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BUILDING. INSPECTOR RECORD SITE.WORK ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenVl nsulation Roof Sheathing Shear Wall Fram ing lnsulation/Ene rgy D rywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report FINAL fcr11 'i\*< Certificate of Occupancy Notes Remarks, Etc OWNER BUILI'EI' DEI-C RA'I'ION I h(.t'y rmnn uftlq p.narty ol Fjury rh,r I m .rnpt 6nn rh. (t'ntadon' Li.(* lr{ for rh. (nk'f,r8 r.aen (s('7o:rl 5 lhsin6s rrd Profcn'. (-od.) An, Cily or CounD shich r.qun6 o rF.n r. coc{ru.1. .lrs- imtn\r, Lknnn6h or r.rEn .dr_ irucluc. I'irrro rts suuc.. de r.qun6 rh. rpplrdl for such Frmi r. liL . .i!..n ndmd 'hd lE or di 6 ltncd n{r slrnl h th. rriirioN of tlE Conl6lois Lic6s.d L.w (CfisF6 9. (ommdcrn3 q'rh sdlon 7l)fir or Dtrirh. ll of rlr Bunn* .tu l\ntsFn! Cod.l or lh.t hc t rrE is cr@pr lhFdioddd lnt h6i! for lh. llkx.d.rmFr'n Anvrdldb..lsdhnTolli(t'lI' rjJr'hc!fl lo' ! Fi rubjarli rh. rpplicer to aollpo,lrrofmr mr.lhm nrr hun&dl dollrs(tsm) l,6 o$c.frlE FoFdy, or m! mplolG wnh q.36 6 rh.n $b mnrE nFr. u'ill & lL\dt.tlft rnnft ! nn rrorLd or ofld.d tu eL {Sd 704r, BuilB ed Protdioc C!&: TIE (t nrr-r.ar Li.M t s rh6 d Tpl} lo h.{ qn o, rh.Fopqtr rh. hitl or i,t!.o\6 Eq !d $ls &E *t sort hi,rllor helr.r thmuah fid r h.r orn mph16. Ford.d ihi! kh imF.\ffi R d idod.d d ofia.d tx sL lf. ho*6c. t|r trildiB .r iguqEr i rld *ah; oE ,r of$lipknr iE osF A{itb s h.rr rlr hlrb of Fo\ite lld rE or rlE dn d tlnd n i,gtr\r lh. FiFiy 6r rlt s4rEo, l, s NE or rh. ForEr!. u -clNn.ly co'ir..! iiâ‚¬ \ nh lK.!B.d codd.d ro o'ritu rr Fi.{ ( sd 7or{, 86B .,i Protsin (-od.: Th. co.rErors Lkd tr$ do6 mr.rpl) ro s o$n( ofFoFdr nlF trilds oi 'nrro\6 rhd6,n. ind sho onrdl' fo. sh Flirrl *nh r Co'rncro,lr) l-s!.d 86rr ni rh. ( odrdoa! l-r.e Lu ) I e'.\ofl undd SalFn D.r. O'tr( !()a[r&r(aufi;!salla! DIS,AAAIIO! I hd.h Nmr tr.&r p.nah!.fFjun on. ofrh. folLosin! d<l,ari.B l h!\r !d *rll minrrh r C.nificrG olCo.gr ro S.lr lNE tur trorlm' .rmpddmn. B F iJalforhlSdion rT(x)ollh. Iitu (i{.. for lh. p6fol1Mc. of lh. *ort for Btich lh. pcmn i! i$u.d Ih .end willmainrarn sorl6 .omp. $rrcn rBunnc.- d r.qutr.d h, Sdriin:r7{Ooirh.l.hor(i)d., nnrh.p<fommc.ot rh. rorl rr *hich rh! p.rnn E s.d My *!rk6 .onpde'on iBurM....ri6 fti Frli.t numh6,.: I cdiry rh6r 'n rh. I,rfoftdi.. oarhl $ork for Nh'.I rhis td,.ir * issu.d.I slrlln.r.n|lot inr pde otr.t,noncr k, er k' lx.onr nrbrdr lo rfi. *0'16 conposation laws of aalifomia. and uR (r*r 'I I strluld lron. .uhjdr h rhc so, [6' .o'npo,sron pn isr]ns of S(rion 1700 of rhc I iEn ( hdc. I shd l, tunh\r irh cohd! si h rlhk WARNIN(; Iidilu. t' Fm trorkm .o,ntaqion .ovdaS. ii trnl.sful, ri\il l-'i6 up nr onc hundr.d rhouend d.lim (S10o.000). in adJ ion tr. d*tr$trs as I'o\d(i ln' rh. S(rtr'n 1076 ofrhc lihtr Cri.. [0 -L i( I hd.t') rftm uh{t r Ftrlr, of p6j-r_ th, I @ l'.o..d udi FolBbn of (turr6 0 (.onllftin8 u'rh S.dFn'lutr) otl)'lBioi l of lh. lrusm ud PDaGioB Co<lc- ,rl iy la@ ir i. tull tora !d.trdr RRtuii.n I drd olNo'incdli,n I cd'atrh6r rh. Ld(alr+ulartrN r.{ddr! l.dil'\ rhar I h .r..Jrhis!pplicalionanl orJnmnraand star.ljlvs rclotinr to buildinsco rlr\. n'cnrur{lInolElv lnr sr--.r \t,t,ri(itrr o, \!r rsi!nirtr,r (o .-1 "A(1 CONSTRUCTION LEI{NING ACEII(1 I lE.$! lmmu*r Frny otFiuD_ lhi llE ir !otdruclih Ltdos l8ftt fo. rlEFt(,lja.6f !h. *. tuutkhrhi!Fni a irs.d{s< .0e7, ( iv ( ) ATTLI(AILDE(]AIAIIO! I HI..fmu.d.r Frhy of Fjury oft of lt folLu'io3 &rhrrhns I).mlr6n Pmtrs-Alidos Nori6c.rion F.d6.l RqubrioB(I 1.40. fd6l 'sn.nNr lr['ar]$ l'lvs hrll(,d rl(i{nr} rq'66n(n6 ol rh'r( ir) trnd(\runrtt).ird uti{rlk tur W (.a (D-L- (1 DATE I Flood Zone Certif.