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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/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Ene <br />allD <br />Ext./lnt. Lath <br />Brown Coat <br />tyMason <br />Pool Fence <br />T-Bar <br />Handica <br />De Final Re ort <br />rtEnineer Final <br />Flood Zone Certif <br />FINAL l/t,g..*4,'rD) <br />Certificate of Occu an <br />Notes Remarks Etc. <br />OWNER BUILDEX DEI,('AAATloN <br />I hd.ty tmm und6 p6rty oa pajury Ihd I e dmd nom rh. (ndEcro6 l.icffi l,w forth.6lk'wins a.sn (sa.?O]tt <br />Bueins and Prol6io. Cod.)r Any Ciry or Coudt *hi.h rcqund a pqnir ro mBrtud. .hn, inl'ov., &r.oltfi or qln my <br />$tu.Iuc prtu lo itu ireuM... !l5o rcqui6 lh. lpplicdl aor 3trch Fmil ro fiI. . sisn.d sr.lodr rhd lE or nl. B tican d pw,ii <br />to rh. F.vilioB olrh. Contr.ctois Lic6s.d ll* ((nrrn6 9_ Comm6ci.8 wirt Sdion 70oO of Divirtun I otrh. BuriB od <br />PolBrns Cod.) or lh{ h. or sh. ir dcnpl thq.ftom Md rh. hsi! to. lhc .lkr.d .tc.piion An, \hl,ri6nots..ln.7otll, ht.ny <br />.apli.a for ! Fn( subjdts lhc .p?lir.r{ ro r ciul p!@ly of not mr. rhM fir. hun<tr.d dotlm (ttOO ) <br />l, a o*ns of rh. FrFry. or my oplo,6 *.ilh s.86 e ih.n oh.omFsdion. ritt &, ltE qct .d rlE insi@. n{ <br />irldxLd or off6.d lor sil. (Sa ,044. BuriB sd Pilf*ioE Cod.: Th. Coddor. Lic@ L* dos ftll $ply to o osd of <br />!h. Fpqty *lE hrl.k tr ir+rorB dE6{ r'd *l$ &€ sh *.& hi@lro, h6.laor rtmush hi! or hd om drtnrlq_ <br />provii.d thd !o.h ituFEEr! c d irdrln or oii,rd hr r]. ll ls*ff. rlE tlitdirv or irlrorqE ir btd $irth m,- <br />oaolpkh,! tlE O*E &ilda wil h.r. rn brdd otFDri'B tlE tf, d tE dd d hlld or inEror.lh. proF tir E F Fi of <br />l. a orE of rlE F.Fry, @ dclcir.ly onrdiry wdh li.n$aj coilcioE to 6BM rtE Fbj..l (sd. 7O:H, Buffi <br />&d Ptoiai.ECo&: Ttc Cornrdo.r Lk# t v &,6 mt wly io D o{G of FoFry s ho boil& or inF.!6 tha6n. <br />md slF ot,kr ld r.h Fordr *nh . CoiEonr) lid.d pI6u lo rtE CodrdG 3 l_k.e tru) <br />I @.!ad undd S<iion , B lt P C lor rhi9 l6oD <br />laaf,E8l:caufEdsAlto! <br />DTCIJf,AIIAX <br />I hsrt y rllm unda FEll!, of tEJory onc oiih. folh*ins &clrdhc <br />Ihsr.dsilldi.h!Cdif.dcofcoetroS.lf-lMfsrutdonFuinG-PlnviLdtorbSd.nl7@otttE <br />Lrbd Codc fu rlE pafdtlt.e otth wrt 6r $,t d rt FDt i! iqEd <br />ll tuinrin wort6 onF6dior iffi.. G r.quiEd b, sation 1700 of tlr l,bor ('o<L. lor rlE Ffm of <br />ih lhE p.mn 6 isaL ,iI, \otrp.id io. ie,a. ('la rd Flxr nuhb6 r. <br />No(zz\1--bo E--tt{ *2,:zo <br />I criE lhd ir tlE Faolrl4. ofrtE *!rt fd f,hkh $ir Fi( ir iBu.d.l null mr @phtoy Fen 6 uy nuEr ab h.ocautill ro rh.wL6 ortrFn io. h*. ofcJifomia. +rrhailIrnouEbaorebj.<brl!*!*6' otrpddioi FrinB of Srrlbn ]?m oailE t bor Code I iEtt. tdh$nh omptt *irh rho- Fo\iio6wARfirNC: Fdlu. ro w. *qld' @r4aEnion ova8. t mhr'tut <br />'d <br />rndt shrd a 6doF rc oid.il rErlb ..(il lin6 up ro oE hun&.d rlb@d &!Ki.. 1076 of rh. L.bor Coda i d., rd ). h rdaniod ro ih. con ot .om9.di.a <br />/e cr/? <br />DDCI {II TION <br />undcr FDlnirn of cl!q6 9 (Nnllffiing wnh Sdir 7m0) ol D^.!bn !I hd.b rIIm un&r FE]ry olFjq rhd I @ <br />of rh. BlsilB &t Pol6ioB Cod.. ,'d ny lt.M i. b tutt fora &n.fIdl <br />.o I z r?4 <br />cr-{-\fl ( <br />I lE by irra uds FEhy of Fjlrythd dE i!.oirrudi.n laldiie.scy fot tlE Ffolrm. of rtE srt 6r *ikh oti! FEi il <br />isu.d (S< 109r, Civ. C.) <br />AFILICANT DECL,TRATION <br />I hdlb drm lndn lcnrhy of p.rju.y on. Df th. f6lb*inr d(tudionrl <br />Dcnolition P@ns-A!b6tG Notinc.tio. F.dfrl R.suhtionr (Tnl. 40. Pd6) <br />R.quir.d trlra of Notificllion <br />I .diry lh.l th. fcdaal r.Eulariore Esedil3 sbdtos Gnoval uc nor E)plic.bl. to rhi! p6j.d <br />I .dii rhar lhsrclad rhis rpplicarion r.d stalc rh.r rhc abo\c limBrtun isconat. I asre ki .!npl, <br />and ('otrnrylo ors Won rhrordinan.s Md srarc li$s rclding ra bu <br />rlb( ndrn'ncd proD.ay for ireF.t <br />Arpli.rnl or 3€tr1 Signilur./0 7i-77 <br />tziz,