BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.O}VNER BUILDER DELCA'TATION
<br />I hd.t', .Itm uldd Flnr of Fjuy lhr I m dmF 6om thc Co r.ldr' Lt.e l^ for lh. folh"itts rNr lsc ?01 I t
<br />Bci.e dd arofsbn Co<lc): Ant Cily o. Coumy shkh t qui6 ! pcn'l lo ot!tud. .hd. inFite damlirh or E ., xy
<br />rM@FixbiR isle...eo rc(niG llE QpltDt lor sh Fnn lo fit t.rsBd rd€En fii lEor llE i! li(B.d ptl,ld
<br />ro rh. Fotilio6 oa ttE Codlr.,rd! L*.n*d L.* (Oudd 9. Co@irg $it Sclrn ?(x)O of Diirion ! ol llE BGIds ed
<br />Pm&ii,B Co&) G Od lE d lti a ddF rnd.fhm !i llE hGi tu llE.tkscd.rdqs. A.! li,Lrhn of Sdb, Toll t b! or I
<br />.r?licor for . F,rn sb,cIi rlE .I)Pli@r lo ..i!il F hyorml mErlr., n!. hundt{ &'lla (1500)
<br />I. 6 orG of rh. !.o!.n), or Dy dpbt6 *irh wrsd s rh.ir $k @npqBti).. *{ld, tlE Ndl.n llE rrud@ il d
<br />i d .d tr olI6.d for s& (S< 7o{4, asi6 dd ProfshN Cod.: Tn. (onln.l( r Uc* l,q d(E 6l tpplt ro a oEM of
<br />rh. FlFny $ ho hil(! or inF.t6 1nd6n. td *h. d€ kh "irl him*lf or h.clror rhmulh h$ or hd o*n mployc.
<br />prorid.d rh .u.h inF.vffil! E mt irncd.d or ofisd ft,r BL lf. h.*6s. rlE h]ildin* or itrrFrillffi! is sld sirhin onc )a
<br />ofcompkion. thcO*c Buldd *ill h,v.llE hrd6 ofpro ns lhd h. or 3h. dit d ttril.l or iq,ov.lh. propdi, for tlE purFs ol
<br />l. s osrs .lrh. Fopdr, m .r(luir.l, contraclins $ilh licqts d codndots n' .nEld.l rtE rtoj..l ( sd 704'1. Bsind
<br />drl Entosin Cod. lh. contdor r t].re ll* do6 mt .rply lo u omd ol rrotd v r ho hoild! or inprov6 rh6on.
<br />.nd uho sffis for suchFDj6r! wnh ! C!dEcto(3) ltded prud torrE ( odr..n,'r I-it.M t *)
<br />I m.!dd uid6 Sdion .B &PC forrhB@n
<br />.lLIrEriEAUqlrEElSArro!
<br />DI(IASAIIO!
<br />I hd.ttr .frtrm un&. FElty of Frury oE ofih. aolh$ in8 dcL,.rioBl
<br />-l
<br />h.n rvl $ ill @i.hi" . CdliaE.l. of ColEar lo S.lr- lN@ fo wtd. compd.non, 6 Fo\ id.d 6r b-v Sdlion 1700 o f rh.
<br />L.hn (od.. for lhc psfome. of ih. mrl for shich th. Fnn i bucd
<br />-l
<br />hrvc a.d eill mainlain worrcn comldBd i.. nrur!n... 6 r.qut d by scrin 1700 of rh. l,b.r ( odc. lor ln. pdfomMcc ot
<br />!h. Rort for which lhir pcmil it bu.d Mtworkdt conpdltlion iNu.ecc.ei6 dFli.y.uhbd rc:
<br />l'ct
<br />l.drryrh.r i. rh. FaolrM...f rh. Nrl for \fith lhis Fnn ir is.4 I rh.ll ml @plo! ur F$n it i) IuF
<br />b sro bcor subj.d ro th. wt6 @npadi'n L*r of Cnifomia sd Br Or. if I .l$uld tttoE $b'.cl h rlE
<br />r.rt6'ompdEnb.pio\sb6ols<rionlT00olrlEhborCodelJ6ll.fodh{nnoddt$nhlllo*FlBi,c
<br />WARNINC: r.ilc lo s@ $nrl6' onr.lsiion orqls. i! oh*tuI. .rd ibll $bj<! e apLta ro simindl Fnli. dn
<br />Sdion !076 or lh. Libor ( ode 6td.r xd .norEy ! fG
<br />0r
<br />DECI3IAIIO!
<br />I n@by lrm und6 poaly ol Fju.y d l m lt.nt6j tidd Folilion oi Chqid 9 {.omnB.in8 silhS.tlion7m0).rl)ivilion ll
<br />of rhc BBin6s ed PmfdioE Cod., exj my hcosc t in li'll 46r.. nl .Irdr a
<br />ff 6l*-.". *Co
<br />CTIIIIBUCIONIJdIIIE.A(iIICI
<br />I 6y .fim un&r Fun, 6f pdiur) rhr thc i t odruclbn r*ros !3qry for llE Ffrnrllre of $. $dt 6r utth lhir Firi' t
<br />sad Isc 1097, civ c.).
<br />AIII.I(AILDIOJAAIIAI
<br />I lErbt drm unds pc.ally of Fjury o.. oath€ follo*in8 ddlealions
<br />D.nolirion Pomn$Asb6tos Norifi calion ll.ddal Rcruld'ions (Tnk 40, Pan6)
<br />R.{un d lar6 of Nolin.alnn
<br />-l
<br />csrrry rhd th. an dd r.SohrioB r4odins sbGlos r@ral -. nor lpdicrl,lc n, rh! I,o).d
<br />, nd,n,h, r h.'t Ed,h. rol
<br />\.dtrrr6; sdc L!q! drulB ro
<br />i.tro. ii rd. rhn rh. rtoe. intorndb. i! .otu I .sG lo onpb r nh t[ Ch) &d Counly
<br />hcdy & b@ rqr.ddn 6 o( tni! (jly &i cooni' ro o16 uFn r,r
<br />rhorc @rs..d FrFn! for
<br />,rpp crnr or
<br />^rmr
<br />sh..ru.e !'
<br />,.-n.-..,r*r, lSlf4rh ++q.+n&r:
<br />r8
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL r\1\ r\ol/t1/'6)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />-)
<br />SITE.WORK COMMENTS
<br />'l-\-\1
<br />civil ,in6 up ro o( hund.d dholsn &,ll!r (t100.000,- in ddnon b th. mr of conFBtio( &DeB 6
<br />I (m. Nombs
<br />l,.ftl6 r A{ll}B:
<br />1
<br />UFER Ground
<br />Brown Coat
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