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SITE.WORK DATE ID/SIG.COMMENTS OWNER BUU-I,EA DELC X,ATION
<br />I tEEby rrm u.d.r FMxy or Frrury rh.r I m.&rpl fr.m rrE Conhlou Litne t v for tlE follo*i,! E$n tsd.?o:t|.s
<br />Au.irc$ ud ftorcrshtr Cdc)r Any Cny or Cmdy *hah rqurEs ! IEflil lo orslrucr !lrs. itrPrcrc. &mlish or rcFr My
<br />tdkrE. Fn. lo iB |I.!IE. ns EquiB ln. 8l?liDi ro, uiFnt ro nL! r't.d i'.r. .r rh{ h. or dE B li(.sd pursu
<br />ro tlE Folniof,! ol tll ContBrol! Li.lnd Uu (Ch'ptcr 9, CoftmanB sirh S6ri'i 76) st Di6i'. I of dr BodEs .nd
<br />PNt ssnr.r Codc) or lhlr lr or rrE ir .rcnpr rh@tioo rnd tlE b.!i aor E rlk8.d.rqrion AnrviirbnolSdnnr0ll.Sbyey
<br />lprlt.dforrFmir$bJ..lslh..ptlicMrlorcivilF.mllyolnolmEth{fiv.hudE!dolhAll5(D)
<br />-1.
<br />&r oxEr of rlE ,mFny. rr ny .rl,bF$ riri ,r3.t $ rh.ir nL otrFndn^. will do th. k* !n 0E iMm k mr
<br />inkfll.d or oficcd IE qt {Se.7or4. Buim3s ed E!f$!bnt Cod.: T,E ( odrxrm! li.e trw lro.! d +pl! r. u orE or
<br />rtr t,qnt whl hlitd( or inEnrs tlEotr lld wh dGr Mh wnk himrclf or h.rclf or fireu8h hn or hd o*n .nploltc!,
<br />,rovilqi ll!| st iqmwr . E d idc'd.ddofdd ftrst ll lnw. tlEltrilding d iqreErr t$ldwi$inoru)€,
<br />orcoophrbtr t r OeB BliLri wil lEr tlt hr&. otFDvilgtllr lr d Cr did Dl t ild 6 irtrok 0E FoFry rd tlE Fr]G 6,
<br />-1,
<br />aso*Eof
<br />'lE FotEny. &tr.rctuliElysnrr*b8 *irt lic.nsn co rk16 ro $ns.r.r rh. In)Fr (56 7044, 8!\irs
<br />ad Pn .su Cod.: Th. C..k&toar Lk.nk lrw d6 tur .poly ro 6wEof l,oFnyslxl bui!$or inpm6 tlE 6n,
<br />!.d who mnlrl$ ror $ch Imir! qilh. Conlr*1o(s) lillrrd purx@l lo llE Orrtrltr s lictt L.*l
<br />I mr cr.n{" unLr Sdi,n eI.#"/,/rrh,-e-.
<br />Dlrl,l&Luor
<br />I hcn l)t rllnn, trn,l.r tf,trx rr-.f |tru,r- orc oi rh. lflhstr,t (l..hrrrrn,\
<br />_l h.v. an will Ninr.in t C.nifrtl. of Cornr ro S.lf'ln@ fq wt6 mqEns.lEn. !s Forihl 6r !, S*lion 1700 or rlt
<br />Llbor C.d.. lor tlE F.lo..4. of dE h.I ld whih dE Fnn i! i(Ed
<br />I hrrc rftl ,ilr Nmi.'n *)rtdr' oqEn{rrfl inruBr.. $ Equinn h} Ser ion 170(, .l
<br />'h.
<br />lit^r Cd.. for rhc ncrtomlr. of
<br />rtE *.rk lor vhih lht Fmt is trd My rctd5 onF.etnn inswrE ffir rn |,lty noilr e
<br />WARNING ,:ailurc (' Bu,c $trk rs'.otr\Tos"lion covcnrB
<br />.$l filr up ro ok hundrsl tlx)u{id doll'rs (ll(Xr,fix)),
<br />'nS..rr,n 1076 of itE trhor (irl., inr.(< rnd dromy \ fdr
<br />btstr u .nlrhFr b 6l1ml FcXs d
<br />1^r f mttNdrotr. drNr6
<br />^/o "l ,ltto 4
<br />Iturcby.fln u cr F.llry ol FUury lhd I !m litnsn udcr rn,risi.o of Ch.nls 9lconmEfu *irh S..ri,n 7000) or Dirtrion l
<br />.t rh. alsircs {.d Pof.$hns Cod..,rl ny li.cns ( in full furcc rr .ff.(t
<br />tolErauctrl)ljJdDllc-acEdcx
<br />I lrEby .ttrn ud.r F@lr, ot p.rjury h.r rh.c ir r 6^{rEbn hndhg {.Ey for ilE IEfmr .l tlE wr fu rni{thir Fhi ir
<br />issocd rse. 1r7, civ. c.)
<br />L.nd.r! AJ&EB:
<br />-
<br />A.TILICANIDECIJAA.IIO!
<br />I &l.frm un €r Fn.hyof Fr]lry orc olIh.lorlowin8 &.hErionr:
<br />t)lmlirion P.rn'ih A,tE:i(r Norifrc.rion rrnsll Rquhri,ns (Tirk.lo, PEn6)
<br />-R.qur.d
<br />l.tr.r.r No(lfr{hn
<br />-l
<br />ltnni lMr rL ftnc,ll qriLranr EE ri'ns r{Bkx Emivll m fr, +pl.tbL io rhN Pn,r.{
<br />I(('r'lv rhrr Ilrr. 'rrd rl'^ rr,tilkrro flln c r hd rh. rhov. inrorndhn ! (nd I rer nr oq'll *nt .I Ciry $'d County
<br />udituxt\ a l Srlrc lr*r EtnrinS ro h{iLtinB
<br />.h.w 'Enri.n d ,lmFdy for mrp..rirn
<br />Ao0liranr or,\$nl SiAn{luR
<br />RP
<br />.. il )i,Iffi;^ ;,",.^ ;' :";i;" i"i -
<br />o A /"(fiRf tNEZ
<br />Forms/Steeli Holdowns 11117\'DWvf
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq ?-tw- zr D71tl { a-
<br />lnsulalion/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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />7 -l a'Lr DEsi!3(.lr
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOB RECORD
<br />_l enifr rhd in rh. rErrorm or rlE wD rd *hict lhk Frmi! k ilsucJ, I rll nor .r{' loy on, p.tron in ony m.Er
<br />s a lo tECoE .ubirt lo llE aqtd of,lEnsrih t $ of Crlifomn. id .rc lhll if t dDuld b..od o6itl ro tlE
<br />*otk6s'otr{EnerionpFlnbnrofSdrbnS?@ofrlEL.tdCod.,l,ldl.frlhsnhort ywnhrEEFoviri,6
<br />Set Backs
<br />FINAL
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