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SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DET{ARATION
<br />I tdrby .rm und.r Fn ll, of IEJ!., thd I m .r@pr &oo rh. Cotl'-l6 Lr6& k* ror ilE folb;rg Edn (S.1.?Ol l.J
<br />Buil:a ad Profdrn Co&) Ary Cny or Cou,ry shth r.SriB r Fni lo condDd, .nc, inp.ove domlbh or Ep.n ey
<br />sttucrd., Fir ro ne islee .lo rqun6 rh +dtd for *h FEn ro 6L. ri8,.d rrdE thr lt or rlE i lid.d Flld
<br />lo llE FvtioB ot rConlddi l,ilrE d t * ((h$d 9. CoMing *nh S<ri'n 7000.f DNi.ir.I of lh. aut6 od
<br />PreGsb6 Co&) d rha lE c rtE ir .rq@r rha6$h !d fi. bcb for rlr nk*.d darFiln tu, vbhbnoasarn! 7011.5 bysy
<br />99ltd lior. F6i $br6t rlE rppli<or ro..iyil Folry of d mr rha ti!. huidnd &lla. (1500)
<br />l. a orG ofrh. FlFrr. d ny cnptry€ fih f,.s6 B rh.n $h mtr$qE rFn. rill do tlE *at -d,. ldt E. mt
<br />in.i.d otu d fq el (S< 70a4. BqiE.( liofdbB Co<rc TIE Cofirrd r l,iog t& ib6 x{ {d, to - osc ol
<br />lli F!Ft' \tD h,il& q irsorB d!6n .d who &E un uod hi,ellor h6.lf o lmu3h hir * lE o$r olployG.
<br />FtrviLd rh, ut imFovlEr! E ml inldrd.d dolEd 6r sL I( lbssr. rlE toirdi,B d in m\ffi t bld eihin m rd
<br />of 6'Fldi& E (nE Ailq will h.B th. h,&r ofFoliE thd h. o CE drd Dl hrE d n+.!E dE FoFq ftr tlE F,pc ol
<br />l. s onn6 ol th. ,ropd,. e c\.luivcly cont6.1iu lith li.ds.d conur'oa
<br />'o
<br />codrud ltE F.jcl (S( ?0J{. f}Bin6
<br />di Pisto ion(id. Th.Conlr (tr'.l.i..nr.l-r* dod ndr oll',lyro eo*.d.fropdry*ho buildror inpDvdrhdo..
<br />rnd {no contocr! fo rucn nojd! sirh. ('ontnclo(s) li.ft.d puuu& rorh.Co r!.rorr l-icd. ljwl.
<br />ldn cx.nrpl u.d6Sdtun
<br />lloar[S5tco[trEdlAlla!
<br />DE(ldSAUq!
<br />I hd.6' aftm undq Fuly of FruD oG of rh. lolhNins &(LrstrB
<br />-
<br />! lBv. id rill mint.in. Califrn. of('oM
<br />'o
<br />Sdf-lEe 6r Nrt6 o,qaErn.. a FD\ij.d 6r by S*rio.1700 01l[.
<br />L.td Code fd llE FfM. olrlE w.* rs *trh tlE FDn i! isEd
<br />\-' n"* .,a *n -.,.. *.td orcdin ffi.. B E$rid by scrb! 3?oo orrlE L&. cod., 6r tu Fbr1'l& ofdi *ql fq wt h rh! dDr i brd My wtd @oode Illltre ffi, .n Dok' ffmbd G
<br />.*, - NAs/4dl-rvrt Ut"S (A_ r I
<br />""*^ \w'lo
<br />I c.niaylhrl in rh. F aorm.c. orrh. $.rl nI $hi.h rhs pGsir a cu.l, I shall nor dnpkrr.nt F*r i. !.y mdn6
<br />$ alo b.com. suhjd lo lhc \ 0116' codrErqxon hss orCalifomia. and asE lhal rrl rhould tE(om. Nbid ro rh.
<br />*oi(6 comFshon prevBioc ofS..rion l70Ooflh.lltnr Code lshall.lonhuirh co'nrly wilh llns tao\irrtu
<br />WARNING: Fallure h sur. w.rtdl .orrp6r0thn .o!6.s. i! unla$ful, md shall rubrd an mrl,)r6 kr riminal Ftr[is and
<br />civil find llp lo onc nu jrdj lhoulud dolla (ll00,LU0). 6 ,dd'ion ro tt cor of .or&lMrFn, d.4Ad a pm\id.d tor rh.
<br />W\.,,CO"-(Llh)r (Gje inr66r ed artonEr'i a6
<br />D cL\\a x
<br />LI(};TIIDTONI&IC]I)A
<br />OTC]AB{TII)!
<br />I hqd,y .fim u.da Frny ol F,,y rhr I o li.aE d u(b FoBioi ot (]lr9lq 9 lonnE,U *in S<li.n 7000) ot Divirbn l
<br />of th. a@iB &d PFf6io6 ao&. rn my ltcg t in tutl lbc ed.ficr
<br />ft{tt.,Ctv .^581a'l
<br />\c1 .-,-"- K re\
<br />CONSTRUCTION LENDTIIC AGrNCY
<br />I horly.llm uda FElry of Fjury rhi rhn it.o'dnrrh ladins lstry ror llE Fltu o,iE *qt 6r etth rhir Fni ir
<br />Bu.d (Se 1097.Civ ( ).
<br />APIIIIAdLDEOdAAIIO!
<br />I hdrly atr@ und.r p.n.lty of Frrury oft of rh. lollou,ins del{ir iont
<br />Dr@lilion Pmil!-Aib6lor Noli6dion r'.d6!l R.suLlion! (lnl. 40, Psl6)
<br />R.qun.d Lcrr6 of Not'ficdnn
<br />I .qliry $r dr ,id6.l Eglldb6 rB.drla .t d6 llDr.l e rcl @li..bL ro $i. proJc,i
<br />tr{.-,r, ,* , * *,4 didi'n d r.r. thrlx rhy}-+ldm ! (tffi. I rG ro o'Eb rnh r[ ('ry dd coulrt
<br />ff ff ff"ff
<br />-W-K*"::"lt!,J,;
<br />"-,,-"-.,".rX-h,@
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<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 Reporl
<br />Flood Zone Certif.
<br />FINAL <l tvho'il|r<ta-e -',Ju )
<br />Certificate of Occupancy t t I UI L-..-
<br />Notes , Remarks, Etc
<br />-)
<br />BUILDING- INSPECTOR RECORD
<br />Shear Wall
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