc $ARNllC FrnG lo w Erid' @mFlnDn oras. ii unh*tu!. .,'d shlrl $t*( a ophls lo sinlul F&16 lnd ci\il fo6 up ro oE hu'ldEd rhoe.<l doll$ t t 10(1.0(10). in .ldnioa ro E.d of cohF6.lion. d.,r.s6 u Fori(H for lh. S.dion .!076 ot rlt lrbo. Codr arldrn rld nrorr., ! rc U(E$f,A!A!TAACTAA DECjAaAIIOT I h6by ilrm und6 rdahyofp.rjury rhsl I m lko&l undd Frvilio.of CnrPl6e((ommftins wnhS.6ion T00o,olDivirion I ol lhc t|6ind d PofdioE CodG. id ny licre is in tuU lorcc an dtdr (l)lirf,u(IiolLl:xDlxc.d{itilt} I hdltJy .rfm unds Fuhy of pcju.y rhd thd. n 6 n)ndtodirn LliLs .Xfty ,or lhâ‚¬ pqtumMc. otlh. erl fo. *hkh rhi! Fnir it isu.d (S( 1097, (iv ( ) AITII(A&LD}:CLAAAIIA! I hod,)'lrftr uja F6rhy or Fju r- oc of llr lollouns &(hrnnN: D.mlnio. Pmi.-Astdd NoritE.bn F.da.l R.luLt iod (TnL 40. Psl6) RaNdrl ldra ofrldiftnin I cdi!rhar rh. LJdd râ‚¬Subtions r.sedinr atEk)s Enovdl dâ‚¬ not appli.ahl. kr rh! ptur.( - I.6ribrhal I hevr.dd thb appli.dlio. .d .r c rh.t rh. abvc infornar'o. a.oft(, I.sraro.onplysnhallCnyofld(ounly ordiMc6 dd Sllrc I iB rchrinrr to buildi.s .o.nto.lNtr rn h6.by luiho,iz r.F6dhriv6 of rhh Cny Md Counl) to o16 uF. ltE .bor. ,Hlion rl pfutdy ffr iEFrtior puFE. Appli..nr or.ti6r shn.iure P@ltc rn.(prlno: Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor SubfloorNenUlnsulation / Roof Sheathing qIo /> 5. a,4 tal dv Shear Wall Frami ng lnsulation/Energy Drylva ll Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL <n?/t ? 5.VY ?rfll I 1 padat-Certificate of Occu Notes, Remarks, Etc I I I I I I rtl