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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor^/enUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <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 )r{]L]( <br />Certificate of Occupancy U \7 <br />Notes Remarks, Etc. <br />OWNER BUIt,DER DEL('ARATION <br />I h6.hry.rtrn ud.r pa.lry of Fjury lhd I m.r.mpt fmm !h. Co dlou l,kds. t!* lor rh. f.lhsin8 r.e. (Se 701l.t' <br />Burinar .d Profdioo Co&): Any Ciry or Counry {hich rcqund r Fnir lo .odtud. dl6, inprove &nolish or .t.n ay. <br />ndcrqc Fior ro iii isumq .b. r.quiG rh. +pli.er for ru.h Fmi to fi|. ! risr.d llmr rhd h. or nh. ar licos.d puern <br />ro rh. l'olnioc of i. Co.ridor'r Li.cnr.d lrw (Ch!F6 9. Comd.ing wnh Sdrion 7000 oa Division I ollhc Buine ed' <br />Prot$iou Cod.) or $d lE o, !h. i! dcmfl rna.from od rh. b.!t for lhc 5ll.8.d .rmplion. Any virldion ol Sdlion 701 I 5 by ey <br />lpplfiF f6r r Fhir rbJdr r h. .p9li.r ro.cF,lp.ruh) otnor morclh,n fiv. hundr.d <hll6 I15U0, <br />\Ar{{ <br />^.,/Llu <br />oh6 oirhc p.op6'r. or ny mplo)6 w h w!36 d rh.n bk coopcadio.. will do rhc "or[ r.d tn tuE i] ml <br />fioxt d orolT6cd hr $1. (S- 70:14. B6in ed ProfdioB Codr 'I1E Codr.clors Licoe t w do6 rcl 4ply lo e o\lc ol <br />lh.rrDrEly wtn tDi!! o! lltrcrE tlEor !'d * ho d,6 sh *!,1 huE.lt o' hF*ltor rhhush hi or hd o$n .mp,oyc, <br />provircl rh 3u.h imp..Mt Emr idEd.l nofiml tu {t l[ ho*!s, rrE tliunE or imF.r'6d n$h wihinoE ]a <br />ofconplrb( $. (xc Builh will h.E rlE hrda of Foriig $i lE or slE {M ml hild or in4|ov€ $. FqErr- lor tu rupo$ of <br />l. BouG otrh. FlFry, m .(lNi!.ly.odr.d in8 r h hcda.d c6nrar6B ro.odod rlE FoJd lS(. 7(}1.1. lr6h6 <br />lrd ProE ih co&: Tn. contftlor'r Lic6t. tr* d6 mr +plyro eo*n6 of p.opqry s ho build! or inprovd rh66tr <br />ed *ho conrd$ for 3uch Foj(lr tr nh i CodDcro(r) Iad!.d pd@r ro rh. codriu r Lkag L3s) <br />:#5Xr". <br />trt.(t \k \ I l()\ <br />oE otrh. nnb*inr &(lrdri.6 <br />-l <br />h.w r'd eilt did.n'. Carifrdc olcoe:r ro S.lf-l@ fd wrtd @rpqlrioo. c FoviLd 6r by S.nb. lr0o of th. <br />r,bd ('o& ftr tlE FfnltG. orth. wt fq *ikh lh. FEh ir iD.d. <br />-.1hrE r,rd will m.inl.i! m d @nFE ri:nitudcB Equid b, S6rb.l70o ofrlF t bor Co&. for rh.Ff@ot(r srl tu *nth thir FEir i. iodt My vdt6 @trqqlair itlJl]lt. orE ri FIiy nmhc r.: <br />cric: <br />Vffili, u- ,ru *^ffi. of dr rort lbr sn.h tha! Fon i! iq.r,. I rhrll mr 6pb, Dy Fs' o D! nl.ffi <br />\,a6vs <br />'o <br />teor $qd <br />'o <br />dE hrr@ cmFd bn h$ or Cdifomia !n Tr fir if I ibuld ta!re , ,lrid lo lll <br />m*d @tr'F!.b. FovtioE of Scrb. 1700 olrlE t td Co(k I trll. frnn*nh onprr+ vnh fio* Fora-6 <br />wARrI c: F.ilw ro M wtd onpdlrion ovE s. b @Le'tul -d tndl alir a aptJF b otlil Frts -d <br />I <br />ctril fiG !p ro om hundrcd lll.usd dollrd (tl(]O.o@), in ldd,ion io ih. .oi of.onp.6.t d,mg6 a pro!.d.d ao. lL <br />hla.i ard .lotrEr'r f6 <br />I hdltD .rm u.da Frhy o f Fl!ry ihi <br />Dlctr8^rtr)! <br />unb FDviri,n of CtFs 9 t@llltffii.s \nh Scrir 7000) of Diiliot l <br />ol rtE BaiB.ld PNl6.ioN cod.. di ny rroe B 6 tull loc rld clT6' <br />colsrBlctlQ!-LEtDllclcElcx <br />I hart .!Tm uid6 Fdy o( Fruy 0l. thc b . oln^.rb! lnditB .gdry for llE Ffolrm ot lh. uut 6r *nih lhit Fot a <br />is!.d (sd. 1097. civ. c ). <br />ATIIJI'AII.DECIISAIjO! <br />I Hy.fiir ui& Fdy of Frury or of rh. 6lhsha &lrir i.Nl <br />D.mlibn PmaeAlbdor r{orifarbn F.d..l R.!{hrioB (TtL 40. Pd6) <br />-Rcq!tud <br />Lalaof Noriic.it <br />I igE lo comply r nh .ll Cny and Co@ly <br />o f lhis Chv .!n Counly ro 6ls upor tlt <br />itr\. m'ion d FoFry ro. iNFdhn <br />Xppdqir or <br />^rdr <br />sin.r <br />(n-rr. n.".1p4"(),4 <br />TADtt <br />Ext./lnt. Lath <br />lrl Sr.r! h*! Gh!{ ro hrild'is conrtodior !d h6.6, <br />,2 f {r/tt