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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BTIILI'Ef, DEII' R TION
<br />! lE.b, l,fm Md6 Frty oa pGrury ltr I m dsnpr ton rh. Corrt.cl6 l-t.@ l.s for dE follo*oe ltan(Sc70ll5
<br />Bulinds md Profdtu, Cod.) Ary Ciry or coum, which ratun6 r Fdit lo codrtu(1, tlt6, imFlve d.nol6h or r.Fn my
<br />snu(@ Fi, lo h! isulft. .ho rcq{n6 lh. Qpli&l for $clt Fnn ro 6k r ri8r.d ndoEl ftr. tt or iE i li.aEd pN.n
<br />b rlE Fovnioc of tlE Corlretd! Lienr.n l,* (( 1Efl6 9, (nmtrins snh Sdio. 70m o, Divni'n ] of lh. B$ilB od
<br />PEfBioN Cod.) or rh.! h. or !n i! d.npt lh6.fron ud lhc b6a for th..ll.8cd .rotio.. Any violdion of Scd iof, ?01I I by sv
<br />.p?lkd f6r . FEn {bj6rt rt epltDl ro . cilil FrI! of mt mEinD fivc h!.d,.d &,16 (l5m)
<br />-1.
<br />s o*nd ofth. F.Frr. or my mplolE *ilh srsd s lh.n oh .omFs6n. * & llE *(t ad rlE JME a ml
<br />indrLd m ordld ld r]. (Sd 7044. t\ui6 ud Pr.l6i,G (-odc TIE codr.dd't LiEE t^ &a ml 49ly lo oqm of
<br />rh. FitEty wh. t(illo. rp.!!cdEEn &d rhd dcMh *n hirolf or lE*ltor rtmu3h hit or i6 oM drloy€.
<br />p.ovij.3 rh.r ruch n Fb\qtEB c ml i avldl o. ofroql tor 5L. l[ ho6q. tlE hrilditB ot Ep.oEEr i! $ld wihin o* tw
<br />of dtpki(a t,E oeffi BriE si[ LE 0. hdar olFulE dr lEnJE(Mml hiti or it4.or!l,E FpFy 6r llE F4aof
<br />-1,swEoa$.FlFry.@acl6n
<br />lyo rdh8 qnt kdBd @,rrrroBro 6nfud E F,J..l (Sd 7oH &E!B
<br />.,t E!t3!i, Co&: Th. Conldclor'! l-icse l.w do6 nol s@lyro M 0*!6 ofp.opsly uho build! or inrovd tnsen.
<br />dd uho @rrtrlr ror Mh Fnjarr with. Conrdo(r) licB.d poluil lo lh. Conrrucltr r tic.@ l.w)
<br />I m c\.r.pt uod( sdtion-,l, &P( aorlh6r@n
<br />D.r. Of,ld
<br />\i on(rqs ( rlM PiNs^TloN
<br />lfcldSAuqtr
<br />I nntb .fiirm un& FMlr) of Fju,y oE of r& aolbu uB d.tl,r.rb6
<br />-l
<br />hav. lrd wiu dinr.in ! Calificrr of CoBar lo S.lf.lreu.lor worl6, @n'r.nsrio.. B Fovid.d fot by S*lio! 1700 offi.
<br />L.bor c.d.. td rh. paf(,r]r!E of tll rct 6r "tin dE Fnn a suol
<br />-l h.v..nn *illn.inr.in vorl.( co'iFslhi 6uftc, e r.qoit.d by Sclion:r?00 offi. kbrCo&. to. th. Faolrj@. of
<br />rh. sorl ad shth rhn Fnn 6 i&d Mywt6 omFMbn iMs. ui, dpoliq.!nbd tr
<br />\tn'lz €, ne,lqailts<@ J t1
<br />I csrit rh.t u rlE Ffo@m. olrlE wo fc whih lhie Fnn i! isdn. I null m' orlo, ey Fs. ir tltlM$ B !o b(.m. 3uq*1 ro lh. wri6' .onpciio. hu Df Cdifomia Dd .sr lhn il I lhould h<.m. subiat lo
<br />'h.woll6' omFs.rion provilioB ol Sarion 1700 of th. t.hor cod., I JdL tonhwith comply wnh lho- FovnreN
<br />wAnNlNG fnlirc lo cm $dtd' otrpdsion ovalsc L @l,NtuL .d lll sut .d & @phyE ro cinind FEri! rd
<br />r. o* h@dr.d lhouedld rhllu {lloo.odl). in rdd nr, lo $. .or oa comFelion. dnEc6 6 Fovi.t6l lor thc
<br />S6rio. 11076 dllh.lntbr cone ini6dudlhorfty', t€
<br />lC'tt tX o
<br />DlcrlSArlo!
<br />I h6r-by .firn undd Fdl, o f Fjury lhd I m li.d!e1 undd Frtion of Chsplg 9 (c.n1j6cng $ith SelFn 7000) 6a Di!i.io. 1
<br />oa rlr BBIB !d Psa<ioB Co&. -d my ltcE i! in tull nftc ad.fiar
<br />I latl'l) b
<br />@!1&"\b*. A, as G. n,*1 Corstr4(h ?!l
<br />gSflEx(fulLtElll|G-AGE!11
<br />I h(Eby .rnrn und.r Falry oa pdjury lhlr rhd. i! r.odru.rio. Lnding .s*y lit rh. Faolrmc. orlh. q aor $ hich thn Finil n
<br />sucd (Sc 1o9?. ( 'r C)
<br />ATIIJCAAUIESJAAITA!
<br />I bn*' rniB uidq Fn ny of Fjur)' od of lh. follou
<br />'ns
<br />d<lt.tbB:
<br />D.molirion Pmng^rbdro! Noli6c.lrn l.darl Rc3lld ionr (Tirl. 40, P3,16)
<br />-lcquEd
<br />t raof Norift.ih
<br />-l
<br />.diry lhr ln. ftd6lt .rsulrli'6 i.gtni.r r.hdot lmr.l e d +9l.tblc to rhi! ProFt
<br />Il .di& rtu I hrv. @d rhi! +plt.rbn ad d.r. tha rh. ihov. inro'Mion is corrd. I esc ro ondy wnh lll cnv &d cour,
<br />odiie6 ed Sbr. bs Ehls lo h{ildiq oiteudio.. -d lE tt alho.iz EFErriv6 of thi. Cny !d Coutv lo d E l+oa r,E
<br />abo\r Mrion.! prcFny fd 6Fl
<br />Appli nl or ,\s6l shn.lu(
<br />(\Y l7\\dkn -* l0 rg t(
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />t/l/i?9\(1
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />FINAL
<br />tt
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