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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARATION
<br />I hd.l, r(fm uido Frly oaFju.y lhn I m ddpl 6Dn lt Conlttctdt Licds Lt* ao. rh. fol,owry l.en {S6.'70ll.t
<br />Blrin6t .,i Pha*ion ( od.) A,, Chy or Coudy whth EquiE ! paon ro odtud. !n6. inprere {belilh ot r?.! ,y
<br />rtrudEe Ftu !o irr i!soc.. .!o Eqrt6lh. lpgltet for sch Fflt lo nb. !i8n d ,rml lhn lE or Jt i lt6q, p1Brn
<br />lo th. FlvnioN ot d! Co.E&roir Lien*d t w lcltsFd 9, Comcncing *nh Scrion ?ofi) of Divition I ol llE B{.hd hd
<br />Pnfdiont ( o&) d lhrl tE d r[. t qdpl ths.arom !d rh. hdris lor 0E !Lg.d .ratrFion. A,y vioLlion of SErb. 70] I J by x]
<br />.pplic6l to. . Fin iubj6r. rhc .pplrlu to ! .ivil pdly of ml mr. lhn fir. hutxn d {roud ( ltoo)
<br />-1,
<br />s o*c of rh. FDFly. d Ey arphlE *ilh $ts6 s llEr slc @np@rion. f,il & E qot -d dE !'tEG i, d
<br />incrj.d n ofiqld for iL (Sa.7OL, Bcin6 ed 8toi6.i,c Co<b Tn Conrdd t l-i!E l,w {bG ibr +pl, to 6 o$E of
<br />th. rhFi, *ho huill c irslEtlEq trdvn dB ut EI hi@lf or hcxlfot rlm!3h hit ot hc om diplotB
<br />Folrial lhd 3kh mFo\ffi e d ndd.d dolb.d 6r eL.lf, holrtG. rlE hriE,| o. nl+.o\.!d i Dld *iN[ (E tt
<br />ofonpki.lr rli O*G &dda v,! h€ tlE h,rl.r ofFD\irB dE lE d tE dn d bild d iirylE lh. FDF, 6r dE Frpr ol
<br />-1,
<br />so*c of rlE FoFr. m cr.lBiEty co Erirs *nt li(dE d colirrr66 to o.sd rlr p..ial (Sc ?044, Brll'B
<br />!n hoE in C od. TIE Cont.crd i t-'c@ tt* d6 @t rp?ly ro r 0$16 of FoFiy $ ho boild. or mPo\d rh6on.
<br />!d r',F @ii 1r. fd.u<n gri(t *nh. Conlrrlo(s) lilsod F[iun b ln. Cdr.dr ! Li@ 1,*)
<br />I m.rmd uldasarbr .B &PC fo,rn.l6n
<br />D . Orrdl
<br />tLaar[8sttQufElirarq!
<br />OECI.d8AITIIT
<br />I ,"ry* .mrm on.lq Fdry ol Fjury or of rlE folb* ins &.Lr.ri.6
<br />I h.r.snvilldi !i, . C6tifE.l! ot CoMt lo S.lf-IM. lor wk.t coopduton, s Fo\ id.d for b, sditn 17cxr of lh.
<br />t h.r ( oda for rL Faolrlu. of lh. ert fo. *tEh lh. Fdn i! is.d
<br />:21 h&(.nd * rll rdd6m h.kn! snp.Mrion cillm., s r.q!n.d by aElion:!7o() oafi. Llbor Co&, lor tlE Fa(nl]lec of
<br />lh. *!,t for wh(h rhi! ponh b ie.d My mrl6t' mDFor.Iior iIM. 6nr ixl Flic, numb< r.r
<br />Stq.le F.^ar/
<br />c.tSzsOS ?J?)Cl
<br />-l.drfrrhd
<br />in rh. Frolmmc oarh. work tor ehich rnis psnn is su.d.l shall not mploy my p6!on in lny mMn6
<br />F 6 k' b.com. $bjct to th. wo*d onpa&lion laM of Califomia Md !g@ thd it I dbuld beom. lubjer lo lh.
<br />worl6'compcMthnpftrviiiotuofS..rio.3T00ofrh.kb.rcod..lshall.lonhwnh.omplywithrh.spslirnrB
<br />WARNINC Fdilu. ro Fu. sorl6' compdBnion covaas. is unlowtul. Md tlsll subjd m aploys lo minll lEux6 !&,
<br />.ivil nn6 up b o.. hondrcd thocud doll6 (1100.000). in iddnio. ro (h..or of .omr.Mtion. d,,usB d provid.l lor rh.
<br />sdrion 1076 ofrh. tibor Code irldsr ud.fln.y ! G6
<br />I hftt'y rrm u& Fllty of Fjury t,ln I @ !.4.d u&r Fplieiof, orc&916 9 (o,1r14i,I8 win SElbn 7000) of DrvuFi :l
<br />.t th. B6i,B !d Pmfsi,B Co&, .n d' lio& is ir tull forc. rd .lldl
<br />Ltfu cl&!
<br />-Li@
<br />N@bd
<br />*" /o 6CJ 12
<br />colirBllg&!.llaDMrqEdra
<br />I Hy rITm ulxlq Fdry of pdiu,y ll'd $q! ! . @tunn bdilts .*c) for dt pdfolr".4 of th. mrl 5t f,nih $! Fir .
<br />isud{Sc !097, Civ C ).
<br />AISLICAILDECIJsAI]O!
<br />I fiod, .trn un& Fihy of Fjsy oE ol6. ao[owin8 ddkdbN]
<br />Damlhbn PdrnlAltdo. Norificdb. Fc&.rl lerldbc (IhL 40. Pd6l
<br />-R.+n.d
<br />tals of tlorifr.rbn
<br />-l
<br />.61ify lhd lh. tusd GslbloB ftg,tf3 sbdtG t.m\ 6l tc ml .p9lt!bk ro rhn prol.d
<br />I rdrb rhd I h.!. ral thir lDeltdion sd n.tc lhli tlt abov. infotuio. i3 cora]l I os.a ro rcody * dh tll cdy t.d (ironr y
<br />ordindcd d Srrc L!*! Eld!ts ro hrildi.e codruclio[ an hs@r{ rortrrir rcFenriiv6 of thit ( iry t d ( oury kr alE up4'i tlE
<br />!lrv. hdrion.ri ltrFny nn i6p.dion purpos.
<br />tu ,r,," /O jO D
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/VenUln s u lat io n
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />ln sulation/E nerg y //-6- lg .4t 2:)\
<br />Dryw4.l
<br />Ext(ln, Lath // -/>-; ft &2',
<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 /4-/9 'z{x.7 )
<br />Certificate of Occupancy
<br />Notes, Remarks Etc
<br />o
<br />Brown Coat
<br />o.r., ,l(1 3fr.l8
<br />\t,t,li.Nnr ' \xui \isn"rtr,r
<br />a"A Sn,r
<br />i-
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