|
SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUILDEA DELCARATION
<br />I ls.tr rrrm und6 Frly or Fjury lhd I d ddF ioh lh. codr.d6' li.r t v for rlE aolt win8 lan {Sc.rol l.J
<br />BBi.$ !d Proibrioi Cod.) Any Cny 6r Cod! whi.h r.qunB r pcmil lo contlrucl. ih6. ihpiov.. darolith or EFn m,
<br />hdE Firro tu iffi..k r.qlna lh. +pltel fo, r*t Fn lo 6L i.is..d ridmr rhd lE or tr i li.qE d FEd I
<br />ro rh. Frls6N of ltl (o.truroir l,ic.nEd Lw ((1Eql6 9, Comtrins wilh Srlion ?000 of Divnio! I oattE Bcina ..J
<br />Phf*ionr Co&) or rhd lE or rh. n ddpr rha.ftoft ud rh. bGi for lt rlle.d 6@tr6r A.y vioh'htr ot Salio. 7011.5 truy
<br />rrpli.ar lor . pdni 3ubrcl! rlE
<br />'ppli@t
<br />ro . ciril Fuh, ol mr rur. tho fit. hu r.d &llrs {ltoo)
<br />-1.
<br />B o*B orrh. FDFu-. o) anplo)6 e'nh *!s6 B rlE $k $mFMi... $ill & r qrt rd dE rirrE ir &r
<br />i qk!.d .. 6fi.r.d for $k 1se.r04,1. BNil6 Dd PmldioN ( ujq 11. codrldor3 L(.e t * &16 nor lpply to D ovrs of
<br />E Fr{Ery *hr hrikbd itr+.o€ E4 !d who &E st trort hiElf o. hs*lfor rhmu*h har d lE om.rsloyc
<br />proridai rhd 3uch im!.oml! e ml inldiLd orofidrd tor sL l( h(lltG, rhc ttriEinS d inpr.ffi' L eld wnhin oe )d
<br />of .!npbb[ d. o*c hilda $ill l*. {E h!&! of FDrilr ,!i ll d tE did Dl toiB d il4roE lh. Flldlv hi llE F,F* ol
<br />tc( l1r. *u*urrl.F"par. eqcluncl, codrr(m* r'hh li.d3.d c.d.dou r. odrud rt Fj.cl (56.7014. ttain6
<br />!d ADl6b6 ( o& Th. Conirdor'r Licre tA (t)6 mi .p?ly lo u o*.d of FoF'" $lI\ b{ildr ot mr.ord th@n.
<br />atr(l ([u (fnn.ersioruhtn,)j.{\*ha(nnnacnnlnh(n\((lrtr'H'mri)ihc{i'nricnn
<br />;";A-q"" -(/.tt -{t'
<br />I h6.b, .rrm !.<r< FrX, orpopry o* or* ,o,.. inffiq
<br />-l
<br />h.* ad *ill minru . cdifrd. of coMt ro sdr- lBu. aor *tkdr' comFuriol\ a ForlLd for b, scrhn l?0) otrlE
<br />I l-3t r Code for th. F loMc. nf lhc @rl for *trh lh. pamir 6 EU.rl
<br />, tal hr\. lnd * r ll nrmtah wortEt cosp<Bdrn rBurrrcc. s EqliEd b, s<rion 1700 of lh. Llbor (id., lor lhc lsfomoc. olr fu *dt lq uhxh rh6 Fnn L s,.d My wrf, ' o6F!rE.'El:m ffi, rd FIky Mbd r
<br />-l.d,t
<br />tl'.r 'i llE Ffofrrlt. of ttr srrt fM *hEh thi, Fn'l i! it$.d, l3h.ll Nl dnpliD tn) F$n i,.nln.]E
<br />s 3 to b..om. Nbjfl lo rh. wltql @mpdslion h* o, Califomja ed agE fi{ if I 3holld beo'& rubjc.l ro rh.
<br />$trta' onpctsbn DroriF6 of Sarion 37(r(l of rrr t tlr Codc I rtdl. fdltl nh otrd) r nh lrri FnvilioB
<br />WARIIING: lailq. b sr *ork6!' comp.Nnrion covdts. n unhwtul. &d th.]l sbjd e dploF Io oiniml Fdt Dd
<br />cnll fic up ro oE hon&.d rlnu$d &lla (llm.oorJ). in rljnFn to lh.&us6 B rror:dql for lhc
<br />S..rr$ rtrr6olrlrlrU{
<br />,r (/Ck(
<br />DECIjTAIIII!
<br />I holby .ltd ui& Fnny or tEju r_ tL t m I'css.n un& Fnrlih. of ( luFq 9 (onffi'n3 s nh sdio. 7000, of Dn iion l
<br />of tlE It6iB ad Prof6ioB Cod.- &rd 6, li.ce n in full t (.,n.tuI
<br />-L(*
<br />Numbo
<br />-
<br />calirf,l j(1roN-L!!!.Bli-6G!!cI
<br />I hd.t, .rEm un&r Frh, or Fjury lhi rh6. a . sdrudbn kndrg ,eft! ao, rh. Ffo,rrls. of lh. *nl 6r s hkh rnir Fni i!
<br />isu.dtsd. !0q7. civ. c )
<br />arlucaal"uisJaaDad
<br />I HD'.rm u(k Fuhy .a Fjur) oE of lh. follo* n! d..lrd i.ns
<br />D€molilion Pd Dirs-Asb6ka Noxfi..xon r.dn l R.-ruld n,ns (Tirl. 40, ld6 )
<br />-R4lrn.d
<br />l,al6 olNorift arion
<br />I (dr,! rh,r rh. Lddil r.uul.ri.rs EBUdrq ab6ros r6noL!lec n"r 4pl'.t61. (o rhis pm|dr.
<br />I-6,.*'U*r,*,..*u,*!ppl'(d'on,:dnar.rhrfi.!ho,.,nao.ndionncoftdlalBrocomplrwnhall(iry'Id('ounr)
<br />GdillN6 ud SrdG I$3GlnnBro billiI*.odtudr( .,rl h6.h) adhnM 'qtsi,tr6 atll (irtriCourylodrsuan.llE
<br />.borc rnarnn.J pmp.n! lnr iBrd-li.n puFs -P - ll .
<br />;,,;,;.;.;.:;..,... >lnitgt ry1, C) c vp/*i^,c-,. t,"/t lT
<br />,,^u* ^,-,,0n.,,* lN 0 A dV-l t l1<r: st f1il A
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s ulation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<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 illttlt4 n wr*g'tr '"9,/
<br />Certificate of Occupancy Ul\r'
<br />Notes, Remarks, Etc.
<br />-->
<br />BUILDING. INSPECTOR RECORD
|