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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs ,4
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation -::\
<br />Roof Sheathing tp tllt Li7 ':2
<br />Shear Wall ,l t-?,6t
<br />Framing .v
<br />lnsu lation/Enerqy tl tq a T-M--h*^-e {2.-)
<br />Drywall rll'l4r n I /ub
<br />€@nt. Lah ulrt/t? .7)L:t ld i,ut) --.-\\
<br />Brown (;oat a,'/"-/t-tgl Yr*il..".(A b )
<br />lr/lasonry -.\-.--l
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL "/7)
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />oIVNI:R AUILDER DI:I,CARATION
<br />I hcrchy alftm undcr ncnalry ot p.riury rhd I di crcmpr f(,m rhe Corhr.b6- Licctr* kw rbr thc hlhsinE rcrwD lstc 70ll 5
<br />Busincss nftl Proic$ion Cdc): Any Cny o! Counry which rrquncs, ltlmir lo con(rucl.6ncr. inlFovd. dc n,lish.r fttrir r y
<br />{rucrurc. lrior ro its issuancc. aho requn s rhc sppli.d tu sx.h Frnm k) fL! siSrKl (alcmnl lhar h.orrh. n liccncd lnnxinr
<br />b rhc fl.vkion\ ulrh. Contndols Li.c.rcd Law (Chrplcr 9. Comnrcrcing wirh s..innr ?fix) of Division ll oI rhe Bu\incs lnd
<br />*oh$nrns Codc) or rhar h. rhc kcrcmpr rh.EfronrUrl rlrh€(h foi rhc.llc3cd cxcnUion. AfyvioliionolSmri.n70:lI5brrny
<br />.ptli.rnt n)ra pcnnt xubjcch Ihc applicinrroacivilpeollryolnormr.rhofivchundrcddollnrs(s50O
<br />I. r\ owtu ol rlr pioFdt, or nrt unDloltcs wilh sd8.s rhcir slc (omp.ns ion. *ill do lhc $orl :xrl
<br />'h.
<br />ift1rc i\ Nr
<br />inrc,xi.{ or oltcrcd lbr elc (Sm ?(N1. Auimss on.l Prn$sins Corlc: l hc Cont rkr's t-i..nsc L w dcs nnl.Iply b ano*n.r ol
<br />rhcln,Fny whobuildsorinuovcslh.Ntr.andqhodmssu.hw(nkhiD\cliorhcEcllorihr,lghhkdrh*own.n oyccl.
<br />p..vidcd rhlr such inDroknrnh e n inrendcd or olTcrcd fr $h Il ho{trn. rht hoildir8 or nq'mrmnr is n,kl $irhin on. Fr
<br />of.orplcriur rh. Owner Buitly wiu hrv.lh. btrdcn olF)vin8 rhil hc or \hc dn nr hoiu or i,r!)ftM rhc nRPcny for lic tuqnc ol
<br />!.rsosmrolrhcponcny,a,crclu\ilclycoka.ri'rswirhli..n\cd.uftndor\rocon(rucrltEtDjccrlS.c7(}1.1.Bunmss
<br />. Pnr6si'nC.dc'lhcConrrmror\l.iccnscl,r*docsnorlPllyk,atro$nrr.lfn,nnywhobuildsoriDprcvcsrhcrcon.
<br />rnd sho r'.rD* f(r such projc.rrr haGnnn.kr(t licctrsd pu^! nrhrhc('.nkact, \ l-i.nrc Us)
<br />-l
<br />am cxemnr uder Scdnr
<br />!tt)8tr[&::!(lUPLNlAI9N
<br />DECtLErIla!
<br />I hcrcby Jfnnnlnds pcnrlryol tEturyoncof ihc lalhwnig c.l.rat,otrs
<br />-l
<br />hsvc a eill trui'nrinrCcdili.ar..fcoi*nir. Scl nsur lnrsorkcs conll)cnsllon- $ polided fttr hyS..rioi ]TUlorrhc
<br />L3latr (lic- t)r lhc pcrformrmc ofrhc Nork f{r which rhc pcnnir i\ icsucd
<br />I hrvcand $ill mrinrrin wo*crs'.onrpcnsorion in(urn.cc. as
<br />rh. trrrllur trh'.lrhFncirnn j\ssLcd Mlq.rlcrr i.nrr{nsol,.*.,98M;f Nat tN<
<br />rcluircd iy Sc.rnnr.1700 ofrlr t-rlx, Codc. for rhc pcrnflmmcoi
<br />i,r ir{trllcc .ntric. md t,li.y iui$cr tucl
<br />o Tozt l7 ( t*pi*"lo ,r
<br />$ rsh bcotrr subjcct to lhc workr\ conrFrsllion hsrofCalifir igrft rhar n I should tEom suhj(r h rhc
<br />wolkcr conrrns ion !rovi\ions or Sc(in 3?00 or rhc tlhr C.ll. ionhtrilh coryly wirh rhosc povti{,n\
<br />NARNIN(: Iirilu'r k) \.ctr'c trork.ri c. rDcrutidr.,icd rn cmpk)yrr b GimiDdl lrnrlricr rtrl
<br />ri\'l liuc\ 0t) ro ono h!nJr.Ll rlru\ rl drllr'\ (!l1N nlp.n\nrion. danug.s as rmvid.d for rlk
<br />C( c. Dr$.{ ud rurmy
<br />I h.6h, arfirfr und.r p.nnlry or Frju,y thrl I !m liensl !trdcr prcvGion nfChrprcr 9(conrftn.ing *i$ SsliJtr ?O0o) olDirkio.l
<br />of rhc Boslncs\xid Pftre$nnN Codc. Dd myli.c6so is infull forcc anl cfld.
<br />b v ?18
<br />I hcrchy afno ui.lcr pcnahy or pcrlury rhat lhcrc is a condNclion bndinS l8cncy for rhc pcrtormd.c orrh. wor* ror thich lht,,crnril is
<br />issled (sec 3097, Civ. C )
<br />i\rc rJrilrrc ror rJiDli($lc r,) rhi\ pnr..r
<br />l .dl l_v rlrr l hN. r. l lhi\ rt)t)lrx rhcltx,rc innrnuri(,n h.otu.r I rgm ro comfly wilh all Cir, rnd Counry
<br />n.,nd hcrcbya hrrc rcte\crrd ivcs oi rhk Ciry ond Coutrry b . rcr llx)n rrtordimrNrnd Shlcljus rcl in8 r
<br />rhrr n{trrnnrn tn'tc'(, l(tr
<br />^,.31r/i,
<br />/.e,1\/iuh)
<br />t$tu.,ler4
<br />l4-J\cI
<br />\rr$rnJ
<br />l4-2-
<br />LX
<br />txrdci. Addc\\:
<br />-
<br />IIIIICANLDDCIASAIION
<br />I hr$y anim undcr Dcn.hyofpcriury ooc.frhc rolb"ine dahEIio.\:
<br />D. rliri.n Pcnnirs.Asb.nos Nolificrtiotr Fcdcr0l Rceul ions (lillc4!- Puno)
<br />-Rcquncd
<br />Gttcr ol Norifi calion
<br />-l
<br />cenilyrh rhc fqlcrrl (Subrion\
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