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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns \
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq t{1t 7)bn/tljl ,vfq
<br />Shear Wall (zrt D+l L tlbl
<br />9Framing )Arrhe
<br />,/1^lnsulation/Energy
<br />Drywall q D tl-o
<br />Ext./lnt. Lath I
<br />Brown Coat c r'ra-f |fl 9 tv1 '7 flnlzs DrWa-4J2
<br />Masonry la
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />FINAL
<br />Certificate of Occupancy lll
<br />Noles, Remarks, Etc.
<br />*64
<br />).-
<br />OwlIER BUILDER DELTAR TION
<br />I hortrr .IIm ur& Fa!, ot Fjury lh. I d qarq &oi rh. Cod-t6 ti.dE r^ tor ih. 6lbw3a ren (Se ?0] 1.5
<br />B6os .i'd ProfdFn C6&) Any Cny or Counr- whi.h r.$c ! Frn to o'ENd, rnq, irp.ovc. dael.h or lF; ny
<br />lto.rue rru to ill isu4., dlo Equt6 thc .ppli.sr for ruch Frni ro fr1. r 3i8.od nno@r rhd lE or rh. ir li.d!.d pw-r
<br />ro ln. FovsioG of llr Contrrtd! Li!4.d t v (Ct4ta 9. Co@hs sdh Serbn TOO| of D'lsbi :l of tlE &6iIB .f
<br />PrD6..h6 Cod.) d rhd t r i!. ir da9l rhq6o6 &d th. bdi tor lh. .lh.d aoFbtr an, vidLrbn ols€lir 701 I J b, 6,
<br />.pplitur fo.: pdnn tubj6r! rh. lpplicdr ro . cilil pa.lry o t rot soE ihs 6vc hudr.d d.U&r 1t500).
<br />-tB onE oirlE FDFI,, n ny slplolc rnh w.a6 a rlEr !L ohFEii,( f, do l,E *dt -d !E cdc ir ml
<br />z<ord.d d o fid.d for sr. (sa 70:1,4, BduB md Pr.l6.6N c.& TIE Coddoii Li.@ lrw do6 nol noly lo & o*G oa
<br />rhcpDpgrv vto tDil(h or inproE $Eor!
<br />'d
<br />*,r!o d(E sh w,t hi@llor h@lf or fir.ugh hir or hd.m mplo)€€.
<br />Fovi.Ld ln, ru.h hFrqlxfu R ml trli.d o. otu 6. -l.. l( h.M, dE hr dla q irForqE! i. sld *ihii @ ,-
<br />of c.trpl.te tlE o\rG B{itb sitl hr th. h,rb ofFld|E d. lr 6 Cr dn d hild 6 iq.ow tlE pllFry 6r tli FlDc of
<br />l. 6 otrE oa'h. Fnpri). e.dEnrry o lin8 u'ith licoE d @drlc lo oldrud irE F!j.{ (s< '7044. a'atlE
<br />rd FDfBi, Co& Tn. Colllr*lor-3 L(.G t s &6 Nr .9plr ro e o$G raFopcr, f,lF hll.Lr or inFo!6 tha6a
<br />.nd wlk, 6 d3 aor luch Foj..ts wirh. ConrEclo(, lice!.d plEuat rorhcContE roirl,NceLr*)
<br />,D
<br />!.I!tll3.!ll!,l
<br />I hscby rmrm uod6 FuIy olIEJUry onc olrh. folLr* ss d<l .tioBi
<br />I h.v. {d will tuilrrin. ( aifEn. of co6ar lo s.ltu6@ fq *st6'onparnior s Flvd.d foi by s6tb! 1700 of ttE
<br />ubor Co& rb rlr FfM of th. wtt fn unrh rnc ponn ! isEd
<br />I havc dnd will dainl.in wortd co{pcMtion i6uru.., a r.qui.d b, S*tion 1700 ollhc Lbor Codc.lor th. pdtorlre. ol
<br />rh. $o.l f{r *hth rh! Fair ir sld My worl6 o,rpa{bn il: e. Gir !d Flty nuhhd t.:
<br />I.drlyth in th. Ffom.nc. of rh.wo for whth $n p6nn G n$.n, I rhall mr 6phy.ny Fmn in dy huE
<br />$srotaoEiubJcllorh.*oil6.omFs.ri6n!*rofcrlifomia!.*Elhdil|rhuldh..oN$bjdlotlt
<br />*utd coiFB.rio. FoirbB ofs.don 1700 olrlr tlt r ('ode I iEll, fdl$th oBoty *'lh thoe lio$66
<br />tlAR\lltc. FdhK lo w. sdk6' ompGEdDn m16.8. 6 okwtul. dd $.ll otilt e dpktrs l. qiniid FdE Id
<br />rNil fin.s rp lo orc hudr.d rho@d &rll8 ($100,000). in lddnion $ lh. coi of comp.Nrio( .hm!96 a Fovid.d aor th.
<br />DEClJSAIlqd
<br />I no$t .ltm ur& pd.ny of Frury lhr I m licd..d uldd Fovi]b. of Cll.piq 9 (@M!E *nh Salbr ?000) of Divk.n a
<br />of U. EsinB Md Prca<riod Cod., !d my ltau b in tull foN -d.af*|.
<br />\
<br />I
<br />carslf,lrcllQxLDlDtlc-acElcr
<br />I h@hy .nm unda pqElt) ol pgjury rha rh@ i! . $nntuclioo lad6g !g@cy for llE Ffolfucc of $. *o for Mi.hfiir
<br />n u.d (36 :1097.(-iv C.).t6ddl Nmc
<br />,-[,"
<br />I
<br />AIIII(AILITEC'.ABAIIO!
<br />I hddy ltrm un<16 p6!fty of lGjury oft ol rlE folb*int daljdi,B
<br />ktuhion P@h}A3bdG Norificdbn r.dq.l R.suhrbN ('tnL.l0, P.d6)
<br />rhd rrE Ldcnl rcluldFd r.s.din3 abd6 rm\.I e tur qplic8bL to lha F.j<i
<br />cdrly rh, I hrv. Bd Ihbrpplicdion &d id.tnd fi. !tov. infomti.n i! corBr I i*rd lo comply *nh .ll Cnyed Counly
<br />o(I!e6 d $n. l,v. Elrlt ro hildin, .od^.liotr rn lE tr rrho,E rcp.srin 6 of
<br />'hir
<br />Cny rd ('ouil! lo al6 Won dE
<br />!t v. m6r{'n d p.6Fny rd nqEl
<br />.\0plnrnl or AEe l Sllnrlu *M^,e5_ec.
<br />filffnt7arufi-
<br />ID/SIG.
<br />1d-<dc,
<br />sdri.n 1076 .f rh. l,ttr c.& nrsd d
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