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BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />lnsulation/Energy /\
<br />Drywall ,.tutl,l.auU 6,-[a'l"l XN4il,
<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 />. r'\\
<br />!/#$.,/FINAL ,0-'t-1I
<br />Certificate of Occu anc
<br />Notgs, Remarks, Etc.I
<br />dN\.*U
<br />21101 c
<br />OWNER AUILI'ER DITII'ARATION
<br />I h6.by .mm lndq F!,lry ot p.rjury rhn I m qmpr noh dE Cont..ldr' Lic.nE lr* for tlE follo*in8 lE$n (S6.70!l.i
<br />Buins ti ProlBFn Co<L): Any Ciry or Cody *hah roqurG . Fnir ro oMM. .ta. ihIrcE (rmlah or lq.n syi
<br />rru.1c Frr lo irr isle.. .ko r.qric rhc 4plkd for ech FEn l( 6k ! 3ur.d nd66r rh, h. or 3lE ir licaE d pu;d
<br />ro rh. Imlir5m or lh. Cof,nidq! L'MFd trw (Ci,prs 9. Coffi'rs sirh S6rEn 7(100 of Di\ arioo ! of E Bcils xd
<br />PrafdDE Cod.l d thlr lE m nE n ddnF $d.ior !n dE h6d tor rh..lte.d qof,i,. an, lblrioD of Sclio! ?01I 5 hy &y
<br />.r?li.er fo, . Fni sual. rlt rppli.@l ro i ciril Fult, of mr Nr. $6 nr. hudrai &ller (l5oo)
<br />-1.
<br />B o*E orrh. FDFry- ( hy slclo)6 *nli srs6 B rh.n $E omF,urs( {ill th rlE *irl in EffiEiml
<br />ddrldl or olEr.d rr * (Sc.roa;r. &Eils Dd PEl6i'B (-o& IE (odi.crd'r tj.t* l8 d6 rcl ipply to - orc ol
<br />rlE FtrFy *lb tlir(h d orpr.€ tdbr rn who &E Ei silt hirelr o. lE*ll m rlmqt hn tr lE o*r ql9rd)<
<br />pror rt d rhlr !.h ElFDrqGB e mt hd d.lir.d hr rL l[ lbf,n.. E h]rldini or lrFm!ff ir $ld *ihin.ft )'
<br />ofo,plairc tlE ()sE AiLls *itl lErr rh. hrldr ofFDvi'B rtn L d dE dll r{ hlu or ir!.o\! r FrFty 6r dE FrF..of
<br />l. sowof rh.FlFry, m.xcknrlyottKii.s s,nh licds.d conr'r1o6 tu mBlruli rt rhFi(se ?044.816:lB
<br />arl Pioli,i, Co&: Thc conr.doi ! Lttr llw do6 mr !ppl, lo s.$n6 of rr!r'6ly who b{il& or imprord rhdon,
<br />ind tr ho coorE 13 ltr luch Fojd! *nh a Cofua.ro(, lroB.d p{l.@r ro rh. ('o r.c1d t tkru L.r)
<br />l)il. O*ner:
<br />ll,lati!:Bllll}IuIlr llQl
<br />DTUJEATAT
<br />I hdrh] rrlir nnd6 pdah ) olFjurr one olr1r iollNl i,rs d(li,i' (ft
<br />-l
<br />hle d will tui.r.in ! Cdific.l. of ConHl b S.ll-lM. for unldi ernrpdrrri,,n, d F.vi{lel for by sction 1700 of rh.
<br />lrtx,r (id., aor rh. Fforl!@. o f rh. "6ll for *hkh th. F6ir it i!u.d
<br />I h.r. lnd s,ill nrinr.h wo*.d conpc@lnn i6u!ft.. c dtur.d l, sdr bn i7(x) oarh. Lhor Cod.. for lh. pqtotuc ol
<br />rhc \frl fo, qnichrhsrEn'l Lr ion iaule. r'.,m on BrlEt nombc. r.
<br />I .drf, thd in rlE Ffolm oarlE s'ort tc whah fii! FBn u su<4 I {all Nr Erphr ,., F$. i. r.y mM
<br />n s $ bq!ft sbdt ro rlE *dt6 o'neqMiJn liH of(nifomia !i +E rhd if I Jrllt t $ft ,titl to ttt
<br />*r.rid' soF!.tion Fornr6 ofsdio. l7m of rh. trtor code I rlEll fnhs ht onrl, $ ilh lrt. Fora.a
<br />$AlNlllC: F.ilu. to s wntd' otr'posdi)r ov6!s. it uLrtul. .nd 16.11 3ubitt o dphtd b aiBiNl Fdir ed
<br />c 'l li.6 uF ro oE hu,xlEd th.@d &1116 (1100,000), in rdlnim io rh..or of (mFNlioE dn s6 s Fordcd fo' lh.
<br />sdltr,n l07t ol'h.l,lxc Cod.. dod uJ.nmv
<br />,,.,,, . (u ovl (g ^,,"*,
<br />DEOIAAIIq!
<br />I hEhy lffr'n und( pqulty olFjury ihd I m li.ds.n undd F.rirnJn.l( hnod e (commncin-! qilh S.di.n 70m) ofo kion I
<br />of rh.lturif,*Md Pmfsion! Cod., dd my licd* B in tuU nrc. ed.lldr
<br />A o
<br />t((()tl^?
<br />CONSTRUCTION I TNNIN(: AT:FN(Tf
<br />I *!.J .,Im und.r F[liy ofFju,.- lht lh6c a , @'drucr ioo Lndi.s {rdy for rlE FfM. of lh. trlrt fot *tth rht Fni i!
<br />isud! (sd llr7. crv c)
<br />AIIIICAII.OECIASAITII!
<br />I halb .rm undr Frh, oa FJUry or of tlE folhx ir8 &l&ai{B
<br />t,.mlirion P6'l'Arbdor Noifi. io! F.ddal R.gll,lioB { I nl..10. Pdb)
<br />-R.qur.d
<br />Lnld urt{rifi.nbn
<br />- I .61ify lh.l th. f.dsal Esulaliod rcsdding elBro! r@'vtl e. .o! !|id..hl. h rhir Proi.d
<br />ilyrhirlruv.rcddrhisrpdicaronddsr.rcrharth.ih\.rn!ullktr,'s(.'rd la$e(,$mplr( hall([!.nd(ount)
<br />.rlnrnc6 and S$r. Irw! e,,rins ro b ildinS coNrrudion.irrlnri/. rctx6orlrLr6 ofrhn (\ry dd ( ountylo ols u!i,n lh.
<br />ih,vc nr ln,nd nr)ltny ntr 'nsNcl$n purp(r6
<br />,\Drli(rnl or ,1rul si*nrlum )<
<br />hrnnkr mflr(prn't): O(Lr^
<br />*"41091r'/
<br />SITE.WORK
<br />Framinq P
<br />Ext./lnt. Lath
<br />6-V"n 1 LeYvAq ealt \v'
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