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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER DUILDET DAI(TRATION
<br />LEEby .lfrm u.&r FMxy or Frto.y 'hd
<br />I e .r.,+ nom
<br />',E
<br />Co!r..cl6 LitB L,w ror rlE fou.,wi.a l.er (se.70lrl.5
<br />Bs.i6i In Prcrerb. Cod., Ary Cny d C4 , *hah ,lqtiB . Fmr b onrdl .!a, dPrcle d.mLn o, ,tp.t uy
<br />(e1@. FDr ro n! tffi. .t ,.quiB lh. rp?liEr ror nh Fmn lo nE. 3'sftn (r.Mr rh.l lt or .lE it liansn pus.n
<br />h rh. FovnioN ofdE Conlrsro, r Lic.ns.n Lrw (Chanr.r 9. CollmRing wilh S.clion 7000 or Division I or rh Butnrs ed
<br />Phr.sions CuLl d rhr lr or .lE ir .r.npr lh6!6,om rd ,E b.\n for dk rlLsd cr.qr bn. A,y valhrirn ol kion ,01L5 by .ry
<br />%;ffi -*ff ;ffi'#;**'*#*il*******,.,
<br />rlE Forrny *l$ hild. d !r!.oB dsq[ rn who dG sh wL hirolf m lEElf or rltood hi! d lEr om.rphFs.
<br />I'rraiLd fii rxh inprovffi! e f,l| irqi.d oltu ti qt. l( hoEE, tlE hrrrlt inptN.d i! in wihii m Fr
<br />ofmtrDllion. $. O{ci Bullr6 wi! IEE rlt hlrrm ol Imviry lh.I lE u sh dn d boild or itrtroE dE FDtEly fd tlE FtrF- ol
<br />-1.
<br />6 opE orrtE FotEry, mg.luriEly odn rins rih li(rosi offim h @.ner rlE Fis (sc. ?Oa., BBms
<br />.d EoLsih Co&, Th. CnnrBtoa. L(..c t w dcs mt rpply ro a ovE ol pmFnryno builds o, anpreE! rtE 6..
<br />rtrd eho sntmcrs for such pmrds *irh s ConlEcto(9 lic.iEd pu^u ro rtl Conrekr\ Lt.nE ljw).
<br />I rm .r.mpr lndq SarDn(".,.,6:t4-21 )utnleEe.{/6
<br />DECIJSAITA
<br />I h.r*,y .rrn uftL. FEhy or Frury or ol llE folhwint &cl,nraons
<br />I hrv. drl will mi.rain . c.nific.r. of Conc.l ro Srll-lnsurc fff rorkF' .onr|l.nssr t,h. rr povidL\t ln hy S(rn,n lr00 ol lh.
<br />tltrr Cdi.. rd OE pdfdlllny or rtE Errr fm uhi.h I h. Fd t nqEd
<br />I hrw a.d * r ll nuinrun workcF .onrllcnlrro. in.u r!rc- A r.qun d h, S(rx,n :17(f,r of rh. btrtr (ixlc. for rlE Isnnror-'c ,l
<br />rhd qork nn whah lhhrsnrir is issu.n. Myworlc (,nFnsori{'n in\on .. utrid Md F,licy numh.r m
<br />lrolrq Numbfl
<br />-
<br />ErIEr
<br />/gl cdny W i^ t* shlr'rN of rlr sorr rd *hth rhir Fmi i! k!.d. I .h.U Er c'q,h, u, ttBn i! Ey tu6
<br />iJ! ro bdor sbFr ro tlr unr6 6rp.Mbn lr$ of C.lifomia !B.rE ind ir I .lburi bdom sqF lo lrE
<br />*ir*or orqrn<mn pmwio$ ol Sdrn I7morllE L.bor Cud..I rlDll, lonhwirh 6mply q h trsr ImEbN.
<br />WARNING: llliluE lo scm *trt ^'odp.$rlhn oEns. i! u.hetul. rn {h.ll .ubjet an olloytr lo aimin.l Fnrllid !d
<br />civ rms up to oE nurdrcd rhousld doU!- (tlm,om,, i. nldnioi ro rtE ot of cong.mlion, d.rE€lt a Fovn.d for lll
<br />seri,n 1016 of rlE tjbor CuL, h.d arn sIbmyi le\afL-t o -4
<br />DECIAIAIIOU
<br />I hcFbycfrntr lqF. yof p6r'ry rhd Imliut d und.r Flvtbn o,Clupls 9(@.mtin8 vnh sdiod,m) of Divirhnl
<br />of rhc Burims !n! Phf.sions Codc, {rd my tk.ns t h tuU rom o,i .lL!r
<br />(l)NraJ.t(:I1aN-L$sluNi-6ri$ilI
<br />I hcEby rmirtr trklcr pcnulry ol p.rJury rhd rncrc 6 tr.onitu.1ktrt ldnrli.S dSrky fd rh.,xrlorroncc of rhc *ork tr *hih this lrrmir ir
<br />anr.d rsr. 10r)7. Civ ( l
<br /> 9PI IC NT Dr('I AITATIIIN
<br />Instnyrtrm!ftL.FMhyoltEuryoEof E folb*in!&.LrrioN:
<br />D.mlirr. P.rnils-Arhcslos Noli6! bn ts dcrll Rc8ululionr (Tnt 40, Pdtt6,
<br />_R.nuini lrnd.f l*iifilD.
<br />/r- *di[ lhr rh. f.d.,d Esuhr 0n! rclrdrry r\h({o\ F,merl uc mra$!r.bk
<br />'o
<br />rhFImFCr
<br />&(,n, ,* , ** *^ rntr 'mltrrrn !n qri. rhd DE .how infomior it NErr. t .sr ro oirly *ilh .I cir, md counr,
<br />;,nr\rK' "rn sLrc tlB RhrnE !o h,ldr8 .oMr,tr !n h.Eby dnhoM rcFe'rciB of rhn Cn, In Cou.r, b ..rd uFn r
<br />4e-J-?.7;:L:t42/
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground '/-
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Eneroy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />ll t I
<br />FINAL 1fz.{a l,\-h )
<br />Certilicate ol Occu anc
<br />Notes, Remarks, Etc.
<br />lrRlxa\ ddrc$
<br />Subf loor/VenVl nsulation
<br />Ext./lnt. Lath
<br />Brown Coal
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